Pre/post-Test Evaluations of Agricultural Biosecurity Curriculum.

OBJECTIVE: In this combined study, the efficacy of different educational methods in enhancing students' agricultural biosecurity knowledge, which is vital for public health, food security, and agricultural safety, was assessed. METHODS: In-person and virtual learning methods, utilizing educational content developed for the Gearing Up for Safety program, were investigated with 692 total participants. In the in-person learning method, 459 students aged 12-20 received a 50-minute in-person training session using the Gearing Up for Safety lesson on agricultural biosecurity. A 20 question pre- and post-test gauged knowledge gain. In the virtual learning method, 223 students, aged 12-20 received two, 40-minute virtual training sessions using the same content. RESULTS: Results of knowledge gain from the in-person method improved significantly from 55% to 77% (t(458) = -22.37, P < .001). Chi-squared analysis showed 19 out of the 20 questions significantly contributed to learning. Results of knowledge gain from the virtual method also showed a notable knowledge gain increase from 53% to 66% (t(222) = -11.86, P< .001). However, a chi-squared analysis revealed that only 10 of the 20 questions significantly contributed to learning. In-person learning effectively supported better understanding of general biosecurity. CONCLUSIONS: Virtual education improved general understanding but required enhanced focus on topics like vaccination, pest management, and community biosecurity preparation for comprehensive knowledge. Both in-person and virtual learning resulted in an increase in agricultural biosecurity knowledge, with in-person learning exhibiting a higher proportion of significant knowledge gains. These findings emphasize the importance of diverse educational methods in preparing future agricultural workers to ensure safety and health in agricultural settings. Results were used to enhance the curricula content being made available as part of the Gearing Up for Safety program for young and beginning workers.

Dietary omega-6/omega-3 fatty acids and risk of prostate cancer; Is there any potential interaction by organophosphate insecticides among the agricultural health study population.

BACKGROUND: In the United States (US), the average annual increase in the incidence of prostate cancer (PCa) has been 0.5% between 2013 and 2017. Although some modifiable factors have been identified as the risk factors for PCa, the effect of lower ratio of omega-6 to omega-3 fatty acids intake (N-6/N-3) remains unknown. Previous studies of the Agricultural Health Study (AHS) reported a significant positive association between PCa and selected organophosphate pesticides (OPs) including terbufos and fonofos. OBJECTIVE: The aim of this study was to evaluate the association between N-6/N-3 and PCa and any interaction between N-6/N-3 and 2 selected OPs (i.e., terbufos and fonofos) exposure. DESIGN AND PARTICIPANTS: This case-control study, nested within a prospective cohort study, was conducted on a subgroup of the AHS population (1193 PCa cases and 14,872 controls) who returned their dietary questionnaire between 1999 and 2003 MAIN OUTCOME MEASURES: PCa was coded based on the International Classification of Diseases of Oncology (ICD-O-3) definitions and obtained from the statewide cancer registries of Iowa (2003-2017) and North Carolina (2003-2014). STATISTICAL ANALYSIS: Multivariate logistic regression analysis was applied to obtain the odds ratios adjusted (aORs) for age at dietary assessment (years), race/ethnicity (white, African American, other), physical activity (hours/week), smoking (yes/no), terbufos (yes/no), fonofos (yes/no), diabetes, lycopene intake (milligrams/day), family history of PCa, and the interaction of N-6/N-3 with age, terbufos and fonofos. Pesticide exposure was assessed by self-administrated questionnaires collecting data on ever/never use of mentioned pesticides during lifetime as a yes/no variable. Assessing the P value for the interaction between pesticides and N-6/N-3, we used the continuous variable of "intensity adjusted cumulative exposure" to terbufos and fonofos. This exposure score was based on duration, intensity and frequency of exposure. We also conducted a stratified regression analysis by quartiles of age. RESULTS: Relative to the highest N-6/N-3 quartile, the lowest quartile was significantly associated with a decreased risk of PCa (aOR=0.61, 95% CI: 0.41-0.90), and quartile-specific aORs decreased toward the lowest quartile (Ptrend=<0.01). Based on the age-stratified analysis, the protective effect was only significant for the lowest quartile of N-6/N-3 among those aged between 48 and 55 years old (aORs=0.97, 95% CI, 0.45-0.55). Among those who were exposed to terbufos (ever exposure reported as yes in the self-report questionnaires), lower quartiles of N-6/N-3 were protective albeit nonsignificant (aORs: 0.86, 0.92, 0.91 in quartiles 1,2, and 3, respectively). No meaningful findings were observed for fonofos and N-6/N-3 interaction. CONCLUSION: Findings showed that lower N-6/N-3 may decrease risk of PCa among farmers. However, no significant interaction was found between selected organophosphate pesticides and N-6/N-3.

