Development of a score for assessing severity, predicting interventions and prognosis of musculoskeletal disorders

Musculoskeletal disorders (MSD's) are a constellation of disorders. There is no single tool available which guides the clinicians to predict the severity, intervention and recovery period of the patients who is suffering from different musculoskeletal disorder. In this paper authors tried to categorize the severity of the musculoskeletal discomfort and the prognosis of the recovery period. The questionnaire was formulated using different epidemiological risk factor of the development of MSD and the effect of MSD on physical and psychosocial factors. The questionnaire contains 13 questions which include seven direct (rating was 0, 2, 4, 6, 8 and 10) and six indirect (rating was 0, 1, 2, 3, 4 and 5) questions. Results revealed a significant correlation with the prognosis of recovery and the actual recovery period (r= 0.80). It also showed a significant correlation between the total severity score and the actual recovery (r=0.82) period. Depending on the prognosis of the recovery the severity score was segregated in four categories as mild, moderate, severe and complicated. Due to small sample size the prognosis of recovery for higher severity score could not be plotted.     

Risk factors and clinical features of text message injuries

Use of mobile phone and sending text message is a very common in today's life. While sending a text message the users need to use their thumb and other palm muscles extensively. The thumb most of the time adducted on the key pad of the mobile and use high force to type the letters. Studies in literature showed that text messaging has an adverse effect on musculoskeletal system of hand. But the extensive study on the type of disorders set in among the users who extensively use mobile phone for texting. This study aims at to evaluate risk factor and clinical feature of the MSD due to hand held devices. Twenty seven subjects participated in this study. Predefined protocols were used to evaluate type of MSD occurred among the subjects. The study revealed that development of tendinitis in extensor pollicis longus, myofascial pain syndrome (70.37%) of adductor pollicis, 1st interossei and extensor digitorum communis . Other associated problems diagnosed were thoracic outlet syndrome (51.85%), fibromyalgia syndrome (25.93%), hypothyroidism (7.41%), wrist tendinitis (14.81%) and De Quervain's syndrome (7.41%). It has been observed that the pathology were tendinitis of extensor pollicis longus, myofascial pain syndrome of thenar muscles and 1st interossei, extensor digitorum communis.     

Effects of physical and mental demands on shoulder muscle fatigue

Mental demands have been associated with increased risk of injuries; however, its influence on muscle fatigability remains unclear. The aim of this study was to investigate the interaction of mental workload and physical workload on muscle fatigability during repetitive shoulder work. Twelve young participants, balanced by gender, performed shoulder abduction exercises until exhaustions at three levels of physical workload (low (5% maximum voluntary contraction (MVC)), moderate (35% MVC), and high (55% MVC)) in the absence and presence of a mental arithmetic test. Endurance time and rate of strength decline were employed as indicators of muscle fatigue. Concurrent physical and mental processing was found to adversely decrease muscle endurance by ~25% at the moderate intensity level. Furthermore, concurrent demands were associated with faster rate of strength decline compared to the control, irrespective of the physical intensity level. Findings from the current study provide evidence of the adverse effects of mental workload on muscle capacity (i.e., endurance and fatigue). It is therefore important to consider potential changes in worker capacity with concurrent physical and cognitive demands before designing work tasks/products.     

Scheduling arc shut downs in a network to maximize flow over time with a bounded number of jobs per time period

We study the problem of scheduling maintenance on arcs of a capacitated network so as to maximize the total flow from a source node to a sink node over a set of time periods. Maintenance on an arc shuts down the arc for the duration of the period in which its maintenance is scheduled, making its capacity zero for that period. A set of arcs is designated to have maintenance during the planning period, which will require each to be shut down for exactly one time period. In general this problem is known to be NP-hard, and several special instance classes have been studied. Here we propose an additional constraint which limits the number of maintenance jobs per time period, and we study the impact of this on the complexity.     

Public Trust in Local Government: Explaining the Role of Good Governance Practices

Public Organization Review - The primary purpose of this study was to examine the role of good governance practices on public trust in local government. In this study, a conceptual model was...     

