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A work systems approach to characterizing emergency department disposition decision-making under low and high demand 低需求和高需求情况下急诊科处置决策特征的工作系统方法。
IF 3.4 2区 工程技术 Q2 ENGINEERING, INDUSTRIAL Pub Date : 2026-01-20 DOI: 10.1016/j.apergo.2026.104737
Rachel A. Rutkowski , Michael S. Pulia , Megan E. Salwei , Emma Loveless , Lily Jaeger , Michael Rawson , Kathryn L. Wust , Peter L.T. Hoonakker , Barbara J. King , Manish N. Shah , Brian W. Patterson , Paula vW. Dáil , Maureen Smith , Pascale Carayon , Nicole E. Werner
Emergency department (ED) clinical decision-making, specifically for transfer or disposition decisions, has been challenging to characterize. The purpose of this descriptive study is to identify the work system elements that influence the ED disposition decision-making process and to identify those work system elements that vary under low and high demands. We conducted a work systems analysis of 20 contextual inquiry-based ED visit observations and 18 semi-structured interviews with ED clinicians. Results identified work system elements not previously characterized (i.e., physical environment) and revealed that a subset of elements within the ED work system vary with demand. To fully elucidate the meaning and effect of these differences, we must develop a systematic approach to eliciting the influence each work system element has on disposition decision-making process performance.
急诊科(ED)的临床决策,特别是转移或处置决定,一直具有挑战性的特征。本描述性研究的目的是识别影响ED处置决策过程的工作系统要素,并识别在低要求和高要求下变化的工作系统要素。我们对20个基于上下文询问的急诊科访问观察和18个与急诊科临床医生的半结构化访谈进行了工作系统分析。结果确定了以前未被描述的工作系统元素(即物理环境),并揭示了ED工作系统中元素的子集随着需求而变化。为了充分阐明这些差异的意义和影响,我们必须开发一种系统的方法来引出每个工作系统元素对处置决策过程绩效的影响。
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引用次数: 0
Exploring the integration of large language models in human-robot collaboration: Effects on performance, mental stress, and trust 探索人机协作中大型语言模型的集成:对绩效、精神压力和信任的影响。
IF 3.4 2区 工程技术 Q2 ENGINEERING, INDUSTRIAL Pub Date : 2026-01-20 DOI: 10.1016/j.apergo.2026.104736
Bingyi Su, Fangyuan Cheng, Lu Lu, Liwei Qing, SeHee Jung, Xu Xu
As large language models (LLMs) become increasingly integrated into robotic systems, understanding their influence on human-robot collaboration (HRC) is critical for designing effective and user-centered human-robot interactions. This study investigates the impact of LLM-enhanced robotic systems on users’ performance, mental stress, and trust during collaborative tasks. Participants engaged in two representative HRC scenarios, including object delivery and instruction following, under two experimental conditions: with and without LLM support. Performance was measured through task completion time and number of verbal commands; mental stress was assessed using both subjective (NASA-TLX) and objective (galvanic skin response, GSR) measures; and trust was evaluated through the SHAPE Trust Index and eye-tracking metrics (blink rate and duration). Results showed that LLM integration significantly improved task efficiency and reduced subjective mental stress, particularly mental demand, effort, and frustration. Participants also reported higher levels of trust in the LLM condition across dimensions such as usefulness, reliability, accuracy, and ease of use. Interestingly, GSR data indicated elevated physiological arousal, possibly suggesting increased engagement or positive emotional activation, while eye-tracking measures showed no significant differences. These findings highlight the potential of LLMs to enhance HRC by enabling more natural communication, reducing mental workload, and increasing user trust, while also pointing to the need for improved system transparency to support deeper understanding and sustained trust.
