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At least 181 records · Page 10

Fatigue, Schedules, Sleep, and Sleepiness in U.S. Commercial Pilots During COVID-19

Introduction: COVID-19 has had a significant impact on the aviation industry. While reduced flying capacity may intuitively translate to reduced fatigue risk by way of fewer flights and duty hours, the actual impact of the pandemic on pilot fatigue is unknown. Methods: We surveyed US commercial airline pilots in late 2020 (n = 669) and early 2021 (n = 156) to assess the impact of COVID-19 on schedules and fatigue during the pandemic. Results: Overall, pilots reported reduced flight and duty hours compared to pre-pandemic. Average sleep on workdays was slightly shorter in late 2020 (6.88 h) and recovered to pre-pandemic levels in early 2021 (6.95 h). Similarly, the frequency of sleepiness on days off and in-flight increased in late 2020, with 54% of pilots reporting an increase in in-flight sleepiness, then returned to pre-pandemic levels in early 2021. The use of in-flight sleepiness countermeasures remained the same across assessed time points. Pilots highlighted several factors which impacted their sleep and job performance, including limited access to nutritional food during duty days and layovers, reduced access to exercise facilities during layovers, increased stress due to job insecurity and health concerns, increased distractions and workload, and changes to scheduling. Discussion: Despite a reduction in flights and duty days, COVID-19 led to increased sleepiness on days off and in-flight, potentially due to the negative impact of lack of access to essential needs and heightened stress on sleep. Operators need to monitor the change in these COVID-19 related risks as the industry returns to full service.

sleep↗

Reconfigurations in Brain Networks Upon Awakening From Slow Wave Sleep: Interventions and Implications in Neural Communication

Sleep inertia is the brief period of impaired alertness and performance experienced immediately after waking. Little is known about the neural mechanisms underlying this phenomenon. A better understanding of the neural processes during sleep inertia may offer insight into the awakening process. We observed brain activity every 15 min for 1 hr following abrupt awakening from slow wave sleep during the biological night. Using 32-channel electroencephalography, a network science approach, and a within-subject design, we evaluated power, clustering coefficient, and path length across frequency bands under both a control and a polychromatic short-wavelength-enriched light intervention condition. We found that under control conditions, the awakening brain is typified by an immediate reduction in global theta, alpha, and beta power. Simultaneously, we observed a decrease in the clustering coefficient and an increase in path length within the delta band. Exposure to light immediately after awakening ameliorated changes in clustering. Our results suggest that long-range network communication within the brain is crucial to the awakening process and that the brain may prioritize these long-range connections during this transitional state. Our study highlights a novel neurophysiological signature of the awakening brain and provides a potential mechanism by which light improves performance after waking.

EEG↗

CACNA1D is a circadian gene and causes familial advanced sleep phase

Familial advanced sleep phase (FASP) is a heritable human sleep trait characterized by early sleep onset and offset times. We have identified five variants in five different families in the human voltage-gated calcium channel subunit alpha1 D (CACNA1D) that cosegregate with FASP. The variants inCACNA1Dlead to altered channel dynamics in vitro. A mouse model of the E427K variant has a normal circadian period under constant darkness but displays altered phase shifts in response to light in the subjective night at circadian time (CT) 16 and CT22. Overall, these experiments establishCACNA1Das an FASP gene with altered entrainment, highlighting the ability of human genetics to uncover novel aspects of human circadian regulation.

Science & Technology - Other Topics↗

Obstructive Sleep Apnea Among Army Aircrew

INTRODUCTION: Obstructive sleep apnea (OSA) is a condition characterized by disrupted sleep and excessive daytime fatigue. Associated cognitive and psychomotor decrements pose a threat to aviators’ performance and flight safety. Additionally, the longer term health effects associated with the disease can jeopardize an aviator’s career and negatively impact operational outputs. This study reviews OSA prevalence, related comorbid conditions in Army aviators, and analyzes the aeromedical dispositions of affected individuals. METHODS: The U.S. Army Aeromedical Electronic Resource Office (AERO) database was interrogated for all cases of OSA from June 2005 through June 2015 using ICD-9 code 327.23. Prevalence rates for OSA and other comorbid conditions were then calculated using the total number of aviators in the AERO database. RESULTS: A total of 663 unique instances of OSA were found among the aviator population ( N = 24,568), giving a point prevalence of 2.69%. Four cases affected women. Mean age of initial presentation was 42.62 yr and mean Body Mass Index was 28.69. The top five most prevalent comorbid conditions were hypertension, lumbago, degeneration of a lumbar or lumbosacral intervertebral disc, PTSD, and testicular hypofunction. DISCUSSION: Prevalence of OSA among aviators is lower than the general population but is not uncommon. A positive diagnosis requires a waiver or can result in suspension if not managed effectively, potentially leading to a reduction in aviator numbers. Aggressive health promotion and robust medical surveillance and aeromedical disposition management by the aeromedical community is essential to reduce OSA numbers, maintain aviator health, and maximize flight safety. Goldie C, Stork B, Bernhardt K, Gaydos SJ, Kelley AM. Obstructive sleep apnea among army aircrew . Aerosp Med Hum Perform. 2022; 93(5):415–420.

