1.Enhancing Ergonomics: Assessing the Effect of Vibrating Insole Prototype on Female School Teachers' Muscle Activity
Ayuni Nabilah Alias ; Karmegam Karuppiah
Malaysian Journal of Medicine and Health Sciences 2025;21(No. 1):27-33
Introduction: Throughout the school day, teachers often endure extended periods of standing, resulting in frequent
experiences of pain and muscle fatigue by day's end. The purpose of this study was to identify the effectiveness of a
prototype of vibrating insole on muscular activity on teachers. Materials and methods: A total of 124 female school
teachers participated in this study. During a one-hour classroom teaching session, school teachers were randomly
assigned to either the experimental group or the control group. Throughout the hour-long session, wireless surface
electromyography (sEMG) sensors were used to continually monitor the muscles in the right and left legs. Results:
During the one-hour prototype testing, compared to control group, participants in the experimental group showed
a reduction in muscle activity exertion ranging from 13% to 16% in both the tibialis anterior and peroneus longus
muscles of the right and left legs. Moreover, there were significant changes of muscle activity exertion among school
teachers, X2
(15) = 289.94, p<0.001 within testing period. Conclusion: The study revealed a significant decrease
in muscle activities, especially the feet, demonstrating a gradual adaptation to the vibration effects from the insole
prototype. This contributed significantly to lower leg comfort during teaching sessions. As a result, the vibrating insole prototype was well-received by school teachers and had a positive impact on their feet comfort throughout the
experimental testing session.
2.Comparison of Indices to Estimate Heat Exposure to Human: A Review in Tropical Regions
Imam Munajat Nurhartonosuro ; Shamsul Bahri Md Tamrin ; Dayana Hazwani Mohd Suadi Nata ; Karmegam Karuppiah ; Ng Yee Guan
Malaysian Journal of Medicine and Health Sciences 2022;18(No.1):303-315
Workplaces in tropical countries are associated with increasing temperature and humidity, thus, the workers are susceptible to heat hazards. The inability for self-cooling properly toward exposure to head hazards can lead to severe
dehydration and even death. To date, there are several indices and models to assess heat stress, such as WBGT, ISO
7933, discomfort index, HIS, PhSI, etc. However, their accuracy and suitability for tropical regions are still under investigation since they are mostly developed for subtropical regions. This review assessed the indices to estimate heat
exposure in tropical regions based on the various online database. Among those indices, WBGT is the most suitable
despite its inability to estimate human thermal response in tropical regions with several adjustments. Based on this
review, it showed that there is a need for improvement of current indexes to be used in tropical regions since they
are more suitable for the subtropical countries.
3.Does Prolonged Standing at Work Among Teachers Associated With Musculoskeletal Disorders (MSDs)?
Ayuni Nabilah Alias ; Karmegam Karuppiah ; Vivien How ; Velu Perumal
Malaysian Journal of Medicine and Health Sciences 2020;16(No.2):281-289
In order to accomplish a wide range of duties and responsibilities that may be done under unpleasant working conditions, prolonged standing posture is common with school teachers. Nevertheless, standing upright for a long time or otherwise regarded as prolonged standing frequently contributes to body pain and discomfort, muscle fatigue and even health problems such as musculoskeletal disorders (MSDs). The aim of this paper is to review MSDs arising from prolonged standing and spread information on existing ergonomic and non-ergonomic interventions to alleviate prolonged standing discomfort. Systematic review on prolonged standing school teachers with specific keywords were recognized to discover the appropriate studies and information in a systematic search. The informations in this review may be helpful to guide teacher, school management and researchers to implement the suitable interventions in order to minimise the health issue due to MSDs among school teachers.
4.Ergonomic Risk Assessment On Selected Hot-Work Workers At Company XXX
Sivabalan Sanmugum ; Karmegam Karuppiah ; Sivasankar
Malaysian Journal of Public Health Medicine 2020;20(Special 1):176-185
Company XXX is a factory that involving manufacturing of offshore containers in where the hot works are one of the crucial activities in fabrication and structuring the framework of the containers. This study had been conducted at hot work section to conduct initial and advanced ergonomic risk assessment to identify ergonomic risk factors involved among hot-work workers which cause the significant number of reports on ergonomic related health issues at hot works area from the year 2011 to year 2017. The initial and advanced ergonomic risk assessment had been conducted based on DOSH latest release of guideline on ergonomic risk assessment 2017 and all findings had been tabulated and analysed. Based on the intial ergonomic assessment, total score achived is 17.7 with main risk factors identified through the hot work acticties are including awkward postures, repetitive motions, static and sustained work postures, vibration, insufficient ventilation, exposure of noise and working in extreme temperature. Based on Advanced ERA conducted on selected 3 workers, the study shows Muscle Fatigue Assessment (MFA) with average score for risk level shown ‘High’ and ‘Very High’ categories, Rapid Entire Body Assessment (REBA) with average total score more than 10 which categorized as ‘High Risk’ and Quick Exposure Check (QEC) which shown the workers have very high risk for back and shoulder or arm parts with score level are between 29 to 40 for back static and 41 to 56 for shoulder and arm parts. Based on results of the assessment, company XXX recommended had been to conduct further investigation for improvements to determine effective control measure for the work process in order to reduce that risk level towards the hot work workers.
