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Concordance between VDU-users' ratings of comfort and perceived exertion with experts' observations of workplace layout and working postures.

The aim of the present study was to evaluate the concordance (agreement) between VDU-users' ratings of comfort and ergonomists' observations of workplace layout, and the concordance between VDU-users' ratings of perceived exertion and ergonomists' observations of working postures during VDU-work. The study population consisted of 853 symptom free subjects. Data on perceived comfort in different dimensions and data regarding perceived exertion in different body locations were collected by means of a questionnaire. Data concerning workplace layout and working postures were collected with an observation protocol, by an ergonomist. Concordance between ratings of comfort and observations of workplace layout was reasonably good for the chair and the keyboard (0.60, 0.58) and good regarding the screen and the input device (0.72, 0.61). Concordance between ratings of perceived exertion and observations of working postures indicated good agreement (0.63-0.77) for all measured body locations (neck, shoulder, wrist and trunk). In conclusion ratings of comfort and perceived exertion could be used as cost-efficient and user-friendly methods for practitioners to identify high exposure to poor workplace layout and poor working postures.

Adult↗

Computational differentiation of N-terminal signal peptides and transmembrane helices.

Signal peptides and transmembrane helices both contain a stretch of hydrophobic amino acids. This common feature makes it difficult for signal peptide and transmembrane helix predictors to correctly assign identity to stretches of hydrophobic residues near the N-terminal methionine of a protein sequence. The inability to reliably distinguish between N-terminal transmembrane helix and signal peptide is an error with serious consequences for the prediction of protein secretory status or transmembrane topology. In this study, we report a new method for differentiating protein N-terminal signal peptides and transmembrane helices. Based on the sequence features extracted from hydrophobic regions (amino acid frequency, hydrophobicity, and the start position), we set up discriminant functions and examined them on non-redundant datasets with jackknife tests. This method can incorporate other signal peptide prediction methods and achieve higher prediction accuracy. For Gram-negative bacterial proteins, 95.7% of N-terminal signal peptides and transmembrane helices can be correctly predicted (coefficient 0.90). Given a sensitivity of 90%, transmembrane helices can be identified from signal peptides with a precision of 99% (coefficient 0.92). For eukaryotic proteins, 94.2% of N-terminal signal peptides and transmembrane helices can be correctly predicted with coefficient 0.83. Given a sensitivity of 90%, transmembrane helices can be identified from signal peptides with a precision of 87% (coefficient 0.85). The method can be used to complement current transmembrane protein prediction and signal peptide prediction methods to improve their prediction accuracies.

Algorithms↗

Ergonomic considerations in work-related upper extremity disorders.

Correctly applied, an ergonomics approach can reduce the likelihood of work-induced disorders and can assist in accommodating individuals who have work-related disorders, but it cannot eliminate disorders that have been mistakenly attributed to work by social processes. A contextual model of work-related upper extremity disorders is proposed that explicitly acknowledges that factors extrinsic to work can shape perceptions of upper extremity disorders and influence the process of somatic interpretation and health outcomes. Experiences in the United Kingdom of ergonomic regulations associated with computer use and the media coverage of work-related upper extremity disorders are used to illustrate this model.

Arm Injuries↗

Work-related carpal tunnel syndrome: the facts and the myths.

Carpal tunnel syndrome is a medical disease, not an injury, although symptoms may occur in association with certain physical activities of the upper extremity. The concept of work-related carpal tunnel syndrome has grown to such proportion as to be problematic for society, having spawned health care industries to support a cultural concept and a largely mythical medical paradigm. Because of these social and economic forces, cultural perceptions and expectations have adjusted to this flawed medical model. Success in improving patient management and making the best use of sound medical evidence depends on the concurrent use of educational strategies addressing social influences and attitudinal changes of practicing physicians, patients, and third-party administrators. The promotion of evidence-based medicine is key. This article discusses these controversies and suggests ways of managing carpal tunnel syndrome.

Absenteeism↗

Predicting the efficiency of UAG translational stop signal through studies of physicochemical properties of its composite mono- and dinucleotides.

