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Adam Wright, Pamela M Neri, Skye Aaron, Thu-Trang T Hickman, Francine L Maloney, Daniel A Solomon, Dustin McEvoy, Angela Ai, Kevin Kron, Gianna Zuccotti
Background: Microbiology laboratory results are complex and cumbersome to review. We sought to develop a new review tool to improve the ease and accuracy of microbiology results review. Methods: We observed and informally interviewed clinicians to determine areas in which existing microbiology review tools were lacking. We developed a new tool that reorganizes microbiology results by time and organism. We conducted a scenario-based usability evaluation to compare the new tool to existing legacy tools, using a balanced block design...
March 17, 2018: Journal of the American Medical Informatics Association: JAMIA
Ashley Haubert, Matt Walsh, Rachel Boyd, Megan Morris, Megan Wiedbusch, Mike Krusmark, Glenn Gunzelmann
Cognitive fatigue emerges in wide-ranging tasks and domains, but traditional vigilance tasks provide a well-studied context in which to explore the mechanisms underlying it. Though a variety of experimental methodologies have been used to investigate cognitive fatigue in vigilance, relatively little research has utilized electroencephalography (EEG), specifically event-related potentials (ERPs), to explore the nature of cognitive fatigue, also known as the vigilance decrement. Moreover, much of the research that has been done on vigilance and ERPs uses non-traditional vigilance paradigms, limiting generalizability to the established body of behavioral results and corresponding theories...
2018: Frontiers in Psychology
Eric T Greenlee, Patricia R DeLucia, David C Newton
OBJECTIVE: The primary aim of the current study was to determine whether monitoring the roadway for hazards during automated driving results in a vigilance decrement. BACKGROUND: Although automated vehicles are relatively novel, the nature of human-automation interaction within them has the classic hallmarks of a vigilance task. Drivers must maintain attention for prolonged periods of time to detect and respond to rare and unpredictable events, for example, roadway hazards that automation may be ill equipped to detect...
March 1, 2018: Human Factors
Inga Hege, Anita Dietl, Jan Kiesewetter, Jörg Schelling, Isabel Kiesewetter
BACKGROUND: Virtual patients (VPs) are narrative-based educational activities to train clinical reasoning in a safe environment. Our aim was to explore the influence of the design of the narrative and level of difficulty on the clinical reasoning process, diagnostic accuracy and time-on-task. METHODS: In a randomized controlled trial, we analyzed the clinical reasoning process of 46 medical students with six VPs in three different variations: (1) patients showing a friendly behavior, (2) patients showing a disruptive behavior and (3) a version without a patient story...
February 28, 2018: Medical Teacher
J B Bartholomew, N M Golaszewski, E Jowers, E Korinek, G Roberts, A Fall, S Vaughn
While increased opportunities for physical activity (PA) are a critical, public health need for children, school-based interventions often place teachers in the position to choose between PA and time spent on academic lessons. Active learning is designed to overcome this by combining PA with academic material. Moreover, teachers are likely to be more responsive to change in academic-related outcomes than in PA. This study utilizes a large, cluster randomized control trial in which student attention, or time on task (TOT) and accelerometer-based PA is assessed in conjunction with active learning...
February 20, 2018: Preventive Medicine
Patrick Laflamme, Paul Seli, Daniel Smilek
The metronome response task (MRT)-a sustained-attention task that requires participants to produce a response in synchrony with an audible metronome-was recently developed to index response variability in the context of studies on mind wandering. In the present studies, we report on the development and validation of a visual version of the MRT (the visual metronome response task; vMRT), which uses the rhythmic presentation of visual, rather than auditory, stimuli. Participants completed the vMRT (Studies 1 and 2) and the original (auditory-based) MRT (Study 2) while also responding to intermittent thought probes asking them to report the depth of their mind wandering...
