Trunk posture: reliability, accuracy, and risk estimates for low back pain from a video based assessment method

It has been recently reported that both dynamic movement characteristics, as well as the duration of postures adopted during work, are important in the development of low back pain (LBP). This paper presents a video-based posture assessment method capable of measuring trunk angles and angular velocities in industrial workplaces. The inter-observer reliability, system accuracy, and the relationship of the measured exposures to the reporting of low back pain are reported. The video analysis workstation consisted of a desktop computer equipped with digital video capture and playback technology, a VCR, and a computer game type joystick. The operator could then use a joystick to track trunk flexion and lateral bending during computer-controlled video playback. The joystick buttons were used for binary input of twisting. The inter-observer reliability for peak flexion and percentage of time spent in posture category variables were excellent (ICC>0.8). Lower reliability levels were observed for peak and average velocity and movement related variables. The video analysis system time series data showed very high correlation to the criterion optoelectronic imaging system (r=0.92). Root mean square errors averaged 5.8° for the amplitude probability distribution function data. Trunk flexion variables including peak level, peak velocity, average velocity indicators, and percent time in flexion category indicators all showed significant differences between cases and controls in the epidemiological study. A model consisting of the measures peak trunk flexion, percent time in lateral bend and average lateral bending velocity emerged after multivariable analysis for relationship to low back pain.

Relevance to industry

Risk of injury for the low back is multifactorial. The trunk position and movement velocity are emerging as important parameters. This analysis confirms the importance of these factors and demonstrates the utility of a video-based method to measure them in industrial settings.     

台北盆地地盘震动反应分析探讨

以实际地震案例和相关文献建构之Lee曲线 ,探讨台北盆地之地盘震动特性。研究显示 ,最新建筑技术规则指定之台北盆地岩盘最大地表加速度 0 .2 3g会在盆地内平原地区之不同地点造成最大加速度有 2 .9倍以上之差异性 ,故有订定盆地平原地区震度微区图的必要性 ,以作为都市防灾规划和建筑结构设计之参考     

Three strikes and you're out: demographic analysis of mandatory prison sentencing

Much of the debate about the costs and benefits of "three-strikes" laws for repeat felony offenders is implicitly demographic, relying on unexamined assumptions about prison population dynamics. However, even state-of-the-art analysis has omitted important demographic details. We construct a multistate life-table model of population flows to and from prisons, incorporating age-specific transition rates estimated from administrative data from Florida. We use the multistate life-table model to investigate patterns of prison population growth and aging under many variants of three-strikes laws. Our analysis allows us to quantify these demographic changes and suggests that the aging of prison populations under three-strikes policies will significantly undermine their long-run effectiveness.     

Further evidence that the Hajdu-Cheney syndrome and the "serpentine fibula-polycystic kidney syndrome" are a single entity

The Hajdu-Cheney syndrome (HCS) is a rare autosomal dominant disorder. It comprises a coarse face, short neck, hirsutism, joint laxity, and normal intelligence. Bone dysplasias, include acro-osteolysis, bathrocephaly, and vertebral anomalies. In 1988, Exner [1988: Eur J Pediatr 147:544-546] coined the term "serpentine fibula-polycystic kidney syndrome" (SFPKS) when he reported on a girl with short stature, unusual facial appearance, polycystic kidneys, and elongated curved fibulae. He postulated that it was a new entity different from the Melnick-Needles syndrome. Since his report, five similar cases have been published. Similarities between both HCS and SFPKS were noticed first by us and then by other authors. In this report we show that many clinical and radiological characteristics are shared by the HCS and the SFPKS and hypothesize that they represent a single entity with a variable degree of expression.     

Suggested guidelines for rating cardiac disability in workers' compensation. Medical and Chiropractic Advisory Committee to the Administrative Director of the California Division of Industrial Accidents

Cardiac disability ratings in workers' compensation cases currently lack any consistent scientific basis, with varying medical evidence used by different examiners in the same case. Opinions about the extent of disability may differ with the same patient, delaying resolution and the delivery of benefits. We describe guidelines for determining cardiac impairment and suggest a schedule for rating disability based on evidence. Our experience is in California, but arriving at equitable ratings for disability purposes is a nationwide challenge. Exercise stress testing provides the best reproducible data to test the heart's ability to do work. When exercise stress testing is not possible or adequate, alternative or supplemental testing is necessary. Certain conditions, such as hypertension, arrhythmias, coronary artery spasm, and a history of coronary artery operations or myocardial infarction, may affect "cardiac disability" but may not necessarily be reflected in exercise testing.     

Intelligent supply chain management using adaptive critic learning

A set of neural networks is employed to develop control policies that are better than fixed, theoretically optimal policies, when applied to a combined physical inventory and distribution system in a nonstationary demand environment. Specifically, we show that model-based adaptive critic approximate dynamic programming techniques can be used with systems characterized by discrete valued states and controls. The control policies embodied by the trained neural networks outperformed the best, fixed policies (found by either linear programming or genetic algorithms) in a high-penalty cost environment with time-varying demand.     

