586 research outputs found

    Assessing Drivers’ Vigilance State During Monotonous Driving

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    The differential effects of three hours of monotonous daytime driving on subjective (sleepiness, inattention, monotony), performance (choice reaction time), and physiological (EEG alpha power, P300-amplitude, heart rate) vigilance measures were examined. A linear degradation of drivers’ subjective state, mean long reaction times (as opposed to short ones), P300-amplitude and parietal alpha power with time spent on the highway was identified. An improvement of the subjective measures towards the end of the driving task was not accompanied by any improvement in performance or physiological measures. This dissociation of self-assessment and objective vigilance measures has important implications for the design of modern driver assistant systems that aim to adapt to the driver’s state

    Knowing what's coming: Anticipatory audio cues can mitigate motion sickness

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    Being able to anticipate upcoming motion is known to potentially mitigate sickness resulting from provocative motion. We investigated whether auditory cues could increase anticipation and subsequently reduce motion sickness. Participants (N = 20) were exposed on a sled on a rail track to two 15-min conditions. Both were identical in terms of motion, being composed of the same repeated 9 m fore-aft displacements, with a semi-random timing of pauses and direction. The auditory cues were either 1) informative on the timing and direction of the upcoming motion, or 2) non-informative. Illness ratings were recorded at 1-min intervals using a 11-point scale. After exposure, average illness ratings were significantly lower for the condition that contained informative auditory cues, as compared to the condition without informative cues. This knowledge, i.e. that auditory signals can improve anticipation to motion, could be of importance in reducing carsickness in domains such as that of autonomous vehicles

    An international survey on the incidence and modulating factors of carsickness

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    About two in three people have experienced carsickness at some point in their life (Reason & Brand, 1975). Little is known about current numbers of sufferers, cultural differences, or which modulating factors are being perceived as most relevant. Therefore, given a global increase of interest in carsickness driven by the development of automated vehicles, this survey intended to assess the status quo of carsickness in different parts of the world. We conducted an online survey with N = 4,479 participants in Brazil, China, Germany, UK and USA. 46% of participants indicated they had experienced some degree of carsickness in the past five years as a passenger in a car. When including childhood experiences, this rate increased to 59%, comparable to the 1975 findings by Reason and Brand. The highest and lowest incidence of carsickness was reported in China and Germany, respectively. In all countries, men and older participants reported a lower incidence of carsickness as compared to females and younger participants. The main modulating factors were found to be driving dynamics, visual activities, and low air quality. This study showed that carsickness still affects about 2/3 of passengers and discusses how its occurrence relates to in-transit activities and other modes of transport. The research provides a sound basis to further study how carsickness develops and to investigate countermeasures to potentially reduce it

    Assessing Drivers’ Vigilance State During Monotonous Driving

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    The differential effects of three hours of monotonous daytime driving on subjective (sleepiness, inattention, monotony), performance (choice reaction time), and physiological (EEG alpha power, P300-amplitude, heart rate) vigilance measures were examined. A linear degradation of drivers’ subjective state, mean long reaction times (as opposed to short ones), P300-amplitude and parietal alpha power with time spent on the highway was identified. An improvement of the subjective measures towards the end of the driving task was not accompanied by any improvement in performance or physiological measures. This dissociation of self-assessment and objective vigilance measures has important implications for the design of modern driver assistant systems that aim to adapt to the driver’s state

    Receptor for advanced glycation end products (RAGE) regulates sepsis but not the adaptive immune response

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    This is the publisher's version, also available electronically from http://www.jci.org/articles/view/18704While the initiation of the adaptive and innate immune response is well understood, less is known about cellular mechanisms propagating inflammation. The receptor for advanced glycation end products (RAGE), a transmembrane receptor of the immunoglobulin superfamily, leads to perpetuated cell activation. Using novel animal models with defective or tissue-specific RAGE expression, we show that in these animal models RAGE does not play a role in the adaptive immune response. However, deletion of RAGE provides protection from the lethal effects of septic shock caused by cecal ligation and puncture. Such protection is reversed by reconstitution of RAGE in endothelial and hematopoietic cells. These results indicate that the innate immune response is controlled by pattern-recognition receptors not only at the initiating steps but also at the phase of perpetuation

