Subjective Tests Research Articles

Subjective spatial orientation discomfort is associated with decreased real-world spatial performance and lower cognitive function

BackgroundSpatial memory and orientation deficits often precede cognitive impairment in incipient dementia, e.g., Alzheimer’s disease. Therefore, early diagnosis of spatial impairment may be crucial to the initiation of an adequate therapeutic intervention. Subjective tests, such as spatial anxiety and spatial discomfort questionnaires, and objective tests in the form of quantitative measures of orientation, are available. In these tests, vestibular hypofunction has often been neglected as a potential confounder. The major research question in this study was how self-assessed questionnaires correlate with the data from objective measures in participants with proven normal vestibular function.MethodsA heterogeneous group of 135 participants (72 females, 63 males, mean age 62.75 ± 14.46 years) from a tertiary center for vertigo and balance disorders consisting of two cohorts, with (n = 49) and without (n = 86) cognitive deficits in a screening test (MoCA), was examined (a) with a newly introduced inventory for subjective spatial discomfort (Extended Inventory for Spatial Orientation Discomfort, EISOD), (b) a well-established questionnaire for subjective spatial skills (Santa Barbara Sense of Direction Scale, SBSODS), and (c) the objective three-dimensional real-world pointing task (3D-RWPT) before and after horizontal body rotations. In all patients, acute central or peripheral vestibular deficits were ruled out by neuro-orthoptics, bithermal water calorics and video head impulse testing.ResultsSelf-assessed spatial orientation discomfort (EISOD) correlated with the amount of spatial impairment in the 3D-RWPT for both cohorts. The cognitively impaired patients showed significantly higher levels of spatial discomfort (i.e., lower scores; Welch’s t-test t-2.58, p < 0.01, Cohen’s d − 0.46), and higher angular deviations in the (cognitively demanding) transformation paradigm of the 3D-RWPT (t 2.37, p 0.02, Cohen’s d 0.44). They preferred retinotopic/egocentric spatial encoding strategies in the pointing task (Welch’s t-test t-2.61, p < 0.01, Cohen’s d − 0.47). In contrast, the self-report of spatial abilities (SBSODS) yielded no significant group differences (t − 1.66, p 0.10) and was not reliably associated with objective accuracy in the pointing task.ConclusionIn patients without vestibular deficits, subjective spatial discomfort (EISOD) correlated with the accuracy in an objective 3D-pointing task for both cohorts, and higher discomfort was associated with more severe cognitive impairment. EISOD-scores showed higher correlation indices than a self-report of spatial skills using the SBSODS. When investigating spatial abilities in patients with suspected cognitive impairment, it appears reasonable that both subjective spatial discomfort, subjective spatial abilities, and objective spatial measures should be combined. Future research in patients with vestibular dysfunction is needed to understand the role of vestibular deficits for the development of spatial orientation discomfort.

Relationship of workload with fatigue and sleep quality in female exercisers

Fatigue is a critical issue for female exercisers that may lead to medical errors, degradation in performance, decreased mental acuity, and social problems. Poor sleep quality is also a contributing factor to the fatigue experienced by female exercisers. Overwork is a factor causing poor sleep quality in female exercisers. The present study aimed to investigate the relationship between workload, fatigue, and sleep quality among female exercisers in the Sleman Regency District. A cross-sectional study was conducted from December 2023 to March 2024 using a self-reported questionnaire. The questionnaire included the Workload questionnaire adapted from the National Aeronautics and Space Administration Task Load Index, the Leeds Sleep Evaluation Questionnaire (LSEQ), and the Subjective Self Rating of Fatigue Assessment Scale (FAS) from the WHO Quality of Life Assessment Instrument (WHOQOL-EF) with 200 respondents in Sleman Regency. The PLS equation model was used to analyze the relationship between workload, sleep quality, fatigue, and the indicators of each instrument. The results showed that female exercisers who were over 40 years old, had children at home, had informal work, did daily exercise in the evening, and had a work schedule in the night had a higher risk of fatigue and poorer sleep quality than those below 40 years old who didn’t have children at home, had formal work, did daily exercise in the morning, and had a work schedule in the morning. A subjective self-rating test was used to measure fatigue, sleep quality, and workload. The training load and intensity of exercise programs influenced fatigue levels, which affected sleep quality. Female exercisers may face challenges balancing exercise with other commitments, such as family responsibilities, leading to overtraining and fatigue. The PLS model test showed a significant relationship between sleep quality and the level of perceived fatigue (p-value = 0.000). Workload significantly impacts sleep quality and fatigue risk in female exercisers. Therefore, managing workload is crucial to improving sleep quality and reducing fatigue risk.

