scholarly journals The risk of ergonomic injury across surgical specialties

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0244868
Author(s):  
Ksenia A. Aaron ◽  
John Vaughan ◽  
Raghav Gupta ◽  
Noor-E-Seher Ali ◽  
Alicia H. Beth ◽  
...  
Keyword(s):  
Musculoskeletal Pain ◽  
Entire Body ◽  
Or Education ◽  
Surgical Subspecialty ◽  
Experienced Pain ◽  
Wide Range ◽  
Minimum Score ◽  
Rapid Entire Body Assessment ◽  
Ergonomic Risk

Objective Lack of ergonomic training and poor ergonomic habits during the operation leads to musculoskeletal pain and affects the surgeon’s life outside of work. The objective of the study was to evaluate the severity of ergonomic hazards in the surgical profession across a wide range of surgical subspecialties. We conducted intraoperative observations using Rapid Entire Body Assessment (REBA) score system to identify ergonomic hazards. Additionally, each of the ten surgical subspecialty departments were sent an optional 14 question survey which evaluated ergonomic practice, environmental infrastructure, and prior ergonomic training or education. A total of 91 surgeons received intraoperative observation and were evaluated on the REBA scale with a minimum score of 0 (low ergonomic risk <3) and a maximum score of 10 (high ergonomic risk 8–10). And a total of 389 surgeons received the survey and 167 (43%) surgeons responded. Of the respondents, 69.7% reported suffering from musculoskeletal pain. Furthermore, 54.9% of the surgeons reported suffering from the highest level of pain when standing during surgery, while only 14.4% experienced pain when sitting. Importantly, 47.7% stated the pain impacted their work, while 59.5% reported pain affecting quality of life outside of work. Only 23.8% of surgeons had any prior ergonomic education. Both our subjective and objective data suggest that pain and disability induced by poor ergonomics are widespread among the surgical community and confirm that surgeons rarely receive ergonomic training. Intraoperative observational findings identified that the majority of observed surgeons displayed poor posture, particularly a poor cervical angle and use of ergonomic setups, both of which increase ergonomic risk hazards. This data supports the need for a comprehensive ergonomic interventional program for the surgical team and offers potential targets for future intervention.

scholarly journals Work Ergonomic Analysis: Application of a Postural Study on the Oysters Cultivation

2019 ◽  
Vol 21 (1) ◽  
pp. 15
Author(s):  
Giselle Mari Speck ◽  
Cristhiane Guertler ◽  
Walter Quadros Seiffert ◽  
Lizandra Garcia Lupi Vergara ◽  
Eugenio Andrés Díaz Merino
Keyword(s):  
Local Development ◽  
Cervical Region ◽  
In Situ Observation ◽  
Entire Body ◽  
Average Risk ◽  
Analysis Application ◽  
Ergonomic Analysis ◽  
Rapid Entire Body Assessment

O cultivo de moluscos marinhos é uma atividade de grande importância no Brasil proporcionando a geração de emprego e renda para pescadores artesanais e comunidades pesqueiras, contribuindo para o desenvolvimento local.  Entretanto, este tipo de cultivo ainda é realizado de forma bastante artesanal com intensa utilização de mão de obra. Diante disso, este estudo teve por objetivo realizar uma descrição das posturas e movimentos de maricultores durante a realização da atividade de classificação de ostras. Participaram voluntariamente dez funcionários de uma fazenda marinha no município de Florianópolis, SC. Para análise da postura e movimentos, utilizou-se o método Rapid Entire Body Assessment (REBA) e método NIOSH juntamente com a observação in loco e entrevistas com os maricultores. A tarefa de classificação de ostras  apresenta médio risco de lesão ou doenças ocupacionais, principalmente na região cervical e membros superiores, pois é desenvolvida com acentuada flexão de cabeça e ombros, o que exige muito da musculatura envolvida para manter a postura e realizar movimentos repetitivos. Muitos trabalhadores apresentam dores musculares nos ombros, lombar, mãos, punhos e dedos. Adaptações simples e economicamente viáveis devem ser adotadas, pois através da avaliação ergonômica é possível realizar intervenções que estão ao alcance dos trabalhadores. Necessita-se transmitir os conhecimentos para que os trabalhadores tenham consciência das posturas que devem adotar na realização desta atividade aquícola e assim promover uma melhor qualidade de vida desta população.Palavras-chave: Aquicultura. Ergonomia. Saúde do Trabalhador.AbstractThe cultivation of marine mollusks is an activity of great importance in Brazil, providing employment and income for artisanal fishermen and fishing communities, contributing to local development. However, this type of cultivation is still carried out in a very handmade way with intense use of labor. The objective of this study was to describe the postures and movements of fish farmers during the oyster classification activity. Ten employees of a marine farm participated in the municipality of Florianópolis, SC. For the analysis of the posture and movements, the Rapid Entire Body Assessment (REBA) method and NIOSH method were used along with in situ observation and interviews with the workers. The task of oysters classification  presents an average risk of injury or occupational diseases, especially in the cervical region and upper limbs, as it is developed with marked flexion of the head and shoulders, which requires a lot of the muscles involved to maintain the posture and perform repetitive movements. Many workers have muscle pains in the shoulders, lower back, hands, wrists and fingers. Simple and economically viable adaptations should be adopted, because through ergonomic evaluation it is possible to carry out interventions that are within the reach of the workers. It is necessary to transmit  knowledge so that the workers are aware of the postures that they must adopt in the accomplishment of this aquaculture activity and thus to promote a better quality of life of this population.Keywords: Aquaculture. Ergonomics. Occupational Health.

