The purpose of this investigation was to determine the effect of prolonged seated work, lift task, age and sex on normalized lumbar angles, thoracic angles, perceived effort and duration of lifts. A total of 17 young and 17 mature participants were recruited with an average (standard deviation) age of 23.8 (5.0) years and 63.7 (3.9) years, respectively. Participants completed 3 different floor to knuckle

The aim of this study was to compare simulator sickness symptoms while participants wore either a virtual reality (VR) or augmented reality (AR) headset. A secondary aim involved comparing how physical motion affects symptoms. During a simulation, participants wore VR and AR headsets while standing on a motion platform and firing at hostile ships under three motion conditions: No Physical Motion; Synchronous

The aim of this study is to investigate the usefulness of the anomaly detection method by one-class support vector machine (OCSVM) for the evaluation of mental workload (MWL) during automobile driving. Twelve students (six males and six females) participated. The participants performed driving tasks with a driving simulator (DS) and the N-back task that was used to control their MWL. The N-back task

This paper presents a new handle for instruments used in laparoscopic surgery. This new handle has been designed to provide the best ergonomic and usability features required in this kind of surgical interventions. The main novelty of this handle is that the opening and closing motion of the end-effector is operated with the thumb using a lever located on the top of the handle. This enables the surgeon

This field study compared the real-time spinal movements and postural variations during smartphone-use versus non-use in university students. Ten males and eight females (mean age of 21.5 ± 2.6 years) participated, with similar daily phone use time between the two sexes. Five inertial motion sensors were attached to the cervical, thoracic and lumbar spinal regions, and kinematics was recorded for 3 h

Trunk muscles play an important role during load lifting and contract to control trunk stability. The aim of present study was to investigate immediate effects of using various insole wedges on activation and co-contraction indices of selected trunk muscles during load lifting. Thirty able-bodied males completed load lifting task using nine various insole wedges. The results showed these significant

The aim of the present study was to evaluate the combined effects of noise and air temperature on the human body neurophysiological responses. This study was conducted on 35 male students, who were exposed to four different air temperatures (18 °C, 22 °C, 26 °C, and 30 °C) and two noise levels (55 dBA and 75 dBA) in eight sessions in a simulated indoor environment. The mean values of accuracy and time

Thirty million Americans currently have diabetes, and a substantial portion do not reach the goals of clinical treatment. This is in part due to the complex barriers to effective self-care faced by people with diabetes. This study uses a patient work perspective, focusing on the everyday, lived experience of managing diabetes. Our primary research goal was to explore how the work of self-care is embedded

This study investigated the effects of using a single-axis force gauge for push/pull force measurement on kinetic/kinematic measures associated with the exertion and assessed agreement between forces recorded from two technologies (single-axis gauge, three-dimensional hand transducer) and various test conditions via intraclass correlations. Independent measures included exertion type (push, pull, turn)

Driver sleepiness contributes to traffic accidents. However, sleepiness in urban public transport remains an understudied subject. To fill this gap, we examined the sleepiness, sleep, and on-duty sleepiness countermeasures (SCMs) in 23 tram drivers working morning, day, and evening shifts for three weeks. Sleepiness was measured using Karolinska Sleepiness Scale (KSS). Nocturnal total sleep time (TST)

A one-pedal system for operating an electric vehicle allows drivers to flexibly accelerate and decelerate (and even stop) by using just an accelerator pedal. Based on previous findings, one-pedal operation is considered to have the potential to increase positive emotions and decrease cognitive workload. To test this possibility, the present study compared the emotional state and cognitive workload

Several tools have been developed over the past twenty years to assess the degree of driver distraction caused by secondary task engagement. A relatively new and promising method in this area is the box task combined with a detection response task (BT + DRT). However, no evaluation regarding the BT's sensitivity currently exists. Thus, the aim of the present study was to evaluate the BT + DRT by comparing

This study explores the relationship between seat pitch and comfort, and the influencing factors, like space experience and anthropometric measurements. Two hundred ninety-four participants experienced economy class seats in a Boeing 737 with 28-inch, 30-inch, 32-inch and 34-inch seat pitches. Anthropometric measurements of the participants were measured. Participants completed a questionnaire on comfort

Two passive back-support exoskeleton (BSE) designs were assessed in terms of muscular activity, energy expenditure, joint kinematics, and subjective responses. Eighteen participants (gender-balanced) completed repetitive lifting tasks in nine different conditions, involving symmetric and asymmetric postures and using two BSEs (along with no BSE as a control condition). Wearing both BSEs significantly

