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1.
Int J Adv Manuf Technol ; : 1-30, 2023 Jun 06.
Artigo em Inglês | MEDLINE | ID: mdl-37360662

RESUMO

In parallel with the fast growth of the second-hand aviation market, the importance of promoting remanufacturing analytics has increased. However, end-of-life (EoL) aircraft parts remanufacturing operations are still underdeveloped. Disassembly, the most challenging and central activity in remanufacturing, directly affects the EoL product recovery's profitability and sustainability. Disassembly sequence planning (DSP) devises ordered and purposeful parting for all potentially recoverable components before physical separations. However, the complexities and uncertainties of the EoL conditions engender unpredictable DSP decision inputs. The EoL DSP needs emergent evidence of cost-effective solutions in view of Industry 4.0 (I4.0) implications and stakeholders' benefits. Among the I4.0 technologies, X-reality (XR) particularly hits the mainstream as a cognitive and visual tool consisting of virtual reality, augmented reality, and mixed reality. Recently, with the advance of I4.0 phenomenon, lean management has been theorized and tested through complementary collaboration. Since the research of integrating lean and XR into the EoL DSP is underexplored in literature, XR and lean are investigated as assistive enablers in the DSP. This study has a two-fold purpose: (1) identifying the key concepts of DSP, I4.0, XR, and lean, and extending the literature by reviewing the previous efforts of EoL aircraft remanufacturing, XR-assisted DSP, and XR-lean applications; (2) proposing "Smart Disassembly Sequence Planning (SDSP)" as a new EoL decision-support agenda after analyzing relational advantages and evolving adaptability. The barriers and limitations are highlighted from the recent associated topics, concrete academic information for developing digitalized disassembly analytics is provided, and new trends are added for future disassembly research.

2.
Appl Ergon ; 90: 103224, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32814182

RESUMO

AIM: The aim of this study was to assess the work-related physical demands of long-distance truck drivers employed by a large gas delivery company in Canada. METHODS: A total of 15 truck drivers participated in a data collection that included self-reporting assessments, field observations, and direct measurements to describe daily tasks organization, postural demands, physical workload, and force exertions. RESULTS: Truck drivers' work was characterized by long working days ranging from 9.9 to 15.1 h (mean = 11.4 h), with half (49%) of the total working time spent behind the wheel. The overall workload as measured by relative cardiac strain (18.7% RHR) was found excessive for the long term given the shift duration. Peaks of heart rate in excess of 30 beats per minute above the daily average occurred mainly while operating valves and handling heavy hoses during gas deliveries. The task of delivering gas at a client's site required a moderate work rate on average (8.3 mlO2/kg/min) requiring 24.4% or maximum work capacity on average. CONCLUSION: Based on multiple data sources, this study highlights the risks of over-exertion and of excessive physical fatigue in the truck drivers' work that are coherent with the high prevalence of self-reported musculoskeletal pain in this group of workers.


Assuntos
Condução de Veículo , Dor Musculoesquelética , Humanos , Indústrias , Veículos Automotores , Carga de Trabalho
3.
Appl Ergon ; 89: 103222, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32768720

RESUMO

AIM: This study assessed the work-related physical demands of short-distance truck drivers employed by a large gas delivery company in Canada. METHODS: A total of 19 truck drivers participated in the data collection, which included a combination of self-reports, field observations and direct measurements to report on the work shift task composition, postures, physical workload, and force exertions. RESULTS: Driving (mean of 43% of daily work shift) and delivering gas cylinders to customers (28%) were the main tasks of the truck drivers. Delivering gas cylinders measured as moderate level work and daily work duration was not excessive with respect to mean cardiac strain for most drivers. However, manual handling and force exertion activities were frequent and deemed unsafe most of the time with respect to existing guidelines on manual materials handling. CONCLUSION: This study documents physical risk factors that are consistent with musculoskeletal pain prevalence reported for short-distance truck drivers.


