Ergonomic Knowledge Research Articles

Factors Related to Dental Ergonomics Practice Among Indonesian Dentists.

Dentists are at greater risk of work-related musculoskeletal disorders (WMSDs) which can be caused by repetitive movements, improper posture and long working hours. If ergonomic principles are applied in the field of dentistry, they help to prevent occupational ergonomic health hazards and provides more comfort to the dentist and patient. To obtain information regarding dental ergonomics practice of dentists in Indonesia and its related factors. A cross-sectional study was conducted using a purposive sampling method via Google Form to 231 dentists in DKI Jakarta, Indonesia from November to December 2022. The questionnaire consisted of 34 items divided into five sections; socio-demographic, job characteristics, knowledge of dental ergonomics, attitude towards dental ergonomics and the practice of dentists regarding dental ergonomics. Bivariate analysis was conducted using Pearson Chi-square Test. 76.2% dentists have poor dental ergonomics practice. There is a significant relationship (p-value < 0.05) between the practice of dental ergonomics and age group, years of practical experience and level of knowledge. Most Indonesian dentists (76.2%) still lack of dental ergonomics practice. Age, duration of work experience and ergonomic dental practice knowledge are significantly correlated.

Musculoskeletal Disorders Among the United Arab Emirates Healthcare Professionals: Ergonomics Knowledge and Practice Study

Background: Healthcare professionals (HCPs) are particularly vulnerable to musculoskeletal disorders (MSDs) due to job demands such as prolonged standing, patient handling, and awkward postures. Objectives: This study aimed to assess the prevalence of MSDs among HCPs, examine the association between ergonomic knowledge and practices with MSDs, and identify predictors of ergonomic knowledge. Methods: A cross-sectional study was conducted among HCPs, including doctors and nurses, working in the United Arab Emirates (UAE). The prevalence of MSDs was determined using the Nordic Questionnaire. Ergonomic knowledge and practice were assessed through a validated questionnaire covering sociodemographic and work-related factors, ten knowledge items, and fifteen practice items. A scoring system was used, where correct answers received a score of one, and incorrect answers received a score of zero. Ergonomic knowledge and practices were considered inadequate when participant scores fell below the median values of six for knowledge and eight for practice. The calculated sample size was 398, with a response rate of 96%, resulting in 380 participants. The chi-square test, binary, and multivariable logistic regression analyses were performed. Results: The twelve-month prevalence of MSDs was 90.4%, with the highest percentage reported in the lower back (56%), followed by the upper back (43.4%), neck (39.2%), shoulder (38.9%), and elbow (21.3%). Inadequate ergonomic knowledge and incorrect ergonomic practices were found in 61.8% and 36.3% of HCPs, respectively. A significant association was observed between inadequate ergonomic knowledge (P &lt; 0.001) and practice (P = 0.035) and the presence of MSDs. Significant predictors of inadequate ergonomic knowledge included the number of years worked (OR: 1.9; 95%CI: 1.00 - 3.5, P = 0.049), the provision of ergonomics training and awareness at the workplace (OR: 3.7; 95%CI: 1.9 - 7.2, P &lt; 0.001), and inadequate ergonomic practices (OR: 1.9; 95%CI: 1.1 - 3.0, P = 0.014). Conclusions: A very high prevalence of MSDs was found among HCPs, with the lower back being the most commonly affected site. Significant predictors of inadequate ergonomic knowledge included the number of years worked, the availability of ergonomics training at the workplace, and inadequate ergonomic practices. This study underscores the need for ergonomic training programs and ergonomically friendly workplaces to equip HCPs with the knowledge and practices necessary to prevent MSDs.

