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41.
  • Lind, Carl, et al. (författare)
  • Development and evaluation of RAMP I : a practitioner tool for screening for musculoskeletal disorder risk factors in manual handling
  • 2017
  • Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
    • 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 constitutes of dichotomous assessment items grouped in seven categories. Acceptable reliability was found for a majority of the assessment items for 15 practitioners who were given 1h training. The usability evaluation points to RAMP I being usable for screening for musculoskeletal disorder risk factors, i.e., usable for assessing risks, usable as a decision base, has clear results, and the time needed for an assessment is acceptable. It is concluded that RAMP I is a valuable tool for practitioners.
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42.
  • Lind, Carl, et al. (författare)
  • Development and evaluation of RAMP I – a practitioner’s tool for screening of musculoskeletal disorder risk factors in manual handling
  • 2019
  • Ingår i: International Journal of Occupational Safety and Ergonomics (JOSE). - : Taylor & Francis. - 1080-3548 .- 2376-9130. ; 25:2, s. 165-180
  • Tidskriftsartikel (refereegranskat)abstract
    • RAMP I is a screening tool developed to support practitioners in screening for work-related musculoskeletal disorder riskfactors related to manual handling. RAMP I, which is part of the RAMP tool, is based on research-based studies combinedwith expert group judgments. More than 80 practitioners participated in the development of RAMP I. The tool consistsof dichotomous assessment items grouped into seven categories. Acceptable reliability was found for a majority of theassessment items for 15 practitioners who were given 1 h of training. The usability evaluation points to RAMP I beingusable 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 toolfor practitioners.
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45.
  • Lind, Carl Mikael, et al. (författare)
  • Development and evaluation of RAMP II - a practitioner’s tool for assessing musculoskeletal disorder risk factors in industrial manual handling
  • 2020
  • Ingår i: Ergonomics. - : Informa UK Limited. - 0014-0139 .- 1366-5847. ; 63:4, s. 477-504
  • Tidskriftsartikel (refereegranskat)abstract
    • 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 end-users 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. Abbreviations: CTS: carpal tunnel syndrome; HARM: the Hand Arm Risk Assessment method; IMP: intramuscular pressure; κw: linearly weighted kappa; LBD: lower back disorders; LBP: lower back pain; MAWL: maximum acceptable weight of lift; MHO: manual handling operations; MSD: musculoskeletal disorder; MNSD: neck-shoulder disorder; NSP: neck-shoulder pain; OCRA: the Occupational Repetitive Action methods; OHS: occupational health and safety; PABAK: prevalence and bias adjusted kappa; p0: proportion of agreement; RAMP: Risk Assessment and Management tool for manual handling Proactively; ROM: range of motion; RPL: risk and priority level; RSI: the Revised Strain Index; RULA: the Rapid Upper Limb Assessment; SWEA: Swedish Work Environment Authority; UEMSDs: upper-extremity work-related musculoskeletal disorders; WMSD: work-related musculoskeletal disorder; WRMSD: work-related musculoskeletal disorder; workday8h: eight hours workday.
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46.
  • Lind, Carl, et al. (författare)
  • RAMP - Development of a risk assessment tool
  • 2012
  • Ingår i: NES2012 Ergonomics for sustainability and growth. - Stockholm. - 9789163711497 ; , s. 14s-
  • Konferensbidrag (refereegranskat)abstract
    • IntroductionManual Materials Handling (MMH) and working in awkward postures are still important causes of MSDs. Proper ergonomic conditions can contribute to reduce absence from work, and are important prerequisites to ensure high quality and productivity. Risk assessment can be used to improve the working conditions by identifying important risk factors and support communication between key stakeholders in order to improve the working conditions.This paper presents an ongoing project called RAMP (Risk management Assessment tool for Manual handling Proactively), reported e.g. at NES 2011. The aim of the project is to develop a freely accessible load ergonomic risk assessment tool and to gain knowledge of contributing factors for implementation and usability of such a tool. The RAMP-tool is developed for assessing risk of MSDs, support communication of the main risk factors among stakeholders and support effective interventions. The project, mainly financed by AFA Insurance, is conducted in collaboration between KTH and companies in the manufacturing industry, mainly Arla Foods and Scania CV.MethodsThis far an overview of risk assessment tools which can be used to assess MMH activities and potentially be used by companies or OSH personnel has been performed including e.g. KIM, QEC, ART Tool, SES and Washington State Checklist. Interviews with companies in the manufacturing industry have been performed to gain insight of the companies’ use of risk assessment tools and their perception of their usability.ResultsThe tool consists of two levels, RAMP I and RAMP II. The first level is intended for quick screening of work stations of occurrence (or not) of risk factors. If the screening indicates an occurrence of a risk factor, a more thorough analysis with the second level could be performed. RAMP II can be used for a more detailed analysis of the exposure to risk factors and point out the direction of possible improvements in order to reduce the exposure.A first prototype of the RAMP I has been evaluated by users, including managers, health and safety representatives, OSH personnel and workers.The tool will be further evaluated and refined after feedback from users. A preliminary version of the RAMP I will be presented at the conference and also preliminary results from the user tests.
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47.