Otolith assessment in elderly using combined vestibular-evoked myogenic potentials and subjective visual vertical test

BackgroundDizziness in elderly patients is classified as a multifactorial geriatric syndrome leading to pathological conditions or changes endemic to the aging process, it is characterized by increased susceptibility to accidents and instability. This is considered a major public health problem. In our study, we assessed age related changes in vestibular function via measurement of combined Vestibular-Evoked Myogenic potentials (VEMPs) as well as Static Subjective Visual Vertical Test (SVVT) for otolith function.MethodsSeventy-five subjects (150 ears) were enrolled in this research. They were categorized into a control group composed of twenty-five adults from 18–40 years and a study group which divided into symptomatic and asymptomatic groups, each group consisted of twenty-five subjects, fifteen subjects aged 55- < 65 years & ten subjects aged 65 to 85 years. All subjects were submitted to combined VEMPs and static SVVT.ResultsDetectability of combined VEMPs decreased with age with significant difference among the older age group (> 65- < 85 years) and the subjects aged (55- < 65 years). Percentage of abnormal cVEMPs & oVEMPs latencies and amplitudes was more detected in the older age group than subjects aged (55- < 65 years). The symptomatic group aged > 65 years showed higher percentage of affection of both cVEMPs & oVEMPs, while the younger group aged 55- < 65 showed higher absence of bilateral oVEMPs. There were no statistically significant differences in the asymmetrical ratio of cVEMPs & oVEMPs between elderly and adults. Static SVV perception does not change with age.ConclusionsThe elderly showed variable degrees of otolith dysfunction with a high percentage of affection in cVEMPs and oVEMPs. Also, they showed symptoms of imbalance and light-headedness. Static SVVT perception doesn’t change with age.

A Review of Artificial Intelligence-Based Dyslexia Detection Techniques

Problem: Dyslexia is a learning disorder affecting an individual’s ability to recognize words and understand concepts. It remains underdiagnosed due to its complexity and heterogeneity. The use of traditional assessment techniques, including subjective evaluation and standardized tests, increases the likelihood of delayed or incorrect diagnosis. Motivation: Timely identification is essential to provide personalized treatment and improve the individual’s quality of life. The development of artificial intelligence techniques offers a platform to identify dyslexia using behavior and neuroimaging data. However, the limited datasets and black-box nature of ML models reduce the generalizability and interpretability of dyslexia detection (DD) models. The dimensionality reduction technique (DRT) plays a significant role in providing dyslexia features to enhance the performance of machine learning (ML)- and deep learning (DL)-based DD techniques. Aim: In this review, the authors intend to investigate the role of DRTs in enhancing the performance of ML- and DL-based DD models. Methodology: The authors conducted a comprehensive search across multiple digital libraries, including Scopus, Web of Science, PubMed, and IEEEXplore, to identify articles associated with DRTs in identifying dyslexia. They extracted 479 articles using these digital libraries. After an extensive screening procedure, a total of 39 articles were included in this review. Results: The review findings revealed various DRTs for identifying critical dyslexia patterns from multiple modalities. A significant number of studies employed principal component analysis (PCA) for feature extraction and selection. The authors presented the essential features associated with DD. In addition, they outlined the challenges and limitations of existing DRTs. Impact: The authors emphasized the need for the development of novel DRTs and their seamless integration with advanced DL techniques for robust and interpretable DD models.