Evaluasi Risiko Ergonomi dengan Analisis Postur Tubuh untuk Mengurangi Keluhan Musculoskeletal Disorders pada Pekerja

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Cindy Laurinda
Keyword(s):  
Main Product ◽  
Industrial Sector ◽  
Entire Body ◽  
Processing Industry ◽  
Posture Analysis ◽  
Work Posture ◽  
Body Map ◽  
Rapid Entire Body Assessment ◽  
A Company

The economy is an important thing in a country, without an economy, a country can't run. The economy of a country is certainly supported by an industrial sector, one of which is the metal and iron processing industry. Workers in the company will certainly have regulations that will regulate the workforce when doing work at the company. PT. Smart Teknik Utama Bandung is a company engaged in the processing of metal, iron, and others that produces various products derived from iron and plates. The main product of this company is Roding China. The company has a problem, namely the work posture of the employees on the production floor. Wrong work posture results in MSDs complaints among workers which reduce the quality of workers. The purpose of this research is to analyze the work posture used by the workforce is already ergonomic or not. Work posture analysis used the Nordic Body Map method, Ovako Work Posture Analysis, and Rapid Entire Body Assessment. The analysis was carried out on 12 employees from 7 workstations. With the analysis carried out, it is known that all employees have MSDs complaints which are caused by incorrect and unergonomic work postures, then suggestions are given to improve work posture to reduce MSDs complaints experienced by employees.

scholarly journals Analisis tingkat risiko ergonomi pada pekerja Welding (Pengelasan) dengan Metode Rapid Entire Body Assessment (REBA)

2021 ◽  
Vol 1 (01) ◽  
pp. 28-34
Author(s):  
Dzikron Bahid M
Keyword(s):  
The Body ◽  
Risk Level ◽  
Entire Body ◽  
Body Parts ◽  
A Value ◽  
Group B ◽  
High Level ◽  
Almost All ◽  
Rapid Entire Body Assessment ◽  
Ergonomic Risk

Introduction: Diseases caused by work become a common health problem and can affect almost all people in the world. As you can see, one of the hazards in the field is ergonomics. The danger from bad posture at work is the cause of the position of the body parts moving uncomfortably which can cause various problems at work, both health problems and work accident problems. Therefore, so that a job does not pose a dangerous risk, it is necessary to have an assessment of ergonomic risk. Researchers aim to analyze the level of ergonomic risk to Welding workers with the Rapid Entire Body Assessment (REBA) Method in the Workshop area of PT. Cemindo Gemilang Bayah Banten in 2020. Methods: This research uses mix methods, which is a research step by combining two forms of research approaches, namely qualitative and quantitative. The subjects in this study were the main informants and key informants totaling 4 people. The main informants in this study were 3 welding workers. The key informant is 1 person, namely HSE. Results: The results of the risk level assessment using the REBA method for welding workers are obtained from the scoring of group A with a value of 8 and the results of scoring for group B with a value of 4, then the total results of C to the scoring of groups A and B have a value of 10. Discussion: Based on the Action Level Score, REBA score 10 shows a high level of risk. 3 people out of 4 workers are known to be at high risk of pain so further review and implementation of changes / immediate action are required.

