• Safety and Health at Work
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• v.12 no.3
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• pp.304-310
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• 2021

Background: Healthcare settings have been recognized among the most hazardous places to work. Based on the five categories of occupational hazards that were identified by the ILO and WHO, this study aimed to analyze policy framework relevant to occupational health protection of health workers (HWs) in public health service in China, then discussed how to share the experience of the National Health Service (NHS) England for improvement. Methods: Based on policy learning theories, policy analysis and qualitative interview were used in this study. Results: In the Chinese public health service, at least five laws related to the regulation of occupational health protection for HWs; however, enforcement of relevant laws was separated and multi-centered; the national monitoring system, which targeted to occupational hazards and health outcome for HWs in China, had yet to be developed; the top three priorities were workplace violence, bloodborne pathogens, and musculoskeletal disorders; national strategies included Security Hospital, and Healthy China 2030. In NHS England, three laws were fundamental; several monitoring systems had been set up, including NHS Staff Survey, Commissioning for Quality and Innovation incentive scheme; mental health, musculoskeletal problem, and nutrition disorder and overweight were raised great concern; Health and Safety, and NHS Healthy Workforce Program were critical nationwide strategies. Conclusion: There were several similarities as well as differences between the Chinese public health system and NHS England, which laid foundation of learning by China. Recommendations of improving occupational health policies in China were provided, based on the lessons learned from the NHS England.

• Journal of the Korean Society of Safety
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• v.23 no.5
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• pp.119-124
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• 2008

Many automobile assembly workers often do several cycles of tasks continuously, i.e., without breaks, to get a longer break. This is not recommended since the dose of fatigue increases exponetially with time and it takes much longer time to recover. In this study, a laboratory experiment was conducted to investigate the effect of work/rest schedules on workload of a repetitive upper-limb task. Eleven male subjects participated in the experiment, in which simulated screw driving tasks were carried out repetitively with 3 different work/rest schedules: standard breaks(1 cycle of work at a time, 60 20-s breaks), medium breaks(5 cycles of work at a time, 12 100-s breaks), and long breaks(10 cycles of work at a time, 6 200-s breaks). The result showed that medium- and long-breaks schedules significantly increased the level of perceived discomfort and %HRR as compared to the standard-break schedule. The subjects' preference was not statistically different among work/rest schedules, which might be caused from the absolutely low level of workload of the experimental tasks. From the results, it is recommended to have frequent and shorter breaks rather than infrequent and longer breaks to decrease the level of physical workload. A more expanded studies, however, should be carried out to provide more practical safety guidelines on the work practice of continuous working without breaks among automobile assembly workers.

• The Korean Journal of Emergency Medical Services
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• v.18 no.3
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• pp.7-18
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• 2014

Purpose: We aimed to investigate trunk angle and muscle activation of the extremity and back to evaluate the effect of chest compression on work-related musculoskeletal disorders in 119 emergency medical technicians (EMTs). Methods: Eighteen 119 EMTs performed 2-minute chest compression without interruption on a cardiopulmonary resuscitation manikin, during which we measured changes in the trunk and shoulder joint angles, muscle activation (triceps brachii, biceps brachii, erector spinae, gluteus maximus, pectoralis major, rectus abdominis, and rectus femoris) and chest compression accuracy. Results: The decrease in trunk angle by trunk muscle activation was the highest in event 2, the major direction of chest compression. Both shoulder joint angles had no significant difference. Muscle activation of the triceps brachii (p < .01), biceps brachii (p < .05), rectus abdominis (p < .05) and rectus femoris (p < .01) significantly increased during the compression phase compared with the decompression phase, with the rectus femoris showing an increase of 19%. Muscle activation of the erector spinae significantly increased in the decompression phase compared with the compression phase (p < .01). Conclusion: 119 EMTs mainly use the triceps brachii, biceps brachii and pectoralis major muscles during chest compression.