Generative adversarial networks for whispered to voiced speech conversion: a comparative study

AbstractGenerative Adversarial Networks (GANs) have demonstrated promising results as end-to-end models for whispered to voiced speech conversion. Leveraging non-autoregressive systems like GANs capable of performing conditional waveform generation eliminates the need for separate models to estimate voiced speech features, and leads to faster inference compared to autoregressive methods. This study aims to identify the optimal GAN architecture for the whispered to voiced speech conversion task by comparing six state-of-the-art models. Furthermore, we present a method for evaluating the preservation of speaker identity and local accent, using embeddings obtained from speaker- and language identification systems. Our experimental results show that building the speech conversion system based on the HiFi-GAN architecture yields the best objective evaluation scores, outperforming the baseline by $$\sim$$ ∼ 9% relative using frequency-weighted Signal-to-Noise Ratio and Log Likelihood Ratio, as well as by $$\sim$$ ∼ 29% relative using Root Mean Squared Error. In subjective tests, HiFi-GAN yielded a mean opinion score of 2.9, significantly outperforming the baseline with a score of 1.4. Furthermore, HiFi-GAN enhanced ASR performance and preserved speaker identity and accent, with correct language detection rates of up to $$\sim$$ ∼ 98%.

Clinical Validation and Comparison of Bacterial Vaginosis Detection

Abstract Introduction/Objective Bacterial vaginosis (BV) is considered a top reason for women’s gynecological visits, causing symptoms such as vaginal discharge, foul odor, itching, and burning associated with the alteration of the normal vaginal microbiome. It is often presented as a decrease in Lactobacillus spp. and an increase in anaerobic organisms such as Gardnerella vaginalis and Atopobium vaginae. In response to the demand for more automated and less subjective testing, molecular methods have recently been developed to aid in BV testing. The objectives of this study are to validate and compare the molecular Aptima® Bacterial Vaginosis Assay by Hologic® to the established BV Screen via a Gram stained vaginal smear graded through Nugent scoring at RUSH University Medical Center in Chicago, IL and perform a cost analysis between the testing methods. Methods/Case Report Samples of known BV value were tested on the Panther® instrument to validate the Aptima® Bacterial Vaginosis Assay for accuracy and precision. Clinical samples of vaginal swabs were used to make a Gram stained BV screen for Nugent scoring, then afterwards were placed into Hologic Multitest Aptima® probes for molecular testing on the Panther® instrument. Nugent scoring was performed blind by the molecular test. Molecular results of negative, positive, and invalid were then compared to the Nugent scores: scores of 0-3 for negative/normal vaginal flora, 7-10 for positive BV, and 4-6 for intermediate/altered scores were screened for discrepancy. Results (if a Case Study enter NA) The Aptima® BV Assay tested 52 known samples with 97% accuracy and 100% precision. A total of 80 clinical samples of vaginal swabs used for Gram stained BV screens were run on the Aptima® BV Assay; 61 provided conclusive data for comparative analysis. When compared to the original Nugent scores, the positive percent agreement (PPA) was 77.0% and negative percent agreement (NPA) was 92.9%. Conclusion The Aptima® BV Assay proved to be both accurate and precise in its validation testing. Clinically, it was able to screen for BV in vaginal samples with a good percent agreement to Gram stained BV screens. Further testing of additional clinical samples are to be done to continue analysis. Although the supplies needed to perform a Gram stain cost less than molecular testing, the reimbursement payment for molecular testing is much greater and overall reduces employee time costs for performing the test, making it the more cost effective choice for the laboratory.

Effects of depression and cognitive impairment on increased risks of incident dementia: a prospective study from three elderly cohorts

Depression is usually accompanied with cognitive impairment and increases risk of incident dementia. However, evidence has been limited on the effect size of depression with cognitive impairment and their synergistic effect on future dementia. To explore this, we examined three large cross-country population-based prospective cohorts. Depressive symptoms were assessed by epidemiologic scale, while cognitive impairment was defined by subjective cognitive tests. Dementia was ascertained by self-reported physician-diagnosed conditions. Cox proportional hazard models were employed to determine the hazard ratio (HR) and 95% confidence interval (95% CI), with adjustments of potential confounding variables. Addictive and multiplicative interactions were calculated to evaluate the synergistic effect. A total of 64,706 participants were included at baseline (mean age: 63.9, female: 55.2%), where 4197 (6.5%) individuals had depressive symptoms only, 28,175 (43.5%) individuals had cognitive impairment only, 11,564 (17.9%) individuals had both, and 20,770 (32.1%) individuals had neither. Compared with the neither group, all the other three groups had higher risks of subsequent dementia (depression only: HR 1.65, 95% CI 1.26–2.17; cognitive impairment only: HR 2.71, 95% CI 2.33–3.14; depression with cognitive impairment: HR 3.51, 95% CI 2.95–4.17). There was insignificant additive (RERI, 0.15, 95% CI −0.45–0.75; AP, 0.042, 95% CI −0.13–0.21; SI, 1.06, 95% CI 0.83–1.37) and multiplicative (0.78, 95% CI 0.58–1.06) interaction between depression and cognitive impairment on subsequent dementia. We found depression with cognitive impairment has higher risks of dementia than either condition alone and no significant synergistic effect exists between these two factors.

