Federal interpreters suffering 'acoustic shock,' other concussion-like symptoms
Nearly one-quarter of the interpreters employed by the federal government's Translation Bureau have suffered health issues directly related to their jobs, including acoustic shock caused by sudden, loud sounds. (Source: CBC | Health)
Source: CBC | Health - February 18, 2019 Category: Consumer Health News Tags: News/Canada/Ottawa Source Type: news

Federal interpreters suffer 'acoustic shock,' other concussion-like symptoms
Nearly one-quarter of the interpreters employed by the Canadian government's Translation Bureau have suffered health issues directly related to their jobs, including acoustic shock caused by sudden, loud sounds. (Source: CBC | Health)
Source: CBC | Health - February 18, 2019 Category: Consumer Health News Tags: News/Canada/Ottawa Source Type: news

Concussion risk from helmeted sports; a re-examination of data and methods - Freeman MD.
There have been more than 40 studies published since 2003 which describe a biomechanical analysis of head impacts and concussion risk among football players. A number of the publications have attempted to use these data to extrapolate concussion risk in th... (Source: SafetyLit)
Source: SafetyLit - February 18, 2019 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Quantitative multimodal assessment of concussion recovery in youth athletes - Howell DR, Myer GD, Brilliant A, Barber Foss K, Meehan WP.
OBJECTIVE: To evaluate recovery trajectories among youth athletes with a concussion and healthy controls across different domains using a quantitative and multifaceted protocol. STUDY DESIGN: Prospective repeated measures. PARTICIPANTS: Youth athletes diag... (Source: SafetyLit)
Source: SafetyLit - February 18, 2019 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Review of the management of pediatric post-concussion syndrome-a multi-disciplinary, individualized approach - Kapadia M, Scheid A, Fine E, Zoffness R.
PURPOSE OF REVIEW: Post-concussion syndrome (PCS), when the patient's concussion symptoms last longer than 4-6  weeks, affects 10-30% of concussion patients. PCS presents a significant source of morbidity to patients and a management challenge to providers... (Source: SafetyLit)
Source: SafetyLit - February 18, 2019 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

A physiologically based approach to prescribing exercise following a sport-related concussion - Worts PR, Burkhart SO, Kim JS.
Clinical management of concussion has evolved over the last 20  years, and complete cognitive and physical rest remains a common clinical recommendation. The duration of rest may vary widely, from 24-48 h to several weeks or until the patient's symptoms h... (Source: SafetyLit)
Source: SafetyLit - February 16, 2019 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Concussion part II: Rehabilitation - The need for a multifaceted approach - Schneider KJ.
INTRODUCTION: While most individuals recover in the initial days to weeks following a concussion, in up to 30% of cases symptoms and functional limitations may persist beyond the initial four weeks. There is emerging evidence that multifaceted physiotherap... (Source: SafetyLit)
Source: SafetyLit - February 16, 2019 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Sports Medicine Society Updates Concussion Guidelines
FRIDAY, Feb. 15, 2019 -- The American Medical Society for Sports Medicine (AMSSM) has released an updated position statement on concussion in sports. The statement was published in the February issue of the British Journal of Sports... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - February 15, 2019 Category: Pharmaceuticals Source Type: news

Aerobic Exercise May Speed Concussion Recovery in Teens Aerobic Exercise May Speed Concussion Recovery in Teens
A new randomized trial adds evidence supporting the recovery benefits of subthreshold aerobic exercise for adolescents following a sports-related concussion.Medscape Medical News (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - February 14, 2019 Category: Consumer Health News Tags: Neurology & Neurosurgery News Source Type: news

Subsymptom Threshold Exercise Speeds Concussion Recovery
THURSDAY, Feb. 14, 2019 -- For adolescent athletes, subsymptom threshold aerobic exercise prescribed during the first week after sport-related concussion (SRC) speeds recovery, according to a study published online Feb. 4 in JAMA Pediatrics. John J.... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - February 14, 2019 Category: Pharmaceuticals Source Type: news

