Designed and real working situations in machine systems operation.

New work situations designed at the stage when new machine systems are introduced are realized on the assumption that the new systems can maintain their designed functions consistently, generally eliminating previous work habits and without sufficient knowledge about real working processes and skills. This may produce differences between designed and real working situations. Some examples are presented from observations on influence of modern design of cargo ships on their crews. It was difficult for crews to maintain stable working conditions, especially when machine systems deviated from their designed functions. Often the crew had to work in off-duty hours giving up private freetime activities. Among various factors contributing to the discrepancies between designed and real work, lack of availability of the new systems is the most important factor. Also important is lack of back-up systems which would function either when the machine systems are out of order or when previous working skills and habits must be applied. A need for developing methods of evaluation of these two factors from ergonomic points of view is pointed out.     

Low-back pain among electric power supply workers and their attitude toward its prevention and the treatment.

Low-back pain among electric power supply workers and their opinions about the ways to prevent and relieve the disorder were investigated. A questionnaire study revealed that 38.7% of 6,272 electric power supply workers were suffering from low-back pain, including severe pain resulting in frequent absenteeism or requiring occasional rest from work. Chronological analysis of the occurrence of the disorder revealed that the incidence of gradually developing pain has increased and that improper working posture and overwork have become more important as etiological factors. Rest from work was found to be the most effective way of relieving pain, while any medical treatment which did not include rest was useless. Low-back pain among these workers is believed to have resulted from rapid and intensified work as required by increasing demand and mechanization, greater mental stress and improper working posture. As preventive measures, it is necessary to improve working hours and to lighten the rate of work. In order to relieve pain, the employers should permit the workers to absent themselves from work quickly following an attack. Discrepancy between workers' opinions and both actual causation of low-back pain and actual effectiveness of medical treatment is discussed.     

关于执行护航任务舰艇官兵情绪的影响因素探讨

目的:执行护航任务过程中,有很多因素会影响舰艇官兵的情绪,出现各种不良情绪问题。本文的目的是探索究竟是哪些因素影响官兵情绪,使情绪调控更有针对性。方法:本文采取自编《护航官兵情绪调控问卷》对329名执行过不同批次护航任务的官兵进行调查分析。结果:根据问卷结果,通过对问卷进行因素分析,发现KMO值为0,934,并得出在8个因素上具有较高的载荷,分别是人际、舆论、领导、归因、管理、任务、认知和个性八种影响因素。这八种因素根据护航任务的不同阶段有不同表现,对官兵情绪产生不同程度的影响。结论:影响护航舰艇官兵情绪的因素为八种,分别是人际、舆论、领导、归因、管理、任务、认知和个性,并且这些因素对情绪产生着不同程度的影响。     

The change of working posture in Manggur decreases cardiovascular load and musculoskeletal complaints among Balinese gamelan craftsmen

Manggur, which means to plane down or sharpen, is a manual process in producing copper blades of Balinese gamelan orchestra. The craftsmen of Manggur work 6 to 8 hours a day, sitting on the floor with folded legs and hunched back. Because the craftsmen often complain about musculoskeletal problems after having completed a full day work, an ergonomic intervention was made by changing their usual working posture (the first working posture) into working on tables while sitting on chairs for one hour and alternately standing for half an hour (the second working posture). Treatment by subject design was applied to 22 randomly chosen craftsmen. Resting heart rate and working heart rate were measured by using a stopwatch, and the number of musculoskeletal complaints were recorded with Nordic Body Map Questionnaire. As a result, the second working posture caused significant reductions in working heart rate, work pulse (the difference between working heart rate and resting heart rate) and the number of musculoskeletal complaints. These results suggest that the change of working posture in manggur decreases cardiovascular load and musculoskeletal strain among Balinese gamelan craftsmen.     

The effect of postural correction on muscle activation amplitudes recorded from the cervicobrachial region

In clinical practice, postural correction is a common treatment approach for individuals with neck and shoulder pain. As chronic static muscle use is thought to be associated with the onset of some neck and shoulder pain syndromes, it is important to understand the impact a postural correction program might have on muscle activation amplitudes in the neck and shoulder regions. Normalized surface electromyographic data were recorded from the levator scapulae, upper trapezius, supraspinatus, posterior deltoid, masseter, rhomboid major, cervical erector spinae, and sternocleidomastoid muscles of the dominant side of each of eighteen healthy subjects. Subjects performed five repetitions of each of four seated typing postures (habitual, corrected, head-forward and slouched) and four standing postures (habitual, corrected, and head-forward and slouched). Repeated-measures analysis of variance models (α = 0.05) revealed that in sitting postural correction tended to decreased the level of muscle activation required in all muscles studied during seated computer work, however this finding was not statistically significant. Corrected posture in sitting did, however produce a statistically significant reduction in muscle activity compared to forward head posture. Corrected posture in standing required more muscle activity than habitual or forward head posture in the majority of cervicobrachial and jaw muscles, suggesting that a graduated approach to postural correction exercises might be required in order to train the muscles to appropriately withstand the requirements of the task. A surprising finding was that muscle activity levels and postural changes had the largest impact on the masseter muscle, which demonstrated activation levels in the order of 20% maximum voluntary electrical activation.     

