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Prevalence and risk factors of work-related musculoskeletal symptoms in midwives working in delivery rooms in Turkey. 土耳其产房助产士中与工作相关的肌肉骨骼症状的患病率和危险因素
IF 1.6 4区 医学 Q3 ERGONOMICS Pub Date : 2025-09-30 DOI: 10.1080/10803548.2025.2555655
Nurcan Çelik Odabaşi, Selda Ildan Çalim

This study was conducted to determine the prevalence and risk factors of work-related musculoskeletal disorders (MSDs) among midwives working in delivery rooms in Turkey. The study design was cross-sectional and descriptive. Data were collected using the introductory information form, visual analog scale and Nordic musculoskeletal questionnaires. The survey was completed between May and December 2022 by 386 midwives. All of the midwives had experienced at least one MSD symptom within the previous 12 months, with 24.9% taking sick leave due to MSDs. According to the participants, the most strenuous activities for the musculoskeletal system were assisting with births and suturing (53.4%), assisting with breastfeeding (50.3%) and positioning the pregnant woman during midwifery care (48.4%). Those midwives mentioning the latter activity experienced all MSDs (p ≥ 0.05). There was a significant positive association between working hours, job satisfaction, job stress and MSD.

本研究旨在确定土耳其产房助产士中与工作相关的肌肉骨骼疾病(MSDs)的患病率和危险因素。研究设计是横断面和描述性的。数据收集采用介绍信息表,视觉模拟量表和北欧肌肉骨骼问卷。该调查于2022年5月至12月期间由386名助产士完成。所有助产士在过去12个月内至少有一种MSD症状,其中24.9%曾因MSD请过病假。根据参与者的说法,肌肉骨骼系统最剧烈的活动是协助分娩和缝合(53.4%),协助母乳喂养(50.3%)和孕妇在助产护理期间的定位(48.4%)。提及后一种活动的助产士经历了所有的msd (p≥0.05)。工作时间、工作满意度、工作压力与MSD呈显著正相关。
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引用次数: 0
A review of ambient intelligence applications for enhancing workforce health and safety. 环境智能在提高劳动力健康和安全方面的应用综述。
IF 1.6 4区 医学 Q3 ERGONOMICS Pub Date : 2025-09-30 DOI: 10.1080/10803548.2025.2558266
Michalis Vrachimis, Cleo Varianou Mikellidou, Christos Dimopoulos

This literature review examined the role of ambient intelligence (AmI) in occupational safety and health (OSH), focusing on its effectiveness across different workplaces, target groups and OSH hazards. The review aims to: identify occupational domains using AmI; assess the groups benefiting from them; evaluate the hazards addressed; and analyse the perceived benefits and limitations of AmI in OSH. Findings reveal that AmI enhances OSH through real-time monitoring, personalized feedback and proactive hazard prevention, addressing risks such as poor air quality, temperature shifts, noise exposure, toxic gases and stress-related conditions, particularly in high-risk sectors like oil and mining and in office settings. Although AmI improves safety awareness, challenges persist - including wearable discomfort, low tech literacy, privacy concerns and implementation difficulties. The review underscores the need for research to adapt AmI for vulnerable workers, refine user-friendly designs and balance automation with user control to create safer, human-centric workplaces.

