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The study investigated the extent to which electronic voting is accessible to Dutch voters, especially the visually impaired, those with low literacy, and the elderly. Together with the different user groups, a series of electronic interfaces were developed and simulations of a vote-printer were built to run tests on large numbers of participants. The interface consisted of a card reader, a touchscreen and a printer; audio support was available via a headset. For participants with disabilities, the independent variables were visual impairment and low literacy. For elderly participants, the independent variable was age. All participants were asked to make specific choices on the screen and to check the printed result for their choice. As reference, they were asked to vote using the current Dutch ballot paper/red pencil system. The criteria used to determine the accessibility of both systems was: does the printed ballot match the intended vote? The vote-printer significantly increased independent voting by the visually impaired, however this was not seen for the low-literacy group. For the elderly, the use of a vote-printer with electronic interface is equally as accessible as the current paper ballot. All three groups reported using a vote-printer with electronic interface to be easier than the current paper ballot. The study confirmed that co-creating with intended users in the early conceptualization phase is key.

Non-pharmacological interventions have been applied to manage Behavioural and Psychological Symptoms of Dementia (BPSD). However, these interventions have not been assessed from an ergonomics perspective. Ergonomics has investigated the age-related capability changes in terms of sensory, cognition and movement aspects. This study aims to review the existing non-pharmacological interventions for BPSD targeting nursing home residents and generate design recommendations based on the domain of ergonomics in ageing. The electronic databases MEDLINE, EMBASE, PsycINFO were searched for studies which applied non-pharmacological interventions for treating BPSD in nursing home residents. A total of 67 studies met the inclusion criteria; from which 16 types of interventions were identified. Within these intervention types, the main capabilities required from the interventions for People with Dementia (PwD) were identified. The interventions were then categorized into sensory-, cognition-, and movement-oriented according to the main capabilities. Design recommendations were then generated for the interventions with knowledge from the domain of ergonomics in ageing.

Obesity is a growing issue in western societies with consequences for the field of human centered design. Most anthropometric data sources assume the data follow the Gaussian distribution, with population data symmetrically distributed above and below the mean value. This assumption is often true in length measurements like body heights, but may not be true for measurements more sensitive to body mass, like body weight, hip width, elbow-to-elbow width, and body depth. While length measurements have remained relatively stable over time in western societies, mass related measurements are increasing. The authors have experience in providing data via an interactive website DINED, which seeks to make anthropometry accessible without requiring expert knowledge about anatomy and statistics. Currently all DINED dimensions are assumed Gaussian, including those related to body mass. This might not work when designing for plus size people. Future additions in DINED will be about design for obesity and about how to implement 3D scanning into the design process in order to redress these defects.

This paper presents an embarking and disembarking process for the hyperloop, a future high-speed transportation of passengers and goods in tubes. A concept of the (dis)embarking process has been designed and tested with two experiments. The first experiment was performed to compare the new concept to one that is more similar to the current embarking setup of trains on the aspects of efficiency and experience. Participants were asked to (dis)embark in the test settings that simulate the new concept and the conventional situation with luggage. As a result, new passenger flow saves 40% of the time for vehicles to stay on the platform. Follow-up questionnaires and interviews with the participants show that the proposed passenger flow gives a better experience in terms of efficiency, seamlessness and friendliness. The new solution increases the number of doors, which increases the manufacturing complexity and the chance of failure. Narrowing the door size minimizes this effect. Subsequently, a second experiment has been carried out to study the influence of door width on (dis)embarking efficiency and passenger experience following a similar method. It turns out that narrowing the door width does not noticeably influence the embarking time, but the disembarking time does increase. Interviews show that half of the participants sense a negative experience with narrower doors, while the other half do not notice a difference.

International audience; BACKGROUND Lumbar disc-related disorders are a main cause of work-related osteo-articular morbidity. Lumbar disc surgery (LDS) has been chosen as sentinel event for the epidemiological surveillance of these disorders since LDS can be identified in the medical databases from public and private hospitals. OBJECTIVE To assess the theoretical impact of workplace-based primary interventions designed to reduce exposure to personal and/or work-related risk factors for LDS. METHODS Cases of LDS were assessed using hospital discharge records for persons aged 20-64 in 2007-8 in the French Pays de la Loire region. We estimated the number of work-related cases of LDS (WR-LDS) in high-risk industry sectors. Three theoretical scenarios of workplace-based primary prevention have been simulated a mono-component work-centered intervention reducing the incidence of WR-LDS by 10%, and two multicomponent global interventions reducing the incidence of all cases of LDS by 5% and 10% by targeting personal and occupational risk factors. RESULTS Four high-risk sectors were identified, amounting to 277 [216-352] cases, of which 98 [37-175] were WR-LDS construction and information and communication for men; wholesale and retail trade and accommodation and food service activities for women. AFE was limited for each industry sector, 30%, 50%, 33% and 55%, respectively. CONCLUSIONS Prevention scenarios combining actions on personal and occupational risk factors would be the most effective, compared to prevention focused only on occupational risk factors. Implementing actions of promotion of health at work would be necessary in addition of actions on occupational risks.