随着大型语言模型(llm)越来越多地集成到机器人系统中,了解它们对人机协作(HRC)的影响对于设计有效的、以用户为中心的人机交互至关重要。本研究探讨了llm增强机器人系统对协作任务中用户表现、精神压力和信任的影响。在有和没有LLM支持的两种实验条件下,参与者参与了两个具有代表性的HRC场景,包括对象交付和指令遵循。表现通过任务完成时间和口头命令的数量来衡量;采用主观(NASA-TLX)和客观(皮肤电反应,GSR)测量方法评估精神压力;通过SHAPE信任指数和眼动追踪指标(眨眼频率和持续时间)来评估信任度。结果表明,LLM整合显著提高了任务效率,降低了主观心理压力,特别是心理需求、努力和挫折感。参与者还报告说,在有用性、可靠性、准确性和易用性等维度上,他们对LLM条件的信任度更高。有趣的是,GSR数据显示了生理唤醒的提高,可能表明增加了参与或积极的情绪激活,而眼动追踪测量显示没有显著差异。这些发现强调了法学硕士通过实现更自然的沟通、减少心理工作量和增加用户信任来提高HRC的潜力,同时也指出了提高系统透明度以支持更深层次的理解和持续信任的必要性。
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引用次数: 0
Safety boots’ impact on comfort, mobility, performance, musculoskeletal disorders, slips, and falls in Canadian construction 安全靴对加拿大建筑的舒适性、机动性、性能、肌肉骨骼疾病、滑倒和跌倒的影响。
IF 3.4 2区 工程技术 Q2 ENGINEERING, INDUSTRIAL Pub Date : 2026-01-20 DOI: 10.1016/j.apergo.2026.104731
Ali Shirzadeh , Aida Haghighi , Morteza Bashash , Mohammad Abdoli-Eramaki
Construction is a hazardous industry, with slips, falls, and musculoskeletal disorders (MSDs) among the most common occupational hazards. Safety boots are vital for reducing these risks and enhancing workers' comfort, mobility, and overall performance. Therefore, this study examines associations between winter safety boot features and construction workers' comfort, performance and mobility, slips, falls, and MSDs due to slips and falls. Cross-sectional survey data from 110 Canadian construction workers were analyzed using descriptive, bivariate, and multivariable logistic regression analyses. Boots’ arch support, shaft flexibility, and inside warmth were the most consistently associated features across outcomes. Poor arch support was associated with lower comfort (OR = 0.09) and performance and mobility (OR = 0.089), and higher odds of falls (OR = 4.843) and MSDs due to slips and falls (OR = 3.255). Limited ankle inversion was linked to higher risks of slips, falls, and MSDs; the corresponding ORs for workers with “no limitation” were 0.126, 0.286, and 0.161, respectively, while boots with cold interiors were associated with higher odds of slips (OR = 5.657) and lower comfort (OR = 0.213). These findings suggest the potential importance of prioritizing adequate arch support, balanced shaft flexibility, and inside warmth in safety boot design, which may help enhance comfort and performance and mobility while reducing slips, falls, and MSD-related risks.
建筑是一个危险的行业,滑倒、跌倒和肌肉骨骼疾病(MSDs)是最常见的职业危害。安全靴对于降低这些风险、提高工人的舒适度、机动性和整体表现至关重要。因此,本研究考察了冬季安全靴特征与建筑工人的舒适度、性能和机动性、滑倒、跌倒和滑倒导致的MSDs之间的关系。对110名加拿大建筑工人的横断面调查数据进行了描述性、双变量和多变量logistic回归分析。靴子的足弓支撑、轴的灵活性和内部温暖度是所有结果中最一致的相关特征。较差的足弓支撑与较低的舒适度(OR = 0.09)、性能和机动性(OR = 0.089)、较高的跌倒几率(OR = 4.843)和因滑倒和跌倒而导致的MSDs (OR = 3.255)相关。踝关节内翻受限与较高的滑倒、跌倒和msd风险相关;“无限制”的工人对应的ORs分别为0.126,0.286和0.161,而冷内层的靴子则与较高的滑倒几率(OR = 5.657)和较低的舒适度(OR = 0.213)相关。这些研究结果表明,在安全靴设计中优先考虑足弓支撑、平衡轴灵活性和内部保暖的潜在重要性,这可能有助于提高舒适性、性能和机动性,同时减少滑倒、跌倒和与msd相关的风险。
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引用次数: 0
Neuro-cognitive benefits of high agent transparency on operators’ cognitive and affective emergent states in human-agent teaming 高智能体透明度对人-智能体团队中操作者认知和情感紧急状态的神经认知益处。