Sound quality evaluation and quantification for power seat operating noise

In recent years, vehicle interior condition at running has been quiet due to progress of noise reduction technology. On the other hand, quietness is not required only at running condition but also at parking where slight operating noise is generated by various devices. In this study, we then focused on an operating noise during power seat operation as one of the devices radiated noise in cabin. The impression to power seat operating noise were investigated through subjective evaluation test. For the test, power seat radiated noise at various operating modes and seat types were recorded binaurally and presented in the subjective evaluation test. Participants evaluated the presented sound quality in several evaluation terms such as "loudness," "pitch," and "discomfort." As the results, representative power seat operating mode, in which sound impression varies widely among presented sounds, was found out and suitable evaluation terms for describing the sound quality characteristics well were also extracted. In addition, the representative sound quality tendency was attempted to be evaluated quantitatively using psychoacoustic metrics from recorded sound pressure signal of the power seat.

Improving bone-conducted speech quality: a novel approach based on speech production principles

Bone conduction microphone (BCM) which records speech that travels through at least one human tissue, demonstrates a significant advantage in capturing voice in noisy environments. The ergonomic design and versatile placement options of BCMs further enhance their utility, allowing integration with various head equipment such as earplugs, glasses, helmets, or NRBC masks. Despite these advantages, ensuring the quality and intelligibility of recorded speech remains a challenge. Past efforts have involved various post-treatments uniformly applied to all signals, to address these drawbacks, with limited success. In this paper, we introduce a novel approach aimed at enhancing BC speech quality by implementing a select number of filters grounded in speech production principles. In this study, treatments both dependent and independent of phonemes are applied. Subjective tests are conducted to assess the efficacy of these filters and compare their effects.

Sound quality evaluation tendency according to driving situation

In near future, autonomous vehicles are expected to be more popular due to the technology development. Through this transition from active driving situation to passive driving, the drivers' psychological state may change. This may cause change of impression to vehicle interior sound. If the sound evaluation tendency is changed, we should improve autonomous vehicle interior sound by considering the difference. In this study, we investigated whether drivers' impression to interior sound change or not according to the driving situation through subjective evaluation test using a driving simulator. In the test, an original driving simulator was prepared to reproduce identical sounds at both active and passive driving situation. EV and ICEV interior sounds were presented in the simulator for the sound quality evaluation about discomfort and sporty. Participants drove the simulator under various driving conditions including acceleration and deceleration and evaluated the sound quality. As the result, interior sounds were found to be evaluated as more discomfort at passive driving situation than that at active situation. Furthermore, this tendency was observed regardless the driving experience of participants. Accordingly, more interior sound reduction will be necessary for satisfying the customer in the autonomous vehicle development.

Comfortable sound design based on auditory masking with chord progression and melody generations using automatic composition

Unpleasant noise is a crucial problem, that we often face in daily life. One of such a problem is in the case of dental treatment. A dental instrumental noise that includes peaky components in the high-frequency band makes doctors and patients discomfort. To reduce discomfort, we proposed a method to mask unpleasant noise with a comfortable sound. The proposed method was automatically generating a comfortable cord progression. In previous subjective test results, it shows that degree of discomfort reduces. The remaining problem is that degree of comfort improves. This is due to the fact that the previous method utilizes the musical element of chord, but does not introduce the musical elements of melody and rhythm. Therefore, in this paper, we propose a new method to introduce the melody generation with automatic composition (AI composition) into the previous method based on the automatic generation of the chord progression. The proposed method automatically generates a chord progression to follow the peak frequency of dental treatment sounds and to add a melody following the chord progression with AI composition assistance tool to improve comfort and to design comfortable sound.