• Journal of the Ergonomics Society of Korea
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• v.26 no.1
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• pp.29-37
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• 2007

This study was performed to evaluate the characteristics of transmitted vibration to hand-arm system under different work posture while operating a light-weighted powered hand grinder. For the experiment, 8 different types of wrist posture (natural, unlar-flexion, radual-flexion, flexion, extension, complex posture, and etc.) and 3 types of feed force (20[N], 50[N], 70[N]) were considered. 10 male subjects were employed to polish metal plate with a hand grinder. All of them were normal and healthy with no history and symptom of the work related musculoskeletal disorders in the dominant hand. Vibration acceleration data were recorded with sampling rate, 2048[Hz]. In addition, unweighted overall R.M.S. acceleration at the tool and wrist, and transmissibility between them were used to evaluate factors from the recorded tri-axial vibration acceleration. The results indicate that transmissibility of natural wrist posture was significantly higher than others. In addition, as the feed force becomes larger, the vibration was transmitted in large quantities to hand-arm system through radius.

• Journal of the Ergonomics Society of Korea
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• v.30 no.4
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• pp.503-507
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• 2011

Objective: This paper presents the factors influencing the effectiveness of materials handling equipments in agriculture. Background: Agriculture is one of the job categories where work-related musculoskeletal disorders(MSDs) are the most common. Statistics shows that majority of farm workers is exposed to repetitive and forceful body movements, lifting, lowering, pushing, pulling, or carrying heavy materials. In such a working environment, materials handling equipments are required and introduced to assist in the prevention of MSDs and other farm injuries. Method: Examples of materials handling equipments are rail carts, portable lifts, and bale handlers. Contributing factors influencing the effectiveness of materials handling equipments supplied in agriculture were identified based on the lessons learned from previous government-funded ergonomic projects. Results: Contributing factors identified include: (1) forward-looking attitude for the standardization of farming, its environments, and handling equipments, (2) participation of farm members in the process and evaluation of project, (3) leadership of project manager, (4) reinforcement of safety education and training, and (5) project selection and priority of handling equipment. Conclusion: Government-funded research planners, farmers, ergonomists, and farm machine experts are recommended to consider the factors identified when implementing materials handling equipments in agriculture. Application: Actual or potential application of this research includes recommendation for the effective implementation of material materials handling equipments in agricultural sectors.

• Journal of the Ergonomics Society of Korea
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• v.35 no.5
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• pp.307-317
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• 2016

Objective: This study looks into biomechanical variables occurring when one moves in a sitting posture, and presents objective references to make improvements in work environments of farm workers. Background: The farmers have more common musculoskeletal disorders compared to other professions, because they are much more exposed to biomechanical risk factors. The sitting posture that is the representative form of the squatted, can cause typical knee joint diseases, such as osteoarthritis or patellofemoral pain syndrome of the knee joint. Therefore, a quantitative study of knee load upon the movement in a squatting posture is required. Method: In order to proceed with its investigation, the study examined movements in a sitting posture with and without a lower body supporter through a threedimensional image analysis and by using Surface EMG. The study compared and analyzed the average muscle activity and the maximum muscle activity as well. Results: Every movement in a sitting posture is related to loads onto the knee joints and, when the farm workers move to sides, the study observed a high level of bowlegged moment. The study also noticed differences in muscle activity of medial gastrocnemius with and without the lower body supporter. Conclusion and Application: The study argues that what has been discussed so far is evidence to prove how the farm working environments should be improved in consideration of these movements observed when the farm workers move in a sitting posture.

• Safety and Health at Work
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• v.10 no.4
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• pp.476-481
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• 2019

Background: Mystery shopping is a method in which a company monitors quality of service and employee conduct and compliance with regulations using an evaluator posing as a customer. It is a typical tool of customer-centered bureaucratic control insofar as it provides overall and standardized evaluation of intangible elements of customer service as well as physical elements of service environments. The purpose of this study is to examine how mystery shopping is related to the health status of service workers in South Korea. Methods: Data from semistructured interviews with 15 workers were collected from January to April 2019 to obtain information on service worker experiences with mystery shopping. Data were analyzed using the constant comparison method. Results: Mystery shopping limits worker autonomy and stiffens the workplace environment by standardizing and monitoring labor processes for service workers. In addition, mystery shopping heightens work stress through increased labor intensity. Five mechanisms by which mystery shopping affects service worker health are identified and comprise (1) multifaceted and multilayered surveillance, (2) evaluator subjectivity and irrational requirements, (3) standardized rules combined with high pressure to achieve sales, (4) self-esteem degradation because of evaluator results, and (5) musculoskeletal disorders because of strict adherence to labor processes based on evaluator results. Conclusion: Mystery shopping as an evaluation method should be reconsidered not only in terms of health problems but also in terms of organizational efficiency and issues of human rights.

