Moderate Risk Levels Research Articles

Application of Earned Value Analysis Method and Earned Schedule Method to Time and Cost Control In Bank X Building Project

Construction projects are activities that must be completed within limited time and resources. This research aims to identify risky activities and make control efforts to reduce the level of hazard risk in the installation of steel box girder on the bridge. This research used a mixed methods approach, combining quantitative and qualitative methods. Data were collected through surveys and interviews with 60 respondents from 35 bridge projects. The results showed that there were 29 variables of work accident risk factors, including 3 variables with moderate risk levels, 24 variables with high risk levels, and 2 variables with extreme risk levels. The highest risk factors were mobilization that caused congestion and crane overturning during girder lifting that caused operators to fall. To reduce the risk level, efforts are made to ensure all work is done correctly, conduct regular safety inspections, and ensure an effective communication system in the installation of steel box girders on the bridge. The findings can serve as a basis for policy makers to develop better OHS regulations and guidelines, as well as provide valuable information for the development of more effective safety training programs for workers in the construction sector.

A new framework for assessing and dealing with heat risk from an urban resilience perspective

Cities are exposed to increasing environmental threats, having undergone extensive land development and rapid urbanization. Clarifying the effects of urban resilience to risk can provide effective guidance for mitigating heat risk. To our knowledge; however, quantifying these effects from an urban resilience perspective has not been considered in previous studies. Here, we proposed the adaptation-resistance-response heat-related urban resilience assessment system. The system is integrated with the minimum cumulative resistance model to construct a novel heat risk assessment framework. A case study in Shenzhen, China, showed that resilience to heat had a high degree of spatial heterogeneity. More than half of the study area was at a moderate or high level of risk. Our study provided new insights into the differences in heat risk between urban and rural areas. The heat-risk gap between urban and rural areas was lower than that indicated by surface temperatures, due to the diffusion and attenuation of high temperatures. In addition, we discussed the application of resilience to risk governance and emphasize five governance models for risk zoning. The proposed framework facilitated a better understanding of the effect of resilience on risk mitigation, and our results can be used to guide urban planning and risk management.

Association between dietary fiber intake and chronic kidney disease in adults with and without hypertension in the United States: a cross-sectional study of NHANES 2009–2020

While previous research has highlighted the potential advantages of increasing dietary fiber intake (DFI) for managing hypertension and chronic kidney disease (CKD), there is a gap in large-scale empirical studies examining the relationship between DFI and CKD among hypertensive and nonhypertensive cohorts independently. This study involved 22,871 participants sourced from the NHANES database spanning 2009 to 2020, who were divided into hypertensive (n = 9,861) and nonhypertensive (n = 13,010) groups. The analysis revealed a significant inverse correlation between DFI and CKD prevalence across the sample after adjusting for various covariates (OR = 0.98, 95% CI: 0.97–0.99, p = 0.001). Within the subset of hypertensive individuals, this inverse association mirrors the findings of the overall sample, indicating that a higher DFI was associated with a reduced occurrence of CKD (OR = 0.97, 95% CI: 0.96–0.99, p < 0.001). However, this correlation was not detected in the nonhypertensive group (OR = 0.99, 95% CI: 0.98–1.01, p = 0.285). The RCS analysis further confirmed a pronounced nonlinear inverse relationship between DFI and CKD prevalence in both the entire cohort and the hypertensive group but not in the nonhypertensive group. Further scrutiny of the hypertensive group revealed that individuals with a higher DFI had 33% lower odds of CKD progression for the moderate risk level and 36% lower odds for the high to very high risk level. Subgroup analyses confirmed the consistency of these relationships across various demographics. In summary, this investigation revealed a significant inverse relationship between DFI and CKD prevalence in US adults with hypertension, a relationship not observed in nonhypertensive individuals.

