Biomedical subjects

H Hsiao

Publications and source records attributed to H Hsiao.

At least 19 recordsLinked to original sources

PubMed2006

Engineering and public health at CDC.

Engineering is the application of scientific and technical knowledge to solve human problems. Using imagination, judgment, and reasoning to apply science, technology, mathematics, and practical experience, engineers develop the design, production, and operation of useful objects or processes. During the 1940s, engineers dominated the ranks of CDC scientists. In fact, the first CDC director, Assistant Surgeon General Mark Hollis, was an engineer. CDC engineers were involved in malaria control through the elimination of standing water. Eventually the CDC mission expanded to include prevention and control of dengue, typhus, and other communicable diseases. The development of chlorination, water filtration, and sewage treatment were crucial to preventing waterborne illness. Beginning in the 1950s, CDC engineers began their work to improve public health while developing the fields of environmental health, industrial hygiene, and control of air pollution. Engineering disciplines represented at CDC today include biomedical, civil, chemical, electrical, industrial, mechanical, mining, and safety engineering. Most CDC engineers are located in the National Institute for Occupational Safety and Health (NIOSH) and the Agency for Toxic Substances and Disease Registry (ATSDR). Engineering research at CDC has a broad stakeholder base. With the cooperation of industry, labor, trade associations, and other stakeholders and partners, current work includes studies of air contaminants, mining, safety, physical agents, ergonomics, and environmental hazards. Engineering solutions remain a cornerstone of the traditional "hierarchy of controls" approach to reducing public health hazards.

Centers for Disease Control and Prevention, U.S.↗

PubMed2005

Anthropometric criteria for the design of tractor cabs and protection frames.

Improved human-tractor interface designs, such as well-accommodated operator enclosures (i.e. cabs and protection frames) can enhance operator productivity, comfort and safety. This study investigated farm-worker anthropometry and determined the critical anthropometric measures and 3-D feature envelopes of body landmarks for the design of tractor operator enclosures. One hundred agriculture workers participated in the study. Their body size and shape information was registered, using a 3-D full-body laser scanner. Knee height (sitting) and another eight parameters were found to affect the cab-enclosure accommodation rating and multiple anthropometric dimensions interactively affected the steering wheel and gear-handle impediment. A principal component analysis has identified 15 representative human body models for digitally assessing tractor-cab accommodation. A set of centroid coordinates of 34 body landmarks and the 95% confidence semi-axis-length for each landmark location were developed to guide tractor designers in their placement of tractor control components in order to best accommodate the user population. Finally, the vertical clearance (90 cm) for agriculture tractor enclosure in the current SAE International J2194 standard appeared to be too short as compared to the 99th percentile sitting height of male farm workers in this study (100.6 cm) and in the 1994 National Health and Nutrition Examination Survey III database (99.9 cm) and of the male civilian population in the 2002 Civilian American and European Surface Anthropometric Resource database (100.4 cm).

Agriculture↗

PubMed2002

Optimal hand locations for safe scaffold-end-frame disassembly.

Overexertion and fall injuries comprise the largest category of injuries among scaffold workers. A significant portion of these injuries is associated with scaffold-end-frame dismantling tasks, which require both muscle strength and postural balance skills. The commonly used tubular scaffold end frame is 1.52-m wide x 2-m high and weighs 23 kg. Previous studies have indicated that a great muscle strength can be generated when scaffold workers placed their hands symmetrically at knuckle height. However, adequate postural stability can only be reached when the workers placed their hands at the chest or shoulder height, which is near to the height of scaffold-end-frame center-of-mass. A reasonable approach to solve this dilemma is to develop an assistive lifting device, such as a light-weight clip-and-lift bar, that allows workers to place their hands at the height of the center-of-mass of end frames and concurrently allows an optimal hand separation for them to generate an adequate maximum isometric muscle force to safely accomplish the task. This study was conducted to determine the optimal hand location for a conceptual assistive lifting device to mitigate potential postural imbalance while reducing overexertion hazards during scaffold disassembly. This location would be within a window defined by a vertical hand placement between shoulder height and knuckle height and by a horizontal hand separation distance of shoulder width to end-frame width. The whole-body maximum isometric strength of 54 construction workers was measured in nine symmetric scaffold-end-frame disassembly postures, defined by a combination of three vertical hand placements by three horizontal hand separation distances within the aforementioned window. The study apparatus include a computer-controlled data-acquisition system, a custom-fabricated scaffold fixture, and two Bertec force platforms. An analysis of variance showed that the interaction effect of vertical hand placement and hand separation on workers' maximum isometric strength was significant (p < 0.004). A hand location between elbow height and chest height with a hand separation distance of 46 cm (a conceptual, light-weight assistive bar) would allow workers to generate sufficient isometric strength (about twice that of the scaffold weight) to disassemble the typical 23 kg scaffolds while concurrently allowing them to mitigate the likelihood of postural imbalance.