Biophysics↗

Operational testing of system for automatic sleep analysis

Tables on the performance, under operational conditions, of an automatic sleep monitoring system are presented. Data are recorded from patients who were undergoing heart and great vessel surgery. This study resulted in cap, electrode, and preamplifier improvements. Children were used to test the sleep analyzer and medical console write out units. From these data, an automatic voltage control circuit for the analyzer was developed. A special circuitry for obviating the possibility of incorrect sleep staging due to the presence of a movement artifact was also developed as a result of the study.

Kellaway, P.↗

Modified and improved sleep monitoring display console

An outline is given of a sleep monitoring display console capable of simultaneously displaying: (1) the visible current sleep stage of each subject, (2) a cumulative, numerical display (in hours and minutes) of the total amount of time the subject spends in each stage, and (3) a stepwise, graphic recording of subject's sleep stage versus time.

Frost, J. D., Jr.↗

Chimpanzee sleep stages.

The electroencephalogram and electro-oculogram of two unrestrained juvenile chimpanzees was monitored for 7 consecutive nights using telemetry methods. Of the sleeping time, 23% was spent in the rapid eye movement of REM type of sleep, whereas 8, 4, 15, and 10% were spent in non-REM stages 1 through 4, respectively. Seven to nine periods of REM sleep occurred per night. The average time from the beginning of one REM period to the beginning of the next was approximately 85 min.

Freemon, F. R.↗

Sleep in the nocturnal primate, Aotus trivirgatus.

Measurement of the cycles of wakefulness and stages of sleep in owl monkeys during 24-hr periods divided into half dark and half light segments. Recordings of electrophysiological activity were used. Reversal of the sequence of light and dark served to test the influence of environmental lighting on the sleep-wakefulness cycles. The sleep patterns of owl monkeys expressed in percentage of rapid eye movement (REM) and nonrapid eye movement (NREM) were compared with those of a closely related New World monkey species, Saimiri Sciureus.

Perachio, A. A.↗

Effects of stress upon psychophysiological responses and performance following sleep deprivation

The usefulness of psychological and physiological variables in predicting performance under stress of 48 hours of sleep deprivation was investigated. Performance tests, with subjects of different ego strength personalities, in concept acquisition, reading comprehension, word association, word memory, and anagrams were conducted, and physiological measurements of (1) the phasic and tonic electrodermal, (2) galvanic skin response, (3) thermal skin resistance, (4) heart rate, (5) respiration, and (6) plethysmographic finger pulse volumn were recorded. It was found that the changes in the pattern of performance were the result of testing subjects at times when they would normally be sleeping, and that sleep deprivation longer than 48 hours must be maintained to produce changes in simple or well learned tasks.

Roessler, R.↗

Arousal from sleep by noises from aircraft with and without acoustically treated nacelles

The electroencephalographic and behavioral responses during sleep of four subjects, aged 46 to 58 years, to three types of noises were tested over 14 consecutive nights. The stimuli were two DC-8 jet landing noises (each 30 seconds in duration and coming from DC-8 aircraft with and without acoustical treatment on the engine nacelles) and a 4-second burst of pink noise. Each of the noises was tested at nominal intensities of 61 and 79 dBA. Other physical descriptors of the noises were measured or computed. The results indicate that for an equivalent degree of sleep disruption, noise form the jet aircraft with untreated nacelles must be about 6 dBA less intense than the jet with acoustically treated nacelles. Predictions of the effects of noise on sleep appear, tentatively, to attain the highest accuracy when the physical descriptor of noise intensity includes information about the impulsive characteristics of that noise as well as its long-term spectral content.

Lukas, J. S.↗

Experiment M133. Sleep monitoring on Skylab

Subjective sleep logs during 59-day and 84-day Skylab missions indicate that prolonged space flight, with its accompanying weightless state, is not directly associated with major adverse changes in sleep characteristics. Observed alterations in sleep patterns were not of sufficient magnitude to result in significant degradation of performance capacity.

Frost, J. D., Jr.↗

Sleep-wake responses of squirrel monkeys exposed to hyperdynamic environments

This study examines the sleep responses of primates to acute 3 Gz environments. To investigate this question, loosely-restrained squirrel monkeys were exposed to 70 minutes of 3 Gz during the day. The animals' behavioral state was polygraphically monitored (EEG, EMG, EOG) along with video and deep body temperature. During the control period, animals exhibited slow wave sleep (SWS) napping behavior. SWS occurred during approximately 20 percent of the control period. Body temperature was maintained at 38.7 C. At 3 Gz, SWS was inhibited for 5 minutes, after which SWS occurred at levels 50 percent lower than in the control period. During the post-centrifugation period, SWS was elevated above the control (50 percent) and hyperdynamic (100 percent) levels. Body temperature was depressed 1.5 C when the animals were at 3 Gz. Thus, hyperdynamic environments are capable of modifying primate sleep behavior, at least as a result of acute exposure. Further, the increased arousal in the hyperdynamic environment is correlated with a lower body temperature. This negative correlation differs from the normal positive correlation of arousal and body temperature.