ASSESSING FOOD SAFETY AWARENESS AND PRACTICES AMONG STREET FOOD VENDORS IN KATSINA STATE, NORTH WESTERN NIGERIA

Food safety is a critical global issue, with contaminated food posing serious health risks, particularly to vulnerable populations such as children under five, the elderly, and the sick. This study examined food safety practices among street food vendors in major towns of Katsina State. Using structured questionnaires and a multi-stage sampling technique, data were collected from a total of 316 street food vendors to assess vendors' awareness and adoption of food safety measures. Descriptive statistics and traffic light model were used to analyse the data. While vendors demonstrated high awareness of basic hygiene practices like washing utensils and avoiding work when ill, the adoption of other crucial practices, such as using hand gloves and maintaining clean selling locations, was found to be low. This gap between awareness and practice highlights the need for targeted interventions, including training programs and public awareness campaigns, to bridge the knowledge-behaviour gap. The traffic light model categorized food safety risk to levels, revealing that many vendors operate at high to moderate risk levels. These findings underscore the importance of continuous monitoring, feedback, and enforcement of food safety regulations. Recommendations include enhancing access to resources, providing incentives for good practices, and implementing regular health and safety audits. This can significantly reduce foodborne illnesses, ensuring safer food consumption, and supporting national health and economic development through safer trade and tourism activities. This study contributes to the on-going discourse on food safety in developing regions and highlights critical areas for policy and practical interventions to safeguard public health.

An estimation of the tower crane safety risk factors in the Vietnamese construction industry

The construction industry is among the riskiest sectors worldwide due to its involvement in complex and hazardous activities, primarily because of the use of tower cranes. Tower cranes are considered the most hazardous construction machinery, contributing to a high rate of serious accidents, including fatalities and disabling injuries, not only in Vietnam but also globally. In this paper, we identify and evaluate 42 tower crane safety risk factors specific to the Vietnamese construction industry based on their probability of occurrence, severity of impact, and associated risk levels. The paper reveals that the most probable risk factor is “Unfavorable winds (including intensity, direction, etc.)” with a mean value of 3.641. The factor with the highest severity is “Wire rope is broken” with a mean value of 4.179. Furthermore, the study shows that twenty-five out of forty-two (59.52%) factors present a moderate risk level, with a Relative Significant Index Score (RSIS) ranging from 8.019 to 13.047. Among these, the factor “Bad maintenance management of the tower crane and auxiliary aids” poses the highest risk level, with an RSIS value of 13.047. This paper aims to enhance the understanding oftower crane safety among subcontractors, government safety regulators, main contractors, maintenance personnel, and workers in the Vietnamese construction industry. Additionally, the methodology presented in this paper can be adapted for assessing safety risk factors in other industries within Vietnam.

Temporal variability and ecological risks of pharmaceuticals and cocaine during the Christmas and New Year holidays in a beach area of North Coast of São Paulo, Brazil

This study assessed the occurrence and ecological potential risk of nine selected pharmaceuticals in water samples from the Juquehy River. The river flows continuously to Juquehy Beach, known as “the jewel of the north coast" of São Paulo, Brazil. Samples were collected during Christmas and the New Year (period of December 2023–January 2024), in addition to a previous baseline weekend, to compare the loads during “celebratory parties" versus “normal operational conditions." The findings indicated that the “mass gathering" during Christmas and New Year holidays contributed significantly to an increase of the mass load of the nine pharmaceuticals flowing along to the Juquehy River, i.e., caffeine (14.40–633.00 ng/L) > losartan (<LOQ: limit of quantification to 9.43 ng/L) > furosemide (< LOQ to 9.16 ng/L) > diclofenac (0.61–4.55 ng/L) > carbamazepine (< LOQ to 0.73 ng/L) > orphenadrine (< LOQ to 0.11 ng/L) showed higher concentrations during the New Year holiday. Conversely, atenolol (< LOQ to 13.10 ng/L) > benzoylecgonine (0.33–7.23 ng/L) > cocaine (0.12–6.59 ng/L) showed higher concentrations during the Christmas day. The individual ecological risk assessment in the Juquehy River revealed a clear environmental concern for the aquatic ecosystem. The threat to the aquatic biota is significant, with caffeine and losartan presenting a moderate level of risk. Moreover, the mixture ecological risk assessment of nine compounds indicates acute moderate risks to algae, crustaceans, and fishes, as well as chronic low risks to fishes.

