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Applying Forces Measured at the Hands to Estimate L5/S1 Compression During Manual Patient Bed-to-Wheelchair Transfers Across Different Levels of Patient Assist 应用手部测得的力来估计患者在不同水平的辅助下从床到轮椅的手动转移过程中的L5/S1压缩
Jacob J. Banks, Jie Zhou, Chelsea O. Riehle, Neal E. Wiggermann
Transferring a patient from a bed to a wheelchair is important for patient well-being. Research has shown that manually performing this task exposes healthcare workers (HCWs) to lower back kinetic demands that can exceed safety standards, necessitating the use of mechanical lift equipment. However, HCWs still commonly perform this task manually, especially for lighter patients who are capable of assisting. Although lower back kinetic demands are presumably dependent upon the patients (in)ability to assist during the transfer, this has not been systematically tested. Therefore, the primary aim of this research was to compare the peak L5/S1 intervertebral joint (IVJ) compressive force demands during a bed-to-wheelchair manual transfer across different levels of simulated patient assist (0%, 18%, and 36% of patient bodyweight). We also compared peak IVJ compressive forces from an approach using external forces directly measured at the hands of the HCW, with an alternative traditional approach that assumed the patient’s mass was fully lifted by the HCW throughout the transfer. Peak L5/S1 IVJ compressive forces were lower ( p < .001) during the 36% than the 0% and 18% bodyweight patient assist conditions when applying the measured forces at the hand. Overall, peak compressive forces were lower ( p < .001) and tended to occur at different phases of the transfer when applying the measured forces at the hand versus assuming all the patient’s mass was being lifted. Our results emphasize the importance of accurately modeling the forces at the hands when estimating in vivo demands. Further, these findings suggest that encouraging the patient to assist during transfers may reduce IVJ forces on HCWs, but for heavier patients even a modest degree of patient assistance is not likely to protect the HCW from elevated spine loads. In most circumstances, lift equipment is warranted.
将病人从床上转移到轮椅上对病人的健康很重要。研究表明,手动执行这项任务会使医护人员(HCWs)降低背部动能需求,可能超过安全标准,因此需要使用机械升降设备。然而,卫生保健员通常仍然手动执行这项任务,特别是对于有能力协助的较轻的患者。虽然下背部的运动需求可能取决于患者在转移过程中的辅助能力,但这还没有被系统地测试过。因此,本研究的主要目的是比较不同水平的模拟患者辅助(患者体重的0%、18%和36%)在从床到轮椅的手动转移过程中L5/S1椎间关节(IVJ)的峰值压缩力需求。我们还比较了使用HCW直接测量外力的入路所产生的IVJ峰值压缩力,以及另一种传统入路,该入路假设患者的肿块在整个转移过程中被HCW完全抬起。L5/S1 IVJ压缩力峰值较低(p <.001)在36%的患者辅助条件下,比体重为0%和18%的患者辅助条件下,在手部施加测量的力。总体而言,峰值压缩力较低(p <.001),并且当在手部施加测量的力与假设患者的全部质量被举起时,往往发生在转移的不同阶段。我们的研究结果强调了在估计体内需求时准确模拟手的力的重要性。此外,这些研究结果表明,在转移过程中鼓励患者协助可能会减少对HCW的IVJ力,但对于较重的患者,即使是适度的患者协助也不太可能保护HCW免受脊柱负荷升高的影响。在大多数情况下,升降机设备是有保障的。
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引用次数: 0
Progressive Medical Simulation: An Analysis of the Integration of Progressive and Personalized Learning in Central Line Simulators 渐进式医学模拟:中央线模拟器中渐进式学习与个性化学习的融合分析
Isra K. Elsaadany, Jessica M. Gonzalez-Vargas, Jason Z. Moore, Scarlett R. Miller
Progressive learning gradually increases task difficulty as students advance in their education. One area that can benefit from it is medical education since it can optimize medical trainees’ skill acquisition. While progressive learning can allow for skill transfer to patient encounters, personalized learning increases the efficiency and effectiveness of learning. However, it is not well understood the number of practice trials needed to reach proficiency. To evaluate whether progressive and personalized learning can enhance medical trainees’ learning gains, the learning interface of the Dynamic Haptic Robotic Trainer (DHRT) for Central Venous Catheterization was assessed. Results showed that residents’ performance on the DHRT did not differ based on task difficulty and residents’ performance was as effective with less number of trials. The findings imply a need to integrate progressive and personalized learning on the DHRT simulator to ensure that residents are fully prepared for any patient scenario in a real-life encounter.
