WorldWideScience

Sample records for significantly reduced fatigue

  1. Reduced Electromyographic Fatigue Threshold after Performing a Cognitive Fatiguing Task.

    Science.gov (United States)

    Ferris, Justine R; Tomlinson, Mary A; Ward, Tayler N; Pepin, Marie E; Malek, Moh H

    2018-02-22

    Cognitive fatigue tasks performed prior to exercise may reduce exercise capacity. The electromyographic fatigue threshold (EMGFT) is the highest exercise intensity that can be maintained without significant increase in the EMG amplitude versus time relationship. To date, no studies have examined the effect of cognitive fatigue on the estimation of the EMGFT. The purpose of this study, therefore, was to determine whether or not cognitive fatigue prior to performing exercise reduces the estimated EMGFT. Eight healthy college-aged men were recruited from a university student population and visited the laboratory on multiple occasions. In a randomized order, subjects performed either the cognitive fatigue task (AX Continuous Performance Test; AX-CPT) for 60 min on one visit (experimental condition) or watched a video on trains for 60 min on the other visit (control condition). After each condition, subjects performed the incremental single-leg knee-extensor ergometry test while the EMG amplitude was recorded from the rectus femoris muscle and heart rate was monitored throughout. Thereafter, the EMGFT was calculated for each participant for each visit and compared using paired samples t-test. For exercise outcomes, there were no significant mean differences for maximal power output between the two conditions (control: 51 ± 5 vs. fatigue: 50 ± 3 W), but a significant decrease in EMGFT between the two conditions (control: 31 ± 3 vs. fatigue: 24 ± 2 W; p = 0.013). Moreover, maximal heart rate was significantly different between the two conditions (control: 151 ± 5 vs. fatigue: 132 ± 6; p = 0.027). These results suggest that performing the cognitive fatiguing task reduces the EMGFT with a corresponding reduction in maximal heart rate response.

  2. Lipid Replacement Therapy Drink Containing a Glycophospholipid Formulation Rapidly and Significantly Reduces Fatigue While Improving Energy and Mental Clarity

    Directory of Open Access Journals (Sweden)

    Robert Settineri

    2011-08-01

    Full Text Available Background: Fatigue is the most common complaint of patients seeking general medical care and is often treated with stimulants. It is also important in various physical activities of relatively healthy men and women, such as sports performance. Recent clinical trials using patients with chronic fatigue have shown the benefit of Lipid Replacement Therapy in restoring mitochondrial electron transport function and reducing moderate to severe chronic fatigue. Methods: Lipid Replacement Therapy was administered for the first time as an all-natural functional food drink (60 ml containing polyunsaturated glycophospholipids but devoid of stimulants or herbs to reduce fatigue. This preliminary study used the Piper Fatigue Survey instrument as well as a supplemental questionnaire to assess the effects of the glycophospholipid drink on fatigue and the acceptability of the test drink in adult men and women. A volunteer group of 29 subjects of mean age 56.2±4.5 years with various fatigue levels were randomly recruited in a clinical health fair setting to participate in an afternoon open label trial on the effects of the test drink. Results: Using the Piper Fatigue instrument overall fatigue among participants was reduced within the 3-hour seminar by a mean of 39.6% (p<0.0001. All of the subcategories of fatigue showed significant reductions. Some subjects responded within 15 minutes, and the majority responded within one hour with increased energy and activity and perceived improvements in cognitive function, mental clarity and focus. The test drink was determined to be quite acceptable in terms of taste and appearance. There were no adverse events from the energy drink during the study.Functional Foods in Health and Disease 2011; 8:245-254Conclusions: The Lipid Replacement Therapy functional food drink appeared to be a safe, acceptable and potentially useful new method to reduce fatigue, sustain energy and improve perceptions of mental function.

  3. Muscle-Cooling Intervention to Reduce Fatigue and Fatigue-Induced Tremor in Novice and Experienced Surgeons: A Preliminary Investigation.

    Science.gov (United States)

    Jensen, Lauren; Dancisak, Michael; Korndorffer, James

    2016-10-01

    A localized, intermittent muscle-cooling protocol was implemented to determine cooling garment efficacy in reducing upper extremity muscular fatigue and tremor in novice ( n  = 10) and experienced surgeons ( n  = 9). Subjects wore a muscle-cooling garment while performing multiple trials of a forearm exercise and paired suturing task to induce muscular fatigue and exercise-induced tremor. A reduction in tremor amplitude and an extension in time to fatigue were expected with muscle cooling as compared with control trials. Each subject completed an intervention session (5°C cooling condition) and a control session (32°C or thermal neutral condition). A paired samples t test indicated that tremor amplitude was significantly reduced ( t [8] = 1.89458; p  effect was not significant. Time to fatigue and suture time improved in both cohorts with muscle cooling, but the effect did not reach significance. Results from the pilot work suggest muscle cooling as an intervention for reduction of fatigue and tremor is very promising, warranting further investigation. Surgical specialties that require prolonged procedures might benefit more from this intervention.

  4. Glycophospholipid Formulation with NADH and CoQ10 Significantly Reduces Intractable Fatigue in Western Blot-Positive ‘Chronic Lyme Disease’ Patients: Preliminary Report

    Directory of Open Access Journals (Sweden)

    Garth L. Nicolson

    2012-03-01

    Full Text Available Background: An open label 8-week preliminary study was conducted in a small number of patients to determine if a combination oral supplement containing a mixture of phosphoglycolipids, coenzyme Q10 and microencapsulated NADH and other nutrients could affect fatigue levels in long-term, Western blot-positive, multi-symptom ‘chronic Lyme disease’ patients (also called ‘post-treatment Lyme disease’ or ‘post Lyme syndrome’ with intractable fatigue. Methods: The subjects in this study were 6 males (mean age = 45.1 ± 12.4 years and 10 females (mean age = 54.6 ± 7.4 years with ‘chronic Lyme disease’ (determined by multiple symptoms and positive Western blot analysis that had been symptomatic with chronic fatigue for an average of 12.7 ± 6.6 years. They had been seen by multiple physicians (13.3 ± 7.6 and had used many other remedies, supplements and drugs (14.4 ± 7.4 without fatigue relief. Fatigue was monitored at 0, 7, 30 and 60 days using a validated instrument, the Piper Fatigue Scale.Results: Patients in this preliminary study responded to the combination test supplement, showing a 26% reduction in overall fatigue by the end of the 8-week trial (p< 0.0003. Analysis of subcategories of fatigue indicated that there were significant improvements in the ability to complete tasks and activities as well as significant improvements in mood and cognitive abilities. Regression analysis of the data indicated that reductions in fatigue were consistent and occurred with a high degree of confidence (R2= 0.998. Functional Foods in Health and Disease 2012, 2(3:35-47 Conclusions: The combination supplement was a safe and effective method to significantly reduce intractable fatigue in long-term patients with Western blot-positive ‘chronic Lyme disease.’

  5. Are There Any Natural Remedies That Reduce Chronic Fatigue Associated with Chronic Fatigue Syndrome?

    Science.gov (United States)

    ... natural remedies that reduce chronic fatigue associated with chronic fatigue syndrome? Answers from Brent A. Bauer, M.D. Researchers ... a variety of natural products for effectiveness against chronic fatigue syndrome. Most results have been disappointing. A few remedies — ...

  6. Muscle mass as a target to reduce fatigue in patients with advanced cancer.

    Science.gov (United States)

    Neefjes, Elisabeth C W; van den Hurk, Renske M; Blauwhoff-Buskermolen, Susanne; van der Vorst, Maurice J D L; Becker-Commissaris, Annemarie; de van der Schueren, Marian A E; Buffart, Laurien M; Verheul, Henk M W

    2017-08-01

    Cancer-related fatigue (CRF) reduces quality of life and the activity level of patients with cancer. Cancer related fatigue can be reduced by exercise interventions that may concurrently increase muscle mass. We hypothesized that low muscle mass is directly related to higher CRF. A total of 233 patients with advanced cancer starting palliative chemotherapy for lung, colorectal, breast, or prostate cancer were studied. The skeletal muscle index (SMI) was calculated as the patient's muscle mass on level L3 or T4 of a computed tomography scan, adjusted for height. Fatigue was assessed with the Functional Assessment of Chronic Illness Therapy-fatigue questionnaire (cut-off for fatigue fatigue score was 36 (interquartile range 26-44). A higher SMI on level L3 was significantly associated with less CRF for men (B 0.447, P 0.004) but not for women (B - 0.401, P 0.090). No association between SMI on level T4 and the Functional Assessment of Chronic Illness Therapy-fatigue score was found (n = 82). The association between SMI and CRF may lead to the suggestion that male patients may be able to reduce fatigue by exercise interventions aiming at an increased muscle mass. In women with advanced cancer, CRF is more influenced by other causes, because it is not significantly related to muscle mass. To further reduce CRF in both men and women with cancer, multifactorial assessments need to be performed in order to develop effective treatment strategies. © 2017 The Authors. Journal of Cachexia, Sarcopenia and Muscle published by John Wiley & Sons Ltd on behalf of the Society on Sarcopenia, Cachexia and Wasting Disorders.

  7. Possible use of repeated cold stress for reducing fatigue in Chronic Fatigue Syndrome: a hypothesis

    Directory of Open Access Journals (Sweden)

    Shevchuk Nikolai A

    2007-10-01

    Full Text Available Abstract Background Physiological fatigue can be defined as a reduction in the force output and/or energy-generating capacity of skeletal muscle after exertion, which may manifest itself as an inability to continue exercise or usual activities at the same intensity. A typical example of a fatigue-related disorder is chronic fatigue syndrome (CFS, a disabling condition of unknown etiology and with uncertain therapeutic options. Recent advances in elucidating pathophysiology of this disorder revealed hypofunction of the hypothalamic-pituitary-adrenal axis and that fatigue in CFS patients appears to be associated with reduced motor neurotransmission in the central nervous system (CNS and to a smaller extent with increased fatigability of skeletal muscle. There is also some limited evidence that CFS patients may have excessive serotonergic activity in the brain and low opioid tone. Presentation of the hypothesis This work hypothesizes that repeated cold stress may reduce fatigue in CFS because brief exposure to cold may transiently reverse some physiological changes associated with this illness. For example, exposure to cold can activate components of the reticular activating system such as raphe nuclei and locus ceruleus, which can result in activation of behavior and increased capacity of the CNS to recruit motoneurons. Cold stress has also been shown to reduce the level of serotonin in most regions of the brain (except brainstem, which would be consistent with reduced fatigue according to animal models of exercise-related fatigue. Finally, exposure to cold increases metabolic rate and transiently activates the hypothalamic-pituitary-adrenal axis as evidenced by a temporary increase in the plasma levels of adrenocorticotropic hormone, beta-endorphin and a modest increase in cortisol. The increased opioid tone and high metabolic rate could diminish fatigue by reducing muscle pain and accelerating recovery of fatigued muscle, respectively. Testing

  8. Supervised exercise reduces cancer-related fatigue: a systematic review

    Directory of Open Access Journals (Sweden)

    José F Meneses-Echávez

    2015-01-01

    Full Text Available Question: Does supervised physical activity reduce cancer-related fatigue? Design: Systematic review with meta-analysis of randomised trials. Participants: People diagnosed with any type of cancer, without restriction to a particular stage of diagnosis or treatment. Intervention: Supervised physical activity interventions (eg, aerobic, resistance and stretching exercise, defined as any planned or structured body movement causing an increase in energy expenditure, designed to maintain or enhance health-related outcomes, and performed with systematic frequency, intensity and duration. Outcome measures: The primary outcome measure was fatigue. Secondary outcomes were physical and functional wellbeing assessed using the Functional Assessment of Cancer Therapy Fatigue Scale, European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire, Piper Fatigue Scale, Schwartz Cancer Fatigue Scale and the Multidimensional Fatigue Inventory. Methodological quality, including risk of bias of the studies, was evaluated using the PEDro Scale. Results: Eleven studies involving 1530 participants were included in the review. The assessment of quality showed a mean score of 6.5 (SD 1.1, indicating a low overall risk of bias. The pooled effect on fatigue, calculated as a standardised mean difference (SMD using a random-effects model, was –1.69 (95% CI –2.99 to –0.39. Beneficial reductions in fatigue were also found with combined aerobic and resistance training with supervision (SMD = –0.41, 95% CI –0.70 to –0.13 and with combined aerobic, resistance and stretching training with supervision (SMD = –0.67, 95% CI –1.17 to –0.17. Conclusion: Supervised physical activity interventions reduce cancer-related fatigue. These findings suggest that combined aerobic and resistance exercise regimens with or without stretching should be included as part of rehabilitation programs for people who have been diagnosed with cancer

  9. Radiation effects on low cycle fatigue properties of reduced activation ferritic/martensitic steels

    International Nuclear Information System (INIS)

    Hirose, T.; Tanigawa, H.; Ando, M.; Kohyama, A.; Katoh, Y.; Narui, M.

    2002-01-01

    The reduced activation ferritic/martensitic steel, RAFs F82H IEA heat has been fatigue-tested at ambient temperature under diametral strain controlled conditions. In order to evaluate the effects of radiation damage and transmutation damage on fatigue characteristics, post-neutron irradiation and post-helium ion implantation fatigue tests were carried out. Fracture surfaces and fatigue crack initiation on the specimen surface were observed by SEM. Low-temperature irradiation caused an increase in stress amplitude and a reduction in fatigue lifetime corresponding to radiation hardening and loss of ductility. Neutron irradiated samples showed brittle fracture surface, and it was significant for large strain tests. On the other hand, helium implantation caused delay of cyclic softening. However, brittle crack initiation and propagation did not depend on the helium concentration profiles

  10. Evidence of significant central fatigue in patients with cancer-related fatigue during repetitive elbow flexions till perceived exhaustion.

    Directory of Open Access Journals (Sweden)

    Bin Cai

    Full Text Available To investigate whether fatigue induced by an intermittent motor task in patients with cancer-related fatigue (CRF is more central or peripheral.Ten patients with CRF who were off chemo and radiation therapies and 14 age-matched healthy controls were enrolled. Participants completed a Brief Fatigue Inventory (BFI and performed a fatigue task consisting of intermittent elbow-flexion contractions at submaximal (40% maximal voluntary contraction intensity till self-perceived exhaustion. Twitch force was elicited by an electrical stimulation applied to the biceps brachii muscle. The relative degree of peripheral (muscle vs. central contribution to fatigue induced by the intermittent motor task (IMT was assessed using twitch force ratio (TF ratio defined as post IMT twitch force to pre IMT twitch force. The total number of trials (intermittent contractions and total duration of all trials performed by each subject were also quantified.BFI scores were higher (p < 0.001 in CRF than controls, indicating greater feeling of fatigue in CRF patients than controls. A significantly smaller number of trials and shorter total duration of the trials (p < 0.05 were observed in CRF than control participants. The TF ratio (0.81 ± 0.05 in CRF was higher (p < 0.05 compared with that of controls (0.62 ± 0.05, suggesting CRF patients experienced a significantly lower degree of muscle (peripheral fatigue at the time of perceived exhaustion.Consistent with prior findings for fatigue under submaximal sustained contraction, our results indicate that motor fatigue in CRF is more of central than peripheral origin during IMT. Significant central fatigue in CRF patients limits their ability to prolong motor performance.

  11. Effect of helium on fatigue crack growth and life of reduced activation ferritic/martensitic steel

    International Nuclear Information System (INIS)

    Nogami, Shuhei; Takahashi, Manabu; Hasegawa, Akira; Yamazaki, Masanori

    2013-01-01

    The effects of helium on the fatigue life, micro-crack growth behavior up to final fatigue failure, and fracture mode under fatigue in the reduced activation ferritic/martensitic steel, F82H IEA-heat, were investigated by low cycle fatigue tests at room temperature in air at a total strain range of 0.6–1.5%. Significant reduction of the fatigue life due to helium implantation was observed for a total strain range of 1.0–1.5%, which might be attributable to an increase in the micro-crack propagation rate. However, the reduction of fatigue life due to helium implantation was not significant for a total strain range of 0.6–0.8%. A brittle fracture surface (an original point of micro-crack initiation) and a cleavage fracture surface were observed in the helium-implanted region of fracture surface. A striation pattern was observed in the non-implanted region. These fracture modes of the helium-implanted specimen were independent of the strain range

  12. Clinically significant fatigue: prevalence and associated factors in an international sample of adults with multiple sclerosis recruited via the internet.

    Directory of Open Access Journals (Sweden)

    Tracey J Weiland

    Full Text Available Fatigue contributes a significant burden of disease for people with multiple sclerosis (PwMS. Modifiable lifestyle factors have been recognized as having a role in a range of morbidity outcomes in PwMS. There is significant potential to prevent and treat fatigue in PwMS by addressing modifiable risk factors.To explore the associations between clinically significant fatigue and demographic factors, clinical factors (health-related quality of life, disability and relapse rate and modifiable lifestyle, disease-modifying drugs (DMD and supplement use in a large international sample of PwMS.PwMS were recruited to the study via Web 2.0 platforms and completed a comprehensive survey measuring demographic, lifestyle and clinical characteristics, including health-related quality of life, disability, and relapse rate.Of 2469 participants with confirmed MS, 2138 (86.6% completed a validated measure of clinically significant fatigue, the Fatigue Severity Scale. Participants were predominantly female from English speaking countries, with relatively high levels of education, and due to recruitment methods may have been highly pro-active about engaging in lifestyle management and self-help. Approximately two thirds of our sample (1402/2138; 65.6% (95% CI 63.7-67.7 screened positive for clinically significant fatigue. Bivariate associations were present between clinically significant fatigue and several demographic, clinical, lifestyle, and medication variables. After controlling for level of disability and a range of stable socio-demographic variables, we found increased odds of fatigue associated with obesity, DMD use, poor diet, and reduced odds of fatigue with exercise, fish consumption, moderate alcohol use, and supplementation with vitamin D and flaxseed oil.This study supports strong and significant associations between clinically significant fatigue and modifiable lifestyle factors. Longitudinal follow-up of this sample may help clarify the contribution

  13. Muscle-Cooling Intervention to Reduce Fatigue and Fatigue-Induced Tremor in Novice and Experienced Surgeons: A Preliminary Investigation

    OpenAIRE

    Jensen, Lauren; Dancisak, Michael; Korndorffer, James

    2016-01-01

    A localized, intermittent muscle-cooling protocol was implemented to determine cooling garment efficacy in reducing upper extremity muscular fatigue and tremor in novice ( n  = 10) and experienced surgeons ( n  = 9). Subjects wore a muscle-cooling garment while performing multiple trials of a forearm exercise and paired suturing task to induce muscular fatigue and exercise-induced tremor. A reduction in tremor amplitude and an extension in time to fatigue were expected with muscle...

  14. Influence of Prior Fatigue Cycling on Creep Behavior of Reduced Activation Ferritic-Martensitic Steel

    Science.gov (United States)

    Sarkar, Aritra; Vijayanand, V. D.; Parameswaran, P.; Shankar, Vani; Sandhya, R.; Laha, K.; Mathew, M. D.; Jayakumar, T.; Rajendra Kumar, E.

    2014-06-01

    Creep tests were carried out at 823 K (550 °C) and 210 MPa on Reduced Activation Ferritic-Martensitic (RAFM) steel which was subjected to different extents of prior fatigue exposure at 823 K at a strain amplitude of ±0.6 pct to assess the effect of prior fatigue exposure on creep behavior. Extensive cyclic softening that characterized the fatigue damage was found to be immensely deleterious for creep strength of the tempered martensitic steel. Creep rupture life was reduced to 60 pct of that of the virgin steel when the steel was exposed to as low as 1 pct of fatigue life. However, creep life saturated after fatigue exposure of 40 pct. Increase in minimum creep rate and decrease in creep rupture ductility with a saturating trend were observed with prior fatigue exposures. To substantiate these findings, detailed transmission electron microscopy studies were carried out on the steel. With fatigue exposures, extensive recovery of martensitic-lath structure was distinctly observed which supported the cyclic softening behavior that was introduced due to prior fatigue. Consequently, prior fatigue exposures were considered responsible for decrease in creep ductility and associated reduction in the creep rupture strength.

  15. Moderate-intensity exercise reduces fatigue and improves mobility in cancer survivors: a systematic review and meta-regression

    Directory of Open Access Journals (Sweden)

    Amy M Dennett

    2016-04-01

    Full Text Available Question: Is there a dose-response effect of exercise on inflammation, fatigue and activity in cancer survivors? Design: Systematic review with meta-regression analysis of randomised trials. Participants: Adults diagnosed with cancer, regardless of specific diagnosis or treatment. Intervention: Exercise interventions including aerobic and/or resistance as a key component. Outcome measures: The primary outcome measures were markers of inflammation (including C-reactive protein and interleukins and various measures of fatigue. The secondary outcomes were: measures of activity, as defined by the World Health Organization's International Classification of Functioning, Disability and Health, including activities of daily living and measures of functional mobility (eg, 6-minute walk test, timed sit-to-stand and stair-climb tests. Risk of bias was evaluated using the PEDro scale, and overall quality of evidence was assessed using the Grades of Research, Assessment, Development and Evaluation (GRADE approach. Results: Forty-two trials involving 3816 participants were included. There was very low-quality to moderate-quality evidence that exercise results in significant reductions in fatigue (SMD 0.32, 95% CI 0.13 to 0.52 and increased walking endurance (SMD 0.77, 95% CI 0.26 to 1.28. A significant negative association was found between aerobic exercise intensity and fatigue reduction. A peak effect was found for moderate-intensity aerobic exercise for improving walking endurance. No dose-response relationship was found between exercise and markers of inflammation or exercise duration and outcomes. Rates of adherence were typically high and few adverse events were reported. Conclusions: Exercise is safe, reduces fatigue and increases endurance in cancer survivors. The results support the recommendation of prescribing moderate-intensity aerobic exercise to reduce fatigue and improve activity in people with cancer. Review registration: PROSPERO CRD

  16. Decreased physical activity, reduced QoL and presence of debilitating fatigue in patients with Addison's disease.

    Science.gov (United States)

    van der Valk, Eline S; Smans, Lisanne C C J; Hofstetter, Hedwig; Stubbe, Janine H; de Vries, Marieke; Backx, Frank J G; Hermus, Ad R M M; Zelissen, Pierre M J

    2016-09-01

    Health-related quality of life in patients with Addison's disease has been assessed in various European countries, indicating a reduced quality of life. However, no studies have addressed the impact of Addison's disease on physical activity. The aim of this study was to investigate the quality of life in Dutch patients with Addison's disease particularly regarding the presence of fatigue and the ability to be physically active. In this cross-sectional study, a postal survey was performed among Dutch patients with Addison's disease on stable glucocorticoid replacement therapy with hydrocortisone or cortisone acetate. For quality of life and physical activity assessment, patients completed general and health-related quality of life and physical activity questionnaires, and scores were compared to Dutch controls. A total of 328 patients with Addison's disease were studied. In patients with Addison's disease, only 45·7% met the standard of physical activity (Combinorm) compared to 67·8% of Dutch controls (P < 0·01). Forty-eight per cent of patients showed abnormal fatigue, while 61% had severe fatigue. The CIS fatigue scores were significantly higher compared to controls (P < 0·01). We found reduced general subjective health-related QoL scores in both male and female patients, especially in younger patients <65 years of age. Physical activity is decreased in patients with Addison's disease, combined with a reduced subjective health-related QoL and increased fatigue. © 2016 John Wiley & Sons Ltd.

  17. Intravenous Vitamin C administration reduces fatigue in office workers: a double-blind randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Suh Sang-Yeon

    2012-01-01

    Full Text Available Abstract Background Studies of the efficacy of vitamin C treatment for fatigue have yielded inconsistent results. One of the reasons for this inconsistency could be the difference in delivery routes. Therefore, we planned a clinical trial with intravenous vitamin C administration. Methods We evaluated the effect of intravenous vitamin C on fatigue in office workers. A group of 141 healthy volunteers, aged 20 to 49 years participated in this randomized, double-blind, controlled clinical trial. The trial group received 10 grams of vitamin C with normal saline intravenously, while the placebo group received normal saline only. Since vitamin C is a well-known antioxidant, oxidative stress was measured. Fatigue score, oxidative stress, and plasma vitamin C levels were measured before intervention, and again two hours and one day after intervention. Adverse events were monitored. Results The fatigue scores measured at two hours after intervention and one day after intervention were significantly different between the two groups (p = 0.004; fatigue scores decreased in the vitamin C group after two hours and remained lower for one day. Trial also led to higher plasma vitamin C levels and lower oxidative stress compared to the placebo group (p Conclusion Thus, intravenous vitamin C reduced fatigue at two hours, and the effect persisted for one day. There were no significant differences in adverse events between two groups. High dose intravenous vitamin C proved to be safe and effective against fatigue in this study. Trial Registration The clinical trial registration of this trial is http://ClinicalTrials.govNCT00633581.

  18. Androgen deficiency in male patients diagnosed with ANCA-associated vasculitis: a cause of fatigue and reduced health-related quality of life?

    Science.gov (United States)

    Tuin, Janneke; Sanders, Jan-Stephan F; Buhl, Birgit M; van Beek, André P; Stegeman, Coen A

    2013-01-01

    Low testosterone levels in men are associated with fatigue, limited physical performance and reduced health-related quality of life (HRQOL); however, this relationship has never been assessed in patients with anti-neutrophil cytoplasmic antibodies (ANCA) -associated vasculitides (AAV). The aim of this study was to assess the prevalence of androgen deficiency and to investigate the role of testosterone in fatigue, limited physical condition and reduced HRQOL in men with AAV. Male patients with AAV in remission were included in this study. Fatigue and HRQOL were assessed by the multi-dimensional fatigue inventory (MFI)-20 and RAND-36 questionnaires. Seventy male patients with a mean age of 59 years (SD 12) were included. Scores of almost all subscales of both questionnaires were significantly worse in patients compared to controls. Mean total testosterone and free testosterone levels were 13.8 nmol/L (SD 5.6) and 256 pmol/L (SD 102), respectively. Androgen deficiency (defined according to Endocrine Society Clinical Practice Guidelines) was present in 47% of patients. Scores in the subscales of general health perception, physical functioning and reduced activity were significantly worse in patients with androgen deficiency compared to patients with normal androgen levels. Testosterone and age were predictors for the RAND-36 physical component summary in multiple linear regression analysis. Testosterone, age, vasculitis damage index (VDI) and C-reactive protein (CRP) were associated with the MFI-20 subscale of general fatigue. This study showed that androgen deficiency was present in a substantial number of patients with AAV. Testosterone was one of the predictors for physical functioning and fatigue. Testosterone may play a role in fatigue, reduced physical performance and HRQOL in male patients with AAV.

  19. Lipid Replacement Therapy: a Functional Food Approach with New Formulations for Reducing Cellular Oxidative Damage, Cancer-Associated Fatigue and the Adverse Effects of Cancer Therapy

    Directory of Open Access Journals (Sweden)

    Garth L. Nicolson

    2011-04-01

    Full Text Available Backgroud:Cancer-associated fatigue and the chronic adverse effects of cancer therapy can be reduced by Lipid Replacement Therapy (LRT using membrane phospholipid mixtures given as food supplements.Methods:This is a review of the published literature on LRT and its uses.Results: LRT significantly reduced fatigue in cancer patients as well as patients suffering from chronic fatiguing illnesses and other medical conditions. It also reduced the adverse effects of chemotherapy, resulting in improvements in incidence of fatigue, nausea, diarrhea, impaired taste, constipation, insomnia and other quality of life indicators. In other diseases, such as chronic fatigue syndrome, fibromyalgia syndrome and other chronic fatiguing illnesses, LRT reduced fatigue by 35.5-43.1% in different clinical trials and increased mitochondrial function.Conclusions: LRT formulations appear to be useful as non-toxic dietary supplements for direct use or placed in functional foods to reduce fatigue and restore mitochondrial and other cellular membrane functions. Formulations of LRT phospholipids are suitable for addition to variousfood products for the treatment of a variety of chronic illnesses as well as their application inanti-aging and other health supplements and products.

  20. Multidimensional fatigue in pulmonary hypertension: prevalence, severity and predictors

    Science.gov (United States)

    Tartavoulle, Todd M.; Karpinski, Aryn C.; Aubin, Andrew; Kluger, Benzi M.; Distler, Oliver; Saketkoo, Lesley Ann

    2018-01-01

    Pulmonary hypertension is a potentially fatal disease. Despite pharmacological advances in pulmonary hypertension, fatigue remains common in patients with pulmonary hypertension. A convenience sample of 120 participants at an international patient conference completed the Multidimensional Fatigue Inventory (MFI)-20 scale. Data on New York Heart Association Functional Class, body mass index, oxygen use and medication type/use were also collected. There was a high prevalence of “severe” to “very severe” fatigue for each dimension: General Fatigue (60%), Physical Fatigue (55.8%), Reduced Activity (41.7%), Reduced Motivation (32.5%) and Mental Fatigue (27.5%). The mean±sd overall MFI-20 score was 58±5.1. Dimensions with the highest averaged levels were General Fatigue (13.40±3.61), Physical Fatigue (13.23±3.67) and Reduced Activity (11.33±4.16). Body mass index correlated with higher fatigue scores. Phosphodiesterase inhibitor plus endothelin receptor antagonist combination negatively predicted General Fatigue, Physical Fatigue, Reduced Motivation and Reduced Activity. Triple therapy was a significant predictor of General Fatigue, Physical Fatigue and Reduced Activity. There were no significant predictors of Mental Fatigue. Multidimensional fatigue is common and severe in patients with pulmonary hypertension. Phosphodiesterase inhibitor plus endothelin receptor antagonist combination resulted in lower scores in most fatigue dimensions. Comprehensive assessment of fatigue should be considered in the clinical care of patients with pulmonary hypertension and clinical research to develop formal interventions that target this disabling symptom. PMID:29577043

  1. Transcutaneous Electrical Nerve Stimulation (TENS) reduces pain, fatigue, and hyperalgesia while restoring central inhibition in primary fibromyalgia

    Science.gov (United States)

    Dailey, Dana L; Rakel, Barbara A; Vance, Carol GT; Liebano, Richard E; Anand, Amrit S; Bush, Heather M; Lee, Kyoung S; Lee, Jennifer E; Sluka, Kathleen A

    2014-01-01

    Because TENS works by reducing central excitability and activating central inhibition pathways, we tested the hypothesis that TENS would reduce pain and fatigue and improve function and hyperalgesia in people with fibromyalgia who have enhanced central excitability and reduced inhibition. The current study used a double-blinded randomized, placebo controlled cross-over design to test effects of a single treatment of TENS in people with fibromyalgia. Three treatments were assessed in random order: active TENS, placebo TENS, no TENS. The following measures were assessed before and after each TENS treatment: pain and fatigue at rest and movement, pressure pain thresholds (PPTs), 6 minute walk test (6MWT), range of motion (ROM), five time sit to stand test (FTSTS), and single leg stance (SLS). Conditioned pain modulation (CPM) was completed at end of testing. There was a significant decrease in pain and fatigue with movement for active TENS compared to placebo and no TENS. PPTs increased at site of TENS (spine) and outside site of TENS (leg) when compared to placebo TENS or no TENS. During Active TENS CPM was significantly stronger compared to placebo TENS and no TENS. No changes in functional tasks were observed with TENS. Thus, the current study suggests TENS has short-term efficacy in relieving symptoms of fibromyalgia while the stimulator is active. Future clinical trials should examine the effects of repeated daily delivery of TENS, similar to how TENS is used clinically, on pain, fatigue, function and quality of life in individuals with fibromyalgia. PMID:23900134

  2. PO2 cycling reduces diaphragm fatigue by attenuating ROS formation.

    Science.gov (United States)

    Zuo, Li; Diaz, Philip T; Chien, Michael T; Roberts, William J; Kishek, Juliana; Best, Thomas M; Wagner, Peter D

    2014-01-01

    Prolonged muscle exposure to low PO2 conditions may cause oxidative stress resulting in severe muscular injuries. We hypothesize that PO2 cycling preconditioning, which involves brief cycles of diaphragmatic muscle exposure to a low oxygen level (40 Torr) followed by a high oxygen level (550 Torr), can reduce intracellular reactive oxygen species (ROS) as well as attenuate muscle fatigue in mouse diaphragm under low PO2. Accordingly, dihydrofluorescein (a fluorescent probe) was used to monitor muscular ROS production in real time with confocal microscopy during a lower PO2 condition. In the control group with no PO2 cycling, intracellular ROS formation did not appear during the first 15 min of the low PO2 period. However, after 20 min of low PO2, ROS levels increased significantly by ∼30% compared to baseline, and this increase continued until the end of the 30 min low PO2 condition. Conversely, muscles treated with PO2 cycling showed a complete absence of enhanced fluorescence emission throughout the entire low PO2 period. Furthermore, PO2 cycling-treated diaphragm exhibited increased fatigue resistance during prolonged low PO2 period compared to control. Thus, our data suggest that PO2 cycling mitigates diaphragm fatigue during prolonged low PO2. Although the exact mechanism for this protection remains to be elucidated, it is likely that through limiting excessive ROS levels, PO2 cycling initiates ROS-related antioxidant defenses.

  3. PO2 cycling reduces diaphragm fatigue by attenuating ROS formation.

    Directory of Open Access Journals (Sweden)

    Li Zuo

    Full Text Available Prolonged muscle exposure to low PO2 conditions may cause oxidative stress resulting in severe muscular injuries. We hypothesize that PO2 cycling preconditioning, which involves brief cycles of diaphragmatic muscle exposure to a low oxygen level (40 Torr followed by a high oxygen level (550 Torr, can reduce intracellular reactive oxygen species (ROS as well as attenuate muscle fatigue in mouse diaphragm under low PO2. Accordingly, dihydrofluorescein (a fluorescent probe was used to monitor muscular ROS production in real time with confocal microscopy during a lower PO2 condition. In the control group with no PO2 cycling, intracellular ROS formation did not appear during the first 15 min of the low PO2 period. However, after 20 min of low PO2, ROS levels increased significantly by ∼30% compared to baseline, and this increase continued until the end of the 30 min low PO2 condition. Conversely, muscles treated with PO2 cycling showed a complete absence of enhanced fluorescence emission throughout the entire low PO2 period. Furthermore, PO2 cycling-treated diaphragm exhibited increased fatigue resistance during prolonged low PO2 period compared to control. Thus, our data suggest that PO2 cycling mitigates diaphragm fatigue during prolonged low PO2. Although the exact mechanism for this protection remains to be elucidated, it is likely that through limiting excessive ROS levels, PO2 cycling initiates ROS-related antioxidant defenses.

  4. Capsaicin Supplementation Reduces Physical Fatigue and Improves Exercise Performance in Mice

    Directory of Open Access Journals (Sweden)

    Yi-Ju Hsu

    2016-10-01

    Full Text Available Chili pepper is used as a food, seasoning and has been revered for its medicinal and health claims. It is very popular and is the most common spice worldwide. Capsaicin (CAP is a major pungent and bioactive phytochemical in chili peppers. CAP has been shown to improve mitochondrial biogenesis and adenosine triphosphate (ATP production. However, there is limited evidence around the effects of CAP on physical fatigue and exercise performance. The purpose of this study was to evaluate the potential beneficial effects of CAP on anti-fatigue and ergogenic functions following physiological challenge. Female Institute of Cancer Research (ICR mice from four groups (n = 8 per group were orally administered CAP for 4 weeks at 0, 205, 410, and 1025 mg/kg/day, which were respectively designated the vehicle, CAP-1X, CAP-2X, and CAP-5X groups. The anti-fatigue activity and exercise performance was evaluated using forelimb grip strength, exhaustive swimming time, and levels of serum lactate, ammonia, glucose, BUN (blood urea nitrogen and creatine kinase (CK after a 15-min swimming exercise. The grip strength and exhaustive swimming time of the CAP-5X group were significantly higher than other groups. CAP supplementation dose-dependently reduced serum lactate, ammonia, BUN and CK levels, and increased glucose concentration after the 15-min swimming test. In addition, CAP also increased hepatic glycogen content, an important energy source for exercise. The possible mechanism was relevant to energy homeostasis and the physiological modulations by CAP supplementation. Therefore, our results suggest that CAP supplementation may have a wide spectrum of bioactivities for promoting health, performance improvement and fatigue amelioration.

  5. Physiotherapy programme reduces fatigue in patients with advanced cancer receiving palliative care: randomized controlled trial.

    Science.gov (United States)

    Pyszora, Anna; Budzyński, Jacek; Wójcik, Agnieszka; Prokop, Anna; Krajnik, Małgorzata

    2017-09-01

    Cancer-related fatigue (CRF) is a common and relevant symptom in patients with advanced cancer that significantly decreases their quality of life. The aim of this study was to evaluate the effect of a physiotherapy programme on CRF and other symptoms in patients diagnosed with advanced cancer. The study was designed as a randomized controlled trial. Sixty patients diagnosed with advanced cancer receiving palliative care were randomized into two groups: the treatment group (n = 30) and the control group (n = 30). The therapy took place three times a week for 2 weeks. The 30-min physiotherapy session included active exercises, myofascial release and proprioceptive neuromuscular facilitation (PNF) techniques. The control group did not exercise. The outcomes included Brief Fatigue Inventory (BFI), Edmonton Symptom Assessment Scale (ESAS) and satisfaction scores. The exercise programme caused a significant reduction in fatigue scores (BFI) in terms of severity of fatigue and its impact on daily functioning. In the control group, no significant changes in the BFI were observed. Moreover, the physiotherapy programme improved patients' general well-being and reduced the intensity of coexisting symptoms such as pain, drowsiness, lack of appetite and depression. The analysis of satisfaction scores showed that it was also positively evaluated by patients. The physiotherapy programme, which included active exercises, myofascial release and PNF techniques, had beneficial effects on CRF and other symptoms in patients with advanced cancer who received palliative care. The results of the study suggest that physiotherapy is a safe and effective method of CRF management.

  6. Significance of residual stress on fatigue properties of welded pipes

    International Nuclear Information System (INIS)

    Ohta, A.; Maeda, Y.; Kanao, M.

    1984-01-01

    The mean stress effect on the fatigue properties of two kinds of welded pipes was investigated in cantilever bending. The fatigue strength changed with the mean stress on fillet welded pipes, but did not change on butt welded pipes. The fatigue crack initiated from the toe of weld on the outer surface of fillet welded pipes and from the undercut on the inner surface of butt welded pipes. The measurement of the fatigue crack propagation rate and the residual stress distribution through the thickness of pipe revealed that the difference in the fatigue properties between fillet and butt welded pipes arose from the weld-induced residual stress, tension on the inner surface and compression on the outer surface. It is suggested that the production of compressive residual stress along the inner surface would be an effective means for improving the fatigue strength of butt welded pipes. (author)

  7. Fatigue of 1 {mu}m-scale gold by vibration with reduced resonant frequency

    Energy Technology Data Exchange (ETDEWEB)

    Sumigawa, Takashi, E-mail: sumigawa@cyber.kues.kyoto-u.ac.jp [Department of Mechanical Engineering and Science, Kyoto University, Yoshidahommachi, Sakyo-ku, Kyoto 606-8501 (Japan); Matsumoto, Kenta [Department of Mechanical Engineering and Science, Kyoto University, Yoshidahommachi, Sakyo-ku, Kyoto 606-8501 (Japan); Tsuchiya, Toshiyuki [Department of Micro Engineering, Kyoto University, Yoshidahommachi, Sakyo-ku, Kyoto 606-8501 (Japan); Kitamura, Takayuki [Department of Mechanical Engineering and Science, Kyoto University, Yoshidahommachi, Sakyo-ku, Kyoto 606-8501 (Japan)

    2012-10-30

    In order to investigate the fatigue strength of micro-metal (1 {mu}m-scale), a testing method using resonant vibration is developed. Although the loading by vibration can solve the difficulties associated with the fatigue experiment of micro-specimen (e.g., specimen gripping and high-cycle loading under tension-compression), it inherently has an excessively high resonance frequency (more than several GHz at least) in a 1 {mu}m-scale metal specimen. For control of the fatigue cycle, the resonance frequency must be reduced to several hundreds of kHz by tuning the specimen shape. We design a cantilever specimen of 1 {mu}m scale gold with a weight at the tip, which reduces the resonant frequency to about 330 kHz. The unique specimen with the test section of 1.26 {mu}m Multiplication-Sign 0.94 {mu}m Multiplication-Sign 1.52 {mu}m is successfully fabricated by a novel technique using a focused ion beam and the tension-compression fatigue cycle is applied to it by means of a piezoelectric actuator. The test section breaks at about 1.6 Multiplication-Sign 10{sup 6} cycles under {Delta}{sigma}/2=230 MPa, which is within the targeted range of this project. It is easy to extend this method to high-cycle fatigue for actual use (including the failure cycles of over 10{sup 8} cycles). The slip bands observed on the surface, which have concavity and convexity similar to the intrusions/extrusions of PSBs, indicate that the failure is induced by the fatigue.

  8. The impact of significant other expressed emotion on patient outcomes in chronic fatigue syndrome.

    Science.gov (United States)

    Band, Rebecca; Barrowclough, Christine; Wearden, Alison

    2014-09-01

    Previous literature has identified the importance of interpersonal processes for patient outcomes in chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME), particularly in the context of significant other relationships. The current study investigated expressed emotion (EE), examining the independent effects of critical comments and emotional overinvolvement (EOI) in association with patient outcomes. Fifty-five patients with CFS/ME and their significant others were recruited from specialist CFS/ME services. Significant other EE status was coded from a modified Camberwell Family Interview. Patient outcomes (fatigue severity, disability, and depression) were derived from questionnaire measures. Forty-four patients (80%) completed follow-up questionnaires 6-months after recruitment. Significant other high-EE categorized by both high levels of critical comments and high EOI was predictive of worse fatigue severity at follow-up. High-critical EE was associated with higher levels of patient depressive symptoms longitudinally; depressive symptoms were observed to mediate the relationship between high critical comments and fatigue severity reported at follow-up. There were higher rates of high-EE in parents than in partners, and this was because of higher rates of EOI in parents. Patients with high-EE significant others demonstrated poorer outcomes at follow-up compared with patients in low-EE dyads. One mechanism for this appears to be as a result of increased patient depression. Future research should seek to further clarify whether the role of interpersonal processes in CFS/ME differs across different patient-significant other relationships. The development of significant other-focused treatment interventions may be particularly beneficial for both patients and significant others. (PsycINFO Database Record (c) 2014 APA, all rights reserved).

  9. Effect of Reduced Phosphoric Acid Pre-etching Times 
on Enamel Surface Characteristics and Shear Fatigue Strength Using Universal Adhesives.

    Science.gov (United States)

    Tsujimoto, Akimasa; Fischer, Nicholas; Barkmeier, Wayne; Baruth, Andrew; Takamizawa, Toshiki; Latta, Mark; Miyazaki, Masashi

    2017-01-01

    To examine the effect of reduced phosphoric acid pre-etching times on enamel fatigue bond strength of universal adhesives and surface characteristics by using atomic force microscopy (AFM). Three universal adhesives were used in this study (Clearfil Universal Bond [C], G-Premio Bond [GP], Scotchbond Universal Adhesive [SU]). Four pre-etching groups were employed: enamel pre-etched with phosphoric acid and immediately rinsed with an air-water spray, and enamel pre-etched with phosphoric acid for 5, 10, or 15 s. Ground enamel was used as the control group. For the initial bond strength test, 15 specimens per etching group for each adhesive were used. For the shear fatigue test, 20 specimens per etching group for each adhesive were loaded using a sine wave at a frequency of 20 Hz for 50,000 cycles or until failure occurred. Initial shear bond strengths and fatigue shear strengths of composite adhesively bonded to ground and pre-etched enamel were determined. AFM observations of ground and pre-etched enamel were also conducted, and surface roughness as well as surface area were evaluated. The initial shear bond strengths and fatigue shear strengths of the universal adhesives in the pre-etched groups were significantly higher than those of the control group, and were not influenced by the pre-etching time. Significantly higher surface roughness and surface area of enamel surfaces in pre-etched groups were observed compared with those in the control group. While the surface area was not significantly influenced by etching time, surface roughness of the enamel surfaces in the pre-etched groups significantly increased with pre-etching time. The results of this in vitro study suggest that reduced phosphoric acid pre-etching times do not impair the fatigue bond strength of universal adhesives. Although fatigue bond strength and surface area were not influenced by phosphoric-acid etching times, surface roughness increased with increasing etching time.

  10. EFFICACIOUS PSYCHOLOGICAL TREATMENTS FOR REDUCING FATIGUE IN CANCER SURVIVORS: THE STATE OF THE QUESTION AND FUTURE PROSPECTS

    Directory of Open Access Journals (Sweden)

    Francisco García Torres

    2015-09-01

    Full Text Available Cancer remains a major health problem worldwide. Due to the efficacy of the treatments and the improvements in healthcare systems, however, the number of cancer survivors has increased significantly over the years. Fatigue is one of the consequences of cancer that appears most frequently, causing significant changes in the lives of survivors. Different psychological treatments have been used to reduce fatigue in this patient group. Cognitive-behavioural techniques and mindfulness therapies are the ones that have the most data supporting their effectiveness, ahead of psycho-educational type interventions. The majority of studies, however, have been conducted with breast cancer survivors, and it would be desirable to test the effectiveness of these techniques with a greater variability of cancer types.

  11. The High Costs of Low-Grade Inflammation: Persistent Fatigue as a Consequence of Reduced Cellular-Energy Availability and Non-adaptive Energy Expenditure.

    Science.gov (United States)

    Lacourt, Tamara E; Vichaya, Elisabeth G; Chiu, Gabriel S; Dantzer, Robert; Heijnen, Cobi J

    2018-01-01

    Chronic or persistent fatigue is a common, debilitating symptom of several diseases. Persistent fatigue has been associated with low-grade inflammation in several models of fatigue, including cancer-related fatigue and chronic fatigue syndrome. However, it is unclear how low-grade inflammation leads to the experience of fatigue. We here propose a model of an imbalance in energy availability and energy expenditure as a consequence of low-grade inflammation. In this narrative review, we discuss how chronic low-grade inflammation can lead to reduced cellular-energy availability. Low-grade inflammation induces a metabolic switch from energy-efficient oxidative phosphorylation to fast-acting, but less efficient, aerobic glycolytic energy production; increases reactive oxygen species; and reduces insulin sensitivity. These effects result in reduced glucose availability and, thereby, reduced cellular energy. In addition, emerging evidence suggests that chronic low-grade inflammation is associated with increased willingness to exert effort under specific circumstances. Circadian-rhythm changes and sleep disturbances might mediate the effects of inflammation on cellular-energy availability and non-adaptive energy expenditure. In the second part of the review, we present evidence for these metabolic pathways in models of persistent fatigue, focusing on chronic fatigue syndrome and cancer-related fatigue. Most evidence for reduced cellular-energy availability in relation to fatigue comes from studies on chronic fatigue syndrome. While the mechanistic evidence from the cancer-related fatigue literature is still limited, the sparse results point to reduced cellular-energy availability as well. There is also mounting evidence that behavioral-energy expenditure exceeds the reduced cellular-energy availability in patients with persistent fatigue. This suggests that an inability to adjust energy expenditure to available resources might be one mechanism underlying persistent fatigue.

  12. Muscle injections with lidocaine improve resting fatigue and pain in patients with chronic fatigue syndrome

    Directory of Open Access Journals (Sweden)

    Staud R

    2017-06-01

    Full Text Available Roland Staud,1 Taylor Kizer,1 Michael E Robinson2 1Department of Medicine, College of Medicine, 2Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA Objective: Patients with chronic fatigue syndrome (CFS complain of long-lasting fatigue and pain which are not relieved by rest and worsened by physical exertion. Previous research has implicated metaboreceptors of muscles to play an important role for chronic fatigue and pain. Therefore, we hypothesized that blocking impulse input from deep tissues with intramuscular lidocaine injections would improve not only the pain but also fatigue of CFS patients. Methods: In a double-blind, placebo-controlled study, 58 CFS patients received 20 mL of 1% lidocaine (200 mg or normal saline once into both trapezius and gluteal muscles. Study outcomes included clinical fatigue and pain, depression, and anxiety. In addition, mechanical and heat hyperalgesia were assessed and serum levels of lidocaine were obtained after the injections. Results: Fatigue ratings of CFS patients decreased significantly more after lidocaine compared to saline injections (p = 0.03. In contrast, muscle injections reduced pain, depression, and anxiety (p < 0.001, but these changes were not statistically different between lidocaine and saline (p > 0.05. Lidocaine injections increased mechanical pain thresholds of CFS patients (p = 0.04 but did not affect their heat hyperalgesia. Importantly, mood changes or lidocaine serum levels did not significantly predict fatigue reductions. Conclusion: These results demonstrate that lidocaine injections reduce clinical fatigue of CFS patients significantly more than placebo, suggesting an important role of peripheral tissues for chronic fatigue. Future investigations will be necessary to evaluate the clinical benefits of such interventions. Keywords: muscle injections, lidocaine, metaboreceptor, chronic fatigue 

  13. Evidence for Reduced Fatigue Resistance of Contemporary Rotary Instruments Exposed to Body Temperature.

    Science.gov (United States)

    de Vasconcelos, Rafaela Andrade; Murphy, Sarah; Carvalho, Claudio Antonio Talge; Govindjee, Rajiv G; Govindjee, Sanjay; Peters, Ove A

    2016-05-01

    The purpose of this study was to evaluate the effect of 2 different temperatures (20°C and 37°C) on the cyclic fatigue life of rotary instruments and correlate the results with martensitic transformation temperatures. Contemporary nickel-titanium rotary instruments (n = 20 each and tip size #25, including Hyflex CM [Coltene, Cuyahoga Falls, OH], TRUShape [Dentsply Tulsa Dental Specialties, Tulsa, OK], Vortex Blue [Dentsply Tulsa Dental Specialties], and ProTaper Universal [Dentsply Tulsa Dental Specialties]) were tested for cyclic fatigue at room temperature (20°C ± 1°C) and at body temperature (37°C ± 1°C). Instruments were rotated until fracture occurred in a simulated canal with an angle curvature of about 60° and a radius curvature of 3 mm; the center of the curvature was 4.5 mm from the instrument tip. The number of cycles to fracture was measured. Phase transformation temperatures for 2 instruments of each brand were analyzed by differential scanning calorimetry. Data were analyzed using the t test and 1-way analysis of variance with the significance level set at 0.05. For the tested size and at 20°C, Hyflex CM showed the highest resistance to fracture; no significant difference was found between TRUShape and Vortex Blue, whereas ProTaper Universal showed the lowest resistance to fracture. At 37°C, resistance to fatigue fracture was significantly reduced, up to 85%, for the tested instruments (P rotary instruments tested. Copyright © 2016 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  14. Modification of working conditions based on ergo THK reducing workload, muscle tension, and fatigue of rice milling workers in J village

    Science.gov (United States)

    Ruliati, L. P.; Adiputra, N.; Sutjana, I. D. P.; Sutajaya, I. M.

    2017-11-01

    Rice mill is one of the businesses in informal sector. From the rice milling process, ergonomic problems arise when employees work with bent position that done repeatedly to lift grain sacks to be transferred to peeler machine. This situation will affect the comfort of work, thus increasing the workload, muscle tension, and fatigue. The consequence will certainly affect the health and productivity of workers. In this study introduces ergo Tri Hita Karana (ergo THK) as an ergonomics intervention model which solves ergonomics problems of the cultural aspects of THK. The study aim is to determine the modification of working conditions based Ergo THK to reduce workload, muscle tension and fatigue. This research uses Randomized Pretest and Posttest Control Group Design experimental design. The subjects were 30 male rice mill workers with an age range of 16 until 56 years, and then divided into 15 subjects in the control group and 15 subjects in the treatment group. The results showed that the average posttest workloads in the control group are 136.950 more less 0.297 and in the treatment group are 107.60 more less 0.396. Significance analysis showed that after the two groups done their activities, the average workload significantly different p less than 0.005. The amount of reduction in the workload between the two groups was 21.43 percent. In muscle tension posttest showed that the mean score of the muscle tension in the control group was 62.67 more less 7.31 and the treatment group was 20.96 more less 2.96. Significance analysis showed that both groups mean muscle-tension results were significantly different p less than 0.005. The amount of reduction in tension between the control group and the treatment group while working was 66.55 percent. At fatigue posttest showed that the mean score of fatigue in the control group was 76.40 more less 13.51 and the treatment group was 55.53 more less 9.51. Significant analysis showed that the mean fatigue of both groups

  15. Effects of nonpharmacological interventions on reducing fatigue after hematopoietic stem cell transplantation

    Directory of Open Access Journals (Sweden)

    Hedayat Jafari

    2017-01-01

    Full Text Available Fatigue is one of the main complaints of patients undergoing allogeneic and autologous hematopoietic stem cell transplantation (HSCT. Since nonpharmacological interventions are cost-effective and causes fewer complications, this study aimed to review the studies performed on the effects of nonpharmacological interventions on fatigue in patients undergoing HSCT during September 2016. MEDLINE, CINAHL, Scientific Information Database, IranMedex, PubMed, ScienceDirect, Scopus, Magiran, and IRANDOC databases were searched using Persian and English keywords. A total of 1217 articles were retrieved, 21 of which were used in this study. Exercise is known as an effective intervention in alleviating physical and mental problems of patients undergoing stem cell transplant. This review-based study showed that nonpharmacological methods such as exercise might be effective in decreasing fatigue in patients undergoing stem cell transplant. There is a multitude of studies on some of the complementary and alternative therapy methods, such as music therapy, yoga, relaxation, and therapeutic massage. These studies demonstrated the positive effects of the aforementioned therapies on reduction of fatigue in patients undergoing stem cell transplantation. All the investigated methods in this study were nonaggressive, safe, and cost-effective and could be used along with common treatments or even as an alternative for pharmacological treatments for the reduction, or elimination of fatigue in patients undergoing stem cell transplantation. Given the advantages of complementary and alternative medicine, conducting further studies on this issue is recommended to reduce fatigue in patients after stem cell transplantation.

  16. Cognitive behavioural therapy for reducing fatigue in post-polio syndrome and in facioscapulohumeral dystrophy: A comparison

    NARCIS (Netherlands)

    Koopman, Fieke S.; Brehm, Merel A.; Beelen, Anita; Voet, Nicole; Bleijenberg, Gijs; Geurts, Alexander; Nollet, Frans

    2017-01-01

    Cognitive behavioural therapy does not reduce fatigue in post-polio syndrome, but is effective in facioscapulohumeral dystrophy. This difference in efficacy might be explained by a different role of cognitions in these conditions. To compare fatigue-related cognitions between patients with

  17. Fatigue life assessment based on crack growth behavior in reduced activation ferritic/martensitic steel

    International Nuclear Information System (INIS)

    Nogami, Shuhei; Sato, Yuki; Hasegawa, Akira

    2010-01-01

    Crack growth behavior under low cycle fatigue in reduced activation ferritic/martensitic steel, F82H IEA-heat (Fe-8Cr-2W-0.2V-0.02Ta), was investigated to improve the fatigue life assessment method of fusion reactor structural material. Low cycle fatigue test was carried out at room temperature in air at a total strain range of 0.4-1.5% using an hourglass-type miniature fatigue specimen. The relationship between the surface crack length and life fraction was described using one equation independent of the total strain range. Therefore, the fatigue life and residual life could be estimated using the surface crack length. Moreover, the microcrack initiation life could be estimated using the total strain range if there was a one-to-one correspondence between the total strain range and number of cycles to failure. The crack growth rate could be estimated using the total strain range and surface crack length by introducing the concept of the normalized crack growth rate. (author)

  18. Evaluation of an mHealth intervention aiming to improve health-related behavior and sleep and reduce fatigue among airline pilots.

    Science.gov (United States)

    van Drongelen, Alwin; Boot, Cécile Rl; Hlobil, Hynek; Twisk, Jos Wr; Smid, Tjabe; van der Beek, Allard J

    2014-11-01

    The aim of this study was to evaluate the effects of an mHealth intervention (intervention using mobile technology) consisting of tailored advice regarding exposure to daylight, sleep, physical activity, and nutrition, and aiming to improve health-related behavior, thereby reducing sleep problems and fatigue and improving health perception of airline pilots. A randomized controlled trial was conducted among 502 airline pilots. The intervention group was given access to both the MORE Energy mobile application (app) with tailored advice and a website with background information. The control group was directed to a website with standard information about fatigue. Health-related behavior, fatigue, sleep, and health perception outcomes were measured through online questionnaires at baseline and at three and six months after baseline. The effectiveness of the intervention was determined using linear and Poisson mixed model analyses. After six months, compared to the control group, the intervention group showed a significant improvement on fatigue (β= -3.76, P<0.001), sleep quality (β= -0.59, P=0.007), strenuous physical activity (β=0.17, P=0.028), and snacking behavior (β= -0.81, P<0.001). No significant effects were found for other outcome measures. The MORE Energy mHealth intervention reduced self-reported fatigue compared to a minimal intervention. Some aspects of health-related behavior (physical activity and snacking behavior) and sleep (sleep quality) improved as well, but most did not. The results show offering tailored advice through an mHealth intervention is an effective means to support employees who have to cope with irregular flight schedules and circadian disruption. This kind of intervention might therefore also be beneficial for other working populations with irregular working hours.

  19. Guide to safe work : fatigue management : an employer's guide to designing and implementing a fatigue management program. 2 ed.

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2007-02-15

    The impacts of fatigue on workplace safety are now commonly recognized. Many employers now wish to include fatigue management as part of their overall health and safety programs. This guide to fatigue management was written to help companies in the petroleum industry design and implement effective fatigue management programs that reduce incidents and injuries among employees. The guide provided information about workplace fatigue and discussed fatigue management issues and strategies. It was suggested that workplace culture can play a significant role in managing fatigue by allowing fatigue factors to be quickly recognized and managed. Employers who wish to build fatigue management programs should involve all levels of employees, and should consider all workplace practices and procedures. Consideration must also be given to the development of employee competency in managing fatigue. The guide included step-by-step recommendations for implementing a fatigue management program. It was concluded that the benefits of fatigue management include reduced worker absence and turnover, as well as avoiding the costs of safety incidents. 1 tab., 1 fig.

  20. Dietary supplementation with a superoxide dismutase-melon concentrate reduces stress, physical and mental fatigue in healthy people: a randomised, double-blind, placebo-controlled trial.

    Science.gov (United States)

    Carillon, Julie; Notin, Claire; Schmitt, Karine; Simoneau, Guy; Lacan, Dominique

    2014-06-19

    We aimed to investigate effects of superoxide dismutase (SOD)-melon concentrate supplementation on psychological stress, physical and mental fatigue in healthy people. A randomized, double-blind, placebo-controlled trial was performed on 61 people divided in two groups: active supplement (n = 32) and placebo (n = 29) for 12 weeks. Volunteers were given one small hard capsule per day. One capsule contained 10 mg of SOD-melon concentrate (140 U of SOD) and starch for the active supplement and starch only for the placebo. Stress and fatigue were evaluated using four psychometric scales: PSS-14; SF-36; Stroop tests and Prevost scale. The supplementation with SOD-melon concentrate significantly decreased perceived stress, compared to placebo. Moreover, quality of life was improved and physical and mental fatigue were reduced with SOD-melon concentrate supplementation. SOD-melon concentrate supplementation appears to be an effective and natural way to reduce stress and fatigue. trial approved by the ethical committee of Poitiers (France), and the ClinicalTrials.gov Identifier is NCT01767922.

  1. Fatigue and Oxidative Stress in Children Undergoing Leukemia Treatment.

    Science.gov (United States)

    Rodgers, Cheryl; Sanborn, Chelse; Taylor, Olga; Gundy, Patricia; Pasvogel, Alice; Moore, Ida M Ki; Hockenberry, Marilyn J

    2016-10-01

    Fatigue is a frequent and distressing symptom in children undergoing leukemia treatment; however, little is known about factors influencing this symptom. Antioxidants such as glutathione can decrease symptom severity in adult oncology patients, but no study has evaluated antioxidants' effects on symptoms in pediatric oncology patients. This study describes fatigue patterns and associations of fatigue with antioxidants represented by reduced glutathione (GSH) and the reduced/oxidized glutathione (GSH/GSSG) ratio among children receiving leukemia treatment. A repeated measures design assessed fatigue and antioxidants among 38 children from two large U.S. cancer centers. Fatigue was assessed among school-age children and by parent proxy among young children. Antioxidants (GSH and GSH/GSSG ratio) were assessed from cerebrospinal fluid at four phases during leukemia treatment. Young children had a steady decline of fatigue from the end of induction treatment through the continuation phase of treatment, but no significant changes were noted among the school-age children. Mean antioxidant scores varied slightly over time; however, the GSH/GSSG ratios in these children were significantly lower than the normal ratio. Mean GSH/GSSG ratios significantly correlated to fatigue scores of the school-age children during early phases of treatment. Children with low mean GSH/GSSG ratios demonstrated oxidative stress. The low ratios noted early in therapy were significantly correlated with higher fatigue scores during induction and postinduction treatment phases. This finding suggests that increased oxidative stress during the more intensive phases of therapy may explain the experience of fatigue children report. © The Author(s) 2016.

  2. Effects of irradiation on low cycle fatigue properties for reduced activation ferritic/martensitic steel

    International Nuclear Information System (INIS)

    Kim, S.W.; Tanigawa, H.; Hirose, T.; Kohyama, A.

    2007-01-01

    Full text of publication follows: In materials life decision for a commercial blanket, thermal fatigue property of materials is a particularly important. The loading of structural materials in fusion reactor is, besides the plasma surface interactions, a combined effect of high heat fluxes and neutron irradiation. Depending on the pulse lengths, the operating conditions, and the thermal conductivity, these oscillating temperature gradients will cause elastic and elastic-plastic cyclic deformation giving rise to (creep-) fatigue in structural first wall and blanket components. Especially, investigation of the fatigue property in Reduced Activation Ferritic/Martensitic (RAF/M) steel and establishment of the evaluation technology are demanded in particular immediately for design/manufacturing of ITER-TBM. And also, fatigue testing after irradiation will be carried out in hot cells with remote control system. Considering limited ability of specimen manipulation in the cells, the specimen and the test method need to be simple for operation. The existing data bases of RAF/M steel provide baseline data set including post-irradiation fatigue data. However, to perform the accurate fatigue lifetime assessment for ITER-TBM and beyond utilizing the existing data base, the mechanical understanding of fatigue fracture is mandatory. It has been previously reported by co-authors that dislocation cell structure was developed on low cycle fatigued RAF/M steel, and led the fatigue crack to develop along prior austenitic grain boundary. In this work, the effects of nuclear irradiation on low cycle fatigue properties for RAF/M steels and its fracture mechanisms were examined based on the flow stress analysis and detailed microstructure analysis. Fracture surfaces and crack initiation site were investigated by scanning electron microscope (SEM). Transmission electron microscopy (TEM) was also applied to clarify the microstructural features of fatigue behavior. It is also important to

  3. Effects of irradiation on low cycle fatigue properties for reduced activation ferritic/martensitic steel

    Energy Technology Data Exchange (ETDEWEB)

    Kim, S.W. [Kyoto Univ., Graduate School of Energy Science (Japan); Tanigawa, H. [Japan Atomic Energy Agency, Tokai-mura, Naga-gun, Ibaraki-ken (Japan); Hirose, T. [Blanket Engineering Group, Japan Atomic Energy Agency, Naka, Ibaraki (Japan); Kohyama, A. [Kyoto Univ., lnstitute of Advanced Energy (Japan)

    2007-07-01

    Full text of publication follows: In materials life decision for a commercial blanket, thermal fatigue property of materials is a particularly important. The loading of structural materials in fusion reactor is, besides the plasma surface interactions, a combined effect of high heat fluxes and neutron irradiation. Depending on the pulse lengths, the operating conditions, and the thermal conductivity, these oscillating temperature gradients will cause elastic and elastic-plastic cyclic deformation giving rise to (creep-) fatigue in structural first wall and blanket components. Especially, investigation of the fatigue property in Reduced Activation Ferritic/Martensitic (RAF/M) steel and establishment of the evaluation technology are demanded in particular immediately for design/manufacturing of ITER-TBM. And also, fatigue testing after irradiation will be carried out in hot cells with remote control system. Considering limited ability of specimen manipulation in the cells, the specimen and the test method need to be simple for operation. The existing data bases of RAF/M steel provide baseline data set including post-irradiation fatigue data. However, to perform the accurate fatigue lifetime assessment for ITER-TBM and beyond utilizing the existing data base, the mechanical understanding of fatigue fracture is mandatory. It has been previously reported by co-authors that dislocation cell structure was developed on low cycle fatigued RAF/M steel, and led the fatigue crack to develop along prior austenitic grain boundary. In this work, the effects of nuclear irradiation on low cycle fatigue properties for RAF/M steels and its fracture mechanisms were examined based on the flow stress analysis and detailed microstructure analysis. Fracture surfaces and crack initiation site were investigated by scanning electron microscope (SEM). Transmission electron microscopy (TEM) was also applied to clarify the microstructural features of fatigue behavior. It is also important to

  4. Music Therapy Reduces Radiotherapy-Induced Fatigue in Patients With Breast or Gynecological Cancer: A Randomized Trial.

    Science.gov (United States)

    Alcântara-Silva, Tereza Raquel; de Freitas-Junior, Ruffo; Freitas, Nilceana Maya Aires; de Paula Junior, Wanderley; da Silva, Delson José; Machado, Graziela Dias Pinheiro; Ribeiro, Mayara Kelly Alves; Carneiro, Jonathas Paiva; Soares, Leonardo Ribeiro

    2018-04-01

    To investigate the influence of music therapy on the reduction of fatigue in women with breast or gynecological malignant neoplasia during radiotherapy, since it is one of the most frequent side effects of this type of treatment, and may interfere with self-esteem, social activities, and quality of life. Randomized controlled trial (control group [CG] and music therapy group [MTG]) to assess fatigue, quality of life, and symptoms of depression in women undergoing radiotherapy using the Functional Assessment of Cancer Therapy: Fatigue (FACT-F) version 4, Functional Assessment of Cancer Therapy-General (FACT-G) version 4, and Beck Depression Inventory in 3 separate times, namely, during the first week of radiotherapy, on the week of the intermediary phase, and during the last week of radiotherapy. Individual 30- to 40-minute sessions of music therapy with the presence of a trained music therapist were offered to participants. In this study, 164 women were randomized and 116 (63 CG and 53 MTG) were included in the analyses, with mean age of 52.90 years (CG) and 51.85 years (MTG). Participants in the MTG had an average of 10 music therapy sessions, totaling 509 sessions throughout the study. FACT-F results were significant regarding Trial Outcome Index ( P = .011), FACT-G ( P = .005), and FACT-F ( P = .001) for the MTG compared with the CG. Individual music therapy sessions may be effective to reduce fatigue related to cancer and symptoms of depression, as well as to improve quality of life for women with breast or gynecological cancer undergoing radiotherapy. Further well-designed research studies are needed to adequately determine the effects of music therapy on fatigue.

  5. Dietary Supplementation with a Superoxide Dismutase-Melon Concentrate Reduces Stress, Physical and Mental Fatigue in Healthy People: A Randomised, Double-Blind, Placebo-Controlled Trial

    Directory of Open Access Journals (Sweden)

    Julie Carillon

    2014-06-01

    Full Text Available Background: We aimed to investigate effects of superoxide dismutase (SOD-melon concentrate supplementation on psychological stress, physical and mental fatigue in healthy people. Methods: A randomized, double-blind, placebo-controlled trial was performed on 61 people divided in two groups: active supplement (n = 32 and placebo (n = 29 for 12 weeks. Volunteers were given one small hard capsule per day. One capsule contained 10 mg of SOD-melon concentrate (140 U of SOD and starch for the active supplement and starch only for the placebo. Stress and fatigue were evaluated using four psychometric scales: PSS-14; SF-36; Stroop tests and Prevost scale. Results: The supplementation with SOD-melon concentrate significantly decreased perceived stress, compared to placebo. Moreover, quality of life was improved and physical and mental fatigue were reduced with SOD-melon concentrate supplementation. Conclusion: SOD-melon concentrate supplementation appears to be an effective and natural way to reduce stress and fatigue. Trial registration: trial approved by the ethical committee of Poitiers (France, and the ClinicalTrials.gov Identifier is NCT01767922.

  6. Evidence for sensitized fatigue pathways in patients with chronic fatigue syndrome.

    Science.gov (United States)

    Staud, Roland; Mokthech, Meriem; Price, Donald D; Robinson, Michael E

    2015-04-01

    Patients with chronic fatigue syndrome (CFS) frequently demonstrate intolerance to physical exertion that is often reported as increased and long-lasting fatigue. Because no specific metabolic alterations have been identified in CFS patients, we hypothesized that sensitized fatigue pathways become activated during exercise corresponding with increased fatigue. After exhausting handgrip exercise, muscle metabolites were trapped in the forearm tissues of 39 CFS patients and 29 normal control (NC) by sudden occlusion for up to 5 minutes. A nonocclusive condition of similar duration was used as control. Repeated fatigue and pain ratings were obtained before and after exercise. Mechanical and heat hyperalgesia were assessed by quantitative sensory testing. All subjects fulfilled the 1994 Fukuda Criteria for CFS. Normal control and CFS subjects exercised for 6.6 (2.4) and 7.0 (2.7) minutes (P > 0.05). Forearm occlusion lasted for 4.7 (1.3) and 4.9 (1.8) minutes in NC and CFS subjects, respectively (P > 0.05). Although fatigue ratings of CFS subjects increased from 4.8 (2.0) to 5.6 (2.1) visual analogue scale (VAS) units during forearm occlusion, they decreased from 5.0 (1.8) to 4.8 (2.0) VAS units during the control condition without occlusion (P = 0.04). A similar time course of fatigue ratings was observed in NC (P > 0.05), although their ratings were significantly lower than those of CFS subjects (P fatigue in CFS patients consistent with sensitization of fatigue pathways. Future interventions that reduce sensitization of fatigue pathways in CFS patients may be of therapeutic benefit.

  7. PO2 Cycling Reduces Diaphragm Fatigue by Attenuating ROS Formation

    OpenAIRE

    Zuo, Li; Diaz, Philip T.; Chien, Michael T.; Roberts, William J.; Kishek, Juliana; Best, Thomas M.; Wagner, Peter D.

    2014-01-01

    Prolonged muscle exposure to low PO2 conditions may cause oxidative stress resulting in severe muscular injuries. We hypothesize that PO2 cycling preconditioning, which involves brief cycles of diaphragmatic muscle exposure to a low oxygen level (40 Torr) followed by a high oxygen level (550 Torr), can reduce intracellular reactive oxygen species (ROS) as well as attenuate muscle fatigue in mouse diaphragm under low PO2. Accordingly, dihydrofluorescein (a fluorescent probe) was used to monito...

  8. The Influence of Robotic Assistance on Reducing Neuromuscular Effort and Fatigue during Extravehicular Activity Glove Use

    Science.gov (United States)

    Madden, Kaci E.; Deshpande, Ashish D.; Peters, Benjamin J.; Rogers, Jonathan M.; Laske, Evan A.; McBryan, Emily R.

    2017-01-01

    The three-layered, pressurized space suit glove worn by Extravehicular Activity (EVA) crew members during missions commonly causes hand and forearm fatigue. The Spacesuit RoboGlove (SSRG), a Phase VI EVA space suit glove modified with robotic grasp-assist capabilities, has been developed to augment grip strength in order to improve endurance and reduce the risk of injury in astronauts. The overall goals of this study were to i) quantify the neuromuscular modulations that occur in response to wearing a conventional Phase VI space suit glove (SSG) during a fatiguing task, and ii) determine the efficacy of Spacesuit RoboGlove (SSRG) in reversing the adverse neuromuscular modulations and restoring altered muscular activity to barehanded levels. Six subjects performed a fatigue sequence consisting of repetitive dynamic-gripping interspersed with isometric grip-holds under three conditions: barehanded, wearing pressurized SSG, and wearing pressurized SSRG. Surface electromyography (sEMG) from six forearm muscles (flexor digitorum superficialis (FDS), flexor carpi radialis (FCR), flexor carpi ulnaris (FCU), extensor digitorum (ED), extensor carpi radialis longus (ECRL), and extensor carpi ulnaris (ECU)) and subjective fatigue ratings were collected during each condition. Trends in amplitude and spectral distributions of the sEMG signals were used to derive metrics quantifying neuromuscular effort and fatigue that were compared across the glove conditions. Results showed that by augmenting finger flexion, the SSRG successfully reduced the neuromuscular effort needed to close the fingers of the space suit glove in more than half of subjects during two types of tasks. However, the SSRG required more neuromuscular effort to extend the fingers compared to a conventional SSG in many subjects. Psychologically, the SSRG aided subjects in feeling less fatigued during short periods of intense work compared to the SSG. The results of this study reveal the promise of the SSRG as a

  9. Effect of tungsten and tantalum on the low cycle fatigue behavior of reduced activation ferritic/martensitic steels

    Energy Technology Data Exchange (ETDEWEB)

    Shankar, Vani, E-mail: vani@igcar.gov.in [Metallurgy and Materials Group, Indira Gandhi Centre for Atomic Research, Kalpakkam-603102 (India); Mariappan, K.; Nagesha, A.; Prasad Reddy, G.V.; Sandhya, R.; Mathew, M.D.; Jayakumar, T. [Metallurgy and Materials Group, Indira Gandhi Centre for Atomic Research, Kalpakkam-603102 (India)

    2012-05-15

    Highlights: Black-Right-Pointing-Pointer Effect of tungsten and tantalum on low cycle fatigue behavior of RAFM steels. Black-Right-Pointing-Pointer Both alloying elements W and Ta improved fatigue life. Black-Right-Pointing-Pointer Increase in Ta content improved fatigue life more than W. Black-Right-Pointing-Pointer Optimization of W content at 1.4 wt.%. Black-Right-Pointing-Pointer Softening behavior closely related to W and Ta content. - Abstract: Reduced activation ferritic/martensitic (RAFM) steels are candidate materials for the test blanket modules of International Thermonuclear Experimental Reactor (ITER). Several degradation mechanisms such as thermal fatigue, low cycle fatigue, creep fatigue interaction, creep, irradiation hardening, swelling and phase instability associated irradiation embrittlement must be understood in order to estimate the component lifetime and issues concerning the structural integrity of components. The current work focuses on the effect of tungsten and tantalum on the low cycle fatigue (LCF) behavior of RAFM steels. Both alloying elements tungsten and tantalum improved the fatigue life. Influence of Ta on increasing fatigue life was an order of magnitude higher than the influence of W on improving the fatigue life. Based on the present study, the W content was optimized at 1.4 wt.%. Softening behavior of RAFM steels showed a strong dependence on W and Ta content in RAFM steels.

