Feet kinematics upon slipping discriminate between recoveries and three types of slip-induced falls

This study investigated the relationship between feet kinematics upon slipping while walking and the outcome of the slip. Seventy-one slips (induced by walking over an unexpectedly slippery surface) were analysed, which included 37 recoveries, 16 feet-split falls, 11 feet-forward falls and seven lateral falls. Feet kinematics differed between recoveries and three types of slip-induced falls, and a discriminant model including six measures of feet kinematics correctly predicted 87% of slip outcomes. Two potentially modifiable characteristics of the feet kinematics upon slipping that can improve the likelihood of successfully averting a fall were identified: (1) quickly arresting the motion of the slipping foot and (2) a recovery step that places the trailing toe approximately 0–10% body height anterior to the sacrum. These results may inform the development of task-specific balance training interventions that promote favourable recovery responses to slipping.

Practitioner Summary: This study investigated the relationship between feet movements upon slipping and outcomes of the slip. Potentially modifiable characteristics that can reduce the likelihood of falling were: (1) quickly arresting slipping foot motion and (2) a recovery step that places the trailing toe approximately 0–10% body height anterior to the sacrum.     

State of science: occupational slips,trips and falls on the same level*

Occupational slips, trips and falls on the same level (STFL) result in substantial injuries worldwide. This paper summarises the state of science regarding STFL, outlining relevant aspects of epidemiology, biomechanics, psychophysics, tribology, organisational influences and injury prevention. This review reaffirms that STFL remain a major cause of workplace injury and STFL prevention is a complex problem, requiring multi-disciplinary, multi-faceted approaches. Despite progress in recent decades in understanding the mechanisms involved in STFL, especially slipping, research leading to evidence-based prevention practices remains insufficient, given the problem scale. It is concluded that there is a pressing need to develop better fall prevention strategies using systems approaches conceptualising and addressing the factors involved in STFL, with considerations of the full range of factors and their interactions. There is also an urgent need for field trials of various fall prevention strategies to assess the effectiveness of different intervention components and their interactions.

Practitioner Summary: Work-related slipping, tripping and falls on the same level are a major source of occupational injury. The causes are broadly understood, although more attention is needed from a systems perspective. Research has shown preventative action to be effective, but further studies are required to understand which aspects are most beneficial.     

Differentiating slip-induced falls from normal walking and successful recovery after slips using kinematic measures

Slip-induced falls are prevalent and serious in occupational settings. Fall detection can minimise the adverse consequences caused by falls. However, a limitation in the existing fall detection research is that the fall indicators were predetermined without any theoretical and experimental basis. This study aimed to determine the optimal fall indicators for fall detection research by experimentally examining a comprehensive set of kinematic measures. The body kinematic measures were compared among normal walking, successful recovery after slips and slip-induced falls. We identified the kinematic measures that differ between falls and the selected non-fall activities (i.e. successful recovery and normal walking), especially at the early stage of loss-of-balance due to slips. Findings obtained from this study can enhance the understanding of kinematic differences between slip-induced falls and non-fall activities, and such knowledge is particularly useful for developing fall detection models.

Practitioner Summary: Slips have been reported to be a major cause of accidental falls. Findings from this study can help determine the kinematic measures that can effectively and efficiently differentiate slip-induced falls from successful recovery and normal walking. Such knowledge can help develop effective strategies to prevent slip-induced falls.     

Slip resistance of winter footwear on snow and ice measured using maximum achievable incline

Protective footwear is necessary for preventing injurious slips and falls in winter conditions. Valid methods for assessing footwear slip resistance on winter surfaces are needed in order to evaluate footwear and outsole designs. The purpose of this study was to utilise a method of testing winter footwear that was ecologically valid in terms of involving actual human testers walking on realistic winter surfaces to produce objective measures of slip resistance. During the experiment, eight participants tested six styles of footwear on wet ice, on dry ice, and on dry ice after walking over soft snow. Slip resistance was measured by determining the maximum incline angles participants were able to walk up and down in each footwear–surface combination. The results indicated that testing on a variety of surfaces is necessary for establishing winter footwear performance and that standard mechanical bench tests for footwear slip resistance do not adequately reflect actual performance.

Practitioner Summary: Existing standardised methods for measuring footwear slip resistance lack validation on winter surfaces. By determining the maximum inclines participants could walk up and down slopes of wet ice, dry ice, and ice with snow, in a range of footwear, an ecologically valid test for measuring winter footwear performance was established.     

Effects of foot placement,hand positioning,age and climbing biodynamics on ladder slip outcomes

Ladder falls frequently cause severe injuries; yet the factors that influence ladder slips/falls are not well understood. This study aimed to quantify (1) the effects of restricted foot placement, hand positioning, climbing direction and age on slip outcomes, and (2) differences in climbing styles leading to slips versus styles leading to non-slips. Thirty-two occupational ladder users from three age groups (18–24, 25–44 and 45–64 years) were unexpectedly slipped climbing a vertical ladder, while being assigned to different foot placement conditions (unrestricted vs. restricted toe clearance) and different hand positions (rails vs. rungs). Constraining foot placement increased the climber's likelihood of slipping (p < 0.01), while younger and older participants slipped more than the middle-aged group (p < 0.01). Longer double stance time, dissimilar and more variable foot and body positioning were found in styles leading to a slip. Maintaining sufficient toe clearance and targeting ladder safety training to younger and older workers may reduce ladder falls.

