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Fee MS, Goldberg JH. A hypothesis for basal ganglia-dependent reinforcement learning in the songbird. Neuroscience 2011; 198:152-70. [PMID: 22015923 DOI: 10.1016/j.neuroscience.2011.09.069] [Citation(s) in RCA: 144] [Impact Index Per Article: 11.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2011] [Revised: 09/30/2011] [Accepted: 09/30/2011] [Indexed: 01/08/2023]
Abstract
Most of our motor skills are not innately programmed, but are learned by a combination of motor exploration and performance evaluation, suggesting that they proceed through a reinforcement learning (RL) mechanism. Songbirds have emerged as a model system to study how a complex behavioral sequence can be learned through an RL-like strategy. Interestingly, like motor sequence learning in mammals, song learning in birds requires a basal ganglia (BG)-thalamocortical loop, suggesting common neural mechanisms. Here, we outline a specific working hypothesis for how BG-forebrain circuits could utilize an internally computed reinforcement signal to direct song learning. Our model includes a number of general concepts borrowed from the mammalian BG literature, including a dopaminergic reward prediction error and dopamine-mediated plasticity at corticostriatal synapses. We also invoke a number of conceptual advances arising from recent observations in the songbird. Specifically, there is evidence for a specialized cortical circuit that adds trial-to-trial variability to stereotyped cortical motor programs, and a role for the BG in "biasing" this variability to improve behavioral performance. This BG-dependent "premotor bias" may in turn guide plasticity in downstream cortical synapses to consolidate recently learned song changes. Given the similarity between mammalian and songbird BG-thalamocortical circuits, our model for the role of the BG in this process may have broader relevance to mammalian BG function.
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Affiliation(s)
- M S Fee
- McGovern Institute for Brain Research, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, 77 Massachusetts Ave., Cambridge, MA 02139, USA.
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Klingensmith WC, Noonan C, Goldberg JH, Buchwald D, Kimball JT, Manson SM. Decreased Perfusion in the Lateral Wall of the Left Ventricle in PET/CT Studies with 13N-Ammonia: Evaluation in Healthy Adults. J Nucl Med Technol 2009; 37:215-9. [DOI: 10.2967/jnmt.109.062059] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Lee RE, Goldberg JH, Sallis JF, Hickmann SA, Castro CM, Chen AH. A prospective analysis of the relationship between walking and mood in sedentary ethnic minority women. Women Health 2001; 32:1-15. [PMID: 11548133 DOI: 10.1300/j013v32n04_01] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Walking for exercise is becoming widely recognized for bestowing health benefits. This study examined the association of walking for exercise and mood in sedentary, ethnic minority women over a five-month period. Ethnic minority women (N = 102) participated in a randomized, controlled trial of a 7-week behaviorally based telephone and mail intervention that promoted the adoption of walking for exercise compared to a non-behavioral minimal intervention. At 2-month post-test and 5-month follow-up, participants reported significant decreases in depressive mood and increases in vigor. Increase in walking over the course of the study was associated with change in vigor. Limited evidence was found to support a relationship between walking for exercise and mood improvement in ethnic-minority women.
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Affiliation(s)
- R E Lee
- Department of Psychology, San Diego University, California, USA.
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Goldberg JH. Yikes! Primary care earnings plummet. Med Econ 2000; 77:140-2, 145-6, 149-50 passim. [PMID: 11183473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
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Goldberg JH. Is primary care paying its way? Med Econ 2000; 77:156-8, 161-2. [PMID: 11010246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
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Goldberg JH. Doctor's earnings make a stride. Med Econ 1999; 76:172-5, 178, 183-6 passim. [PMID: 10621376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
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Abstract
Using an eye-tracking methodology, we evaluated food nutrition labels' ability to support rapid and accurate visual search for nutrition information. Participants (5 practiced label readers and 5 nonreaders) viewed 180 trials of nutrition labels on a computer, finding answers to questions (e.g., serving size). Label manipulations included several alternative line arrangements, location of the question target item, and label size. Dependent measures included search time and number of fixations prior to visually capturing the target, as well as the accuracy and duration of the capturing fixation. Practiced label readers acquired the target more quickly and accurately than did less-practiced readers. Targets near the denser center of the label required 33% more time and were harder to find than targets at the top or bottom of the label. Thinner alignment lines were more influential than thicker anchoring lines on visual search time. Overall, the current nutrition label supported accurate and rapid search for desired information. Potential applications of the present methodology include the evaluation of warning labels and other static visual displays.