IF 3.4 2区 工程技术 Q2 ENGINEERING, INDUSTRIAL Pub Date : 2026-01-20 DOI: 10.1016/j.apergo.2026.104738
Yang Cai, Pei-Luen Patrick Rau
Although transparency enhances Human-Agent Teaming (HAT), its underlying neural mechanisms remain unclear. This within-subject study investigates how agent transparency shapes operators' cognitive and affective emergent states—situation awareness (SA), trust, workload, perceived task complexity, and perceived task control—and associated neural activity during unmanned system monitoring. Thirty participants completed unmanned vehicle monitoring tasks under varying transparency levels while functional near-infrared spectroscopy (fNIRS) recorded hemodynamic responses. The results showed that high transparency improves SA, fosters trust, reduces workload and perceived task complexity, and strengthens perceived task control. The fNIRS data further indicated that high transparency reduced cognitive load in Broca's area and the frontal eye field, while increasing it in the frontal pole area and premotor and primary motor cortices. These findings advance theoretical understanding of transparency's role in HAT and offer practical guidance for designing transparent systems that support operators' cognition and align subjective and objective SA. The insights gained contribute to the design of transparent systems that improve operator support and collaboration in high-risk operational domains such as forestry and disaster response.
虽然透明度增强了人- agent团队(HAT),但其潜在的神经机制尚不清楚。本课题研究探讨了在无人系统监控过程中,智能体透明度如何塑造操作员的认知和情感紧急状态——情境感知(SA)、信任、工作量、感知任务复杂性和感知任务控制——以及相关的神经活动。30名参与者在不同透明度下完成无人驾驶车辆监测任务,同时用功能性近红外光谱(fNIRS)记录血流动力学反应。结果表明,高透明度可以提高情景感知能力,促进信任,减少工作量和感知任务复杂性,并加强感知任务控制。fNIRS数据进一步表明,高透明度降低了Broca区和额叶视野的认知负荷,而增加了额极区、前运动皮质和初级运动皮质的认知负荷。这些发现促进了对透明度在HAT中的作用的理论理解,并为设计支持操作员认知和协调主观和客观SA的透明系统提供了实践指导。所获得的见解有助于设计透明系统,从而提高作业人员在高风险作业领域(如林业和灾害响应)的支持和协作。
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引用次数: 0
Soldier load carriage: Does the type of pack matter? 士兵载车:背包的类型重要吗?
IF 3.4 2区 工程技术 Q2 ENGINEERING, INDUSTRIAL Pub Date : 2026-01-17 DOI: 10.1016/j.apergo.2026.104733
Robin Orr , Jacques Rousseau , Elisa F.D. Canetti , Ben Schram
How a soldier's load is carried can elicit different physical and physiological costs on the carrier. As such, this study aimed to profile and compare the impacts of three different load carriage backpack systems on physical and physiological outcomes during and following a load carriage march. Twelve soldiers were randomly allocated to one of three pack variants (Variant A, B, or C) using a Latin Square design and completed three 5 km load carriage marches (30 kg at 5.5 km/h) over three separate sessions wearing the different Variants for each march. Outcome measures during the march were heart rate and oxygen consumption and pre and post march were a counter movement jump, grip strength, and postural sway. There were no significant differences (p > 0.01) in any of the objective outcome measures across pack Variants. These results suggest that load weight will impact on the physical and physiological costs associated with load carriage to a greater extent than military backpack design.