In the past 20 years, cardiovascular mortality has decreased in high-income countries in response to the adoption of preventive measures to reduce the burden of coronary artery disease and heart failure. Despite these encouraging results, cardiovascular diseases are responsible for approximately 17 million deaths every year in the world, approximately 25% of which are sudden cardiac death. The risk of sudden cardiac death is higher in men than in women, and it increases with age due to the higher prevalence of coronary artery disease in older age. Accordingly, the sudden cardiac death rate is estimated to range from 1.40 per 100 000 person-years in women to 6.68 per 100 000 person-years in men. Sudden cardiac death in younger individuals has an estimated incidence of 0.46–3.7 events per 100 000 person-years, corresponding to a rough estimate of 1100–9000 deaths in Europe and 800–6200 deaths in the USA every year. Cardiac diseases associated with sudden cardiac death differ in young vs. older individuals. In the young there is a predominance of channelopathies and cardiomyopathies, myocarditis and substance abuse, while in older populations, chronic degenerative diseases predominate. In younger persons, the cause of sudden cardiac death may be elusive even after autopsy, because conditions such as inherited channelopathies or drug-induced arrhythmias that are devoid of structural abnormalities are epidemiologically relevant in this age group. Identification of the cause of an unexpected death provides the family with partial understanding and rationalization of the unexpected tragedy, which facilitates the coping process and allows an understanding of whether the risk of sudden death may extend to family members. Accordingly, author present their experience with autopsies of unexplained sudden death young victims in which a cardiac origin was suspected and the relevance of a standardized protocol for heart examination and histological sampling, as well as for toxicology and molecular investigation.

Tractor overturn is the main cause of injuries and fatal accidents in agriculture. Rollover Protective Structures (ROPS) showed to be effective in reducing fatalities during tractor overturn. Foldable ROPS (FROPS) have been developed to offer greater mobility when working in low overhead clearance zones and more storage options. However, many fatalities and serious injuries in tractor overturn accidents occur for a misuse of the FROPS. The study proposed a multidimensional ergonomic investigation of FROPS handling to identify criticalities in the human-machine interaction which prevent farmers from raising the roll-bar. An observation of users’ behaviors while operating the FROPS and a collection of subjective ratings about perceived effort were performed, considering also tractor objective features. Eleven operators and nine tractors were involved in the study. The results showed that the participants exposed themselves to different safety (e.g. falls) and health (e.g. biomechanical overload of the spine) risks when raising the FROPS, even though they did not perceive any intense effort in handling the roll-bar. The vertical distance between the FROPS pivot pin and the ground affected participants’ gestures and postures. To facilitate the actual use of the FROPS and to prevent injuries or fatal consequences in case of tractor overturn, some technical solutions to enhance the accessibility of the FROPS may be developed. Furthermore, the correct postures and gestures to handle the roll-bar should be addressed during safety and health training courses.

Since the early development for health purposes in 1950s, motion tracking systems have been strongly developed for several applications. Nowadays, using Micro Electro-Mechanics Systems (MEMS) technologies, these systems have become compact and light, being popular for several applications. Looking at the manufacturing industry, such as the automotive one, ergonomic postural analyses are a key step in the workplaces design and motion tracking systems represent fundamental tools to provide data about postures of workers while carrying out working tasks, in order to assess the critical issues according to ISO 11226 standard. The aim of this work is to present an experimental wearable inertial motion tracking system, developed at the Dept. of Engineering of the University of Campania “Luigi Vanvitelli” in collaboration with Linup S.r.l., composed by several low-cost inertial measurement units (IMU). The system allows to estimate the orientation of selected human body segments and to analyze the postures assumed during the working tasks. To increase the flexibility of use, the system is highly modular: it’s composed by 4 independent modules in full-body configuration, each one made of 3 or 4 inertial units. In this paper, the overall system is presented, supported by several test cases, carried out in Fiat Chrysler Automobile (FCA) assembly lines, to test the system reliability in industrial environments. Furthermore, an automatic posture analysis code is presented to evaluate the postural critical issue of the workplaces.

Risk communication based on safety signs is a fundamental component in high-hazard industries as agriculture, to prevent injuries. To make signs easily comprehensible by all users, the design of safety signs has been standardized in terms of color and shape to distinguish the different types of safety messages. Nevertheless, several studies demonstrated that individual characteristics as education, cultural background, and experience, can affect safety signs comprehension. Considering the increasing number of the migrant workforce in agriculture, especially in high-income countries, it is significant to investigate cross–cultural differences in safety signs interpretation. A sample of sixty migrants (Romanian n = 8; Indian n = 12; Pakistani n = 28; Gambian n = 12) employed in Italian farms was asked to associate four graphical symbols representing the main types of safety messages (mandatory, prohibition, warning, emergency), to the corresponding surround shape. With regard to geometric shape interpretation, the results showed that less than 50% of participants chose the standardized shape for warning (triangle), mandatory and prohibition (round) signs; while the majority of respondents assigned the emergency sign to the square shape. With regard to nationality, all the shape-symbol associations made by Romanians corresponded to the standardized ones, followed by Indians (52%), Pakistanis (43%) and Gambians (42%). No significant differences emerged either for the length of stay in Italy or for years of education. Results confirmed the role of national culture in safety signs interpretation and seem to show that only migrants from countries closer to the Western culture are more familiar with the meaning of standardized shapes.