Accidental Falls↗

PubMed2001

The effect of wearing a back belt on spine kinematics during asymmetric lifting of large and small boxes.

STUDY DESIGN: A crossover design was used to evaluate kinematic measurements collected with an infrared-based motion measurement system. OBJECTIVES: To evaluate belt effects on spine kinematics during asymmetric lifting of large and small boxes and to test for carryover effects between trials from belts. SUMMARY OF BACKGROUND DATA: Conflicting evidence in the literature exists regarding whether belts are beneficial or detrimental to manual material handlers. Studies have not examined belt effects when lifting different sized boxes, nor carryover effects from belts. METHODS: Twenty-eight subjects with manual-handling experience (17 male and 11 female) were randomly assigned to lift either a large or small box (weighing 9.4 kg), from a sagittally symmetric origin at pallet height to a 79 cm height, 60 degrees to the right. Spine flexion, lateral bending and twisting, hip and knee flexion, and angular velocity measurements of the torso with respect to the pelvis were collected for each of three lifting periods, 50 lifts each at 3 lifts per minute, with 18-minute breaks between periods. RESULTS: Belts significantly reduced maximum spine flexion, spine flexion and extension angular velocities, and torso left lateral bending angular velocity, and increased hip and knee flexion, regardless of box size. When lifting large boxes, belts significantly reduced torso right lateral bending and torso left twisting. No significant differential carryover effects were detected from belts. CONCLUSIONS: Subjects with belts lifted more slowly and used more of a squat-lift technique, regardless of box size. Belts reduced more torso motions while lifting large boxes.

Adolescent↗

PubMed2001

Preventing falls from roofs: a critical review.

Work-related falls from roofs remain a significant problem for workers in the construction industry. Knowledge about the main causative or initiating factors leading to fall incidents is desperately needed for fall prevention intervention. From biomechanical and psychophysiological perspectives the majority of occupational falls, including falls from roofs, can be regarded as loss-of-balance incidents. The primary objective of this paper is to summarize the current knowledge from multiple fields about factors that are related to the control of balance during roofing work. An extensive literature review identified a number of environmental, task-related and personal factors that degrade the control of balance and could be associated with the initiation of falls from roofs. These factors include visual exposure to elevation; unstable visual cues and inadequate visual information in the work environment; 'confined' and inclined support surfaces; unexpected changes in roof surface properties; load handling; physical exertion; fatigue; task complexity that diverts workers' attention; individual differences; work experience and training; and personal protective equipment. Current measures to reduce falls from roofs focus mainly on fall protection procedures, such as the use of covers, guardrails, safety nets, and personal fall-arrest systems, or the application of warning-line systems, safety monitoring systems, and fall protection plans. In many instances, these procedures are not practical for the industry and current regulations allow the use of alternative means of fall protection, such as slide guards. Future research on preventing falls from roofs should consider the main effects and interactions of the environmental, task-related and personal factors that affect the balance control of workers. Research-supported improvements in the visual and physical characteristics of the roof work environment, the construction materials and methods, and work procedures and practices may result in improved workers' balance control as well as overall safety performance, and would ultimately reduce incidents of falling from a roof.

Accidental Falls↗

PubMed2001

Color and duplex Doppler sonography of hemangiopericytoma.

We report the color Doppler sonographic features in a case of hemangiopericytoma of the thigh in a 52-year-old woman. Color Doppler sonography demonstrated the vascularity of the tumor, and spectral analysis showed waveform changes that suggested the presence of intratumoral arteriovenous shunting. The color Doppler findings correlated well with angiographic findings. Color Doppler sonography can demonstrate intratumoral arteriovenous shunting in hemangiopericytoma and may be used to help avoid profuse bleeding when performing a preoperative biopsy.

Angiography↗

PubMed2001

Physiological effects of back belt wearing during asymmetric lifting.

