Displaying publications 41 - 60 of 134 in total

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  1. Fulltext COVID-19 Pandemic Fatigue and Its Sociodemographic, Mental Health Status, and Perceived Causes: A Cross-Sectional Study Nearing the Transition to an Endemic Phase in Malaysia
    Abdul Rashid MR, Syed Mohamad SN, Tajjudin AIA, Roslan N, Jaffar A, Mohideen FBS, et al.
    Int J Environ Res Public Health, 2023 Mar 02;20(5).
    PMID: 36901486 DOI: 10.3390/ijerph20054476
    This study aimed to explore the socio-demographic characteristics, mental health status, and perceived causes of pandemic fatigue with COVID-19 pandemic fatigue among the general population of Malaysia. The data was collected online during the transition from the COVID-19 pandemic phase to the endemic phase in Malaysia from 1 to 30 April 2022. Sociodemographic data, Depression Anxiety Stress Scale-21 (DASS-21), perceived causes of pandemic fatigue, and the Fatigue Assessment Scale (FAS) were included in the survey. The chi-square test and a simple logistic regression analysis were used to identify predictors of pandemic fatigue. The completed survey (N = 775) included individuals aged 18 years or above [mean 31.98 (SD = 12.16)] from all states in Malaysia. Pandemic fatigue prevalence was 54.2%. Severe to extremely severe depression, anxiety, and stress symptoms were detected in 11.2%, 14.9%, and 9.1% of the participants, respectively. Younger age, non-Malay ethnicity, living alone, and higher income categories were significantly higher in the fatigued group. Higher DASS-21 scores on all domains were associated with higher FAS scores. Meanwhile, high scores for perceived tiredness from complying with the COVID-19 Standard Operating Procedure (SOP), perceived risk of infection from COVID-19, perceived hardship due to the pandemic, perceived public complacency during the pandemic, and perceived changes due to the pandemic were associated with a higher FAS score. This study provides valuable information for policymakers and mental health professionals worldwide on pandemic fatigue and its associated factors, including mental health status in Malaysia.
    Matched MeSH terms: Fatigue/epidemiology
  2. Fulltext Assessment of muscle activity using electrical stimulation and mechanomyography: a systematic review
    Uwamahoro R, Sundaraj K, Subramaniam ID
    Biomed Eng Online, 2021 Jan 03;20(1):1.
    PMID: 33390158 DOI: 10.1186/s12938-020-00840-w
    This research has proved that mechanomyographic (MMG) signals can be used for evaluating muscle performance. Stimulation of the lost physiological functions of a muscle using an electrical signal has been determined crucial in clinical and experimental settings in which voluntary contraction fails in stimulating specific muscles. Previous studies have already indicated that characterizing contractile properties of muscles using MMG through neuromuscular electrical stimulation (NMES) showed excellent reliability. Thus, this review highlights the use of MMG signals on evaluating skeletal muscles under electrical stimulation. In total, 336 original articles were identified from the Scopus and SpringerLink electronic databases using search keywords for studies published between 2000 and 2020, and their eligibility for inclusion in this review has been screened using various inclusion criteria. After screening, 62 studies remained for analysis, with two additional articles from the bibliography, were categorized into the following: (1) fatigue, (2) torque, (3) force, (4) stiffness, (5) electrode development, (6) reliability of MMG and NMES approaches, and (7) validation of these techniques in clinical monitoring. This review has found that MMG through NMES provides feature factors for muscle activity assessment, highlighting standardized electromyostimulation and MMG parameters from different experimental protocols. Despite the evidence of mathematical computations in quantifying MMG along with NMES, the requirement of the processing speed, and fluctuation of MMG signals influence the technique to be prone to errors. Interestingly, although this review does not focus on machine learning, there are only few studies that have adopted it as an alternative to statistical analysis in the assessment of muscle fatigue, torque, and force. The results confirm the need for further investigation on the use of sophisticated computations of features of MMG signals from electrically stimulated muscles in muscle function assessment and assistive technology such as prosthetics control.