Summary of Known U.S. Injuries and Fatalities Involving Livestock Waste Storage, Handling, and Transport Operations: 1975-2019.

HIGHLIGHTS: Approximately ten cases were documented annually over the 44-year period; 48% were in the last decade and 28% were in the last three years, primarily due to more aggressive surveillance and on-line access to incident reports. A total of 389 incidents involving 459 individuals were documented, of which 59% were fatal; >85% of the victims were male, with an average age of 37. 49 rescue incidents involved a total of 119 secondary victims, indicating that approximately 26% of the victims were secondary victims, including first responders. 20% of all victims, when age was known, were children or youth under the age of 21. ABSTRACT: There is limited published research exploring the frequency and causes of livestock waste-related fatalities and injuries among farm operators and workers. While there has been ongoing surveillance of mortality and morbidity involving agricultural confined space-related incidents, such as grain storage facilities, few resources have been invested in estimating the frequency of livestock waste-related incidents, which are often reported as primarily involving confined spaces. Existing surveillance efforts have historically underreported fatal cases, injuries, and near misses and misclassified these incidents as non-farm related. For nearly 40 years, the Purdue Agricultural Confined Spaces Incident Database (PACSID) has been used to document agricultural confined space-related incidents, of which manure storage and handling activities have accounted for 22% of the cases documented. The specific goal of this study was to address the gap in the current understanding of the frequency and severity of injuries associated with livestock waste storage, handling, and transport by: (1) developing a consistent way to identify, document, and code these cases; (2) summarizing all known U.S. cases, both fatal and non-fatal, currently documented in the PACSID; (3) identifying the most significant risks contributing to livestock waste storage, handling, and transport-related incidents; and (4) providing evidence-based recommendations and mitigation strategies to enhance the effectiveness of current injury prevention measures. The PACSID and other sources were mined for relevant data, and an aggressive effort was made to document additional cases through a variety of surveillance methods. A total of 459 individual U.S. cases from the study period (1975 to 2019) were identified, coded using a uniform coding system, and summarized. Overall, cases were documented in 43 states, with 66% (302 cases) documented in heavily agricultural and, more specifically, historically strong dairy production states. Of the cases reviewed, 59% were fatal, males ages 21 to 30 and dairy farm workers were identified as high-risk populations, 20% were identified as under the age of 21, and 49 incidents involved multiple victims. Farm injury data limitations and underreporting were problematic, especially during the early years of the study period. However, the findings provide a foundation for recommending safer workplace safety and health practices, evaluating existing engineering and regulatory standards, assessing the impacts of current injury prevention efforts, and redesigning farm safety programs, especially those targeting livestock workers, to reduce the frequency and severity of these incidents.

Therapeutic relationships between Veterans and buprenorphine providers and effects on treatment retention.

