Insufficient knowledge of how the working environment (WE) impacts company performance leads to a poor basis for managerial decision making. The objective of this study was to survey and evaluate available tools relating WE to business results. Nine tools were identified and qualitatively evaluated using 11 criteria. The tools were clustered into three categories, ranging from analysis of WE risks as well as calculation of their economic impact to solely investment analysis. Shortcomings in the tools include insufficient attention to quality and productivity issues and insufficient guidance for users. Although further methodological development is indicated, researchers should also attend to the factors affecting tool uptake and application as well as the potential to integrate such analysis into companies' regular accounting systems. © 2011 Wiley Periodicals, Inc.

This study investigated reactions in passively loaded, fully extended elbow joints in 13 men. Pain reactions during and after loading were studied, as were endurance time, T(end), and resumption time, Tr. The loading moment on the elbow joint, Mn, varied between 7 and 100% of maximum elbow moment. Discomfort/ pain was estimated with Borg's CR-10 scale. T(end) decreased with increasing load level. The opposite was found for the resumption time: the higher the load, held until T(end), the shorter the Tr. The pain limiting the working capability originated mainly from muscle tissue and not from the joint itself. It is concluded that the relation between load and endurance time for passively loaded, fully extended elbow joints resembles that for muscular loading in more 'normal' postures. Equations for estimation of endurance and resumption times (in minutes) for fully extended joints are proposed: T(end) = 20.6e(-6.04Mn) and Tr = 0.0167e(8.84/(1.46+0.346Mn)), respectively.

RAMP II is an observation-based tool developed for assessing a wide range of musculoskeletal disorder risk factors related to industrial manual handling. RAMP II, which is part of the RAMP tool, is based on research studies and expert judgments. The assessment relies mainly on direct or video observations of the work being assessed, but additionally on measured push/pull forces and weights of handled objects, and on perceived workload and discomfort. Over 80 practitioners participated in the development of the tool. According to the evaluations, 73% of the assessment items evaluated had acceptable reliability, and the majority of the potential endusers reported that RAMP II is usable for assessing risks and as a decision base. It is concluded that this study provides support that RAMP II is usable for risk assessment of musculoskeletal disorder risk factors in industrial manual handling.Practitioner summary: RAMP II is an observation-based assessment tool for screening and assessing major musculoskeletal exposures in industrial manual handling jobs. Over 80 practitioners participated in the development of the tool. This study provides support that RAMP II is usable for risk assessment of musculoskeletal disorder risk factors in industrial manual handling.

Subjectively assessed endurance time (ET), resumption time (RT) and perceived discomfort, pain or fatigue (PD), and objectively measured maximum force-exerting capacity were investigated for varying loads and durations of a pushing task with two repeated trials. Beyond the main results quantifying how the load scenario affected ET, RT and PD, three additional results are of note: (1) although the maximum pushing force did not change between trials, shorter ET, longer RT and higher PD indicated accumulation of fatigue in Trial 2; (2) the PD ratings showed a trend with a linear increase during loading and a curvilinear decrease during recovery; and (3) the RT and the load level for different relative loading times were found to have an unexpected U-shaped relationship, indicating lowest fatigue at the intermediate load level. These results can be used to model a more sustainable and productive work-recovery ratio.

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RAMP I is a screening tool developed to support practitioners in screening for work-related musculoskeletal disorder risk factors related to manual handling. RAMP I, which is part of the RAMP tool, is based on research-based studies combined with expert group judgments. More than 80 practitioners participated in the development of RAMP I. The tool consists of dichotomous assessment items grouped into seven categories. Acceptable reliability was found for a majority of the assessment items for 15 practitioners who were given 1 h of training. The usability evaluation points to RAMP I being usable for screening for musculoskeletal disorder risk factors, i.e., usable for assessing risks, being usable as a decision base, having clear results and that the time needed for an assessment is acceptable. It is concluded that RAMP I is a usable tool for practitioners.

Arm ergometry exercise testing is a valuable alternative method used in the evaluation and management of patients with both cardiac disease and lower limb impairment. The purpose of this study is to provide information concerning the physiologic responses of normal healthy subjects to arm ergometry relative to age and gender, which could serve as a standard for comparison. Eighty healthy subjects (age 22 to 59 years) cycled at 75 to 80 rpm (on a bicycle adapted for arm ergometry) starting at a power output of 10 W, increasing at 10 W/2 min until exhaustion. Sixty subjects were classified on the basis of age into three groups, each with 10 men and 10 women. Men achieved significantly (p less than 0.001) higher power output (95 +/- 25 W) and oxygen consumption (20.7 +/- 3.9 ml/kg per min) than did women (56 +/- 19 W and 15.5 +/- 3.1 ml/kg per min, respectively). The heart rate response to total body oxygen demand during arm ergometry was significantly higher in women than in men (p less than 0.001). These findings were also present when men and women of each age group were analyzed separately. Older subjects reached a significantly (p less than 0.02) lower peak power output than did younger subjects although they reached a similar level of oxygen consumption. Separate regression equations for predicting oxygen consumption at each power output were formulated for men and women and validated in 20 other subjects. Small differences in measured and predicted oxygen consumption at each stage were found. These data provide additional information concerning arm ergometry testing and should prove useful in diagnostic exercise testing and cardiac rehabilitation.

The present paper reports a case study examining a conceptual framework for assessing financial impact of occupational maritime ergonomics in a Swedish shipping company. Specifically, the aim was to study the availability and applicability of suggested determinants for operational performance, routines for estimating the effects of ergonomics and the customer's (sea transport buyer's) demands for ergonomics management on the case company. The results show that the determinants and subcategories for operational performance in terms of productivity, efficiency and quality are present and applicable, albeit not measured to any large extent. No routines or specific methods for measuring or estimating cost and effects of ergonomics investments, accidents and operational disturbances were found. Further, the results show that the sea transport buyers increasingly express interest for and place demands related to maritime ergonomics, for instance, through compliance of specific standards and guiding principles linked to maritime ergonomics. It is concluded that in order to support and enable managers' ability to make well-informed decisions and prioritizations, between investments, ergonomic or other, increased knowledge is needed of the financial effects of ergonomics on company core value processes. There is also a need to develop and implement usable tools to simplify these measuring procedures.