In this study, we explored the problem of predicting the UAG stop-codon read-through efficiency. The reported nucleotide sequences were first converted into physicochemical property vectors before being presented to a machine learning algorithm. Two sets of physicochemical properties were applied: one for mononucleosides (in terms of steric bulk, hydrophobicity and electronics) and another for dinucleotides. To the best of our knowledge, this is the first report of how dinucleotides are converted into principle components derived from NMR chemical shift data. A few efficiency prediction models were then derived and a comparison between mononucleoside and dinucleotide-based models was shown. In the derived models, the coefficients of these property based predictors lend themselves to bio-physical interpretations, an advantage which is demonstrated in this study via a prediction model based on the steric bulk factor. Although it is quite simple, the steric bulk factor model explained well the effect of sequence variations surrounding the amber stop codon and the tRNA bearing UCCU anticodon. We further proposed new alternatives at position -1 and +4 of a UAG stop codon sequence to enhance the readthrough efficiency. This research may contribute to a better understanding of the readthrough mechanisms and may also help to study the normal translation termination process.

Codon, Terminator↗

Effects of monitor luminance change on observer detection performance.

To confirm that the dimming luminance change in the CRT monitor will have a detrimental effect on diagnostic performance, we performed the four-alternative forced choice experiments on the CRT monitor with the 11 luminance conditions simulating CRT degraded by long-term usage. Six radiologists and one pulmonary physician performed a detection task for 11,000 test areas on 110 test images. The 11 monitor conditions significantly affected the correct detection rates of simulated nodules in the four-alternative forced choice experiments. The gradual deterioration in CRT monitor luminance will have certainly a detrimental effect on detection performance.

Computer Terminals↗

Sequence analysis of a 212 kb defensin gene cluster on ECA 27q17.

Defensins are a family of evolutionary ancient antimicrobial peptides consisting of three sub-families: alpha-, beta- and theta-defensins. This investigation was focused on the genomic characterization of equine beta-defensins and the investigation of the potential clustering of beta-defensin genes in the equine genome. Six genomic BAC clones were isolated from the CHORI-241 library and one of these was mapped by FISH to ECA 27q17. This location was confirmed by RH-mapping. The contiguous 212 kb sequence of this clone was determined. Sequence analysis revealed the identification of ten pseudogenes and nine genes, six of which were highly homologous to human beta-defensin DEFB4. Clustering of the beta-defensin genes was confirmed and the order of the genes on the analyzed BAC was related to the corresponding defensin cluster on HSA 8. The knowledge about the sequence and the genomic structure of the equine beta-defensin genes will improve the classification of different paralogous defensin genes and is a prerequisite for subsequent functional studies. Additionally, the first alpha-defensin-like sequence outside the groups of primates, lagomorphs and rodents (glires) was identified.

Animals↗

Comparison of two video-imaging instruments for measuring volumetric shrinkage of dental resin composites.

OBJECTIVES: The purpose of this study was to measure the polymerization shrinkage of three dental resin composites using two commercially available video-imaging devices to determine if the devices produced equivalent results. METHODS: Small, semi-spherical specimens of a microhybrid (Venus), microfill (Filtek A110), and flowable (Esthet*X Flow) resin composite were manually formed and light activated for 40s using a light-curing unit. The volumetric polymerization shrinkage of fifteen specimens of each brand of resin composite was measured using the AcuVol and the Drop Shape Analysis System model DSA10 Mk2 (DSAS) video-imaging devices. Mean volumetric shrinkage values were calculated for each resin composite and equivalence was evaluated using the two one-sided tests approach. Differences between the means that were less than approximately 5% of the observed shrinkage were considered indicative of clinical equivalence. RESULTS: Mean volumetric shrinkage values measured for the resin composites were: Venus (AcuVol, 3.07+/-0.07%; DSAS, 2.90+/-0.07%); Filtek A110 (AcuVol, 2.26+/-0.10%; DSAS, 2.25+/-0.09%); and Esthet*X Flow (AcuVol, 5.01+/-0.17%; DSAS, 5.14+/-0.11%). Statistical analysis revealed that the two imaging devices produced equivalent results for Filtek A110 and Esthet*X Flow but not for Venus. CONCLUSIONS: Video-imaging systems provide an easy method for measuring volumetric shrinkage of resin composites. As with other methods for measuring volumetric shrinkage, however, they are best used to comparatively measure different materials within the same laboratory.