Assuntos
Condução de Veículo , Dor Musculoesquelética/epidemiologia , Doenças Profissionais/epidemiologia , Indústria de Petróleo e Gás , Esforço Físico/fisiologia , Adulto , Canadá/epidemiologia , Ergonomia , Humanos , Masculino , Pessoa de Meia-Idade , Veículos Automotores , Dor Musculoesquelética/etiologia , Doenças Profissionais/etiologia , Postura , Prevalência , Fatores de Risco , Inquéritos e Questionários , Carga de Trabalho
4.
Ergonomics ; 63(11): 1394-1413, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32659200

RESUMO

Predicted work metabolism (WM) from 9 heart rate (HR)-based models were compared to measured WM obtained during work in 39 forest workers. Using measured (i.e. raw) HR in these models can overestimate actual WM since the HR increase associated with body heat accumulation is non-metabolic. Hence, accuracy of WM prediction was assessed on all possible combinations of models using raw HR and corrected HR (thermal component removed) and with five different estimates of maximum work capacity (MWC) for the models that require it as an input. The 50 model combinations produced a wide range of WM estimates. Three models using individual calibration produced the lowest RMSE and narrowest LoA with corrected HR (rRMSE ≤13%; LoA [rBias <5% ± 25%]). One of the models that requires neither determination of the thermal component nor individual calibration performed very well (rRMSE = 18%; LoA [rBias = 1% ± 36%]). Practitioner Summary: These results provide a better understanding of the accuracy of various HR-based work metabolism (WM) estimation models. This information should prove particularly useful to ergonomics professionals wishing to select a method that provides accurate estimation of WM from HR measurements during work in varied thermal environments. Abbreviations: BMI: body mass index; HR: heart rate (beats per min); HR99: HR value exceeded during 99% of the duration of the HR recording period; HRcorr: heart rate without thermal pulses; HRraw: measured heart rate; HRres: heart rate reserve; HRrest: heart rate at rest; LoA: limits of agreement; Mrest: resting metabolism; MWC: maximum work capacity; RMSE: root mean square error; VO2: oxygen consumption; VO2 max: maximum oxygen consumption; WM: work metabolism.


Assuntos
Metabolismo Energético/fisiologia , Agricultura Florestal , Frequência Cardíaca/fisiologia , Saúde Ocupacional , Consumo de Oxigênio/fisiologia , Adulto , Idoso , Voluntários Saudáveis , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
5.
Ergonomics ; 62(8): 1066-1085, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30961471

RESUMO

The heart rate thermal component ( ΔHRT ) can increase with body heat accumulation and lead to work metabolism (WM) overestimation. We used two methods (VOGT and KAMP) to assess ΔHRT of 35 forest workers throughout their work shifts, then compared ΔHRT at work and at rest using limits of agreement (LoA). Next, for a subsample of 20 forest workers, we produced corrected WM estimates from ΔHRT and compared them to measured WM. Although both methods produced significantly different ΔHRT time-related profiles, they yielded comparable average thermal cardiac reactivity (VOGT: 24.8 bpm °C-1; KAMP: 24.5 bpm °C-1), average ΔHRT (LoA: 0.7 ± 11.2 bpm) and average WM estimates (LoA: 0.2 ± 3.4 ml O2 kg-1min-1 for VOGT, and 0.0 ± 5.4 ml O2 kg-1min-1 for KAMP). Both methods are suitable to assess heat stress through ΔHRT and improve WM estimation. Practitioner summary: We compared two methods for assessing the heart rate thermal component ( ΔHRT ), which is needed to produce a corrected HR profile for estimating work metabolism (WM). Both methods yielded similar ΔHRT estimates that allowed accurate estimations of heat stress and WM at the group level, but they were imprecise at the individual level. Abbreviations: AIC: akaike information criterion; bpm: beats per minute; CI: confidence intervals; CV: coefficient of variation in %; CV drift: cardiovascular drift; ΔHRT: the heart rate thermal component in bpm; ΔHRT: the heart rate thermal component in bpm; ΔΔHRT: variation in the heart rate thermal component in bpm; ΔTC: variation in core body temperature in °C; HR: heart rate in bpm; HRmax: maximal heart rate in bpm; Icl: cloting insulation in clo; KAMP: Kampmann et al. (2001) method to determe ΔHRT; LoA: Limits of Agreement; PMV-PPD: the Predicted Mean Vote and Predicted Percentage Dissatisfied; PHS: Predicted Heat Strain model; RCM: random coefficients model; SD: standard deviation; TC: core body temperature in °C; TCR: thermal cardiac reactivity in bpm °C-1; τΔHRT: rate of change in the heart rate thermal component in bpm min-1; τTC: rate of change in core body temperature in °C min-1; tα,n-1: Student's t statistic with level of confidence alpha and n-1 degrees of freedom; TWL: Thermal Work Limit model; V̇O2 : oxygen consumption in ml O2 kg-1 min-1; V̇O2 max: maximal oxygen consumption in ml O2 kg-1 min-1; VOGT: Vogt et al. (1973) method to determine ΔHRT; WBGT: Wet-Bulb Globe Temperature in °C; WM: work metabolism.