Degradation of toxic components in kitchen waste during hydrothermal carbonization process

Hydrothermal carbonization (HTC) is a promising technique for kitchen waste (KW) disposal. However, KW may contain heavy metals (HMs), aflatoxin, nitrites and sulfites, posing risk for hydrochar utilization. In order to clarify the migration of these toxic components during hydrochar formation process, 7 kinds of kitchen wastes were adopted to carry out HTC experiments at 180–240 °C. Concentration detections results showed that Fe, Mn, Cr, Ni, Cu, and Zn contents were relatively high with a range of 30–2500 mg/kg in KW feedstocks. After HTC treatment, Fe, Cr, Cu were mainly (>80 %) enriched in hydrochar, the enrichment factors of Mn, Ni, Zn was almost above 50 %. From the perspective of species and valence distributions, Mn, Fe, Ni, and Zn in hydrochar were below moderate risk level. No aflatoxin was detected in hydrochar, because AFB1 and AFB2 can be completely degraded into organic acids in the HTC environment at 180 °C. Part benzene rings in aflatoxin were reduced and the C-C bonds were further broken, the C-O bonds were oxidized to produce carboxylic acids. Some benzene rings in aflatoxin remained to form organic acids with aromatic structures. NO2− and SO32- ions with strong ecotoxicity were mostly converted into NO3− and SO42- and flowed into the liquid phase. Some NO2− ions were also converted to and ammonia N and pyridine N; some SO32- ions were converted to sulfonic and sulfinic acid organics, which were successively transformed into sulfonyl/sulfinyl and sulfone/sulfoxide organics. The above findings are of great significance for the transformation mechanism of toxic substances in HTC environment and environment-friendly utilization of hydrochar.

Pollution Characteristics and Source Apportionment of Heavy Metals in Topsoil of Counties Along the Shandong Section of the Yellow River

The 25 counties along the Shandong section of the Yellow River are the core areas for promoting the ecological protection and high-quality development of the Yellow River in Shandong Province. Moreover, it is of great significance to study the current situation, sources, and potential risks of heavy metal pollution in the topsoil in this region. In this study, 103 soil samples were collected from the 25 counties along the Shandong section of the Yellow River, and the contents of eight heavy metals （As, Cu, Pb, Cr, Zn, Ni, Cd, and Hg） were determined. The pollution characteristics of heavy metals were analyzed and evaluated using the geological accumulation index and potential ecological risk index. Correlation analysis and the positive matrix factorization （PMF） model were used to analyze the sources of heavy metals. The results showed that the average contents of Cu and Cr were lower than that of the background values of soils, whereas the average contents of As, Pb, Zn, Ni, Cd, and Hg were 1.16, 1.42, 1.05, 1.14, 2.29, and 1.85 times higher than that of the background values, respectively, and the average contents of all eight elements were lower than the screening value of soil pollution risk in agricultural land. In terms of different heavy metal variations, the coefficient of variation （CV） of Cu and Cd was higher than 0.500, indicating high variations, whereas As, Pb, Cr, Zn, Ni, and Hg showed moderate variation. Cd and Hg were slightly polluted, whereas the other six elements were not polluted. Cd and Hg had a moderate potential ecological risk level, whereas the other six elements were at a low level. Correlation analysis and PMF model showed that the sources of heavy metals in the study area were influenced by four factors, i.e., agricultural activities, natural sources, industrial emissions, and atmospheric dust from coal combustion and vehicle exhaust emissions, and the relative contribution rates were 32.4%, 34.9%, 16.5%, and 16.2%, respectively.

