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Decision fatigue

Mohamed Bouchahda, Valérie Boige, Denis Smith, Abdoulaye Karaboué, Michel Ducreux, Mohamed Hebbar, Céline Lepère, Christian Focan, Rosine Guimbaud, Pasquale Innominato, Sameh Awad, Carlos Carvalho, Salvatore Tumolo, Stephanie Truant, Thierry De Baere, Denis Castaing, Philippe Rougier, Jean-François Morère, Julien Taieb, René Adam, Francis Lévi
BACKGROUND: Early tumour shrinkage has been associated with improved survival in patients receiving cetuximab-based systemic chemotherapy for liver metastases from colorectal cancer (LM-CRC). We tested this hypothesis for previously treated LM-CRC patients receiving cetuximab (500 mg/m(2)) and triplet hepatic artery infusion (HAI) within European trial OPTILIV. METHODS: Irinotecan (180 mg/m(2)), 5-fluorouracil (2800 mg/m(2)) and oxaliplatin (85 mg/m(2)) were given as chronomodulated or conventional delivery...
October 17, 2016: European Journal of Cancer
Catherine de Blacam, Sean Tierney, Odhran Shelley
BACKGROUND: Surgical training requires exposure to clinical decision-making and operative experience in a supervised environment. It is recognised that learning ability is compromised when fatigued. The European Working Time Directive requires a decrease in working hours, but compliance reduces trainees' clinical exposure, which has profound implications for plastic surgery training. The aim of this study was to evaluate plastic surgery registrars' experience of an EWTD-compliant rota, and to examine its impact on patient care, education, and logbook activity...
October 20, 2016: Journal of Plastic Surgery and Hand Surgery
Jianjiang Cui, Zixuan Liu, Long Xu
As referee's decisions are made artificially in traditional table tennis matches, many factors in a match, such as fatigue and subjective tendency, may lead to unjust decision. Based on finite state machine (FSM), this paper presents a model for table tennis referee regulation to substitute manual decisions. In this model, the trajectory of the ball is recorded through a binocular visual system while the complete rules extracted from the International Table Tennis Federation (ITTF) rules are described based on FSM...
October 13, 2016: Journal of Sports Sciences
Leslie Padrnos, Robert Bennett, Heidi Kosiorek, Amylou C Dueck, Donald Northfelt, Joseph Mikhael, Raoul Tibes, Nandita Khera, Ruben A Mesa
A cancer diagnosis requires significant information to facilitate health care decision making, understand management options, and health care system navigation. Patient knowledge deficit can decrease quality of life and health care compliance. Surveys were distributed to attendees of the Mayo Clinic "Living with and Surviving Cancer" patient symposium January 2015. Follow-up survey was sent to participants 3 months after the symposium. Surveys included demographic data and patient-reported disease comprehension, symptom burden, desired information, and quality-of-life assessment...
October 11, 2016: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
L Steentjes, S Siesling, F J Drummond, J G van Manen, L Sharp, A Gavin
We identified patient and disease characteristics associated with (1) "current" physical side-effects of any severity; and (2) "severe" physical side-effects "ever" experienced by 3,348 (54%) prostate cancer (PCa) survivors in Ireland diagnosed 2-18 years previously. Postal questionnaires collected symptoms at diagnosis, post-biopsy complications, comorbidities, primary treatments and physical side-effects post-treatment (urinary incontinence, erectile dysfunction, libido loss, bowel problems, breast changes, hot flushes, and fatigue, "ever" and "current" at time of questionnaire completion)...
October 10, 2016: European Journal of Cancer Care
James Kwan, Libby Stein, Sean Delshad, Sunny Johl, Hannah Park, Bibiana Martinez, Lindsey Topp, Brennan M R Spiegel
No abstract text is available yet for this article.
October 11, 2016: American Journal of Gastroenterology
Erin Wong, Leigha Rowbottom, May Tsao, Liying Zhang, Rachel McDonald, Cyril Danjoux, Elizabeth Barnes, Stephanie Chan, Edward Chow
OBJECTIVE: Having a clear prognosis for patients with brain metastases allows health care practitioners (HCPs) to determine appropriate palliative management and assist patients when making informed treatment decisions. The objective of this study was to determine the prognostic significance of commonly experienced symptoms as well as their changes. METHODS: Overall survival (OS) was calculated from the date of consultation for palliative radiotherapy to date of death or censored at last follow-up date...