Fundamental studies of liquid chromatography at the critical condition using enhanced-fluidity liquids

The improvement in the analysis of telechelic polymer matrixes continues to be a pursuit for many scientists of varying disciplines. This quest for a new technique has led to the continued development of liquid chromatography at the critical condition (LCCC) or liquid chromatography at the critical adsorption point (LC-CAP). LCCC allows for the isolation of one area of the polymer matrix so that other areas of the polymer can be probed with size-exclusion or adsorptive chromatographic modes. Although this technique has been successfully applied to the analysis of telechelic polymers, the practice of LCCC can be difficult. These difficulties include finding and maintaining a solvent system appropriate for the practice of LCCC as well as deterioration of peak shape once the system is operating at the LCCC mode. Because of the specificity of the mobile phase required for the practice of LCCC, the work is routinely practiced by premixing solvents. Previous work with enhanced-fluidity liquid mobile phases demonstrated that these mobile phases removed many of the aforementioned challenges associated with working at the LCCC mode. These mobile phases utilize both pressure and temperature variation in order to maintain the specific solvent strength necessary for the LCCC work. This work studies the coupling and optimization of enhanced-fluidity, EF, liquid mobile phases for LCCC. Several EF-LCCC systems, differing in mobile phase composition, temperature, and pressure, were routinely established, resulting in the effective practice of critical chromatography. The practice of LCCC with on-line mobile phase preparation is demonstrated using commercially available instrumentation. Finally, EF-LCCC is used to analyze triblock and diblock copolymers.     

Ionic ligand mediated electrochemical charging of gold nanoparticle assemblies

We demonstrate that ionic surface functionalization is well-suited for controlling the electrochemical charging of nanoparticle assemblies. Gold nanoparticles approximately 2 nm in diameter were functionalized with between 0 and approximately 3.3 cationic thiols per particle and the coupled motion of ions and electrons during redox cycling (charging) was followed in situ using an electrochemical quartz-crystal microbalance. When the electrochemistry is performed using a polycation electrolyte too large to penetrate the nanoparticle film, the degree of reduction possible was found to be dictated by the number of cationic ligands on the particle surface available for charge compensation. This route to reduced particles might be useful for electronic device fabrication, since the negative electronic charge is precisely compensated by immobile cationic ligands.     

The International Quotidian Hemodialysis Registry: rationale and challenges

Outcomes from conventional thrice-weekly hemodialysis (CHD) are disappointing for a life-saving therapy. The results of the HEMO Study show that the recommended minimum dose (Kt/V) for adequacy is also the optimum attainable with CHD. Interest is therefore turning to alternative therapies exploring the effects of increased frequency and time of hemodialysis (HD) treatment. The National Institutes of Health have sponsored 2 randomized prospective trials comparing short hours daily in-center HD and long hours slow nightly home HD with CHD. An International Registry has also been created to capture observational data on patients receiving short hours daily in-center HD, long hours slow nightly home HD, and other alternative therapies. Participation by individual centers, other registries and the major dialysis chains is growing and currently data from nearly 3000 patients have been collected. Pitfalls in data collection have been identified and are being corrected. A matched cohort (patients in other registries) study is planned to obtain information regarding hard outcomes expected from these therapies. The Registry may become the most important source of information required by governments, providers, and the nephrological community in assessing the utility of such therapies.     

Sorption and permeability of gasoline hydrocarbons in organobentonite porous media

We investigate the use of organobentonites as liners for underground gasoline storage tanks to reduce the risk of subsurface contamination. A series of permeability measurements were conducted on two types of organobentonites: benzyltriethylammonium-bentonite (BTEA-bentonite) and hexadecyltrimethylammonium-bentonite (HDTMA-bentonite). Both water and commercial unleaded gasoline were used as the permeant liquids. Results of these measurements indicate that the intrinsic permeability of the organobentonite decreases by one to two orders of magnitude when the permeant liquid is changed from water to gasoline. Results of batch sorption measurements reveal that benzene sorption to both organobentonites from water is greater than benzene sorption to conventional bentonite. The magnitude of benzene sorption is related to the loading of the organic quaternary ammonium cation on the clay. As the HDTMA cation loading increases from 25% of cation exchange capacity (CEC) to 120% of CEC, benzene sorption increases. However, as the BTEA cation loading increases from 40 to 120% of CEC, benzene sorption decreases. Collectively, these results suggest that organobentonites can be used effectively to reduce hydrocarbon migration rates beneath leaking underground gasoline storage tanks, and that the optimal organic cation loading with respect to pollutant sorption may be less than 50% of cation exchange capacity for some organobentonite-solute combinations.