CAERvest® – a novel endothermic hypothermic device for core temperature cooling: safety and efficacy testing

Introduction. Cooling of the body is used to treat hyperthermic individuals with heatstroke or to depress core temperature below normal for neuroprotection. A novel, chemically activated, unpowered cooling device, CAERvest®, was investigated for safety and efficacy. Methods. Eight healthy male participants (body mass 79.9?±?1.9?kg and body fat percentage 16.1?±?3.8%) visited the laboratory (20 °C, 40% relative humidity) on four occasions. Following 30-min rest, physiological and perceptual measures were recorded. Participants were then fitted with the CAERvest® proof of concept (PoC) or prototype 1 (P1), 2 (P2) or 3 (P3) for 60 min. Temperature, cardiovascular and perceptual measures were recorded every 5 min. After cooling, the CAERvest® was removed and the torso checked for cold-related injuries. Results. Temperature measures significantly (p?Conclusion. This study demonstrates that the CAERvest® is an effective device for reducing body temperature in healthy normothermic individuals without presence of cold injury. Further research in healthy and clinical populations is warranted.     

Coefficient of friction,walking speed and cadence on slippery and dry surfaces: shoes with different groove depths

Objective. The present study aimed to determine the coefficient of friction (COF), walking speed (WS) and cadence while walking on slippery and dry surfaces using shoes with different sole groove depths to predict likelihood of fall. Background. Design of shoe sole groove is crucial to prevent slipping during walking. Methods. 22 healthy young men (mean age 24.5, body mass index 22.5) volunteered for this semi-experimental study. Six different conditions of the test (combination of three shoes and two surfaces) were defined and the condition was repeated three times. In total, 396 trials (22 subjects?×?3 groove depths?×?2 surfaces?×?3 times) were obtained for data analysis. COF was recorded by force platform at 1000?Hz and walking parameters recorded using 3D motion analysis with six infrared cameras at 200?Hz. Results. The highest COF was obtained from the deepest groove depth (5.0?mm) on both dry and slippery surfaces. The COF on slippery surfaces was significantly lower in comparison with dry surfaces. WS and cadence were not significantly different on dry and slippery surfaces. Conclusion. The deeper groove is better to prevent slipping because the COF increases by increasing the shoe sole groove depth. WS did not change on dry and slippery surfaces.     

Effectiveness of a cooling jacket with reference to physiological responses in iron foundry workers

Personal cooling garments (PCGs) have gained increased attention in recent years due to heat stress and strain in the working environment. The present study was conducted in hot environments of an iron foundry to evaluate the efficacy of a battery-operated PCG. Twenty-four workers were exposed to climatic conditions of 35.89?±?1.25?°C, 35% relative humidity during 90-min work with PCG and habitual clothing (HC). Mean weighted skin temperature was significantly lower by 4.84?±?1.05?°C compared with HC 0.38?±?1.02?°C (p?p?相似文献   

Development of an objective determination of a slip with a portable inclineable articulated strut slip tester (PIAST)

A portable inclineable articulated strut slip tester (PIAST) is a slipmeter that is widely used in the USA to measure coefficient of friction (COF) at the shoe sole and floor interface. A determination of a slip at the measurement interface, which is currently judged subjectively by operators, plays a crucial role in deciding the outcomes of a PIAST measurement. The goal of this study was to develop an objective determination of a slip based on the movement of the weight used by the slipmeter. The displacement of the weight and the time duration of consecutive strikes in a measurement were used to derive the objective slip criterion. Various footwear materials, floor materials and surface conditions were used to cover a wide range of COF values. The results of the regression analysis indicated that the objective COF predicted by the method developed in the current study was significant (R² = 0.997, β = 0.991, p < 0.001) in predicting the subjective COF determined by the operator.     

