Evaluation of attention, perception, and stress levels of clinical cardiovascular perfusionists during cardiac operations: a pilot study

Perfusion ◽  
2019 ◽  
Vol 34 (7) ◽  
pp. 544-551 ◽  
Author(s):  
Frank Merkle ◽  
Dino Kurtovic ◽  
Christoph Starck ◽  
Cynthia Pawelke ◽  
Sina Gierig ◽  
...  
Keyword(s):  
Steady State ◽  
Cardiopulmonary Bypass ◽  
Eye Tracking ◽  
Peak Stress ◽  
Data Management System ◽  
Technical Parameters ◽  
Self Evaluation ◽  
Task Load ◽  
Stress Levels ◽  
Nasa Tlx

Background: Performing cardiopulmonary bypass is a complex task which involves evaluating visual input from patient monitors and technical parameters displayed at the heart-lung machine console as well as reacting to other sensory input. Only few studies are available concerning the competency requirements for clinical cardiovascular perfusionists, including attention, perception, and coping with mental stress. This study aims at evaluating attention, perception, and stress levels of clinical cardiovascular perfusionists during cardiopulmonary bypass. Methods: Nine clinical cardiovascular perfusionists voluntarily offered to participate in the study. Participants were asked to wear Tobii 2 eye-tracking glasses throughout the procedures. Specific time points were analyzed (cardiopulmonary bypass on, initial cardioplegia delivery, steady state, cross-clamp off, and weaning from cardiopulmonary bypass). Data acquisition was supplemented by participants’ self-evaluation regarding their stress levels and by National Aeronautics and Space Administration Task Load Index (NASA TLX) questionnaires. Results: Seven datasets were sufficient to be evaluated. The clinical cardiovascular perfusionists’ professional experience ranged from 0.5 to 24 years. Evaluation of eye-tracking data revealed large variations in areas of interest hits, fixation, and dwell times. Across all phases, the venous reservoir, mean arterial pressure, arterial pump display, cardioplegia control, and data management system received the highest levels of attention. Pupil diameter measurements increased at start of cardiopulmonary bypass, cardioplegia delivery, and weaning off, but returned to base level during steady state. Clinical cardiovascular perfusionists’ self-evaluation showed that subjective stress level was highest at the start and the end of the procedure. NASA TLX questionnaires revealed medium-to-high mental and temporal workloads, but low physical workloads. Performance, effort, and frustration indices showed medium workloads. Conclusion: During cardiopulmonary bypass, perfusionists are subjected to stress. Peak stress levels were highest during start and end of cardiopulmonary bypass. Furthermore, visual attention and perception varied between the operative phases. Further studies are indicated to evaluate the design of heart-lung machines and stress-coping strategies during cardiopulmonary bypass.

scholarly journals An eye-tracking based robotic scrub nurse: proof of concept

2021 ◽  
Author(s):  
Ahmed Ezzat ◽  
Alexandros Kogkas ◽  
Josephine Holt ◽  
Rudrik Thakkar ◽  
Ara Darzi ◽  
...  
Keyword(s):  
Eye Tracking ◽  
Technology Acceptance ◽  
Operating Time ◽  
Human Robot Interaction ◽  
Motion Sensors ◽  
Scrub Nurse ◽  
Task Load ◽  
Significant Difference ◽  
Nasa Tlx ◽  
Robotic Devices

Abstract Background Within surgery, assistive robotic devices (ARD) have reported improved patient outcomes. ARD can offer the surgical team a “third hand” to perform wider tasks and more degrees of motion in comparison with conventional laparoscopy. We test an eye-tracking based robotic scrub nurse (RSN) in a simulated operating room based on a novel real-time framework for theatre-wide 3D gaze localization in a mobile fashion. Methods Surgeons performed segmental resection of pig colon and handsewn end-to-end anastomosis while wearing eye-tracking glasses (ETG) assisted by distributed RGB-D motion sensors. To select instruments, surgeons (ST) fixed their gaze on a screen, initiating the RSN to pick up and transfer the item. Comparison was made between the task with the assistance of a human scrub nurse (HSNt) versus the task with the assistance of robotic and human scrub nurse (R&HSNt). Task load (NASA-TLX), technology acceptance (Van der Laan’s), metric data on performance and team communication were measured. Results Overall, 10 ST participated. NASA-TLX feedback for ST on HSNt vs R&HSNt usage revealed no significant difference in mental, physical or temporal demands and no change in task performance. ST reported significantly higher frustration score with R&HSNt. Van der Laan’s scores showed positive usefulness and satisfaction scores in using the RSN. No significant difference in operating time was observed. Conclusions We report initial findings of our eye-tracking based RSN. This enables mobile, unrestricted hands-free human–robot interaction intra-operatively. Importantly, this platform is deemed non-inferior to HSNt and accepted by ST and HSN test users.