Concussion
(Source: eMedicineHealth.com)
Source: eMedicineHealth.com - February 14, 2019 Category: General Medicine Source Type: news

Mark Kelly Isn ’t the First Astronaut to Consider a Political Campaign. But Most Didn’t Have the Right Stuff
Most people go through their entire lives without checking any of the major fame boxes. In a nation of 325 million people, there are only so many NFL quarterbacks, Oscar winners and Nobel laureates. There are only so many astronauts and elected officials, too — so it’s especially rare when someone tries to succeed at both gigs. Mark Kelly, onetime NASA astronaut and husband of former Congresswoman Gabrielle Giffords, is going for just that twofer, with his Feb. 12 announcement that he will run for a U.S. Senate seat in Arizona during the 2020 cycle. Kelly, a Democrat, will be seeking to defeat incumbent GOP Sen...
Source: TIME: Science - February 13, 2019 Category: Science Authors: Jeffrey Kluger Tags: Uncategorized onetime space Source Type: news

BioDirection wins FDA breakthrough designation for Tbit concussion detection system
BioDirection said today that it won an FDA breakthrough device designation for its Tbit point-of-care blood test for concussion diagnosis. The Boston-based company’s Tbit system is designed to rapidly detect and accurately measure protein biomarkers that are released from the brain following a head trauma. “We are pleased to receive this FDA designation and believe it is a clear recognition of the potential advantages of the Tbit System over currently available technology. The Tbit System is designed to measure the body’s response to trauma and provide a rapid point-of-care test result in less than 2...
Source: Mass Device - February 11, 2019 Category: Medical Devices Authors: Fink Densford Tags: Diagnostics Food & Drug Administration (FDA) Neurological Regulatory/Compliance BioDirection Source Type: news

Improving concussion-reporting behavior in National Collegiate Athletic Association Division I football players: evidence for the applicability of the socioecological model for athletic trainers - Lininger MR, Wayment HA, Craig DI, Huffman AH, Lane TS.
CONTEXT: Few researchers have examined the views of important stakeholders in American football student-athletes' spheres of influence and whether their views map well in a systems approach to understanding concussion-reporting behavior (CRB). OBJE... (Source: SafetyLit)
Source: SafetyLit - February 7, 2019 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Low-Level Exercise Soon After Concussion Cuts Recovery Time Low-Level Exercise Soon After Concussion Cuts Recovery Time
Aerobic exercise soon after a sport-related concussion can speed recovery in adolescent athletes, a randomized trial suggests.Reuters Health Information (Source: Medscape Orthopaedics Headlines)
Source: Medscape Orthopaedics Headlines - February 6, 2019 Category: Orthopaedics Tags: Neurology & Neurosurgery News Source Type: news

Early Aerobic Exercise Boosts Concussion Recovery (CME/CE)
(MedPage Today) -- " Landmark " study may shift standard of care from " rest is best " for adolescent athletes (Source: MedPage Today Neurology)
Source: MedPage Today Neurology - February 6, 2019 Category: Neurology Source Type: news