    Matched MeSH terms: Muscle Fatigue/physiology
  3. Fulltext Exploratory study of brain waves and corresponding brain regions of fatigue on-call doctors using quantitative electroencephalogram
    Xavier G, Su Ting A, Fauzan N
    J Occup Health, 2020 Jan;62(1):e12121.
    PMID: 32515890 DOI: 10.1002/1348-9585.12121
    OBJECTIVES: It is common to find doctors working long and odd hours and many at times without rest and sleep. Despite the evidence of adverse risk, jeopardizing patient safety under the hands of fatigue doctors under such working hours has not changed in many places. It has argued that with such training and subsequent experience, such issues with patient safety reduce. Fatigue too is argued as subjective, as those who can withstand the stress still perform. Nevertheless, undeniably working under fatigue is not safe for both the patient and the doctor. This study is a novel attempt to explore and objectify the state of fatigue using quantitative EEG among post-call doctors.

    METHOD: Seven volunteer post-call doctors were recruited to go through an EEG recording before and after their on-call rotation while at rest and subsequently while carrying out Stroop Test, putting their cognitive function at work.

    RESULTS: The doctors have worked up to 33 hours in a row and have had sleep of an average of 1.5 hours. It is found that during task there is a statistically significant increase in theta (frontal and occipital regions) and beta (occipital region) band power while at task post-call. Alpha band power is increased in the frontal and reduced in other regions. Correlation with Stroop Test results indicated that those who have higher alpha, beta, and lower relative theta powers at the frontal region at post-call rest have higher percentage of correct congruent trials.

    CONCLUSION: The results objectively imply that these fatigue doctors are under more strain while carrying out a task and corresponds to the implicated regions of brain stimulated by the task accordingly.

    Matched MeSH terms: Fatigue/physiopathology*
  4. Fulltext Illumination Intelligent Adaptation and Analysis Framework: A comprehensive solution for enhancing nighttime driving fatigue monitoring
    Tian Z, Albakry NS, Du Y
    PLoS One, 2024;19(8):e0308201.
    PMID: 39141655 DOI: 10.1371/journal.pone.0308201
    Nighttime driving presents a critical challenge to road safety due to insufficient lighting and increased risk of driver fatigue. Existing methods for monitoring driver fatigue, mainly focusing on behavioral analysis and biometric monitoring, face significant challenges under low-light conditions. Their effectiveness, especially in dynamic lighting environments, is limited by their dependency on specific environmental conditions and active driver participation, leading to reduced accuracy and practicality in real-world scenarios. This study introduces a novel 'Illumination Intelligent Adaptation and Analysis Framework (IIAAF)', aimed at addressing these limitations and enhancing the accuracy and practicality of driver fatigue monitoring under nighttime low-light conditions. The IIAAF framework employs a multidimensional technology integration, including comprehensive body posture analysis and facial fatigue feature detection, per-pixel dynamic illumination adjustment technology, and a light variation feature learning system based on Convolutional Neural Networks (CNN) and time-series analysis. Through this integrated approach, the framework is capable of accurately capturing subtle fatigue signals in nighttime driving environments and adapting in real-time to rapid changes in lighting conditions. Experimental results on two independent datasets indicate that the IIAAF framework significantly improves the accuracy of fatigue detection under nighttime low-light conditions. This breakthrough not only enhances the effectiveness of driving assistance systems but also provides reliable scientific support for reducing the risk of accidents caused by fatigued driving. These research findings have significant theoretical and practical implications for advancing intelligent driving assistance technology and improving nighttime road safety.
    Matched MeSH terms: Fatigue*
  5. Fulltext Clinical Characteristics and Diagnostic Challenges of COVID-19: An Update From the Global Perspective
    Israfil SMH, Sarker MMR, Rashid PT, Talukder AA, Kawsar KA, Khan F, et al.
