scholarly journals ERGONOMIC ENGINEERING INTERVENTION OF BATIK STAMPING WORK TO REDUCE LIFTING LOAD

2020 ◽  
Vol 20 (Special1) ◽  
pp. 124-127
Author(s):  
Darliana M ◽  
Hanisa H ◽  
Azmul Fadhli K ◽  
Nurulahda S ◽  
Dian Darina Indah D
Keyword(s):  
Work Productivity ◽  
Assessment Tools ◽  
Work Related ◽  
Intervention Process ◽  
Risk Assessment Tools ◽  
Medium Enterprise ◽  
Work Related Musculoskeletal Disorder ◽  
Medical Effect ◽  
Ergonomic Intervention

One of the common health problems for small and medium enterprise such as batik production is work-related musculoskeletal disorder (WMSD). This health problem may contribute to long-term medical effect on the production workers. For batik stamping workers, the load of the copper block that need to be used repetitively can reach up to 2kg. This study aims to reduce WMSD effect by reducing the lifting load of the cooper block handled by the batik stamping worker. The worker’s working load is observed before the intervention process by using one of the ergonomic risk assessment tools, Rapid Upper Limb Asssessment (RULA). The ergonomic intervention designed in this study is from the engineering approach by modifying tools. It is found out that the intervention done were able to eliminate the lifting load handled by the worker to avoid discomfort or further health complication. This outcome are hoped to be able to improve workers’ health and increase batik stamping work productivity that eventually increased company’s revenue.

scholarly journals Sustained improvement in work outcomes in employed patients with rheumatoid arthritis during 2 years of adalimumab therapy: an observational cohort study

2020 ◽  
Vol 39 (9) ◽  
pp. 2583-2592
Author(s):  
Frank Behrens ◽  
Hans-Peter Tony ◽  
Michaela Koehm ◽  
Eva C. Schwaneck ◽  
Holger Gnann ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Sick Leave ◽  
Disease Activity ◽  
Work Productivity ◽  
Work Outcomes ◽  
Work Related ◽  
Adalimumab Therapy ◽  
Adalimumab Treatment ◽  
Observational Cohort

Abstract Objective The goal of this study was to evaluate the long-term impact of adalimumab therapy on work-related outcomes in employed patients with rheumatoid arthritis (RA). Method We utilized data from an observational cohort of German patients who initiated adalimumab treatment during routine clinical care. Analyses were based on employed patients (part-time or full-time) who continued adalimumab treatment for 24 months. Major outcomes were self-reported sick leave days in the previous 6 months, absenteeism, presenteeism, and total work productivity impairment as assessed by the Work Productivity and Activity Impairment (WPAI) questionnaire and disease activity assessments. The normal number of sick leave days was based on data from the German Federal Statistical Office. Results Of 783 patients, 72.3% were women, mean age was 47.9 years, and mean disease duration was 7.8 years. At baseline (before adalimumab initiation), 42.9% of patients had higher than normal sick leave days (> 5) in the previous 6 months. During 24 months of adalimumab treatment, 61% of patients with higher than normal sick leave days at baseline returned to normal sick leave values (≤ 5 days/6 months). Overall, mean sick leave days/6 months decreased from 14.8 days at baseline to 7.4 days at month 24. Improvements were observed in WPAI assessments and disease activity measures, although presenteeism levels remained high (32.2% at month 24). Conclusions Adalimumab treatment was associated with strong and sustained improvements in work-related outcomes in employed patients who continued on adalimumab for 24 months. Presenteeism appears to be the work outcome most resistant to improvement during RA treatment. Trial registration NCT01076205 Key Points• Long-term adalimumab therapy was associated with sustained improvements in work outcomes in patients with rheumatoid arthritis.• Despite improvements in sick leave days and work absenteeism, presenteeism (impairment while at work) remained relatively high.

The Need for a Lower Extremity Risk Assessment Model

2009 ◽  
Vol 53 (14) ◽  
pp. 887-891
Author(s):  
Christopher R. Reid ◽  
Pamela McCauley-Bush ◽  
Waldemar Karwowski ◽  
Dianne L. McMullin
Keyword(s):  
Risk Assessment ◽  
Lower Extremity ◽  
Assessment Tools ◽  
Assessment Model ◽  
Risk Assessment Model ◽  
Initial Model ◽  
Preliminary Step ◽  
Work Related ◽  
Risk Assessment Tools ◽  
Work Related Musculoskeletal Disorders

Current ergonomic risk assessment tools do not assess possible occupational (extrinsic) and personal (intrinsic) risk factors for the lower extremity regions of employees. This document proposes that it is possible to develop a lower extremity risk assessment (LERA) model for quantifying such risks. A literature review was conducted for work-related musculoskeletal disorders of the lower extremity that affect the nervous, muscular, vascular, and skeletal systems. This initial model of LERA was developed using epidemiological literature and subject matter expert opinion specifically for the knee joint and is considered a preliminary step towards quantifying the etiology of cumulative occupational knee disorders.