A Comparison of Two Methods of Determining Thermal Properties of Footwear

The present European Standard for footwear testing (Standard No. EN 344:1992; European Committee for Standardization [CEN], 1992) classifies footwear thermally by a temperature drop inside the footwear during 30 min at defined conditions. Today, other methods for footwear thermal testing are also available. The aim of this study was to compare EN 344:1992 with a thermal foot method. Six boots were tested according to both methods. Additional tests with modified standard tests were also carried out. The methods ranked the footwear in a similar way. However, the test according to standard EN 344:1992 is a pass-or-fail test, whereas data that is gained from the thermal foot method gives more information and allows further use in research and product development. A change of the present standard method is suggested.     

Pediatric electric bicycle injuries and comparison to other pediatric traffic injuries

Objective: The objective of this study was to conduct a comprehensive analysis of demographics, injury characteristics and hospital resource utilization of significant pediatric electric bicycle (e-bike) injuries leading to hospitalization following an emergency department visit in comparison to pediatric injuries caused by other traffic related mechanisms.

Methods: A retrospective review of all pediatric traffic injury hospitalizations following an emergency department visit to a level I trauma center between October 2014 and September 2016 was conducted. Data regarding age, sex, number of computed tomography (CT) scans obtained, number of major procedures, length of hospital stay (LOS), Injury Severity Score (ISS), and number of injuries per patient were collected and compared between e-bike injuries and other traffic injuries.

Results: Three hundred thirty-seven admissions were analyzed: 46 (14%) were due to e-bike injuries (29% of patients >12 years). Age, proportion of brain injuries, and use of CT were significantly increased compared to mechanical bicycle injuries (13.1?±?3.4 vs. 10.6?±?3.6, 13% vs. 3%, 1 [0–3] vs. 1 [0–1], P < .01, P = .03, P = .05). Age, LOS, and use of CT were significantly increased compared to injuries caused to automobile passengers (13.1?±?3.4 vs. 7.4?±?5.3, 1 [1–3] vs. 1 [1–2], 1 [0–3] vs. 0 [0–1], P < .01, P = .03, P = .01), as well as ISS and number of injuries per patient (P = .04, P < .01). Injuries caused by e-bikes were similar to injuries caused to pedestrians, except for age (13.1?±?3.4 vs. 8.5?±?3.7, P < .01). Multivariable analysis revealed a significant association between mechanism of injury and ISS, with increased ISS among e-bike injuries compared to mecahnical bike injuries (OR 2.56, CI 1.1–5.88, P = 0.03) and automobile injuries (OR 4.16, CI 1.49–12.5, (P < .01).

Conclusion: E-bikes are a significant cause of severe injury in children compared to most other traffic injuries, particularly in older children.     

Passenger muscle responses in lane change and lane change with braking maneuvers using two belt configurations: Standard and reversible pre-pretensioner

Abstract

Objective: The introduction of integrated safety technologies in new car models calls for an improved understanding of the human occupant response in precrash situations. The aim of this article is to extensively study occupant muscle activation in vehicle maneuvers potentially occurring in precrash situations with different seat belt configurations.

Methods: Front seat male passengers wearing a 3-point seat belt with either standard or pre-pretensioning functionality were exposed to multiple autonomously carried out lane change and lane change with braking maneuvers while traveling at 73?km/h. This article focuses on muscle activation data (surface electromyography [EMG] normalized using maximum voluntary contraction [MVC] data) obtained from 38 muscles in the neck, upper extremities, the torso, and lower extremities. The raw EMG data were filtered, rectified, and smoothed. All muscle activations were presented in corridors of mean?±?one standard deviation. Separate Wilcoxon signed ranks tests were performed on volunteers’ muscle activation onset and amplitude considering 2 paired samples with the belt configuration as an independent factor.

Results: In normal driving conditions prior to any of the evasive maneuvers, activity levels were low (<2% MVC) in all muscles except for the lumbar extensors (3–5.5% MVC). During the lane change maneuver, selective muscles were activated and these activations restricted the sideway motions due to inertial loading. Averaged muscle activity, predominantly in the neck, lumbar extensor, and abdominal muscles, increased up to 24% MVC soon after the vehicle accelerated in lateral direction for all volunteers. Differences in activation time and amplitude between muscles in the right and left sides of the body were observed relative to the vehicle’s lateral motion. For specific muscles, lane changes with the pre-pretensioner belt were associated with earlier muscle activation onsets and significantly smaller activation amplitudes than for the standard belt (P?<?.05).