    Front Public Health, 2020;8:567395.
    PMID: 33505949 DOI: 10.3389/fpubh.2020.567395
    Clinical characteristics are essential for the correct diagnosis of diseases. The current review aimed to summarize the global clinical characteristics of the COVID-19 patients systematically and identify their diagnostic challenges to help the medical practitioners properly diagnose and for better management of COVID-19 patients. We conducted a systematic search in PubMed, Web of Science, Scopus, Science Direct, and Google Scholar databases for original articles containing clinical information of COVID-19 published up to 7th May 2020. Two researchers independently searched the databases to extract eligible articles. A total of 34 studies from 8 different countries with 10889 case-patients were included for clinical characteristics. The most common clinical symptoms were cough 59.6, fever 46.9, fatigue 27.8, and dyspnea 20.23%. The prominent laboratory findings were lymphocytopenia 55.9, elevated levels of CRP 61.9, aspartate aminotransferase 53.3, LDH 40.8, ESR 72.99, serum ferritin 63, IL-6 52, and prothrombin time 35.47%, and decreased levels of platelets 17.26, eosinophils 59.0, hemoglobin 29, and albumin 38.4%. CT scan of the chest showed an abnormality in 93.50% cases with bilateral lungs 71.1%, ground-glass opacity 48%, lesion in lungs 78.3%, and enlargement of lymph node 50.7%. Common comorbidities were hypertension, diabetes, obesity, and cardiovascular diseases. The estimated median incubation period was 5.36 days, and the overall case fatality rate was 16.9% (Global case fatality outside China was 22.24%: USA 21.24%, Italy 25.61%, and others 0%; whereas the case fatality inside the Hubei Province of China was found to be 11.71%). Global features on the clinical characteristics of COVID-19 obtained from laboratory tests and CT scan results will provide useful information to the physicians to diagnose the disease and for better management of the patients as well as to address the diagnostic challenges to control the infection.
    Matched MeSH terms: Fatigue/etiology*
  6. Study of B Meson Production in p+Pb Collisions at √[S(NN)]=5.02 TeV Using Exclusive Hadronic Decays
    Khachatryan V, Sirunyan AM, Tumasyan A, Adam W, Asilar E, Bergauer T, et al.
    Phys Rev Lett, 2016 Jan 22;116(3):032301.
    PMID: 26849587 DOI: 10.1103/PhysRevLett.116.032301
    The production cross sections of the B^{+}, B^{0}, and B_{s}^{0} mesons, and of their charge conjugates, are measured via exclusive hadronic decays in p+Pb collisions at the center-of-mass energy sqrt[s_{NN}]=5.02  TeV with the CMS detector at the CERN LHC. The data set used for this analysis corresponds to an integrated luminosity of 34.6  nb^{-1}. The production cross sections are measured in the transverse momentum range between 10 and 60  GeV/c. No significant modification is observed compared to proton-proton perturbative QCD calculations scaled by the number of incoherent nucleon-nucleon collisions. These results provide a baseline for the study of in-medium b quark energy loss in Pb+Pb collisions.
    Matched MeSH terms: Fatigue
  7. Fulltext Investigating validity evidence of the Malay translation of the Copenhagen Burnout Inventory
    Andrew Chin RW, Chua YY, Chu MN, Mahadi NF, Wong MS, Yusoff MSB, et al.
    J Taibah Univ Med Sci, 2018 Feb;13(1):1-9.
    PMID: 31435296 DOI: 10.1016/j.jtumed.2017.06.003
    Introduction: The Copenhagen Burnout Inventory (CBI) is a recent burnout measure with a focus on fatigue and exhaustion. It has three factors: personal burnout, work-related burnout, and client-related burnout. This study aimed to translate the CBI into the Malay language and to validate the translated version among a group of medical students.