Fuller, C. A.↗

International aircrew sleep and wakefulness after multiple time zone flights - A cooperative study

An international research team has carried out an electroencephalographic study of sleep and wakefulness in flight crews operating long-haul routes across seven or eight time zones. Following baseline recordings, volunteer crews (n = 56) from four airlines spent their first outbound layover at a sleep laboratory. This paper provides an overview of the project's history, its research design, and the standardization of procedures. The overall results are remarkably consistent among the four participating laboratories and strongly support the feasibility of cooperative international sleep research in the operational arena.

Graeber, R. Curtis↗

International cooperative study of aircrew layover sleep Operational summary

The findings of this cooperative study of layover sleep have direct implications for flight operations. In the consensus view of the principal investigators, these can be divided into their relevance for eastward or westward flight. Eastward flight produced more sleep disruption than westward. Different sleep and scheduling strategies are recommended for each flight direction, and the importance of individual crewmember factors is discussed in relation to age and circadian type. Despite the limitations of this study with regard to trip simplicity and the baseline data, the results for each airline are highly consistent and should be applicable to a wide range of long-haul crewmembers and carriers.

Graeber, R. Curtis↗

Age, circadian rhythms, and sleep loss in flight crews

Age-related changes in trip-induced sleep loss, personality, and the preduty temperature rhythm were analyzed in crews from various flight operations. Eveningness decreased with age. The minimum of the baseline temperature rhythm occurred earlier with age. The amplitude of the baseline temperature rhythm declined with age. Average daily percentage sleep loss during trips increased with age. Among crewmembers flying longhaul flight operations, subjects aged 50-60 averaged 3.5 times more sleep loss per day than subjects aged 20-30. These studies support previous findings that evening types and subjects with later peaking temperature rhythms adapt better to shift work and time zone changes. Age and circadian type may be important considerations for duty schedules and fatigue countermeasures.

Gander, Philippa H.↗

Noise-Induced Sleep Disturbance in Residences Near Two Civil Airports

A large-scale field study of noise-induced sleep disturbance was conducted in the vicinities of Stapleton International Airport (DEN) and Denver International Airport (DIA) in anticipation of the closure of the former and opening of the latter. Both indoor and outdoor measurements of aircraft and other nighttime noises were made during four time periods. Measurements were made in 57 homes located as close as feasible to the runway ends of the two airports. Sleep disturbance was measured by several indices of behaviorally confirmed awakening (button pushes upon awakening) and body movement (as measured with wrist-worn actimeters). A total of 2717 subject-nights of observations were made over the course of the study. Although average noise event levels measured outdoors decreased markedly at DEN after closure of the airport and increased slightly at DIA after its opening, indoor noise event levels varied much less in homes near both airports. No large differences were observed in noise-induced sleep disturbance at either airport. Indoor sound exposure levels of noise events were, however, closely related to and good predictors of actimetrically defined motility and arousal.

Fidell, Sanford↗

Sleep and Circadian Rhythms in Four Orbiting Astronauts

INTRODUCTION The study of human sleep and circadian rhythms in space has both operational and scientific significance. Operationally, U.S. Spaceflight is moving away from brief missions with durations of less than one week. Most space shuttle missions now last two weeks or more, and future plans involving space stations, lunar bases and interplanetary missions all presume that people will be living away from the gravity and time cues of earth for months at a time. Thus, missions are moving away from situations where astronauts can "tough it out" for comparatively brief durations, to situations where sleep and circadian disruptions are likely to become chronic, and thus resistant to short term pharmacological or behavioral manipulations. As well as the operational significance, there is a strong theoretical imperative for studying the sleep and circadian rhythms of people who are removed from the gravity and time cues of earth. Like other animals, in humans, the Circadian Timekeeping System (CTS) is entrained to the correct period (24h) and temporal orientation by various time cues ("zeitgebers"), the most powerful of which is the alternation of daylight and darkness. In leaving Earth, astronauts are removing themselves from the prime zeitgeber of their circadian system -- the 24h alternation of daylight and darkness.

Monk, Timothy H.↗

Effectiveness of an Expert System for Astronaut Assistance on a Sleep Experiment

Principal Investigator-in-a-Box ([PI]) is an expert system designed to train and assist astronauts with the performance of an experiment outside their field of expertise, particularly when contact with the Principal Investigators on the ground is limited or impossible. In the current case, [PI] was designed to assist with the calibration and troubleshooting procedures of the Neurolab Sleep and Respiration Experiment during the pre-sleep period of no ground contact. It displays physiological signals in real time during the pre-sleep instrumentation period, and alerts the astronauts when a poor signal quality is detected. Results of the first study indicated a beneficial effect of [PI] and training in reducing anomaly detection time and the number of undetected anomalies. For the in-flight performance, excluding the saturated signals, the expert system had an 84.2% detection accuracy, and the questionnaires filled out by the astronauts showed positive crew reactions to the expert system.

Heher, Dennis↗