Day: April 24, 2022

Categories : General InterestTags :

Message Boards Showing Highway Death Toll Cause More Crashes

On By ModernMedia
Driver at the wheel of a car
Photo by Why Kei on Unsplash

Displaying the highway death toll on message boards (eg, “1669 deaths this year on Texas roads”) is a common awareness campaign, but new research published in Science shows that it actually leads to more crashes.

Their study focuses on Texas, where officials chose to display these messages only one week each month. The researchers compared crash data from before the campaign to after it started as well as examined the weekly differences within each month during the campaign. They found:

  • There were more crashes during the week with fatality messaging compared to weeks without.
  • Displaying a fatality message caused a 4.5% in crashes in the 10km after the message boards. This increase is comparable to raising the speed limit 5–8kph or reducing highway police by 6–14%, according to previous research.
  • The researchers suggest this “in-your-face” messaging approach weighs down drivers’ “cognitive loads,” temporarily impacting their ability to respond to changes in traffic conditions.

“Driving on a busy highway [and] having to navigate lane changes is more cognitively demanding than driving down a straight stretch of empty highway,” said Assistant Professor Joshua Madsen. “People have limited attention. When a driver’s cognitive load is already maxed out, adding on an attention-grabbing, sobering reminder of highway deaths [can] become a dangerous distraction.”

Another finding was that the higher the number in the fatality message, the more harmful the effects. The number of additional crashes each month increased as the death toll accumulated throughout the year, with the most additional crashes occurring in January when the message stated the year’s total. Crashes were also found to increase in areas where drivers experienced higher cognitive loads, such as heavy traffic or driving past multiple message boards.

“The messages also increased the number of multi-vehicle crashes, but not single-vehicle crashes,” said Hall. “This is in line with drivers with increased cognitive loads making smaller errors due to distraction, like drifting out of a lane, rather than driving off the road.”

However, crashes were reduced when the displayed death tolls were low and when the message appeared where the highways were less complex. Madsen said this suggests that at times the messaging was not as taxing on drivers’ attention. However, alternative campaigns should be considered.

“Distracted driving is dangerous driving,” said Madsen. “Perhaps these campaigns can be reimagined to reach drivers in a safer way, such as when they are stopped at an intersection, so that their attention while driving remains focused on the roads.”

Source: University of Minnesota

Categories : Hospitals Medical Research & TechnologyTags :

The Pros and Cons of Robotics in Healthcare

On By ModernMedia
Photo by Alex Knight on Unsplash

Having to cope with the strain of COVID on an already fragile healthcare system, a few hospitals in the Western Cape have been introducing robotics for specialised tasks – but are they worth the hype?

Robotics was able to fill an unprecedented need during the COVID pandemic – the ability to remotely conduct ward rounds from remote locations. Tygerberg Hospital made use of ‘Quintin’, a robot that is essentially a tablet on a mobile stand that allows users to remotely communicate and inspect the area, but it can’t physically interact with its environment.

Robotics offers greater surgical precision, which may translate into reduced healthcare load. IOL reported that the provincial Department of Health plans to use a pair of new robotic surgery machines installed at the Groote Schuur and Tygerberg hospitals to fast-track surgeries and address the province’s surgical backlogs caused by COVID. These robotic surgery units will be used for procedures on colorectal, liver, prostate, kidney and bladder cancers, and women with severe endometriosis. In the province’s private sector, Netcare Christiaan Barnard Memorial Hospital also makes use of robotic-assisted surgery.

Robotic surgery has a number of advantages. The small robotic arms allow for smaller incisions and faster recovery times, reducing the strain on hospitals. A liver resection that would have a patient in hospital for a week can be reduced to one or two days with robotic surgery. More complex surgery becomes possible, eg in difficult to access areas or in patients with obesity. Robotic surgery allows surgeons to be off their feet, easing an extremely fatiguing job, and the software automatically compensates for any tremor in the surgeon’s hands.