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Affiliation(s)
- J H Goldberg
- Department of Industrial and Manufacturing Engineering, Pennsylvania State University, University Park 16802, USA
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Abstract
Mental workload is known to reduce the area of one's visual field, but little is known about its effects on the shape of the visual field. Considering this, the visual fields of 13 subjects were measured concurrently under three levels of mental workload using a Goldmann visual perimeter. Tone counting tasks were employed to induce mental workload, avoiding interference with visual performance. Various methods of shape measurement and analysis were used to investigate the variation of the shape of the visual field as a function of mental load. As expected, the mean area of visual fields reduced to 92.2% in the medium workload condition and to 86.41% under heavy workload, compared to light load condition. This tunnelling effect was not uniform, but resulted in statistically significant shape distortion as well, as measured by the majority of the 12 shape indices used here. These results have visual performance implications in many tasks that are susceptible to changes in visual fields and peripheral vision. Knowledge of the dynamics of the visual field as a function of mental workload can offer significant advantages also in mathematical modelling of visual search.
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Affiliation(s)
- E M Rantanen
- Department of Psychology, Pennsylvania State University, University Park 16802-3104, USA
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Goldberg JH. Reflections on the stuff of a doctor's life: from the '60s to today. Med Econ 1998; 75:240-4. [PMID: 10186283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Goldberg JH. Speaking out for the kids who can't. Med Econ 1998; 75:68. [PMID: 10186290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Goldberg JH. Always an open door, always enough time. Med Econ 1998; 75:123. [PMID: 10186265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Goldberg JH. As you see it--our special survey. You're coping, but you still can dream. Med Econ 1998; 75:230-2. [PMID: 10186281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Goldberg JH. Doctors' incomes: who's up, who's down. Med Econ 1998; 75:166-8, 171-7, 181-2. [PMID: 10185518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
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Goldberg JH. Cover story, Part I. Are boom times over for primary care? Med Econ 1997; 74:217-24, 229. [PMID: 10173565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Goldberg JH. Practice expenses creep back up. Med Econ 1996; 73:134-6, 138-42, 144. [PMID: 10162649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Goldberg JH. Doctors' earnings: an uphill struggle. Med Econ 1996; 73:250-6, 259-61. [PMID: 10161871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Ellis RD, Goldberg JH, Detweiler MC. Predicting age-related differences in visual information processing using a two-stage queuing model. J Gerontol B Psychol Sci Soc Sci 1996; 51:P155-65. [PMID: 8620355 DOI: 10.1093/geronb/51b.3.p155] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
Recent work on age-related differences in some types of visual information processing has qualitatively stated that younger adults are able to develop parallel processing capability, while older adults remain serial processors. A mathematical model based on queuing theory was used to quantitatively predict and parameterize age-related differences in the perceptual encoding and central decision-making aspects of a multiple-frame search task. Statistical results indicated main effects for frame duration, display load, age group, and session of practice. Comparison of the full model and a restricted model indicated an efficient contribution of the encoding speed parameter. The best-fitting parameter set indicated that (1) younger participants processed task information with a two-channel parallel system, while older participants were serial processors; and (2) perceptual encoding had a large impact on age-related differences in task performance. Results are discussed with implications for human factors design principles.
