Ergonomics and the Potential for Sharps Injury Reduction: Developing a Strategy to Assess Mobile Dentistry in Rural Alaska

This report describes the development of an ergonomic assessment strategy for a Rural Alaska mobile dental team (n=3). An examination of available peer reviewed literature was conducted to identify known physical risk factors associated with musculoskeletal disorders and the practice of dentistry. The report also explored the association between ergonomics, work-related musculoskeletal disorders, and a reduction in dental sharps injury. The known physical risk factors associated with work-related musculoskeletal disorders, sharps injury prevalence data, and results from Nordic Questionnaires were collected as baseline data. A sharps injury report from January through October of 2016 was obtained from the Bristol Bay Area Health Corporation to determine a dental sharps injury prevalence of 14%. A variant of the self-administered Nordic Questionnaire provided a prevalence of physical aches and pains associated with work-related musculoskeletal disorders for a dental department (N=13). This data was used in a strategy to develop a decision matrix to prioritize ergonomic assessments of mobile dental team job tasks. A manual material handling task was targeted by the decision matrix as the number one priority for ergonomic evaluation. The manual material handling evaluation included the collection of psychophysical data (n=3) using self-administered Borg intensity scales for exertion, fatigue and pain. Data analysis identified a significant difference between intensity levels of a mobile dental team’s perception of exertion compared to fatigue. Implementing proper ergonomics may prevent further escalation of fatigue during manual material handling and decrease the risk of injury

Application of Design of Experiments to Extrusion Freeform Fabrication (EFF) of Functional Ceramic Prototypes

Extrusion Freeform Fabrication (EFF) is an adaptation of the Stratasys Fused Deposition Modeling (FDM) process for the Solid Freeform Fabrication (SFF) of functional ceramic prototypes. It is a complex process involving many process variables, including parameters that are operation, machine, materials, and geometry specific. A Taguchi factorial Design of Experiments (DOE) technique was utilized to study the effects of machine specific process parameters as well as their interactions based on the mechanical and physical properties of sintered ceramics specimens. Post-processing software was developed to control and modify these parameters. This software interface wasdesigned to mimic the Quickslice™ interface for setting motion parameters based upon the material and the operation. The results of this investigation provided useful information for the experimental analysis of the machine specific process parameters. Suitable parameters were selected for the EFF process for fabricating representative ceramic prototypes. With the optimized parameters, complicated parts were successfully fabricated using both Kyocera SN282 and Starck M-11 silicon nitride powders.Mechanical Engineerin

Increasing vertical mixing to reduce Southern Ocean deep convection in NEMO3.4

Most CMIP5 (Coupled Model Intercomparison Project Phase 5) models unrealistically form Antarctic Bottom Water by open ocean deep convection in the Weddell and Ross seas. To identify the mechanisms triggering Southern Ocean deep convection in models, we perform sensitivity experiments on the ocean model NEMO3.4 forced by prescribed atmospheric fluxes. We vary the vertical velocity scale of the Langmuir turbulence, the fraction of turbulent kinetic energy transferred below the mixed layer, and the background diffusivity and run short simulations from 1980. All experiments exhibit deep convection in the Riiser-Larsen Sea in 1987; the origin is a positive sea ice anomaly in 1985, causing a shallow anomaly in mixed layer depth, hence anomalously warm surface waters and subsequent polynya opening. Modifying the vertical mixing impacts both the climatological state and the associated surface anomalies. The experiments with enhanced mixing exhibit colder surface waters and reduced deep convection. The experiments with decreased mixing give warmer surface waters, open larger polynyas causing more saline surface waters and have deep convection across the Weddell Sea until the simulations end. Extended experiments reveal an increase in the Drake Passage transport of 4 Sv each year deep convection occurs, leading to an unrealistically large transport at the end of the simulation. North Atlantic deep convection is not significantly affected by the changes in mixing parameters. As new climate model overflow parameterisations are developed to form Antarctic Bottom Water more realistically, we argue that models would benefit from stopping Southern Ocean deep convection, for example by increasing their vertical mixing

The multisensory attentional consequences of tool use : a functional magnetic resonance imaging study