    Methods: The forward-backward translation was performed as per standard guidelines. The Malay version of CBI (CBI-M) was distributed to 32 medical students to assess face validity and later to 452 medical students to assess construct validity. The data analysis was performed by Microsoft Excel, SPSS and AMOS.

    Results: The face validity index of CBI-M was more than 0.8. The three factors of CBI-M achieved good levels of goodness-of-fit indices (Cmin/df = 2.99, RMSEA = 0.066, GFI = 0.906, CFI = 0.938, NFI = 0.910, TLI = 0.925). The composite reliability values of the three factors ranged from 0.84 to 0.87. The Cronbach's alpha values of the three factors ranged from 0.83 to 0.87.

    Conclusions: This study supports the face and construct validity of the CBI-M with a high internal consistency.
    Matched MeSH terms: Fatigue
  8. Fulltext An Optimum Fatigue Design of Polymer Composite Compressed Natural Gas Tank Using Hybrid Finite Element-Response Surface Methods
    Kashyzadeh KR, Rahimian Koloor SS, Omidi Bidgoli M, Petrů M, Amiri Asfarjani A
    Polymers (Basel), 2021 Feb 03;13(4).
    PMID: 33546387 DOI: 10.3390/polym13040483
    The main purpose of this research is to design a high-fatigue performance hoop wrapped compressed natural gas (CNG) composite cylinder. To this end, an optimization algorithm was presented as a combination of finite element simulation (FES) and response surface analysis (RSA). The geometrical model was prepared as a variable wall-thickness following the experimental measurements. Next, transient dynamic analysis was performed subjected to the refueling process, including the minimum and maximum internal pressures of 20 and 200 bar, respectively. The time histories of stress tensor components were extracted in the critical region. Furthermore, RSA was utilized to investigate the interaction effects of various polymer composite shell manufacturing process parameters (thickness and fiber angle) on the fatigue life of polymer composite CNG pressure tank (type-4). In the optimization procedure, four parameters including wall-thickness of the composite shell in three different sections of the CNG tank and fiber angle were considered as input variables. In addition, the maximum principal stress of the component was considered as the objective function. Eventually, the fatigue life of the polymer composite tank was calculated using stress-based failure criterion. The results indicated that the proposed new design (applying optimal parameters) leads to improve the fatigue life of the polymer composite tank with polyethylene liner about 2.4 times in comparison with the initial design.
    Matched MeSH terms: Fatigue
  9. Fulltext Deformation Properties of Rubberized ECC Incorporating Nano Graphene Using Response Surface Methodology
    Hau Hong DL, Mohammed BS, Al-Fakih A, Wahab MMA, Liew MS, Amran YHM
    Materials (Basel), 2020 Jun 24;13(12).
    PMID: 32599798 DOI: 10.3390/ma13122831
    Engineered cementitious composite (ECC) was discovered as a new substitute of conventional concrete as it provides better results in terms of tensile strain, reaching beyond 3%. From then, more studies were done to partially replace crumb rubber with sand to achieve a more sustainable and eco-friendlier composite from the original ECC. However, the elastic modulus of ECC was noticeably degraded. This could bring potential unseen dangerous consequences as the fatigue might happen at any time without any sign. The replacement of crumb rubber was then found to not only bring a more sustainable and eco-friendlier result but also increase the ductility and the durability of the composite, with lighter specific gravity compared to conventional concrete. This study investigated the effects of crumb rubber (CR) and graphene oxide (GO) toward the deformable properties of rubberized ECC, including the compressive strength, elastic modulus, Poisson's ratio, and drying shrinkage. Central composite design (CCD) was utilized to provide 13 reasonable trial mixtures with the ranging level of CR replacement from 0-30% and that of GO from 0.01-0.08%. The results show that GO increased the strength of the developed GO-RECC. It was also found that the addition of CR and GO to ECC brought a notable improvement in mechanical and deformable properties. The predicted model that was developed using response surface methodology (RSM) shows that the variables (compression strength, elastic modulus, Poisson's ratio, and drying shrinkage) rely on the independent (CR and GO) variables and are highly correlated.