This study investigated the effect of wearing a back belt on subjects' heart rate, oxygen consumption, systolic and diastolic blood pressure, and respiratory frequency during asymmetric repetitive lifting. Thirty subjects with materials-handling experience utilized three different belts (ten subjects per belt). Subjects completed six 30-min lifting sessions--three while wearing a belt and three without. Data analyses were conducted on the second, third, and fourth lifting periods. A 9.4 kg box, without handles, was lifted 3 times/min, starting at 10 cm above the floor, ending at 79 cm, with a 60 degree twist to the right. Data analysis indicates that belt-wearing did not have a significant effect on the overall mean values for heart rate, systolic and diastolic blood pressure, and respiratory frequency. Belt-wearing had a significant effect on the overall mean oxygen consumption of the subjects.

Adult↗

PubMed2001

Height, surface firmness, and visual reference effects on balance control.

OBJECTIVES: To investigate the effects of height, surface firmness, and visual reference on standing balance in construction workers. DESIGN: Controlled laboratory study with balanced repeated measures. PARTICIPANTS: Twenty four construction workers. SETTING: Test subjects performed standing tasks at ground level as well as at 3 m and 9 m high balconies on firm or deformable surfaces with close visual references included or excluded from their visual field. METHODS: Standing balance was determined from center of pressure as measured by a force platform. Dependent variables were root mean square of sway in medial-lateral and anterior-posterior directions, area of sway, and velocity of sway. RESULTS: Heights without close visual references significantly increased all sway parameters. The effect of height in conditions without close visual references increased dramatically on deformable surfaces. CONCLUSIONS: Elevated work environments and deformable work surfaces negatively affect balance and may be associated with increased risk of fall incidents. Appropriate close visual references increase the ability to maintain balance.

Accidental Falls↗

PubMed2000

A comparison of different postures for scaffold end-frame disassembly.

Overexertion and fall injuries comprise the largest category of nonfatal injuries among scaffold workers. This study was conducted to identify the most favourable scaffold end-frame disassembly techniques and evaluate the associated slip potential by measuring whole-body isometric strength capability and required coefficient of friction (RCOF) to reduce the incidence of injury. Forty-six male construction workers were used to study seven typical postures associated with scaffold end-frame disassembly. An analysis of variance (ANOVA) showed that the isometric forces (334.4-676.3 N) resulting from the seven postures were significantly different (p < 0.05). Three of the disassembly postures resulted in considerable biomechanical stress to workers. The symmetric front-lift method with hand locations at knuckle height would be the most favourable posture; at least 93% of the male construction worker population could handle the end frame with minimum overexertion risk. The static RCOF value resulting from this posture during the disassembly phase was less than 0.2, thus the likelihood of a slip should be low.

Accidental Falls↗

PubMed2000

Psychophysical assessment of assistive devices for transferring patients/residents.

This article reports the psychophysical assessment of nine battery-powered lifts, a sliding board, a walking belt, and a baseline manual method for transferring nursing home patients/residents from a bed to a chair. A separate article reports the biomechanical evaluation of the same task and devices. The objectives of the psychophysical assessment were to investigate the effects of resident-transferring methods on the psychophysical stress to nursing assistants performing the transferring task, and to identify transfer methods that could reduce the psychophysical stress reported by nursing assistants. Nine nursing assistants served as test subjects. Two elderly persons participated as residents. The results indicated that the psychophysical stresses on nursing assistants were significantly lower when performing resident transfers with some of the assistive devices than when performing transfers with the baseline manual transfer method. The nursing assistants generally preferred the basket-sling lift and stand-up lift to other methods. The residents' comfort and security ratings indicated the comfort and security with most of the assistive devices were greater than or equal to the baseline manual method. Most of the comments of the nursing assistants and residents on the assistive devices were favourable.

Humans↗

PubMed2000

A new video-synchronized multichannel biomedical data acquisition system.

This data acquisition system records video frames onto a video tape, and simultaneously acquires biomedical data along with video time codes onto a computer hard disk to achieve a 30-min video-synchronized data recording with a summed data rate of 2.16 Mbit/s. A time-code-bridge-file created during acquisition matches each video frame-start with the corresponding index number of the acquired data. The mean synchronization accuracy of the system is 0.22 ms.

Computer Graphics↗

PubMed1999

Biomechanical evaluation of assistive devices for transferring residents.

