Publications by authors named "Clive D'Souza"

The objective of this study was to quantify performance in an obstacle clearance task among individuals with excess body weight or body mass index (BMI). Task performance was operationalized as the maximum obstacle height cleared, four duration measures of successful task completion and compensatory movements used in the process of task completion. Eighteen participants with a BMI exceeding 30 kg/m completed a laboratory experiment that required stepping over seven lightweight obstacles.

View Article and Find Full Text PDF

Objective: Although occupational health and safety programs are expected to prepare graduates to function in an interprofessional collaborative environment, research to support training in this area is far less common in this discipline than among clinical programs. We incorporated interprofessional education (IPE) competencies into an occupational health and safety course for graduate students in diverse disciplines (public health, engineering, nursing) and evaluated effectiveness.

Methods: We assessed course offerings for content learning and attitudes toward IPE and analyzed data using a mixed-methods approach.

View Article and Find Full Text PDF

Rudimentary methods for electronic waste (e-waste) recycling employed in developing countries are a source of work-related musculoskeletal disorders (WRMSDs). A summarized comparison of WRMSDs and preliminary exposure assessment among e-waste dismantlers (D) and burners (B) in Agbogbloshie, Ghana is presented. A cross-sectional study was conducted to investigate WRMSDs and associated risk factors using the Cornell Musculoskeletal Discomfort Questionnaire and a newly developed ergonomic assessment tool.

View Article and Find Full Text PDF

Introduction: The aim of the present review is to track the evolution of wearable IMUs from their use in supervised laboratory- and ambulatory-based settings to their application for long-term monitoring of human movement in unsupervised naturalistic settings.

Areas Covered: Four main emerging areas of application were identified and synthesized, namely, mobile health solutions (specifically, for the assessment of frailty, risk of falls, chronic neurological diseases, and for the monitoring and promotion of active living), occupational ergonomics, rehabilitation and telerehabilitation, and cognitive assessment. Findings from recent scientific literature in each of these areas was synthesized from an applied and/or clinical perspective with the purpose of providing clinical researchers and practitioners with practical guidance on contemporary uses of inertial sensors in applied clinical settings.

View Article and Find Full Text PDF

This study examined the goodness-of-fit of using a sigmoid function to characterize time-series angular displacement trajectories during two-handed anterior lifting. Twenty-six participants performed two-handed anterior lifting with a low (4.5 kg) vs.

View Article and Find Full Text PDF

Recycling of electrical and electronic waste (e-waste) in developing countries is mostly conducted in the informal sector consisting of low skilled workers. Informal e-waste recycling predominantly involves the physically demanding work of manually collecting, dismantling and burning of e-waste items to extract reusable components and valuable metals including gold or copper. This cross-sectional study investigated the effects of manual e-waste recycling work on the musculoskeletal health of 176 workers at Agbogbloshie in Accra, Ghana - the largest informal e-waste dumpsites in Africa.

View Article and Find Full Text PDF

The unregulated and unorganized structure of informal electronic waste recycling worksites exposes workers to numerous occupational hazards. This context also presents research challenges in collecting exposure data to establish linkages with adverse health effects and development of risk-mitigating strategies. This paper presents some findings from a 5-year multinational and multi-institutional collaboration of academic and government partners, which documented extensive occupational and environmental health conditions at the Agbogbloshie electronic waste site in central Accra, Ghana.

View Article and Find Full Text PDF

Unstructured and unregulated work is expanding fast among low- and middle-income countries (LMICs). Furthermore, accumulation of urban waste resulting from overconsumption is a global concern. Hence, waste management and recycling have received increased attention.

View Article and Find Full Text PDF

Purpose: To assess the impact of the COVID-19 pandemic and associated mitigation measures on persons with sensory impairments (SI), including visual impairments (VI) and hearing impairments (HI).

Design: Cross-sectional survey.

Methods: Adults with VI (best-corrected visual acuity <20/60 in the better-seeing eye), HI (International Classification of Diseases, Tenth Revision, codes), and age- and sex-matched controls (n = 375) were recruited from the University of Michigan.

View Article and Find Full Text PDF

Multiple field studies provide qualitative accounts of usability barriers experienced by users of wheeled mobility devices on public transit. This study aimed to examine these usability barriers from the theoretical perspective of Environmental Docility by quantifying the relationship between functional capabilities of wheeled mobility device users and ingress-egress performance on accessible fixed-route transit vehicles in an urban setting. Twenty-eight wheeled mobility users each completed three trips on a predetermined route through the local public transit system.

View Article and Find Full Text PDF

Occupational exposure associated with unstructured, informal e-waste recycling has received very limited attention. This study aimed to quantify the occupational physical exposures among informal e-waste workers at the largest e-waste site in Africa. A cross-sectional field survey of 163 male e-waste workers was conducted using a self-report occupational physical activity questionnaire, along with direct work observations, and pedometer estimates of walking activity for a subset of workers (n = 42).