Sinusoids--elements of the circulatory bed of the human heart

The literature concerning the problems of myocyrdial sinusoids has been analysed and morphological investigation of 98 human hearts has been performed. As demonstrates the comparison of the literature data, the term "sinusoid" in the human heart is applied to different structures. In some cases--to designate dilated areas of the venous part of the blood bed in the ventricular walls, in others--"hollow spaces", "intercellular spaces" and Vieussens--Thebesius vessels. Combining methods of intravascular injections and studying serial histological sections, it has been found that the sinusoids--the "hollow spaces", the "intercellular spaces", the "Veussens--Thebesius vessels" present the areas of intertrabcular spaces, which get into the planes of some sections, not being components of the myocardial blood bed. Spatial angioarchitectonics of the sinusoids--dilated areas in the venous part of the myocardial blood bed have been investigated by means of the plastic reconstruction method. It is suggested to apply the term "sinusoids" only to the given parts of the cardiac blood bed.     

Retrospective investigation of an influenza A/H1N1pdm outbreak in an Italian military ship cruising in the Mediterranean Sea, May-September 2009

Background

Clinical surveillance may have underestimated the real extent of the spread of the new strain of influenza A/H1N1, which surfaced in April 2009 originating the first influenza pandemic of the 21^st century. Here we report a serological investigation on an influenza A/H1N1pdm outbreak in an Italian military ship while cruising in the Mediterranean Sea (May 24-September 6, 2009).

Methods

The contemporary presence of HAI and CF antibodies was used to retrospectively estimate the extent of influenza A/H1N1pdm spread across the crew members (median age: 29 years).

Findings

During the cruise, 2 crew members fulfilled the surveillance case definition for influenza, but only one was laboratory confirmed by influenza A/H1N1pdm-specific RT-PCR; 52 reported acute respiratory illness (ARI) episodes, and 183 reported no ARI episodes. Overall, among the 211 crew member for whom a valid serological result was available, 39.3% tested seropositive for influenza A/H1N1pdm. The proportion of seropositives was significantly associated with more crowded living quarters and tended to be higher in those aged <40 and in those reporting ARI or suspected/confirmed influenza A/H1N1pdm compared to the asymptomatic individuals. No association was found with previous seasonal influenza vaccination.

Conclusions

These findings underline the risk for rapid spread of novel strains of influenza A in confined environment, such as military ships, where crowding, rigorous working environment, physiologic stress occur. The high proportion of asymptomatic infections in this ship-borne outbreak supports the concept that serological surveillance in such semi-closed communities is essential to appreciate the real extent of influenza A/H1N1pdm spread and can constitute, since the early stage of a pandemic, an useful model to predict the public health impact of pandemic influenza and to establish proportionate and effective countermeasures.     

Engineering of closed ecological system in space and inter-organismal interactions.

Space agriculture is a concept of synthesis and operation of closed ecological system for controlling living environment and supplying materials in order to sustain life and to meet metabolic needs of space crew. It revitalizes metabolites and other excretion of crew for their recycled usage. It is an advanced concept for life support for long and large scaled manned space missions, where open loop system for materials cycle is not feasible to apply. Several issues, such as cost-benefit analysis with considering benefits of amenity and psychological factors of crew, are discussed in this essay, together with reliability and productivity of biological systems. Studies on plant physiology for inter-organismal interaction contribute to design work for space agriculture, and associate with our engagements to our future, sustainable development of our civilization both on the earth and extending to outer space.     

Measured effects of user and clinical engineer training using a queuing model

This article puts forward a new proposal to calculate count, turnaround, response, and service time of work orders in a clinical engineering (CE) department. These are calculated by means of a queuing model as a measurement tool. This proposal was tested in a 600-bed hospital with an inventory of 1094 medical devices and with 6 full-time clinical engineers. In April 1999, a simulation (with ARENA 3.01 developed by System Modeling Corporation) of the working of this proposal was performed with desired values being applied to the queuing model. At the end of 2002, real work order data from the database was recorded. As predicted, the results showed that all the indicators of nonscheduled work orders decreased. Response and turnaround time were reduced from 27 to 0.56 hours and 27.48 to 1.13 hours, respectively. From a backlog of 22 outstanding repair orders per month between April 1999 and January 2000, the number was reduced to 4 in December 2002. The queuing model also helped to measure the positive effects on arrival and service rates when users and CE were trained. The difference between simulated and real values was under 5%.     