士兵负重的搬运方式会引起不同的生理和生理成本。因此,本研究旨在描述和比较三种不同的负重背包系统在负重行军期间和之后对身体和生理结果的影响。12名士兵随机分配到三种背包变体(变体A, B或C)中的一种,使用拉丁方阵设计,并在每次行军中穿着不同的变体完成三次5公里的负重行军(30公斤,5.5公里/小时)。游行期间的结果测量是心率和耗氧量,游行前后是反动作跳跃、握力和姿势摇摆。在不同的组变体中,任何客观结果测量均无显著差异(p < 0.01)。这些结果表明,与军用背包设计相比,负载重量将在更大程度上影响与负载携带相关的物理和生理成本。
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引用次数: 0
Human motor responses to different assistance onset timings during powered elbow flexion 在动力肘屈曲过程中,人体对不同辅助时间的运动反应
IF 3.4 2区 工程技术 Q2 ENGINEERING, INDUSTRIAL Pub Date : 2026-01-14 DOI: 10.1016/j.apergo.2025.104721
Daichi Kusumoto , Wen Liang Yeoh , Jeewon Choi , Ping Yeap Loh , Satoshi Muraki
Exoskeletons often initiate assistance at unexpected moments, disrupting natural movement and reducing user acceptance. The timing of mechanical assistance is critical for enabling users to perform fast and accurate movements without conscious effort. This study examined how assistance onset timing affects movement accuracy, muscle activation, and subjective evaluation during simple tasks. Twenty healthy young participants performed visually guided elbow flexions (30°–120°) within 1.15 s, lifting a dumbbell equal to 25% of their maximum voluntary contraction with 40% mechanical assistance under seven onset conditions (±300 ms, ±200 ms, ±100 ms, and 0 ms relative to the start cue). The findings indicate that both early and delayed assistance provide unique advantages but are subject to a fundamental trade-off: early assistance improves movement accuracy, whereas delayed assistance better preserves the sense of agency. The most effective cooperation occurred within a ±100 ms window, balancing accuracy and agency—factors essential for improving device acceptance.
外骨骼经常在意想不到的时刻启动辅助,扰乱自然运动并降低用户接受度。机械辅助的时机对于使用户能够在没有有意识的努力的情况下进行快速准确的运动至关重要。本研究考察了辅助开始时间如何影响简单任务中的运动准确性、肌肉激活和主观评价。20名健康的年轻参与者在1.15秒内进行视觉引导的肘关节屈曲(30°-120°),在7种起病条件下(相对于开始提示±300 ms,±200 ms,±100 ms和0 ms),在40%的机械辅助下举起一个等于其最大自愿收缩量25%的哑铃。研究结果表明,早期援助和延迟援助都具有独特的优势,但也存在一个基本的权衡:早期援助提高了运动的准确性,而延迟援助更好地保留了代理感。最有效的合作发生在±100 ms的窗口内,平衡了准确性和机构-提高设备接受度的关键因素。
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引用次数: 0
The effect of United States firefighters’ personal protective equipment on mobility and functional task performance: A scoping review 美国消防员个人防护装备对机动性和功能性任务绩效的影响:范围审查。
IF 3.4 2区 工程技术 Q2 ENGINEERING, INDUSTRIAL Pub Date : 2026-01-12 DOI: 10.1016/j.apergo.2026.104730
Kuanting Chen , Kyle Holland , Margaret J. Foster , Jennifer M. Yentes
This scoping review aims to synthesize existing evidence investigating the impact of firefighters' personal protective equipment (PPE) on mobility and performance in the United States. Following the Preferred Reporting Items for Scoping Reviews, five databases were searched, and fifteen articles meeting the criteria were reviewed. Findings revealed that PPE impaired firefighters’ dynamic balance (4 of 4 studies), static range of motion (all 4 studies showed various degrees of limitations), gait (3 of 3 studies), and subjective perceptions of comfort and movement ease (5 of 5 studies). In contrast, all studies investigating static balance and firefighting task completion time showed these performances were unaffected, although evidence in these areas remains limited. Factors influencing mobility and performance in PPE included gear fit, design features, wear conditions, and firefighter fitness levels. This review highlighted the importance of high physical fitness among firefighters and the need for end-user wear trials in gear design and evaluation.