渐进式学习随着学生受教育程度的提高而逐渐增加任务难度。可以从中受益的一个领域是医学教育,因为它可以优化医学学员的技能获取。虽然渐进式学习可以将技能转移到患者接触中,但个性化学习可以提高学习的效率和效果。然而,人们对达到熟练程度所需的实践试验的数量并不是很了解。为了评估渐进式和个性化学习是否能提高医学学员的学习收益,对中心静脉置管动态触觉机器人训练器(DHRT)的学习界面进行了评估。结果表明,住院医生在DHRT上的表现不受任务难度的影响,而且在试验次数较少的情况下,住院医生的表现同样有效。研究结果表明,需要在DHRT模拟器上整合渐进式和个性化的学习,以确保住院医生为现实生活中的任何患者情况做好充分的准备。
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引用次数: 0
Comparing Armband EMG-based Lifting Load Classification Algorithms using Various Lifting Trials 基于臂带肌电图的起重载荷分类算法在不同起重试验中的比较
Sakshi Pranay Taori, Sol Lim
The objective of this study was to evaluate the performance of machine learning (ML) algorithms developed using surface electromyography (EMG) armband sensor data in predicting hand-load levels (5 lb and 15 lb) from diverse lifting trials. Twelve healthy participants (six male and six female) performed repetitive lifting with three different lifting conditions, i.e., symmetric (S), asymmetric (A), and free-dynamic (F) lifts. ML models were developed with four lifting datasets (S, A, S+A, and F) and were cross-validated using F as the test dataset. Mean classification accuracy was significantly lower in models developed with the S dataset (78.8%) compared to A (83.2%) and F (83.4%). Findings indicate that the ML model developed with controlled symmetric lifts was less accurate in predicting the load of more dynamic, unconstrained lifts, which is common in real-world settings.
本研究的目的是评估使用表面肌电(EMG)臂带传感器数据开发的机器学习(ML)算法在预测不同举重试验中的手负荷水平(5磅和15磅)方面的性能。12名健康参与者(6男6女)在三种不同的举重条件下重复举重,即对称(S)、不对称(A)和自由动态(F)举重。使用四个提升数据集(S、A、S+A和F)开发ML模型,并使用F作为测试数据集进行交叉验证。使用S数据集开发的模型的平均分类准确率(78.8%)明显低于A(83.2%)和F(83.4%)。研究结果表明,使用受控对称升降机开发的ML模型在预测更多动态、无约束升降机的负载时不太准确,这在现实世界中很常见。
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引用次数: 0
Examination of Human Spatial Reasoning Capability and Simulated Autonomous Rendezvous and Docking Monitoring Performance 人类空间推理能力和模拟自主交会对接监测性能的检验
Hannah Larson, Leia Stirling
Autonomous rendezvous and docking (ARD) maneuvers are challenging tasks that require collaboration between a human and a spacecraft to be successful. As automation becomes more integrated into ARD systems, it is important to consider when and why a human may take control. Intrinsic human characteristics can influence these decisions. We consider how human spatial orientation capacity affects participants when monitoring a simulated ARD maneuver and initiating takeover when the system is perceived to be failing. Participants’ spatial reasoning capability was assessed and compared to performance in the monitoring task and perceived mental workload. While participants showed high rates of success in the task, they showed a wide range in spatial reasoning capacity and perceived mental demand. Spatial reasoning capacity did not indicate participants’ mental workload, which has implications for the human as the supervisor. These results inform future work on augmentative displays that may incorporate exocentric and egocentric views.
