Ergonomic evaluation of a wheelchair transportation securement system

The Americans with Disabilities Act (ADA) specifies guidelines covering the securement system and environment for wheeled mobility device (WhMD) passengers on the public bus system in the United States, referred to as the wheelchair tiedown and occupant restraint system (WTORS). The misuse or disuse of the WTORS system can be a source of injury for WhMD passengers riding the buses. The purpose of this study was to quantify the risks posed to the bus driver while performing the WTORS procedure using traditional ergonomic analysis methods. Four bus drivers completed the WTORS procedure for a representative passenger seated in three different WhMDs: manual wheelchair (MWC), scooter (SCTR), and power wheelchair (PWC). Potential work-related risks were identified using the four most applicable ergonomic assessment tools: PLIBEL, RULA, REBA, and iLMM. Task evaluation results revealed high levels of risk to be present to drivers during the WTORS procedure. The securement station space design and equipment layout were identified as contributing factors forcing drivers to adopt awkward postures while performing the WTORS task. These risk factors are known contributors to injury and the drivers could opt to improperly secure the passengers to avoid that risk.     

Exploring the Concepts of Recognition and Shame for Social Work

Recognition and shame are both concepts that potentially offer social workers a structure to build practice on; two states experienced by both social workers and service users. ‘Recognition’, within social, political and economic thought, has been established as a field in which inequality and exclusion can be analysed. Social work theorists have also made inroads into exploring its reach. ‘Shame’ in twentieth century and contemporary sociological and psychoanalytical accounts, is understood as a force in limiting human agency, well-being and capacity This paper briefly outlines some of the defining ideas in circulation in relation to recognition and shame, and then briefly considers how psychoanalytical and contemporary social structural analysis builds on this, making links to contemporary social work thinking throughout. The paper also specifically considers some of the uses of recognition and shame for thinking about social worker and service user ‘well-being’, and the connections, through both the relational and the socio-political, which inflect social work practice.     

Correcting for regression dilution bias: comparison of methods for a single predictor variable

In an epidemiological study the regression slope between a response and predictor variable is underestimated when the predictor variable is measured imprecisely. Repeat measurements of the predictor in individuals in a subset of the study or in a separate study can be used to estimate a multiplicative factor to correct for this 'regression dilution bias'. In applied statistics publications various methods have been used to estimate this correction factor. Here we compare six different estimation methods and explain how they fall into two categories, namely regression and correlation-based methods. We provide new asymptotic variance formulae for the optimal correction factors in each category, when these are estimated from the repeat measurements subset alone, and show analytically and by simulation that the correlation method of choice gives uniformly lower variance. The simulations also show that, when the correction factor is not much greater than 1, this correlation method gives a correction factor which is closer to the true value than that from the best regression method on up to 80% of occasions. We also provide a variance formula for a modified correlation method which uses the standard deviation of the predictor variable in the main study; this shows further improved performance provided that the correction factor is not too extreme. A confidence interval for a corrected regression slope in an epidemiological study should reflect the imprecision of both the uncorrected slope and the estimated correction factor. We provide formulae for this and show that, particularly when the correction factor is large and the size of the subset of repeat measures is small, the effect of allowing for imprecision in the estimated correction factor can be substantial.     

Measuring community connectedness among diverse sexual minority populations

Theory and research agree that connectedness to the lesbian, gay, bisexual, and transgender (LGBT) community is an important construct to account for in understanding issues related to health and well-being among gay and bisexual men. However, the measurement of this construct among lesbian and bisexual women or racial and ethnic minority individuals has not yet been adequately investigated. This study examined the reliability and validity of an existing measure of connectedness to the LGBT Community among a diverse group of sexual minority individuals in New York City, and whether differences in connectedness existed across gender and race or ethnicity. Scores on the measure demonstrated both internal consistency and construct stability across subgroups defined by gender and race or ethnicity. The subgroups did not differ in their mean levels of connectedness, and scores on the measure demonstrated factorial, convergent, and discriminant validity, both generally and within each of the subgroups. Inconsistencies were observed with regard to which scores on the measure demonstrated predictive validity in their associations with indicators of mental health and well-being. The scale is a useful tool for researchers and practitioners interested in understanding the role of community connectedness in the lives of diverse populations of sexual minority individuals.     