5.Musculoskeletal Disorders and Its Association With Selfreported Productivity: A Cross-sectional Study Among Public Office-workers in Putrajaya, Malaysia
Ayman Albeeli ; Shamsul Bahri Mohd Tamrin ; Ng Yee Guan ; Karmegam Karuppiah
Malaysian Journal of Medicine and Health Sciences 2020;16(No.4):272-279
Introduction: Prevalence of musculoskeletal disorders (MSDs) among office workers found to be high worldwide,
leading to considerable economic impacts and health issues. The relationship between MSDs and productivity loss is
widely recognized. This study investigates the possible relationships between the self-reported musculoskeletal disorders and productivity in term of absenteeism/presenteeism and self-evaluated productivity levels during presenteeism time among office workers. Methods: Cross-sectional study was carried among office workers (n=398) in three
public sector organizations in Putrajaya. Socio-demographic and productivity data were determined using self-administered general questionnaire whereas prevalence of MSDs evaluated using Cornell Musculoskeletal Disorders
Questionnaire (CMDQ). Results: This study found that prevalence of MSDs symptoms among office workers in any
body parts is high (83.7%), low-back pain reported the highest (58.5%) whereas thighs pain reported less prevalent
MSDs symptoms (25.4%) among participants. Also, the results showed a significant association between prevalence
of MSDs and productivity loss in regard with presenteeism (p<0.01). In addition, self-evaluated productivity levels of
office workers during presenteeism time also found to be significantly associated with MSDs (p<0.05). Conclusions:
These findings suggest that majority of office workers reported MSDs symptoms. Presenteeism was significantly affecting productivity in term of quality and or quantity of work that workers could do. One more concluded point of
this study is the need for applying changes that could help in minimizing presenteeism due to MSDs so as to decrease
workers productivity loss.
6.Respiratory Effects of Exposure to High Levels of Particulate Among Malaysian Traffic Police
Malaysian Journal of Medicine and Health Sciences 2019;15(SP4):136-140
Abstract
Introduction: Malaysian traffic police are always working on the public roads to alleviate traffic congestion and therefore exposed them to the polluted air every day. In particular, polluted air containing PM2.5 is dangerous to their respiratory health as they can penetrate deep into the lungs, leading to bronchitis, lung cancer and many more. Hence, this research examined the relationship of personal exposure level to PM2.5 with respiratory symptoms among traffic policemen in Kuala Lumpur and Johor Bahru. Methods: 134 participants among traffic policemen were agreed to participate in this study. They were requested to complete a questionnaire regarding the sociodemographic background and respiratory health information. The questionnaire was adopted from International Union Against Tuberculosis Lung Diseases (1986). Personal exposure level of PM2.5 was measured using an air pump with 5.0µm pore size PVC filter. Results: The mean exposure level of PM2.5 among traffic policemen was 28.69 µg/m3. It was found that some of them possess respiratory symptoms (Coughing 33.6%, Phlegm 25.4%, Wheezing 14.9% and Shortness of breath 32.1%). There was significant association detected at p-value < 0.05 in coughing. Despite, there was no significant association in other symptoms such as phlegm, wheezing and shortness of breath. Conclusions: Traffic police were exposed to a relatively high level of PM2.5 (12.4 µg/m3 to 55.3 µg/m3) and showed symptoms of respiratory effects. Therefore, recognition of the risks connected with occupational lung disease and exposure monitoring must be a high priority. This baseline data can serve as a reference to the top management of traffic police officers in order to develop an occupational safety and health guideline for police officers as required by Occupational Safety and Health Act (OSHA, Act 514 1994).