scholarly journals Health in the rural environment: a postural evaluation of milking workers in Brazil

2018 ◽  
Vol 27 (3) ◽  
pp. 35004 ◽  
Author(s):  
Claudilaine Caldas de Oliveira ◽  
Antônio Augusto de Paula Xavier ◽  
Leandra Ulbricht ◽  
Antônio Renato Pereira Moro ◽  
Marjorie Maria Belinelli
Keyword(s):  
Dairy Farm ◽  
Musculoskeletal Symptoms ◽  
Entire Body ◽  
High Prevalence ◽  
Prevalence Of Pain ◽  
High Level ◽  
Two Stages ◽  
Rapid Entire Body Assessment ◽  
Level Of Effort

This study aims to evaluate the postures of workers during the activities of milking and handling dairy cattle in the Community of Campo Mourão Municipalities, in Brazil. To identify the presence of musculoskeletal symptoms, the study was divided into two stages: first, we identified the demographic profile of the sample through a questionnaire and then obtained information about problems with pain and discomfort by applying the Standardised Nordic Questionnaire. The second stage consisted of an analysis of the activity of six farms to identify the natural ergonomic risk factors. To evaluate and record the postures, we used the REBA method (Rapid Entire Body Assessment) to correlate the prevalence of pain/discomfort with the positions adopted by workers in a production system. The study demonstrated that 87% of workers had pains and showed that the main postures throughout the workday are trunk tilting and bending, characterizing a job that requires awkward postures, with a high level of effort, in most activities, which may contribute to the development of musculoskeletal injuries for these workers. The REBA method also pointed out a high level of risk. During their routine, dairy farm workers adopt harmful positions that cause a high prevalence of pain/discomfort. Ergonomic recommendations are thus proposed to reduce these awkward postures of workers and consequently improve their quality of life at work.

scholarly journals Pengendalian Kualitas Produk Lembaran Serat Semen Rata di Pt Bakrie Building Industries Dengan Metode DMAIC

2010 ◽  
Vol 1 (2) ◽  
pp. 1175
Author(s):  
Ho Hwi Chie ◽  
Muhammad Zaky Ambadar ◽  
Wahyu Hidayat ◽  
Sutan Rieza Abdillah
Keyword(s):  
Product Quality ◽  
Flow Diagram ◽  
Entire Body ◽  
Sigma Level ◽  
Calculation Results ◽  
Break Up ◽  
Materials Used ◽  
High Level ◽  
Rapid Entire Body Assessment

Producing quality products to match customer expectations is an important thing that needs to be done by every company that produces any product, to gain public appreciation and sell their products on the market. Therefore companies need to have a strong commitment in improving and maintaining product quality. The study related to product quality of flat sheets of fiber cement or more commonly known as versaboard produced by PT. Bakrie Building Industries show that there are 9 (nine) types of defects that can degrade the quality of production. Most dominant defects occured on 3 (three) versaboard products, the crack (2.03%), broken end (0.80%) and side trim (0.35%) during observation. Sigma level of products is obtained at 4:16 at a cost saving of due to defects of Rp.14.645.600, 00. Defects that occur tend to be caused by methods, people, machines, and materials used. Efforts to reduce the level of defects are done by making the SOP of the break-up method, and manufacture of cutter flow diagram. REBA score calculation results (Rapid Entire Body Assessment) in the removal and break-up reduction is obtained at 8 with a high level of risk should lead to improving the position of the operator using the Rapid Entire Body Assessment (Reba) so that operators can work more carefully and responsibly.. 

scholarly journals ASSESSMENT OF WORK POSTURES ON NON-MECHANICAL RICE HARVESTING (CASE STUDIES IN BANTUL AND SLEMAN DISTRICTS, DIY PROVINCE)

2020 ◽  
Vol 8 (2) ◽  
pp. 184-194
Author(s):  
Guntarti Tatik Mulyati ◽  
Muhammad Maksum ◽  
Bambang Purwantana ◽  
Makhmudun Ainuri
Keyword(s):  
Rice Straw ◽  
Assessment System ◽  
Entire Body ◽  
Low Back ◽  
Work Posture ◽  
Working Posture ◽  
Rapid Entire Body Assessment ◽  
Awkward Posture ◽  
Rice Panicles ◽  
Ergonomic Risk