scholarly journals A novel gaze-controlled flexible robotized endoscope; preliminary trial and report

2021 ◽  
Author(s):  
Arun Sivananthan ◽  
Alexandros Kogkas ◽  
Ben Glover ◽  
Ara Darzi ◽  
George Mylonas ◽  
...  
Keyword(s):  
Control System ◽  
Eye Tracking ◽  
Eye Gaze ◽  
Gaze Control ◽  
Task Load ◽  
Conventional Endoscopy ◽  
Minimally Invasive Surgical ◽  
Control Versus ◽  
Nasa Tlx ◽  
Nasa Task Load Index

Abstract Background Interventional endoluminal therapy is rapidly advancing as a minimally invasive surgical technique. The expanding remit of endoscopic therapy necessitates precision control. Eye tracking is an emerging technology which allows intuitive control of devices. This was a feasibility study to establish if a novel eye gaze-controlled endoscopic system could be used to intuitively control an endoscope. Methods An eye gaze-control system consisting of eye tracking glasses, specialist cameras and a joystick was used to control a robotically driven endoscope allowing steering, advancement, withdrawal and retroflexion. Eight experienced and eight non-endoscopists used both the eye gaze system and a conventional endoscope to identify ten targets in two simulated environments: a sphere and an upper gastrointestinal (UGI) model. Completion of tasks was timed. Subjective feedback was collected from each participant on task load (NASA Task Load Index) and acceptance of technology (Van der Laan scale). Results When using gaze-control endoscopy, non-endoscopists were significantly quicker when using gaze-control rather than conventional endoscopy (sphere task 3:54 ± 1:17 vs. 9:05 ± 5:40 min, p = 0.012, and UGI model task 1:59 ± 0:24 vs 3:45 ± 0:53 min, p < .001). Non-endoscopists reported significantly higher NASA-TLX workload total scores using conventional endoscopy versus gaze-control (80.6 ± 11.3 vs 22.5 ± 13.8, p < .001). Endoscopists reported significantly higher total NASA-TLX workload scores using gaze control versus conventional endoscopy (54.2 ± 16 vs 26.9 ± 15.3, p = 0.012). All subjects reported that the gaze-control had positive ‘usefulness’ and ‘satisfaction’ score of 0.56 ± 0.83 and 1.43 ± 0.51 respectively. Conclusions The novel eye gaze-control system was significantly quicker to use and subjectively lower in workload when used by non-endoscopists. Further work is needed to see if this would translate into a shallower learning curve to proficiency versus conventional endoscopy. The eye gaze-control system appears feasible as an intuitive endoscope control system. Hybrid gaze and hand control may prove a beneficial technology to evolving endoscopic platforms.

Point-of-Gaze Evaluation in Simulated ATC

2000 ◽  
Vol 44 (37) ◽  
pp. 666-669 ◽  
Author(s):  
Hugh David ◽  
Regis Mollard ◽  
Phillipe Gabon ◽  
Bruno Farbos
Keyword(s):  
Eye Tracking ◽  
Detailed Analysis ◽  
Task Load ◽  
Air Traffic Controllers ◽  
Significant Events ◽  
On Line ◽  
Self Assessments ◽  
Nasa Tlx ◽  
Tracking Device ◽  
Observer System

Eight Air Traffic Controllers carried out four TRACON II exercises using a graphic and a keyboard interface in low and high traffic. An iView head-mounted eye-tracking device was used. Electroencephalograms, (EEG), Electro-oculograms (EOG) and Electrocardiograms (EKG) were also measured, and on-line observations recorded using the Noldus Observer System. Subjective self-assessments, including the NASA-TLX (Task Load indeX) were employed. Significant events during the exercises were also identified for detailed analysis.

Influence of cyclic load input on the mechanical properties of a sensitive soil from Orleans, Ontario

1980 ◽  
Vol 17 (4) ◽  
pp. 498-508 ◽  
Author(s):  
R. N. Yong ◽  
D. Taplin ◽  
G. Wiseman
Keyword(s):  
Mechanical Properties ◽  
Laboratory Test ◽  
Dynamic Loading ◽  
Cyclic Strain ◽  
Peak Stress ◽  
Confining Pressure ◽  
Constant Load ◽  
Deviatoric Stress ◽  
General Terms ◽  
Stress Levels