This is the first of two articles to report a biomechanical evaluation and psychophysical assessment of nine battery-powered lifts, a sliding board, a walking belt, and a baseline manual method for transferring nursing home residents from a bed to a chair. The objectives of the biomechanical evaluation were: (1) to investigate the effects of transfer method and resident weight on the biomechanical stress to nursing assistants performing the transferring task, and (2) to identify resident-transferring methods that could reduce the biomechanical stress to the nursing assistants. Nine nursing assistants served as test subjects; two elderly persons participated as residents. A four-camera motion analysis system, two force platforms, and a three-dimensional biomechanical model were used to measure biomechanical load. The results indicate that transfer method and resident weight affect a nursing assistant's low-back loading. The basket-sling and overhead lift devices significantly reduced the nursing assistants' back-compressive forces during the preparation phase of a resident transfer. In addition, the use of basket-sling, overhead, and stand-up lifts removed about two-thirds of the exposure to low-back stress (lifting activities per transfer) as compared to the baseline manual method. Thus, the use of these devices reduces biomechanical stress, and thereby will decrease the occurrence of resident-handling-related low-back injuries. Furthermore, lifting device maneuvering forces were found to be significantly different and a number of design/use problems were identified with various assistive devices. The second article will detail the psychophysical assessment of the same resident-transferring methods.

Biomechanical Phenomena↗

PubMed1999

Evaluation of a non-invasive respiratory monitoring system for sleeping subjects.

In a previous paper we introduced a non-invasive respiratory monitoring system (NIRMS) for monitoring respiratory movements during sleep. Unlike standard sleep laboratory methods, the NIRMS can be used in frail older adults to describe breathing patterns during sleep that will mark individuals with declining neurological function. The present study evaluates the use of the NIRMS as a respiratory monitor and identifies variables that can reliably detect changes in breathing patterns and the presence of other body movements. Data were obtained from eleven healthy adults (six women, five men) whose body mass indices ranged from 20 to 47 kg m(-2), and whose baseline respiratory rates ranged from 4 to 19 breaths per minute. We evaluated three variables derived from frequency and amplitude measurements of the NIRMS: (1) the interval between breathing cycles (the interbreath interval or IBI); (2) the period between breathing cycles (the interbreath frequency or IBF); and (3) the amplitude of breath cycles (AMP). The frequency of NIRMS waveform deflections correlated highly with the frequency of visually observed chest movements (r = 0.99). Compared with a subject's baseline, a standard deviation of IBI > 3.0 s consistently identified time segments with three or more apnoeic events. The IBF and AMP differentiated respiratory from other body movements. An IBF > 20 cycles/s or an AMP > 0.4 V identified experimentally introduced body movements much more accurately than wrist accelerometry (NIRMS detected 99% of events, kappa = 0.90; WA detected 50%, kappa = 0.70). These findings support the use of the NIRMS in monitoring changes in breathing patterns during sleep, especially in frail and cognitively impaired subjects.

Adult↗

PubMed1999

The role of the carboxy terminus of tropoelastin in its assembly into the elastic fiber.

Tropoelastin, the soluble precursor protein of insoluble amorphous elastin, contains repeating segments that are important for the characteristic elasticity and crosslinking sites of mature elastin. In addition, there is a unique carboxy terminal domain that is encoded by exon 36 of the elastin gene, and it has been suggested that this region may play a role in the process of insolubilization. The contribution of exon 36 to the maturation of tropoelastin into insoluble elastin was probed in these studies. Neonatal rat aortic smooth muscle cells were cultured and the fate of [3H] Lys labeled human recombinant tropoelastin (hrTE) molecules added to the cultures was monitored. In comparison to the hrTE containing the region encoded by exon 36, hrTE molecules lacking this domain were less efficiently incorporated into elastin, as evidenced by a decrease in NaOH insoluble radioactivity. Specific residues within the domain encoded by exon 36 were targeted for further study in experiments in which the two Cys residues were reduced and alkylated, and/or the four basic Arg-Lys-Arg-Lys residues at the carboxy terminus were removed. Both of these modifications resulted in decreased incorporation into elastin equivalent to the complete removal of the carboxy terminus. Prior treatment of the cell layer with elastase reduced the efficiency of insolubilization of hrTE containing the domain encoded by exon 36, but had no effect on the processing of molecules lacking this region. These data suggest that exon 36 of the elastin gene contributes to normal efficient incorporation of tropoelastin into the elastin fiber.

Animals↗

PubMed1995

A new non-invasive approach for monitoring respiratory movements of sleeping subjects.

