Too sick to drive : how motion sickness severity impacts human performance

There are multiple concerns surrounding the development and rollout of self-driving cars. One issue has largely gone unnoticed - the adverse effects of motion sickness as induced by self-driving cars. The literature suggests conditionally, highly and fully autonomous vehicles will increase the onset likelihood and severity of motion sickness. Previous research has shown motion sickness can have a significant negative impact on human performance. This paper uses a simulator study design with 51 participants to assess if the scale of motion sickness is a predictor of human performance degradation. This paper finds little proof that subjective motion sickness severity is an effective indicator of the scale of human performance degradation. The performance change of participants with lower subjective motion sickness is mostly statistically indistinguishable from those with higher subjective sickness. Conclusively, those with even acute motion sickness may be just as affected as those with higher sickness, considering human performance. Building on these results, it could indicate motion sickness should be a consideration for understanding user ability to regain control of a self-driving vehicle, even if not feeling subjectively unwell. Effectiveness of subjective scoring is discussed and future research is proposed to help ensure the successful rollout of self-driving vehicles

What makes you work while you are sick? Evidence from a survey of union members

We examine the prevalence of sickness absenteeism and presenteeism, using survey data covering 725 Finnish union members in 2008. Controlling for worker characteristics, we find that sickness presenteeism is much more sensitive to working-time arrangements than sickness absenteeism. Permanent full-time work, mismatch between desired and actual working hours, shift or period work and overlong working weeks increase the prevalence of sickness presenteeism. We also find an interesting trade-off between two sickness categories: regular overtime decreases sickness absenteeism, but increases sickness presenteeism. Furthermore, the adoption of three days’ paid sickness absence without a sickness certificate and the easing of efficiency demands decrease sickness presenteeism.absenteeism, presenteeism, working-time arrangements

Firms’ moral hazard in sickness absences

Sick workers in many countries receive sick pay during their illness- related absences from the workplace. In several countries, the social security system insures firms against their workers’ sickness absences. However, this insurance may create moral hazard problems for firms, leading to the inefficient monitoring of absences or to an underinvestment in their prevention. In the present paper, we investigate firms’ moral hazard problems in sickness absences by analyzing a legislative change that took place in Austria in 2000. In September 2000, an insurance fund that refunded firms for the costs of their blue-collar workers’ sickness absences was abolished (firms did not receive a similar refund for their white-collar workers’ sickness absences). Before that time, small firms were fully refunded for the wage costs of blue- collar workers’ sickness absences. Large firms, by contrast, were refunded only 70% of the wages paid to sick blue-collar workers. Using a difference-in-differences-in-differences approach, we estimate the causal impact of refunding firms for their workers’ sickness absences. Our results indicate that the incidences of blue-collar workers’ sicknesses dropped by approximately 8% and sickness absences were almost 11% shorter following the removal of the refund. Several robustness checks confirm these results.absenteeism, moral hazard, sickness insurance

Motion sickness, stress and the endocannabinoid system

A substantial number of individuals are at risk for the development of motion sickness induced nausea and vomiting (N&V) during road, air or sea travel. Motion sickness can be extremely stressful but the neurobiologic mechanisms leading to motion sickness are not clear. The endocannabinoid system (ECS) represents an important neuromodulator of stress and N&V. Inhibitory effects of the ECS on N&V are mediated by endocannabinoid-receptor activation

A powerful intervention: general practitioners' use of sickness certification in depression

