Mental workload and its relation with fatigue among urban bus drivers

Introduction: Driving crash is one of major&nbsp;concerns in all countries. Mental workload reflects the level of attention resources required to meet both objec&shy;tive and subjective performance criteria, which may be affected by task demand, external support, and past experience. Mental workload has been commonly cited as a major cause of workplace and transportation accidents. The objective of this study was assessment of mental workload and its relation with fatigue among urban bus drivers in Tehran, Iran. Methods: In this descriptive and analytical study, the NASA-TLX workload scale and the Samn-Perelli fatigue scale were completed by 194 professional bus drivers. Descriptive statistics as well as correlation and regression analysis were performed for data processing. Results: The total mental workload had highest correlation with the physical demand(r=0.73, p<0.001), the mental demand (r=0.68, p<0.001) and the time pressure (r=0.58, p<0.001). The total fatigue perceived by bus driver had highest correlation with the frustration level (r=0.42, p<0.001), the time pressure (r=0.24, p<0.001) and the mental workload (r=0.21, p<0.001). Conclusion: Mental workload, physical workload and time pressure are important determinants of the total mental workload and fatigue perceived by urban bus drivers. A comprehensive intervention program, include work turnover, trip and work-rest scheduling as well as smoking cessation, was recommended to improve mental workload and fatigue.&nbsp

The impact of generic form of Clopidogrel on cardiovascular events in patients with coronary artery stent: results of the OPCES study

Background: To compare the early and late cardiovascular events as well as side effects of Osvix, a generic form of Clopidogrel versus Plavix regimens in patients with chronic stable angina, undergoing bare metal stent (BMS) or drug eluting stent (DES) placement, this study was carried out. Methods: A total of 442 patients with chronic stable angina who were scheduled for elective percutaneous coronary intervention (PCI) were included in a randomized, double blind, multi-centric clinical trial being performed in 6 distinct university hospitals in 5 cities of Iran from March 2007 to November 2009. Baseline, demographic and history of risk factors were recorded using the patients′ medical charts. Stenting procedure was performed via transfemoral approach using low osmolar contrast agents. Patients underwent BMS or DES placements based on the physician selection and were randomly assigned to Osvix or Plavix groups. Patients were followed by telephone in 0 and 6 months intervals regarding the major adverse cardiovascular events (MACE) including death, myocardial infarction, in-stent thrombosis, stroke, target lesion revascularization, and target vascular revascularization. Angina episodes, bleeding, liver enzymes, neutrophils and platelets count were also assessed in these intervals. Results: There was not any significant difference between these two groups regarding the baseline characteristics. In the DES group, the 6-month mortality rate and the incidence of MACE in Osvix and Plavix groups were 0.9% and 1.9% (p = 0.61) and 1.8% and 4.9% (p = 0.26), respectively. During the follow up period after DES or BMS placement, there wasn′t any significant difference regarding neutrophil and platelet counts or liver enzymes between study groups. Conclusions: Using Osvix and Plavix are followed by similar major cardiovascular events and side-effect profile in patients undergoing PCI