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PubMed · 1550620

Ergonomics--origins, focus, and implementation considerations.

Abstract

1. Ergonomics (or human factors) is defined as the design or modification of the workplace to match human characteristics and capabilities. Its goal is to match the demands and requirements of the job to the abilities and capabilities of the worker. 2. Sound ergonomics programs are those which take advantage of the two distinguishing features of ergonomics: its interdisciplinary nature and its systems approach. 3. Ergonomics Program Management Guidelines for Meatpacking Plants (OSHA 3123) presents an excellent prescription for an ergonomics program. The guidelines can be adapted for use in any company. 4. Occupational health nurses must remain alert to all actual and potential ergonomic problems in the workplace, acting as the eyes and ears of the safety and health committee and the ergonomics teams, and quickly directing their attention to problematic work areas.

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BibTeXRIS

T J Sluchak. 1992. Ergonomics--origins, focus, and implementation considerations.. https://pubmed.ncbi.nlm.nih.gov/1550620/

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UK national survey of enucleation, evisceration and orbital implant trends.

AIM: To evaluate current clinical practice in the UK in the management of the anophthalmic socket; choice of enucleation, evisceration, type of orbital implant, wrap, motility pegging and complications. METHODS: All consultant ophthalmologists in the UK were surveyed by postal questionnaire. Questions included their practice subspecialty and number of enucleations and eviscerations performed in 2003. Specific questions addressed choice of implant, wrap, motility pegging and complications. RESULTS: 456/896 (51%) consultants responded, of which 162 (35%) had a specific interest in oculoplastics, lacrimal, orbits or oncology. Only 243/456 (53%) did enucleations or eviscerations. 92% inserted an orbital implant after primary enucleation, 69% after non-endophthalmitis evisceration, whereas only 43% did so after evisceration for endophthalmitis (50% as a delayed procedure). 55% used porous orbital implants (porous polyethylene, hydroxyapatite or alumina) as their first choice and 42% used acrylic. Most implants inserted were spherical, sized 18-20 mm in diameter. 57% wrapped the implant after enucleation, using salvaged autogenous sclera (20%), donor sclera (28%) and synthetic Vicryl or Mersilene mesh (42%). A minority (7%) placed motility pegs in selected cases, usually as a secondary procedure. 14% of respondents reported implant exposure for each type of procedure and extrusion was reported by 4% after enucleation and 3% after evisceration. CONCLUSIONS: This survey highlights contemporary anophthalmic socket practice in the UK. Most surgeons use porous orbital implants with a synthetic wrap after enucleation and only few perform motility pegging.

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