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https://www.readbyqxmd.com/read/29195711/better-specification-of-triggers-to-reduce-the-number-of-drug-interaction-alerts-in-primary-care
#1
Mette Heringa, Annet van der Heide, Annemieke Floor-Schreudering, Peter A G M De Smet, Marcel L Bouvy
OBJECTIVE: Drug interaction alerts (drug-drug and drug-disease interaction alerts) for chronic medications substantially contribute to alert fatigue in primary care. The aim of this study was to determine which events require (re)assessment of a drug interaction and whether using these events as triggers in clinical decision support systems (CDSSs) would affect the alert rate. METHODS: Two random 5% data samples from the CDSSs of 123 community pharmacies were used: dataset 1 and 2...
January 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29174330/association-between-commercial-vehicle-driver-at-fault-crashes-involving-sleepiness-fatigue-and-proximity-to-rest-areas-and-truck-stops
#2
Terry L Bunn, Svetla Slavova, Peter J Rock
INTRODUCTION: There is ongoing concern at the national level about the availability of adequate commercial vehicle rest areas and truck stops for commercial vehicle drivers to rest or to wait for a delivery window. METHODS: A retrospective case-control study was conducted to determine the association between the occurrence of sleepiness/fatigue-related (cases) vs. all other human factor-related commercial vehicle driver at-fault crashes (controls) and proximity to rest areas, weigh stations with rest havens, and truck stops...
November 22, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29143576/a-nationwide-study-of-health-related-quality-of-life-stress-pain-or-discomfort-and-the-use-of-medicine-among-problem-gamblers
#3
Ola Ekholm, Michael Davidsen, Christina Viskum Lytken Larsen, Knud Juel
AIM: The aim of this study was to investigate the associations between problem gambling and health-related quality of life, stress, pain or discomfort and the use of analgesics and sleeping pills. METHODS: Data derives from the Danish Health and Morbidity Survey 2010. The survey was based on a random sample of 25,000 adult Danes (response rate: 61%), and data were collected via a self-administered questionnaire. The Lie/Bet Questionnaire was used as the screening instrument for problem gambling...
November 1, 2017: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/29112077/technologic-distractions-part-2-a-summary-of-approaches-to-manage-clinical-alarms-with-intent-to-reduce-alarm-fatigue
#4
Bradford D Winters, Maria M Cvach, Christopher P Bonafide, Xiao Hu, Avinash Konkani, Michael F O'Connor, Jeffrey M Rothschild, Nicholas M Selby, Michele M Pelter, Barbara McLean, Sandra L Kane-Gill
OBJECTIVE: Alarm fatigue is a widely recognized safety and quality problem where exposure to high rates of clinical alarms results in desensitization leading to dismissal of or slowed response to alarms. Nonactionable alarms are thought to be especially problematic. Despite these concerns, the number of clinical alarm signals has been increasing as an everincreasing number of medical technologies are added to the clinical care environment. DATA SOURCES: PubMed, SCOPUS, Embase, and CINAHL...
November 3, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/29092059/medication-related-clinical-decision-support-alert-overrides-in-inpatients
#5
Karen C Nanji, Diane L Seger, Sarah P Slight, Mary G Amato, Patrick E Beeler, Qoua L Her, Olivia Dalleur, Tewodros Eguale, Adrian Wong, Elizabeth R Silvers, Michael Swerdloff, Salman T Hussain, Nivethietha Maniam, Julie M Fiskio, Patricia C Dykes, David W Bates
Objective: To define the types and numbers of inpatient clinical decision support alerts, measure the frequency with which they are overridden, and describe providers' reasons for overriding them and the appropriateness of those reasons. Materials and Methods: We conducted a cross-sectional study of medication-related clinical decision support alerts over a 3-year period at a 793-bed tertiary-care teaching institution. We measured the rate of alert overrides, the rate of overrides by alert type, the reasons cited for overrides, and the appropriateness of those reasons...