Perception and Knowledge of Correct Ergonomics Among Health Care Professionals in Memon Medical Institute Hospital

Background: Ergonomics is the science of adapting the workplace to suit human physical capabilities and limitations. Proper ergonomic practices can prevent musculoskeletal disorders and improve workplace productivity and employee satisfaction. Healthcare professionals are particularly susceptible to ergonomic issues due to the physical demands of their jobs. Objective: This study aims to evaluate the perception and awareness of correct ergonomics among healthcare professionals at Memon Medical Institute Hospital. Methods: A cross-sectional observational study was conducted at Memon Medical Institute Hospital over three months. A total of 150 participants, including doctors, paramedical staff, and office workers, were selected using a non-probability convenience sampling technique. Exclusion criteria included individuals with a history of trauma or malignant conditions. Data were collected through a standardized questionnaire and analyzed using SPSS version 21. The chi-square test was employed to examine the relationship between ergonomic knowledge and practice, with significance set at p &lt; 0.05. Results: Of the 150 participants, 56.7% were male and 43.3% female. 85 participants (56.7%) reported knowledge of ergonomics, while 65 (43.3%) did not. A significant relationship was found between ergonomic knowledge and its application (p = 0.002). Conclusion: The majority of healthcare professionals at Memon Medical Institute Hospital are aware of ergonomic principles and apply them effectively, which can help reduce musculoskeletal disorders and improve productivity.

Health status and ergonomics education: A comparison between student nurses and first-year nursing staff.

To (a) compare student nurses' health status and levels of ergonomics knowledge and awareness to those of first-year nursing staff and (b) investigate the association between nurses' ergonomic compliance and health status with their educational preparedness. This cohort study compared ergonomics awareness and knowledge, and health status of nurses when they were students and after their first-year working in medical facilities. In total, 133 4th-year student nurses completed a survey; 45 of them completed a second survey after working 1 year in a medical facility. Their health status was compared over time using repeated-measures ANOVA. Correlation tests were used to analyse associations between ergonomics knowledge and awareness, health status, demographic variables and educational preparedness. Respondents in both surveys displayed weak knowledge of ergonomic principles significantly associated with increased pain intensity and educational preparedness. Ergonomics training should be expanded during nursing studies and first-year training to prevent long-term health disorders.

Ergonomic Design as a Determinant for the Prevalence of Work-Related Musculoskeletal Disorders among Office-Based Civil Servants in Ondo State, Nigeria

Several reformations in the Civil Service have transformed the day-to-day activities in the sector from paper to the use of computer sets. However, the use of computer is characterized with high sedentary lifestyles and repetitive tasks among office-based workers, but there are limited studies conducted to evaluate the effect of this new working condition among civil servants. This study was conducted to investigate ergonomic design as a determinant of Work-Related Musculoskeletal Disorders among Office-based Civil Servants in Ondo State, Nigeria. Ethical approval was obtained for this study. The study was a cross-sectional design using multistage sampling techniques to recruit 308 respondents. Structured and adapted questionnaires were used to assess ergonomic designs in offices and prevalence of pain. Data was analyzed using SPSS version 20, descriptive statistics was used for sociodemographic of respondents and Spearman rho’s correlation coefficient was used to compare relationship between variables. Results were presented in tables and charts. Majority of the respondents were female, married and between the ages 30-34. The mean age of the respondents was 36.21±8.75 years. 35 of the respondents were confounders and were exempted from completing the study on pain. There was 92.7%, 59.1% and 19.4% of 12 months, one week and point pain prevalence respectively among the 273 respondents that participated fully in the study. Most respondents have poor knowledge of ergonomics (61.9%) but 96.7% have good ergonomic practices (96.7%). There was no significant relationship between ergonomic design and prevalence of WRMSD (r=0.090, p=0.136), but there was a significant relationship between ergonomic practice and ergonomic awareness (r=0.247, p=0.001). Also, there was significant relationship between office ergonomic practice and prevalence of WRMSD (r=-0.142, p=0.019). Ergonomic design is not a determinant for the prevalence of WRMSD. However, the knowledge and correct practice of ergonomic among office-based civil servants can help to reduce the prevalence of WRMSD. Therefore, it is recommended that government should ensure the implementation of correct ergonomic practices in Civil Service. Also, government should provide regular trainings such as seminars and conferences on ergonomics for their workers.

