Distress and worry as mediators in the relationship between psychosocial risks and upper body musculoskeletal complaints in highly automated manufacturing

As a result of changes in manufacturing including an upward trend in automation and the advent of the fourth industrial revolution, the requirement for supervisory monitoring and consequently, cognitive demand has increased in automated manufacturing. The incidence of musculoskeletal disorders has also increased in the manufacturing sector. A model was developed based on survey data to test if distress and worry mediate the relationship between psychosocial factors (job control, cognitive demand, social isolation and skill discretion), stress states and symptoms of upper body musculoskeletal disorders in highly automated manufacturing companies (n = 235). These constructs facilitated the development of a statistically significant model (RMSEA 0.057, TLI 0.924, CFI 0.935). Cognitive demand was shown to be related to higher distress in employees, and distress to a higher incidence of self-reported shoulder and lower back symptoms. The mediation model incorporating stress states (distress, worry) as mediators is a novel approach in linking psychosocial risks to musculoskeletal disorders.

Practitioners’ Summary

With little requirement for physical work in many modern automated manufacturing workplaces, there is often minimal management focus on Work-Related Musculoskeletal Disorders (WRMSDs) as important occupational health problems. Our model provides evidence that psychosocial factors are important risk factors in symptoms of WRMSD and should be managed.     

A THEORETICAL STUDY ON ADAPTIVE QUALITY CONTROL SYSTEMS

This paper is a study of an adaptive quality control system from a viewpoint of quality goal. The main purpose is to introduce a conceptual framework for setting up quality goals which are in accordance with the external environment and internal capacity of quality control systems. We apply a mathematical general systems approach.

The results of our paper are summarized as follows:

1)As important decision-making in adaptive QCS, the decision-making for estimalion of fitness and examination of attainability are proposed and formalized mathematically.

2)A refinement process is formalized in which models are revised according to the changes of market.

3)Basic steps for setting quality goals are obtained which are based on the above formalization.     

Effects of the weight configuration of hand load on trunk musculature during static weight holding

The performance of manual material handling tasks is one major cause of lower back injuries. In the current study, we investigated the influence of the weight configuration of hand loads on trunk muscle activities and the associated spinal stability. Thirteen volunteers each performed static weight-holding tasks using two different 9 kg weight bars (with medial and lateral weight configurations) at two levels of height (low and high) and one fixed horizontal distance (which resulted in constant spinal joint moment across conditions). Results of the current study demonstrated that holding the laterally distributed load significantly reduced activation levels of lumbar and abdominal muscles by 9–13% as compared with holding the medially distributed load. We believe such an effect is due to an elevated rotational moment of inertia when the weight of the load is laterally distributed. These findings suggest that during the design and assessment of manual material handling tasks, such as lifting and carrying, the weight configuration of the hand load should be considered.

Practitioner summary: Elevated trunk muscle activities were found when holding a medially distributed load vs. a laterally distributed load (with an equivalent external moment to the spine), indicating a reduced spinal stability due to the reduced rotational moment of inertia. The configuration of the hand load should be considered when evaluating manual material handling tasks.     

A comfort assessment of existing cervical orthoses

Purpose: Identify location and intensity of discomfort experienced by healthy participants wearing cervical orthoses.

Method: Convenience sample of 34 healthy participants wore Stro II, Philadelphia, Headmaster, and AspenVista^® cervical orthoses for four-hour periods. Participants reported discomfort level (scale 0–6) and location.

Results: Participants reported mean discomfort for all orthoses over the four-hour test between ‘a little discomfort’ and ‘very uncomfortable’ (mean discomfort score = 1.64, SD = 1.50). Seven participants prematurely stopped tests due to pain and six reported maximum discomfort scores. Significant linear increase in discomfort with duration of wear was found for all orthoses. Significantly less discomfort was reported with Stro II than Headmaster and Philadelphia. Age correlated with greater perceived discomfort. Orthoses differed in the location discomfort was experienced.

Conclusion: Existing cervical orthoses cause discomfort influenced by design and duration of wear with orthoses’ design the more significant factor. This work informed the design of a new orthosis and future orthoses developments.

Practitioner Summary: The purpose of this study was to gain greater knowledge about the discomfort caused by wearing of existing neck orthoses in order to inform the design and development of a new neck orthosis. This study gathers empirical data from a surrogate population and concludes that orthosis design is more influential than the duration of wear.     