Assuntos
Agricultura Florestal/estatística & dados numéricos , Frequência Cardíaca/fisiologia , Resposta ao Choque Térmico/fisiologia , Medição de Risco/métodos , Trabalho/fisiologia , Adulto , Feminino , Transtornos de Estresse por Calor/fisiopatologia , Transtornos de Estresse por Calor/prevenção & controle , Humanos , Masculino , Doenças Profissionais/fisiopatologia , Doenças Profissionais/prevenção & controle , Quebeque , Carga de Trabalho
6.
Appl Ergon ; 72: 69-87, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29885729

RESUMO

AIM: This study investigated and compared the associations between self-reported exposures to individual as well as work-related physical and psychosocial risk factors for musculoskeletal (MS) disorders and the prevalence of MS symptoms in different body areas among short- (P&D) and long-distance (Bulk delivery) truck drivers working for the same large gas delivery company in Canada. METHODS: 123 truck drivers nationwide participated in this questionnaire-based cross-sectional study. Univariate and multivariate logistic regression analyses were performed. RESULTS: 43.1% of drivers reported MS pain in at least one body area over the past 12 months and 26.8% over the past 7 days. Bulk drivers had a significantly higher prevalence of MS pain than P&D drivers for both periods. When P&D and Bulk drivers were pooled together, belonging to the Bulk subgroup emerged as the strongest factor for low back pain (OR = 8.45, p = 0.002), for shoulder pain (OR = 3.70, p = 0.027) and for MS pain in any body area (OR = 4.05, p = 0.006). In Bulk drivers "High effort-reward imbalance" was strongly associated with MS pain in any body area (OR = 6.47, p = 0.01), with shoulder pain (OR = 4.95, p = 0.016), and with low back pain (OR = 4.51, p = 0.02). In P&D drivers MS pain in any body area was strongly associated with "Working with hands above shoulders" (OR = 6.58, p = 0.009) and "Whole-body vibration" (OR = 5.48, p = 0.018), while shoulder pain was strongly associated with "Hand-arm vibration" (OR = 7.27, p = 0.041). CONCLUSIONS: Prevalence of MS pain was higher among industrial gas delivery truck drivers than in the general Quebec male worker population, and higher for Bulk drivers compared to P&D drivers. MS pain in Bulk drivers was mainly associated with psychosocial risk factors and lifestyle; MS pain in P&D drivers was mainly associated with physical risk factors.


