The development of an intervention programme to reduce whole-body vibration exposure at work induced by a change in behaviour: a study protocol

<p>Abstract</p> <p>Background</p> <p>Whole body vibration (WBV) exposure at work is common and studies found evidence that this exposure might cause low back pain (LBP). A recent review concluded there is a lack of evidence of effective strategies to reduce WBV exposure. Most research in this field is focussed on the technical implications, although changing behaviour towards WBV exposure might be promising as well. Therefore, we developed an intervention programme to reduce WBV exposure in a population of drivers with the emphasis on a change in behaviour of driver and employer. The hypothesis is that an effective reduction in WBV exposure, in time, will lead to a reduction in LBP as WBV exposure is a proxy for an increased risk of LBP.</p> <p>Methods/Design</p> <p>The intervention programme was developed specifically for the drivers of vibrating vehicles and their employers. The intervention programme will be based on the most important determinants of WBV exposure as track conditions, driving speed, quality of the seat, etc. By increasing knowledge and skills towards changing these determinants, the attitude, social influence and self-efficacy (ASE) of both drivers and employers will be affected having an effect on the level of exposure. We used the well-known ASE model to develop an intervention programme aiming at a change or the intention to change behaviour towards WBV exposure. The developed programme consists of: individual health surveillance, an information brochure, an informative presentation and a report of the performed field measurements.</p> <p>Discussion</p> <p>The study protocol described is advantageous as the intervention program actively tries to change behaviour towards WBV exposure. The near future will show if this intervention program is effective by showing a decrease in WBV exposure.</p

Consistent Analysis of the AGN LF in X-Ray and MIR in the XMM-LSS Field

Abstract The luminosity function of active galactic nuclei (AGN) probes the history of supermassive black hole assembly and growth across cosmic time. To mitigate selection biases, we present a consistent analysis of the AGN luminosity functions (LFs) derived for both X-ray and mid-infrared (MIR) selected AGN in the XMM-Large Scale Structure field. There are 4268 AGN used to construct the MIR luminosity function (IRLF) and 3427 AGN used to construct the X-ray luminosity function (XLF), providing the largest census of the AGN population out to z = 4 in both bands with significant reduction in uncertainties. We are able for the first time to see the knee of the IRLF at z &gt; 2 and observe a flattening of the faint-end slope as redshift increases. The bolometric luminosity density, a proxy for the cosmic black hole accretion history, computed from our LFs, shows a peak at z ≈ 2.25, consistent with recent estimates of the peak in the star formation rate density (SFRD). However, at earlier epochs, the AGN luminosity density is flatter than the SFRD. If confirmed, this result suggests that the build up of black hole mass outpaces the growth of stellar mass in high-mass systems at z ≳ 2.5. This is consistent with observations of redshift z ∼ 6 quasars that lie above the local M − σ relationship. The luminosity density derived from the IRLF is higher than that from the XLF at all redshifts. This is consistent with the dominant role of obscured AGN activity in the cosmic growth of supermassive black holes.</jats:p