Acrylic Resins↗

Electromyographical assessment on muscular fatigue--an elaboration upon repetitive typing activity.

The objectives of this study were to quantify the electromyographic activities (EMG) of finger muscles during prolonged, low-forces, and repetitive typing with an ergonomically designed VDT workstation, as well as to analyze the occurrence and the possible mechanisms of muscular fatigue in touched typists. Thirty healthy female typists were recruited to type consecutively for 2 h. The surface EMG of extensor digitorum communis (EDC) and flexor digitorum superficialis (FDS) of both hands was recorded throughout the entire test. Electrical activity (EA) and median frequency (MDF) were calculated, and then regressed against the time courses to obtain the slopes of progress. Further analysis of the EMG parameters was done by the joint analysis of spectra and amplitudes (JASA). The results indicated that maximum voluntary electrical activation (MVE) decreased after 2-h typing, and did not recover to the initial values even after a 10-min break. Besides, there was a trend of decrement in frequency throughout the entire trail, and the MDF reduced by 25% in comparison with the initial values. With the JASA plot, 74% of the muscles manifested fatigue after 2-h typing activity. Furthermore, we observed that the EDC muscles were more susceptible to muscular fatigue than the FDS muscles. In conclusion, prolonged consecutive typing may induce muscular fatigue in the healthy typists even in an ergonomic typing environment.

Adult↗

The impact of computer display height and desk design on 3D posture during information technology work by young adults.

Computer display height and desk design to allow forearm support are two critical design features of workstations for information technology tasks. However there is currently no 3D description of head and neck posture with different computer display heights and no direct comparison to paper based information technology tasks. There is also inconsistent evidence on the effect of forearm support on posture and no evidence on whether these features interact. This study compared the 3D head, neck and upper limb postures of 18 male and 18 female young adults whilst working with different display and desk design conditions. There was no substantial interaction between display height and desk design. Lower display heights increased head and neck flexion with more spinal asymmetry when working with paper. The curved desk, designed to provide forearm support, increased scapula elevation/protraction and shoulder flexion/abduction.

Adolescent↗

An integrated impact assessment and weighting methodology: evaluation of the environmental consequences of computer display technology substitution.

Computer display technology is currently in a state of transition, as the traditional technology of cathode ray tubes is being replaced by liquid crystal display flat-panel technology. Technology substitution and process innovation require the evaluation of the trade-offs among environmental impact, cost, and engineering performance attributes. General impact assessment methodologies, decision analysis and management tools, and optimization methods commonly used in engineering cannot efficiently address the issues needed for such evaluation. The conventional Life Cycle Assessment (LCA) process often generates results that can be subject to multiple interpretations, although the advantages of the LCA concept and framework obtain wide recognition. In the present work, the LCA concept is integrated with Quality Function Deployment (QFD), a popular industrial quality management tool, which is used as the framework for the development of our integrated model. The problem of weighting is addressed by using pairwise comparison of stakeholder preferences. Thus, this paper presents a new integrated analytical approach, Integrated Industrial Ecology Function Deployment (I2-EFD), to assess the environmental behavior of alternative technologies in correlation with their performance and economic characteristics. Computer display technology is used as the case study to further develop our methodology through the modification and integration of various quality management tools (e.g., process mapping, prioritization matrix) and statistical methods (e.g., multi-attribute analysis, cluster analysis). Life cycle thinking provides the foundation for our methodology, as we utilize a published LCA report, which stopped at the characterization step, as our starting point. Further, we evaluate the validity and feasibility of our methodology by considering uncertainty and conducting sensitivity analysis.

Computer Terminals↗

Responsiveness of the electronic touch screen WOMAC 3.1 OA Index in a short term clinical trial with rofecoxib.