Attributes of Low Back pain among Physical Therapists and Nurses in Pakistan

Low back pain is localized between the region of the 12th rib and less to the gluteal folds either radiating or not radiating to the lower limb. The prevalence of low back pain in Pakistan is about 41.4 percent. But all over the world, the Physical therapist's rate of work-related musculoskeletal problems is about 57 percent. Objective: To determine the attributes of low back pain among physical therapists and nurses in Pakistan. Methods: A cross-sectional study was done from August 2023 to January 2024, throughout Pakistan. A sample size of 661 was divided into two groups. The sampling technique was non-probability purposive sampling. There were two measurement tools used Visual Analog Scale and the Oswestry Disability Index scale to rule out pain and the level of disability. The data were analyzed through SPSS version 23.0 software. Results: The total number of participants was 661, of which 247 were physical therapists and 414 were nurses recruited from all over Pakistan. The pain was measured through the VAS and disability was measured by ODI. The Physical therapists felt mild pain in about 123(49.79%), and they faced no disability in about 127(51.41%) and nurses felt moderate pain in about 212(51.20%) and they have not faced disability in about 306(73.91%). Conclusions: Our study concluded the prevalence of low back pain is found in both nurses and physical therapists but the level of pain is higher in nurses as compared to a physical therapist due to the lack of ergonomics knowledge among the nurse population.

Remote Work Ergonomics and Musculoskeletal Health in Lagos, Nigeria: A Cross-sectional Study

Remote workers are at risk of musculoskeletal disorders due to the sedentary nature of their work and ergonomic safety compliance is a necessary control measure. This work evaluated ergonomic compliance and work-related musculoskeletal disorders among fully remote workers in Lagos. Following approval, 371 remote workers were recruited to participate in a cross-sectional study. They responded to a Questionnaire, the main study tool, which biodata, work information, knowledge of ergonomics, workstation compliance, level of support offered by employer to aid ergonomic compliance, behavioral factors, musculoskeletal disorder symptoms and medical Information regarding past and present diagnosis/ treatment. To support data on workspace compliance, physical and virtual observations were carried out on 361 workspaces. Collated data were analyzed using descriptive tools. The data analysis showed that a large percentage of remote workers, about 66.31% had high knowledge on ergonomics. However, a relatively lower percentage, about 23.36% had highly compliant workspaces. Only 8% were highly compliant based on behavioral patterns as a larger 48% fell into the low category. The study showed that only 15.36% of employers gave a very high level of support to encourage ergonomic compliance. The Most prevalent musculoskeletal disorder amongst the population studies is the lower back pain, which has been suffered by 90.5% of respondents at varying durations and levels. This was closely followed by the upper back pain at 85.7% then eye pain at 47.1. The study shows a positive correlation between Employer support and: ergonomic compliance based on workspaces, ergonomic compliance based on behavioral patterns as well as knowledge on ergonomics at 0.26828222, 0.151881985 and 0.188086546 respectively. There is an urgent need to educate employees on ergonomic safety, create effective occupational health plans tailored specifically for the remote work model, develop feasible measures for compliance checks, and work with authorities to enact laws to protect the health and safety of remote workers in the long run.

Peningkatan Pengetahuan Ergonomi Tentang Prinsip Prinsip Dalam Gerakan Di Sekolah SMAN 2 Bireuen

The purpose of this socialization is to find out about increasing knowledge of ergonomics and the principles of movement at SMA N 2 Bireuen. The results of this activity with socialization and discussion can increase students' understanding of ergonomics and its principles. Increasing understanding of the ergonomics of ergonomic sitting positions among students at SMA N 2 Bireuen will help reduce the risk of physiological and ergonomic complaints, as well as improve academic performance at school. It is hoped that the school will carry out this movement regarding ergonomics.

A CORRELATIONAL STUDY OF ERGONOMIC KNOWLEDGE AND LEVEL OF MSK DISCOMFORT DURING ONLINE CLASSES OF 1ST-4TH YEAR UST-CRS PHYSICAL THERAPY STUDENTS

