Effect of a posture correction�based intervention on musculoskeletal symptoms and fatigue among control room operators

This study was conducted to examine the effect of a posture correction�based intervention (with a biofeedback device) on the occurrence of musculoskeletal symptoms (MSS) and fatigue among control room operators in a petrochemical plant in Iran. A total of 188 office workers (91 in the case group and 97 in the control group) participated at baseline as well as at 6- and 12-month follow-up. A questionnaire survey (including the Nordic Musculoskeletal Questionnaire and Multidimensional Fatigue Inventory) and direct observations of working postures by using the Rapid Upper Limb Assessment (RULA) method were used. The occurrence of MSS in the shoulders, upper back, neck, and low back areas, as well as the mental and physical dimensions of fatigue were found to be the most common problems. The results showed considerable improvements in working postures (in the neck, trunk, and RULA grand scores) and the occurrence of MSS (particularly in the neck, shoulders, and upper back and low back areas) and fatigue (in particular the mental and physical aspects) after the intervention. The overall mean RULA grand score for the case group was significantly decreased after the intervention (mean scores of 5.1, 4.4, and 4.6 at pre-intervention, post-intervention 1, and post-intervention 2, respectively). A total of 81 operators (89.0) reported some kind of MSS at baseline, which were reduced to 75 operators (82.4) and 77 operators (84.6) at post-interventions 1 and 2, respectively. Significant differences were also found between the pre- and post-intervention scores for the physical fatigue (mean of 12.19, 10.16, and 9.99 at pre-intervention, post-intervention 1, and post-intervention 2, respectively) and mental fatigue (mean of 14.03, 12.05, and 12.16 at pre-intervention, post-intervention 1, and post-intervention 2, respectively) dimensions. The findings confirm the effectiveness of this low-cost, simple, and easy-to-use ergonomic intervention. © 2018 Elsevier Lt

EPIdemiology of Surgery-Associated Acute Kidney Injury (EPIS-AKI) : Study protocol for a multicentre, observational trial

More than 300 million surgical procedures are performed each year. Acute kidney injury (AKI) is a common complication after major surgery and is associated with adverse short-term and long-term outcomes. However, there is a large variation in the incidence of reported AKI rates. The establishment of an accurate epidemiology of surgery-associated AKI is important for healthcare policy, quality initiatives, clinical trials, as well as for improving guidelines. The objective of the Epidemiology of Surgery-associated Acute Kidney Injury (EPIS-AKI) trial is to prospectively evaluate the epidemiology of AKI after major surgery using the latest Kidney Disease: Improving Global Outcomes (KDIGO) consensus definition of AKI. EPIS-AKI is an international prospective, observational, multicentre cohort study including 10 000 patients undergoing major surgery who are subsequently admitted to the ICU or a similar high dependency unit. The primary endpoint is the incidence of AKI within 72 hours after surgery according to the KDIGO criteria. Secondary endpoints include use of renal replacement therapy (RRT), mortality during ICU and hospital stay, length of ICU and hospital stay and major adverse kidney events (combined endpoint consisting of persistent renal dysfunction, RRT and mortality) at day 90. Further, we will evaluate preoperative and intraoperative risk factors affecting the incidence of postoperative AKI. In an add-on analysis, we will assess urinary biomarkers for early detection of AKI. EPIS-AKI has been approved by the leading Ethics Committee of the Medical Council North Rhine-Westphalia, of the Westphalian Wilhelms-University Münster and the corresponding Ethics Committee at each participating site. Results will be disseminated widely and published in peer-reviewed journals, presented at conferences and used to design further AKI-related trials. Trial registration number NCT04165369

Study of the school furniture adequacy to students’ anthropometric dimensions

The discomfort due to poor sitting posture may be related to the lack of suitability of the furniture. This miss-match is often due to the lack of consideration for ergonomic aspects that ensure the combination of anthropometric dimensions of users with the measures of the furniture. These miss-match situations can also be seen in the student work environment, where students spend a lot of time sitting at a desk. The aim of this study was to evaluate if students, who attend a Portuguese public school of elementary education, 2nd and 3rd cycles, use furniture with measures fitting their anthropometric measurements. For this purpose, the anthropometric measurements of all the students, as well as measurements of all tables and chairs from this school were collected. Taking as reference the European standard 1729-1: 2015, it was verified that 73% of the students don’t find a chair/table compatible with their anthropometric dimensions.This work has been supported by COMPETE: POCI-01-0145-FEDER-007043 and FCT–Fundação para a Ciência e Tecnologia within the Project Scope: UID/CEC/00319/201