February 12, 2018: Behavior Research Methods
Brook A Shiferaw, Luke A Downey, Justine Westlake, Bronwyn Stevens, Shantha M W Rajaratnam, David J Berlowitz, Phillip Swann, Mark E Howard
Performance decrement associated with sleep deprivation is a leading contributor to traffic accidents and fatalities. While current research has focused on eye blink parameters as physiological indicators of driver drowsiness, little is understood of how gaze behaviour alters as a result of sleep deprivation. In particular, the effect of sleep deprivation on gaze entropy has not been previously examined. In this randomised, repeated measures study, 9 (4 male, 5 female) healthy participants completed two driving sessions in a fully instrumented vehicle (1 after a night of sleep deprivation and 1 after normal sleep) on a closed track, during which eye movement activity and lane departure events were recorded...
February 2, 2018: Scientific Reports
Mathieu Servant, Nelleke van Wouwe, Scott A Wylie, Gordon D Logan
Basal ganglia dysfunction in Parkinson's disease (PD) is thought to generate deficits in action control, but the characterization of these deficits have been qualitative rather than quantitative. Patients with PD typically show prolonged response times on tasks that instantiate a conflict between goal-directed processing and automatic response tendencies. In the Simon task, for example, the irrelevant location of the stimulus automatically activates a corresponding lateralized response, generating a potential conflict with goal-directed choices...
January 19, 2018: Neuropsychologia
Marina Fiene, Katharina S Rufener, Maria Kuehne, Mike Matzke, Hans-Jochen Heinze, Tino Zaehle
Fatigue is one of the most common and debilitating symptoms affecting patients with multiple sclerosis (MS). Sustained cognitive effort induces cognitive fatigue, operationalized as subjective exhaustion and fatigue-related objective alertness decrements with time-on-task. During prolonged cognitive testing, MS patients show increased simple reaction times (RT) accompanied by lower amplitudes and prolonged latencies of the P300 event-related potential. Previous studies suggested a major role of structural and functional abnormalities in the frontal cortex including a frontal hypo-activation in fatigue pathogenesis...
January 22, 2018: Journal of Neurology
Christer Ahlström, Anna Anund, Carina Fors, Torbjörn Åkerstedt
Latent driver sleepiness may in some cases be masked by for example social interaction, stress and physical activity. This short-term modulation of sleepiness may also result from environmental factors, such as when driving in stimulating environments. The aim of this study is to compare two road environments and investigate how they affect driver sleepiness. Thirty young male drivers participated in a driving simulator experiment where they drove two scenarios: a rural environment with winding roads and low traffic density, and a suburban road with higher traffic density and a more built-up roadside environment...
January 12, 2018: Accident; Analysis and Prevention
John Reicher, Stuart Currie, Daniel Birchall
As the volume and complexity of imaging in the UK continues to rise, there is pressure on radiologists to spend increasing lengths of time reporting to cope with the growing workload. However, there is limited guidance for radiologists about structuring the working day to achieve the necessary balance between satisfactory reporting volume and maintaining quality and safety. We surveyed 86 Neuroradiologists (receiving 59 responses), regarding time spent reporting, frequency and duration of work breaks, and break activities...
January 15, 2018: British Journal of Radiology
Andrea M-K Bierema, Christina V Schwarz, Jon R Stoltzfus
National calls for improving science education (e.g., Vision and Change ) emphasize the need to learn disciplinary core ideas through scientific practices. To address this need, we engaged small groups of students in developing diagrammatic models within two (one large-enrollment and one medium-enrollment) undergraduate introductory biology courses. During these activities, students developed scientific models of biological phenomena such as enhanced growth in genetically modified fish. To investigate whether undergraduate students productively engaged in scientific practices during these modeling activities, we recorded groups of students as they developed models and examined three characteristics: how students 1) interacted with one another, 2) made sense of phenomena, and 3) justified their ideas...
2017: CBE Life Sciences Education
Jeffery L Belden, Richelle J Koopman, Sonal J Patil, Nathan J Lowrance, Gregory F Petroski, Jamie B Smith
INTRODUCTION: Cluttered documentation may contribute adversely to physician readers' cognitive load, inadvertently obscuring high-value information with less valuable information. We test the hypothesis that a novel, collapsible assessment, plan, subjective, objective (APSO) note design would be faster, more accurate, and more satisfying to use than a conventional electronic health record (EHR) subjective, objective, assessment, plan (SOAP) note for finding information needed for ambulatory chronic disease care...