Assuntos
Condução de Veículo , Dor Lombar/epidemiologia , Dor Musculoesquelética/epidemiologia , Doenças Profissionais/epidemiologia , Indústria de Petróleo e Gás , Dor de Ombro/epidemiologia , Adulto , Idoso , Canadá/epidemiologia , Estudos Transversais , Humanos , Estilo de Vida , Dor Lombar/psicologia , Masculino , Pessoa de Meia-Idade , Veículos Automotores , Dor Musculoesquelética/psicologia , Cervicalgia/epidemiologia , Cervicalgia/psicologia , Doenças Profissionais/psicologia , Prevalência , Recompensa , Fatores de Risco , Autorrelato , Dor de Ombro/psicologia , Vibração , Carga de Trabalho/psicologia
7.
Appl Ergon ; 54: 148-57, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26851474

RESUMO

Heart rate (HR) was monitored continuously in 41 forest workers performing brushcutting or tree planting work. 10-min seated rest periods were imposed during the workday to estimate the HR thermal component (ΔHRT) per Vogt et al. (1970, 1973). VO2 was measured using a portable gas analyzer during a morning submaximal step-test conducted at the work site, during a work bout over the course of the day (range: 9-74 min), and during an ensuing 10-min rest pause taken at the worksite. The VO2 estimated, from measured HR and from corrected HR (thermal component removed), were compared to VO2 measured during work and rest. Varied levels of HR thermal component (ΔHRTavg range: 0-38 bpm) originating from a wide range of ambient thermal conditions, thermal clothing insulation worn, and physical load exerted during work were observed. Using raw HR significantly overestimated measured work VO2 by 30% on average (range: 1%-64%). 74% of VO2 prediction error variance was explained by the HR thermal component. VO2 estimated from corrected HR, was not statistically different from measured VO2. Work VO2 can be estimated accurately in the presence of thermal stress using Vogt et al.'s method, which can be implemented easily by the practitioner with inexpensive instruments.


Assuntos
Agricultura Florestal/métodos , Frequência Cardíaca/fisiologia , Temperatura Alta , Consumo de Oxigênio , Trabalho/fisiologia , Adulto , Idoso , Metabolismo Energético/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Esforço Físico , Quebeque , Adulto Jovem
8.
Appl Ergon ; 54: 158-68, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26851475

RESUMO

In a new approach based on adaptive neuro-fuzzy inference systems (ANFIS), field heart rate (HR) measurements were used to classify work rate into four categories: very light, light, moderate, and heavy. Inter-participant variability (physiological and physical differences) was considered. Twenty-eight participants performed Meyer and Flenghi's step-test and a maximal treadmill test, during which heart rate and oxygen consumption (VO2) were measured. Results indicated that heart rate monitoring (HR, HRmax, and HRrest) and body weight are significant variables for classifying work rate. The ANFIS classifier showed superior sensitivity, specificity, and accuracy compared to current practice using established work rate categories based on percent heart rate reserve (%HRR). The ANFIS classifier showed an overall 29.6% difference in classification accuracy and a good balance between sensitivity (90.7%) and specificity (95.2%) on average. With its ease of implementation and variable measurement, the ANFIS classifier shows potential for widespread use by practitioners for work rate assessment.


Assuntos
Lógica Fuzzy , Frequência Cardíaca/fisiologia , Redes Neurais de Computação , Análise e Desempenho de Tarefas , Trabalho/fisiologia , Adulto , Peso Corporal , Metabolismo Energético/fisiologia , Voluntários Saudáveis , Humanos , Masculino , Pessoa de Meia-Idade , Atividade Motora/fisiologia , Variações Dependentes do Observador , Consumo de Oxigênio/fisiologia , Esforço Físico , Sensibilidade e Especificidade , Adulto Jovem
9.
Appl Ergon ; 51: 255-62, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26154224

RESUMO

The purpose of this study was to identify and summarize the current research evidence on approaches to preventing musculoskeletal disorders (MSD) within Occupational Health and Safety Management Systems (OHSMS). Databases in business, engineering, and health and safety were searched and 718 potentially relevant publications were identified and examined for their relevance. Twenty-one papers met the selection criteria and were subjected to thematic analysis. There was very little literature describing the integration of MSD risk assessment and prevention into management systems. This lack of information may isolate MSD prevention, leading to difficulties in preventing these disorders at an organizational level. The findings of this review argue for further research to integrate MSD prevention into management systems and to evaluate the effectiveness of the approach.