  10. Physical activity reduces fatigue in patients with cancer and hematopoietic stem cell transplant recipients: A systematic review and meta-analysis of randomized trials.

    Science.gov (United States)

    Oberoi, Sapna; Robinson, Paula D; Cataudella, Danielle; Culos-Reed, S Nicole; Davis, Hailey; Duong, Nathan; Gibson, Faith; Götte, Miriam; Hinds, Pamela; Nijhof, Sanne L; Tomlinson, Deborah; van der Torre, Patrick; Cabral, Sandra; Dupuis, L Lee; Sung, Lillian

    2018-02-01

    Objective was to determine whether physical activity reduces the severity of fatigue in patients with cancer or hematopoietic stem cell transplant (HSCT) recipients. We conducted a meta-analysis of randomized trials comparing physical activity with control interventions for the management of fatigue in patients with cancer or HSCT recipients. There were 170 trials included. Physical activity reduced the severity of fatigue when compared to all control groups (standardized mean difference -0.49, 95% confidence interval -0.60 to -0.37; P fatigue although smaller effects were observed with resistance exercises (P interaction = 0.01). Other intervention and patient characteristics did not influence the effect of physical activity on the severity of fatigue. Physical activity was effective at reducing fatigue in patients with cancer and HSCT recipients across patient sub-groups. Determining the best approaches for safe implementation should be a priority. Copyright © 2017 Elsevier B.V. All rights reserved.

  11. Lipid Replacement Therapy Functional Food Formulation with NT Factor for Reducing Weight, Girth, Body Mass, Appetite and Fatigue While Improving Blood Lipid Profiles

    Directory of Open Access Journals (Sweden)

    Rita R. Ellithorpe

    2012-01-01

    Full Text Available Background: Lipid Replacement Therapy using NT Factor® plus kidney bean alpha-amylase inhibitor (Healthy Curb® was used in a two month weight loss clinical trial to reduce weight and improve fatigue without changing easting or exercise patterns and without use of drugs, stimulants or herbs. Objectives: To determine the effects of an all-natural functional food, NT Factor® plus alpha-amylase inhibitor (Healthy Curb®, on weight loss, body girth, body mass and index, basal metabolic rate, appetite, carvings for sweets and fatigue as well as blood lipid profiles during a 2-month open label clinical trial without food restrictions or increases in physical activity.Methods: Thirty subjects (Mean Age = 56.8 ± 1.8; 24 females and 6 males used the functional food containing NT Factor® (500 mg and alpha-amylase inhibitor (500 mg 30 min before each meal in tablet form. Participants were told to eat and exercise normally. Weight, waist and hip measurements were taken weekly. Appetite and sweet cravings were assessed weekly by standard methods. Fatigue was determined using the Piper Fatigue Scale. Blood samples were taken prior to and at the end of the trial for lipid and chemical analyses. Results: Sixty-three percent of the participants lost an average of 6.11 ± 0.28 pounds (2.77 ± 0.12 Kg (p<0.001 along with average reductions of 2.51 ± 0.05 inches (6.4 ± 0.13 cm (p<0.0001 and 1.5 ± 0.04 inches (3.8 ± 0.10 cm (p<0.0001 from waist and hip circumferences, respectively. The entire Functional Foods in Health and Disease 2012, 2(1:11-24 group lost an average of 3.63 ± 0.13 pounds (1.65 ± 0.11 Kg (p<0.001 with average reductions of 1.59 ± 0.03 inches (4.04 ± 0.06 cm (p<0.0001 and 1.13 ± 0.02 inch (2.87 ± 0.05 cm (p<0.0001 from waist and hip circumferences, respectively. Weight loss and body measurement decreases were gradual, consistent and significant, along with reductions in body mass index (BMI and basal metabolic rate (BMR measurements

  12. The influence of lumbar extensor muscle fatigue on lumbar-pelvic coordination during weightlifting.

    Science.gov (United States)

    Hu, Boyi; Ning, Xiaopeng

    2015-01-01

    Lumbar muscle fatigue is a potential risk factor for the development of low back pain. In this study, we investigated the influence of lumbar extensor muscle fatigue on lumbar-pelvic coordination patterns during weightlifting. Each of the 15 male subjects performed five repetitions of weightlifting tasks both before and after a lumbar extensor muscle fatiguing protocol. Lumbar muscle electromyography was collected to assess fatigue. Trunk kinematics was recorded to calculate lumbar-pelvic continuous relative phase (CRP) and CRP variability. Results showed that fatigue significantly reduced the average lumbar-pelvic CRP value (from 0.33 to 0.29 rad) during weightlifting. The average CRP variability reduced from 0.17 to 0.15 rad, yet this change ws statistically not significant. Further analyses also discovered elevated spinal loading during weightlifting after the development of lumbar extensor muscle fatigue. Our results suggest that frequently experienced lumbar extensor muscle fatigue should be avoided in an occupational environment. Lumbar extensor muscle fatigue generates more in-phase lumbar-pelvic coordination patterns and elevated spinal loading during lifting. Such increase in spinal loading may indicate higher risk of back injury. Our results suggest that frequently experienced lumbar muscle fatigue should be avoided to reduce the risk of LBP.

  13. A comparison of patients with Q fever fatigue syndrome and patients with chronic fatigue syndrome with a focus on inflammatory markers and possible fatigue perpetuating cognitions and behaviour.

    Science.gov (United States)

    Keijmel, Stephan P; Saxe, Johanna; van der Meer, Jos W M; Nikolaus, Stephanie; Netea, Mihai G; Bleijenberg, Gijs; Bleeker-Rovers, Chantal P; Knoop, Hans

    2015-10-01

    Comparison of Q fever fatigue syndrome (QFS) and chronic fatigue syndrome (CFS) patients, with a focus on markers of inflammation and fatigue-related cognitive-behavioural variables. Data from two independent prospective studies on QFS (n=117) and CFS (n=173), respectively, were pooled and analyzed. QFS patients were less often female, had a higher BMI, and had less often received treatment for depression before the onset of symptoms. After controlling for symptom duration and correcting for differences in diagnostic criteria for QFS and CFS with respect to the level of impairment and the presence of additional symptoms, differences in the proportion of females and BMI remained significant. After correction, QFS patients were also significantly older. In all analyses QFS patients were as fatigued and distressed as CFS patients, but reported less additional symptoms. QFS patients had stronger somatic attributions, and higher levels of physical activity. No differences were found with regard to inflammatory markers and in other fatigue-related cognitive-behavioural variables. The relationship between cognitive-behavioural variables and fatigue, previously established in CFS, could not be confirmed in QFS patients with the exception of the negative relationship between physical activity and fatigue. Differences and similarities between QFS and CFS patients were found. Although the relationship between perpetuating factors and fatigue previously established in CFS could not be confirmed in QFS patients, the considerable overlap in fatigue-related cognitive-behavioural variables and the relationship found between physical activity and fatigue may suggest that behavioural interventions could reduce fatigue severity in QFS patients. Copyright © 2015 Elsevier Inc. All rights reserved.

  14. Risk factors of fatigue status among Chinese adolescents.

    Science.gov (United States)

    Jin, Yuelong; Peng, Baozhen; Li, Yijun; Song, Lei; He, Lianping; Fu, Rui; Wu, Qianqian; Fan, Qingxiu; Yao, Yingshui

    2015-01-01

    In recent years, fatigue is common among adolescents. The aim of this study is to evaluate fatigue status and find related factors of fatigue among students ranged from 13-26 years from Wuhu, China. This is a case-control, cross-sectional observational study. The students from six middle schools (high school? 26 years old?) in Wuhu city were recruited, Self-Rating Fatigue Scale (SFS) was used to measure the fatigue status among students ranged from 13-26 years, and some demographic characteristics of students also was determined. A total of 726 students are included in our study. A significant difference was observed between fatigue status and grade, a balanced diet, the partial eclipse, picky for food, lack of sleep, excessive fatigue, drinking (P sleep, drinking; grade while a balanced diet is the protective factor of fatigue. Therefore, the school should pay more attention to the fatigue among students in middle school in China, and take some properly measures to reduce the fatigue.

  15. Development of a fatigue analysis software system

    International Nuclear Information System (INIS)

    Choi, B. I.; Lee, H. J.; Han, S. W.; Kim, J. Y.; Hwang, K. H.; Kang, J. Y.

    2001-01-01

    A general purpose fatigue analysis software to predict fatigue lives of mechanical components and structures was developed. This software has some characteristic features including functions of searching weak regions on the free surface in order to reduce computing time significantly, a database of fatigue properties for various materials, and an expert system which can assist any users to get more proper results. This software can be used in the environment consists of commercial finite element packages. Using the software developed fatigue analyses for a SAE keyhole specimen and an automobile knuckle were carried out. It was observed that the results were agree well with those from commercial packages

  16. High cocoa polyphenol rich chocolate may reduce the burden of the symptoms in chronic fatigue syndrome.

    Science.gov (United States)

    Sathyapalan, Thozhukat; Beckett, Stephen; Rigby, Alan S; Mellor, Duane D; Atkin, Stephen L

    2010-11-22

    Chocolate is rich in flavonoids that have been shown to be of benefit in disparate conditions including cardiovascular disease and cancer. The effect of polyphenol rich chocolate in subjects with chronic fatigue syndrome (CFS) has not been studied previously. We conducted a double blinded, randomised, clinical pilot crossover study comparing high cocoa liquor/polyphenol rich chocolate (HCL/PR) in comparison to simulated iso-calorific chocolate (cocoa liquor free/low polyphenols(CLF/LP)) on fatigue and residual function in subjects with chronic fatigue syndrome. Subjects with CFS having severe fatigue of at least 10 out of 11 on the Chalder Fatigue Scale were enrolled. Subjects had either 8 weeks of intervention in the form of HCL/PR or CLF/LP, with a 2 week wash out period followed by 8 weeks of intervention with the other chocolate. Ten subjects were enrolled in the study. The Chalder Fatigue Scale score improved significantly after 8 weeks of the HCL/PR chocolate arm [median (range) Exact Sig. (2-tailed)] [33 (25 - 38) vs. 21.5 (6 - 35) 0.01], but that deteriorated significantly when subjects were given simulated iso-calorific chocolate (CLF/CP) [ 28.5 (17 - 20) vs. 34.5 (13-26) 0.03]. The residual function, as assessed by the London Handicap scale, also improved significantly after the HCL/PR arm [0.49 (0.33 - 0.62) vs. 0.64 (0.44 - 0.83) 0.01] and deteriorated after iso-calorific chocolate [00.44 (0.43 - 0.68) vs. 0.36 (0.33 - 0.62)0.03]. Likewise the Hospital Anxiety and Depression score also improved after the HCL/PR arm, but deteriorated after CLF/CP. Mean weight remained unchanged throughout the trial. This study suggests that HCL/PR chocolate may improve symptoms in subjects with chronic fatigue syndrome.

  17. High cocoa polyphenol rich chocolate may reduce the burden of the symptoms in chronic fatigue syndrome

    Directory of Open Access Journals (Sweden)

    Mellor Duane D

    2010-11-01

    Full Text Available Abstract Background Chocolate is rich in flavonoids that have been shown to be of benefit in disparate conditions including cardiovascular disease and cancer. The effect of polyphenol rich chocolate in subjects with chronic fatigue syndrome (CFS has not been studied previously. Methods We conducted a double blinded, randomised, clinical pilot crossover study comparing high cocoa liquor/polyphenol rich chocolate (HCL/PR in comparison to simulated iso-calorific chocolate (cocoa liquor free/low polyphenols(CLF/LP on fatigue and residual function in subjects with chronic fatigue syndrome. Subjects with CFS having severe fatigue of at least 10 out of 11 on the Chalder Fatigue Scale were enrolled. Subjects had either 8 weeks of intervention in the form of HCL/PR or CLF/LP, with a 2 week wash out period followed by 8 weeks of intervention with the other chocolate. Results Ten subjects were enrolled in the study. The Chalder Fatigue Scale score improved significantly after 8 weeks of the HCL/PR chocolate arm [median (range Exact Sig. (2-tailed] [33 (25 - 38 vs. 21.5 (6 - 35 0.01], but that deteriorated significantly when subjects were given simulated iso-calorific chocolate (CLF/CP [ 28.5 (17 - 20 vs. 34.5 (13-26 0.03]. The residual function, as assessed by the London Handicap scale, also improved significantly after the HCL/PR arm [0.49 (0.33 - 0.62 vs. 0.64 (0.44 - 0.83 0.01] and deteriorated after iso-calorific chocolate [00.44 (0.43 - 0.68 vs. 0.36 (0.33 - 0.620.03]. Likewise the Hospital Anxiety and Depression score also improved after the HCL/PR arm, but deteriorated after CLF/CP. Mean weight remained unchanged throughout the trial. Conclusion This study suggests that HCL/PR chocolate may improve symptoms in subjects with chronic fatigue syndrome.

  18. Docetaxel-related fatigue in men with metastatic prostate cancer: a descriptive analysis.

    Science.gov (United States)

    Bergin, A R T; Hovey, E; Lloyd, A; Marx, G; Parente, P; Rapke, T; de Souza, P

    2017-09-01

    Fatigue is a prevalent and debilitating side effect of docetaxel chemotherapy in metastatic prostate cancer. A better understanding of the kinetics and nature of docetaxel-related fatigue may provide a framework for intervention. This secondary analysis was performed using the MOTIF database, from a phase III, randomised, double-blind, placebo-controlled study of modafinil (200 mg/day for 15 days) for docetaxel-related fatigue in men with metastatic prostate cancer [1]. The pattern of fatigue was analysed using the MDASI (MD Anderson Symptom Inventory) score. The impact of modafinil, cumulative docetaxel exposure, age and smoking status on fatigue kinetics were explored. Fatigue-related symptoms were assessed using the SOMA6 (fatigue and related symptoms) subset of the SPHERE (Somatic and Psychological Health Report). Mood was tracked using the short form 36 health survey questionnaire (SF-36). Across four docetaxel cycles, fatigue scores were higher in the first week and decreased over weeks two and three. Whilst men randomised to modafinil had reduced fatigue scores, cumulative docetaxel had little impact. Younger men (55-68 years) had significantly reduced fatigue scores, whereas current and ex-smokers had higher scores. There was no significant change in mood status or haemoglobin across treatment cycles. Men described both 'somnolence' and 'muscle fatigue' contributing significantly to their symptom complex. Assessment and management of docetaxel-related fatigue remains an important challenge. Given the complex, multifactorial nature of fatigue, identification through structured interview and interventions targeted to specific 'at risk' groups may be the most beneficial. Understanding the temporal pattern (kinetics) and nature of fatigue is critical to guide this process.

  19. Fatigue in Intensive Care Nurses and Related Factors.

    Science.gov (United States)

    Çelik, Sevim; Taşdemir, Nurten; Kurt, Aylin; İlgezdi, Ebru; Kubalas, Özge

    2017-10-01

    Fatigue negatively affects the performance of intensive care nurses. Factors contributing to the fatigue experienced by nurses include lifestyle, psychological status, work organization and sleep problems. To determine the level of fatigue among nurses working in intensive care units and the related factors. This descriptive study was conducted with 102 nurses working in intensive care units in the West Black Sea Region of Turkey. Data were collected between February and May 2014 using a personal information form, the Visual Analogue Scale for Fatigue (VAS-F), the Hospital Anxiety and Depression Scale and the Pittsburg Sleep Quality Index. The intensive care nurses in the study were found to be experiencing fatigue. Significant correlations were observed between scores on the VAS-F Fatigue and anxiety (p=0.01), depression (p=0.002), and sleep quality (pnurses' levels of fatigue. These results can be of benefit in taking measures which may be used to reduce fatigue in nurses, especially the fatigue related to work organization and social life.

  20. Development and characterization of fatigue resistant aramid reinforced aluminium laminates (ARALL) for fatigue critical aircraft components

    International Nuclear Information System (INIS)

    Qaiser, M. H.; Umar, S.; Nauman, S.

    2013-01-01

    The structural weight of an aircraft has always been a controlling parameter that governs its fuel efficiency and transport capacity. In pursuit of achieving light-weight aircraft structures, high design stress levels have to be adopted and materials with high specific strength such as Aluminum etc. are to be deployed. However, an extensive spectrum of fatigue load exists at the aircraft wings and other aerodynamic components that may cause initiation and propagation of fatigue cracks and concludes in a catastrophic rupture. Fatigue is therefore the limiting design parameter in such cases and materials with high fatigue resistance are then required. A major improvement in the fatigue behavior was observed by laminating Kevlar fibers with Aluminum using epoxy. ARALL (Aramid Reinforced Aluminum Laminates) is a fatigue resistant hybrid composite that consists of layers of thin high strength aluminum alloy sheets surface bonded with aramid fibers. The intact aramid fibers tie up the fatigue cracks, thus reducing the stress intensity factor at the crack tip as a result of which the fatigue properties of can be enhanced with orders of magnitude as compared to monolithic high strength Aluminum alloy sheets. Significant amount of weight savings can be achieved in fatigue critical components in comparison with the traditional materials used in aircraft. (author)

  1. Development and characterization of fatigue resistant Aramid reinforced aluminium laminates (ARALL) for fatigue Critical aircraft components

    Science.gov (United States)

    Qaiser, M. H.; Umar, S.; Nauman, S.

    2014-06-01

    The structural weight of an aircraft has always been a controlling parameter that governs its fuel efficiency and transport capacity. In pursuit of achieving light-weight aircraft structures, high design stress levels have to be adopted and materials with high specific strength such as Aluminum etc. are to be deployed. However, an extensive spectrum of fatigue load exists at the aircraft wings and other aerodynamic components that may cause initiation and propagation of fatigue cracks and concludes in a catastrophic rupture. Fatigue is therefore the limiting design parameter in such cases and materials with high fatigue resistance are then required. A major improvement in the fatigue behavior was observed by laminating Kevlar fibers with Aluminum using epoxy. ARALL (Aramid Reinforced ALuminum Laminates) is a fatigue resistant hybrid composite that consists of layers of thin high strength aluminum alloy sheets surface bonded with aramid fibers. The intact aramid fibers tie up the fatigue cracks, thus reducing the stress intensity factor at the crack tip as a result of which the fatigue properties of can be enhanced with orders of magnitude as compared to monolithic high strength Aluminum alloy sheets. Significant amount of weight savings can be achieved in fatigue critical components in comparison with the traditional materials used in aircraft.

  2. Development and characterization of fatigue resistant Aramid reinforced aluminium laminates (ARALL) for fatigue Critical aircraft components

    International Nuclear Information System (INIS)

    Qaiser, M H; Umar, S; Nauman, S

    2014-01-01

    The structural weight of an aircraft has always been a controlling parameter that governs its fuel efficiency and transport capacity. In pursuit of achieving light-weight aircraft structures, high design stress levels have to be adopted and materials with high specific strength such as Aluminum etc. are to be deployed. However, an extensive spectrum of fatigue load exists at the aircraft wings and other aerodynamic components that may cause initiation and propagation of fatigue cracks and concludes in a catastrophic rupture. Fatigue is therefore the limiting design parameter in such cases and materials with high fatigue resistance are then required. A major improvement in the fatigue behavior was observed by laminating Kevlar fibers with Aluminum using epoxy. ARALL (Aramid Reinforced ALuminum Laminates) is a fatigue resistant hybrid composite that consists of layers of thin high strength aluminum alloy sheets surface bonded with aramid fibers. The intact aramid fibers tie up the fatigue cracks, thus reducing the stress intensity factor at the crack tip as a result of which the fatigue properties of can be enhanced with orders of magnitude as compared to monolithic high strength Aluminum alloy sheets. Significant amount of weight savings can be achieved in fatigue critical components in comparison with the traditional materials used in aircraft

  3. Corrosion fatigue of high strength fastener materials in seawater

    Science.gov (United States)

    Tipton, D. G.

    1983-12-01

    Environmental effects which significantly reduce the fatigue life of metals are discussed. Corrosion fatigue is a major concern in the engineering application of high strength fasteners in marine environments. The corrosion fatigue failure of an AISI 41L4O high strength steel blade to hub attachment bolt at the MOD-OA 200 kW wind turbine generator was investigated. The reduction of fatigue strength of AISI 41L4O in marine environments and to obtain similar corrosion fatigue data for candidate replacement materials was studied. The AISI 4140, PH 13-8Mo stainless steel, alloy 718 and alloy MP-35N were tested in axial fatigue at a frequency of 20 Hz in dry air and natural seawater. The fatigue data are fitted by regression equations to allow determination of fatigue strength for a given number of cycles to failure.

  4. Metabolomic markers of fatigue: Association between circulating metabolome and fatigue in women with chronic widespread pain.

    Science.gov (United States)

    Freidin, Maxim B; Wells, Helena R R; Potter, Tilly; Livshits, Gregory; Menni, Cristina; Williams, Frances M K

    2018-02-01

    Fatigue is a sensation of unbearable tiredness that frequently accompanies chronic widespread musculoskeletal pain (CWP) and inflammatory joint disease. Its mechanisms are poorly understood and there is a lack of effective biomarkers for diagnosis and onset prediction. We studied the circulating metabolome in a population sample characterised for CWP to identify biomarkers showing specificity for fatigue. Untargeted metabolomic profiling was conducted on fasting plasma and serum samples of 1106 females with and without CWP from the TwinsUK cohort. Linear mixed-effects models accounting for covariates were used to determine relationships between fatigue and metabolites. Receiver operating curve (ROC)-analysis was used to determine predictive value of metabolites for fatigue. While no association between fatigue and metabolites was identified in twins without CWP (n=711), in participants with CWP (n=395), levels of eicosapentaenoate (EPA) ω-3 fatty acid were significantly reduced in those with fatigue (β=-0.452±0.116; p=1.2×10 -4 ). A significant association between fatigue and two other metabolites also emerged when BMI was excluded from the model: 3-carboxy-4-methyl-5-propyl-2-furanpropanoate (CMPF), and C-glycosyltryptophan (p=1.5×10 -4 and p=3.1×10 -4 , respectively). ROC analysis has identified a combination of 15 circulating metabolites with good predictive potential for fatigue in CWP (AUC=75%; 95% CI 69-80%). The results of this agnostic metabolomics screening show that fatigue is metabolically distinct from CWP, and is associated with a decrease in circulating levels of EPA. Our panel of circulating metabolites provides the starting point for a diagnostic test for fatigue in CWP. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  5. Exploring nurse leader fatigue: a mixed methods study.

    Science.gov (United States)

    Steege, Linsey M; Pinekenstein, Barbara J; Arsenault Knudsen, Élise; Rainbow, Jessica G

    2017-05-01

    To describe hospital nurse leaders' experiences of fatigue. Fatigue is a critical challenge in nursing. Existing literature focuses on staff nurse fatigue, yet nurse leaders are exposed to high demands that may contribute to fatigue and associated risks to patient, nurse and organisational outcomes. A mixed method approach comprising semi-structured interviews and the Occupational Fatigue Exhaustion Recovery scale with 21 nurse administrators (10 nurse managers and 11 nurse executives) from hospitals in a Midwestern state. Most nurse leaders experience fatigue; nurse managers reported higher levels of chronic fatigue. Participants identified multiple sources of fatigue including 24 h accountability and intensity of role expectations, and used a combination of wellness, restorative, social support and boundary setting strategies to cope with fatigue. The consequences of nurse leader fatigue include an impact on decision-making, work-life balance and turnover intent. The high prevalence of nurse leader fatigue could impact the turnover intent of nurse administrators and quality of care. This study highlights the significance and consequences of nurse leader fatigue. As health care organisations continue to raise awareness and establish systems to reduce nurse fatigue, policies and programmes must be adapted to address nurse leader fatigue. © 2017 John Wiley & Sons Ltd.

  6. Factors related to fatigue; priority of interventions to reduce or eliminate fatigue and the exploration of a multidisciplinary research model for further study of fatigue

    NARCIS (Netherlands)

    Tiesinga, LJ; Dassen, TWN; Halfens, RJG; van den Heuvel, WJA

    A growing interest in the health problem presented by fatigue, both in clinical practice and research, coupled with a decreasing number of reported studies on fatigue in the last decade, make an updated and systematic review of factors related to fatigue necessary. A search of the literature,

  7. Cognitive and Physical Fatigue Tasks Enhance Pain, Cognitive Fatigue and Physical Fatigue in People with Fibromyalgia

    Science.gov (United States)

    Dailey, Dana L; Keffala, Valerie J; Sluka, Kathleen A

    2014-01-01

    Objective Fibromyalgia is a condition characterized by chronic widespread muscle pain and fatigue. The primary objective of this study was to determine if pain, perceived cognitive fatigue, and perceived physical fatigue were enhanced in participants with fibromyalgia compared to healthy controls during a cognitive fatigue task, a physical fatigue task and a dual fatigue task. Methods Twenty four people with fibromyalgia and 33 healthy controls completed pain, fatigue and function measures. A cognitive fatigue task (Controlled Oral Word Association Test) and physical fatigue task (Valpar peg test) were done individually and combined for a dual fatigue task. Resting pain, perceived cognitive fatigue and perceived physical fatigue were assessed during each task using visual analogue scales. Function was assessed with shoulder range of motion and grip. Results People with fibromyalgia had significantly higher increases in pain, cognitive fatigue and physical fatigue when compared to healthy controls after completion of a cognitive fatigue task, a physical fatigue task, or a dual fatigue task (pfatigue tasks, respectively. Conclusions These data show that people with fibromyalgia show larger increases in pain, perceived cognitive fatigue and perceived physical fatigue to both cognitive and physical fatigue tasks compared to healthy controls. The increases in pain and fatigue during cognitive and physical fatigue tasks could influence subject participation in daily activities and rehabilitation. PMID:25074583

  8. Ankle and knee biomechanics during normal walking following ankle plantarflexor fatigue.

    Science.gov (United States)

    Hunt, Michael A; Hatfield, Gillian L

    2017-08-01

    The purpose of this study was to investigate the immediate effects of unilateral ankle plantarflexor fatigue on bilateral knee and ankle biomechanics during gait. Lower leg kinematics, kinetics, and muscle activation were assessed before and after an ankle plantarflexor fatiguing protocol in 31 healthy individuals. Fatigue (defined as >10% reduction in maximal isometric ankle plantarflexor torque production and a downward shift in the median power frequency of both heads of the gastrocnemius muscle of the fatigued limb) was achieved in 18 individuals, and only their data were used for analysis purposes. Compared to pre-fatigue walking trials, medial gastrocnemius activity was significantly reduced in the study (fatigued) limb. Other main changes following fatigue included significantly more knee flexion during loading, and an associated larger external knee flexion moment in the study limb. At the ankle joint, participants exhibited significantly less peak plantarflexion (occurring at toe-off) with fatigue. No significant differences were observed in the contralateral (non-fatigued) limb. Findings from this study indicate that fatigue of the ankle plantarflexor muscle does not produce widespread changes in gait biomechanics, suggesting that small to moderate changes in maximal ankle plantarflexor force production capacity (either an increase or decrease) will not have a substantial impact on normal lower limb functioning during gait. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Fatigue approach for addressing environmental effects in fatigue usage calculation

    Energy Technology Data Exchange (ETDEWEB)

    Wilhelm, Paul; Rudolph, Juergen [AREVA GmbH, Erlangen (Germany); Steinmann, Paul [Erlangen-Nuremberg Univ., erlangen (Germany). Chair of Applied Mechanics

    2015-04-15

    Laboratory tests consider simple trapezoidal, triangle, and sinusoidal signals. However, actual plant components are characterized by complex loading patterns and periods of holds. Fatigue tests in water environment show, that the damage from a realistic strain variation or the presence of hold-times within cyclic loading results in an environmental reduction factor (Fen) only half that of a simple waveform. This study proposes a new fatigue approach for addressing environmental effects in fatigue usage calculation for class 1 boiler and pressure vessel reactor components. The currently accepted method of fatigue assessment has been used as a base model and all cycles, which have been comparable with realistic fatigue tests, have been excluded from the code-based fatigue calculation and evaluated directly with the test data. The results presented show that the engineering approach can successfully be integrated in the code-based fatigue assessment. The cumulative usage factor can be reduced considerably.

  10. Fatigue approach for addressing environmental effects in fatigue usage calculation

    International Nuclear Information System (INIS)

    Wilhelm, Paul; Rudolph, Juergen; Steinmann, Paul

    2015-01-01

    Laboratory tests consider simple trapezoidal, triangle, and sinusoidal signals. However, actual plant components are characterized by complex loading patterns and periods of holds. Fatigue tests in water environment show, that the damage from a realistic strain variation or the presence of hold-times within cyclic loading results in an environmental reduction factor (Fen) only half that of a simple waveform. This study proposes a new fatigue approach for addressing environmental effects in fatigue usage calculation for class 1 boiler and pressure vessel reactor components. The currently accepted method of fatigue assessment has been used as a base model and all cycles, which have been comparable with realistic fatigue tests, have been excluded from the code-based fatigue calculation and evaluated directly with the test data. The results presented show that the engineering approach can successfully be integrated in the code-based fatigue assessment. The cumulative usage factor can be reduced considerably.

  11. Impaired cognitive control and reduced cingulate activity during mental fatigue

    NARCIS (Netherlands)

    Lorist, M.M.; Boksem, M.A.S.; Ridderinkhof, K.R.

    2005-01-01

    Neurocognitive mechanisms underlying the effects of mental fatigue are poorly understood. Here, we examined whether error-related brain activity, indexing performance monitoring by the anterior cingulate cortex (ACC), and strategic behavioural adjustments were modulated by mental fatigue, as induced

  12. Impaired cognitive control and reduced cingulate activity during mental fatigue

    NARCIS (Netherlands)

    Lorist, MM; Boksem, MAS; Ridderinkhof, KR

    Neurocognitive mechanisms underlying the effects of mental fatigue are poorly understood. Here, we examined whether error-related brain activity, indexing performance monitoring by the anterior cingulate cortex (ACC), and strategic behavioural adjustments were modulated by mental fatigue, as induced

  13. Effect of Pilates exercises on postpartum maternal fatigue

    Science.gov (United States)

    Ashrafinia, Farzaneh; Mirmohammadali, Mandana; Rajabi, Hamid; Kazemnejad, Anoshirvan; Haghighi, Khosro Sadeghniiat; Amelvalizadeh, Mehrnoosh

    2015-01-01

    INTRODUCTION Postpartum fatigue is a pervasive phenomenon and often affects mothers immediately after delivery. The present study aimed to assess the effect Pilates home exercises had on postpartum maternal fatigue. METHODS A total of 80 women participated in our clinical trial study. The women were randomly divided into two groups – the intervention group (n = 40) and the control group (n = 40). In the intervention group, the women performed Pilates exercises five times a week (30 min per session) for eight consecutive weeks. The first session was conducted 72 hours after delivery. The control group did not receive any intervention. Each woman’s level of fatigue was evaluated at hospital discharge (as a baseline), and at four and eight weeks after delivery, using the standard Multidimensional Fatigue Inventory (MFI-20) questionnaire and repeated measures analysis. RESULTS During the eight weeks of follow-up, we found that the intervention group had lower mean MFI-20 scores than the control group with regard to general fatigue (7.80 ± 2.07 vs. 12.72 ± 1.79; p < 0.001), physical fatigue (7.12 ± 1.41 vs. 10.42 ± 2.02; p < 0.001), reduced activity (6.95 ± 1.35 vs. 11.27 ± 1.70; p < 0.001), reduced motivation (6.20 ± 1.01 vs. 9.80 ± 2.04; p < 0.001) and mental fatigue (6.85 ± 1.45 vs. 10.72 ± 1.98; p < 0.001). CONCLUSION The present study’s findings show that physical exercise can significantly reduce postpartum maternal fatigue in all subscales. PMID:25820848

  14. Fatigue in soccer

    DEFF Research Database (Denmark)

    Mohr, Magni; Krustrup, Peter; Bangsbo, Jens

    2005-01-01

    This review describes when fatigue may develop during soccer games and the potential physiological mechanisms that cause fatigue in soccer. According to time?-?motion analyses and performance measures during match-play, fatigue or reduced performance seems to occur at three different stages......, acidity or the breakdown of creatine phosphate. Instead, it may be related to disturbances in muscle ion homeostasis and an impaired excitation of the sarcolemma. Soccer players' ability to perform maximally is inhibited in the initial phase of the second half, which may be due to lower muscle...... concentrations in a considerable number of individual muscle fibres. In a hot and humid environment, dehydration and a reduced cerebral function may also contribute to the deterioration in performance. In conclusion, fatigue or impaired performance in soccer occurs during various phases in a game, and different...

  15. Fatigue-Arrestor Bolts

    Science.gov (United States)

    Onstott, Joseph W.; Gilster, Mark; Rodriguez, Sergio; Larson, John E.; Wickham, Mark D.; Schoonover, Kevin E.

    1995-01-01

    Bolts that arrest (or, more precisely, retard) onset of fatigue cracking caused by inelastic strains developed. Specifically developed to be installed in flange holes of unrestrained rocket engine nozzle. Fanges sometimes used to bolt nozzle to test stand; however, when rocket engine operated without this restraint, region around bolt holes experience severe inelastic strains causing fatigue cracking. Interference fits introduce compressive preloads that retard fatigue by reducing ranges of strains. Principle of these fatigue-arrestor bolts also applicable to holes in plates made of other materials and/or used for different purposes.

  16. An exploration of the relationship between fatigue and physical functioning in patients with end stage renal disease receiving haemodialysis.

    Science.gov (United States)

    O'Sullivan, Dawn; McCarthy, Geraldine

    2007-11-01

    To measure fatigue and physical functioning in patients with end stage renal disease (ESRD) receiving haemodialysis and to investigate the relationships between fatigue and physical functioning. Fatigue and reduced physical functioning are among the most bothersome symptoms experienced by individuals receiving haemodialysis for ESRD. Research has shown that increasing activity levels has resulted in decreased fatigue levels and improved physical functioning in individuals with cancer. Establishing whether or not a relationship exists between both concepts in haemodialysis patients is a preliminary step in identifying potential fatigue reducing strategies necessary for improved wellbeing. A quantitative exploratory correlational design was used with 46 individuals completing the Multi-dimensional Fatigue Inventory, the Medical Outcomes Study Short-Form 36-item questionnaire and a Demographic Questionnaire. Results indicated fatigue was prevalent with highest scores achieved for physical fatigue; reduced activity and general fatigue. Substantial limitations in physical functioning were found. A significant moderate negative relationship between general fatigue and physical functioning indicated that, as physical functioning levels increased, fatigue levels decreased. A significant difference was also found between general fatigue scores for males and females. Significant relationships were found between overall physical functioning, older age and employment status. The research indicates the prevalence of fatigue and limitations in physical functioning in individuals with ESRD. However, as physical functioning increased fatigue decreased; a finding relevant to clinical nursing. Understanding the levels of fatigue and the value of exercise is of relevance to clinical practice thus assessment of fatigue and physical functioning ability in the clinical setting is necessary.

  17. Stretching and joint mobilization exercises reduce call-center operators' musculoskeletal discomfort and fatigue

    Directory of Open Access Journals (Sweden)

    Denise Helena de Castro Lacaze

    2010-01-01

    Full Text Available AIM: We sought to evaluate musculoskeletal discomfort and mental and physical fatigue in the call-center workers of an airline company before and after a supervised exercise program compared with rest breaks during the work shift. INTRODUCTION: This was a longitudinal pilot study conducted in a flight-booking call-center for an airline in São Paulo, Brazil. Occupational health activities are recommended to decrease the negative effects of the call-center working conditions. In practice, exercise programs are commonly recommended for computer workers, but their effects have not been studied in call-center operators. METHODS: Sixty-four call-center operators participated in this study. Thirty-two subjects were placed into the experimental group and attended a 10-min daily exercise session for 2 months. Conversely, 32 participants were placed into the control group and took a 10-min daily rest break during the same period. Each subject was evaluated once a week by means of the Corlett-Bishop body map with a visual analog discomfort scale and the Chalder fatigue questionnaire. RESULTS: Musculoskeletal discomfort decreased in both groups, but the reduction was only statistically significant for the spine and buttocks (p=0.04 and the sum of the segments (p=0.01 in the experimental group. In addition, the experimental group showed significant differences in the level of mental fatigue, especially in questions related to memory Rienzo, #181ff and tiredness (p=0.001. CONCLUSIONS: Our preliminary results demonstrate that appropriately designed and supervised exercise programs may be more efficient than rest breaks in decreasing discomfort and fatigue levels in call-center operators.

  18. Androgen deficiency in male patients diagnosed with ANCA-associated vasculitis: a cause of fatigue and reduced health-related quality of life?

    OpenAIRE

    Tuin, Janneke; Sanders, Jan-Stephan F; Buhl, Birgit M; van Beek, André P; Stegeman, Coen A

    2013-01-01

    Introduction: Low testosterone levels in men are associated with fatigue, limited physical performance and reduced health-related quality of life (HRQOL); however, this relationship has never been assessed in patients with anti-neutrophil cytoplasmic antibodies (ANCA) -associated vasculitides (AAV). The aim of this study was to assess the prevalence of androgen deficiency and to investigate the role of testosterone in fatigue, limited physical condition and reduced HRQOL in men with AAV. Meth...

  19. Hand Fatigue Analysis Using Quantitative Evaluation of Variability in Drawing Patterns

    Directory of Open Access Journals (Sweden)

    mohamadali Sanjari

    2015-02-01

    Full Text Available Background & aim: Muscle fatigue is defined as the reduced power generation capacity of a muscle or muscle group after activity which can lead to a variety of lesions. The purpose of the present study was to define the fatigue analysis by quantitative analysis using drawing patterns. Methods: the present cross-sectional study was conducted on 37 healthy volunteers (6 men and 31 women aged 18-30 years. Before & immediately after a fatigue protocol, quantitative assessment of hand drawing skills was performed by drawing repeated, overlapping, and concentric circles. The test was conducted in three sessions with an interval of 48-72 hours. Drawing was recorded by a digital tablet. Data were statistically analyzed using paired t-test and repeated measure ANOVA. Result: In drawing time series data analysis, at fatigue level of 100%, the variables standard deviation along x axis (SDx, standard deviation of velocity on both x and y axis (SDVx and SDVy and resultant vector velocity standard deviation (SDVR, showed significant differences after fatigue (P<0.05. In comparison of variables after the three fatigue levels, SDx showed significant difference (P<0.05. Conclusions: structurally full fatigue showed significant differences with other levels of fatigue, so it contributed to significant variability in drawing parameters. The method used in the present study recognized the fatigue in high frequency motion as well.

  20. Fatigue proofing: The role of protective behaviours in mediating fatigue-related risk in a defence aviation environment.

    Science.gov (United States)

    Dawson, Drew; Cleggett, Courtney; Thompson, Kirrilly; Thomas, Matthew J W

    2017-02-01

    In the military or emergency services, operational requirements and/or community expectations often preclude formal prescriptive working time arrangements as a practical means of reducing fatigue-related risk. In these environments, workers sometimes employ adaptive or protective behaviours informally to reduce the risk (i.e. likelihood or consequence) associated with a fatigue-related error. These informal behaviours enable employees to reduce risk while continuing to work while fatigued. In this study, we documented the use of informal protective behaviours in a group of defence aviation personnel including flight crews. Semi-structured interviews were conducted to determine whether and which protective behaviours were used to mitigate fatigue-related error. The 18 participants were from aviation-specific trades and included aircrew (pilots and air-crewman) and aviation maintenance personnel (aeronautical engineers and maintenance personnel). Participants identified 147 ways in which they and/or others act to reduce the likelihood or consequence of a fatigue-related error. These formed seven categories of fatigue-reduction strategies. The two most novel categories are discussed in this paper: task-related and behaviour-based strategies. Broadly speaking, these results indicate that fatigued military flight and maintenance crews use protective 'fatigue-proofing' behaviours to reduce the likelihood and/or consequence of fatigue-related error and were aware of the potential benefits. It is also important to note that these behaviours are not typically part of the formal safety management system. Rather, they have evolved spontaneously as part of the culture around protecting team performance under adverse operating conditions. When compared with previous similar studies, aviation personnel were more readily able to understand the idea of fatigue proofing than those from a fire-fighting background. These differences were thought to reflect different cultural

  1. Reducing Risks to Women Linked to Shift Work, Long Work Hours, and Related Workplace Sleep and Fatigue Issues.

    Science.gov (United States)

    Caruso, Claire C

    2015-10-01

    In the United States, an estimated 12% to 28% of working women are on shift work schedules, and 12% work more than 48 hours per week. Shift work and long work hours are associated with many health and safety risks, including obesity, injuries, and negative reproductive outcomes. Over time, the worker is at risk for developing a wide range of chronic diseases. These work schedules can also strain personal relationships, owing to fatigue and poor mood from sleep deprivation and reduced quality time to spend with family and friends. Worker errors from fatigue can lead to reduced quality of goods and services, negatively impacting the employer. In addition, mistakes by fatigued workers can have far-reaching negative effects on the community, ranging from medical care errors to motor vehicle crashes and industrial disasters that endanger others. To reduce the many risks that are linked to these demanding work hours, the National Institute for Occupational Safety and Health (NIOSH) conducts research, develops guidance and authoritative recommendations, and translates and disseminates scientific information to protect workers, their families, employers, and the community. The key message to reduce these risks is making sleep a priority in the employer's systems for organizing work and in the worker's personal life. The NIOSH website has freely available online training programs with suggestions for workers and their managers to help them better cope with this workplace hazard.

  2. Structural design significance of tension-tension fatigue data on composites

    Science.gov (United States)

    Grimes, G. C.

    1977-01-01

    Constant cycle tension-tension fatigue and related static tension data have been generated on six single composite material/orientation combinations and twenty-one hybrid composite material/orientation combinations. Anomalies are related to the temperature rise and stopped interval creep, whereas endurance limit stresses (runouts) are associated with static proportional limit values, when they occur, and internal damage. The significance of these room temperature-dry data on the design allowables and weight of aerodynamic structueres is discussed. Such structures are helicopter rotor blades and wing and horizontal stabilizer lower surfaces. Typical criteria for turning these data into preliminary allowables are shown, as are examples of such allowables developed from the data. These values are then compared to those that might be used if the structures were made of metal.

  3. The role of central and peripheral muscle fatigue in postcancer fatigue: a randomized controlled trial.

    Science.gov (United States)

    Prinsen, Hetty; van Dijk, Johannes P; Zwarts, Machiel J; Leer, Jan Willem H; Bleijenberg, Gijs; van Laarhoven, Hanneke W M

    2015-02-01

    Postcancer fatigue is a frequently occurring problem, impairing quality of life. Little is known about (neuro)physiological factors determining postcancer fatigue. It may be hypothesized that postcancer fatigue is characterized by low peripheral muscle fatigue and high central muscle fatigue. The aims of this study were to examine whether central and peripheral muscle fatigue differ between fatigued and non-fatigued cancer survivors and to examine the effect of cognitive behavioral therapy (CBT) on peripheral and central muscle fatigue of fatigued cancer survivors in a randomized controlled trial. Sixteen fatigued patients in the intervention group (CBT) and eight fatigued patients in the waiting list group were successfully assessed at baseline and six months later. Baseline measurements of 20 fatigued patients were compared with 20 non-fatigued patients. A twitch interpolation technique and surface electromyography were applied, respectively, during sustained contraction of the biceps brachii muscle. Muscle fiber conduction velocity (MFCV) and central activation failure (CAF) were not significantly different between fatigued and non-fatigued patients. Change scores of MFCV and CAF were not significantly different between patients in the CBT and waiting list groups. Patients in the CBT group reported a significantly larger decrease in fatigue scores than patients in the waiting list group. Postcancer fatigue is neither characterized by abnormally high central muscle fatigue nor by low peripheral muscle fatigue. These findings suggest a difference in the underlying physiological mechanism of postcancer fatigue vs. other fatigue syndromes. Copyright © 2015 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  4. Surface contact fatigue failures in gears

    CSIR Research Space (South Africa)

    Fernandes, PJL

    1997-06-01

    Full Text Available Surface contact fatigue is the most common cause of gear failure. It results in damage to contacting surfaces which can significantly reduce the load-carrying capacity of components, and may ultimately lead to complete failure of a gear. Three types...

  5. Myoelectrical manifestation of fatigue less prominent in patients with cancer related fatigue.

    Directory of Open Access Journals (Sweden)

    Katarzyna Kisiel-Sajewicz

    Full Text Available PURPOSE: A lack of fatigue-related muscle contractile property changes at time of perceived physical exhaustion and greater central than peripheral fatigue detected by twitch interpolation technique have recently been reported in cancer survivors with fatigue symptoms. Based on these observations, it was hypothesized that compared to healthy people, myoelectrical manifestation of fatigue in the performing muscles would be less significant in these individuals while sustaining a prolonged motor task to self-perceived exhaustion (SPE since their central fatigue was more prominent. The purpose of this study was to test this hypothesis by examining electromyographic (EMG signal changes during fatiguing muscle performance. METHODS: Twelve individuals who had advanced solid cancer and cancer-related fatigue (CRF, and 12 age- and gender-matched healthy controls performed a sustained elbow flexion at 30% maximal voluntary contraction till SPE. Amplitude and mean power frequency (MPF of EMG signals of the biceps brachii, brachioradialis, and triceps brachii muscles were evaluated when the individuals experienced minimal, moderate, and severe fatigue. RESULTS: CRF patients perceived physical "exhaustion" significantly sooner than the controls. The myoelectrical manifestation of muscular fatigue assessed by EMG amplitude and MPF was less significant in CRF than controls. The lower MPF even at minimal fatigue stage in CRF may indicate pathophysiologic condition of the muscle. CONCLUSIONS: CRF patients experience less myoelectrical manifestation of muscle fatigue than healthy individuals near the time of SPE. The data suggest that central nervous system fatigue plays a more important role in limiting endurance-type of motor performance in patients with CRF.

  6. Effect of creep and oxidation on reduced fatigue life of Ni-based alloy 617 at 850 °C

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Xiang, E-mail: chenx@ornl.gov [Department of Nuclear, Plasma, and Radiological Engineering, University of Illinois at Urbana-Champaign, 104 South Wright Street, Urbana, IL 61801 (United States); Oak Ridge National Laboratory, 1 Bethel Valley Road, Oak Ridge, TN 37831 (United States); Yang, Zhiqing [Oak Ridge National Laboratory, 1 Bethel Valley Road, Oak Ridge, TN 37831 (United States); Shenyang National Laboratory for Materials Science, Institute of Metal Research, Chinese Academy of Sciences, Shenyang 110016 (China); Sokolov, Mikhail A.; Erdman, Donald L. [Oak Ridge National Laboratory, 1 Bethel Valley Road, Oak Ridge, TN 37831 (United States); Mo, Kun; Stubbins, James F. [Department of Nuclear, Plasma, and Radiological Engineering, University of Illinois at Urbana-Champaign, 104 South Wright Street, Urbana, IL 61801 (United States)

    2014-01-15

    Low cycle fatigue (LCF) and creep–fatigue testing of Ni-based alloy 617 was carried out at 850 °C. Compared with its LCF life, the material’s creep–fatigue life decreases to different extents depending on test conditions. To elucidate the microstructure-fatigue property relationship for alloy 617 and the effect of creep and oxidation on its fatigue life, systematic microstructural investigations were carried out using scanning electron microscopy, energy-dispersive X-ray spectroscopy, and electron backscatter diffraction (EBSD). In LCF tests, as the total strain range increased, deformations concentrated near high angle grain boundaries (HAGBs). The strain hold period in the creep–fatigue tests introduced additional creep damage to the material, which revealed the detrimental effect of the strain hold time on the material fatigue life in two ways. First, the strain hold time enhanced the localized deformation near HAGBs, resulting in the promotion of intergranular cracking of alloy 617. Second, the strain hold time encouraged grain boundary sliding, which resulted in interior intergranular cracking of the material. Oxidation accelerated the initiation of intergranular cracking in alloy 617. In the crack propagation stage, if oxidation was promoted and the cyclic oxidation damage was greater than the fatigue damage, oxidation-assisted intergranular crack growth resulted in a significant reduction in the material’s fatigue life.

  7. Selective effect of physical fatigue on motor imagery accuracy.

    Directory of Open Access Journals (Sweden)

    Franck Di Rienzo

    Full Text Available While the use of motor imagery (the mental representation of an action without overt execution during actual training sessions is usually recommended, experimental studies examining the effect of physical fatigue on subsequent motor imagery performance are sparse and yielded divergent findings. Here, we investigated whether physical fatigue occurring during an intense sport training session affected motor imagery ability. Twelve swimmers (nine males, mean age 15.5 years conducted a 45 min physically-fatiguing protocol where they swam from 70% to 100% of their maximal aerobic speed. We tested motor imagery ability immediately before and after fatigue state. Participants randomly imagined performing a swim turn using internal and external visual imagery. Self-reports ratings, imagery times and electrodermal responses, an index of alertness from the autonomic nervous system, were the dependent variables. Self-reports ratings indicated that participants did not encounter difficulty when performing motor imagery after fatigue. However, motor imagery times were significantly shortened during posttest compared to both pretest and actual turn times, thus indicating reduced timing accuracy. Looking at the selective effect of physical fatigue on external visual imagery did not reveal any difference before and after fatigue, whereas significantly shorter imagined times and electrodermal responses (respectively 15% and 48% decrease, p<0.001 were observed during the posttest for internal visual imagery. A significant correlation (r=0.64; p<0.05 was observed between motor imagery vividness (estimated through imagery questionnaire and autonomic responses during motor imagery after fatigue. These data support that unlike local muscle fatigue, physical fatigue occurring during intense sport training sessions is likely to affect motor imagery accuracy. These results might be explained by the updating of the internal representation of the motor sequence, due to

  8. Fatigue reduction during aggregated and distributed sequential stimulation.

    Science.gov (United States)

    Bergquist, Austin J; Babbar, Vishvek; Ali, Saima; Popovic, Milos R; Masani, Kei

    2017-08-01

    Transcutaneous neuromuscular electrical stimulation (NMES) can generate muscle contractions for rehabilitation and exercise. However, NMES-evoked contractions are limited by fatigue when they are delivered "conventionally" (CONV) using a single active electrode. Researchers have developed "sequential" (SEQ) stimulation, involving rotation of pulses between multiple "aggregated" (AGGR-SEQ) or "distributed" (DISTR-SEQ) active electrodes, to reduce fatigue (torque-decline) by reducing motor unit discharge rates. The primary objective was to compare fatigue-related outcomes, "potentiation," "variability," and "efficiency" between CONV, AGGR-SEQ, and DISTR-SEQ stimulation of knee extensors in healthy participants. Torque and current were recorded during testing with fatiguing trains using each NMES type under isometric and isokinetic (180°/s) conditions. Compared with CONV stimulation, SEQ techniques reduced fatigue-related outcomes, increased potentiation, did not affect variability, and reduced efficiency. SEQ techniques hold promise for reducing fatigue during NMES-based rehabilitation and exercise; however, optimization is required to improve efficiency. Muscle Nerve 56: 271-281, 2017. © 2016 Wiley Periodicals, Inc.

  9. Prevalence of operator fatigue in winter maintenance operations.

    Science.gov (United States)

    Camden, Matthew C; Medina-Flintsch, Alejandra; Hickman, Jeffrey S; Bryce, James; Flintsch, Gerardo; Hanowski, Richard J

    2018-02-02

    Similar to commercial motor vehicle drivers, winter maintenance operators are likely to be at an increased risk of becoming fatigued while driving due to long, inconsistent shifts, environmental stressors, and limited opportunities for sleep. Despite this risk, there is little research concerning the prevalence of winter maintenance operator fatigue during winter emergencies. The purpose of this research was to investigate the prevalence, sources, and countermeasures of fatigue in winter maintenance operations. Questionnaires from 1043 winter maintenance operators and 453 managers were received from 29 Clear Road member states. Results confirmed that fatigue was prevalent in winter maintenance operations. Over 70% of the operators and managers believed that fatigue has a moderate to significant impact on winter maintenance operations. Approximately 75% of winter maintenance operators reported to at least sometimes drive while fatigued, and 96% of managers believed their winter maintenance operators drove while fatigued at least some of the time. Furthermore, winter maintenance operators and managers identified fatigue countermeasures and sources of fatigue related to winter maintenance equipment. However, the countermeasures believed to be the most effective at reducing fatigue during winter emergencies (i.e., naps) were underutilized. For example, winter maintenance operators reported to never use naps to eliminate fatigue. These results indicated winter maintenance operations are impacted by operator fatigue. These results support the increased need for research and effective countermeasures targeting winter maintenance operator fatigue. Copyright © 2018 Elsevier Ltd. All rights reserved.

  10. Implementation of internal model based control and individual pitch control to reduce fatigue loads and tower vibrations in wind turbines

    Science.gov (United States)

    Mohammadi, Ebrahim; Fadaeinedjad, Roohollah; Moschopoulos, Gerry

    2018-05-01

    Vibration control and fatigue loads reduction are important issues in large-scale wind turbines. Identifying the vibration frequencies and tuning dampers and controllers at these frequencies are major concerns in many control methods. In this paper, an internal model control (IMC) method with an adaptive algorithm is implemented to first identify the vibration frequency of the wind turbine tower and then to cancel the vibration signal. Standard individual pitch control (IPC) is also implemented to compare the performance of the controllers in term of fatigue loads reduction. Finally, the performance of the system when both controllers are implemented together is evaluated. Simulation results demonstrate that using only IMC or IPC alone has advantages and can reduce fatigue loads on specific components. IMC can identify and suppress tower vibrations in both fore-aft and side-to-side directions, whereas, IPC can reduce fatigue loads on blades, shaft and yaw bearings. When both IMC and IPC are implemented together, the advantages of both controllers can be used. The aforementioned analysis and comparisons were not studied in literature and this study fills this gap. FAST, AreoDyn and Simulink are used to simulate the mechanical, aerodynamic and electrical aspects of wind turbine.

  11. Fatigue of Chinese railway employees and its influential factors: Structural equation modelling.

    Science.gov (United States)

    Tsao, Liuxing; Chang, Jing; Ma, Liang

    2017-07-01

    Fatigue is an identifiable and preventable cause of accidents in transport operations. Regarding the railway sector, incident logs and simulation studies show that employee fatigue leads to lack of alertness, impaired performance, and occurrence of incidents. China has one of the largest rail systems in the world, and Chinese railway employees work under high fatigue risks; therefore, it is important to assess their fatigue level and find the major factors leading to fatigue. We designed a questionnaire that uses Multidimensional Fatigue Instrument (MFI-20), NASA-TLX and subjective rating of work overtime feelings to assess employee fatigue. The contribution of each influential factor of fatigue was analysed using structural equation modelling. In total, 297 employees from the rail maintenance department and 227 employees from the locomotive department returned valid responses. The average scores and standard deviations for the five subscales of MFI-20, namely General Fatigue, Physical Fatigue, Reduced Activity, Reduced Motivation, and Mental Fatigue, were 2.9 (0.8), 2.8 (0.8), 2.5 (0.8), 2.5 (0.7), and 2.4 (0.8) among the rail maintenance employees and 3.5 (0.8), 3.5 (0.7), 3.3 (0.7), 3.0 (0.6), and 3.1 (0.7), respectively, among the locomotive employees. The fatigue of the locomotive employees was influenced by feelings related to working overtime (standardized r = 0.22) and workload (standardized r = 0.27). The work overtime control and physical working environment significantly influenced subjective feelings (standardized r = -0.25 and 0.47, respectively), while improper work/rest rhythms and an adverse physical working environment significantly increased the workload (standardized r = 0.48 and 0.33, respectively). Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. Sources of fatigue damage to passive yaw wind turbine blades

    Energy Technology Data Exchange (ETDEWEB)

    Laino, D.J. [Univ. of Utah, Salt Lake City, UT (United States)

    1997-12-31

    Using an integrated computer analysis approach developed at the University of Utah, fatigue damage sources to passive yaw wind turbine blades have been investigated. Models of a rigid hub and teetering hub machine reveal the parameters important to the fatigue design of each type. The teetering hub proved much less susceptible to fatigue damage from normal operation loads. As a result, extreme events were critical to the teetering hub fatigue life. The rigid hub blades experienced extremely large gyroscopic load cycles induced by rapid yaw rates during normal operation. These yaw rates stem from turbulence activity which is shown to be dependent upon atmospheric stability. Investigation revealed that increasing yaw damping is an effective way of significantly reducing these gyroscopic fatigue loads.

  13. Low cycle fatigue design data for India-specific reduced activation ferritic-martensitic (IN-RAFM) steel

    Energy Technology Data Exchange (ETDEWEB)

    Mariappan, K.; Shankar, Vani, E-mail: vani@igcar.gov.in; Sandhya, R.; Laha, K.

    2016-03-15

    Highlights: • Generation of first set of experimental data related to LCF performance of the commercial heat of IN-RAFM steel. • Analysis of cyclic behavior from the perspective of both design and material characteristics. • Various correction factors to account for various plastic strain accumulations, change in Poisson’s ratio and asymmetry of loadings. • Low cycle fatigue design parameters and correction factor values were comparable with P91 steel as reported in RCC-MR design code. - Abstract: The objective of the present paper is to provide first hand experimental data and analysis on the low cycle fatigue (LCF) performance of a commercial heat of Indian reduced activation ferritic-martensitic (IN-RAFM) steel. Since this material is not yet codified in RCC-MR, cyclic properties were generated for the design of the structural material of the Test Blanket Modules (TBM) made of RAFM steel. Hence, as a part of the material development program, LCF experiments were conducted on IN-RAFM steel obtained in the normalized and tempered condition. Total axial strain controlled experiments were performed in air by employing strain amplitudes ranging from ±0.25 to ±1.0% and at temperatures of 300, 673, 723, 823, and 873 K and a nominal strain rate, 3 × 10{sup −3} s{sup −1}. In the present work, various cyclic parameters that are useful for the design oriented fatigue analysis are derived as per the systematic procedure given in the RCC-MR design code. The physical significance of each design parameter such as elasto-plastic corrections based on Neuber analysis has been explained and correlated with the material behavior such as the cyclic softening nature of the RAFM steel.

  14. An Exploratory Study of Fatigue and Physical Activity in Canadian Thyroid Cancer Patients.

    Science.gov (United States)

    Alhashemi, Ahmad; Jones, Jennifer M; Goldstein, David P; Mina, Daniel Santa; Thabane, Lehana; Sabiston, Catherine M; Chang, Eugene K; Brierley, James D; Sawka, Anna M

    2017-09-01

    Fatigue is common among cancer survivors, but fatigue in thyroid cancer (TC) survivors may be under-appreciated. This study investigated the severity and prevalence of moderate and severe fatigue in TC survivors. Potential predictive factors, including physical activity, were explored. A cross-sectional, written, self-administered TC patient survey and retrospective chart review were performed in an outpatient academic Endocrinology clinic in Toronto, Canada. The primary outcome measure was the global fatigue score measured by the Brief Fatigue Inventory (BFI). Physical activity was evaluated using the International Physical Activity Questionnaire-7 day (IPAQ-7). Predictors of BFI global fatigue score were explored in univariate analyses and a multivariable linear regression model. The response rate was 63.1% (205/325). Three-quarters of the respondents were women (152/205). The mean age was 52.5 years, and the mean time since first TC surgery was 6.8 years. The mean global BFI score was 3.5 (standard deviation 2.4) out of 10 (10 is worst). The prevalence of moderate-severe fatigue (global BFI score 4.1-10 out of 10) was 41.4% (84/203). Individuals who were unemployed or unable to work due to disability reported significantly higher levels of fatigue compared to the rest of the study population, in uni-and multivariable analyses. Furthermore, increased physical activity was associated with reduced fatigue in uni- and multivariable analyses. Other socio-demographic, disease, or biochemical variables were not significantly associated with fatigue in the multivariable model. Moderate or severe fatigue was reported in about 4/10 TC survivors. Independent predictors of worse fatigue included unemployment and reduced physical activity.

  15. Transcutaneous Electrical Nerve Stimulation (TENS) reduces pain, fatigue, and hyperalgesia while restoring central inhibition in primary fibromyalgia

    OpenAIRE

    Dailey, Dana L; Rakel, Barbara A; Vance, Carol GT; Liebano, Richard E; Anand, Amrit S; Bush, Heather M; Lee, Kyoung S; Lee, Jennifer E; Sluka, Kathleen A

    2013-01-01

    Because TENS works by reducing central excitability and activating central inhibition pathways, we tested the hypothesis that TENS would reduce pain and fatigue and improve function and hyperalgesia in people with fibromyalgia who have enhanced central excitability and reduced inhibition. The current study used a double-blinded randomized, placebo controlled cross-over design to test effects of a single treatment of TENS in people with fibromyalgia. Three treatments were assessed in random or...

  16. Modafinil May Alleviate Poststroke Fatigue

    DEFF Research Database (Denmark)

    Poulsen, Mai Bang; Damgaard, Bodil; Zerahn, Bo

    2015-01-01

    was randomized, double-blinded, and placebo-controlled. Patients were treated with 400-mg modafinil or placebo for 90 days. Assessments were done at inclusion, 30, 90, and 180 days. The primary end point was fatigue at 90 days measured by the Multidimensional Fatigue Inventory-20 general fatigue domain......BACKGROUND AND PURPOSE: Poststroke fatigue is common and reduces quality of life. Current evidence for intervention is limited, and this is the first placebo-controlled trial to investigate treatment of poststroke fatigue with the wakefulness promoting drug modafinil. METHODS: The trial....... Secondary end points included the Fatigue Severity Scale, the Montreal Cognitive Assessment, the modified Rankin Scale and the Stroke-specific quality of Life questionnaire. Adult patients with a recent stroke achieving a score of ≥12 on the Multidimensional Fatigue Inventory-20 general fatigue domain were...

  17. Fatigue strength of socket welded pipe joint

    International Nuclear Information System (INIS)

    Iida, K.; Matsuda, F.; Sato, M.; Higuchi, M.; Nakagawa, A.

    1994-01-01

    Fully reversed four point bending fatigue tests were carried out of small diameter socket welded joints made of carbon steels. Experimental parameters are pipe diameter, thickness of pipe and socket wall, throat depth and shape of fillet welds, slip-on and diametral gaps in the socket welding, lack of penetration at the root of fillet welds, and peening of fillet welds. In most cases a fatigue crack started from the root of the fillet, but in the case of higher stress amplitude, it tended to start from the toe of fillet. The standard socket welded joint of 50 mm diameter showed relatively low fatigue strength, 46 MPa in stress amplitude at the 10 7 cycles failure life. This value corresponds to about 1/5 of that of the smoothed base metal specimens in axial fatigue. The fatigue strength showed decrease with increasing pipe diameter, and increase with increasing the thickness of pipe and socket wall. The effects of throat depth and shape of fillet welds on fatigue strength were not significant. Contrary to the expectation, the fatigue strength of the socket welded joint without slip-on gap is higher than that of the joint with the normal gap. A lack of penetration at the root deleteriously reduced fatigue strength, showing 14 MPa in stress amplitude at the 10 7 cycles failure life for the 50 mm diameter socket joint. (orig.)

  18. Neurodegenerative and Fatiguing Illnesses, Infections and Mitochondrial Dysfunction: Use of Natural Supplements to Improve Mitochondrial Function

    Directory of Open Access Journals (Sweden)

    Garth L. Nicolson

    2014-01-01

    Full Text Available Background: Many chronic diseases and illnesses are associated with one or more chronic infections, dysfunction of mitochondria and reduced production of ATP. This results in fatigue and other symptoms that occur in most if not all chronic conditions and diseases. Methods: This is a review of the published literature on chronic infections in neurodegenerative diseases and fatiguing illnesses that are also typified by mitochondrial dysfunction. This contribution also reviews the use of natural supplements to enhance mitochondrial function and reduce the effects of chronic infections to improve overall function in various chronic illnesses. Results: Mitochondrial function can be enhanced by the use of various natural supplements, notably Lipid Replacement Therapy (LRT using glyerolphospholipids and other mitochondrial supplements. In various chronic illnesses that are characterized by the presence of chronic infections, such as intracellular bacteria (Mycoplasma, Borrelia, Chlamydia and other infections and viruses, LRT has proven useful in multiple clinical trials. For example, in clinical studies on chronic fatigue syndrome, fibromyalgia syndrome and other chronic fatiguing illnesses where a large majority of patients have chronic infections, LRT significantly reduced fatigue by 35-43% in different clinical trials and increased mitochondrial function. In clinical trials on patients with multiple intracellular bacterial infections and intractable fatigue LRT plus other mitochondrial supplements significantly decreased fatigue and improved mood and cognition. Conclusions: LRT formulations designed to improve mitochondrial function appear to be useful as non-toxic dietary supplements for reducing fatigue and restoring mitochondrial and other cellular membrane functions in patients with chronic illnesses and multiple chronic infections.

  19. Preventive and Regenerative Foam Rolling are Equally Effective in Reducing Fatigue-Related Impairments of Muscle Function following Exercise

    Directory of Open Access Journals (Sweden)

    Johannes Fleckenstein, Jan Wilke, Lutz Vogt, Winfried Banzer

    2017-12-01

    Full Text Available Objectives of the study were to compare the effects of a single bout of preventive or regenerative foam rolling (FR on exercise-induced neuromuscular exhaustion. Single-centre randomised-controlled study was designed. Forty-five healthy adults (22 female; 25±2 yrs were allocated to three groups: 1 FR of the lower limb muscles prior to induction of fatigue, 2 FR after induction of fatigue, 3 no-treatment control. Neuromuscular exhaustion was provoked using a standardized and validated functional agility short-term fatigue protocol. Main outcome measure was the maximal isometric voluntary force of the knee extensors (MIVF. Secondary outcomes included pain and reactive strength (RSI. Preventive (-16% and regenerative FR (-12% resulted in a decreased loss in MIVF compared to control (-21%; p 0.8, p < 0.1. Differences over time (p < 0.001 between groups regarding pain and RSI did not turn out to be clinically meaningful. A single bout of foam rolling reduces neuromuscular exhaustion with reference to maximal force production. Regenerative rather than preventive foam rolling seems sufficient to prevent further fatigue.

  20. Reduced Dual-Task Performance in MS Patients Is Further Decreased by Muscle Fatigue.

    Science.gov (United States)

    Wolkorte, Ria; Heersema, Dorothea J; Zijdewind, Inge

    2015-06-01

    Multiple sclerosis (MS) can be accompanied by motor, cognitive, and sensory impairments. Additionally, MS patients often report fatigue as one of their most debilitating symptoms. It is, therefore, expected that MS patients will have difficulties in performing cognitive-motor dual tasks (DTs), especially in a fatiguing condition. To determine whether MS patients are more challenged by a DT than controls in a fatiguing and less-fatiguing condition and whether DT performance is associated with perceived fatigue. A group of 19 MS patients and 19 age-, sex-, and education-matched controls performed a cognitive task (2-choice reaction time task) separately or concurrent with a low-force or a high-force motor task (index finger abduction at 10% or 30% maximal voluntary contraction). MS patients performed less well on a cognitive task than controls. Cognitive task performance under DT conditions decreased more for MS patients. Moreover, under high-force DT conditions, cognitive performance declined in both groups but to a larger degree for MS patients. Besides a decline in cognitive task performance, MS patients also showed a stronger decrease in motor performance under high-force DT conditions. DT costs were positively related to perceived fatigue as measured by questionnaires. Compared with controls, MS patients performed less well on DTs as demonstrated by a reduction in both cognitive and motor performances. This performance decrease was stronger under fatiguing conditions and was related to the sense of fatigue of MS patients. These data illustrate problems that MS patients may encounter in daily life because of their fatigue. © The Author(s) 2014.

  1. Cumulative fatigue and creep-fatigue damage at 3500C on recrystallized zircaloy 4

    International Nuclear Information System (INIS)

    Brun, G.; Pelchat, J.; Floze, J.C.; Galimberti, M.

    1985-06-01

    An experimental programme undertaken by C.E.A., E.D.F. and FRAGEMA with the aim of characterizing the fatigue and creep fatigue behaviour of zircaloy-4 following annealing treatments (recrystallized, stress-delived) is in progress. The results given below concern only recrystallized material. Cyclic properties, low-cycle fatigue curves and creep behaviour laws under stresses have been established. Sequential tests of pure fatigue and creep-fatigue were performed. The cumulative life fractions at fracture depend on the sequence of leading, stress history and number of cycles of prestressing. The MINER's rule appears to be conservative with regard to a low-high loading sequence whereas it is not for the reverse high-low loading sequences. Fatigue and creep damage are not interchangeable. Pre-creep improves the fatigue resistance. Pre-fatigue improves the creep strength as long as the beneficial effect of cyclic hardening overcomes the damaging effect of surface cracking. The introduction of a tension hold time into the fatigue cycle slightly increases cyclic hardening and reduces the number of cycles to failure. For hold times of less than one hour, the sum of fatigue and creep life fractions is closed to one

  2. Ecological Momentary Assessment of Pain, Fatigue, Depressive, and Cognitive Symptoms Reveals Significant Daily Variability in Multiple Sclerosis.

    Science.gov (United States)

    Kratz, Anna L; Murphy, Susan L; Braley, Tiffany J

    2017-11-01

    To describe the daily variability and patterns of pain, fatigue, depressed mood, and cognitive function in persons with multiple sclerosis (MS). Repeated-measures observational study of 7 consecutive days of home monitoring, including ecological momentary assessment (EMA) of symptoms. Multilevel mixed models were used to analyze data. General community. Ambulatory adults (N=107) with MS recruited through the University of Michigan and surrounding community. Not applicable. EMA measures of pain, fatigue, depressed mood, and cognitive function rated on a 0 to 10 scale, collected 5 times a day for 7 days. Cognitive function and depressed mood exhibited more stable within-person patterns than pain and fatigue, which varied considerably within person. All symptoms increased in intensity across the day (all Pfatigue showing the most substantial increase. Notably, this diurnal increase varied by sex and age; women showed a continuous increase from wake to bedtime, whereas fatigue plateaued after 7 pm for men (wake-bed B=1.04, P=.004). For the oldest subgroup, diurnal increases were concentrated to the middle of the day compared with younger subgroups, which showed an earlier onset of fatigue increase and sustained increases until bed time (wake-3 pm B=.04, P=.01; wake-7 pm B=.03, P=.02). Diurnal patterns of cognitive function varied by education; those with advanced college degrees showed a more stable pattern across the day, with significant differences compared with those with bachelor-level degrees in the evening (wake-7 pm B=-.47, P=.02; wake-bed B=-.45, P=.04). Findings suggest that chronic symptoms in MS are not static, even over a short time frame; rather, symptoms-fatigue and pain in particular-vary dynamically across and within days. Incorporation of EMA methods should be considered in the assessment of these chronic MS symptoms to enhance assessment and treatment strategies. Copyright © 2017 American Congress of Rehabilitation Medicine. Published by Elsevier

  3. The Effect of Fatigued External Rotator Muscles of the Shoulder on the Shoulder Position Sense

    Directory of Open Access Journals (Sweden)

    Naoya Iida

    2011-10-01

    Full Text Available This study aimed to investigate the effect of fatigue in shoulder external rotator muscles on position sense of shoulder abduction, internal rotation, and external rotation. The study included 10 healthy subjects. Shoulder position sense was measured before and after a fatigue task involving shoulder external rotator muscles. The fatigue task was performed using an isokinetic machine. To confirm the muscle fatigue, electromyography (EMG was recorded, and an integrated EMG and median power frequency (MDF during 3 sec performed target torque were calculated. After the fatigue task, the MDF of the infraspinatus muscle significantly decreased. This indicates that the infraspinatus muscle was involved in the fatigue task. In addition, the shoulder position sense of internal and external rotation significantly decreased after the fatigue task. These results suggest that the fatigue reduced the accuracy of sensory input from muscle spindles. However, no significant difference was observed in shoulder position sense of abduction before and after the fatigue task. This may be due to the fact that infraspinatus muscle did not act as prime movers in shoulder abduction. These results suggest that muscle fatigue decreased position sense during movements in which the affected muscles acted as prime movers.

