Preventing Rsi/Wruld: use of esthesiometry to assess hand tactile sensitivity of slaughterhouse workers

This research was conducted with slaughterhouse female workers in the municipality of S?o Miguel do Igua?u, state of Parana, Brazil. The sample was composed of 103 women aged 25 to 40 ( 7.57 years, and the study aimed to verify the nerve conduction of the median nerve. An esthesiometer consisting of a Semmes-Weinstein monofilaments was used to measure the hand skin sensitivity in the region of the median nerve and a Jamar? hand dynamometer, which was used to determine the handgrip strength. About 81% of individuals had normal sensitivity with 0.05 g and average levels of handgrip strength in dominant hand (DH) of 35.30 kgf (( 3.10) and in the non-dominant hand (NDH) of 28.30 ( 3.09 kgf. 14% of individuals had reduced sensitivity, with values equivalent to 0.2 g and 2.0 g (blue and violet) and levels of handgrip strength in the DH equal to 28.10 kgf (( 2.90) and in the NDH of 26.40 kgf (( 3.28). 5% of individuals showed bilateral sensitivity deficit (4.0 g) and levels of handgrip strength in the DH of 16.10 kgf (( 2.10) and in the NDH of 18.20 kgf (( 3.28), resulting in a strong correlation between handgrip strength and sensitivity of the median nerve (r = 0.786) between variables dominant hand (DH) and (r = 0.626) for the non-dominant hand (NDH). It could be concluded that assessing the nerve conduction of the median nerve by hand esthesiometry can be an important tool in preventing the Carpal Tunnel Syndrome.     

Participatory design in lean production: which contribution from employees? For what end?

The proponents of lean production have pointed to the positive effects of the work organization on employees in terms of autonomy, enhanced skills and empowerment mainly by their participation into the continuous improvement of work process. But studies that have examined this issue suggest that the increase in autonomy is not sufficient to compensate for increases work intensity. Participatory design has grown extensively in manufacturing since the 1980's under the impulsion of the Scandinavian socio-technical system approach and it's central in the model of lean production performance. Its main objectives are to improve quality, increase productivity and safety through employee's participation to the reduction of non-value added activities, such as defined by lean production. In the line of the studies on participatory design and continuous improvement the present study examines the functioning of work groups, based on the kaizen model, the aim of which was to improve the proportion of "value-added activities" and working conditions, essentially physical constraints. The main results are consistent with the literature and show that accelerated forms of re-conception activities give employees limited room for maneuver to elaborate solutions based on the analysis of the real activity. This study is part of a broader initiative that goes in the direction of continuous improvement of the design process itself so that it integrates the real constraints of work and propose changes bases on work as it actually takes place, beyond pre-established performance goals bases on the reduction of "non added value activities".     

Supporting the scholar role in intensive care nursing

This study investigates how future informatics applications can support and challenge intensive care nurses (ICU nurses) to grow and learn continuously. To this end a research-and-design tool is introduced which is based on a model of the nursing process that starts from the idea that a nurse fulfills three different roles: the role of practitioner (using information immediately to base actions upon), the role of scholar (using information later on to learn from) and the role of human (coping with stress and dealing with emotions). In this paper the focus is on the scholar role. Twenty-eight intensive care staff members from six different hospitals were asked to recount an imposing experience from the perspective of each role. Regarding the scholar role, the participants mentioned 77 learning strategies they adopt for individual as well as organizational learning. Individual learning concerned reflection on former patient cases, reflection on current patient cases to anticipate a change in the patient's condition and reflection on personal behavior and decisions. Organizational learning concerned reflection on former patient cases. Examples of specific strategies were formal team evaluations focused on procedure and understanding the perspective of team members, being present at autopsies, and giving feedback on the nursing skills of colleagues. Based on these strategies design implications are defined for future nursing informatics applications, which will be presented.     

Computer use and ulnar neuropathy: results from a case-referent study

We aimed to evaluate associations between vocational computer use and 1) ulnar neuropathy, and 2) ulnar neuropathy- like symptoms as distinguished by electroneurography. We identified all patients aged 18-65 years, examined at the Department of Neurophysiology on suspicion of ulnar neuropathy, 2001-2007. We mailed a questionnaire to 546 patients with ulnar neuropathy, 633 patients with ulnar neuropathy-like symptoms, and three community referents per case, matched on sex, age, and primary care centre. From a Job Exposure Matrix we extracted estimates of daily hours of computer use. The analysis was performed by conditional logistic regression.There were a negative association between daily hours of computer use and the two outcomes of interest. Participants who reported their elbow to be in contact with their working table for 2 hours or more during the workday had an elevated risk for ulnar neuropathy (OR=2.16, 95 % CI; 1.06-4.44).The two outcomes were not associated with daily hours of computer use. Findings suggested specific effects of pressure on the elbow, and might be an explanation for the overweight of left-sided outcomes in this primarily right-handed group. Preventive efforts would then be straightforward by providing appropriate arm support for the left arm and elbow.     