Interaction between the vertical posture and movement control systems during a quick voluntary arm raise

The study was aimed at a deeper understanding of the interaction between the system of vertical posture control and the system of voluntary movement control based on the analysis of postural muscle activity components resulting from the action of the former or the latter system. For this purpose, a quick arm raise was performed in the standing and sitting positions with body fixation at different levels, when the task of maintaining a vertical posture was simplified or completely eliminated. Under these conditions, the muscle activity associated with posture control was supposed to change, while the activity of muscles raising the arm was supposed to remain invariable. The results showed that the simplification of the posture control resulted in a decrease or elimination of anticipatory changes in the activity of some muscles. However, most of the muscle activity variations were retained even in the sitting position, and these variations appeared simultaneously with the activity of muscles raising the arm. The so-called “anticipatory postural activity” during an arm raise in a normal standing position is supposed to consist of two components: an initial component reflecting the work of the posture control system and a later component reflecting the work of the movement control system. It is suggested that the planning of muscle activity and exchange of information between these two systems take place only before the beginning of the movement; after that, they act independently and in parallel.     

Individual factors and musculoskeletal disorders: a framework for their consideration.

Individual factors have been variously defined as non-work, demographic, physiological or psychological factors. They may represent a variety of important constructs at different relevant levels that may not be initially evident in their measurement. These include: work-related factors e.g., job assignment, duration of exposure, work style, anthropometric mismatches, and differential responses to job demands; concomitant external or internal exposures e.g., sports, smoking, and endogenous hormones; and physical, psychological and social vulnerabilities e.g., prior injury, depression, socio-economic status. Such factors operate in different ways in the development, course and response to interventions of musculoskeletal disorders. Newer framings of their contribution to musculoskeletal disorders are providing new insights into the role of such factors as some among many which contribute to the burden of MSK disorders in working age populations. As researchers, practitioners and policy makers, we need to consider them in order to reduce burden, to protect the vulnerable and to match interventions to different groups of people most appropriately.     

Factors Associated with Long-Term Sickness Absence Due to Mental Disorders: A Cohort Study of 7.112 Patients during the Spanish Economic Crisis

Background

Mental health problems are very common and often lead to prolonged sickness absence, having serious economic repercussions for most European countries. Periods of economic crisis are important social phenomena that are assumed to increase sickness absence due to mental disorders, although research on this topic remains scarce. The aim of this study was to gather data on long-term sickness absence (and relapse) due to mental disorders in Spain during a period of considerable socio-economic crisis.

Methods

Relationships were analyzed (using chi-squared tests and multivariate modelling via binary logistic regression) between clinical, social/employment-related and demographic factors associated and long-term sickness absence (>60 consecutive days) due to mental disorders in a cohort of 7112 Spanish patients during the period 2008–2012.

Results

Older age, severe mental disorders, being self-employed, having a non-permanent contract, and working in the real estate and construction sector were associated with an increased probability of long-term sickness absence (gender had a mediating role with respect to some of these variables). Relapses were associated with short-term sick leave (return to work due to ‘improvement’) and with working in the transport sector and public administration.

Conclusions

Aside from medical factors, other social/employment-related and demographic factors have a significant influence on the duration of sickness absence due to mental disorders.     

Body fluid responses of heat-tolerant and intolerant men to work in a hot wet environment.

Acclimatization to heat before proceeding underground is a requirement for each South African mine laborer. Certain individuals among this large population cannot be acclimatized to heat (33.3 degrees C db, 31.7 degrees C wb) and are classified as heat intolerant. In this study certain body fluid responses to heat and work were compared between a group of 19 heat-tolerant (HT) and of 15 heat-intolerant (HI) subjects. To the factors known to affect heat tolerance such as age, weight, and oxygen consumption must now be added differences in body fluid responses. The HI group of subjects failed to hemodilute to the same degree as the HT group though working at the same relative work loads (30% and 50% VO2 max). As the 4-h work period (33.3 degrees C db, 31.7 degrees C wb) continued, the HI group did not maintain hemodilution in spite of the lower absolute work loads, sweat rates, and water deficits suffered by this group. From analysis of blood constituent changes it was suggested that the reason for the differences noted in body fluid dynamics concerned plasma protein equilibrium across capillary walls as well as the protein population of interstitial spaces.     

The Phenomenon of Refusal in Muscular Activity. The Role of the Respiratory System

Among the factors leading to the refusal to continue muscular work, afferent impulsation carrying information about the efforts developed by the working muscles and about the respiratory function tension is noteworthy. Based on this information, the integral self-rating of the intensity of the physical load and its endurance is formed in the sensory CNS sphere, with one of the signals to stop the work being the feeling of shortness of breath. Under the cyclic working conditions, the so-called critical power load, which is high enough but does not lead to a refusal so far, enabling one to perform the maximum amount of useful work, appears to be the most effective. A question is posed as to the possibility of using an active choice of preferable load intensity by an individual in order to develop a method for determining the optimal work power according to the functional state of the body.     