  4. Preliminary study of an exercise programme for reducing fatigue and improving sleep among long-term haemodialysis patients

    Science.gov (United States)

    Maniam, Radha; Subramanian, Pathmawathi; Singh, Surindar Kaur Surat; Lim, Soo Kun; Chinna, Karuthan; Rosli, Roshaslina

    2014-01-01

    INTRODUCTION Fatigue and quality of sleep are the main factors that contribute to a poor quality of life among patients on long-term haemodialysis. Studies have also emphasised the importance of exercise for improving the wellbeing of dialysis patients. This study aimed to determine the effectiveness of a predialysis low-to-moderate-intensity exercise programme for reducing fatigue and improving sleep disorders among long-term haemodialysis patients. METHODS In this quasi-experimental study, an exercise programme was conducted three times a week for 12 weeks before long-term haemodialysis patients underwent dialysis at two centres. The patients were categorised into either the exercise group (n = 28) or control group (n = 27). The latter was asked to maintain their current lifestyles. Assessments of fatigue and sleep disorder levels were performed for both groups using self-reported questionnaires at baseline and after intervention. The patients’ perception of the exercise programme was also determined using self-reported questionnaires. RESULTS Paired sample t-test indicated improvements in fatigue level in the exercise group (mean fatigue score: post-treatment 40.5 ± 7.9 vs. pre-treatment 30.0 ± 10.9). Improvements in sleep disorders were also observed in the exercise group (mean score: post-treatment 7.6 ± 3.3 vs. pre-treatment 10.1 ± 3.8). However, sleep quality deteriorated in the control group (mean score: post-treatment 10.7 ± 2.9 vs. pre-treatment 9.3 ± 2.9). CONCLUSION Simple low-to-moderate-intensity exercise is effective for improving fatigue, sleep disorders and the overall quality of life among haemodialysis patients. PMID:25273932

  5. Application of environmentally-corrected fatigue curves to nuclear power plant components

    International Nuclear Information System (INIS)

    Ware, A.G.; Morton, D.K.; Nitzel, M.E.

    1996-01-01

    Recent test data indicate that the effects of the light water reactor (LWR) environment could significantly reduce the fatigue resistance of materials used in the reactor coolant pressure boundary components of operating nuclear power plants. Argonne National Laboratory has developed interim fatigue curves based on test data simulating LWR conditions, and published them in NUREG/CR-5999. In order to assess the significance of these interim fatigue curves, fatigue evaluations of a sample of the components in the reactor coolant pressure boundary of LWRs were performed. The sample consists of components from facilities designed by each of the four US nuclear steam supply system vendors. For each facility, six locations were studied including two locations on the reactor pressure vessel. In addition, there are older vintage plants where components of the reactor coolant pressure boundary were designed to codes that did not require an explicit fatigue analysis of the components. In order to assess the fatigue resistance of the older vintage plants, an evaluation was also conducted on selected components of three of these plants. This paper discusses the insights gained from the application of the interim fatigue curves to components of seven operating nuclear power plants

  6. Perceived Fatigue Interference and Depressed Mood: Comparison of Chronic Fatigue Syndrome/Myalgic Encephalomyelitis Patients with Fatigued Breast Cancer Survivors.

    Science.gov (United States)

    Hall, Daniel L; Antoni, Michael H; Lattie, Emily G; Jutagir, Devika R; Czaja, Sara J; Perdomo, Dolores; Lechner, Suzanne C; Stagl, Jamie M; Bouchard, Laura C; Gudenkauf, Lisa M; Traeger, Lara; Fletcher, MaryAnn; Klimas, Nancy G

    Persistent fatigue and depressive symptoms are both highly prevalent among patients with Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME) as well as breast cancer survivors. This study aimed to assess and directly compare perceptions of fatigue as highly interfering in one's daily functioning in both patient populations to better understand their relationships with depressed mood. Participants were 95 female CFS/ME patients and 67 females who were approximately 5 years post-treatment for stage 0-III breast cancer presenting with clinically elevated fatigue severity. Self-report measures were obtained on participants' fatigue-related interference in daily functioning and fatigue severity as well as depressed mood. Hierarchical regression was used to test effects controlling for relevant demographic, psychosocial, and medical covariates. CFS/ME patients endorsed greater depressed mood and fatigue interference than did fatigued breast cancer survivors, p's fatigued breast cancer survivors (β=.18, p =.19). CFS/ME patients reported elevated fatigue symptoms and depression relative to fatigued breast cancer survivors. In the former group, greater depressed mood was highly and significantly associated with greater fatigue-related inference in daily activities. Potential targets for cognitive behavioral interventions are discussed.

  7. Hyperthermia and fatigue

    DEFF Research Database (Denmark)

    Nybo, Lars

    2008-01-01

    The present review addresses mechanisms of importance for hyperthermia-induced fatigue during short intense activities and prolonged exercise in the heat. Inferior performance during physical activities with intensities that elicit maximal oxygen uptake is to a large extent related to perturbation...... of the cardiovascular function, which eventually reduces arterial oxygen delivery to the exercising muscles. Accordingly, aerobic energy turnover is impaired and anaerobic metabolism provokes peripheral fatigue. In contrast, metabolic disturbances of muscle homeostasis are less important during prolonged exercise...... in the heat, because increased oxygen extraction compensates for the reduction in systemic blood flow. The decrease in endurance seems to involve changes in the function of the central nervous system (CNS) that lead to fatigue. The CNS fatigue appears to be influenced by neurotransmitter activity...

  8. Smoking impact on grip strength and fatigue resistance: implications for exercise and hand therapy practice.

    Science.gov (United States)

    Al-Obaidi, Saud; Al-Sayegh, Nowall; Nadar, Mohammed

    2014-07-01

    Grip strength assessment reflects on overall health of the musculoskeletal system and is a predictor of functional prognosis and mortality. The purpose of this study was: examine whether grip-strength and fatigue resistance are impaired in smokers, determine if smoking-related impairments (fatigue-index) can be predicted by demographic data, duration of smoking, packets smoked-per-day, and physical activity. Maximum isometric grip strength (MIGS) of male smokers (n = 111) and nonsmokers (n = 66) was measured before/after induced fatigue using Jamar dynamometer at 5-handle positions. Fatigue index was calculated based on percentage change in MIGS initially and after induced fatigue. Number of repetitions to squeeze the soft rubber ball to induce fatigue was significantly lower in smokers compared with nonsmokers (t = 10.6, P smoking status on MIGS scores was significantly different between smokers and nonsmokers after induced fatigue (β = -3.98, standard error = 0.59, P Smoking status was the strongest significant independent predictor of the fatigue-index. Smokers demonstrated reduced grip strength and fast fatigability in comparison with nonsmokers.

  9. The Effort to Reduce a Muscle Fatigue Through Gymnastics Relaxation and Ergonomic Approach for Computer Users in Central Building State University of Medan

    Science.gov (United States)

    Gultom, Syamsul; Darma Sitepu, Indra; Hasibuan, Nurman

    2018-03-01

    Fatigue due to long and continuous computer usage can lead to problems of dominant fatigue associated with decreased performance and work motivation. Specific targets in the first phase have been achieved in this research such as: (1) Identified complaints on workers using computers, using the Bourdon Wiersma test kit. (2) Finding the right relaxation & work posture draft for a solution to reduce muscle fatigue in computer-based workers. The type of research used in this study is research and development method which aims to produce the products or refine existing products. The final product is a prototype of back-holder, monitoring filter and arranging a relaxation exercise as well as the manual book how to do this while in front of the computer to lower the fatigue level for computer users in Unimed’s Administration Center. In the first phase, observations and interviews have been conducted and identified the level of fatigue on the employees of computer users at Uniemd’s Administration Center using Bourdon Wiersma test and has obtained the following results: (1) The average velocity time of respondents in BAUK, BAAK and BAPSI after working with the value of interpretation of the speed obtained value of 8.4, WS 13 was in a good enough category, (2) The average of accuracy of respondents in BAUK, in BAAK and in BAPSI after working with interpretation value accuracy obtained Value of 5.5, WS 8 was in doubt-category. This result shows that computer users experienced a significant tiredness at the Unimed Administration Center, (3) the consistency of the average of the result in measuring tiredness level on computer users in Unimed’s Administration Center after working with values in consistency of interpretation obtained Value of 5.5 with WS 8 was put in a doubt-category, which means computer user in The Unimed Administration Center suffered an extreme fatigue. In phase II, based on the results of the first phase in this research, the researcher offers

  10. Exercise as an Intervention to Reduce Study-Related Fatigue among University Students: A Two-Arm Parallel Randomized Controlled Trial.

    Directory of Open Access Journals (Sweden)

    Juriena D de Vries

    Full Text Available Many university students experience high levels of study-related fatigue. This high prevalence, and the negative impact of fatigue on health and academic performance, call for prevention and reduction of these symptoms. The primary aim of the current study was to investigate to what extent an exercise intervention is effective in reducing three indicators of study-related fatigue (emotional exhaustion, overall fatigue, and need for recovery. Effects of exercise on secondary outcomes (sleep quality, self-efficacy, physical fitness, and cognitive functioning were also investigated.Participants were students with high levels of study-related fatigue, currently not exercising or receiving other psychological or pharmacological treatments, and with no medical cause of fatigue. They were randomly assigned to either a six-week exercise intervention (low-intensity running three times a week, n = 49 or wait list (no intervention, n = 48. All participants were measured before the intervention (T0, and immediately after the intervention (T1. Exercisers were also investigated 4 weeks (T2 and 12 weeks (T3 after the intervention.Participants in the exercise condition showed a larger decrease in two of the three indicators of study-related fatigue (i.e., overall fatigue and need for recovery as compared to controls. Additionally, sleep quality and some indicators of cognitive functioning improved more among exercisers than among controls. No effects were found for self-efficacy, and physical fitness. The initial effects of the exercise intervention lasted at follow-up (T2 and T3. At 12-week follow up (T3, 80% of participants in the exercise condition still engaged in regular exercise, and further enhancements were seen for emotional exhaustion, overall fatigue, and sleep quality.These results underline the value of low-intensity exercise for university students with high levels of study-related fatigue. The follow-up effects that were found in this study imply

  11. Fatigue behavior of niobium--hydrogen alloys

    International Nuclear Information System (INIS)

    Chung, D.W.; Stoloff, N.S.

    1978-01-01

    The effects of hydrogen on room temperature fatigue behavior of niobium were investigated under both high frequency stress control and low frequency strain control conditions, in air. Hydrogen markedly improved the fatigue life in high frequency tests, while low frequency tests resulted in decreased fatigue life with increasing hydrogen content. Notches in hydrogen-charged alloys reduced high cycle life significantly but had little effect on low cycle tests. Fracture surfaces of annealed niobium mainly exhibited striations, with numerous cracks originating at troughs of striated bands in both stress and strain control tests. The fracture mode for alloys with hydrogen in solution was mixed, with striations interspersed with cleavage facets at high frequencies but generally cleavage steps at low frequencies. For the hydrided alloys, distinctive steps of mixed ductile-brittle appearance were revealed under high frequency conditions, but large cleavage facets only were observed for low frequency tests. The results are discussed in terms of the effects of hydrogen on the cyclic strain hardening rate, as well as on fatigue strength and ductility of niobium

  12. H-reflexes reduce fatigue of evoked contractions after spinal cord injury.

    Science.gov (United States)

    Bergquist, Austin J; Wiest, Matheus J; Okuma, Yoshino; Collins, David F

    2014-08-01

    Neuromuscular electrical stimulation (NMES) over a muscle belly (mNMES) generates contractions predominantly through M-waves, while NMES over a nerve trunk (nNMES) can generate contractions through H-reflexes in people who are neurologically intact. We tested whether the differences between mNMES and nNMES are present in people with chronic motor-complete spinal cord injury and, if so, whether they influence contraction fatigue. Plantar-flexion torque and soleus electromyography were recorded from 8 participants. Fatigue protocols were delivered using mNMES and nNMES on separate days. nNMES generated contractions that fatigued less than mNMES. Torque decreased the least when nNMES generated contractions, at least partly through H-reflexes (n = 4 participants; 39% decrease), and torque decreased the most when contractions were generated through M-waves, regardless of NMES site (nNMES 71% decrease, n = 4; mNMES, 73% decrease, n = 8). nNMES generates contractions that fatigue less than mNMES, but only when H-reflexes contribute to the evoked contractions. Copyright © 2013 Wiley Periodicals, Inc.

  13. Fatigue and workload among Danish fishermen

    DEFF Research Database (Denmark)

    Remmen, Line Nørgaard; Herttua, Kimmo; Riss-Jepsen, Jørgen

    2017-01-01

    . Highest levels of fatigue were observed among fishermen at Danish seiners (mean 10.21), and fatigue scores decreased with more days at sea. However, none of these results were significant. Adjusted analyses showed that physical workload was significantly related to general fatigue (b = 0.20, 95% CI: 0...... was additionally significantly associated to the levels of physical and mental fatigue. Fishermen had a lower average score for all fatigue dimensions compared to those seen in general Danish working population. Prospective studies are required to assess whether the identified associations are causal....

  14. Fatigue in the Danish general population. Influence of sociodemographic factors and disease

    DEFF Research Database (Denmark)

    Watt, T; Groenvold, M; Bjorner, J B

    2000-01-01

    -77 with an equal gender distribution (response rate 67%). MAIN OUTCOME MEASURES: Five fatigue scales from the questionnaire Multidimensional Fatigue Inventory: General Fatigue, Physical Fatigue, Reduced Activity, Reduced Motivation and Mental Fatigue. RESULTS: Fatigue scores were skewed towards absence of fatigue....... The General Fatigue and Physical Fatigue scales showed the highest fatigue levels while the Reduced Motivation scale showed lowest levels. Gender differences in fatigue scores were small, but the variability among women was higher-that is, more women had high scores. A multiple linear regression analysis......, gender and/or whether the person was living alone. For example, General and Physical Fatigue decreased with age among healthy people, whereas scores on these scales increased with age among those with a somatic disease. CONCLUSIONS: Physical and mental diseases play essential parts for the level...

  15. Fatigue in Younger and Older Drivers: Effectiveness of an Alertness-Maintaining Task.

    Science.gov (United States)

    Song, Woojin; Woon, Fu L; Doong, Alice; Persad, Carol; Tijerina, Louis; Pandit, Pooja; Cline, Carol; Giordani, Bruno

    2017-09-01

    The aim of this study was to examine the effects of an alertness-maintaining task (AMT) in older, fatigued drivers. Fatigue during driving increases crash risk, and previous research suggests that alertness and driving in younger adults may be improved using a secondary AMT during boring, fatigue-eliciting drives. However, the potential impact of an AMT on driving has not been investigated in older drivers whose ability to complete dual tasks has been shown to decline and therefore may be negatively affected with an AMT in driving. Younger ( n = 29) and older drivers ( n = 39) participated in a 50-minute simulated drive designed to induce fatigue, followed by four 10-minute sessions alternating between driving with and without an AMT. Younger drivers were significantly more affected by fatigue on driving performance than were older drivers but benefitted significantly from the AMT. Older drivers did not demonstrate increased driver errors with fatigue, and driving did not deteriorate significantly during participation in the AMT condition, although their speed was significantly more variable with the AMT. Consistent with earlier research, an AMT applied during fatiguing driving is effective in improving alertness and reducing driving errors in younger drivers. Importantly, older drivers were relatively unaffected by fatigue, and use of an AMT did not detrimentally affect their driving performance. These results support the potential use of an AMT as a new automotive technology to improve fatigue and promote driver safety, though the benefits of such technology may differ between different age groups.

  16. Perceived Fatigue Interference and Depressed Mood: Comparison of Chronic Fatigue Syndrome/Myalgic Encephalomyelitis Patients with Fatigued Breast Cancer Survivors

    Science.gov (United States)

    Hall, Daniel L.; Antoni, Michael H.; Lattie, Emily G.; Jutagir, Devika R.; Czaja, Sara J.; Perdomo, Dolores; Lechner, Suzanne C.; Stagl, Jamie M.; Bouchard, Laura C.; Gudenkauf, Lisa M.; Traeger, Lara; Fletcher, MaryAnn; Klimas, Nancy G.

    2015-01-01

    Objective Persistent fatigue and depressive symptoms are both highly prevalent among patients with Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME) as well as breast cancer survivors. This study aimed to assess and directly compare perceptions of fatigue as highly interfering in one’s daily functioning in both patient populations to better understand their relationships with depressed mood. Methods Participants were 95 female CFS/ME patients and 67 females who were approximately 5 years post-treatment for stage 0-III breast cancer presenting with clinically elevated fatigue severity. Self-report measures were obtained on participants’ fatigue-related interference in daily functioning and fatigue severity as well as depressed mood. Hierarchical regression was used to test effects controlling for relevant demographic, psychosocial, and medical covariates. Results CFS/ME patients endorsed greater depressed mood and fatigue interference than did fatigued breast cancer survivors, p’sfatigued breast cancer survivors (β=.18, p=.19). Conclusions CFS/ME patients reported elevated fatigue symptoms and depression relative to fatigued breast cancer survivors. In the former group, greater depressed mood was highly and significantly associated with greater fatigue-related inference in daily activities. Potential targets for cognitive behavioral interventions are discussed. PMID:26180660

  17. The influence of inclusions on the low cycle fatigue properties of reduced activation ferritic/martensitic steel

    Energy Technology Data Exchange (ETDEWEB)

    Kim, D.H.; Kima, S.W. [Kyoto Univ., Graduate School of Energy Science (Japan); Tanigawa, H. [Japan Atomic Energy Agency, Tokai-mura, Naga-gun, Ibaraki-ken (Japan); Hirose, T. [Blanket Engineering Group, Japan Atomic Energy Agency, Naka, Ibaraki (Japan); Kohyama, A. [Kyoto Univ., lnstitute of Advanced Energy (Japan)

    2007-07-01

    Full text of publication follows: Reduced activation ferritic/martensitic (RAFM) steels, such as F82H, are the primary near-term candidate for the blanket structural material of nuclear fusion reactors. During operation, blanket structural materials will be subjected to cyclic loading caused by start-up and shut-down procedure or plasma disruption. Therefore, investigation of fatigue property is essential to reactor design. It is considered that fatigue properties depend on the material factor such as the inclusion distribution, surface morphology and so on. Especially, many experimental results show that inclusions become the fracture origin in a given volume of material subjected to cyclic stress, and fracture failure is most likely to initiate at the largest inclusion in the volume. Therefore, the prediction of the size of maximum inclusion and its impact on fatigue properties would be essential to the fusion reactor materials development and application. This paper examines the possible relation between fatigue life and inclusion parameters such as size, shape, distribution and composition. The low cycle fatigue behavior of F82H steel at room temperature in air condition under fully reversed push-pull triangular wave was studied using miniaturized hourglass-type specimens with 1.25 mm in diameter. Total strain range is selected from 0.8% to 2.4%, and the strain rate was 0.04%/s. To examine the size and composition of the inclusions, fracture surfaces and crack initiation region were investigated by a scanning electron microscope (SEM) and EDS. The inclusions such as TaO{sub x}, TaO{sub x}- Al{sub 2}O{sub 3} and Al{sub 2}O{sub 3} with the size below 10 {mu}m are observed on specimen surface. The surface observation of the specimen which discontinued testing at 20 and 500 cycle tested at the strain range of 1.4% revealed that fatigue loading induced separation of inclusions from the matrix in initial stage, then micro-crack induced around the inclusions

  18. A randomized controlled trial of qigong exercise on fatigue symptoms, functioning, and telomerase activity in persons with chronic fatigue or chronic fatigue syndrome.

    Science.gov (United States)

    Ho, Rainbow T H; Chan, Jessie S M; Wang, Chong-Wen; Lau, Benson W M; So, Kwok Fai; Yuen, Li Ping; Sham, Jonathan S T; Chan, Cecilia L W

    2012-10-01

    Chronic fatigue is common in the general population. Complementary therapies are often used by patients with chronic fatigue or chronic fatigue syndrome to manage their symptoms. This study aimed to assess the effect of a 4-month qigong intervention program among patients with chronic fatigue or chronic fatigue syndrome. Sixty-four participants were randomly assigned to either an intervention group or a wait list control group. Outcome measures included fatigue symptoms, physical functioning, mental functioning, and telomerase activity. Fatigue symptoms and mental functioning were significantly improved in the qigong group compared to controls. Telomerase activity increased in the qigong group from 0.102 to 0.178 arbitrary units (p chronic fatigue and chronic fatigue syndrome.

  19. A systematic review of the effect of various interventions on reducing fatigue and sleepiness while driving

    Directory of Open Access Journals (Sweden)

    Seyed Saeed Hashemi Nazari

    2017-10-01

    Full Text Available Purpose: To identify and appraise the published studies assessing interventions accounting for reducing fatigue and sleepiness while driving. Methods: This systematic review searched the following electronic databases: Medline, Science direct, Scopus, EMBASE, PsycINFO, Transport Database, Cochrane, BIOSIS, ISI Web of Knowledge, specialist road injuries journals and the Australian Transport and Road Index database. Additional searches included websites of relevant organizations, reference lists of included studies, and issues of major injury journals published within the past 15 years. Studies were included if they investigated interventions/exposures accounting for reducing fatigue and sleepiness as the outcome, measured any potential interventions for mitigation of sleepiness and were written in English. Meta-analysis was not attempted because of the heterogeneity of the included studies. Results: Of 63 studies identified, 18 met the inclusion criteria. Based on results of our review, many interventions in the world have been used to reduce drowsiness while driving such as behavioral (talking to passengers, face washing, listening to the radio, no alcohol use, limiting the driving behavior at the time of 12 p.m. – 6 a.m. etc, educational interventions and also changes in the environment (such as rumble strips, chevrons, variable message signs, etc. Meta-analysis on the effect of all these interventions was impossible due to the high heterogeneity in methodology, effect size and interventions reported in the assessed studies. Conclusion: Results of present review showed various interventions in different parts of the world have been used to decrease drowsy driving. Although these interventions can be used in countries with high incidence of road traffic accidents, precise effect of each intervention is still unknown. Further studies are required for comparison of the efficiency of each intervention and localization of each intervention

  20. Radiology reading-caused fatigue and measurement of eye strain with critical flicker fusion frequency

    International Nuclear Information System (INIS)

    Maeda, Eriko; Yoshikawa, Takeharu; Hayashi, Naoto; Akai, Hiroyuki; Hanaoka, Shouhei; Sasaki, Hiroki; Matsuda, Izuru; Yoshioka, Naoki; Ohtomo, Kuni

    2011-01-01

    The aim of this study was to investigate eye fatigue that could impair diagnostic accuracy by measuring the critical flicker fusion frequency (CFFF) before and after reading. CFFF was measured before and after about 4 h of health checkup reading in seven healthy volunteer radiologists. A questionnaire was also completed on duration of sleep the night before the experiment, average duration of sleep, and subjective fatigue using a visual analog scale (corrected to a 0-1 scale, 0 indicating the worst fatigue ever experienced). After-reading subjective fatigue was significantly greater (before 0.52±0.15, after 0.42±0.15), and CFFF was significantly lower (before 40.9±2.4, after 39.9±2.0). There was no significant correlation between subjective fatigue and CFFF, either before or after or between before- and after-reading differences in subjective fatigue and CFFF. Shorter duration of sleep the night before significantly correlated with lower CFFF (Pearson's correlation coefficient): before 0.42, P=0.0047; after 0.52, P=0.0003. CFFF declines after reading and can be considered useful as an indicator of fatigue induced by radiology reading. CFFF declines significantly when sleep is reduced the day before reading without correlation with subjective fatigue, meaning that sleep deprivation can cause an unaware decline in visual function. (author)

  1. Muscle Deoxygenation Causes Muscle Fatigue

    Science.gov (United States)

    Murthy, G.; Hargens, A. R.; Lehman, S.; Rempel, D.

    1999-01-01

    Muscle fatigue is a common musculoskeletal disorder in the work place, and may be a harbinger for more disabling cumulative trauma disorders. Although the cause of fatigue is multifactorial, reduced blood flow and muscle oxygenation may be the primary factor in causing muscle fatigue during low intensity muscle exertion. Muscle fatigue is defined as a reduction in muscle force production, and also occurs among astronauts who are subjected to postural constraints while performing lengthy, repetitive tasks. The objectives of this research are to: 1) develop an objective tool to study the role of decreased muscle oxygenation on muscle force production, and 2) to evaluate muscle fatigue during prolonged glovebox work.

  2. [Research Progress on the Interaction Effects and Its Neural Mechanisms between Physical Fatigue and Mental Fatigue].

    Science.gov (United States)

    Zhang, Lixin; Zhang, Chuncui; He, Feng; Zhao, Xin; Qi, Hongzhi; Wan, Baikun; Ming, Dong

    2015-10-01

    Fatigue is an exhaustion state caused by prolonged physical work and mental work, which can reduce working efficiency and even cause industrial accidents. Fatigue is a complex concept involving both physiological and psychological factors. Fatigue can cause a decline of concentration and work performance and induce chronic diseases. Prolonged fatigue may endanger life safety. In most of the scenarios, physical and mental workloads co-lead operator into fatigue state. Thus, it is very important to study the interaction influence and its neural mechanisms between physical and mental fatigues. This paper introduces recent progresses on the interaction effects and discusses some research challenges and future development directions. It is believed that mutual influence between physical fatigue and mental fatigue may occur in the central nervous system. Revealing the basal ganglia function and dopamine release may be important to explore the neural mechanisms between physical fatigue and mental fatigue. Future effort is to optimize fatigue models, to evaluate parameters and to explore the neural mechanisms so as to provide scientific basis and theoretical guidance for complex task designs and fatigue monitoring.

  3. Protocol for a randomised controlled trial for Reducing Arthritis Fatigue by clinical Teams (RAFT) using cognitive-behavioural approaches.

    Science.gov (United States)

    Hewlett, S; Ambler, N; Almeida, C; Blair, P S; Choy, E; Dures, E; Hammond, A; Hollingworth, W; Kirwan, J; Plummer, Z; Rooke, C; Thorn, J; Tomkinson, K; Pollock, J

    2015-08-06

    Rheumatoid arthritis (RA) fatigue is distressing, leading to unmanageable physical and cognitive exhaustion impacting on health, leisure and work. Group cognitive-behavioural (CB) therapy delivered by a clinical psychologist demonstrated large improvements in fatigue impact. However, few rheumatology teams include a clinical psychologist, therefore, this study aims to examine whether conventional rheumatology teams can reproduce similar results, potentially widening intervention availability. This is a multicentre, randomised, controlled trial of a group CB intervention for RA fatigue self-management, delivered by local rheumatology clinical teams. 7 centres will each recruit 4 consecutive cohorts of 10-16 patients with RA (fatigue severity ≥ 6/10). After consenting, patients will have baseline assessments, then usual care (fatigue self-management booklet, discussed for 5-6 min), then be randomised into control (no action) or intervention arms. The intervention, Reducing Arthritis Fatigue by clinical Teams (RAFT) will be cofacilitated by two local rheumatology clinicians (eg, nurse/occupational therapist), who will have had brief training in CB approaches, a RAFT manual and materials, and delivered an observed practice course. Groups of 5-8 patients will attend 6 × 2 h sessions (weeks 1-6) and a 1 hr consolidation session (week 14) addressing different self-management topics and behaviours. The primary outcome is fatigue impact (26 weeks); secondary outcomes are fatigue severity, coping and multidimensional impact, quality of life, clinical and mood status (to week 104). Statistical and health economic analyses will follow a predetermined plan to establish whether the intervention is clinically and cost-effective. Effects of teaching CB skills to clinicians will be evaluated qualitatively. Approval was given by an NHS Research Ethics Committee, and participants will provide written informed consent. The copyrighted RAFT package will be freely available. Findings

  4. Temperament vs. chronic fatigue in police officers

    Directory of Open Access Journals (Sweden)

    Ewa Stępka

    2015-12-01

    Full Text Available Background: Chronic fatigue is a problem affecting a still growing number of people. Among them there are representatives of different professions who are forced to cope not only with occupational stress, but also with the problem of fatigue. The police is one of such occupational groups, in which exposure to stressful and often traumatic situations, contact with those who violate the law, shift work and contact with superiors can play a key role in the development of chronic fatigue. However, chronic fatigue, induced by the above mentioned factors, does not affect all police officers since its occurrence also depends on many personal traits, including temperament. Material and methods: We studied a group of 61 police officers of the Kuyavian-Pomeranian garrison. The study was conducted using the Buss and Plomin EAS (emotionality, activity, sociability Temperament Questionnaire, CIS-20R (community, innovation, survey Questionnaire, developed by Vercoulen et al. and a questionnaire on socio-demographic data. Results: The results indicated the relationship between chronic fatigue and emotionality. Statistical analyses showed a negative correlation between the nature of emotional components, distress, fear, anger, and the general rate of chronic fatigue. There was no statistically significant correlation between age, and service experience and the level of chronic fatigue. Conclusions: The results indicate that the officers of the study group show dramatically high levels of chronic fatigue. The results also revealed that temperament characteristics, such as sociability and activity, reported in the literature as factors reducing fatigue and stress, did not show relevance to chronic fatigue in the study group. Med Pr 2015;66(6:793–801

  5. Hand rest and wrist support are effective in preventing fatigue during prolonged typing.

    Science.gov (United States)

    Callegari, Bianca; de Resende, Marília Maniglia; da Silva Filho, Manoel

    Case series (longitudinal). Only few reports concerning the efficacy of commonly used strategies for preventing upper limb occupational disorders associated with prolonged typing exist. We aimed to investigate whether the duration of typing and the use of 2 strategies (hand rest and wrist support) changes muscle physiological response and therefore the electromyography records. We enrolled 25 volunteers, who were unfamiliar with the task and did not have musculoskeletal disorders. The subjects underwent 3 prolonged typing protocols to investigate the efficacy of the 2 adopted strategies in reducing the trapezius, biceps brachii, and extensor digitorum communis fatigue. Typing for 1 hour induced muscular fatigue (60%-67% of the subjects). The extensor digitorum communis muscle exhibited the highest percentage of fatigue (72%-84%) after 1 and 4 hours of typing (1 hour, P = .04; 4 hours, P = .02). Fatigue levels in this muscle were significantly reduced (24%) with the use of pause typing (4 hours, P = .045), whereas biceps brachii muscle fatigue was reduced (32%) only with the use of wrist supports (P = .02, after 4 hours). Trapezius muscle fatigue was unaffected by the tested occupational strategies (1 hour, P = .62; 4 hours, P = .85). Despite presenting an overall tendency for fatigue detected during the application of the protocols, the assessed muscles exhibited different behavior patterns, depending on both the preventive strategy applied and the muscle mechanical role during the task. Hand rest and wrist support can successfully reduce muscle fatigue in specific upper limb muscles during prolonged typing, leading to a muscle-selective reduction in the occurrence of fatigue and thus provide direct evidence that they may prevent work-related musculoskeletal disorders. N/A. Copyright © 2016 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

  6. Mental Fatigue Impairs Soccer-Specific Physical and Technical Performance.

    Science.gov (United States)

    Smith, Mitchell R; Coutts, Aaron J; Merlini, Michele; Deprez, Dieter; Lenoir, Matthieu; Marcora, Samuele M

    2016-02-01

    To investigate the effects of mental fatigue on soccer-specific physical and technical performance. This investigation consisted of two separate studies. Study 1 assessed the soccer-specific physical performance of 12 moderately trained soccer players using the Yo-Yo Intermittent Recovery Test, Level 1 (Yo-Yo IR1). Study 2 assessed the soccer-specific technical performance of 14 experienced soccer players using the Loughborough Soccer Passing and Shooting Tests (LSPT, LSST). Each test was performed on two occasions and preceded, in a randomized, counterbalanced order, by 30 min of the Stroop task (mentally fatiguing treatment) or 30 min of reading magazines (control treatment). Subjective ratings of mental fatigue were measured before and after treatment, and mental effort and motivation were measured after treatment. Distance run, heart rate, and ratings of perceived exertion were recorded during the Yo-Yo IR1. LSPT performance time was calculated as original time plus penalty time. LSST performance was assessed using shot speed, shot accuracy, and shot sequence time. Subjective ratings of mental fatigue and effort were higher after the Stroop task in both studies (P motivation was similar between conditions. This mental fatigue significantly reduced running distance in the Yo-Yo IR1 (P performance time were not different between conditions; however, penalty time significantly increased in the mental fatigue condition (P = 0.015). Mental fatigue also impaired shot speed (P = 0.024) and accuracy (P performance.

  7. Effects of photobiomodulation on the fatigue level in elderly women: an isokinetic dynamometry evaluation.

    Science.gov (United States)

    Vassão, P G; Toma, R L; Antunes, H K M; Tucci, H T; Renno, A C M

    2016-02-01

    Aging is responsible by a series of morphological and functional modifications that lead to a decline of muscle function, particularly in females. Muscle tissue in elderly people is more susceptible to fatigue and, consequently, to an increased inability to maintain strength and motor control. In this context, therapeutic approaches able of attenuating muscle fatigue have been investigated. Among these, the photobiomodulation demonstrate positive results to interacts with biological tissues, promoting the increase in cell energy production. Thus, the aim of this study was to investigate the effects of photobiomodulation (808 nm, 250 J/cm(2), 100 mW, 7 J each point) in the fatigue level and muscle performance in elderly women. Thirty subjects entered a crossover randomized double-blinded placebo-controlled trial. Photobiomodulation was delivered on the rectus femoris muscle of the dominant limb immediately before the fatigue protocol. In both sessions, peripheral muscle fatigue was analyzed by surface electromyography (EMG) and blood lactate analysis. Muscle performance was evaluated using an isokinetic dynamometer. The results showed that photobiomodulation was able of reducing muscle fatigue by a significant increase of electromyographic fatigue index (EFI) (p = 0.047) and decreasing significantly lactate concentration 6 min after the performance of the fatigue protocol (p = 0. 0006) compared the placebo laser session. However, the photobiomodulation was not able of increasing muscle performance measured by the isokinetic dynamometer. Thus, it can be conclude that the photobiomodulation was effective in reducing fatigue levels. However, no effects of photobiomodulation on muscle performance was observed.

  8. Bioactivity-guided fractionation for anti-fatigue property of Acanthopanax senticosus.

    Science.gov (United States)

    Huang, Lin-Zhang; Huang, Bao-Kang; Ye, Qi; Qin, Lu-Ping

    2011-01-07

    The root of Acanthopanax senticosus (also called Eleutherococcus senticosus or Siberian ginseng) has been used extensively in China, Russia and Japan as an adaptogen to fight against stress and fatigue. The present study was designed to ascertain the anti-fatigue property of Acanthopanax senticosus by load-weighted swimming test, sleep deprivation test, also to isolate and characterize the active constituents. Animals were orally administered with the extract of Acanthopanax senticosus. The anti-fatigue effects of the four fractions with different polarities from the 80% ethanol extract, and the different eluates collected from D101 macroporous resin chromatography and eleutheroside E, were examined based on the weight-loaded swimming capacity (physical fatigue) and the change of biochemical parameters in ICR mice. Moreover, the active fraction was later submitted to sleep-deprived mice (mental fatigue). The results shown that the n-butanol fraction significant extends the swimming time of mice to exhaustion. Furthermore, the 60% ethanol-water eluate, more purified eleutherosides (including eleutheroside E, E(2) and derivatives), were the exactly active constituents. Two compounds were isolated, which were identified as eleutheroside E, E(2). The eleutherosides possess the potent abilities to alleviate fatigue both in physical and mental fatigue. Eleutheroside E may be responsible for the pharmacological effect of anti-fatigue. Furthermore, the possible mechanisms were reduced the level of TG by increasing fat utilization, delayed the accumulation of blood urea nitrogen (BUN), and increased the LDH to reduce the accumulation of lactic acid in muscle and then protect the muscle tissue. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  9. Prior Mental Fatigue Impairs Marksmanship Decision Performance

    Directory of Open Access Journals (Sweden)

    James Head

    2017-09-01

    intervention [M = 32% ± 79.9, t(19 = 4.39, p < 0.001]. There was a significant negative correlation between shooting response time and errors of commission (r = −0.61; p = 0.004 when preceded by the mental fatigue intervention, but not the control (r = −0.31; p = 0.17.Conclusion: The mental fatigue intervention was successful in eliciting fatigue which was supported subjectively and objectively. Marksmanship judgment performance is significantly reduced when soldiers are mentally fatigued, although shot accuracy is not.

  10. Verification of anti-fatigue effect of anserine by angle fatigue indicator based on median frequency changes of electromyograms

    Directory of Open Access Journals (Sweden)

    Hirohisa Kishi

    2013-10-01

    Full Text Available ABSTRACT: Objective: Anserine, which is abundant in avian species and in a wide range of fish such as bonito and tuna, is reported to have anti-fatigue effect. Although chicken soup and bonito soup is traditionally used to recover from physical fatigue, it is generally difficult to verify the effect in humans. This study was to directly demonstrate the anti-fatigue effect of oceanic anserine in humans. Methods: Edible-grade anserine was purified from fish extract with food-grade reagents. Subjects were 17 healthy male volunteers (35.5 ± 5 yr., 75.5 ± 5.0 kg. Each subject performed the isometric exercise tolerance test (ETT on the rectus femoris muscle twice (Ex_1, Ex_2 both for anserine and water conditions on a different day. Median frequency changes (MDF during Functional Foods in Health and Disease 2013; 3(10 389-399 ETTs were calculated and regression curves were calculated over a frequency range of 21-214 Hz. The difference, or angle, between the slopes of Ex_1 and Ex_2 MDF regression curves, which corresponds to the degree of fatigue, was defined as an angle fatigue index and compared between anserine and water intake conditions. Results: MDF decreased during ETTs in most patients and the slopes of regression curves were larger in Ex_2 than in Ex_1. Angle fatigue index for water (control was significantly larger than that for anserine (p<0.01, paired t-test, n=17. The result indicates that anserine have an anti-fatigue effect on skeletal muscle in humans. Conclusions: We proposed the angle fatigue index as a touchstone of the muscle fatigue. The index indicates that anserine is effective to reduce the muscle fatigue in humans.

  11. [Chronic fatigue syndrome--exercise and physical activity].

    Science.gov (United States)

    Greenberg, Shai; Frid, Mordechai

    2006-04-01

    One of the major symptoms of chronic fatigue syndrome (CFS) is reduced exercise and functional capacity and increased fatigue symptoms following physical effort. A review of the literature indicates that patients that suffer from CFS are characterized by: low aerobic capacity, higher heart rate during sub-maximal exercise, higher subjective effort prescription, reduced muscle strength, and prolonged recovery period. Although several symptoms are a result of lack of physical activity, several mechanisms were suggested to explain those symptoms: pathological heart rate control, reduced aerobic metabolic capacity, reduced blood supply to the working muscles and nerve system dysfunction. Participating in guided exercise programs was found to be the most effective treatment in improving exercise and functional capacity, reducing fatigue syndromes and improving patients' daily function.

  12. Fatigue in the first year after traumatic brain injury: course, relationship with injury severity, and correlates.

    Science.gov (United States)

    Beaulieu-Bonneau, Simon; Ouellet, Marie-Christine

    2017-10-01

    The objectives of this study were to document the evolution of fatigue in the first year after traumatic brain injury (TBI), and to explore correlates of fatigue. Participants were 210 adults who were hospitalised following a TBI. They completed questionnaires 4, 8, and 12 months post-injury, including the Multidimensional Fatigue Inventory (MFI). Participants with severe TBI presented greater mental and physical fatigue, and reduced activity compared to participants with moderate TBI. For all MFI subscales except reduced motivation, the general pattern was a reduction of fatigue levels over time after mild TBI, an increase of fatigue after severe TBI, and stable fatigue after moderate TBI. Fatigue was significantly associated with depression, insomnia, cognitive difficulties, and pain at 4 months; the same variables and work status at 8 months; and depression, insomnia, cognitive difficulties, and work status at 12 months. These findings suggest that injury severity could have an impact on the course of fatigue in the first year post-TBI. Depression, insomnia, and cognitive difficulties remain strong correlates of fatigue, while for pain and work status the association with fatigue evolves over time. This could influence the development of intervention strategies for fatigue, implemented at specific times for each severity subgroup.

  13. The effect of carbon nanotube dimensions and dispersion on the fatigue behavior of epoxy nanocomposites

    International Nuclear Information System (INIS)

    Zhang, W; Picu, R C; Koratkar, N

    2008-01-01

    Fatigue is one of the primary reasons for failure in structural materials. It has been demonstrated that carbon nanotubes can suppress fatigue in polymer composites via crack-bridging and a frictional pull-out mechanism. However, a detailed study of the effects of nanotube dimensions and dispersion on the fatigue behavior of nanocomposites has not been performed. In this work, we show the strong effect of carbon nanotube dimensions (i.e. length, diameter) and dispersion quality on fatigue crack growth suppression in epoxy nanocomposites. We observe that the fatigue crack growth rates can be significantly reduced by (1) reducing the nanotube diameter, (2) increasing the nanotube length and (3) improving the nanotube dispersion. We qualitatively explain these observations by using a fracture mechanics model based on crack-bridging and pull-out of the nanotubes. By optimizing the above parameters (tube length, diameter and dispersion) we demonstrate an over 20-fold reduction in the fatigue crack propagation rate for the nanocomposite epoxy compared to the baseline (unfilled) epoxy

  14. Flight Attendant Fatigue. Part 6: Fatigue Countermeasure Training and Potential Benefits

    Science.gov (United States)

    2009-10-01

    large. scale. surveys.of. shiftwork.facilities.have. linked.fatigue. and. shiftwork. training. to. reduced. turnover,. reduced. absenteeism ...dubas,.k ..(1986) ..The shiftworkers guide to better sleep, health and family/social relations. lincoln,. ne:.synchrotech . 14 .. saskatchewan. labour

  15. Fatigue in patients with COPD participating in a pulmonary rehabilitation program

    Directory of Open Access Journals (Sweden)

    Cindy J Wong

    2010-09-01

    Full Text Available Cindy J Wong1, Donna Goodridge1, Darcy D Marciniuk2, Donna Rennie1,31College of Nursing, 2College of Medicine, 3Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Saskatoon, CanadaBackground: Fatigue is a distressing, complex, multidimensional sensation common in individuals with chronic obstructive pulmonary disease (COPD. While fatigue negatively impacts functional performance and quality of life, there has been little study of the fatigue that affects participants in pulmonary rehabilitation programs. The purpose of this study was to examine the emotional, behavioral, cognitive, and physical dimensions of fatigue and their relationships to dyspnea, mental health, sleep, and physiologic factors.Patients and methods: A convenience sample of 42 pulmonary rehabilitation participants with COPD completed self-report questionnaires which measured dimensions of fatigue using the Multidimensional Fatigue Inventory, anxiety and depression using the Hospital Anxiety and Depression Scale, and sleep quality using the Pittsburgh Sleep Quality Index. Data on other clinical variables were abstracted from pulmonary rehabilitation program health records.Results: Almost all (95.3% participants experienced high levels of physical fatigue. High levels of fatigue were also reported for the dimensions of reduced activity (88.1%, reduced motivation (83.3%, mental fatigue (69.9%, and general fatigue (54.5%. Close to half (42.9% of participants reported symptoms of anxiety, while almost one quarter (21.4% reported depressive symptoms. Age was related to the fatigue dimensions of reduced activity (ρ = 0.43, P < 0.01 and reduced motivation (ρ = 0.31, P < 0.05. Anxiety was related to reduced motivation (ρ = -0.47, P < 0.01. Fatigue was not associated with symptoms of depression, sleep quality, gender, supplemental oxygen use, smoking status, or Medical Research Council dyspnea scores.Conclusions: Fatigue (particularly the physical and

  16. Evaluation of psychological and physiological predictors of fatigue in patients with COPD

    Directory of Open Access Journals (Sweden)

    Bidgood Penelope L

    2009-10-01

    Full Text Available Abstract Background Fatigue in COPD impairs functional status; however there are few studies examining mechanistic pathways of this symptom. The aims of this study are to compare fatigue between COPD patients and healthy age-matched subjects, and to identify predictors of fatigue in COPD. Methods Seventy four COPD patients, mean age 69.9 (49-87 yrs, mean (SD % predicted FEV1 46.5 (20.0 % and FEV1/FVC ratio 0.45 (0.13 and 35 healthy subjects, mean age 67.1 (50-84 yrs completed the Multidimensional Fatigue Inventory (MFI 20. Patients' assessment included Depression (HADS, lung function, BMI, muscle strength, incremental shuttle walk test (ISWT, exercise oxygen saturation (SpO2, Borg breathlessness (CR-10 and exertion (RPE. Serum level of Interleukin 6 (IL-6 was recorded. Differences in MFI 20 between groups were examined and predictors of fatigue identified using logistic regression. Results Significant differences (p 2 (R2 = .62; of Physical Fatigue: depression, % predicted FEV1, ISWT and age (R2 = .57; Reduced Activity: % predicted FEV1, BMI and depression (R2 = .36; Reduced Motivation: RPE, depression and end SpO2 (R2 = .37 and Mental Fatigue: depression and end SpO2 (R2 = .38. Conclusion All dimensions of fatigue were higher in COPD than healthy aged subjects. Predictive factors differ according to the dimension of fatigue under investigation. COPD-RF is a multi component symptom requiring further consideration.

  17. Ginsenoside Rb1 improves postoperative fatigue syndrome by reducing skeletal muscle oxidative stress through activation of the PI3K/Akt/Nrf2 pathway in aged rats.

    Science.gov (United States)

    Zhuang, Cheng-Le; Mao, Xiang-Yu; Liu, Shu; Chen, Wei-Zhe; Huang, Dong-Dong; Zhang, Chang-Jing; Chen, Bi-Cheng; Shen, Xian; Yu, Zhen

    2014-10-05

    Ginsenoside Rb1 is reported to possess anti-fatigue activity, but the mechanisms remain unknown. The aim of this study was to investigate the molecular mechanisms responsible for the anti-fatigue effect of ginsenoside Rb1 on postoperative fatigue syndrome induced by major small intestinal resection (MSIR) in aged rat. Aged rats with MSIR were administrated with ginsenoside Rb1 (15 mg/kg) once a day from 3 days before surgery to the day of sacrifice, or with saline as corresponding controls. Rats without MSIR but going through the same surgery procedure were administrated with saline as blank controls. Anti-fatigue effect was assessed by an open field test; superoxide dismutase, reactive oxygen species and malondialdehyde in skeletal muscle were determined. The mRNA levels of Akt2 and Nrf2 in skeletal muscle were measured by real-time quantitative PCR. The activation of Akt and Nrf2 was examined by western blot and immunohistofluorescence. Our results revealed that ginsenoside Rb1 significantly increased the journey and the rearing frequency, decreased the time of rest in aged rats with MSIR. In addition, ginsenoside Rb1 significantly reduced reactive oxygen species and malondialdehyde release and increased the superoxide dismutase activity of skeletal muscle in aged rats with MSIR. Ginsenoside Rb1 also increased the expression of Akt2 and Nrf2 mRNA, up-regulated Akt phosphorylation and Nrf2 nuclear translocation. These findings indicate that ginsenoside Rb1 has an anti-fatigue effect on postoperative fatigue syndrome in aged rat, and the mechanism possibly involves activation of the PI3K/Akt pathway with subsequent Nrf2 nuclear translocation and induction of antioxidant enzymes. Copyright © 2014 Elsevier B.V. All rights reserved.

  18. Mediators of the effects on fatigue of pragmatic rehabilitation for chronic fatigue syndrome.

    Science.gov (United States)

    Wearden, Alison J; Emsley, Richard

    2013-10-01

    To examine potential mediators of the effect of pragmatic rehabilitation on improvements in fatigue following a randomized controlled trial for patients with chronic fatigue syndrome (CFS/ME) in primary care (IRCTN 74156610). Patients fulfilled the Oxford criteria for CFS. Ninety-five patients were randomized to pragmatic rehabilitation and 100 to general practitioner (GP) treatment as usual. The outcome was the Chalder fatigue scale score (0123 scoring) at end of treatment (20 weeks) and 1-year follow up (70 weeks). First, the effect of treatment on potential mediators was assessed. Then fatigue was regressed on significant mediators, treatment allocation, and baseline measures of fatigue and significant mediators. Reduction in limiting activities at 20 weeks mediated the positive effect of pragmatic rehabilitation on fatigue at 70 weeks (mediated effect size = -2.64, SE = 0.81, p = .001, proportion of effect mediated = 82.0%). Reduction in catastrophizing at 20 weeks mediated the positive effect of pragmatic rehabilitation on fatigue at 70 weeks (mediated effect size = -1.39, SE = 0.61, p = .023, proportion of effect mediated = 43.2%). Reductions in 70-week measures of fear avoidance, embarrassment avoidance, limiting activities, and all-or-nothing behavior all mediated improvement in fatigue at 70 weeks, although the causal direction of these cross-sectional effects cannot be determined. There were no between-group differences on measures of exercise capacity (a timed step test). Improvements in fatigue following pragmatic rehabilitation are related to changes in behavioral responses to and beliefs about fatigue.

  19. Effect of ratchet strain on fatigue and creep–fatigue strength of Mod.9Cr–1Mo steel

    International Nuclear Information System (INIS)

    Ando, Masanori; Isobe, Nobuhiro; Kikuchi, Koichi; Enuma, Yasuhiro

    2012-01-01

    Highlights: ► Uniaxial fatigue and creep–fatigue tests with superimposed strain were performed. ► Variety of superimposed strain were applied as ratchet strain in the tests. ► Effect of superimposed strain on fatigue and creep–fatigue life is negligible. ► A cyclic softening character reducing the effect of superimposed strain. - Abstract: The effect of ratcheting deformation on fatigue and creep–fatigue life in Mod.9Cr–1Mo steel was investigated. Uniaxial fatigue and creep–fatigue testing with superimposed strain were performed to evaluate the effect of ratcheting deformation on the failure cycle. In a series of tests, a specific amount of superimposed strain was accumulated in each cycle. The accumulated strain as ratcheting deformation, cycles to reach the accumulated strain, and test temperatures were varied in the tests. In the fatigue tests with superimposed strain at 550 °C, slight reductions of failure lives were observed. All of the numbers of cycles to failure in the fatigue tests with superimposed strain were within a factor of 1.5 of that of the fatigue test without superimposed strain at 550 °C. The apparent relationship between failure cycles and testing parameters was not observed. In fatigue tests with superimposed strain at 550 °C, maximum mean stress was insignificant and generated in early cycles because Mod.9Cr–1Mo steel exhibits cyclic softening characteristics. It was assumed that suppression of mean stress generation by cyclic softening reduces the effect of ratcheting strain. Conversely, failure lives were increased by accumulated strain in the test conducted at 450 °C because of stress–strain hysteresis loop shrinkage caused by cyclic softening induced by the accumulated strain. In the creep–fatigue tests with superimposed strain, test results indicated that the accumulated stain was negligible. It was concluded that the effect of ratcheting deformation on fatigue and creep–fatigue life is negligible as long

  20. Influence of Pavement on Fatigue Performance of Urban Steel Box Girder Deck

    Directory of Open Access Journals (Sweden)

    Zheng Zhongyue

    2016-01-01

    Full Text Available Based on spatial finite element analysis method, the Influence of pavement on fatigue performance of orthotropic steel deck was analyzed in terms of pavement system, asphalt pavement stiffness. The result shows that compared with asphalt pavement system, RPC pavement system can not only obviously improve the stress condition of steel bridge deck, but also significantly extend the fatigue life of steel bridge panel; Increasing the stiffness of pavement layer can obviously reduce the stress amplitude of fatigue details, especially for direct contact with the pavement.

  1. External anal sphincter fatigue is not improved by N-acetylcysteine in an animal model.

    Science.gov (United States)

    Healy, C F; McMorrow, C; O'Herlihy, C; O'Connell, P R; Jones, J F X

    2008-06-01

    Oxidative stress is associated with skeletal muscle fatigue. This study tests the hypotheses that N-acetylcysteine (NAC) reduces fatigue and accelerates recovery of the rat external anal sphincter (EAS). Fifteen female Wistar rats were killed humanely. The EAS was mounted as a ring preparation and electrically stimulated with 50 Hz trains of 200 ms in duration every 4 s for three and a half minutes. Three groups were analysed: a control group (n = 5), a group pretreated with NAC (10(-4) mol L(-1); n = 5) and a group pretreated with NAC (10(-3) mol L(-1); n = 5). A novel fatigue index was formulated and was compared to a conventional method of expressing fatigue. There was no significant difference at concentrations of NAC (10(-4) mol L(-1); P > 0.05). At high concentrations of NAC (10(-3) mol L(-1)) there was a significant depression in peak twitch amplitude before fatigue (P = 0.04). N-acetylcysteine in both concentrations used, did not alter fatigue or recovery of the rat EAS. There was a significant positive correlation between the two methods of expressing fatigue but the conventional method produced a higher fatigue index (22.4% on average). N-acetylcysteine does not ameliorate fatigue or accelerate recovery of the EAS and may not be a useful medical therapy for faecal incontinence.

  2. Mind and body practices for fatigue reduction in patients with cancer and hematopoietic stem cell transplant recipients: A systematic review and meta-analysis.

    Science.gov (United States)

    Duong, Nathan; Davis, Hailey; Robinson, Paula D; Oberoi, Sapna; Cataudella, Danielle; Culos-Reed, S Nicole; Gibson, Faith; Götte, Miriam; Hinds, Pamela; Nijhof, Sanne L; Tomlinson, Deborah; van der Torre, Patrick; Ladas, Elena; Cabral, Sandra; Dupuis, L Lee; Sung, Lillian

    2017-12-01

    To determine whether non-physical activity mind and body practices reduce the severity of fatigue in patients with cancer or hematopoietic stem cell transplant (HSCT) recipients compared to control interventions. We included randomized trials which compared non-physical activity mind and body practices compared with control interventions for the management of fatigue in cancer and HSCT patients. Among 55 trials (4975 patients), interventions were acupuncture or acupressure (n=12), mindfulness (n=11), relaxation techniques (n=10), massage (n=6), energy therapy (n=5), energizing yogic breathing (n=3) and others (n=8). When combined, all interventions significantly reduced fatigue severity compared to all controls (standardized mean difference -0.51, 95% confidence interval -0.73 to -0.29). More specifically, mindfulness and relaxation significantly reduced fatigue severity. Mindfulness and relaxation were effective at reducing fatigue severity in patients with cancer and HSCT recipients. Future studies should evaluate how to translate these findings into clinical practice across different patient groups. Copyright © 2017 Elsevier B.V. All rights reserved.

  3. Reduced softening of EUROFER 97 under thermo-mechanical and multiaxial fatigue loading and its impact on the design rules

    International Nuclear Information System (INIS)

    Aktaa, J.; Weick, M.; Petersen, C.

    2007-01-01

    Full text of publication follows: Toward test blanket module (TBM) in ITER and DEMO fusion power plants design rules for components built from EUROFER 97 get more and more in the midpoint of interest. One of the specific characteristic of EUROFER 97 as a ferritic-martensitic steel is its cyclic softening yielding to lower stresses under strain controlled fatigue loading and thus longer lifetimes. However our thermo-mechanical and multiaxial fatigue tests showed lifetimes remarkably lower than those expected on the base of isothermal uniaxial fatigue tests. Reduced cyclic softening observed in these experiments is believed as one of the reasons of the shorter fatigue lifetimes. When applying the design rules, derived for EUROFER 97 on the base of isothermal uniaxial data considering the recommendations in the ASME and RCC-MR code, to our thermo-mechanical and multiaxial fatigue tests for verification strong loss in their conservatism has been found. The lifetimes observed in a part of the multiaxial experiments are even lower than the design lifetimes supposed to be sufficiently conservative. To overcome this problem new design rules are proposed among others on the base of damage and lifetime prediction model developed lately for EUROFER 97. In this paper the experimental findings as well as the new design approaches will be presented and discussed. (authors)

  4. Fatigue in adults with post-infectious fatigue syndrome: a qualitative content analysis.

    Science.gov (United States)

    Stormorken, Eva; Jason, Leonard A; Kirkevold, Marit

    2015-01-01

    Fatigue is a major problem among individuals with post-infectious fatigue syndrome (PIFS), also known as chronic fatigue syndrome or myalgic encephalomyelitis. It is a complex phenomenon that varies across illnesses. From a nursing perspective, knowledge and understanding of fatigue in this illness is limited. Nurses lack confidence in caring for these patients and devalue their professional role. The aim of this study was to explore in-depth the experiences of fatigue among individuals with PIFS. A detailed description of the phenomenon of fatigue is presented. Increased knowledge would likely contribute to more confident nurses and improved nursing care. A qualitative study with open interviews was employed. In-depth interviews with patients were fully transcribed and underwent a qualitative content analysis. A maximum variation sample of 26 affected adults between 26-59 years old was recruited from a population diagnosed at a fatigue outpatient clinic. The fatigue was a post-exertional, multidimensional, fluctuating phenomenon with varying degrees of severity and several distinct characteristics and was accompanied by concomitant symptoms. Fatigue was perceived to be an all-pervasive complex experience that substantially reduced the ability to function personally or professionally. A range of trigger mechanisms evoked or worsened the fatigue, but the affected were not always aware of what triggered it. There was an excessive increase in fatigue in response to even minor activities. An increase in fatigue resulted in the exacerbation of other concomitant symptoms. The term fatigue does not capture the participants' experiences, which are accompanied by a considerable symptom burden that contributes to the illness experience and the severe disability. Although some aspects of the fatigue experience have been reported previously, more were added in our study, such as the dimension of awakening fatigue and the characteristic beyond time, when time passes unnoticed

  5. The process of cognitive behaviour therapy for chronic fatigue syndrome: which changes in perpetuating cognitions and behaviour are related to a reduction in fatigue?

    Science.gov (United States)

    Heins, Marianne J; Knoop, Hans; Burk, William J; Bleijenberg, Gijs

    2013-09-01

    Cognitive behaviour therapy (CBT) can significantly reduce fatigue in chronic fatigue syndrome (CFS), but little is known about the process of change taking place during CBT. Based on a recent treatment model (Wiborg et al. J Psych Res 2012), we examined how (changes in) cognitions and behaviour are related to the decrease in fatigue. We included 183 patients meeting the US Centers for Disease Control criteria for CFS, aged 18 to 65 years, starting CBT. We measured fatigue and possible process variables before treatment; after 6, 12 and 18 weeks; and after treatment. Possible process variables were sense of control over fatigue, focusing on symptoms, self-reported physical functioning, perceived physical activity and objective (actigraphic) physical activity. We built multiple regression models, explaining levels of fatigue during therapy by (changes in) proposed process variables. We observed large individual variation in the patterns of change in fatigue and process variables during CBT for CFS. Increases in the sense of control over fatigue, perceived activity and self-reported physical functioning, and decreases in focusing on symptoms explained 20 to 46% of the variance in fatigue. An increase in objective activity was not a process variable. A change in cognitive factors seems to be related to the decrease in fatigue during CBT for CFS. The pattern of change varies considerably between patients, but changes in process variables and fatigue occur mostly in the same period. © 2013.

  6. A case of chronic fatigue syndrome improved by traditional Korean medicine

    Directory of Open Access Journals (Sweden)

    Chang-Gue Son

    2013-03-01

    Full Text Available The etiology of chronic fatigue syndrome (CFS is unknown and no conventional medicine therapies are available. This report presents a clinical case of a patient suffering from CFS who was cured by traditional Korean medicine. A 33-year-old female patient had to take time off work because of terrible fatigue symptoms that did not respond to conventional treatments. Her disorder was significantly reduced by herbal medicine, acupuncture, and moxibustion. Changes in fatigue severity were evaluated using a visual analog scale (VAS and a numerical rating scale (NRS. NRS and VAS scores decreased from 70 and 8.1 to 37 and 3.7, respectively, during 3 months. This case reveals the therapeutic potential of traditional Korean medicine for CFS and fatigue-associated disorders.

  7. Chemotherapy-Induced Fatigue Correlates With Higher Fatigue Scores Before Treatment.

    Science.gov (United States)

    Araújo, José Klerton Luz; Giglio, Adriana Del; Munhoz, Bruna Antenusse; Fonseca, Fernando Luiz Affonso; Cruz, Felipe Melo; Giglio, Auro Del

    2017-06-01

    Cancer chemotherapy can induce fatigue in about 20% to 30% of patients. So far, there is very little information as to the predictors of chemotherapy-induced fatigue (CIF). We evaluated potential predictors of CIF in a sample of patients with cancer with several types of solid tumors scheduled to receive chemotherapy according to institutional protocols. Before their first and second chemotherapy cycles, patients answered to the Brief Fatigue Inventory (BFI), Chalder, Mini Nutritional Assessment (MNA), Stress thermometer, and HADS questionnaires as well as provided blood samples for inflammatory markers. We evaluated 52 patients, 37 (71%) were female and mean age was 53 years. The most common tumors were breast cancer 21 (40%) and gastrointestinal tumors 12 (23%). Although 14 (25.2%) patients had an increase in their fatigue BFI scores equal or above 3 points from baseline, we observed no significant overall differences between BFI scores before and after chemotherapy. The only 2 factors associated with an increase of 3 points in the BFI scores after chemotherapy were race and higher baseline BFI levels. By multivariate analysis, overall BFI and Chalder scores after chemotherapy also correlated significantly with their respective baseline scores before treatment. HADS scores before treatment correlated with overall BFI scores postchemotherapy, whereas MNA scores before chemotherapy and female sex correlated with higher Chalder scores after treatment. We conclude that fatigue induced by chemotherapy is common and consistently associated with higher fatigue scores before treatment. Screening for fatigue before chemotherapy may help to identify patients who are prone to develop CIF.

  8. Fatigue in Patients with Parkinson’s Disease

    Directory of Open Access Journals (Sweden)

    Kazuo Abe

    2000-01-01

    Full Text Available Purpose: Fatigue is a complaint frequently encountered among patients with Parkinson’s disease (PD, however, the pathophysiological mechanism remains unclear. Methods: We evaluated fatigue in 26 patients clinically diagnosed to have PD (16 men, 10 women and age- and sex- matched 26 controls (16 men, 10 women without neurological deficits by using a fatigue scale. In addition to neurological and neuropsychological examinations, all patients underwent MRI and SPECT using 99mTc-HMPAO. Results: Patients with PD had normal cognitive function as judged by the MMSE, but showed significantly high scores with the fatigue and depression scales in comparison to controls (p. There was no significant correlation between the depression scale and the fatigue scale, or between the degree of disability and the fatigue scale in patients with PD, although a significant correlation existed between the depression scale and the fatigue scale in controls. With SPECT, a significant correlation was found between the fatigue scale and the reduction of perfusion in the frontal lobe (p in patients with PD. Conclusions: The present study suggested that sense of fatigue in patients with PD might be associated with frontal lobe dysfunction.

  9. Fatigue and fatigue-related symptoms in patients treated for different causes of hypothyroidism.

    Science.gov (United States)

    Louwerens, Marloes; Appelhof, Bente C; Verloop, Herman; Medici, Marco; Peeters, Robin P; Visser, Theo J; Boelen, Anita; Fliers, Eric; Smit, Johannes W A; Dekkers, Olaf M

    2012-12-01

    Research on determinants of well-being in patients on thyroid hormone replacement therapy is warranted, as persistent fatigue-related complaints are common in this population. In this study, we evaluated the impact of different states of hypothyroidism on fatigue and fatigue-related symptoms. Furthermore, the relationship between fatigue and the TSH receptor (TSHR)-Asp727Glu polymorphism, a common genetic variant of the TSHR, was analyzed. A cross-sectional study was performed in 278 patients (140 patients treated for differentiated thyroid carcinoma (DTC) and 138 with autoimmune hypothyroidism (AIH)) genotyped for the TSHR-Asp727Glu polymorphism. The multidimensional fatigue inventory (MFI-20) was used to assess fatigue, with higher MFI-20 scores indicating more fatigue-related complaints. MFI-20 scores were related to disease status and Asp727Glu polymorphism status. AIH patients scored significantly higher than DTC patients on all five MFI-20 subscales (P<0.001), independent of clinical and thyroid hormone parameters. The frequency of the TSHR-Glu727 allele was 7.2%. Heterozygous DTC patients had more favorable MFI-20 scores than wild-type DTC patients on four of five subscales. The modest effect of the TSHR-Asp727Glu polymorphism on fatigue was found in DTC patients only. AIH patients had significantly higher levels of fatigue compared with DTC patients, which could not be attributed to clinical or thyroid hormone parameters. The modest effect of the TSHR-Asp727Glu polymorphism on fatigue in DTC patients should be confirmed in other cohorts.

  10. Neuromuscular fatigue during exercise: Methodological considerations, etiology and potential role in chronic fatigue.

    Science.gov (United States)

    Twomey, Rosie; Aboodarda, Saied Jalal; Kruger, Renata; Culos-Reed, Susan Nicole; Temesi, John; Millet, Guillaume Y

    2017-04-01

    The term fatigue is used to describe a distressing and persistent symptom of physical and/or mental tiredness in certain clinical populations, with distinct but ultimately complex, multifactorial and heterogenous pathophysiology. Chronic fatigue impacts on quality of life, reduces the capacity to perform activities of daily living, and is typically measured using subjective self-report tools. Fatigue also refers to an acute reduction in the ability to produce maximal force or power due to exercise. The classical measurement of exercise-induced fatigue involves neuromuscular assessments before and after a fatiguing task. The limitations and alternatives to this approach are reviewed in this paper in relation to the lower limb and whole-body exercise, given the functional relevance to locomotion, rehabilitation and activities of daily living. It is suggested that under some circumstances, alterations in the central and/or peripheral mechanisms of fatigue during exercise may be related to the sensations of chronic fatigue. As such, the neurophysiological correlates of exercise-induced fatigue are briefly examined in two clinical examples where chronic fatigue is common: cancer survivors and people with multiple sclerosis. This review highlights the relationship between objective measures of fatigability with whole-body exercise and perceptions of fatigue as a priority for future research, given the importance of exercise in relieving symptoms of chronic fatigue and/or overall disease management. As chronic fatigue is likely to be specific to the individual and unlikely to be due to a simple biological or psychosocial explanation, tailored exercise programmes are a potential target for therapeutic intervention. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  11. Seismic ratchet-fatigue failure of piping systems

    International Nuclear Information System (INIS)

    Severud, L.K.; Anderson, M.J.; Lindquist, M.R.; Weiner, E.O.

    1987-01-01

    Failures of piping systems during earthquakes have been rare. Those that have failed were either made of brittle material such as cast iron, were rigid systems between major components where component relative seismic motions tore the pipe out of the component, or were high pressure systems where a ratchet-fatigue fracture followed a local bulging of the pipe diameter. Tests to failure of an unpressurized 3-inch and a pressurized 6-inch diameter carbon steel nuclear pipe systems subjected to high-level shaking have been accomplished. The high-level shaking loads needed to cause failure were much higher than ASME Code rules would permit with present design limits. Failure analyses of these tests are presented and correlated to the test results. It was found that failure of the unpressurized system could be correlated well with standard ASME type fatigue analysis predictions. Moreover, the pressurized system failure occured in significantly less load cycles than predicted by standard fatigue analysis. However, a ratchet-fatigue and ductility exhaustion analysis of the pressurized system did correlate reasonably well. These findings indicate modifications to design analysis methods and the present ASME Code piping design rules to reduce unneeded conservatisms and to cover the ratchet-fatigue failure mode may be appropriate

  12. Thermo-mechanical fatigue behavior of reduced activation ferrite/martensite stainless steels

    International Nuclear Information System (INIS)

    Petersen, C.; Rodrian, D.

    2002-01-01

    The thermo-mechanical cycling fatigue (TMCF) behavior of reduced activation ferrite/martensite stainless steels is examined. The test rig consists of a stiff load frame, which is directly heated by the digitally controlled ohmic heating device. Cylindrical specimens are used with a wall thickness of 0.4 mm. Variable strain rates are applied at TMCF test mode, due to the constant heating rate of 5.8 K/s and variable temperature changes. TMCF results of as received EUROFER 97 in the temperature range between 100 and 500-600 deg. C show a reduction in life time (a factor of 2) compared to F82H mod. and OPTIFER IV. TMCF-experiments with hold times of 100 and 1000 s show dramatic reduction in life time for all three materials

  13. Prolonged fatigue is associated with sickness absence in men but not in women: prospective study with 1-year follow-up of white-collar employees.

    Science.gov (United States)

    Roelen, Corné A M; van Rhenen, Willem; Groothoff, Johan W; van der Klink, Jac J L; Bültmann, Ute

    2014-04-01

    Prolonged fatigue adversely affects an individual's performance and functioning. The present study investigated the prospective associations between prolonged fatigue and sickness absence (SA) during 1-year follow-up. At baseline, a convenience sample of white-collar employees received the 20-item Checklist Individual Strength (CIS), which measures prolonged fatigue by covering the dimensions fatigue severity, reduced concentration, reduced motivation, and reduced physical activity. SA episodes were registered during the 1-year follow-up distinguishing between short-term (1-7 days) and long-term ( 7 days) SA episodes. Baseline CIS scores were linked to SA during follow-up by negative binomial regression models in which age, gender, job grade, and prior SA were controlled for. Six hundred and thirty-three (56 %) employees participated in the study of which 598 had complete data and were eligible for analysis. Gender was a significant effect modifier of the relationship between prolonged fatigue and SA. Therefore, the results were stratified for men (N = 365) and women (N = 233). In white-collar men, fatigue severity and reduced concentration were positively associated with the number of long-term SA episodes, while other fatigue dimensions were not significantly related to SA. In white-collar women, prolonged fatigue was not associated with SA during 1-year follow-up. The results of this study warrant more attention for prolonged fatigue in occupational healthcare practice and research. Early identification of and treatment for prolonged fatigue might prevent future health problems and SA, especially in white-collar men.

  14. Keep fatigue usage low for LTO. Benefits of load monitoring and related fatigue evaluations for long term operation

    International Nuclear Information System (INIS)

    Rothenhoefer, H.; Koenig, G.

    2012-01-01

    Design fatigue calculations normally cover a service life of 40 years. Based on design transients with a specified number of cycles the evaluations have to prove that the fatigue usage after 40 years will stay below 1. In 40+ years of operation real loads can differ much from design loads so that premature ageing can occur. For long term operation, monitoring of real loads and detailed fatigue analysis for selected locations can be used to optimize operational modes in order to reduce the loads causing fatigue. As a result fatigue usage can be kept below 1 even for 60+ years. (author)

  15. The problem of fatigue in patients suffering from neoplastic disease

    Directory of Open Access Journals (Sweden)

    Agnieszka Kolak

    2017-06-01

    Full Text Available Modern therapeutic management of patients with cancer is associated with many adverse side effects, including fatigue defined as weariness, burnout, lassitude, malaise, apathy, impatience, and/or inability to perform daily activities. It occurs frequently before the diagnosis of cancer and may persist for a long time after the end of cancer therapy. It is a common problem that occurs regardless of the type of cancer and applied therapeutic procedure. The appearance of this symptom significantly affects the quality of life of patients and often reduces the effectiveness of implemented treatment. The symptom of fatigue occurs among approximately 80% of patients treated with chemotherapy and/or radiotherapy, as well as among more than 75% of patients with metastatic disease. Causes of fatigue include metabolic and immune system disorders as well as increased level of tumour necrosis factor  (TNF-. Recent studies also indicate a significant contribution of other cytokines, especially pro-inflammatory ones, i.e. interleukin-1 (IL-1, interleukin-6 (IL-6, soluble tumour necrosis factor receptor type II (sTNF type II and C-reactive protein (CRP. A patient reporting fatigue should be properly diagnosed and thoroughly interviewed by doctors. Patients are mostly treated non-pharmacologically (by means of physical exercise and psychotherapy and pharmacologically (by applying methylphenidate and methylprednisolone. What is also extremely important is proper education of the patient and their closest family/friends on the symptoms, which significantly reduces anxiety and stress. On the other hand therapeutic management hinders the subjectivity of feeling and lack of standardised scales to rate symptoms.

  16. Effects of mental fatigue on the development of physical fatigue: a neuroergonomic approach.

    Science.gov (United States)

    Mehta, Ranjana K; Parasuraman, Raja

    2014-06-01

    The present study used a neuroergonomic approach to examine the interaction of mental and physical fatigue by assessing prefrontal cortex activation during submaximal fatiguing handgrip exercises. Mental fatigue is known to influence muscle function and motor performance, but its contribution to the development of voluntary physical fatigue is not well understood. A total of 12 participants performed separate physical (control) and physical and mental fatigue (concurrent) conditions at 30% of their maximal handgrip strength until exhaustion. Functional near infrared spectroscopy was employed to measure prefrontal cortex activation, whereas electromyography and joint steadiness were used simultaneously to quantify muscular effort. Compared to the control condition, blood oxygenation in the bilateral prefrontal cortex was significantly lower during submaximal fatiguing contractions associated with mental fatigue at exhaustion, despite comparable muscular responses. The findings suggest that interference in the prefrontal cortex may influence motor output during tasks that require both physical and cognitive processing. A neuroergonomic approach involving simultaneous monitoring of brain and body functions can provide critical information on fatigue development that may be overlooked during traditional fatigue assessments.