自主交会对接(ARD)机动是一项具有挑战性的任务,需要人与航天器之间的协作才能成功。随着自动化越来越多地集成到ARD系统中,重要的是要考虑人类何时以及为什么可以控制。人类的内在特征会影响这些决定。我们考虑了人的空间定向能力如何影响参与者在监测模拟ARD机动和启动接管时,当系统被认为是失败的。研究人员评估了参与者的空间推理能力,并将其与监控任务的表现和感知到的脑力工作量进行了比较。虽然参与者在任务中表现出很高的成功率,但他们在空间推理能力和感知心理需求方面表现出了很大的差异。空间推理能力并不能反映被试的心理负荷,这对作为管理者的人类有一定的影响。这些结果为未来可能包含外中心和自我中心视图的增强显示工作提供了信息。
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引用次数: 0
Redesigning Educational Countermeasures to Increase Virginia Drivers’ Road-Sharing Safety Knowledge 重新设计教育对策以提高弗吉尼亚州驾驶员的道路共享安全知识
Alexandra B. Proaps, Jeremiah D. Still
The lack of alignment between drivers’ and cyclists’ road-sharing knowledge results in unsafe interactions. To address this issue, educational countermeasures must clearly present and apply evidence-based practices to increase the likelihood that drivers will learn how to share the road safely with cyclists. In this study, we redesigned an existing Virginia road-sharing safety educational handbook to support a series of experiments. The redesign was based on established principles of instructional, organizational, and visual design. Virginia drivers completed a comprehension test after reviewing road-sharing educational material online. Results showed that reviewing the redesigned brochure did not improve global comprehension, law-based knowledge, and procedural knowledge about sharing the road with cyclists. However, the improved design of the educational material enhanced drivers’ declarative knowledge of road-sharing laws and safety. Further research is needed to determine the effectiveness of transferring these design choices to other transportation domains, so policymakers and instructors can effectively prioritize approaches for improving road safety.
司机和骑自行车者的道路共享知识缺乏一致性导致了不安全的相互作用。为了解决这个问题,教育对策必须清楚地提出并应用基于证据的实践,以增加驾驶员学习如何与骑自行车的人安全共享道路的可能性。在这项研究中,我们重新设计了现有的弗吉尼亚州道路共享安全教育手册,以支持一系列的实验。重新设计是基于教学、组织和视觉设计的既定原则。弗吉尼亚州的司机在网上阅读了道路共享教育材料后完成了一项理解测试。结果表明,重新设计的手册并没有提高人们对全球的理解、法律基础知识和与骑车者共享道路的程序性知识。然而,教育材料的改进设计增强了司机对道路共享法律和安全的陈述性知识。需要进一步的研究来确定将这些设计选择转移到其他交通领域的有效性,以便政策制定者和教师能够有效地优先考虑改善道路安全的方法。
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引用次数: 0
Learning by Successful or Unsuccessful Experiences? 从成功或不成功的经验中学习?
Keum Joo Kim, Eugene Santos
Humans learn from both successful and unsuccessful experiences, because useful information about how to solve complex problems can be gleaned not only from success but also from failure. In this paper, we propose a method for investigating this difference by applying Preference based Inverse Reinforcement Learning to Double Transition Models built from replays of StarCraft II. Our method provides two advantages: (1) the ability to identify integrated reward distributions from computational models composed of multiple experiences, and (2) the ability to discern differences between learning by successes and failures. Our experimental results demonstrate that reward distributions are shaped depending on the trajectories utilized to build models. Reward distributions based on successful episodes were skewed to the left, while those based on unsuccessful episodes were skewed to the right. Furthermore, we found that players with symmetric triple reward distributions had a high probability of winning the game.