本文献综述研究了环境智能(AmI)在职业安全与健康(OSH)中的作用,重点关注其在不同工作场所、目标群体和职业安全与健康危害中的有效性。本综述旨在:利用AmI识别职业领域;评估从中受益的群体;评估所处理的危害;分析AmI在职业安全与健康中的益处和局限性。研究结果表明,AmI通过实时监测、个性化反馈和主动危害预防来增强职业安全与健康,解决空气质量差、温度变化、噪音暴露、有毒气体和压力相关条件等风险,特别是在石油和采矿等高风险行业以及办公室环境中。尽管AmI提高了人们的安全意识,但挑战依然存在,包括穿戴不适、低技术素养、隐私问题和实施困难。该审查强调需要进行研究,使人工智能适应弱势工人,改进用户友好的设计,平衡自动化与用户控制,以创造更安全、以人为本的工作场所。
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引用次数: 0
Upper extremity strain in caregivers during enteral tube feeding of semi-solid nutrients to children requiring constant medical care: a simulated experiment focusing on the impact of new injection devices compliant with Standard No. ISO 80369-3. 需要持续医疗护理的儿童在肠内管喂养半固体营养物质时护理人员上肢应变:一项模拟实验,重点关注符合标准No. 5的新型注射装置的影响。ISO 80369 - 3。
IF 1.6 4区 医学 Q3 ERGONOMICS Pub Date : 2025-09-29 DOI: 10.1080/10803548.2025.2550841
Hiroji Tsujimura, Akiko Nagae, Teruyo Kitahara, Satoko Henmi, Masao Kumode, Shin-Ichi Shirahoshi, Kazushi Taoda

Objectives. Healthcare facilities provide semi-solid nutrients to children requiring enteral tube feeding. The introduction of a new injection device (NEW) with a different syringe-to-tube connector geometry from a pre-existing device (PRE) results in increased workload, and an increase in nurses developing hand pain is a concern. A simulated experiment was conducted to determine the impact on upper extremity strain due to the difference between NEW and PRE. Methods. Twelve nurses performed two injection tasks for one portion of semi-solid nutrients into a dummy gastrostomy using the NEW and PRE. Surface electromyograms were measured on the upper extremity. Task time was divided into sucking and extruding manipulations. Task time and mean myoelectric potentials were calculated for each manipulation and statistically compared between the NEW and PRE. Forces required to manipulate the syringe for semi-solid nutrient injection were estimated using fluid dynamic models. Results. Task time was significantly longer with the NEW. Myoelectric potentials for sucking manipulation were significantly higher with the NEW. Sucking force with the NEW was approximately twice that of the PRE. Conclusion. Sucking with the NEW placed a high strain on the caregiver's hand/wrist. The NEW is less appropriate for enteral tube feeding of semi-solid nutrients.

目标。保健设施为需要肠内管喂养的儿童提供半固体营养。引入一种新的注射装置(new),其注射器到管接头的几何形状与先前的装置(PRE)不同,导致工作量增加,并且护士手部疼痛的增加是一个问题。通过模拟实验确定NEW和PRE的差异对上肢应变的影响。方法。12名护士使用NEW和PRE进行两次注射任务,将一份半固体营养物质注射到假胃造口中。测量上肢表面肌电图。任务时间分为吸吮操作和挤压操作。计算每次操作的任务时间和平均肌电电位,并在NEW和PRE之间进行统计比较。使用流体动力学模型估计操纵半固体营养注射注射器所需的力。结果。使用NEW的任务时间明显更长。NEW组的肌电电位明显高于吸吮组。NEW的吸力大约是PRE的两倍。结论。吮吸新生儿会给照顾者的手/手腕带来很大的压力。NEW不太适用于半固体营养物质的肠内管喂养。
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引用次数: 0
Psychological determinants of life satisfaction among deck cadets: the mediating role of positivity and doomscrolling. 甲板学员生活满意度的心理决定因素:积极与末日幻想的中介作用。
IF 1.6 4区 医学 Q3 ERGONOMICS Pub Date : 2025-09-29 DOI: 10.1080/10803548.2025.2557690
Umut Yildirim, Arda Toygar

Objectives. Following the first academic year, deck cadets experience increased psychosocial stressors during onboard training. As their adaptation affects readiness for high-stakes decisions and career sustainability, identifying protective resources and risk behaviors is crucial. This study examines the association between positivity and life satisfaction, testing whether doomscrolling - compulsive scrolling through negative news - mediates this association. Methods. A cross-sectional design was employed, utilizing validated scales among 380 deck cadets. Structural equation modeling was conducted to analyze the direct and indirect effects of positivity and doomscrolling on life satisfaction. Model selection relied on a nested χ2 difference test, and indirect effects were estimated using bias-corrected bootstrapping with 5000 samples and a 95% confidence interval. Results. Positivity was positively associated with life satisfaction and negatively associated with doomscrolling, while doomscrolling was negatively associated with life satisfaction. The bootstrapped indirect effect of positivity on life satisfaction via doomscrolling was significant, supporting a partial mediation model with a retained direct path. Conclusions. Doomscrolling acts as a behavioral pathway that associates positivity with life satisfaction during onboard training. Addressing a gap in maritime psychology, the study provides the basis for cadet-focused resilience training and digital media literacy practices designed to reduce maladaptive news consumption habits.

