Work : a journal of prevention, assessment, and rehabilitation
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We aimed to evaluate associations between vocational computer use and 1) ulnar neuropathy, and 2) ulnar neuropathy- like symptoms as distinguished by electroneurography. We identified all patients aged 18-65 years, examined at the Department of Neurophysiology on suspicion of ulnar neuropathy, 2001-2007. We mailed a questionnaire to 546 patients with ulnar neuropathy, 633 patients with ulnar neuropathy-like symptoms, and three community referents per case, matched on sex, age, and primary care centre. ⋯ The two outcomes were not associated with daily hours of computer use. Findings suggested specific effects of pressure on the elbow, and might be an explanation for the overweight of left-sided outcomes in this primarily right-handed group. Preventive efforts would then be straightforward by providing appropriate arm support for the left arm and elbow.
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In the future planned interplanetary expedition mission to Mars, spaceflight crewmembers will be exposed to an environment that is completely unique from anything they are accustomed to on Earth. Due to the characteristics of these missions, a challenge will be to design an environment that allows crewmembers to easily work and live in for extended durations. ⋯ The following looks at the rationale of designing a system for collecting, storing, and recycling human bodily waste that (1) is considered user-friendly by crewmembers in regard to habitability in spaceflight, and (2) provides applications for a self sustaining closed-loop life support system that will aid the crew during the mission. Future design processes should consider adhering to these guidelines to help in the spaceflight crew's living environment and the conduction of the interplanetary expedition.
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Review Meta Analysis
Proper manual handling techniques to prevent low back pain, a Cochrane systematic review.
Training and provision of assistive devices are considered major interventions to prevent and treat low back pain (LBP) among workers exposed to manual material handling (MMH). To establish the effectiveness of training and provision of assistive devices in preventing and treating LBP an update of a Cochrane literature review was performed to November 2010. ⋯ No study on treatment was found. None of the included RCTs and CCTs provided evidence that training and provision of assistive devices prevented LBP when compared to no intervention or another intervention.
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Randomized Controlled Trial
The economic evaluation of a participatory ergonomics programme to prevent low back and neck pain.
This study was an economic evaluation conducted alongside a cluster randomised controlled trial with a follow-up of 12 months. The aim was to evaluate the cost-effectiveness and cost-benefit of the Stay@Work Participatory Ergonomics programme (PE) compared to a control group (no PE). In total, 37 departments (n=3047 workers) were randomised into either the intervention (PE) or control group (no PE). ⋯ From a societal perspective, the CEA showed that PE was not cost-effective compared to control for LBP and NP prevalence, work performance, and sick leave. The CBA from a company perspective showed a monetary loss of $/euro$78 per worker. The PE programme was neither cost-effective nor cost-beneficial on any of the effect measures.