  17. Fatigue Life Analysis and Prediction of 316L Stainless Steel Under Low Cycle Fatigue Loading

    Energy Technology Data Exchange (ETDEWEB)

    Oh, Hyeong; Myung, NohJun; Choi, Nak-Sam [Hanyang Univ., Seoul (Korea, Republic of)

    2016-12-15

    In this study, a strain-controlled fatigue test of widely-used 316L stainless steel with excellent corrosion resistance and mechanical properties was conducted, in order to assess its fatigue life. Low cycle fatigue behaviors were analyzed at room temperature, as a function of the strain amplitude and strain ratio. The material was hardened during the initial few cycles, and then was softened during the long post period, until failure occurred. The fatigue life decreased with increasing strain amplitude. Masing behavior in the hysteresis loop was shown under the low strain amplitude, whereas the high strain amplitude caused non-Masing behavior and reduced the mean stress. Low cycle fatigue life prediction based on the cyclic plastic energy dissipation theory, considering Masing and non-Masing effects, showed a good correlation with the experimental results.

  18. Assessment of early onset of driver fatigue using multimodal fatigue measures in a static simulator.

    Science.gov (United States)

    Jagannath, M; Balasubramanian, Venkatesh

    2014-07-01

    Driver fatigue is an important contributor to road accidents. This paper reports a study that evaluated driver fatigue using multimodal fatigue measures, i.e., surface electromyography (sEMG), electroencephalography (EEG), seat interface pressure, blood pressure, heart rate and oxygen saturation level. Twenty male participants volunteered in this study by performing 60 min of driving on a static simulator. Results from sEMG showed significant physical fatiguefatigue. This will help us understand the influence of physical and mental fatigue on driver during monotonous driving. Copyright © 2014 Elsevier Ltd and The Ergonomics Society. All rights reserved.

  19. Fatigue reduces the complexity of knee extensor torque fluctuations during maximal and submaximal intermittent isometric contractions in man

    Science.gov (United States)

    Pethick, Jamie; Winter, Samantha L; Burnley, Mark

    2015-01-01

    Neuromuscular fatigue increases the amplitude of fluctuations in torque output during isometric contractions, but the effect of fatigue on the temporal structure, or complexity, of these fluctuations is not known. We hypothesised that fatigue would result in a loss of temporal complexity and a change in fractal scaling of the torque signal during isometric knee extensor exercise. Eleven healthy participants performed a maximal test (5 min of intermittent maximal voluntary contractions, MVCs), and a submaximal test (contractions at a target of 40% MVC performed until task failure), each with a 60% duty factor (6 s contraction, 4 s rest). Torque and surface EMG signals were sampled continuously. Complexity and fractal scaling of torque were quantified by calculating approximate entropy (ApEn), sample entropy (SampEn) and the detrended fluctuation analysis (DFA) scaling exponent α. Fresh submaximal contractions were more complex than maximal contractions (mean ± SEM, submaximal vs. maximal: ApEn 0.65 ± 0.09 vs. 0.15 ± 0.02; SampEn 0.62 ± 0.09 vs. 0.14 ± 0.02; DFA α 1.35 ± 0.04 vs. 1.55 ± 0.03; all P torque, fatigue reduces the neuromuscular system's adaptability to external perturbations. PMID:25664928

  20. Application of NUREG/CR-5999 interim fatigue curves to selected nuclear power plant components

    International Nuclear Information System (INIS)

    Ware, A.G.; Morton, D.K.; Nitzel, M.E.

    1995-03-01

    Recent test data indicate that the effects of the light water reactor (LWR) environment could significantly reduce the fatigue resistance of materials used in the reactor coolant pressure boundary components of operating nuclear power plants. Argonne National Laboratory has developed interim fatigue curves based on test data simulating LWR conditions, and published them in NUREG/CR-5999. In order to assess the significance of these interim fatigue curves, fatigue evaluations of a sample of the components in the reactor coolant pressure boundary of LWRs were performed. The sample consists of components from facilities designed by each of the four U.S. nuclear steam supply system vendors. For each facility, six locations were studied, including two locations on the reactor pressure vessel. In addition, there are older vintage plants where components of the reactor coolant pressure boundary were designed to codes that did not require an explicit fatigue analysis of the components. In order to assess the fatigue resistance of the older vintage plants, an evaluation was also conducted on selected components of three of these plants. This report discusses the insights gained from the application of the interim fatigue curves to components of seven operating nuclear power plants

  1. Fatigue crack propagation in self-assembling nanocomposites

    Energy Technology Data Exchange (ETDEWEB)

    Klingler, Andreas; Wetzel, Bernd [Institute for Composite Materials (IVW GmbH) Technical University of Kaiserslautern, 67633 Kaiserslautern (Germany)

    2016-05-18

    Self-assembling block-copolymers allow the easy manufacturing of nanocomposites due to the thermodynamically driven in situ formation of nanosized phases in thermosetting resins during the curing process. Complex mechanical dispersion processes can be avoided. The current study investigates the effect of a block-copolymer on the fatigue crack propagation resistance of a cycloaliphatic amine cured epoxy resin. It was found that a small amount of MAM triblock-copolymer significantly increases the resistance to fatigue crack propagation of epoxy. Crack growth rate and the Paris law exponent for fatigue-crack growth were considerably reduced from m=15.5 of the neat epoxy to m=8.1 of the nanocomposite. To identify the related reinforcing and fracture mechanisms structural analyses of the fractured surfaces were performed by scanning electron microscope. Characteristic features were identified to be deformation, debonding and fracture of the nano-phases as well as crack pinning. However, the highest resistance against fatigue crack propagation was achieved in a bi-continuous microstructure that consisted of an epoxy-rich phase with embedded submicron sized MAM inclusions, and which was surrounded by a block-copolymer-rich phase that showed rupture and plastic deformation.

  2. Fatigue crack propagation in self-assembling nanocomposites

    Science.gov (United States)

    Klingler, Andreas; Wetzel, Bernd

    2016-05-01

    Self-assembling block-copolymers allow the easy manufacturing of nanocomposites due to the thermodynamically driven in situ formation of nanosized phases in thermosetting resins during the curing process. Complex mechanical dispersion processes can be avoided. The current study investigates the effect of a block-copolymer on the fatigue crack propagation resistance of a cycloaliphatic amine cured epoxy resin. It was found that a small amount of MAM triblock-copolymer significantly increases the resistance to fatigue crack propagation of epoxy. Crack growth rate and the Paris law exponent for fatigue-crack growth were considerably reduced from m=15.5 of the neat epoxy to m=8.1 of the nanocomposite. To identify the related reinforcing and fracture mechanisms structural analyses of the fractured surfaces were performed by scanning electron microscope. Characteristic features were identified to be deformation, debonding and fracture of the nano-phases as well as crack pinning. However, the highest resistance against fatigue crack propagation was achieved in a bi-continuous microstructure that consisted of an epoxy-rich phase with embedded submicron sized MAM inclusions, and which was surrounded by a block-copolymer-rich phase that showed rupture and plastic deformation.

  3. Fatigue crack propagation in self-assembling nanocomposites

    International Nuclear Information System (INIS)

    Klingler, Andreas; Wetzel, Bernd

    2016-01-01

    Self-assembling block-copolymers allow the easy manufacturing of nanocomposites due to the thermodynamically driven in situ formation of nanosized phases in thermosetting resins during the curing process. Complex mechanical dispersion processes can be avoided. The current study investigates the effect of a block-copolymer on the fatigue crack propagation resistance of a cycloaliphatic amine cured epoxy resin. It was found that a small amount of MAM triblock-copolymer significantly increases the resistance to fatigue crack propagation of epoxy. Crack growth rate and the Paris law exponent for fatigue-crack growth were considerably reduced from m=15.5 of the neat epoxy to m=8.1 of the nanocomposite. To identify the related reinforcing and fracture mechanisms structural analyses of the fractured surfaces were performed by scanning electron microscope. Characteristic features were identified to be deformation, debonding and fracture of the nano-phases as well as crack pinning. However, the highest resistance against fatigue crack propagation was achieved in a bi-continuous microstructure that consisted of an epoxy-rich phase with embedded submicron sized MAM inclusions, and which was surrounded by a block-copolymer-rich phase that showed rupture and plastic deformation.

  4. Cyclic softening as a parameter for prediction of remnant creep rupture life of a Indian reduced activation ferritic–martensitic (IN-RAFM) steel subjected to fatigue exposures

    Energy Technology Data Exchange (ETDEWEB)

    Sarkar, Aritra, E-mail: aritra@igcar.gov.in [Metallurgy and Materials Group, Indira Gandhi Centre for Atomic Research, Kalpakkam 603102, Tamil Nadu (India); Vijayanand, V.D.; Shankar, Vani; Parameswaran, P.; Sandhya, R.; Laha, K.; Mathew, M.D.; Jayakumar, T. [Metallurgy and Materials Group, Indira Gandhi Centre for Atomic Research, Kalpakkam 603102, Tamil Nadu (India); Rajendrakumar, E. [Institute for Plasma Research, Bhat, Gandhinagar, Gujarat (India)

    2014-12-15

    Sequential fatigue-creep tests were conducted on Indian reduced activation ferritic–martensitic steel at 823 K leading to sharp decrease in residual creep life with increase in prior fatigue exposures. Extensive recovery of martensitic-lath structure taking place during fatigue deformation, manifested as cyclic softening in the cyclic stress response, shortens the residual creep life. Based on the experimental results, cyclic softening occurring during fatigue stage can be correlated with residual creep life, evolving in an empirical model which predicts residual creep life as a function of cyclic softening. Predicted creep lives for specimens pre-cycled at various strain amplitudes are explained on the basis of mechanism of cyclic softening.

  5. Neuroprotective mechanism of losartan and its interaction with nimesulide against chronic fatigue stress.

    Science.gov (United States)

    Kumar, Anil; Singh, Barinder; Mishra, Jitendriya; Sah, Sangeeta Pilkhwal; Pottabathini, Raghavender

    2015-12-01

    Potential role of angiotensin-II and cyclooxygenase have been suggested in the pathophysiology of chronic fatigue stress. The present study has been designed to evaluate the neuroprotective effect of losartan and its interaction with nimesulide against chronic fatigue stress and related complications in mice. In the present study, male Laca mice (20-30 g) were subjected to running wheel activity test session (RWATS) for 6 min daily for 21 days. Losartan, nimesulide and their combinations were administered daily for 21 days, 45 min before being subjected to RWATS. Various behavioral and biochemical and neuroinflammatory mediators were assessed subsequently. 21 days RWATS treatment significantly decreased number of wheel rotations/6 min indicating fatigue stress like behaviors as compared to naive group. 21 days treatment with losartan (10 and 20 mg/kg, ip), nimesulide (5 and 10 mg/kg, po) and their combinations significantly improved behavior [increased number of wheel rotations, reversal of post-exercise fatigue, locomotor activity, antianxiety-like behavior (number of entries, latency to enter and time spent in mirror chamber), and memory performance (transfer latency in plus-maze performance task)], biochemical parameters (reduced serum corticosterone, brain lipid peroxidation, nitrite concentration, acetylcholinesterase activity, restored reduced glutathione levels and catalase activity) as compared to RWATS control. Besides, TNF-α, CRP levels were significantly attenuated by these drugs and their combinations as compared to control. The present study highlights the role of cyclooxygenase modulation in the neuroprotective effect of losartan against chronic fatigue stress-induced behavioral, biochemical and cellular alterations in mice.

  6. Hormone levels in radiotherapy treatment related fatigue

    International Nuclear Information System (INIS)

    Biswal, B.M.; Mallik, G.S.

    2003-01-01

    Radiotherapy is known to cause debilitating treatment related fatigue. Fatigue in general is a conglomeration of psychological, physical, hematological and unknown factors influencing the internal milieu of the cancer patient. Radiotherapy can add stress at the cellular and somatic level to aggravate further fatigue in cancer patients undergoing radiotherapy. Stress related hormones might be mediating in the development of fatigue. This is an ongoing prospective study to evaluate if the hormonal profile related to stress is influenced by radiotherapy treatment related fatigue. The study was conducted from September 2002 onwards in the division of Radiotherapy and Oncology of our Medical School. Previously untreated patients with histopathology proof of malignancy requiring external beam radiotherapy were considered for this study. Selection criteria were applied to exclude other causes of fatigue. Initial fatigue score was obtained using Pipers Fatigue Score questionnaire containing 23 questions, subsequently final fatigue score was obtained at the end of radiotherapy. Blood samples were obtained to estimate the levels of ACTH, TSH, HGH, and cortisol on the final assessment. The hormone levels were compared with resultant post radiotherapy fatigue score. At the time of reporting 50 patients were evaluable for the study. The total significant fatigue score was observed among 12 (24%) patients. The individual debilitating fatigue score were behavioral severity 14 (28%), affective meaning 14(28%), Sensory 13 (26%) and cognitive mood 10 (20%) respectively. From the analysis of hormonal profile, growth hormone level > 1 ng/mL and TSH <0.03 appears to be associated with high fatigue score (though statistically not significant); whereas there was no correlation with ACTH and serum cortisol level. In our prospective study severe radiotherapy treatment related fatigue was found among our patient population. Low levels of TSH and high levels of GH appear to be associated

  7. Placentophagy's effects on mood, bonding, and fatigue: A pilot trial, part 2.

    Science.gov (United States)

    Young, Sharon M; Gryder, Laura K; Cross, Chad; Zava, David; Kimball, David W; Benyshek, Daniel C

    2017-11-23

    Human maternal placentophagy is gaining popularity among a growing number of women who believe it provides maternal benefits, including prevention of postpartum blues/depression, improved maternal bonding, and reduced fatigue. We conducted a randomized, double-blind, placebo-controlled pilot study (N=27) in which participants consumed either their processed, encapsulated placenta (n=12), or similarly prepared placebo (n=15). Maternal mood, bonding, and fatigue were assessed via validated scales across four time points during late pregnancy and early postpartum. Psychometric data were analyzed for changes between and within both groups over time. No significant main effects related to maternal mood, bonding, or fatigue were evident between placenta and placebo group participants. However, examination of individual time points suggested that some measures had specific time-related differences between placenta and placebo groups that may warrant future exploration. Though statistical significance should not be interpreted in these cases, we did find some evidence of a decrease in depressive symptoms within the placenta group but not the placebo group, and reduced fatigue in placenta group participants at the end of the study compared to the placebo group. No robust differences in postpartum maternal mood, bonding, or fatigue were detected between the placenta and placebo groups. This finding may be especially important for women considering maternal placentophagy as a 'natural' (i.e., non-pharmacological) means of preventing or treating blues/depression. Given the study limitations, these findings should be interpreted as preliminary. Small, time-related improvements in maternal mood and lower fatigue post-supplementation among placenta group participants may warrant further research. Copyright © 2017 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

  8. On the role of the amygdala for experiencing fatigue in patients with multiple sclerosis.

    Science.gov (United States)

    Hanken, Katrin; Francis, Yoselin; Kastrup, Andreas; Eling, Paul; Klein, Jan; Hildebrandt, Helmut

    2018-02-01

    Recently, we proposed a model explaining the origin of fatigue in multiple sclerosis (MS) patients. This model assumes that the feeling of fatigue results from inflammation-induced information processing within interoceptive brain areas. To investigate the association between self-reported cognitive fatigue and structural integrity of interoceptive brain areas in MS patients. 95 MS patients and 28 healthy controls participated in this study. All participants underwent diffusion tensor MRI and fractional anisotropy data were calculated for the amygdala, the stria terminalis and the corpus callosum, a non-interoceptive brain area. Based on the cognitive fatigue score of the Fatigue Scale for Motor and Cognition, patients were divided into moderately cognitively fatigued (cognitive fatigue score ≥ 28) and cognitively non-fatigued (cognitive fatigue score < 28) MS patients. Healthy controls were recruited as a third group. Repeated measures analyses of covariance, controlling for age, depression and brain atrophy, were performed to investigate whether the factor Group had a significant effect on the fractional anisotropy data. A significant effect of Group was observed for the amygdala (F = 3.389, p = 0.037). MS patients without cognitive fatigue presented lower values of the amygdala than MS patients with cognitive fatigue and healthy controls. For the stria terminalis and the corpus callosum, no main effect of Group was observed. The structural integrity of the amygdala in non-fatigued MS patients appears to be reduced. According to our model this might indicate that the absence of fatigue in non-fatigued MS patients might result from disturbed inflammation-induced information processing in the amygdala. Copyright © 2017 Elsevier B.V. All rights reserved.

  9. Fatigue performance evaluation of selective laser melted Ti–6Al–4V

    Energy Technology Data Exchange (ETDEWEB)

    Edwards, P. [Boeing Research and Technology, The Boeing Company, Seattle, WA (United States); Ramulu, M., E-mail: ramulum@u.washington.edu [Department of Mechanical Engineering, University of Washington, Seattle, WA (United States)

    2014-03-01

    Additive Manufacturing of titanium components holds promise to deliver benefits such as reduced cost, weight and carbon emissions during both manufacture and use. To capitalize on these benefits, it must be shown that the mechanical performance of parts produced by Additive Manufacturing can meet design requirements that are typically based on wrought material performance properties. Of particular concern for safety critical structures are the fatigue properties of parts produced by Additive Manufacturing. This research evaluates the fatigue properties of Ti–6Al–4V specimens produced by the Selective Laser Melting additive manufacturing process. It was found that the fatigue life is significantly lower compared to wrought material. This reduction in fatigue performance was attributed to a variety of issues, such as microstructure, porosity, surface finish and residual stress. There was also found to be a high degree of anisotropy in the fatigue performance associated with the specimen build orientation.

  10. Fatigue performance evaluation of selective laser melted Ti–6Al–4V

    International Nuclear Information System (INIS)

    Edwards, P.; Ramulu, M.

    2014-01-01

    Additive Manufacturing of titanium components holds promise to deliver benefits such as reduced cost, weight and carbon emissions during both manufacture and use. To capitalize on these benefits, it must be shown that the mechanical performance of parts produced by Additive Manufacturing can meet design requirements that are typically based on wrought material performance properties. Of particular concern for safety critical structures are the fatigue properties of parts produced by Additive Manufacturing. This research evaluates the fatigue properties of Ti–6Al–4V specimens produced by the Selective Laser Melting additive manufacturing process. It was found that the fatigue life is significantly lower compared to wrought material. This reduction in fatigue performance was attributed to a variety of issues, such as microstructure, porosity, surface finish and residual stress. There was also found to be a high degree of anisotropy in the fatigue performance associated with the specimen build orientation

  11. The Effect of Pedaling and Fatigue on Changes of Knee Muscles Co-contraction During Running in Triathletes

    Directory of Open Access Journals (Sweden)

    Mehrdad Anbarian

    2015-09-01

    Full Text Available Objective: The purpose of this study was to determine the effect of cycling fatigue on co-activation of knee muscles during running in novice triathletes. Methods: Twelve novice male triathletes aged 23.7±2.1 years participated in this quasi experimental study. Surface electromyographic activity from gastrocnemius, rectus femoris, vastus medialis, vastus lateralis, biceps femoris and semitendinosus were recorded during support and non-support phases of running before and after cycling fatigue protocol. General and directed co-activation of the knee muscles were calculated. Paired t-test was used to analyze the data(p<0.05. Results: General co-activation was significantly reduced in propulsion sub-phase, total support and non-support phases after fatigue (p=0.001, but there were not any differences in heel contact and midstance sub-phases. Fatigue only altered directed co-activation of medial and lateral knee muscles during heel contact sub-phase (p=0.034. Extensor and flexor directed co-activation during non-support phase of running significantly decreased after fatigue (p=0.011. Conclusion: Changes in the co-activation during running after cycling fatigue can alter running pattern and reduce the knee function consequently, causing injuries to the lower limbs in novice triathletes.

  12. All Fatigue is Not Created Equal: The Association of Fatigue and Its Subtypes on Pain Interference in Orofacial Pain.

    Science.gov (United States)

    Boggero, Ian A; Rojas-Ramirez, Marcia V; Carlson, Charles R

    2017-03-01

    Fatigue is known to be a pathway through which depression, psychological distress, pain intensity, and sleep disturbance influence pain interference, but the independent effects of fatigue on pain interference after controlling for these variables remains unknown. In addition, no study to date has tested whether fatigue subtypes of general fatigue, mental fatigue, emotional fatigue, physical fatigue, or vigor differentially predict pain interference. The current study tested these associations using archival medical data of 2133 chronic orofacial pain patients, who completed a battery of psychological questionnaires at the time of their first appointment at an orofacial pain clinic. Hierarchical linear regression analysis revealed that after controlling for depression, psychological distress, sleep disturbance, pain intensity, and demographic variables, fatigue predicted higher pain interference (B=0.70, SE=0.17, Ppain interference after controlling for the aforementioned variables. The findings suggest that fatigue is an important independent predictor of pain interference and not merely a mediator. These findings also suggest that not all fatigue is created equal. Interventions aimed at reducing pain interference should target specific fatigue symptoms of physical fatigue and vigor. Future research investigating the independent associations of fatigue subtypes on pain outcomes may help clarify the nature of the interrelationships between pain and fatigue.

  13. Predictors of Compassion Fatigue and Compassion Satisfaction in Acute Care Nurses.

    Science.gov (United States)

    Kelly, Lesly; Runge, Jody; Spencer, Christina

    2015-11-01

    To examine compassion fatigue and compassion satisfaction in acute care nurses across multiple specialties in a hospital-based setting. A cross-sectional electronic survey design was used to collect data from direct care nurses in a 700-bed, quaternary care, teaching facility in the southwestern United States. A total of 491 direct care registered nurses completed a survey measuring their professional quality of life (burnout, secondary traumatic stress, and compassion satisfaction). Analysis was conducted to assess for differences between demographics, specialties, job satisfaction, and intent to leave their current position. Significant predictors of burnout included lack of meaningful recognition, nurses with more years of experience, and nurses in the "Millennial" generation (ages 21-33 years). Receiving meaningful recognition, higher job satisfaction, nurses in the "Baby Boomer" generation (ages 50-65 years), and nurses with fewer years of experience significantly predicted compassion satisfaction. No significant differences were noted across nurse specialties, units, or departments. This study adds to the literature the impact meaningful recognition may have on compassion satisfaction and fatigue. Our findings provide a potential explanation for the lack of retention of nurses in the millennial generation who leave their positions with limited years of experience. Based on our research, meaningful recognition may increase compassion satisfaction, positively impact retention, and elevate job satisfaction. Compassion fatigue in nurses has clear implications for nursing retention and the quality of care. Organizations willing to invest in reducing compassion fatigue have the potential to improve financial savings by reducing turnover and adverse events associated with burnout. © 2015 Sigma Theta Tau International.

  14. Self-reported fatigue and physical function in late mid-life

    DEFF Research Database (Denmark)

    Boter, Han; Mänty, Minna; Hansen, Åse Marie

    2014-01-01

    Objective: To determine the association between the 5 subscales of the Multidimensional Fatigue Inventory (MFI-20) and physical function in late mid-life. Design: Cross-sectional study. Subjects: A population-based sample of adults who participated in the Copenhagen Aging and Midlife Biobank...... population cohort (n = 4,964; age 49-63 years). Methods: Self-reported fatigue was measured using the MFI-20 comprising: general fatigue, physical fatigue, reduced activity, reduced motivation, and mental fatigue. Handgrip strength and chair rise tests were used as measures of physical function. Multiple...... logistic regression analyses were used to determine the associations between handgrip strength and the chair rise test with the MFI-20 subscales, adjusted for potential confounders. Results: After adjustments for potential confounders, handgrip strength was associated with physical fatigue (adjusted odds...

  15. Effects of human fatigue on speech signals

    Science.gov (United States)

    Stamoulis, Catherine

    2004-05-01

    Cognitive performance may be significantly affected by fatigue. In the case of critical personnel, such as pilots, monitoring human fatigue is essential to ensure safety and success of a given operation. One of the modalities that may be used for this purpose is speech, which is sensitive to respiratory changes and increased muscle tension of vocal cords, induced by fatigue. Age, gender, vocal tract length, physical and emotional state may significantly alter speech intensity, duration, rhythm, and spectral characteristics. In addition to changes in speech rhythm, fatigue may also affect the quality of speech, such as articulation. In a noisy environment, detecting fatigue-related changes in speech signals, particularly subtle changes at the onset of fatigue, may be difficult. Therefore, in a performance-monitoring system, speech parameters which are significantly affected by fatigue need to be identified and extracted from input signals. For this purpose, a series of experiments was performed under slowly varying cognitive load conditions and at different times of the day. The results of the data analysis are presented here.

  16. The effect of foot reflexology and back massage on hemodialysis patients' fatigue and sleep quality.

    Science.gov (United States)

    Unal, Kevser Sevgi; Balci Akpinar, Reva

    2016-08-01

    The aim of this study is to examine the effectiveness of foot reflexology and back massage on optimizing the sleep quality and reducing the fatigue of hemodialysis patients. The study includes 105 volunteer patients who were registered at a private dialysis clinic and were receiving hemodialysis treatment. Foot reflexology and back massage were administered to the patients two times a week for four weeks. The Visual Analogue Scale for Fatigue and the Pittsburg Sleep Quality Index were used to collect data. The differences between the pretest and posttest score averages of the patients on the Visual Analogue Scale for Fatigue and the Pittsburg Sleep Quality Index were statistically significant (p Foot reflexology and back massage were shown to improve the sleep quality and reduce the fatigue of hemodialysis patients. Compared to back massage, foot reflexology was determined to be more effective. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. Risk factors and visual fatigue of baggage X-ray security screeners: a structural equation modelling analysis.

    Science.gov (United States)

    Yu, Rui-Feng; Yang, Lin-Dong; Wu, Xin

    2017-05-01

    This study identified the risk factors influencing visual fatigue in baggage X-ray security screeners and estimated the strength of correlations between those factors and visual fatigue using structural equation modelling approach. Two hundred and five X-ray security screeners participated in a questionnaire survey. The result showed that satisfaction with the VDT's physical features and the work environment conditions were negatively correlated with the intensity of visual fatigue, whereas job stress and job burnout had direct positive influences. The path coefficient between the image quality of VDT and visual fatigue was not significant. The total effects of job burnout, job stress, the VDT's physical features and the work environment conditions on visual fatigue were 0.471, 0.469, -0.268 and -0.251 respectively. These findings indicated that both extrinsic factors relating to VDT and workplace environment and psychological factors including job burnout and job stress should be considered in the workplace design and work organisation of security screening tasks to reduce screeners' visual fatigue. Practitioner Summary: This study identified the risk factors influencing visual fatigue in baggage X-ray security screeners and estimated the strength of correlations between those factors and visual fatigue. The findings were of great importance to the workplace design and the work organisation of security screening tasks to reduce screeners' visual fatigue.

  18. Multiaxial Cycle Deformation and Low-Cycle Fatigue Behavior of Mild Carbon Steel and Related Welded-Metal Specimen

    Directory of Open Access Journals (Sweden)

    Weilian Qu

    2017-01-01

    Full Text Available The low-cycle fatigue experiments of mild carbon Q235B steel and its related welded-metal specimens are performed under uniaxial, in-phase, and 90° out-of-phase loading conditions. Significant additional cyclic hardening for 90° out-of-phase loading conditions is observed for both base metal and its related weldment. Besides, welding process produces extra additional hardening under the same loading conditions compared with the base metal. Multiaxial low-cycle fatigue strength under 90° out-of-phase loading conditions is significantly reduced for both base-metal and welded-metal specimens. The weldment has lower fatigue life than the base metal under the given loading conditions, and the fatigue life reduction of weldment increases with the increasing strain amplitude. The KBM, FS, and MKBM critical plane parameters are evaluated for the fatigue data obtained. The FS and MKBM parameters are found to show better correlation with fatigue lives for both base-metal and welded-metal specimens.

  19. Work fatigue in urban bus drivers

    Directory of Open Access Journals (Sweden)

    Teresa Makowiec-Dąbrowska

    2015-10-01

    Full Text Available Background: Bus drivers are a special group of professional drivers who are at a very high risk of fatigue. The aim of the study was to examine whether the driver’s subjective assessment of fatigue allows for the determination of its level and identification of its causes. Material and Methods: The study group comprised 45 randomly selected bus drivers (mean age – 43.7±7.9 years, period of employment as drivers – 14.7±8.6 years. Examinations were performed in all subjects four times – before and after work on the “easy” route (outside the city center, small traffic intensity and before and after work on the “difficult” route (city center, heavy traffic. The fatigue test questionnaire, based on the list of symptoms of fatigue prepared by the Japan Research Committee of Fatigue, was used in the study. Results: The rating of fatigue after the work was significantly higher than that before the work. The profile of fatigue after work was not influenced by the type of route, but the assessment of most symptoms of fatigue reached a higher level after the “difficult” routes and the differences were statistically significant for 7 symptoms. Only the ratings of leg fatigue, feeling of heaviness, and the necessity to squint eyes and gaze with effort reached the higher levels after driving the “easy” routes. It has been found that the level of fatigue was significantly correlated with the job characteristics (driving time, the length of the route, number of stops, etc. and with the abundance of food ingested and type of beverage (coffee vs. others drunk prior to driving. Conclusions: The questionnaire used in our study to assess the subjective feeling of fatigue has proved to be a sensitive and useful tool for indicating the level and causes of fatigue. The relationship between the symptoms of fatigue and the characteristics of job and lifestyle shows that actions must be taken by both the employers and employees to prevent fatigue

  20. Epigallocatechin gallate ameliorates chronic fatigue syndrome in mice: behavioral and biochemical evidence.

    Science.gov (United States)

    Sachdeva, Anand Kamal; Kuhad, Anurag; Tiwari, Vinod; Chopra, Kanwaljit

    2009-12-28

    Three decades after the coining of the term chronic fatigue syndrome, the diagnosis of this illness is still symptom based and the aetiology remains elusive. Chronic fatigue syndrome pathogenesis seems to be multifactorial and the possible involvement of immune system is supported. The present study was designed to evaluate the effects of the epigallocatechin gallate in a mouse model of immunologically induced chronic fatigue. On 19th day, after lipopolysaccharide/Brucella abortus administration, the mice showed significant increase in immobility period, post swim fatigue and thermal hyperalgesia. Behavioral deficits were coupled with enhanced oxidative-nitrosative stress as evident by increased lipid peroxidation, nitrite levels and decreased endogenous antioxidant enzymes (superoxide dismutase, reduced glutathione and catalase) and inflammation (increased levels of tumor necrosis factor-alpha and tissue growth factor-beta). Chronic treatment with epigallocatechin gallate restored these behavioral and biochemical alterations in mice. The present study points out towards the beneficial effect of epigallocatechin gallate in the amelioration of chronic fatigue syndrome and thus may provide a new, effective and powerful strategy to treat chronic fatigue syndrome.

  1. Androgen deficiency in male patients diagnosed with ANCA-associated vasculitis : A cause of fatigue and reduced health-related quality of life?

    NARCIS (Netherlands)

    Tuin, Janneke; Sanders, Jan-Stephan F.; Buhl, Birgit M.; van Beek, Andre P.; Stegeman, Coen A.

    2013-01-01

    Introduction: Low testosterone levels in men are associated with fatigue, limited physical performance and reduced health-related quality of life (HRQOL); however, this relationship has never been assessed in patients with anti-neutrophil cytoplasmic antibodies (ANCA) -associated vasculitides (AAV).

  2. Mechanisms of fretting-fatigue of titanium alloys

    Energy Technology Data Exchange (ETDEWEB)

    Antoniou, R A; Radtke, T C [Defence Sci. and Technol. Organ., Melbourne, Vic. (Australia). Aeronautical and Maritime Res. Lab.

    1997-09-30

    The effect of continuous fretting in air at 20 C on fatigue performance has been studied for Ti-17 and Ti-6Al-4V, high strength titanium alloys used for gas-turbine fan and compressor disks and blades, respectively. The effect of fretting was to reduce the fatigue stress limit from 700 MPa for plain fatigue to 200 MPa for fretting-fatigue. A number of models, supported by metallographic and fractographic evidence, are proposed which explain (i) how the cyclic loading of individual asperities results in crack initiation; (ii) the formation of multiple cracks; (iii) the existence of non-propagating cracks; and (iv) how fretting influences crack propagation once fatigue cracks have formed. (orig.) 46 refs.

  3. Fatigue, serum cytokine levels, and blood cell counts during radiotherapy of patients with breast cancer

    International Nuclear Information System (INIS)

    Geinitz, Hans; Zimmermann, Frank B.; Stoll, Peter; Thamm, Reinhard; Kaffenberger, Walter; Ansorg, Kai; Keller, Monika; Busch, Raymonde; Beuningen, Dirk van; Molls, Michael

    2001-01-01

    Purpose: To assess the level of fatigue during the course of adjuvant radiotherapy (RT) of breast cancer patients and its relation to anxiety, depression, serum cytokines, and blood count levels. Methods and Materials: Forty-one patients who received adjuvant RT after breast-conserving surgery were prospectively studied. All patients underwent RT without concomitant chemotherapy. Patients rated their fatigue with two standardized self-assessment instruments, the Fatigue Assessment Questionnaire and a visual analog scale on fatigue intensity, before RT, during weeks 1-5 of RT, and 2 months after RT completion. In addition, the anxiety and depression levels were assessed with the Hospital Anxiety and Depression Scale. A differential blood cell count and the serum levels of the cytokines interleukin (IL)-1β, IL-6, and tumor necrosis factor-α were determined in parallel to the fatigue assessments. Results: Fatigue intensity as assessed with the visual analog scale increased (p<0.001) until treatment week 4 and remained elevated until week 5. Two months after RT, the values had fallen to the pretreatment levels. Fatigue measured with the Fatigue Assessment Questionnaire did not increase significantly during treatment, but the subscores on physical (p=0.035) and cognitive (p=0.015) fatigue were elevated during treatment weeks 4 and 5. Affective fatigue did not change significantly. Anxiety, as rated with the Hospital Anxiety and Depression Scale, declined during RT (p=0.002), but the Hospital Anxiety and Depression Scale depression score did not change significantly. IL-1β, IL-6, and tumor necrosis factor-α levels did not change during therapy and did not correlate with fatigue. Peripheral blood cell levels declined significantly during therapy and were still low 2 months after treatment. Until treatment week 5, lymphocytes were reduced to almost 50% of their initial values. Hemoglobin levels did not correlate with fatigue. Conclusions: We observed an increase in

  4. Effect of custom-made and prefabricated insoles on plantar loading parameters during running with and without fatigue.

    Science.gov (United States)

    Lucas-Cuevas, Angel Gabriel; Pérez-Soriano, Pedro; Llana-Belloch, Salvador; Macián-Romero, Cecili; Sánchez-Zuriaga, Daniel

    2014-01-01

    Controversy exists whether custom-made insoles are more effective in reducing plantar loading compared to prefabricated insoles. Forty recreational athletes ran using custom-made, prefabricated, and the original insoles of their running shoes, at rest and after a fatigue run. Contact time, stride rate, and plantar loading parameters were measured. Neither the insole conditions nor the fatigue state modified contact time and stride rate. Addressing prevention of running injuries, post-fatigue loading values are of great interest. Custom-made insoles reduced the post-fatigue loading under the hallux (92 vs. 130 kPa, P heel compared to the prefabricated insoles. Finally, fatigue state did not influence plantar loading regardless the insole condition. In long-distance races, even a slight reduction in plantar loading at each foot strike may suppose a significant decrease in the overall stress experienced by the foot, and therefore the use of insoles may be an important protective mechanism for plantar overloading.

  5. Evaluation of Work Fatigue in Loading Workers Using Muscle Fatigue Assessment Method (MFA: A Case Study in a Brick Factory

    Directory of Open Access Journals (Sweden)

    Haji Omid Kalte

    2016-09-01

    Full Text Available Introduction and purpose: Work fatigue is one of the main causes of workrelated musculoskeletal disorders and reduced productivity in industry. Therefore, it is vital to evaluate work fatigue, especially muscle fatigue, to determine the permissible workload. This study aimed to evaluate muscle fatigue of brick field workers. Methods: This cross-sectional study was conducted on transportation sector workers in Pey Dezh Brick Production Company, Golestan, Iran in 2015. In this research, the qualitative of Muscle Fatigue Assessment (MFA method was used to assess the level of fatigue. Duration of each task and frequency of efforts were determined using the level of effort to obtain a numerical result for comparison with the standard level. Results: The evaluated task was to remove paired bricks from the conveyor and transfer them to trailer truck by workers. The final results revealed that lower back tolerated the most amount of pressure (score=323, followed by the shoulders and wrist of the right hand (scores=313, which were assigned to the fatigue level. Therefore, the highest total fatigue of workload was imposed on these body parts. Conclusion: According to the results of this study, the upper limbs of workers incurred the highest burden in lifting bricks, and there was a in risk of WMSDS due to high workload. Therefore, it is recommended that working systems be improved through rotating work and reducing the number of transferred bricks to avoid risks caused by accumulation of fatigue.

  6. A randomized, placebo-controlled, double-blinded trial of duloxetine in the treatment of general fatigue in patients with chronic fatigue syndrome.

    Science.gov (United States)

    Arnold, Lesley M; Blom, Thomas J; Welge, Jeffrey A; Mariutto, Elizabeth; Heller, Alicia

    2015-01-01

    To assess the efficacy and safety of duloxetine in patients with chronic fatigue syndrome. A 12-week, randomized, double-blind study was designed to compare duloxetine 60-120 mg/d (n = 30) with placebo (n = 30) for efficacy and safety in the treatment of patients with chronic fatigue syndrome. The primary outcome measure was the Multidimensional Fatigue Inventory general fatigue subscale (range: 4-20, with higher scores indicating greater fatigue). Secondary measures were the remaining Multidimensional Fatigue Inventory subscales, Brief Pain Inventory, Medical Outcomes Study Short Form-36, Hospital Anxiety and Depression Scale, Centers for Disease Control and Prevention Symptom Inventory, Patient Global Impression of Improvement, and Clinical Global Impression of Severity. The primary analysis of efficacy for continuous variables was a longitudinal analysis of the intent-to-treat sample, with treatment-by-time interaction as the measure of effect. The improvement in the Multidimensional Fatigue Inventory general fatigue scores for the duloxetine group was not significantly greater than for the placebo group (P = 0.23; estimated difference between groups at week 12 = -1.0 [95% CI: -2.8, 0.7]). The duloxetine group was significantly superior to the placebo group on the Multidimensional Fatigue Inventory mental fatigue score, Brief Pain Inventory average pain severity and interference scores, Short Form-36 bodily pain domain, and Clinical Global Impression of Severity score. Duloxetine was generally well tolerated. The primary efficacy measure of general fatigue did not significantly improve with duloxetine when compared with placebo. Significant improvement in secondary measures of mental fatigue, pain, and global measure of severity suggests that duloxetine may be efficacious for some chronic fatigue syndrome symptom domains, but larger controlled trials are needed to confirm these results. Copyright © 2015 The Academy of Psychosomatic Medicine. Published by

  7. Environmental fatigue in aluminum-lithium alloys

    Science.gov (United States)

    Piascik, Robert S.

    1992-01-01

    Aluminum-lithium alloys exhibit similar environmental fatigue crack growth characteristics compared to conventional 2000 series alloys and are more resistant to environmental fatigue compared to 7000 series alloys. The superior fatigue crack growth behavior of Al-Li alloys 2090, 2091, 8090, and 8091 is due to crack closure caused by tortuous crack path morphology and crack surface corrosion products. At high R and reduced closure, chemical environment effects are pronounced resulting in accelerated near threshold da/dN. The beneficial effects of crack closure are minimized for small cracks resulting in rapid growth rates. Limited data suggest that the 'chemically small crack' effect, observed in other alloy system, is not pronounced in Al-Li alloys. Modeling of environmental fatigue in Al-Li-Cu alloys related accelerated fatigue crack growth in moist air and salt water to hydrogen embrittlement.

  8. Effects of Relaxing Music on Mental Fatigue Induced by a Continuous Performance Task: Behavioral and ERPs Evidence.

    Science.gov (United States)

    Guo, Wei; Ren, Jie; Wang, Biye; Zhu, Qin

    2015-01-01

    The purpose of this study was to investigate whether listening to relaxing music would help reduce mental fatigue and to maintain performance after a continuous performance task. The experiment involved two fatigue evaluation phases carried out before and after a fatigue inducing phase. A 1-hour AX-continuous performance test was used to induce mental fatigue in the fatigue-inducing phase, and participants' subjective evaluation on the mental fatigue, as well as their neurobehavioral performance in a Go/NoGo task, were measured before and after the fatigue-inducing phase. A total of 36 undergraduate students (18-22 years) participated in the study and were randomly assigned to the music group and control group. The music group performed the fatigue-inducing task while listening to relaxing music, and the control group performed the same task without any music. Our results revealed that after the fatigue-inducing phase, (a) the music group demonstrated significantly less mental fatigue than control group, (b) reaction time significantly increased for the control group but not for the music group, (c) larger Go-P3 and NoGo-P3 amplitudes were observed in the music group, although larger NoGo-N2 amplitudes were detected for both groups. These results combined to suggest that listening to relaxing music alleviated the mental fatigue associated with performing an enduring cognitive-motor task.

  9. Fatigue Assessment of Full-Scale Retrofitted Orthotropic Bridge Decks

    NARCIS (Netherlands)

    Teixeira De Freitas, S.; Kolstein, M.H.; Bijlaard, F.S.K.

    2017-01-01

    Full-scale fatigue tests were performed on two retrofitted orthotropic bridge decks (OBDs). The retrofitting systems consist of adding a second steel plate on the top of the existing deck. The aim is to reduce the stresses at the fatigue-sensitive details and therefore extend the fatigue life of

  10. Quality of sleep, physical activity and fatigue in patients with rheumatoid arthritis

    DEFF Research Database (Denmark)

    Løppenthin, Katrine; Esbensen, Bente Appel; Jennum, Poul Jørgen

    2012-01-01

    a rheumatology outpatient clinic were recruited consecutively to participate in an observational cross-sectional study. The self-administered questionnaire covered the Health Assessment Questionnaire (HAQ), Visual Analogue Scale (VAS) for pain and fatigue, Physical Activity Scale (PAS), Multidimensional Fatigue...... to Physical Activity (PA) and fatigue. Understanding PA, fatigue and the impact on sleep disturbances could illuminate ways to promote sufficient sleep in RA patients. Thus, the aim of this study was to examine the association between sleep disturbance, PA, and fatigue. Methods A total of 500 RA patients from...... of 58 years), and 80% were women. The mean disease duration was 14 years and mean DAS score was 2.7. The prevalence of poor sleep quality was 61 %. Higher level of general fatigue, mental fatigue, physical fatigue, reduced activity and reduced motivation was reported in patients with poor sleep quality...

  11. Fatigue in patients with Juvenile Idiopathic Arthritis: relationship to perceived health, physical health, self-efficacy, and participation.

    Science.gov (United States)

    Armbrust, Wineke; Lelieveld, Otto H T M; Tuinstra, Jolanda; Wulffraat, Nico M; Bos, G J F Joyce; Cappon, Jeannette; van Rossum, Marion A J; Sauer, Pieter J J; Hagedoorn, Mariët

    2016-12-06

    Fatigue is common in patients with JIA and affects daily life negatively. We assessed the presence and severity of fatigue in patients with JIA, including factors presumed associated with fatigue (e.g., disease activity, disability, pain, physical activity, exercise capacity, and self-efficacy), and whether fatigue is related to participation in physical education classes, school attendance, and sports frequency. The current study used baseline data of 80 patients with JIA (age 8-13) who participated in an intervention aimed at promoting physical activity. Primary outcome measurements were fatigue, assessed using the Pediatric-Quality-of-Life-Inventory (PedsQl)-Fatigue-scale and energy level assessed using a VAS scale. Other outcome measurements were disease activity (VAS Physician Global Assessment Scale), disability (Childhood Health Assessment Questionnaire), physical activity (accelerometer), exercise capacity (Bruce treadmill test), self-efficacy (Childhood Arthritis Self-Efficacy Scale), and participation (self-report). Sixty percent of patients with JIA suffered from daily low-energy levels; 27% suffered from very low-energy levels more than half the week. Low energy levels were best predicted by disability and low physical activity. Fatigue measured with the PEDsQL was higher compared to the control-population. Disability and low self-efficacy were main predictors of fatigue. Self-efficacy was a predictor of fatigue but did not act as moderator. Fatigue was a predictor for sports frequency but not for school attendance. Fatigue is a significant problem for JIA patients. Interventions aimed at reducing perceived disability, stimulating physical activity, and enhancing self-efficacy might reduce fatigue and thereby enhance participation. Trial number ISRCTN92733069.

  12. Reducing uncertainty of Monte Carlo estimated fatigue damage in offshore wind turbines using FORM

    DEFF Research Database (Denmark)

    H. Horn, Jan-Tore; Jensen, Jørgen Juncher

    2016-01-01

    Uncertainties related to fatigue damage estimation of non-linear systems are highly dependent on the tail behaviour and extreme values of the stress range distribution. By using a combination of the First Order Reliability Method (FORM) and Monte Carlo simulations (MCS), the accuracy of the fatigue...

  13. Uncertainty analysis of constant amplitude fatigue test data employing the six parameters random fatigue limit model

    Directory of Open Access Journals (Sweden)

    Leonetti Davide

    2018-01-01

    Full Text Available Estimating and reducing uncertainty in fatigue test data analysis is a relevant task in order to assess the reliability of a structural connection with respect to fatigue. Several statistical models have been proposed in the literature with the aim of representing the stress range vs. endurance trend of fatigue test data under constant amplitude loading and the scatter in the finite and infinite life regions. In order to estimate the safety level of the connection also the uncertainty related to the amount of information available need to be estimated using the methods provided by the theory of statistic. The Bayesian analysis is employed to reduce the uncertainty due to the often small amount of test data by introducing prior information related to the parameters of the statistical model. In this work, the inference of fatigue test data belonging to cover plated steel beams is presented. The uncertainty is estimated by making use of Bayesian and frequentist methods. The 5% quantile of the fatigue life is estimated by taking into account the uncertainty related to the sample size for both a dataset containing few samples and one containing more data. The S-N curves resulting from the application of the employed methods are compared and the effect of the reduction of uncertainty in the infinite life region is quantified.

  14. Thermal fatigue appears to be more damaging than uniaxial isothermal fatigue for the austentic stainless steels, and application of multiaxial fatigue criteria

    Energy Technology Data Exchange (ETDEWEB)

    Fissolo, Antoine; Gourdin, Cedric [DM2S/SEMT/LISN, Gif sur Yvette (France); Vincent, Ludovic [DMN/SRMA/LCD, Gif sur Yvette (France)

    2009-07-01

    For nuclear reactor components, uniaxial isothermal fatigue curves are used to estimate the crack initiation under thermal fatigue. However, such approach would be not sufficient in some cases where cracking was observed. To investigate differences between uniaxial and thermal fatigue damage, tests have been carried out at CEA using the thermal fatigue devices SPLASH and FAT3D: a bi-dimensional (2-D) loading status is obtained in SPLASH, whereas a tri-dimensional (3-D) loading status is obtained in FAT3D. All the analysed tests clearly show that crack initiation in thermal fatigue is faster than in uniaxial isothermal fatigue conditions: for identical levels of strain, the number of cycles required to achieve crack initiation is significantly lower. The enhanced damaging effect probably results from a pure mechanical origin: a nearly perfect biaxial state corresponds to an increased hydrostatic stress. Consequently, multiaxial fatigue criteria must be applied. The Zamrik's strain criterion and the energy criterion proposed by Ecole Polytechnique provide the best estimations. In that framework, the proposed new method coupling both RCC-MR strain estimations and Zamrik's criterion appears to be more promising for the designer. (orig.)

  15. Thermal fatigue appears to be more damaging than uniaxial isothermal fatigue for the austentic stainless steels, and application of multiaxial fatigue criteria

    International Nuclear Information System (INIS)

    Fissolo, Antoine; Gourdin, Cedric; Vincent, Ludovic

    2009-01-01

    For nuclear reactor components, uniaxial isothermal fatigue curves are used to estimate the crack initiation under thermal fatigue. However, such approach would be not sufficient in some cases where cracking was observed. To investigate differences between uniaxial and thermal fatigue damage, tests have been carried out at CEA using the thermal fatigue devices SPLASH and FAT3D: a bi-dimensional (2-D) loading status is obtained in SPLASH, whereas a tri-dimensional (3-D) loading status is obtained in FAT3D. All the analysed tests clearly show that crack initiation in thermal fatigue is faster than in uniaxial isothermal fatigue conditions: for identical levels of strain, the number of cycles required to achieve crack initiation is significantly lower. The enhanced damaging effect probably results from a pure mechanical origin: a nearly perfect biaxial state corresponds to an increased hydrostatic stress. Consequently, multiaxial fatigue criteria must be applied. The Zamrik's strain criterion and the energy criterion proposed by Ecole Polytechnique provide the best estimations. In that framework, the proposed new method coupling both RCC-MR strain estimations and Zamrik's criterion appears to be more promising for the designer. (orig.)

  16. Patient education for people with multiple sclerosis-associated fatigue: A systematic review.

    Directory of Open Access Journals (Sweden)

    Maria Janina Wendebourg

    Full Text Available Multiple Sclerosis (MS is an inflammatory and neurodegenerative disease often causing decreased quality of life, social withdrawal and unemployment. Studies examining the effect of pharmacological interventions demonstrated only minor effects, whereas non-pharmacological interventions as e.g. patient education programs have shown promising results.We aim to systematically review the literature to determine the effect of patient education programs on fatigue in MS.We conducted a comprehensive search in PubMed for randomized controlled trials (RCTs that evaluated patient education programs for MS-related fatigue. Interventions evaluating physical exercise and/or pharmacological treatments were not included. Meta-analyses were performed using the generic inverse variance method.The search identified 856 citations. After full-text screening we identified ten trials that met the inclusion criteria. Data of 1021 participants were analyzed. Meta-analyses showed significant positive effects on fatigue severity (weighted mean difference -0.43; 95% CI -0.74 to -0.11 and fatigue impact (-0.48; -0.82 to -0.15, but not for depression (-0.35 (95% CI -0.75 to 0.05; p = 0.08. Essentially, we categorized patient education programs into two types: firstly, interventions with a focus on cognitive-behavioral therapy (CBT and secondly, interventions that teach patients ways of managing daily fatigue. CBT-based approaches seem to generate better results in reducing patient-reported fatigue severity. Analysing CBT studies only, the pooled weighted mean difference for fatigue severity was -0.60 (95% CI; -1.08 to -0.11 compared to non-CBT approaches (-0.20; 95% CI; -0.60 to -0.19. Furthermore, interventions employing an individual approach seem to reduce fatigue more effectively than group-based approaches (pooled weighted mean difference for fatigue severity in face-to-face studies was -0.80 (95% CI; -1.13 to -0.47 compared to group-based studies with -0,17 (95% CI; -0

  17. Effects of yoga on cancer-related fatigue and global side-effect burden in older cancer survivors.

    Science.gov (United States)

    Sprod, Lisa K; Fernandez, Isabel D; Janelsins, Michelle C; Peppone, Luke J; Atkins, James N; Giguere, Jeffrey; Block, Robert; Mustian, Karen M

    2015-01-01

    Sixty percent of cancer survivors are 65years of age or older. Cancer and its treatments lead to cancer-related fatigue and many other side effects, in turn, creating substantial global side-effect burden (total burden from all side effects) which, ultimately, compromises functional independence and quality of life. Various modes of exercise, such as yoga, reduce cancer-related fatigue and global side-effect burden in younger cancer survivors, but no studies have specifically examined the effects of yoga on older cancer survivors. The purpose of this study was to assess the effects of a 4-week yoga intervention (Yoga for Cancer Survivors: YOCAS©®) on overall cancer-related fatigue, and due to its multidimensional nature, the subdomains of cancer-related fatigue (general, physical, emotional, and mental) and global side-effect burden in older cancer survivors. We conducted a secondary analysis on data from a multicenter phase III randomized controlled clinical trial with 2 arms (standard care and standard care plus a 4-week YOCAS©® intervention). The sample for this secondary analysis was 97 older cancer survivors (≥60years of age), between 2months and 2years post-treatment, who participated in the original trial. Participants in the YOCAS©® intervention arm reported significantly lower cancer-related fatigue, physical fatigue, mental fatigue, and global side-effect burden than participants in the standard care arm following the 4-week intervention period (peffective standardized yoga intervention for reducing cancer-related fatigue, physical fatigue, mental fatigue, and global side-effect burden among older cancer survivors. Copyright © 2014 Elsevier Inc. All rights reserved.

  18. Some aspects of thermomechanical fatigue of AISI 304L stainless steel: Part I. creep- fatigue damage

    Science.gov (United States)

    Zauter, R.; Christ, H. J.; Mughrabi, H.

    1994-02-01

    Thermomechanical fatigue (TMF) tests on the austenitic stainless steel AISI 304L have been conducted under “true≓ plastic-strain control in vacuum. This report considers the damage oc-curring during TMF loading. It is shown how the temperature interval and the phasing (in-phase, out-of-phase) determine the mechanical response and the lifetime of the specimens. If creep-fatigue interaction takes place during in-phase cycling, the damage occurs inside the ma-terial, leading to intergranular cracks which reduce the lifetime considerably. Out-of-phase cy-cling inhibits creep-induced damage, and no lifetime reduction occurs, even if the material is exposed periodically to temperatures in the creep regime. A formula is proposed which allows prediction of the failure mode, depending on whether creep-fatigue damage occurs or not. At a given strain rate, the formula is able to estimate the temperature of transition between pure fatigue and creep-fatigue damage.

  19. [Chronic fatigue and strategies of coping with occupational stress in police officers].

    Science.gov (United States)

    Stepka, Ewa; Basińska, Małgorzata Anna

    2014-01-01

    Work as one of the most important activities in human life is related to stressful and difficult situations. Police officers make one of the many occupational groups that are particularly threatened by contact with a number of stressors. Therefore, their strategies of coping with stress are particularly important, because they play an important role in their functioning at work. The nature of the service as well as shift work and psychological costs incurred by police officers contribute to the emergence of chronic fatigue. The aim of this study was to evaluate the level of chronic fatigue in police officers and its relationship with the strategies of coping with occupational stress. A group of 61 police officers was examined. The following research methods were used: 1) Latack Coping Scale examining stress coping strategies at work (positive thinking, direct action, avoidance/resignation, seeking help, alcohol or stimulants use); 2) Mood Assessment Questionnaire CIS-20R examining the level of chronic fatigue and its components (subjective feeling of fatigue, impaired attention and concentration, reduced motivation, reduced activity); 3) Personal questionnaire providing socio-demographic data. It was found that the level of chronic fatigue in the group of the examined police officers was high (sten 8th). The most often used strategies of coping with stress were direct action and positive thinking, and the least often used strategy was the use of alcohol and stimulants. A significant negative correlation between the general level of chronic fatigue and the avoidance/resignation strategy was found. The results indicate that chronic fatigue is a problem affecting police officers and it is related to the stress coping strategies used.

  20. Real-Time Assessment of Fatigue in Patients With Multiple Sclerosis: How Does It Relate to Commonly Used Self-Report Fatigue Questionnaires?

    Science.gov (United States)

    Heine, Martin; van den Akker, Lizanne Eva; Blikman, Lyan; Hoekstra, Trynke; van Munster, Erik; Verschuren, Olaf; Visser-Meily, Anne; Kwakkel, Gert

    2016-11-01

    (1) To assess real-time patterns of fatigue; (2) to assess the association between a real-time fatigue score and 3 commonly used questionnaires (Checklist Individual Strength [CIS] fatigue subscale, Modified Fatigue Impact Scale (MFIS), and Fatigue Severity Scale [FSS]); and (3) to establish factors that confound the association between the real-time fatigue score and the conventional fatigue questionnaires in patients with multiple sclerosis (MS). Cross-sectional study. MS-specialized outpatient facility. Ambulant patients with MS (N=165) experiencing severe self-reported fatigue. Not applicable. A real-time fatigue score was assessed by sending participants 4 text messages on a particular day (How fatigued do you feel at this moment?; score range, 0-10). Latent class growth mixed modeling was used to determine diurnal patterns of fatigue. Regression analyses were used to assess the association between the mean real-time fatigue score and the CIS fatigue subscale, MFIS, and FSS. Significant associations were tested for candidate confounders (eg, disease severity, work status, sleepiness). Four significantly different fatigue profiles were identified by the real-time fatigue score, namely a stable high (n=79), increasing (n=57), stable low (n=16), and decreasing (n=13). The conventional questionnaires correlated poorly (rquestionnaires, ranging from 15.4% to 35%. Perceived fatigue showed 4 different diurnal patterns in patients with MS. Severity of sleepiness is an important confounder to take into account in the assessment of fatigue. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  1. Areva fatigue concept. Fast fatigue evaluation, a new method for fatigue analysis

    International Nuclear Information System (INIS)

    Heinz, Benedikt; Bergholz, Steffen; Rudolph, Juergen

    2011-01-01

    Within the discussions on the long term operation (LTO) of nuclear power plants the ageing management is on the focus of that analysis. The knowledge of the operational thermal cyclic load data on components of the power plants and their evaluation in the fatigue analysis is a central concern. The changes in fatigue requirements (e.g. the consideration of environmentally assisted fatigue - EAF) recently discussed and LTO efforts are a strong motivation for the identification of margins in the existing fatigue analysis approaches. These margins should be considered within new approaches in order to obtain realistic (or more accurate) analysis results. Of course, these new analysis approaches have to be manageable and efficient. The Areva Fatigue Concept (AFC) offers the comprehensive conceptual basis for the consideration of fatigue on different levels and depths. The combination of data logging and automated fatigue evaluation are important modules of the AFC. Besides the established simplified stress based fatigue estimation Areva develops a further automated fatigue analysis method called Fast Fatigue Evaluation (FFE). This method comprises highly automated stress analyses at the fatigue relevant locations of the component. Hence, a component specific course of stress as a function of time is determined based on FAMOS or similar temperature measurement systems. The subsequent application of the rain flow cycle counting algorithm allows for the determination of the usage factor following the rules of the design code requirements. The new FFE approach constitutes a cycle counting method based on the real stresses in the component, and determined as result a rule-conformity cumulative usage factor. (orig.)

  2. Development of a screening procedure for vibrational fatigue in small bore piping

    International Nuclear Information System (INIS)

    Smith, J.K.; Riccardella, P.C.; Gosselin, S.R.

    1995-01-01

    Approximately 80% of the documented fatigue failures in nuclear power plants are caused by high cycle vibrational fatigue. These failures typically occur in socket welded pipe fittings in small bore piping (2 in. nominal diameter and smaller). These failures have been unexpected, and have caused costly, unscheduled outages in some cases. In order to reduce the number of vibrational fatigue failures in operating nuclear power plants, a vibrational fatigue screening procedure has been developed under Electric Power Research Institute (EPRI) sponsorship. The purpose of this paper is to describe this procedure, and to discuss topics related to vibrational fatigue failures. These topics include sources of vibration in nuclear power plants, the effect of socket welds on vibrational fatigue failures, vibrational fatigue screening criteria for small bore piping systems, and good design practices for reducing the number of vibrational fatigue failures in small bore piping

  3. Effects of sodium tartrate anodizing on fatigue life of TA15 titanium alloy

    Directory of Open Access Journals (Sweden)

    Fu Chunjuan

    2015-08-01

    Full Text Available Anodizing is always used as an effective surface modification method to improve the corrosion resistance and wear resistance of titanium alloy. The sodium tartrate anodizing is a new kind of environmental anodizing method. In this work, the effects of sodium tartrate anodizing on mechanical property were studied. The oxide film was performed on the TA15 titanium alloy using sodium tartrate as the film former. The effects of this anodizing and the traditional acid anodizing on the fatigue life of TA15 alloy were compared. The results show that the sodium tartrate anodizing just caused a slight increase of hydrogen content in the alloy, and had a slight effect on the fatigue life. While, the traditional acid anodizing caused a significant increase of hydrogen content in the substrate and reduced the fatigue life of the alloy significantly.

  4. Nursing on empty: compassion fatigue signs, symptoms, and system interventions.

    Science.gov (United States)

    Harris, Chelsia; Griffin, Mary T Quinn

    2015-01-01

    Few healthcare organizations acknowledge, discuss, or provide interventions for assisting with compassion fatigue. Yet, it is an important concept due to its individual, professional, and financial costs. This article defines compassion fatigue, differentiates it from burnout, and offers system interventions for supporting nurses and reducing compassion fatigue.

  5. Porcine placenta mitigates protein-energy malnutrition-induced fatigue.

    Science.gov (United States)

    Han, Na-Ra; Kim, Kyu-Yeop; Kim, Myong-Jo; Kim, Min-Ho; Kim, Hyung-Min; Jeong, Hyun-Ja

    2013-01-01

    Fatigue can be caused by a deficiency of nutrition or immune function. The goal of this study was to identify the effects of porcine placenta extract (PPE) and its constituents, amino acids (glutamic acid, glycine, arginine, and proline), on protein-energy malnutrition (PEM)-induced fatigue. Mice were administered a PEM diet and came to immunodeficient status. Simultaneously, the mice were administered PPE or amino acids and a forced swimming test (FST) was performed. We analyzed the levels of fatigue-related factors in serum, splenocytes, and muscles. In the FST, PPE or amino acids significantly decreased immobility times compared with the PEM diet. PPE or amino acids also significantly decreased the serum levels of fatigue-related factors after the FST. Additionally, PPE significantly decreased the levels of fatigue-related muscle parameters after the FST. In this in vitro study, PPE increased the mRNA and protein expression of Ki-67 and promoted the proliferation of splenocytes. PPE or amino acids significantly increased the levels of intracellular calcium and the translocation into the nucleus of nuclear factor of activated T-cells cytoplasmic in stimulated splenocytes. PPE or amino acids significantly decreased the production of fatigue-related inflammatory cytokines in the stimulated splenocytes. Additionally, the translocated levels of nuclear factor-κB in the nucleus and the degradation of the inhibitory protein, IκBα, in the cytosol were inhibited by PPE or amino acids. These results demonstrate that PPE and its constituents regulate PEM-induced fatigue through improving levels of immunity and decreasing fatigue-related factors. PPE may be a potential agent for a recovery from fatigue. Copyright © 2013 Elsevier Inc. All rights reserved.

  6. Comparing the effects of reflexology and relaxation on fatigue in women with multiple sclerosis.

    Science.gov (United States)

    Nazari, Fatemeh; Shahreza, Mozhgan Soheili; Shaygannejad, Vahid; Valiani, Mahboubeh

    2015-01-01

    group; 2 months after interventions, the mean scores of fatigue severity were lower in the reflexology group than in the other two groups, but there was no significant difference between the two groups of relaxation and control (P > 0.05). It seems that both interventions were effective in reducing fatigue, but the effects of reflexology on reducing fatigue were more than those of relaxation. Hence, as these two methods are effective and affordable techniques, they can be recommended.

  7. Dynamic mechanical properties of reduced activation ferritic steels

    International Nuclear Information System (INIS)

    Hirose, T.; Kohyama, A.; Tanigawa, H.; Ando, M.; Jitsukawa, S.

    2003-01-01

    A fatigue test method by a miniaturized hourglass-shaped fatigue specimen has been developed for International Fusion Materials Irradiation Facility (IFMIF) and sufficient potential as the alternative to a conventional large specimen was presented. Furthermore, focused ion beam micro- sampling method was successfully applied to microstructural analysis on fracture process. Where, the effects of displacement damage and transmutation helium on the fatigue properties of Reduced Activation Ferritic/Martensitic Steels, RAFs, were investigated. Neutron irradiation and helium-ion-implantation at ambient temperature caused radiation hardening to degrade fatigue lifetime of F82H steel. Microstructural analysis revealed that local brittle fractures occurred at early stage of fatigue tests was the origin of the degradation.. No significant difference in fatigue life degradation was detected with and without implanted helium. This result suggests that 100 appm helium implanted has no impact on fracture life time under neutron irradiation. (author)

  8. NLRP3 inflammasome activation mediates fatigue-like behaviors in mice via neuroinflammation.

    Science.gov (United States)

    Zhang, Ziteng; Ma, Xiujuan; Xia, Zhenna; Chen, Jikuai; Liu, Yangang; Chen, Yongchun; Zhu, Jiangbo; Li, Jinfeng; Yu, Huaiyu; Zong, Ying; Lu, Guocai

    2017-09-01

    Numerous experimental and clinical studies have suggested that the interaction between the immune system and the brain plays an important role in the pathophysiology of chronic fatigue syndrome (CFS). The NLRP3 inflammasome is an important part of the innate immune system. This complex regulates proinflammatory cytokine interleukin-1β (IL-1β) maturation, which triggers different kinds of immune-inflammatory reactions. We employed repeated forced swims to establish a model of CFS in mice. NLRP3 knockout (KO) mice were also used to explore NLRP3 inflammasome activation in the mechanisms of CFS, using the same treatment. After completing repeated swim tests, the mice displayed fatigue-like behaviors, including locomotor activity and reduced fall-off time on the rota-rod test, which was accompanied by significantly higher mature IL-1β level in the prefrontal cortex (PFC) and malondialdehyde (MDA) level in serum. We also found increased NLRP3 protein expression, NLRP3 inflammasome formation and increased mature IL-1β production in the PFC, relative to untreated mice. The NLRP3 KO mice displayed significantly moderated fatigue behaviors along with decreased PFC and serum IL-1β levels under the same treatment. These findings demonstrated the involvement of NLRP3 inflammasome activation in the mechanism of swimming-induced fatigue. Future therapies targeting the NLRP3/IL-1β pathway may have significant potential for fatigue prevention and treatment. Copyright © 2017. Published by Elsevier Ltd.

  9. Biaxial fatigue of metals the present understanding

    CERN Document Server

    Schijve, Jaap

    2016-01-01

    Problems of fatigue under multiaxial fatigue loads have been addressed in a very large number of research publications. The present publication is primarily a survey of biaxial fatigue under constant amplitude loading on metal specimens. It starts with the physical understanding of the fatigue phenomenon under biaxial fatigue loads. Various types of proportional and non-proportional biaxial fatigue loads and biaxial stress distributions in a material are specified. Attention is paid to the fatigue limit, crack nucleation, initial micro crack growth and subsequent macro-crack in different modes of crack growth. The interference between the upper and lower surfaces of a fatigue crack is discussed. Possibilities for predictions of biaxial fatigue properties are analysed with reference to the similarity concept. The significance of the present understanding for structural design problems is considered. The book is completed with a summary of major observations.

  10. Electroencephalographic correlates of Chronic Fatigue Syndrome

    Directory of Open Access Journals (Sweden)

    Reeves William C

    2009-10-01

    Full Text Available Abstract Background Unremitting fatigue and unrefreshing sleep, hallmark traits of Chronic Fatigue Syndrome (CFS, are also pathognomonic of sleep disorders. Yet, no reproducible perturbations of sleep architecture, multiple sleep latency times or Epworth Sleepiness Scores are found to be associated consistently with CFS. This led us to hypothesize that sleep homeostasis, rather than sleep architecture, may be perturbed in CFS. To probe this hypothesis, we measured and compared EEG frequencies associated with restorative sleep between persons with CFS and matched controls, both derived from a population-based sample. Methods We evaluated overnight polysomnography (PSG in 35 CFS and 40 control subjects. PSG records were manually scored and epochs containing artifact removed. Fast Fourier Transformation was utilized to deconstruct individual EEG signals into primary frequency bands of alpha, delta, theta, sigma, and beta frequency domains. The spectral power of each frequency domain for each sleep state was compared between persons with CFS and matched controls. Results In persons with CFS, delta power was diminished during slow wave sleep, but elevated during both stage 1 and REM. Alpha power was reduced during stage 2, slow wave, and REM sleep. Those with CFS also had significantly lower theta, sigma, and beta spectral power during stage 2, Slow Wave Sleep, and REM. Discussion Employing quantitative EEG analysis we demonstrate reduced spectral power of cortical delta activity during SWS. We also establish reduced spectral power of cortical alpha activity, with the greatest reduction occurring during REM sleep. Reductions in theta, beta, and sigma spectral power were also apparent. Conclusion Unremitting fatigue and unrefreshing sleep, the waking manifestations of CFS, may be the consequence of impaired sleep homeostasis rather than a primary sleep disorder.

  11. Fatigue and creep-fatigue strength of 304 steel under biaxial strain conditions

    International Nuclear Information System (INIS)

    Asayama, Tai; Aoto, Kazumi; Wada, Yusaku

    1990-01-01

    A series of fatigue and creep-fatigue tests were conducted with 304 stainless steel at 550degC under a variety of biaxial strain conditions. Fatigue life under nonproportional loading conditions showed a significant life reduction compared with that of proportional loading, and this life reduction was reasonably estimated by taking into account the strain paths along which the strain history is imposed. Furthermore, a marked life reduction was shown to occur under nonproportional loading by imposing a strain hold period at a peak tensile strain. This life reduction was evaluated by the linear damage rule. It was shown to be possible to estimate the fatigue damage and the creep damage under nonproportional loading by a linear damage rule by estimating a stress relaxation behavior by Mises-type equivalent stress or Huddleston-type equivalent stress. (author)

  12. Common Mathematical Model of Fatigue Characteristics

    Directory of Open Access Journals (Sweden)

    Z. Maléř

    2004-01-01

    Full Text Available This paper presents a new common mathematical model which is able to describe fatigue characteristics in the whole necessary range by one equation only:log N = A(R + B(R ∙ log Sawhere A(R = AR2 + BR + C and B(R = DR2 + AR + F.This model was verified by five sets of fatigue data taken from the literature and by our own three additional original fatigue sets. The fatigue data usually described the region of N 104 to 3 x 106 and stress ratio of R = -2 to 0.5. In all these cases the proposed model described fatigue results with small scatter. Studying this model, following knowledge was obtained:– the parameter ”stress ratio R” was a good physical characteristic– the proposed model provided a good description of the eight collections of fatigue test results by one equation only– the scatter of the results through the whole scope is only a little greater than that round the individual S/N curve– using this model while testing may reduce the number of test samples and shorten the test time– as the proposed model represents a common form of the S/N curve, it may be used for processing uniform objective fatigue life results, which may enable mutual comparison of fatigue characteristics.

  13. Fatigue Analysis of a Mono-Tower Platform

    DEFF Research Database (Denmark)

    Kirkegaard, Poul Henning; Sørensen, John Dalsgaard; Brincker, Rune

    In this paper, a fatigue reliability analysis of a Mono-tower platform is presented. The failure mode, fatigue failure in the butt welds, is investigated with two different models. The one with the fatigue strength expressed through SN relations, the other with the fatigue strength expressed thro...... of the natural period, damping ratio, current, stress Spectrum and parameters describing the fatigue strength. Further, soil damping is shown to be significant for the Mono-tower.......In this paper, a fatigue reliability analysis of a Mono-tower platform is presented. The failure mode, fatigue failure in the butt welds, is investigated with two different models. The one with the fatigue strength expressed through SN relations, the other with the fatigue strength expressed...... through linear-elastic fracture mechanics (LEFM). In determining the cumulative fatigue damage, Palmgren-Miner's rule is applied. Element reliability as well as systems reliability is estimated using first-order reliability methods (FORM). The sensitivity of the systems reliability to various parameters...

  14. Are stamina and fatigue polar opposites? A case study.

    Science.gov (United States)

    So, Suzanna; Evans, Meredyth; Jason, Leonard A; Brown, Abigail

    2015-01-01

    Most individuals with Myalgic Encephalomyelitis/chronic fatigue syndrome (ME/CFS) (Carruthers et al., 2003 ), Myalgic Encephalomyelitis (ME) (Carruthers et al., 2011 ), and chronic fatigue syndrome (CFS) (Fukuda et al., 1994 ) indicate that they experience fatigue and sharp decreases in energy levels, which hinder the ability to engage in physical activities (Friedberg & Jason, 1998 ). However, there are some individuals who reduce activity engagement in order to avoid a worsening of symptoms; thus these individuals may endorse lower levels of fatigue. Accordingly, those with low levels of fatigue but low endurance/stamina might be inadvertently excluded from some criteria based on the fatigue requirement. The current study serves as an exploration of the relationship between fatigue and stamina and the effects of these constructs on illness symptomology and their implications for assessment and diagnosis.

  15. Fatigue Performance of Composite Laminates After Low-velocity Impact

    Directory of Open Access Journals (Sweden)

    LIANG Xiao-lin

    2016-12-01

    Full Text Available Compression-compression fatigue tests were carried out on T300/5405 composite laminates after low-velocity impact, compression performance of the laminates with different impact damages was studied together with its fatigue life and damage propagation under different stress levels, then the effects of impact energy, stress level and damage propagation on fatigue life of laminates were discussed. The results indicate that impact damage can greatly reduce the residual strength of laminates; under low fatigue load levels, the higher impact energy is, the shorter the fatigue life of laminates with impact damage will be; damage propagation undergoes two stages during the fatigue test, namely the steady propagation and the rapid propagation, accounting for 80% and 20% of the overall fatigue life, respectively; damage propagation rate decreases with the reduction of stress level.

  16. MIDAS (Modafinil in Debilitating Fatigue After Stroke): A Randomized, Double-Blind, Placebo-Controlled, Cross-Over Trial.

