A study on the effects of fatigue driving and drunk driving on drivers' physical characteristics

A pilot study of performance enhancement coaching for newly appointed urology registrars

OBJECTIVES

To assess the feasibility of performance enhancement coaching (PEC) for newly appointed Urology registrars (ST3s), specifically: whether the concept appealed, and which areas beyond technical skills acquisition were felt to be most relevant or useful.

SUBJECTS AND METHODS

All delegates on the Urology Bootcamp 2023 were invited to take part in an online survey before and after a 2-hour PEC workshop, collecting: basic demographic data, performance challenges, and the important aspects to include in, and consider with, a coaching programme. The workshop was delivered by a surgeon with a professional coaching qualification, to groups of four delegates at a time over 4 days. Ten pre-defined areas were offered during the session.

RESULTS

On a scale of 1 (poor) to 10 (excellent), the 62 participants' overall health was reported as a median of 8/10 (physical) and 7/10 (mental). Anxiety during performance was the most common concern (63%) and was accompanied by a tremor in 55%. The next most popular concerns, with 19% of responses each, were: sleep, insufficient operative skill or expertise, and worry about relationships with trainers. The commonest topics discussed were 'the inner critic' (100%), 'autonomic modulation' (69%), 'not working, well' (13%) and 'optimising study' (6%). Seventy-seven per cent were unaware of PEC for practising surgeons. All respondents felt that they would benefit from PEC to some extent (80% ≥8/10 where 10/10 was 'very useful'), ideally at the ST3 level. Sixty-two percent of respondents said there should be a fee for trainees, whereas 38% thought it should be free and paid for by their training authorities.

CONCLUSION

The concept of PEC is acceptable to ST3 Urology trainees, with particular interest in techniques to mitigate negative self-talk and autonomic modulation techniques. Existing barriers to coaching for the surgical community would need to be addressed in designing an acceptable coaching programme.

Gender Differences in Prevalence of Sleepy Driving Among Young Drivers in Saudi Arabia

Introduction

Sleepy driving is associated with Motor Vehicles Accidents (MVAs). In Saudi Arabia, previous studies have addressed this association among men only. Therefore, the aim of this study was to compare the prevalence of sleepy driving and associated factors between genders.

Methods

In a cross-sectional study design, we offered a self-administered online questionnaire to 3272 participants from different regions of Saudi Arabia. The questionnaire included 46 questions covering sociodemographics, driving habits, sleeping habits, Epworth Sleepiness Scale, and Berlin questionnaire to assess the risk of sleep apnea. Univariable and multivariable logistic regression analyses were used to determine the significant factors associated with self-reported sleepy driving, defined as operating a motor vehicle while feeling sleepy in the preceding six months.

Results

Of the 3272 invitees, 2958 (90%) completed the questionnaire, of which 1414 (48%) were women. The prevalence of sleepy driving in the preceding six months was 42% (men: 50% and women 32%, p<0.001). Specifically, participants reported the following: 12% had had to stop their vehicle due to sleepiness (men: 16.2% and women 7%, p<0.001), 12.4% reported near-miss accidents (men: 16.2% and women: 8.2%, p<0.001) and 4.2% reported an accident due to sleepiness (men: 4.3% and women: 4%, p=0.645). In multivariable analysis, being male, younger age, use of any type of medications, shift working, working more than 12 hours per day, driving duration of 3-5 hours per day, driving experience of more than 2 years, excessive daytime sleepiness and risk of having obstructive sleep apnea were all associated with increased likelihood of falling asleep while driving in the preceding 6 months.

Conclusion

Sleepy driving and MVA are prevalent in both gender but was higher in men. Future public health initiatives should particularly focus on men, since men reported a greater likelihood of both sleep-related MVA and "near miss" events.

Implementation of a psychomotor vigilance test to investigate the effects of driving fatigue on oil and gas truck drivers' performance

Introduction

Driving fatigue has been shown to increase the risk of accidents and potentially fatal crashes. Fatigue is a serious risk that some drivers do not take seriously. Previous studies investigated the effects of driving fatigue in the Malaysian oil and gas transportation industry by employing survey questionnaires. However, they did not explain the behavior of fatigue. Besides, these results required validation by a more reliable method that can describe how fatigue occurs.

Methods

Thus, in this study, we used the Psychomotor Vigilance Test (PVT-192) and a short survey to address driving fatigue behavior and identify the influences of driving fatigue on driving performance in real life (on the road) with actual oil and gas tanker drivers. The total participants in the experimental study were 58 drivers.