Background: Tool use in humans requires that multisensory information is integrated across different locations, from objects seen to be distant from the hand, but felt indirectly at the hand via the tool. We tested the hypothesis that using a simple tool to perceive vibrotactile stimuli results in the enhanced processing of visual stimuli presented at the distal, functional part of the tool. Such a finding would be consistent with a shift of spatial attention to the location where the tool is used. Methodology/Principal Findings: We tested this hypothesis by scanning healthy human participants’ brains using functional magnetic resonance imaging, while they used a simple tool to discriminate between target vibrations, accompanied by congruent or incongruent visual distractors, on the same or opposite side to the tool. The attentional hypothesis was supported: BOLD response in occipital cortex, particularly in the right hemisphere lingual gyrus, varied significantly as a function of tool position, increasing contralaterally, and decreasing ipsilaterally to the tool. Furthermore, these modulations occurred despite the fact that participants were repeatedly instructed to ignore the visual stimuli, to respond only to the vibrotactile stimuli, and to maintain visual fixation centrally. In addition, the magnitude of multisensory (visual-vibrotactile) interactions in participants’ behavioural responses significantly predicted the BOLD response in occipital cortical areas that were also modulated as a function of both visual stimulus position and tool position. Conclusions/Significance: These results show that using a simple tool to locate and to perceive vibrotactile stimuli is accompanied by a shift of spatial attention to the location where the functional part of the tool is used, resulting in enhanced processing of visual stimuli at that location, and decreased processing at other locations. This was most clearly observed in the right hemisphere lingual gyrus. Such modulations of visual processing may reflect the functional importance of visuospatial information during human tool use

Evaluation of the Good Life Festival : a model for co-produced dementia events

The article presents an evaluation of The Good Life Festival, a co-produced event between people living with dementia, Salford University Dementia Institute, Alzheimer’s Society, Salford and Salford Adventures. This was a new way of working but important because people living with dementia said they thought there should be an event organised ‘for people with dementia by people with dementia’. A dementia friendly evaluation form was circulated asking: did you enjoy the event, did you learn something new, and do you feel more positive about living with dementia following the event. Thirty five of the eighty people who attended completed the evaluation form all of whom said they enjoyed it. 32 (91%) learned something new, and 27 (77%) left feeling more positive about living with dementia. Qualitative feedback is also included in this article including planning group reflections. Recommendations based on what we learned from planning and running the event are provided which includes having a media strategy in place and to send a follow up letter to remind people of information about resources/services advertised on the da

Structural precursor to the metal-insulator transition in V_2O_3

The temperature dependence of the local structure of V_2O_3 in the vicinity of the metal to insulator transition (MIT) has been investigated using hard X-ray absorption spectroscopy. It is shown that the vanadium pair distance along the hexagonal c-axis changes abruptly at the MIT as expected. However, a continuous increase of the tilt of these pairs sets in already at higher temperatures and reaches its maximum value at the onset of the electronic and magnetic transition. These findings confirm recent theoretical results which claim that electron-lattice coupling is important for the MIT in V_2O_3. Our results suggest that interactions in the basal plane play a decisive role for the MIT and orbital degrees of freedom drive the MIT via changes in hybridization.Comment: 6 pages, 5 figures, 2 table

The distribution of iodine and bromine in the sediments of the southwestern Barents Sea

In 42 surface sediments from the southwestern Barents Sea, iodine and bromine ranged from 60 to 828 p.p.m. and 12 to 257 p.p.m., respectively. In the surface environment, both I and Br are related to organic matter; the dependence of halogens on the grain size of the sediment is small...

‘Our voice started off as a whisper and now it is a great big roar’ : The Salford Dementia Associate Panel as a model of involvement in research activities

This paper presents the work of the ‘Salford Dementia Associate Panel’, based at the Salford Institute for Dementia, Salford University (UK). We discuss the roles of the Dementia Associates, in particular around the areas of engagement and research. The panel is made up of people living with dementia, and current and former care partners. It highlights the development of this group over a four-year period and demonstrates over time how the role of a Dementia Associate member has evolved. The panel is involved in research, education and public engagement activities conducted by staff and students within the Institute. The motivations for becoming involved are clearly articulated and demonstrate how the personal backgrounds of individuals have driven the collective involvement and desire to bring about change. The benefits and challenges associated with working as part of a panel are discussed. We conclude by bringing together our experiences as a set of suggestions for others who may wish to create a similar forum to promote the involvement of people living with dementia and former and current care partners