DISCRETE EVENT-DYNAMIC SYSTEMS FOR MODELING DYNAMIC VALUED NETS

The last few years have seen the development of Discrete Event-Dynamic Net Systems^1,2 as instruments for modeling complex systems. They are able to achieve the following objectives:

—formality of the modeling methodology

—ability to model static and dynamic aspects

—ability to pass between levels of differently rich structures by morphisms

—uniform representation of the communication process as

—an information process

—a decision process and

—a control process

—homogeneity of the representation and modeling methods

—ability to derive qualitative and quantitative statements.

The foundation is provided by a Discrete Event-Dynamic Net System which includes the axiomatic declaration of general Petri nets. In order to calculate the structural and dynamic aspects, so-called Petri net machines are developed. It is shown that this approach can even be used to treat the following aspects:

—use of time during the process

—increase of costs during the generation and transportation of information

—augmentation, evaluation and transformation of information objects.

Recursive formulas are derived and some examples calculated.     

Deciphering ADFGVX messages from the Eastern Front of World War I

In the last months of World War I (WW I), the German Army and diplomatic services used the ADFGVX hand-cipher system to encrypt radio messages between Germany and its outposts and stations in the Balkans, the Black Sea, and in the Middle East. Hundreds of cryptograms were intercepted from July to December 1918 by British and U.S. military intelligence, who were able to recover most of the keys and decipher most of the cryptograms using manual cryptanalysis methods. Fortunately, the original cryptograms have been preserved by James Rives Childs, the U.S. officer assigned to G.2 A.6, the SIGINT section of American Expeditionary Forces (AEF) in Paris, and they appear in his book, General Solution of the ADFGVX Cipher System, published by Aegean Press Park in 2000.

In this article, the authors present the results of an effort toward the complete cryptanalysis of the messages, and an analysis of their contents. The authors present a new computerized method for the ciphertext-only cryptanalysis of ADFGVX messages which they developed for that purpose. They also provide details on how all the keys were recovered and almost all the messages decrypted, despite the low quality of significant parts of the intercepted material.

The analysis of the messages in their historical context provides a unique insight into key events, such as the withdrawal of the German troops from Romania, and the impact of the Kiel Mutiny on communications. Both events had major political and military consequences for Germany in the Eastern Front. Cryptanalysis allowed the Entente Powers to closely monitor those events as well as others developments, also highlighting inherent weaknesses in German cryptographic and cryptanalytic capabilities. The authors plan to publish online all the decrypted messages.     

Push Notifications in Diet Apps: Influencing Engagement Times and Tasks

Background: Smartphones have reached levels of popularity and penetration where they are now suitable for use in population health interventions. A key feature of smartphones is push notification or in app messaging service, which can be used to alert users to messages or instructions pertaining to an installed app. Little evidence exists as to the persuasive power of these messages.

Method: We conducted a 24-week live user evaluation of push notifications used in a behavior-based mobile app for a meal replacement program to understand the role of push notifications in persuading users to engage with self-monitoring tasks.

Results: User perception of the prompts were verified through questionnaires, which in conjunction with the interaction logs show that users were tolerant of multiple daily prompts. The decline in compliance to the tasks set, however, shows that while the participants did not object to receiving prompts, they were less likely to respond to them as the study progressed.

Conclusions: Push notifications and user tasks are appropriate mechanisms to engage users with mobile technology in the short term.     

Evaluation of Three Tablet Computers at Two Levels of Ambient Illumination

Background: Tablet computers are increasingly widespread in this digital era. During tablet computer use, two important factors are display quality and ambient illumination. The purpose of this experiment was to understand the effects of the display quality of tablet computers (a Sony, a Samsung, and an iPad) and ambient illumination levels (200 lx, 500 lx) on visual fatigue, comfort perception, and task performance.

Methods: Thirty-five university students (17 males and 18 females) were recruited for this experiment. They performed six 40-min trials of playing computer games in all experimental conditions. Visual fatigue, comfort perception, and task performance were collected at the end of each trial.

Results and Discussion: There were no interactions between display model and ambient illumination. Display model had a significant effect on visual fatigue and visual performance, and the best display quality caused less visual fatigue during long periods of viewing. We found no significant effect between 200 lx and 500 lx of ambient illumination on visual fatigue or visual performance; therefore, further research should be conducted to determine what levels of ambient illumination, both high and low, can affect visual fatigue and task performance.     