Leveraging ChatGPT for Scoring Students' Subjective Tests

Assessing students' understanding of circle-related material through subjective tests is effective, though grading these tests can be challenging and often requires technological support. ChatGPT has shown promise in providing reliable and objective evaluations. Many teachers in Indonesia, however, continue to face difficulties integrating technology into assessments, highlighting the need for research on leveraging ChatGPT for scoring subjective tests. This study explores the potential of ChatGPT in mathematics education, specifically for evaluating students’ answers on subjective tests related to circles. Using a qualitative case study approach, the research investigates how ChatGPT analyzes student responses. The findings reveal that ChatGPT effectively processes the answers of 15 vocational school students, delivering results that are logical and well-structured. ChatGPT aids teachers by offering a comprehensive evaluation focused on accuracy, clarity, completeness, and technical terminology. This approach supports effective feedback and objective assessment, making ChatGPT a valuable tool for understanding and addressing students' mathematical comprehension issues.

Cardiac Function and Functional Capacity in Patients With Long COVID: A Comparison to Propensity-Matched Community Controls

Cardiac impairment has been associated with acute COVID-19 since the earliest reports of the pandemic. However, its role in postacute sequelae of COVID-19 ("long COVID") is undefined, and many existing observations about cardiovascular involvement in postacute sequelae of COVID-19 are uncontrolled. To compare the prevalence of cardiac dysfunction in patients with long COVID and noninfected controls from the same community and explore their association with functional capacity. Echocardiography was used to assess cardiac structure and function, including the measurement of global longitudinal strain (GLS), in 190 participants with long COVID. All underwent assessment of functional impairment by subjective (Duke Activity Status Index) and objective tests (6-minute walk test). The 190 participants from the long COVID group were matched with those from 979 patients who underwent the same tests in the pre-COVID-19 era, using a propensity score. The 190 patients with long COVID had similar age and risk factor profiles to those of their matched controls. Left ventricular dimensions and geometry, but not diastolic parameters, were significantly altered in the long COVID group. The long COVID group had subclinical systolic dysfunction (GLS 18.5%±2.6% vs 19.3%±2.7%, P=.005), and more long COVID patients had abnormal (<16%) GLS (13% vs 8%, P=.035). The association of long COVID with abnormal GLS (odds ratio, 1.49 [1.04, 2.45]) was independent of-and had a similar or greater effect size than-age and risk factors. There was no interaction of long COVID with the association of risk factors with GLS. As expected, the long COVID group had significant subjective (<85% predicted METS; 72% vs 5%, P<.001) and objective functional impairment (29% vs 24%, P=.026), but GLS was only weakly associated with both subjective (r=0.30, P=.005) and objective (r=0.21, P=.05) functional impairment. The presence of long COVID was independently associated with subjective (odds ratio=159.7 [95% CI, 61.6-414.2]) and objective functional impairment (odds ratio=2.8 [95% CI, 1.5-5.2]). Impaired GLS and left ventricular dimensions are the echocardiographic features that are overrepresented in long COVID, and this association is similar to and independent of other risk factors. Impaired GLS is weakly associated with functional impairment.

Globally and locally optimized Pannini projection for high FoV rendering of 360° images

To render a spherical (360° or omnidirectional) image on planar displays, a 2D image - called as viewport - must be obtained by projecting a sphere region on a plane, according to the user's viewing direction and a predefined field of view (FoV). However, any sphere to plan projection introduces geometric distortions, such as object stretching and/or bending of straight lines, which intensity increases with the considered FoV. In this paper, a fully automatic content-aware projection is proposed, aiming to reduce the geometric distortions when high FoVs are used. This new projection is based on the Pannini projection, whose parameters are firstly globally optimized according to the image content, followed by a local conformality improvement of relevant viewport objects. A crowdsourcing subjective test showed that the proposed projection is the most preferred solution among the considered state-of-the-art sphere to plan projections, producing viewports with a more pleasant visual quality.