October 27, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29084093/the-acute-effects-of-the-elevation-training-mask-on-strength-performance-in-recreational-weightlifters
#6
Andrew R Jagim, Trevor A Dominy, Clayton L Camic, Glenn Wright, Scott Doberstein, Margaret T Jones, Jonathan M Oliver
The Elevation Training Mask 2.0 (ETM) is a novel device that purportedly simulates altitude training. The purpose of this study was to investigate the acute effects of the ETM on resistance exercise performance, metabolic stress markers, and ratings of mental fatigue. Twenty male recreational weightlifters completed two training sessions of back squat and bench press (6 sets of 10 repetitions at 85% of 5RM, 7 set to failure) as well as a maximal effort sprint test (18% body mass) with the mask (ETM) and without the mask (NM)...
October 27, 2017: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/29073608/neuropsychological-training-of-attention-improves-ms-related-fatigue-results-of-a-randomized-placebo-controlled-double-blind-pilot-study
#7
Peter Flachenecker, Heike Meissner, Rebecca Frey, Wolfgang Guldin
BACKGROUND: Attentional deficits may be pathophysiologically relevant in MS-associated fatigue. PATIENTS AND METHODS: Thirty MS patients with fatigue and attentional deficits in neuropsychological testing participated in this randomized, placebo-controlled, double-blind trial. The intervention group (IG; n = 14) was treated with 10 h of computerized, specific neuropsychological training performing simple reaction time tasks, whereas the control group (CG; n = 16) also runs through computerized, but unspecific neuropsychological training using tasks without time components...
October 26, 2017: European Neurology
https://www.readbyqxmd.com/read/29060815/prediction-of-fatigue-related-driver-performance-from-eeg-data-by-deep-riemannian-model
#8
Mehdi Hajinoroozi, Jianqiu Zhang, Yufei Huang
Prediction of the drivers' drowsy and alert states is important for safety purposes. The prediction of drivers' drowsy and alert states from electroencephalography (EEG) using shallow and deep Riemannian methods is presented. For shallow Riemannian methods, the minimum distance to Riemannian mean (mdm) and Log-Euclidian metric are investigated, where it is shown that Log-Euclidian metric outperforms the mdm algorithm. In addition the SPDNet, a deep Riemannian model, that takes the EEG covariance matrix as the input is investigated...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29060420/analysis-of-cognitive-fatigue-using-eeg-parameters
#9
Anwesha Sengupta, Abhishek Tiwari, Aurobinda Routray
Continuous and repetitive performance of a task is likely to induce a drop in alertness levels of an individual. Changes in Electroencephalogram (EEG) have been proposed in literature as a marker of alertness during repeated performance of a cognitive task set. The present paper investigates the increase in fatigue levels and resultant drop in alertness of subjects during continuous performance of cognitive tasks by analyzing changes in energy of EEG frequency bands. The trends reflected in the EEG parameters correspond to a gradual increase in fatigue levels of subjects with increase in cognitive loading...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29060402/correlation-of-reaction-time-and-eeg-log-bandpower-from-dry-frontal-electrodes-in-a-passive-fatigue-driving-simulation-experiment
#10
Ruyi Foong, Kai Keng Ang, Chai Quek
Fatigue is one of the causes of falling asleep at the wheel, which can result in fatal accidents. Thus, it is necessary to have practical fatigue detection solutions for drivers. In literature, electroencephalography (EEG) along with the surrogate measure of reaction time (RT) has been used to develop fatigue detection algorithms. However, these solutions are often based upon wet multi-channel EEG electrodes which are not feasible or practical for drivers. Using dry electrodes and headband like designs would be better...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29060271/learning-to-control-an-ssvep-based-bci-speller-in-na%C3%A3-ve-subjects
#11
Zhihua Tang, Yijun Wang, Guoya Dong, Weihua Pei, Hongda Chen