However, robotic surgery still has drawbacks – chief among them is cost and the need to have trained personnel to operate them. There is also some latency between the surgeon’s hands movements and the corresponding movement of the robot, leading to possible errors. Shorting of the electrical current running through the robotic arms can also cause burns to the patient’s tissue, and there is also the possibility of nerve compression injuries due to the positioning of the patient. Furthermore, operator errors, especially when operators are inexperienced or robotic surgery is performed in lower volumes, is always a possibility.

Robotics have promising applications in sanitation – they can easily disinfect areas using UV light, for example – and can also assist nurses with certain tasks, such as making a 3D vein map prior to a venipuncture. Some robots can even assist the elderly, conversing with them and can perform simple tasks like calling a nurse. Other applications include the much simpler technology of exoskeletons, a wearable frame which amplify users’ strength (though nowhere near that of the fictional Iron Man) and are useful in rehabilitation and for enhancing mobility in the elderly. Other applications include increasing strength of care staff for assisting patients, freeing up other staff.

Some exoskeletons are even purely mechanical, merely readjusting loads without any sophisticated electronics or motors. Yet even these are prohibitively expensive: the Phoenix Medical Exoskeleton goes for about US$30 000 each.

While promising, robotic systems are at present still hugely expensive, limited in function and can only assist with a small fraction of the tasks that healthcare workers perform. Even if the cost could be reduced enough to help ease healthcare worker burden in South Africa to help, that still leaves the problem of enough experienced and motivated healthcare workers, beds and neglected rural areas.

Categories : ExerciseTags :

When Dieting, High-intensity Exercise Might Combat Cravings

On By ModernMedia
Tired woman after exercise
Photo by Ketut Subiyanto on Pexels

Revealing another benefit of exercise for weight loss, results from a study published in Obesity showed that rats on a 30-day diet who exercised intensely were better able to resist cues for favoured, high-fat food pellets.

The experiment was designed to investigate a phenomenon called “incubation of craving”, where the longer a desired substance is denied, the harder it is to resist cue for it. The findings suggest that exercise modulated how hard the rats were willing to work for cues associated with the pellets, reflecting how much they craved them.

Though more researcher is needed, these findings show that exercise may shore up restraint when it comes to certain foods, explained corresponding author Travis Brown, a physiology and neuroscience researcher at Washington State University.

“A really important part of maintaining a diet is to have some brain power – the ability to say ‘no, I may be craving that, but I’m going to abstain,'” said Brown. “Exercise could not only be beneficial physically for weight loss but also mentally to gain control over cravings for unhealthy foods.”

The researchers trained 28 rats to press a lever that turned on a light and made a tone before dispensing a high-fat pellet. After the training period, they tested to see how many times the rats would press the lever just to get the light and tone cue.

The rats where then split up into two groups. One underwent a regime of high-intensity treadmill running while the other had no additional exercise outside of their regular activity. Both sets of rats were denied access to the high-fat pellets for 30 days. At the end of that period, the researchers gave the rats access to the levers that once dispensed the pellets again, but this time the levers only gave the light and tone cue when pressed. The animals that did not get exercise pressed the levers significantly more than rats that had exercised, indicating that exercise lessened the craving for the pellets.

In future studies, the research team plans to investigate the effect of different levels of exercise on this type of craving as well as how exactly exercise works in the brain to curb the desire for unhealthy foods.

Though this is a novel study, Brown said it builds on earlier work that first defined the term “incubation of craving“. Brown also gave credit to research showing that exercise can blunt cravings for cocaine.

Whether food can be addictive in the same way as drugs can is a still a question for research. Not all foods have the same effect – as Brown pointed out, “no one binge eats broccoli.” However, people do seem to respond to cues, such as fast-food ads, encouraging them to eat foods high in fat or sugar, and those cues may be harder to resist the longer they diet.

Being able to disregard these signals could be yet another way exercise enhances health, Brown said.

“Exercise is beneficial from a number of perspectives: it helps with cardiac disease, obesity and diabetes; it might also help with the ability to avoid some of these maladaptive foods,” he said. “We’re always looking for this magic pill in some ways, and exercise is right in front of us with all these benefits.”

Source: Washington State University