The effect of a knee support on the biomechanical response of the low back

Stooping and squatting postures are seen in a number of industries (e.g., agriculture, construction) where workers must work near ground level for extended periods of time. The focus of the current research was to evaluate a knee support device designed to reduce the biomechanical loading of these postures. Ten participants performed a series of sudden loading tasks while in a semisquat posture under two conditions of knee support (no support and fully supported) and two conditions of torso flexion (45 and 60 degrees ). A weight was released into the hands of the participants who then came to steady state while maintaining the designated posture. As they performed this task, the EMG responses of the trunk extensors (multifidus and erector spinae) were collected, both during the "sudden loading" phase of the trial as well as the steady weight-holding phase of the trial. As expected, the effects of torso flexion angle showed significant decreases in the activation of the multifidus muscles with greater torso angle (indicating the initiation of the flexion-relaxation response). Interestingly, the results showed that the knee support device had no effect on the activation levels of the sampled muscles, indicating that the loss of the degree of freedom from the ankle joint during the knee support condition had no impact on trunk extensor muscle response. The a priori concern with regard to these supports was that they would tend to focus loading on the low back and therefore would not serve as a potential ergonomic solution for these stooping/semisquatting tasks. Because the results of this study did not support this concern, further development of such an intervention is underway.     

Subconscious components of psychophysiological responses in the participants of a 105-day experiment in an isolated environment

Six participants of a 105-day experiment in an isolated environment were studied in order to identify subconscious mechanisms of their psychophysiological changes during the experiment. We used the method of neurocognitive diagnostics based on the analysis of the evoked electrocardiographic (EEG) potentials caused by stimuli that were below the conscious threshold. The technique included separation of evoked responses to each stimulus, cross-correlation and wavelet analyses, estimations using neural network algorithms, and an overall evaluation for all stimuli for each derivation and each period of stimulation. Comparison of the reactions to meaningful and meaningless groups of words elicited the extent of involvement of different brain areas in semantic information processing. Our results give grounds to indicate a number of changes in the psychological state of the subjects due to their participation in the experiment. These are list below:

1. An increase in subconscious tension between some of the crew members, such as representatives of different cultures.
2. An increase in psychological defense stress, primarily caused by basic fears of death and worries about health, as well as private family relations.
3. The appearance of addictive trends manifested in the changes in the subconscious attitude to alcohol and an increase in the role that alcohol plays in the emotional state.

These findings on the changes in the major mechanisms of unconscious responses are useful in defining the strategy for working out the methods of autonomous psychological support for crews and computer-assisted psychological correction.     

Optimization of ski jumper's posture considering lift-to-drag ratio and stability

An optimization analysis of a ski jumper's posture has been performed to improve the lift-to-drag ratio, and to examine aerodynamic stability to ensure flight control and safety. Three-dimensional Reynolds-averaged Navier-Stokes equations were discretized using finite volume approximations for the flow analysis, and the shear stress transport k-ω turbulence model was used for a turbulence closure. The Airfoil theory and principles of aircraft stability were used to examine the stability mechanism. Two ski jumper posture angles were chosen as design variables through a preliminary test, and the lift-to-drag ratio was used as an objective function for the optimization problem. Thirteen design points within design spaces are selected by Latin hypercube sampling. In order to predict the objective function values in the design space, the Kriging model was constructed using the numerical results on the design points. By the sequential quadratic programming, the optimal point was found from the constructed the Kriging model. The Kriging model predicted the objective function value at the optimum point with a 1.1% error compared to the value obtained by numerical analysis. The optimum design showed a considerable lift-to-drag ratio improvement compared to the reference design.     

Estimating net lumbar sagittal plane moments from EMG data. The validity of calibration procedures.

In the present study the validity of EMG based methods to estimate the net moment working at the lumbar spine was investigated. Eight subjects performed a series of static and dynamic tasks. EMG was recorded from 8 locations over the back muscles. At the same time force platform and kinematic data for a linked segment analysis were collected. The net moment at the lumbar spine was calculated from the latter data and compared to EMG based estimates of the same moment. These estimates were derived from a linear regression between the EMG amplitudes and the net moments obtained during static ramp calibrations. It appeared that calibration in several postures, covering the range occurring in the tasks studied, and in a posture in the middle of this range, yielded estimates of the group averaged 10th, 50th, and 90th percentile of the net moments which were within 10% of the real value. The explained variance obtained in the calibration procedure proved not to be a good indicator of the validity of the procedure.