    Matched MeSH terms: Fatigue
  10. Electrical stimulator with mechanomyography-based real-time monitoring, muscle fatigue detection, and safety shut-off: a pilot study
    Naeem J, Hamzaid NA, Azman AW, Bijak M
    Biomed Tech (Berl), 2020 Aug 27;65(4):461-468.
    PMID: 32304295 DOI: 10.1515/bmt-2019-0191
    Functional electrical stimulation (FES) has been used to produce force-related activities on the paralyzed muscle among spinal cord injury (SCI) individuals. Early muscle fatigue is an issue in all FES applications. If not properly monitored, overstimulation can occur, which can lead to muscle damage. A real-time mechanomyography (MMG)-based FES system was implemented on the quadriceps muscles of three individuals with SCI to generate an isometric force on both legs. Three threshold drop levels of MMG-root mean square (MMG-RMS) feature (thr50, thr60, and thr70; representing 50%, 60%, and 70% drop from initial MMG-RMS values, respectively) were used to terminate the stimulation session. The mean stimulation time increased when the MMG-RMS drop threshold increased (thr50: 22.7 s, thr60: 25.7 s, and thr70: 27.3 s), indicating longer sessions when lower performance drop was allowed. Moreover, at thr70, the torque dropped below 50% from the initial value in 14 trials, more than at thr50 and thr60. This is a clear indication of muscle fatigue detection using the MMG-RMS value. The stimulation time at thr70 was significantly longer (p = 0.013) than that at thr50. The results demonstrated that a real-time MMG-based FES monitoring system has the potential to prevent the onset of critical muscle fatigue in individuals with SCI in prolonged FES sessions.
    Matched MeSH terms: Muscle Fatigue
  11. Fulltext NUMERICAL SIMULATION ON A DEEP-DRAFT SEMI-SUBMERSIBLE
    ALIATULNAJIHA AYUB, MOHD ASAMUDIN A RAHMAN
    UMT Journal of Undergraduate Research, 2021;3(2):77-88.
    MyJurnal
    A numerical study is conducted to determine the Vortex Induced Motion (VIM) effects on Deep-Draft Semi-Submersibles (DDSS). The VIM phenomena is a crucial problem that can cause severe impact on the fatigue life of mooring risers in DDSS. Therefore, a comprehensive numerical simulation is conducted using the Acusolve computational fluid dynamics (CFD) software. Five models of immersed columns with different aspect ratios (ie. 0.6, 0.8, 1.0, 1.2 and 1.4) are numerically investigated under two different incidence angles, which are 0° and 45°. The transverse and in-line vibration amplitude, amplitude of lift force coefficient and vortex shedding are analyzed. The numerical measurements are obtained to see the response of horizontal plane motions, which are transverse, in line and yaw motions. This study with detailed numerical results from parametric data will contribute future studies and the comparisons are made to demonstrate the capability of the present CFD approach.
    Matched MeSH terms: Fatigue
  12. Simulator sickness: a threat to simulator training
    Rabihah Ilyas
    Journal of Occupational Safety and Health, 2012;9(1):45-52.
    MyJurnal
    Rapid development of technology has made simulator as a promising training tool. Advantages offered such as interactive and realistic training environments, mistake tolerance and training in hazardous scenario without causing harm to trainee, cost effectiveness, opportunity of training review and training time flexibility makes simulator widely used in aviation training, driver training, medical training and rehabilitation. Despite of these advantages, a major drawback of simulator is simulator sickness. Simulator sickness is a condition caused by inconsistency perceived by our vestibular system. Effected individual reported that they are experiencing nausea, fatigue, postural instability, headaches and difficulty in focusing which linger for hours or days in some cases. This paper will discuss the simulator usage and simulator sickness condition in Malaysia as experienced by researchers and a few organizations that use simulator as their training tool.