7.Likert Scale vs. Visual Analogue Scale on Vehicle Seat Discomfort Questionnaire: A Review
Malaysian Journal of Medicine and Health Sciences 2019;15(SP4):159-164
Abstract
Discomfort measurement has usually been attempted by asking the participants to rate the scale of their discomfort which commonly termed as a subjective scale. Various studies had conducted the discomfort level on vehicle seat by using Visual Analogue Scale (VAS) and Likert scale. VAS is a tool that use to measure a discomfort or characteristics in range across a continuum of values. Meanwhile, Likert-scale is a tool consist of items that require respondents to rate their degrees of comfort or discomfort with various declarative statements. Thus, the purpose of this study is to review, discuss and compare between the VAS and Likert scale used on the development and assessment of sitting discomfort survey in seat vehicles. The literature on various topics related to questionnaire development on discomfort in seat vehicle were collected from electronic databases. Four high-quality studies were eligible and met the inclusion and exclusion criteria. Overall, there is no evidence and conclusion that neither visual analogue scale nor Likert scale are better to one another. Therefore, it can be concluded that either of this scale still applicable for the ergonomic research application as both of this scale have their own pros and cons.
8.Health Care Workers Safety: Screening And Immunization: A Review
Al Johani Abdulrahman A. ; Karmegam Karuppiah ; Omar M Al Nozha ; Al Mutairi Alya O ; Kulanthayan K.C. Mani ; Sivasankar Sambasivam
Malaysian Journal of Public Health Medicine 2017;2017(Special Volume (1)):55-57
The paper puts forth the need for health care workers safety whilst undertaking their job on a daily basis. Presently there are number of factors that are directly linked to the safety of health care workers. However, Occupational Health is very important and useful for health workers that are exposed to their job hazards. Every year, many lives are lost because of the spread of infections in hospitals. Every hospital’s occupational health departments should ensure that all new staff are vaccinated to protect them against microorganisms carried by other patients, and with vaccinated against preventable diseases. This will help to prevent the health workers from occupational exposure to patients’ blood or any other bodily substances, including injury from sharp objects, and also guarantees that the new employees does not infect the patients with infectious diseases. Furthermore, all the new staff should be screened for blood borne pathogenic diseases.
Occupational Health
;
Sharp employment screening
;
Healthcare Workers and vaccination.
9.Health Care Workers Safety: Screening And Immunization: A Review
Al Johani Abdulrahman A. ; Karmegam Karuppiah ; Omar M Al Nozha ; Al Mutairi Alya O. ; Kulanthayan K.C. Mani Sivasankar Sambasivam
Malaysian Journal of Public Health Medicine 2017;Special Volume(1):55-57
The paper puts forth the need for health care workers safety whilst undertaking their job on a daily basis. Presently there are number of factors that are directly linked to the safety of health care workers. However, Occupational Health is very important and useful for health workers that are exposed to their job hazards. Every year, many lives are lost because of the spread of infections in hospitals. Every hospital’s occupational health departments should ensure that all new staff are vaccinated to protect them against microorganisms carried by other patients, and with vaccinated against preventable diseases. This will help to prevent the health workers from occupational exposure to patients’ blood or any other bodily substances, including injury from sharp objects, and also guarantees that the new employees does not infect the patients with infectious diseases. Furthermore, all the new staff should be screened for blood borne pathogenic diseases.
10.Mismatch Between Furniture Dimension And Anthropometric Measures Among Primary School Children In Putrajaya
Adib Asmawi Mohd Yusoff ; Irniza Rasdi ; Ahmed S. Mahmoud Ben Hameid ; Karmegam Karuppiah
Malaysian Journal of Public Health Medicine 2016;Special Volume(1):58-62
Ergonomic is important in classroom. Sitting for protracted period in class may lead students to develop musculoskeletal disorders. Their physical health and performance in the class may increase by designing school furniture that match with human body. In Malaysia, there is a lack of ergonomic assessment for school environment especially in urban areas. The aim of this study is to determine the mismatch between the furniture dimension and anthropometric parameters among primary school children in Putrajaya. This is a cross-sectional study which involved 100, Year 1 and Year 6 primary school students randomly selected in Putrajaya. Five anthropometric measurements (popliteal height, buttock popliteal length, elbow height, shoulder height (sitting), hip breadth) as well as five furniture dimensions (seat height, seat depth, seat width, backrest height and seat to desk height) were measured. Instrument used is Martin type anthropometer set, SECA body meter, and SECA weighing scale. Calculation for determining mismatch between the furniture and anthropometric measures were calculated using a standard mismatch formula. There was 100% mismatch for seat height, seat depth, and seat to seat to desk height for Year 1. As for Year 6, mismatch was reported 100% for backrest height and seat to desk height. There were significance difference for parameters of popliteal height between Year 1 and Year 6 and between male and female of Year 1. There was a presence of mismatch between furniture dimension and children anthropometric measurement. Proposed dimension of furniture shows decrease in percentage of mismatch for the most parameter of anthropometric measurement.


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