Determination of contamination, source, and risk of potentially toxic metals in fine road dust in a karst region of Southwest China.

Understanding the pollution situation of potentially toxic metals (PTMs) in fine road dust (FRD) in emerging industrialized cities and identifying priority control factors is crucial for urban environmental management, resident health protection, and pollution control. This study conducted a comprehensive investigation on PTMs pollution in FRD in Zunyi, a representative emerging industrialized city in the karst region of southwestern China. The average contents of Ni, Cr, Mn, Cu, Zn, Ba, Pb, V, and Co in the FRD were 43.2, 127.0, 1232.1, 134.4, 506.6, 597.8, 76.1, 86.8, and 16.2mgkg-1, respectively, which were obviously higher than the corresponding background levels of the local soil except for V and Co. The comprehensive pollution level of the determined PTMs in the FRD was very high, primarily caused by Zn and Cu. The sources of PTMs in Zunyi FRD were traffic, industrial, construction, and natural sources, accounting for 38.0, 23.7, 21.9, and 16.4% of the total PTMs content, respectively. The PTMs in Zunyi FRD exhibited a low to moderate overall ecological risk level, mainly contributed by Cu and traffic source. The cancer risks of PTMs in Zunyi FRD were high for all populations. The non-carcinogenic risk of PTMs in Zunyi FRD was acceptable for adults, but cannot be ignored for children. According to the source-specific probabilistic health risk estimation results, the priority control source is industrial source and the priority control PTM is Cr. Local governments need to give more attention to the carcinogenic risks and health hazards posed by PTMs in the FRD.

Integrating the Sufficiency Economy Royal Philosophy and Participatory Action Research Approach to Promote Self-Care for Stroke Prevention in Selected Communities of Southern Thailand.

(1) Introduction: Effective control of stroke risk factors can reduce stroke incidence. Motivation for participatory action of community dwellers to practice self-care to modify stroke risk after providing them with knowledge of stroke risk factors is considered useful under a situation of limited healthcare resources. This study aimed to evaluate the outcomes of integrating the sufficiency economy philosophy (SEP), a royal economic philosophy in Thailand, and the participatory action research (PAR) approach on stroke risk factors control among selected communities. (2) Methods: Villagers who had medium to high stroke risk from two provinces with leading stroke incidences in southern Thailand were invited to participate in an eight-month SEP-PAR program conducted in 2019. Group meetings among the study participants, local healthcare providers, the researchers, and relevant stakeholders in the communities were held to co-design a health behaviors program targeting lower waist circumference (WC), body weight (BW), blood pressure (BP), fasting blood sugar, blood lipids, and smoking and alcohol consumption rates. Follow-up physical measurements and blood tests were compared with the baseline results for significant differences by descriptive statistics (p < 0.05) using the R program. (3) Results: Of 126 participants, 75.4% were female. Moderate and high stroke risk levels were found in 58.2% and 19.8%, respectively. Elevated baseline WC, BW, BP, and blood test results were found in 50-80% of the participants. The co-designed health behaviors in this study were dietary control, regular exercise, relieving psychological stress, and stopping smoking and alcohol consumption. Overall, the participants had significant adherence to the co-designed health behaviors. At the end of the program, the follow-up tests showed significant reductions in BW, BP, fasting blood sugar, and lipids, but not in WC. (4) Conclusions: A combined SEP and PAR approach was effective for stroke risk factors control among the community dwellers. Motivation for self-care is a significant strategic outcome expected of this approach. Longer follow-up studies in larger populations are needed.

