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At least 1,261 records · Page 70Linked to original sources
PubMed2005

How well do train driver's sleep in relay vans?

Relay working operations typically require two crews of train drivers to work a rotating 8-h schedule for two or more days. While one crew is driving, the other has the opportunity to sleep onboard the train. The current study investigated the impact of relay work on drivers sleep quantity and quality. Fourteen drivers wore wrist activity monitors and completed sleep/wake diaries for 3 d prior to and during short (<48 h) relay trips. Drivers obtained an average of 7.8 h sleep per night while at home, and an average of 4 h sleep per opportunity during the relay trip. Sleep obtained in the relay van was associated with longer sleep onset latencies, lower efficiency and poorer subjective quality than sleep at home. During the relay trip, drivers obtained significantly more sleep during opportunities that occurred in the evening, than those that occurred early morning or during the day. These findings suggest that while drivers are able to obtain sleep during short relay operations, it is of poorer quality than sleep obtained at home. Further, the timing of the sleep opportunities during the relay trip impacts on the quantity and quality of sleep obtained.

Adult↗
PubMed2004

Almonte's great train disaster: Shaping nurses' roles and the civilian use of blood transfusion.

Blood transfusion was initially a small-scale, labour-intensive therapy administered by physicians. Through the first decades of the 20th century, transfusion comprised a "last resort" measure used and tested primarily in the context of war. Media accounts of the Almonte train disaster on the night of 27 December 1942 linked survival to the newly established blood bank located 42 km east in Ottawa, Ontario. This event did not constitute a "first time" occurrence or a "great discovery" in the history of blood. But it did illustrate in a very visible and public manner that blood transfusion technology was now readily available for use in general hospitals and civilian populations. Canada had an infrastructure for the collection, processing, storage, and transportation of blood products, and for the recruitment of blood donors by the mid-1940s. As the need for blood declined toward the end of World War II, transfusion became a technology in need of application. The extension of transfusion to civilian populations, however, would require a ready source of labour-increased numbers of health care workers who were available continuously with the necessary knowledge and skills to assume the responsibility. Nurses were well situated for this technological role by a convergence of scientific, economic, labour, gender, professional, and educational influences that both facilitated and constrained blood transfusion as a nursing competency. This paper examines how the expanded use of one medical technology shaped related roles for nurses. Transfusion ultimately influenced nurses' work and the composition of the workforce as the first medical act "delegated" to nurses in Ontario (1947), setting a precedent for the delegation of further technologies over the next four decades.

Blood Transfusion↗
PubMed2002

Electromagnetic field hazards involving adjustable shunt valves in hydrocephalus.

OBJECT: Standard therapy for hydrocephalus involves shunts and valves, which are frequently adjustable. Because of increasing "electromagnetic smog" (for example, that generated by cellular phones), these valves are often exposed to electromagnetic fields. METHODS: Various magnetic fields were tested for their effects on two different kinds of adjustable valves. The minimum magnetic flux density affecting the adjustment of the valve was determined. Results were compared with magnetic fields found in contemporary everyday life. In homogeneous magnetic fields the adjustment of one valve (Sophysa model SM8) was changed at 5 mT, whereas the second valve (Codman Hakim model CM) was not affected. In nonhomogeneous fields the SM8 valve was affected at 25 mT and the CM valve at 15 mT. Thus, these valves may be affected by headphones and telephone receivers. Surroundings such as the Japanese magnetic suspension railway and the lead cabin of electrical railway engines, in which critical levels of magnetic flux may be present, may also affect adjustable valves. The high-frequency fields of cellular phones, however, have no effect on these valves. CONCLUSIONS: Every surgeon who implants these valves and every patient who receives them should know the possible hazards. The valve selection should be adapted to the environment of the patient. Devices with critical levels of electromagnetic flux that are used in the homes of patients should be replaced by ones with lower magnetic fields. The future construction of these valves should be modified in such a way that their adjustment requires a higher magnetic flux density, so that the valves become less sensitive to unwanted effects from environmental magnetic fields.

Cerebrospinal Fluid Shunts↗
PubMed2005

The passenger.

Explore the source record for details and available documents.

Adult Children↗
PubMed2005

[Narrative analysis on survivor's experience of Daegu subway fire disaster--the hypothetical suggestions for disaster nursing practice].

UNLABELLED: Some fifty survivors participated in the narrative therapy sessions from March 2003 to December 2004, and thirty cases were analyzed using the transcripts. Each participant's surviving story was summarized, and then interpreted and reinterpreted by the survivors themselves in collaboration with the researcher. The two main principles in narrative analysis were hermeneutical distanciation and hermeneutical circulation. RESULT AND CONCLUSION: First, nursing involvement should play active roles from the early stages of disaster incidents. Specifically, emergency nursing and flexible coping plans are to be available according to the specific properties of each case. Secondly, it is necessary to try to understand the extreme emotional experiences of disaster survival. The horror and pain people feel at an incident cannot simply be generalized, and it requires that each case be approached individually to help stop social alienation. Thirdly, more constant and long-term studies are required to set up nursing strategies for disaster survivors. Forming a trusting relationship with survivors is basic, and formally registering as participants is necessary for continuous interventions. Fourthly, we should deeply appreciate the danger and complexity of modern society and understand the complex nature of disaster. Fifthly, interdisciplinary activities and studies are necessary in combination with various other fields to establish a framework of total nursing care for disaster incidents. Lastly, it is urgently necessary to educate families and friends of the survivors and the society as a whole about life after a disaster.

Disasters↗
PubMed1997

[Effects of frame of reference on the judgments of whole-body vibration intensity].