人类从成功和不成功的经验中学习,因为关于如何解决复杂问题的有用信息不仅可以从成功中收集,也可以从失败中收集。在本文中,我们提出了一种研究这种差异的方法,将基于偏好的逆强化学习应用于从《星际争霸2》重玩中建立的双过渡模型。我们的方法提供了两个优势:(1)能够从由多个经验组成的计算模型中识别综合奖励分布;(2)能够辨别成功和失败学习之间的差异。我们的实验结果表明,奖励分布的形状取决于用于构建模型的轨迹。基于成功情节的奖励分配向左倾斜,而基于不成功情节的奖励分配向右倾斜。此外,我们发现拥有对称三重奖励分配的玩家更有可能赢得游戏。
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引用次数: 0
Eliciting Ergonomic User-Defined Gestures for Virtual Reality: A Pilot Study 引出符合人体工程学的用户自定义手势的虚拟现实:试点研究
Nathan Sanders, Elif Sener, Karen B. Chen
People are increasingly using virtual reality (VR) for work. As a result of extended use, fatigue and musculoskeletal disorders affecting the upper arms and shoulders are already becoming common among VR users. This pilot study presented a “virtual working area” (VWA) to reduce the risk of fatigue resulting from using gestures obtained in gesture elicitation studies, and explored how the distance to the user interface (UI) interacted with different functions (select, scroll) during a mock reading task. Results showed that keeping the hands within the VWA had the potential to reduce Rapid Upper-Body Limb Assessment (RULA) and Borg CR10 scores at clinically significant levels. Scores were worse when the UI was far away and for the select function, suggesting the design of virtual UIs can play a role in eliciting naturalistic yet ergonomic interactions. The results also provide effect sizes and variance estimates to plan future work.
人们越来越多地在工作中使用虚拟现实(VR)。由于长时间使用,疲劳和影响上臂和肩部的肌肉骨骼疾病在VR用户中已经变得越来越普遍。这项试点研究提出了一个“虚拟工作区”(VWA),以减少使用手势启发研究中获得的手势所带来的疲劳风险,并探讨了在模拟阅读任务中,与用户界面(UI)的距离如何与不同功能(选择、滚动)相互作用。结果显示,将手保持在VWA内有可能将快速上肢评估(RULA)和Borg CR10评分降低到临床显著水平。当UI距离较远时,对于选择功能,得分较低,这表明虚拟UI的设计可以在引发自然而符合人体工程学的交互方面发挥作用。结果还提供了效应大小和方差估计,以计划未来的工作。
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引用次数: 0
Privacy, Security, and Usability Tradeoffs of Telehealth from Practitioners’ Perspectives 隐私,安全和可用性权衡从从业者的角度远程医疗
Faiza Tazi, Archana Nandakumar, Josiah Dykstra, Prashanth Rajivan, Sanchari Das
The COVID-19 pandemic has significantly transformed the healthcare sector, with telehealth services being among the most prominent changes. The adoption of telehealth services, however, has raised new challenges, particularly in the areas of security and privacy. To better comprehend the telehealth needs and concerns of medical professionals, particularly those in private practice, we conducted a study comprised of 20 semi-structured interviews with telehealth practitioners in audiology and speech therapy. Our findings indicate that private telehealth practitioners encounter difficult choices when it comes to balancing security, privacy, usability, and accessibility, particularly while caring for vulnerable populations. Additionally, the study revealed that practitioners face challenges in ensuring HIPAA compliance due to inadequate resources and a lack of technological comprehension. Policymakers and healthcare providers should take proactive measures to address these challenges, including offering resources and training to ensure HIPAA compliance and enhancing technology infrastructure to support secure and accessible telehealth.
2019冠状病毒病大流行极大地改变了医疗保健行业,远程医疗服务是最显著的变化之一。然而,采用远程保健服务带来了新的挑战,特别是在安全和隐私领域。为了更好地了解医疗专业人员,特别是私人执业人员的远程医疗需求和关注点,我们对听力学和语言治疗领域的远程医疗从业人员进行了一项研究,包括20次半结构化访谈。我们的研究结果表明,私人远程医疗从业者在平衡安全性、隐私性、可用性和可访问性方面遇到了困难的选择,特别是在照顾弱势群体时。此外,该研究显示,由于资源不足和缺乏技术理解,从业者在确保HIPAA合规性方面面临挑战。决策者和医疗保健提供者应采取积极措施应对这些挑战,包括提供资源和培训以确保符合HIPAA,并加强技术基础设施以支持安全和可访问的远程医疗。
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引用次数: 0
Human Factors Extended Reality Showcase 人的因素扩展现实展示
Randall Spain, Benjamin Goldberg, Shannon Bailey, Stephanie Fussell, Allison Bayro, Kelly Hale, Aaron Jones, Rachel Regina, Bob Thomas, Kevin Owens, Nathan Lau, Abhraneil Dam, Karen Chen, Luke Sturgeon, Monifa Vaughn-Cooke, Nuela Chidubem Enebechi
This alternative format session provides a forum for human factors scholars and practitioners to showcase how state-of-the-art extended reality (XR) applications are being used in academia, defense, and industry to address human factors research. The session will begin with short introductions from each presenter to describe their XR application. Afterward, session attendees will engage with the presenters and their demonstrations, which will be set up around the demonstration floor room. This year’s showcase features XR applications in STEM education, medical and aviation training, agricultural data visualization, homeland security, training design, and visitor engagement in informal learning settings. Our goal is for attendees to experience how human factors professionals use XR to support human factors-oriented research and to learn about the exciting work being conducted with these emerging technologies.
