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In this soon-to-be gold-standard text, a distinguished panel of experts provides a comprehensive discussion of the various medical, neurological, psychiatric, and psychological factors underlying fatigue and sleepiness in the workplace and in patients. In reviewing current best practices in managing fatigue and sleepiness conditions to improve workplace safety, the book importantly begins with an overview of fatigue’s definitions and concepts. It then moves into discussing the historical perspective on sleepiness and fatigue, the definitions and classifications of fatigue, and assessments of fatigue in the laboratory and in clinical settings. The book continues by exploring medical causes of fatigue in detail; how medication and recreational agents may result in fatigue; and the treatment of sleep disorders. Additional topics include best practices in the treatment of narcolepsy and hypersomnia, a review of circadian rhythm and fatigue, the treatment of heart failure and improvement in fatigue, and the management of fatigue in hospitalized patients. A major contribution to the field, this invaluable title will be of significant interest to all clinicians concerned with safeguarding safety in the workplace by accurately diagnosing and managing patients with fatigue and sleepiness problems. Researchers will also find this title of great interest.
Human Fatigue Risk Management: Improving Safety in the Chemical Processing Industry teaches users everything they need to know to mitigate the risk of fatigued workers in a plant or refinery. As human fatigue has been directly linked to several major disasters, the book explores the API RP 755 guidelines that were released to reduce these types of incidents. This book will help users follow API RP 755 and/or implement a fatigue risk management system in their organization. Susan Murray, a recognized expert in the field of sleep deprivation and its relation to high hazard industries, has written this book to be useful for HSE managers, plant and project managers, occupational safety professionals, and engineers and managers in the chemical processing industry. As scheduling of shifts is an important factor in reducing fatigue and accident rates, users will learn the benefits of more frequent staff rotation and how to implement an ideal scheduling plan. The book goes beyond API RP 755, offering more detailed understanding of why certain measures for managing fatigue are beneficial to a company, including examples of how theory can be put into practice. It is a simple, digestible book for managers who are interested in addressing human factor issues at their workplace in order to raise safety standards. - Covers sleep, sleep disorders, and the consequences of fatigue as related to high-hazard industries - Helps improve safety standards at the plant level - Provides information on how to comply with API RP 755 and related OSHA 29CFR1910 articles - Relates fatigue and human performance to accidents, helping readers make a case for implementing a human fatigue risk management policy, which, in turn, prevents loss of property and life
There are approximately 4,000 fatalities in crashes involving trucks and buses in the United States each year. Though estimates are wide-ranging, possibly 10 to 20 percent of these crashes might have involved fatigued drivers. The stresses associated with their particular jobs (irregular schedules, etc.) and the lifestyle that many truck and bus drivers lead, puts them at substantial risk for insufficient sleep and for developing short- and long-term health problems. Commercial Motor Vehicle Driver Fatigue, Long-Term Health and Highway Safety assesses the state of knowledge about the relationship of such factors as hours of driving, hours on duty, and periods of rest to the fatigue experienced by truck and bus drivers while driving and the implications for the safe operation of their vehicles. This report evaluates the relationship of these factors to drivers' health over the longer term, and identifies improvements in data and research methods that can lead to better understanding in both areas.
Fatigue can have a major impact on an individual's performance and well-being, yet is poorly understood, even within the scientific community. There is no developed theory of its origins or functions, and different types of fatigue (mental, physical, sleepiness) are routinely confused. The widespread interpretation of fatigue as a negative consequence of work may be true only for externally imposed goals; meaningful or self-initiated work is rarely tiring and often invigorating. In the first book dedicated to the systematic treatment of fatigue for over sixty years, Robert Hockey examines its many aspects - social history, neuroscience, energetics, exercise physiology, sleep and clinical implications - and develops a new motivational control theory, in which fatigue is treated as an emotion having a fundamental adaptive role in the management of goals. He then uses this new perspective to explore the role of fatigue in relation to individual motivation, working life and well-being.
In the world of transportation, fatigue is a silent killer that can affect us all. Understanding fatigue, including how to manage it to minimize safety risk, is of great importance. However, while it is one thing to recognize that fatigue is a critical safety issue, it is quite another to set up a successful, scientifically informed fatigue risk management programme. This book is here to help. It has been carefully designed as a comprehensive reference point, bringing together international expertise from leaders in fatigue science, and showcasing valuable insights from transportation industry practitioners. The 40 authored chapters are divided into six sections, to better understand fatigue science, the consequences of fatigue in transportation, contributors to fatigue, managing fatigue and promoting alertness, real world case studies of fatigue management in practice, and future perspectives. While it is possible to read each chapter in isolation, most will be gained by reading the book as a whole. Each chapter starts with an abstract overview and concludes with summary bullet points, creating a handy "quick check" for key points. This accessible text is for those who are interested in supporting alert and safe transportation operations. It is suitable for professionals, transport managers, government advisors, policy makers, students, academics, and anyone who wants to learn more. All transport modes (road, rail, maritime and aviation) are considered. For anyone waking up to the complex challenge of fatigue management, this handbook is a must.