Introduction: The pandemic's shift to remote learning in 2020 resulted in increased musculoskeletal (MSK) discomfort among physical therapy students, despite their familiarity with ergonomics, a knowledge-practice gap exists, with a significant proportion reporting MSK discomfort during online classes. This study, focusing on the University of Santo Tomas College of Rehabilitation Sciences (UST-CRS) Physical Therapy students, aims to determine the correlation between ergonomic knowledge and MSK discomfort. Introduction: The pandemic's shift to remote learning in 2020 resulted in increased musculoskeletal (MSK) discomfort among physical therapy students, despite their familiarity with ergonomics, a knowledge-practice gap exists, with a significant proportion reporting MSK discomfort during online classes. This study, focusing on the University of Santo Tomas College of Rehabilitation Sciences (UST-CRS) Physical Therapy students, aims to determine the correlation between ergonomic knowledge and MSK discomfort. Introduction: The pandemic's shift to remote learning in 2020 resulted in increased musculoskeletal (MSK) discomfort among physical therapy students, despite their familiarity with ergonomics, a knowledge-practice gap exists, with a significant proportion reporting MSK discomfort during online classes. This study, focusing on the University of Santo Tomas College of Rehabilitation Sciences (UST-CRS) Physical Therapy students, aims to determine the correlation between ergonomic knowledge and MSK discomfort. Discussion: The study uncovered an association between higher ergonomic knowledge and increased reports of MSK discomfort. Notably, this observed association does not imply causation but signifies a partial link. Furthermore, integrating ergonomic knowledge into the ITE model offers a comprehensive understanding of its association with MSK discomfort. This holistic approach informs strategies for mitigating and preventing discomfort in diverse settings. Overall, there is a direct weak correlation between level of ergonomic knowledge &amp; level of MSK discomfort signifying that there may be various other factors likely influencing the level of MSK discomfort observed in the students therefore, further research is needed to explore underlying factors contributing to this correlation.

Ergonomic Education to Reduce the Risk of Musculoskeletal Disorders

Workers are mainly human resources with a significant influence on the production process, in particular manual work. Activities in manual material handling include carrying, lifting, lowering, pushing, and pulling loads. Transport labor is one type of work that requires energy and great muscle strength and a strong physique to carry the load at work. Workers who are in the wrong position during prolonged work will increase the risk of musculoskeletal complaints. The purpose of this community service activity is to provide ergonomic education to reduce the risk of Musculoskeletal Disorders. Methods: This service activity uses counseling methods, leaflet giving, demonstrations, simulations, and discussions. The participants were given questionnaires before and after educational activities, namely ergonomics knowledge questionnaires to determine the level of ergonomics knowledge and also musculoskeletal complaint questionnaires. Results: This activity was attended by 21 participants who were all male. In the knowledge variable, the mean pre-test value was 56.67 and the post-test was 68.57. In the Musculoskeletal complaint variable, the mean pre-test value was 30.05 and the post-test was 28.76. Conclusion: Based on the results of the pre-test and post-test, shows that ergonomics education can help improve ergonomic knowledge and reduce the risk of musculoskeletal disorders in workers.

THE CORRELATION AMONG LEVEL OF KNOWLEDGE ABOUT ERGONOMIC POSITION AND LOW BACK PAIN COMPLAINTS IN INPATIENT NURSES

Low Back Pain (LBP) is a collection of several clinical symptoms that are marked by pain or discomfort in the lower back, which may or may not extend to the legs. Incorrect ergonomics is the primary factor contributing to lower back pain (LBP) among nurses. The objective of this study was to establish a correlation between the extent of ergonomics knowledge and the occurrence of lower back pain (LBP) complaints among nurses who work with hospitalised patients. This study employed a correlational quantitative design, utilising a cross-sectional technique. The sample size for this study consisted of 158 nurses working in the inpatient unit of a private hospital in Indonesia. The sampling technique employed was a total sampling, resulting in a sample size of 158 nurses. The research employed questionnaires that were both valid and trustworthy. The questionnaires assessing knowledge of ergonomics were devised by Bunga et al. (2019), whilst the questionnaire pertaining to low back pain was formulated by Deria (2021). The findings of the Pearson chi-square statistical test indicated a p-value of 0.105, suggesting that there was no statistically significant association between the level of knowledge of ergonomics postures and complaints of low back pain among inpatient nurses. Inpatient nurses have the ability to discover and implement ergonomic postures in their regular tasks. Further research could be undertaken on the elements that can induce low back discomfort.

Risk and related factors of elbow musculoskeletal diseases: A nationwide cross-sectional survey in China.