We present the design and test of a wearable device capable to detect the user's trunk orientation with respect to the gravitational field and to provide tactile stimulation to correct tilted positions. Vibrations are delivered to the shoulders, the frontal and dorsal parts of the trunk, by using the human body as an indicator of the four cardinal directions. The device was experimentally tested in

Emergency escape roof hatches are used to evacuate school buses in rolled-over orientations. In the United States, the minimum opening size of a roof hatch is defined by Federal Motor Vehicle Safety Standard (FMVSS) no. 217. With the prevalence of rising obesity rates among children, the minimum roof hatch opening size may not be large enough to accommodate larger passengers. Post-accident conditions

We developed a new kit to assemble three-dimensional (3D) tactile maps for orientation and mobility (O&M) training provided to persons with visual impairments. This study evaluated the effects of verbal explanations combined with 3D tactile map kits in improving understanding, recall, and walking along an unfamiliar route in comparison with the effects of only verbal explanation. The 3D tactile maps

This study aimed to characterize the biomechanical stresses in the neck and shoulder, self-reported discomfort, and usability by different target distance or size during augmented reality (AR) interactions. In a repeated-measures laboratory-based study, 20 participants (10 males) performed three standardized AR tasks (3-dimensional (3-D) cube, omni-directional pointing, and web-browsing tasks) with

Information visualizations may be evaluated from the perspective of how they match tasks that must be performed with them, a cognitive fit perspective. However, there is a gap between the high-level references made to cognitive fit and the low-level ability to identify and measure it during human interaction with visualizations. We bridge this gap by using an electroencephalography metric derived from

A field intervention study was implemented to evaluate the effects of individual (physical exercise programme and worker ergonomics training) and organisational changes (optimising work–rest schedule and revised task procedure) on musculoskeletal outcomes and their exposure risks among milking workers in a dairy plant. A questionnaire survey (including the Cornell Musculoskeletal Discomfort Questionnaire

The purpose of this study was to compare caregiver muscle activation and joint angles between two ergonomic transport chairs designed to mitigate discomfort and safety risks associated with patient transport, the Stryker® Prime TC and the Staxi® Medical Chair, and a depot wheelchair. Twenty-three caregivers completed level walking and ramped tasks with each device and an 84 kg manikin. Surface electromyography

The built environment is a core part of most healthcare systems, involving a number of requirements such as those related to space and patients’ well-being. However, these are usually addressed separately from other functional requirements, resulting in designs that do not support resilient performance. This study proposes a framework for the integrated modelling of built environment and other functional

This study examines the effects of ground surface, load, one- and two-wheeled wheelbarrow on muscular activities, hand force, and subject-perceived exertions while pushing a wheelbarrow in a straight line on a horizontal surface. The experimental results show that wheelbarrow load significantly affected muscular activities, hand force, and subject-perceived exertion. Additionally, different ground

We examined the intraocular pressure responsiveness to oral examination stress, as well as the mediating role of the perceived levels of public speaking anxiety on intraocular pressure changes. Thirty-two university students (intervention group) publicly defended their degree final project, and intraocular pressure and perceived levels of stress were measured before and after the oral presentation

This systematic review aimed to evaluate whether muscle activity and playing-related musculoskeletal disorders are associated with musicians’ anthropometrics and their instrument size or set-up during violin and piano performance. Studies were retrieved systematically from six databases on 1 April 2019 combined with hand searching results. The Appraisal tool for Cross-Sectional Studies (AXIS tool)

Ergonomic risk factors, such as excessive physical effort, awkward postures or repetitive movements, were the leading causes of injuries amongst EMS workers in the United States, of which 90% were attributed to lifting, carrying, or transferring a patient and/or equipment. Although the essential tasks of patient handling, transport, and care cannot be eliminated, the design of ambulances and associated

Laparoscopic surgery techniques are customarily used in non-invasive procedures. That said traditional surgical instruments and devices used by surgeons suffer from certain ergonomic deficiencies that may lead to physical complaints in upper limbs and back and general discomfort that may, in turn, affect the surgeon’s skills during surgery. A novel design of the laparoscopic gripper handle is presented

Worn shoes are known to contribute to slip-and-fall risk, a common cause of workplace injuries. However, guidelines for replacing shoes are not well developed. Recent experiments and lubrication theory suggest that the size of the worn region is an important contributor to the shoe tread's ability to drain fluid and therefore the under-shoe friction. This study evaluated a simple test for comparing

Surgery has changed significantly in recent years due to the introduction of advanced technologies, resulting in increased system complexity at the technical, human and organisational levels, which may lead to higher variability of patient outcome due to new error pathways. Current approaches towards a safer surgery are largely based on ex-post analysis of events and process monitoring (e.g. root cause

