Associations between psychosocial risk factors and musculoskeletal disorders: application to the IT profession in India

The exponential growth of the information technology (IT) industry in India has been accompanied with a substantial increase in the reporting of work-related musculoskeletal disorders (WMSDs). The purpose of the current study was to identify and assess the contributions of prevalent psychosocial factors on perceived WMSD outcomes among IT professionals from India. About 77 IT professionals from India completed a survey set consisting of 26 question items from the Job Content Questionnaire and 3 separate question items pertaining to WMSD outcomes (pain/discomfort and psychological stress scores). The findings suggest prevalence of existing pain (shoulder/neck and low back) in more than one-fourth of the respondents. Additionally two-thirds of the respondents had never had any ergonomics awareness training. Co-worker support and psychological work demands were found to be the strongest contributors of psychosocial risk factors towards pain/discomfort and psychological stress outcomes. Findings from this study highlight the influence of certain psychosocial traits of the Indian IT workplace on perceived WMSD outcomes. There is a need to develop and implement intervention strategies to address these factors that may help lower the risk of work-related musculoskeletal pain.     

Mortality attributable to obesity among middle-aged adults in the united states

Obesity is considered a major cause of premature mortality and a potential threat to the longstanding secular decline in mortality in the United States. We measure relative and attributable risks associated with obesity among middle-aged adults using data from the Health and Retirement Study (1992–2004). Although class II/III obesity (BMI _ 35.0 kg/m2) increases mortality by 40% in females and 62% in males compared with normal BMI (BMI = 18.5-24.9), class I obesity (BMI = 30.0-34.9) and being overweight (BMI = 25.0-29.9) are not associated with excess mortality. With respect to attributable mortality, class II/III obesity (BMI _ 35.0) is responsible for approximately 4% of deaths among females and 3% of deaths among males. Obesity is often compared with cigarette smoking as a major source of avoidable mortality. Smoking-attributable mortality is much larger in this cohort: about 36% in females and 50% in males. Results are robust to confounding by preexisting diseases, multiple dimensions of socioeconomic status (SES), smoking, and other correlates. These findings challenge the viewpoint that obesity will stem the long-term secular decline in U.S. mortality.     

The effects of religion on subjective aging in Singapore: An interreligious comparison

This interreligious comparison deals with Buddhist and Christian Chinese elderly Singaporeans. Based on the data gathered from in-depth interviews with five Buddhists and five Christians, this article explores how religion plays a role in the adjustment to the physical, social, and existential aging processes. It investigates the similarities and differences between Buddhist and Christian beliefs in terms of their effects on the subjective experience of aging. Findings indicate that religion can play an integrative role that facilitates adjustment to the aging process. Also, they suggest that though there are fundamental, irreducible differences in terms of religious beliefs and practices between Buddhism and Christianity, there are far less differences in the ways they impact on the integrative aging process. Some negative effects of religion on aging and some viewpoints about successful aging are presented in the discussion.     

A network algorithm for the exact treatment of the 2×k contingency table

A common statistical problem encountered in biomedical research is to test the hypothesis that the parameters of k binomial populations are all equal. An exact test of significance of this hypothesis is possible in principle, the appropriate null distribution being a normalized product of k binomial coefficients. However, the problem of computing the tail area of this distribution can be formidable since it requires the enumeration of all sets of k binomial coefficients whose product is less than a given constant. Existing algorithms, all of which rely on explicit enumeration to generate feasible binomial coefficients     

Minimum average risk estimators for coefficients in linear models

We consider the problem of estimating the coefficient vector β of a linear regression model with quadratic loss function. Some biased estimators which utilize the prior information about β are considered. Also studied is the problem of estimating the parameters of an over-identified structural equation from undersized samples.     

Economic Evaluation of Scale Dependent Technology Investments

We study the effect of financial risk on the economic evaluation of a project with capacity decisions. Capacity decisions have an important effect on the project̂s value through the up‐front investment, the associated operating cost, and constraints on output. However, increased scale also affects the financial risk of the project through its effect on the operating leverage of the investment. Although it has long been recognized in the finance literature that operating leverage affects project risk, this result has not been incorporated in the operations management literature when evaluating projects. We study the decision problem of a firm that must choose project scale. Future cash flow uncertainty is introduced by uncertain future market prices. The firm's capacity decision affects the firm's potential sales, its expected price for output, and its costs. We study the firm's profit maximizing scale decision using the CAPM model for risk adjustment. Our results include that project risk, as measured by the required rate of return, is related to the inverse of the expected profit per unit sold. We also show that project risk is related to the scale choice. In contrast, in traditional discounted cash flow analysis (DCF), a fixed prescribed rate is used to evaluate the project and choose its scale. When a fixed rate is used with DCF, a manager will ignore the effect of scale on risk and choose suboptimal capacity that reduces project value. S/he will also misestimate project value. Use of DCF for choosing scale is studied for two special cases. It is shown that if the manager is directed to use a prescribed discount rate that induces the optimal scale decision, then the manager will greatly undervalue the project. In contrast, if the discount rate is set to the risk of the optimally‐scaled project, the manager will undersize the project by a small amount, and slightly undervalue the project with the economic impact of the error being small. These results underline the importance of understanding the source of financial risk in projects where risk is endogenous to the project design.     

Secular declines in the association between obesity and mortality in the United States

Recent research suggests that rising obesity will restrain future gains in US life expectancy and that obesity is an important contributor to the current shortfall in us longevity compared to other high-income countries. Estimates of the contribution of obesity to current and future national-level mortality patterns are sensitive to estimates of the magnitude of the association between obesity and mortality at the individual level. We assessed secular trends in the obesity/mortality association among cohorts of middle-aged adults between 1948 and 2006 using three long-running US data sources: the Framingham Heart Study, the National Health and Nutrition Examination Survey, and the National Health Interview Survey. We find substantial declines over time in the magnitude of the association between obesity and overall mortality and, in certain instances, cardiovascular-specific mortality. We conclude that estimates of the contribution of obesity to current national-level mortality patterns should take into account recent reductions in the magnitude of the obesity and mortality association.     

Topological methods in social choice: an overview

 This paper gives an exposition of the topological framework for social choice theory developed by Chichilnisky, and reviews the mathematical concepts needed for understanding this framework. Within that context, this paper also discusses some classic results of Chichilnisky. Received: 30 December 1994/Accepted: 22 April 1996     

Do Schooling and Work Empower Women in Developing Countries? Gender and Domestic Decisions in Sri Lanka

Our work challenges and points out the limitations of the theoretical presumptions underlying the relationship between empowerment, education, and employment that have been emphasized in both the exiting literature and the current rhetoric to empower women in developing countries. We use survey, life history, and focus group data to empirically examine the relationship between schooling, paid work, and power in domestic decision making for young, married women in Sri Lanka. We argue that the relationship between education, work, and women's control of household decisions is conditioned by the larger social context, and as such, it is likely to reflect the extent to which the division of labor and access to information and economic resources are the bases of domestic power in the society under consideration. Our results make a strong case for the need to move away from broad-based conceptualizations of women's empowerment to a consideration of the specific arenas and dimensions along which women can have power. In focusing on the domestic arena alone, we find that there are important differences in both the nature and determinants of the financial as opposed to the social and organizational dimension of power in Sri Lankan households. Women who control one of these aspects of family decisions do not necessarily control the other, and while education and employment play an important role in determining women's input in financial decisions, they are largely immaterial in determining household decisions related to social and organizational matters. Our results also demonstrate the importance of going beyong simplistic and limited measures of schooling and work to consider more fundamental structural factors involving family, social, and economic organization.