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Biomedical subjects

R L Shehab

Publications and source records attributed to R L Shehab.

3 recordsLinked to original sources

Applying quality control charts to the analysis of single-subject data sequences.

Techniques from the field of quality control can be used to classify the quality of individual samples of physical or cognitive performance. After stable baselines have been established for an individual, deviations in performance can be evaluated using control charts. The effectiveness of this approach in evaluating cognitive performance was tested using databases collected under a variety of risk factors. The sensitivity and specificity characteristics of Shewhart, cumulative-sum (CUSUM), and exponentially weighted moving average (EWMA) control charts were determined for a total of 174 trials involving 10 participants and 23 cognitive performance assessment measures. The most effective technique in each case was typically a function of the specific performance measure and the type of performance change being evaluated. Sensitivity and specificity for the best techniques were as high as 100%. This study demonstrated the usefulness of quality control charts as a tool to evaluate individual participant performance over time. Actual or potential applications of this research include readiness-to-perform screening of industrial workers in order to improve the health and safety of the workforce.

Data Interpretation, Statistical↗

Cognitive performance aboard the life and microgravity spacelab.

The impact of microgravity and other stressors on cognitive performance need to be quantified before long duration space flights are planned or attempted since countermeasures may be required. Four astronauts completed 38 sessions of a 20-minute battery of six cognitive performance tests on a laptop computer. Twenty-four sessions were preflight, 9 sessions were in-orbit, and 5 sessions were postflight. Mathematical models of learning were fit to each subject's preflight data for each of 14 dependent variables. Assuming continued improvement, expected values were generated from the models for in-orbit comparison. Using single subject designs, two subjects showed statistically significant in-orbit effects. One subject was degraded in two tests, the other was degraded in one test and exceeded performance expectations in another. Other subjects showed no statistically significant effects on the tests. The factors causing the deterioration in the two subjects can not be determined without appropriate ground-based control groups.

Aerospace Medicine↗

The NASA Performance Assessment Workstation: cognitive performance during head-down bed rest.

The NASA Performance Assessment Workstation was used to assess cognitive performance changes in eight males subjected to seventeen days of 6 degrees head-down bed rest. PAWS uses six performance tasks to assess directed and divided attention, spatial, mathematical, and memory skills, and tracking ability. Subjective scales assess overall fatigue and mood state. Subjects completed training trials, practice trials, bed rest trials, and recovery trials. The last eight practice trials and all bed rest trials were performed with subjects lying face-down on a gurney. In general, there was no apparent cumulative effect of bed rest. Following a short period of performance stabilization, a slight but steady trend of performance improvement was observed across all trials. For most tasks, this trend of performance improvement was enhanced during recovery. No statistically significant differences in performance were observed when comparing bed rest with the control period. Additionally, fatigue scores showed little change across all periods.

Adult↗