Postural analysis of paramedics simulating frequently performed strenuous work tasks

Paramedics who perform emergency rescue functions are highly susceptible to musculoskeletal injuries. Through an interview and survey process firefighters, many of whom are cross-trained paramedics in a consortium of 14 suburban fire departments, identified and rated tasks that were perceived to be both strenuous and frequently performed. The objective of the current study was to describe the working postures and the forces applied as firefighter/paramedics (FF/Ps) simulated specific roles within the following tasks identified by the survey: (1) transferring a patient from a bed to a stretcher using bedsheets, (2) transferring a patient from the ambulance stretcher to a hospital gurney, (3) carrying a victim down a set of stairs and around a landing using a stairchair, (4) carrying a victim down a set of stairs and around a landing using a backboard, and (5) carrying a victim down a set of stairs using a stretcher. Ten two-person teams of FF/Ps participated and were videotaped to obtain postural data for the upper and lower extremities as they performed each role in the simulated two-person tasks. Trunk postures were obtained using lumbar motion monitors. Static hand forces were estimated using a hand-held dynamometer at the most physically demanding points for each role within each task. The postural and force data were averaged across subjects performing identical roles to quantify the postures assumed by the FF/Ps at the most strenuous moments during task performance. Based on these analyses we concluded that: (1) when transferring victims from a bed to a stretcher the FF/P on the bed was able to maintain an upright and more stable posture by standing as opposed to kneeling, (2) an interface board should be used to reduce the frictional forces when transferring victims from a bed to a stretcher or from a stretcher to a gurney, thereby reducing the need to lift the victim with flexed torsos and/or shoulders, and (3) equipment and training that encourages the FF/P in the leader role to walk facing forward during victim transport, especially when descending stairs, potentially results in safer transit.     

Biomechanical evaluation of scaffolding tasks

A field study was conducted to identify tasks and activities that increase the risk of overexertion injury associated with the erection and dismantling of frame scaffolds, and to determine strategies that would prevent or reduce the worker's risk of injury. Twelve construction sites involving 29 workers were visited. The investigation identified that lifting scaffold end frames, carrying end frames, handling scaffold planks, removing cross braces, and removing guardrails are activities that increase the risk of overexertion injuries during task performance. This paper has focused on end-frame handling problems. Although the techniques used to handle end frames varied among the construction sites and subjects, six lifting and five carrying strategies were commonly used. Computer simulations of these work techniques show that considerable biomechanical stress occurs to most of the workers at their shoulders, elbows, and hips. To reduce overexertion injuries during erection and dismantling of frame scaffolds, design of an assistive device to lift scaffold end frames and modifications to the end-frame fixtures are suggested. Future research areas for the prevention of injury during scaffolding work are also proposed.     

Biomechanical evaluation of nursing tasks in a hospital setting

A field study was conducted to investigate spinal kinematics and loading in the nursing profession using objective and subjective measurements of selected nursing tasks observed in a hospital setting. Spinal loading was estimated using trunk motion dynamics measured by the lumbar motion monitor (LMM) and lower back compressive and shear forces were estimated using the three-dimensional (3D) Static Strength Prediction Program. Subjective measures included the rate of perceived physical effort and the perceived risk of low back pain. A multiple logistic regression model, reported in the literature for predicting low back injury based on defined risk groups, was tested. The study results concluded that the major risk factors for low back injury in nurses were the weight of patients handled, trunk moment, and trunk axial rotation. The activities that required long time exposure to awkward postures were perceived by nurses as a high physical effort. This study also concluded that self-reported perceived exertion could be used as a tool to identify nursing activities with a high risk of low-back injury.     

A study of lifting tasks performed on laterally slanted ground surfaces

Lifting in most industrial environments is performed on a smooth, level ground surface. There are, however, many outdoor work environments (e.g. agriculture and construction) that require manual material handling activities on variable grade ground surfaces. Quantifying the biomechanical response while lifting under these conditions may provide insight into the aetiology of lifting-related injury. The aim of the current study was to quantify the effect of laterally slanted ground surfaces on the biomechanical response. Ten subjects performed both isometric weight-holding tasks and dynamic lifting exertions (both using a 40% of max load) while standing on a platform that was laterally tilted at 0, 10, 20 and 30 degrees from horizontal. As the subject performed the isometric exertions, the electromyographic (EMG) activity of trunk extensors and knee extensors were collected and during the dynamic lifting tasks the whole body kinematics were collected. The whole body kinematics data were used in a dynamic biomechanical model to calculate the time-dependent moment about L5/S1 and the time-dependent lateral forces acting on the body segments. The results of the isometric weight-holding task show a significant (p < 0.05) effect of slant angle on the normalized integrated EMG values in both the left (increase by 26%) and right (increase by 70%) trunk extensors, indicating a significant increase in the protective co-contraction response. The results of the dynamic lifting tasks revealed a consistent reduction in the peak dynamic L5/S1 moment (decreased by 9%) and an increase in the instability producing lateral forces (increased by 111%) with increasing slant angle. These results provide quantitative insight into the response of the human lifter under these adverse lifting conditions.     