目标。在第一学年之后,甲板学员在船上训练期间会经历更多的心理社会压力。由于他们的适应会影响高风险决策和职业可持续性的准备,因此确定保护性资源和风险行为至关重要。这项研究考察了积极性和生活满意度之间的联系,测试了“末日滚动”——强迫性地浏览负面新闻——是否介导了这种联系。方法。采用横断面设计,利用380名甲板学员的有效尺度。采用结构方程模型分析了积极心态和消极心态对生活满意度的直接和间接影响。模型选择依赖于嵌套的χ2差异检验,使用偏差校正的bootstrapping(5000个样本,95%置信区间)估计间接效应。结果。积极与生活满意度呈正相关,与末日卷轴呈负相关,而末日卷轴与生活满意度呈负相关。正向性对生活满意度的自举间接效应显著,支持部分中介模型,并保留直接路径。结论。在船上训练期间,“末日滚动”是一种将积极与生活满意度联系起来的行为途径。该研究填补了海事心理学的空白,为以学员为中心的弹性训练和数字媒体素养实践提供了基础,旨在减少不适应的新闻消费习惯。
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引用次数: 0
Comparison of machine learning and deep learning models in manual strength prediction using anthropometric variables. 机器学习和深度学习模型在使用人体测量变量的人工强度预测中的比较。
IF 1.6 4区 医学 Q3 ERGONOMICS Pub Date : 2025-09-29 DOI: 10.1080/10803548.2025.2554461
Mayra Pacheco-Cardín, Juan Luis Hernández-Arellano, José-Manuel Mejía-Muñoz, Aide Aracely Maldonado-Macías

Objective. This study evaluated the predictive performance of machine learning and deep learning models in estimating manual strength in men and women using anthropometric variables. Methods. Anthropometric and strength data were collected from 382 participants from the economically active population of Campeche, Mexico. Predictive models implemented included linear regression, random forest, AdaBoost, extreme gradient boosting, TabNet, TabPFN and a custom convolutional neural network. Their performance was assessed using the mean absolute error, mean squared error and explained variance score. Additionally, SHAP (SHapley Additive exPlanations) analysis was conducted to interpret feature importance across models. Results. Deep learning models such as TabNet and TabPFN demonstrated superior prediction accuracy for torque strength, capturing complex non-linear interactions. Linear regression exhibited better generalization, particularly for grip strength prediction. SHAP analysis consistently identified palmar length and elbow-to-fingertip length as the most influential anthropometric predictors. Ensemble methods like random forest and AdaBoost performed well on training data but showed a tendency to overfit. Conclusions. Although advanced models enhanced performance in specific tasks, linear regression remained the most robust for generalization. Feature importance analysis confirmed the biomechanical relevance of the selected predictors. Future applications should balance model complexity with the need for interpretability, depending on ergonomic objectives.