African Swine Fever Disease Risk Assessment Using Multi-Criteria Decision Analysis: An Input for GIS-Based Risk Mapping

African Swine Fever (ASF) has severely impacted the Philippines' pig industry, caused socioeconomic losses, and affected income, supply, demand, and prices. There needs to be more understanding regarding the risk factors associated with ASF introduction into pig farms and the level of risk each farm faces. Accordingly, using a quantitative research method, this study used the Analytical Hierarchy Process (AHP) to categorize ASF risk factors into biosecurity and spatial risk factors. Twenty-five (25) respondents were selected using a purposive participatory approach to rank the importance level of each risk factor as per the two risk factor categories. The AHP analysis revealed that the highest-risk biosecurity factors are the "absence of protocols for changing clothes, separate entry and exit, disinfection of objects, restriction on food introduction, and external individuals accessing the farms." In the spatial risk factor ranking, the analysis showed that the “distance to pig farms utilizing swill feeding" was the highest risk factor, indicating its significant contribution to the overall risk of farms. A farm risk assessment was also performed based on the AHP results and the level of compliance of each farm on the different risk factors. The study was conducted on selected pig farms in the municipality of Echague by evaluating their compliance with the identified risk factors and determining the level of risk they posed. The risk assessment results for African swine fever on farms reveal a concerning scenario. With 70% of farms assessed as "high risk" in terms of biosecurity and 74% classified as "medium risk" in spatial vulnerability, the overall assessment indicates that 84% of farms are at a moderate risk level. This suggests a widespread need for improved biosecurity practices and disease monitoring to prevent the introduction and spread of African swine fever. The 16% of farms deemed "high risk" pose a significant threat, requiring immediate action to prevent disease outbreaks. These findings emphasize the importance of implementing stringent biosecurity measures, enhancing surveillance efforts, and raising awareness to safeguard the pig industry from the devastating impacts of the ASF disease, like the rising cost of meat and pork-based commodities. Furthermore, these show the importance of considering the biosecurity and spatial risk factors for a more comprehensive risk assessment. The AHP ranking and risk assessment process is crucial in developing a GIS-based risk mapping and surveillance system. This offers government authorities a valuable decision-making tool to proactively prevent the introduction of African swine fever (ASF) and mitigate the necessity for widespread culling of pigs. By implementing targeted interventions informed by the study results, the government can work towards safeguarding the pig industry.

Assessment of heavy metals in soil, leaf litter, and their bioaccumulation in terrestrial macroinvertebrates in Sohag Governorate, Egypt.

The presence of elevated levels of heavy metals in soil poses a significant environmental concern with implications for human health and other organisms. The main objective of our study was to reduce the gap information of seasonal abundance, distribution of heavy metals in soil, leaf litter, and some macroinvertebrates in a citrus orchard (Citrus sinensis) in Sohag Governorate, Egypt. The heavy metals copper (Cu), zinc (Zn), lead (Pb), and cadmium (Cd) were determined by atomic absorption spectrometry. Degree of contamination (DC) was determined for both soil and leaf litter contamination. However, the bioaccumulation factor (BAF) was estimated to determine metal accumulation in the macroinvertebrates including earwigs Anisolabis maritima, chilopoda Scolopendra moristans, spider Dysdera crocata, and earthworm Aporrectodea caliginosa. The study area had clay-loam with varying organic matter, salinity, and pH levels. The degree of contamination varied among seasons, with the highest levels typically observed in autumn in both soil and leaf litter. The soil ranged from low contamination (1.82) to high contamination levels (4.4), while the leaf litter showed extremely high (30.03) to ultra-high (85.92) contamination levels. The mean ecological risk index results indicated that the sampling area had moderate ecological risk levels for Cd (44.3), Zn (42.17), and Pb (80.05), and extremely high levels for Cu (342.5). Heavy metal concentrations in the selected fauna were the highest in autumn, and the bioaccumulation factor varied among species and seasons with some species classified as e-concentrators, micro-concentrators, and macro-concentrators of certain heavy metals. Scolopendra moristans exhibited the highest mean metal concentrations (Cd, Pb, and Zn), while Aporrectodea caliginosa had the lowest. Thus, the differences in heavy metal concentrations found in different soil taxa highlight the significance of taxing a holistic understanding of feeding mechanisms into account when evaluating the potential risk for animals that consume invertebrates.