这一范围审查的目的是综合现有的证据调查消防员的个人防护装备(PPE)对流动性和性能的影响在美国。根据范围审查的首选报告项目,搜索了5个数据库,并审查了15篇符合标准的文章。研究结果显示,PPE损害了消防员的动态平衡(4项研究中的4项)、静态活动范围(所有4项研究都显示出不同程度的限制)、步态(3项研究中的3项)以及对舒适度和运动轻松度的主观感知(5项研究中的5项)。相比之下,所有关于静态平衡和消防任务完成时间的研究都表明,这些性能不受影响,尽管这些领域的证据仍然有限。影响PPE机动性和性能的因素包括装备适合度、设计特点、磨损条件和消防员的健康水平。这篇综述强调了消防员高身体素质的重要性,以及在齿轮设计和评估中进行最终用户磨损试验的必要性。
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引用次数: 0
Effects of back-support passive exoskeletons on biomechanical loads and postural stability during simulated manual timber felling 背支撑被动外骨骼对模拟人工采伐过程中生物力学载荷和姿势稳定性的影响。
IF 3.4 2区 工程技术 Q2 ENGINEERING, INDUSTRIAL Pub Date : 2026-01-12 DOI: 10.1016/j.apergo.2026.104734
Seobin Choi , Kiana Kia , Allen Chan , Mina Salehi , Woodam Chung , Jeong Ho Kim
This study evaluated the effects of passive back-support exoskeletons (BSEs) on biomechanical load and postural stability during simulated manual timber felling at three cutting heights. Twenty healthy adult male participants performed timber felling tasks under four BSE conditions (two rigid, one soft, and no BSE). During the tasks, electromyographic (EMG) activity, trunk angle, postural sway, and perceived exertion were measured. Results showed that rigid BSEs reduced trunk flexion and low back EMG activity at the middle cutting height, where trunk flexion was greatest. No significant changes were observed at low or high cutting heights, likely due to insufficient exoskeleton engagement. BSE use shifted postural control strategies rather than providing a uniform stabilizing effect. Additionally, BSEs lowered perceived exertion for the whole body and low back. These findings suggest that BSEs may help reduce low back loading at the middle cutting height during manual timber felling, but further field testing is warranted.
本研究评估了被动背支撑外骨骼(BSEs)对模拟人工采伐过程中生物力学负荷和姿势稳定性的影响。20名健康成年男性参与者在四种疯牛病条件下(两种硬性,一种软性和无疯牛病)执行伐木任务。在任务期间,测量肌电图(EMG)活动,躯干角度,姿势摆动和感知劳累。结果表明,刚性BSEs降低了躯干屈曲和腰背肌电活动,在中间切割高度,躯干屈曲最大。在低或高的切割高度没有观察到明显的变化,可能是由于外骨骼接触不足。疯牛病使用移位的姿势控制策略,而不是提供统一的稳定效果。此外,BSEs降低了整个身体和下背部的感觉劳累。这些研究结果表明,BSEs可能有助于减少人工砍伐木材时中间切割高度的低背负荷,但需要进一步的现场测试。
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引用次数: 0
On-road evaluation of sickness-less motion planning in automated vehicles: ‘Head motion first’ helps! 自动驾驶汽车无病运动规划的道路评估:“头部运动优先”有帮助!
IF 3.4 2区 工程技术 Q2 ENGINEERING, INDUSTRIAL Pub Date : 2026-01-09 DOI: 10.1016/j.apergo.2026.104732
Jiachen Wang, Qianhan Bao, Daofei Li
With the rapid advancement of automated driving, motion sickness (MS) has gathered significant attention from both academia and industry. Advanced sensing, decision-making, and control systems in autonomous vehicles offer promising opportunities to mitigate MS in next-generation transportation. Traditionally, objective metrics such as Motion Sickness Dose Value (MSDV) and Motion Sickness Incidence (MSI) are derived directly from vehicle motion states to quantify MS severity. However, these metrics often overlook the filtering or amplification effects of human body dynamics on the motion stimuli experienced in occupant heads. To address this, we designed two motion planning algorithms to generate vehicle trajectories: one optimized solely based on vehicle motion (control group) and another incorporating occupant head motion dynamics (experimental group). Real-road experiments with 23 participants, using a within-subject design, were conducted on an automated vehicle. Results demonstrated that trajectories with ‘head-motion-first’ concept can significantly reduce MSDV, with subjective assessments via the Misery Scale (MISC) showing notable reductions in MS severity. This study represents one of the few occupant-in-the-loop on-road validations of MS mitigation through automated driving, confirming the effectiveness of incorporating head motion dynamics into MS-oriented trajectory planning.