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Affiliation(s)
- R D Ellis
- Institute of Gerontology, Wayne State University, Detroit, MI 48202, USA
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Goldberg JH. Why some doctors make a lot, and some make little. Med Econ 1996; 73:142-4, 149, 153-4 passim. [PMID: 10155926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Goldberg JH. Doctors struggle to keep their earnings up. Med Econ 1995; 72:184-6, 189-92, 198 passim. [PMID: 10151341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Goldberg JH. Patient survey: Medicare patients. Your biggest fans. Med Econ 1995; 72:44-6. [PMID: 10151331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/12/2023]
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Goldberg JH. The new low-back guideline: the best you'll get? Med Econ 1995; 72:161-2, 167-8, 170. [PMID: 10144682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Goldberg JH. From street gang to surgeon. Med Econ 1995; 72:67-8, 70. [PMID: 10161189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/12/2023]
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Goldberg JH. Who says house calls are passé? Med Econ 1995; 72:121-3. [PMID: 10140811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Jacobs DS, Piliero PJ, Kuperwaser MG, Smith JA, Harris SD, Flanigan TP, Goldberg JH, Ives DV. Acute uveitis associated with rifabutin use in patients with human immunodeficiency virus infection. Am J Ophthalmol 1994; 118:716-22. [PMID: 7977598 DOI: 10.1016/s0002-9394(14)72550-4] [Citation(s) in RCA: 49] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
PURPOSE We studied patients with a new anterior uveitis syndrome associated with rifabutin use. METHODS Nine patients with the acquired immunodeficiency syndrome (AIDS) who developed acute anterior uveitis were identified retrospectively from institutional ophthalmology, infectious disease, and AIDS primary care practices. Five patients initially had hypopyon; in three patients hypopyon was bilateral and recurrent. The medical history, initial signs and symptoms, diagnostic examination, clinical course, and response to therapy were ascertained by a review of the medical records. RESULTS All nine patients were being treated with rifabutin for treatment of, or prophylaxis against, Mycobacterium avium complex. In no patient was another untreated cause of uveitis found. In each patient the uveitis resolved rapidly without sequelae with treatment with topical corticosteroids alone. In eight patients uveitis resolved completely while treatment or prophylaxis for M. avium complex was maintained. CONCLUSIONS We studied a new hypopyon uveitis syndrome in patients with AIDS who are being treated with rifabutin. The interaction of multiple drugs may contribute to this uveitis syndrome. This uveitis is remarkable because it is fulminant yet responds rapidly to topical corticosteroids. Characterization of this syndrome is important because hypopyon in the immunocompromised patient generally mandates intensive, and sometimes invasive, ophthalmic and systemic examination and therapy. Additional study is required to determine whether immune status, underlying infection, or drug-related factors contribute to the development of this uveitis syndrome. Although this syndrome remains a diagnosis of exclusion, ophthalmologists must be aware of it, so that intervention is guided appropriately.
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Affiliation(s)
- D S Jacobs
- Division of Ophthalmology, Beth Israel Hospital, Boston, MA 02215
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Abstract
Reversible hematologic abnormalities including hemolytic anemia [1] with a positive direct Coombs' test have been associated with ranitidine. In addition to the case report cited above, the U.S. Food and Drug Administration had received five other cases of hemolysis associated with recent intake of ranitidine as of February 1991. To investigate the possible association of ranitidine with autoimmune hemolytic anemia, a study was conducted to determine how often diagnoses of hemolytic anemia or abnormal Coombs' test results followed dispensing of ranitidine using the automated medical and pharmacy records of a large health maintenance organization. No occurrences of hemolytic anemia were identified among 12,054 individuals following 38,686 prescriptions for this medication. The 95% upper confidence bound was 3.1 cases/10,000 exposed persons. One abnormal direct Coombs' test with mild anemia was discovered during routine prenatal testing of an asymptomatic patient who was dispensed ranitidine two and a half months previously. Hemolysis, however, was not demonstrated and an association with prior ranitidine use could not be confirmed. Additional analyses indicate that in only 30% of ranitidine courses was a blood count obtained. In those courses with hematocrits below 40%, less than 1% had a Coombs' test performed. Chart review suggests that the majority of individuals with severe anemia have alternative explanations other than autoimmune hemolysis for their anemia. This analysis indicates that ranitidine is unlikely to be a common cause of clinically recognized autoimmune hemolytic anemia and demonstrates the utility of large automated medical and pharmacy data bases to conduct post-marketing studies of spontaneously reported drug effects.