    Science.gov (United States)

    Bivard, Andrew; Lillicrap, Thomas; Krishnamurthy, Venkatesh; Holliday, Elizabeth; Attia, John; Pagram, Heather; Nilsson, Michael; Parsons, Mark; Levi, Christopher R

    2017-05-01

    This study aimed to assess the efficacy of modafinil, a wakefulness-promoting agent in alleviating post-stroke fatigue ≥3 months after stroke. We hypothesized that 200 mg of modafinil daily for 6 weeks would result in reduced symptoms of fatigue compared with placebo. This single-center phase 2 trial used a randomized, double-blind, placebo-controlled, crossover design. The key inclusion criterion was a multidimensional fatigue inventory score of ≥60. Patients were randomized to either modafinil or placebo for 6 weeks of therapy, then after a 1 week washout period swapped treatment arms for a second 6 weeks of therapy. The primary outcome was the multidimensional fatigue inventory; secondary outcomes included the Montreal cognitive assessment, the Depression, Anxiety, and Stress Scale (DASS), and the Stroke-Specific Quality of Life (SSQoL) scale. The multidimensional fatigue inventory is a self-administered questionnaire with a range of 0 to 100. Treatment efficacy was assessed using linear regression by estimating within-person, baseline-adjusted differences in mean outcomes after therapy. This trial was registered with the Australian New Zealand Clinical Trials Registry (ACTRN12615000350527). A total of 232 stroke survivors were screened and 36 were randomized. Participants receiving modafinil reported a significant decrease in fatigue (multidimensional fatigue inventory, -7.38; 95% CI, -21.76 to -2.99; P 0.05). Stroke survivors with nonresolving fatigue reported reduced fatigue and improved quality of life after taking 200 mg daily treatment with modafinil. URL: https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368268. Unique identifier: ACTRN12615000350527. © 2017 The Authors.

  17. The relationship between blood potassium, blood lactate, and electromyography signals related to fatigue in a progressive cycling exercise test.

    Science.gov (United States)

    Tenan, Matthew S; McMurray, Robert G; Blackburn, B Troy; McGrath, Melanie; Leppert, Kyle

    2011-02-01

    Local muscle fatigue may be related to potassium efflux from the muscle cell and/or lactate accumulation within the muscle. Local fatigue causes a decrease in median frequency (MPF) of the electromyogram's power spectrum during isometric contractions but its relationship to changes in potassium and lactate during dynamic exercise is equivocal. Thus, this investigation evaluated relationships between changes in the MPF from the vastus lateralis and blood levels of lactate and potassium during an incremental cycling test and recovery. Trained cyclists (n=8) completed a discontinuous, graded cycle test to exhaustion under normal and glycogen-reduced conditions. The glycogen reduced condition promoted an environment of lower lactate production while permitting a consistent potassium response. Blood samples and maximal isometric EMG data were collected at the end of each stage and during recovery. Maximal lactate levels were ∼ 60% lower in the glycogen reduced condition; potassium was similar between trials. MPF did not change significantly at volitional fatigue. Further, MPF was not significantly related to lactate (p>0.27) or potassium (p>0.16) in either condition. Though both lactate and potassium have been implicated as factors relating to local muscle fatigue, neither is significantly related to changes in MPF during or after progressive exercise on a cycle ergometer. Copyright © 2010 Elsevier Ltd. All rights reserved.

  18. Combined exercise training reduces fatigue and modulates the cytokine profile of T-cells from multiple sclerosis patients in response to neuromediators.

    Science.gov (United States)

    Alvarenga-Filho, Helcio; Sacramento, Priscila M; Ferreira, Thais B; Hygino, Joana; Abreu, Jorge Eduardo Canto; Carvalho, Sonia Regina; Wing, Ana Cristina; Alvarenga, Regina Maria Papais; Bento, Cleonice A M

    2016-04-15

    Fatigue is a common and disabling symptom of multiple sclerosis (MS), a classical Th1- and Th17-mediated autoimmune disease. There is no effective pharmacological treatment for fatigue, but some reports point towards beneficial effects of physical activity on management of the fatigue in MS patients. As both MS and fatigue have been associated with dysregulated cytokine network production, the objective of the present study was to evaluate the impact of a physical activity program consisting of a 12-week series of combining Pilates and aerobic exercises on fatigue severity, determined by FSS, and cytokine production, quantified by ELISA, by T cells from MS patients (n=08) with low disability (EDSS≤2). The results showed decrease in FSSs in all patients at the end of physical activity intervention. Regarding the cytokines, a significant reduction of IL-22 release was observed in polyclonally-activated T cells form MS patients post-training follow-up. Interestingly, while the physical activity attenuated the ability of dopamine in up-regulating Th17-related cytokines, it enhanced the anti-inflammatory effects of serotonin, evidenced by high IL-10 production. In summary, all results suggest that programmed physical activity has beneficial effects on management of fatigue in MS patients, and it could be related, at least in part, to its ability in regulating neuroimmune parameters into T cell compartment. Copyright © 2016 Elsevier B.V. All rights reserved.

  19. Validity and reliability of the Traditional Chinese version of the Multidimensional Fatigue Inventory in general population

    Science.gov (United States)

    Chuang, Li-Ling; Chuang, Yu-Fen; Hsu, Miao-Ju; Huang, Ying-Zu; Wong, Alice M. K.

    2018-01-01

    Background Fatigue is a common symptom in the general population and has a substantial effect on individuals’ quality of life. The Multidimensional Fatigue Inventory (MFI) has been widely used to quantify the impact of fatigue, but no Traditional Chinese translation has yet been validated. The goal of this study was to translate the MFI from English into Traditional Chinese (‘the MFI-TC’) and subsequently to examine its validity and reliability. Methods The study recruited a convenience sample of 123 people from various age groups in Taiwan. The MFI was examined using a two-step process: (1) translation and back-translation of the instrument; and (2) examination of construct validity, convergent validity, internal consistency, test-retest reliability, and measurement error. The validity and reliability of the MFI-TC were assessed by factor analysis, Spearman rho correlation coefficient, Cronbach’s alpha coefficient, intraclass correlation coefficient (ICC), minimal detectable change (MDC), and Bland-Altman analysis. All participants completed the Short-Form-36 Health Survey Taiwan Form (SF-36-T) and the Chinese version of the Pittsburgh Sleep Quality Index (PSQI) concurrently to test the convergent validity of the MFI-TC. Test-retest reliability was assessed by readministration of the MFI-TC after a 1-week interval. Results Factor analysis confirmed the four dimensions of fatigue: general/physical fatigue, reduced activity, reduced motivation, and mental fatigue. A four-factor model was extracted, combining general fatigue and physical fatigue as one factor. The results demonstrated moderate convergent validity when correlating fatigue (MFI-TC) with quality of life (SF-36-T) and sleep disturbances (PSQI) (Spearman's rho = 0.68 and 0.47, respectively). Cronbach’s alpha for the MFI-TC total scale and subscales ranged from 0.73 (mental fatigue subscale) to 0.92 (MFI-TC total scale). ICCs ranged from 0.85 (reduced motivation) to 0.94 (MFI-TC total scale), and

  20. Chronic Fatigue Syndrome: Review of the Literature

    OpenAIRE

    Turgeon, Sue A.

    1989-01-01

    Chronic fatigue syndrome, previously known as chronic mononucleosis or post-infectious fatigue, is a poorly understood illness characterized by chronic debilitating fatigue, recurrent flu-like symptoms, and few clinical or laboratory abnormalities. Attention was briefly focused on the Epstein-Barr virus (EBV) as a causal agent, but that hypothesis is now in serious doubt. While a significant incidence of psychiatric illness has been demonstrated among patients with the chronic fatigue syndrom...

  1. An Exploration of Shift Work, Fatigue, and Gender Among Police Officers: The BCOPS Study.

    Science.gov (United States)

    Violanti, John M; Owens, Sherry L; Fekedulegn, Desta; Ma, Claudia C; Charles, Luenda E; Andrew, Michael E

    2018-02-01

    The present study examined the association between shift work and fatigue among male ( n = 230) and female ( n = 78) police officers. A 15-year work history database was used to define dominant shifts as day, afternoon, or night. A 10-item questionnaire created from the Standard Shiftwork Index (SSI) assessed fatigue. Gender-stratified analyses of variance and covariance and Poisson regression were used to compare means and prevalence of individual items across shifts. No significant differences in total fatigue scores were observed across shifts. However, the prevalence of the fatigue item "feelings of tiredness" was 89% higher among male officers working the afternoon shift compared with officers working the day shift (prevalence ratio [PR] = 1.89, 95% confidence interval [CI] = [1.12, 3.23], p = .020), after adjustment for covariates. Women reported a lower prevalence of tiredness than men on the afternoon shift. Organizations with afternoon shift workers should consider reducing fatigue at work through education and other methods.

  2. Effects of stress concentrations on the fatigue life of a gamma based titanium aluminide

    International Nuclear Information System (INIS)

    Trail, S.J.; Bowen, P.

    1995-01-01

    S-N curves for a gamma based titanium aluminide alloy of composition Ti-47.2Al-2.1Mn-1.9Nb(at.%)+2TiB 2 (wt.%) have been used to define fatigue life. Effects of residual stress, stressed volume, loading ratio, loading mode, elevated temperature and surface roughness have been considered. Residual tensile stresses and micro-cracking are introduced by Electro Discharge Machining and the fatigue life is reduced slightly compared with polished samples. Notched fatigue tests show a significant notch strengthening effect which increases with increasing stress concentration factor. The fracture surfaces of specimens tested at room temperature reveal fully brittle failure mechanisms and no evidence of stable crack growth is observed. The fatigue life appears, therefore, to be determined predominantly by the number of cycles to crack initiation. At the elevated temperature of 830 C, evidence for some stable fatigue crack growth has been found. Probable sites for crack initiation are addressed

  3. The effect of surface corrosion damage on the fatigue life of 6061-T6 aluminum alloy extrusions

    Energy Technology Data Exchange (ETDEWEB)

    Weber, Matthew; Eason, Paul D.; Özdeş, Hüseyin; Tiryakioğlu, Murat, E-mail: m.tiryakioglu@unf.edu

    2017-04-06

    An investigation was performed where 6061-T6 extrusions were exposed to a 3.5% NaCl solution at pH 2 for 2 days and 24 days to create distinct surface flaws. The effect of these flaws on the rotating beam fatigue life was then investigated and analyzed by using Wöhler curves, Weibull statistics and scanning electron microscopy (SEM). It was determined that corrosion damage reduced the fatigue life significantly and specimens corroded for both 2-days and 24-days exhibited similar fatigue lives. Statistical analyses showed that fatigue life of all three datasets followed the 3-parameter Weibull distribution and the difference between the fatigue lives of two corroded datasets was statistically insignificant. Analysis of fracture surfaces showed that sizes of pits that led to fatigue crack initiation were very different in the two corroded datasets. Implications of the similarity in fatigue lives despite disparity in surface condition are discussed in detail in the paper.

  4. Fatigue Reliability Analysis of Wind Turbine Cast Components

    DEFF Research Database (Denmark)

    Rafsanjani, Hesam Mirzaei; Sørensen, John Dalsgaard; Fæster, Søren

    2017-01-01

    .) and to quantify the relevant uncertainties using available fatigue tests. Illustrative results are presented as obtained by statistical analysis of a large set of fatigue data for casted test components typically used for wind turbines. Furthermore, the SN curves (fatigue life curves based on applied stress......The fatigue life of wind turbine cast components, such as the main shaft in a drivetrain, is generally determined by defects from the casting process. These defects may reduce the fatigue life and they are generally distributed randomly in components. The foundries, cutting facilities and test...... facilities can affect the verification of properties by testing. Hence, it is important to have a tool to identify which foundry, cutting and/or test facility produces components which, based on the relevant uncertainties, have the largest expected fatigue life or, alternatively, have the largest reliability...

  5. Fatigue in Breakwater Concrete Armour Units

    DEFF Research Database (Denmark)

    Burcharth, Hans F.

    1985-01-01

    The reliability of rubble mound breakwaters depends on the hydraulic stability and the mechanical strength of the armour units. The paper deals with the important aspect of fatigue related to the strength of concrete armour units. Results showing significant fatigue from impact tests with Dolosse...... made of unreinforced and steel fibre reinforced flyash concrete are presented. Moreover universal graphs for fatigue in armour units made of conventional unreinforced concrete exposed to impact load and pulsating load are presented. The effect of fibre reinforcement and the implementation of fatigue...

  6. Effects of loading sequences and size of repeated stress block of loads on fatigue life calculated using fatigue functions

    International Nuclear Information System (INIS)

    Schott, G.

    1989-01-01

    It is well-known that collective form, stress intensity and loading sequence of individual stresses as well as size of repeated stress blocks can influence fatigue life, significantly. The basic variant of the consecutive Woehler curve concept will permit these effects to be involved into fatigue life computation. The paper presented will demonstrate that fatigue life computations using fatigue functions reflect the loading sequence effect with multilevel loading precisely and provide reliable fatigue life data. Effects of size of repeated stress block and loading sequence on fatigue life as observed with block program tests can be reproduced using the new computation method. (orig.) [de

  7. Differential effects of childhood trauma subtypes on fatigue and physical functioning in chronic fatigue syndrome.

    Science.gov (United States)

    De Venter, Maud; Illegems, Jela; Van Royen, Rita; Moorkens, Greta; Sabbe, Bernard G C; Van Den Eede, Filip

    2017-10-01

    There is wide consensus that childhood trauma plays an important role in the aetiology of chronic fatigue syndrome (CFS). The current study examines the differential effects of childhood trauma subtypes on fatigue and physical functioning in individuals suffering from CFS. Participants were 155 well-documented adult, predominantly female CFS patients receiving treatment at the outpatient treatment centre for CFS of the Antwerp University Hospital in Belgium. Stepwise regression analyses were conducted with outcomes of the total score of the Checklist Individual Strength (CIS) measuring fatigue and the scores on the physical functioning subscale of the Medical Outcomes Short Form 36 Health Status Survey (SF-36) as the dependent variables, and the scores on the five subscales of the Traumatic Experiences Checklist (TEC) as the independent variables. The patients' fatigue (β=1.38; p=0.025) and physical functioning scores (β=-1.79; p=0.034) were significantly predicted by childhood sexual harassment. There were no significant effects of emotional neglect, emotional abuse, bodily threat, or sexual abuse during childhood. Of the childhood trauma subtypes investigated, sexual harassment emerged as the most important predictor of fatigue and poor physical functioning in the CFS patients assessed. These findings have to be taken into account in further clinical research and in the assessment and treatment of individuals coping with chronic fatigue syndrome. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. Effect of Various Heat Treatment Processes on Fatigue Behavior of Tool Steel for Cold Forging Die

    Science.gov (United States)

    Jin, S. U.; Kim, S. S.; Lee, Y. S.; Kwon, Y. N.; Lee, J. H.

    Effects of various heat treatment processes, including "Q/T (quenching and tempering)", "Q/CT/T (Quenching, cryogenic treatment and tempering)", "Q/T (quenching and tempering) + Ti-nitriding" and "Q/CT/T (Cryogenic treatment and tempering) + Ti-nitriding", on S-N fatigue behavior of AISI D2 tool steel were investigated. The optical micrographs and Vicker's hardness values at near surface and core area were examined for each specimen. Uniaxial fatigue tests were performed by using an electro-magnetic resonance fatigue testing machine at a frequency of 80 Hz and an R ratio of -1. The overall resistance to fatigue tends to decrease significantly with Ti-nitriding treatment compared to those for the general Q/T and Q/CT/T specimens. The reduced resistance to fatigue with Ti-nitriding is discussed based on the microstructural and fractographic analyses.

  9. A survey of fatigue monitoring in the nuclear power industry

    International Nuclear Information System (INIS)

    Ware, A.G.

    1991-01-01

    The original design of nuclear power plants addressed fatigue concerns by including calculations of projected fatigue usage for specific components; the calculations were based on estimates of the number and severity of expected transients over the 40-year design life of the plants. In some cases, the transients occurring in the plants are not as severe as was anticipated in the original design analyses, while in other cases events have occurred that were not anticipated in the design basis documents. Field failures caused by fatigue have identified some of those cases. In response, several organizations in the United States and overseas have developed fatigue monitoring programs to more accurately estimate the fatigue usage. One basic approach consists of reconstructing the fatigue usage to date based on the transients recorded in the operating history instead of those projected in the design documents. Another approach includes monitoring the plant instrumentation to determine actual values for parameters such as temperature and pressure and using the measured values in the fatigue usage calculations instead of the values projected in the design documents. The use of existing plant instrumentation to measure temperature, pressure, flow rate, etc., along with the incorporation of conservative assumptions, had generally proven adequate for estimating fatigue usage; however, in some cases additional instrumentation installed for local monitoring can provide a more accurate estimate, especially where thermal stratification is known to occur. Fatigue monitoring can aid in identifying fatigue concerns not anticipated in the original design and for reducing the excessive conservatism in some of the original design calculations so that the fatigue lives of these components can be justified as they age. Fatigue monitoring can also assist efforts to reduce ongoing fatigue usage through design modifications and operating procedure changes

  10. Fatigue - but not mTBI history, PTSD, or sleep quality - directly contributes to reduced prospective memory performance in Iraq and Afghanistan era Veterans.

    Science.gov (United States)

    Rau, Holly K; Hendrickson, Rebecca; Roggenkamp, Hannah C; Peterson, Sarah; Parmenter, Brett; Cook, David G; Peskind, Elaine; Pagulayan, Kathleen F

    2017-10-13

    Memory problems that affect daily functioning are a frequent complaint among Veterans reporting a history of repetitive mild traumatic brain injury (mTBI), especially in cohorts with comorbid PTSD. Here, we test the degree to which subjective sleep impairment and daytime fatigue account for the association of PTSD and self-reported mTBI history with prospective memory. 82 Veterans with and without personal history of repeated blast-related mTBI during deployment were administered the Clinician Administered PTSD Scale (CAPS), Memory for Intentions Test (MIST), Patient Health Questionnaire-9 (PHQ-9), Neurobehavioral Symptom Inventory (NSI), and the Pittsburgh Sleep Quality Index (PSQI). Relationships between self-reported mTBI, PTSD, self-reported poor sleep and daytime fatigue, and MIST performance were modeled using partial least squares structural equation modeling (PLS-SEM). Reported daytime fatigue was strongly associated with poorer prospective memory performance. Poor subjective sleep quality was strongly and positively associated with reported daytime fatigue, but had no significant direct effect on prospective memory performance. PTSD diagnosis and self-reported mTBI history were only associated with prospective memory via their impact on subjective sleep quality and daytime fatigue. Results suggest that daytime fatigue may be a mediating factor by which both mTBI and PTSD can interfere with prospective memory. Additional attention should be given to complaints of daytime fatigue, independent of subjective sleep quality, in the clinical care of those with a self-reported history of mTBI, and/or PTSD. Further research into whether interventions that decrease daytime fatigue lead to improvement in prospective memory and subjective cognitive functioning is warranted.

  11. Research on driver fatigue detection

    Science.gov (United States)

    Zhang, Ting; Chen, Zhong; Ouyang, Chao

    2018-03-01

    Driver fatigue is one of the main causes of frequent traffic accidents. In this case, driver fatigue detection system has very important significance in avoiding traffic accidents. This paper presents a real-time method based on fusion of multiple facial features, including eye closure, yawn and head movement. The eye state is classified as being open or closed by a linear SVM classifier trained using HOG features of the detected eye. The mouth state is determined according to the width-height ratio of the mouth. The head movement is detected by head pitch angle calculated by facial landmark. The driver's fatigue state can be reasoned by the model trained by above features. According to experimental results, drive fatigue detection obtains an excellent performance. It indicates that the developed method is valuable for the application of avoiding traffic accidents caused by driver's fatigue.

  12. Effects of age and acute muscle fatigue on reactive postural control in healthy adults.

    Science.gov (United States)

    Papa, Evan V; Foreman, K Bo; Dibble, Leland E

    2015-12-01

    Falls can cause moderate to severe injuries such as hip fractures and head trauma in older adults. While declines in muscle strength and sensory function contribute to increased falls in older adults, skeletal muscle fatigue is often overlooked as an additional contributor to fall risk. The purpose of this investigation was to examine the effects of acute lower extremity muscle fatigue and age on reactive postural control in healthy adults. A sample of 16 individuals participated in this study (8 healthy older adults and 8 healthy young persons). Whole body kinematic and kinetic data were collected during anterior and posterior reproducible fall tests before (T0) and immediately after (T1) eccentric muscle fatiguing exercise, as well as after 15-min (T15) and 30-min (T30) of rest. Lower extremity joint kinematics of the stepping limb during the support (landing) phase of the anterior fall were significantly altered by the presence of acute muscle fatigue. Step velocity was significantly decreased during the anterior falls. Statistically significant main effects of age were found for step length in both fall directions. Effect sizes for all outcomes were small. No statistically significant interaction effects were found. Muscle fatigue has a measurable effect on lower extremity joint kinematics during simulated falls. These alterations appear to resolve within 15 min of recovery. The above deficits, coupled with a reduced step length, may help explain the increased fall risk in older adults. Copyright © 2015 Elsevier Ltd. All rights reserved.

  13. EFFECTS OF AGE AND ACUTE MUSCLE FATIGUE ON REACTIVE POSTURAL CONTROL IN HEALTHY ADULTS

    Science.gov (United States)

    Papa, Evan V.; Foreman, K. Bo; Dibble, Lee E.

    2015-01-01

    BACKGROUND Falls can cause moderate to severe injuries such as hip fractures and head trauma in older adults. While declines in muscle strength and sensory function contribute to increased falls in older adults, skeletal muscle fatigue is often overlooked as an additional contributor to fall risk. The purpose of this investigation was to examine the effects of acute lower extremity muscle fatigue and age on reactive postural control in healthy adults. METHODS A sample of 16 individuals participated in this study (8 healthy older adults and 8 healthy young persons). Whole body kinematic and kinetic data were collected during anterior and posterior reproducible fall tests before (T0) and immediately after (T1) eccentric muscle fatiguing exercise, as well as after 15-minutes (T15) and 30-minutes (T30) of rest. FINDINGS Lower extremity joint kinematics of the stepping limb during the support (landing) phase of the anterior fall were significantly altered by the presence of acute muscle fatigue. Step velocity was significantly decreased during the anterior falls. Statistically significant main effects of age were found for step length in both fall directions. Effect sizes for all outcomes were small. No statistically significant interaction effects were found. INTERPRETATION Muscle fatigue has a measurable effect on lower extremity joint kinematics during simulated falls. These alterations appear to resolve within 15 minutes of recovery. The above deficits, coupled with a reduced step length, may help explain the increased fall risk in older adults. PMID:26351001

  14. Evaluation of a functional medicine approach to treating fatigue, stress, and digestive issues in women.

    Science.gov (United States)

    Cutshall, Susanne M; Bergstrom, Larry R; Kalish, Daniel J

    2016-05-01

    Fatigue, stress, and digestive disorders are common among adults, especially women. We conducted a 28-week pilot study to assess the efficacy of a functional medicine approach to improving stress, energy, fatigue, digestive issues, and quality of life in middle-aged women. Findings showed significant improvements in many stress, fatigue, and quality-of-life measures. The treatment program increased mean salivary dehydroepiandrosterone levels and the cortisol-dehydroepiandrosterone ratio. Stool sample analyses suggested that these treatments reduced Helicobacter pylori infections. This study suggests that functional medicine may be an effective approach to managing stress and gastrointestinal symptoms. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. A randomized, controlled trial of aerobic exercise for treatment-related fatigue in men receiving radical external beam radiotherapy for localized prostate carcinoma.

    Science.gov (United States)

    Windsor, Phyllis M; Nicol, Kathleen F; Potter, Joan

    2004-08-01

    Advice to rest and take things easy if patients become fatigued during radiotherapy may be detrimental. Aerobic walking improves physical functioning and has been an intervention for chemotherapy-related fatigue. A prospective, randomized, controlled trial was performed to determine whether aerobic exercise would reduce the incidence of fatigue and prevent deterioration in physical functioning during radiotherapy for localized prostate carcinoma. Sixty-six men were randomized before they received radical radiotherapy for localized prostate carcinoma, with 33 men randomized to an exercise group and 33 men randomized to a control group. Outcome measures were fatigue and distance walked in a modified shuttle test before and after radiotherapy. There were no significant between group differences noted with regard to fatigue scores at baseline (P = 0.55) or after 4 weeks of radiotherapy (P = 0.18). Men in the control group had significant increases in fatigue scores from baseline to the end of radiotherapy (P = 0.013), with no significant increases observed in the exercise group (P = 0.203). A nonsignificant reduction (2.4%) in shuttle test distance at the end of radiotherapy was observed in the control group; however, in the exercise group, there was a significant increase (13.2%) in distance walked (P = 0.0003). Men who followed advice to rest and take things easy if they became fatigued demonstrated a slight deterioration in physical functioning and a significant increase in fatigue at the end of radiotherapy. Home-based, moderate-intensity walking produced a significant improvement in physical functioning with no significant increase in fatigue. Improved physical functioning may be necessary to combat radiation fatigue.

  16. Cognitive behavioural therapy for MS-related fatigue explained: A longitudinal mediation analysis.

    Science.gov (United States)

    van den Akker, L E; Beckerman, H; Collette, E H; Knoop, H; Bleijenberg, G; Twisk, J W; Dekker, J; de Groot, V

    2018-03-01

    Cognitive behavioural therapy (CBT) effectively reduces fatigue directly following treatment in patients with Multiple Sclerosis (MS), but little is known about the process of change during and after CBT. Additional analysis of a randomized clinical trial. To investigate which psychological factors mediate change in fatigue during and after CBT. TREFAMS-CBT studied the effectiveness of a 16-week CBT treatment for MS-related fatigue. Ninety-one patients were randomized (44 to CBT, 47 to the MS-nurse consultations). Mediation during CBT treatment was studied using assessments at baseline, 8 and 16weeks. Mediation of the change in fatigue from post-treatment to follow-up was studied separately using assessments at 16, 26 and 52weeks. Proposed mediators were: changes in illness cognitions, general self-efficacy, coping styles, daytime sleepiness, concentration and physical activity, fear of disease progression, fatigue perceptions, depression and physical functioning. Mediators were separately analysed according to the product-of-coefficients approach. Confidence intervals were calculated with a bootstrap procedure. During treatment the decrease in fatigue brought on by CBT was mediated by improved fatigue perceptions, increased physical activity, less sleepiness, less helplessness, and improved physical functioning. Post-treatment increases in fatigue levels were mediated by reduced physical activity, reduced concentration, and increased sleepiness. These results suggests that focusing on improving fatigue perceptions, perceived physical activity, daytime sleepiness, helplessness, and physical functioning may further improve the effectiveness of CBT for fatigue in patients with MS. Maintenance of treatment effects may be obtained by focusing on improving physical activity, concentration and sleepiness. Copyright © 2018 Elsevier Inc. All rights reserved.

  17. Corrosion fatigue studies on F82H mod. martensitic steel in reducing water coolant environments

    Energy Technology Data Exchange (ETDEWEB)

    Maday, M F; Masci, A [ENEA, Casaccia (Italy). Centro Ricerche Energia

    1998-03-01

    Load-controlled low cycle fatigue tests have been carried out on F82H martensitic steel in 240degC oxygen-free water with and without dissolved hydrogen, in order to simulate realistic coolant boundary conditions to be approached in DEMO. It was found that water independently of its hydrogen content, determined the same fatigue life reduction compared to the base-line air results. Water cracks exhibited in their first propagation stages similar fracture morphologies which were completely missing on the air cracks, and were attributed to the action of an environment related component. Lowering frequency gave rise to an increase in F82H fatigue lifetimes without any change in cracking mode in air, and to fatigue life reduction by microvoid coalescence alone in water. The data were discussed in terms of (i) frequency dependent concurrent processes for crack initiation and (ii) frequency-dependent competitive mechanisms for crack propagation induced by cathodic hydrogen from F82H corrosion. (author)

  18. Fatigue-free PZT-based nanocomposites

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, H J; Sando, M [Nat. Ind. Res. Inst., Nagoya (Japan); Tajima, K [Synergy Ceramics Lab., Fine Ceramics Research Association, Nagoya (Japan); Niihara, K [ISIR, Osaka Univ., Mihogaoka, Ibaraki (Japan)

    1999-03-01

    The goal of this study is to fabricate fatigue-free piezoelectrics-based nanocomposites. Lead zirconate titanate (PZT) and metallic platinum (Pt) were selected as a matrix and secondary phase dispersoid. Fine Pt particles were homogeneously dispersed in the PZT matrix. Fatigue properties of the unpoled PZT-based nanocomposite under electrical cyclic loading were investigated. The electrical-field-induced crack growth was monitored by an optical microscope, and it depended on the number of cycles the sample was subjected to. Resistance to fatigue was significantly enhanced in the nanocomposite. The excellent fatigue behavior of the PZT/Pt nanocomposites may result from the grain boundary strenghtening due to the interaction between the matrix and Pt particles. (orig.) 8 refs.

  19. Sucralfate significantly reduces ciprofloxacin concentrations in serum.

    OpenAIRE

    Garrelts, J C; Godley, P J; Peterie, J D; Gerlach, E H; Yakshe, C C

    1990-01-01

    The effect of sucralfate on the bioavailability of ciprofloxacin was evaluated in eight healthy subjects utilizing a randomized, crossover design. The area under the concentration-time curve from 0 to 12 h was reduced from 8.8 to 1.1 micrograms.h/ml by sucralfate (P less than 0.005). Similarly, the maximum concentration of ciprofloxacin in serum was reduced from 2.0 to 0.2 micrograms/ml (P less than 0.005). We conclude that concurrent ingestion of sucralfate significantly reduces the concentr...

  20. Strength training improves fatigue resistance and self-rated health in workers with chronic pain

    DEFF Research Database (Denmark)

    Sundstrup, Emil; Jakobsen, Markus Due; Brandt, Mikkel

    2016-01-01

    of a randomized controlled trial investigates the effect of strength training on muscular fatigue resistance and self-rated health among workers with chronic pain. Sixty-six slaughterhouse workers with chronic upper limb pain and work disability were randomly allocated to 10 weeks of strength training or usual...... (Spearman's rho = -0.40; P = 0.01). In conclusion, specific strength training improves muscular fatigue resistance and self-rated health and reduces pain of the hand/wrist in manual workers with chronic upper limb pain. This trial is registered with ClinicalTrials.gov NCT01671267.......-rated health and pain. Time to fatigue, muscle strength, hand/wrist pain, and self-rated health improved significantly more following strength training than usual care (all P

  1. Fatigue and sleep quality in rheumatoid arthritis patients during hospital admission.

    Science.gov (United States)

    Szady, Paulina; Bączyk, Grażyna; Kozłowska, Katarzyna

    2017-01-01

    Rheumatoid arthritis (RA) is a systemic disease of connective tissue characterised by chronic course with periods of exacerbation and remission. Even in the early stages of the disease patients report the occurrence of fatigue and sleep disorders. Reduced sleep quality and chronic fatigue are common among patients with rheumatoid arthritis. The aim of the research was to evaluate the severity of fatigue and sleep quality assessment among patients hospitalised with rheumatoid arthritis and to determine the relation between the level of symptoms of fatigue and sleep quality and variables such as: age, gender, disease duration, marital status, applied pharmacological treatment, and pain intensity. The study involved 38 patients (12 men and 26 women) hospitalised in the Rheumatologic Ward of the Orthopaedics and Rehabilitation Hospital of the University of Medical Sciences. The average age of the entire group was 56.26 years. Fatigue was evaluated with use of Polish version of Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F), while in order to evaluate sleep quality within the examined group of patients the Pittsburgh Sleep Quality Index (PSQI) was used. Patients with rheumatoid arthritis in the analysed group have lower sleep quality, and within subjects with such a diagnosis the fatigue is present. The relation was found between fatigue and such variables as: age, illness duration, marital status, applied pharmacological treatment, and severity of pain. Sleep quality within patients with RA is correlated by such variables as: age, gender, applied pharmaceutical treatment, and severity of pain. It was identified that patients with lower sleep quality experience increased levels of fatigue. There is a need to clarify which factors determine the level of fatigue and sleep quality in patients suffering from RA in future population-based research and to indicate to doctors, nurses, psychologists, and physiotherapists the significance and importance of

  2. Visual perception of fatigued lifting actions.

    Science.gov (United States)

    Fischer, Steven L; Albert, Wayne J; McGarry, Tim

    2012-12-01

    Fatigue-related changes in lifting kinematics may expose workers to undue injury risks. Early detection of accumulating fatigue offers the prospect of intervention strategies to mitigate such fatigue-related risks. In a first step towards this objective, this study investigated whether fatigue detection was accessible to visual perception and, if so, what was the key visual information required for successful fatigue discrimination. Eighteen participants were tasked with identifying fatigued lifts when viewing 24 trials presented using both video and point-light representations. Each trial comprised a pair of lifting actions containing a fresh and a fatigued lift from the same individual presented in counter-balanced sequence. Confidence intervals demonstrated that the frequency of correct responses for both sexes exceeded chance expectations (50%) for both video (68%±12%) and point-light representations (67%±10%), demonstrating that fatigued lifting kinematics are open to visual perception. There were no significant differences between sexes or viewing condition, the latter result indicating kinematic dynamics as providing sufficient information for successful fatigue discrimination. Moreover, results from single viewer investigation reported fatigue detection (75%) from point-light information describing only the kinematics of the box lifted. These preliminary findings may have important workplace applications if fatigue discrimination rates can be improved upon through future research. Copyright © 2012 Elsevier B.V. All rights reserved.

  3. Research on the Fatigue Flexural Performance of RC Beams Attacked by Salt Spray

    Science.gov (United States)

    Mao, Jiang-hong; Xu, Fang-yuan; Jin, Wei-liang; Zhang, Jun; Wu, Xi-xi; Chen, Cai-sheng

    2018-04-01

    The fatigue flexural performance of RC beams attacked by salt spray was studied. A testing method involving electro osmosis, electrical accelerated corrosion and salt spray was proposed. This corrosion process method effectively simulates real-world salt spray and fatigue loading exerted by RC components on sea bridges. Four RC beams that have different stress amplitudes were tested. It is found that deterioration by corrosion and fatigue loading reduces the fatigue life of the RC and decreases the ability of deformation. The fatigue life and deflection ability could be reduced by increasing the stress amplitude and the corrosion duration time. The test result demonstrates that this experimental method can couple corrosion deterioration and fatigue loading reasonably. This procedure may be applied to evaluate the fatigue life and concrete durability of RC components located in a natural salt spray environment.

  4. Influence of Fretting on Flexural Fatigue of 304 Stainless Steel and Mild Steel

    National Research Council Canada - National Science Library

    Bill, Robert

    1978-01-01

    Fretting fatigue experiments conducted on 304 stainless steel using a flexural-fatigue test arrangement with bolted-on fretting pads have demonstrated that fatigue life is reduced by at least a factor...

  5. Effects of fine porosity on the fatigue behavior of a powder metallurgy superalloy

    Science.gov (United States)

    Miner, R. V.; Dreshfield, R. L.

    1980-01-01

    Hot-isostatically-pressed powder-metallurgy Astroloy was obtained which contained 1.4 percent porosity at the grain boundaries produced by argon entering the powder container during pressing. This material was tested at 650 C in fatigue, creep-fatigue, tension, and stress-rupture and the results compared with data on sound Astroloy. They influenced fatigue crack initiation and produced a more intergranular mode of propagation but fatigue life was not drastically reduced. Fatigue behavior of the porous material showed typical correlation with tensile behavior. The plastic strain range-life relation was reduced proportionately with the reduction in tensile ductility, but the elastic strain range-life relation was changed little.

  6. Fatigue

    Science.gov (United States)

    ... to help you find out what's causing your fatigue and recommend ways to relieve it. Fatigue itself is not a disease. Medical problems, treatments, and personal habits can add to fatigue. These include Taking certain medicines, such as antidepressants, ...

  7. [Chronic fatigue syndrome treated with transcutaneous electrical acupoint stimulation: a randomized controlled trial].

    Science.gov (United States)

    Li, Jinxia; Xie, Jingjun; Pan, Zhongqiang; Guo, Xiaoqing; Li, Ye; Fu, Ruiyang

    2017-12-12

    To evaluate the clinical therapeutic effects and safety of chronic fatigue syndrome treated with transcutaneous electrical acupoint stimulation (TEAS) on the conception vessel and the governor vessel. Eighty-nine patients of chronic fatigue syndrome were randomized into an observation group (46 cases) and a control group (43 cases). In the observation group, TEAS was applied at Dazhui (GV 14) and Mingmen (GV 4), Shenque (CV 8) and Guanyuan (CV 4) [the current intensity: (14±2) mA]. In the control group, the simulated TEAS was applied at the same acupoints as the observation group (the current intensity: 1 mA). The treatment was given for 30 min, once a day, 5 times a week and the treatment of 4 weeks was as 1 session in the two groups. One session of treatment was required. Before treatment and at the end of 1 session of treatment, the fatigue severity scale (FSS) was adopted to evaluate the fatigue symptoms and the somatic and psychological health report (SPHERE) was adopted to evaluate the potential symptoms and observe the safety of TEAS therapy. At the end of treatment, FSS score and SPHERE score in the control group were not different significantly as compared with those before treatment (both P >0.05). FSS score and SPHERE score in the observation group were reduced significantly as compared with those before treatment (both P fatigue symptoms and the potential symptoms in the patients of chronic fatigue syndrome. It is a safe therapy.

  8. Fatigue and thermal fatigue of Pb-Sn solder joints

    International Nuclear Information System (INIS)

    Frear, D.; Grivas, D.; McCormack, M.; Tribula, D.; Morris, J.W. Jr.

    1987-01-01

    This paper presents a fundamental investigation of the fatigue and thermal fatigue characteristics, with an emphasis on the microstructural development during fatigue, of Sn-Pb solder joints. Fatigue tests were performed in simple shear on both 60Sn-40Pb and 5Sn-95Pb solder joints. Isothermal fatigue tests show increasing fatigue life of 60Sn-40Pb solder joints with decreasing strain and temperature. In contrast, such behavior was not observed in the isothermal fatigue of 5Sn-95Pb solder joints. Thermal fatigue results on 60Sn-40Pb solder cycled between -55 0 C and 125 0 C show that a coarsened region develops in the center of the joint. Both Pb-rich and Sn-rich phases coarsen, and cracks form within these coarsened regions. The failure mode 60Sn-40Pb solder joints in thermal and isothermal fatigue is similar: cracks form intergranularly through the Sn-rich phase or along Sn/Pb interphase boundaries. Extensive cracking is found throughout the 5Sn-95Pb joint for both thermal and isothermal fatigue. In thermal fatigue the 5Sn-95Pb solder joints failed after fewer cycles than 60Sn-40Pb

  9. Application of fatigue monitoring system in PWR nuclear power plant

    International Nuclear Information System (INIS)

    Piao Lei

    2014-01-01

    Fatigue failure is one form of equipment failure of nuclear power plant, influencing equipment lifetime and lifetime extension. Fatigue monitoring system can track real thermal transient at fatigue sensitive components, establish a basis for fatigue analyses based on realistic operating loads, identify unexpected operational transients, optimize the plant behavior by improved operating modes, provide supporting data for lifetime management, enhance security of plant and reduce economical loss. Fatigue monitoring system has been applied in many plants and is required to be applied in Generation-III nuclear power plant. It is necessary to develop the fatigue monitoring system with independent intellectual property rights and improve the competitiveness of domestic Generation-III nuclear power technology. (author)

  10. Fatigue is associated with inflammation in patients with head and neck cancer before and after intensity-modulated radiation therapy

    Science.gov (United States)

    Beitler, Jonathan J.; Higgins, Kristin A.; Conneely, Karen; Dwivedi, Bhakti; Felger, Jennifer; Wommack, Evanthia C.; Shin, Dong M.; Saba, Nabil F.; Ong, Luke Yeeloo; Kowalski, Jeanne; Bruner, Deborah W.; Miller, Andrew H.

    2016-01-01

    Patients with head and neck cancer (HNC) receiving intensity-modulated radiation therapy (IMRT) have particularly high rates of fatigue, and pre- and post-radiotherapy fatigue are prognostic factors for pathologic tumor responses and poor survival. Although inflammation has been proposed as one of the potential mechanisms of fatigue in cancer patients, findings have not been consistent, and there is a dearth of longitudinal studies. Accordingly, we conducted a prospective study in 46 HNC patients pre- and one-month post-IMRT. Fatigue was measured by the Multidimensional Fatigue Inventory (MFI)-20 at both time points along with the assessment of peripheral blood inflammatory markers including interleukin (IL)-6, soluble tumor necrosis factor receptor 2, and C-reactive protein (CRP) and gene expression. Generalized estimating equations were used to examine the association between inflammatory markers and fatigue. Gene enrichment analysis using MetaCore software was performed using up-regulated genes that were significantly associated with IMRT and fatigue. Significant associations between fatigue and IL-6 as well as CRP, which were independent of time, were observed. In addition the change in fatigue from pre- to post-IMRT was positively associated with the change in IL-6 and CRP. Analysis of up-regulated gene transcripts as a function of IMRT and fatigue revealed overrepresentation of transcripts related to the defense response and nuclear factor kappa B. In conclusion, our findings support the hypotheses that inflammation is associated with fatigue over time in HNC patients. Future studies on how inflammation contributes to fatigue as well as strategies targeting inflammation to reduce fatigue are warranted. PMID:26515035

  11. Fatigue Analysis of Load-Carrying Fillet Welds

    DEFF Research Database (Denmark)

    Sørensen, John Dalsgaard; Tychsen, Jesper; Andersen, Jens Ulfkjær

    2006-01-01

    that the degree of bending (DOB) has an influence on the fatigue lifetime. The fatigue lifetime decreases significantly when increasing the bending stress. In order to take into account the effect of the bending, a new fatigue stress definition applicable for fillet welds failing through the weld is presented....... Using the test results, it is shown that the new definition of fatigue stress can be used for a wide range of DOB with a low standard deviation of the resulting SN curve....

  12. Fatigue in Breakwater Concrete Armour Units

    OpenAIRE

    Burcharth, Hans F.

    1984-01-01

    The reliability of rubble mound breakwaters depends on the hydraulic stability and the mechanical strength of the armour units. The paper deals with the important aspect of fatigue related to the strength of concrete armour units. Results showing significant fatigue from impact tests with Dolosse made of unreinforced and steel fibre reinforced flyash concrete are presented. Moreover universal graphs for fatigue in armour units made of conventional unreinforced concrete exposed to impact load ...

  13. Mean load effect on fatigue of welded joints using structural stress and fracture mechanics approach

    International Nuclear Information System (INIS)

    Kim, Jong Sung; Kim, Cheol; Jin, Tae Eun; Dong, P.

    2006-01-01

    In order to ensure the structural integrity of nuclear welded structures during design life, the fatigue life has to be evaluated by fatigue analysis procedures presented in technical codes such as ASME B and PV Code Section III. However, existing fatigue analysis procedures do not explicitly consider the presence of welded joints. A new fatigue analysis procedure based on a structural stress/fracture mechanics approach has been recently developed in order to reduce conservatism by erasing uncertainty in the analysis procedure. A recent review of fatigue crack growth data under various mean loading conditions using the structural stress/fracture mechanics approach, does not consider the mean loading effect, revealed some significant discrepancies in fatigue crack growth curves according to the mean loading conditions. In this paper, we propose the use of the stress intensity factor range ΔK characterized with loading ratio R effects in terms of the structural stress. We demonstrate the effectiveness in characterizing fatigue crack growth and S-N behavior using the well-known data. It was identified that the S-N data under high mean loading could be consolidated in a master S-N curve for welded joints

  14. Brief Exposure to Cognitive Behavioral Therapy Reduces Side-Effect Symptoms in Patients on Antiretroviral Therapy.

    Science.gov (United States)

    Doerfler, R Eric; Goodfellow, Linda

    2016-01-01

    No study has tested the effectiveness of individualized cognitive behavioral therapy (CBT) interventions to reduce persistent nausea, pain, anxiety, and fatigue in patients on continuous antiretroviral therapy (ART). Our objective was to determine if CBT could reduce nausea, pain, anxiety, and fatigue in patients with HIV on ART. Men ages 40 to 56 years on ART (n = 18) at a suburban HIV clinic were randomly assigned to a control group or the CBT intervention. Usual adherence education and side-effect management were provided to both groups. Symptoms, health perception, medication adherence, and side-effect-reducing medication use were measured at four time points over 3 months. Participants in the intervention group rated usual fatigue and worst fatigue at 60 days, and nausea duration at 90 days significantly lower than controls (p < .05). Brief CBT training may reduce fatigue and nausea in patients with HIV undergoing ART. Copyright © 2016 Association of Nurses in AIDS Care. Published by Elsevier Inc. All rights reserved.

  15. Energy Through Motion: An Activity Intervention for Cancer-Related Fatigue in an Ambulatory Infusion Center
.

    Science.gov (United States)

    Abbott, Linda; Hooke, Mary Catherine

    2017-10-01

    Cancer-related fatigue (CRF) occurs in most people with cancer undergoing chemotherapy. Physical activity (PA) is safe and effective in reducing CRF in people with cancer. 
. This project involved the implementation and evaluation of a three-month PA program to maintain or improve CRF and quality of life.
. Activity trackers and resistance bands were provided to participants. Verbal instruction, printed material, activity videos, and text messages were used in this program. Participants completed a fatigue assessment; self-reported PA measure; and measure of attitudes, beliefs, and knowledge about sustaining regular PA pre- and postimplementation.
. 51 patients enrolled in the study, and 39 completed the program. Participants' fatigue did not worsen significantly during the three months, and self-reported activity levels increased, but not significantly. The activity tracker, text messages, and personal connection with nursing staff were reported to be helpful.

  16. Cancer-related fatigue--mechanisms, risk factors, and treatments.

    Science.gov (United States)

    Bower, Julienne E

    2014-10-01

    Fatigue is one of the most common adverse effects of cancer that might persist for years after treatment completion in otherwise healthy survivors. Cancer-related fatigue causes disruption in all aspects of quality of life and might be a risk factor of reduced survival. The prevalence and course of fatigue in patients with cancer have been well characterized and there is growing understanding of the underlying biological mechanisms. Inflammation seems to have a key role in fatigue before, during, and after cancer-treatment. However, there is a considerable variability in the presentation of cancer-related fatigue, much of which is not explained by disease-related or treatment-related characteristics, suggesting that host factors might be important in the development and persistence of this symptom. Indeed, longitudinal studies have identified genetic, biological, psychosocial, and behavioural risk factors associated with cancer-related fatigue. Although no current gold-standard treatment for fatigue is available, a variety of intervention approaches have shown beneficial effects in randomized controlled trials, including physical activity, psychosocial, mind-body, and pharmacological treatments. This Review describes the mechanisms, risk factors, and possible interventions for cancer-related fatigue, focusing on recent longitudinal studies and randomized trials that have targeted fatigued patients.

  17. Daily cytokine fluctuations, driven by leptin, are associated with fatigue severity in chronic fatigue syndrome: evidence of inflammatory pathology.

    Science.gov (United States)

    Stringer, Elizabeth Ann; Baker, Katharine Susanne; Carroll, Ian R; Montoya, Jose G; Chu, Lily; Maecker, Holden T; Younger, Jarred W

    2013-04-09

    Chronic fatigue syndrome (CFS) is a debilitating disorder characterized by persistent fatigue that is not alleviated by rest. The lack of a clearly identified underlying mechanism has hindered the development of effective treatments. Studies have demonstrated elevated levels of inflammatory factors in patients with CFS, but findings are contradictory across studies and no biomarkers have been consistently supported. Single time-point approaches potentially overlook important features of CFS, such as fluctuations in fatigue severity. We have observed that individuals with CFS demonstrate significant day-to-day variability in their fatigue severity. Therefore, to complement previous studies, we implemented a novel longitudinal study design to investigate the role of cytokines in CFS pathophysiology. Ten women meeting the Fukuda diagnostic criteria for CFS and ten healthy age- and body mass index (BMI)-matched women underwent 25 consecutive days of blood draws and self-reporting of symptom severity. A 51-plex cytokine panel via Luminex was performed for each of the 500 serum samples collected. Our primary hypothesis was that daily fatigue severity would be significantly correlated with the inflammatory adipokine leptin, in the women with CFS and not in the healthy control women. As a post-hoc analysis, a machine learning algorithm using all 51 cytokines was implemented to determine whether immune factors could distinguish high from low fatigue days. Self-reported fatigue severity was significantly correlated with leptin levels in six of the participants with CFS and one healthy control, supporting our primary hypothesis. The machine learning algorithm distinguished high from low fatigue days in the CFS group with 78.3% accuracy. Our results support the role of cytokines in the pathophysiology of CFS.

  18. Differing leukocyte gene expression profiles associated with fatigue in patients with prostate cancer versus chronic fatigue syndrome.

    Science.gov (United States)

    Light, Kathleen C; Agarwal, Neeraj; Iacob, Eli; White, Andrea T; Kinney, Anita Y; VanHaitsma, Timothy A; Aizad, Hannah; Hughen, Ronald W; Bateman, Lucinda; Light, Alan R

    2013-12-01

    Androgen deprivation therapy (ADT) often worsens fatigue in patients with prostate cancer, producing symptoms similar to chronic fatigue syndrome (CFS). Comparing expression (mRNA) of many fatigue-related genes in patients with ADT-treated prostate cancer versus with CFS versus healthy controls, and correlating mRNA with fatigue severity may clarify the differing pathways underlying fatigue in these conditions. Quantitative real-time PCR was performed on leukocytes from 30 fatigued, ADT-treated prostate cancer patients (PCF), 39 patients with CFS and 22 controls aged 40-79, together with ratings of fatigue and pain severity. 46 genes from these pathways were included: (1) adrenergic/monoamine/neuropeptides, (2) immune, (3) metabolite-detecting, (4) mitochondrial/energy, (5) transcription factors. PCF patients showed higher expression than controls or CFS of 2 immune transcription genes (NR3C1 and TLR4), chemokine CXCR4, and mitochondrial gene SOD2. They showed lower expression of 2 vasodilation-related genes (ADRB2 and VIPR2), 2 cytokines (TNF and LTA), and 2 metabolite-detecting receptors (ASIC3 and P2RX7). CFS patients showed higher P2RX7 and lower HSPA2 versus controls and PCF. Correlations with fatigue severity were similar in PCF and CFS for only DBI, the GABA-A receptor modulator (r=-0.50, pfatigue and pain severity (r=+0.43 and +0.59, p=0.025 and p=0.001). PCF patients differed from controls and CFS in mean expression of 10 genes from all 5 pathways. Correlations with fatigue severity implicated DBI for both patient groups and P2RY1 for PCF only. These pathways may provide new targets for interventions to reduce fatigue. Copyright © 2013 Elsevier Ltd. All rights reserved.

  19. Brain plasticity effects of neuromodulation against multiple sclerosis fatigue

    Directory of Open Access Journals (Sweden)

    Franca eTecchio

    2015-07-01

    Full Text Available RationaleWe recently reported on the efficacy of a personalized transcranial direct current stimulation (tDCS treatment in reducing MS fatigue. That result supports the notion that interventions targeted at modifying unbalanced interactions within the sensorimotor network could represent valid non-pharmacological treatments. ObjectiveThe present work aimed at assessing whether the mentioned intervention also induces changes in the excitability of cortical areas. MethodTwo separate groups of fatigued MS patients were given a 5-day tDCS treatments targeting respectively the whole body somatosensory areas (S1wb and the hand sensorimotor areas (SM1hand. The study had a double blind, sham-controlled, randomized, cross-over (Real vs. Sham design. Before and after each treatment, we measured fatigue levels (by the modified Fatigue Impact Scale, mFIS, motor evoked potentials (MEPs in response to transcranial magnetic stimulation (TMS and somatosensory evoked potentials (SEP in response to median nerve stimulation. We took MEPs and SEPs as measures of the excitability of the primary motor area (M1 and the primary somatosensory area (S1 respectively.ResultsThe Real S1wb treatment produced a 27% reduction of the mFIS baseline level, while the SM1hand treatment showed no difference between Real and Sham stimulations. M1 excitability increased on average 6 % of the baseline in the S1wb group and 40% in the SM1hand group. Observed SEP changes were not significant and we found no association between M1 excitability changes and mFIS decrease.ConclusionsThe tDCS treatment was more effective against MS fatigue when the electrode was focused on the bilateral whole body somatosensory area. Changes in S1 and M1 excitability did not correlate with symptoms amelioration.SignificanceThe neuromodulation treatment that proved effective against MS fatigue induced only minor variations of the motor cortex excitability, not enough to explain the beneficial effects of

  20. Neurocognitive impairment in childhood chronic fatigue syndrome

    Directory of Open Access Journals (Sweden)

    Kei eMizuno

    2013-04-01

    Full Text Available Neurocognitive impairment is a feature of childhood chronic fatigue syndrome (CCFS. Several studies have demonstrated reduced attention control in CCFS patients in switching and divided attention tasks. In students, the extent of deterioration in task performance depends on the level of fatigue. Poor performance in switching and divided attention is common in both fatigued students and CCFS patients. Additionally, attentional functions show dramatic development from childhood to adolescence, suggesting that abnormal development of switching and divided attention may be induced by chronic fatigue. The brain structures associated with attentional control are situated in the frontal and parietal cortices, which are the last to mature, suggesting that severe fatigue in CCFS patients and students may inhibit normal structural and functional development in these regions. A combination of treatment with cognitive behavioral therapy and antidepressant medication is effective to improve attentional control processing in CCFS patients. Studies identifying the features of neurocognitive impairment in CCFS have improved our current understanding of the neurophysiological mechanisms of CCFS.

  1. Fatigue Reliability Analysis of a Mono-Tower Platform

    DEFF Research Database (Denmark)

    Kirkegaard, Poul Henning; Sørensen, John Dalsgaard; Brincker, Rune

    1991-01-01

    In this paper, a fatigue reliability analysis of a Mono-tower platform is presented. The failure mode, fatigue failure in the butt welds, is investigated with two different models. The one with the fatigue strength expressed through SN relations, the other with the fatigue strength expressed thro...... of the natural period, damping ratio, current, stress spectrum and parameters describing the fatigue strength. Further, soil damping is shown to be significant for the Mono-tower.......In this paper, a fatigue reliability analysis of a Mono-tower platform is presented. The failure mode, fatigue failure in the butt welds, is investigated with two different models. The one with the fatigue strength expressed through SN relations, the other with the fatigue strength expressed...... through linear-elastic fracture mechanics (LEFM). In determining the cumulative fatigue damage, Palmgren-Miner's rule is applied. Element reliability, as well as systems reliability, is estimated using first-order reliability methods (FORM). The sensitivity of the systems reliability to various parameters...

  2. The Nature of Fatigue in Chronic Fatigue Syndrome.

    Science.gov (United States)

    Olson, Karin; Zimka, Oksana; Stein, Eleanor

    2015-10-01

    In this article, we report the findings of our study on the nature of fatigue in patients diagnosed with chronic fatigue syndrome. Using ethnoscience as a design, we conducted a series of unstructured interviews and card sorts to learn more about how people with chronic fatigue syndrome describe fatigue. Participants (N = 14) described three distinct domains: tiredness, fatigue, and exhaustion. Most participants experienced tiredness prior to diagnosis, fatigue during daily life, and exhaustion after overexertion. We also discuss participants' ability to adapt to a variety of stressors and prevent shifts to exhaustion, and relate our findings to stress theory and other current research. Primary strategies that promoted adaptation to stressors included pacing and extended rest periods. These findings can aid health care professionals in detecting impending shifts between tiredness, fatigue, and exhaustion and in improving adaptive strategies, thereby improving quality of life. © The Author(s) 2015.

  3. Cancer-related fatigue: Mechanisms, risk factors, and treatments

    Science.gov (United States)

    Bower, Julienne E.

    2015-01-01

    Fatigue is one of the most common and distressing side effects of cancer and its treatment, and may persist for years after treatment completion in otherwise healthy survivors. Cancer-related fatigue causes disruption in all aspects of quality of life and may be a risk factor for reduced survival. The prevalence and course of fatigue in cancer patients has been well characterized, and there is growing understanding of underlying biological mechanisms. Inflammation has emerged as a key biological pathway for cancer-related fatigue, with studies documenting links between markers of inflammation and fatigue before, during, and particularly after treatment. There is considerable variability in the experience of cancer-related fatigue that is not explained by disease- or treatment-related characteristics, suggesting that host factors may play an important role in the development and persistence of this symptom. Indeed, longitudinal studies have begun to identify genetic, biological, psychosocial, and behavioral risk factors for cancer-related fatigue. Given the multi-factorial nature of cancer-related fatigue, a variety of intervention approaches have been examined in randomized controlled trials, including physical activity, psychosocial, mind-body, and pharmacological treatments. Although there is currently no gold standard for treating fatigue, several of these approaches have shown beneficial effects and can be recommended to patients. This report provides a state of the science review of mechanisms, risk factors, and interventions for cancer-related fatigue, with a focus on recent longitudinal studies and randomized trials that have targeted fatigued patients. PMID:25113839

  4. Symptoms of fatigue and coping strategies in maritime pilotage.

    Science.gov (United States)

    Chambers, Timothy P; Main, Luana C

    2015-01-01

    Little is known regarding the symptoms of fatigue that maritime pilots experience during shift work. Moreover, the strategies these individuals use to cope with the onset of fatigue are also unknown. The current study explored the symptoms of fatigue and coping strategies experienced by maritime pilots when on-shift. Fifty maritime pilots were recruited via an advertisement in the national association's quarterly newsletter (Mage = 51.42; SD = 9.81). Participants responded to a modified version of the questionnaire used with aviation pilots that assessed overall fatigue, and the symptoms pilots associated with fatigue on duty. Methods pilots used to cope with fatigue before shift and when on the bridge were also assessed. There were significant effects for pilot vitality on 4 categories of fatigue: cognitive dysfunction; emotional disturbance; mean physical effects; and sleepiness. There were no significant effects for vitality on any of the self-reported coping strategy factors. The findings indicated that maritime pilots experience a variety of physical, behavioural, and cognitive fatigue symptoms when on shift. Some of these symptoms are similar to those reported by aviation pilots. However, unlike aviation pilots, maritime pilots reported utilising self-sufficient coping strategies to deal with the experience of fatigue.

  5. Developing a fatigue questionnaire for Chinese civil aviation pilots.

    Science.gov (United States)

    Dai, Jing; Luo, Min; Hu, Wendong; Ma, Jin; Wen, Zhihong

    2018-03-23

    To assess the fatigue risk is an important challenge in improving flight safety in aviation industry. The aim of this study was to develop a comprehensive fatigue risk management indicators system and a fatigue questionnaire for Chinese civil aviation pilots. Participants included 74 (all males) civil aviation pilots. They finished the questionnaire in 20 minutes before a flight mission. The estimation of internal consistency with Cronbach's α and Student's t test as well as Pearson's correlation analysis were the main statistical methods. The results revealed that the fatigue questionnaire had acceptable internal consistency reliability and construct validity; there were significant differences on fatigue scores between international and domestic flight pilots. And some international flight pilots, who had taken medications as a sleep aid, had worse sleep quality than those had not. The long-endurance flight across time zones caused significant differences in circadian rhythm. The fatigue questionnaire can be used to measure Chinese civil aviation pilots' fatigue, which provided a reference for fatigue risk management system to civil aviation pilots.

  6. Fatigue as prognostic risk marker of mental sickness absence in white collar employees.

    Science.gov (United States)

    Roelen, C A M; Heymans, M W; van Rhenen, W; Groothoff, J W; Twisk, J W R; Bültmann, U

    2014-06-01

    To investigate fatigue as prognostic risk marker for identifying working employees at risk of long-term sickness absence (SA). At baseline, fatigue was measured in 633 white collar employees with the checklist individual strength (CIS) including scales for fatigue severity, reduced concentration, reduced motivation, and reduced physical activity. SA was medically certified by an occupational physician in the 3rd or 4th SA week with diagnostic codes according to the 10th version of the International Classification of Diseases. Medically certified SA was retrieved at the individual level from an occupational health register after 1-year follow-up. CIS scores were investigated as prognostic risk markers predicting medically certified SA and particularly SA certified as mental SA. 614 employees (N = 378 men and N = 236 women) had complete data and were eligible for analysis; 63 (10 %) had medically certified SA of whom 39 (6 %) had mental SA. Fatigue severity and total CIS scores were associated with medically certified SA in men, but poorly discriminated between men with and without medically certified SA. Fatigue severity, reduced concentration, reduced motivation, and total CIS scores were also associated with mental SA in men. CIS and its reduced concentration scale were valid prognostic risk markers of mental SA. CONCLUSION Fatigue was a prognostic risk marker of mental SA in white collar men. The CIS should be further validated as a screening tool for the risk of mental SA in white collar working populations.

  7. The effects of Nitinol phases on corrosion and fatigue behavior

    Science.gov (United States)

    Denton, Melissa

    The purpose of these studies was to provide a detailed understanding of Nitinol phases and their effects on corrosion and fatigue life. The two primary phases, austenite and martensite, were carefully evaluated with respect to material geometry, corrosion behavior, wear, and fatigue life. Material characterization was performed using several techniques that include metallography, scanning electron microscopy (SEM), transmission electron microscopy (TEM), atomic force microscopy (AFM), x-ray photoelectron spectrum (XPS), and Auger electron spectroscopy (AES). Uniaxial tensile tests were conducted to determine the mechanical properties such as elongation, ultimate tensile strength, modulus, transformation strain, and plateau stress. In addition, accelerated wear testing and four point bend fatigue testing were completed to study the fatigue life and durability of the material. The corrosion of Nitinol was found to be dependent on various surface conditions. Electrochemical corrosion behavior of each phase was investigated using cyclic potentiodyamic polarization testing. The corrosion response of electropolished Nitinol was found to be acceptable, even after durability testing. Stress-induced martensite had a lower breakdown potential due to a rougher surface morphology, while thermally induced martensite and austenite performed similarly well. The surface conditioning also had a significant effect on Nitinol mechanical properties. Electropolishing provided a smooth mirror finish that reduced localized texture and enhanced the ductility of the material. Quasi-static mechanical properties can be good indicators of fatigue life, but further fatigue testing revealed that phase transformations had an important role as well. The governing mechanisms for the fatigue life of Nitinol were determined to be both martesitic phase transformations and surface defects. A new ultimate dislocation strain model was proposed based on specific accelerated step-strain testing.

  8. Subjective measures of work-related fatigue in automobile factory employees.

    Science.gov (United States)

    Guo, Fu; Wang, Tianbo; Ning, Zuojiang

    2017-01-01

    Work-related fatigue is common among automobile factory employees. The purpose of this study was to assess fatigue of employees at a Chinese automobile factory. 238 employees (119 engineers and 119 workers) participated in this study. The following questionnaires were completed: demographic survey questionnaire, working condition questionnaire (WCQ), functional assessment of chronic illness therapy-fatigue (FACIT-F), subscales of multidimensional fatigue inventory (MFI), and Pittsburgh sleep quality index (PSQI). Both engineers and workers experienced fatigue. The workers (35.6 years old, SD = 6.7) generally felt more fatigue than engineers (42.6 years old, SD = 6.4). The engineers claimed to be more satisfied with the working conditions than workers. The WCQ showed good properties for assessing work-related factors, which were significantly correlated with fatigue (r = 0.568 for engineers and r = 0.639 for workers). For engineers, general fatigue was observed regularly and frequently, and for workers, physical fatigue usually had a long duration. The fatigue was significantly correlated with work-related factors, especially working environment and monotony. For workers, the duration of the work day also affected their fatigue. Some improvements to the working condition in this automobile factory should be considered.

  9. Ibuprofen Ameliorates Fatigue- and Depressive-like Behavior in Tumor-bearing Mice

    Science.gov (United States)

    Norden, Diana M.; McCarthy, Donna O.; Bicer, Sabahattin; Devine, Raymond; Reiser, Peter J.; Godbout, Jonathan P.; Wold, Loren E.

    2015-01-01

    Aims Cancer-related fatigue (CRF) is often accompanied by depressed mood, both of which reduce functional status and quality of life. Research suggests that increased expression of pro-inflammatory cytokines are associated with skeletal muscle wasting and depressive- and fatigue- like behaviors in rodents and cancer patients. We have previously shown that treatment with ibuprofen, a nonsteroidal anti-inflammatory drug, preserved muscle mass in tumor-bearing mice. Therefore, the purpose of the present study was to determine the behavioral effects of ibuprofen in a mouse model of CRF. Main Methods Mice were injected with colon-26 adenocarcinoma cells and treated with ibuprofen (10mg/kg) in the drinking water. Depressive-like behavior was determined using the forced swim test (FST). Fatigue-like behaviors were determined using voluntary wheel running activity (VWRA) and grip strength. The hippocampus, gastrocnemius muscle, and serum were collected for cytokine analysis. Key Findings Tumor-bearing mice showed depressive-like behavior in the FST, which was not observed in mice treated with ibuprofen. VWRA and grip strength declined in tumor-bearing mice, and ibuprofen attenuated this decline. Tumor-bearing mice had decreased gastrocnemius muscle mass and increased expression of IL-6, MAFBx and MuRF mRNA, biomarkers of protein degradation, in the muscle. Expression of IL-1β and IL-6 was also increased in the hippocampus. Treatment with ibuprofen improved muscle mass and reduced cytokine expression in both the muscle and hippocampus of tumor-bearing mice. Significance Ibuprofen treatment reduced skeletal muscle wasting, inflammation in the brain, and fatigue- and depressive-like behavior in tumor-bearing mice. Therefore, ibuprofen warrants evaluation as an adjuvant treatment for CRF. PMID:26498217

  10. Metallurgical and fatigue assessments of welds in cast welded hydraulic turbine runners

    International Nuclear Information System (INIS)

    Trudel, A; Sabourin, M

    2014-01-01

    Decades of hydraulic turbine operation around the world have shown one undeniable fact; welded turbine runners can be prone to fatigue cracking, especially in the vicinity of welds. In this regard, three factors are essential to consider in runner fatigue assessments: (1) the runner's design, which can induce stress concentrations in the fillets, (2) the casting process, which inherently creates defects such as shrinkage cavities and (3) the welding process, which induces significant residual stresses as well as a heat affected zone in the cast pieces near the interface with the filler metal. This study focuses on the latter, the welding process, with emphasis on the influence of the heat affected zone on the runner's fatigue behavior. In a recently concluded study by a large research consortium in Montreal, the microstructure and fatigue crack propagation properties of a CA6NM runner weld heat affected zone were thoroughly investigated to find if this zone deteriorates the runner's resistance to fatigue cracking. The main results showed that this zone's intrinsic fatigue crack propagation resistance is only slightly lower than the unaffected base metal because of its somewhat finer martensitic microstructure leading to a less tortuous crack path. However, it was also confirmed that weld-induced residual stresses represent the dominant influencing factor regarding fatigue crack propagation, though post-weld heat treatments are usually very effective in reducing such residual stresses. This paper aims to further confirm, through a case study, that the weld-induced heat affected zone does not compromise the reliability of welded turbine runners when its fatigue crack propagation properties are considered in fatigue damage models

  11. Effect of Torsional and Fatigue Preloading on HyFlex EDM Files.

    Science.gov (United States)

    Shen, Ya; Tra, Charles; Hieawy, Ahmed; Wang, Zhejun; Haapasalo, Markus

    2018-04-01

    The purpose of this study was to evaluate the effect of a low amount of torsional preloading on the fatigue life and different degrees of cyclic fatigue on torsional failure of HyFlex EDM (EDM; Coltene-Whaledent, Allstetten, Switzerland) and HyFlex CM (CM; Coltene-Whaledent) instruments. EDM and CM files were used. The fatigue resistance was examined in a 5-mm radius and 60° single curve, and the mean number of cycles to failure (N f ) was recorded. The torque and rotation angles at failure of the instruments were measured according to ISO 3630-1. New files were precycled to 0%, 50%, and 75% of the N f , and torsional tests were then performed. Other new files were preloaded at 5%, 15%, 25%, and 50% of the mean rotation angles before the fatigue test. The fracture surfaces of the fragments were examined under a scanning electron microscope. The fatigue resistance of EDM instruments was higher than that of CM instruments (P EDM at 15% preloading (P EDM files even with 50% torsional preloading was significantly higher than unused CM files (P EDM files. Moderate precycling (50%) of EDM files increased their torsional resistance. The fractographic patterns corresponded to the pattern defined by the last stage test. A low amount (15%) of torsional preloading reduced the fatigue resistance of EDM files, whereas even extensive (75%) precyclic fatigue was not detrimental to their torsional resistance. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  12. Fatigue management considering LWR coolant environments

    International Nuclear Information System (INIS)

    Park, Heung Bae; Jin, Tae eun

    2000-01-01

    Design fatigue curve for structural material in the ASME Boiler and Pressure Vessel Code do not explicitly address the effects of reactor coolant environments on fatigue life. Environmentally assisted cracking (EAC) of low-alloy steels in light water reactor (LWR) coolant environments has been a concern ever since the early 1970's. And, recent fatigue test data indicate a significant decrease in fatigue lives of carbon steels, low-alloy steels and austenitic stainless steels in LWR coolant environments. For these reasons, fatigue of major components has been identified as a technical issue remaining to be resolved for life management and license renewal of nuclear power plants. In the present paper, results of recent investigations by many organizations are reviewed to provide technical justification to support the development of utility approach regarding the management of fatigue considering LWR coolant environments for the purpose of life management and license renewal of nuclear power plants. (author)

  13. Speed limiter integrated fatigue analyzer (SLIFA) for speed and fatigue control on diesel engine truck and bus

    Science.gov (United States)

    Wahyudi, Haris; Pranoto, Hadi; Leman, A. M.; Sebayang, Darwin; Baba, I.

    2017-09-01

    Every second, the number of road traffic deaths is increased globally with millions more sustaining severe injuries and living with long-term adverse health consequences. Jakarta alone in year 2015 had recorded 556 people died due to road accidents, approximately reached 6.231 road accident cases. The identified major contributory factors of such unfortunate events are both driver fatigue and over speeding habit especially related to the driving of truck and bus. This paper presents the idea on how to control the electronic system from input fuel system of injection pump and the combustion chamber engine will control the valve solenoid in injection pump which can lock and fuel will stop for moment, and speed limit can be success, by using sensor heart rate we can input reduce speed limit when fatigue detection driver. Integration process this tool can be relevant when Speed Limiter Integrated Fatigue Analyser (SLIFA) trial in the diesel engine for truck and bus, the result of this research Speed Limiter Integrated Fatigue Analyser (SLIFA) able to control speed of diesel engine for truck and bus almost 30km/h, 60km/h, and until 70 km/h. The installation of the sensor heart rate as the input speed limit SLIFA would work when the driver is detected to be in the fatigue condition. We make Speed Limiter Integrated Fatigue Analyser (SLIFA) for control and monitoring system for diesel engine in truck and bus. Speed Limiter Integrated Fatigue Analyser (SLIFA) system can save the historical of the speed record, fatigue, rpm, and body temperature of the driver.

  14. Effect of tooth whitening strips on fatigue resistance and flexural strength of bovine dentin in vitro.

    Directory of Open Access Journals (Sweden)

    Laura E Tam

    Full Text Available To determine the effects of whitening strips on bovine dentin fatigue resistance and flexural strength in vitro.A total of eighty bovine dentin specimens (2x2x17mm were treated with either: control glycerine gel on plastic film wrap or whitening strips containing 9.5% hydrogen peroxide. Treatment was applied for 30 minutes, twice a day, for 1- or 4-weeks. After the last treatment, ten specimens per group were randomly selected to undergo fatigue testing (106 cycles, 3Hz, 20N while the other ten were subjected to flexural strength testing after ten days of storage in artificial saliva. Kaplan-Meier method with a log rank test, Wilcoxon test and Cox regression were used to assess fatigue test results (p<0.05. One-way ANOVA and Tukey's tests were used to compare the flexural strength results (p<0.05.There were significant differences in survival during the fatigue test among the groups (p<0.001. Treatment (control or bleach was a significant factor for specimen survival (p<0.001, Exp(B = 33.45. There were significant differences in mean flexural strength (p<0.001. No significant difference was found between "1-wk control" and "4-wk control". The mean flexural strength and fatigue resistance of the "4-wk bleach" were significantly lower than all the other groups.The use of whitening strips reduced the fatigue resistance and flexural strength of bovine dentin in vitro. Until the effect of whitening strips on mechanical properties of human dentin is fully elucidated, it remains prudent to advise patients to avoid excessive direct use of whitening strips on dentin.

  15. [Mediator effect analysis of the trait coping style on job stress and fatigue of the military personnel stationed in plateau and high cold region].

