Role of Ergonomic Improvements in Decreasing Repetitive Stress Injuries and Promoting Well-Being in a Radiology Department.

RATIONALE AND OBJECTIVES: To determine if ergonomic improvements in a radiology department can decrease repetitive stress injuries (RSIs), advance ergonomics knowledge, and improve well-being. MATERIALS AND METHODS: Radiologists in an academic institution were surveyed regarding physician wellness, workstations, RSIs, and ergonomics knowledge before and after interventions over 1 year. Interventions included committee formation, education, wrist pads and wireless mice, broken table and chair replacement, and cord organization. Mann-Whitney U test was used for analysis. RESULTS: Survey response was 40% preinterventions (59/147), and 42% (66/157) postinterventions. Preinterventions, of radiologists with RSI history, 17/40 (42%) reported the RSI caused symptoms which can lead to burnout, and 15/40 (37%) responded their RSI made them think about leaving their job. Twenty-three of 59 (39%) radiologists had an active RSI preinterventions. Postinterventions, 9/25 (36%) RSI resolved, 13/25 (52%) RSI improved, and 3/25 (12%) RSI did not improve. RSI improvements were attributed to ergonomic interventions in 19/25 (76%) and therapy in 2/25 (8%). Radiologists who thought their workstation was designed with well-being in mind increased from 9/59 (15%) to 52/64 (81%). The percentage of radiologists knowing little or nothing about ergonomics decreased from 15/59 (25%) to 5/64 (8%). After ergonomics interventions, more radiologists thought the administration cared about safety and ergonomics, equipment was distributed fairly, and radiologists had the ability to ask for equipment (p < .01). Fifty-three of 64 (83%) of radiologists after interventions said improving workstation ergonomic design contributed to well-being. CONCLUSION: Ergonomic improvements in radiology can decrease RSIs, advance ergonomics knowledge, and improve well-being.

Tagging of Test Tubes with Electronic p-Chips for Use in Biorepositories.

A system has been developed to electronically tag and track test tubes used in biorepositories. The system is based on a light-activated microtransponder, also known as a "p-Chip." One of the pressing problems with storing and retrieving biological samples at low temperatures is the difficulty of reliably reading the identification (ID) number that links each storage tube with the database containing sample details. Commonly used barcodes are not always reliable at low temperatures because of poor adhesion of the label to the test tube and problems with reading under conditions of frost and ice accumulation. Traditional radio frequency identification (RFID) tags are not cost effective and are too large for this application. The system described herein consists of the p-Chip, p-Chip-tagged test tubes, two ID readers (for single tubes or for racks of tubes), and software. We also describe a robot that is configured for retrofitting legacy test tubes in biorepositories with p-Chips while maintaining the temperature of the sample below -50°C at all times. The main benefits of the p-Chip over other RFID devices are its small size (600 × 600 × 100 µm) that allows even very small tubes or vials to be tagged, low cost due to the chip's unitary construction, durability, and the ability to read the ID through frost and ice.

Photograph-based ergonomic evaluations using the Rapid Office Strain Assessment (ROSA).

The Rapid Office Strain Assessment (ROSA) was developed to assess musculoskeletal disorder (MSD) risk factors for computer workstations. This study examined the validity and reliability of remotely conducted, photo-based assessments using ROSA. Twenty-three office workstations were assessed on-site by an ergonomist, and 5 photos were obtained. Photo-based assessments were conducted by three ergonomists. The sensitivity and specificity of the photo-based assessors' ability to correctly classify workstations was 79% and 55%, respectively. The moderate specificity associated with false positive errors committed by the assessors could lead to unnecessary costs to the employer. Error between on-site and photo-based final scores was a considerable ∼2 points on the 10-point ROSA scale (RMSE = 2.3), with a moderate relationship (ρ = 0.33). Interrater reliability ranged from fairly good to excellent (ICC = 0.667-0.856) and was comparable to previous results. Sources of error include the parallax effect, poor estimations of small joint (e.g. hand/wrist) angles, and boundary errors in postural binning. While this method demonstrated potential validity, further improvements should be made with respect to photo-collection and other protocols for remotely-based ROSA assessments.