Individuals can coordinate small kinematic changes at several degrees of freedom simultaneously in the presence of fatigue, leaving it unclear how overall biomechanical demands at each joint are altered. The purpose of this study was to evaluate trade-offs in joint moments between the trunk, shoulder, and elbow during repetitive upper extremity work. Participants performed four simulated workplace

This work examines how tactile cues, encoded with azimuth and distance information, compare with visual and speech cues on performance and mental workload in a target detection task. Two experiments are reported using a simulated environment in which targets were presented at varying azimuth and distance locations. In the first experiment, participants engaged targets both while stationary and while

Care transitions across healthcare settings, specifically between the emergency department (ED) and the home, are pervasive among older adults, and represent persistent healthcare quality and safety challenges. Care transitions cross multiple distinct work systems, representing a conceptual and methodological challenge for the field of Human Factors/Ergonomics - how to analyze a process that occurs

This article presents the results of an academic research project connecting the discipline of ergonomics (and work-related issues) with the theme of sustainability. Despite the stated aim of creating value for stakeholders, including employees, companies face difficulties in introducing effective sustainability policies. The research question addressed in this article is the following: How can companies

Existing literature outlines mothers' negative experiences with breast pumps, yet a gap exists of which breast pump characteristics are important to mothers. Identifying which breast pump characteristics are important to breast pumping mothers, and any variation between mothers who do or do not work outside of the home, will help identify user needs. A survey collected information on mothers' experiences

Augmented reality (AR) systems are becoming common tools in industrial workplaces. However, factory workers are still concerned about whether head-mounted display (HMD)-based AR systems distract their awareness of the environment and therefore pose safety risks. The purpose of this study was to assess users' experience of real-world awareness when using an AR system. 19 study participants played a

This study evaluated the effectiveness of ergonomic interventions in material handling operations involving 33 employers and 535 employees from 2012 to 2017. Outcomes included employee-reported low back/upper extremity pain and safety incidents at baseline, every three months, and annually for up to two years. A total of 32.5% of employees completed at least one survey, while 13.6% completed all nine

Stairs are associated with falls, especially when step dimensions are inconsistent. However, the mechanisms by which inconsistencies cause this higher risk are mostly theoretical. In this experimental study we quantified the effect of inconsistent rise heights on biomechanical measurements of stepping safety from younger (n = 26) and older adults (n = 33). In ascent, both groups decreased foot clearance

Prolonged driving could induce neuromuscular fatigue and discomfort since drivers have little opportunity to adjust their position. However, better car seat design could play a major role in limiting these effects. This study compared the effect of two different seats (S - soft and F - firm) on neuromuscular fatigue and driver's perceived discomfort during prolonged driving, also assessing the effect

This study investigated the muscle strength and performance fatigability of the forearms in eight male orthopaedic surgeons when performing bone screw fixations. Each surgeon performed an eight-bone screws operations in a porcine femur model to simulate fractural fixation using plating technique. The pre- and post-fatigue maximum isometric forces and corresponding electromyography responses were measured

This paper compares clinician hand motion for common suturing tasks across a range of experience levels and tissue types. Medical students (32), residents (41), attending surgeons (10), and retirees (2) were recorded on digital video while suturing on one of: foam, pig feet, or porcine bowel. Depending on time in position, each medical student, resident, and attending participant was classified as

Real-time risk assessment for work-related musculoskeletal disorders (MSD) has been a challenging research problem. Previous methods such as using depth cameras suffered from limited visual range and wearable sensors could cause intrusiveness to the workers, both of which are less feasible for long-run on-site applications. This document examines a novel end-to-end implementation of a deep learning-based

Improving vibration-induced discomfort often requires a reduction in the vibration experienced by vehicle occupants. Simulation software and test equipment are able to measure changes in vibration that are too small for humans to perceive. It is therefore important to know how large the change in vibration should be, i.e. the difference threshold, for occupants to perceive an improvement in comfort

Patient lateral transfers between two adjacent surfaces pose high musculoskeletal disorder risks for nurses and patient handlers. The purpose of this research was to examine the ergonomic benefits of utilizing the laterally-tilting function of operating room (OR) tables during such transfers – along with different friction-reducing devices (FRD). This method allows the patient to slide down to the

Using a work domain analysis and complementary thematic analysis, this paper aims to describe medication management work, its constraints, and complexities from the perspectives of family caregivers of children with medical complexity—a medically fragile segment of the pediatric population often dependent on multiple and complex medication regimens for survival and optimal functioning. Analyses were

Despite recent concerns for workers’ health, exposure situations to nanoparticles can occur in numerous workplaces. Understanding how exposures occur considering human work in these transformations remains a crucial issue of nanotechnologies. The objective of this article is to understand exposure situations to nanoparticles, their determinants and the resources to act on them. This understanding was

Resilient healthcare emphasises the importance of adaptive capacity in quality healthcare. This theory has had extensive theoretical development, but comparatively limited translation for clinicians in practice. This study is the first to present resilient healthcare principles in a serious video game. Serious games are an effective tool for engaging users, sharing ideas and eliciting reflections.