Results

For the analysis, a Wilcoxon Signed Ranks Test, Z value and Spearman's rho were used to measure the significant difference between the pre and post-tests of PVT and the correlation between the fatigue variables and driving performance.

Discussion

During the experiment's first and second days, this study's results indicated that driving fatigue gradually escalated. Likewise, there was a negative correlation based on the test of the relationship between the PVT data and the driving performance survey data. Additionally, the drivers suffer from accumulative fatigue, which requires more effort from the transportation company management to promote the drivers awareness of fatigue consequences.

Psychometric properties of the Attitudes and Beliefs about Sleepy Driving Scale in Chinese drivers and its relationships with driving behaviours

Purpose

The present study aimed to adapt the Attitudes and Beliefs about Sleepy Driving Scale (ABSDS) to a sample of Chinese drivers and to examine its reliability and validity.

Methods

Five hundred and twenty drivers aged 18 to 56 years old were asked to complete the ABSDS and a validated Chinese version of the Prosocial and Aggressive Driving Inventory.

Results

The results showed that the final Chinese version of the ABSDS contained 7 items with satisfactory reliability. Second, significant gender differences were found in attitude towards sleepy driving, with female drivers scoring higher than male drivers. Third, significant correlations between ABSDS score and prosocial and aggressive driving behaviours were found. More importantly, ABSDS score can significantly predict drivers’ prosocial driving behaviours. Moreover, ABSDS score can significantly predict drivers’ violation involvement and accident involvement.

Conclusion

The findings supported the psychometric properties of the Chinese version of the ABSDS and suggested that it can be used to assess drivers’ attitudes and beliefs about sleepy driving in China.

Mental Fatigue Evaluation of Surgical Teams during a Regular Workday in a High-Volume Tertiary Healthcare Center

INTRODUCTION

Considering the complex set of manual and psychological tasks a surgeon has to perform during the day, it is very important to assess the surgeon's fatigability, reaction time, attention, and memory.

OBJECTIVE

Here, we wanted to determine the mental fatigue status of surgeons and how their abilities are affected through a regular workday.

METHODS

We included 3 senior urologists and 6 urology residents. In a set period of time, we assessed their fatigue through self-assessed fatigue, Samn-Perelli score, and Karolinska sleepiness scale score. Further, reaction time, attention, and memory correlated with the number of the operations in the day, and total number of operations in that day were assessed.

RESULTS

As the number of tasks increases, and as the surgeons advance to the end of the workday, they become more fatigued, reaction time ultimately increases, and attention and memory become slightly altered.

CONCLUSIONS

Complications resulting from the fatigue of surgeons could be serious. Their performance status and skills decrease as they perform more tasks or advance through the day.

Correlation Among Behavior, Personality, and Electroencephalography Revealed by a Simulated Driving Experiment

Drivers play the most important role in the human-vehicle-environment system and driving behaviors are significantly influenced by the cognitive state of the driver and his/her personality. In this paper, we aimed to explore the correlation among driving behaviors, personality and electroencephalography (EEG) using a simulated driving experiment. A total of 36 healthy subjects participated in the study. The 64-channel EEG data and the driving data, including the real-time position of the vehicle, the rotation angle of the steering wheel and the speed were acquired simultaneously during driving. The Cattell 16 Personality Factor Questionnaire (16PF) was utilized to evaluate the personalities of subjects. Through hierarchical clustering of the 16PF personality traits, the subjects were divided into four groups, i.e., the Inapprehension group, Insensitivity group, Apprehension group and the Unreasoning group, named after their representative personality trait. Their driving performance and turning behaviors were compared and EEG preprocessing, source reconstruction and the comparisons among the four groups were performed using Statistical Parameter Mapping (SPM). The turning process of the subjects can be formulated into two steps, rotating the steering wheel toward the turning direction and entering the turn, and then rotating the steering wheel back and leaving the turn. The bilateral frontal gyrus was found to be activated when turning left and right, which might be associated with its function in attention, decision-making and executive control functions in visual-spatial and visual-motor processes. The Unreasoning group had the worst driving performance with highest rates of car collision and the most intensive driving action, which was related to a higher load of visual spatial attention and decision making, when the occipital and superior frontal areas played a very important role. Apprehension (O) and Tension (Q4) had a positive correlation, and Reasoning (B) had a negative correlation with dangerous driving behaviors. Our results demonstrated the close correlation among driving behaviors, personality and EEG and may be taken as a reference for the prediction and precaution of dangerous driving behaviors in people with specific personality traits.