The importance of disturbance and remoulding to the alteration of mechanical properties of sensitive soils has been well documented in the geotechnical literature both in terms of laboratory and field behaviours. Man-made transient dynamic input such as dynamite blasting, heavy vehicles, and train movement have been suspected of being capable of causing a reduction in the in situ strength parameters of sensitive clays. A laboratory test program was undertaken to determine whether dynamic loading at peak stress levels below normal failure strength caused similar changes in the mechanical properties, and specifically to quantify the phenomena.In order to simulate highly overconsolidated conditions most of the tests were carried out under conditions of no confining pressure, although supplemental data were obtained from consolidated undrained tests. Some of the variables examined in this program were confining pressure, mean deviatoric stress, cyclic deviatoric stress, cyclic strain, number of applications, frequency, and reference strength. In order to compare the effect of dynamic input with the long-term creep phenomena, a simultaneous constant load program was undertaken.In general terms, the study indicates that under the prestated laboratory test conditions no major reduction in peak strength was found under dynamic loading, and that failure would occur at comparative stress levels under dead-load conditions, but required a greater time. In addition, examination of the sample after failure revealed that any remoulding of the sample appeared to be restricted to the area adjacent to the shear zone.

scholarly journals ANALYSIS OF DETERMINATION THE NUMBER PERSONNEL BASED ON WORKLOAD ACCORDING TO JOB DESCRIPTION (STUDY CASE IN ACCOUNTING INSTITUTIONS)

JOURNAL ASRO ◽  
2019 ◽  
Vol 10 (1) ◽  
pp. 34
Author(s):  
Ahmadi Ahmadi ◽  
Wahyu Endriyanto ◽  
Benny Sukandari ◽  
Agus Makhrowi
Keyword(s):  
Mental Workload ◽  
Optimal Number ◽  
Physical Workload ◽  
Job Description ◽  
Workload Analysis ◽  
Task Load ◽  
Workload Measurement ◽  
Measurement Analysis ◽  
Nasa Tlx

The workload is highly related to efficient and effective human resource utilization in an organization to achieve organizational objectives, vision, and mission. Various methods are used to optimize the number of personnel in an organization so that each task can be completed quickly and precisely. Accounting Institutions are inseparable from problems regarding the lack of workload with the number of personnel working on it. The change of the Policy gives an impact on the change of Job Description and List of Personnel Arrangements of the organization. To overcome these issues, workload measurement, analysis can be used to determine the optimal amount of personnel required in their working units. This study uses a mental workload measurement so called NASA-TLX and physical workload measurement According to the applicable workload regulation that is in accordance with the Administrative Direction of Workload Analysis. Both methods are then carried out to be compared to each other. The results showed that the physical workload is required in the completion of tasks in each work unit. In addition, the determination of the optimal number of personnel using physical workload or appropriate tasks per task position based Job Description is performed. As a result, it is known that there is an excessive workload in the Sub Service Budget Cost work units with personal shortcomings. On the other hand, there is an excessive personnel number in Administrative Work, Sub Department of Finance Administration and Sub Department Financial Control. The overall conclusion of this study is a need for personnel reduction in a List of Personnel Arrangements currently known as Accounting Institutions to be 39 personnel instead of the existing 48 personnel.  Keywords: Workload, NASA-TLX (Task Load Index), assignments Per Task title, Number of Optimal personnel

scholarly journals ALLOCATION OF MARITIME TASK FORCE PERSONNEL UNIFIL CONTINGEN BASED ON ANALYSIS WORK LOADS

JOURNAL ASRO ◽  
2019 ◽  
Vol 10 (2) ◽  
pp. 11
Author(s):  
Ahmadi Ahmadi ◽  
Okol Sri Suharyo ◽  
Arimbo Arimbo ◽  
Aab Abdul Wahab
Keyword(s):  
Task Force ◽  
Mental Workload ◽  
Physical Workload ◽  
Index Number ◽  
Task Load ◽  
Workload Measurement ◽  
Physical Burden ◽  
Nasa Tlx ◽  
The Right

The workload of an organization is related to the efficient and effective utilization of human resources so that it can realize the vision, mission and objectives of the organization. Various methods are used to optimize the number of personnel in an organization, so that each task can be completed effectively and efficiently. KRI Diponegoro-365 personnel as the TNI Maritime Task Force, the Garuda Contingent can not be separated from the problems regarding the lack of conformity to workload with the allocation of the number of available personnel. To overcome this, an analysis of workload measurement is needed which can then be used for determine the allocation of the right number of personnel needed in each division. This study uses the measurement of NASA-TLX mental workload and physical workload according to TNI Roles. Both of these methods are then compared between mental and physical burden that occurs. From the results of the comparison, it was found that physical workload is needed in the completion of tasks in each division. After a comparison, then the determination of the allocation of the number of personnel will be carried out using the physical workload approach based on the description of the tasks in each division. The results of the calculation will then show the division that has excess or lack of personnel. The overall results obtained from this study can be concluded that the number of maritime task force personnel using the Diponegoro class KRI is appropriate, but the allocation of personnel in each division needs to adjust to the existing workload.  Keywords: Workload, NASA-TLX (Task Load Index), Number of Military Personnel