There is a growing need for resilience in dealing with unexpected events during disasters. The purpose of this review was to summarize and synthesize the literature that examined resilience in the context of emergency management (EM). Four groups of findings were synthesized: definitions, key dimensions, technical tools, and research settings employed in the research. First, definitions of resilience

This laboratory study evaluated different assistive devices for reducing biomechanical loading during patient turning tasks. Twenty caregivers (18 females and 2 males) performed standardized patient turning tasks with two simulated patients (body mass: 74 kg and 102 kg). The turning tasks were performed in two turning directions (toward vs. away relative to caregivers) using five device conditions:

Over the years, the industry's interest in using external support devices, such as exoskeletons, is increasing. They are introduced as a new technique for improving the conditions of workers and for reducing the risk of musculoskeletal injuries. An investigation of muscle activity, Jonsson's (Jonsson, 1982) ergonomic acceptance ranges, and shoulder range of motion was conducted with a sample of 12

Personas can be used to understand patterns of variation in patients' performance of cognitive work, particularly self-care decision making. In this study, we used a patient-centered cognitive task analysis (P-CTA) to develop self-care decision-making personas. We collected data from 24 older adults with chronic heart failure and 14 support persons, using critical incident and fictitious scenario interviews

The common cause hypothesis, as applied here, proposes that similar networks of influencing factors may contribute to both adverse outcomes and near misses. This hypothesis has not been evaluated using a systems-thinking perspective. The aims of this study are to evaluate whether networks of contributory and protective factors exist within aviation serious near miss reports and to determine if the

Resilience principles show promise for improving the quality of healthcare, but there is a need for further theoretical development to include all levels and scales of activity across the whole healthcare system. Many existing models based on engineering concepts do not adequately address the prominence of social, cultural and organisational factors in healthcare work. Promising theoretical developments

This systematic review and meta-analysis identified and critically reviewed the findings of recent studies (last 15 years) examining relationships between specific physically demanding occupations or occupational tasks and development of lower limb osteoarthritis (OA). Twenty-eight studies with 266,227 cases of lower limb OA were included. Occupational tasks contributing to OA included farming, floor

Health information technology (IT) implementation has encompassed much of the United States health care system over the past decade, and user frustration with health IT has steadily increased. Human factors and ergonomics (HFE) methods and approaches can improve the design, implementation, and use of health IT for clinicians and consumers. To better understand the effect of federal HFE in health IT

Nursing home patients often have multiple diagnoses and a high prevalence of polypharmacy and are at risk of experiencing adverse drug events. The study aims to explore the dynamic interactions of stakeholders and work system elements in the medication administration process in a nursing home ward. Data were collected using observations and interviews. A deductive content analysis led to a SEIPS-based

In this paper the RAMP Package is presented with the objective to facilitate the application of the RAMP tool to systematically manage MSD risks. The package consists of the RAMP tool (Risk Assessment and Management tool for manual handling Proactively), the RAMP website, and free, globally available online, training courses (MOOCs). An Action module used for managing identified MSD risks is introduced

Using a simulated X-ray screening task, we tested 122 airport security screeners working with the support of explosives detection systems for cabin baggage screening (EDSCB) as low-level automation. EDSCB varied systematically on three automation reliability measures: accuracy, d', and positive predictive value (PPV). Results showed that when unaided performance was high, operator confidence was high

Recently, several spinal exoskeletons were developed with the aim to assist occupational tasks such as load-handling and work in prolonged static postures. While the biomechanical effects of such devices has been well investigated, only limited feedback to the developers is usually provided regarding the subjective perceptions of the end-users. The aim of this study was to present a novel battery of

Systems contradictions present challenges that need to be effectively managed, e.g. due to conflicting rules and advice, goal conflicts, and mismatches between demand and capacity. We apply FRAM (Functional Resonance Analysis Method) to intravenous infusion practices in an intensive care unit (ICU) to explore how tensions and contradictions are managed by people. A multi-disciplinary team including