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.     

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.     

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.     

Optimal fall indicators for slip induced falls on a cross-slope

Slip-induced falls are among the most common cause of major occupational injuries in the UK as well as being a major public health concern in the elderly population. This study aimed to determine the optimal fall indicators for fall detection models which could be used to reduce the detrimental consequences of falls. A total of 264 kinematic variables covering three-dimensional full body model translation and rotational measures were analysed during normal walking, successful recovery from slips and falls on a cross-slope. Large effect sizes were found for three kinematic variables which were able to distinguish falls from normal walking and successful recovery. Further work should consider other types of daily living activities as results show that the optimal kinematic fall indicators can vary considerably between movement types.

Practitioner Summary: Fall detection models are used to minimise the adverse consequences of slip-induced falls, a major public health concern. Optimal fall indicators were derived from a comprehensive set of kinematic variables for slips on a cross-slope. Results suggest robust detection of falls is possible on a cross-slope but may be more difficult than level walking.     

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.     

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.     

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.     

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.     

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.     

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.     

Safer chairs for elderly patients: design evaluation using electromyography and force measurement

A vast majority of patient fall events in hospitals involve the elderly. In inpatient care settings, despite the risk of fall, patients are encouraged to leave their bed, move around their room, and sit on their chair to progress in their healing. Despite the vital role of patient chair design in improving recovery, few studies have examined the ergonomic requirements of safe patient chairs. This study examined the impact of manipulating horizontal and vertical positions of armrests in a test chair on required physical effort during Stand-to-Sit-to-Stand (St-Si-St) transitions among 15 elderly women. Physical effort was measured using: (1) surface electromyography (sEMG); (2) force measurement by load cells; (3) video recording. Findings showed non-linear patterns of change in required physical effort due to changes in armrests’ height and distance. It was also found that minimum effort is associated with armrests higher and farther apart than those in typical patient chairs.

Practitioner Summary: Safe chairs are essential for inpatient recovery, yet their ergonomic features are not investigated. Impact of changes in chair armrests on required physical effort was examined using electromyography, force measurement and video recording. Armrests higher and farther apart than those in typical patient chairs may be safer for elderly patients.     

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.     

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.     

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.     

Dissemination and use of a participatory ergonomics guide for workplaces

Musculoskeletal disorders (MSDs) result in lost-time injury claims and lost productivity worldwide, placing a substantial burden on workers and workplaces. Participatory ergonomics (PE) is a popular approach to reducing MSDs; however, there are challenges to implementing PE programmes. Using evidence to overcome challenges may be helpful but the impacts of doing so are unknown. We sought to disseminate an evidence-based PE tool and to describe its use. An easy-to-use, evidence-based PE Guide was disseminated to workplace parties, who were surveyed about using the tool. The greatest barrier to using the tool was a lack of time. Reported tool use included for training purposes, sharing and integrating the tool into existing programmes. New actions related to tool use included training, defining team responsibilities and suggesting programme implementation steps. Evidence-based tools could help ergonomists overcome some challenges involved in implementing injury reduction programmes such as PE.

Practitioner Summary

Practitioners experience challenges implementing programmes to reduce the burden of MSDs in workplaces. Implementing participatory interventions requires multiple workplace parties to be ‘on-board’. Disseminating and using evidence-based guides may help to overcome these challenges. Using evidence-based tools may help ergonomics practitioners implement PE programmes.     

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.     

DEVELOPMENT OF AN AUTOMATIC OBJECT-ORIENTED CONTINUOUS SIMULATION ENVIRONMENT

The construction of automatic control and modelling environments has been attempted using shallow reasoning expert systems. The inadequacy of this approach for real-life systems has become apparent, and the need for deeper knowledge—which can only be obtained by extensive simulation—is now acknowledged.

The simulation process, which consists of model building and model selection, followed by the generation and execution of a software simulator, can be partially automated if an Object-Oriented methodology is adopted. In this article, a methodology is presented, which is presently under investigation in the DESiRE (Dynamic Expert Systems in Robotic Experimentation)project

In the modelling phase, a hierarchical, uniform way of describing and manipulating continuous and discrete models is needed, if the highly desirable reusability of submodels is to be achieved. This is only possible if a clear distinction is made between bare models (and information about their intrinsic coupling) and causal simulation experiment-related data.

In the simulation phase, before generating numerical simulation code, a symbolic reduction of the continuous parts of the model is performed, thus eliminating inaccuracy introduced by the untimely application of possibly unstable numerical algorithms.

Finally, from the reduced representation, executable simulator-objects are produced for use in a distributed environment.     

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.     

Book reviews

Computer Software: legal protection in the United Kingdom Henry Carr & Richard Arnold, 1992 London: Sweet & Maxwell, 2nd ed, xv + 312 pp., £45.00 (hardback)

Advanced Information Systems for Lawyers V. Mital & L. Johnson, 1992 London: Chapman & Hall. pp. 306, £35.00

Law of Contract Laurence Koffman & Elizabeth MacDonald, 1992 London: Fourmat Publishing, 430 pp., paperback £22.50

The Electronic Media and the Transformation of Law M. Ethan Katsh, 1991 Oxford: Oxford University Press. £13.95     

Book reviews

Crime and the Computer, Martin Wasik, 1991, Oxford: Clarendon Press. £35.00.

Yearbook of Law, Computers and Technology, Volume 5. K.V. Russell (Ed.), 1991. London: Butterworths. £29.50.

Computers, Artificial Intelligence and the Law. Mervyn E. Bennun (Ed.), 1991. London: Ellis Horwood. xx +132 (including bibliography & index), £26.50

Modelling Legal Argument: reasoning with cases and hypotheticals. Kevin D. Ashley, 1990. Cambridge: MIT Press. 329 pp.