September 9, 2016: Annals of Palliative Medicine
Zizheng Guo, Ruiya Chen, Kan Zhang, Yirun Pan, Jianhui Wu
The impairing effects of mental fatigue on visual sustained attention were assessed by event-related potentials (ERPs). Subjects performed a dual visual task, which includes a continuous tracking task (primary task) and a random signal detection task (secondary task), for 63 minutes nonstop in order to elicit ERPs. In this period, the data such as subjective levels of mental fatigue, behavioral performance measures, and electroencephalograms were recorded for each subject. Comparing data from the first interval (0-25 min) to that of the second, the following phenomena were observed: the subjective fatigue ratings increased with time, which indicates that performing the tasks leads to increase in mental fatigue levels; reaction times prolonged and accuracy rates decreased in the second interval, which indicates that subjects' sustained attention decreased...
2016: PloS One
Sophie E Berthouze, Coralie Dumoulin, Eric Reynes
Among side effects, fatigue is the most common symptoms described by patients in a wide range of chronic diseases. Described as "being drained physically, but also mentally and emotionally," often seen as the most distressing symptom, fatigue interferes with daily life by impairing quality of life, functional capacity, self-perception and social participation; it is potentially debilitating and it is associated with significant morbidity. Yet it remains relatively unknown, me-considered mis-assessed and mis-treated, partly due to the still limited understanding of its pathophysiology, its complex assessment, the lack of effective treatments (no medicine against fatigue apart specific pathological conditions) and of training to its management...
September 2016: Annals of Physical and Rehabilitation Medicine
Angela S P Lin, Chelsea M Fechter, Mark Magill, Felix Wipf, Thomas Moore, Robert E Guldberg
BACKGROUND: Metallic reconstruction plates used for fracture stabilization typically require intraoperative contouring for patient-specific anatomical fit. Despite this, characterization of plate mechanical properties after contouring has previously been limited. The objective of this study was to assess whether contouring affects fatigue resistance for three types of Stryker seven-hole stainless steel (SS) 316LVM fracture fixation plates. The hypothesis was that for each plate type, more contouring repetitions would result in lower fatigue resistance...
September 26, 2016: Journal of Orthopaedic Surgery and Research
Anne Press, Sundas Khan, Lauren McCullagh, Andy Schachter, Salvatore Pardo, Nina Kohn, Thomas McGinn
No abstract text is available yet for this article.
September 23, 2016: Evidence-based Medicine
Richard K Zimmerman, G K Balasubramani, Mary Patricia Nowalk, Heather Eng, Leonard Urbanski, Michael L Jackson, Lisa A Jackson, Huong Q McLean, Edward A Belongia, Arnold S Monto, Ryan E Malosh, Manjusha Gaglani, Lydia Clipper, Brendan Flannery, Stephen R Wisniewski
BACKGROUND: The use of neuraminidase-inhibiting anti-viral medication to treat influenza is relatively infrequent. Rapid, cost-effective methods for diagnosing influenza are needed to enable appropriate prescribing. Multi-viral respiratory panels using reverse transcription polymerase chain reaction (PCR) assays to diagnose influenza are accurate but expensive and more time-consuming than low sensitivity rapid influenza tests. Influenza clinical decision algorithms are both rapid and inexpensive, but most are based on regression analyses that do not account for higher order interactions...
2016: BMC Infectious Diseases
Yunyong Punsawad, Yodchanan Wongsawat
Steady-state visual evoked potentials (SSVEPs) are widely employed in brain-computer interface (BCI) applications, especially to control machines. However, the use of SSVEPs leads to eye fatigue and causes lower accuracy over the long term, particularly when multi-commands are required. Therefore, this paper proposes a half-field steady-state visual stimulation pattern and paradigm to increase the limited number of commands that can be achieved with existing SSVEP-based BCI methods. Following the theory of vision perception and existing half-field SSVEP-based BCI systems, the new stimulation pattern generates four commands using only one frequency flickering stimulus and has an average classification accuracy of approximately 75 %...