<b>Background</b> Depression is frequently cited as the reason for sickness absence, and it is estimated that sickness certificates are issued in one third of consultations for depression. Previous research has considered GP views of sickness certification but not specifically in relation to depression. This study aimed to explore GPs views of sickness certification in relation to depression.<p></p> <b>Methods</b> A purposive sample of GP practices across Scotland was selected to reflect variations in levels of incapacity claimants and antidepressant prescribing. Qualitative interviews were carried out between 2008 and 2009.<p></p> <b>Results</b> A total of 30 GPs were interviewed. A number of common themes emerged including the perceived importance of GP advocacy on behalf of their patients, the tensions between stakeholders involved in the sickness certification system, the need to respond flexibly to patients who present with depression and the therapeutic nature of time away from work as well as the benefits of work. GPs reported that most patients with depression returned to work after a short period of absence and that it was often difficult to predict which patients would struggle to return to work.<p></p> <b>Conclusions</b> GPs reported that dealing with sickness certification and depression presents distinct challenges. Sickness certificates are often viewed as powerful interventions, the effectiveness of time away from work for those with depression should be subject to robust enquiry

Effect of passengers' active head tilt and opening/closure of eyes on motion sickness in lateral acceleration environment of cars

This study examined the effect of passengers' active head-tilt and eyes-open/closed conditions on the severity of motion sickness in the lateral acceleration environment of cars. In the centrifugal head-tilt condition, participants intentionally tilted their heads towards the centrifugal force, whereas in the centripetal head-tilt condition, the participants tilted their heads against the centrifugal acceleration. The eyes-open and eyes-closed cases were investigated for each head-tilt condition. In the experimental runs, the sickness rating in the centripetal head-tilt condition was significantly lower than that in the centrifugal head-tilt condition. Moreover, the sickness rating in the eyes-open condition was significantly lower than that in the eyes-closed condition. The results suggest that an active head-tilt motion against the centrifugal acceleration reduces the severity of motion sickness both in the eyes-open and eyes-closed conditions. They also demonstrate that the eyes-open condition significantly reduces the motion sickness even when the head-tilt strategy is used

Psychosocial factors and work related sickness absence among permanent and non-permanent employees

Study objective: To examine the association between psychosocial work factors and work related sickness absence among permanent and non-permanent employees by sex.Design: A cross sectional survey conducted in 2000 of a representative sample of the European Union total active population, aged 15 years and older. The independent variables were psychological job demands and job control as measures of psychosocial work environment, and work related sickness absence as the main outcome. Poisson regression models were used to compute sickness absence days' rate ratios.Setting: 15 countries of the European Union.Participants: A sample of permanent (n=12875) and non-permanent (n=1203) workers from the Third European Survey on Working Conditions.Results: High psychological job demands, low job control, and high strain and passive work were associated with higher work related sickness absence. The risks were more pronounced in non-permanent compared with permanent employees and men compared with women.Conclusions: This work extends previous research on employment contracts and sickness absence, suggesting different effects depending on psychosocial working conditions and sex

Screening disability insurance applications

This paper investigates the effects of stricter screening of disability insurance applications. A large-scale experiment was setup where in two of the 26 Dutch regions case workers of the disability insurance administration were instructed to screen applications more stringently. The empirical results show that stricter screening reduces long-term sickness absenteeism and disability insurance applications. We find evidence for direct effects of stricter screening on work resumption during the period of sickness absence and for self-screening by potential disability insurance applicants. Stricter screening seems to improve targeting efficiency, without inducing negative spillover effects to the inflow into unemployment insurance. The costs of stricter screening are only a small fraction of the monetary benefits.Disability insurance; experiment; policy evaluation; sickness absenteeism; self-screening

Monitoring sickness insurance claimants: evidence from a social experiment

The paper exploits a unique social experiment carried out in 1988 in Sweden to identify the effect of monitoring on sickness absence. The treatment consists of postponing the first formal point of monitoring during a sickness absence spell, a requirement for a doctor’s certificate, from day eight to day fifteen. The experiment was conducted in two geographical areas, and the treatment group was randomized by birth date. The results show strong effects on sickness absence duration from extending the waiting period in both areas. On average, the durations increased by 6.6 percent. No effect on incidence of sickness absence is found. A heterogeneity analysis reveals that monitoring affects men more than women.Absenteeism; sickness insurance; monitoring; social experiment