High-speed steady-state visual evoked potential (SSVEP)-based brain-computer interface (BCI) has been demonstrated in several recent studies. This study aimed to investigate some issues regarding feasibility of learning to control an SSVEP-based BCI speller in naïve subjects. An experiment with new BCI users was designed to answer the following questions: (1) How many people can use the SSVEP-BCI speller? (2) How much time is required to train the user? (3) Does continuous system use lead to user fatigue and deteriorated BCI performance? The experiment consisted of three tasks including a 40-class BCI spelling task, a psychomotor vigilance test (PVT) task, and a test of sleepiness scale...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29060240/channels-selection-using-independent-component-analysis-and-scalp-map-projection-for-eeg-based-driver-fatigue-classification
#12
Rifai Chai, Ganesh R Naik, Sai Ho Ling, Yvonne Tran, Ashley Craig, Hung T Nguyen
This paper presents a classification of driver fatigue with electroencephalography (EEG) channels selection analysis. The system employs independent component analysis (ICA) with scalp map back projection to select the dominant of EEG channels. After channel selection, the features of the selected EEG channels were extracted based on power spectral density (PSD), and then classified using a Bayesian neural network. The results of the ICA decomposition with the back-projected scalp map and a threshold showed that the EEG channels can be reduced from 32 channels into 16 dominants channels involved in fatigue assessment as chosen channels, which included AF3, F3, FC1, FC5, T7, CP5, P3, O1, P4, P8, CP6, T8, FC2, F8, AF4, FP2...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29049076/fatigue-risk-management-the-impact-of-anesthesiology-residents-work-schedules-on-job-performance-and-a-review-of-potential-countermeasures
#13
Lily R Wong, Erin Flynn-Evans, Keith J Ruskin
Long duty periods and overnight call shifts impair physicians' performance on measures of vigilance, psychomotor functioning, alertness, and mood. Anesthesiology residents typically work between 64 and 70 hours per week and are often required to work 24 hours or overnight shifts, sometimes taking call every third night. Mitigating the effects of sleep loss, circadian misalignment, and sleep inertia requires an understanding of the relationship among work schedules, fatigue, and job performance. This article reviews the current Accreditation Council for Graduate Medical Education guidelines for resident duty hours, examines how anesthesiologists' work schedules can affect job performance, and discusses the ramifications of overnight and prolonged duty hours on patient safety and resident well-being...
October 17, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29031926/monitoring-driver-fatigue-using-a-single-channel-electroencephalographic-device-a-validation-study-by-gaze-based-driving-performance-and-subjective-data
#14
José M Morales, Carolina Díaz-Piedra, Héctor Rieiro, Joaquín Roca-González, Samuel Romero, Andrés Catena, Luis J Fuentes, Leandro L Di Stasi
Driver fatigue can impair performance as much as alcohol does. It is the most important road safety concern, causing thousands of accidents and fatalities every year. Thanks to technological developments, wearable, single-channel EEG devices are now getting considerable attention as fatigue monitors, as they could help drivers to assess their own levels of fatigue and, therefore, prevent the deterioration of performance. However, the few studies that have used single-channel EEG devices to investigate the physiological effects of driver fatigue have had inconsistent results, and the question of whether we can monitor driver fatigue reliably with these EEG devices remains open...
October 12, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29029694/prescriber-response-to-computerized-drug-alerts-for-electronic-prescriptions-among-hospitalized-patients
#15
Yael Zenziper Straichman, Daniel Kurnik, Ilan Matok, Hillel Halkin, Noa Markovits, Amitai Ziv, Ari Shamiss, Ronen Loebstein
BACKGROUND: Clinical decision support systems (CDSS) reduce prescription errors, but their effectiveness is reduced by high alert rates, "alert fatigue", and indiscriminate rejection. OBJECTIVES: To compare acceptance rates of alerts generated by the SafeRx(®) prescription CDSS among different alert types and departments in a tertiary care hospital, identify factors associated with alert acceptance, and determine whether alert overrides were justified. METHODS: In a retrospective study, we compared acceptance rates of all prescription alerts generated in 2013 in 18 departments of Israel's largest tertiary care center...