Assuntos
Sistemas de Informação Administrativa , Doenças Musculoesqueléticas/prevenção & controle , Doenças Profissionais/prevenção & controle , Gestão de Riscos/métodos , Humanos
10.
Ergonomics ; 58(12): 2040-56, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26046487

RESUMO

Individual heart rate (HR) to workload relationships were determined using 93 submaximal step-tests administered to 26 healthy participants attending physical activities in a university training centre (laboratory study) and 41 experienced forest workers (field study). Predicted maximum aerobic capacity (MAC) was compared to measured MAC from a maximal treadmill test (laboratory study) to test the effect of two age-predicted maximum HR Equations (220-age and 207-0.7 × age) and two clothing insulation levels (0.4 and 0.91 clo) during the step-test. Work metabolism (WM) estimated from forest work HR was compared against concurrent work V̇O2 measurements while taking into account the HR thermal component. Results show that MAC and WM can be accurately predicted from work HR measurements and simple regression models developed in this study (1% group mean prediction bias and up to 25% expected prediction bias for a single individual). Clothing insulation had no impact on predicted MAC nor age-predicted maximum HR equations. Practitioner summary: This study sheds light on four practical methodological issues faced by practitioners regarding the use of HR methodology to assess WM in actual work environments. More specifically, the effect of wearing work clothes and the use of two different maximum HR prediction equations on the ability of a submaximal step-test to assess MAC are examined, as well as the accuracy of using an individual's step-test HR to workload relationship to predict WM from HR data collected during actual work in the presence of thermal stress.


Assuntos
Metabolismo Energético , Agricultura Florestal , Frequência Cardíaca , Consumo de Oxigênio , Adulto , Teste de Esforço , Humanos , Masculino , Pessoa de Meia-Idade , Carga de Trabalho , Adulto Jovem
11.
Appl Ergon ; 50: 68-78, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25959320

RESUMO

This paper presents a new model based on adaptive neuro-fuzzy inference systems (ANFIS) to predict oxygen consumption (V˙O2) from easily measured variables. The ANFIS prediction model consists of three ANFIS modules for estimating the Flex-HR parameters. Each module was developed based on clustering a training set of data samples relevant to that module and then the ANFIS prediction model was tested against a validation data set. Fifty-eight participants performed the Meyer and Flenghi step-test, during which heart rate (HR) and V˙O2 were measured. Results indicated no significant difference between observed and estimated Flex-HR parameters and between measured and estimated V˙O2 in the overall HR range, and separately in different HR ranges. The ANFIS prediction model (MAE = 3 ml kg(-1) min(-1)) demonstrated better performance than Rennie et al.'s (MAE = 7 ml kg(-1) min(-1)) and Keytel et al.'s (MAE = 6 ml kg(-1) min(-1)) models, and comparable performance with the standard Flex-HR method (MAE = 2.3 ml kg(-1) min(-1)) throughout the HR range. The ANFIS model thus provides practitioners with a practical, cost- and time-efficient method for V˙O2 estimation without the need for individual calibration.


Assuntos
Metabolismo Energético/fisiologia , Frequência Cardíaca/fisiologia , Adulto , Lógica Fuzzy , Humanos , Masculino , Pessoa de Meia-Idade , Atividade Motora/fisiologia , Redes Neurais de Computação , Consumo de Oxigênio/fisiologia , Adulto Jovem
12.
Appl Ergon ; 49: 1-7, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25766416

RESUMO

This study compares the ergonomic risk-factor assessments of workers with and without musculoskeletal pain. A questionnaire on the musculoskeletal pain experienced in various body regions during the 12 months and seven days preceding the data collection was administered to 473 workers from three industrial sectors. The Ergonomic Workplace Analysis method, developed by the Finnish Institute of Occupational Health (FIOH), was then used by the workers and an ergonomics expert to assess the workstations. The ergonomic quality of the workstations and the need for change were also assessed by the expert and the workers at the workstation, using visual analog scales (VAS). Results show that the workers in this study were exposed to significant musculoskeletal disorder (MSD) risk factors, according to the FIOH assessment and the high percentages of reported pain. The results also show that those who reported pain in the seven days prior to the assessment evaluated their workstations more negatively than subjects who reported no pain, while the expert found no difference between the two groups' exposure to MSD risk factors.