scholarly journals Bedsore is a curse in disguise: capturing the zeitgeist

2020 ◽  
Vol 7 (4) ◽  
pp. 1229
Author(s):  
Anand Yadav ◽  
Rituja Kaushal
Keyword(s):  
Wound Care ◽  
Care Center ◽  
Tertiary Care ◽  
Assessment Tools ◽  
P Value ◽  
Organizational Changes ◽  
Term Care ◽  
Cochrane Reviews ◽  
Risk Assessment Tools

Background: Development of a bedsore is always avoidable still its worldwide prevalence fluctuates between 0%-56%. Bedsores are maximally observed in patients who are on long term care, in intensive care, immuno-compromised or on home care.Methods: In a tertiary care center-JK hospital, Bhopal, a longitudinal observational study was done for a duration of 3 years, on all registered in-patients, to understand the trend of bedsore rates on monthly basis.Results: In our study, even though, on yearly basis, average of rates is showing a declining trend in favorable manner yet higher statistical analysis (ANOVA test p value = 0.054) has decrypted the non-significant results.Conclusions: Timely and appropriate prophylactic interventions are needed to overcome the increased bedsore rates. Checklist based surveillance and monitoring should be a pressing priority. Cochrane reviews are also suggestive of incorporation of organizational changes, risk assessment tools, wound care teams and education to reduce the incidence of pressure ulcers.

scholarly journals Effects of an Internet-Based Cognitive Behavioral Therapy for Insomnia Program on Work Productivity: A Secondary Analysis

2020 ◽  
Author(s):  
Kelly M Shaffer ◽  
Eric A Finkelstein ◽  
Fabian Camacho ◽  
Karen S Ingersoll ◽  
Frances Thorndike ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Secondary Analysis ◽  
Work Productivity ◽  
Cognitive Behavioral ◽  
Activity Impairment ◽  
Work Related ◽  
Post Assessment

Abstract Background Cognitive-behavioral therapy for insomnia (CBT-I) may improve productivity along with insomnia symptoms, but the long-term duration of productivity gains is unknown. Purpose In this secondary analysis, effects of Internet-delivered CBT-I on work-related and daily activity productivity were examined through 1 year post-treatment. Methods Adults with chronic insomnia (N = 303) were randomized to Internet-delivered CBT-I (Sleep Healthy Using the Internet [SHUTi]) or to patient education (PE). Participants reported interference with attendance (absenteeism) and productivity (presenteeism) at paid employment and in daily activities outside work on the Work Productivity Activity Impairment scale at baseline, 9 weeks later for postintervention assessment (post-assessment), and 6- and 12-month follow-ups. Results Participants randomized to SHUTi were about 50% less likely than those in the PE condition to report any absenteeism (logistic regression odds ratio [OR] = 0.48 [95% confidence intervals {CI} = 0.24,0.96]), total impairment (OR = 0.52 [95% CI = 0.29,0.93]), or activity impairment (OR = 0.50 [95% CI = 0.30,0.85]) at post-assessment; however, differences were not detected at 6- or 12-month follow-ups. SHUTi participants also reported lower overall levels of presenteeism (constrained longitudinal data analysis MDiff = −6.84 [95% CI = −11.53, −2.15]), total impairment (MDiff = −7.62 [95% CI = −12.50, −2.73]), and activity impairment (MDiff = −7.47 [95% CI = −12.68, −2.26]) at post-assessment relative to PE participants. Differences were sustained at 6-month follow-up for presenteeism (MDiff = −5.02 [95% CI = −9.94, −0.10]) and total impairment (MDiff = −5.78 [95% CI = −10.91, −0.65]). No differences were detected by 12-month follow-up. Conclusions Findings suggest that Internet-based CBT-I may help accelerate improvement in work-related and daily activity impairment corroborating prior research, but did not find that CBT-I has persistent, long-term benefits in productivity relative to basic insomnia education. Trial Registration NCT00328250 “Effectiveness of Internet Cognitive Behavioral Therapy Intervention for Treating Insomnia” (https://clinicaltrials.gov/ct2/show/NCT00328250).

scholarly journals Ergonomic issues in ewe cheese production: reliability of the Strain Index and OCRA Checklist risk assessments

2013 ◽  
Vol 44 (2s) ◽  
Author(s):  
John Rosecrance ◽  
Robert Paulsen ◽  
David Gilkey ◽  
Lelia Murgia ◽  
Thomas Gall
Keyword(s):  
Upper Limb ◽  
Food Industry ◽  
Assessment Tools ◽  
Risk Assessments ◽  
Physical Work ◽  
Strain Index ◽  
Work Related ◽  
Risk Assessment Tools ◽  
Physical Risk ◽  
Physical Risk Factors