Practitioner Summary: Ladder falls frequently cause severe occupational fall injuries. This study aims to identify safer ladder climbing techniques and individuals at risk of falling. The results suggest that ladders with unrestricted toe clearance and ladder climbing training programmes, particularly for younger and older workers, may reduce ladder slipping risk.     

A comparison of the burden and resultant risk associated with occupational falls from a height and on the same level in Australia

Occupational falls are one of the leading causes of occupational injury and death internationally. This study described the nature of occupational falls following an analysis of workers compensation data in Western Australia. Frequencies, proportions and incidence rates were calculated following mechanism, gender, age and industry stratification. The natures of injury and bodily locations affected were compared between mechanisms of fall. Industry incidence rates were ranked and their corresponding proportions reported. Cost and lost time were described and risk scores for each burden type (incapacity, cost and lost time) were calculated and compared between fall mechanisms. Of all occupational falls, the proportion, incidence rates and risk scores of falls on same level were consistently greater compared to falls from a height. Gender, age and industry groups that appear to be at highest risk vary with the measure used and mechanism of incident. This study translates epidemiological information into a risk score that can aid in prioritisation.

Practitioner Summary: This paper presents an in-depth analysis of Worker’s Compensation claims for falls in Western Australia. Calculated proportion, incidence rates and formulated risk scores for falls on the level were consistently greater compared to falls from a height. Limitations associated with the analysis of large-scale data-sets are described.     

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.     

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.     

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.     

Effect of uphill walking with varying grade and speed during load carriage on muscle activity

Indian soldiers, while guarding the mountainous border areas, often carry loads in steep uphill gradients. This activity may predispose the risk of muscle injury. The present study aimed to examine the effects of an increasing load, speed and gradient during incremental uphill treadmill walking on different muscles. Twelve infantry soldiers walked on a treadmill at two speeds (2.5 and 4 km/h) with no load, and carrying 10.7, 17 and 21.4 kg loads at 0, 5, 10, 15, 20, 25% gradients. Electromyographic responses of erector spinae (>240%) and vastus medialis (>240%) were mostly affected, followed by soleus (>125%) and gastrocnemius medialis (>100%) at maximum speed, load and gradient combination compared to 0% gradient. Carrying 10.7 kg at 15% gradient and above was found to be highly strenuous and fatiguing with the risk of muscle injury. Uphill load carriage in slower speed is recommended for the maintenance of combat fitness of the individual at higher gradients.

Practitioner Summary:

The present article has evaluated the stress encountered by soldiers during load carriage at incremental uphill gradients while walking at different speeds by recording the muscular activities. Load carriage in steep uphill gradients is highly strenuous and may lead to muscle injury thus compromising the combat fitness.     

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.     

Duration of slip-resistant shoe usage and the rate of slipping in limited-service restaurants: results from a prospective and crossover study

Several studies have indicated that slip-resistant shoes may have a positive effect on reducing the risk of slips and falls, a leading cause of injury at work. Few studies, however, have examined how duration of shoe usage affects their slip-resistance properties. This study examined the association between the duration of slip-resistant shoes usage and the self-reported rate of slipping in limited-service restaurant workers. A total of 475 workers from 36 limited-service restaurants in the USA were recruited to participate in a 12-week prospective study of workplace slipping. Of the 475 participants, 83 reported changing to a new pair of shoes at least once during the 12-week follow-up. The results show that slip-resistant shoes worn for less than six months were moderately more effective than those worn for more than six months. Changing to a new pair of shoes among those wearing slip-resistant shoes at baseline was associated with a 55% reduction in the rate of slipping (RR = 0.45, 95% CI = 0.23–0.89). Further research is needed to develop criteria for the replacement of slip-resistant shoes.

Practitioner Summary: The duration of usage impacts the slip-resistance properties of slip-resistant shoes. Slip-resistant shoes worn for less than six months were moderately more effective in reducing slips than slip-resistant shoes worn for more than six months. Shoe use policies should not only encourage or require their use but also include guidance on replacing slip-resistant shoes at regular intervals.     

Fast detection of significantly transformed areas due to illegal waste burial with a procedure applicable to Landsat images

The problem of illegal waste burial is a serious threat to human health and ecosystems. These illegal activities occur most often in areas which have been heavily modified and considered degraded, mainly quarry areas and landfills, even if it is licensed.

