Search

The main objective of healthcare centers is to ensure a consistent and high-purity oxygen supply for the safety of patients. Pressure Swing Adsorption (PSA) is a commonly used technique for supplying medical oxygen by eliminating nitrogen from the ambient air. Due to the increased fire risk associated with oxygen, any malfunctions in the oxygen supply system can lead to serious hospital fires. This study aimed to assess the reliability of the oxygen supply system using Fault Tree Analysis (FTA) based on both the traditional method and Intuitionistic Fuzzy Analysis. FTA is a logical analysis method used to identify events that could result in an undesirable top event and calculate the probability of its occurrence. The FTA of the PSA system outlined the logical sequence of events that could lead to the release of oxygen as a top event. The study revealed that the failure of the pressure switch in the concentrator, inadequate sealing, and the use of inappropriate materials for the seals were the primary basic events that led to the release of oxygen. Additionally, this study utilized the Intuitionistic Fuzzy System to quantify experts' opinions, providing more flexibility in handling ambiguous situations and considering both membership and non-membership functions simultaneously., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 Published by Elsevier Ltd.)

The present study aimed to perform a dynamic risk assessment of liquefied petroleum gas (LPG) in spherical storage tanks using the Hazard and Operability (HAZOP) method. The "LPG release from spherical storage tank" scenario was determined to be a top event based on the risk level. The causes and consequences of this scenario were then specified using the Bow-Tie method. Additionally, fuzzy cognitive mapping (FCM) was utilized to identify the most critical threats, consequences, and effective barriers in a dynamic approach. Results showed that fracture/rupture in pipelines/a storage tank due to fire had the highest output degree and was identified as the most influential threat in the occurrence of the LPG release. Fatality/injury due to fire and explosion had the highest input degree and was more influenced by the release of LPG as the main consequence in the selected scenario. The findings of this study enabled us to make a logical decision about effective barriers for avoiding and minimizing the release of LPG and its threats and consequences based on the fuzzy cognitive map. Moreover, the results of this study showed that the FCM method could determine the most critical nodes with a higher degree and represent their relationships., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 Published by Elsevier Ltd.)

Events such as oxygen leakage in the oxygen generation systems can have severe consequences, such as fire and explosion. In addition, the disruption in the oxygenation systems can lead to a threat to patients' lives. Thus, this study aimed to identify the significant deviations in the oxygen supply system as critical equipment at hospitals based on the Hazard and Operability (HAZOP) method. Despite the advantages of risk assessment techniques, hazard identification techniques are still being utilized with deterministic and unreliable values and have a completely static nature. Therefore, using dynamic techniques to overcome intrinsic ambiguity in the risk assessment process through fuzzy sets has been recommended. Additionally, we proposed the HAZOP methodology to integrate with the intuitionistic fuzzy system for assessing the medical oxygen supply system using Pressure Swing Absorbance technology as a proactive approach. The results showed that the intuitionistic fuzzy approach, combined with the risk assessment method, is a suitable tool to eliminate uncertainty, improve decision-making, and result in more detailed and accurate findings. The approach adopted in this study can be used as a needs assessment tool to optimize maintenance programs and provide the necessary training for the staff, maintenance operators, and medical equipment managers., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2023 Yousofnejad et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

Background: Occupational cancers can be avoided by removing dangerous chemicals from the workplace or limiting occupational exposure. Approximately, 10 major risk factors account for 85% of all occupational cancers. This scoping review study aimed to determine the most important chemical carcinogens related to 5 known occupational cancers. Methods: In this scoping review, we followed Arksey and O'Malley's 5-step framework. Four databases (PubMed, Web of Science, Google Scholar, Scopus) were systematically reviewed for relevant published papers from January 2000 to September 2021. Studies were included in this scoping review, which examined the effect of carcinogenic (definite and probable) chemical exposures on 5 known occupational cancers (lung, bladder, laryngeal, leukemia, and liver). We reported the types of occupational carcinogens, the geographical diversity of studies, extraction of relative risks (RRs), hazard ratios (HRs), or odds ratios (ORs), and identified gaps in the existing literature. Results: The highest number of studies was related to lung cancer (LC) (n = 26), bladder cancer (BC) (n = 11), laryngeal cancer (LaC) (n = 8), leukemia (LeC) (n = 3), and primary liver cancer (PLC) (n = 2), respectively. Most studies were performed in France and Canada (n = 8), Germany (n = 4), Finland (n = 3), Netherlands (n = 2), and Finland (n = 2), respectively. Furthermore, the most common occupational chemical carcinogens associated with the 5 known occupational cancers were asbestos, benzene, crystalline silica, polycyclic aromatic hydrocarbons (PAH), and diesel motor exhausts (DME). Conclusion: Although the attributable risk of occupational cancers in developing countries is much higher, a small proportion of studies were performed in these countries., Competing Interests: The authors declare that they have no competing interests., (© 2022 Iran University of Medical Sciences.)

Background . In this study, we aimed to discover why workers engage in unsafe behaviors and reach a deep understanding of all causes influencing unsafe acts among workers in a mining industry. We also aimed to determine which causes play a more important role in the occurrence of unsafe acts. Methods . First, we determined the unsafe acts through observation and then investigated the factors affecting them based on semi-structured interviews. In order to identify the most important causes, we utilized centrality indicators including the degree and betweenness centrality of the social network analysis using UCINET version 6.0. Results . In total, 3058 unsafe acts were observed and 85 causes, classified into 14 factors, were found to influence the behavioral intention of workers. In this study, inadequate supervision, with the highest degree of centrality, proved to be of great influence on performing unsafe behaviors. In addition, inadequate training, with the highest betweenness centrality, was determined as the main intermediary in the mining industry under investigation. Discussion and conclusion . The findings indicate that workers' unsafe acts are affected by different causes, leading to significant implications for policy-makers seeking to reduce unsafe behaviors and to improve workplace safety in the mining environment.