Early subthreshold aerobic exercise for sport-related concussion: a randomized clinical trial - Leddy JJ, Haider MN, Ellis MJ, Mannix R, Darling SR, Freitas MS, Suffoletto HN, Leiter J, Cordingley DM, Willer B.
IMPORTANCE: Sport-related concussion (SRC) is a significant public health problem without an effective treatment. OBJECTIVE: To assess the effectiveness of subsymptom threshold aerobic exercise vs a placebo-like stretching program prescribed to ado... (Source: SafetyLit)
Source: SafetyLit - February 6, 2019 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Evaluation of a pilot paediatric concussion telemedicine programme for northern communities in Manitoba - Ellis MJ, Boles S, Derksen V, Dawyduk B, Amadu A, Stelmack K, Kowalchuk M, Russell K.
In this study we report the clinical characteristics, healthcare utilization, outcomes and estimated cost avoida... (Source: SafetyLit)
Source: SafetyLit - February 6, 2019 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Electric Scooters Are Popping Up in Cities Across the Country. But Are They Safe?
AUSTIN, Texas — University of Texas star baseball shortstop David Hamilton hit a pothole riding an electric scooter, tearing his Achilles tendon and requiring surgery. He’ll miss the season. Cristal Glangchai, the CEO for a nonprofit, hit a rock riding her scooter, landing her on the pavement just blocks from home. “I lost control and ended up getting a concussion and a broken rib,” said Glangchai, a 41-year-old mother of four. And Austin’s first scooter-related death occurred over the weekend. Police identified the scooter rider as Mark Sands, a 21-year-old UT student from Ireland, who died...
Source: TIME: Health - February 5, 2019 Category: Consumer Health News Authors: Sharon Jayson / Kaiser Health News Tags: Uncategorized public health Source Type: news

Returning to activity after a concussion - Reed N, Silverberg ND, Iaccarino MA, McCrea M, McCulloch KL, Panenka W, Gregory E, Dams-O'connor K, Iverson GL, Weyer Jamora C, Belanger H, McKinney G, Cogan AM, Provvidenza C.
[Abstract unavailable] Language: en... (Source: SafetyLit)
Source: SafetyLit - February 5, 2019 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Sudbury woman still recovering from a concussion 2 months later
A Sudbury woman is still working to get her life back after being injured on the job two months ago. (Source: CBC | Health)
Source: CBC | Health - February 5, 2019 Category: Consumer Health News Tags: News/Canada/Sudbury Source Type: news

Exercise is better than rest for a concussion
The findings by the University of Buffalo directly contradict the conventional approach to concussion, which often consists of total rest, eliminating most physical and mental activities. (Source: the Mail online | Health)
Source: the Mail online | Health - February 4, 2019 Category: Consumer Health News Source Type: news

Early Aerobic Exercise Speeds Concussion Recovery
(MedPage Today) -- Trial called " landmark " that may shift standard of care (Source: MedPage Today Neurology)
Source: MedPage Today Neurology - February 4, 2019 Category: Neurology Source Type: news

Collegiate student-athlete sex, years of sport eligibility completed, and sport contact level influence on concussion reporting intentions and behaviours - Weber ML, Suggs DW, Bierema L, Miller LS, Riefsteck F, Schmidt JD.
The objective of this study was to determine whether sex, years of sport eligibility completed, and sport contact level influenced student-athletes' concussion reporting intentions and behaviours. RESEARCH DESIGN: Cross-sectional. ... (Source: SafetyLit)
Source: SafetyLit - February 4, 2019 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Exploratory study of sport-related concussion effects on peripheral micro-RNA expression - Svingos AM, Asken BM, Bauer RM, DeKosky ST, Hromas GA, Jaffee MS, Hayes RL, Clugston JR.
OBJECTIVE: Explore changes in micro-RNA (miRNA) expression in blood after sport-related concussion (SRC) in collegiate athletes. METHODS: Twenty-seven collegiate athletes (~41% male, ~75% white, age 18.8  ± 0.8 years) provided both baseline and ... (Source: SafetyLit)
Source: SafetyLit - February 4, 2019 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

American Medical Society for Sports Medicine position statement on concussion in sport - Harmon KG, Clugston JR, Dec K, Hainline B, Herring S, Kane SF, Kontos AP, Leddy JJ, McCrea M, Poddar SK, Putukian M, Wilson JC, Roberts WO.
Sport-related concussion (SRC) is a common injury in recreational and organised sport. Over the past 30 years, there has been significant progress in our scientific understanding of SRC, which in turn has driven the development of clinical guidelines for d... (Source: SafetyLit)
Source: SafetyLit - February 4, 2019 Category: International Medicine & Public Health Tags: Jurisprudence, Laws, Legislation, Policies, Rules Source Type: news