View Article and Find Full Text PDF

The International Classification of Functioning, Disability, and Health (ICF) is a universal framework used to classify human functioning in clinical and rehabilitative domains. The objective of this study was to examine the utility of the ICF as a framework to categorize and measure barriers to public transportation reported by older adults. ICF coding techniques were applied to sixty paratransit applications for analyzing user-reported barriers to public transportation.

View Article and Find Full Text PDF

Shared automated vehicles (SAVs) in the form of low-speed driverless shuttles have the potential to improve independent mobility for older adults and people with disabilities. At full vehicle autonomy and in the absence of an onboard operator, tasks such as ingress-egress, interior circulation, and securement of passengers and carry-on items will need to be safe, efficient, and independent. This paper describes a novel laboratory apparatus for conducting inclusive design research related to SAVs and presents preliminary findings from an ongoing preliminary study examining the effects of interior design configuration on ingress-egress performance for six wheelchair users.

View Article and Find Full Text PDF

Public transit serves users with a broad range of physical capabilities and design needs. However information about the operational effects of diverse users interacting with the transit system is scarce. This paper examined the occurrence and effects of boarding and alighting passengers with mobility aids (wheelchairs, scooters, walkers and canes), or with large items (carts, strollers, bicycles, or carrying an infant) on bus stop dwell time in a fixed-route bus service.

View Article and Find Full Text PDF

Accurate, reliable, and cost-effective quantification of real-time biomechanical exposures in occupational settings remains an enduring pursuit in ergonomics. Miniaturized, wireless, body-worn inertial sensors offer opportunities to directly measure vast and personalized kinematics data in both laboratory and applied settings. This review investigated the contemporary and emerging uses of wearable inertial sensing technology in occupational ergonomics research related to biomechanical exposure assessment in physical work.

View Article and Find Full Text PDF

Most existing ergonomic assessment tools are intended for routine work. Time- and cost-efficient observational tools for ergonomic assessment of unregulated work are lacking. This paper presents the development of an observation-based tool designed to investigate ergonomic exposures among informal electronic waste workers that could be applied to other unregulated jobs/tasks.

View Article and Find Full Text PDF

Informal recycling of electrical and electronic waste (e-waste) has myriad environmental and occupational health consequences, though information about the chronic musculoskeletal health effects on workers is limited. The aim of this study was to examine the prevalence and intensity of self-reported musculoskeletal disorder (MSD) symptoms among e-waste workers at Agbogbloshie in Ghana-the largest informal e-waste dumpsite in West Africa-relative to workers not engaged in e-waste recycling. A standardized musculoskeletal discomfort questionnaire was administered to 176 e-waste workers (73 collectors, 82 dismantlers, and 21 burners) and 41 workers in a reference group.

View Article and Find Full Text PDF

Manual carrying of heavy weight poses a major risk for work-related low back injury. Body-worn inertial sensors present opportunities to study the effects of ambulatory work tasks such as load carriage in more realistic conditions. An immediate effect of load carriage is reflected in altered gait kinematics.

View Article and Find Full Text PDF

The objective of this study was to examine potential gender effects on the performance of a statistical algorithm for predicting hand-load levels that uses body-worn inertial sensor data. Torso and pelvic kinematic data was obtained from 11 men and 11 women in a laboratory experiment while they carried anterior hand-loads of 13.6 kg, and 22.

View Article and Find Full Text PDF

Intraoperative stress can influence both surgeon health and patient outcomes, however stress management is not properly assessed during surgical training. Seven healthy, novice individuals participated in an experiment involving precision pin transfers using laparoscopic surgical instruments. A visual stressor introduced by altering the digital blur in a real-time video display (none, low, and high) was hypothesized to influence postural control and task performance.

View Article and Find Full Text PDF

Although the presence of disabled passengers on fixed-route transit affects operations, their data are often ignored, aggregated into a broad "encumbered" category, or marked as outliers in analyses of service performance measures. This study examines boarding and alighting characteristics of passengers encumbered with mobility aids (wheelchairs, scooters, walkers, and canes) and accessories (bicycles, strollers, and trailers) on fixed route buses and compares them to ambulatory unencumbered passengers. Data from detailed task analysis of video recordings of boarding and alighting activity at 1,327 bus stops from a sample of 29 bus trips on two fixed routes in Ann Arbor were analyzed.

View Article and Find Full Text PDF

Low-speed, driverless automated shuttles have the potential to significantly improve community mobility for older adults and people with disabilities who are otherwise unable or ineligible to drive. However, accessibility and inclusive design of these shuttles to accommodate the spectrum of human abilities and impairments is impeded by the lack of accessible design regulations, standards, and information tools specific to automated vehicles. In light of the scarce accessibility research on automated shuttles, a literature review on public transit was performed.

View Article and Find Full Text PDF

Electronic waste (e-waste) is a worldwide problem with regards to its increasing rate in the global waste stream. Its recycling is known to be associated with adverse health outcomes. The recycling site at Agbogbloshie is a major e-waste recycling hub which presents enormous health threats to the residents in this community as a result of exposure to complex mixtures of chemicals associated with the poor work methods employed.

View Article and Find Full Text PDF