    Matched MeSH terms: Fatigue
  13. Fulltext Material Characterization of a Magnetorheological Fluid Subjected to Long-Term Operation in Damper
    Utami D, Ubaidillah, Mazlan SA, Imaduddin F, Nordin NA, Bahiuddin I, et al.
    Materials (Basel), 2018 Nov 06;11(11).
    PMID: 30404193 DOI: 10.3390/ma11112195
    This paper investigates the field-dependent rheological properties of magnetorheological (MR) fluid used to fill in MR dampers after long-term cyclic operation. For testing purposes, a meandering MR valve was customized to create a double-ended MR damper in which MR fluid flowed inside the valve due to the magnetic flux density. The test was conducted for 170,000 cycles using a fatigue dynamic testing machine which has 20 mm of stroke length and 0.4 Hz of frequency. Firstly, the damping force was investigated as the number of operating cycles increased. Secondly, the change in viscosity of the MR fluid was identified as in-use thickening (IUT). Finally, the morphological observation of MR particles was undertaken before and after the long-term operation. From these tests, it was demonstrated that the damping force increased as the number of operating cycles increases, both when the damper is turn on (on-state) and off (off-state). It is also observed that the particle size and shape changed due to the long operation, showing irregular particles.
    Matched MeSH terms: Fatigue
  14. The aetiology of chronic fatigue syndrome: a review
    Nor Zuraida Z
    JUMMEC, 2000;5:73-77.
    Chronic fatigue syndrome (CFS) is a chronic debilitating condition affecting both physical and mental functioning. It was first quoted as a 'new disease' spreading in the developed countries. It bei:ame a major issue by doctors, professionals and the media for the past 15 years. CFS was not only affecting the adults but childhood fatigue has also been noted. The CFS patients commonly described themselves to be perfectionists, highly driven, energetic U1d motivated before the condition started. Studies have been focused on the definition, diagnosis and management of CFS. However, the understanding of CFS and what cause it is stili unclear and controversial. Thus the aetiological factors of CFS are reviewed in this article. KEYWORDS; Chronic fatigue syndrome (CFS), Aetiology, Psychiatric disorders, Viral infection, Immunology
    Matched MeSH terms: Fatigue
  15. Fulltext Effects of laughter yoga on health-related quality of life in cancer patients undergoing chemotherapy: a randomized clinical trial
    Namazinia M, Mazlum SR, Mohajer S, Lopez V
    BMC Complement Med Ther, 2023 Jun 12;23(1):192.
    PMID: 37303065 DOI: 10.1186/s12906-023-04028-2
    BACKGROUND: Chemotherapy is associated with a wide range of physical and psychological side effects, so complementary and alternative therapies may be practiced as an independent treatment or combined with the standard ones to improve health-related quality of life of cancer patients. Laughter yoga has predominantly been used as a complementary therapy to enhance health and wellbeing of ordinary people and patients with chronic diseases. However, to date, few studies have evaluated the effects of this modern exercise on cancer patients undergoing chemotherapy in clinical settings, to the best of the authors' knowledge. the present study aimed to investigate the effects of Laughter Yoga on the health-related quality of life of cancer patients undergoing chemotherapy.

    METHODS: This study was a two-group randomized clinical trial on 69 cancer patients undergoing chemotherapy at Reza Radiotherapy and Oncology Center, Iran in 2018. Patients were randomly divided into intervention and control groups. The intervention group received laughter yoga for four sessions at one-week intervals. Each session consists of one part and lasts for 20-30 min. Patients' health-related quality of life was assessed before and after the laughter yoga sessions using Quality of Life Questionnaire European Organization for Research and Treatment of Cancer (EORTC QLQ-C30) version 3.0. SPSS Statistics (v.20 software was used to conduct Chi-square, independent t-test, Mann-Whitney, Wilcoxon and paired t-tests analyses of the data.