目标。本研究使用人体测量变量评估了机器学习和深度学习模型在估计男性和女性体力方面的预测性能。方法。从墨西哥坎佩切市经济活跃人口中收集了382名参与者的人体测量学和力量数据。实现的预测模型包括线性回归、随机森林、AdaBoost、极端梯度增强、TabNet、TabPFN和自定义卷积神经网络。他们的表现是用平均绝对误差、均方误差和解释方差评分来评估的。此外,还进行了SHapley加性解释(SHapley Additive exPlanations)分析来解释模型之间的特征重要性。结果。TabNet和TabPFN等深度学习模型对扭矩强度的预测精度更高,能够捕捉复杂的非线性相互作用。线性回归表现出更好的泛化,特别是对握力预测。SHAP分析一致认为手掌长度和手肘到指尖的长度是最具影响力的人体测量预测因子。像随机森林和AdaBoost这样的集成方法在训练数据上表现良好,但表现出过拟合的倾向。结论。虽然先进的模型增强了特定任务的性能,但线性回归仍然是最稳健的泛化。特征重要性分析证实了所选预测因子的生物力学相关性。未来的应用应该平衡模型的复杂性和可解释性的需要,这取决于人体工程学的目标。
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引用次数: 0
Factors negatively affecting a migraine-friendly workplace in healthcare. 在医疗保健中对偏头痛友好的工作场所产生负面影响的因素。
IF 1.6 4区 医学 Q3 ERGONOMICS Pub Date : 2025-09-26 DOI: 10.1080/10803548.2025.2556615
Batu Aydinlar, Eylul Bozkurt, Arda Senel, Tuba Erdogan Soyukibar, Erkan Acar

Objectives. This study aimed to assess migraine prevalence among healthcare workers, identify work-related productivity loss and determine the need for a migraine-friendly workplace. Methods. An online survey was conducted among employees from 18 hospitals in a healthcare group, using a three-question ID-migraine test for diagnosis. Data collection was conducted between October and November 2023. The survey collected sociodemographic data, migraine characteristics, most bothersome symptoms, migraine disability assessment scale (MIDAS) scores, and work productivity and activity impairment (WPAI) data. The survey also inquired about workplace factors that worsen migraines. Results. The study included 666 participants, 366 (54.9%) diagnosed with migraine. Participants experienced a mean of 7.44 (SD 6.06) headache days per month, with 51.9% reporting severe headache intensity. Severe MIDAS scores were found in 47% (n = 172). WPAI scores were mean (SD) 4.71% (11.07) for absenteeism, 50.97% (25.53) for presenteeism, 52.24% (25.89) for overall work productivity loss and 55.07% (27.16) for non-work-related activity impairment. The most bothersome symptom was photophobia (43.2%). Common workplace migraine triggers included lighting conditions (79.5%), inadequate rest environments (70.4%) and prolonged screen exposure (69.6%). Conclusions. Improving lighting, creating comfortable rest areas, reducing screen time, shortening hours and lightening workloads could reduce productivity loss in workplaces.

目标。本研究旨在评估医疗工作者中偏头痛的患病率,确定与工作有关的生产力损失,并确定对偏头痛友好的工作场所的需求。方法。一项在线调查在一家医疗保健集团的18家医院的员工中进行,使用三题id -偏头痛测试进行诊断。数据收集于2023年10月至11月进行。该调查收集了社会人口统计数据、偏头痛特征、最令人烦恼的症状、偏头痛残疾评估量表(MIDAS)评分以及工作效率和活动障碍(WPAI)数据。调查还询问了加重偏头痛的工作场所因素。结果。该研究包括666名参与者,其中366名(54.9%)被诊断为偏头痛。参与者每月平均头痛7.44天(SD 6.06),其中51.9%报告严重头痛强度。重度MIDAS评分占47% (n = 172)。旷工的平均WPAI评分为4.71%(11.07),出勤的平均WPAI评分为50.97%(25.53),整体工作效率下降的平均WPAI评分为52.24%(25.89),与工作无关的活动障碍的平均WPAI评分为55.07%(27.16)。最恼人的症状是畏光(43.2%)。常见的工作场所偏头痛诱因包括光照条件(79.5%)、休息环境不足(70.4%)和长时间看屏幕(69.6%)。结论。改善照明,创造舒适的休息区域,减少屏幕时间,缩短工作时间和减轻工作量可以减少工作场所的生产力损失。
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引用次数: 0
Stress reduction: a comparative analysis of watering indoor plants and computer work. 减压:室内植物浇水与电脑工作的比较分析。
IF 1.6 4区 医学 Q3 ERGONOMICS Pub Date : 2025-09-24 DOI: 10.1080/10803548.2025.2550858
Huang Yan, Ahmad Hassan