Use of Digital Pens for Rapid Epidemiologic Data Collection During a Foodborne Outbreak Investigation.

OBJECTIVE: Public health investigations require rapid assessment, response, and initiation of control measures. In 2012, the New Hampshire Department of Health and Human Services used digital pens to rapidly acquire epidemiologic data during a gastrointestinal illness outbreak. METHODS: Menus were obtained and a standard questionnaire was administered to exposed persons using digital pens. Questionnaire data were downloaded into an electronic file for analysis. RESULTS: Sixty-nine (74%) of 93 exposed persons completed a questionnaire. Of 6389 data entries made on digital paper, 218 (3%) required correction; of these, 201 (92%) involved a free-form variable and 17 (8%) involved a check-box variable. Digital pens saved an estimated 5 to 6 hours of data-entry time. CONCLUSIONS: This outbreak provided an opportunity to assess the value of digital pens for decreasing data-entry burden and allowing more timely data analysis in an emergent setting. Depending on the size of the outbreak and complexity of the survey, there is likely a threshold when use of digital pens would provide a clear benefit to outbreak response. As new technology becomes available for use in emergency preparedness settings, public health agencies must continuously review and update response plans and evaluate investigation tools to ensure timely disease control and response activities.

Validity of the modified RULA for computer workers and reliability of one observation compared to six.

Awkward body posture while typing is associated with musculoskeletal disorders (MSDs). Valid rapid assessment of computer workers' body posture is essential for the prevention of MSD among this large population. This study aimed to examine the validity of the modified rapid upper limb assessment (mRULA) which adjusted the rapid upper limb assessment (RULA) for computer workers. Moreover, this study examines whether one observation during a working day is sufficient or more observations are needed. A total of 29 right-handed computer workers were recruited. RULA and mRULA were conducted. The observations were then repeated six times at one-hour intervals. A significant moderate correlation (r = 0.6 and r = 0.7 for mouse and keyboard, respectively) was found between the assessments. No significant differences were found between one observation and six observations per working day. The mRULA was found to be valid for the assessment of computer workers, and one observation was sufficient to assess the work-related risk factor.

Effects of slanted ergonomic mice on task performance and subjective responses.

The biomechanical benefits (e.g., muscular activity) of slanted ergonomic mice have been comprehensively identified; however, their effects on task performance and subjective responses have not been fully investigated. The present study examined the effects of two slanted mice (slant angle = 30° and 50°) in comparison with a conventional mouse (slant angle = 0°) in terms of task performance (task completion time and error rate) and subjective responses (perceived discomfort score and overall satisfaction score). Experimental results showed that all of the task and subjective measures worsened as the slant angle of the target mice increases. For example, the task completion time (unit: ms) and overall satisfaction score (unit: point) of the 30° slanted mouse (time = 0.71, satisfaction = -0.09) and 50° slanted mouse (time = 0.73, satisfaction = -0.79) significantly deteriorated than the conventional mouse (time = 0.65, satisfaction = 1.21). The slanted mice seem to compromise biomechanical benefits with task performance and subjective responses.

Effects of forearm and palm supports on the upper extremity during computer mouse use.

The use of forearm and palm supports has been associated with lower neck and shoulder muscle activity as well as reduced musculoskeletal discomfort during keyboard use, however, few studies have investigated their effect during computer mouse use. Eight men and eight women completed several computer mousing tasks in six arm support conditions: Forearm Support, Flat Palm Support, Raised Palm Support, Forearm + Flat Palm Support, Forearm + Raised Palm Support, and No Support. Concurrently, an infrared three-dimensional motion analysis system measured postures, six-degree-of-freedom force-torque sensors measured applied forces & torques, and surface electromyography measured muscle activity. The use of forearm support compared to the no support condition was significantly associated with less shoulder muscle activity & torque, and the raised palm support was associated with less wrist extension. Forearm supports reduced shoulder flexion torque by 90% compared to no support. The use of either support also resulted in lower applied forces to the mouse pad. Participants reported less musculoskeletal discomfort when using a support. These results provide recommendations for office workstation setup and inform ergonomists of effective ways to reduce musculoskeletal exposures.