Conclusions: Applying a pre-pretensioner belt affected muscle activations; that is, amplitude and onset time. The present muscle activation data complement the results in a preceding publication, the volunteers’ kinematics and the boundary conditions from the same data set. An effect of belt configuration was also seen on previously published volunteers’ kinematics with lower lateral and forward displacements for head and upper torso using the pre-pretensioner belt versus the standard belt. The data provided in this article can be used for validation and further improvement of active human body models with active musculature in both sagittal and lateral loading scenarios intended for simulation of some evasive maneuvers that potentially occur prior to a crash.     

A dental stool with chest support reduces lower back muscle activation

Activation of back musculature during work tasks leads to fatigue and potential injury. This is especially prevalent in dentists who perform much of their work from a seated position. We examined the use of an ergonomic dental stool with mid-sternum chest support for reducing lower back muscle activation. Electromyography of lower back extensors was assessed from 30 dental students for 20?s during three conditions in random order: (a) sitting upright at 90° of hip flexion on a standard stool, (b) leaning forward at 80° of hip flexion on a standard stool, and (c) leaning forward at 80° of hip flexion while sitting on an ergonomic stool. Muscular activity of the back extensors was reduced when using the ergonomic stool compared to the standard stool, by 33–50% (p?相似文献   

Determination of Heat Loss from the Feet and Insulation of the Footwear

This study compared the methods of determining footwear insulation on human participants and a thermal foot model. Another purpose was to find the minimal number of measurement points on the human foot that is needed for insulation calculation. A bare foot was tested at 3 ambient temperatures on 6 participants. Three types of footwear were tested on 2 participants. The mean insulation for a bare foot obtained on the participant and model were similar. The insulation of warm footwear measured by the 2 methods was also similar. For thin footwear the insulation values from the participants were higher than those from the thermal model. The differences could be related to undefined physiological factors. Two points on the foot can be enough to measure the insulation of footwear on human participants (r = .98). However, due to the big individual differences of humans, and good repeatability and simplicity of thermal foot method, the latter should be preferred for testing.     

Subjective assessments of floor slipperiness before and after walk under two lighting conditions

A gait experiment was performed. The participants were tested under shoes, floors, surface and lighting conditions. They gave floor slipperiness ratings before and after a gait trial. The perceived sense of slip (PSOS) was collected. It was found that the perceived floor slipperiness (PFS) before walking was affected significantly by the lighting, floor and surface conditions. Relative low PFS values were recorded under wet and detergent-contaminated conditions in the normal daylight condition as compared with those in the dimmed condition. The PFS after the gait was significantly affected by the floor and surface conditions. The PSOS was highly correlated with the PFS after trial. The regression analyses results indicated that both the coefficient of friction (COF) of the floor and lighting were primary predictors of the PFS before a gait. The COF and walking speed were the primary predictors of the PFS after a gait.     

Comparison of Canadian firefighters and healthy controls based on submaximal fitness testing and strength considering age and gender

Introduction. Few studies have addressed whether firefighters are fitter than the general population and possess sufficient levels of aerobic capacity and muscle strength to perform on-duty tasks in a safe and efficient manner, considering age and gender. We aimed to evaluate the fitness levels of Hamilton firefighters, and to determine the effects of age and gender. Methods. In total, 89 participants were recruited. The modified Canadian aerobic fitness test was used to determine participants’ estimated maximal oxygen consumption (V_O2max) levels. For upper and lower body strength levels, a calibrated J-Tech hand-held dynamometer and a National Institute for Occupational Safety and Health (NIOSH) lifting device was used respectively. Results. Firefighters’ mean (SD) V_O2max level was 40.30?±?6.25?ml·kg^?1·min^?1. Age proved to have a statistically significant impact on V_O2max (p?<?0.001). Gender displayed statistically significant effects on strength levels. Firefighters’ age was the only statistically significant independent variable, and accounted for 61.00% of the variance in firefighters’ aerobic capacity levels. Conclusions. Firefighters possessed somewhat similar aerobic capacities but much higher levels of body strength when compared with the general population. With age, firefighters’ aerobic capacities decreased; however, their upper and lower body strength levels remained the same.     

