Ergonomic intervention methods for inclusion of people with disabilities at work: Brazilian scene

The aim is to identify ergonomic intervention methods used for including people with disabilities (PD) in the Brazilian labor market, with emphasis on discussion of methods to analyze the fit between the worker and the workplace. Methods to evaluate the fit of the worker to the workplace identify the capabilities and limitations of PDs and the demands of work, combining these data, and comparing them, in order to obtain a detailed analysis of the fit were drawn from national and international publications. These show that the use of specific methods for PDs and others focused on the general population. Mutatis mutandis, there is a need for complementary tools to address this segment. Thus, for the Brazilian scenario, it is essential to develop specific methodological tools to assess the capabilities of a PD so that they may better interact with their job.     

Perceptual aspects of the use of faucets (taps)

This paper presents an assessment with simulated activities with the aim of analyzing the perception of ease / difficulty of the use of faucets (taps) handles by 180 Brazilian adults. Five different handles faucets were activated for subsequent collection of perceptual data. The procedures were based on main recommendations for biomedical ethics and human research. The results indicate that handles with levers are significantly (p ≤ 0.05) easier to use. The most difficult are characterized by not having support points for the rotation (levers) or more points of pressure concentration in the hand.     

Cognitive structure of occupational risks represented by a perceptual map

The main focus of risk management is technical and rational analysis about the operational risks and by those imposed by the occupational environment. In this work one seeks to contribute to the risk perception study and to better comprehend how a group of occupational safety students assesses a set of activities and environmental agents. In this way it was used theory sustained by psychometric paradigm and multivariate analysis tools, mainly multidimensional scaling, generalized Procrustes analysis and facets theory, in order to construct the perceptual map of occupational risks. The results obtained showed that the essential characteristics of risks, which were initially splited in 4 facets were detected and maintained in the perceptual map. It was not possible to reveal the cognitive structure of the group, because the variability of the students was too high. Differences among the risks analyzed could not be detected as well in the perceptual map of the group.     

Irregular working times and metabolic disorders among truck drivers: a review

A number of studies to better understand the complex physiological mechanism involved in regulating body weight have been conducted. More specifically, the hormones related to appetite, leptin and ghrelin, and their association to obesity have been a focus of investigation. Circadian patterns of these hormones are a new target of research. The behaviour of these hormones in individuals subject to atypical working times such as shiftwork remains unclear. Shiftwork is characterized by changes in biological rhythms and cumulative circadian phase changes, being associated with high rates of obesity and metabolic syndrome. Truck drivers, who work irregular shifts, frequently present a high prevalence of obesity, which might be associated with work-related factors and/or lifestyle. In this context, the aim of this paper was to discuss the relationship of body mass index, appetite-related hormones and sleep characteristics in truck drivers who work irregular shifts compared with day workers.     

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.