Autonomous learning of sequential tasks: experiments and analyses

Presents a learning model CLARION, which is a hybrid model based on the two-level approach proposed by Sun. The model integrates neural, reinforcement, and symbolic learning methods to perform on-line, bottom-up learning (i.e., learning that neural to symbolic representations). The model utilizes procedural and declarative knowledge (in neural and symbolic representations, respectively), tapping into the synergy of the two types of processes. It was applied to deal with sequential decision tasks. Experiments and analyses of various ways are reported that shed light on the advantages of the model.     

Identification of physically demanding tasks performed during bushfire suppression by Australian rural firefighters

PurposeTo identify and characterize the physically demanding tasks undertaken during multi-day wildfire (known as bushfire in Australia) suppression by Australian rural firefighters.MethodsDuring semi-structured group interviews, thirty-one experienced male firefighters reviewed 53 firefighting tasks that could be performed during tanker-based bushfire suppression. Participants were asked to nominate the most physically demanding tasks and then define their typical frequencies, durations, operational importance and the dominant actions and activity types in each task.ResultsSeven tasks were identified as physically demanding. They were further categorized into three hose and four handtool (e.g., rakehoe) related activities. These tasks were assessed as moderately important to critical and were thought to occur less than one up to 700 times in a four-month bushfire ‘season’. Each task’s duration was estimated to last approximately 2–30 min depending on the task. Dominant actions were carry, drag, dig/rake actions in seven, three and four of the demanding tasks, respectively. ‘Strength-endurance’ was the dominant activity type for five of the seven tasks.ConclusionSeven fireground tasks, three using a hose and four using handtools were classified as physically demanding by incumbent firefighters. The combination of hose and handtool work indicates that the tanker-based bushfire suppression tactics used by Australian rural firefighters appears to be a hybrid of structural and wildfire firefighting techniques and may require a dedicated physiological analyses before the job demands for these firefighters can be quantified.     

Psychological evaluation and design of work tasks: two examples

Abstract

Practical experience with flexible production automation has provoked rising demands for human oriented job design. Prospective evaluation of work tasks based on status-quo analyses with the psychological instrument VERA, developed for the assessment of the available scope of action in fulfilling the task, has led to design proposals concerning technical and organizational aspects as well as questions of training and retraining. Procedure and results are shown by presenting two case studies dealing with a small flexible manufacturing system and a planned ‘production island’.     

Vision at work visual defect and the visual demand of tasks

Several related studies of visual tasks in a large communications undertaking have revealed much defect of vision and many sources of visual fatigue and inefficiency. The nature of visual fatigue is described briefly and a programme to facilitate visual tasks is outlined.     

Hybrid work stealing of locality-flexible and cancelable tasks for the APGAS library

Since large parallel machines are typically clusters of multicore nodes, parallel programs should be able to deal with both shared memory and distributed memory. This paper proposes a hybrid work stealing scheme, which combines the lifeline-based variant of distributed task pools with the node-internal load balancing of Java’s Fork/Join framework. We implemented our scheme by extending the APGAS library for Java, which is a branch of the X10 project. APGAS programmers can now spawn locality-flexible tasks with a new asyncAny construct. These tasks are transparently mapped to any resource in the overall system, so that the load is balanced over both nodes and cores. Unprocessed asyncAny-tasks can also be cancelled. In performance measurements with up to 144 workers on up to 12 nodes, we observed near linear speedups for four benchmarks and a low overhead for cancellation-related bookkeeping.     

A comparison of risk assessment of single and combination manual handling tasks: 3. Biomechanical measures

Anecdotal evidence suggests organisations experience difficulty assessing the risk in manual handling tasks. One reason for this difficulty may be that many common tasks are a combination of lift, lower, push, pull and carry tasks. No prior reports of attempts to assess the risk in combination tasks using biomechanical measures could be found. The aim of the study was to compare the risks assessed in single manual handling tasks with those in combination tasks. Nine male and nine female students performed combination and single handling tasks. The force applied by subjects to a box was recorded and, together with kinematic data on subject posture collected via video, used in a twodimensional dynamic model to estimate the lumbar compression force and lumbar shear force. The hand force, peak lumbar compression force and peak lumbar shear force for each combination task were each compared with the same variable for the single tasks which comprised the combination, using repeated measured analysis of variance with specific contrasts. In at least one of the twelve comparisons performed for each dependent variable, the combination task value was significantly different to the single task value. It is concluded that the risk in combination manual handling tasks can not be accurately assessed by using estimates based on biomechanical measures of single tasks.     