International audience; The VOCADOM research project aims to design a new technology (voice control usable at home) to encourage the well-being and autonomy of the elderly with loss of autonomy at home. To guide design choices, we develop a user-centered design for all so that all actors are involved in the design process and we develop new methods of uses prospecting so that target profiles can project themselves into the use of an innovative device in ecological situation. We are in a process of methodological triangulation. Especially for the study of needs where through an ethnographic study we identify the problems encountered at home where the device can help. We ask end users and caregivers who are part of the eco system. After we use activity simulation methods to evaluate the acceptance , usefulness and usability of the device. This will allow us to improve the device so that it matches the real needs of users.

An extensive literature documents a high prevalence of errors in clinical diagnosis discovered at autopsy. Multiple studies have suggested no significant decrease in these errors over time. Despite these findings, autopsies have dramatically decreased in frequency in the United States and many other countries. In 1994, the last year for which national U.S. data exist, the autopsy rate for all non-forensic deaths fell below 6%. The marked decline in autopsy rates from previous rates of 40–50% undoubtedly reflects various factors, including reimbursement issues, the attitudes of clinicians regarding the utility of autopsies in the setting of other diagnostic advances, and general unfamiliarity with the autopsy and techniques for requesting it, especially among physicians-in-training. The autopsy is valuable for its role in undergraduate and graduate medical education, the identification and characterization of new diseases, and contributions to the understanding of disease pathogenesis. Although extensive, these benefits are difficult to quantify. This review of the last three years of hospital autopsy in Lucca studied the more easily quantifiable benefits of the autopsy as a tool in performance measurement and improvement. Such benefits largely relate to the role of the autopsy in detecting errors in clinical diagnosis and unsuspected complications of treatment. It is hoped that characterizing the extent to which the autopsy provides data relevant to clinical performance measurement and improvement will help inform strategies for preserving the benefits of routinely obtained autopsies and for considering its wider use as an instrument for quality improvement.

The frequent mounting and dismounting the tractor required by many farming operations increases the risk of falls, particularly for older farmers. The present study explored the risk factors related to tractor ingress and egress in older farmers from two countries with a different tradition in terms of safety culture: Sweden and Italy. Eighteen male farmers aged 65 + (8 from Skåne region, southern Sweden, and 10 from Piedmont region, northwestern Italy) were observed while mounting and dismounting their most used tractor, to investigate the routine behaviors adopted and to identify possible sources of risk of fall. The presence of three critical behaviors was recorded: the maintenance of three-point contact with the machine when entering and exiting the cab; facing the cab and the use of the last step when exiting. Farmers were also interviewed about their health status, attitudes toward safety, and perceived risks while performing the task. The results showed that similar unsafe behaviors were adopted by most of both Swedish and Italian participants; in particular, none of the farmers got off the tractor by facing the cab. Older farmers from both countries referred to age and previous experience as the major protective factors against falls, without acknowledging that new risks can rise from the age-related changes in their motor skills. The results raised some considerations about the need to develop targeted elderly-centered solutions to support the correct mounting/dismounting behaviors, both in the design of the machines and in information campaigns and training courses, which may have a cross-cultural validity.

As companies move toward globalization, companies use distance work to accomplish work more effectively and efficiently. A telepresence robot (TPR) is a mobile remote presence device that allows a two-way communication and interaction between a distance manager and the employees. The objective of the study was to improve the understanding of how distance workers and managers experience the use of TPR in the daily management and in which tasks the TPR is suitable to ensure employee well-being and thus performance. The data collection included three phases – before, during and after the implementation of the TPR, where we conducted 25 semi-structured individual and group interviews, on-site observations of the TPR in use and research notes. The distance manager (user) controlled the TPR from a distant site when using it in the home office. The managers were able to create a sense of proximity and via the camera feature, enable eye-contact, which the managers considered essential and beneficial for assessing the employee’s feelings and well-being. The majority of the users had a positive experience regarding the TPR basic functionalities´ utilization. In all three cases the participants, both managers and employees, agreed that the TPR is most useful in planned project meetings. On the other hand, the lack of trust, problems with the technology, privacy issues and intrusive emotions affected the use of the TPR in a negative way in some cases. The TPR was not suitable for meetings where people needed to share physical documents or important meetings, i.e. private talks or decisions meetings.