Although studies have shown that Work-related Musculoskeletal Disorders (WMSDs) are common and continue to be a main source of disability and work time loss, there are few reports on elbow WMSDs. The aim of this study was to explore the prevalence and associated factors of elbow WMSDs. The valid questionnaires of 57501 workers from 15 different industries nationwide were collected and the Chi-square test and logistic-regression-analysis were applied to reveal the prevalence and risk factors of elbow. The findings indicated that prevalence of elbow WMSDs among workers was 7.3%. The prevalence of elbow WMSDs in toy manufacturing was 21.3%, which significantly higher than that in other industries (P<0.05). Logistic regression analysis showed that aged 40 and above, married, very poor health, left-handed, lifting weights (more than 20 kg each time) , work requiring upper limb or hand force, work in an uncomfortable position, repetitive operations within one minute, using vibrating tools, work involves cold, cool winds or temperature changes, work being completed in the same workshop, work being done outdoors, frequent deal with customers , two shifts, often work overtime, staff shortage, often work for colleagues were the risk factors of elbow WMSDs.The higer education level and monthly income, and enough rest time were the protective factors of elbow WMSDs. The toy manufacturing is a high-risk industry for elbow WMSDs. The publicity and education of ergonomics knowledge should be strengthened, and the workers' ergonomics awareness should be improved to reduce the impact of WMSDs.

Knowledge of Computer Ergonomics among Third and Final year Dental Students: A Cross-sectional Survey from Nagpur, India

Introduction: During the Coronavirus Disease-2019 (COVID-19) pandemic, the world has experienced many changes, including increased computer and internet usage. Spending more time on computers can lead to the development of various postural problems, resulting in pain and inefficiency in the workplace. Aim: To assess the knowledge of computer ergonomics among third and final year Bachelor of Dental Surgery (BDS) students at VSPM’s dental college in Nagpur, Maharashtra, India. Materials and Methods: This cross-sectional, questionnairebased study was conducted on third and final year students between November 2020 and February 2021 in the Department of Oral Medicine and Radiology at VSPMDCRC, Nagpur, Maharashtra, India. Ethical clearance was obtained from the Institutional Ethical Committee (IEC/VSPMDCRC/15/2020). A self-administered questionnaire, formulated and validated by independent subject experts, was used. A total of 216 students were included in the study over a two-month period. Informed consent was obtained from the students. The questionnaire consisted of 34 questions on computer usage and knowledge of ergonomics, and the responses were recorded. Descriptive statistics were performed using Statistical Packages for Social Sciences (SPSS) version 20.0 for Windows. Quantitative data were expressed as mean and standard deviation. The association between categorical variables was checked using the Chi-square test, with a significance level set at 5%. Results: The mean age of the students was 22.20 years total of 216 students, including 158 females and 58 males, were included in the study. The results showed that 20.37% of third year students (44/96) and 31.48% of final year students (68/96) were aware of the term "ergonomics". The majority of students were unaware of the principles of ergonomics. However, 169 (78.2%) students knew the correct position of the head and neck while using a computer. Additionally, 164 (75%) students were aware of the need for lower back support, 167 (77.3%) were aware of the placement of input devices, and 174 (80.6%) were aware of the alignment of devices. Moreover, 168 (77.8%) subject knew that the monitor and working surface should be glare-free, and 120 (55.6%) were aware that a sloped desk surface is required for reading or writing. Furthermore, 157 (72.7%) subjects used a headset or speakerphone while writing, typing, or talking on the phone, and 164 (75.9%) subjects took regular eye breaks. Conclusion: The present study highlights a lack of practical knowledge and application of ergonomics among the participants. There is a need to prioritise creating awareness and developing healthy ergonomics practices among dental students through Continuing Dental Education programs (CDE). The authors also recommend that the curriculum for healthcare courses should incorporate healthy ergonomics practices as a part of the curriculum.

Correlational study of ergonomic knowledge and level of MSK discomfort during online classes of 1st–4th year UST-CRS physical therapy students: a cross-sectional study

IntroductionThe abrupt transition of the mode of learning due to the COVID-19 pandemic resulted in an increase in complaints of musculoskeletal (MSK) discomfort among students in Higher Education Institutions (HEI)....