Concussion evaluation and management - Jackson WT, Starling AJ.
Concussion is a public health crisis affecting vulnerable populations including youth athletes. As awareness increases, more patients with acute concussion are seeking medical evaluations. Internists are frontline medical providers and thus should be able ... (Source: SafetyLit)
Source: SafetyLit - February 4, 2019 Category: International Medicine & Public Health Tags: TBI Source Type: news

Long-term factor structure of the Rivermead Post-Concussion Symptom Questionnaire in mild traumatic brain injury and normative sample - Barker-Collo S, Theadom A, Starkey NJ, Kahan M, Jones K, Feigin V.
BACKGROUND: Previous studies of the Rivermead Post-Concussive Questionnaire(RPQ)'s factor structure were conducted within 1 year post-injury. Post-concussive symptoms may persist, and are common in the general population, so determining if the factor struc... (Source: SafetyLit)
Source: SafetyLit - February 2, 2019 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Management of concussion in soccer - Hubertus V, Marklund N, Vajkoczy P.
BACKGROUND: When participating in contact sports, (mild) head trauma is a common incident-observed in both professional and amateur sports. When head trauma results in transient neurological impairment, a sports-related concussion has occurred. Acute concu... (Source: SafetyLit)
Source: SafetyLit - February 2, 2019 Category: International Medicine & Public Health Tags: Recreational and Sports Issues Source Type: news

Concussion and risk of suicide: who, when and under what circumstances? - Brenner LA, Bahraini NH.
A new analysis has found that concussion and mild traumatic brain injury (mTBI) are linked to an increased risk of suicidal behaviours and thoughts. However, a host of risk factors might influence this correlation, and careful investigation is required ... (Source: SafetyLit)
Source: SafetyLit - February 1, 2019 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Does the environment influence the frequency of concussion incidence in professional football? - Haider S, Kaye-Kauderer HP, Maniya AY, Dai JB, Li AY, Post AF, Sobotka S, Adams R, Gometz A, Lovell MR, Choudhri TF.
Background Sports-related concussion is a major cause of mild traumatic brain injury (mTBI). It is possible that environmental factors, such as temperature, humidity, and stadium's altitude, may influence the overall incidence of concussions during a game.... (Source: SafetyLit)
Source: SafetyLit - February 1, 2019 Category: International Medicine & Public Health Tags: Environmental Issues, Climate, Geophysics Source Type: news

Concussion concerns: Many curlers play bareheaded despite calls for helmets
Wearing helmets is universally accepted for sports like football and hockey. But in curling, the practice is sporadic and usually up to the players themselves. Some in Calgary, however, worry about concussions and have taken to wearing headgear on the ice. (Source: CBC | Health)
Source: CBC | Health - January 31, 2019 Category: Consumer Health News Tags: News/Canada/Calgary Source Type: news

Impaired cerebral vasoreactivity despite symptom resolution in sports-related concussion - Purkayastha S, Sorond FA, Lyng S, Frantz J, Murphy MN, Hynan LS, Sabo T, Bell K.
Traumatic brain injury (TBI) is associated with increased risk of later-life neurodegeneration and dementia. However, the underpinning mechanisms are poorly understood and secondary injury resulting from perturbed physiological processes play a significant... (Source: SafetyLit)
Source: SafetyLit - January 31, 2019 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Machine learning in modeling high school sport concussion symptom resolve - Bergeron MF, Landset S, Maugans TA, Williams VB, Collins CL, Wasserman EB, Khoshgoftaar TM.
INTRODUCTION: Concussion prevalence in Sport is well-recognized; so too is the challenge of clinical and return-to-play management for an injury with an inherent indeterminant time course of resolve. Clear, valid insight to the anticipated resolution time ... (Source: SafetyLit)
Source: SafetyLit - January 31, 2019 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Risk Factors for Post-Concussion Mental Disorders Identified
(MedPage Today) -- Injury from assault or violence ups risk; so does being black or having a psychiatric history (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - January 30, 2019 Category: Primary Care Source Type: news