A two-phase mathematical-programming heuristic for flexible assignment of activities and tasks to work shifts

In the service industry, workers perform work shifts and are assigned to interruptible activities and uninterruptible tasks during their shifts. The work shifts of regular employees are often established several weeks in advance of the operations when the activity and task demands are still uncertain. Just a few days before the operations when these demands are unveiled with more certainty, the planned schedules can be slightly modified and on-call temporary employees can be scheduled to satisfy the demands as best as possible. As acceptable modifications, extending the planned shifts and moving workers’ meal breaks are considered. In this paper, we are interested in the scheduling problem encountered in this second step, which also involves assigning activities and tasks to the scheduled work shifts. To produce good-quality solutions in fast computational times for large-sized instances, we develop a two-phase heuristic. In the first phase, an approximate mixed-integer programming model is used to suggest temporary shifts and extensions to regular shifts and to schedule and assign tasks. In the second phase, a column-generation heuristic embedded in a rolling horizon procedure determines the final shifts and assigns activities to them. Computational results obtained on randomly generated instances are reported to evaluate the validity of the proposed solution method.     

The development and application of psychophysical methods in upper-extremity work tasks and task elements

This paper examines an approach to modeling the relationship between perceived acceptable work exposures and physical stressors in upper-extremity tasks using psychophysical methods. Several years of laboratory-based studies and results from a variety of simulated work tasks and task elements are summarized. The original impetus of these studies was founded in the pioneering work and successful application of psychophysical methods applied to manual materials handling tasks (e.g., lifting) generally beginning in the 1960s and 1970s. This approach provided unique and feasible solutions to work design problems involving exposure to the hazard of cumulative trauma. Presently, these methods were adapted to studying common upper-extremity tasks and task elements. Results provide conclusive evidence of the impact of required posture, force, gender and other variables on acceptable task frequency. These results and the psychophysical method in general, may be particularly helpful in establishing realistic and reasonable work design guidelines when workers are exposed to multiple, simultaneous hazards such as force, frequency, with deviated posture, etc, and in the absence of well-defined biomechanical or physiological-based models. Finally, a review of psychophysical theory and methods which can be applied to a wide range of occupational activities is provided.     

The ability of non-computer tasks to increase biomechanical exposure variability in computer-intensive office work

Postures and muscle activity in the upper body were recorded from 50 academics office workers during 2 hours of normal work, categorised by observation into computer work (CW) and three non-computer (NC) tasks (NC seated work, NC standing/walking work and breaks). NC tasks differed significantly in exposures from CW, with standing/walking NC tasks representing the largest contrasts for most of the exposure variables. For the majority of workers, exposure variability was larger in their present job than in CW alone, as measured by the job variance ratio (JVR), i.e. the ratio between min–min variabilities in the job and in CW. Calculations of JVRs for simulated jobs containing different proportions of CW showed that variability could, indeed, be increased by redistributing available tasks, but that substantial increases could only be achieved by introducing more vigorous tasks in the job, in casu illustrated by cleaning.     

Dynamic estimation of worker reliability in crowdsourcing for regression tasks: Making it work

One of the biggest challenges in crowdsourcing is detecting noisy and incompetent workers. A possible way of handling this problem is to dynamically estimate the reliability of workers as they do work and accept only those workers who are deemed to be reliable to date. Although many approaches to dynamic estimation of rater reliability exist, they are often only appropriate for very specific categories of tasks, for example, only for binary classification. They also can make unrealistic assumptions such as requiring access to a large number of gold standard answers or relying on the constant availability of any rater. In this paper, we propose a novel approach to the dynamic estimation of rater reliability in regression (DER³) using multi-armed bandits. This approach is specifically suited for real-life crowdsourcing scenarios, where the task at hand is labelling or rating corpora to be used in supervised machine learning, and the annotations are continuous ratings, although it can be easily generalised to multi-class or binary classification tasks. We demonstrate that DER³ provides high-accuracy results and at the same time keeps the cost of the rating process low. Although our main motivating example is the recognition of emotion in speech, our approach shows similar results in other application areas.     