Assuntos
Ergonomia/normas , Dor Musculoesquelética/etiologia , Doenças Profissionais/etiologia , Medição da Dor/psicologia , Local de Trabalho/psicologia , Adolescente , Adulto , Idoso , Terminais de Computador , Feminino , Agricultura Florestal , Humanos , Masculino , Indústria Manufatureira , Pessoa de Meia-Idade , Medição de Risco , Fatores de Risco , Adulto Jovem
13.
Scand J Work Environ Health ; 41(2): 111-23, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25380301

RESUMO

OBJECTIVES: Musculoskeletal disorders (MSD) are a major cause of pain, disability, and costs. Prevention of MSD at work is frequently described in terms of implementing an ergonomics program, often a participatory ergonomics (PE) program. Most other workplace injury prevention activities take place under the umbrella of a formal or informal occupational health and safety management system (OHSMS). This study assesses the similarities and differences between OHSMS and PE as such knowledge could help improve MSD prevention activities. Methods Using the internationally recognized Occupational Health and Safety Assessment Series (OHSAS 18001), 21 OHSMS elements were extracted. In order to define PE operationally, we identified the 20 most frequently cited papers on PE and extracted content relevant to each of the OHSAS 18001 elements. RESULTS: The PE literature provided a substantial amount of detail on five elements: (i) hazard identification, risk assessment and determining controls; (ii) resources, roles, responsibility, accountability, and authority; (iii) competence, training and awareness; (iv) participation and consultation; and (v) performance measurement and monitoring. However, of the 21 OHSAS elements, the PE literature was silent on 8 and provided few details on 8 others. CONCLUSIONS: The PE literature did not speak to many elements described in OHSMS and even when it did, the language used was often different. This may negatively affect the effectiveness and sustainability of PE initiatives within organizations. It is expected that paying attention to the approaches and language used in management system frameworks could make prevention of MSD activities more effective and sustainable.


Assuntos
Ergonomia/métodos , Capacitação em Serviço/métodos , Doenças Musculoesqueléticas/prevenção & controle , Doenças Profissionais/prevenção & controle , Serviços de Saúde do Trabalhador/métodos , Gestão da Segurança/métodos , Humanos , Local de Trabalho
14.
Appl Ergon ; 45(6): 1475-83, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24793823

RESUMO

In new approaches based on adaptive neuro-fuzzy systems (ANFIS) and analytical method, heart rate (HR) measurements were used to estimate oxygen consumption (VO2). Thirty-five participants performed Meyer and Flenghi's step-test (eight of which performed regeneration release work), during which heart rate and oxygen consumption were measured. Two individualized models and a General ANFIS model that does not require individual calibration were developed. Results indicated the superior precision achieved with individualized ANFIS modelling (RMSE = 1.0 and 2.8 ml/kg min in laboratory and field, respectively). The analytical model outperformed the traditional linear calibration and Flex-HR methods with field data. The General ANFIS model's estimates of VO2 were not significantly different from actual field VO2 measurements (RMSE = 3.5 ml/kg min). With its ease of use and low implementation cost, the General ANFIS model shows potential to replace any of the traditional individualized methods for VO2 estimation from HR data collected in the field.