Lingering mental health problems linked to head injury
If a person has recently suffered a concussion, chances are its effects are going to linger for awhile. (Source: Health News - UPI.com)
Source: Health News - UPI.com - January 30, 2019 Category: Consumer Health News Source Type: news

Mental health disorders common following mild head injury
NIH-funded study identifies risk factors for neuropsychiatric conditions after concussion. (Source: National Institutes of Health (NIH) News Releases)
Source: National Institutes of Health (NIH) News Releases - January 30, 2019 Category: American Health Source Type: news

Concussion assessment in the emergency department: a preliminary study for a quality improvement project - Mistry DA, Rainer TH.
BACKGROUND: In sport, concussion is assessed using the Sports Concussion Assessment Tool (SCAT) 5 and managed with return to play guidelines. Similar, user-friendly tools are rarely, if ever, used in the emergency department (ED). OBJECTIVES: To ev... (Source: SafetyLit)
Source: SafetyLit - January 30, 2019 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Mental health disorders common following mild head injury
(NIH/National Institute of Neurological Disorders and Stroke) A new study reveals that approximately 1 in 5 individuals may experience mental health symptoms up to six months after mild traumatic brain injury (mTBI), suggesting the importance of follow-up care for these patients. Scientists also identified factors that may increase the risk of developing post-traumatic stress disorder (PTSD) and/or major depressive disorder following mild mTBI or concussion through analysis of the Transforming Research and Clinical Knowledge in Traumatic Brain Injury (TRACK-TBI) study cohort. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - January 30, 2019 Category: International Medicine & Public Health Source Type: news

Parental concern about concussion risk for their children - Kroshus E, Qu P, Chrisman SPD, Schwien C, Herring SA, Rivara FP.
PURPOSE: Assess demographic patterns of parental concern or worry about concussion for their children; compare parent worry about concussion to worry about other health threats. METHODS: Survey data were obtained using a probability-based nationall... (Source: SafetyLit)
Source: SafetyLit - January 29, 2019 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Unifying pathophysiological explanations for sports-related concussion and concussion protocol management: literature review - Satarasinghe P, Hamilton DK, Buchanan RJ, Koltz MT.
OBJECTIVE: There is a plethora of theories about the pathophysiology behind a sport-related concussion. In this review of the literature, the authors evaluated studies on the pathophysiology of sport-related concussion and professional athlete return-to-pl... (Source: SafetyLit)
Source: SafetyLit - January 29, 2019 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Evidence of a distinct peripheral inflammatory profile in sport-related concussion - Di Battista AP, Churchill N, Rhind SG, Richards D, Hutchison MG.
BACKGROUND: Inflammation is considered a hallmark of concussion pathophysiology in experimental models, yet is understudied in human injury. Despite the growing use of blood biomarkers in concussion, inflammatory biomarkers have not been well characterized... (Source: SafetyLit)
Source: SafetyLit - January 29, 2019 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

fMRI helps finds brain biomarkers linked to severe PTSD
Using functional MRI (fMRI) and measurements of skin conductance, researchers...Read more on AuntMinnie.comRelated Reading: Machine learning, fMRI unlock cellular brain properties MRI provides unique views of youth concussion MEG might be new way to evaluate concussions 7T fMRI, AI illustrate how memories help with daily activities fMRI shows how mindfulness training can help veterans (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - January 29, 2019 Category: Radiology Source Type: news