September 20, 2016: Medical & Biological Engineering & Computing
Lore Decoster, Leen Vanacker, Cindy Kenis, Hans Prenen, Erik Van Cutsem, Jacques Van Der Auwera, Ellen Van Eetvelde, Katrien Van Puyvelde, Johan Flamaing, Koen Milisen, Jean Pierre Lobelle, Jacques De Grève, Hans Wildiers
INTRODUCTION: This study aims to evaluate the relevance of geriatric assessment (GA) in older patients with colorectal cancer (CRC) and to study functional status (FS) and chemotherapy-related toxicity during treatment. METHODS: Patients with CRC aged ≥ 70 years were evaluated at baseline using a GA. Results were communicated to the treating physician. At 2 to 3 months follow-up, FS was reassessed, and chemotherapy-related toxicity was recorded. RESULTS: A total of 193 patients, with a median age of 77 years, were included...
August 8, 2016: Clinical Colorectal Cancer
Jaques Reifman, Kamal Kumar, Nancy J Wesensten, Nikolaos A Tountas, Thomas J Balkin, Sridhar Ramakrishnan
STUDY OBJECTIVES: Computational tools that predict the effects of daily sleep/wake amounts on neurobehavioral performance are critical components of fatigue management systems, allowing for the identification of periods during which individuals are at increased risk for performance errors. However, none of the existing computational tools is publicly available, and the commercially available tools do not account for the beneficial effects of caffeine on performance, limiting their practical utility...
September 9, 2016: Sleep
David B Bekelman, Larry A Allen, Jamie Peterson, Brack Hattler, Edward P Havranek, Diane L Fairclough, Connor F McBryde, Paula M Meek
While contemporary heart failure management has led to some improvements in morbidity and mortality, patients continue to report poor health status (i.e., burdensome symptoms, impaired function, and poor quality of life). The Collaborative Care to Alleviate Symptoms and Adjust to Illness (CASA) trial is a NIH-funded, three-site, randomized clinical trial that examines the effect of the CASA intervention compared to usual care on the primary outcome of patient-reported health status at 6months in patients with heart failure and poor health status...
September 12, 2016: Contemporary Clinical Trials
Ralf Brand, Wanja Wolff, Matthias Ziegler
Neuroenhancement (NE) is the non-medical use of psychoactive substances to produce a subjective enhancement in psychological functioning and experience. So far empirical investigations of individuals' motivation for NE however have been hampered by the lack of theoretical foundation. This study aimed to apply drug instrumentalization theory to user motivation for NE. We argue that NE should be defined and analyzed from a behavioral perspective rather than in terms of the characteristics of substances used for NE...
2016: Frontiers in Psychology
Dave Stynen, Nicole W H Jansen, Jos J M Slangen, IJmert Kant
OBJECTIVE: The impact of development and accommodation practices on older workers' retirement intentions was investigated in this prospective study, together with potential pathways and the role of career stage. METHODS: A subsample of full-time, older workers (n = 678) from the Maastricht Cohort Study was followed-up for 2 years. Regression analysis was conducted for three age groups. RESULTS: Development practices related positively with later retirement intentions in workers aged 55 to 59 years...
August 30, 2016: Journal of Occupational and Environmental Medicine
Sneha Magatha Latha, Julius Xavier Scott, Satish Kumar, Suresh M Kumar, Lalitha Subramanian, Aruna Rajendran
CONTEXT: Parents report that end-of-life decisions are the most difficult treatment-related decisions that they face during their child cancer experience. Research from the parent's perspective of the quality of end-of-life care of their cancer children is scarce, particularly in developing countries like India. AIMS: This study aimed to identify the symptoms (medical/social/emotional) that most concerned parents at the end-of-life care of their cancer child and to identify the strategies parents found to be helpful during this period...
July 2016: Indian Journal of Palliative Care
Jack H Short, Constance Bradley, Janis E Blair, Terry D Stewart, Mark W Burns, Roberto L Patron, Denise M Millstine
OBJECTIVES: To understand the extent and modalities of integrative medicine strategies that patients with coccidioidomycosis (valley fever) have incorporated into their treatment regimens. DESIGN: A direct patient survey was distributed, with 100 unique responses, at a single infectious diseases clinic at an academic medical center in Arizona. Eligible patients, defined as those with confirmed coccidioidomycosis or currently under evaluation, were polled on their personal use of 36 integrative medicine modalities...
August 24, 2016: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
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