OBJECTIVE: To examine the extent to which there was any therapeutic relationship between Veterans and their initial buprenorphine provider and whether the presence of this relationship influenced treatment retention. DATA SOURCES: National, secondary administrative data used from the Veterans Health Administration (VHA), 2008-2017. STUDY DESIGN: Retrospective cohort study. The primary exposure was a therapeutic relationship between the Veteran and buprenorphine provider, defined as the presence of a previous visit or medication prescribed by the provider in the 2 years preceding buprenorphine treatment initiation. The primary outcome was treatment discontinuation, evaluated as 14 days of absence of medication from initiation through 1 year. DATA COLLECTION/EXTRACTION METHODS: Adult Veterans (age ≥ 18 years) diagnosed with opioid use disorder and treated with buprenorphine or buprenorphine/naloxone within the VHA system were included in this study. We excluded those receiving buprenorphine patches, those with documentation of a metastatic tumor diagnosis within 2 years prior to buprenorphine initiation, and those without geographical information on rurality. PRINCIPAL FINDINGS: A total of 28,791 Veterans were included in the study. Within the overall study sample, 56.3% (n = 16,206) of Veterans previously had at least one outpatient encounter with their initial buprenorphine provider, and 24.9% (n = 7174) of Veterans previously had at least one prescription from that provider in the 2 years preceding buprenorphine initiation. There was no significant or clinically meaningful association between therapeutic relationship history and treatment retention when defined as visit history (aHR: 0.99; 95% CI: 0.96, 1.02) or medication history (aHR: 1.03; 95% CI: 1.00, 1.07). CONCLUSIONS: Veterans initiating buprenorphine frequently did not have a therapeutic history with their initial buprenorphine provider, but this relationship was not associated with treatment retention. Future work should investigate how the quality of Veteran-provider therapeutic relationships influences opioid use dependence management and whether eliminating training requirements for providers might affect access to buprenorphine, and subsequently, treatment initiation and retention.

Utilization of high-speed imaging for atmospheric scintillation studies.

Atmospheric scintillation studies have been traditionally undertaken utilizing nonimaging detection. When imaging devices are used, they typically detect the resultant signal at the receiver plane. Here, a high-speed camera has been utilized in atmospheric scintillation field trials, imaging a laser source (i.e., imaging the object plane) over a near ground path length of 1.5 km. The statistical nature of the acquired atmospheric scintillation data is characterized using a range of probability density functions. The exponentiated Weibull function was found to best describe the nature of scintillation over the broadest range of a scintillation index typical of atmospheric scintillation. A preliminary investigation into the relationship between the fit variables of three of the better-performing probability density functions and the scintillation index is presented, along with suggestions for future use of digital cameras in atmospheric scintillation studies.

Summary of Injuries and Fatalities Involving Livestock Manure Storage, Handling, and Transport Operations in Seven Central States: 1976-2019.

HIGHLIGHTS A total of 133 cases were documented in a seven-state region, with Iowa reporting 43% of the cases and asphyxiations accounting for 42% of all cases. Most victims were male (>79%) with an average age of 38 years. The overall fatality rate was 57%, and 16% of the victims were under the age of 21. Thirteen incidents involved secondary victims, including eleven incidents involving two, one incident involving three, and one incident involving four. ABSTRACT. Research was conducted to document, classify, analyze, and summarize available injury and fatality data involving facilities and equipment for livestock manure storage, handling, and transport in the seven-state region (Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and South Dakota) served by the Central States Center for Agricultural Safety and Health (CS-CASH). Data were initially drawn from the Purdue Agricultural Confined Space Incident Database (PACSID), which contained over 2,400 individual U.S. cases of agricultural confined space related entrapment, engulfment, entanglement, asphyxiation, and falls that were documented between 1975 and 2019. Data from these cases have been partially summarized and published, but the findings did not include in-depth analysis of manure-related incidents. Approximately one in five (460) of the 2,400+ cases that were documented over 44 years involved storage, handling, or transport of livestock wastes, including exposure to toxic gases. Of these, 133 cases were documented as having occurred in the targeted seven-state region. Each case was identified and coded according to a protocol developed previously to classify incidents related to livestock manure handling, storage, and transport. Iowa and Minnesota accounted for 79% of the total, with swine operations accounting for 33% of cases when livestock type was known. Of the victims, 79% were male. Ages ranged from 1 to 85, with an average age of 38, and 15% of the victims were age 21 and under. There were 13 incidents for which two or more victims were identified, including one incident involving four victims. It is believed that historical under-reporting of incidents, especially non-fatal incidents, continues to be a barrier to achieving a more comprehensive understanding of the scope and magnitude of the problem. However, the findings are sufficient to be used in cooperation with stakeholders to enhance the content and delivery of evidence-based agricultural safety and health programs, promote safer work practices, and contribute to the development of engineering design standards. The desired outcomes of this research include more effective strategies to protect farmers and farm workers who are at high risk of manure-related injuries. The findings also provide a sufficient baseline to gauge the effectiveness of future injury prevention measures.

Association Between Buprenorphine for Opioid Use Disorder and Mortality Risk.