Determination of in-use properties of paper towels

For a hygiene paper such as tissue and towel, strength, softness, and absorbency are known as attributes that a user is looking for. It is proposed here that purchasing decisions are likely to be influenced by in-use experiences, which may be quite different from the physical properties measured with current standardized tests. There have been continuous efforts on developing physical test methods to replace subjective in-use tests because the benefits of the former are too significant to be overlooked. This paper considered some in-use test methods for paper towel products that can be carried out by panel members quickly in the course of sensory panel testing. In addition, laboratory tests were developed in an attempt to quantify such input. The sensory panel testing showed that (wet) strength and absorbency were the key contributions to the performance of paper towels. Softness did not show any significant contribution to it. Wet strength showed a high correlation with absorbency. The (wet) ball burst strength had the highest correlation with the in-use strength. Although both the tensile strength and the ball burst strength had a high correlation with preference, the ball burst tester is preferred because more reproducible and simpler to operate.

Pengaruh Status Gizi terhadap Tingkat Kelelahan Pekerja PT. Maruki Internasional Indonesia

Fatigue is a common complaint in the wider community and the working population. Work-related fatigue is a situation where workers experience a decrease in work productivity. This study aims to determine the effect of nutritional status on work fatigue. This type of research is observational analysis with a cross-sectional study design, which is carried out on employees of the production department of PT. Maruki International Indonesia. The research population amounted to 197 people, and 130 people were selected as a sample through the proportional sampling method. Nutritional status data collection is carried out by measuring Body Mass Index (BMI). Work fatigue data was obtained through interviews using a Subjective self-rating test questionnaire from the Industrial Fatigue Research Committee (IFRC). Data analysis was carried out using a linear regression test with SPSS. Based on the results of the study, a p-value of 0.043 (p&lt;0.05) was obtained, so nutritional status had a significant influence on fatigue in employees of the production department of PT. Maruki International Indonesia. So it can be concluded that work fatigue can be influenced by the nutritional status of workers in the Production section of PT. Maruki International Indonesia.

Treatment of dry eyes with lifitegrast 5% before cataract surgery: A prospective trial

Abstract Objective: The objective of the study was to evaluate the impact of dry eye treatment on intraocular lens (IOL) biometry measurements and postoperative refractive outcome. Design: This study involves a prospective interventional study. Participants: Consecutive patients with dry eye disease undergoing cataract surgery were included in the study. Materials and Methods: All participants underwent a comprehensive dry eye assessment including the ocular surface disease index (OSDI) questionnaire, Schirmer’s test without anesthesia, corneal fluorescein staining, and conjunctival lissamine green staining. Optical biometry was performed using swept-source optical coherence tomography (IOL Master® 700, Zeiss), and corneal aberrometry was measured using a scanning-slit aberrometer (OPD SCAN III, Nidek). Diagnosis of dry eye was made according to Dry Eye Workshop II. Patients received 6 weeks of treatment of lifitegrast 5% and preservative-free artificial tear eye drops and had repeat testing at the end of 6 weeks. The change in subjective and objective dry eye tests and biometry measurements and the difference in target and postoperative refraction before and after treatment were compared. Results: Forty eyes of 21 patients were included in the study. Subjectively, OSDI improved from 26.35 ± 6.24 at baseline to 20.97 ± 8.41 after treatment (P = 0.03). Objectively, corneal staining improved from 1.42 ± 1.78 at baseline to 0.39 ± 0.67 after treatment (P = 0.006). No changes were observed in Schirmer’s test without anesthesia, conjunctival staining, or corneal aberrometry (P &gt; 0.05). Repeated biometry after dry eye treatment showed a change in IOL power difference ≥0.5 diopters in 50% (20) of eyes. Mean absolute error was within 0.25D in 87.5% (35) of eyes after treatment compared to 67.5% at baseline (P = 0.05). Conclusion: Dry eye treatment leads to subjective symptom improvement and changes in IOL power calculations and postoperative refractive outcomes. Assessing and treating patients for dry eyes before cataract surgery is important in maximizing refractive outcomes.