Field work and statistical analyses for enhanced interpretation of satellite fire data

Because their broad spatial and temporal coverage, satellites provide the main source of fire data for Amazonia. A key to the application of these tools for environmental studies is the appropriate interpretation of the data they provide. To enhance the interpretation of satellite fire data for this region, we collected ground-based data on fires in 2001 and 2002 using a simple and passive method, and statistically related these data to corresponding estimates from AVHRR and MODIS fire products using error matrices. Multiple methods of analyses from simple to complex produced qualitatively similar results. Total accuracies for both fire products were very high (> 99%) and dominated by accurate (> 99%) non-fire detection. Kappa statistics and fire-detection accuracies were substantially lower, with omission errors higher than commission errors. Results calculated using several different sets of spatial-matching parameters of analysis showed that Kappa was 1-10.6% for AVHRR, and 0-1.4% for MODIS. User's accuracy for fires was 0-40% for AVHRR and 3-100% for MODIS. Producer's accuracy for fires was 0-8% for AVHRR and 0-1% for MODIS. Statistical evaluations of potential explanatory factors showed that fire size and sampling time were dominant factors for low accuracies. Results from this study indicate that current satellite fire products are providing a limited sample of the fire activity in the region, and that ground-based analyses can substantially contribute to the interpretation of these products.     

Assessment of duration and frequency of work tasks by telephone interview: reproducibility and validity

Quantitative estimation of physical work load requires breakdown of jobs into smaller entities. The objective was to study the inter-rater reproducibility of the contents, frequency and duration of work tasks assessed by telephone interview. Two researchers interviewed 18 industrial workers with an interval of from 2 to 3 weeks in a balanced and blinded design. Altogether 114 tasks were identified, 68 of which were recorded by both interviewers. The tasks were classified into regularly occurring (n=34) and occasional (n= 80). The outcome was the total duration of the tasks per day computed from the data on frequency and duration. Validity of the interview was studied against prestructured diaries filled in by nine workers. The interviewers' assessments of the overall contents of the tasks were rated as ‘similar’ or ‘very similar’ for 17 of the 18 workers. Both interviewers detected all 34 regularly occurring tasks. The intraclass correlation coefficient (ICC) of the total duration between the interviewers was 0.81 for regularly occurring tasks. ICCs of the total duration between the diary and the two interviewers were 0.90 and 0.91. However, in many cases the workers could not give a numerical value for duration or frequency. A telephone interview can be used as a first step in exposure assessment in epidemiological studies on risk factors of musculoskeletal disorders. These results show that a single telephone interview can give reproducible and valid information of the frequency and duration of tasks occurring daily. For occasional tasks interview methods should be developed further.     

Assessment of duration and frequency of work tasks by telephone interview: reproducibility and validity

Quantitative estimation of physical work load requires breakdown of jobs into smaller entities. The objective was to study the inter-rater reproducibility of the contents, frequency and duration of work tasks assessed by telephone interview. Two researchers interviewed 18 industrial workers with an interval of from 2 to 3 weeks in a balanced and blinded design. Altogether 114 tasks were identified, 68 of which were recorded by both interviewers. The tasks were classified into regularly occurring (n = 34) and occasional (n = 80). The outcome was the total duration of the tasks per day computed from the data on frequency and duration. Validity of the interview was studied against prestructured diaries filled in by nine workers. The interviewers' assessments of the overall contents of the tasks were rated as 'similar' or 'very similar' for 17 of the 18 workers. Both interviewers detected all 34 regularly occurring tasks. The intraclass correlation coefficient (ICC) of the total duration between the interviewers was 0.81 for regularly occurring tasks. ICCs of the total duration between the diary and the two interviewers were 0.90 and 0.91. However, in many cases the workers could not give a numerical value for duration or frequency. A telephone interview can be used as a first step in exposure assessment in epidemiological studies on risk factors of musculoskeletal disorders. These results show that a single telephone interview can give reproducible and valid information of the frequency and duration of tasks occurring daily. For occasional tasks interview methods should be developed further.     

Computer-telephone interactive tasks: predictors of musculoskeletal disorders according to work analysis and workers' perception

Sixty-two workers engaged in computer-telephone interactive tasks in an active telemarketing center and a telephone call center of an international bank subsidiary in S?o Paulo. Brazil, were assessed by means of a work analysis and a self-administered questionnaire aiming to determine the statistical relationship of ergonomic, organizational and psychosocial characteristics of their jobs with the report of symptoms in neck-shoulder and hand-wrist for more than 7 consecutive days and any time away from work during the current job due to musculoskeletal disorders (MSD). According to chi-square univariate tests and multiple logistic regression models, active telemarketing operations, duration in the job and the low level of satisfaction with the physical arrangement of the workstation emerged as the factors most related to neck-shoulder and hand-wrist MSD and MSD-induced time away from work. This study emphasizes the role of psychosocial factors and duration in the job in MSD occurrence and induced absenteeism among workers engaged in computer-telephone interactive tasks.