INTRODUCTION: Veterans with opioid use disorder have an increased risk of suicide and overdose compared with the general population. Buprenorphine, a U.S. Food and Drug Administration-approved medication to treat opioid use disorder, has shown benefits, including decreased risk of illicit drug use and overdose. This study assesses the mortality outcomes with buprenorphine pharmacotherapy among Veterans up to 5 years from treatment initiation. METHODS: This was a retrospective cohort study of Veterans receiving buprenorphine (2008-2017) across any Veterans Health Administration facility. Buprenorphine pharmacotherapy was evaluated as a time-varying covariate. The primary outcome was death up to 5 years from treatment initiation by suicide and overdose combined; secondary outcomes included suicide, overdose, opioid-specific overdose, and all-cause death. Secondary analyses included evaluating the risk of mortality in recent discontinuation and effect modification by select characteristics. All analyses were conducted in 2020. RESULTS: Veterans who were not receiving buprenorphine were 4.33 (adjusted hazard ratio; 95% CI=3.60, 5.21) times more likely to die by suicide/overdose than those receiving buprenorphine pharmacotherapy on any given day, with similar protective associations with treatment across secondary outcomes. The risk of suicide/overdose was highest 8-14 days from treatment discontinuation (adjusted hazard ratio=6.54, 95% CI=4.32, 9.91) than in currently receiving buprenorphine pharmacotherapy. There was no evidence of effect modification by the selected covariates. CONCLUSIONS: Mortality risk was greater among Veterans who were not receiving buprenorphine pharmacotherapy than among those who were. Providers should consider whether buprenorphine pharmacotherapy, either intermittent or continuous, may provide health benefits for their patients and prevent mortality.

A 25-Year Overview of AgrAbility Demographics.

The U.S. Department of Agriculture's (USDA) National Institute of Food and Agriculture (NIFA) AgrAbility Program was established as part of the 1990 Farm Bill. It functions through partnerships between land grant universities and nonprofit disability organizations to improve the independence and quality of life of ranchers and farmers with disabilities. This article reports on analyses of the first 25 years of demographic data from clients served by funded state AgrAbility projects.Between 1991 and 2016, State or Regional AgrAbility Projects (SRAPs) provided information, education, and service annually to an estimated average of 490 new clients for a total of 11,754 new clients. New clients' average age was 52.1 with 75.1% male. Primary causes of reported disabilities were chronic nonincident-related disabilities (41.7%), non-agricultural incidents (32.2%), and agricultural incidents (19.5%). Typically AgrAbility served clients for one to 74 months (M = 14.85 months), because of the severity of their disabilities, the deterioration of their situation, and the years it sometimes took to assist them in reaching their goals. Combining new, ongoing, reopened, and closed case reports, SRAPs served approximately 1,190 clients annually on average. The average age of new, ongoing, reopened, and closed case reports was 52.7 with 78.0% male.Data collection, analyses, and reporting of client data presented a means of providing program accountability and of helping guide future programming efforts. Findings were used by stakeholders, policymakers, and decision-makers to justify the continued inclusion of the AgrAbility Program in the 2018 USDA Farm Bill.

Indiana Farm Occasional Wood Cutter Fatalities Involving Individuals 55 Years and Older.

Forestry activities, such as tree cutting and harvesting of forest resources, have been documented as dangerous tasks with increased risk of injuries and fatalities. These hazards are well known in the professional logging community, but less attention is given to farmers who perform occasional tree trimming and cutting activities, especially for the older farmer population. This study examined Indiana farm work-related fatalities from 1988 to 2017 involving farmers 55 years and older who performed occasional wood cutting activities. Fatality cases were mined from the Purdue University Agricultural Safety and Health Program's fatality database. A total of 40 fatality cases were reported, representing 10.3% of all reported farm fatalities of farmers 55 years and older over the time period. The average age of the victims was 67.4, with 65% of cases involving victims 65 years or older. All victims were males. Wood cutting fatalities increased over the observation period. The most frequently reported fatal injury type was being crushed by tree or tree limbs, with 16 cases (40%), and the most common cause of fatality was due to cutting and trimming of trees, with 27 cases (67.5%). It was determined that the incidents were largely preventable and that future injury prevention strategies should address the risks associated with aging, the added risk of being struck by limbs or trees due to unsafe felling practices, the need for appropriate personal protective equipment, and the hazards involved in operating agricultural tractors in wooded areas.

