Graduate Academic Programs

The health benefits of reducing micro-heat islands: A 22-year analysis of the impact of urban temperature reduction on heat-related illnesses in California's major cities

Emma Lasky
Sadie Costello
Allan Ndovu
Rosana Aguilera
Sheri D Weiser
Tarik Benmarhnia
2024

This study investigates the relationship between temporal changes in temperatures characterizing local urban heat islands (UHIs) and heat-related illnesses (HRIs) in seven major cities of California. UHIs, which are a phenomenon that arises in the presence of impervious surfaces or the lack of green spaces exacerbate the effects of extreme heat events, can be measured longitudinally using satellite products. The two objectives of this study were: (1) to identify temperature trends in local temperatures to characterize UHIs across zip code tabulation areas (ZCTAs) in the seven...

A fuzzy logic approach to improve the sensitivity of the rapid entire body assessment method

Chuan Zhao
Qian Qian Li
Carisa Harris Adamson
Alireza Nemati
2025

Conventional ergonomic observation methods, such as rapid entire body assessment (REBA), are limited in their sensitivity and reliability, particularly in detecting changes in input variables. This study integrates fuzzy logic with the REBA method, utilizing trapezoidal membership functions to fuzzify the input variables. The center of gravity method was employed for defuzzification, and if-then rules were formulated to enhance the REBA method. The findings revealed that the fuzzy REBA method is more sensitive to changes in the risk of work-related musculoskeletal disorders (WMSDs)...

Passive back support exoskeletons do not effectively reduce physical demands during simulated floor tiling

Ahmad Raza Usmani
Mohammad Sadra Rajabi
Aanuoluwapo Ojelade
Sunwook Kim
Carisa Harris-Adamson
Alan Barr, MS
Maury A Nussbaum
2025

Back-support exoskeletons (BSEs) have the potential to reduce physical demands during many occupational tasks, but their effectiveness in flooring work remains underexplored. Eighteen participants performed simulated floor tiling work under three intervention conditions (HeroWear Apex™ = HW, Laevo Flex™ = LV, and no device = ND), across two tile sizes (small vs. large), and two task types (tiling vs. grouting). HW use increased back muscle activation by ∼13-44 % compared to ND, while LV led to minimal changes. Some participants reported concerns with both BSEs, including movement...

Deep learning enables accurate soft tissue tendon deformation estimation in vivo via ultrasound imaging

Reece D Huff
Frederick Houghton
Conner C Earl
Elnaz Ghajar-Rahimi
Ishan Dogra
Denny Yu
Carisa Harris-Adamson
Craig J Goergen
Grace D O'Connell
2024

Image-based deformation estimation is an important tool used in a variety of engineering problems, including crack propagation, fracture, and fatigue failure. These tools have been important in biomechanics research where measuring in vitro and in vivo tissue deformations are important for evaluating tissue health and disease progression. However, accurately measuring tissue deformation in vivo is particularly challenging due to limited image signal-to-noise ratio. Therefore, we created a novel deep-learning approach for measuring deformation from a sequence of images collected in...

Factors Associated With Reporting Attitudes of Work-Related Musculoskeletal Disorders Among Direct Care Workers in South Korea

Minjung Kyung
Soo-Jeong Lee, RN, PhD, ANP
Laura M Wagner
Carisa Harris-Adamson
Oisaeng Hong, RN, PhD, FAAN
2024

Background: Workers' reporting of work-related injuries or illnesses is important for treatment and prevention, yet research often focuses on reporting barriers. This study aimed to identify factors related to work-related musculoskeletal disorder (WRMSD) reporting attitudes and their connection to reporting intention and behavior.

Methods: We analyzed data from 377 direct care workers employed in 19 long-term care facilities in South Korea. A self-administered questionnaire collected demographics, job characteristics, physical and psychosocial...

Shoulder kinematics during cyclic overhead work are affected by a passive arm support exoskeleton

Giulia Casu
Isaiah Barajas-Smith
Alan Barr, MS
Brandon Phillips
Sunwook Kim
Maury A Nussbaum
David Rempel, MD, MPH
Massimiliano Pau
Carisa Harris-Adamson
2024

Purpose: We investigated the influence of passive arm-support exoskeleton (ASE) with different levels of torque (50, 75, and 100%) on upper arm osteokinematics.

Methods: Twenty participants completed a cyclic overhead drilling task with and without ASE. Task duration, joint angles, and angular acceleration peaks were analyzed during ascent and descent phases of the dominant upper arm.

Results: Maximum ASE torque was associated with decreased peak acceleration during ascent (32.2%; SD 17.8; p < 0.001) and descent phases (38.8%; SD 17.8; p < 0.001). Task duration remained...

Increased Bloodborne Pathogen Exposure Hotline Utilization During the COVID-19 Pandemic: An Unexpected Phenomenon

Matthew Kiok
Sandeep Guntur, MD, MPH
Paul Blanc, MD, MSPH
Olga Lozato
Grace Domingo
Robert Kosnik
Chika E Ugbaja
Noreen Chan
Alan Ramos
Sandra Domeracki, RN, MSN, FNP-BC, COHN-S, FAAOHN
2022

Background: Mitigating bloodborne pathogen exposure (BBPE) risk among healthcare workers is a major focus of hospital-based occupational health programs. The COVID-19 pandemic has placed added demands on occupational health services for healthcare workers. Its impact on BBPE incidence is unreported. Methods: As part of quality improvement efforts, we examined BBPE case incidence at two affiliated health centers during a 24-month period, 12 months preceding and following the COVID-19 pandemic onset. We used Year 1 to Year 2 change in incidence at the larger health center...