Generalized Scrambling in Quantitative Optional Randomized Response Models

Huang (2010 Huang , K. C. ( 2010 ). Unbiased estimators of mean, variance and sensitivity level for quantitative characteristics in finite population sampling . Metrika 71 : 341 – 352 .[Crossref], [Web of Science ®] , [Google Scholar]) proposed an optional randomized response model using a linear combination scrambling which is a generalization of the multiplicative scrambling of Eichhorn and Hayre (1983 Eichhorn , B. H. , Hayre , L. S. ( 1983 ). Scrambled randomized response methods for obtaining sensitive quantitative data . J. Statist. Plann. Infer. 7 : 307 – 316 .[Crossref], [Web of Science ®] , [Google Scholar]) and the additive scrambling of Gupta et al. (2006, 2010). In this article, we discuss two main issues. (1) Can the Huang (2010 Huang , K. C. ( 2010 ). Unbiased estimators of mean, variance and sensitivity level for quantitative characteristics in finite population sampling . Metrika 71 : 341 – 352 .[Crossref], [Web of Science ®] , [Google Scholar]) model be improved further by using a two-stage approach?; (2) Does the linear combination scrambling provide any benefit over the additive scrambling of Gupta et al. (2010 Gupta , S. N. , Shabbir , J. , Sehra , S. ( 2010 ). Mean and sensitivity estimation in optional randomized response models . J. Statist. Plann. Infer. 140 : 2870 – 2874 .[Crossref], [Web of Science ®] , [Google Scholar])? We will note that the answer to the first question is “yes” but the answer to the second question is “no.”     

Efficient family of estimators of median using two-phase sampling design

ABSTRACT

For a trivariate distribution, an efficient family of estimators of median of study variable using the known information on the auxiliary variables has been proposed under two-phase sampling design. The expressions for bias and its mean square error have been obtained up to first order of approximation. It has been shown that the proposed estimator has smaller bias as compared to estimator defined by Singh et al. (2006 Singh, S., Singh, H.P., Upadhyaya, L.N. (2006). Chain ratio and regression type estimators for median estimation in survey sampling. Statist. Pap. 48:23–46.[Crossref], [Web of Science ®] , [Google Scholar]) with the same efficiency. The results have also been illustrated numerically by taking data from different populations considered in literature.     

Projecting the Effect of Changes in Smoking and Obesity on Future Life Expectancy in the United States

We estimate the effects of declining smoking and increasing obesity on mortality in the United States over the period 2010–2040. Data on cohort behavioral histories are integrated into these estimates. Future distributions of body mass indices are projected using transition matrices applied to the initial distribution in 2010. In addition to projections of current obesity, we project distributions of obesity when cohorts are age 25. To these distributions, we apply death rates by current and age-25 obesity status observed in the National Health and Nutrition Examination Survey, 1988–2006. Estimates of the effects of smoking changes are based on observed relations between cohort smoking patterns and cohort death rates from lung cancer. We find that changes in both smoking and obesity are expected to have large effects on U.S. mortality. For males, the reductions in smoking have larger effects than the rise in obesity throughout the projection period. By 2040, male life expectancy at age 40 is expected to have gained 0.83 years from the combined effects. Among women, however, the two sets of effects largely offset one another throughout the projection period, with a small gain of 0.09 years expected by 2040.     

Polarized Scientists? Exploring Political Differences about Religion and Science among U.S. Biologists and Physicists1

From the Texas textbook debate to the March for Science, visible displays of activism illuminate how deeply politicized the science‐religion interface has become. However, little is known about the extent to which scientists’ attitudes about science and religion are politicized. Using original survey data from 1,989 U.S. academic biologists and physicists, we examine the degree to which political views shape how scientists perceive the relationship between religion and science, religious authority, their personal religious identity, and views on dominant scientific theories. Findings suggest that, indeed, the science‐religion interface holds political meaning for scientists, but in different ways across the political spectrum. Specifically, for politically liberal scientists, atheism and the conflict narrative are particularly politicized belief structures, while politically conservative scientists emphasize religious identity to distinguish themselves from political liberals. Findings point to the critical role of politics in shaping scientists’ attitudes and identities, which may have implications for the scientific enterprise, both at the lab bench and in the political sphere.