Occupational ergonomists often use a variety of methods to identify jobs that are considered at high risk for the development of work-related musculoskeletal illnesses. The Strain Index (SI) and the Occupational Repetitive Actions (OCRA) Checklist are two popular upper limb risk assessment tools used in many industries, including the agro-food industry. Both methods are based on similar biomechanical, physiological and epidemiologic principles, but their approach to quantification and estimation of risk factor magnitude is quite different. The purpose of this study was to assess the inter-method reliability of SI and OCRA Checklist. Methods: Twenty-one jobs were video recorded in a Sardinian cheese manufacturing facility. Eight raters were recruited to assess job exposures to physical risk factors using the SI and OCRA Checklist. Inter-method reliability was characterized using proportion of overall agreement, Cohen’s kappa, and Spearman and Pearson correlations. Results: Strain Index and the OCRA Checklist assessments produced generally reliable results, classifying the risk of 35 of 42 (83%) job exposures similarly. Conclusions: The OCRA Checklist and SI risk assessments are reliable upper limb measures of physical work exposures. Both measures appear useful for assessing risk of upper limb disorders of work tasks in the agro-food industry. However, the SI is specific to disorders of the distal upper limb and perhaps most useful for assessing risk in work primarily involving the wrist and fingers. Whereas the OCRA Checklist, which includes an assessment of the shoulder, may be more appropriate for evaluating jobs that also require extended periods of reaching and shoulder activity.

Comparing Predictive Validity of JSORRAT-II and MEGA♪ With Sexually Abusive Youth in Long-Term Residential Custody

2017 ◽  
Vol 62 (10) ◽  
pp. 2937-2953 ◽  
Author(s):  
Lucinda A. Lee Rasmussen
Keyword(s):  
Risk Assessment ◽  
Area Under The Curve ◽  
Assessment Tools ◽  
Sexual Recidivism ◽  
Residential Treatment Facility ◽  
Sexually Abusive ◽  
Risk Assessment Tools ◽  
Representative Samples

This 6-year prospective study is the first to compare two psychometrically sound risk assessment tools for sexually abusive youth: JSORRAT-II and MEGA♪. Cross-validated on representative samples of over 500 youth, these measures have cutoff scores, allowing for a more exact assessment of risk. Study sample consisted of 129 male adjudicated adolescents housed in a secured residential treatment facility for sexually abusive youth. Receiver operating characteristic (ROC) analysis showed that MEGA♪ Risk Scale was mildly predictive of sexual recidivism over a 6-year period (mean follow-up = 15.6 months)—area under the curve (AUC) = .67; 95% confidence interval [CI] = [0.52, 0.82]; p < .015. JSORRAT-II was not predictive (AUC = .57; 95% CI = [0.42, 0.72]; p < .297). The study contributes to scant literature on the most contemporary, statistically robust risk assessment tools for sexually abusive youth.

scholarly journals A New Approach to Suicidal Behavior Diagnostics: A Review of Foreign Sources

2020 ◽  
Vol 28 (1) ◽  
pp. 8-24
Author(s):  
G.S. Bannikov ◽  
O.V. Vihristyuk ◽  
I. Galynker
Keyword(s):  
Suicidal Behavior ◽  
Suicide Risk ◽  
Assessment Tools ◽  
Suicide Risk Assessment ◽  
Short Term ◽  
New Approach ◽  
New Methods ◽  
Risk Assessment Tools ◽  
Suicidal Crisis

The paper presents a review of the studies on innovative suicide prevention strategies, methods, and approaches to diagnosing suicide risk. We examine the results of the studies that allow developing new approaches to creating effective suicide risk assessment tools, based on building a trusting relationship with the patient/client and focusing on the doctor’s/therapist’s own emotional experiences. We describe a complex narrative-crisis model of suicide that includes long-term and short-term risk factors for suicidal behavior and incorporates the suicidal crisis syndrome. We conclude with describing modern tendencies in suicide risk diagnostics — namely, overestimating the methods’ efficiency. New methods for assessing critical states possessing good predictive validity should be developed and implemented.

scholarly journals Assessment tools analysis of work-related musculoskeletal disorders: strengths and limitations

2021 ◽  
Vol 342 ◽  
pp. 01009
Author(s):  
Mihai Popescu – Stelea ◽  
Roland Iosif Moraru ◽  
Gabriel Bujor Băbuţ ◽  
Loriana Zamfir Farkas
Keyword(s):  
Musculoskeletal Disorders ◽  
Assessment Tools ◽  
The European Union ◽  
Work Related ◽  
Postural Stress ◽  
Basic Stage ◽  
Mutual Adaptation ◽  
Risk Assessment Tools ◽  
Work Related Musculoskeletal Disorders ◽  
Human Material

Musculoskeletal disorders are one of the most common occupational diseases, affecting millions of workers in the European Union and costing employers billions of euros. Researching the relationships and possibilities of optimal mutual adaptation, under given conditions, both of human to his work and of work to humans, in order to increase the technical-economic efficiency, to optimize the conditions of satisfaction, motivation and work results, while maintaining the worker’s state of health also involves, as a basic stage, the assessment of the risks of osteomuscular-articular overload. Starting from a statistical synthesis on the incidence of MSD and the characteristic types of demands, the paper systematizes in a unitary vision the categories of methods, techniques and tools available for recording and evaluating the factors of physical and postural stress of workers. The pointed description of three of the most commonly applied ergonomic risk assessment tools, aimed at developing a synthesis of Strengths-Weaknesses type, which highlights the advantages of methods in counterbalance with their limitations, providing a first basis for selection in order to apply them in the practice of companies that are aware that investing in safety means investing in profit and not losing financial resources and implicitly human, material ones.

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