2006—2016年我国工亡率趋势变化及其地区差异研究——基于工伤保险数据

为了解决目前国内现有工亡率数据所存在的局限性问题，引入我国工伤保险数据，并在此基础上分析2006—2016年我国及各地区的工亡率变化趋势， 进而运用泰尔指数分析法测算全国及各地区的工亡率地区差异。研究结果表明:2006—2016年，我国总体工亡率呈下降趋势，但整体水平仍偏高；西部明显高于东、中部，但东、中、西部之间的工亡率差异在缩小；东部、中部和西部内部各省市之间的差异还比较大。最后，提出设定管控工亡率指标时要注重追求本质上的进步，各地应采取措施解决不平衡的问题，完善标准化工亡报告制度，选择更高水平的国际对标体系。     

Occupational Medicine—Its Contribution to Protection and Promotion of Health at Work

This article deals with the special demands on occupational medicine due to the changes of work and of tasks at workplaces. Conclusions for research in occupational medicine are drawn from these processes. They are discussed on the basis on an analysis of literature from the years 1980–1998. Focus of future research in the field of occupational medicine is developed by taking international tendencies, the interdisciplinary setting of occupational medicine, and the close relations between science and practice into consideration.     

Prevention of Deep Vein Thrombosis in VDU Work

This paper introduces preventive measures against Deep Vein Thrombosis (DVT) during Visual Display Units (VDU) work. Four experiments were conducted in order to address this issue. The effectiveness of the preventative measures was evaluated by measuring foot swelling. The results indicated that the following 3 methods would be particularly effective: (a) occasionally adopting a reclining posture with a footrest, (b) 10-min walking every 50-60 min of VDU work, and (3) stretching. In addition we predicted that taking a deep breath could sometimes be effective. DVT is likely to occur in daily life and its incidence can be related to the long-term postures associated with VDU work. This paper suggests that VDU workers should be aware of the risk of DVT and take preventative measures.     

A Whole Body Postural Loading Simulation and Assessment Model for Workplace Analysis and Design

Abstract

This study reports on the development and validation of a new computer model for simulating human postures at work, and assessing the reaction forces and bending moments in 43 human articulation joints. The proposed model estimates the intradiscal pressure in the vertebral column in response to external loading forces encountered during human interactions with work objects or processes. The model was implemented in a self-contained interactive software package. The simulation results compare favorably with the reported experimental data, and provide reasonable confidence in the quality of the model. Its characteristics and its applications in evaluating physical task performance are also discussed     

Ergonomics Intervention in an Iranian Tire Manufacturing Industry

The aim of an ergonomics intervention conducted in the tire manufacturing industry was to improve working conditions. Before the start, a senior manager supported the intervention. Participants were divided into teams and trained. After observing the overall performance of the teams, over 100 improvements were successfully implemented. After the improvements, there were statistically significant differences in annual and weekly prevalence of, and annual disability reported for, the upper back, the lower back, knees and wrists between before and after intervention. The annual prevalence of upper back, lower back, knee and wrist complaints decreased from, respectively, 60.3%, 50.2%, 28.9%, 25.8% before the intervention to 31.3%, 35.9%, 17.1%, 20.7% after the intervention. Significant factors were training and supportive environment based on full commitment of the top management.     

Ergonomics intervention on an alternative design of a spinal board

Nurses are often obliged to work in a 12-hr shift work system. We have decided to check whether such a working system constitutes an excessive load for nurses. On the basis of a questionnaire survey among nurses working in an 8-hr daytime shift system (169 nurses) and in a 12-hr shift (536 nurses), the amount of physical workload, work stress, and after-work activities were compared. Data analysis has shown that a 12-hr shift system is characterized by less significant physical workload but greater mental load. The nurses working in a 2-shift system were more tired after work, but they could spend more time on leisure activities and do housework. The data suggest that there are no significant contraindications for nurses to work in a 2-shift system.     

Observation Procedures Characterizing Occupational Physical Activities: Critical Review

The first objective of this paper is to compare the observation procedures proposed to characterize physical work. The second objective is to examine the following 3 methodological issues: reliability, observer training, and internal validity. Seventy-two papers were reviewed, 38 of which proposed a new or modified observation grid. The observation variables identified were broken down into 7 categories as follows: posture, exertion, load handled, work environment, use of feet, use of hands, and activities or tasks performed. The review revealed the variability of existing procedures. The examination of methodological issues showed that observation data can be reliable and can present an adequate internal validity. However, little information about the conditions necessary to achieve good reliability was available.     

Occupationally Oriented Medical Rehabilitation and Hairdressers’ Work Techniques–A one-and-a-half-year follow-up

This study examined changes in work techniques and musculoskeletal symptoms after occupationally oriented medical rehabilitation arranged for 21 hairdressers who were experiencing neck-shoulder or back pain but were still able to work. OWAS (Ovako Working Posture Analysing System) analyses of working postures and questionnaire data were obtained at the beginning of the courses and one and a half years later. The participants worked with their back bent and twisted or their arms at or over shoulder level more seldom (p < .0001) at the end of the follow-up than at the beginning of the rehabilitation. Subjective work-related physical and mental strain had decreased by 45.4% (p < .001) and 27.1% (p < .05), respectively, and subjective neck and back pain by 40.0% (p < .0 1 ) and 45.3% (p < .01). respectively. This’study suggests that occupationally oriented medical rehabilitation can have significant and long-lasting effects on the rehabilitee’s work techniques and subjective well-being.