Effect of a posture correction�based intervention on musculoskeletal symptoms and fatigue among control room operators

This study was conducted to examine the effect of a posture correction�based intervention (with a biofeedback device) on the occurrence of musculoskeletal symptoms (MSS) and fatigue among control room operators in a petrochemical plant in Iran. A total of 188 office workers (91 in the case group and 97 in the control group) participated at baseline as well as at 6- and 12-month follow-up. A questionnaire survey (including the Nordic Musculoskeletal Questionnaire and Multidimensional Fatigue Inventory) and direct observations of working postures by using the Rapid Upper Limb Assessment (RULA) method were used. The occurrence of MSS in the shoulders, upper back, neck, and low back areas, as well as the mental and physical dimensions of fatigue were found to be the most common problems. The results showed considerable improvements in working postures (in the neck, trunk, and RULA grand scores) and the occurrence of MSS (particularly in the neck, shoulders, and upper back and low back areas) and fatigue (in particular the mental and physical aspects) after the intervention. The overall mean RULA grand score for the case group was significantly decreased after the intervention (mean scores of 5.1, 4.4, and 4.6 at pre-intervention, post-intervention 1, and post-intervention 2, respectively). A total of 81 operators (89.0) reported some kind of MSS at baseline, which were reduced to 75 operators (82.4) and 77 operators (84.6) at post-interventions 1 and 2, respectively. Significant differences were also found between the pre- and post-intervention scores for the physical fatigue (mean of 12.19, 10.16, and 9.99 at pre-intervention, post-intervention 1, and post-intervention 2, respectively) and mental fatigue (mean of 14.03, 12.05, and 12.16 at pre-intervention, post-intervention 1, and post-intervention 2, respectively) dimensions. The findings confirm the effectiveness of this low-cost, simple, and easy-to-use ergonomic intervention. © 2018 Elsevier Lt

Evaluation of the match between anthropometric measures and school furniture dimensions in Chile

BACKGROUND:Students are exposed to the first systematic tasks or activities that a human being carries out in his/her life while at school. In this workplace situation, school furniture is a key factor for the adoption of proper body posture. OBJECTIVE:The aim of this paper was to observe and determine the potential mismatch between school furniture dimensions and anthropometric characteristics of the students from the Valparaíso region of Chile. METHODS:The sample consisted of 3,078 volunteer participants from 18 schools (public, semi-public, private). Eight anthropometric measures were gathered, together with six furniture dimensions. Mismatch analyses were carried out by using pre-defined mismatch criteria. RESULTS:Many different types of school furniture were presented at the schools. Also, a high level of mismatch was registered for seat height, desk height and seat-to-desk clearance. Finally, the analysis of all considered dimensions together showed that there was a high level of cumulative mismatch. CONCLUSIONS:It can be concluded that there were high levels of mismatch between the school furniture and student anthropometric characteristics and that this mismatch varied within the difference types of schools. This situation may have occurred because furniture acquisition was made without considering any ergonomic criteria.This research was funded by the Fondo Nacional de Investigacion y Desarrollo en Salud (FONIS) No SA11I2105, Gobierno de Chile (National Fund for Health Research and Development, Chilean Government). The authors wish to thank all the participating schools and students, as well as the 8 physiotherapy undergraduate students for their collaboration in the measurement process (Richard Diaz, Alexis Pino, Carla Guastavino, Valentina Veliz, Agustina Cardenas, Ignacio Merino, Patricia Moya and Cristobal Olguin)

The effect of secular trends in the classroom furniture mismatch: support for continuous update of school furniture standards

In order to create safer schools, the Chilean authorities published a Standard regarding school furniture dimensions. The aims of this study are twofold: to verify the existence of positive secular trend within the Chilean student population and to evaluate the potential mismatch between the anthropometric characteristics and the school furniture dimensions defined by the mentioned standard. The sample consists of 3078 subjects. Eight anthropometric measures were gathered, together with six furniture dimensions from the mentioned standard. There is an average increase for some dimensions within the Chilean student population over the past two decades. Accordingly, almost 18% of the students will find the seat height to be too high. Seat depth will be considered as being too shallow for 42.8% of the students. It can be concluded that the Chilean student population has increased in stature, which supports the need to revise and update the data from the mentioned Standard. Practitioner Summary: Positive secular trend resulted in high levels of mismatch if furniture is selected according to the current Chilean Standard which uses data collected more than 20 years ago. This study shows that school furniture standards need to be updated over time.This work was supported by the Fondo Nacional de Investigacion y Desarrollo en Salud (FONIS) No SA11I2105, Gobierno de Chile (National Fund for Health Research and Development, Chilean Government)