November 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29025165/impact-of-an-emergency-department-electronic-sepsis-surveillance-system-on-patient-mortality-and-length-of-stay
#16
Jonathan S Austrian, Catherine T Jamin, Glenn R Doty, Saul Blecker
Objective: The purpose of this study was to determine whether an electronic health record-based sepsis alert system could improve quality of care and clinical outcomes for patients with sepsis. Materials and Methods: We performed a patient-level interrupted time series study of emergency department patients with severe sepsis or septic shock between January 2013 and April 2015. The intervention, introduced in February 2014, was a system of interruptive sepsis alerts triggered by abnormal vital signs or laboratory results...
August 28, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/28866704/unexpected-infant-death-secondary-to-a-pulmonary-infiltration-due-to-acute-myelocytic-leukaemia
#17
M Ben Khelil, Y Chkirbene, M Mlika, S Haouet, M Hamdoun
Acute myeloid leukaemia (AML) often presents with non-specific symptoms such as fatigue, anaemia or infection. Pulmonary involvement is uncommon in AML during the course of the disease and is usually caused by infection, haemorrhage, leukaemic pulmonary infiltrates and leukostasis. Lung localization of AML is very uncommon and potentially life threatening if not diagnosed and treated rapidly. The authors describe the sudden death of an asymptomatic five-month-infant because of a misdiagnosed lung localization of AML...
August 2017: Malaysian Journal of Pathology
https://www.readbyqxmd.com/read/28857664/the-role-of-pupil-size-in-communication-is-there-room-for-learning
#18
Mariska E Kret
The eyes are extremely important for communication. The muscles around the eyes express emotional states and the size of the pupil signals whether a person is aroused and alert or bored and fatigued. Pupil size is an overlooked social signal, yet is readily picked up by observers. Observers mirror their own pupil sizes in response, which can influence social impressions. In a landmark study by Hess [1975. The role of pupil size in communication. Scientific American, 233(5), 110-119] it was shown that individuals with large pupils are perceived more positively than individuals with small pupils...
August 31, 2017: Cognition & Emotion
https://www.readbyqxmd.com/read/28777245/effects-of-energy-beverage-consumption-on-pistol-aiming-steadiness-in-law-enforcement-officers
#19
Taylor P Monaghan, Bert H Jacobson, John H Sellers, Carlos A Estrada
Monaghan, TP, Jacobson, BH, Sellers, JH, and Estrada, CA. Effects of energy beverage consumption on pistol aiming steadiness in law enforcement officers. J Strength Cond Res 31(9): 2557-2561, 2017-The popularity of energy drinks (EDs)/shots (ESs) has grown steadily over the years resulting in billions of dollars of sales annually. Energy drink marketing focuses on the improved performance and alertness and a reduction in fatigue. Although caffeine comprises one of the ingredients, it is not fully known how the combination of the many remaining active ingredients affects physical performance...
September 2017: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/28770543/feasibility-and-safety-of-virtual-reality-based-early-neurocognitive-stimulation-in-critically-ill-patients
#20
Marc Turon, Sol Fernandez-Gonzalo, Mercè Jodar, Gemma Gomà, Jaume Montanya, David Hernando, Raquel Bailón, Candelaria de Haro, Victor Gomez-Simon, Josefina Lopez-Aguilar, Rudys Magrans, Melcior Martinez-Perez, Joan Carles Oliva, Lluís Blanch
BACKGROUND: Growing evidence suggests that critical illness often results in significant long-term neurocognitive impairments in one-third of survivors. Although these neurocognitive impairments are long-lasting and devastating for survivors, rehabilitation rarely occurs during or after critical illness. Our aim is to describe an early neurocognitive stimulation intervention based on virtual reality for patients who are critically ill and to present the results of a proof-of-concept study testing the feasibility, safety, and suitability of this intervention...
December 2017: Annals of Intensive Care
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