随着自动驾驶技术的快速发展,晕动病(MS)引起了学术界和工业界的广泛关注。自动驾驶汽车的先进传感、决策和控制系统为缓解下一代交通中的多发性硬化提供了很好的机会。传统上,运动病剂量值(MSDV)和运动病发生率(MSI)等客观指标是直接从车辆的运动状态中得出的,以量化MS的严重程度。然而,这些指标往往忽略了人体动力学对乘员头部运动刺激的过滤或放大效应。为了解决这个问题,我们设计了两种运动规划算法来生成车辆轨迹:一种算法仅基于车辆运动进行优化(对照组),另一种算法结合了乘员头部运动动力学(实验组)。23名参与者在一辆自动驾驶汽车上进行了真实道路实验,采用了受试者内部设计。结果表明,具有“头部运动优先”概念的运动轨迹可以显着降低MSDV,通过痛苦量表(MISC)进行的主观评估显示MS严重程度显着降低。该研究代表了为数不多的通过自动驾驶缓解MS的乘员在环路上的道路验证之一,证实了将头部运动动力学纳入MS导向轨迹规划的有效性。
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引用次数: 0
Evaluating the effect of immersive virtual reality technologies on cognitive load, situation awareness, and engagement using eye movements 利用眼动评估沉浸式虚拟现实技术对认知负荷、情境感知和参与的影响
IF 3.4 2区 工程技术 Q2 ENGINEERING, INDUSTRIAL Pub Date : 2026-01-09 DOI: 10.1016/j.apergo.2025.104720
Fabiha Islam , Zipporah Bright , Mei-Hsiu Chen , Liang Zhan , Chao Shi
Virtual reality (VR) is a promising tool to promote mental health support for depressed and healthy populations. However, in current VR-based therapy, most users visualize on computer or smartphone screens, which lack depth cues (2D screen). The 2D screen may add cognitive load, reducing VR usability, especially in users suffering from mental health issues such as depression. These 2D screens might further reduce the therapy outcomes if they affect users' situation awareness (SA) and engagement. Many mental health professionals are not fully aware of the benefits or potential applications of immersive VR therapy. This study aims to evaluate the potential benefits of more immersive technologies, such as VR, using head-mounted displays (HMDs). As a first step towards potential clinical implementation, we ran an experiment with 21 healthy participants who performed a 3D reaching and cutting fruit task using: (1) a VR HMD, and (2) a 2D screen. Pupil diameter, fixation, saccade duration, and saccade amplitude data were collected. Pupil diameter results showed that the VR environment can mitigate the impact of high task difficulty on participants’ cognitive workload (CWL). Fixation and saccade results indicated that participants could tentatively maintain consistent levels of SA and engagement within the VR environment, regardless of task difficulty. These findings suggest that VR holds promise as a therapeutic platform for alleviating CWL and maintaining engagement compared to 2D screens.
虚拟现实(VR)是一种很有前途的工具,可以促进对抑郁症和健康人群的心理健康支持。然而,在目前基于vr的治疗中,大多数用户在缺乏深度线索(2D屏幕)的计算机或智能手机屏幕上进行可视化。2D屏幕可能会增加认知负荷,降低VR的可用性,特别是对于患有抑郁症等心理健康问题的用户。如果这些2D屏幕影响用户的情境意识(SA)和参与,可能会进一步降低治疗结果。许多心理健康专业人士并没有完全意识到沉浸式虚拟现实治疗的好处或潜在应用。这项研究旨在评估使用头戴式显示器(hmd)等更具沉浸感的技术的潜在好处。作为潜在临床应用的第一步,我们对21名健康参与者进行了一项实验,他们使用:(1)VR头显和(2)2D屏幕执行3D伸手和切水果任务。收集瞳孔直径、注视、扫视持续时间和扫视幅度数据。瞳孔直径测试结果表明,虚拟现实环境可以减轻高任务难度对被试认知负荷的影响。注视和扫视结果表明,无论任务难度如何,参与者在虚拟现实环境中都能暂时保持一致的情景感知和参与水平。这些发现表明,与2D屏幕相比,VR有望成为缓解CWL和保持参与的治疗平台。
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引用次数: 0
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Applied Ergonomics
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