Design and evaluation of small, linear QWERTY keyboards.

Miniature keyboard design is motivated by the need for smaller mobile devices with maximum user display area. Thus, this study developed four miniature keyboard designs which varied from conventional keyboard design in terms of their configuration and layout. The purpose of this study was to evaluate the input speed, accuracy, comfort, likability and learnability of four miniature keyboards. Sixteen fast typists and 16 slow typists were recruited to use these four miniature keyboards. The results showed that the rectangular-shaped keycaps of 3 letters with separated keycaps of numerals obtained the best proficiency speed, highest comfort and greatest user acceptance among the four keyboards. Moreover, the keyboards with square-shaped keycaps had better input accuracy compared to rectangular-shaped keycaps. Finally, the proposed keyboards were smaller than current keyboards, and the performance for all of the small keyboards was worse than that of the conventional keyboard.

Low-cost computer mouse for the elderly or disabled in Taiwan.

BACKGROUND: A mouse is an important communication interface between a human and a computer, but it is still difficult to use for the elderly or disabled. OBJECTIVE: To develop a low-cost computer mouse auxiliary tool. METHODS: The principal structure of the low-cost mouse auxiliary tool is the IR (infrared ray) array module and the Wii icon sensor module, which combine with reflective tape and the SQL Server database. RESULTS: This has several benefits including cheap hardware cost, fluent control, prompt response, adaptive adjustment and portability. Also, it carries the game module with the function of training and evaluation; to the trainee, it is really helpful to upgrade the sensitivity of consciousness/sense and the centralization of attention. The intervention phase/maintenance phase, with regard to clicking accuracy and use of time, p value (p< 0.05) reach the level of significance. CONCLUSIONS: The development of the low cost adaptive computer mouse auxiliary tool was completed during the study and was also verified as having the characteristics of low cost, easy operation and the adaptability. To patients with physical disabilities, if they have independent control action parts of their limbs, the mouse auxiliary tool is suitable for them to use, i.e. the user only needs to paste the reflective tape by the independent control action parts of the body to operate the mouse auxiliary tool.

The effect of keyboard key spacing on typing speed, error, usability, and biomechanics: Part 1.

OBJECTIVE: In this study, we evaluated the effects of key spacing on a conventional computer keyboard on typing speed, percentage error, usability, and forearm muscle activity and wrist posture. BACKGROUND: International standards that specify the spacing between keys on a keyboard have been guided primarily by design convention because few studies have evaluated the effects of key spacing on productivity, usability, and biomechanical factors. METHOD: Experienced male typists (N = 37) with large fingers (middle finger length > or = 8.7 cm or finger breadth of > or = 2.3 cm) typed on five keyboards that differed only in horizontal and vertical key spacing (19 x 19 mm, 18 x 19 mm, 17 x 19 mm, 16 x 19 mm, and 17 x 17 mm) while typing speed, percentage error, fatigue, preference, extensor carpi ulnaris and flexor carpi ulnaris muscle activity, and wrist extension and ulnar deviation were recorded. RESULTS: Productivity and usability ratings were significantly worse for the keyboard with spacing of 16 x 19 mm compared with the other keyboards. Differences on these measures between the other keyboards were not significant. Muscle activity tended to increase in the left forearm and decrease in the right with decreasing horizontal key spacing. There was also a trend for left wrist extension to increase and left ulnar deviation to decrease with decreasing horizontal key spacing. Reducing vertical key spacing from 19 to 17 mm had no significant effect on productivity or usability ratings. CONCLUSIONS: The study findings support key spacing on a computer keyboard between 17 and 19 mm in both vertical and horizontal directions. APPLICATIONS: These findings may influence keyboard standards and the design of keyboards.

Performance test and quality control of large area reference sources fabricated by the ink-jet printing technique.

Quantitative performance tests and evaluations were carried out for large area reference sources fabricated by the ink-jet printing technique developed by NMIJ/AIST. The present tests were performed quantitatively with emphasis on uniformity, surface emission rate and long-term stability. Some techniques to minimize the self-absorption and to control the amount of radioactivity were established. The prototype source fabricated in this study safely satisfies the requirements specified in ISO 8769.

