Multiple outcome interactions in healthcare systems: a participatory outcome mapping approach.

Outcomes, which are the result state or condition from a process or intervention, are essential elements of healthcare system design and an important indicator of performance. They are included in well-known system analysis frameworks such as the Systems Engineering Initiative for Patient Safety (SEIPS) and Cognitive Work Analysis (CWA). However, fewer practical approaches exist for understanding and communicating interactions among healthcare outcomes.

Aerobic fitness as a parameter of importance for labour loss in the heat.

Objectives: To derive an empirical model for the impact of aerobic fitness (maximal oxygen consumption; V̇O in mL∙kg∙min) on physical work capacity (PWC) in the heat.

Design: Prospective, repeated measures.

Methods: Total work completed during 1 h of treadmill walking at a fixed heart rate of 130 b∙min was assessed in 19 young adult males across a variety of warm and hot climate types, characterised by wet-bulb globe temperatures (WBGT) ranging from 12 to 40 °C.

A method for increasing 3D body scanning's precision: Gryphon and consecutive scanning.

The fashion industry cannot use 3 D Body Scanning to create custom garment patterns because its measurements fail to meet ISO 20685:2010's tolerances. To advance 3 D Body Scanning's precision, we present Gryphon: an algorithm that removes the two most extreme measurements from five body scans; removing potentially erroneous data. We assess Gryphon's precision against current industry practice, determine if consecutive and non-consecutive data capture influences precision, and determine 3 D Body Scanning's inherent imprecision inherent.

Digital video interventions and mental health literacy among young people: a scoping review.

Background: Mental health literacy is important as it relates to understanding mental illness, increasing help-seeking efficacy, and reducing mental illness-related stigma. One method to improve the mental health literacy of young people is a digital video intervention.

Aims: A scoping review was conducted to map existing research in the area of digital video interventions for mental health literacy among young people.

Skin wetness detection thresholds and wetness magnitude estimations of the human index fingerpad and their modulation by moisture temperature.

Humans often experience wet stimuli using their hands, yet we know little on how sensitive our fingers are to wetness and the mechanisms underlying this sensory function. We therefore aimed to quantify the minimum amount of water required to detect wetness on the human index fingerpad, the wetness detection threshold, and assess its modulation by temperature. Eight blinded participants (24.

An examination of five theoretical foundations associated with localized thermosensory testing.

Purpose: To assess five theoretical foundations underlying thermosensory testing using local thermal stimuli.

Methods: Thermal sensation, discomfort and the confidence of thermal sensation scores were measured in 9 female and 8 male volunteers in response to 17 physical contact temperature stimuli, ranging between 18-42 °C. These were applied to their dorsal forearm and lateral torso, across two sessions.

The HEAT-SHIELD project - Perspectives from an inter-sectoral approach to occupational heat stress.

Objectives: To provide perspectives from the HEAT-SHIELD project (www.heat-shield.eu): a multi-national, inter-sectoral, and cross-disciplinary initiative, incorporating twenty European research institutions, as well as occupational health and industrial partners, on solutions to combat negative health and productivity effects caused by working on a warmer world.

Assessing the female figure identification technique's reliability as a body shape classification system.

This paper demonstrates the effects of slight differences in measurement definitions on resultant body shape classification. Ergonomic researchers consider the Female Figure Identification Technique (FFIT) a 'gold standard' body shape classification system to describe variation in a population's 3 D profile. Nevertheless, researchers use FFIT without a scientific basis or considering their ergonomic suitability.

An advanced empirical model for quantifying the impact of heat and climate change on human physical work capacity.

Occupational heat stress directly hampers physical work capacity (PWC), with large economic consequences for industries and regions vulnerable to global warming. Accurately quantifying PWC is essential for forecasting impacts of different climate change scenarios, but the current state of knowledge is limited, leading to potential underestimations in mild heat, and overestimations in extreme heat. We therefore developed advanced empirical equations for PWC based on 338 work sessions in climatic chambers (low air movement, no solar radiation) spanning mild to extreme heat stress.

Facilitators and barriers of care transitions - Comparing the perspectives of hospital and community healthcare staff.

As a patient moves from hospital back home to receive community-based care, quality of care and patient safety are often put at risk. This study aimed to analyse the discharge process to identify and compare the barriers and facilitators within the context of the system in which they occur, from the perspectives of both hospital and community healthcare staff. The results were derived from the analysis of 348 incident reports, the observation of five discharge planning meetings with hospital staff, three focus groups with hospital staff, and six focus groups with community healthcare staff.

Bus driver fatigue: A qualitative study of drivers in London.

The research represents one of the first major qualitative studies to subjectively investigate fatigue amongst city bus drivers. Funded by TfL (grant no. 94050), the study considers the perspectives of both the bus drivers themselves and their managers.

Body mapping of regional sweat distribution in young and older males.