Although the concept of the term 'riding comfort' is ambiguous, in the present paper it means a perceptual experience derived from the vibrational factors of a running railway vehicle. When we regard riding comfort evaluation as a perceptual judgment process, we must consider that what is perceived is dependent not only on the physical properties of the stimuli, but also on the frame of reference. The purpose of the present study is to examine the effect of the frame on the judgments of vibration intensity in the anchoring effect paradigm. Using the four-axis vibration apparatus, we conducted experiments for eighty subjects, in which frequencies and lateral accelerations of vibrations were changed. As the result, we found a clear anchoring effect. This suggests that we must take into consideration effects of frame of reference in terms of riding comfort criterion of railway vehicles.

Adult↗
PubMed1997

[Effect of vibrational factors on the evaluation of whole-body vibrational intensity].

The aim of this study is to obtain basic data useful to evaluate the riding comfort of railway vehicles. The apparatus used in the present experiment made it possible to simulate various vibrations of railway vehicles. Twenty-two adult subjects participated in this experiment. They were exposed to lateral vibration with varying peak and root mean square (rms) accelerations and frequencies. The types and ranges of vibrations used in this experiment approximated to the typical vibrations of railway vehicles. The subjects were asked to rate the intensity of each vibration given to them successively, using the 7-step rating scale. Results indicated that both peak and rms accelerations significantly affected for the evaluation, although the effect of frequency was not significant. As for interactions, it was found that there were significant interacting effects between frequency and peak acceleration, between frequency and rms acceleration, and between peak and rms accelerations. It was also found that the relationship between the rms acceleration and the evaluated score changed with varying peak accelerations.

Adult↗
PubMed2002

[Comparison of railway employees and college students as evaluator of vibration discomfort].

Typically, vibration discomfort of railway cars was studied with railway employees as evaluator, because of their availability and interest, as well as various study requirements. However, it has not been shown that employees are appropriate for the task. In this study, railway employees were compared with college students in order to find how their ratings compared with those by ordinary passengers. An experiment was conducted in a running train, and 41 persons participated; about a half were railway employees and the other college students who were invited as non-specialists. Their task was to rate vibration discomfort on a scale of 1 to 4, continuously at an interval of 5 seconds. Results indicated that employee ratings showed smaller individual differences and in general were more cautious than the student ratings.

Adult↗
PubMed2006

[Psychological factors contributing to unsafe behavior in train drivers].

This research considered whether unsafe behaviors increase the likelihood of accident on the railway, and if so, what psychological factors contribute to unsafe behaviors? Study 1 investigated how frequently train drivers had committed errors and unsafe behaviors when train accidents occurred. Content analysis on 251 cases of railway accident reports revealed that intention errors (i.e., no intention or wrong one) and unsafe behaviors occurred simultaneously in most cases of accident. Furthermore, it was suggested that unsafe behaviors contribute to the occurrence of accidents. Study 2 examined the effect of psychological factors on unsafe behaviors. 148 train drivers completed questionnaires. We assumed the causal model that organizational factors affect unsafe behaviors indirectly through personal factors. Results of path analysis revealed as follows. (a) Concerning personal factors, evaluated cost (e.g., increased workload) and ineffectiveness of safety rules increased the frequency of unsafe behavior. (b) Concerning organizational factors, organizational management and norms increased the frequency of unsafe behavior indirectly through their effects on personal factors. Based on these findings, we discussed implications for more effective accident prevention.

Accidents, Traffic↗
PubMed1991

Back disorders and health problems among subway train operators exposed to whole-body vibration.

Back disease associated with whole-body vibration has not been evaluated for subway train operators. A recent study demonstrated that this group is exposed to whole-body vibration at levels above the international standard. To investigate this risk further, a self-administered questionnaire survey was conducted among subway train operators (N = 492) and a similar reference group (N = 92). The operators had a higher prevalence than the referents in all aspects of back problems, particularly for cervical and lower back pain. In a multiple logistic regression model, the odds ratio for sciatic pain among subway train operators was 3.9 (95% CI 1.7-8.6); the operators also had a higher risk of hearing-related problems (odds ratio 3.2, 95% CI 0.6-17.4) and of gastrointestinal problems (odds ratio 1.6, 95% CI 1.1-2.5). Although a cumulative dose-response relationship could not be statistically demonstrated, the findings appear to be related to exposure to whole-body vibration and inadequate ergonomic conditions.

Adult↗
PubMed2001

Group-based measurement strategies in exposure assessment explored by bootstrapping.

OBJECTIVES: The precision of mean exposure to pushing was examined in 2 occupational groups using various combinations of the number of workers and measurements per worker. METHODS: The frequency and duration of pushing of the 2 occupational groups was assessed using onsite observation. All data were divided into successive periods of 30 minutes of observation. The precision of the group mean exposure to pushing was expressed by 90% confidence intervals obtained by bootstrapping. The effect on the confidence interval of varying numbers of workers and numbers of periods per worker was examined. RESULTS: For both occupational groups there was little precision to be gained when >10 workers were observed. Within the maximum number of workers used in the bootstrap simulations, it appeared that, beyond 10 workers, the confidence intervals decreased by <5% for every worker that was added, when each worker was observed at least 8 periods of 30 minutes. If workers were observed exactly 4 periods of 30 minutes per worker, an additional 4 workers were required to compensate for the loss of precision. An unbalanced strategy with approximately 8 periods of 30 minutes per worker hardly decreased the precision of the group mean, however. CONCLUSIONS: The precision of the group-based mean exposure to pushing is influenced by the number of workers observed and by the number of repeated measurements per worker. In the planning of measurement strategies, it is advisable to account for possible sources of variance in advance and to assess the exposure variability.

Adult↗