Children computer mouse use and anthropometry.

Studies have shown that increased computer use among adults in occupational settings is associated with the development of cumulative trauma disorders; however, the need to address how adult-sized mice and keyboards are affecting children is becoming increasingly important as both access to and use of computers is increasing among today's youth. To address the potential mismatch that exists between child stature and computer input device size and activation force, we have applied existing, age-specific, anthropometric data to elements of device design, including mouse size (length, width, height, switch location), and mouse-button activation forces. Trends supported the development of smaller computer input devices with lower activation forces for smaller statured individuals including children. Distinct and consistent trends in size delineations were seen across gender and age groups-trends that correlate well with grades and schooling in the United States education system . Three to four mouse sizes would be recommended: a mouse sized for adult and high school males; one for adult and high school females and junior high males; one for elementary school children, aged 6 to 10 years; and possibly a mouse for the smallest users who are less than six years old.

Display quality of different monitors in feline digital radiography.

In human medical imaging, the performance of the monitor used for image reporting has a substantial impact on the diagnostic performance of the entire digital system. Our purpose was to compare the display quality of different monitors used in veterinary practice. Two medical-grade gray scale monitors (one cathode-ray tube [CRT], one liquid crystal display [LCD]) and two standard consumer-grade color monitors (one CRT, one LCD) were compared in the ability to display anatomic structures in cats. Radiographs of the stifle joint and the thorax of 30 normal domestic shorthair cats were acquired by use of a storage phosphor system. Two anatomic features of the stifle joint and five anatomic structures of the thorax were evaluated. The two medical-grade monitors had superior display quality compared with standard PC monitors. No differences were seen between the monochrome monitors. In comparison with the color CRT, the ratings of the color LCD were significantly worse. The ranking order was uniform for both the region and the criteria investigated. Differences in monitor luminance, bit depth, and screen size were presumed to be the reasons for the observed varying performance. The observed differences between monitors place an emphasis on the need for guidelines defining minimum requirements for the acceptance of monitors and for quality control in veterinary radiography.

Achieving precise display timing in visual neuroscience experiments.

In experimental visual neuroscience brief presentations of visual stimuli are often required. Accurate knowledge of the durations of visual stimuli and their signal shapes is important in psychophysical experiments with humans and in neuronal recordings with animals. In this study we measure and analyze the changes in luminance of visual stimuli on standard computer monitors. Signal properties of the two most frequently used monitor technologies, cathode ray tube (CRT) and liquid crystal display (LCD) monitors, are compared, and the effects of the signal shapes on the stated durations of visual stimuli are analyzed. The fundamental differences between CRT and LCD signals require different methods for the specification of durations, especially for brief stimulus presentations. In addition, stimulus durations on LCD monitors vary over different monitor models and are not even homogeneous with respect to different luminance levels on a single monitor. The use of LCD technology for brief stimulus presentation requires extensive display measurements prior to the experiment.

The performance of computer input devices in a vibration environment.

This study investigates the performance of a touch screen, mouse and trackball in a motion environment. A Stewart motion platform was used to generate a six-degree-of-freedom motion environment. Participants were placed in an environment where vehicle vibration was simulated. Tasks were used according to Fitts' Law to obtain the movement time, error rate, index of performance and throughput of each input device. The results showed that during static conditions, the touch screen gave the best results. However, in the vibration environment, the mouse gave the best results. The trackball is the worst of the three. The error rate and end-point variation tends to increase for the touch screen in the vibration environment. STATEMENT OF RELEVANCE: This study investigates the performance of a pointing device in a vibration environment. The results showed that during static conditions, the touch screen gave the best results. However, in the vibration environment, the mouse gave the best results. The track ball is the worst of the three. This research achievement can help human-computer interaction design in various dynamic environments such as in sea and land vehicles.

Assisting people with multiple disabilities and minimal motor behavior to control environmental stimulation through a mouse wheel.