Myalgic encephalomyelitis (ME) and chronic fatigue syndrome (CFS) are serious, debilitating conditions that affect millions of people in the United States and around the world. ME/CFS can cause significant impairment and disability. Despite substantial efforts by researchers to better understand ME/CFS, there is no known cause or effective treatment. Diagnosing the disease remains a challenge, and patients often struggle with their illness for years before an identification is made. Some health care providers have been skeptical about the serious physiological - rather than psychological - nature of the illness. Once diagnosed, patients often complain of receiving hostility from their health care provider as well as being subjected to treatment strategies that exacerbate their symptoms. Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome proposes new diagnostic clinical criteria for ME/CFS and a new term for the illness - systemic exertion intolerance disease(SEID). According to this report, the term myalgic encephalomyelitis does not accurately describe this illness, and the term chronic fatigue syndrome can result in trivialization and stigmatization for patients afflicted with this illness. Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome stresses that SEID is a medical - not a psychiatric or psychological - illness. This report lists the major symptoms of SEID and recommends a diagnostic process.One of the report's most important conclusions is that a thorough history, physical examination, and targeted work-up are necessary and often sufficient for diagnosis. The new criteria will allow a large percentage of undiagnosed patients to receive an accurate diagnosis and appropriate care. Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome will be a valuable resource to promote the prompt diagnosis of patients with this complex, multisystem, and often devastating disorder; enhance public understanding; and provide a firm foundation for future improvements in diagnosis and treatment.
Recovering from Training is the ultimate guide to the theory and practice of recovery from training. It describes the multiple causes, correlates, and consequences of fatigue, and also gives real-world recommendations on how to manage and reduce it for best health, fitness, and physique results. This book is for lay persons interested in fitness, athletes, coaches, hobbyists, and sport scientists alike. It leans heavily on peer-reviewed science and explains the physiology of fatigue and recovery in great depth. While based on scientific data, it is written to be easily digested by non-scientists. Attention is also paid to outlining practical application that readers can easily incorporate into recovery strategies for themselves or their athletes.Recovering from Training will allow the dedicated athlete and coach to plan out training, diet, and recovery strategies for optimal results. If you can recover better, you can train more, train harder, and make better gains over time. Peaking and tapering strategies are included so that competitive athletes can make sure to recover on time for competitions. Even if you're just interested in the theoretical underpinnings of recovery processes, this book is very unlikely to disappoint. Lastly, because peer-reviewed journal articles are referenced, you can use this book as a starting point to further your exploration of any of the recovery concepts discussed within.
Principles and Practice of Sleep Medicine, 5th Edition, by Meir H. Kryger, MD, FRCPC, Thomas Roth, PhD, and William C. Dement, MD, PhD, delivers the comprehensive, dependable guidance you need to effectively diagnose and manage even the most challenging sleep disorders. Updates to genetics and circadian rhythms, occupational health, sleep in older people, memory and sleep, physical examination of the patient, comorbid insomnias, and much more keep you current on the newest areas of the field. A greater emphasis on evidence-based approaches helps you make the most well-informed clinical decisions. And, a new more user-friendly, full-color format, both in print and online, lets you find the answers you need more quickly and easily. Whether you are preparing for the new sleep medicine fellowship examination, or simply want to offer your patients today's best care, this is the one resource to use! Make optimal use of the newest scientific discoveries and clinical approaches that are advancing the diagnosis and management of sleep disorders.
This updated edition includes fatigue and sleep definitions as well as strategies for the measurement and assessment of fatigue. The aviation performance, mood, and safety problems associated with sleep restriction and circadian disruptions in operational settings are highlighted. The biological bases of fatigue are discussed so that the reader can understand that it is a real physiological phenomenon and not 'just a state of mind'. Both traditional and newly-developed scientifically-valid countermeasures are presented, and a variety of data from diverse sources are included to provide readers with a 'toolbox' from which they can choose the best solutions for the fatigue-related problems that exist in their unique operational context. In addition, an essential overview of Fatigue Risk Management Systems is included to provide the basic structure necessary to build and validate a modern, integrated approach to successful fatigue management. The book is of interest to aviation crews in both civilian and military sectors--managers as well as pilots, flight crews, and maintainers. It aims to be user-friendly, although scientific information is included to help the reader fully understand the 'fatigue phenomenon' from an evidence-based perspective as well as to enhance the reader's appreciation for the manner in which various counter-fatigue interventions are helpful.