Anthropometric data of Chilean male workers

The aim of this study was to update the Chilean male workers’ anthropometric database to be used for design purposes and to examine the secular changes observed in a group of anthropometric variables for Chilean male workers. Data collection involved a sample of 2,346 male workers with ages ranging from 18 to 65+, assigned to the Mutual de Seguridad C.Ch.C in the two most populated regions of Chile (Valparaíso and Metropolitana) distributed in nine economic activities branches. Data collection was performed by two teams of 3 physiotherapies each. Before starting the collection process, the measurement teams underwent a training session of one week that included a theoretical session on the basic concepts of anthropometrics, as well as some practical instructions. A total of 32 anthropometric measures were gathered following the ISO standard 7250-1. Before applying the data, a checking process was carried out, trying to identify errors related to the data collection process. The magnitude of the positive secular trend for the stature was 1.0 cm per decade and the highest value was found for shoulder breadth, with a positive increase of 2.7 cm per decade. The results obtained allowed to observe the existence of a positive secular trend for most of the selected body measurements. Finally, it was also possible to verify that the current research may be used for design purposes and to establish the baseline data for long-term observation regarding anthropometric changes among Chilean male workers.Green Open Access added to TU Delft Institutional Repository ‘You share, we take care!’ – Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Applied Ergonomics and Desig

Anthropometric data of Chilean male workers

The aim of this study was to update the Chilean male workers’ anthropometric database to be used for design purposes and to examine the secular changes observed in a group of anthropometric variables for Chilean male workers. Data collection involved a sample of 2,346 male workers with ages ranging from 18 to 65+, assigned to the Mutual de Seguridad C.Ch.C in the two most populated regions of Chile (Valparaíso and Metropolitana) distributed in nine economic activities branches. Data collection was performed by two teams of 3 physiotherapies each. Before starting the collection process, the measurement teams underwent a training session of one week that included a theoretical session on the basic concepts of anthropometrics, as well as some practical instructions. A total of 32 anthropometric measures were gathered following the ISO standard 7250-1. Before applying the data, a checking process was carried out, trying to identify errors related to the data collection process. The magnitude of the positive secular trend for the stature was 1.0 cm per decade and the highest value was found for shoulder breadth, with a positive increase of 2.7 cm per decade. The results obtained allowed to observe the existence of a positive secular trend for most of the selected body measurements. Finally, it was also possible to verify that the current research may be used for design purposes and to establish the baseline data for long-term observation regarding anthropometric changes among Chilean male workers.</p

A literature review of anthropometric studies of school students for ergonomics purposes: Are accuracy, precision and reliability being considered?

BACKGROUND: Despite offering many benefits, direct manual anthropometric measurement method can be problematic due to their vulnerability to measurement errors.OBJECTIVE: The purpose of this literature review was to determine, whether or not the currently published anthropometric studies of school children, related to ergonomics, mentioned or evaluated the variables precision, reliability or accuracy in the direct manual measurement method.METHODS: Two bibliographic databases, and the bibliographic references of all the selected papers were used for finding relevant published papers in the fields considered in this study.RESULTS: Forty-six (46) studies met the criteria previously defined for this literature review. However, only ten (10) studies mentioned at least one of the analyzed variables, and none has evaluated all of them. Only reliability was assessed by three papers. Moreover, in what regards the factors that affect precision, reliability and accuracy, the reviewed papers presented large differences. This was particularly clear in the instruments used for the measurements, which were not consistent throughout the studies. Additionally, it was also clear that there was a lack of information regarding the evaluators' training and procedures for anthropometric data collection, which are assumed to be the most important issues that affect precision, reliability and accuracy.CONCLUSIONS: Based on the review of the literature, it was possible to conclude that the considered anthropometric studies had not focused their attention to the analysis of precision, reliability and accuracy of the manual measurement methods. Hence, and with the aim of avoiding measurement errors and misleading data, anthropometric studies should put more efforts and care on testing measurement error and defining the procedures used to collect anthropometric data.- (undefined