Accessing and operating agricultural machinery: Advancements in assistive technology for users with impaired mobility.

This research focused on the advancements made in enabling agricultural workers with impaired mobility to access and operate off-road agricultural machinery. Although not a new concept, technological advancements in remote-controlled lifts, electronic actuators, electric over hydraulic controllers, and various modes of hand controls have advanced significantly, allowing operators with limited mobility to resume a high level of productivity in agricultural-related enterprises. In the United States, approximately 1.7% of the population is living with some form of paralysis or significant mobility impairment. When paired with the 2012 USDA Agriculture Census of 3.2 million farmers, it can be extrapolated that these technologies could impact 54,000 agricultural workers who have encountered disabling injuries or disease, which inhibit their ability to access and operate tractors, combines, and other self-propelled agricultural machines. Advancements in agricultural-specific technologies can allow for many of these individuals to regain the ability to effectively operate machinery once more.

Editorial: ROPS Are Not Homemade.

Safety professionals should speak up when secondary school teachers and FFA advisors consider fabricating and installing low-cost rollover protective structures (ROPS) as service learning projects for ag education students or as a service to the farm community. These projects are often motivated by the desire to address the continued occurrence of tractor rollovers, which are the most frequent cause of farm-related fatalities (NIOSH, 2018). These projects have also been made feasible by the availability of online plans for ROPS fabrication, including plans from the National Institute for Occupational Safety and Health (NIOSH) that are designed for specific makes and models of tractors. Because of the large number of older tractors that were not originally equipped with ROPS, and the cost and lack of easily accessible ROPS retrofits, fabricating a structure to provide operator protection in the event of an overturn can be attractive as a service learning project. In addition, several of the NIOSH Agricultural Injury Prevention Centers have promoted these projects as a means of reducing the frequency of rollover-related injuries. However, in light of the liability risk involved, such projects should be weighed carefully. Fabricating a ROPS is not the same as building a chicken house, fabricating a welding table, or welding together a hay feeder. ROPS are life-saving devices that must meet specific design and installation standards that exceed the expertise available in most secondary school ag education shops, and even most local machine shops. In fact, "ROPS" is a technical term defined by OSHA standards and the Society of Automotive Engineers (SAE). It does not apply-nor should it be applied-to untested, homemade structures that are installed on tractors with the intent of protecting the operator.

Development of methodology to document and code farm-related injuries and fatalities involving manure storage, handling and transport - with summary of 2017 incidents.

As part of ongoing surveillance of fatalities and injuries involving agricultural confined spaces by Purdue University's Agricultural Safety and Health Program, nearly 300 cases involving manure storage, handling, and transport equipment and facilities have been documented over the past 30 years. With the exception of a summary of 77 fatalities published by Beaver and Field1, these cases have not been previously analysed or published due to a lack of resources and the limitations of the Purdue Agricultural Confined Spaces Incident Database (PACSID) which was designed primarily for analysis of grain-related cases. These limitations included differences in terminology used to code case information in the PACSID and dissimilar causative and contributing factors. To develop a consistent and more useful approach to process and analyze data, 28 U.S. manure-related incidents involving 39 victims documented as having occurred in 2017 were examined for type of incident, victim characteristics, primary contributing factors, and nature of injuries. A review of literature was conducted to identify previously reported contributing factors, and a coding rubric was developed and reviewed by a panel of experts. It was determined that the rubric provided a consistent way to code and analyze descriptive information available on each case. A pilot analysis was completed of the 39 cases using the new tool, and results were summarized. The final methodology will be used to analyze all historically documented incidents, as well as future incidents. Findings presented include a review of relevant literature, discussion of the methods used in case documentation, classifications developed from sample data, and a summary of incidents in 2017. Anticipated outcomes include: 1) consistent strategy to document, code, and summarize manure-related incidents; 2) means of classification of key contributing factors; 3) identification of new or emerging trends; and 4) completion of previously documented incidents.

Utilization and Effectiveness of Harnesses and Lifelines in Grain Entrapment Incidents: Preliminary Analysis.