BACKGROUND: The Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index is a self-administered validated questionnaire for patients with osteoarthritis (OA) of the hip or knee. The electronic touch screen version of the WOMAC (e-WOMAC) has been previously shown to be highly correlated with the original paper format. However, whether the e-WOMAC would be suitable for monitoring the effects of drug treatment is unknown. AIM: To validate the longitudinal use of the e-WOMAC questionnaire and its ability to detect changes in WOMAC-scores induced by drug treatment in outpatient care. METHODS: Fifty-three outpatients, men and women (mean age: 64 years; SD+/-9.5), with symptomatic osteoarthritis of hip or knee were included in an open label study with rofecoxib. At three visits over 3 weeks, responsiveness of the WOMAC 3.1 regarding the three subscales, pain, stiffness and function, were compared for the original paper format and the computer touch screen format (QUALITOUCH) using a Likert scale. WOMAC scores were transformed to the 0-100 scale. ANOVA for repeated measures was used for analysis and effect sizes by subscale were compared for both formats. RESULTS: Responsiveness for all three subscales was similar between formats. In both formats, pain and stiffness were significantly reduced with rofecoxib as early as 7 days, while functional ability was significantly increased (P<0.01 for all aggregate subscale scores) with continuing improvement until the end of study. The effect sizes by subscale between Day 1 and 21 were not statistically different between the paper and the electronic version of the questionnaire and showed similar clinically meaningful improvements in WOMAC scores over 3 weeks. CONCLUSION: In this longitudinal intervention study, the e-WOMAC OA Index 3.1 showed similar responsiveness in detecting clinically meaningful changes than the original paper format.

Aged↗

Multicenter construct validity for southwestern laparoscopic videotrainer stations.

BACKGROUND: The "Southwestern" videotrainer stations have demonstrated concurrent validity (transferability to the operating room). The purpose of this study was to evaluate the Southwestern stations for construct validity (the ability to discriminate between subjects at different levels of experience). MATERIALS AND METHODS: From two surgical training programs, Institutional Review Board approved protocol data were collected from 142 subjects, including novice (medical students and R1, n = 66), intermediate (R2-R4, n = 67), and advanced (R5 and expert surgeons, n = 9) groups. All participants performed three repetitions on each of five stations. Completion time was scored for each task. Laparoscopic experience was determined from residency case log databases and from expert surgeon personal case logs. Results for the three groups were compared using one-way ANOVA, including relevant pair-wise comparisons. Correlations between number of laparoscopic cases performed and task scores were determined by Pearson's and Spearman's rho-correlation coefficients. RESULTS: The mean number of laparoscopic cases performed prior to completing the five tasks was 0 for novices, 9 for intermediates, and 431 for the advanced group. Significant differences (P < 0.001) were noted between groups for all five tasks and composite score. Task scores and composite scores significantly correlated with laparoscopic experience (P < 0.01). CONCLUSION: These data suggest that differences in laparoscopic ability are detected by performance on the videotrainer; thus, construct validity is demonstrated. Moreover, scores accurately reflect laparoscopic experience. Further validation may allow such simulators to be used for testing and credentialing purposes.

Adult↗

The optics of occupational progressive lenses.

BACKGROUND: Occupational progressive lenses (OPLs) utilize progressive power optics and are designed primarily to meet near and intermediate viewing needs such as working at a computer workstation for presbyopic patients. OPLs are fabricated to have the prescribed near power in the lower part of the lens and the power in the upper portion of the lens is determined by the amount of power "degression" (decrease in plus power) relative to the near power. Independent measurements of the optical characteristics of these lenses have not been reported previously. METHODS: Manufacturers of 7 different OPL designs provided sample lenses for a patient with +2.50 D add that were measured with a Rotlex Class Plus lens analyzer (Rotlex Inc., Israel). Power measurements were normalized to the location specified by the manufacturer, and the vertical location of each lens was normalized to pupil center based on manufacturer fitting guidelines. RESULTS: Large optical differences exist among the OPL designs. The results show clear differences between the designs in terms of the add powers, their vertical location, and zone width. The size and location of the near, near-intermediate, far-intermediate, and far viewing zones were determined. CONCLUSIONS: The literature and clinical experience support that OPLs are successful at meeting the computer, general office, and other intermediate viewing distance needs of many patients. However, because of the large differences in the several OPL designs, patient success can likely be enhanced by selecting the design that best suits his or her viewing needs.

Computer Terminals↗