Designing dynamic distributed cooperative Human-Machine Systems

The paper presents a new approach to the development of cooperative human-machine systems in the Transportation domain which is currently researched in the European project D3CoS. A necessary precondition for the acceptance of cooperative human-machine systems with shared control is the confidence and trust of the user into the system. D3CoS tackles this important issue by addressing the cooperative system as the object and the target of the system development process. This new perspective, along with corresponding innovative methods, techniques and tools, shall allow the identification of optimal task and authority sharing approaches supported by intuitive human-machine interaction and user interfaces at an early stage of system development. This will support powerful teamwork between humans and machines or between machines and machines that is transparent, intuitive and easy to understand. The paper describes the research dimensions for the development of the methods, techniques and tools as well as first results.     

Human-machine cooperation: a solution for life-critical Systems?

Decision-making plays an important role in life-critical systems. It entails cognitive functions such as monitoring, as well as fault prevention and recovery. Three kinds of objectives are typically considered: safety, efficiency and comfort. People involved in the control and management of such systems provide two kinds of contributions: positive with their unique involvement and capacity to deal with the unexpected; and negative with their ability to make errors. In the negative view, people are the problem and need to be supervised by regulatory systems in the form of operational constraints or by design. In the positive view, people are the solution and lead the game; they are decision-makers. The former view also deals with error resistance, and the latter with error tolerance, which, for example, enables cooperation between people and decision support systems (DSS). In the real life, both views should be considered with respect to appropriate situational factors, such as time constraints and very dangerous environments. This is known as function allocation between people and systems. This paper presents a possibility to reconcile both approaches into a joint human-machine organization, where the main dimensioning factors are safety and complexity. A framework for cooperative and fault tolerant systems is proposed, and illustrated by an example in Air Traffic Control.     

Accessibility and ergonomic analysis for banking cash

Ergonomics and accessibility in banking has been the subject of numerous discussions, and in this work proposed by the partnership of companies and NR TN Mobile Work Safety and Occupational Medicine, aimed to analyze the service box and propose the development of a project to the teller accessible account of both the legal aspects regarding the factors inherent in banking, focusing primarily on the interface of the worker and the client user.     

A comprehensive literature review of the pelvis and the lower extremity FE human models under quasi-static conditions

Finite Element Modeling (FEM) has become a vital tool in the automotive design and development processes. FEM of the human body is a technique capable of estimating parameters that are difficult to measure in experimental studies with the human body segments being modeled as complex and dynamic entities. Several studies have been dedicated to attain close-to-real FEMs of the human body (Pankoke and Siefert 2007; Amann, Huschenbeth et al. 2009; ESI 2010). The aim of this paper is to identify and appraise the state-of-the art models of the human body which incorporate detailed pelvis and/or lower extremity models. Six databases and search engines were used to obtain literature, and the search was limited to studies published in English since 2000. The initial search results identified 636 pelvis-related papers, 834 buttocks-related papers, 505 thigh-related papers, 927 femur-related papers, 2039 knee-related papers, 655 shank-related papers, 292 tibia-related papers, 110 fibula-related papers, 644 ankle-related papers, and 5660 foot-related papers. A refined search returned 100 pelvis-related papers, 45 buttocks-related papers, 65 thigh-related papers, 162 femur-related papers, 195 knee-related papers, 37 shank-related papers, 80 tibia-related papers, 30 fibula-related papers and 102 ankle-related papers and 246 foot-related papers. The refined literature list was further restricted by appraisal against a modified LOW appraisal criteria. Studies with unclear methodologies, with a focus on populations with pathology or with sport related dynamic motion modeling were excluded. The final literature list included fifteen models and each was assessed against the percentile the model represents, the gender the model was based on, the human body segment/segments included in the model, the sample size used to develop the model, the source of geometric/anthropometric values used to develop the model, the posture the model represents and the finite element solver used for the model. The results of this literature review provide indication of bias in the available models towards 50th percentile male modeling with a notable concentration on the pelvis, femur and buttocks segments.     

Adaptive information design for outdoor augmented reality

Augmented Reality focuses on the enrichment of the user's natural field of view by consistent integration of text, symbols and interactive three-dimensional objects in real time. Placing virtual objects directly into the user's view in a natural context empowers highly dynamic applications. On the other hand, this necessitates deliberate choice of information design and density, in particular for deployment in hazardous environments like military combat scenarios. As the amount of information needed is not foreseeable and strongly depends on the individual mission, an appropriate system must offer adequate adaptation capabilities. The paper presents a prototypical, vehicle-mountable Augmented Reality vision system, designed for enhancing situation awareness in stressful urban warfare scenarios. Tracking, as one of the most crucial challenges for outdoor Augmented Reality, is accomplished by means of a Differential-GPS approach while the type of display to attach can be modified, ranging from ocular displays to standard LCD mini-screens. The overall concept also includes envisioning of own troops (blue forces), for which a multi-sensor tracking approach has been chosen. As a main feature, the system allows switching between different information categories, focusing on friendly, hostile, unidentified or neutral data. Results of an empirical study on the superiority of an in-view navigation cue approach conclude the paper.