Lung deposition of PM-bound trace elements and corresponding human health risk assessment in commercial kitchens serving Mediterranean cuisine

The service offered by commercial kitchens and the catering industry is becoming more and more popular all around the world. However, the health risks of sector workers are often overlooked. In this study, size-segregated Particulate Matter (PM) samples were collected from the indoor environments of five commercial kitchens, and elemental concentrations were quantified to estimate the corresponding health risks. Lung-deposited fractions of trace elements in three different regions of the respiratory tract were estimated and used to assess carcinogenic and non-carcinogenic health risks. Besides, the deterioration in lung capacity of the cooks was also evaluated by spirometry tests to correlate indoor pollutants. Exposure to trace elements was dominated by Na, S, Al, Fe, and Mg. Estimated carcinogenic risk through inhalation exposure to Cr was between the moderate risk level of 10−6 to 10−4, while the Hazard Index (HI) values were lower than the acceptable level of 1. This, along with elevated indoor PM levels, represented a significant potential for carcinogenic health hazards for the kitchen staff. According to the results of the lung function tests, a significant decrease was determined in the respiratory functions of the cooks, and it was associated with elevated exposure to fine PM, Pb, Cr, Cu, K, Ni, and Mn. Workplace health and safety measures to better protect the health of kitchen staff are urgently needed and should attract more public attention.

A critical assessment of the abuse, dependence and associated safety risks of naturally occurring and synthetic cannabinoids.

Various countries and US States have legalized cannabis, and the use of the psychoactive1 and non-psychoactive cannabinoids is steadily increasing. In this review, we have collated evidence from published non-clinical and clinical sources to evaluate the abuse, dependence and associated safety risks of the individual cannabinoids present in cannabis. As context, we also evaluated various synthetic cannabinoids. The evidence shows that delta-9 tetrahydrocannabinol (Δ9-THC) and other psychoactive cannabinoids in cannabis have moderate reinforcing effects. Although they rapidly induce pharmacological tolerance, the withdrawal syndrome produced by the psychoactive cannabinoids in cannabis is of moderate severity and lasts from 2 to 6 days. The evidence overwhelmingly shows that non-psychoactive cannabinoids do not produce intoxicating, cognitive or rewarding properties in humans. There has been much speculation whether cannabidiol (CBD) influences the psychoactive and potentially harmful effects of Δ9-THC. Although most non-clinical and clinical investigations have shown that CBD does not attenuate the CNS effects of Δ9-THC or synthetic psychoactive cannabinoids, there is sufficient uncertainty to warrant further research. Based on the analysis, our assessment is cannabis has moderate levels of abuse and dependence risk. While the risks and harms are substantially lower than those posed by many illegal and legal substances of abuse, including tobacco and alcohol, they are far from negligible. In contrast, potent synthetic cannabinoid (CB1/CB2) receptor agonists are more reinforcing and highly intoxicating and pose a substantial risk for abuse and harm. 1 "Psychoactive" is defined as a substance that when taken or administered affects mental processes, e.g., perception, consciousness, cognition or mood and emotions.

RISK ASSESSMENT OF BAGGED FERTILIZER UNLOADING ACTIVITY AT TUKS PUSRI BANYUWANGI BRANCH

The port is one of the distribution centers for goods in which there are loading and unloading activities. Loading and unloading activities sometimes involve loading and unloading personnel and heavy equipment which raises the potential for hazards that can cause work accidents and damage to goods. The purpose of this research is to conduct a risk assessment using the HIRARC (Hazard Identification, Risk Assessment and Risk Control) method on bagged fertilizer unloading work in the TUKS PUSRI Banyuwangi Branch Port area. The stages of bagged fertilizer unloading work activities include the unloading activity process, which consists of five work stages: opening the ship's hatch, workers (stevedores) entering the hatch, stevedoring, cargodoring, and delivery. The results stated that from a total of 5 work stages, 26 sources of hazards were identified with 6 sources of low risk level hazards at 23%, 7 sources of moderate risk level hazards at 27%, 6 sources of high risk level hazards at 23%, and 7 sources of very high risk level hazards (extreme) at 27%. Control measures that can be implemented are conducting briefings on OHS (Occupational Health and Safety) before starting work activities, supervision of compliance with the use of complete personal protective equipment and also the need for sanctions for workers who do not comply with the rules for using personal protective equipment.