  • Lind, Carl, et al. (författare)
  • RAMP: Risk Management Assessment Tool for Manual Handling Proactively
  • 2014
  • Ingår i: HUMAN FACTORS IN ORGANIZATIONAL DESIGN AND MANAGEMENT – XINORDIC ERGONOMICS SOCIETY ANNUAL CONFERENCE – 46. ; , s. 107-110
  • Konferensbidrag (refereegranskat)abstract
    • This paper presents an IT-based risk management tool called RAMP, risk assessment management tool for manual handling proactively. The tool consists of a checklist (RAMP I) and an assessment tool (RAMP II) which can be used to assess physicalrisk factors associated with manual handling activities in the production industry. The tool provides guidance for action plans and evaluations to promote improvement of occupational health and safety work at company level. Examples of the tool, its development and evaluation are presented.
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48.
  • Lind, Carl, et al. (författare)
  • Shifting to proactive risk management : Risk communication using the RAMP tool
  • 2016
  • Ingår i: Agronomy Research. - 1406-894X. ; 14:2, s. 513-524
  • Tidskriftsartikel (refereegranskat)abstract
    • Ergonomic risk factors are major contributors to work-related musculoskeletaldisorders and quality deficiencies in the manufacturing industry. Due to lack of tools or systemsthat can support a systematic risk management of these production and health related factors, anew risk management tool (RAMP) was developed. In this paper, the risk communication system(the Results module) of this tool is presented along with a description of its development. Anexample of how it can be used, based on assessments performed in industry, is given. Anevaluation of its usability, which included twenty practitioners active in the industry, givessupport to the notion that the system is usable both for risk communication and as a decision base.
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49.
  • Locke, Adam E, et al. (författare)
  • Genetic studies of body mass index yield new insights for obesity biology.
  • 2015
  • Ingår i: Nature. - : Springer Science and Business Media LLC. - 0028-0836 .- 1476-4687. ; 518:7538, s. 197-401
  • Tidskriftsartikel (refereegranskat)abstract
    • Obesity is heritable and predisposes to many diseases. To understand the genetic basis of obesity better, here we conduct a genome-wide association study and Metabochip meta-analysis of body mass index (BMI), a measure commonly used to define obesity and assess adiposity, in up to 339,224 individuals. This analysis identifies 97 BMI-associated loci (P < 5 × 10(-8)), 56 of which are novel. Five loci demonstrate clear evidence of several independent association signals, and many loci have significant effects on other metabolic phenotypes. The 97 loci account for ∼2.7% of BMI variation, and genome-wide estimates suggest that common variation accounts for >20% of BMI variation. Pathway analyses provide strong support for a role of the central nervous system in obesity susceptibility and implicate new genes and pathways, including those related to synaptic function, glutamate signalling, insulin secretion/action, energy metabolism, lipid biology and adipogenesis.
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50.
  • Mazaheri, Ava, 1992- (författare)
  • Beyond the Force: Redefining load exposure assessments of nutrunners for improved power tool ergonomics
  • 2023
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Reaction force exposure from handheld tightening tools (also known as nutrunners) constitutes an acknowledged contributor to musculoskeletal disorders among assembly operators, and are today not regulated by explicit limits. The research presented in this thesis aimed at contributing to the development of recommended exposure limits for, and assessments of, reaction loads from handheld right-angle and pistol-grip tightening tools.In order to address the thesis objectives, four research studies were conducted. A literature review was conducted to provide an overview of the current state of knowledge within the topic area. Knowledge gaps were identified by mapping available publications and based on those suggesting directions for further research. Thereafter, two psychophysically based experimental studies were conducted where acceptability limits related to load exposure from handheld tightening tools were derived for right-angle and pistol-grip tightening tools. Finally, an automotive manufacturer’s approach to evaluating and managing the use of handheld tightening tools was outlined by means of an interview study.As found through the literature review, four of the forty included publications had stated exposure limits (general recommendations) or acceptability limits (load acceptance as assessed by study participants) for reaction load exposure from handheld tightening tools. However, some of the reported limits did not consider relevant physical parameters, and some did not comply with modern power tool technologies. Based on this, it was suggested that researchers should emphasize physical quantities relevant to the reaction load such as impulse, express exposure limits in terms of reaction load relevant parameters (and not only the tightening torque), and further study modern power tool technologies.The experimental studies resulted in acceptability limits for right-angle and pistol-grip tightening tools expressed as screw-joint tightening torque (i.e. a task-related factor), where acceptable tightening torque limits were higher for the inertia-controlled tightening program compared to the continuous drive tightening program, in both studies. In addition, corresponding acceptable reaction load levels (i.e. the exposure) were derived, indicating load levels resulting from the tool use that the study participants assessed as acceptable for an 8-hour workday. It should be noted that the experimental times on which the acceptability limits are based were limited, and that the acceptability limits therefore should not be prescribed to full workdays.From the interview study, three main topic categories were identified based on the interviewees’ responses: ‘A holistic approach’, ‘Information and knowledge availability’ and ‘Negotiating criteria’. Within the studied automotive organization, a comprehensive approach to ergonomics assessments is incorporate, where both objective and subjective evaluations form the basis for addressing physically demanding tool use situations. Further, it was found that there are different instances where the employees lack sufficient knowledge related to the tools, and which can influence the employment of handheld tightening tools. In addition, it was found that criteria such as safety and quality could in some situations compete with ergonomics efforts. In conclusion, the findings from this thesis can contribute to the development of recommended exposure limits and evaluation methods for reaction load exposure from handheld tightening tools. Policymakers could utilize the insights presented in this thesis to form general guidelines directed at power tool manufacturers as well as tool using organizations. Through standardized guidelines, reaction loads from handheld tightening tools, which is one of the contributors to MSDs within assembly work, can be managed and reduced. 
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