Upper trapezius fatigue in carpet weaving: the impact of a repetitive task cycle

Introduction. Shoulder disorders are one of the most prevalent musculoskeletal disorders among carpet weavers. The most important cause of these disorders is muscle fatigue. The aim of the present study is to investigate the effect of carpet weaving characteristics on upper trapezius (UTr) muscle fatigue during a task cycle. Method. In this cross-sectional study, 9 women and 3 men participated. During an 80-min cycle of carpet weaving, a times-series model was applied to assess electromyography amplitude and frequency changes. Result. According to the joint analysis of electromyogram spectrum and amplitude method, the participants experienced 0% force decrease, 0.9% recovery, 18% force increase and 72% fatigue in the left UTr. Furthermore, the rates of force decrease, recovery, force increase and fatigue in the right UTr were 18%, 18%, 18% and 45%, respectively. Fatigue in the right and the left UTr was reported to be the dominant state during one carpet weaving task cycle. Conclusion. Task cycle appears to have a significant impact on UTr fatigue in participants, and UTr fatigue can be considered a serious risk factor in shoulder musculoskeletal disorders. Hence, further studies should focus on better workstations and work–rest periods during various subtasks.     

Preimplantation genetic diagnosis at 20 years

First reported in 1990, PGD has evolved into a complementary form of prenatal diagnosis offering novel indications. DNA for PGD can be recovered with equal safety and facility from polar bodies I and II, blastomere (8 cell embryo) and trophectoderm (5–6 day blastocyst). Diagnostic accuracy is very high (>99%) for both chromosomal abnormalities and single gene disorders. Traditional application of FISH with chromosome specific probes for detecting aneuploidy and translocations may be replaced or complemented by array comparative genome hybridization (array CGH); biopsied embryos can now be cryopreserved (vitrification) while analysis proceeds in orderly fashion. PGD has been accomplished for over 200 different single gene disorders. Novel indications for PGD not readily applicable by traditional prenatal genetic diagnosis include avoiding clinical pregnancy termination, performing preconceptional diagnosis (polar body I), obtaining prenatal diagnosis without disclosure of prenatal genotype (nondisclosure), diagnosing adult-onset disorders particularly cancer, and identifying HLA compatible embryos suitable for recovering umbilical cord blood stem cells. Copyright © 2010 John Wiley & Sons, Ltd.     

Modelling feeding flow related shrinkage defects in aluminum castings

The process modelling of shape casting is geometrically complex and computationally very challenging. Besides the three-dimensional complex shapes with multiple domains, the defects of interest to industry arise as a consequence of the interaction amongst a range of phenomena. Conventionally, the key phenomena and defect prediction are modelled through empirical relations applied to the simulation results. Such approaches are neither comprehensive nor reliable. This paper presents a 3-D model that is capable of predicting the formation of shrinkage defects explicitly as a function of the interacting continuum phenomena, i.e. free surface flow, heat transfer, and solidification, in complex three-dimensional geometries which allows to identify the distinction between surface depression, surface connected cavities and internal cavities.The model solves the coupled macroscopic conservation equations for mass, momentum, and energy with a phase change during solidification. In the model, the volume deficit due to solidification can either be compensated by depression of the outside surface or by creating a cavity that initiates either on the surface or in the interior of the casting. The solidification morphology is taken into account by using a parameter, which depends on the fraction solid, in the momentum equation. By using an adapted free surface algorithm, it is suitable to predict surface connected defects: depressed surfaces and caved surfaces. A critical pressure serves as a criterion to open internal shrinkage cavities. The model does not need to search for connected zones to feed shrinkage, but the shrinkage distribution will automatically emerge from the continuity equation.This advanced shrinkage model has experimentally been validated successfully using two Al-Si alloys, a skin freezing eutectic alloy and a mushy freezing hypo-eutectic alloy.     

Syndromic associations with congenital anomalies of the fetal thorax and abdomen

Anomalies of the thorax and abdomen can be found in a number of genetic syndromes. Whilst it may not be possible to make a definitive diagnosis before birth, knowledge of the potential associations can be useful for the prenatal diagnostician when examining the fetus and counselling the parents. In this article, we describe conditions where other features may be detectable using prenatal ultrasound. We describe the features, potential diagnostic aids and prognosis. The tables list other potential features that may be identified. The range of conditions that can occur emphasises the value of genetic input in the management of a fetus with an apparently normal karyotype and multiple anomalies, the need to save material for future molecular analysis and the requirement of a detailed examination after delivery. These are needed in order to make accurate diagnoses and advise parents with regard to recurrence risks and the potential for prenatal diagnosis in future pregnancies. Copyright © 2008 John Wiley & Sons, Ltd.     

Increased fetal nuchal translucency at 11–14 weeks

Nuchal translucency (NT) is the sonographic appearance of a subcutaneous collection of fluid behind the fetal neck. The measurement of fetal NT thickness at the 11–14-week scan has been combined with maternal age to provide an effective method of screening for trisomy 21; for an invasive testing rate of 5%, about 75% of trisomic pregnancies can be identified. When maternal serum free-β human chorionic gonadotrophin (β-hCG) and pregnancy-associated plasma protein-A (PAPP-A) at 11–14 weeks are also taken into account, the detection rate of chromosomal defects is about 90%. Increased NT can also identify a high proportion of other chromosomal abnormalities and is associated with major defects of the heart and great arteries, and a wide range of skeletal dysplasias and genetic syndromes. In monochorionic twins, discordancy for increased NT is an early marker of twin-to-twin transfusion syndrome (TTTS). As with the introduction of any new technology into routine clinical practice, it is essential that those undertaking the 11–14-week scan are adequately trained and their results are subjected to rigorous audit. Copyright © 2002 John Wiley & Sons, Ltd.