    A role for the cell-wall protein silacidin in cell size of the diatom Thalassiosira pseudonana

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    Diatoms contribute 20% of global primary production and form the basis of many marine food webs. Although their species diversity correlates with broad diversity in cell size, there is also an intraspecific cell-size plasticity due to sexual reproduction and varying environmental conditions. However, despite the ecological significance of the diatom cell size for food-web structure and global biogeochemical cycles, our knowledge about genes underpinning the size of diatom cells remains elusive. Here, a combination of reverse genetics, experimental evolution and comparative RNA8 sequencing analyses enabled us to identify a previously unknown genetic control of cell size in the diatom Thalassiosira pseudonana. In particular, the targeted deregulation of the expression of the cell-wall protein silacidin caused a significant increase in valve diameter. Remarkably, the natural downregulation of the silacidin gene transcript due to experimental evolution under low temperature also correlated with cell-size increase. Our data give first evidence for a genetically controlled regulation of cell size in Thalassiosira pseudonana and possibly other centric diatoms as they also encode the silacidin gene in their genomes

    Knowing what's coming: Unpredictable motion causes more motion sickness

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    This study explores the role of anticipation in motion sickness. We compared three conditions varying in motion predictability and assessed the effect of anticipation on subsequent illness ratings using a within-subjects design. Anticipation is thought to play a role in motion sickness by reducing the discrepancy between sensed and expected sensory information. However, both the exact role and potential magnitude of anticipation on motion sickness are unknown. Participants ( = 17) were exposed to three 15-min conditions consisting of repeated fore-aft motion on a sled on a 40-m rail (1) at constant intervals and consistent motion direction, (2) at constant intervals but varied motion direction, and (3) at varied intervals but consistent motion direction. Conditions were otherwise identical in motion intensity and displacement, as they were composed of the same repetitions of identical blocks of motion. Illness ratings were recorded at 1-min intervals using an 11-point motion sickness scale. Average illness ratings after exposure were significantly lower for the predictable condition, compared with both the directionally unpredictable condition and the temporally unpredictable condition. Unpredictable motion is significantly more provocative compared with predictable motion. Findings suggest motion sickness results from a discrepancy between sensed and expected motion, rather than from unpreparedness to motion. This study underlines the importance of an individual's anticipation to motion in motion sickness. Furthermore, this knowledge could be used in domains such as that of autonomous vehicles to reduce carsickness

    Effect of interventions to reduce potentially inappropriate use of drugs in nursing homes: a systematic review of randomised controlled trials

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    Background Studies have shown that residents in nursing homes often are exposed to inappropriate medication. Particular concern has been raised about the consumption of psychoactive drugs, which are commonly prescribed for nursing home residents suffering from dementia. This review is an update of a Norwegian systematic review commissioned by the Norwegian Directorate of Health. The purpose of the review was to identify and summarise the effect of interventions aimed at reducing potentially inappropriate use or prescribing of drugs in nursing homes. Methods We searched for systematic reviews and randomised controlled trials in the Cochrane Library, MEDLINE, EMBASE, ISI Web of Knowledge, DARE and HTA, with the last update in April 2010. Two of the authors independently screened titles and abstracts for inclusion or exclusion. Data on interventions, participants, comparison intervention, and outcomes were extracted from the included studies. Risk of bias and quality of evidence were assessed using the Cochrane Risk of Bias Table and GRADE, respectively. Outcomes assessed were use of or prescribing of drugs (primary) and the health-related outcomes falls, physical limitation, hospitalisation and mortality (secondary). Results Due to heterogeneity in interventions and outcomes, we employed a narrative approach. Twenty randomised controlled trials were included from 1631 evaluated references. Ten studies tested different kinds of educational interventions while seven studies tested medication reviews by pharmacists. Only one study was found for each of the interventions geriatric care teams, early psychiatric intervening or activities for the residents combined with education of health care personnel. Several reviews were identified, but these either concerned elderly in general or did not satisfy all the requirements for systematic reviews. Conclusions Interventions using educational outreach, on-site education given alone or as part of an intervention package and pharmacist medication review may under certain circumstances reduce inappropriate drug use, but the evidence is of low quality. Due to poor quality of the evidence, no conclusions may be drawn about the effect of the other three interventions on drug use, or of either intervention on health-related outcomes
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