    Science.gov (United States)

    Zhang, J J; Jia, J M; Tao, N; Song, Z X; Ge, H; Jiang, Y; Tian, H; Qiu, E C; Tang, J H; Liu, J W

    2017-03-20

    Objective: To investigate the fatigue status of military personnel stationed in plateau and high cold region, and to analyze the mediator effect of trait coping style on job stress and fatigue. Methods: In October 2010, with the method of cluster random sampling survey, 531 military personnel stationed in plateau and high cold region were chosen as subject. The fatigue status were evaluated by the Chinese version multidimensional fatigue inventory (MFI-20) , job stress were evaluated by the Job Stress Survey (JSS) , and trait coping style were evaluated by the Trait Coping Style Questionnaire (TCSQ) . Results: According to the information of different population characteristics, mean rank of physical fatigue about the urban (town) group were higher than that of rural group ( Z =-2.200, P fatigue scores about the urban (town) group were higher than that of rural group ( Z =-3.026, P fatigue about the up or equal 20-years old age group were higher than that of below 20-years old age group ( Z =-4.045, P fatigue about the up or equal 20-years old age group were higher than that of below 20-years old age group ( Z =-2.879, P fatigue scores about the up or equal 20-years old age group were higher than that of below 20-years old age group ( Z =-3.647, P fatigue scores were significant statistical difference among the military officers, sergeancy and soldier group ( F =14.711, P fatigue ( r (s)=0.129) , reduced activity ( r (s)=0.123) , reduced motivation ( r (s)=0.149) and general fatigue ( r (s)=0.174) respectively, the score of organizational support lack strength were positively correlated with the score of physical fatigue ( r (s)=0.090) , reduced activity ( r (s)=0.098) , reduced motivation ( r (s)=0.099) and general fatigue ( r (s)=0.130) respectively. The mediator effect of negative coping style on the job stress and fatigue was 0.013 ( P fatigue statuses of the urban (town) group and the up or equal 20-years old age group are poor, and the negative coping style

  16. Beliefs about Emotions, Depression, Anxiety and Fatigue: A Mediational Analysis.

    Science.gov (United States)

    Sydenham, Mia; Beardwood, Jennifer; Rimes, Katharine A

    2017-01-01

    Beliefs that it is unacceptable to experience or express negative emotions have been found to be associated with various clinical problems. It is unclear how such beliefs, which could be viewed as a form of unhelpful perfectionism about emotions, may contribute to symptomatology. This study investigated two hypotheses: a) greater endorsement of beliefs about the unacceptability of negative emotions will be associated with greater emotional avoidance and lower levels of support-seeking and self-compassion; b) these beliefs about emotions will be associated with higher levels of symptoms of depression, anxiety and fatigue and that this relationship will be mediated by social support-seeking, emotional avoidance and self-compassion. Online questionnaires were completed by 451 community participants. Mediational analyses were undertaken to investigate emotional avoidance, social support-seeking and self-compassion as mediators of the relationship between beliefs about emotions and symptoms of depression, anxiety and fatigue. Beliefs about the unacceptability of negative emotions were significantly associated with more emotional avoidance and less self-compassion and support-seeking. The relationships between beliefs about emotions and depression, anxiety and fatigue were significantly mediated by self-compassion and emotional avoidance but not social support-seeking. Future research should investigate whether interventions that pay particular attention to emotional avoidance and self-compassion, such as mindfulness-based therapy or modified forms of CBT, may be beneficial in reducing distress and fatigue associated with beliefs about the unacceptability of negative emotions.

  17. Cognitive fatigue in patients with myasthenia gravis.

    Science.gov (United States)

    Jordan, Berit; Schweden, Tabea L K; Mehl, Theresa; Menge, Uwe; Zierz, Stephan

    2017-09-01

    Cognitive fatigue has frequently been reported in myasthenia gravis (MG). However, objective assessment of cognitive fatigability has never been evaluated. Thirty-three MG patients with stable generalized disease and 17 healthy controls underwent a test battery including repeated testing of attention and concentration (d2-R) and Paced Auditory Serial Addition Test. Fatigability was based on calculation of linear trend (LT) reflecting dynamic performance within subsequent constant time intervals. Additionally, fatigue questionnaires were used. MG patients showed a negative LT in second d2-R testing, indicating cognitive fatigability. This finding significantly differed from stable cognitive performance in controls (P fatigue was significantly higher in MG patients compared with controls (P fatigue is not correlated with objective findings. Muscle Nerve 56: 449-457, 2017. © 2016 Wiley Periodicals, Inc.

  18. Low cycle fatigue and creep-fatigue interaction behavior of nickel-base superalloy GH4169 at elevated temperature of 650 °C

    Energy Technology Data Exchange (ETDEWEB)

    Chen, G., E-mail: agang@tju.edu.cn [School of Chemical Engineering and Technology, Tianjin University, Tianjin 300072 (China); Zhang, Y. [School of Chemical Engineering and Technology, Tianjin University, Tianjin 300072 (China); Xu, D.K. [Environmental Corrosion Center, Institute of Metal Research, Chinese Academy of Sciences, Shenyang 110016 (China); Lin, Y.C. [School of Mechanical and Electrical Engineering, Central South University, Changsha 410083 (China); Chen, X. [School of Chemical Engineering and Technology, Tianjin University, Tianjin 300072 (China)

    2016-02-08

    Total strain-controlled low cycle fatigue (LCF) tests of a nickel based superalloy were performed at 650 °C. Various hold times were introduced at the peak tensile strain to investigate the high-temperature creep-fatigue interaction (CFI) effects under the same temperature. A substantial decrease in fatigue life occurred as the total strain amplitude increased. Moreover, tensile strain holding further reduced fatigue life. The saturation phenomenon of holding effect was found when the holding period reached 120 s. Cyclic softening occurred during the LCF and CFI process and it was related to the total strain amplitude and the holding period. The relationship between life-time and total strain amplitude was obtained by combining Basquin equation and Coffin-Manson equation. The surface and fracture section of the fatigued specimens were observed via scanning electronic microscope (SEM) to determine the failure mechanism.

  19. Anti-fatigue mats, low back pain, and electromyography: An interventional study.

    Science.gov (United States)

    Aghazadeh, Javad; Ghaderi, Mahmoud; Azghani, Mahmood-Reza; Khalkhali, Hamid-Reza; Allahyari, Teimour; Mohebbi, Iraj

    2015-01-01

    Increasing bilateral gluteus medius co-activation has been identified as one of the most important factors in developing low back pain due to prolonged standing in healthy people. This study aims to investigate the impact of an anti-fatigue mat on the bilateral gluteus medius co-activation pattern and to report the low back pain subjectively in 2 different standing positions on the normal rigid surface and on the anti-fatigue mat. While carrying out an easy simulated profession, 16 participants who had no low back pain background were requested to stand for 2 h in each position, with and without using the anti-fatigue floor mat, respectively. At the beginning of standing process and at every 15 min until the time of 120 min lapses, electric activities for the bilateral gluteus medius co-activation and subjective pain level in low back area were collected by the surface electromyogeraphy (EMG) and the visual analogue scale (VAS), respectively in each position. The obtained findings revealed that the anti-fatigue mat significantly decreased subjective pain level in low back area among 15 participants (p 0.05). The findings obtained under this study related to the impact of the anti-fatigue mat upon the low back pain based on the increase of > 10 mm on the VAS threshold, which showed that this intervention had no significant impact upon decreasing the number of patients suffering from the low back pain and also minimizing the bilateral gluteus medius co-activation in both pain developer groups (p > 0.05). However, 73% of the participants preferred to apply it. It seems that the anti-fatigue mat may be useful in reducing the low back pain although it objectively didn't significantly change the gluteus medius co-activation pattern related to the low back pain. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

  20. Efficacy of kinesiology tape versus postural correction exercises on neck disability and axioscapular muscles fatigue in mechanical neck dysfunction: A randomized blinded clinical trial.

    Science.gov (United States)

    El-Abd, Aliaa M; Ibrahim, Abeer R; El-Hafez, Haytham M

    2017-04-01

    Mechanical neck dysfunction (MND), with axioscapular muscles fatigue, is highly prevalent worldwide. While postural correction is commonly used for its treatment, efficacy of kinesiology tape (KT) has received considerable attention. To determine the effectiveness of KT versus correction exercises on neck disability, and axioscapular muscles fatigue in MND patients. 46 MND patients were randomly assigned into 1 of 2 groups receiving 4 weeks treatment of either KT or correction exercises. Neck disability and axioscapular muscles fatigue as median frequency of electromyography (EMG-MF) were measured pre and post treatment. Group-by-time interaction was not significant in the multivariable test. Post hoc tests revealed that KT produced more disability reduction than the postural exercises. However, there was no significant interaction for EMG-MF. KT has been found to be more effective than postural exercises to reduce neck disability. However, both modalities have similar effects to reduce axioscapular muscles fatigue. Copyright © 2016 Elsevier Ltd. All rights reserved.

  1. Creep-fatigue of low cobalt superalloys

    Science.gov (United States)

    Halford, G. R.

    1982-01-01

    Testing for the low cycle fatigue and creep fatigue resistance of superalloys containing reduced amounts of cobalt is described. The test matrix employed involves a single high temperature appropriate for each alloy. A single total strain range, again appropriate to each alloy, is used in conducting strain controlled, low cycle, creep fatigue tests. The total strain range is based upon the level of straining that results in about 10,000 cycles to failure in a high frequency (0.5 Hz) continuous strain-cycling fatigue test. No creep is expected to occur in such a test. To bracket the influence of creep on the cyclic strain resistance, strain hold time tests with ore minute hold periods are introduced. One test per composition is conducted with the hold period in tension only, one in compression only, and one in both tension and compression. The test temperatures, alloys, and their cobalt compositions that are under study are given.

  2. Improving the fatigue performance of porous metallic biomaterials produced by Selective Laser Melting.

    Science.gov (United States)

    Van Hooreweder, Brecht; Apers, Yanni; Lietaert, Karel; Kruth, Jean-Pierre

    2017-01-01

    This paper provides new insights into the fatigue properties of porous metallic biomaterials produced by additive manufacturing. Cylindrical porous samples with diamond unit cells were produced from Ti6Al4V powder using Selective Laser Melting (SLM). After measuring all morphological and quasi-static properties, compression-compression fatigue tests were performed to determine fatigue strength and to identify important fatigue influencing factors. In a next step, post-SLM treatments were used to improve the fatigue life of these biomaterials by changing the microstructure and by reducing stress concentrators and surface roughness. In particular, the influence of stress relieving, hot isostatic pressing and chemical etching was studied. Analytical and numerical techniques were developed to calculate the maximum local tensile stress in the struts as function of the strut diameter and load. With this method, the variability in the relative density between all samples was taken into account. The local stress in the struts was then used to quantify the exact influence of the applied post-SLM treatments on the fatigue life. A significant improvement of the fatigue life was achieved. Also, the post-SLM treatments, procedures and calculation methods can be applied to different types of porous metallic structures and hence this paper provides useful tools for improving fatigue performance of metallic biomaterials. Additive Manufacturing (AM) techniques such as Selective Laser Melting (SLM) are increasingly being used for producing customized porous metallic biomaterials. These biomaterials are regularly used for biomedical implants and hence a long lifetime is required. In this paper, a set of post-built surface and heat treatments is presented that can be used to significantly improve the fatigue life of porous SLM-Ti6Al4V samples. In addition, a novel and efficient analytical local stress method was developed to accurately quantify the influence of the post

  3. Fatigue, Work Schedules, and Perceived Performance in Bedside Care Nurses.

    Science.gov (United States)

    Sagherian, Knar; Clinton, Michael E; Abu-Saad Huijer, Huda; Geiger-Brown, Jeanne

    2017-07-01

    Hospital nurses are expected to maintain optimal work performance; yet, fatigue can threaten safe practice and result in unfavorable patient outcomes. This descriptive cross-sectional study explored the association between fatigue, work schedules, and perceived work performance among nurses. The study sample included 77 bedside nurses who were mostly female, single, and between 20 and 29 years of age. The majority worked 8-hour shifts and overtime. Nurses who worked during off days reported significantly higher chronic fatigue compared with those nurses who took time off. Nurses who reported feeling refreshed after sleep had significantly less chronic and acute fatigue and more intershift recovery. Nurses with acute and chronic fatigue perceived poorer physical performance. Also, nurses who reported chronic fatigue perceived they were less alert and less able to concentrate when providing patient care. Less effective communication was also associated with acute and chronic fatigue. In conclusion, fatigue has safety implications for nurses' practice that should be monitored by nursing management.

  4. Muscular fatigue in response to different modalities of CrossFit sessions.

    Directory of Open Access Journals (Sweden)

    José Luis Maté-Muñoz

    Full Text Available CrossFit is a new strength and conditioning regimen involving short intense daily workouts called workouts of the day (WOD. This study assesses muscular fatigue levels induced by the three modalities of CrossFit WOD; gymnastics (G, metabolic conditioning (M and weightlifting (W.34 healthy subjects undertook three WOD (one per week: a G WOD consisting of completing the highest number of sets of 5 pull-ups, 10 push-ups and 15 air squats in 20 min; an M WOD, in which the maximum number of double skipping rope jumps was executed in 8 sets (20 s, resting (10 s between sets; and finally, a W WOD in which the maximum number of power cleans was executed in 5 min, lifting a load equivalent to 40% of the individual's 1RM. Before and after each WOD, blood lactate concentrations were measured. Also, before, during, and after each WOD, muscular fatigue was assessed in a countermovement jump test (CMJ.Significant reductions were produced in the mechanical variables jump height, average power and maximum velocity in response to G; and in jump height, mean and peak power, maximum velocity and maximum force in response to W (P<0.01. However, in M, significant reductions in mechanical variables were observed between pre- and mid session (after sets 2, 4, 6 and 8, but not between pre- and post session.Muscular fatigue, reflected by reduced CMJ variables, was produced following the G and W sessions, while recovery of this fatigue was observed at the end of M, likely attributable to rest intervals allowing for the recovery of phosphocreatine stores. Our findings also suggest that the high intensity and volume of exercise in G and W WODs could lead to reduced muscular-tendon stiffness causing a loss of jump ability, related here to a longer isometric phase during the CMJ.

  5. Muscular fatigue in response to different modalities of CrossFit sessions.

    Science.gov (United States)

    Maté-Muñoz, José Luis; Lougedo, Juan H; Barba, Manuel; García-Fernández, Pablo; Garnacho-Castaño, Manuel V; Domínguez, Raúl

    2017-01-01

    CrossFit is a new strength and conditioning regimen involving short intense daily workouts called workouts of the day (WOD). This study assesses muscular fatigue levels induced by the three modalities of CrossFit WOD; gymnastics (G), metabolic conditioning (M) and weightlifting (W). 34 healthy subjects undertook three WOD (one per week): a G WOD consisting of completing the highest number of sets of 5 pull-ups, 10 push-ups and 15 air squats in 20 min; an M WOD, in which the maximum number of double skipping rope jumps was executed in 8 sets (20 s), resting (10 s) between sets; and finally, a W WOD in which the maximum number of power cleans was executed in 5 min, lifting a load equivalent to 40% of the individual's 1RM. Before and after each WOD, blood lactate concentrations were measured. Also, before, during, and after each WOD, muscular fatigue was assessed in a countermovement jump test (CMJ). Significant reductions were produced in the mechanical variables jump height, average power and maximum velocity in response to G; and in jump height, mean and peak power, maximum velocity and maximum force in response to W (P<0.01). However, in M, significant reductions in mechanical variables were observed between pre- and mid session (after sets 2, 4, 6 and 8), but not between pre- and post session. Muscular fatigue, reflected by reduced CMJ variables, was produced following the G and W sessions, while recovery of this fatigue was observed at the end of M, likely attributable to rest intervals allowing for the recovery of phosphocreatine stores. Our findings also suggest that the high intensity and volume of exercise in G and W WODs could lead to reduced muscular-tendon stiffness causing a loss of jump ability, related here to a longer isometric phase during the CMJ.

  6. The effectiveness of intradialytic leg ergometry exercise for improving sedentary life style and fatigue among patients with chronic kidney disease: a randomized clinical trial.

    Science.gov (United States)

    Chang, Yuanmay; Cheng, Sue-Yueh; Lin, Meeiliang; Gau, Fung-Yi; Chao, Yann-Fen C

    2010-11-01

    Over the past three decades, research has been carried out on the effects of exercise on chronic kidney disease patients for improving their physical potential. The purpose of this study is to evaluate the effect of intradialytic leg ergometry exercise for improving fatigue and daily physical activity levels among chronic kidney disease patients. A quasi-experimental clinical trial. Two hemodialysis units in a medical center in northern Taiwan. The leg ergometry exercise was performed within the first hour of each hemodialysis session for 30 min for 8 weeks. There were 36 subjects in the experimental group and 35 subjects in the control group who completed the study. Measurement on a fatigue scale and a physical activity log were done at the time of enrollment, and again on the fourth and eighth weeks. Active subjects demonstrated significantly less fatigue and higher physical activity levels than those with a sedentary lifestyle at baseline. During the 8 weeks of intervention, subjects in both the active and sedentary groups reduced their fatigue levels significantly, with the exception of sedentary subjects in the control group. Only active subjects in the experimental group demonstrated an increase in activity levels. The 36 subjects performed 3456 leg ergometry exercise sessions with three early terminations (sedentary subjects. Intradialytic leg ergometry is a safe exercise that is effective to reduce fatigue and improve physical fitness in already active chronic kidney disease patients and it also reduces fatigue in sedentary patients. Interventions to motivate sedentary patients to become active require further investigation. Exercise during hemodialysis does not cost patients extra time and is effective in reducing fatigue and increasing physical activity potential as demonstrated by our study; 30 min of intradialytic leg ergometer exercise can be considered as routine care while delivering hemodialysis. Copyright 2010 Elsevier Ltd. All rights reserved.

  7. Multidisciplinary rehabilitation treatment versus cognitive behavioural therapy for patients with chronic fatigue syndrome: a randomized controlled trial.

    Science.gov (United States)

    Vos-Vromans, D C W M; Smeets, R J E M; Huijnen, I P J; Köke, A J A; Hitters, W M G C; Rijnders, L J M; Pont, M; Winkens, B; Knottnerus, J A

    2016-03-01

    The aim of this trial was to evaluate the difference in treatment effect, at 26 and 52 weeks after the start of treatment, between cognitive behavioural therapy (CBT) and multidisciplinary rehabilitation treatment (MRT) for patients with chronic fatigue syndrome (CFS). Multicentre, randomized controlled trial of patients with CFS. Participants were randomly assigned to MRT or CBT. Four rehabilitation centres in the Netherlands. A total of 122 patients participated in the trial. Primary outcomes were fatigue measured by the fatigue subscale of the Checklist Individual Strength and health-related quality of life measured by the Short-Form 36. Outcomes were assessed prior to treatment and at 26 and 52 weeks after treatment initiation. A total of 114 participants completed the assessment at 26 weeks, and 112 completed the assessment at 52 weeks. MRT was significantly more effective than CBT in reducing fatigue at 52 weeks. The estimated difference in fatigue between the two treatments was -3.02 [95% confidence interval (CI) -8.07 to 2.03; P = 0.24] at 26 weeks and -5.69 (95% CI -10.62 to -0.76; P = 0.02) at 52 weeks. Patients showed an improvement in quality of life over time, but between-group differences were not significant. This study provides evidence that MRT is more effective in reducing long-term fatigue severity than CBT in patients with CFS. Although implementation in comparable populations can be recommended based on clinical effectiveness, it is advisable to analyse the cost-effectiveness and replicate these findings in another multicentre trial. © 2015 The Association for the Publication of the Journal of Internal Medicine.

  8. Evaluation of conservatisms and environmental effects in ASME Code, Section III, Class 1 fatigue analysis

    International Nuclear Information System (INIS)

    Deardorff, A.F.; Smith, J.K.

    1994-08-01

    This report documents the results of a study regarding the conservatisms in ASME Code Section 3, Class 1 component fatigue evaluations and the effects of Light Water Reactor (LWR) water environments on fatigue margins. After review of numerous Class 1 stress reports, it is apparent that there is a substantial amount of conservatism present in many existing component fatigue evaluations. With little effort, existing evaluations could be modified to reduce the overall predicted fatigue usage. Areas of conservatism include design transients considerably more severe than those experienced during service, conservative grouping of transients, conservatisms that have been removed in later editions of Section 3, bounding heat transfer and stress analysis, and use of the ''elastic-plastic penalty factor'' (K 3 ). Environmental effects were evaluated for two typical components that experience severe transient thermal cycling during service, based on both design transients and actual plant data. For all reasonable values of actual operating parameters, environmental effects reduced predicted margins, but fatigue usage was still bounded by the ASME Section 3 fatigue design curves. It was concluded that the potential increase in predicted fatigue usage due to environmental effects should be more than offset by decreases in predicted fatigue usage if re-analysis were conducted to reduce the conservatisms that are present in existing component fatigue evaluations

  9. The Comparison between Spectral and Entropic Measures Following Fatigue in Erector Spinae Muscles

    Directory of Open Access Journals (Sweden)

    Saeed Talebian

    2016-03-01

    Full Text Available Background: Surface electromyography (sEMG of muscles is a non-invasive tool that can be helpful in the assessment of muscle function and some motor control evaluations. A loss of force, known as muscle fatigue is accompanied by changes in muscle electrical activity. One of the most commonly used surface EMG parameters which reflects paraspinal muscle fatigue during different tasks and positions is median frequency. Although it is widely known that the electromyography power spectrum shifts to lower frequencies during fatiguing contraction, an opinion exists that the validity of spectral shifts in assessment of fatigue is questionable. Some researchers have examined whether other quantities derived from sEMG signals are better indicators for muscle fatigue. Following cyclic flexion/extension and consequence fatigue, variation in sEMG signals may be complex for study. The aim of this study was to determine which of the median frequency (MF or entropic (ENTR is more sensitive for measuring muscular fatigue in erector spinae muscles during cyclic flexion/extension. Methods: Surface electromyography of erector spine muscles was recorded in 25 healthy subjects during cyclic dynamic contractions. The experimental session consisted of two parts: measurement of Maximal Voluntary Contraction (MVC, and performing the fatigue test. All subjects performed rhythmic flexion/extension with 50% MVC loading against B-200 Isostation, about 4-6 minutes. The MF and ENTR of the muscle activities were computed to assess muscular fatigue. Results: Paired sample t-tests showed that MF and ENTR changes after fatigue test were significant (P<0.001. Percentage changes of both MF and ENTR were reduced, this reduction for ENTR was more than 40% (P<0.001. Conclusion: It seems that the changes of ENTR in muscle activities have the ability to measure muscular fatigue and is more sensitive in comparison to MF.

  10. Psychosocial interventions for fatigue during cancer treatment with palliative intent.

    Science.gov (United States)

    Poort, Hanneke; Peters, Marlies; Bleijenberg, Gijs; Gielissen, Marieke Fm; Goedendorp, Martine Margaretha; Jacobsen, Paul; Verhagen, Stans; Knoop, Hans

    2017-07-14

    interest for this review (diagnosis of incurable cancer and receiving cancer treatment) from the study investigators of 12 studies, for which we included 535 participants in the subset meta-analysis for fatigue post intervention. Researchers investigated a broad range of psychosocial interventions with different intervention aims and durations. We identified sources of potential bias, including lack of description of methods of blinding and allocation concealment and inclusion of small study populations.Findings from our meta-analysis do not support the effectiveness of psychosocial interventions for reducing fatigue post intervention (standardised mean difference (SMD) -0.25, 95% confidence interval (CI) -0.50 to 0.00; not significant; 535 participants, 12 studies; very low-quality evidence). First follow-up findings on fatigue suggested benefit for participants assigned to the psychosocial intervention compared with control (SMD -0.66, 95% CI -1.00 to -0.32; 147 participants, four studies; very low-quality evidence), which was not sustained at second follow-up (SMD -0.41, 95% CI -1.12 to 0.30; not significant; very low-quality evidence).Results for our secondary outcomes revealed very low-quality evidence for the efficacy of psychosocial interventions in improving physical functioning post intervention (SMD 0.32, 95% CI 0.01 to 0.63; 307 participants, seven studies). These findings were not sustained at first follow-up (SMD 0.37, 95% CI -0.20 to 0.94; not significant; 122 participants, two studies; very low-quality evidence). Findings do not support the effectiveness of psychosocial interventions for improving social functioning (mean difference (MD) 4.16, 95% CI -11.20 to 19.53; not significant; 141 participants, four studies), role functioning (MD 3.49, 95% CI -12.78 to 19.76; not significant; 143 participants, four studies), emotional functioning (SMD -0.11, 95% CI -0.56 to 0.35; not significant; 115 participants, three studies), or cognitive functioning (MD -2.23, 95

  11. Flexural fatigue life prediction of closed hat-section using materially nonlinear axial fatigue characteristics

    Science.gov (United States)

    Razzaq, Zia

    1989-01-01

    Straight or curved hat-section members are often used as structural stiffeners in aircraft. For instance, they are employed as stiffeners for the dorsal skin as well as in the aerial refueling adjacent area structure in F-106 aircraft. The flanges of the hat-section are connected to the aircraft skin. Thus, the portion of the skin closing the hat-section interacts with the section itself when resisting the stresses due to service loads. The flexural fatigue life of such a closed section is estimated using materially nonlinear axial fatigue characteristics. It should be recognized that when a structural shape is subjected to bending, the fatigue life at the neutral axis is infinity since the normal stresses are zero at that location. Conversely, the fatigue life at the extreme fibers where the normal bending stresses are maximum can be expected to be finite. Thus, different fatigue life estimates can be visualized at various distances from the neural axis. The problem becomes compounded further when significant portions away from the neutral axis are stressed into plastic range. A theoretical analysis of the closed hat-section subjected to flexural cyclic loading is first conducted. The axial fatigue characteristics together with the related axial fatigue life formula and its inverted form given by Manson and Muralidharan are adopted for an aluminum alloy used in aircraft construction. A closed-form expression for predicting the flexural fatigue life is then derived for the closed hat-section including materially nonlinear action. A computer program is written to conduct a study of the variables such as the thicknesses of the hat-section and the skin, and the type of alloy used. The study has provided a fundamental understanding of the flexural fatigue life characteristics of a practical structural component used in aircraft when materially nonlinear action is present.

  12. Protective effects of antidepressants against chronic fatigue syndrome-induced behavioral changes and biochemical alterations.

    Science.gov (United States)

    Kumar, Anil; Garg, Ruchika

    2009-02-01

    Chronic fatigue syndrome (CFS) is characterized by profound fatigue, which substantially interferes with daily activities. The aim of this study was to explore the protective effects of antidepressants in an animal model of CFS in mice. Male albino mice were forced to swim individually for a period of 6-min session each for 7 days. Imipramine (10 and 20 mg/kg), desipramine (10 and 20 mg/kg) and citalopram (5 and 10 mg/kg) were administered 30 min before forced swimming test on each day. Various behavior tests (immobility time, locomotor activity, anxiety-like behavior by plus maze and mirror chamber) followed by biochemical parameters (lipid peroxidation, reduced glutathione, catalase and nitrite level) were assessed in chronic stressed mice. Chronic forced swimming for 7 days significantly caused increase in immobility period, impairment in locomotor activity, anxiety-like behavior, and oxidative stress (raised lipid peroxidation, nitrite activity and reduced glutathione and catalase activity) as compared with naïve mice (P immobility time, improved locomotor activity and anti-anxiety effect (in both plus maze and mirror chamber test), and attenuated oxidative stress in chronic stressed mice as compared with control (chronic fatigues) (P < 0.05). These results suggested that these drugs have protective effect and could be used in the management of chronic fatigue like conditions.

  13. Assessment of fatigue in cancer patients and community dwellers: validation study of the Filipino version of the brief fatigue inventory.

    Science.gov (United States)

    Mendoza, Tito R; Laudico, Adriano V; Wang, Xin Shelley; Guo, Hong; Matsuda, Maria Lourdes; Yosuico, Victor D; Fragante, Edilberto P; Cleeland, Charles S

    2010-01-01

    Clinical trials that might identify effective therapies for cancer-related fatigue, one of the most distressing symptoms experienced by patients, require a validated fatigue assessment tool. We developed and validated a Filipino language version of the Brief Fatigue Inventory (BFI-F) for describing the prevalence and severity of fatigue among Filipino patients with cancer. We conducted a cross-sectional study in Manila, Philippines, in 206 patients with cancer and 170 age-matched community-dwelling adults who had never had a diagnosis of cancer. Validity and reliability were evaluated by principal factor analysis and Cronbach's α coefficients. Factor analysis extracted 1 factor, i.e. fatigue severity, with a Cronbach's α of 0.95; this is consistent with the original BFI English version validation study. Approximately 49% of the patients with cancer had mild fatigue, 34% had moderate fatigue, and 17% had severe fatigue. Patients with a poorer performance status had significantly worse fatigue than patients with a better performance status (5.0 ± 2.8 vs. 3.8 ± 2.2; p Filipino cancer patients. Copyright © 2010 S. Karger AG, Basel.

  14. Low Incidence of Fatigue after Hypofractionated Stereotactic Body Radiation Therapy (SBRT for Localized Prostate Cancer

    Directory of Open Access Journals (Sweden)

    Chiranjeev eDash

    2012-10-01

    Full Text Available Background: Fatigue is a common side-effect of conventional prostate cancer radiation therapy. The increased delivery precision necessitated by the high dose per fraction of stereotactic body radiation therapy (SBRT offers the potential of reduce target volumes and hence the exposure of normal tissues to high radiation doses. Herein, we examine the level of fatigue associated with SBRT treatment.Methods: Forty patients with localized prostate cancer treated with hypofractionated SBRT, and a minimum of 12 months follow-up were included in this analysis. Self-reported fatigue and other quality of life measures were assessed at baseline and at 1, 3, 6, 9, and 12 months post-SBRT.Results: Mean levels of fatigue were elevated at 1 month post-SBRT compared to baseline values (p=0.02. Fatigue at the 3-month follow-up and later were higher but not statistically significantly different compared to baseline. African-American patients reported higher fatigue post-SBRT than Caucasian patients. Fatigue was correlated with hormonal symptoms as measured by the Expanded Prostate Cancer Index Composite (EPIC quality of life questionnaire, but not with urinary, bowel, or sexual symptoms. Age, co-morbidities, smoking, prostate specific antigen (PSA levels, testosterone levels, and tumor stage were not associated with fatigue. Conclusion: This is the first study to investigate fatigue as a side-effect of SBRT. In contrast to standard radiation therapy, results suggest SBRT-related fatigue is short-term rather than a long-term side effect of SBRT. These results also suggest post-SBRT fatigue to be a more frequent complication in African-Americans than Caucasians.

  15. Fatigue and sleep quality in rheumatoid arthritis patients during hospital admission

    Directory of Open Access Journals (Sweden)

    Paulina Szady

    2017-04-01

    Full Text Available Objectives : Rheumatoid arthritis (RA is a systemic disease of connective tissue characterised by chronic course with periods of exacerbation and remission. Even in the early stages of the disease patients report the occurrence of fatigue and sleep disorders. Reduced sleep quality and chronic fatigue are common among patients with rheumatoid arthritis. The aim of the research was to evaluate the severity of fatigue and sleep quality assessment among patients hospitalised with rheumatoid arthritis and to determine the relation between the level of symptoms of fatigue and sleep quality and variables such as: age, gender, disease duration, marital status, applied pharmacological treatment, and pain intensity. Materials and methods : The study involved 38 patients (12 men and 26 women hospitalised in the Rheumatologic Ward of the Orthopaedics and Rehabilitation Hospital of the University of Medical Sciences. The average age of the entire group was 56.26 years. Fatigue was evaluated with use of Polish version of Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F, while in order to evaluate sleep quality within the examined group of patients the Pittsburgh Sleep Quality Index (PSQI was used. Results : Patients with rheumatoid arthritis in the analysed group have lower sleep quality, and within subjects with such a diagnosis the fatigue is present. The relation was found between fatigue and such variables as: age, illness duration, marital status, applied pharmacological treatment, and severity of pain. Sleep quality within patients with RA is correlated by such variables as: age, gender, applied pharmaceutical treatment, and severity of pain. It was identified that patients with lower sleep quality experience increased levels of fatigue. Conclusions : There is a need to clarify which factors determine the level of fatigue and sleep quality in patients suffering from RA in future population-based research and to indicate to doctors

  16. Subjective but Not Actigraphy-Defined Sleep Predicts Next-Day Fatigue in Chronic Fatigue Syndrome: A Prospective Daily Diary Study.

    Science.gov (United States)

    Russell, Charlotte; Wearden, Alison J; Fairclough, Gillian; Emsley, Richard A; Kyle, Simon D

    2016-04-01

    This study aimed to (1) examine the relationship between subjective and actigraphy-defined sleep, and next-day fatigue in chronic fatigue syndrome (CFS); and (2) investigate the potential mediating role of negative mood on this relationship. We also sought to examine the effect of presleep arousal on perceptions of sleep. Twenty-seven adults meeting the Oxford criteria for CFS and self-identifying as experiencing sleep difficulties were recruited to take part in a prospective daily diary study, enabling symptom capture in real time over a 6-day period. A paper diary was used to record nightly subjective sleep and presleep arousal. Mood and fatigue symptoms were rated four times each day. Actigraphy was employed to provide objective estimations of sleep duration and continuity. Multilevel modelling revealed that subjective sleep variables, namely sleep quality, efficiency, and perceiving sleep to be unrefreshing, predicted following-day fatigue levels, with poorer subjective sleep related to increased fatigue. Lower subjective sleep efficiency and perceiving sleep as unrefreshing predicted reduced variance in fatigue across the following day. Negative mood on waking partially mediated these relationships. Increased presleep cognitive and somatic arousal predicted self-reported poor sleep. Actigraphy-defined sleep, however, was not found to predict following-day fatigue. For the first time we show that nightly subjective sleep predicts next-day fatigue in CFS and identify important factors driving this relationship. Our data suggest that sleep specific interventions, targeting presleep arousal, perceptions of sleep and negative mood on waking, may improve fatigue in CFS. © 2016 Associated Professional Sleep Societies, LLC.

  17. Chronic fatigue in cancer patients treated with radiotherapy

    International Nuclear Information System (INIS)

    Rucinska, M.; Wojtukiewicz, M.Z.; Tokajuk, P.

    2004-01-01

    Fatigue is one of the most prevalent and profound symptoms related to both malignancy and anti-neoplastic treatment. It is being reported in 60% to 80% of cancer patients. We review the correlation between the cancer-related fatigue syndrome and radiotherapy. In patients undergoing radiotherapy, fatigue is often cumulative and may reach its peak during the last weeks of treatment. The presence of fatigue prior to therapy initiation is the most important predictive factor of the occurrence of radiotherapy-related cancer fatigue syndrome. Occasionally, fatigue persists for a prolonged period of months and even years beyond radiotherapy. Anemia may be one of major causative factors responsible for the development of the cancer-related fatigue syndrome. Fatigue has an enormous physical, mental, emotional, and economic impact on cancer patients, their families and care-providers. The treatment of radiation-related fatigue remains unknown. The initial approach should cover efforts aimed at the correction of potential etiologies, especially anemia. Education concerning fatigue greatly benefits some patients. It seems that exercise may be beneficial in relieving fatigue, bearing in mind that the exercise program for cancer patients should be initiated gradually and significantly individualized. (author)

  18. FATIGUE AND FAULTY POSTURE CONNECTION AMONG CHILDREN, DIAGNOSED WITH DYSARTHRIA

    Directory of Open Access Journals (Sweden)

    Andrejeva Julija

    2015-08-01

    Full Text Available Purpose : To analyze spastic dysarthria form in children population dependency of fatigue and faulty posture relationship. Methods: Research performed with the permission of the bioethics committee (RE-BK-063. The Dutch Fatigue Scale (DUFS. Posture in standing was assessed by Hoeger and Kendall. Research subjects n=40. n=20 children diagnosed with spastic dysarthria and n=20 of children without dysarthria. Their age was 10±2.1years. Boys were n=20 and girls - n=20.Results were statistically significant at p<0.05. Microsoft Office 2013, Excel package were used to count a research results. Results: For children with dysarthria fatigue level is more significant that for children without dysarthria; results were statistically significant, p<0.05. Posture disorder for children with dysarthria was statistically significant higher than among children without dysarthria, p<0.05. Conclusions: For children with dysarthria fatigue level is higher than for healthy children, thus for the girls fatigue level is higher than for the boys. Spastic form dysarthria has an impact to a child posture, by creating a direct dependency between posture deformation and skeletal muscle system disease, which decreases muscle power and increasing fatigue for a child. To correct faulty posture thus to decrease fatigue the tight collaboration needed between rehabilitation team members.

  19. Fatigue and faulty posture connection among children, diagnosed with dysarthria

    Directory of Open Access Journals (Sweden)

    Julija Andrejeva

    2015-08-01

    Full Text Available Purpose : To analyze spastic dysarthria form in children population dependency of fatigue and faulty posture relationship. Methods: Research performed with the permission of the bioethics committee (RE-BK-063. The Dutch Fatigue Scale (DUFS. Posture in standing was assessed by Hoeger and Kendall. Research subjects n=40. n=20 children diagnosed with spastic dysarthria and n=20 of children without dysarthria. Their age was 10±2.1years. Boys were n=20 and girls - n=20.Results were statistically significant at p<0.05. Microsoft Office 2013, Excel package were used to count a research results. Results: For children with dysarthria fatigue level is more significant that for children without dysarthria; results were statistically significant, p<0.05. Posture disorder for children with dysarthria was statistically significant higher than among children without dysarthria, p<0.05. Conclusions: For children with dysarthria fatigue level is higher than for healthy children, thus for the girls fatigue level is higher than for the boys. Spastic form dysarthria has an impact to a child posture, by creating a direct dependency between posture deformation and skeletal muscle system disease, which decreases muscle power and increasing fatigue for a child. To correct faulty posture thus to decrease fatigue the tight collaboration needed between rehabilitation team members.

  20. Functional assessment of chronic illness therapy—the fatigue scale exhibits stronger associations with clinical parameters in chronic dialysis patients compared to other fatigue-assessing instruments

    Directory of Open Access Journals (Sweden)

    Chia-Ter Chao

    2016-03-01

    Full Text Available Background. Patients with end-stage renal disease (ESRD have a high symptom burden, among which fatigue is highly prevalent. Many fatigue-assessing instruments exist, but comparisons among instruments in this patient population have yet to be investigated. Methods. ESRD patients under chronic hemodialysis were prospectively enrolled and seven types of fatigue instruments were administered: Brief Fatigue Inventory (BFI, Functional Assessment of Chronic Illness Therapy–Fatigue (FACIT-F, Fatigue Severity Scale (FSS, Lee Fatigue Scale (LFS, Fatigue Questionnaire (FQ, Fatigue Symptom Inventory (FSI, and Short-Form 36-Vitality (SF36-V. Using these instruments, we investigated the correlation between fatigue severity and clinical/biochemical parameters, including demographic/comorbidity profile, dialysis-related complications, and frailty severity. We used regression analysis with serum albumin and frailty severity as the dependent variables to investigate the independent correlations. Results. A total of 46 ESRD patients were enrolled (average age of 67 ± 11.6 years, and 50% of them had type 2 diabetes mellitus. Results from the seven tested instruments showed high correlation with each other. We found that the fatigue severity by FACIT-F was significantly associated with age (p = 0.03, serum albumin (p = 0.003 and creatinine (p = 0.02 levels, while SF36-V scores were also significantly associated with age (p = 0.02 and serum creatinine levels (p = 0.04. However, the fatigue severity measured by the FSS, FSI, FQ, BFI, and LFS did not exhibit these associations. Moreover, regression analysis showed that only FACIT-F scores were independently associated with serum albumin levels and frailty severity in ESRD patients. Conclusion. Among the seven fatigue-assessing instruments, only the FACIT-F yielded results that demonstrated significant and independent associations with important outcome-related features in ESRD patients.

  1. CNS fatigue provoked by prolonged exercise in the heat

    DEFF Research Database (Denmark)

    Nybo, Lars

    2010-01-01

    to the brain. However, exercise with superimposed hyperthermia is not only a challenge to the brain it also provides an excellent model for studying factors of importance for central fatigue. Excessive heat storage within the brain appears to be the primary cause for the central fatigue during exercise......Exercise-induced hyperthermia is associated with central fatigue as indicated by an impaired ability to sustain maximal motor activation during prolonged voluntary efforts. Therefore, exercise in hot environments challenges not only to the cardiorespiratory and locomotive systems but also...... to aggravate central fatigue and degrade exercise performance. Hyperthermia mediated central fatigue may include other cerebral perturbations such as reduced perfusion of the brain, accumulation of ammonia or depletion of neuronal energy stores, but further research is needed to elucidate their possible...

  2. Effects of exercise-induced fatigue on postural balance: a comparison of treadmill versus cycle fatiguing protocols.

    Science.gov (United States)

    Wright, Katherine E; Lyons, Thomas S; Navalta, James W

    2013-05-01

    The authors of this study examined the effects of muscle fatigue on balance indices and recovery time in recreationally trained individuals after incremental tests on a treadmill and a cycle ergometer. Sixteen participants (male N = 11, female N = 5) (mean age = 21.2 ± 2 years) completed this study. Balance measures were performed on a Biodex Balance System via the Dynamic Balance Test. Balance was measured pre-exercise, immediately post-exercise, and at 3-, 6-, 9-, 12-, 15-, 18-, and 21-min post-exercise. Immediately following the fatiguing treadmill test, balance increased significantly in the overall stability index (SI) (from 4.38 ± 2.48 to 6.09 ± 1.80) and the anterior/posterior index (API) (from 3.49 ± 2.18 to 5.28 ± 1.81) (p balance was not altered significantly in SI or API. Balance was not altered significantly for the medial/lateral index for either exercise test at any time point. Additionally, there were no significant differences in time to recovery. At 12-min post-exercise, all indices were below pre-exercise values, indicating that fatiguing exercise has a positive effect on balance over time. These results are consistent with previous research, suggesting that any effects of fatigue on balance are seen immediately and are diminished as time after exercise increases.

  3. Activation of the NLRP3 inflammasome in lipopolysaccharide-induced mouse fatigue and its relevance to chronic fatigue syndrome.

    Science.gov (United States)

    Zhang, Zi-Teng; Du, Xiu-Ming; Ma, Xiu-Juan; Zong, Ying; Chen, Ji-Kuai; Yu, Chen-Lin; Liu, Yan-Gang; Chen, Yong-Chun; Zhao, Li-Jun; Lu, Guo-Cai

    2016-04-05

    The NLRP3 inflammasome (NOD-like receptor family, pyrin domain containing 3) is an intracellular protein complex that plays an important role in innate immune sensing. Its activation leads to the maturation of caspase-1 and regulates the cleavage of interleukin (IL)-1β and IL-18. Various studies have shown that activation of the immune system plays a pivotal role in the development of fatigue. However, the mechanisms underlying the association between immune activation and fatigue remained elusive, and few reports have described the involvement of NLRP3 inflammasome activation in fatigue. We established a mouse fatigue model with lipopolysaccharide (LPS, 3 mg/kg) challenge combined with swim stress. Both behavioural and biochemical parameters were measured to illustrate the characteristics of this model. We also assessed NLRP3 inflammasome activation in the mouse diencephalon, which is the brain region that has been suggested to be responsible for fatigue sensation. To further identify the role of NLRP3 inflammasome activation in the pathogenesis of chronic fatigue syndrome (CFS), NLRP3 KO mice were also subjected to LPS treatment and swim stress, and the same parameters were evaluated. Mice challenged with LPS and subjected to the swim stress test showed decreased locomotor activity, decreased fall-off time in a rota-rod test and increased serum levels of IL-1β and IL-6 compared with untreated mice. Serum levels of lactic acid and malondialdehyde (MDA) were not significantly altered in the treated mice. We demonstrated increased NLRP3 expression, IL-1β production and caspase-1 activation in the diencephalons of the treated mice. In NLRP3 KO mice, we found remarkably increased locomotor activity with longer fall-off times and decreased serum IL-1β levels compared with those of wild-type (WT) mice after LPS challenge and the swim stress test. IL-1β levels in the diencephalon were also significantly decreased in the NLRP3 KO mice. By contrast, IL-6 levels were

  4. Best estimate procedures for fatigue evaluation in the framework of German KTA code

    Energy Technology Data Exchange (ETDEWEB)

    Seichter, Johannes [Siempelkamp Pruef- und Gutachter-Gesellschaft mbH, Dresden (Germany); Reese, Sven H.; Klucke, Dietmar [E.ON Kernkraft GmbH, Hannover (Germany)

    2013-07-01

    By decreasing the level of conservatism in fatigue analyses it is possible to reduce as well fatigue usage factors calculated for EOL (end of life) as 'actual CUF' (cumulative fatigue usage factor) of NPP components considerably. It is the opinion of the authors, that the mentioned best estimate procedures should be used in the course of fatigue assessment to fulfill e.g. the demands of the KTA code with regard to environmental assisted fatigue. (orig.)

  5. The Effect of Aromatherapy Treatment on Fatigue and Relaxation for Mothers during the Early Puerperal Period in Japan: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Kyoko Asazawa

    2017-10-01

    Full Text Available Background: Early in the postpartum period, mothers are often nervous and tired from the delivery, breast-feeding and caring for a new-born. The aim of this study was to evaluate the process and outcome of using aromatherapy treatments to increase relaxation and decrease fatigue for mothers during the first to the seventh day of the postpartum period. Methods: This non-randomized controlled study with a quasi-experimental one-group pretest-posttest design was used to evaluate scores in relaxation and fatigue before and after the intervention. Aromatherapy hand treatments were performed on a purposive sample of 34 postpartum mothers in Tokyo, Japan, from May to July 2016. The single treatment included a choice of one of five essential aroma oils through hand and forearm massage. Relaxation and fatigue were measured by self-administered valid and reliable questionnaires. Wilcoxon signed-rank test was conducted to analyze the data before and after the intervention. The software programs SPSS, v. 23.0 (SPSS, Tokyo, was used to analyze the data, with the significance level set at 5%. Results: Valid responses were obtained from 29 participants. A comparison of the scores before and after aroma treatment intervention indicated that the participants’ relaxation scores increased significantly (P<0.001 and fatigue scores were significantly reduced (P<0.001. The majority of participants (77.8% were satisfied with the treatment. Conclusion: The aroma treatments significantly improved relaxation and reduced fatigue for mothers in the early puerperal period and were well received. Therefore, a larger study using a pretest-posttest random control trial is recommended.

  6. Inconel 718 and UNSM Treated Alloy Study on the Rotary Bending High Temperature Fatigue Characteristics under a Light Concentrating System

    Energy Technology Data Exchange (ETDEWEB)

    Suh, Chang Min [Kyungpook Nat’l Univ., Daegu (Korea, Republic of); Nahm, Seung Hoon [Korea Research Institute of Standards and Science, Daejeon (Korea, Republic of); Woo, Young Han; Hur, Kwang Ho; Hong, Sang Hwui [Gyeongbuk Hybrid Technology Institute, Daegu (Korea, Republic of); Kim, Jun Hyong; Pyun, Young Sik [Sun Moon Univ., Asan (Korea, Republic of)

    2016-11-15

    This study investigated the influence of high temperature and UNSM on the fatigue behavior of Inconel 718 alloy at RT, 300, 500, and 600℃. Fatigue properties of Inconel 718 were reduced at high temperatures compared to those at room temperature. However, the endurance limit was similar to that of the room temperature sample at the design stress level. High-temperature fatigue characteristics of the UNSM-treated specimen were significantly improved at the design stress level as compared to the untreated specimens. Specifically, the influence of temperature on the S-N curves at the design stress level of the UNSM-treated specimen showed the tendency of longer fatigue lives than those of untreated ones. Researchers can obtain rotary fatigue test results simply by heating specimens with a halogen lamp to precise temperatures during specific operations.

  7. Development of fatigue life evaluation method using small specimen

    International Nuclear Information System (INIS)

    Nogami, Shuhei; Nishimura, Arata; Wakai, Eichi; Tanigawa, Hiroyasu; Itoh, Takamoto; Hasegawa, Akira

    2013-01-01

    For developing the fatigue life evaluation method using small specimen, the effect of specimen size and shape on the fatigue life of the reduced activation ferritic/martensitic steels (F82H-IEA, F82H-BA07 and JLF-1) was investigated by the fatigue test at room temperature in air using round-bar and hourglass specimens with various specimen sizes (test section diameter: 0.85–10 mm). The round-bar specimen showed no specimen size and no specimen shape effects on the fatigue life, whereas the hourglass specimen showed no specimen size effect and obvious specimen shape effect on it. The shorter fatigue life of the hourglass specimen observed under low strain ranges could be attributed to the shorter micro-crack initiation life induced by the stress concentration dependent on the specimen shape. On the basis of this study, the small round-bar specimen was an acceptable candidate for evaluating the fatigue life using small specimen

  8. The Identification of Fatigue Resistant and Fatigue Susceptible Individuals

    National Research Council Canada - National Science Library

    Harrison, Richard; Chaiken, Scott; Harville, Donald; Fischer, Joseph; Fisher, Dion; Whitmore, Jeff

    2008-01-01

    The present study was designed to target two specific areas regarding fatigue. The primary purpose was to begin investigations into possible genetic markers linked to fatigue resistance and fatigue susceptibility...

  9. Studies on fatigue life enhancement of pre-fatigued spring steel specimens using laser shock peening

    International Nuclear Information System (INIS)

    Ganesh, P.; Sundar, R.; Kumar, H.; Kaul, R.; Ranganathan, K.; Hedaoo, P.; Raghavendra, G.; Anand Kumar, S.; Tiwari, P.; Nagpure, D.C.; Bindra, K.S.; Kukreja, L.M.; Oak, S.M.

    2014-01-01

    Highlights: • Laser peening significantly extended fatigue life of pre-fatigued spring steel. • Increase in fatigue life of laser peened specimens was more than 15 times. • Black PVC tape is an effective coating for laser peening of ground surfaces. • Repeat peening repaired local surface melted regions on laser peened surface. • Technique is effective for life extension of in-service automobile parts. - Abstract: SAE 9260 spring steel specimens after enduring 50% of their mean fatigue life were subjected to laser shock peening using an in-house developed 2.5 J/7 ns pulsed Neodymium-doped Yttrium Aluminum Garnet (Nd:YAG) laser for studying their fatigue life enhancement. In the investigated range of process parameters, laser shock peening resulted in the extension of fatigue life of these partly fatigue damaged specimens by more than 15 times. Contributing factors for the enhanced fatigue life of laser peened specimens are: about 400 μm thick compressed surface layer with magnitude of surface stress in the range of −600 to −700 MPa, about 20% increase in surface hardness and unaltered surface finish. For laser peening of ground steel surface, an adhesive-backed black polyvinyl chloride (PVC) tape has been found to be a superior sacrificial coating than conventionally used black paint. The effect of repeated laser peening treatment was studied to repair locally surface melted regions and the treatment has been found to be effective in re-establishing desired compressive stress pattern on the erstwhile tensile-stressed surface

  10. Low cycle fatigue of irradiated LMFBR materials

    International Nuclear Information System (INIS)

    Blackburn, L.D.

    1976-01-01

    A review of low cycle fatigue data on irradiated LMFBR materials was conducted and extensive graphical representations of available data are presented. Representative postirradiation tensile properties of annealed 304 and 316 SS are selected and employed in several predictive methods to estimate irradiated material fatigue curves. Experimental fatigue data confirm the use of predictive methods for establishing conservative design curves over the range of service conditions relevant to such CRBRP components as core former, fixed radial shielding, core barrel, lower inlet module and upper internals structures. New experimental data on fatigue curves and creep-fatigue interaction in irradiated 20 percent cold worked (CW) 316 SS and Alloy 718 would support the design of removable radial shielding and upper internals in CRBRP. New experimental information on notched fatigue behavior and cyclic stress-strain curves of all these materials in the irradiated condition could provide significant design data

  11. Risk factors for fatigue in patients with epilepsy.

    Science.gov (United States)

    Yan, Song; Wu, Yuanbin; Deng, Yanchun; Liu, Yonghong; Zhao, Jingjing; Ma, Lei

    2016-11-01

    Fatigue is highly prevalent in patients with epilepsy and has a major impact on quality of life, but little data is available on its effects and management in epilepsy. To identify the incidence and risk factors of fatigue in patients with epilepsy, 105 epilepsy patients (45 women and 60 men) were enrolled in our study. Demographic and clinical data were collected and psychological variables including fatigue, sleep quality, excess daytime sleepiness, anxiety, and depression were measured by Fatigue Severity Scale, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, and Hospital Anxiety and Depression Scale, respectively. Of 105 patients, 29.5% exhibited fatigue (FSS score ⩾4). We found no correlation between the occurrence of fatigue and any of our demographic or clinical variables. Fatigue is correlated with low sleep quality, anxiety, and depression, but not with excess daytime sleepiness. Thus, we concluded that fatigue is highly prevalent in patients with epilepsy, and that low sleep quality, anxiety, and depression are significantly correlated with fatigue in epileptics, while excess daytime sleepiness not. Copyright © 2016. Published by Elsevier Ltd.

  12. Method and data analysis example of fatigue tests

    International Nuclear Information System (INIS)

    Nogami, Shuhei

    2015-01-01

    In the design and operation of a nuclear fusion reactor, it is important to accurately assess the fatigue life. Fatigue life is evaluated by preparing a database on the relationship between the added stress / strain amplitude and the number of cycles to failure based on the fatigue tests on standard specimens, and by comparing this relationship with the generated stress / strain of the actual constructions. This paper mainly chooses low-cycle fatigue as an object, and explains standard test methods, fatigue limit, life prediction formula and the like. Using reduced-activation ferrite steel F82H as a material, strain controlled low-cycle fatigue test was performed under room temperature atmosphere. From these results, the relationship between strain and the number of cycles to failure was analyzed. It was found that the relationship is asymptotic to the formula of Coffin-Manson Law under high-strain (low-cycle condition), and asymptotic to the formula of Basquin Law under low-strain (high-cycle condition). For F82H to be used for the blanket of a nuclear fusion prototype reactor, the arrangement of fatigue life data up to about 700°C and the establishment of optimal fatigue design curves are urgent tasks. As for fusion reactor structural materials, the evaluation of neutron irradiation effect on fatigue damage behavior and life is indispensable. For this purpose, it is necessary to establish standardized testing techniques when applied to small specimens. (A.O.)

  13. Fatigue Damage Estimation and Data-based Control for Wind Turbines

    DEFF Research Database (Denmark)

    Barradas Berglind, Jose de Jesus; Wisniewski, Rafal; Soltani, Mohsen

    2015-01-01

    based on hysteresis operators, which can be used in control loops. The authors propose a data-based model predictive control (MPC) strategy that incorporates an online fatigue estimation method through the objective function, where the ultimate goal in mind is to reduce the fatigue damage of the wind......The focus of this work is on fatigue estimation and data-based controller design for wind turbines. The main purpose is to include a model of the fatigue damage of the wind turbine components in the controller design and synthesis process. This study addresses an online fatigue estimation method...... turbine components. The outcome is an adaptive or self-tuning MPC strategy for wind turbine fatigue damage reduction, which relies on parameter identification on previous measurement data. The results of the proposed strategy are compared with a baseline model predictive controller....

  14. Low cycle fatigue of 2.25Cr1Mo steel with tensile and compressed hold loading at elevated temperature

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Junfeng; Yu, Dunji; Zhao, Zizhen; Zhang, Zhe; Chen, Gang; Chen, Xu, E-mail: xchen@tju.edu.cn

    2016-06-14

    A series of uniaxial strain-controlled fatigue and creep-fatigue tests of the bainitic 2.25Cr1Mo steel forging were performed at 455 °C in air. Three different hold periods (30 s, 120 s, 300 s) were employed at maximum tensile strain and compressive strain under fully reversed strain cycling. Both tensile and compressive holds significantly reduce the fatigue life. Fatigue life with tensile hold is shorter than that with compressive hold. A close relationship is found between the reduction of fatigue life and the amount of stress relaxation. Microstructural examination by scanning electron microscope reveals that strain hold introduces more crack sources, which can be probably ascribed to the intensified oxidation and the peeling-off of oxide layers. A modified plastic strain energy approach considering stress relaxation effect is proposed to predict the creep-fatigue life, and the predicted lives are in superior agreement with the experimental results.

  15. Environmentally assisted fatigue evaluation model of alloy 690 steam generator tube in high temperature water

    International Nuclear Information System (INIS)

    Tan Jibo; Wu Xinqiang; Han Enhou; Wang Xiang; Liu Xiaoqiang; Xu Xuelian

    2015-01-01

    Nickel-based alloy 690 has been widely used as steam generator tube in light water reactor (LWR) nuclear power plants, which may suffer from corrosion fatigue during long-term service. Many researches and operating experience indicated that the effect of LWR environment could significantly reduce the fatigue life of structural materials. However. such an environmental degradation effect was not fully addressed in the current ASME code design fatigue curves. Therefore, the Regulatory Guide 1.207 issued by US NRC required a new NPP have to incorporate the environment effects into fatigue analyses. In the last few decades, researchers in USA and Japan systematically investigated the corrosion fatigue behavior of nuclear-grade structural materials in LWR environment. Then, ANL model and JSME model were proposed, which incorporated environmental effects, including temperature, dissolved oxygen (DO) and strain rate for the nickel-based alloys. Due to lack of experiment data on domestic materials, there is no related environmental fatigue design model in China. In the present work, based on the corrosion fatigue tests of a kind of boat-shaped specimen in borated and lithiated high temperature water, the corrosion fatigue behavior and environmentally assisted cracking mechanism of domestic Alloy 690 steam generator tube have been investigate. An IMR model for the nickel-based alloy was proposed. The environmental fatigue life correction factor (F en ) was established, which addressed the environmental factors, including temperature, strain rate and dissolved oxygen. The method to evaluate environmental fatigue damage of structural materials in NPPs was proposed. (authors)

  16. Suppression of Fatigue Crack Propagation of Duralumin by Cavitation Peening

    Directory of Open Access Journals (Sweden)

    Hitoshi Soyama

    2015-08-01

    Full Text Available It was demonstrated in the present paper that cavitation peening which is one of the mechanical surface modification technique can suppress fatigue crack propagation in duralumin. The impacts produced when cavitation bubble collapses can be utilised for the mechanical surface modification technique in the same way as laser peening and shot peening, which is called “cavitation peening”. Cavitation peening employing a cavitating jet in water was used to treat the specimen made of duralumin Japanese Industrial Standards JIS A2017-T3. After introducing a notch, fatigue test was conducted by a load-controlled plate bending fatigue tester, which has been originally developed. The fatigue crack propagation behavior was evaluated and the relationship between the fatigue crack propagation rate versus stress intensity factor range was obtained. From the results, the fatigue crack propagation rate was drastically reduced by cavitation peening and the fatigue life of duralumin plate was extended 4.2 times by cavitation peening. In addition, the fatigue crack propagation can be suppressed by 88% in the stable crack propagation stage by cavitation peening.

  17. Fatigue testing of wood composites for aerogenerator blades. Pt. 11: Assessment of fatigue damage accumulation using a fatigue modulus approach

    Energy Technology Data Exchange (ETDEWEB)

    Hacker, C L; Ansell, M P [Bath Univ. (United Kingdom)

    1996-12-31

    Stress-strain hysteresis loops have been captured during fatigue tests performed at R=10 (compression-compression) and R=0.1 (tension-tension) on Khaya epoxy wood composites. A fatigue modulus approach, proposed by Hwang and Han in 1989, has been applied to the data and a relationship established between the initial change in fatigue modulus and fatigue life. By following changes in fatigue modulus during the first 100 test cycles it is possible to predict the life of the sample allowing rapid evaluation of the fatigue performance of wood composites. Fatigue modulus values have also been calculated for hysteresis loops captured during complex load - time history tests. Similar trends in change in fatigue modulus suggest that this approach could be used in complex loading conditions to evaluate fatigue damage accumulation and predict fatigue life. (Author)

  18. Influence of Lumbar Muscle Fatigue on Trunk Adaptations during Sudden External Perturbations

    Science.gov (United States)

    Abboud, Jacques; Nougarou, François; Lardon, Arnaud; Dugas, Claude; Descarreaux, Martin

    2016-01-01

    Introduction: When the spine is subjected to perturbations, neuromuscular responses such as reflex muscle contractions contribute to the overall balance control and spinal stabilization mechanisms. These responses are influenced by muscle fatigue, which has been shown to trigger changes in muscle recruitment patterns. Neuromuscular adaptations, e.g., attenuation of reflex activation and/or postural oscillations following repeated unexpected external perturbations, have also been described. However, the characterization of these adaptations still remains unclear. Using high-density electromyography (EMG) may help understand how the nervous system chooses to deal with an unknown perturbation in different physiological and/or mechanical perturbation environments. Aim: To characterize trunk neuromuscular adaptations following repeated sudden external perturbations after a back muscle fatigue task using high-density EMG. Methods: Twenty-five healthy participants experienced a series of 15 sudden external perturbations before and after back muscle fatigue. Erector spinae muscle activity was recorded using high-density EMG. Trunk kinematics during perturbation trials were collected using a 3-D motion analysis system. A two-way repeated measure ANOVA was conducted to assess: (1) the adaptation effect across trials; (2) the fatigue effect; and (3) the interaction effect (fatigue × adaptation) for the baseline activity, the reflex latency, the reflex peak and trunk kinematic variables (flexion angle, velocity and time to peak velocity). Muscle activity spatial distribution before and following the fatigue task was also compared using t-tests for dependent samples. Results: An attenuation of muscle reflex peak was observed across perturbation trials before the fatigue task, but not after. The spatial distribution of muscle activity was significantly higher before the fatigue task compared to post-fatigue trials. Baseline activity showed a trend to higher values after muscle

  19. Influence of lumbar muscle fatigue on trunk adaptations during sudden external perturbations

    Directory of Open Access Journals (Sweden)

    Jacques Abboud

    2016-11-01

    Full Text Available IntroductionWhen the spine is subjected to perturbations, neuromuscular responses such as reflex muscle contractions contribute to the overall balance control and spinal stabilization mechanisms. These responses are influenced by muscle fatigue, which has been shown to trigger changes in muscle recruitment patterns. Neuromuscular adaptations, e.g. attenuation of reflex activation and/or postural oscillations following repeated unexpected external perturbations, have also been described. However, the characterization of these adaptations still remains unclear. Using high-density electromyography (EMG may help understand how the nervous system chooses to deal with an unknown perturbation in different physiological and/or mechanical perturbation environments. AimTo characterize trunk neuromuscular adaptations following repeated sudden external perturbations after a back muscle fatigue task using high-density EMG.MethodsTwenty-five healthy participants experienced a series of 15 sudden external perturbations before and after back muscle fatigue. Erector spinae muscle activity was recorded using high-density EMG. Trunk kinematics during perturbation trials were collected using a 3-D motion analysis system. A two-way repeated measure ANOVA was conducted to assess 1 the adaptation effect across trials, 2 the fatigue effect, and 3 the interaction effect (fatigue x adaptation for the baseline activity, the reflex latency, the reflex peak and trunk kinematic variables (flexion angle, velocity and time to peak velocity. Muscle activity spatial distribution before and following the fatigue task was also compared using t-tests for dependent samples. ResultsAn attenuation of muscle reflex peak was observed across perturbation trials before the fatigue task, but not after. The spatial distribution of muscle activity was significantly higher before the fatigue task compared to post-fatigue trials. Baseline activity showed a trend to higher values after muscle

  20. Sequential segmental neuromuscular stimulation reduces fatigue and improves perfusion in dynamic graciloplasty

    NARCIS (Netherlands)

    Zonnevijlle, E D; Somia, N N; Abadia, G P; Stremel, R W; Maldonado, C J; Werker, P M; Kon, M; Barker, J H

    Dynamic graciloplasty is used as a treatment modality for total urinary incontinence caused by a paralyzed sphincter. A problem with this application is undesirable fatigue of the muscle caused by continuous electrical stimulation. Therefore, the neosphincter must be trained via a rigorous regimen

  1. Some questions regarding the interaction of creep and fatigue

    International Nuclear Information System (INIS)

    James, L.A.

    1975-04-01

    Data are presented from fatigue-crack growth tests conducted on Type 304 S.S. in inert environments at elevated temperatures which show that the thermal-activation noted in similar tests run in air environments is not present in the inert environment. Similar observations from the literature are reviewed, including the observation that the time-dependency noted in tests conducted in elevated temperature air environments is also greatly suppressed in inert environments. These findings suggest that an interaction between the fatigue process and the corrosive air environments is responsible for the thermally activated time-dependent behavior often attributed to creep-fatigue interaction. Data are also presented which show that the fatigue-crack growth behavior of Type 304 S.S. subjected to significant creep damage prior to fatigue testing does not differ appreciably from the behavior of material not subjected to prior creep damage, again indicating minimal interaction between creep and fatigue. It is suggested that in the temperature range where pressure vessels and piping are generally designed to operate (i.e. below about one-half the absolute melting temperature of the alloy), the interaction between creep and fatigue is far less significant than once supposed, and that the major parameter interacting with the fatigue process is that of high-temperature corrosion. (39 references, 12 fig) (auth)

  2. A Review on Strengthening Steel Beams Using FRP under Fatigue

    Directory of Open Access Journals (Sweden)

    Mohamed Kamruzzaman

    2014-01-01

    Full Text Available In recent decades, the application of fibre-reinforced polymer (FRP composites for strengthening structural elements has become an efficient option to meet the increased cyclic loads or repair due to corrosion or fatigue cracking. Hence, the objective of this study is to explore the existing FRP reinforcing techniques to care for fatigue damaged structural steel elements. This study covers the surface treatment techniques, adhesive curing, and support conditions under cyclic loading including fatigue performance, crack propagation, and failure modes with finite element (FE simulation of the steel bridge girders and structural elements. FRP strengthening composites delay initial cracking, reduce the crack growth rate, extend the fatigue life, and decrease the stiffness decay with residual deflection. Prestressed carbon fibre-reinforced polymer (CFRP is the best strengthening option. End anchorage prevents debonding of the CRRP strips at the beam ends by reducing the local interfacial shear and peel stresses. Hybrid-joint, nanoadhesive, and carbon-flex can also be attractive for strengthening systems.

  3. A review on strengthening steel beams using FRP under fatigue.

    Science.gov (United States)

    Kamruzzaman, Mohamed; Jumaat, Mohd Zamin; Sulong, N H Ramli; Islam, A B M Saiful

    2014-01-01

    In recent decades, the application of fibre-reinforced polymer (FRP) composites for strengthening structural elements has become an efficient option to meet the increased cyclic loads or repair due to corrosion or fatigue cracking. Hence, the objective of this study is to explore the existing FRP reinforcing techniques to care for fatigue damaged structural steel elements. This study covers the surface treatment techniques, adhesive curing, and support conditions under cyclic loading including fatigue performance, crack propagation, and failure modes with finite element (FE) simulation of the steel bridge girders and structural elements. FRP strengthening composites delay initial cracking, reduce the crack growth rate, extend the fatigue life, and decrease the stiffness decay with residual deflection. Prestressed carbon fibre-reinforced polymer (CFRP) is the best strengthening option. End anchorage prevents debonding of the CRRP strips at the beam ends by reducing the local interfacial shear and peel stresses. Hybrid-joint, nanoadhesive, and carbon-flex can also be attractive for strengthening systems.

  4. A Review on Strengthening Steel Beams Using FRP under Fatigue

    Science.gov (United States)

    Jumaat, Mohd Zamin; Ramli Sulong, N. H.

    2014-01-01

    In recent decades, the application of fibre-reinforced polymer (FRP) composites for strengthening structural elements has become an efficient option to meet the increased cyclic loads or repair due to corrosion or fatigue cracking. Hence, the objective of this study is to explore the existing FRP reinforcing techniques to care for fatigue damaged structural steel elements. This study covers the surface treatment techniques, adhesive curing, and support conditions under cyclic loading including fatigue performance, crack propagation, and failure modes with finite element (FE) simulation of the steel bridge girders and structural elements. FRP strengthening composites delay initial cracking, reduce the crack growth rate, extend the fatigue life, and decrease the stiffness decay with residual deflection. Prestressed carbon fibre-reinforced polymer (CFRP) is the best strengthening option. End anchorage prevents debonding of the CRRP strips at the beam ends by reducing the local interfacial shear and peel stresses. Hybrid-joint, nanoadhesive, and carbon-flex can also be attractive for strengthening systems. PMID:25243221

  5. Influence of Exergaming on the Perception of Cancer-Related Fatigue.

    Science.gov (United States)

    da Silva Alves, Ricardo; Iunes, Denise Hollanda; Pereira, Isabela Carvalho; Borges, Juliana Bassalobre Carvalho; Nogueira, Denismar Alves; Silva, Andreia Maria; Lobato, Daniel Ferreira Moreira; Carvalho, Leonardo Cesar

    2017-04-01

    Exercise is recommended for cancer patients to reduce fatigue and improve quality of life. This study's aim is to evaluate the influence of an exergaming protocol on cancer-related fatigue, muscle fatigue, and muscle strength in cancer patients. We conducted a quasi-experimental control study using exergaming in all groups through an Xbox360 Kinect™ console, two to three times per week, for 20 sessions. Three groups were created: cancer patients in chemotherapy and/or radiotherapy group (CRG; n:15), cancer patients after chemotherapy and/or radiotherapy (CAG; n:15), and a control group (CG; n:15). They were assessed for cancer-related fatigue using the fatigue subscale of the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) questionnaire. To assess dorsiflexor and plantar flexor muscle functioning, we used median frequency (MDF) of the surface electromyography and muscle strength using a dynamometer. The assessments were performed preintervention (EV0), after 10 sessions (EV1), and after 20 sessions (EV2). With an exergaming protocol, CRG and CAG showed a reduction in related fatigue compared with CG (P fatigue, including muscle fatigue, and increasing muscle strength in patients' legs.

  6. Effect of electrical pulse treatment on the thermal fatigue resistance of bionic compacted graphite cast iron processed in water

    International Nuclear Information System (INIS)

    Liu, Yan; Zhou, Hong; Su, Hang; Yang, Chunyan; Cheng, Jingyan; Zhang, Peng; Ren, Luquan

    2012-01-01

    Highlights: ► Electrical pulse treatment can reduce cracks on bionic units before thermal fatigue tests. ► Electrical pulse treatment can reduce crack sources during thermal fatigue tests. ► Thermal fatigue resistance of bionic units processed in water is enhanced. ► Thermal fatigue resistance of bionic CGI processed in water is improved. -- Abstract: In order to further enhance the thermal fatigue resistance of bionic compacted graphite cast iron (CGI) which is processed by laser in water, the electrical pulse treatment is applied to improve the thermal fatigue resistance of bionic units. The results show that the electrical pulse treatment causes the supersaturated carbon atoms located in the lattice of austenite to react with the iron atoms to form the Fe 3 C. The microstructures of the bionic units processed in water are refined by the electrical pulse treatment. The cracks on the bionic units are reduced by the electrical pulse treatment before the thermal fatigue tests; and during the tests, the thermal fatigue resistance of bionic units is therefore enhanced by reducing the crack sources. By this way, the thermal fatigue resistance of bionic CGI processed in water is improved.

  7. Progress in the Research of Fatigue of Weathering Steel after Corrosion

    Science.gov (United States)

    Jianyu, Liang; Jian, Yao; Youwu, Xu

    2017-12-01

    Weathering steel has a good corrosion resistance in the atmosphere, and the application of weathering steel in civil structure also reduces the cost of painting and maintenance. It is also possible for the bare weathering steel to bear the fatigue load with a rust layer. This paper summarizes the fatigue researches after corrosion of weathering steel, including the shape of specimens, failure modes of fatigue and the conclusions obtained through experimental investigations. It is also introduced the fatigue model of weathering steel after corrosion, which can be useful for the engineering application or further researches.

  8. Natalizumab treatment reduces fatigue in multiple sclerosis. Results from the TYNERGY trial; a study in the real life setting

    DEFF Research Database (Denmark)

    Svenningsson, Anders; Falk, Eva; Celius, Elisabeth G

    2013-01-01

    . The TYNERGY study aimed to further evaluate the effects of natalizumab treatment on MS-related fatigue. In this one-armed clinical trial including 195 MS patients, natalizumab was prescribed in a real-life setting, and a validated questionnaire, the Fatigue Scale for Motor and Cognitive functions (FSMC......), was used both before and after 12 months of treatment to evaluate a possible change in the fatigue experienced by the patients. In the treated cohort all measured variables, that is, fatigue score, quality of life, sleepiness, depression, cognition, and disability progression were improved from baseline...

  9. Low cycle fatigue analysis of a last stage steam turbine blade

    Directory of Open Access Journals (Sweden)

    Měšťánek P.

    2008-11-01

    Full Text Available The present paper deals with the low cycle fatigue analysis of the low pressure (LP steam turbine blade. The blade is cyclically loaded by the centrifugal force because of the repeated startups of the turbine. The goal of the research is to develop a technique to assess fatigue life of the blade and to determine the number of startups to the crack initiation. Two approaches were employed. First approach is based on the elastic finite element analysis. Fictive 'elastic' results are recalculated using Neuber's rule and the equivalent energy method. Triaxial state of stress is reduced using von Mises theory. Strain amplitude is calculated employing the cyclic deformation curve. Second approach is based on elastic-plastic FE analysis. Strain amplitude is determined directly from the FE analysis by reducing the triaxial state of strain. Fatigue life was assessed using uniaxial damage parameters. Both approaches are compared and their applicability is discussed. Factors that can influence the fatigue life are introduced. Experimental low cycle fatigue testing is shortly described.

  10. Fatigue Load Modeling and Control for Wind Turbines based on Hysteresis Operators

    DEFF Research Database (Denmark)

    Barradas Berglind, Jose de Jesus; Wisniewski, Rafal; Soltani, Mohsen

    2015-01-01

    method based on hysteresis operators, which can be used in control loops. Furthermore, we propose a model predictive control (MPC) strategy that incorporates the online fatigue estimation through the objective function, where the ultimate goal in mind is to reduce the fatigue load of the wind turbine......The focus of this work is on fatigue load modeling and controller design for the wind turbine level. The main purpose is to include a model of the damage effects caused by the fatigue of the wind turbine components in the controller design process. This paper addresses an online fatigue estimation...