This study investigates the effectiveness of watering indoor plants as a stress-reduction strategy compared to engaging in computer tasks among college students. Participants randomly assigned to one of two groups each performed their respective activities for 15 min. A comprehensive evaluation included measures of blood pressure, electroencephalography, the semantic differential method and the state-trait anxiety inventory to assess emotional and physiological responses. Results revealed a significant decrease in systolic blood pressure, while electroencephalography data showed neural patterns associated with a more relaxed cognitive state. Participants in the plant-watering group also exhibited higher meditation scores, reinforcing the stress-relieving potential of this intervention. Psychological data indicated that those in the plant-watering group reported greater relaxation, comfort and perceived connection to nature, as well as lower anxiety scores, compared to the computer task group. These findings highlight the benefits of nature-based activities in reducing stress and promoting well-being in academic and work environments.

本研究调查了在大学生中,给室内植物浇水作为一种减压策略的有效性,并将其与从事电脑任务进行了比较。参与者被随机分为两组,每组分别进行15分钟的活动。综合评估包括测量血压、脑电图、语义差异法和状态-特质焦虑量表来评估情绪和生理反应。结果显示收缩压显著降低,而脑电图数据显示神经模式与更放松的认知状态相关。植物浇水组的参与者也表现出更高的冥想得分,加强了这种干预的减压潜力。心理学数据表明,与电脑任务组相比,那些在植物浇水组的人表现出更大的放松、舒适和与自然的感知联系,以及更低的焦虑得分。这些发现强调了在学术和工作环境中,以自然为基础的活动在减轻压力和促进健康方面的好处。
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引用次数: 0
Fatigue monitoring tool usage in operational paramedics. 操作护理人员疲劳监测工具的使用。
IF 1.6 4区 医学 Q3 ERGONOMICS Pub Date : 2025-09-16 DOI: 10.1080/10803548.2025.2552540
Matthew Ferris, Alexander P Wolkow, Aislinn Lalor, Kelly-Ann Bowles

Objectives. Fatigue Monitoring Tools (FMTs) are one strategy employed to monitor and mitigate effects of fatigue in occupational settings. In ambulance services, these tools often involve simple, validated, rapid self-assessment instruments. This study reports on the frequency of FMT completion by paramedics, identifies their attitudes and perceptions towards these tools and examines how prevalent fatigue education is among paramedics. Methods. The study was a cross-sectional, online survey using validated instruments and open-ended questions which were analysed via descriptive statistics and content analysis. Paramedics were recruited through college membership, social media and study flyers. Results. Of the 223 participants, nearly all (85.0%) were found to infrequently use FMTs, with 76.8% reporting no FMT completion in the last 30 days. Non-completion was due to poor managerial response, poor fatigue safety culture, competing priorities at the start of a shift and perception the tool is not fit for purpose. Half of all participants had received fatigue education, but 79.4% felt they would benefit from further training. Conclusion. This study demonstrates low utilization rates of FMTs amongst paramedics due to varying, potentially preventable, organizational factors. Integration of fatigue education and streamlined fatigue management processes could promote fatigue safety culture within the paramedical setting.

目标。疲劳监测工具(fmt)是一种用于监测和减轻职业环境中疲劳影响的策略。在救护车服务中,这些工具通常包括简单、有效、快速的自我评估工具。本研究报告了护理人员完成FMT的频率,确定了他们对这些工具的态度和看法,并检查了护理人员中疲劳教育的普遍程度。方法。该研究是一项横断面在线调查,使用经过验证的工具和开放式问题,通过描述性统计和内容分析进行分析。护理人员是通过大学会员、社交媒体和学习传单招募的。结果。在223名参与者中,几乎所有(85.0%)被发现不经常使用FMT, 76.8%的人报告在过去30天内没有完成FMT。未完成的原因是管理反应不力、疲劳安全文化不佳、转换开始时的优先事项相互竞争以及认为工具不适合用途。一半的参与者接受了疲劳教育,但79.4%的人认为他们会从进一步的培训中受益。结论。本研究表明,由于各种可能预防的组织因素,护理人员中fmt的使用率较低。将疲劳教育和简化的疲劳管理流程相结合,可以在辅助医疗环境中促进疲劳安全文化。
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引用次数: 0
Silence please! How school noise affects the well-being of school teachers. 请安静!学校噪音如何影响学校教师的健康。
IF 1.6 4区 医学 Q3 ERGONOMICS Pub Date : 2025-09-08 DOI: 10.1080/10803548.2025.2544444
Victoria Heumann, Manuela Sirrenberg, Stefanie Heinze, Marco Steinhauser