Applying implementation science to evaluate participatory ergonomics program for continuous improvement: A case study in the construction industry

While participatory ergonomics (PE) presents numerous benefits, its empirical effectiveness remains elusive due to the lack of transparency in implementation contexts and processes. This hinders our ability to discern the reasons behind a program's success or failure and to determine optimization and adaptation strategies. To unravel this “black box,” we present a case study using implementation science to evaluate a PE program and illuminate the mechanisms linking process to outcome. The study examines a 4.5-year PE program at a construction company, targeting musculoskeletal disorders (MSDs) from material-cart handling. Using the RE-AIM framework and Implementation Causal Pathway Model, we evaluated implementation process and catalogued contextual factors through worker surveys (n = 106), safety document review (27 training sessions and 7 construction projects), and key informant observations. We assessed the program's impact using a 42-worker survey and an analysis of 8-year injury data, and determined the return-on-investment (ROI) by monetizing the collected data. The program achieved significant impact: Workers' ergonomic knowledge improved from 73% in baseline to 86% in follow-up; 97% of workers reported at least one positive change in their crews; and no cart handling injuries occurred after the first program change, resulting in a ROI rate of 1.99. Implementation process evaluation revealed that seamless integration, tailored intervention, and ongoing adjustments contributed to the success. Five organizational factors necessary for the effective functioning of these three strategies were identified, along with three moderators that amplified their influence. Finally, this case study demonstrates that implementation science offers a coherent structure for evaluating PE programs, uncovering mechanisms of change, and informing future improvements and adaptations. Our research facilitates knowledge transfer from implementation science to ergonomics, eventually leading to more cost-effective PE programs that are faithfully implemented across various industrial settings to prevent MSDs.

Knowledge Attitudes and Practices in Ergometry Among Nurses at the Bafoussam Regional Hospital

Occupational medicine was born in France after the First World War and gradually the range of occupational diseases and accidents widened. Today, the community is concerned about the well-being of the workplace, and thinks in terms of occupational health. Major surveys identify not only the physical but also the psychological state of health of employees. Nurses are particularly a population at risk because of their often-morbid working conditions. The objective of our study was to raise awareness and show the importance of ergonomics by assessing practical knowledge and attitudes in ergonomics among nurses. To this end, a descriptive cross-sectional study was conducted from March 15 to June 20 at the Regional Hospital of Bafoussam (HRB) on sample of 110 nurses. A face-to-face questionnaire was administered for data collection. The data collected was analyzed by software Epi Info 7.2.2.7 and presented in table and graph form. In total, of the 110 nurses surveyed, 58, 18% [CI: 48, 39%- 67, 52%] (64/110) had a poor level of knowledge in ergonomics. 74, 55% [CI: 65, 35- 82, 37%] (82/110) had harmful ergonomic practices. 57, 27% [CI: 47, 48- 66, 66%] (63/110) suffered from musculoskeletal disorders. Ergonomics practices were significantly associated with the musculoskeletal disorders at the nurse of the Bafoussam Regional Hospital [OR: 3, 07; CI: 1, 13% - 10, 04%; P= 0,028]. Ergonomics practices are not well known in the nursing profession, and nurses need training to improve performance and reduce the occurrence of occupational accidents.

Characteristics of low back pain and its associated factors among healthcare providers at a tertiary hospital in Sylhet city: a cross-sectional study

BackgroundHealthcare providers serve as the backbone of the healthcare system, yet they frequently have low back pain (LBP) due to ergonomic factors. Therefore, the objective of this research was to identify the characteristics of LBP and its associated factors among healthcare providers in Bangladesh.MethodologyIn this cross-sectional study, 310 medical providers, both male and female, participated. An interviewer-administered questionnaire was used to evaluate data regarding different measures of LBP. The chi-square test and descriptive statistics were used to evaluate the data. To identify the predicted risk factor for LBP, binary logistic regression was performed.ResultA total of 51.9% of healthcare providers reported having LBP at least once a day in the past 12 months, 25.8% had chronic LBP, 18.1% had to take time off work due to LBP, and 57.89% had received combination medication and physiotherapy in the previous 12 months. The advanced age (41–59 years) adjusted odds ratio (AOR) = 1.83, 95% confidence interval (CI) = 1.04–3.22; p = 0.034), lifting objects (AOR = 2.00, 95% CI = 1.06–3.78; p = 0.032), awkward position (AOR = 6.54, 95% CI = 3.04–14.10; p = 0.001), physical exercise (AOR = 3.81, 95% CI = 2.23–6.52; p = 0.001), and comorbidities (AOR = 1.79, 95% CI = 1.00–3.20) were predictors for developing LBP at least once in the past 12 months.ConclusionAccording to this study, more than half of healthcare professionals reported having LBP at least once in the previous 12 months. Good working posture, ergonomic knowledge, and safe lifting techniques are essential to getting rid of this problem. In addition, good medical attention and regular exercise are required.