Rice harvesting is a high ergonomic risk due to the working position, an awkward posture, and the repetition activity. Rice harvesting causes body pain in the part of low back, hand, and wrist. This study aims to (1) identify the characteristics of non-mechanical rice harvesting; (2) determine the working posture of rice harvesters using the Ovako Working Assessment System (OWAS) method, Quick Exposure Checklist (QEC), Rapid Entire Body Assessment (REBA), Postural Ergonomics Risk Assessment (PERA); and (3) determine the best method to assess harvesters work posture. An observation was conducted to nine of healthy workers in Bantul and Sleman districts, Daerah Istimewa Yogyakarta (DIY) province. The questionnaire was set to collect respondent demographics data. Data for harvester body posture (neck, trunk, leg, wrist, lifting load, shoulder) repetition, duration and force were collected by observation in the field. A sickle was used to cut rice straw, while a manual gepyok and mobile hand thresher was used to threshing rice panicles. Four methods were applied to assess the work posture, i.e., OWAS, QEC, REBA, PERA methods. Based on observation, five workstations were identified: (1) cutting rice straw, (2) transporting rice straw, (3) threshing of panicles, (4) sorting, and (5) packaging and transporting. REBA and PERA showed a similar trend of the ergonomic risk, high to low risk took place in workstation transporting rice straw, packaging and transporting, cutting, and threshing. The assessment of work posture that is most suitable for non-mechanical harvesting methods was the REBA method with an accuracy of 92.9%.

Professional dilemmas for caregivers in Turkish home care settings in Germany

2014 ◽  
Vol 1 (1) ◽  
pp. 47-56 ◽  
Author(s):  
Jan Basche
Keyword(s):  
Healthcare Services ◽  
Insurance Companies ◽  
Or Education ◽  
Migrant Communities ◽  
Caregiver Relationship ◽  
International Nursing ◽  
Nursing Literature ◽  
Intercultural Care ◽  
The Given

While calling for culturally sensitive healthcare services in migrant communities, the international nursing literature on intercultural care predominantly describes nursing staff as lacking cultural competences and immigrant customers as lacking cleverness to navigate the labyrinths of national healthcare systems. Congruences in language, culture and religion in the customer-caregiver relationship can decisively improve the quality of care. However, they do not automatically guarantee smooth working processes in monocultural in-home settings. On the contrary, new problems occur here for Turkish caregivers which are unknown to the legions of native professionals who feel challenged by migrants and which go beyond differences such as age, sex, income or education. While no cultural or religious brokering is necessary between customers and personnel in the given context in Germany, new challenges arise when caregivers are expected to legally broker between customers and insurance companies or doctors. Conflicting expectations of customers and management as well as their own colliding social and professional roles put the caregivers in a quandary and must be competently managed.

COMBINATORIAL POLYNOMIALLY COMPUTABLE CHARACTERISTICS OF SUBSTITUTIONS AND THEIR PROPERTIES

2020 ◽  
Vol 7 (2) ◽  
pp. 34-41
Author(s):  
VLADIMIR NIKONOV ◽  
◽  
ANTON ZOBOV ◽  
Keyword(s):  
Mathematical Expectation ◽  
Point Of View ◽  
Small Range ◽  
Computational Point ◽  
Wide Range ◽  
Bijective Function ◽  
The Difference ◽  
Element Base ◽  
Selection Of

The construction and selection of a suitable bijective function, that is, substitution, is now becoming an important applied task, particularly for building block encryption systems. Many articles have suggested using different approaches to determining the quality of substitution, but most of them are highly computationally complex. The solution of this problem will significantly expand the range of methods for constructing and analyzing scheme in information protection systems. The purpose of research is to find easily measurable characteristics of substitutions, allowing to evaluate their quality, and also measures of the proximity of a particular substitutions to a random one, or its distance from it. For this purpose, several characteristics were proposed in this work: difference and polynomial, and their mathematical expectation was found, as well as variance for the difference characteristic. This allows us to make a conclusion about its quality by comparing the result of calculating the characteristic for a particular substitution with the calculated mathematical expectation. From a computational point of view, the thesises of the article are of exceptional interest due to the simplicity of the algorithm for quantifying the quality of bijective function substitutions. By its nature, the operation of calculating the difference characteristic carries out a simple summation of integer terms in a fixed and small range. Such an operation, both in the modern and in the prospective element base, is embedded in the logic of a wide range of functional elements, especially when implementing computational actions in the optical range, or on other carriers related to the field of nanotechnology.

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