    RESULTS: The number of participants in intervention and control groups were 34 and 35, there was no significant difference of demographic and disease related characteristics and pre-intervention HRQOL between two groups. In the intervention group, there is significant difference between pre- and post-intervention scores (Mean ± Standard Deviation) of emotional functioning (12.99 ± 10.49), physical functioning (0.78 ± 6.08), role functioning (3.43 ± 7.97), fatigue (-8.82 ± 22.01), pain (-8.33 ± 11.78), sleep disturbance (-15.68 ± 18.77), and global health and quality of life (6.37 ± 5.04) (p 

    Matched MeSH terms: Fatigue
  16. Fulltext Optimal performance of stand-alone hybrid microgrid systems based on integrated techno-economic-environmental energy management strategy using the grey wolf optimizer
    Tukkee AS, Bin Abdul Wahab NI, Binti Mailah NF, Bin Hassan MK
    PLoS One, 2024;19(2):e0298094.
    PMID: 38330067 DOI: 10.1371/journal.pone.0298094
    Recently, global interest in organizing the functioning of renewable energy resources (RES) through microgrids (MG) has developed, as a unique approach to tackle technical, economic, and environmental difficulties. This study proposes implementing a developed Distributable Resource Management strategy (DRMS) in hybrid Microgrid systems to reduce total net percent cost (TNPC), energy loss (Ploss), and gas emissions (GEM) while taking the cost-benefit index (CBI) and loss of power supply probability (LPSP) as operational constraints. Grey Wolf Optimizer (GWO) was utilized to find the optimal size of the hybrid Microgrid components and calculate the multi-objective function with and without the proposed management method. In addition, a detailed sensitivity analysis of numerous economic and technological parameters was performed to assess system performance. The proposed strategy reduced the system's total net present cost, power loss, and emissions by (1.06%), (8.69%), and (17.19%), respectively compared to normal operation. Firefly Algorithm (FA) and Particle Swarm Optimization (PSO) techniques were used to verify the results. This study gives a more detailed plan for evaluating the effectiveness of hybrid Microgrid systems from a technical, economic, and environmental perspective.
    Matched MeSH terms: Fatigue
  17. Fulltext Individual evaluation of fatigue at work to enhance the safety performance in the construction industry: A systematic review
    Heng PP, Mohd Yusoff H, Hod R
    PLoS One, 2024;19(2):e0287892.
    PMID: 38324557 DOI: 10.1371/journal.pone.0287892
    The construction industry is recognized as one of the most hazardous industries globally due to the dynamic on site activities and labour-intensive characteristics. The construction tasks are physically and cognitively demanding therefore the construction workers are prone to work fatigue which compromises safety performance. The evaluation of fit for duty, or fitness for work (FFW) aims to determine if workers are at risk of adverse impacts of ill-health, injury or accidents. This systematic review aimed to critically summarize up-to-date measures and evaluation tools that were employed to monitor work fitness or fatigue specifically among construction workers. Adhering with the PRISMA protocol, three databases were searched from the inception to 2022, with a total combination of 37 keywords, concluding to the selection of 20 relevant articles. The Mixed Method Appraisal Tool (MMAT) was used as the guide for the study appraisal. A total of 20 articles were reviewed, published from 2008-2022. Majority of the studies employed experimental design. The review identified the subjective evaluation scales and objective measurement tool. The subjective self-response questionnaires can be categorized into single dimension or multidimension covering both physical and mental fitness; whereas the objective measurement tool can be categorized into physiological metrics, physical and cognitive performance measure. The available scientific evidence has raised the relevant issues for on-site practicality and potentially guide the formulation of evidence-based guidelines for the FFW assessment in the construction industry.
    Matched MeSH terms: Fatigue
  18. Repetitive cryotherapy attenuates the in vitro and in vivo mononuclear cell activation response
    Lindsay A, Othman MI, Prebble H, Davies S, Gieseg SP
    Exp Physiol, 2016 07 01;101(7):851-65.