Planktonic algae abundance and diversity are similar in urban stormwater ponds of different geographic locations and natural shallow lakes

Elevated levels of different contaminants are typical to stormwater management ponds. Despite that, a number of works report stormwater ponds serving as habitats for a variety of biota. In this study we aimed to examine phytoplankton communities of urban ponds, as the basis of the aquatic food web, and compare them to those of natural shallow lakes. Stormwater ponds were selected from two distant geographic locations: three in Denmark and three in Canada. As a reference to natural systems, three Danish shallow lakes were sampled. The sampling was carried out in the spring, summer and fall of 2014. The phytoplankton communities in ponds were found to be at least as rich in taxa as natural shallow lakes. Their abundance and biovolume varied highly among the types of water bodies as well as in each pond or lake individually, depending on the sampling month. We did not find any significant differences among ponds and natural shallow lakes at the investigated taxonomic level, despite some distinction observed by multivariate DCA and CCA analyses. Little difference was found between Canadian and Danish ponds as well, even though they are separated by a large geographic distance. This study shows that stormwater ponds are habitats for diverse planktonic algae communities which have some similarities to those of natural shallow lakes. Also, the similarities observed between Danish and Canadian ponds indicate some consistence with the urban homogenization hypothesis, although this should be further looked into by future works examining a larger number and distinct types of ponds.

     

Social workers in multidisciplinary teams: issues and dilemmas for professional practice

This paper draws on the findings of a project, funded by the Economic and Social Research Council of the UK, examining how child and family multidisciplinary teams learn and work together. It outlines the approach taken by the research team before going on to explore New Labour policy around ‘joined‐up thinking’. The paper focuses on the role of social workers in the teams and uses qualitative data to explore the experience of social workers in relation to four key issues: models of professional practice, status and power, confidentiality and information sharing, and relations with external agencies. We argue that these are complex and contested issues that are challenging for the workers concerned. We conclude that whilst joined‐up working is complex and demanding, social work is well situated to meet the challenge, and that social workers in multidisciplinary teams are committed to making them work.     

Emotional and behavioral problems of Asian American adolescents: A comparative study

Social, academic, emotional functioning and social support of 99 ninth-grade Asian American students were investigated using standardized measures. When compared to 404 ninth-grade Caucasian adolescents who had attended the same school, Asian American students exhibited less delinquent behavior and performed better academically. However, they were significantly more isolated, more depressed and anxious, less apt to be involved in after school activities or seek help for their problems, and internalized their social problems. Also, they had fewer role models and less social support, underscoring the psychosocial and emotional plight of Asian American adolescents and the dire need to establish proactive outreach programs.This work was supported by NIMH grant #MH41569-07.     

Physical injury risks associated with drinking water arsenic treatment.

We estimated the number of transportation deaths that would be associated with water treatment in Albuquerque to meet the EPA's recently proposed revisions of the Maximum Contaminant Level (MCL) for arsenic. Vehicle mileage was estimated for ion exchange, activated alumina, and iron coagulation/microfiltration water treatment processes to meet an MCL of 0.020 mg/L, 0.010 mg/L, 0.005 mg/L, and 0.003 mg/L. Local crash, injury, and death rates per million vehicle miles were used to estimate the number of injuries and deaths. Depending on the water treatment options chosen, we estimate that meeting an arsenic MCL of 0.005 mg/L will result in 143 to 237 crashes, 58 to 98 injuries, and 0.6 to 2.6 deaths in Albuquerque over a 70-year period, resulting in 26 to 113 years of life lost. The anticipated health benefits for Albuquerque residents from a 0.005 mg/L arsenic MCL, estimated using either a multistage Weibull or Poisson model, ranged from 3 to 80 arsenic-related bladder and lung cancer deaths prevented over a 70-year period, adding between 43 and 1,123 years of life. Whether a revised arsenic MCL increases or reduces overall loss of life in Albuquerque depends on the accuracy of EPA's cancer risk assessment. If the multistage Weibull model accurately estimates the benefits, the years of life added is comparable or lower than the anticipated years lost due to transportation associated with the delivery of chemicals, disposal of treatment waste, and operation of the water treatment system. Coagulation/microfiltration treatment will result in substantially fewer transportation deaths than either ion exchange or activated alumina.