Ergonomics Evaluation of Manual Lifting Task on Biomechanical Stress in Symmetric Posture

Introduction: Manual lifting operations continue to play a key role in the industrial and service sectors, inflicting physical strain on the musculoskeletal system, despite advances in automation. As a result, an experiment is carried out to assess the impact of two lifting task parameters; weight and height, based on the estimation of subjective responses and biomechanical loading, while lifting the weight symmetrically in the sagittal plane. Also to recommend the safe limit for manual lifting tasks. Methods: Twelve volunteer male students in the age group of 21 to 26 years performed lifting tasks from floor to 5 different heights (below the knee to ear level), with 5 different weights (10 to 20 kg) using free-style lifting techniques. The load pan with no handle was used for lifting weight, which is typically adopted in the Indian building construction field. The subjective estimate was obtained using workload assessment by body discomfort chart. The biomechanical loading (loading rate) for each lifted weight and height was collected using a force platform. Results: The results showed that heavier weights produced higher stresses than lower weights. The loading rate was found to be almost similar at waist or knee level. The loading rate was observed to be linearly increasing after waist level. The overall workload rating seems to be a good correlate with the mean loading rate to some extent. Conclusion: It is proposed to keep the maximum acceptable lifting weight from floor to knee, up to the ear level is 15 kg, to prevent any musculoskeletal or chronic injury

Effect of Lifting Weight, Height and Asymmetry on Biomechanical Loading during Manual Lifting

Introduction: In India, physical manual activities in asymmetrical postures overtax the human musculoskeletal system, which may exceed workers' physical limitations. Thus the purpose of this study was to examine the physical stresses experienced by the subject, based on subjective and biomechanical loading estimates while lifting weights to various heights, in an asymmetric direction and propose the safe limit for manual lifting. Methods: A laboratory experiment was conducted utilizing twelve male subjects in the age group of 20 to 25 years who lifted 5 different weights between 10 to 20 kg from below the knee to various lifting heights (below the knee to ear level). The lifting task was performed in three asymmetric angles (45, 90, and 135-degree) using free-style lifting techniques. An ANOVA technique was used to analyze the influence of three parameters (Lifting weight, lifting height and asymmetric angle) on two responses; subjective estimates and biomechanical loading.  The subjective estimate was obtained using workload assessment by body discomfort chart. The biomechanical loading (loading rate) was estimated from ground reaction force data, obtained from the force plate. Results: Both the responses; subjective estimates and biomechanical loading followed a consistent pattern in predicting physical stress. The result revealed that lifting weights with higher destination heights and asymmetry angles increased the physiological workload and discomfort. Experiments have shown that the loading rate is reduced by 8 to 10% for each increase in the 45-degree angle of asymmetry. Conclusion: In general, safe lifting of 15 kg weight up to ear level and 15 kg weight up to shoulder level are recommended for 45- and 90-degree asymmetry respectively to prevent any chronic injuries. A maximum of 12.5 kg lifting weight up to shoulder level is also proposed.

Diagnosis and management of Guillain–Barré syndrome in ten steps

Guillain–Barré syndrome (GBS) is a rare, but potentially fatal, immune-mediated disease of the peripheral nerves and nerve roots that is usually triggered by infections. The incidence of GBS can therefore increase during outbreaks of infectious diseases, as was seen during the Zika virus epidemics in 2013 in French Polynesia and 2015 in Latin America. Diagnosis and management of GBS can be complicated as its clinical presentation and disease course are heterogeneous, and no international clinical guidelines are currently available. To support clinicians, especially in the context of an outbreak, we have developed a globally applicable guideline for the diagnosis and management of GBS. The guideline is based on current literature and expert consensus, and has a ten-step structure to facilitate its use in clinical practice. We first provide an introduction to the diagnostic criteria, clinical variants and differential diagnoses of GBS. The ten steps then cover early recognition and diagnosis of GBS, admission to the intensive care unit, treatment indication and selection, monitoring and treatment of disease progression, prediction of clinical course and outcome, and management of complications and sequelae

Demo: Adaptive display power management for mobile games

10.1145/1999995.2000051MobiSys'11 - Compilation Proceedings of the 9th International Conference on Mobile Systems, Applications and Services and Co-located Workshops393