No previous studies have been found that document the level of use or validate the effectiveness of safety harnesses and lifelines in the prevention of or extrication from grain entrapments or engulfments. This article addresses that void via analysis of the data contained in the Purdue Agricultural Confined Space Incident Database. A total of 1,147 cases involving entrapments or engulfments in grain masses were mined for terms that might indicate the use of a safety harness, lifeline, fall restraint system, rope, or outside observer. Case information ranged from brief news accounts to comprehensive investigation results. The review turned up 38 incidents (< 5%) in which these safety devices were identified as having been used by either workers or rescuers during access to a storage structure. In 26 of the 38 cases (68%) where safety devices were identified, the entrapment or engulfment resulted in a fatality. The two most common reasons cited for failure of these devices were (1) that the lifeline or rope was too long (17 incidents) and (2) that the worker had removed the harness with the attached lifeline while in the structure (6 incidents). It was also determined that these devices, if used improperly, can lead to secondary injuries of the victim. The preliminary evidence suggests that use of these devices alone does not ensure the user's safety and may even provide a false sense of security if used without proper training. It was further found that an approved body harness and safety line provided little or no protection from either entrapment or falls if used in the presence of vertically crusted grain surfaces, without proper anchors, or not in conjunction with outside observers. The presented results are important for safety professionals to consider as they endeavor to reduce the risk of grain entrapment and engulfment incidents through training, education, selection of personal protective equipment, etc., and should contribute to the development of new structural standards for grain bins. It is the intent of this article to elucidate the importance of training and proper use of these safety devices.

Summary of U.S. Injuries and Fatalities Involving Entrapment and Suffocation in Grain Transport Vehicles.

Since 1978, the Purdue University Agricultural Safety and Health Program has managed a surveillance effort and database to collect information on documented injuries and fatalities in all forms of U.S. agricultural confined spaces. The database currently contains 1,968 cases documented in the U.S. between 1964 and 2016. Of these cases, 174 (8.8%) involved entrapment or suffocation in grain transport vehicles (GTVs), including gravity-flow wagons, semi-truck trailers, and other agricultural transport vehicles that have limited access and are not considered normal work spaces or are classified as confined spaces. These GTV cases represent the overwhelming majority of documented cases involving all forms of agricultural transport vehicles, including forage and manure transport vehicles. Of the incidents documented, 64.3% resulted in fatalities and 71.8% involved children and youth age 20 years and under, when the age was determined. For the GTV cases, the typical victim was male (88.5%), and the average age of the victim was 19.9 (median 12), with over 63.5% of the cases involving children under the age of 15. In numerous incidents, more than one victim became entrapped, including one incident involving five victims. The number of documented cases decreased sharply from a peak of approximately 7 cases per year in the early 1990s to an average of 3.1 cases per year over the past two decades, with no cases documented in 1998 and 2013. However, there is a linear increase in the frequency of incidents since the first case was documented in 1964. This trend is partially due to peaks in 2011 and 2014, when 10 and 9 cases, respectively, were documented, along with more vigilant surveillance methods due to online search capabilities. The general decline, more recently, in the annual number of cases is attributed to increased awareness of the hazards to youth during transport in GTVs, increased use of warnings on GTVs, and the increased size of GTVs, which makes human access more difficult and less practical. Efforts over the past decade to bring attention to the risk of entrapment in GTVs should be recognized as a success of the educational and technological strategies initiated due to earlier high-profile incidents. However, with 6, 10, 9, and 4 cases documented in 2010, 2011, 2014, and 2016, respectively, continued efforts to address the problem are justified. Recommendations for future actions include development of a safety standard for GTVs that includes placement of safety messages on all new GTVs, use of windows above outlets, retrofitting older GTVs with appropriate warnings, and continuing to address the hazard with safety resources targeting all workers exposed to grain handling and transport.

Comparisons of Agricultural Seating for Paraplegia.

People with spinal cord injury/paraplegia are operating agricultural machinery despite the lack of research evidence to support seating interventions. These operators represent a vulnerable population in the agricultural workforce, and information to support their health in the workplace is urgently warranted. This research compared a group of subjects with paraplegia on different intervention cushion conditions during a simulated tractor driving task. Numerical data acquired from a pressure-mapping instrument were explored for statistical relationships within a small cohort of people with paraplegia participating in a feasibility study that was previously reported for clinical results. Relationships reaching statistical significance were found to support the primary hypothesis, while other hypotheses did not reach the threshold of significance. The primary hypothesis, that a contour tractor seat intervention condition would be inferior to other intervention conditions, was supported. For this cohort of heterogeneous users with paraplegia, a contour tractor seat of foam and cloth fabric manufacture was not an appropriate intervention selection versus other aftermarket wheelchair cushions.