Impact of SCBA size and fatigue from different firefighting work cycles on firefighter gait

Risk of slips, trips and falls in firefighters maybe influenced by the firefighter’s equipment and duration of firefighting. This study examined the impact of a four self-contained breathing apparatus (SCBA) three SCBA of increasing size and a prototype design and three work cycles one bout (1B), two bouts with a five-minute break (2B) and two bouts back-to-back (BB) on gait in 30 firefighters. Five gait parameters (double support time, single support time, stride length, step width and stride velocity) were examined pre- and post-firefighting activity. The two largest SCBA resulted in longer double support times relative to the smallest SCBA. Multiple bouts of firefighting activity resulted in increased single and double support time and decreased stride length, step width and stride velocity. These results suggest that with larger SCBA or longer durations of activity, firefighters may adopt more conservative gait patterns to minimise fall risk.

Practitioner Summary: The effects of four self-contained breathing apparatus (SCBA) and three work cycles on five gait parameters were examined pre- and post-firefighting activity. Both SCBA size and work cycle affected gait. The two largest SCBA resulted in longer double support times. Multiple bouts of activity resulted in more conservative gait patterns.     

On the relationship between subjective and objective measures of fatigue

Objective: Objective and subjective methods have been used in the past to assess workplace fatigue, but little is known about correlations between them. We examine correlations between subjective and objective measures, including measures collected in a workplace scenario. Methods: 15 young and 17 older participants were assessed before and after work with four types of fatigue measure: objective physical (posturography), objective mental (psychomotor vigilance task), subjective physical and mental (self-assessment), objective and subjective realistic (oculomotor behaviour, observer-rated facial expression, typing performance). Results: Pre- and post-test scores were analysed with an ANOVA, significant differences were submitted to a factor analysis. It yielded three factors: one representing posturography, the second self-rated mental and physical fatigue and the third observer-rated facial expression. Conclusions: Results advocate the existence of three independent fatigue components: Objective physical fatigue, introspective and extrospective fatigue.

Practitioner Summary: This study analyses correlations between different subjective and objective fatigue markers to better understand the complex nature of workplace fatigue. Measurements were conducted directly at the workplace. Results reveal that fatigue comprises three independent fatigue components: Objective physical fatigue, introspective and extrospective fatigue.     

Precision markedly attenuates repetitive lift capacity

This study investigated the effect of precision on time to task failure in a repetitive whole-body manual handling task. Twelve participants were required to repetitively lift a box weighing 65% of their single repetition maximum to shoulder height using either precise or unconstrained box placement. Muscle activity, forces exerted at the ground, 2D body kinematics, box acceleration and psychophysical measures of performance were recorded until task failure was reached. With precision, time to task failure for repetitive lifting was reduced by 72%, whereas the duration taken to complete a single lift and anterior deltoid muscle activation increased by 39% and 25%, respectively. Yet, no significant difference was observed in ratings of perceived exertion or heart rate at task failure. In conclusion, our results suggest that when accuracy is a characteristic of a repetitive manual handling task, physical work capacity will decline markedly.

Practitioner Summary: The capacity to lift repetitively to shoulder height was reduced by 72% when increased accuracy was required to place a box upon a shelf. Lifting strategy and muscle activity were also modified, confirming practitioners should take into consideration movement precision when evaluating the demands of repetitive manual handling tasks.     

A modified version of the three-compartment model to predict fatigue during submaximal tasks with complex force-time histories

The three-compartment model (3CM) was validated previously for prediction of endurance times by modifying its fatigue and recovery rates. However, endurance times do not typically represent work demands, and it is unknown if the current version of the 3CM is applicable for ergonomics analysis of all occupational tasks. The purpose of this study was to add biological fidelity to the 3CM, and validate the model against a series of submaximal force plateaus. The fatigue and recovery rates were modified to represent graded physiological motor unit characteristics (termed 3CM_GMU). In nine experiments of submaximal efforts, the 3CM_GMU produced a root-mean squared difference (RMSD) of 4.1 ± 0.5% MVC over experiments with an average strength loss (i.e. fatigue) of 31.0 ± 1.1% MVC. The 3CM_GMU model performed poorly for endurance tasks. The 3CM_GMU model is an improvement for evaluating submaximal force patterns consisting of intermittent muscle contractions of the hand and forearm.