Assuntos
Lógica Fuzzy , Frequência Cardíaca/fisiologia , Consumo de Oxigênio/fisiologia , Análise e Desempenho de Tarefas , Adulto , Metabolismo Energético , Teste de Esforço , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Estatísticos
15.
Work ; 42(4): 495-505, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22523042

RESUMO

OBJECTIVE: The Therapeutic Return to Work (TRW) is a comprehensive rehabilitation process that is centralised in the workplace and consists of a worker's progressive return to his or her regular work. A programme impact theory for the TRW and three mechanism hypotheses were developed [12]. The objective of this study was to validate the mechanism hypotheses. participants: Construction workers who received compensation for low back pain. METHODS: A multiple-case study was carried out. Data on the programme activities were collected on a repeated basis using validated measurement instruments and semi-structured interviews of the 20 participants and the clinicians responsible for them. Analyses were carried out using the pattern matching technique. RESULTS: The results supported two of the three hypotheses proposed in the impact theory, specifically, that the development of competent work behaviours is a key factor in promoting return to work and appears to be associated with a reduction in work environment constraints, an improvement in work capacities and the presence of concerted action. CONCLUSION: This study revealed that rehabilitation interventions carried out in the workplace and involving workers with low back pain are both complex and embedded in the social environment, and that the actions taken must be coordinated in collaboration with various stakeholders.


Assuntos
Doenças Musculoesqueléticas/reabilitação , Avaliação de Programas e Projetos de Saúde , Reabilitação Vocacional/psicologia , Adolescente , Adulto , Estudos de Casos e Controles , Estudos de Coortes , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/psicologia , Dor/psicologia , Teoria Psicológica , Quebeque , Licença Médica , Estresse Psicológico
16.
J Safety Res ; 42(5): 333-44, 2011 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22093567

RESUMO

UNLABELLED: This article follows an earlier one in which four criteria and four bases for the development of an indirect-cost calculation model adapted to the accuracy requirements and time constraints of workplace decision-makers were established. A two-level model for calculating indirect costs using process mapping of the organizational response to a workplace accident is presented. The model is based on data collected in interviews with those employees in charge of occupational health and safety in 10 companies of various sizes in different industry sectors. This model is the first to use process mapping to establish the indirect costs of workplace accidents. The approach allows easy identification of the duration and frequency of actions taken by stakeholders when a workplace accident occurs, facilitates the collection of the information needed to calculate indirect costs and yields a usable, precise result. A simple graphic representation of an organization's accident processes helps the user understand each accident's cost components, allowing the identification and reduction of inefficiencies in the overall process. IMPACT ON INDUSTRY: By facilitating data collection and shortening the time needed to assess indirect costs of workplace accidents, this indirect cost calculation tool is better suited for workplace use than those currently available.


Assuntos
Acidentes de Trabalho/estatística & dados numéricos , Eficiência , Custos de Cuidados de Saúde/estatística & dados numéricos , Modelos Econômicos , Saúde Ocupacional/estatística & dados numéricos , Acidentes de Trabalho/economia , Coleta de Dados , Tomada de Decisões , Gastos em Saúde , Humanos , Modelos Organizacionais , Quebeque , Medição de Risco , Local de Trabalho/estatística & dados numéricos
17.
J Safety Res ; 42(3): 149-64, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21855685

RESUMO

INTRODUCTION: Occupational Health and Safety (OHS) stakeholders rarely factor the cost of workplace accidents into prevention spending decisions. The lack of consideration of this key information is related to the fact that the scientific literature has failed to provide OHS stakeholders with a cost-calculation tool that is both sufficiently accurate and does not require a data-collection stage ill-suited to the time constraints of workplace decision-makers. METHOD: This study reviews the recent literature to identify key elements that should foster the use of indirect-cost calculation methods by decision makers. RESULTS: A "local" approach currently appears to be the best method for calculating indirect costs of workplace incidents or accidents in comparison to "bottom-up" or "top-down" approach. This paper discusses four criteria that this type of approach must satisfy to be compatible with the time constraints and accuracy demands of OHS stakeholders in organizations. In addition, four bases for the development of a new indirect cost estimation model are presented and discussed. IMPACT ON INDUSTRY: this study provides bases and criteria to help the development of indirect-cost calculation models better suited to workplace use than those currently available.