Analysis of working posture and risk of musculoskeletal complaints among vegetable farmers

Background: Musculoskeletal disorders (MSDs) are disorders of body tissue that are related to movement, such as muscles, tendons, ligaments, nerves, or spinal joints. Farmers often experience these musculoskeletal complaints. This study aims to determine the risk level of working postures, the distribution of musculoskeletal complaints, and the risk level of musculoskeletal complaints among vegetable farmers. Methods: The research method used is descriptive observational. The sampling technique used was total sampling. The number of samples obtained in this research was 147 samples. Data collection was conducted at Banjar Taman Tanda, Batunya Village, Baturiti District, Tabanan Regency. Data collection was carried out by measuring work posture with rapid entire body assessment (REBA) and measuring musculoskeletal complaints with a Nordic body map (NBM). The data analysis technique in this research is univariate analysis, namely age, gender, smoking habits, work duration, work period, work posture, and musculoskeletal complaints. Results: The research results showed that the majority of respondents had a risk level of work posture. The majority of respondents were classified as a medium risk level, 90 people (61.2%), a low-risk level, 24 people (16.3%), a high-risk level, 30 people (20.4%). %), and the risk level is very high, with the minimum number of people being three people (2.0%). The results of measuring the level of musculoskeletal complaints with NBM found that the majority of complaints were not painful in the right elbow of the body, as many as 120 people (81.6%), the majority of complaints of slight pain were in the right leg, 51 people (34.7%), the majority of complaints of pain were in. The right shoulder of the body was 43 people (29.3%), and the majority of complaints of severe pain were in the waist, 58 people (39.5%). The highest risk level for musculoskeletal complaints was at a moderate risk level, 84 people (56.5%). Conclusion: There were differences in the risk level of musculoskeletal complaints and work posture among vegetable farmers.

The body mapping of musculoskeletal complaints for surfers

Background: Surfing is an extreme water sport that consists of various movements, including paddling, popping-up, and wave riding, and has a risk of musculoskeletal complaints. This study aimed to determine the description of musculoskeletal complaints in surfers. Methods: The study used a descriptive observational design with a cross-sectional approach. This study was conducted from February to May 2023 at the halfway club in Kuta Beach, Sanur Beach, and Canggu Beach using the total sampling technique with a total available population of 60 surfers. We included the sample with inclusion criteria and excluded the sample with exclusion criteria. Fifty-one surfers were eligible for the study. Data collection was carried out by interviews using the Nordic Body Map questionnaire. Results: Based on the Nordic Body Map questionnaire, musculoskeletal complaints in surfing players in Bali were a score of 2 (somewhat painful); most of them experienced complaints in the right knee (45.10%) and upper neck (39.22%). The risk level for musculoskeletal complaints in surfers in Bali was 46 people (90.2%) with a low-risk level and five people (9.8%) with a moderate risk level. Conclusion: The most musculoskeletal complaints in surfers in Bali are in the right knee, upper neck, right shoulder, left shoulder, waist, and ankle areas. The risk level for musculoskeletal complaints among surfers in Bali was mainly low, and some had a moderate risk level.