Sex differences impact ergonomic endoscopic training for gastroenterology fellows

Background and AimsEndoscopic related injuries (ERI) for gastroenterologists are common and can impact longevity of an endoscopic career. This study examines sex differences in the prevalence of ERIs and ergonomic training during gastroenterology (GI) fellowship. MethodsA 56-item anonymous survey was sent to 709 general and advanced endoscopy GI fellows at 73 United States (US) training programs between May and June 2022. Demographic information was collected along with questions related to endoscopic environment, ergonomic instruction, technique, equipment availability, and ergonomic knowledge. Responses of female and male GI fellows were compared using Chi-square and Fisher exact tests. ResultsOf the 236 respondents (response rate 33.9%), 113 (44.5%) were female and 123 (52.1%) were male. Female fellows reported on average smaller hand sizes and shorter heights. More female fellows reported endoscopic equipment was not ergonomically optimized for their use. Additionally, more female fellows voiced preference for same gender teachers and access to dial extenders and well-fitting lead aprons. High rates of post-endoscopy pain were reported by both sexes, with significantly more females experiencing neck and shoulder pain. Trainees of both sexes demonstrated poor ergonomic awareness with an average score of 68% on 5-point knowledge-based assessment. ConclusionPhysical differences exist between male and female trainees, and current endoscopic equipment may not be optimized for smaller hand sizes. This study highlights the urgent need for formal ergonomic training for trainees and trainers with consideration of stature and hand size to enhance safety, comfort, and equity in the training and practice of endoscopy.

Application of Participatory Ergonomics to the Dissemination of a Quality Improvement Program for Optimizing Blood Culture Use.

Blood cultures are overused in pediatric ICUs (PICUs), which may lead to unnecessary antibiotic use and antibiotic resistance. Using a participatory ergonomics (PE) approach, the authors disseminated a quality improvement (QI) program for optimizing blood culture use in PICUs to a national 14-hospital collaborative. The objective of this study was to evaluate the dissemination process and its impact on blood culture reduction. The PE approach emphasized three key principles (stakeholder participation, application of human factors and ergonomics knowledge and tools, and cross-site collaboration) with a six-step dissemination process. Data on interactions between sites and the coordinating team and site experiences with the dissemination process were collected using site diaries and semiannual surveys with local QI teams, respectively, and correlated with the site-specific change in blood culture rates. Overall, participating sites were able to successfully implement the program and reduced their blood culture rates from 149.4 blood cultures per 1,000 patient-days/month before implementation to 100.5 blood cultures per 1,000 patient-days/month after implementation, corresponding to a 32.7% relative reduction (p < 0.001). Variations in the dissemination process, as well as in local interventions and implementation strategies, were observed across sites. Site-specific changes in blood culture rates were weakly negatively correlated with the number of preintervention interactions with the coordinating team (p = 0.057) but not correlated with their experiences with the six domains of the dissemination process or their interventions. The authors applied a PE approach to disseminate a QI program for optimizing PICU blood culture use to a multisite collaborative. Working with local stakeholders, participating sites tailored their interventions and implementation processes and achieved the goal of reducing blood culture use.

Penyuluhan Potensi Skoliosis Untuk Mengatasi Perbaikan Postur Tubuh Pada Anak SD Negeri 1 Taruban

Scoliosis occurs due to congenital, traumatic, degenerative or idiopathic. And the comparison that occurs in scoliosis is, women experience scoliosis by 5: 7 than men. To determine the risk factors associated with the potential occurrence of scoliosis and posture improvement in children of SD Negeri 1 Taruban, Surakarta, educational activities were carried out in the form of counseling packaged with presentation methods, simulation of media leaflets. Based on the assessment of Low Back Pain knowledge in community members conducted before the counseling took place, results were obtained in the form of 19 people less, 10 people Enough and 3 people in the good category. Based on the assessment of Ergonomics knowledge in the correct posture of community members carried out after the counseling process took place, results were obtained in the form of 22 people having knowledge in the good category, 8 people having knowledge in the sufficient category, 2 people having knowledge in the less category.