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Affiliation(s)
- P W Choo
- Channing Laboratory, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA
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Goldberg JH. Setting the right price for your practice. Med Econ 1994; 71:61, 65-6, 68. [PMID: 10136136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Goldberg JH. Closing your practice: start planning years ahead. Med Econ 1994; 71:151-6, 160. [PMID: 10133947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Goldberg JH. Ophthalmologists' earnings shrink. Med Econ 1993; 70:82-4, 90, 95-6. [PMID: 10125394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Goldberg JH. Practice expenses: doctors pull hard on the reins. Med Econ 1992; 69:222-30, 232-5. [PMID: 10122549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Goldberg JH. America's health crisis. National health insurance: still a bitter pill. Med Econ 1992; 69:76-80, 82, 87-91. [PMID: 10121563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Goldberg JH. When, or whether, to retire. Med Econ 1992; 69:162-6, 169-70, 172-5. [PMID: 10116781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
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Goldberg JH. Across the OR table. RN 1991; 54:48-51. [PMID: 1994469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
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Goldberg JH. The great doctor revolt. Med Econ 1989; 66:98-106, 109-10. [PMID: 10293386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
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Abstract
Accounting for nearly half of all work-related farm tractor injuries annually, tractor side and rear overturn continue to be an ongoing problem. The causes of both side and rear overturns may be grouped into design-related and human factors-related categories. This review addresses the latter, highlighting those information processing bottlenecks, some of which may be aided through training or stability indicator devices. It is argued that tractor instability must first be perceived before a corrective response may be taken. Evidence was drawn from orientation perception, tractor rollover response time, and driving studies to describe an overall model of the tractor operator attempting to stay within stable operating conditions. With this more precise model of the tractor operator, a foundation is provided for further research on the operator-tractor interface.
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Affiliation(s)
- J H Goldberg
- Department of Industrial and Management Systems Engineering, The Pennsylvania State University, USA
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Goldberg JH, Alred JW. Prediction of physical workload in reduced gravity. Aviat Space Environ Med 1988; 59:1150-7. [PMID: 3240215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
As we plan for long-term living and working in low-gravity environments, a system to predict mission support requirements, such as food and water, becomes critical. Such a system must consider the workload imposed by physical tasks for efficient estimation of these supplies. An accurate estimate of human energy expenditure on a space station or lunar base is also necessary to allocate personnel to tasks, and to assign work-rest schedules. An elemental analysis approach for predicting one's energy expenditure in industrial jobs was applied to low-gravity conditions in this paper. This was achieved by a reduction of input body and load weights in a well-accepted model, in proportion to lowered gravity, such as on the moon. Validation was achieved by applying the model to Apollo-era energy expenditure data. These data were from simulated lunar gravity walking studies, observed Apollo 14 walking, simulated lunar gravity upper body torquing, and simulated lunar gravity cart pulling. The energy expenditure model generally underpredicted high energy expenditures, and overpredicted low to medium energy expenditures. The predictions for low to medium workloads were, however, within 15-30% of actual values. Future developmental work will be necessary to include the effects of traction changes, as well as other nonlinear expenditure changes in reduced gravity environments.
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Goldberg JH. How to mine the silver lode in your office. Med Econ 1980; 57:103. [PMID: 10245518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Gescheider GA, Barton WG, Bruce MR, Goldberg JH, Greenspan MJ. Effects of simultaneous auditory stimulation on the detection of tactile stimuli. J Exp Psychol 1969; 81:120-5. [PMID: 5812165 DOI: 10.1037/h0027438] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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