Practitioner Summary: We modified an existing fatigue model using known physiological properties in order to predict fatigue during nine different submaximal force profiles; consistent with efforts seen in industrial work. We expect this model to be included in digital human modelling software, for the assessment of repetitive work and muscle fatigue in repetitive tasks.

Social Media Summary: The proposed model has applications for estimating task fatigue in proactive ergonomic analyses of complex force patterns using digital human models.     

The Proactive and Preventive Privacy (3P) Framework for IoT Privacy by Design

The Problem

Internet of Things (IoT) is providing new services and insights by sensing contextual data but there are growing concerns of privacy risks from users that need immediate attention.

The Reason

The IoT devices and smart services can capture Personally Identifiable Information (PII) without user knowledge or consent. The IoT technology has not reached the desired level of maturity to standardize security and privacy requirements.

The Solution

IoT Privacy by Design is a user-centric approach for enabling privacy with security and safety as a ‘win-win’ positive outcome of IoT offerings, irrespective of business domain. The Proactive and Preventive Privacy (3P) Framework proposed in this paper should be adopted by the IoT stakeholders for building trust and confidence in end users about IoT devices and smart services.     

Book reviews

Patent Harmonization Harold C. Wegner London, Sweet & Maxwell, 1993 xx + 376 pp., £70.00 (hardback)

Of Authors and Origins: essays on copyright law Brad Sherman & Alain Strowel (Eds) Oxford, Clarendon Press, 1994 xiv + 313 pp., £30.00 (hardback)

Future Air Navigation Systems Werner Guldimann & Stefan Kaiser Dordrecht, Martinus Nijhoff, 1993 Utrecht Studies in Air and Space Law, Vol. 13 viii + 281 pp., £76.50 (hardback)

The Law of Copyright Terence Prime London, Fourmat Publishing, 1992, xxiv + 313 pp., £30.00 (paperback)     

The effects of military body armour on trunk and hip kinematics during performance of manual handling tasks*

Musculoskeletal injuries are reported as burdening the military. An identified risk factor for injury is carrying heavy loads; however, soldiers are also required to wear their load as body armour. To investigate the effects of body armour on trunk and hip kinematics during military-specific manual handling tasks, 16 males completed 3 tasks while wearing each of 4 body armour conditions plus a control. Three-dimensional motion analysis captured and quantified all kinematic data. Average trunk flexion for the weightiest armour type was higher compared with control during the carry component of the ammunition box lift (p?<?0.001) and sandbag lift tasks (p?<?0.001). Trunk rotation ROM was lower for all armour types compared with control during the ammunition box place component (p?<?0.001). The altered kinematics with body armour occurred independent of armour design. In order to optimise armour design, manufacturers need to work with end-users to explore how armour configurations interact with range of personal and situational factors in operationally relevant environments.

Practitioner Summary: Musculoskeletal injuries are reported as burdening the military and may relate to body armour wear. Body armour increased trunk flexion and reduced trunk rotation during military-specific lifting and carrying tasks. The altered kinematics may contribute to injury risk, but more research is required.     

LQ tracking and disturbance rejecting with invariant zeros on the unit circle

A solution of the problem of optimal linear-quadratic (LQ) tracking and disturbance rejecting with invariant zeros on the unit circle of the plant is given, under a quite general assumption. For that purpose, we transform this problem to a problem of LQ control of an unstabilisable plant by augmentation, and then deal with weakly stabilising controls, defined as the controls such that the unstable modes of the closed-loop system are at most the unstabilisable modes of the augmented pair (A, B).

Then we solve the transformed problem by the newly introduced minimal rank weakly stabilising solution of the most general discrete-time algebraic Riccati system (DARS), associated with the system given by matrix quadruple (A, B, C, D), with unstabilisable matrix pair (A, B).

We show and illustrate by examples that there is a class of LQ tracking problems in the presence of disturbances, which cannot be solved by the existing methods, but can be solved by the introduced minimal rank weakly stabilising solution of the DARS.     

Home is where the head is: a distributed cognition account of personal health information management in the home among those with chronic illness

Managing chronic illness requires personal health information management (PHIM) to be performed by lay individuals. Paramount to understanding the PHIM process is understanding the sociotechnical system in which it frequently occurs: the home environment. We combined distributed cognition theory and the patient work system model to investigate how characteristics of the home interact with the cognitive work of PHIM. We used a 3D virtual reality CAVE that enabled participants who had been diagnosed with diabetes (N = 20) to describe how they would perform PHIM in the home context. We found that PHIM is distinctly cognitive work, and rarely performed ‘in the head’. Rather, features of the physical environment, tasks, people, and tools and technologies present, continuously shape and are shaped by the PHIM process. We suggest that approaches in which the individual (sans context) is considered the relevant unit of analysis overlook the pivotal role of the environment in shaping PHIM.