Investigation into effects of work-related quality of life and some related factors on cognitive failures among nurses

Objective. Cognitive failure is one of the factors which can be influenced by personal and professional characteristics. This research was carried out to study the effect of work-related quality of life (WRQoL) and some related factors on cognitive failures (CF) among nurses. Methods. This cross-sectional study was conducted among nurses working in intensive care units, critical care units and emergency units in 2014. Results. In total, 750 nurses participated in the study. The mean?±?SD for the total CF and WRQoL was 40.5?±?12.7 and 75.8?±?13.7 respectively. The results show that CF have a statistically significant difference among the age groups, experience groups and working units. Multiple regression tests show that age, income and WRQoL have a significant effect on CF. Based on the results, for a unit increase in WRQoL we expect a 0.26 unit decrease in CF. Analysis of variance results show that the emergency ward had changed the overall effect of WRQoL on CF, after the effect of WRQoL was controlled. Conclusions. Overall results from the present research indicated that, despite the high level of WRQoL among the studied nurses, the rate of CF was not at an appropriate level. Development of supportive and interventional strategies is highly recommended.     

Infrared thermography reveals effect of working posture on skin temperature in office workers

Introduction. Musculoskeletal symptoms related to using traditional computer workstations are common. Quantitative methods for measuring muscle stress and strain are needed to improve ergonomics of workstations. We hypothesize that infrared thermography (IRT) is suited for this purpose. Methods. This hypothesis was evaluated by estimating muscle activity in upright and traditional working postures with IRT and surface electromyography (sEMG). IRT and sEMG measurements were conducted in 14 female participants with both working postures. First, measurements with the traditional posture were performed. Later, participants had 1?month to adjust to the upright working posture before repeating the measurements. IRT images were acquired before and after a full working day, with sEMG recordings being conducted throughout the measurement days. Participants evaluated their neck pain severity using neck disability index (NDI) questionnaires before the first and after the second measurement day. Results. Spatial variation in upper back temperature was higher (p?=?0.008) when working in traditional posture and the upright working posture reduced (p?p?=?0.003) after working in the upright posture. Conclusion. IRT was found suitable for evaluating muscle activity and upright working posture to reduce the NDI and muscle activity in the upper back.     

防护鞋靴有害物质限量值研究

本文对防护鞋靴有害物质限量值研究进行了阐述。参考国内外标准,设定防护鞋靴有害物质限制项目和限量值。在检测分析我国具有市场代表性的16个防护鞋靴产品中有害物质含量数据基础上,判断设定限制项目及限量值的可行性。检测结果表明我国防护鞋靴生产技术水平基本能够达到限量要求,设定的限量值可以作为制定国家标准的参考依据。     

Performance of slippery and slip-resistant footwear in different wintry weather conditions measured in situ

In Finland about 70,000 people are annually injured in pedestrian and bicycle falling accidents occurred at the street, walkways and courtyards. Around 2/3 of these occur when the walking surface is covered by ice or snow. In general, slipping is caused by both environmental and human factors. The primary environmental factor behind slipping accidents is slip resistance characteristics of underfoot surface. Especially in winter slipping accidents are mainly due to inadequate friction between footwear and underfoot surfaces. Portable devices measuring friction, i.e. slipmeters, may be used for assessing slipperiness on different walking surfaces in situ. During winter seasons 2003 and 2004 a study was performed to evaluate the usability of portable slip simulator for measuring slipperiness of walkways on varying weather conditions and to assess slip resistance of different footwear. The Portable Slip Simulator proved to be applicable for measuring in situ the slipperiness of wintry walking surfaces and evaluating quality of winter maintenance. Significant differences in traction between footwear were found especially in normal Finnish climate winter days when friction provided by slip-resistant footwear was multifold compared to a poorer one. On very slippery icy surfaces no footwear provided enough grip and, therefore, in such conditions anti-slip devices should be used.     