As noise is one of the most significant stress factors in the teaching profession, its impact in real classroom situations was investigated in Study 1. Noise levels (N = 56) were measured, and teachers were surveyed afterward. In Study 2, assumed correlations between school-specific noise sources, noise perception and strain were quantified in a sample of 820 teachers via online survey. The results show significant correlations between measured sound levels during classroom teaching and teachers' perceived loudness and annoyance. Noise annoyance turned out to be an important predictor for teachers' perceived strain and varied depending on the school-specific noise, with an important role of verbal student behavior. The results highlight the need for tailored noise prevention measures in schools to reduce noise-related strain among teachers. Furthermore, they indicate that existing regulations for workplace noise may not be always applicable to schools as measured 'ear-safe' volumes also cause noise-related strain.

由于噪音是教师职业中最重要的压力因素之一,因此在研究1中研究了它在真实课堂情境中的影响。测量噪声水平(N = 56),然后对教师进行调查。在研究2中,通过在线调查对820名教师样本的学校特定噪声源、噪声感知和应变之间的假设相关性进行量化。结果显示,课堂教学中测量到的声级与教师感知到的响度和厌烦程度之间存在显著的相关关系。噪声干扰是教师感知压力的重要预测因子,并随学校噪声的不同而变化,其中言语行为对教师感知压力有重要影响。研究结果强调,学校需要采取针对性的噪音预防措施,以减少教师的噪音相关压力。此外,他们指出,现有的工作场所噪音规定可能并不总是适用于学校,因为测量的“耳朵安全”音量也会导致与噪音相关的压力。
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引用次数: 0
Hazards in the port system and their impact on safety performance: an empirical study of the hazard management system of the Tianjin Port Group. 港口系统危险源及其对安全绩效的影响——基于天津港集团危险源管理体系的实证研究
IF 1.6 4区 医学 Q3 ERGONOMICS Pub Date : 2025-09-08 DOI: 10.1080/10803548.2025.2539603
Wenchao Wang, Jian He, Jingjing Wang

This study investigates how sustained governance of hidden hazards influences safety performance in port systems, using data from 54 production and key non-production enterprises within the Tianjin Port Group. Employing correlation analysis, regression modeling and mediation-moderation analysis, the study finds that both systematic hazard governance and standardized safety management significantly improve safety outcomes. Basic management-level governance directly reduces the frequency of incidents, while site-level governance enhances safety performance indirectly by promoting standardization. Moreover, the overall risk level of hidden hazards moderates the effectiveness of these governance strategies. The study confirms the alignment between hazard inspection frameworks and safety management systems, and proposes a closed-loop model to support continuous improvement and long-term risk control in high-risk port environments.

本研究利用天津港集团54家生产企业和重点非生产企业的数据,探讨了隐患的持续治理如何影响港口系统的安全绩效。通过相关分析、回归模型和中介-调节分析,研究发现系统的危害治理和标准化的安全管理都显著提高了安全结果。基层治理直接降低了事故发生的频率,而现场治理通过促进标准化间接提高了安全绩效。此外,隐患的总体风险水平调节了这些治理策略的有效性。该研究确认了危险检查框架与安全管理系统之间的一致性,并提出了一个闭环模型,以支持高风险港口环境中的持续改进和长期风险控制。
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引用次数: 0
期刊
International Journal of Occupational Safety and Ergonomics
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