FDA sets approval record, lays out 2019 strategy
FDA said today that it set a record for novel-device approvals in 2018, giving the nod to 106 new devices, breaking the previous record of 99. The agency also granted nine breakthrough device designation requests, for a total of 112 since the program’s inception in 2015. Novel-device approvals in 2018 included an expanded approval of an automated insulin dosing system (Medtronic’s MiniMedG) to include children as young as age 7; the world’s smallest heart valve for newborns; the world’s first blood test (Banyan Biomarkers’ Brain Trauma Indicator) to evaluate mild traumatic brain inju...
Source: Mass Device - January 28, 2019 Category: Medical Devices Authors: Nancy Crotti Tags: Blog Food & Drug Administration (FDA) News Well Banyan Biomarkers humanoptics idx Medtronic osteodetect Source Type: news

Comorbid Neck Injury Up for Women With Concussion
MONDAY, Jan. 28, 2019 -- Female patients with a concussion-related emergency department visit have an increased risk for comorbid neck injury, according to a study published online Dec. 28 in the Journal of Women's Health. Mitchell Sutton, from the... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - January 28, 2019 Category: Pharmaceuticals Source Type: news

Comparing the acute presentation of sport-related concussion in the pediatric and adult populations - Corti SJ, Pizzimenti NM, McCarthy MT, Essad KM, Kutcher JS.
Despite growing research on concussion, there is minimal evidence comparing the acute presentation of concussion between pediatric and adult patients. This cross-sectional study compares injury characteristics, symptoms, and neurologic examination in sport... (Source: SafetyLit)
Source: SafetyLit - January 25, 2019 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Trouble falling asleep after concussion is associated with higher symptom burden among children and adolescents - Howell DR, Oldham JR, Brilliant AN, Meehan WP.
Our objective was to identify factors associated with trouble falling asleep postconcussion. Patients seen for care after sport-related concussion were assessed ≤10 days postinjury and were between 6 and 19 years of age. Outcomes included symptoms (Post-... (Source: SafetyLit)
Source: SafetyLit - January 25, 2019 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Fox News Host, Family Injured in Crash in Montana
BOZEMAN, Mont. (AP) — Fox News host Bret Baier and his family survived a motor vehicle crash in Montana after the television anchor's SUV slid on an icy road, collided with a pickup truck and turned over in a ditch, authorities said Tuesday. Baier, the executive editor of Fox News Channel's "Special Report," said that after a weekend of skiing he was driving to the airport on icy roads outside Bozeman with his wife and their two sons on Monday when the crash happened. "I hit a big patch of ice and I could not stop our SUV," Baier said at the end of his show on Tuesday. "We slid into the inter...
Source: JEMS: Journal of Emergency Medical Services News - January 23, 2019 Category: Emergency Medicine Tags: Rescue & Vehicle Extrication News Operations Source Type: news

Fox News Host, Family Injured in Crash in Montana
BOZEMAN, Mont. (AP) — Fox News host Bret Baier and his family survived a motor vehicle crash in Montana after the television anchor's SUV slid on an icy road, collided with a pickup truck and turned over in a ditch, authorities said Tuesday. Baier, the executive editor of Fox News Channel's "Special Report," said that after a weekend of skiing he was driving to the airport on icy roads outside Bozeman with his wife and their two sons on Monday when the crash happened. "I hit a big patch of ice and I could not stop our SUV," Baier said at the end of his show on Tuesday. "We slid into the inter...
Source: JEMS Operations - January 23, 2019 Category: Emergency Medicine Tags: Rescue & Vehicle Extrication News Operations Source Type: news

Physiological and pathological covariates of persistent concussion-related fatigue: results from two regression methodologies - Mollayeva T, Stock D, Colantonio A.
BACKGROUND: Fatigue severity in persons with mild traumatic brain injury (mTBI) has received little research attention, despite its typically positively skewed nature. Investigation of covariates across a range of fatigue severity may provide insight into ... (Source: SafetyLit)
Source: SafetyLit - January 23, 2019 Category: International Medicine & Public Health Tags: Distraction, Fatigue, Chronobiology, Vigilance, Workload Source Type: news