该会议为人为因素学者和实践者提供了一个论坛,以展示如何在学术界、国防和工业中使用最先进的扩展现实(XR)应用程序来解决人为因素研究。会议将以每位演讲者的简短介绍开始,介绍他们的XR应用。之后,会议参与者将与演示者和他们的演示互动,演示将在演示楼层周围设置。今年的展览展示了XR在STEM教育、医疗和航空培训、农业数据可视化、国土安全、培训设计和非正式学习环境中的访客参与方面的应用。我们的目标是让与会者体验人为因素专业人士如何使用XR来支持面向人为因素的研究,并了解这些新兴技术正在进行的令人兴奋的工作。
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引用次数: 0
Unintended Biases due to Simulated Impairment within Inclusive Mobility Research and Design 包容性移动研究与设计中模拟损伤的意外偏差
Kamolnat Tabattanon, Aaron Sun, Bernard J.
Simulated impairment refers to requiring persons without impairments to substitute persons with impairments in endeavors related to training, design creation, or usability testing. However, disability voices and research suggest limited effectiveness, greater distancing, and exclusion. Despite this, the simulation of physical limitations, including that of aging, continue to be used under the assumption that physical tasks and usability ratings do not significantly differ in simulation. In this experiment, age- and sex-matched older adults who use and do not use a manual wheelchair (MWC) are instructed to independently perform a self-paced parallel park using an MWC. The total clearance between obstacles required to perform a collision-free trial was recorded. Thirty-eight volunteers were recruited (MWC-user n=15; Simulated Impairment [SI] n=23). Higher clearance was required by the MWC group, suggesting the use of simulated impairment for motor tasks may result in bias. Open-ended questions revealed self-centered viewpoints, supporting literature that raises inclusion concerns regarding views of an “Other” group. Overall, our results support the direct engagement of target populations during early design to appropriately define user perspectives and needs. Designers should work with the community of people who face limitations rather than substituting their voices with those who may not accurately represent all of their consumer needs.
模拟损伤是指要求没有残疾的人在培训、设计创作或可用性测试方面代替有残疾的人。然而,残疾人的声音和研究表明,效果有限,更大的距离和排斥。尽管如此,在假设物理任务和可用性评级在模拟中没有显着差异的情况下,继续使用物理限制的模拟,包括老化的模拟。在这个实验中,年龄和性别匹配的老年人使用和不使用手动轮椅(MWC)被指示使用手动轮椅独立完成一个自定节奏的平行公园。记录进行无碰撞试验所需的障碍物之间的总间隙。招募了38名志愿者(MWC-user n=15;模拟损伤[SI] n=23)。MWC组需要更高的清除率,这表明在运动任务中使用模拟损伤可能会导致偏见。开放式问题揭示了以自我为中心的观点,支持了对“其他”群体观点的包容关注。总的来说,我们的结果支持在早期设计中直接参与目标人群,以适当地定义用户的观点和需求。设计师应该与那些面临限制的群体合作,而不是用那些可能无法准确代表他们所有消费者需求的人来代替他们的声音。
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引用次数: 0
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Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting. Human Factors and Ergonomics Society. Annual meeting
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