ANALISIS BEBAN KERJA MENTAL MAHASISWA DALAM MELAKSANAKAN PRAKTIKUM SELAMA MASA PANDEMI MENGGUNAKAN METODE NASA TLX

2021 ◽  
Vol 9 (01) ◽  
pp. 8-13
Author(s):  
Teguh Aprianto ◽  
Zakiya Muallifa Rahman
Keyword(s):  
Social Distancing ◽  
Task Load ◽  
Nasa Tlx

Pandemi telah mengubah semuanya tidak terkecuali Indonesia. Pemerintah kembali memperbarui data pandemi virus Corona (COVID-19) di Tanah Air. Tanggal 1 Juni 2021, sebanyak 4.824 tambahan kasus baru, 5.360 kasus sembuh dan 145 kasus meninggal akibat COVID-19. Pemerintah melaporkan sebanyak 4.824 kasus baru, sehingga total positif Corona di Indonesia menjadi 1.826.527 kasus. Ada pula penambahan kasus sembuh sebanyak 5.360, dengan demikian, total kasus sembuh dari Corona mencapai 1.674.479 kasus. Terlebih hal ini terjadi karena penyebaran COVID-19 terjadi melalui interaksi antar sesama yang menyebabkan perlunya social distancing untuk diterapkan di masyarakat. Adanya social distancing ini mengurangi aktivitas bersama dengan lainnya. Masalah kesehatan mental yang muncul akibat pandemi COVID-19 dapat berkembang menjadi masalah kesehatan yang dapat berlangsung lama dan berpotensi menimbulkan beban sosial yang berat. Kesehatan mental adalah aspek penting dalam mewujudkan kesehatan yang menyeluruh. Namun di sebagian besar negara berkembang, masalah kesehatan mental belum diprioritaskan apabila dibandingkan dengan penyakit menular. Hasil penelitian pendahuluan diperoleh dari data mahasiswa yang melakukan praktikum secara daring bahwa mahasiswa mengalami kelelahan dalam praktikum sebanyak 64,3%, peningkatan tingkat stress sebanyak 78,3%, berkurangnya konsentrasi sebanyak 71,3%, tekanan dalam praktikum sebanyak 66,7%, keluhan kesehatan sebanyak 38%, penurunan tingkat kewaspadaan 40,3%, rasa kantuk yang menggannggu sebanyak 72,9%, dan bekerja yang berlebihan 58,1%. Pengukuran beban kerja mental secara subjektif merupakan teknik pengukuran yang paling banyak digunakan karena mempunyai tingkat validitas yang tinggi dan bersifat langsung dibandingkan dengan pengukuran lain. The National Aeronautical and Space Administration Task Load Index (NASA TLX).

scholarly journals A-111 The Relationship between Bilingualism and Perceived Workload on the Symbol Digit Modalities Test in Traumatic Brain Injury Survivors

2020 ◽  
Vol 35 (6) ◽  
pp. 904-904
Author(s):  
Lopez-Hernandez D ◽  
Litvin P ◽  
Rugh-Fraser R ◽  
Cervantes R ◽  
Martinez F ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Language Use ◽  
Group Differences ◽  
Task Load ◽  
Language Groups ◽  
Perceived Workload ◽  
Nasa Tlx ◽  
Nasa Task Load Index ◽  
The Relationship

Abstract Objective We evaluated perceived workload (measured by the NASA Task Load Index; NASA-TLX) as related to Symbol Digit Modalities Test (SDMT) performances in monolingual and bilingual traumatic brain injury (TBI) survivors and healthy comparison participants (HC). Method The sample consisted of 28 TBI survivors (12 monolinguals & 16 bilinguals) and 50 HC (20 monolinguals & 30 bilinguals). SDMT written (SDMT-W) and SDMT oral (SDMT-O) were used to evaluate group differences. Results ANCOVA, controlling for age, revealed that the HC group outperformed the TBI group on SDMT-W, p = .001, and SDMT-O, p = .047. Furthermore, bilinguals outperformed monolinguals on SDMT-W, p = .017. On the NASA-TLX, an interaction emerged on temporal demand rating, p = .023, with TBI bilinguals reporting higher temporal demand on SDMT tasks compared to TBI monolinguals, while the HC monolingual participants reported higher temporal demands ratings compared to HC bilingual participants. Furthermore, monolingual participants showed higher levels of frustration with regard to the SDMT task compared to bilingual participants, p = .029. Conclusion Our data revealed TBI survivors underperformed on both SDMT trials compared to the HC participants. Also, bilingual participants demonstrated better SDMT-W performances compared to monolingual participants. Furthermore, our TBI bilingual sample reported themselves to be more rushed to complete the SDMT compared to monolingual TBI sample, but they were less frustrated. Meanwhile, our HC monolingual sample felt more rushed to complete the SDMT tasks compared to HC bilingual participants, but they were less frustrated. While we observed differences in workload ratings between language groups, it is unclear if language use, and/or other variables are driving these results.

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