Prevalence study of musculoskeletal disorders among bank workers

Background: A formal worker is anyone who works for a business entity that has been registered at a government office. Those who work in the formal sector are identical to office work, with long duration of work, tend to be in a static position, and there are repetitive movements, thereby increasing the potential of musculoskeletal disorders (MSD). This can interfere with work productivity and work outcomes expected of formal sector workers. Methods: This study was a descriptive-analytic study with a cross-sectional approach with purposive sampling technique. Data was collected in June 2022 using a personal data questionnaire and the Nordic body map (NBM) questionnaire. Descriptive analysis was performed on the data using IBM SPSS 26 software. Results: Musculoskeletal complaints were found in the upper neck 8.8%, lower neck 6.8%, left shoulder 6.8%, right shoulder 5.4%, back 7.3% and waist 8.3%. Twelve people experienced moderate pain in the waist, 7 people experienced pain in the upper neck, and 2 people experienced very painful feeling in the waist. There were 35 respondents have a low MSD risk level 87.5% and 5 respondents have a moderate MSD risk level 12.5%. Conclusion: The respondents mostly had complaints around the upper neck, lower neck, left shoulder, right shoulder, back, and waist. There were risks of MSD in formal sector workers of risk of the MSD complaints experienced is predominantly low. The ergonomics approach can be applied to respondents with a higher level of risk. Keywords: Formal worker, musculoskeletal disorder, nordic body map, posture

Analisis Potensi Bahaya Kerja pada Proyek Pembangunan Pintu Masuk Utama di Bandara Sultan Kaharuddin Sumbawa dengan Metode HAZOP

The construction of the main entrance to Sumbawa's Sultan Kaharuddin Airport was carried out by CV. Swadaya Mas Engineering. Based on the results of observations in the field, potential work accidents were discovered. HAZOP (Hazard and Operability Study) is a systematic, thorough, and structured hazard identification method for identifying various problems. The results of the analysis at the airport are 50% with extreme potential risk (Extreme Risk), 25% with high-risk level (High Risk), 25% with moderate risk level (Moderate Risk), and 14% with low-risk level (Low Risk) and potential classification There are 29% potential hazards in the work attitude classification. 14% potential danger in work procedure classification, and 57% potential danger in workplace classification. Suggestions for improvement (1) organize materials to make them neater by installing warning gates, (2) implement SOP and provide outreach to workers regarding the importance of K3 and the use of APD, (3) directly implement the priority of using APD. Keywords: Construction of Sumbawa Airport Entrance, CV. Swadaya Mas Engineering, HAZOP

Prevalence and Severity of Burnout Risk Among Musculoskeletal Allied Health Practitioners: A Systematic Literature Review and Meta-analysis

AbstractThis systematic literature review and meta-analysis aimed to determine the prevalence and severity of burnout among musculoskeletal allied health clinicians according to the three dimensions of burnout – emotional exhaustion, depersonalisation, and personal accomplishment. Search terms were used to identify original research articles investigating burnout among musculoskeletal allied health professionals (chiropractors, occupational therapists, physical therapists, and podiatrists) using three electronic databases. To ensure consistency across data analysis and interpretation, only studies which employed the gold standard Maslach Burnout Inventory to measure burnout risk were included. Meta-analyses were conducted to calculate the pooled prevalence of high burnout for each of the three domains of the Maslach Burnout Inventory (emotional exhaustion, depersonalisation, personal accomplishment). Subgroup analyses by health profession and continent were also conducted. The search identified 54 eligible studies for inclusion. The pooled prevalence of high burnout risk for each of the three domains of the Maslach Burnout Inventory were as follows: high emotional exhaustion, 0.40 (95% confidence interval: 0.29–0.51); high depersonalisation, 0.26 (95% confidence interval: 0.07–0.53); and low personal accomplishment, 0.25 (95% confidence interval: 0.05–0.53). Pooled mean total scores indicated moderate levels of burnout risk across all three domains. Subgroup analyses showed physical therapists had the greatest overall burnout risk, and chiropractors the lowest. Geographical differences were also observed. Musculoskeletal allied health professionals frequently experience increased burnout risk related to emotional exhaustion and depersonalisation. Differences in burnout risk prevalence and severity were also evident among professions and geographical locations, indicating that techniques for resolving burnout should be adapted to specific professions and cultural contexts.