  11. A caffeine-maltodextrin mouth rinse counters mental fatigue.

    Science.gov (United States)

    Van Cutsem, Jeroen; De Pauw, Kevin; Marcora, Samuele; Meeusen, Romain; Roelands, Bart

    2018-04-01

    Mental fatigue is a psychobiological state caused by prolonged periods of demanding cognitive activity that has negative implications on many aspects in daily life. Caffeine and carbohydrate ingestion have been shown to be able to reduce these negative effects of mental fatigue. Intake of these substances might however be less desirable in some situations (e.g., restricted caloric intake, Ramadan). Rinsing caffeine or glucose within the mouth has already been shown to improve exercise performance. Therefore, we sought to evaluate the effect of frequent caffeine-maltodextrin (CAF-MALT) mouth rinsing on mental fatigue induced by a prolonged cognitive task. Ten males (age 23 ± 2 years, physical activity 7.3 ± 4.3 h/week, low CAF users) performed two trials. Participants first completed a Flanker task (3 min), then performed a 90-min mentally fatiguing task (Stroop task), followed by another Flanker task. Before the start and after each 12.5% of the Stroop task (eight blocks), subjects received a CAF-MALT mouth rinse (MR: 0.3 g/25 ml CAF: 1.6g/25 ml MALT) or placebo (PLAC: 25 ml artificial saliva). Self-reported mental fatigue was lower in MR (p = 0.017) compared to PLAC. Normalized accuracy (accuracy first block = 100%) was higher in the last block of the Stroop in MR (p = 0.032) compared to PLAC. P2 amplitude in the dorsolateral prefrontal cortex (DLPFC) decreased over time only in PLAC (p = 0.017). Frequent mouth rinsing during a prolonged and demanding cognitive task reduces mental fatigue compared to mouth rinsing with artificial saliva.

  12. Compassion Fatigue in Pediatric Nurses.

    Science.gov (United States)

    Berger, Jill; Polivka, Barbara; Smoot, Elizabeth Ann; Owens, Heather

    2015-01-01

    Compassion fatigue in nursing has been shown to impact the quality of patient care and employee satisfaction and engagement. The aims of this study were to determine the prevalence and severity of compassion fatigue among pediatric nurses and variations in prevalence based on respondent demographics using a cross-sectional survey design. Nurses under 40 years of age, with 6-10 years of experience and/or working in a medical-surgical unit had significantly lower compassion satisfaction and higher levels of burnout. Secondary traumatic stress from caring for children with severe illness or injury or end of life was a key contributor to compassion fatigue. Copyright © 2015 Elsevier Inc. All rights reserved.

  13. S-N Fatigue and Fatigue Crack Propagation Behaviors of X80 Steel at Room and Low Temperatures

    Science.gov (United States)

    Jung, Dae-Ho; Kwon, Jae-Ki; Woo, Nam-Sub; Kim, Young-Ju; Goto, Masahiro; Kim, Sangshik

    2014-02-01

    In the present study, the S-N fatigue and the fatigue crack propagation (FCP) behaviors of American Petroleum Institute X80 steel were examined in the different locations of the base metal (BM), weld metal (WM), and heat-affected zone (HAZ) at 298 K, 223 K, and 193 K (25 °C, -50 °C, and -80 °C). The resistance to S-N fatigue of X80 BM specimen increased greatly with decreasing temperature from 298 K to 193 K (25 °C to -80 °C) and showed a strong dependency on the flow strength (½(yield strength + tensile strength)). The FCP rates of X80 BM specimen were substantially reduced with decreasing temperature from 298 K to 223 K (25 °C to -50 °C) over the entire ∆ K regime, while further reduction in FCP rates was not significant with temperature from 223 K to 193 K (-50 °C to -80 °C). The FCP rates of the X80 BM and the WM specimens were comparable with each other, while the HAZ specimen showed slightly better FCP resistance than the BM and the WM specimens over the entire ∆K regime at 298 K (25 °C). Despite the varying microstructural characteristics of each weld location, the residual stress appeared to be a controlling factor to determine the FCP behavior. The FCP behaviors of high strength X80 steel were discussed based on the microstructural and the fractographic observations.

  14. Andrographis paniculata decreases fatigue in patients with relapsing-remitting multiple sclerosis: a 12-month double-blind placebo-controlled pilot study.

    Science.gov (United States)

    Bertoglio, J C; Baumgartner, M; Palma, R; Ciampi, E; Carcamo, C; Cáceres, D D; Acosta-Jamett, G; Hancke, J L; Burgos, R A

    2016-05-23

    Andrographis paniculata (A. paniculata), a medicinal plant, has shown anti-inflammatory, neuroprotective and antifibrotic effects in animal models as well as clinical efficacy in different studies, including an anti-fatigue effect in autoimmune diseases such as rheumatoid arthritis. In multiple sclerosis (MS), fatigue is rated as one of the most common and disabling symptoms. In the present trial, we investigated the effect of A. paniculata on relapse rate and fatigue in relapsing-remitting MS (RRMS) patients receiving interferon beta. A randomised double-blind placebo-controlled trial assessed the effects of 170 mg of A. paniculata dried extract tablet b.i.d. p.o. on relapse rate and fatigue using the Fatigue Severity Scores (FSS) over 12 months in RRMS patients receiving interferon. The Expanded Disability Status Scale (EDSS) score, inflammatory parameters and radiological findings were also investigated. Twenty-five patients were enrolled, and twenty-two patients were ultimately analysed and randomised to the active or placebo group. Patients treated with A. paniculata showed a significant reduction in their FSS score as compared to the placebo, equivalent to a 44 % reduction at 12 months. No statistically significant differences were observed for relapse rate, EDSS or inflammatory parameters, with a trend in reducing new lesions among the A. paniculata group. One patient in the A. paniculata group presented with a mild and transient skin rash, which was alleviated with anti-histamine treatment for three weeks. A. paniculata was well tolerated in patients and no changes in clinical parameters were observed. A. paniculata significantly reduces fatigue in patients with RRMS receiving interferon beta in comparison to placebo and only interferon beta treatment. ClinicalTrials.gov Identifier: NCT02280876 ; Trial registration date: 20.10.2014.

  15. Fatigue data compilation and evaluation of fatigue on design

    International Nuclear Information System (INIS)

    Nyilas, A.

    1985-05-01

    The aim of this report is a review of the available fatigue data of various materials necessary for the design of large superconducting magnets for fusion. One of the primary objectives of this work is to present a broad outline of the low temperature fatigue data of relevant materials within the scope of available data. Besides the classical fatigue data of materials the fatigue crack propagation measurements are outlined widely. The existing recommendations for the design of cryogenic structures are described. A brief introduction of fracture mechanics as well as a historical background of the development of our present day understanding of fatigue has been done. (orig.) [de

  16. Effectiveness of energy conservation management on fatigue and participation in multiple sclerosis: A randomized controlled trial.

    Science.gov (United States)

    Blikman, Lyan Jm; van Meeteren, Jetty; Twisk, Jos Wr; de Laat, Fred Aj; de Groot, Vincent; Beckerman, Heleen; Stam, Henk J; Bussmann, Johannes Bj

    2017-10-01

    Fatigue is a frequently reported and disabling symptom in multiple sclerosis (MS). To investigate the effectiveness of an individual energy conservation management (ECM) intervention on fatigue and participation in persons with primary MS-related fatigue. A total of 86 severely fatigued and ambulatory adults with a definite diagnosis of MS were randomized in a single-blind, two-parallel-arm randomized clinical trial to the ECM group or the information-only control group in outpatient rehabilitation departments. Blinded assessments were carried out at baseline and at 8, 16, 26 and 52 weeks after randomization. Primary outcomes were fatigue (fatigue subscale of Checklist Individual Strength - CIS20r) and participation (Impact on Participation and Autonomy scale - IPA). Modified intention-to-treat analysis was based on 76 randomized patients (ECM, n = 36; MS nurse, n=40). No significant ECM effects were found for fatigue (overall difference CIS20r between the groups = -0.81; 95% confidence interval (CI), -3.71 to 2.11) or for four out of five IPA domains. An overall unfavourable effect was found in the ECM group for the IPA domain social relations (difference between the groups = 0.19; 95% CI, 0.03 to 0.35). The individual ECM format used in this study did not reduce MS-related fatigue and restrictions in participation more than an information-only control condition.

  17. Sleep quality and fatigue after a stress management intervention for women with early-stage breast cancer in southern Florida.

    Science.gov (United States)

    Vargas, Sara; Antoni, Michael H; Carver, Charles S; Lechner, Suzanne C; Wohlgemuth, William; Llabre, Maria; Blomberg, Bonnie B; Glück, Stefan; DerHagopian, Robert P

    2014-12-01

    Sleep disruption and fatigue are ubiquitous among cancer patients and are sources of stress that may compromise treatment outcomes. Previously, we showed that a cognitive behavioral stress management (CBSM) intervention reduced anxiety and other stress-related processes in women undergoing primary treatment for breast cancer. This study examined secondary outcomes from a CBSM intervention trial for women with early-stage breast cancer to test if CBSM would improve sleep quality and fatigue among these patients at a single site in southern Florida. CBSM-related effects have already been demonstrated for indicators of psychosocial adaptation (e.g., general and cancer-related anxiety). Patients were randomized to CBSM (n= 120) or a 1-day psychoeducation control group (n= 120). The Pittsburgh Sleep Quality Index (PSQI) and Fatigue Symptom Inventory were completed prior to randomization and 6 and 12 months after the baseline assignment. In latent growth analyses, women in CBSM reported greater improvements in PSQI sleep quality scores than controls, although there were no significant differences between conditions on PSQI total scores. Women in CBSM also reported greater reductions in fatigue-related daytime interference than controls, though there were no significant differences in changes in fatigue intensity. Changes in sleep quality were associated with changes in fatigue. Future work may consider integrating sleep and fatigue content into stress management interventions for women with early-stage breast cancer.

  18. Influence of traffic-related noise and air pollution on self-reported fatigue.

    Science.gov (United States)

    Jazani, Reza Khani; Saremi, Mahnaz; Rezapour, Tara; Kavousi, Amir; Shirzad, Hadi

    2015-01-01

    A growing body of evidence suggests that exposure to environmental pollutions is related to health problems. It is, however, questionable whether this condition affects working performance in occupational settings. The aim of this study is to determine the predictive value of age as well as traffic related air and noise pollutions for fatigue. 246 traffic officers participated in this study. Air pollution data were obtained from the local Air Quality Control Company. A sound level meter was used for measuring ambient noise. Fatigue was evaluated by the MFI-20 questionnaire. The general and physical scales showed the highest, while the reduced activity scale showed the lowest level of fatigue. Age had an independent direct effect on reduced activity and physical fatigue. The average of daytime equivalent noise level was between 71.63 and 88.51 dB(A). In the case of high noise exposure, older officers feel more fatigue than younger ones. Exposure to PM10 and O3 resulted in general and physical fatigue. Complex Interactions between SO2, CO and NO2 were found. Exposure to noise and some components of air pollution, especially O3 and PM10, increases fatigue. The authorities should adopt and rigorously implement environmental protection policies in order to protect people.

  19. Thermal fatigue evaluation of piping system Tee-connections

    International Nuclear Information System (INIS)

    Metzner, K.J.; Braillard, O.; Faidy, C.; Marcelles, I.; Solin, J.; Stumpfrock, L.

    2004-01-01

    Thermal fatigue is one significant long-term degradation mechanism nuclear power plants (NPP), in particular, as operating plants become older and life time extension activities have been initiated. In general, the common thermal fatigue issues are understood and controlled by plant instrumentation systems. However, incidents in some plants indicate that certain piping system Tees are susceptible to turbulent temperature mixing effects that cannot be adequately monitored by common thermocouple instrumentation. The THERFAT project has been initiated to advance the accuracy and reliability of thermal fatigue load determination in engineering tools and research oriented approaches to outline a science based practical methodology for managing thermal fatigue risks in Tee-connections susceptible to high cyclic thermal fatigue. (orig.)

  20. Fatigue Strength of Titanium Risers - Defect Sensitivity

    Energy Technology Data Exchange (ETDEWEB)

    Babalola, Olusegun Tunde

    2001-07-01

    This study is centred on assessment of the fatigue strength of titanium fusion welds for deep-water riser's applications. Deep-water risers are subjected to significant fatigue loading. Relevant fatigue data for titanium fusion welds are very scarce. Hence there is a need for fatigue data and life prediction models for such weldments. The study has covered three topics: Fatigue testing, Fractography and defect assessment, and Fracture Mechanics modelling of fatigue crack growth. Two series of welded grade of titanium consisting of 14 specimens in each series were fatigue tested under constant amplitude loading. Prior to fatigue testing, strain gauge measurements of some specimens was conducted to enable the definition of stress range in the fatigue assessment procedure. The results were compared with finite solid element analysis and related to fatigue stresses in a riser pipe wall. Distribution and geometry of internal and surface defects both in the as-welded and in the post-weld machined conditions were assessed using fractography. This served as a tool to determine the fatigue initiation point in the welds. Fracture mechanics was applied to model fatigue strength of titanium welds with initiation from weld defects. Two different stress intensity factor formulations for embedded eccentrically placed cracks were used for analysis of elliptical cracks with the major axis parallel and close to one of the free surfaces. The methods were combined to give a satisfactory model for crack growth analysis. The model analyses crack growth of elliptical and semi-elliptical cracks in two directions, with updating of the crack geometry. Fatigue strength assessment was conducted using two crack growth models, the Paris-Erdogan relation with no threshold and the Donahue et al. relation with an implied threshold. The model was validated against experimental data, with a discussion on the choice of crack growth model. (author)

  1. Fatigue in adults with Marfan syndrome, occurrence and associations to pain and other factors.

    Science.gov (United States)

    Bathen, Trine; Velvin, Gry; Rand-Hendriksen, Svend; Robinson, Hilde Stendal

    2014-08-01

    This study aims to investigate how fatigue affects adults with verified Marfan syndrome (MFS) in their daily lives, by examining fatigue levels and prevalence of severe fatigue compared to the general Norwegian population and individuals with other comparable chronic conditions. We investigated associations between socio-demographic characteristics, Marfan-related health problems, pain and fatigue. A cross-sectional study was conducted, using a postal questionnaire including the Fatigue Severity Scale (FSS) and questions on socio-demographic characteristics, Marfan-related health problems and pain. One hundred seventeen persons with MFS were invited to participate, 73 answered (62%). Participants reported significantly higher FSS scores and prevalence of severe fatigue compared to the general Norwegian population and patients with rheumatoid arthritis (RA), but lower than for other chronic conditions. Participants with chronic pain reported higher fatigue scores than those without chronic pain. Participants on disability benefits reported higher fatigue scores than participants who were working or enrolled in higher education. Marfan-related health problems like aortic dissection and use of blood pressure medication were not significantly associated with fatigue. In multivariable regression analyses chronic pain and employment status were significantly associated with fatigue. The final multivariable model explained 24% of the variance in fatigue scores. Our results show that fatigue is common in MFS patients and that it interferes with their daily lives. Chronic pain and employment status show significant associations to fatigue. This implies that fatigue is important to address when meeting MFS patients in clinical practice. There is need for more research on fatigue in Marfan syndrome. © 2014 Wiley Periodicals, Inc.

  2. Vibrational fatigue failures in short cantilevered piping with socket-welding fittings

    International Nuclear Information System (INIS)

    Smith, J.K.

    1996-01-01

    Approximately 80% of the vibrational fatigue failures in nuclear power plants have been caused by high cycle vibrational fatigue. Many of these failures have occurred in short, small bore (2 in. nominal diameter and smaller), unbraced, cantilevered piping with socket-welding fittings. The fatigue failures initiated in the socket welds. These failures have been unexpected, and have caused costly, unscheduled outages in some cases. In order to reduce the number of vibrational fatigue failures in these short cantilevered pipes, an acceleration based vibrational fatigue screening criteria was developed under Electric Power Research Institute (EPRI) sponsorship. In this paper, the acceleration based criteria will be compared to the results obtained from detailed dynamic modeling of a short, cantilevered pipe

  3. Fatigue in multiple sclerosis reciprocal relationships with physical disabilities and depression.

    NARCIS (Netherlands)

    Schreurs, K.M.G.; Ridder, D.T.D. de; Bensing, J.M.

    2002-01-01

    Objective: To explore relations of fatigue, physical disabilities, and depression in patients with multiple sclerosis (MS) cross-sectionally and over time. Methods: Ninety-eight MS patients were interviewed twice at an interval of a year. Relationships of physical and mental fatigue, and reduced

  4. Fatigue in multiple sclerosis. Reciprocal relationships with physical disabilities and depression

    NARCIS (Netherlands)

    Schreurs, K.M.G.; Ridder, D.T.D. de; Bensing, J.

    2002-01-01

    Objective: To explore relations of fatigue, physical disabilities, and depression in patients with multiple sclerosis (MS) cross-sectionally and over time. Methods: Ninety-eight MS patients were interviewed twice at an interval of a year. Relationships of physical and mental fatigue, and reduced

  5. A Study on the Effects of Ball Defects on the Fatigue Life in Hybrid Bearings

    Science.gov (United States)

    Tang, Ching-Yao; Foerster, Chad E.; O'Brien, Michael J.; Hardy, Brian S.; Goyal, Vinay K.; Nelson, Benjamin A.; Robinson, Ernest Y.; Ward, Peter C.; Hilton, Michael R.

    2014-01-01

    Hybrid ball bearings using silicon nitride ceramic balls with steel rings are increasingly being used in space mechanism applications due to their high wear resistance and long rolling contact fatigue life. However, qualitative and quantitative reports of the effects of ball defects that cause early fatigue failure are rare. We report on our approach to study these effects. Our strategy includes characterization of defects encountered in use, generation of similar defects in a laboratory setting, execution of full-scale bearing tests to obtain lifetimes, post-test characterization, and related finite-element modeling to understand the stress concentration of these defects. We have confirmed that at least one type of defect of appropriate size can significantly reduce fatigue life. Our method can be used to evaluate other defects as they occur or are encountered.

  6. Blunted angiogenesis and hypertrophy are associated with increased fatigue resistance and unchanged aerobic capacity in old overloaded mouse muscle.

    Science.gov (United States)

    Ballak, Sam B; Busé-Pot, Tinelies; Harding, Peter J; Yap, Moi H; Deldicque, Louise; de Haan, Arnold; Jaspers, Richard T; Degens, Hans

    2016-04-01

    We hypothesize that the attenuated hypertrophic response in old mouse muscle is (1) partly due to a reduced capillarization and angiogenesis, which is (2) accompanied by a reduced oxidative capacity and fatigue resistance in old control and overloaded muscles, that (3) can be rescued by the antioxidant resveratrol. To investigate this, the hypertrophic response, capillarization, oxidative capacity, and fatigue resistance of m. plantaris were compared in 9- and 25-month-old non-treated and 25-month-old resveratrol-treated mice. Overload increased the local capillary-to-fiber ratio less in old (15 %) than in adult (59 %) muscle (P muscles of old mice had a higher succinate dehydrogenase (SDH) activity (P < 0.05) and a slower fiber type profile (P < 0.05), the isometric fatigue resistance was similar in 9- and 25-month-old mice. In both age groups, the fatigue resistance was increased to the same extent after overload (P < 0.01), without a significant change in SDH activity, but an increased capillary density (P < 0.05). Attenuated angiogenesis during overload may contribute to the attenuated hypertrophic response in old age. Neither was rescued by resveratrol supplementation. Changes in fatigue resistance with overload and aging were dissociated from changes in SDH activity, but paralleled those in capillarization. This suggests that capillarization plays a more important role in fatigue resistance than oxidative capacity.

  7. Surface modification and fatigue behavior of nitinol for load bearing implants

    Science.gov (United States)

    Bernard, Sheldon A.

    Musculoskeletal disorders are recognized amongst the most significant human health problems that exist today. Even though considerable research and development has gone towards understanding musculoskeletal disorders, there is still lack of bone replacement materials that are appropriate for restoring lost structures and functions, particularly for load-bearing applications. Many materials on the market today, such as titanium and stainless steel, suffer from significantly higher modulus than natural bone and low bioactivity leading to stress shielding and implant loosening over longer time use. Nitinol (NiTi) is an equiatomic intermetallic compound of nickel and titanium whose unique biomechanical and biological properties contributed to its increasing use as a biomaterial. An innovative method for creating dense and porous net shape NiTi alloy parts has been developed to improve biological properties while maintaining comparable or better mechanical properties than commercial materials that are currently in use. Laser engineered net shaping (LENS(TM)) and surface electrochemistry modification was used to create dense/porous samples and micro textured surfaces on NiTi parts, respectively. Porous implants are known to promote cell adhesion and have a low elastic modulus, a combination that can significantly increase the life of an implant. However, porosity can significantly reduce the fatigue life of an implant, and very little work has been reported on the fatigue behavior of bulk porous metals, specifically on porous nitinol alloy. High-cycle rotating bending and compression-compression fatigue behavior of porous NiTi fabricated using LENS(TM) were studied. In cyclic compression loading, plastic strain increased with increasing porosity and it was evident that maximum strain was achieved during the first 50000 cycles and remained constant throughout the remaining loading. No failures were observed due to loading up to 150% of the yield strength. When subjected

  8. Frontier studies on fatigue, autonomic nerve dysfunction, and sleep-rhythm disorder.

    Science.gov (United States)

    Tanaka, Masaaki; Tajima, Seiki; Mizuno, Kei; Ishii, Akira; Konishi, Yukuo; Miike, Teruhisa; Watanabe, Yasuyoshi

    2015-11-01

    Fatigue is defined as a condition or phenomenon of decreased ability and efficiency of mental and/or physical activities, caused by excessive mental or physical activities, diseases, or syndromes. It is often accompanied by a peculiar sense of discomfort, a desire to rest, and reduced motivation, referred to as fatigue sensation. Acute fatigue is a normal condition or phenomenon that disappears after a period of rest; in contrast, chronic fatigue, lasting at least 6 months, does not disappear after ordinary rest. Chronic fatigue impairs activities and contributes to various medical conditions, such as cardiovascular disease, epileptic seizures, and death. In addition, many people complain of chronic fatigue. For example, in Japan, more than one third of the general adult population complains of chronic fatigue. It would thus be of great value to clarify the mechanisms underlying chronic fatigue and to develop efficient treatment methods to overcome it. Here, we review data primarily from behavioral, electrophysiological, and neuroimaging experiments related to neural dysfunction as well as autonomic nervous system, sleep, and circadian rhythm disorders in fatigue. These data provide new perspectives on the mechanisms underlying chronic fatigue and on overcoming it.

  9. Increased Th17/Treg Ratio in Poststroke Fatigue

    Directory of Open Access Journals (Sweden)

    Xinjing Liu

    2015-01-01

    Full Text Available Fatigue is a major debilitating symptom after stroke. The biological mechanisms underlying poststroke fatigue (PFS are unknown. We hypothesized that PSF is associated with an alteration in the balance between Th17 and Treg cells. To test this hypothesis we assessed fatigue in 30 stroke survivors using the Fatigue Scale for Motor and Cognitive Functions (FSMC. Peripheral blood was collected for assessment of Th17 and Treg cell populations and measurement of interleukin-10 (IL-10. Participants were dichotomized into severe fatigue n=14 and low-moderate fatigue n=16 groups by K-mean cluster analysis of FSMC scores. There were no group differences in age, gender, stroke type, stroke severity, or time since stroke. Stroke survivors in the severe fatigue group reported greater anxiety p=0.004 and depression p=0.001 than in the low-moderate fatigue group. The ratio of Th17 to Treg cells was significantly increased in the severe fatigue group relative to the mild-moderate fatigue group p=0.035. Serum levels of IL-10 negatively correlated withTh17/Treg ratio (r=-0.408,  p=0.025. Our preliminary findings suggest that an imbalance in the Th17/Treg ratio is associated with the severity of PSF.

  10. Fatigue life extension techniques for weldments via mechanical surface post treatment

    International Nuclear Information System (INIS)

    Han, Seung Ho; Han, Jeong Woo; Cho, In Ho

    2008-01-01

    In many welded structures, fatigue failures are often occurred at welded joints in which stress concentrations due to the joint geometry are relatively high. Although employing good detail design practices by upgrading the welded detail class enables to improve the fatigue performance, in many cases, the modification of the detail may not be practicable. As an alternative, fatigue life extension techniques, that reduce the severity of the stress concentration at the weld toe region, remove imperfections, and introduce local compressive welding residual stress, can be applied. These techniques are also used as remedial measures to extend the fatigue life of critical welds that have failed prematurely and have been repaired. This paper introduces peening techniques via a pneumatic hammer peening and ultrasonic impact which make it possible to give the weld not only a favorable shape reducing the local stress concentration, but also a beneficial compressive residual stress into material surface

  11. Work factors as predictors of persistent fatigue: a prospective study of nurses' aides.

    Science.gov (United States)

    Eriksen, W

    2006-06-01

    To identify work factors that predict persistent fatigue in nurses' aides. The sample comprised 5547 Norwegian nurses' aides, not on leave when they completed a mailed questionnaire in 1999. Of these, 4645 (83.7%) completed a second questionnaire 15 months later. The outcome measure was the occurrence of persistent fatigue, defined as having felt "usually fatigued" or "always fatigued" in daytime during the previous 14 days. In respondents without persistent fatigue at baseline, medium and high work demands, heavy smoking, being single, and having long term health problems were associated with increased risk of persistent fatigue at follow up. Medium and high rewards for well done work, medium levels of leadership fairness, and regular physical exercise were associated with reduced risk of persistent fatigue at follow up. In respondents with persistent fatigue at baseline, medium and high levels of positive challenges at work, high support from immediate superior, medium feedback about quality of one's work, and changes of work or work tasks that resulted in less heavy work or lower work pace were associated with increased odds of recovery (no persistent fatigue at follow up). Working in a nursing home and being intensely bothered by long term health problems were associated with reduced odds of recovery. High demands and lack of rewards at work may cause persistent fatigue in nurses' aides. Reduction of demands, adequate feedback, and mental stimulation in the form of support and positive challenges may facilitate recovery in those who have persistent fatigue. Leaders in the health services may be in a position to regulate factors that influence the level of fatigue in nurses' aides.

  12. [Analysis of the Muscle Fatigue Based on Band Spectrum Entropy of Multi-channel Surface Electromyography].

    Science.gov (United States)

    Liu, Jian; Zou, Renling; Zhang, Dongheng; Xu, Xiulin; Hu, Xiufang

    2016-06-01

    Exercise-induced muscle fatigue is a phenomenon that the maximum voluntary contraction force or power output of muscle is temporarily reduced due to muscular movement.If the fatigue is not treated properly,it will bring about a severe injury to the human body.With multi-channel collection of lower limb surface electromyography signals,this article analyzes the muscle fatigue by adoption of band spectrum entropy method which combined electromyographic signal spectral analysis and nonlinear dynamics.The experimental result indicated that with the increase of muscle fatigue,muscle signal spectrum began to move to low frequency,the energy concentrated,the system complexity came down,and the band spectrum entropy which reflected the complexity was also reduced.By monitoring the entropy,we can measure the degree of muscle fatigue,and provide an indicator to judge fatigue degree for the sports training and clinical rehabilitation training.

  13. Biologic interventions for fatigue in rheumatoid arthritis

    DEFF Research Database (Denmark)

    Almeida, Celia; Choy, Ernest H S; Hewlett, Sarah

    2016-01-01

    BACKGROUND: Fatigue is a common and potentially distressing symptom for patients with rheumatoid arthritis (RA), with no accepted evidence-based management guidelines. Evidence suggests that biologic interventions improve symptoms and signs in RA as well as reducing joint damage. OBJECTIVES......: To evaluate the effect of biologic interventions on fatigue in rheumatoid arthritis. SEARCH METHODS: We searched the following electronic databases up to 1 April 2014: Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, Current Controlled Trials...... and contacted key authors. SELECTION CRITERIA: We included randomised controlled trials if they evaluated a biologic intervention in people with rheumatoid arthritis and had self reported fatigue as an outcome measure. DATA COLLECTION AND ANALYSIS: Two reviewers selected relevant trials, assessed methodological...

  14. Fatigue in Steel Structures under Random Loading

    DEFF Research Database (Denmark)

    Agerskov, Henning

    1999-01-01

    types of welded plate test specimens and full-scale offshore tubular joints. The materials that have been used are either conventional structural steel with a yield stress of ~ 360-410 MPa or high-strength steel with a yield stress of ~ 810-1010 MPa. The fatigue tests and the fracture mechanics analyses......Fatigue damage accumulation in steel structures under random loading is studied. The fatigue life of welded joints has been determined both experimentally and from a fracture mechanics analysis. In the experimental part of the investigation, fatigue test series have been carried through on various...... have been carried out using load histories, which are realistic in relation to the types of structures studied, i.e. primarily bridges, offshore structures and chimneys. In general, the test series carried through show a significant difference between constant amplitude and variable amplitude fatigue...

  15. Shock Transmission and Fatigue in Human Running.

    Science.gov (United States)

    Verbitsky, Oleg; Mizrahi, Joseph; Voloshin, Arkady; Treiger, July; Isakov, Eli

    1998-08-01

    The goal of this research was to analyze the effects of fatigue on the shock waves generated by foot strike. Twenty-two subjects were instrumented with an externally attached, lightweight accelerometer placed over the tibial tuberosity. The subjects ran on a treadmill for 30 min at a speed near their anaerobic threshold. Fatigue was established when the end-tidal CO 2 pressure decreased. The results indicated that approximately half of the subjects reached the fatigue state toward the end of the test. Whenever fatigue occurred, the peak acceleration was found to increase. It was thus concluded that there is a clear association between fatigue and increased heel strike-induced shock waves. These results have a significant implication for the etiology of running injuries, since shock wave attenuation has been previously reported to play an important role in preventing such injuries.

  16. Predictors and Trajectories of Morning Fatigue Are Distinct from Evening Fatigue

    Science.gov (United States)

    Wright, Fay; Melkus, Gail D’Eramo; Hammer, Marilyn; Schmidt, Brian L.; Knobf, M. Tish; Paul, Steven M.; Cartwright, Frances; Mastick, Judy; Cooper, Bruce A.; Chen, Lee-May; Melisko, Michelle; Levine, Jon D.; Kober, Kord; Aouizerat, Bradley E.; Miaskowski, Christine

    2015-01-01

    Context Fatigue is the most common symptom in oncology patients during chemotherapy (CTX). Little is known about the predictors of interindividual variability in initial levels and trajectories of morning fatigue severity in these patients. Objectives An evaluation was done to determine which demographic, clinical, and symptom characteristics were associated with initial levels as well as the trajectories of morning fatigue and to compare findings with our companion paper on evening fatigue. Methods A sample of outpatients with breast, gastrointestinal, gynecological, and lung cancer (N=586) completed demographic and symptom questionnaires a total of six times over two cycles of CTX. Fatigue severity was evaluated using the Lee Fatigue Scale. Hierarchical linear modeling (HLM) was used to answer the study objectives. Results A large amount of interindividual variability was found in the morning fatigue trajectories. A piecewise model fit the data best. Patients with higher body mass index (BMI), who did not exercise regularly, with a lower functional status, and who had higher levels of state anxiety, sleep disturbance and depressive symptoms, reported higher levels of morning fatigue at enrollment. Variations in the trajectories of morning fatigue were predicted by the patients’ ethnicity and younger age. Conclusion The modifiable risk factors that were associated with only morning fatigue were BMI, exercise, and state anxiety. Modifiable risk factors that were associated with both morning and evening fatigue included functional status, depressive symptoms, and sleep disturbance. Using this information, clinicians can identify patients at higher risk for more severe morning fatigue and evening fatigue, provide individualized patient education, and tailor interventions to address the modifiable risk factors. PMID:25828559

  17. Corrosion fatigue behaviors of steel wires used in coalmine

    International Nuclear Information System (INIS)

    Wang, Songquan; Zhang, Dekun; Chen, Kai; Xu, Linmin; Ge, Shirong

    2014-01-01

    Highlights: • The CF life of steel wire in acid solution is the shortest. • The fatigue source zone showed dimple morphology when coupled with anode potential. • The area of dimple increases with the increase of the applied anode potential. • The strong cathode potential cannot reduce the CF life of the smooth steel wire. • The hydrogen impacted mainly on the plastic deformation of the wire surface. - Abstract: The corrosion fatigue (CF) behaviors of the mining steel wire in different solutions at different applied polarization potentials were investigated in this paper. The surfaces and fracture morphologies of the steel wire at different applied potentials were observed by scanning electron microscope (SEM). The results showed that the CF life of steel wire in acid solution is the shortest. Moreover, the strong anodic polarization potential greatly reduced the CF life of steel wire, while the strong cathode potential did not reduce the CF life. For the smooth steel wire, the hydrogen impacted mainly on the plastic deformation of the wire surface. There was obvious dimple in the fatigue source zone of the wire when coupled with anode potential, and the area of the dimple increased with the increase of the applied anode potential. Conversely, the fatigue source zone of the fracture was relatively smooth at cathode polarization potential, which indicated that the crack propagation followed the mechanism of hydrogen induced cracking

  18. Fatigue and sleep quality in rheumatoid arthritis patients during hospital admission

    OpenAIRE

    Szady, Paulina; B?czyk, Gra?yna; Koz?owska, Katarzyna

    2017-01-01

    Objectives : Rheumatoid arthritis (RA) is a systemic disease of connective tissue characterised by chronic course with periods of exacerbation and remission. Even in the early stages of the disease patients report the occurrence of fatigue and sleep disorders. Reduced sleep quality and chronic fatigue are common among patients with rheumatoid arthritis. The aim of the research was to evaluate the severity of fatigue and sleep quality assessment among patients hospitalised with rheumatoid arth...

  19. Persistent Fatigue in Hematopoietic Stem Cell Transplantation Survivors.

    Science.gov (United States)

    Hacker, Eileen Danaher; Fink, Anne M; Peters, Tara; Park, Chang; Fantuzzi, Giamila; Rondelli, Damiano

    Fatigue is highly prevalent after hematopoietic stem cell transplantation (HCT). It has been described as intense and may last for years following treatment. The aim of this study is to compare fatigue, physical activity, sleep, emotional distress, cognitive function, and biological measures in HCT survivors with persistent fatigue (n = 25) with age- and gender-matched healthy controls with occasional tiredness (n = 25). Data were collected using (a) objective, real-time assessments of physical activity and sleep over 7 days; (b) patient-reported fatigue assessments; (c) computerized objective testing of cognitive functioning; and (d) biological measures. Differences between groups were examined using multivariate analysis of variance. Survivors of HCT reported increased physical (P < .001), mental (P < .001), and overall (P < .001) fatigue as well as increased anxiety (P < .05) and depression (P < .01) compared with healthy controls. Red blood cell (RBC) levels were significantly lower in HCT survivors (P < .001). Levels of RBC for both groups, however, were in the normal range. Tumor necrosis factor-α (P < .001) and interleukin-6 (P < .05) levels were significantly higher in HCT survivors. Persistent fatigue in HCT survivors compared with healthy controls with occasional tiredness is accompanied by increased anxiety and depression along with decreased RBC counts. Elevated tumor necrosis factor-α and interleukin-6 levels may be important biomarkers. This study provides preliminary support for the conceptualization of fatigue as existing on a continuum, with tiredness anchoring one end and exhaustion the other. Persistent fatigue experienced by HCT survivors is more severe than the occasional tiredness of everyday life.

  20. Psychiatric caregiver stress: clinical implications of compassion fatigue.

    Science.gov (United States)

    Franza, Francesco; Del Buono, Gianfranco; Pellegrino, Ferdinando

    2015-09-01

    The capacity to work productively is a key component of health and emotional well-being. People who work in health care can be exposed to the fatigue of care. Compassion fatigue has been described as an occupational hazard specific to clinical work related severe emotional distress. In our study, we have evaluated compassion fatigue in a mental health group (47 psychiatric staff) and its relationship with inpatients (237 inpatients) affected by some psychiatric disorders. At baseline, the more significant data indicate a high percentage of Job Burnout and Compassion Fatigue in psychiatric nurses (respectively, 39.28%, 28.57%). Significant Compassion Fatigue percentage is present also in psychologist group (36.36%). Finally, in psychiatrists, the exposure to patients increased vicarious trauma (28.57%), but not job burnout. After a year of participation in Balint Groups, the psychiatric staff presented an overall reduction in total mean score in any administered scale (CBI: pfatigue causes concern among mental health professionals, and Balint Groups may represent a therapeutic strategy to help health professionals to face difficulties in challenging work environments.

  1. Self-Reported Fatigue and Associated Factors Six Years after Stroke.

    Directory of Open Access Journals (Sweden)

    Marie Elf

    Full Text Available Several studies have found that fatigue is one of the most commonly reported symptoms after stroke and the most difficult to cope with. The present study aimed to investigate the presence and severity of self-reported fatigue six years after stroke onset and associated factors. The cohort "Life After Stroke Phase I" (n = 349 persons was invited at six years to report fatigue (Fatigue Severity Scale 7-item version, perceived impact of stroke and global recovery after stroke (Stroke Impact Scale, anxiety and depression (Hospital Anxiety and Depression Scale, life satisfaction (Life Satisfaction Checklist and participation in everyday social activities (Frenchay Activities Index. At six years 37% of the 102 participants in this cross-sectional study reported fatigue. The results showed that in nearly all SIS domains the odds for post-stroke fatigue were higher in persons with a higher perceived impact. Furthermore, the odds for post-stroke fatigue were higher in those who had experienced a moderate/severe stroke and had signs of depression and anxiety. Fatigue is still present in one-third of persons as long as six years after stroke onset and is perceived to hinder many aspects of functioning in everyday life. There is an urgent need to develop and evaluate interventions to reduce fatigue.

  2. Interactive processes link the multiple symptoms of fatigue in sport competition.

    Science.gov (United States)

    Knicker, Axel J; Renshaw, Ian; Oldham, Anthony R H; Cairns, Simeon P

    2011-04-01

    Muscle physiologists often describe fatigue simply as a decline of muscle force and infer this causes an athlete to slow down. In contrast, exercise scientists describe fatigue during sport competition more holistically as an exercise-induced impairment of performance. The aim of this review is to reconcile the different views by evaluating the many performance symptoms/measures and mechanisms of fatigue. We describe how fatigue is assessed with muscle, exercise or competition performance measures. Muscle performance (single muscle test measures) declines due to peripheral fatigue (reduced muscle cell force) and/or central fatigue (reduced motor drive from the CNS). Peak muscle force seldom falls by >30% during sport but is often exacerbated during electrical stimulation and laboratory exercise tasks. Exercise performance (whole-body exercise test measures) reveals impaired physical/technical abilities and subjective fatigue sensations. Exercise intensity is initially sustained by recruitment of new motor units and help from synergistic muscles before it declines. Technique/motor skill execution deviates as exercise proceeds to maintain outcomes before they deteriorate, e.g. reduced accuracy or velocity. The sensation of fatigue incorporates an elevated rating of perceived exertion (RPE) during submaximal tasks, due to a combination of peripheral and higher CNS inputs. Competition performance (sport symptoms) is affected more by decision-making and psychological aspects, since there are opponents and a greater importance on the result. Laboratory based decision making is generally faster or unimpaired. Motivation, self-efficacy and anxiety can change during exercise to modify RPE and, hence, alter physical performance. Symptoms of fatigue during racing, team-game or racquet sports are largely anecdotal, but sometimes assessed with time-motion analysis. Fatigue during brief all-out racing is described biomechanically as a decline of peak velocity, along with altered

  3. Fatigue shifts and scatters heart rate variability in elite endurance athletes.

    Directory of Open Access Journals (Sweden)

    Laurent Schmitt

    Full Text Available PURPOSE: This longitudinal study aimed at comparing heart rate variability (HRV in elite athletes identified either in 'fatigue' or in 'no-fatigue' state in 'real life' conditions. METHODS: 57 elite Nordic-skiers were surveyed over 4 years. R-R intervals were recorded supine (SU and standing (ST. A fatigue state was quoted with a validated questionnaire. A multilevel linear regression model was used to analyze relationships between heart rate (HR and HRV descriptors [total spectral power (TP, power in low (LF and high frequency (HF ranges expressed in ms(2 and normalized units (nu] and the status without and with fatigue. The variables not distributed normally were transformed by taking their common logarithm (log10. RESULTS: 172 trials were identified as in a 'fatigue' and 891 as in 'no-fatigue' state. All supine HR and HRV parameters (Beta±SE were significantly different (P<0.0001 between 'fatigue' and 'no-fatigue': HRSU (+6.27±0.61 bpm, logTPSU (-0.36±0.04, logLFSU (-0.27±0.04, logHFSU (-0.46±0.05, logLF/HFSU (+0.19±0.03, HFSU(nu (-9.55±1.33. Differences were also significant (P<0.0001 in standing: HRST (+8.83±0.89, logTPST (-0.28±0.03, logLFST (-0.29±0.03, logHFST (-0.32±0.04. Also, intra-individual variance of HRV parameters was larger (P<0.05 in the 'fatigue' state (logTPSU: 0.26 vs. 0.07, logLFSU: 0.28 vs. 0.11, logHFSU: 0.32 vs. 0.08, logTPST: 0.13 vs. 0.07, logLFST: 0.16 vs. 0.07, logHFST: 0.25 vs. 0.14. CONCLUSION: HRV was significantly lower in 'fatigue' vs. 'no-fatigue' but accompanied with larger intra-individual variance of HRV parameters in 'fatigue'. The broader intra-individual variance of HRV parameters might encompass different changes from no-fatigue state, possibly reflecting different fatigue-induced alterations of HRV pattern.

  4. SI:FatiguePro 4 Advanced Approach for Fatigue Monitoring

    International Nuclear Information System (INIS)

    Evon, Keith; Gilman, Tim; Carney, Curt

    2012-01-01

    Many nuclear plants are making commitments to implement fatigue monitoring systems in support of license renewal. Current fatigue monitoring systems use the methodology of ASME Code Subarticle NB-3200, which is a design code intended to compute a bounding cumulative usage factor (CUF). The first generation of fatigue monitoring software utilized a simplified, single stress term assumption and classical stress cycle-counting methods that take order into account such as Rainflow or Ordered Overall Range counting. Recently, the NRC has indicated in Regulatory Issue Summary 2008-30 that any fatigue analyses in support of License Renewal should use ASME Code Section III methodologies considering all six stress components. In addition, fatigue calculations for the license renewal term are required to consider the effects of environment. The implementation of a six stress term NB-3200 fatigue calculation to a Boiling Water Reactor (BWR) feedwater nozzle, including environmental effects, is the topic of this paper. Differences in results between the advanced methodology and the simplified methodology are discussed. (author)

  5. Severe fatigue and reduced quality of life in children with hereditary motor and sensory neuropathy 1A

    NARCIS (Netherlands)

    Jagersma, Elbrich; Jeukens-Visser, Martine; van Paassen, Barbara W.; Meester-Delver, Anke; Nollet, Frans

    2013-01-01

    Severe fatigue and low quality of life are reported by a majority of adult patients with hereditary motor and sensory neuropathy 1A. In children with hereditary motor and sensory neuropathy 1A, the prevalence and impact of fatigue have not been studied yet. In this questionnaire survey, 55 Dutch

  6. Room temperature creep-fatigue response of selected copper alloys for high heat flux applications

    DEFF Research Database (Denmark)

    Li, M.; Singh, B.N.; Stubbins, J.F.

    2004-01-01

    times. The influence of hold times on fatigue life in the low cycle fatigue, short life regime (i.e., at high strain amplitudes) was minimal. When hold time effects were observed, fatigue lives were reduced with hold times as short as two seconds. Appreciable stress relaxation was observed during...

  7. Are nurses able to assess fatigue, exertion fatigue and types of fatigue in residential home patients?

    NARCIS (Netherlands)

    Tiesinga, L.J.; Dijkstra, Ate; Dassen, T.W.N.; Halfens, R.J.G.; van den Heuvel, W.J.A.

    Although fatigue is recognized as a subjective, generalized, extensive and disabling health care problem with a relatively high prevalence among the chronically ill, there have been no studies to show whether nurses caring for fatigued subjects are able to accurately assess the level of fatigue that

  8. Investigation of LWR environmental effect on fatigue lifetime of austenitic stainless steel component

    International Nuclear Information System (INIS)

    Kim, J. S.; Youm, H. K.; Jin, T. E.

    1999-01-01

    The fatigue lifetime of principal components in nuclear power plant is evaluated by using the design fatigue curves in ASME B and PV code during design process. However, it is inadequate to evaluate fatigue lifetime considering the LWR environmental effect by these design fatigue curves because these are presented only under atmosphere environment. Therefore, many studies are recently performed for the design fatigue curves considering LWR environmental effect and are presented that the design fatigue curves in ASME B and PV code can be non-conservative. In present paper, the limits and differences of the design fatigue curves considering environmental effect are presented. To investigate the change of fatigue lifetime according to each design fatigue curve, the CUFs for the pressurizer spray nozzle partly composed of austenitic stainless steel are calculated according to each one. Finally, if the evaluation result can not be satisfied with fatigue design requirement, the alternatives to reduce design cumulative usage factor are discussed. (author)

  9. Corrosion fatigue in nitrocarburized quenched and tempered steels

    Science.gov (United States)

    Khani, M. Karim; Dengel, D.

    1996-05-01

    In order to investigate the fatigue strength and fracture mechanism of salt bath nitrocarburized steels, specimens of the steels SAE 4135 and SAE 4140, in a quenched and tempered state, and additionally in a salt bath nitrocarburized and oxidizing cooled state as well as in a polished (after the oxidizing cooling) and renewed oxidized state, were subjected to comparative rotating bending fatigue tests in inert oil and 5 pct NaCl solution. In addition, some of the quenched and tempered specimens of SAE 4135 material were provided with an approximately 50-μm-thick electroless Ni-P layer, in order to compare corrosion fatigue behavior between the Ni-P layer and the nitride layers. Long-life corrosion fatigue tests of SAE 4135 material were carried out under small stresses in the long-life range up to 108 cycles with a test frequency of 100 Hz. Fatigue tests of SAE 4140 material were carried out in the range of finite life (low-cycle range) with a test frequency of 13 Hz. The results show that the 5 pct NaCl environment drastically reduced fatigue life, but nitrocarburizing plus oxidation treatment was found to improve the corrosion fatigue life over that of untreated and Ni-P coated specimens. The beneficial effect of nitrocarburizing followed by oxidation treatment on cor-rosion fatigue life results from the protection rendered by the compound layer by means of a well-sealed oxide layer, whereby the pores present in the compound layer fill up with oxides. The role of inclusions in initiating fatigue cracks was investigated. It was found that under corrosion fatigue conditions, the fatigue cracks started at cavities along the interfaces of MnS inclusions and matrix in the case of quenched and tempered specimens. The nitrocarburized specimens, however, showed a superposition of pitting corrosion and corrosion fatigue in which pores and nonmetallic inclusions in the compound layer play a predominant role concerning the formation of pits in the substrate.

  10. Cyclic mechanical fatigue in ceramic-ceramic composites: an update

    International Nuclear Information System (INIS)

    Lewis, D. III

    1983-01-01

    Attention is given to cyclic mechanical fatigue effects in a number of ceramics and ceramic composites, including several monolithic ceramics in which significant residual stresses should be present as a result of thermal expansion mismatches and anisotropy. Fatigue is also noted in several BN-containing ceramic matrix-particulate composites and in SiC fiber-ceramic matrix composites. These results suggest that fatigue testing is imperative for ceramics and ceramic composites that are to be used in applications subject to cyclic loading. Fatigue process models are proposed which provide a rationale for fatigue effect observations, but do not as yet provide quantitative results. Fiber composite fatigue damage models indicate that design stresses in these materials may have to be maintained below the level at which fiber pullout occurs

  11. Fascicles and the interfascicular matrix show decreased fatigue life with ageing in energy storing tendons.

    Science.gov (United States)

    Thorpe, Chavaunne T; Riley, Graham P; Birch, Helen L; Clegg, Peter D; Screen, Hazel R C

    2017-07-01

    Tendon is composed of rope-like fascicles bound together by interfascicular matrix (IFM). The IFM is critical for the function of energy storing tendons, facilitating sliding between fascicles to allow these tendons to cyclically stretch and recoil. This capacity is required to a lesser degree in positional tendons. We have previously demonstrated that both fascicles and IFM in energy storing tendons have superior fatigue resistance compared with positional tendons, but the effect of ageing on the fatigue properties of these different tendon subunits has not been determined. Energy storing tendons become more injury-prone with ageing, indicating reduced fatigue resistance, hence we tested the hypothesis that the decline in fatigue life with ageing in energy storing tendons would be more pronounced in the IFM than in fascicles. We further hypothesised that tendon subunit fatigue resistance would not alter with ageing in positional tendons. Fascicles and IFM from young and old energy storing and positional tendons were subjected to cyclic fatigue testing until failure, and mechanical properties were calculated. The results show that both IFM and fascicles from the SDFT exhibit a similar magnitude of reduced fatigue life with ageing. By contrast, the fatigue life of positional tendon subunits was unaffected by ageing. The age-related decline in fatigue life of tendon subunits in energy storing tendons is likely to contribute to the increased risk of injury in aged tendons. Full understanding of the mechanisms resulting in this reduced fatigue life will aid in the development of treatments and interventions to prevent age-related tendinopathy. Understanding the effect of ageing on tendon-structure function relationships is crucial for the development of effective preventative measures and treatments for age-related tendon injury. In this study, we demonstrate for the first time that the fatigue resistance of the interfascicular matrix decreases with ageing in energy

  12. [Therapy of fatigue in multiple sclerosis : A treatment algorithm].

    Science.gov (United States)

    Veauthier, C; Paul, F

    2016-12-01

    Fatigue is one of the most frequent symptoms of multiple sclerosis (MS) and one of the main reasons for underemployment and early retirement. The mechanisms of MS-related fatigue are unknown but comorbid disorders play a major role. Anemia, diabetes, side effects of medication and depression should be ruled out. Moreover, excessive daytime sleepiness (EDS) should be differentiated from fatigue. No approved medicinal therapy of MS fatigue is currently available. Presentation of current treatment strategies with a particular focus on secondary fatigue due to sleep disorders. A review of the literature was carried out. All MS patients suffering from fatigue should be questioned with respect to EDS and if necessary sleep medical investigations should be carried out; however, pure fatigue without accompanying EDS can also be caused by a sleep disorder. Medications, particularly freely available antihistamines, can also increase fatigue. Furthermore, anemia, iron deficits, diabetes and hypothyroidism should be excluded. Self-assessment questionnaires show an overlap between depression and fatigue. Several studies have shown that cognitive behavioral therapy and various psychotherapeutic measures, such as vertigo training, progressive exercise training and individualized physiotherapy as well as fatigue management interventions can lead to a significant improvement of MS-related fatigue. There is currently no medication which is suitable for treatment of fatigue, with the exception of fampridine for the treatment of motor functions and motor fatigue.

  13. Corrosion and Fatigue Behavior of High-Strength Steel Treated with a Zn-Alloy Thermo-diffusion Coating

    Science.gov (United States)

    Mulligan, C. P.; Vigilante, G. N.; Cannon, J. J.

    2017-11-01

    High and low cycle fatigue tests were conducted on high-strength steel using four-point bending. The materials tested were ASTM A723 steel in the as-machined condition, grit-blasted condition, MIL-DTL-16232 heavy manganese phosphate-coated condition, and ASTM A1059 Zn-alloy thermo-diffusion coated (Zn-TDC). The ASTM A723 steel base material exhibits a yield strength of 1000 MPa. The effects of the surface treatments versus uncoated steel were examined. The fatigue life of the Zn-TDC specimens was generally reduced on as-coated specimens versus uncoated or phosphate-coated specimens. Several mechanisms are examined including the role of compressive residual stress relief with the Zn-TDC process as well as fatigue crack initiation from the hardened Zn-Fe alloy surface layer produced in the gas-metal reaction. Additionally, the effects of corrosion pitting on the fatigue life of coated specimens are explored as the Zn-TDC specimens exhibit significantly improved corrosion resistance over phosphate-coated and oiled specimens.

  14. Influence of specimen thickness on the fatigue behavior of notched steel plates subjected to laser shock peening

    Science.gov (United States)

    Granados-Alejo, V.; Rubio-González, C.; Vázquez-Jiménez, C. A.; Banderas, J. A.; Gómez-Rosas, G.

    2018-05-01

    The influence of specimen thickness on the fatigue crack initiation of 2205 duplex stainless steel notched specimens subjected to laser shock peening (LSP) was investigated. The purpose was to examine the effectiveness of LSP on flat components with different thicknesses. For the LSP treatment a Nd:YAG pulsed laser operating at 10 Hz with 1064 nm of wavelength was used; pulse density was 2500 pulses/cm2. The LSP setup was the waterjet arrangement without sample coating. Residual stress distribution as a function of depth was determined by the hole drilling method. Notched specimens 2, 3 and 4 mm thick were LSP treated on both faces and then fatigue loading was applied with R = 0.1. Experimental fatigue lives were compared with life predictions from finite element simulation. A good comparison of the predicted and experimental fatigue lives was observed. LSP finite element simulation helps in explaining the influence of thickness on fatigue lives in terms of equivalent plastic strain distribution variations associated with the change in thickness. It is demonstrated that specimen size effect is an important issue in applying LSP on real components. Reducing the specimen thickness, the fatigue life improvement induced by LSP is significantly increased. Fatigue life extension up to 300% is observed on thin specimens with LSP.

  15. Fatigue life of the plasma-facing components in PULSAR

    International Nuclear Information System (INIS)

    Crowell, J.A.; Blanchard, J.P.

    1994-01-01

    The PULSAR project is a multi-institutional effort to determine the advantages that can be gained by building a tokamak without current drive. This machine would reduce the capital and operating costs of the machine by avoiding the need for complex current drive hardware but it must compensate for this with an energy storage scheme and with increased structural requirements due to cyclic fatigue. This paper presents the results of the fatigue analysis for the plasma-facing components of PULSAR. The structural analysis is carried out using two-dimensional finite element models and a variety of boundary conditions to account for the third dimension. In some cases the temperature distribution is modified to simulate behaviors which cannot normally be modeled with two-dimensional finite element models. PULSAR features two major engineering designs: a liquid metal-cooled vanadium design and a helium-cooled SiC/SiC design. Results are given for each. It is shown that the superior thermal and strength properties of the vanadium alloy simplify the component design process significantly. The SiC composite properties cause significantly more difficulty for the designer and, in particular, no credible design is found for a divertor fabricated solely from the SiC composite. This conclusion is based on current data for the thermophysical properties and fatigue strength of SiC fiber composites, so developments in these areas could allow the fabrication of a SiC/SiC divertor for a pulsed tokamak

  16. Fatigue crack growth spectrum simplification: Facilitation of on-board damage prognosis systems

    Science.gov (United States)

    Adler, Matthew Adam

    2009-12-01

    monitoring and management of aircraft. A spectrum reduction method was proposed and experimentally validated that reduces a variable-amplitude spectrum to a constant-amplitude equivalent. The reduction from a variable-amplitude (VA) spectrum to a constant-amplitude equivalent (CAE) was proposed as a two-part process. Preliminary spectrum reduction is first performed by elimination of those loading events shown to be too negligible to significantly contribute to fatigue crack growth. This is accomplished by rainflow counting. The next step is to calculate the appropriate, equivalent maximum and minimum loads by means of a root-mean-square average. This reduced spectrum defines the CAE and replaces the original spectrum. The simplified model was experimentally shown to provide the approximately same fatigue crack growth as the original spectrum. Fatigue crack growth experiments for two dissimilar aircraft spectra across a wide-range of stress-intensity levels validated the proposed spectrum reduction procedure. Irrespective of the initial K-level, the constant-amplitude equivalent spectra were always conservative in crack growth rate, and were so by an average of 50% over the full range tested. This corresponds to a maximum 15% overestimation in driving force Delta K. Given other typical sources of scatter that occur during fatigue crack growth, a consistent 50% conservative prediction on crack growth rate is very satisfying. This is especially attractive given the reduction in cost gained by the simplification. We now have a seamless system that gives an acceptably good approximation of damage occurring in the aircraft. This contribution is significant because in a very simple way we now have given a path to bypass the current infrastructure and ground-support requirements. The decision-making is now a lot simpler. In managing an entire fleet we now have a workable system where the strength is in no need for a massive, isolated computational center. The fidelity of the model

  17. Performance Demands in Softball Pitching: A Comprehensive Muscle Fatigue Study.

    Science.gov (United States)

    Corben, Jeffrey S; Cerrone, Sara A; Soviero, Julie E; Kwiecien, Susan Y; Nicholas, Stephen J; McHugh, Malachy P

    2015-08-01

    Monitoring pitch count is standard practice in minor league baseball but not in softball because of the perception that fast-pitch softball pitching is a less stressful motion. To examine muscle fatigue after fast-pitch softball performances to provide an assessment of performance demand. Descriptive laboratory study. Bilateral strength measurements (handheld dynamometer) were made on 19 female softball pitchers (mean age [±SD], 15.2 ± 1.2 years) before and after pitching a game (mean number of pitches, 99 ± 21; mean innings pitched, 5 ± 1). A total of 20 tests were performed on the dominant and nondominant sides: forearm (grip, wrist flexion/extension, pronation/supination, elbow flexion/extension), shoulder (flexion, abduction/adduction, external/internal rotation, empty can test), scapula (middle/lower trapezius, rhomboid), and hip (hip flexion/extension, abduction/adduction). Fatigue (percentage strength loss) was categorized based on bilateral versus unilateral presentation using paired t tests: bilateral symmetric (significant on dominant and nondominant and not different between sides), bilateral asymmetric (significant on dominant and nondominant but significantly greater on dominant), unilateral asymmetric (significant on dominant only and significantly greater than nondominant), or unilateral equivocal (significant on dominant only but not different from nondominant). Bilateral symmetric fatigue was evident for all hip (dominant, 19.3%; nondominant, 15.2%) and scapular tests (dominant, 19.2%; nondominant, 19.3%). In general, shoulder tests exhibited bilateral asymmetric fatigue (dominant, 16.9%; nondominant, 11.6%). Forearm tests were more variable, with bilateral symmetric fatigue in the elbow flexors (dominant, 22.5%; nondominant, 19.2%), and wrist flexors (dominant, 21.6%; nondominant, 19.0%), bilateral asymmetric fatigue in the supinators (dominant, 21.8%; nondominant, 15.5%), unilateral asymmetric fatigue in the elbow extensors (dominant, 22

  18. Fatigue resistance and stiffness of glass fiber-reinforced urethane dimethacrylate composite.

    Science.gov (United States)

    Narva, Katja K; Lassila, Lippo V J; Vallittu, Pekka K

    2004-02-01

    Retentive properties of cast metal clasps decrease over time because of metal fatigue. Novel fiber-reinforced composite materials are purported to have increased fatigue resistance compared with metals and may offer a solution to the problem of metal fatigue. The aim of this study was to investigate the fatigue resistance and stiffness of E-glass fiber-reinforced composite. Twelve cylindrical fiber-reinforced composite test cylinders (2 mm in diameter and 60 mm in length) were made from light-polymerized urethane dimethacrylate monomer with unidirectional, single-stranded, polymer preimpregnated E-glass fiber reinforcement. Six cylinders were stored in dry conditions and 6 in distilled water for 30 days before testing. Fatigue resistance was measured by a constant-deflection fatigue test with 1 mm of deflection across a specimen span of 11 mm for a maximum of 150,000 loading cycles. The resistance of the cylinder against deflection was measured (N) and the mean values of the force were compared by 1-way analysis of variance (alpha = .05). The flexural modulus (GPa) was calculated for the dry and water-stored cylinders for the first loading cycle. Scanning electron microscopy was used to assess the distribution of the fibers, and the volume percent of fibers and polymer were assessed by combustion analysis. The test cylinders did not fracture due to fatigue following 150,000 loading cycles. Flexural modulus at the first loading cycle was 18.9 (+/- 2.9) GPa and 17.5 (+/- 1.7) GPa for the dry and water-stored cylinders, respectively. The mean force required to cause the first 1-mm deflection was 33.5 (+/- 5.2) N and 37.7 (+/- 3.6) N for the dry and water stored cylinders, respectively; however, the differences were not significant. After 150,000 cycles the mean force to cause 1-mm deflection was significantly reduced to 23.4 (+/- 8.5) N and 13.1 (+/- 3.5) N, respectively (P fiber- and polymer-rich areas within the specimens and indicated that individual fibers were

  19. Economic evaluation of multidisciplinary rehabilitation treatment versus cognitive behavioural therapy for patients with chronic fatigue syndrome: A randomized controlled trial.

    Science.gov (United States)

    Vos-Vromans, Desirée; Evers, Silvia; Huijnen, Ivan; Köke, Albère; Hitters, Minou; Rijnders, Nieke; Pont, Menno; Knottnerus, André; Smeets, Rob

    2017-01-01

    A multi-centre RCT has shown that multidisciplinary rehabilitation treatment (MRT) is more effective in reducing fatigue over the long-term in comparison with cognitive behavioural therapy (CBT) for patients with chronic fatigue syndrome (CFS), but evidence on its cost-effectiveness is lacking. To compare the cost-effectiveness of MRT versus CBT for patients with CFS from a societal perspective. A multi-centre randomized controlled trial comparing MRT with CBT was conducted among 122 patients with CFS diagnosed using the 1994 criteria of the Centers for Disease Control and Prevention and aged between 18 and 60 years. The societal costs (healthcare costs, patient and family costs, and costs for loss of productivity), fatigue severity, quality of life, quality-adjusted life-year (QALY), and cost-effectiveness ratios (ICERs) were measured over a follow-up period of one year. The main outcome of the cost-effectiveness analysis was fatigue measured by the Checklist Individual Strength (CIS). The main outcome of the cost-utility analysis was the QALY based on the EuroQol-5D-3L utilities. Sensitivity analyses were performed, and uncertainty was calculated using the cost-effectiveness acceptability curves and cost-effectiveness planes. The data of 109 patients (57 MRT and 52 CBT) were analyzed. MRT was significantly more effective in reducing fatigue at 52 weeks. The mean difference in QALY between the treatments was not significant (0.09, 95% CI: -0.02 to 0.19). The total societal costs were significantly higher for patients allocated to MRT (a difference of €5,389, 95% CI: 2,488 to 8,091). MRT has a high probability of being the most cost effective, using fatigue as the primary outcome. The ICER is €856 per unit of the CIS fatigue subscale. The results of the cost-utility analysis, using the QALY, indicate that the CBT had a higher likelihood of being more cost-effective. The probability of being more cost-effective is higher for MRT when using fatigue as primary

  20. Study of interaction of fatigue damage and ratcheting. Effect of a tensile primary load on torsion fatigue resistance of stainless steel 304 L at ambient temperature

    International Nuclear Information System (INIS)

    Hakem, N.S.

    1987-01-01

    Effect of ratcheting on fatigue resistance of a stainless steel 304 L, used for reactor vessels, is studied experimentally. Lifetime of samples is reduced if a static constant tensile load (primary loading) is superimposed to cyclic torsion deformations (secondary loading). An equivalent deformation concept is developed to express a criterion of fatigue rupture under primary loading. No effect is noted on the curve of cyclic strain hardening. This fatigue analysis gives no information on cumulated axial deformation. Progressive elongation, observed during testing, is dependent of primary and secondary loading. Rupture is produced by fatigue because cumulated axial deformation is limited ( 4 cycles at rupture cumulated deformation is [fr

  1. Effects of fatigue induced damage on the longitudinal fracture resistance of cortical bone.

    Science.gov (United States)

    Fletcher, Lloyd; Codrington, John; Parkinson, Ian

    2014-07-01

    As a composite material, cortical bone accumulates fatigue microdamage through the repetitive loading of everyday activity (e.g. walking). The accumulation of fatigue microdamage is thought to contribute to the occurrence of fragility fractures in older people. Therefore it is beneficial to understand the relationship between microcrack accumulation and the fracture resistance of cortical bone. Twenty longitudinally orientated compact tension fracture specimens were machined from a single bovine femur, ten specimens were assigned to both the control and fatigue damaged groups. The damaged group underwent a fatigue loading protocol to induce microdamage which was assessed via fluorescent microscopy. Following fatigue loading, non-linear fracture resistance tests were undertaken on both the control and damaged groups using the J-integral method. The interaction of the crack path with the fatigue induced damage and inherent toughening mechanisms were then observed using fluorescent microscopy. The results of this study show that fatigue induced damage reduces the initiation toughness of cortical bone and the growth toughness within the damage zone by three distinct mechanisms of fatigue-fracture interaction. Further analysis of the J-integral fracture resistance showed both the elastic and plastic component were reduced in the damaged group. For the elastic component this was attributed to a decreased number of ligament bridges in the crack wake while for the plastic component this was attributed to the presence of pre-existing fatigue microcracks preventing energy absorption by the formation of new microcracks.

  2. Clinical study on constitutional herbal tea for treating chronic fatigue.

    Science.gov (United States)

    Park, Soo-Jung; Bae, Young-Chun; Choi, Na-Rae; Ryu, Seung-Yeob; Kwon, Young-Mi; Joo, Jong-Cheon

    2014-12-01

    This study was designed to evaluate the efficacy and the safety of constitutional herbal tea for treating chronic fatigue with no diagnosed cause, which is called Mibyeong in Korea. Males and females with ages between 40 and 59 years who had complained of fatigue for 1 month consistently or for 6 months intermittently without a definite cause were recruited. At the same time, a Chalder fatigue scale (CFS) score of 19 was essential for participation in this study. Sixty five subjects completed the entire process, including blood tests and tests with medical devices. Five assessments of health status were accomplished over 8 weeks by using the CFS and the visual analogue scale (VAS). To ensure that the constitutional herbal tea was being safely used, we conducted and analyzed renal function and liver function tests. For the diagnosis of the Sasang constitution, the Sasang Constitutional Analysis Tool (SCAT) was used, and a specialist in Sasang constitutional medicine made the final diagnosis based on the SCAT result. Constitutional herbal tea was served four weeks after the first visit. The subjects took the constitutional herbal tea twice a day for one month. The results are as follows: The CFS and the VAS scores were significantly improved for the subjects in the constitutional herbal tea. No abnormalities were found on the blood tests to evaluate safety after taking the constitutional herbal tea. The improvements in the CFS and the VAS scores due to the constitutional herbal tea had no significant differences according to the Sasang constitution. Constitutional herbal tea may be used to reduce fatigue and improve health and has no adverse effect on either the kidney or the liver.

  3. A conductive grating sensor for online quantitative monitoring of fatigue crack

    Science.gov (United States)

    Li, Peiyuan; Cheng, Li; Yan, Xiaojun; Jiao, Shengbo; Li, Yakun

    2018-05-01

    Online quantitative monitoring of crack damage due to fatigue is a critical challenge for structural health monitoring systems assessing structural safety. To achieve online quantitative monitoring of fatigue crack, a novel conductive grating sensor based on the principle of electrical potential difference is proposed. The sensor consists of equidistant grating channels to monitor the fatigue crack length and conductive bars to provide the circuit path. An online crack monitoring system is established to verify the sensor's capability. The experimental results prove that the sensor is suitable for online quantitative monitoring of fatigue crack. A finite element model for the sensor is also developed to optimize the sensitivity of crack monitoring, which is defined by the rate of sensor resistance change caused by the break of the first grating channel. Analysis of the model shows that the sensor sensitivity can be enhanced by reducing the number of grating channels and increasing their resistance and reducing the resistance of the conductive bar.

  4. Strategies for Rapid Muscle Fatigue Reduction during FES Exercise in Individuals with Spinal Cord Injury: A Systematic Review.

    Science.gov (United States)

    Ibitoye, Morufu Olusola; Hamzaid, Nur Azah; Hasnan, Nazirah; Abdul Wahab, Ahmad Khairi; Davis, Glen M

    2016-01-01

    Rapid muscle fatigue during functional electrical stimulation (FES)-evoked muscle contractions in individuals with spinal cord injury (SCI) is a significant limitation to attaining health benefits of FES-exercise. Delaying the onset of muscle fatigue is often cited as an important goal linked to FES clinical efficacy. Although the basic concept of fatigue-resistance has a long history, recent advances in biomedical engineering, physiotherapy and clinical exercise science have achieved improved clinical benefits, especially for reducing muscle fatigue during FES-exercise. This review evaluated the methodological quality of strategies underlying muscle fatigue-resistance that have been used to optimize FES therapeutic approaches. The review also sought to synthesize the effectiveness of these strategies for persons with SCI in order to establish their functional impacts and clinical relevance. Published scientific literature pertaining to the reduction of FES-induced muscle fatigue was identified through searches of the following databases: Science Direct, Medline, IEEE Xplore, SpringerLink, PubMed and Nature, from the earliest returned record until June 2015. Titles and abstracts were screened to obtain 35 studies that met the inclusion criteria for this systematic review. Following the evaluation of methodological quality (mean (SD), 50 (6) %) of the reviewed studies using the Downs and Black scale, the largest treatment effects reported to reduce muscle fatigue mainly investigated isometric contractions of limited functional and clinical relevance (n = 28). Some investigations (n = 13) lacked randomisation, while others were characterised by small sample sizes with low statistical power. Nevertheless, the clinical significance of emerging trends to improve fatigue-resistance during FES included (i) optimizing electrode positioning, (ii) fine-tuning of stimulation patterns and other FES parameters, (iii) adjustments to the mode and frequency of exercise training

  5. Strategies for Rapid Muscle Fatigue Reduction during FES Exercise in Individuals with Spinal Cord Injury: A Systematic Review.

    Directory of Open Access Journals (Sweden)

    Morufu Olusola Ibitoye

    Full Text Available Rapid muscle fatigue during functional electrical stimulation (FES-evoked muscle contractions in individuals with spinal cord injury (SCI is a significant limitation to attaining health benefits of FES-exercise. Delaying the onset of muscle fatigue is often cited as an important goal linked to FES clinical efficacy. Although the basic concept of fatigue-resistance has a long history, recent advances in biomedical engineering, physiotherapy and clinical exercise science have achieved improved clinical benefits, especially for reducing muscle fatigue during FES-exercise. This review evaluated the methodological quality of strategies underlying muscle fatigue-resistance that have been used to optimize FES therapeutic approaches. The review also sought to synthesize the effectiveness of these strategies for persons with SCI in order to establish their functional impacts and clinical relevance.Published scientific literature pertaining to the reduction of FES-induced muscle fatigue was identified through searches of the following databases: Science Direct, Medline, IEEE Xplore, SpringerLink, PubMed and Nature, from the earliest returned record until June 2015. Titles and abstracts were screened to obtain 35 studies that met the inclusion criteria for this systematic review.Following the evaluation of methodological quality (mean (SD, 50 (6 % of the reviewed studies using the Downs and Black scale, the largest treatment effects reported to reduce muscle fatigue mainly investigated isometric contractions of limited functional and clinical relevance (n = 28. Some investigations (n = 13 lacked randomisation, while others were characterised by small sample sizes with low statistical power. Nevertheless, the clinical significance of emerging trends to improve fatigue-resistance during FES included (i optimizing electrode positioning, (ii fine-tuning of stimulation patterns and other FES parameters, (iii adjustments to the mode and frequency of exercise

  6. Strategies for Rapid Muscle Fatigue Reduction during FES Exercise in Individuals with Spinal Cord Injury: A Systematic Review

    Science.gov (United States)

    Ibitoye, Morufu Olusola; Hamzaid, Nur Azah; Hasnan, Nazirah; Abdul Wahab, Ahmad Khairi; Davis, Glen M.