We have developed a minimally intrusive system to monitor respiratory movements of sleeping subjects. This system is based on a pressure transducer which measures the changes in air pressure inside an inflatable mattress on which the subject sleeps. Using a mechanical filter to protect the transducer against the large pressure changes due to sudden movements and subject weight, we can detect the more subtle movements of the subject's chest. This paper discusses the design of the monitoring system, including the design and modelling of the mechanical filter.

Adult↗

PubMed1995

FDDI information management system for centralizing interactive, computerized multimedia clinical experiences in pediatric rheumatology/Immunology.

This paper describes the design, authoring, and development of interactive, computerized, multimedia clinical simulations in pediatric rheumatology/immunology and related musculoskeletal diseases, the development and implementation of a high speed information management system for their centralized storage and distribution, and analytical methods for evaluating the total system's educational impact on medical students and pediatric residents. An FDDI fiber optic network with client/server/host architecture is the core. The server houses digitized audio, still-image video clips and text files. A host station houses the DB2/2 database containing case-associated labels and information. Cases can be accessed from any workstation via a customized interface in AVA/2 written specifically for this application. OS/2 Presentation Manager controls, written in C, are incorporated into the interface. This interface allows SQL searches and retrievals of cases and case materials. In addition to providing user-directed clinical experiences, this centralized information management system provides designated faculty with the ability to add audio notes and visual pointers to image files. Users may browse through case materials, mark selected ones and download them for utilization in lectures or for editing and converting into 35mm slides.

Allergy and Immunology↗

PubMed1992

Nephropathology consultation via digitized images.

Investigations into a digitized image communications system were prompted by a need to bring expert consultation to physicians in community practice. Pathologists desired the capability to concomitantly view, annotate, and discuss images with referring physicians at distant sites. Methods included evaluation of the human and procedural domain into which the system was to be integrated. The GDCN computer consultation system has the consultant nephropathologist first evaluate the processed biopsy slides, digitize representative images, transmit them with the diagnosis to referring nephrologist, and, finally, conduct an interactive consultation and review of the biopsy and case. Image resolution and compression variables must be set for each individual medical consulting application. For the GDCN, it was found that the 640 x 496 x unlimited color with compression ratios not exceeding 1:32 are acceptable. An obvious improvement of this computerized system over the noncomputerized review sessions is the ability to immediately share and discuss a new image that had not been previously sent. In the old noncomputerized consultation, only images that had been mailed could be discussed. The computerized sessions allow transmission (10 sec) of a new image that the consultation might demand. The computerized sessions also provide the ability to show the referring nephrologist an area of biopsy interest that the pathologist had not previously transmitted. Biopsy slides can be viewed during the consultation, an area digitized, and that image transmitted to the nephrologist during the consultation. Hardware and costs for the sending station were: [table: see text] This system far exceeds the requirements for this particular application; however, it is sufficient to support future, higher-technology computer applications. If necessary, this same system could be used with a less expensive computer, a less expensive camera, software compression, and a single monitor. These alterations could lessen the expenditures by some $8000 and result in a total cost of $10,000. Hardware and costs for the receiving station were: [table: see text] Cost of the receiving station could be reduced by using a less expensive computer and a single monitor system, thereby saving up to $5000 and resulting in a total cost of $7,400. DCCEC and GDCN have elected to use the more expensive, user-friendly and more rapid image transmission system SEND-->IT, rather than the less expensive system mainly because of experience with incorporating the system into the daily activities of the GDCN. SEND-->IT best met the essentials for GDCN.(ABSTRACT TRUNCATED AT 400 WORDS)

Biopsy↗

PubMed1990

A three-dimensional ultrasonic system for posture measurement.

A time-efficient, cost-effective, and accurate system has been developed for measuring static three-dimensional joint coordinates in the laboratory. This system uses a personal computer interface to determine the distance between transmitters positioned at body joints and receivers positioned near the subject by measuring the travel time of ultrasound. Distance data are then converted to spatial coordinates and joint angles. The system can determine the location of 14 joints at one time. An experiment using three distances and five orientations between a transmitter and a receiver was performed to investigate the significance of measurement errors for the new system. The results showed that the standard deviation of the distance measurement was about 0.2 cm for single orientation conditions and was about 1 cm for all conditions tested. A second experiment using 11 transmitters and four receivers was performed to investigate the significance of measurement errors when determining three-dimensional coordinates. The results showed no significant difference between actual and measured coordinates. The system was then used to study the posture of a subject's upper extremity. Eight postures representing a variety of typical reaching tasks were examined. The results showed that the system was suitable for three-dimensional posture measurement.

Ergonomics↗