Methods of Collecting and Analyzing Rearward Visibility Data for Agricultural Machinery: Hazard and/or Object Detectability.

Recent interest in rearward visibility for private, construction, and commercial vehicles and documentation of rearward runovers involving bystanders outside the field of vision of the vehicle operator led to an investigation into the need for enhanced methods of rearward visibility for large, off-highway, agricultural equipment. A review of the literature found limited relevant research and minimal data on incidents involving rearward runovers of bystanders and co-workers. This article reviews the findings regarding the methods identified and tested to collect and analyze rearward visibility data, from the operator's perspective, for large self-propelled agricultural equipment, including the four-wheel drive tractors, combines, agricultural sprayers, and skid-steer loaders that are increasingly found on agricultural production sites. The methods identified, largely drawn from research conducted on private and commercial vehicles, were tested to determine their application in identifying rearward blind spots. These methods are described, and the findings from field-testing of specific machines are provided. Recommendations include establishing an appropriate engineering standard regarding rearward visibility of agricultural equipment with limited rearward vision and the use of rearward alarm systems for warning bystanders of rearward movement.

Determining the Effectiveness of Mirrors and Camera Systems in Monitoring the Rearward Visibility of Self-Propelled Agricultural Machinery.

This study concerned the ability of operators of tractors and other self-propelled agricultural machinery to visually recognize objects and/or hazards within close proximity to the rear of those machines and/or any implements in tow, especially when backing up. It was hypothesized that the data collected would identify the factors affecting rearward visibility and help determine the effectiveness of two backup-assisting devices (i.e., mirrors and camera systems) in enhancing the operator's ability to observe objects or hazards. The study's experimental design involved the following: (1) selecting nine self-propelled machines for testing (five tractors of varying sizes, a combine, a sprayer, a skid steer loader, and a UTV); (2) laying out a five cell by five cell test grid behind each machine, with an indicator pole centered in each cell; (3) positioning the mirrors (exterior/interior) and camera system (camera and display monitor) for maximum visibility; and (4) collecting images from a 50th percentile male operator's eye midpoint position. The findings were recorded graphically onto a master grid for the backup-assisting devices (both individually and in combination) on each machine. Analysis of the results confirmed that various issues related to the machines impact the effectiveness of mirrors and camera systems in enhancing rearward visibility. Among them are the operator station's design and configuration, seat adjustability, optional accessories, exterior lighting, type of implement in tow, hitching method, and highway transport mode. These findings led to recommendations relative to each of the mirrors and camera systems, as well as observations of operator interactions with accessories and perceived effects on the operator's ability to view obstructed areas in close proximity to the machinery.

Utilizing Secondary Agricultural Education Programs to Deliver Evidence-Based Grain Safety Training for Young and Beginning Workers.

Purdue University's Agricultural Safety and Health Program (PUASHP) has collaborated with secondary agricultural education programs, including FFA Chapters, for over 70 years to deliver and promote agricultural safety and health programming. With support from a U.S. Department of Labor Susan Harwood Program grant, PUASHP utilized a Developing a Curriculum (DACUM) process to develop, implement, and evaluate an evidence-based curriculum for use with young and beginning workers, ages 16-20, exposed to hazards associated with grain storage and handling. The primary audience was students enrolled in secondary agricultural education programs. A review of the literature identified a gap in educational resources that specifically addresses this target population. The curriculum developed was based on fatality and injury incident data mined from Purdue's Agricultural Confined Space Incident Database and input from a panel of experts. The process identified 27 learning outcomes and finalized a pool of test questions, supported by empirical evidence and confirmed by a panel of experts. An alignment process was then completed with the current national standards for secondary agricultural education programs. Seventy-two youth, ages 16-20, enrolled in secondary-school agricultural education programs, and a smaller group of post-secondary students under the age of 21 interested in working in the grain industry pilot tested the curriculum. Based on student and instructor feedback, the curriculum was refined and submitted to OSHA for approval as part of OSHA's online training resources. The curriculum was delivered to 3,665 students, ages 16-20. A total of 346 pre- and post-tests were analyzed, and the results used to confirm content validity and assess knowledge gain. Findings led to additional modifications to curriculum content, affirmed knowledge gain, and confirmed appropriateness for use with secondary agricultural education programs. The curriculum has been promoted nationally and made available for free download from www.agconfinedspaces.org . Findings further confirmed the value of delivering safety programming through established programs such as secondary agricultural education programs and FFA Chapters serving youth.