Purpose: Given the pressing impact of global warming and its detrimental effect on the health of older populations, understanding age-related changes in thermoregulatory function is essential. Age differences in regional sweat distribution have been observed previously, but given the typically small measurement areas assessed, the development of whole body sweat maps for older individuals is required. Therefore, this study investigated age-related differences in regional sweat distribution in a hot environment (32 °C/50%RH) in young and older adults, using a body mapping approach.

Sleep loss and change detection in simulated driving.

Driver sleepiness is a leading contributor to road crashes. Sleep-related crashes are more likely to involve collision with a stationary object than non-sleep-related crashes. The mechanism underpinning this is unknown; one potential explanation may be an increased propensity for change blindness.

Counterpoint to "Infrared cameras overestimate skin temperature during rewarming from cold exposure".

We evaluated the paper by Maley et al. (2020) in this journal "Infrared cameras overestimate skin temperature during rewarming from cold Exposure" for the evidence provided in support of its title and conclusions. Several methodological issues were identified as well as issues with the data interpretation: 1: Only one camera was used but a conclusion was made for 'cameras' in general; 2: The camera accuracy (±2 °C) is too low to do a meaningful comparison without using local reference values or an on-site calibrator with higher accuracy; 3: Thermistor measurements are taken as a gold standard while issues such as temperature gradients and taping are known; 4: Both methods are not compared at the same location and a natural, physiological, gradient may be present between their locations; 5.

Going underground: Fatigue and sleepiness in tunnelling operations.

This research represents one of the first qualitative studies to investigate fatigue in the tunnelling sector of the construction industry. It explores the opinions of tunnellers and their managers about how fatigue influences or is influenced by tunnelling, and how this is managed. Fatigue and sleepiness were discussed in six focus groups with frontline workers (n = 42) and 10 manager interviews.

The impact of sleep loss on sustained and transient attention: an EEG study.

Sleep is one of our most important physiological functions that maintains physical and mental health. Two studies examined whether discrete areas of attention are equally affected by sleep loss. This was achieved using a repeated-measures within-subjects design, with two contrasting conditions: normal sleep and partial sleep restriction of 5-h.

The personal and contextual factors that affect customer experience during rail service failures and the implications for service design.

This paper: identifies personal and contextual factors that influence customer experience when service failures occur in rail transport; what is being conveyed through that factor (e.g. older age being used to convey vulnerability); and the implications for future service design.

Layer-dependent properties of material extruded biodegradable Polylactic Acid.

Polylactic acid (PLA) is a biodegradable, biocompatible and non-toxic biopolymer with good mechanical properties, and is commonly used for the additive manufacture of PLA-based biomedical devices. Such devices are available in a range of sizes and thicknesses, with smaller devices capable of being realised via additive manufacturing in just a few layers. Due to their thermal history and thermal degradation, the thermal, molecular weight and mechanical properties of each layer was different when the raw material was melted, and the in-course layer was deposited to the previous layer.

Development of an expert derived ICD-AIS map for serious AIS3+ injury identification.

The objective of the mapping project was to develop an expert derived map between the International Statistical Classification of Diseases and Related Health Problems (ICD) clinical modifications (CM) and the Abbreviated Injury Scale (AIS) to be able to relate AIS severity to ICD coded data road traffic collision data in EU datasets. The maps were developed to enable the identification of serious AIS3+ injury and provide details of the mapping process for assumptions to be made about injury severity from mass datasets. This article describes in detail the mapping process of the International Classification of Diseases Ninth Revision, Clinical Modification (ICD-9-CM) and the International Classification of Diseases Tenth Revision, Clinical Modification (ICD-10-CM) codes to the Abbreviated Injury Scale 2005, Update 2008 (AIS08) codes to identify injury with an AIS severity of 3 or more (AIS3+ severity) to determine 'serious' (MAIS3+) road traffic injuries.

Assessing the Design and Compressive Performance of Material Extruded Lattice Structures.

With additive manufacturing increasingly being embraced in the area of sports technology, focus has shifted toward cellular structures for impact protection. Periodic lattice structures can be tailored for a specific response by modifying the geometry of individual cells, with the structure capable of being modified to conform around a given body. However, the effect of modifying specific design characteristics within a lattice and the interrelationships between them are not well understood.

Causation, levels of analysis and explanation in systems ergonomics - A Closer Look at the UK NHS Morecambe Bay investigation.

This paper extends an earlier examination of the concept of 'mesoergonomics' (Karsh et al., 2014) and its application to Human Factors/Ergonomics (HFE). Karsh et al.

Stillbirth memento photography.

Research into stillbirth memento photography shows the practice to be welcomed by the bereaved. The visual attributes and content of stillbirth memento photographs are yet to be rigorously analysed however, representing a significant gap in current understanding. This study seeks to address this.

The use of actor-based immersive health and safety inductions: Lessons from the Thames Tideway Tunnel megaproject.

Health and safety inductions are ubiquitous in construction but tend to be poorly designed and suffer low levels of worker engagement. In this paper we report on the evaluation of an innovative, full day, actor-based health and safety induction called EPIC, currently being used on London's Thames Tideway Tunnel megaproject. As of March 2019, more than 14,000 individuals had attended EPIC.