Assuntos
Saúde Ocupacional/economia , Local de Trabalho , Custos e Análise de Custo/métodos , Ergonomia , Humanos , Quebeque
18.
Int J Occup Saf Ergon ; 17(2): 139-46, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21679665

RESUMO

Several observational methods are available for ergonomists to evaluate the exposure to musculoskeletal disorder (MSD) risk factors associated with work. Those methods can be used to evaluate the impact of modifications done at a workstation on the exposure to risk factors. Three methods (QEC, OCRA and 4D Watbak) were used to assess the exposure to MSD risk factors before and after the implementation of changes at a saw and block opening workstation. The results from those 3 methods served to compare the methods and evaluate their consistency. Comparisons among the methods showed positive association between QEC and OCRA indices, and between the QEC back index and 4D Watbak.


Assuntos
Ergonomia/métodos , Doenças Musculoesqueléticas/prevenção & controle , Doenças Profissionais/prevenção & controle , Análise e Desempenho de Tarefas , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Saúde Ocupacional , Fatores de Risco
19.
Muscle Nerve ; 43(3): 348-59, 2011 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21321951

RESUMO

In this study we estimate the reliability of reflex response variables to identify the main sources of variability and to estimate appropriate measurement strategies to obtain more reliable measures. Back muscle surface electromyography (EMG) was recorded in healthy males during anteriorly-directed sudden loading perturbations applied to the trunk. Measures of EMG reflex latency and amplitude were obtained. The generalizability theory was used as a framework to estimate the magnitude of the different variance components and the reliability of the measures corresponding to various simulations of different measurement strategies. Reliability of the different variables was poor to moderate (intraclass correlation coefficient range 0-0.62). Averaging scores across homologous muscles and several trials were strategies to achieve more acceptable reliability. The reflex response of back muscles is inherently variable, and a large measurement effort is necessary to obtain reliable and, consequently, valid and responsive estimations of this neuromuscular function.


Assuntos
Dorso/fisiologia , Músculo Esquelético/fisiologia , Tempo de Reação/fisiologia , Reflexo/fisiologia , Suporte de Carga/fisiologia , Adulto , Eletromiografia/instrumentação , Eletromiografia/métodos , Humanos , Masculino , Reprodutibilidade dos Testes , Adulto Jovem
20.
J Occup Rehabil ; 19(1): 1-7, 2009 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-19116779

RESUMO

INTRODUCTION: The Work Disability Prevention (WDP) Canadian Institutes of Health Research (CIHR) Strategic Training Program was developed in 2001 and is a unique program in the world. The main objective of this program is to help future researchers develop transdisciplinary knowledge, skills and attitudes regarding WDP. The purpose of this paper is to present a descriptive portrait of the program's performance over the past 5 years, as well as the trainees' and alumni's perspectives on the WDP CIHR Training Program. METHODS: Data on the program's performance were collected from documents in the program records. The trainees' opinions on the WDP training program were obtained through focus groups and telephone interviews. The data collected were compiled and divided into themes to summarize the qualitative findings pertaining to each question. RESULTS: From 2003 to 2007, five successive summer sessions have been offered, involving 44 high-caliber applicants from nine countries, 34 mentors and collaborators, 29 guest speakers and 15 stakeholders. Overall, trainees appreciated the networking, the opportunity to interact with people from different disciplines and countries, the openness, and the international perspective and uniqueness of the program. The least appreciated aspects concerned mainly the e-learning course, evaluations and information on optional courses. The coordination and logistics were judged appropriate and several topics were suggested to improve the program quality. CONCLUSION: In general, the program implementation went well, with good participation from mentors, speakers and stakeholders; the program was appreciated by the trainees and alumni. This paper underscores the importance of the international perspective, the transdisciplinarity and the scientific networking established through the program.


Assuntos
Educação de Pós-Graduação , Medicina do Trabalho/educação , Reabilitação/educação , Pesquisadores/educação , Adulto , Canadá , Currículo , Educação de Pós-Graduação/organização & administração , Emprego , Feminino , Humanos , Masculino , Desenvolvimento de Programas
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