Contributing Causes of Injury or Death in Grain Entrapment, Engulfment, and Extrication.

OBJECTIVES: Grain entrapments and engulfments are one of most common hazards associated with grain storage facilities, with over 1,140 such entrapments/engulfments documented since the 1970s. The objective of the study was to determine the factors that contribute to injury or death in grain entrapment, engulfment, and extrication cases. METHODS: A literature review, including data contained in the Purdue Agricultural Confined Spaces Incident Database (PACSID), was conducted to determine the conditions that the body experiences during an entrapment or engulfment in grains and during extrication efforts. RESULTS: Based on the review, the conditions a human body faces during an entrapment, engulfment, or extraction can be split into two broad categories-environmental and physiological/psychological. The environmental factors depend on the grain's properties, depth of entrapment or engulfment, position of the victim's body, and characteristics of the storage unit, which include the grain's lateral pressure, vertical pressure, and weight, as well as friction, oxygen availability and diffusion rate, and grain temperature. The physiological and psychological factors are related to the individual's age and physical and psychological conditions, and manifest themselves in terms of oxygen consumption, asphyxiation (including aspiration, lack of oxygen, compression or splinting of the thorax), blood flow, and heart rate. CONCLUSION: Of all the above factors, a review of fatality data contained in the PACSID indicate that aspiration, asphyxiation, grain weight, and lateral pressure are most likely the primary cause of death for most entrapment victims. Research gaps found by this study include an understanding of the impact of lateral pressure on lung expansion and oxygen availability and consumption rate, and the need for more case studies to accurately determine cause of death.

Risk assessment of cattle handling on pasture using work environment screening tool.

Working with beef cattle in an open area or while on pasture has been shown to expose workers to a high risk of work-related injury. Prior research on this problem has been conducted using mail surveys, interviews, self-reporting of work practices and injury experiences, and summaries of published injury data, including media reports. Prior research on injury prevention has largely focused on worker education in a specific cultural or geographical setting. A pilot study was conducted to test the cross-cultural usability of the Working Environment Screening Tool in Agriculture (WEST-AG), a modification of the WEST, developed for Swedish industrial applications, to assess risk factors associated with farmers working with cattle being raised largely on pasture as compared with cattle raised in confined feeding operations. Swedish and English language versions of WEST-AG were developed and pilot-tested on a convenient sample of eight Swedish and eight Indiana farms that raise beef cattle primarily on pasture. On-site observations were conducted independently by Swedish and US agricultural safety professionals and documented using photography and a 15-risk-of-injury component on an 11-degree linear scale. Comparisons were made between independent observations documented from the Swedish and Indiana application of the WEST, including collective assessment of photographic record, and the results reported. Key findings included (a) a higher level of observed risks on Indiana farms studied as compared with their Swedish counterparts; (b) high levels of worker exposure to cattle, especially mature breeding bulls, on both sets of farms; (c) a higher frequency of self-reported farm-related injuries than anticipated on both Swedish and Indiana farms; (d) substantially different economic, social, cultural, and regulatory forces that influence small-operation Swedish and Indiana beef producers' decisions regarding adoption of safer work practices, including use of new and safer technology; and (e) differences between the interpretations of the levels or severity of risks observed between the Swedish and US researchers conducting the assessments based upon regulatory and cultural context. Recommendations for enhancing the methodology of applying the WEST-AG to beef production are discussed, along with utilizing the findings to recommend steps to enhance worker safety on small beef farms, regardless of cultural setting. The most significant contribution of this study was to explore the viability of an assessment tool for agricultural workplaces that could be used internationally to enhance worker safety and health regardless of cultural and political differences.