Influence of type of MVC test on electromyography measures of biceps brachii and triceps brachii

Objective. This study aimed to investigate the amplitude and frequency measures of the electromyography (EMG) signal in agonistic and antagonistic muscles (biceps brachii, triceps brachii). Methods. Fifteen males (22.9?±?2.1 years old) took three isometric maximum voluntary contraction (MVC) tests. Two tests were typical MVC tests for biceps brachii and triceps brachii. The third was a test often used to obtain MVC for forearm muscles (arm and forearm hanging down). The EMG signal was recorded during three isometric MVC muscle contractions and during a relaxation test. Results. There were no differences in amplitude between relaxation and MVC antagonist in static contraction, with higher values for frequency measures in relaxation. When biceps brachii and triceps brachii act as antagonists in an MVC test, frequency measures present lower values than when the muscles act as agonists. Biceps brachii shows much lower amplitude than during an agonist MVC contraction with similar spectral measures. Triceps brachii presents much higher values of spectral measures than during an agonist MVC test. Conclusion. The type of exerted force, i.e., if a muscle acted as an agonist, antagonist or stabilizer, affects the relationship between the time and frequency domain measures.     

Presence of scapular dysfunction in dominant shoulder of professional guitar players

Background. Playing guitar can cause adoption of asymmetric postures and affect the shoulder's stability. Objective. To assess the presence of scapular dysfunction in professional guitar players. Method. A lateral scapular slide test was performed at the level of the spine of the scapula and at the inferior angle of the scapula in 20 professional guitar players (age: 18–40 years) and was compared with 20 age-matched non-players at angles of 0°, 45° and 90° of shoulder abduction with both limbs loaded with 0.5-kg weights. Analysis was done by unpaired t test. Results. Scapular dysfunction in guitar players was seen in the form of asymmetric scapula at rest in 25% and dyskinetic scapula in 20% of players. 100% of non-players had normal scapular positioning. Comparison at the level of the spine of the scapula showed no significant difference (p?>?0.05), but the inferior angle showed a significant difference at 0° (1.37?cm), 45° (1.93?cm) and 90° (2.15?cm) which was more in the player's category (p?Conclusion. There exists a marked dysfunction of scapular stabilizers in professional guitar players at the level of the inferior angle of the scapula.     

Investigation and identification of factors affecting migrating peasant workers’ usage of safety footwear in the Chinese construction industry

A sample of 300 migrating peasant workers from 15 Chinese building construction sites completed a demographic questionnaire to investigate the usage of safety footwear. The survey form was constructed based on the theory of planned behaviour, and a total of 12 questions focusing on the workers’ past experience, attitudes, subjective norms and perceived behavioural control were included in the survey. It was found that 92% of the participants did not wear safety footwear while working on construction sites, although more than 91% of them believed that safety footwear would protect the foot from injury; none of the participants had been provided free safety footwear by their employer. Regression analysis shows that employers’ attitude is the most important factor affecting their usage of safety footwear, ‘providing free safety footwear’ and ‘comfortability of the safety footwear’ ranking second and third respectively.     

Effect of Sweating on Insulation of Footwear

The study aimed to find out the influence of sweating on footwear insulation with a thermal foot model. Simultaneously, the influence of applied weight (35 kg), sock, and steel toe cap were studied. Water to 3 sweat glands was supplied with a pump at the rate of 10 g/hr in total. Four models of boots with steel toe caps were tested. The same models were manufactured also without steel toe. Sweating reduced footwear insulation 19–25% (30–37% in toes). During static conditions, only a minimal amount of sweat evaporated from boots. Weight affected sole insulation: Reduction depended on compressibility of sole material. The influence of steel toe varied with insulation. The method of thermal foot model appears to be a practical tool for footwear evaluation.