This study assessed whether two people with profound multiple disabilities and minimal motor behavior would be able to control environmental stimulation using thumb poke ability with a mouse wheel and a newly developed mouse driver (i.e., a new mouse driver replacing standard mouse driver, and turning a mouse into a precise thumb poke detector). The study was carried out according to an ABAB design and included a 2-month post-intervention check. The two people increased significantly in the target response (thumb poke) to activate the control system to produce environmental stimulation during the B (intervention) phases. This performance was maintained at the post-intervention check. Practical and developmental implications of the findings were discussed.

Assisting people with multiple disabilities and minimal motor behavior to improve computer pointing efficiency through a mouse wheel.

This study evaluated whether two people with multiple disabilities and minimal motor behavior would be able to improve their pointing performance using finger poke ability with a mouse wheel through a Dynamic Pointing Assistive Program (DPAP) and a newly developed mouse driver (i.e., a new mouse driver replaces standard mouse driver, changes a mouse wheel into a thumb/finger poke detector, and intercepts mouse action). Initially, both participants had their baseline sessions. Then intervention started with the first participant. When his performance was consolidated, new baseline and intervention occurred with the second participant. Finally, both participants were exposed to maintenance phase, in which their pointing performance improved significantly. Both participants improved their pointing efficiency with the use of DPAP and remained highly successful through maintenance phase. Implications of the findings are discussed.

Calibration, registration, and synchronization for high precision augmented reality haptics.

In our current research we examine the application of visuo-haptic augmented reality setups in medical training. To this end, highly accurate calibration, system stability, and low latency are indispensable prerequisites. These are necessary to maintain user immersion and avoid breaks in presence which potentially diminish the training outcome. In this paper we describe the developed calibration methods for visuo-haptic integration, the hybrid tracking technique for stable alignment of the augmentation, and the distributed framework ensuring low latency and component synchronization. Finally, we outline an early prototype system based on the multimodal augmented reality framework. The latter allows colocated visuo-haptic interaction with real and virtual scene components in a simplified open surgery setting.

A method for achieving an order-of-magnitude increase in the temporal resolution of a standard CRT computer monitor.

As the frequency of a flickering light is increased, the perception of flicker is replaced by the perception of steady light at what is known as the critical flicker fusion threshold (CFFT). This threshold provides a useful measure of the brain's information processing speed, and has been used in medicine for over a century both for diagnostic and drug efficacy studies. However, the hardware for presenting the stimulus has not advanced to take advantage of computers, largely because the refresh rates of typical monitors are too slow to provide fine-grained changes in the alternation rate of a visual stimulus. For example, a cathode ray tube (CRT) computer monitor running at 100Hz will render a new frame every 10 ms, thus restricting the period of a flickering stimulus to multiples of 20 ms. These multiples provide a temporal resolution far too low to make precise threshold measurements, since typical CFFT values are in the neighborhood of 35 ms. We describe here a simple and novel technique to enable alternating images at several closely-spaced periods on a standard monitor. The key to our technique is to programmatically control the video card to dynamically reset the refresh rate of the monitor. Different refresh rates allow slightly different frame durations; this can be leveraged to vastly increase the resolution of stimulus presentation times. This simple technique opens new inroads for experiments on computers that require more finely-spaced temporal resolution than a monitor at a single, fixed refresh rate can allow.

[A particular anthropometric method for the study of accessibility of a workstation]. / Un particolare approccio antropometrico per lo studio della raggiungibilità di una postazione cassa.

One of the main factors which can involve musculo-skeletal disorders is the assumption of awkward postures. These lasts can be caused, in some cases, by a no-suitable collocation of some devices which are indispensable for the work. It is possible to evaluate if the chosen collocation is adequate or not by studying the accessibility of the workstation with a special regard for the accessibility of the devices placed inside the workstation. EN ISO 14738:2002 is a specific standard which has been adopted in Italy as UNI EN ISO 14738:2004. This standard gives some useful requirements, in terms of accessibility, to design a workstation at no-mobile machinery. In this study, the authors have analyzed a check out workstation by following the requirements described in UNI EN ISO 14738:2004. Critical aspects, related to the organization both of the work activities either of the workstation, have been highlighted taking into account standard criteria. Finally the authors make a new design of the check out workstation trying to optimize device collocation in order to reduce awkward postures. The new configuration has been investigated by applying the criteria mentioned in the standard.