Practitioner Summary:

We examined how Personal Health Information Management (PHIM) is performed in the homes of diabetic patients. We found that approaches to studying cognition that focus on the individual, to the exclusion of their context, overlook the pivotal role of environmental, social, and technological features in shaping PHIM.     

THEORY OF CYBERNETIC AND INTELLIGENT MACHINE BASED ON LIE COMMUTATORS

Many attempts^{1, 7, 8, 35} have been made to overcome the limit imposed by the Turing Machine³⁴ to realise general mathematical functions and models of (physical) phenomena.

They center around the notion of computability.

In this paper we propose a new definition of computability which lays the foundations for a theory of cybernetic and intelligent machines in which the classical limits imposed by discrete algorithmic procedures are offset by the use of continuous operators on unlimited data. This data is supplied to the machine in a totally parallel mode, as a field or wave.

This theory of machines draws its concepts from category theory, Lie algebras, and general systems theory. It permits the incorporation of intelligent control into the design of the machine as a virtual element. The incorporated control can be realized in many (machine) configurations of which we give three:

a) a quantum mechanical realization appropriate to a possible understanding of the quantum computer and other models of the physical microworld,

b) a stochastic realization based on Kolmogorov-Gabor theory leading to a possible understanding of generalised models of the physical or thermodynamic macroworld, and lastly

c) a classical mechanical realization appropriate lo the study of a new class of robots.

Particular applications at a fundamental level are cited in geometry, mathematics, biology, acoustics, aeronautics, quantum mechanics, general relativity and. Markov chains. The proposed theory therefore opens a new way towards understanding the processes that underlie intelligence.     

ON THE REPRESENTATION OF ACTIVITY ARRAYS†

A general methodology for empirical investigaiion is described which consists of: (i) the selection of a system on the object of investigation with respect to the purpose and constraints of investigation, (ii) the gathering of data for the system and organizing them in the form of activity arrays, (iii) the processing of the data through which certain time-invariant properties representing the data are determined, (iv) the interpretation of these time-invariant data representations from the standpoint of the purpose of investigation.

It is shown that each activity array yields many different representations. A procedure through which the various representations can be obtained is described that consists of: (1) the selection of a mask specifying a pattern for sampling the data, (2) the sampling procedure through which certain types of time-invariant relations are determined for the given mask, (3) the simplification of the time-invariant relations, if necessary or desirable.

A basis for the objective comparison of possible representations and ascertainment of the representation with the highest possible degree of determinism, subject to given constraints, is developed.

The procedure is applicable to both well defined and fuzzy variables of any scale. No classification into input and output variables is required, although it is not prohibited.     

Comparison of visual fatigue caused by head-mounted display for virtual reality and two-dimensional display using objective and subjective evaluation

This study aimed to evaluate objective and subjective visual fatigue experienced before and after performing a visual task while using a head-mounted display for virtual reality (VR-HMD) and two-dimensional (2D) display. Binocular fusion maintenance (BFM) was measured using a binocular open-view Shack–Hartmann wavefront aberrometer equipped with liquid crystal shutters. Twelve healthy subjects performed the BFM test and completed a questionnaire regarding subjective symptoms before and after performing a visual task that induces low visually induced motion sickness (VIMS). BFM (p = .87) and total subjective eye symptom scores (p = .38) were not significantly different between both groups, although these values were significantly lower after the visual task than before the task within both groups (p < .05). These findings suggest that visual fatigue after using a VR-HMD is not significantly different from that after using a 2D display in the presence of low-VIMS VR content.

Practitioner summary: Objective and subjective evaluation of visual fatigue were not significantly different with the use of a head-mounted display for virtual reality (VR-HMD) and two-dimensional display. These results should be valuable not only to engineers developing VR content but also to researchers involved in the evaluation of visual fatigue using VR-HMD.

Abbreviations: VR: virtual reality; VR-HMD: head-mounted display for virtual reality; BFM: binocular fusion maintenance; BWFA: binocular open-view Shack–Hartmann wavefront aberrometer