CORRELATIONS OF SHIFT WORK 2-2-2(2) ROTATION ON SLEEP QUALITY AND FATIGUE OF NURSES IBNU SINA GRESIK GENERAL HOSPITAL

Background: Working as a nurse in a hospital required to work with a shift system. Working with the shift system (morning, afternoon, and night) can affect the circadian rhythm, which has the potential to cause sleep disturbances and fatigue. Purpose: This research aims to analyze the influence of shift work rotation 2-2-2(2) on sleep quality and fatigue in nurses with shift work systems in inpatient rooms at General Hospital Ibnu Sina Gresik. Method: This research was an observational analytics study with a cross-sectional design. The total sample was 80 nurses in an inpatient care unit with a shift work system chosen through purposive sampling techniques. The Subjective Self-Rating Test (SSRT) issued by the Industrial Fatigue Research Committee (IFRC) questionnaire was used for the measurement of fatigue, and the Pittsburgh Sleep Quality Index questionnaire (PSQI) was used for the assessment of sleep quality. Univariate and bivariate analyses were done with a Chi-square statistical test. Result: The study showed that most respondents had good sleep quality (87.5%), and most had low tiredness (71.2%). The Chi-square test results obtained a p-value of 0.224 &gt; 0.05 and a p-value of 0.108 &gt; 0.05, meaning there were no correlations between shift work and sleep quality and fatigue. Conclusion: Shift work had no relationship with sleep quality and fatigue. Appropriate shift work arrangements can contribute to reducing the negative impact of shift work.

Comparison Subjective and Objective Chromoretinoscopy

Subjective duochrome (chromoretinoscopy) is a method of analyzing the refraction of light in the eye using a small, hand-held device called a duochrome. The device consists of a light source and two filters; one red and other is green. The light is shone into the eye, and the filters are used to measure the amount of light that is absorbed or scattered by the eye. It relies on the observations and interpretation of the person performing the test. The results of the test can be influenced by factors such as the skill and experience of the person performing the test, as well as the patient's cooperation and willingness to follow instructions. Objective duochrome (chromoretinoscopy) is a method of analyzing the refraction of light in the eye using an automated device. The device uses a light source and two filters, similar to the subjective duochrome, but it also includes a computerized system for measuring and analyzing the results. It relies on the automated measurement and analysis of the results, rather than on the observations and interpretation of the person performing the test. As a result, it is generally considered to be more accurate and reliable than subjective duochrome chromoretinoscopy. To compare retinoscopy using colored filters (chromo-retinoscopy) with the conventional subjective duochrome method. All people between the ages of 16-35 years are included in this study whose responses are reliably taken in the subjective part of this study. Emmetropic, any kind of ametropic people have included in the study. The people were excluded with variable or unreliable responses, having any ocular pathology, and tired and irritated people. The difference between subjective and objective duochrome tests is 0.006 diopters. Statistically, this is not a significant difference. The objective duochrome technique (chromoretinoscopy) yields highly correlating values to subjective duochrome values. Thus, this technique can be relied on and can be added as a part of regular workup in clinics.

Analysis of Risk Factors for Subjective Work Fatigue Levels Among Nurses at RS.Otak DR.Drs. M. Hatta Bukittinggi, West Sumatra, In 2024

Background: Service nursing care that is carried out home nurse Sick for 24 hours a day , very much needed readiness physical , mental and time . This is potential cause work fatigue which has an impact decline alertness and concentration , disturbed taking decisions and occurrences error or accident Work .Purpose : This Study For analyze factors risk level fatigue Work subjective on Nurses at RS.Otak.DR.Drs.M.Hatta Bukittinggi, West Sumatra 2024 .Methods: Study quantitative with design study This cross-sectional on 100 nurses at the Brain Hospital DR. Drs . M. Hatta Bukittinggi, West Sumatra in 2024. The risk factors are the characteristics individual , factor related work and environment Work Lighting . Measurement of work fatigue with a questionnaire SSRT ( Subjective Self Rating Test ) from IFRC; burden mental work with the NASA-TLX ( National Aeronautics Space Administration Task Load Index ) questionnaire ; for role , control and satisfaction work with the COPSOG ( Copenhagen Psychosocial Questionnaire ) III questionnaire ; measurement lighting with lux meterResults: The results showed that 79% of nurses experienced mild levels of work fatigue and moderate levels of work fatigue (21%). Risk factors that had a significant relationship with the level of work fatigue were age (p 0.013; OR 6.82), nutritional status: obese (p 0.020; OR 3.77), sleep duration (p 0.050; OR 3.14).Conclusion: Implementation of fatigue management and fatigue screening periodic expected can lower level of work fatigue .