    PMID: 27094349 DOI: 10.1113/EP085795
    What is the central question of this study? Acute and repetitive cryotherapy are routinely used to accelerate postexercise recovery, although the effect on resident immune cells and repetitive exposure has largely been unexplored and neglected. What is the main finding and its importance? Using blood-derived mononuclear cells and semi-professional mixed martial artists, we show that acute and repetitive cryotherapy reduces the in vitro and in vivo T-cell and monocyte activation response whilst remaining independent of the physical performance of elite athletes. We investigated the effect of repetitive cryotherapy on the in vitro (cold exposure) and in vivo (cold water immersion) activation of blood-derived mononuclear cells following high-intensity exercise. Single and repeated cold exposure (5°C) of a mixed cell culture (T cells and monocytes) was investigated using in vitro tissue culture experimentation for total neopterin production (neopterin plus 7,8-dihydroneopterin). Fourteen elite mixed martial art fighters were also randomly assigned to either a cold water immersion (15 min at 10°C) or passive recovery protocol, which they completed three times per week during a 6 week training camp. Urine was collected and analysed for neopterin and total neopterin three times per week, and perceived soreness, fatigue, physical performance (broad jump, push-ups and pull-ups) and training performance were also assessed. Single and repetitive cold exposure significantly (P 
    Matched MeSH terms: Fatigue/metabolism; Fatigue/physiopathology
  19. Fatigue-related crashes involving express buses in Malaysia: will the proposed policy of banning the early-hour operation reduce fatigue-related crashes and benefit overall road safety?
    Mohamed N, Mohd-Yusoff MF, Othman I, Zulkipli ZH, Osman MR, Voon WS
    Accid Anal Prev, 2012 Mar;45 Suppl:45-9.
    PMID: 22239931 DOI: 10.1016/j.aap.2011.09.025
    Fatigue-related crashes have long been the topic of discussion and study worldwide. The relationship between fatigue-related crashes and time of day is well documented. In Malaysia, the possibility of banning express buses from operating during the early-hours of the morning has emerged as an important consideration for passenger safety. This paper highlights the findings of an impact assessment study. The study was conducted to determine all possible impacts prior to the government making any decision on the proposed banning. This study is an example of a simple and inexpensive approach that may influence future policy-making process. The impact assessment comprised two major steps. The first step involved profiling existing operation scenarios, gathering information on crashes involving public express buses and stakeholders' views. The second step involved a qualitative impact assessment analysis using all information gathered during the profiling stage to describe the possible impacts. Based on the assessment, the move to ban early-hour operations could possibly result in further negative impacts on the overall road safety agenda. These negative impacts may occur if the fundamental issues, such as driving and working hours, and the need for rest and sleep facilities for drivers, are not addressed. In addition, a safer and more accessible public transportation system as an alternative for those who choose to travel at night would be required. The proposed banning of early-hour operations is also not a feasible solution for sustainability of express bus operations in Malaysia, especially for those operating long journeys. The paper concludes by highlighting the need to design a more holistic approach for preventing fatigue-related crashes involving express buses in Malaysia.
    Matched MeSH terms: Fatigue/complications; Fatigue/prevention & control*
  20. Effect of Withania somnifera (Ashwagandha) on the development of chemotherapy-induced fatigue and quality of life in breast cancer patients
    Biswal BM, Sulaiman SA, Ismail HC, Zakaria H, Musa KI
    Integr Cancer Ther, 2013 Jul;12(4):312-22.
    PMID: 23142798 DOI: 10.1177/1534735412464551
    Hypothesis. Withania somnifera is an herb with antioxidant, anti-inflammatory, anticancer, antistress, and adaptogenic properties. Previous studies have shown its antistress effects in animals. Traditional Indian medicine has used it for centuries to alleviate fatigue and improve general well-being.
    Matched MeSH terms: Fatigue/chemically induced*; Fatigue/drug therapy*
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