To identify the areas where there is suspicion of illegal waste burial, a great amount of time is often necessary. As a matter of fact, the detection of suspicious areas is often based on a comparison of available airborne images with high temporal and spatial resolution, and surveys. This is also done to gather significant aspect of change as deep soil reshuffle in small excavation areas. These methods however, take a long time to be applied because large areas have to be analysed within sub-areas. Consequently, there is loss of understanding related to a wider and complete phenomenon that allows us to have information of all the territory that has undergone heavy transformations, especially if due to illegal conduct of waste disposal. As a result, there are no enough data to strategically evaluate how to counteract such illegal activities.

Since these areas have already been heavily disturbed and subjected to continuous changes over time, one or more detection techniques in a standardized procedure might only be applicable in some contexts. The above method comparison and survey is certainly a useful tool for detecting areas affected by excavation activities or waste illegal disposal. It also provides information where significant transformations have occurred in a short time.

The purpose of this work is the development of a processing procedure with Landsat images applicable to agro-ecosystems that can produce results in heavily transformed areas where suspicion of illegal waste burial is high.     

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.     

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.     

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.     

Normative data on the one-handed static pull strength of a Chinese population and a comparison with American data

We assess the one-handed static pull strength of a Chinese population and compare it to that of an American sample. Fifty men and 50 women in five age groups were asked to exert their maximum one-handed pull strength in three pulling directions (across, front and side) and from four pulling heights (61 cm, 76 cm, waist height and above-shoulder height). The results showed that women had less pull strength than men under all of the conditions tested. The front and side pulling resulted in the greatest pull strength, with a decrease detected when the pulling height was increased. The American sample exhibited greater strength than the Chinese. Body mass and men’s handgrip force were also associated with the pull strength. These variables should be taken into account in the development of tasks related to one-handed pulling.

Practitioner summary:

In this paper, we report a laboratory-based experiment conducted to assess the one-handed static pull strength of a Chinese population and compare the results with those of an American population. The variables associated with pull strength included gender, pulling direction, pulling height, race, body mass and men’s handgrip force.     

The Observer-Generated Information Process: Composite Stages,Cooperative “Logical” Structure,and Self-Organization

Conventional information science generally considers an information process, but traditionally uses the probability measure for random events, and Shannon’s entropy measure as an uncertainty function of the states. The cutting process on separated states decreases quantity information concealed in the states correlation, holding hidden process information.

Up to now, “information process” has not had a scientifically conclusive definition nor its implicit structure.

The presenting information process performs logical operations with discrete information units (Bits) to achieve a goal, integrating the discrete mutually connected sequence of symbols and the extracting process’ hidden information in the structure of an information Observer. The probing time-space observation develops the unit of space-time geometry-memorizing logic.

The defined information process starts generating observations of a random process via the logic of probing impulses, sequentially cutting the process entropy measure and creating the discrete information units whose integration enfolds the information geometrical structure of an Observer. Found composite stages of the information process and the synthesized optimal process trajectory minimize observation time in an artificially designed information Observer with intellectual searching logic. The analytical modeling, computer simulations, and experimental applications validate the results.     

Fighter pilots’ heart rate,heart rate variation and performance during instrument approaches

Fighter pilots’ heart rate (HR), heart rate variation (HRV) and performance during instrument approaches were examined. The subjects were required to fly instrument approaches in a high-fidelity simulator under various levels of task demand. The task demand was manipulated by increasing the load on the subjects by reducing the range at which they commenced the approach. HR and the time domain components of HRV were used as measures of pilot mental workload (PMWL). The findings of this study indicate that HR and HRV are sensitive to varying task demands. HR and HRV were able to distinguish the level of PMWL after which the subjects were no longer able to cope with the increasing task demands and their instrument landing system performance fell to a sub-standard level. The major finding was the HR/HRV’s ability to differentiate the sub-standard performance approaches from the high-performance approaches.

Practitioner Summary:

This paper examined if HR and HRV were sensitive to varying task demands in a fighter aviation environment and if these measures were related to variations in pilot’s performance.     

Predicting slips based on the STM 603 whole-footwear tribometer under different coefficient of friction testing conditions

Assessing footwear slip-resistance is critical to preventing slip and fall accidents. The STM 603 (SATRA Technology) is commonly used to assess footwear friction but its ability to predict human slips while walking is unclear. This study assessed this apparatus’ ability to predict slips across footwear designs and to determine if modifying the test parameters alters predictions. The available coefficient of friction (ACOF) was measured with the device for nine different footwear designs using 12 testing conditions with varying vertical force, speed and shoe angle. The occurrence of slipping and the required coefficient of friction was quantified from human gait data including 124 exposures to liquid contaminants. ACOF values varied across the test conditions leading to different slip prediction models. Generally, a steeper shoe angle (13°) and higher vertical forces (400 or 500?N) modestly improved predictions of slipping. This study can potentially guide improvements in predictive test conditions for this device.

Practitioner Summary: Frictional measures by the STM603 (SATRA Technology) were able to predict human slips under liquid contaminant conditions. Test parameters did have an influence on the measurements. An increased shoe-floor testing angle resulted in better slip predictions than test methods specified in the ASTM F2913 standard.