• Journal of the Ergonomics Society of Korea
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• v.28 no.1
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• pp.29-36
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• 2009

A Study was conducted to investigate the type and level of occupational risk factors for the onset of work-related musculoskeletal disorders (WMSDs) in non-manufacturing industries. Total of 38 worksites were investigated from 5 different business areas such as financial institution, transportation service, building maintenance, sanitary service and educational service. Major job and task category were classified and corresponding occupational risk factors such as awkward posture, force exertion, repetitiveness of job, and work/rest cycle were examined using various ergonomic risk analysis techniques. Sets of matrices were developed including types and levels of risk factors for the classified jobs and tasks from 5 different non-manufacturing industries. Also possible ergonomic remedies were suggested for the improvement working conditions. Results and risk factor matrices can be applied as a guideline for the investigation of WMSDs risk factors in similar industries for the prevention of WMSDs.

• Safety and Health at Work
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• v.2 no.2
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• pp.105-121
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• 2011

Objectives: This paper presents the framework and protocol design for a construction industry risk management toolbox. The construction industry needs a comprehensive, systematic approach to assess and control occupational risks. These risks span several professional health and safety disciplines, emphasized by multiple international occupational research agenda projects including: falls, electrocution, noise, silica, welding fumes, and musculoskeletal disorders. Yet, the International Social Security Association says, "whereas progress has been made in safety and health, the construction industry is still a high risk sector." Methods: Small- and medium-sized enterprises (SMEs) employ about 80% of the world's construction workers. In recent years a strategy for qualitative occupational risk management, known as Control Banding (CB) has gained international attention as a simplified approach for reducing work-related risks. CB groups hazards into stratified risk 'bands', identifying commensurate controls to reduce the level of risk and promote worker health and safety. We review these qualitative solutions-based approaches and identify strengths and weaknesses toward designing a simplified CB 'toolbox' approach for use by SMEs in construction trades. Results: This toolbox design proposal includes international input on multidisciplinary approaches for performing a qualitative risk assessment determining a risk 'band' for a given project. Risk bands are used to identify the appropriate level of training to oversee construction work, leading to commensurate and appropriate control methods to perform the work safely. Conclusion: The Construction Toolbox presents a review-generated format to harness multiple solutions-based national programs and publications for controlling construction-related risks with simplified approaches across the occupational safety, health and hygiene professions.

• Journal of the Ergonomics Society of Korea
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• v.30 no.5
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• pp.637-644
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• 2011

Objective & Background: When applying various evaluation tools that analyze work posture risk through observation, accurate measurement of body flexion angle is very important. Method: This study investigated differences and appropriateness of 5 different existing reference points commonly used in the analysis of the work posture. Twenty five ergonomist and trained professionals were participated in this study. A Same flexion angle was utilized for the evaluation of risk assessment of musculoskeletal disorders using five different reference points to investigate the degree of difference between them. To investigate how different the observers' preferred flexion angle measuring methods were compared to the ISO 11226 Reference Posture, a virtual body model was constructed using the Poser 6.0 program. Six types of body flexion postures were constructed, and since neck flexion differs according to body angle, five types of neck flexion postures were constructed with the trunk bending $20^{\circ}$ forward, making up a total of 30 virtual flexion postures. Results: Results showed that the observers used personally preferred reference points instead of reference points recommend in the evaluation tools. Also the results revealed the their seems to be 6 types of flexion angle for the trunk and 11 types of measurement methods for the neck flexion angle in the form of personally preferred reference points. The results showed that a mean difference of $14^{\circ}$($4{\sim}23^{\circ}$) occurred in the trunk, and a mean difference of $20^{\circ}$($-8{\sim}51^{\circ}$) occurred in the neck. To increase accuracy when using the 5 evaluation tools in combination, the ISO 11226 standards, observers' preferred flexion posture standards, and common flexion posture standards of the evaluation tools were compared with the reference points of the 5 evaluation tools. Results showed considerable variance in angle difference for each evaluation tool. Conclusion: According to the results of this study, considering the angle difference between the flexion angle reference points of the evaluation tool and the reference points selected by the observers, it is concluded that instead of personally preferred reference points, the standardized reference points to enhance the accuracy and the objectivity. Application: The result of this study can be used as reference guide to develop the standardized reference point in the future.