November 2017: Journal of the American Board of Family Medicine: JABFM
Ignacio Solís-Marcos, Alejandro Galvao-Carmona, Katja Kircher
Research on partially automated driving has revealed relevant problems with driving performance, particularly when drivers' intervention is required (e.g., take-over when automation fails). Mental fatigue has commonly been proposed to explain these effects after prolonged automated drives. However, performance problems have also been reported after just a few minutes of automated driving, indicating that other factors may also be involved. We hypothesize that, besides mental fatigue, an underload effect of partial automation may also affect driver attention...
2017: Frontiers in Human Neuroscience
Alice C Chang, Jutieh Lincoln, Wendy M Lantaff, Stephanie A Gernant, Heather A Jaynes, William Doucette, Margie E Snyder
OBJECTIVES: To characterize actions performed by pharmacists and support staff during provision of medication therapy management (MTM) and to compare actions performed according to practice characteristics. METHODS: A purposeful sample of 7 MTM practices (2 call centers and 5 community practices) was identified and visited by investigators. Pharmacists and support staff were observed during their routine provision of MTM. Investigators characterized "major" (e.g...
November 9, 2017: Journal of the American Pharmacists Association: JAPhA
Elizabeth A Wiemers, Thomas S Redick
Two datasets of 110 young adults were examined to investigate the relationship between individual differences in working memory capacity (WMC) and dynamic cognitive control. The results delve into the specific differences between high- and low-WMC individuals' ability to enact and maintain cognitive control using the AX version of the continuous performance test (AX-CPT). Compared to high-WMC individuals, low-WMC individuals: (a) made more errors, specifically to AX targets; (b) exhibited a partial shift to proactive control with more time-on-task; (c) had more exaggerated slower AX target responses in the tail of the response time distribution; and (d) were equally likely to adjust control after conflict...
January 2018: Acta Psychologica
Travis M Moore, Alexandra P Key, Antonia Thelen, Benjamin W Y Hornsby
Despite growing evidence that prolonged episodes of effortful listening can lead to mental fatigue, little work has been done to examine the patterns of brain activation associated with listening over time. In order to gain a better understanding of the nature of listening-related mental fatigue, this study characterized the effects of sustained auditory processing on brain activation in 19 adults with normal hearing. A 50-min, auditory choice paradigm served as the fatiguing task. Mental fatigue was quantified using subjective (self-report) and behavioral (response time and accuracy) measures, as well as event-related potential (ERP) measures indexing motivation (error-related negativity; ERN) and general arousal (N1)...
November 2017: Neuropsychologia
Brieann C Satterfield, Jonathan P Wisor, Michelle A Schmidt, Hans P A Van Dongen
Study Objectives: The time-on-task (TOT) effect and total sleep deprivation (TSD) have similar effects on neurobehavioral functioning, including increased performance instability during tasks requiring sustained attention. The TOT effect is exacerbated by TSD, suggesting potentially overlapping mechanisms. We probed these mechanisms by investigating genotype-phenotype relationships on psychomotor vigilance test (PVT) performance for three a-priori selected genes previously linked to the TOT effect and/or TSD: DAT1, COMT, and TNFα...
October 4, 2017: Sleep
A Fielding, Y Fu, E A Franz
What if the brain's response to reward occurs even when there is no reward? Wouldn't that be a further concern for people prone to problem gambling and other forms of addiction, like those related to eating? Electroencephalography was employed to investigate this possibility using probabilistic feedback manipulations and measures of known event-related potentials (ERPs) related to reward processing. We tested the hypothesis-that reward-based ERPs would occur even in the absence of a tangible reward and when manipulations on expectation are implicit...
October 12, 2017: Journal of Gambling Studies
B Fimm, W Sturm, A Esser, T Schettgen, K Willmes, J Lang, P M Gaum, T Kraus
In the context of a health surveillance program for former PCB-exposed workers of a transformer and capacitor recycling company in Germany, their family members, employees of surrounding companies and area residents a broad range of cognitive functions covering attention, executive processing, reasoning, memory and motor performance was examined. The study aimed at identifying potential adverse effects of PCB load on cognitive functions. Detailed analysis of PCB burden of the participants revealed rather high correlations of lower and higher chlorinated as well as dioxin-like PCBs...
December 2017: Neurotoxicology
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