    2016-01-01

    Background Rapid muscle fatigue during functional electrical stimulation (FES)-evoked muscle contractions in individuals with spinal cord injury (SCI) is a significant limitation to attaining health benefits of FES-exercise. Delaying the onset of muscle fatigue is often cited as an important goal linked to FES clinical efficacy. Although the basic concept of fatigue-resistance has a long history, recent advances in biomedical engineering, physiotherapy and clinical exercise science have achieved improved clinical benefits, especially for reducing muscle fatigue during FES-exercise. This review evaluated the methodological quality of strategies underlying muscle fatigue-resistance that have been used to optimize FES therapeutic approaches. The review also sought to synthesize the effectiveness of these strategies for persons with SCI in order to establish their functional impacts and clinical relevance. Methods Published scientific literature pertaining to the reduction of FES-induced muscle fatigue was identified through searches of the following databases: Science Direct, Medline, IEEE Xplore, SpringerLink, PubMed and Nature, from the earliest returned record until June 2015. Titles and abstracts were screened to obtain 35 studies that met the inclusion criteria for this systematic review. Results Following the evaluation of methodological quality (mean (SD), 50 (6) %) of the reviewed studies using the Downs and Black scale, the largest treatment effects reported to reduce muscle fatigue mainly investigated isometric contractions of limited functional and clinical relevance (n = 28). Some investigations (n = 13) lacked randomisation, while others were characterised by small sample sizes with low statistical power. Nevertheless, the clinical significance of emerging trends to improve fatigue-resistance during FES included (i) optimizing electrode positioning, (ii) fine-tuning of stimulation patterns and other FES parameters, (iii) adjustments to the mode and

  7. The effect of evening primrose oil on fatigue and quality of life in patients with multiple sclerosis

    Directory of Open Access Journals (Sweden)

    Majdinasab N

    2018-06-01

    Full Text Available Nastaran Majdinasab,1 Foroogh Namjoyan,2 Mohsen Taghizadeh,3 Hamid Saki4 1Department of Neurology, Ahvaz Jundishapur University of Medical Sciences, Musculoskeletal Rehabilitation Research Center, Ahvaz, Iran; 2Department of Pharmacognosy, Marine Natural Pharmaceutical Research Center, School of Pharmacy, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; 3Department of Nutrition, Research Center for Biochemistry & Nutrition in Metabolic Diseases, Kashan University of Medical Sciences, Kashan, Iran; 4Department of Neurology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Background: Multiple sclerosis (MS is a chronic progressive and inflammatory disease of the central nervous system that is characterized by demyelination in the central nervous system. In regard to the prevalence of diseases and enormous costs imposed on society and the health system, finding a way to stop the progression of the disease using drugs with fewer side effects seems a serious sanitation issue to the health of the international community. This study aimed to evaluate the effect of evening primrose oil (EPO on fatigue and quality of life in patients with MS.Materials and methods: In this double-blind randomized clinical trial, 52 patients with MS were chosen and categorized into 2 groups which received 2 doses of EPO and placebo. In addition, the quality of life and fatigue scale in these patients were investigated before the treatment and again 3 months after therapy. The findings were then compared between the 2 groups.Result: EPO consumption significantly increased cognitive function, vitality, and overall life satisfaction and also reduced pain and fatigue compared to placebo (P<0.05.Conclusion: Our findings indicated that EPO consumption had no impact on the quality of life in general; however, it had a significant effect on several important aspects of life quality such as the increase of cognitive function, vitality, and overall life

  8. Cancer-Related Fatigue in Cancer Survivorship.

    Science.gov (United States)

    Ebede, Chidinma C; Jang, Yongchang; Escalante, Carmen P

    2017-11-01

    Cancer-related fatigue (CRF) significantly interferes with usual functioning because of the distressing sense of physical, emotional, and cognitive exhaustion. Assessment of CRF is important and should be performed during the initial cancer diagnosis, throughout cancer treatment, and after treatment using a fatigue scoring scale (mild-severe). The general approach to CRF management applies to cancer survivors at all fatigue levels and includes education, counseling, and other strategies. Nonpharmacologic interventions include psychosocial interventions, exercise, yoga, physically based therapy, dietary management, and sleep therapy. Pharmacologic interventions include psychostimulants. Antidepressants may also benefit when CRF is accompanied by depression. Copyright © 2017 Elsevier Inc. All rights reserved.

  9. Have restricted working hours reduced junior doctors' experience of fatigue? A focus group and telephone interview study.

    Science.gov (United States)

    Morrow, Gill; Burford, Bryan; Carter, Madeline; Illing, Jan

    2014-03-06

    To explore the effects of the UK Working Time Regulations (WTR) on trainee doctors' experience of fatigue. Qualitative study involving focus groups and telephone interviews, conducted in Spring 2012 with doctors purposively selected from Foundation and specialty training. Final compliance with a 48 h/week limit had been required for trainee doctors since August 2009. Framework analysis of data. 9 deaneries in all four UK nations; secondary care. 82 doctors: 53 Foundation trainees and 29 specialty trainees. 36 participants were male and 46 female. Specialty trainees were from a wide range of medical and surgical specialties, and psychiatry. Implementation of the WTR, while acknowledged as an improvement to the earlier situation of prolonged excessive hours, has not wholly overcome experience of long working hours and fatigue. Fatigue did not only arise from the hours that were scheduled, but also from an unpredictable mixture of shifts, work intensity (which often resulted in educational tasks being taken home) and inadequate rest. Fatigue was also caused by trainees working beyond their scheduled hours, for reasons such as task completion, accessing additional educational opportunities beyond scheduled hours and staffing shortages. There were also organisational, professional and cultural drivers, such as a sense of responsibility to patients and colleagues and the expectations of seniors. Fatigue was perceived to affect efficiency of skills and judgement, mood and learning capacity. Long-term risks of continued stress and fatigue, for doctors and for the effective delivery of a healthcare service, should not be ignored. Current monitoring processes do not reflect doctors' true working patterns. The effectiveness of the WTR cannot be considered in isolation from the culture and context of the workplace. On-going attention needs to be paid to broader cultural issues, including the relationship between trainees and seniors.

  10. Have restricted working hours reduced junior doctors’ experience of fatigue? A focus group and telephone interview study

    Science.gov (United States)

    Morrow, Gill; Burford, Bryan; Carter, Madeline; Illing, Jan

    2014-01-01

    Objective To explore the effects of the UK Working Time Regulations (WTR) on trainee doctors’ experience of fatigue. Design Qualitative study involving focus groups and telephone interviews, conducted in Spring 2012 with doctors purposively selected from Foundation and specialty training. Final compliance with a 48 h/week limit had been required for trainee doctors since August 2009. Framework analysis of data. Setting 9 deaneries in all four UK nations; secondary care. Participants 82 doctors: 53 Foundation trainees and 29 specialty trainees. 36 participants were male and 46 female. Specialty trainees were from a wide range of medical and surgical specialties, and psychiatry. Results Implementation of the WTR, while acknowledged as an improvement to the earlier situation of prolonged excessive hours, has not wholly overcome experience of long working hours and fatigue. Fatigue did not only arise from the hours that were scheduled, but also from an unpredictable mixture of shifts, work intensity (which often resulted in educational tasks being taken home) and inadequate rest. Fatigue was also caused by trainees working beyond their scheduled hours, for reasons such as task completion, accessing additional educational opportunities beyond scheduled hours and staffing shortages. There were also organisational, professional and cultural drivers, such as a sense of responsibility to patients and colleagues and the expectations of seniors. Fatigue was perceived to affect efficiency of skills and judgement, mood and learning capacity. Conclusions Long-term risks of continued stress and fatigue, for doctors and for the effective delivery of a healthcare service, should not be ignored. Current monitoring processes do not reflect doctors’ true working patterns. The effectiveness of the WTR cannot be considered in isolation from the culture and context of the workplace. On-going attention needs to be paid to broader cultural issues, including the relationship between

  11. Accelerated fatigue of dentin with exposure to lactic acid.

    Science.gov (United States)

    Do, D; Orrego, S; Majd, H; Ryou, H; Mutluay, M M; Xu, Hockin H K; Arola, D

    2013-11-01

    Composite restorations accumulate more biofilm than other dental materials. This increases the likelihood for the hard tissues supporting a restoration (i.e. dentin and enamel) to be exposed to acidic conditions beyond that resulting from dietary variations. In this investigation the fatigue strength and fatigue crack growth resistance of human coronal dentin were characterized within a lactic acid solution (with pH = 5) and compared to that of controls evaluated in neutral conditions (pH = 7). A comparison of the fatigue life distributions showed that the lactic acid exposure resulted in a significant reduction in the fatigue strength (p ≤ 0.001), and nearly 30% reduction in the apparent endurance limit (from 44 MPa to 32 MPa). The reduction in pH also caused a significant decrease (p ≤ 0.05) in the threshold stress intensity range required for the initiation of cyclic crack growth, and significant increase in the incremental rate of crack extension. Exposure of tooth structure to lactic acid may cause demineralization, but it also increases the likelihood of restored tooth failures via fatigue, and after short time periods. © 2013 Elsevier Ltd. All rights reserved.

  12. Simple index of functional connectivity at rest in Multiple Sclerosis fatigue.

    Science.gov (United States)

    Buyukturkoglu, Korhan; Porcaro, Camillo; Cottone, Carlo; Cancelli, Andrea; Inglese, Matilde; Tecchio, Franca

    2017-05-01

    To investigate the EEG-derived functional connectivity at rest (FCR) patterns of fatigued Multiple Sclerosis (MS) patients in order to find good parameters for a future EEG-Neurofeedback intervention to reduce their fatigue symptoms. We evaluated FCR between hemispheric homologous areas, via spectral coherence between pairs of corresponding left and right bipolar derivations, in the Theta, Alpha and Beta bands. We estimated FCR in 18MS patients with different levels of fatigue and minimal clinical severity and in 11 age and gender matched healthy controls. We used correlation analysis to assess the relationship between the fatigue scores and the FCR values differing between fatigued MS patients and controls. Among FCR values differing between fatigued MS patients and controls, fatigue symptoms increased with higher Beta temporo-parietal FCR (p=0.00004). Also, positive correlations were found between the fatigue levels and the fronto-frontal FCR in Beta and Theta bands (p=0.0002 and p=0.001 respectively). We propose that a future EEG-Neurofeedback system against MS fatigue would train patients to decrease voluntarily the beta coherence between the homologous temporo-parietal areas. We extracted a feature for building an EEG-Neurofeedback system against fatigue in MS. Copyright © 2017 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. All rights reserved.

  13. Chronic Fatigue Syndrome (CFS) and Cancer Related Fatigue (CRF): two "fatigue" syndromes with overlapping symptoms and possibly related aetiologies.

    Science.gov (United States)

    Rovigatti, Ugo

    2012-12-01

    In July 2010, at the Muscle Fatigue Meeting, I presented an overview of Chronic Fatigue Syndrome and Cancer Related Fatigue, emphasizing a critical interpretation of the potential association between Chronic Fatigue Syndrome and Cancer Related Fatigue and a newly discovered retrovirus: Xenotropic Murine Related Virus. Since this association was hotly debated at that time, I suggested at the Meeting that it was wrong and most likely due to the identification of the wrong virus culprit. Today, 20 months after the Meeting, the first part of our prediction has turned out to be correct, as Xenotropic Murine Related Virus was shown to be a laboratory-created artefact. Still, the potential association of fatigue-syndromes with an infection (most likely viral) is sustained by a plethora of evidence and this overview will initially summarize data suggesting prior viral infection(s). The principal hypothesized mechanisms for both peripheral and central Chronic Fatigue Syndrome/Cancer Related Fatigue will be then summarized, also indicating plausible associations and triggering factors. All evidence accrued so far suggests that further research work should be performed in this interesting area and in order to identify an infectious agent for Chronic Fatigue Syndrome/Cancer Related Fatigue. One candidate RNA virus, Micro-Foci inducing Virus, will be described in this overview. Copyright © 2012 Elsevier B.V. All rights reserved.

  14. The effects of foot reflexology on fatigue and insomnia in patients suffering from coal workers' pneumoconiosis

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Y M; Sohng, K Y [Kangwon Tourism College, Kangwon-Do (Republic of Korea). Department of Nursing

    2005-12-15

    The purpose of this study was to determine the effects of foot reflexology on fatigue and insomnia in patients suffering from coal workers' pneumoconiosis. This study was a quasi-experimental study of pre-test and post-test design in a non-equivalent control group. The subjects of this study consisted of both the experimental group of twenty-nine and the control group of thirty coal workers' pneumoconiosis patients. Data was collected from December 10, 2002 to February 15, 2003. Foot reflexology was performed for 60 minutes twice a week through five weeks in the experimental group, but none in the control group. To evaluate the effects of foot reflexology, the scores of fatigue and insomnia were measured before and after the experiment in both groups. Fatigue was evaluated by Fatigue Symptoms Inventory. Insomnia was measured with the visual analogue scale (VAS). Data of this experiment was analyzed by Chi-square test, t-test, unpaired t-test and Repeated Measures ANOVA with the SAS Program. The scores of fatigue and insomnia decreased in the experimental group but not in the control group. There was a significant difference of fatigue and insomnia between the two groups. It is suggested that foot reflexology might have beneficial effects on reducing fatigue and insomnia in patients suffering from coal workers' pneumoconiosis, and can be recommended as a nursing intervention program for patients with coal workers' pneumoconiosis.

  15. [The effects of foot reflexology on fatigue and insomnia in patients suffering from coal workers' pneumoconiosis].

    Science.gov (United States)

    Lee, Young-Mee; Sohng, Kyeong-Yae

    2005-12-01

    The purpose of this study was to determine the effects of foot reflexology on fatigue and insomnia in patients suffering from coal workers' pneumoconiosis. This study was a quasi-experimental study of pre-test and post-test design in a non-equivalent control group. The subjects of this study consisted of both the experimental group of twenty-nine and the control group of thirty coal workers' pneumoconiosis patients. Data was collected from December 10, 2002 to February 15, 2003. Foot reflexology was performed for 60 minutes twice a week through five weeks in the experimental group, but none in the control group. To evaluate the effects of foot reflexology, the scores of fatigue and insomnia were measured before and after the experiment in both groups. Fatigue was evaluated by Fatigue Symptoms Inventory. Insomnia was measured with the visual analogue scale (VAS). Data of this experiment was analyzed by Chi-square test, t-test, unpaired t-test and Repeated Measures ANOVA with the SAS Program. The scores of fatigue and insomnia decreased in the experimental group but not in the control group. There was a significant difference of fatigue and insomnia between the two groups. It is suggested that foot reflexology might have beneficial effects on reducing fatigue and insomnia in patients suffering from coal workers' pneumoconiosis, and can be recommended as a nursing intervention program for patients with coal workers' pneumoconiosis.

  16. The effect of exercise on the severity of the fatigue in colorectal cancer patients who received chemotherapy in Ahwaz.

    Science.gov (United States)

    Shariati, Abdolali; Haghighi, Shayesteh; Fayyazi, Seddigheh; Tabesh, Hamed; Kalboland, Mehrnaz Moradi

    2010-01-01

    One of the common side effects of cancer is fatigue that affects patients' life quality and leads to disability. Exercise has an important role in improving these patients' life quality and can be used as a complementary treatment. Moreover, there are few studies on the impact of exercise on fatigue among patients with colon cancer. Therefore, the present study investigated the effects of exercise on the severity of fatigue in patients with colorectal cancer who underwent chemotherapy in Ahwaz. In a quasi-experimental study, the adults with colorectal cancer were enrolled. The sample included 36 people. The study environment included adult hematology and chemotherapy wards of Shefa Hospital in Ahwaz. Data were collected using a demographic form and a questionnaire in order to measure the severity of fatigue. Then, the patients had 40 minutes of exercise, 3 times a week for 4 weeks. The effect of exercise versus fatigue intensity was measured at the end of every week. Data were analyzed using SPSS software. The mean of the fatigue severity in the weeks after exercise was significantly different from the week before it. Friedman test showed significant differences between all the weeks before and after the exercise. The mean of the fatigue severity was 3.69 on the week 0 (before the exercise), and decreased to 3.57 on the first week after exercise, 3.46 on the second week, 2.58 on the third week, and 1.69 on the forth week. Considering the results of this study, exercise and work-out can be an effective factor in reducing fatigue in patients.

  17. Ratcheting fatigue behavior of Zircaloy-2 at room temperature

    Energy Technology Data Exchange (ETDEWEB)

    Rajpurohit, R.S., E-mail: rsrajpurohit.rs.met13@iitbhu.ac.in [Department of Metallurgical Engineering, Indian Institute of Technology, Banaras Hindu University, Varanasi, 221005 (India); Sudhakar Rao, G. [Nuclear Energy and Safety Department, Paul Scherrer Institute, Villigen, CH-5232 (Switzerland); Chattopadhyay, K.; Santhi Srinivas, N.C.; Singh, Vakil [Department of Metallurgical Engineering, Indian Institute of Technology, Banaras Hindu University, Varanasi, 221005 (India)

    2016-08-15

    Nuclear core components of zirconium alloys experience asymmetric stress or strain cycling during service which leads to plastic strain accumulation and drastic reduction in fatigue life as well as dimensional instability of the component. Variables like loading rate, mean stress, and stress amplitude affect the influence of asymmetric loading. In the present investigation asymmetric stress controlled fatigue tests were conducted with mean stress from 80 to 150 MPa, stress amplitude from 270 to 340 MPa and stress rate from 30 to 750 MPa/s to study the process of plastic strain accumulation and its effect on fatigue life of Zircaloy-2 at room temperature. It was observed that with increase in mean stress and stress amplitude accumulation of ratcheting strain was increased and fatigue life was reduced. However, increase in stress rate led to improvement in fatigue life due to less accumulation of ratcheting strain. - Highlights: • Ratcheting strain accumulation occurred due to asymmetric cyclic loading. • Accumulation of ratcheting strain increased with mean stress and stress amplitude. • Ratcheting strain accumulation decreased with increase in stress rate. • With increase in mean stress and stress amplitude there was reduction in fatigue life. • Fatigue life is improved with increase in stress rate.

  18. Reduced Fluorescent Protein Switching Fatigue by Binding-Induced Emissive State Stabilization

    Directory of Open Access Journals (Sweden)

    Thijs Roebroek

    2017-09-01

    Full Text Available Reversibly switchable fluorescent proteins (RSFPs enable advanced fluorescence imaging, though the performance of this imaging crucially depends on the properties of the labels. We report on the use of an existing small binding peptide, named Enhancer, to modulate the spectroscopic properties of the recently developed rsGreen series of RSFPs. Fusion constructs of Enhancer with rsGreen1 and rsGreenF revealed an increased molecular brightness and pH stability, although expression in living E. coli or HeLa cells resulted in a decrease of the overall emission. Surprisingly, Enhancer binding also increased off-switching speed and resistance to switching fatigue. Further investigation suggested that the RSFPs can interconvert between fast- and slow-switching emissive states, with the overall protein population gradually converting to the slow-switching state through irradiation. The Enhancer modulates the spectroscopic properties of both states, but also preferentially stabilizes the fast-switching state, supporting the increased fatigue resistance. This work demonstrates how the photo-physical properties of RSFPs can be influenced by their binding to other small proteins, which opens up new horizons for applications that may require such modulation. Furthermore, we provide new insights into the photoswitching kinetics that should be of general consideration when developing new RSFPs with improved or different photochromic properties.

  19. Nitrogen implantation of type 303 stainless steel gears for improved wear and fatigue resistance

    International Nuclear Information System (INIS)

    Kustas, F.M.; Misra, M.S.; Tack, W.T.

    1987-01-01

    Fine-positioning mechanisms are responsible for accurate and reproducible control of aerospace system devices, i.e. filter grading wheels. Low wear and fatigue resistance of mechanism components, such as pinions and gears, can reduce system performance and reliability. Surface modification using ion implantation with nitrogen was used on type 303 stainless steel pinions and gears to increase tribological performance. Wear-life tests of untreated, nitrogen-implanted and nitrogen-implanted-and-annealed gears were performed in a fine-positioning mechanism under controlled environmental conditions. Wear and fatigue resistance were monitored at selected time intervals which were a percentage of the predicted failure life as determined by a numerical stress analysis. Surface analyses including scanning electron microscopy and Auger electron spectroscopy were performed to establish the wear and fatigue mechanisms and the nitrogen concentration-depth distributions respectively. Nitrogen implantation resulted in a significant improvement in both surface wear and fatigue spalling resistance over those of untreated gears. A 40% reduction in surface wear and a 44% reduction in dedendum spalling was observed. In contrast, the nitrogen-implanted-and-annealed gears showed a 46% increase in sliding wear area and an 11% increase in spall density compared with those of untreated gears, indicating that the post-implantation anneal was detrimental to wear and fatigue resistance. (orig.)

  20. Study on the effect of prior fatigue and creep-fatigue damage on the fatigue and creep characteristics of 316 FR stainless steel. 2nd report. The effect of prior creep-fatigue damage on the creep and fatigue characteristics

    International Nuclear Information System (INIS)

    Yamauchi, Masafumi; Chuman, Yasuharu; Otani, Tomomi; Takahashi, Yukio

    2001-01-01

    The effect of prior creep-fatigue damage on the creep and the fatigue characteristics was studied to investigate the creep-fatigue life evaluation procedure of 316FR stainless steel. Creep and fatigue tests were conducted at 550degC by using the specimen exposed to prior creep-fatigue cycles at the same temperature and interrupted at 1/4 Nf, 1/2 Nf and 3/4 Nf cycle. The creep and fatigue strength of the pre-damaged material showed monotonic reduction with the prior creep-fatigue damage compared with the virgin material. The creep ductility also showed monotonic reduction with the prior creep-fatigue damage. These results were evaluated by the stress-based Time Fraction Rule and the strain-based Ductility Exhaustion Method. The result showed that the application of the Ductility Exhaustion Method to the creep-fatigue damage evaluation is more promising than the Time Fraction Rule. (author)

  1. Seafarer fatigue

    DEFF Research Database (Denmark)

    Jepsen, Jørgen Riis; Zhao, Zhiwei; van Leeuwen, Wessel M. A.

    2015-01-01

    Background: The consequences of fatigue for the health and safety of seafarers has caused concern in the industry and among academics, and indicates the importance of further research into risk factors and preventive interventions at sea. This review gives an overview of the key issues relating...... to seafarer fatigue. Materials and methods: A literature study was conducted aiming to collect publications that address risk factors for fatigue, short-term and long-term consequences for health and safety, and options for fatigue mitigation at sea. Due to the limited number of publications that deals...... with seafarers, experiences from other populations sharing the same exposures (e.g. shift work) were also included when appropriate. Results: Work at sea involves multiple risk factors for fatigue, which in addition to acute effects (e.g., impaired cognition, accidents) contributes through autonomic, immunologic...

  2. Active and passive fatigue in simulated driving: discriminating styles of workload regulation and their safety impacts.

    Science.gov (United States)

    Saxby, Dyani J; Matthews, Gerald; Warm, Joel S; Hitchcock, Edward M; Neubauer, Catherine

    2013-12-01

    Despite the known dangers of driver fatigue, it is a difficult construct to study empirically. Different forms of task-induced fatigue may differ in their effects on driver performance and safety. Desmond and Hancock (2001) defined active and passive fatigue states that reflect different styles of workload regulation. In 2 driving simulator studies we investigated the multidimensional subjective states and safety outcomes associated with active and passive fatigue. Wind gusts were used to induce active fatigue, and full vehicle automation to induce passive fatigue. Drive duration was independently manipulated to track the development of fatigue states over time. Participants were undergraduate students. Study 1 (N = 108) focused on subjective response and associated cognitive stress processes, while Study 2 (N = 168) tested fatigue effects on vehicle control and alertness. In both studies the 2 fatigue manipulations produced different patterns of subjective response reflecting different styles of workload regulation, appraisal, and coping. Active fatigue was associated with distress, overload, and heightened coping efforts, whereas passive fatigue corresponded to large-magnitude declines in task engagement, cognitive underload, and reduced challenge appraisal. Study 2 showed that only passive fatigue reduced alertness, operationalized as speed of braking and steering responses to an emergency event. Passive fatigue also increased crash probability, but did not affect a measure of vehicle control. Findings support theories that see fatigue as an outcome of strategies for managing workload. The distinction between active and passive fatigue is important for assessment of fatigue and for evaluating automated driving systems which may induce dangerous levels of passive fatigue. PsycINFO Database Record (c) 2013 APA, all rights reserved.

  3. Chicken Essence Improves Exercise Performance and Ameliorates Physical Fatigue

    Directory of Open Access Journals (Sweden)

    Wen-Ching Huang

    2014-07-01

    Full Text Available Chicken essence (CE is a liquid nutritional supplement made from cooking whole chickens. In traditional Chinese medicine, CE is used to support health, promote healing, increase metabolism, and relieve fatigue. However, few studies have examined the effect of CE on exercise performance and physical fatigue. We aimed to evaluate the potential beneficial effects of CE on fatigue and ergogenic functions following physical challenge in mice. Male ICR mice were divided into four groups to receive vehicle or CE by oral gavage at 0, 845, 1690, or 4225 mg/kg/day for 4 weeks. Exercise performance and anti-fatigue function were evaluated by forelimb grip strength, exhaustive swimming time, and levels of physical fatigue-related biomarkers serum lactate, ammonia, glucose, and creatine kinase (CK after physical challenge. CE supplementation dose-dependently elevated endurance and grip strength. CE supplementation significantly decreased lactate, ammonia, and CK levels after physical challenge. Tissue glycogen content, an important energy source for exercise, was significantly increased with CE supplementation. In addition, CE supplementation had few subchronic toxic effects. The supplementation with CE can have a wide spectrum of bioactivities on health promotion, performance improvement and anti-fatigue.

  4. Prevalence of fatigue in a group of airline pilots.

    Science.gov (United States)

    Reis, Cátia; Mestre, Catarina; Canhão, Helena

    2013-08-01

    Fatigue is a common phenomenon in airline pilots that can impair alertness and ability of crewmembers to safely operate an aircraft and perform safety related tasks. Fatigue can increase the risk of an incident or even an accident. This study provides the first prevalence values for clinically significant fatigue in Portuguese airline pilots. The hypothesis that medium/short-haul pilots may currently present different levels of fatigue than long-haul pilots was also tested. A survey was conducted by requesting Portuguese airline pilots to complete questionnaires placed in the pilots' personal lockers from 1 April until 15 May 2012. The questionnaire included the self-response Fatigue Severity Scale (FSS) to measure subjective fatigue and some additional questions concerning perception of fatigue by pilots. The prevalence values for total and mental fatigue achieved in the Portuguese airline pilots were: 89.3% (FSS > or = 4) and 94.1% (FSS > or = 4) when splitting the sample in two subsamples, long- and medium/short-haul pilots. Levels of total and mental fatigue were higher for medium/short-haul pilots. The analysis of fatigue levels in each type of aviator showed that medium/short-haul pilots presented the highest levels of total and mental fatigue. This study produced the first prevalence values of total and mental fatigue among Portuguese airline pilots, which represents a great step to understanding and addressing this critical phenomenon.

  5. The effect of creep-fatigue damage relationships upon HTGR heat exchanger design

    International Nuclear Information System (INIS)

    Kozina, M.M.; King, J.H.; Basol, M.

    1984-01-01

    Materials for heat exchangers in the high temperature gas-cooled reactor (HTGR) are subjected to cyclic loading, extending the necessity to design against fatigue failure into the temperature region where creep processes become significant. Therefore, the fatigue life must be considered in terms of creep-fatigue interaction. In addition, since HTGR heat exchangers are subjected to holds at constant strain levels or constant stress levels in high-temperature environments, the cyclic life is substantially reduced. Of major concern in the design and analysis of HTGR heat exchangers is the accounting for the interaction of creep and fatigue. The accounting is done in conformance to the American Society of Mechanical Engineers Boiler and Pressure Vessel Code, Code Case N-47, which allows the use of the linear damage criterion for interaction of creep and fatigue. This method separates the damage incurred in the material into two parts: one due to fatigue and one due to creep. The summation of the creep-fatigue damage must be less than 1.0. Recent material test data have indicated that the assumption of creep and fatigue damage equals unity at failure may not always be valid for materials like Alloy 800H, which is used in the higher temperature sections of HTGR steam generators. Therefore, a more conservative creep-fatigue damage relationship was postulated for Alloy 800H. This more conservative bilinear damage relationship consists of a design locus drawn from D F =1.0, D C =0 to D F =0.1, D C =0.1 to D F =0, D C =1.0. D F is the fatigue damage and D C is the creep damage. A more conservative damage relationship for 2-1/4 Cr-1 Mo material consisted of including factors that degrade the fatigue curves. These revised relationships were used in a structural evaluation of the HTGR steam cycle/cogeneration (SC/C) steam generator design. The HTGR-SC/C steam generator, a once-through type, is comprised of an economizer-evaporator-superheater (ESS) helical bundle of 2-1/4 Cr-1

  6. Tensile and low cycle fatigue properties of EUROFER97-steel after 16.3 dpa neutron irradiation at 523, 623 and 723 K

    Energy Technology Data Exchange (ETDEWEB)

    Materna-Morris, E., E-mail: edeltraud.materna-morris@kit.edu; Möslang, A., E-mail: anton.moeslang@kit.edu; Schneider, H.-C., E-mail: hans-christian.schneider@kit.edu

    2013-11-15

    Neutron-irradiated specimens of the reduced-activation tempered martensitic steel EUROFER97 were tested by tensile and low cycle conditions to detect the impact of irradiation on strength and lifetime. The irradiation temperature ranged from 523 to 723 K with an accumulated dose of up to 16.3 dpa. Tensile tests revealed a significant irradiation-induced hardening below 673 K with a peak of ∼430 MPa at 573 K but none was seen at 723 K, as expected. Despite the significant irradiation-induced reduction of uniform elongation, the total elongation is only reduced by about 50% below 673 K. Post-irradiation strain-controlled fatigue tests have been carried out at T{sub irrad} = T{sub test} = 523, 623 and 723 K. Pronounced cyclic softening was observed in all specimens. At 623 and 723 K, neutron irradiation had no effect on fatigue life within the data scatter. A significant lifetime increase has been observed at T{sub irrad} = T{sub test} = 523 K that advances with decreasing stress amplitude Δε (1% → 0.5%) up to a factor of ten. Scanning electron microscopy (SEM) analysis revealed ductile fracture and fatigue striations on the fracture surfaces. After push–pull fatigue testing, transmission electron microscopy (TEM) investigations showed the typical sub-cell formation, even at T{sub irrad} = T{sub test} = 523 K.

  7. Fatigue behaviour of uni-directional flax fibre/epoxy composites

    DEFF Research Database (Denmark)

    Ueki, Yosuke; Lilholt, Hans; Madsen, Bo

    2015-01-01

    A study related to the fatigue behaviour of natural fibre-reinforced composites was conducted to expand their range of product applications. A uni-directional flax-epoxy composite was fabricated and several conditions of tension-tension fatigue tests were performed. During fatigue testing......, the composite showed an increase of stiffness, a typical observation for natural fibre-reinforced composites, and this was found to be accompanied by accumulation of residual strain. A clear linear relationship was found between the stiffening effect and the residual strain. In addition, it was revealed...... that the fatigue behaviour was clearly influenced by the frequency of cyclic loading. Lower frequencies induced more significant stiffening and shorter fatigue life. These results suggest that fatigue damaging is progressing simultaneously with the stiffening effect in natural fibre-reinforced composites...

  8. Mechanisms Explaining Muscle Fatigue and Muscle Pain in Patients with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS): a Review of Recent Findings.

    Science.gov (United States)

    Gerwyn, Morris; Maes, Michael

    2017-01-01

    Here, we review potential causes of muscle dysfunction seen in many patients with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) such as the effects of oxidative and nitrosative stress (O&NS) and mitochondrial impairments together with reduced heat shock protein production and a range of metabolic abnormalities. Several studies published in the last few years have highlighted the existence of chronic O&NS, inflammation, impaired mitochondrial function and reduced heat shock protein production in many patients with ME/CFS. These studies have also highlighted the detrimental effects of chronically elevated O&NS on muscle functions such as reducing the time to muscle fatigue during exercise and impairing muscle contractility. Mechanisms have also been revealed by which chronic O&NS and or impaired heat shock production may impair muscle repair following exercise and indeed the adaptive responses in the striated muscle to acute and chronic increases in physical activity. The presence of chronic O&NS, low-grade inflammation and impaired heat shock protein production may well explain the objective findings of increased muscle fatigue, impaired contractility and multiple dimensions of exercise intolerance in many patients with ME/CFS.

  9. Breast cancer and fatigue: issues for the workplace.

    Science.gov (United States)

    Mock, V

    1998-09-01

    1. Women with breast cancer are at high risk for fatigue as a side effect of treatment with surgery, radiation, and chemotherapy. The risk is compounded by the multiple roles of women who return to work during treatment. 2. The fatigue experience includes a physical component of decreased functional status, an affective component of emotional distress, and a cognitive component of difficulty concentrating. These characteristics of fatigue may present significant challenges for employees. 3. The Family Medical Leave Act provides 12 weeks of unpaid leave to receive medical treatment and/or recover from treatment for breast cancer. 4. The nurse in the workplace can assess and monitor the effects of fatigue and teach employees to manage fatigue through energy conservation, effective use of energy, and health promotion activities to restore energy levels.

  10. Fatigue in Parkinson's disease: concepts and clinical approach.

    Science.gov (United States)

    Nassif, Daniel V; Pereira, João S

    2018-03-01

    Parkinson's disease (PD) is a progressive neurological disorder characterized by a large number of motor and non-motor features. Fatigue is one of the most common and most disabling symptoms among patients with PD, and it has a significant impact on their quality of life. Although fatigue has been recognized for a long time, its pathophysiology remains poorly understood, and there is no evidence to support any therapeutic approach in PD patients. Expert consensus on case definition and diagnostic criteria for PD-related fatigue have been recently published, and although they still need to be adequately validated, they provide a great step forward in the study of fatigue. The goal of this article is to provide relevant information for the identification and management of patients with fatigue. © 2018 Japanese Psychogeriatric Society.

  11. Fatigue processes in thermoplastic fibres; Les mecanismes de fatigue dans les fibres thermoplastiques

    Energy Technology Data Exchange (ETDEWEB)

    Herrera Ramirez, J.M.

    2004-09-15

    The present study examines and compares the behaviour of the two types of PA66 fibres and two types of PET fibres under fatigue loading up to failure, and the correlation between the fibres (nano)structures and their structural heterogeneities, with fatigue lifetimes. Several techniques have been used to analyze the materials, such as scanning electron microscopy (SEM), microanalysis (EDS), differential scanning calorimetry (DSC), wide angle X-ray diffraction (WAXD) and micro-Raman spectroscopy. A meticulous analysis by scanning electron microscopy of the fracture morphology of fibres broken in tension and in fatigue, as well as a study of the fatigue life, were undertaken. The fatigue process occurs when the cyclic load amplitude is sufficiently large, however a condition for fatigue failure is that the minimum load each cycle must be lower than a threshold stress level. Failure under fatigue conditions leads to distinctive fracture morphologies which are very different from those seen after tensile or creep failure and this allows easy identification of the fatigue process. The fibres have been analyzed in the as received state and after fatigue failure in order to observe the microstructural changes resulting from the fatigue loading. The results will be compared with those obtained for fibres loaded under conditions where the fatigue process was hindered. The role of the microstructure of the fibres in determining fatigue will be discussed in this work and the possibility of improving their resistance to fatigue or eliminating the fatigue process will be discussed. (author)

  12. Anti-Fatigue and Antioxidant Activity of the Polysaccharides Isolated from Millettiae speciosae Champ. Leguminosae

    Directory of Open Access Journals (Sweden)

    Xiao-Ning Zhao

    2015-10-01

    Full Text Available Millettiae speciosae Champ. Leguminosae (MSC, is a well-known Chinese herb traditionally used as food material and medicine for enhancing physical strength. Our preliminary study found that the aqueous extract of this herb (MSE had an anti-fatigue effect. In this paper, we further separated MSE into total polysaccharides (MSP and supernatant (MSS by alcohol precipitation, and explored which fraction was active for its anti-fatigue effect. Mice were orally administered with MSP or MSS at the doses of 200, 400, and 800 mg/kg for 20 days and the anti-fatigue effect was assessed by exhaustive swimming exercise (ESE. The biochemical parameters related to fatigue after ESE and the in vitro antioxidant activity of active fraction were determined. Our results showed that MSP, instead of MSS, significantly extended the swimming time to exhaustion (p < 0.05, indicating that MSP is responsible for the anti-fatigue effect of MSE. In addition, MSP treatment increased the levels of glucose (Glu and muscle glycogen, whereas it decreased the accumulations of blood urea nitrogen (BUN and lactic acid (Lac. Moreover, ESE increased the levels of creatine phosphokinase (CK, lactic dehydrogenase (LDH, and malondialdehyde (MDA but reduced superoxide dismutase (SOD and glutathione (GSH in plasma. In contrast, MSP inhibited all the above changes relating to fatigue. Furthermore, an in vitro antioxidant test revealed that MSP dose-dependently scavenged ·OH and DPPH free radicals. Taken together, these findings strongly suggested that MSP was able to alleviate physical fatigue by increasing energy resources and decreasing accumulation of detrimental metabolites. The antioxidant activity may crucially contribute to the observed anti-fatigue effect of MSP.

  13. Fatigue diminishes motoneuronal excitability during cycling exercise.

    Science.gov (United States)

    Weavil, Joshua C; Sidhu, Simranjit K; Mangum, Tyler S; Richardson, Russell S; Amann, Markus

    2016-10-01

    Exercise-induced fatigue influences the excitability of the motor pathway during single-joint isometric contractions. This study sought to investigate the influence of fatigue on corticospinal excitability during cycling exercise. Eight men performed fatiguing constant-load (80% W peak ; 241 ± 13 W) cycling to exhaustion during which the percent increase in quadriceps electromyography (ΔEMG; vastus lateralis and rectus femoris) was quantified. During a separate trial, subjects performed two brief (∼45 s) nonfatiguing cycling bouts (244 ± 15 and 331 ± 23W) individually chosen to match the ΔEMG across bouts to that observed during fatiguing cycling. Corticospinal excitability during exercise was quantified by transcranial magnetic, electric transmastoid, and femoral nerve stimulation to elicit motor-evoked potentials (MEP), cervicomedullary evoked potentials (CMEP), and M waves in the quadriceps. Peripheral and central fatigue were expressed as pre- to postexercise reductions in quadriceps twitch force (ΔQ tw ) and voluntary quadriceps activation (ΔVA). Whereas nonfatiguing cycling caused no measureable fatigue, fatiguing cycling resulted in significant peripheral (ΔQ tw : 42 ± 6%) and central (ΔVA: 4 ± 1%) fatigue. During nonfatiguing cycling, the area of MEPs and CMEPs, normalized to M waves, similarly increased in the quadriceps (∼40%; P fatiguing cycling. As a consequence, the ratio of MEP to CMEP was unchanged during both trials (P > 0.5). Therefore, although increases in muscle activation promote corticospinal excitability via motoneuronal facilitation during nonfatiguing cycling, this effect is abolished during fatigue. We conclude that the unaltered excitability of the corticospinal pathway from start of intense cycling exercise to exhaustion is, in part, determined by inhibitory influences on spinal motoneurons obscuring the facilitating effects of muscle activation.

  14. Data processing codes for fatigue and tensile tests

    International Nuclear Information System (INIS)

    Sanchez Sarmiento, Gustavo; Iorio, A.F.; Crespi, J.C.

    1981-01-01

    The processing of fatigue and tensile tests data in order to obtain several parameters of engineering interest requires a considerable effort of numerical calculus. In order to reduce the time spent in this work and to establish standard data processing from a set of similar type tests, it is very advantageous to have a calculation code for running in a computer. Two codes have been developed in FORTRAN language; one of them predicts cyclic properties of materials from the monotonic and incremental or multiple cyclic step tests (ENSPRED CODE), and the other one reduces data coming from strain controlled low cycle fatigue tests (ENSDET CODE). Two examples are included using Zircaloy-4 material from different manufacturers. (author) [es

  15. The impact of training schedules on the sleep and fatigue of elite athletes.

    Science.gov (United States)

    Sargent, Charli; Lastella, Michele; Halson, Shona L; Roach, Gregory D

    2014-12-01

    In any sport, successful performance requires a planned approach to training and recovery. While sleep is recognized as an essential component of this approach, the amount and quality of sleep routinely obtained by elite athletes has not been systematically evaluated. Data were collected from 70 nationally ranked athletes from seven different sports. Athletes wore wrist activity monitors and completed self-report sleep/training diaries for 2 weeks during normal training. The athletes also recorded their fatigue level prior to each training session using a 7-point scale. On average, the athletes spent 08:18 ± 01:12 h in bed, fell asleep at 23:06 ± 01:12 h, woke at 6:48 ± 01:30 h and obtained 06:30 ± 01:24 h of sleep per night. There was a marked difference in the athletes' sleep/wake behaviour on training days and rest days. Linear mixed model analyses revealed that on nights prior to training days, time spent in bed was significantly shorter (p = 0.001), sleep onset and offset times were significantly earlier (p sleep obtained was significantly less (p = 0.001), than on nights prior to rest days. Moreover, there was a significant effect of sleep duration on pre-training fatigue levels (p ≤ 0.01). Specifically, shorter sleep durations were associated with higher levels of pre-training fatigue. Taken together, these findings suggest that the amount of sleep an elite athlete obtains is dictated by their training schedule. In particular, early morning starts reduce sleep duration and increase pre-training fatigue levels. When designing schedules, coaches should be aware of the implications of the timing of training sessions for sleep and fatigue. In cases where early morning starts are unavoidable, countermeasures for minimizing sleep loss - such as strategic napping during the day and correct sleep hygiene practices at night - should be considered.

  16. Side Effects: Fatigue

    Science.gov (United States)

    Fatigue is a common side effect of many cancer treatments such as chemotherapy, radiation therapy, immunotherapy, and surgery. Anemia and pain can also cause fatigue. Learn about symptoms and way to manage fatigue.

  17. Neck Muscle Fatigue with Helmet-Mounted Systems

    National Research Council Canada - National Science Library

    Eveland, Edward S; Pellettiere, Joseph A

    2006-01-01

    .... Changes in neck muscle strength were identified along with EMG evidence of fatigue. When flights occurred on an almost daily basis over 4 days, the force imparted to the neck was reduced each day...

  18. Fatigue in Advanced Cancer Patients: Congruence Between Patients and Their Informal Caregivers About Patients' Fatigue Severity During Cancer Treatment With Palliative Intent and Predictors of Agreement.

    Science.gov (United States)

    Poort, Hanneke; Peters, Marlies E W J; Gielissen, Marieke F M; Verhagen, Constans A H H V M; Bleijenberg, Gijs; van der Graaf, Winette T A; Wearden, Alison J; Knoop, Hans

    2016-09-01

    Informal caregivers (ICs) are increasingly involved in the monitoring of symptoms during advanced cancer patients' treatment with palliative intent. A common but subjective symptom during this extended treatment phase is fatigue. This exploratory longitudinal study aimed to determine agreement between patients and ICs about patients' fatigue severity. In addition, predictors of agreement over time were studied. A sample of 107 patients with advanced cancer (life expectancy ≥ six months) and their ICs completed the subscale fatigue severity of the Checklist Individual Strength based on the patient's status at baseline and six months later. This eight-item subscale has a validated cutoff to determine the presence of clinically relevant levels of fatigue. ICs' own fatigue severity, strain, self-esteem, and relationship satisfaction were examined as predictors of agreement. A total of 107 dyads completed measures at baseline and 69 dyads six months later. At baseline, ICs' significantly overestimated patients' fatigue severity (P congruence about the presence or absence of severe fatigue. On a group level, congruence did not significantly change over time. On a dyad level, there was a tendency to either remain congruent or reach congruence. Next to baseline congruence, ICs' fatigue severity and strain predicted ICs' fatigue ratings (R(2) = 0.22). Most ICs accurately predict presence or absence of clinically relevant levels of patients' fatigue. ICs' own fatigue severity and strain should be taken into account as they influence agreement. Copyright © 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  19. Fatigue and gene expression in human leukocytes: Increased NF-κB and decreased glucocorticoid signaling in breast cancer survivors with persistent fatigue

    Science.gov (United States)

    Bower, Julienne E.; Ganz, Patricia A.; Irwin, Michael R.; Arevalo, Jesusa M.G.; Cole, Steve W.

    2013-01-01

    Fatigue is highly prevalent in the general population and is one of the most common side effects of cancer treatment. There is growing evidence that pro-inflammatory cytokines play a role in cancer-related fatigue, although the molecular mechanisms for chronic inflammation and fatigue have not been determined. The current study utilized genome-wide expression microarrays to identify differences in gene expression and associated alterations in transcriptional activity in leukocytes from breast cancer survivors with persistent fatigue (n = 11) and non-fatigued controls (n = 10). We focused on transcription of inflammation-related genes, particularly those responsive to the pro-inflammatory NF-κB transcription control pathway. Further, given the role of glucocorticoids as key regulators of inflammatory processes, we examined transcription of glucocorticoid-responsive genes indicative of potential glucocorticoid receptor (GR) desensitization. Plasma levels of cortisol were also assessed. Consistent with hypotheses, results showed increased expression of transcripts with response elements for NF-κB, and reduced expression of transcripts with response elements for glucocorticoids (p < .05) in fatigued breast cancer survivors. No differences in plasma levels of cortisol were observed. These data indicate that increased activity of pro-inflammatory transcription factors may contribute to persistent cancer-related fatigue and provide insight into potential mechanisms for tonic increases in NF-κB activity, specifically decreased expression of GR anti-inflammatory transcription factors. PMID:20854893

  20. The relationship between cell phone use and management of driver fatigue: It's complicated.

    Science.gov (United States)

    Saxby, Dyani Juanita; Matthews, Gerald; Neubauer, Catherine

    2017-06-01

    Voice communication may enhance performance during monotonous, potentially fatiguing driving conditions (Atchley & Chan, 2011); however, it is unclear whether safety benefits of conversation are outweighed by costs. The present study tested whether personalized conversations intended to simulate hands-free cell phone conversation may counter objective and subjective fatigue effects elicited by vehicle automation. A passive fatigue state (Desmond & Hancock, 2001), characterized by disengagement from the task, was induced using full vehicle automation prior to drivers resuming full control over the driving simulator. A conversation was initiated shortly after reversion to manual control. During the conversation an emergency event occurred. The fatigue manipulation produced greater task disengagement and slower response to the emergency event, relative to a control condition. Conversation did not mitigate passive fatigue effects; rather, it added worry about matters unrelated to the driving task. Conversation moderately improved vehicle control, as measured by SDLP, but it failed to counter fatigue-induced slowing of braking in response to an emergency event. Finally, conversation appeared to have a hidden danger in that it reduced drivers' insights into performance impairments when in a state of passive fatigue. Automation induced passive fatigue, indicated by loss of task engagement; yet, simulated cell phone conversation did not counter the subjective automation-induced fatigue. Conversation also failed to counter objective loss of performance (slower braking speed) resulting from automation. Cell phone conversation in passive fatigue states may impair drivers' awareness of their performance deficits. Practical applications: Results suggest that conversation, even using a hands-free device, may not be a safe way to reduce fatigue and increase alertness during transitions from automated to manual vehicle control. Copyright © 2017 Elsevier Ltd and National Safety

  1. Study on creep-fatigue life of irradiated austenitic stainless steel

    International Nuclear Information System (INIS)

    Ioka, Ikuo; Miwa, Yukio; Tsuji, Hirokazu; Yonekawa, Minoru; Takada, Fumiki; Hoshiya, Taiji

    2001-01-01

    The low cycle creep-fatigue test with tensile strain hold of the austenitic stainless steel irradiated to 2 dpa was carried out at 823K in vacuum. The applicability of creep-fatigue life prediction methods to the irradiated specimen was examined. The fatigue life on the irradiated specimen without tensile strain hold time was reduced by a factor of 2-5 in comparison with the unirradiated specimen. The decline in fatigue life of the irradiated specimen with tensile strain hold was almost equal to that of the unirradiated specimen. The creep damage of both unirradiated and irradiated specimens was underestimated by the time fraction rule or the ductility exhaustion rule. The creep damage calculated by the time fraction rule or the ductility exhaustion rule increased by the irradiation. The predictions derived from the linear damage rule are unsafe as compared with the experimental fatigue lives. (author)

  2. Reliability analysis of offshore structures using OMA based fatigue stresses

    DEFF Research Database (Denmark)

    Silva Nabuco, Bruna; Aissani, Amina; Glindtvad Tarpø, Marius

    2017-01-01

    focus is on the uncertainty observed on the different stresses used to predict the damage. This uncertainty can be reduced by Modal Based Fatigue Monitoring which is a technique based on continuously measuring of the accelerations in few points of the structure with the use of accelerometers known...... points of the structure, the stress history can be calculated in any arbitrary point of the structure. The accuracy of the estimated actual stress is analyzed by experimental tests on a scale model where the obtained stresses are compared to strain gauges measurements. After evaluating the fatigue...... stresses directly from the operational response of the structure, a reliability analysis is performed in order to estimate the reliability of using Modal Based Fatigue Monitoring for long term fatigue studies....

  3. Oxidative stress and fatigue in systemic lupus erythematosus.

    Science.gov (United States)

    Segal, B M; Thomas, W; Zhu, X; Diebes, A; McElvain, G; Baechler, E; Gross, M

    2012-08-01

    The objective of this study is to investigate the relationship of oxidative stress to fatigue in systemic lupus erythematosus (SLE). Patients with a confirmed diagnosis of SLE by ACR criteria and healthy controls completed validated questionnaires to assess depression and fatigue. Fatigue was measured with the Fatigue Severity Scale (FSS) and the Profile of Fatigue (Prof-F). Visual analogue scales (VAS) were also used to assess fatigue and pain. Depression was measured with the Center for Epidemiologic Studies Depression Scale (CES-D). Plasma F(2)-isoprostane was measured with gas chromatography/mass spectroscopy to assess oxidative stress. Evaluation included medical record review, physical exam and calculation of body mass index (BMI), disease activity (SLEDAI) and damage (SLICC) in the SLE patients. Seventy-one SLE patients with low disease activity (mean SLEDAI = 1.62 standard error (SE) 0.37, range 0-8) were compared to 51 controls. Fatigue-limiting physical activity (defined as FSS ≥ 4) was present in 56% of patients and 12% of controls. F(2)-isoprostane was higher in SLE patients with fatigue compared to not-fatigued SLE subjects (p = .0076) who were otherwise similar in ethnicity, disease activity and cardiovascular risk factors. Plasma F(2)-isoprostane was strongly correlated with FSS and Profile of Somatic Fatigue (Prof-S) (p fatigue (p = .005), CES-D (p = .008) and with BMI (p = .0001.) In a multivariate model, F(2)-isoprostane was a significant predictor of FSS after adjustment for age, BMI, pain and depression (p = .0002). Fatigue in SLE patients with low disease activity is associated with increased F(2)-isoprostane. F2-isoprostane could provide a useful biomarker to explore mitochondrial function and the regulation of oxidative pathways in patients with SLE in whom fatigue is a debilitating symptom.

  4. Random non-proportional fatigue tests with planar tri-axial fatigue testing machine

    Directory of Open Access Journals (Sweden)

    T. Inoue

    2016-10-01

    Full Text Available Complex stresses, which occur on the mechanical surfaces of transport machinery in service, bring a drastic degradation in fatigue life. However, it is hard to reproduce such complex stress states for evaluating the fatigue life with conventional multiaxial fatigue machines. We have developed a fatigue testing machine that enables reproduction of such complex stresses. The testing machine can reproduce arbitrary in-plane stress states by applying three independent loads to the test specimen using actuators which apply loads in the 0, 45, and 90 degree directions. The reproduction was tested with complex stress data obtained from the actual operation of transport machinery. As a result, it was found that the reproduced stress corresponded to the measured stress with an error range of less than 10 %. Then, we made a comparison between measured fatigue lives under random non-proportional loading conditions and predicted fatigue lives. It was found that predicted fatigue lives with cr, stress on critical plane, were over a factor of 10 against measured fatigue lives. On the other hand, predicted fatigue lives with ma, stress in consideration of a non-proportional level evaluated by using amplitude and direction of principal stress, were within a factor of 3 against measured fatigue lives

  5. An overview of fatigue

    International Nuclear Information System (INIS)

    Mc Evily, A.J.

    1987-01-01

    Four topics are briefly discussed in this paper: fatigue crack initiation and growth in a nickel-base superalloy single crystal, the environment effect on near-threshold fatigue crack growth behaviour, the role of crack closure in load-interaction effects in fatigue crack growth, and the nature of creep-fatigue interactions, if any, during fatigue crack growth. (Author)

  6. Direct measurement of skeletal muscle fatigue in patients with chronic heart failure.

    OpenAIRE

    Buller, N P; Jones, D; Poole-Wilson, P A

    1991-01-01

    Skeletal muscle function was measured as force production and fatigue in both the quadriceps (a large locomotive muscle) and adductor pollicis (a small intrinsic hand muscle) in five healthy volunteers, five patients with mild chronic heart failure, and five patients with severe chronic heart failure. The quadriceps of patients with chronic heart failure had a reduced muscle cross sectional area, a reduced maximum isometric force production, and an increased tendency to fatigue. Isometric for...

  7. FATIGUE PROPERTIES OF MODIFIED 316LN STAINLESS STEEL AT 4 K FOR HIGH FIELD CABLE-IN-CONDUIT APPLICATIONS

    International Nuclear Information System (INIS)

    Toplosky, V. J.; Walsh, R. P.; Han, K.

    2010-01-01

    Cable-In-Conduit-Conductor (CICC) alloys, exposed to Nb 3 Sn reaction heat-treatments, such as modified 316LN require a design specific database. A lack of fatigue life data (S-n curves) that could be applied in the design of the ITER CS and the NHMFL Series Connected Hybrid magnets is the impetus for the research presented here. The modified 316LN is distinguished by a lower carbon content and higher nitrogen content when compared to conventional 316LN. Because the interstitial alloying elements affect the mechanical properties significantly, it is necessary to characterize this alloy in a systematic way. In conjunction, to ensure magnet reliability and performance, several criteria and expectations must be met, including: high fatigue life at the operating stresses, optimal stress management at cryogenic temperatures and thin walled conduit to reduce coil mass. Tension-tension load control axial fatigue tests have good applicability to CICC solenoid magnet design, thus a series of 4 K strength versus fatigue life curves have been generated. In-situ samples of 316LN base metal, seam welded, butt welded and seam plus butt welded are removed directly from the conduit in order to address base and weld material fatigue life variability. The more than 30 fatigue tests show good grouping on the fatigue life curve and allow discretionary 4 K fatigue life predictions for conduit made with modified 316LN.

  8. Fatigue with HIV/AIDS

    Science.gov (United States)

    ... 21, 2014 Select a Language: Fact Sheet 551 Fatigue WHAT IS FATIGUE? IS FATIGUE IMPORTANT? HOW DO ... It can be physical or psychological. With physical fatigue , your muscles cannot do things as easily as ...

  9. Multi-purpose fatigue sensor. Part 1. Uniaxial and multiaxial fatigue

    Directory of Open Access Journals (Sweden)

    M.V. Karuskevich

    2016-10-01

    Full Text Available The paper describes the key principles and results of preliminary experiments aimed at the development of new technique for the fatigue life prediction under conditions of biaxial cyclic tension. The foundations of the method were developed early by the numerous tests with monitoring the process of surface deformation relief formation, which is proved to be an indicator of accumulated fatigue damage under uniaxial fatigue. The employed phenomenon was early applied for the development of a family of uniaxial loading fatigue sensors. The formation of strain induced relief has been recently taken into consideration as a part of damage accumulation criteria under biaxial fatigue as well. The home-made testing machine has been designed to implement combined bending and torsion loading that simulates loads experienced by an aircraft wing skin. The experimental evidences on formation and evolution of the deformation relief revealed under conditions of combined loading, supports the proposed concept of biaxial fatigue sensor

  10. Fatigue sensation induced by the sounds associated with mental fatigue and its related neural activities: revealed by magnetoencephalography.

    Science.gov (United States)

    Ishii, Akira; Tanaka, Masaaki; Iwamae, Masayoshi; Kim, Chongsoo; Yamano, Emi; Watanabe, Yasuyoshi

    2013-06-13

    It has been proposed that an inappropriately conditioned fatigue sensation could be one cause of chronic fatigue. Although classical conditioning of the fatigue sensation has been reported in rats, there have been no reports in humans. Our aim was to examine whether classical conditioning of the mental fatigue sensation can take place in humans and to clarify the neural mechanisms of fatigue sensation using magnetoencephalography (MEG). Ten and 9 healthy volunteers participated in a conditioning and a control experiment, respectively. In the conditioning experiment, we used metronome sounds as conditioned stimuli and two-back task trials as unconditioned stimuli to cause fatigue sensation. Participants underwent MEG measurement while listening to the metronome sounds for 6 min. Thereafter, fatigue-inducing mental task trials (two-back task trials), which are demanding working-memory task trials, were performed for 60 min; metronome sounds were started 30 min after the start of the task trials (conditioning session). The next day, neural activities while listening to the metronome for 6 min were measured. Levels of fatigue sensation were also assessed using a visual analogue scale. In the control experiment, participants listened to the metronome on the first and second days, but they did not perform conditioning session. MEG was not recorded in the control experiment. The level of fatigue sensation caused by listening to the metronome on the second day was significantly higher relative to that on the first day only when participants performed the conditioning session on the first day. Equivalent current dipoles (ECDs) in the insular cortex, with mean latencies of approximately 190 ms, were observed in six of eight participants after the conditioning session, although ECDs were not identified in any participant before the conditioning session. We demonstrated that the metronome sounds can cause mental fatigue sensation as a result of repeated pairings of the sounds

  11. [Cancer related fatigue in patients with breast cancer after chemotherapy and coping style].

    Science.gov (United States)

    Jiang, Pinglan; Wang, Shuhong; Jiang, Dongmei; Yu, Lingli

    2011-04-01

    To study the relevance between cancer related fatigue and coping styles in breast cancer patients after chemotherapy. A survey was conducted in 396 patients with breast cancer after chemotherapy on cancer related fatigue scale and Jalowiec coping scale, and the relation was analyzed. The rate of overall fatigue in breast cancer patients was 96.97%, mostly moderate fatigue. The rate of fatigue dimensions from high to low was physical fatigue, feeling fatigue and cognitive fatigue, respectively. The score of coping styles in patients with breast cancer after chemotherapy from high to low was optimistic coping, facing bravely, support seeking, self-reliance, emotional catharsis, avoidance, fatalism, and conservation. The most widely used coping style was optimistic coping style, and the least was emotional catharisis. There was a positive correlation between coping style of emotional catharsis and cancer related fatigue of all dimensions (Pself-reliance, or conservation (P<0.05). There was also a negative correlation between physical fatigue and optimistic or support seeking (P<0.05), but there was a positive correlation between avoidance or fatalism and the dimensions of general fatigue, physical fatigue, and cognitive fatigue (P<0.05). There is prevalent cancer related fatigue in patients with breast cancer after chemotherapy. We should guide the patients to more active coping styles, to enhance the ability of psychological adaption in patients, reduce cancer related fatigue, and improve the quality of life.

  12. Features that exacerbate fatigue severity in joint hypermobility syndrome/Ehlers-Danlos syndrome - hypermobility type.

    Science.gov (United States)

    Krahe, Anne Maree; Adams, Roger David; Nicholson, Leslie Lorenda

    2018-08-01

    To assess the prevalence, severity and impact of fatigue on individuals with joint hypermobility syndrome (JHS)/Ehlers-Danlos syndrome - hypermobility type (EDS-HT) and establish potential determinants of fatigue severity in this population. Questionnaires on symptoms and signs related to fatigue, quality of life, mental health, physical activity participation and sleep quality were completed by people with JHS/EDS-HT recruited through two social media sites. Multiple regression analysis was performed to identify predictors of fatigue in this population. Significant fatigue was reported by 79.5% of the 117 participants. Multiple regression analysis identified five predictors of fatigue severity, four being potentially modifiable, accounting for 52.3% of the variance in reported fatigue scores. Predictors of fatigue severity were: the self-perceived extent of joint hypermobility, orthostatic dizziness related to heat and exercise, levels of participation in personal relationships and community, current levels of physical activity and dissatisfaction with the diagnostic process and management options provided for their condition. Fatigue is a significant symptom associated with JHS/EDS-HT. Assessment of individuals with this condition should include measures of fatigue severity to enable targeted management of potentially modifiable factors associated with fatigue severity. Implications for rehabilitation Fatigue is a significant symptom reported by individuals affected by joint hypermobility syndrome/Ehlers-Danlos syndrome - hypermobility type. Potentially modifiable features that contribute to fatigue severity in this population have been identified. Targeted management of these features may decrease the severity and impact of fatigue in joint hypermobility syndrome/Ehlers-Danlos syndrome - hypermobility type.

  13. Multi-scale analysis of behavior and fatigue life of 304L stainless under cyclic loading with pre-hardening

    International Nuclear Information System (INIS)

    Belattar, A.

    2013-01-01

    This study investigates the effects of loading history on the cyclic stress-strain curve and fatigue behavior of 304L stainless steel at room temperature. Tension-compression tests were performed on the same specimen under controlled strain, using several loading sequences of increasing or decreasing amplitude. The results showed that fatigue life is significantly reduced by the previous loading history. A previously developed method for determining the effect of prehardening was evaluated. Microstructural analyses were also performed; the microstructures after pre-loading and their evolution during the fatigue cycles were characterized by TEM. The results of these analyses improve our understanding of the macroscopic properties of 304L stainless steel and can help us identify the causes of failure and lifetime reduction. (author)

  14. Probabilistic Material Strength Degradation Model for Inconel 718 Components Subjected to High Temperature, Mechanical Fatigue, Creep and Thermal Fatigue Effects

    Science.gov (United States)

    Bast, Callie Corinne Scheidt

    1994-01-01

    This thesis presents the on-going development of methodology for a probabilistic material strength degradation model. The probabilistic model, in the form of a postulated randomized multifactor equation, provides for quantification of uncertainty in the lifetime material strength of aerospace propulsion system components subjected to a number of diverse random effects. This model is embodied in the computer program entitled PROMISS, which can include up to eighteen different effects. Presently, the model includes four effects that typically reduce lifetime strength: high temperature, mechanical fatigue, creep, and thermal fatigue. Statistical analysis was conducted on experimental Inconel 718 data obtained from the open literature. This analysis provided regression parameters for use as the model's empirical material constants, thus calibrating the model specifically for Inconel 718. Model calibration was carried out for four variables, namely, high temperature, mechanical fatigue, creep, and thermal fatigue. Methodology to estimate standard deviations of these material constants for input into the probabilistic material strength model was developed. Using the current version of PROMISS, entitled PROMISS93, a sensitivity study for the combined effects of mechanical fatigue, creep, and thermal fatigue was performed. Results, in the form of cumulative distribution functions, illustrated the sensitivity of lifetime strength to any current value of an effect. In addition, verification studies comparing a combination of mechanical fatigue and high temperature effects by model to the combination by experiment were conducted. Thus, for Inconel 718, the basic model assumption of independence between effects was evaluated. Results from this limited verification study strongly supported this assumption.

  15. Monitoring and managing component fatigue at Point Lepreau Generating Station

    International Nuclear Information System (INIS)

    Stevens, G.L.; Yetisir, M.; Scovil, A.; Slade, J.

    2008-01-01

    Many CANDU plants are now approaching the end of their design lives and are being considered for extended operation beyond their design life. The Canadian Nuclear Safety Commission (CNSC) has asked utilities to address component fatigue issues in plant life extension (PLEX) applications. In particular, environmental effects on fatigue was identified as an issue that needs to be addressed, similar to being addressed for license renewal for U.S. nuclear power plants. To address CNSC concerns, the CANDU Owners Group (COG) has initiated a program to help utilities develop component fatigue management programs for PLEX operation. A summary of a pilot study that was conducted at the Point Lepreau Generating Station (PLGS) is provided below: A plant-specific Recommendation Study provided a comprehensive review of the existing plant-specific systems, cycle counting procedures, and other fatigue-related requirements, and made some general recommendations on how best to implement a fatigue management system for PLEX. The plant-specific study determined that only 10 to 15% of the design transients have been used after 25 effective full power years (EFPY) of operation. Hence, a significant amount of original design margin for fatigue usage margin remains available for PLEX operation. Environmental fatigue considerations in heavy water (D 2 O) were included in the plant-specific assessment. Only warm-up transients were assessed to have dissolved oxygen concentrations that can result in a significant environmental effect for the ferritic steels used in the CANDU primary systems. Due to the low accumulation of transients and the absence of known thermal stratification mechanisms, thermal fatigue is not as significant an issue in CANDU plants as in pressurized water reactor (PWR) and boiling water reactor (BWR) plants. The needs for implementing a comprehensive Fatigue Management Program for PLGS to satisfy PLEX requirements were defined, and specific direction and strategy for

  16. Effectiveness of aerobic gymnastic exercise on stress, fatigue, and sleep quality during postpartum: A pilot randomized controlled trial.

    Science.gov (United States)

    Yang, Chiu-Ling; Chen, Chung-Hey

    2018-01-01

    Gymnastics is a preferable safe exercise for postnatal women performing regularly. The aim of this pilot randomized controlled trial was to determine whether the aerobic gymnastic exercise improves stress, fatigue, sleep quality and depression in postpartum women. Single-blinded, randomized controlled trial held from December 2014 until September 2015. Postnatal clinic of a medical center in southern Taiwan. 140 eligible postnatal women were systematically assigned, with a random start to experimental (n=70) or a control (n=70) group. Engage in aerobic gymnastic exercise at least three times (15min per section) a week for three months using compact disc in the home. Perceived Stress Scale, Postpartum Fatigue Scale, Postpartum Sleep Quality Scale, and Edinburgh Postnatal Depression Scale. In a two-way ANOVA with repeated measures, the aerobic gymnastic exercise group showed significant decrease in fatigue after practicing exercise 4 weeks and the positive effects extended to the 12-week posttests. Paired t-tests revealed that aerobic gymnastic exercise participants had improved significantly in perceived stress and fatigue after 4 weeks gymnastic exercise; these positive effects extended to the 12-week posttests. In addition, the changes in physical symptoms-related sleep inefficiency after 12 weeks gymnastic exercise were significantly decreased in the experimental group compared with the control group. The findings can be used to encourage postnatal women to perform moderate-intensity gymnastic exercise in their daily life to reduce their stress, fatigue and improve sleep quality. Copyright © 2017 Elsevier Ltd. All rights reserved.

  17. Clinical neurophysiology of fatigue.

    Science.gov (United States)

    Zwarts, M J; Bleijenberg, G; van Engelen, B G M

    2008-01-01

    Fatigue is a multidimensional concept covering both physiological and psychological aspects. Chronic fatigue is a typical symptom of diseases such as cancer, multiple sclerosis (MS), Parkinson's disease (PD) and cerebrovascular disorders but is also presented by people in whom no defined somatic disease has been established. If certain criteria are met, chronic fatigue syndrome can be diagnosed. The 4-item Abbreviated Fatigue Questionnaire allows the extent of the experienced fatigue to be assessed with a high degree of reliability and validity. Physiological fatigue has been well defined and originates in both the peripheral and central nervous system. The condition can be assessed by combining force and surface-EMG measurements (including frequency analyses and muscle-fibre conduction estimations), twitch interpolation, magnetic stimulation of the motor cortex and analysis of changes in the readiness potential. Fatigue is a well-known phenomenon in both central and peripheral neurological disorders. Examples of the former conditions are multiple sclerosis, Parkinson's disease and stroke. Although it seems to be a universal symptom of many brain disorders, the unique characteristics of the concomitant fatigue also point to a specific relationship with several of these syndromes. As regards neuromuscular disorders, fatigue has been reported in patients with post-polio syndrome, myasthenia gravis, Guillain-Barré syndrome, facioscapulohumeral dystrophy, myotonic dystrophy and hereditary motor and sensory neuropathy type-I. More than 60% of all neuromuscular patients suffer from severe fatigue, a prevalence resembling that of patients with MS. Except for several rare myopathies with specific metabolic derangements leading to exercise-induced muscle fatigue, most studies have not identified a prominent peripheral cause for the fatigue in this population. In contrast, the central activation of the diseased neuromuscular system is generally found to be suboptimal. The

  18. Discerning Primary and Secondary Factors Responsible for Clinical Fatigue in Multisystem Diseases

    Directory of Open Access Journals (Sweden)

    David Maughan

    2014-09-01

    Full Text Available Fatigue is a common symptom of numerous acute and chronic diseases, including myalgic encephalomyelitis/chronic fatigue syndrome, multiple sclerosis, heart failure, cancer, and many others. In these multi-system diseases the physiological determinants of enhanced fatigue encompass a combination of metabolic, neurological, and myofibrillar adaptations. Previous research studies have focused on adaptations specific to skeletal muscle and their role in fatigue. However, most have neglected the contribution of physical inactivity in assessing disease syndromes, which, through deconditioning, likely contributes to symptomatic fatigue. In this commentary, we briefly review disease-related muscle phenotypes in the context of whether they relate to the primary disease or whether they develop secondary to reduced physical activity. Knowledge of the etiology of the skeletal muscle adaptations in these conditions and their contribution to fatigue symptoms is important for understanding the utility of exercise rehabilitation as an intervention to alleviate the physiological precipitants of fatigue.

  19. Fatigue in Steel Highway Bridges under Random Loading

    DEFF Research Database (Denmark)

    Agerskov, Henning; Nielsen, J.A.; Vejrum, Tina

    1997-01-01

    on welded plate test specimens have been carried through. The materials that have been used are either conventional structural steel with a yield stress of ~ 400-410 MPa or high-strength steel with a yield stress of ~ 810-840 MPa.The fatigue tests have been carried out using load histories, which correspond......In the present investigation, fatigue damage accumulation in steel highway bridges under random loading is studied. The fatigue life of welded joints has been determined both experimentally and from a fracture mechanics analysis.In the experimental part of the investigation, fatigue test series...... to one week's traffic loading, determined by means of strain gage measurements on the orthotropic steel deck structure of the Farø Bridges in Denmark.The test series which have been carried through show a significant difference between constant amplitude and variable amplitude fatigue test results. Both...

  20. Fatigue in Steel Highway Bridges under Random Loading

    DEFF Research Database (Denmark)

    Agerskov, Henning; Nielsen, Jette Andkjær

    1999-01-01

    have been carried through. The materials that have been used are either conventional structural steel with a yield stress of f(y) similar to 400-410 MPa or high-strength steel with a yield stress of f(y) similar to 810-840 MPa. The fatigue tests have been carried out using load histories, which......Fatigue damage accumulation in steel highway bridges under random loading is studied. The fatigue life of welded joints has been determined both experimentally and from a fracture mechanics analysis. In the experimental part of the investigation, fatigue test series on welded plate test specimens...... correspond to one week's traffic loading, determined by means of strain gauge measurements on the orthotropic steel deck structure of the Faro Bridges in Denmark. The test series carried through show a significant difference between constant amplitude and variable amplitude fatigue test results. Both...

  1. Fatigue-induced changes in group IV muscle afferent activity: differences between high- and low-frequency electrically induced fatigues.

    Science.gov (United States)

    Darques, J L; Jammes, Y

    1997-03-07

    Recordings of group IV afferent activity of tibialis anterior muscle were performed in paralysed rabbits during runs of electrically induced fatigue produced by direct muscle stimulation at a high (100 Hz, high-frequency fatigue HFF) or a low rate (10 Hz, low-frequency fatigue LFF). In addition to analysis of afferent nerve action potentials, muscle force and compound muscle action potentials (M waves) elicited by direct muscle stimulation with single shocks were recorded. Changes in M wave configuration were used as an index of the altered propagation of membrane potentials and the associated efflux of potassium from muscle fibers. The data show that increased group IV afferent activity occurred during LFF as well as HFF trials and developed parallel with force failure. Enhanced afferent activity was significantly higher during LFF (maximal delta f(impulses) = 249 +/- 35%) than HFF (147 +/- 45%). No correlation was obtained between the responses of group IV afferents to LFF or to pressure exerted on tibialis anterior muscle. On the other hand, decreased M wave amplitude was minimal with LFF while it was pronounced with HFF. Close correlations were found between fatigue-induced activation of group IV afferents and decreases in force or M wave amplitude, but their strength was significantly higher with LFF compared to HFF. Thus, electrically induced fatigue activates group IV muscle afferents with a prominent effect of low-frequency stimulation. The mechanism of muscle afferent stimulation does not seem to be due to the sole increase in extracellular potassium concentration, but also by the efflux of muscle metabolites, present during fatiguing contractions at low rate of stimulation.

  2. Influence of cyclic torsional preloading on cyclic fatigue resistance of nickel - titanium instruments.

    Science.gov (United States)

    Pedullà, E; Lo Savio, F; Boninelli, S; Plotino, G; Grande, N M; Rapisarda, E; La Rosa, G

    2015-11-01

    To evaluate the effect of different torsional preloads on cyclic fatigue resistance of endodontic rotary instruments constructed from conventional nickel-titanium (NiTi), M-Wire or CM-Wire. Eighty new size 25, 0.06 taper Mtwo instruments (Sweden & Martina), size 25, 0.06 taper HyFlex CM (Coltene/Whaledent, Inc) and X2 ProTaper Next (Dentsply Maillefer) were used. The Torque and distortion angles at failure of new instruments (n = 10) were measured, and 0% (n = 10), 25%, 50% and 75% (n = 20) of the mean ultimate torsional strength as preloading condition were applied according to ISO 3630-1 for each brand. The twenty files tested for every extent of preload were subjected to 20 or 40 torsional cycles (n = 10). After torsional preloading, the number of cycles to failure was evaluated in a simulated canal with 60° angle of curvature and 5 mm of radius of curvature. Data were analysed using two-way analysis of variance. The fracture surface of each fragment was examined with a scanning electron microscope (SEM). Data were analysed by two-way analyses of variance. Preload repetitions did not influence the cyclic fatigue of the three brands; however, the 25%, 50% and 75% torsional preloading significantly reduced the fatigue resistance of all instruments tested (P 0.05). Torsional preloads reduced the cyclic fatigue resistance of conventional and treated (M-wire and CM-wire) NiTi rotary instruments except for size 25, 0.06 taper HyFlex CM instruments with a 25% of torsional preloading. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  3. Effects of LWR coolant environments on fatigue lives of austenitic stainless steels

    International Nuclear Information System (INIS)

    Chopra, O.K.; Gavenda, D.J.

    1997-01-01

    The ASME Boiler and Pressure Vessel Code fatigue design curves for structural materials do not explicitly address the effects of reactor coolant environments on fatigue life. Recent test data indicate a significant decrease in fatigue life of pressure vessel and piping materials in light water reactor (LWR) environments. Fatigue tests have been conducted on Types 304 and 316NG stainless steel in air and LWR environments to evaluate the effects of various material and loading variables, e.g., steel type, strain rate, dissolved oxygen (DO) in water, and strain range, on fatigue lives of these steels. The results confirm the significant decrease in fatigue life in water. The environmentally assisted decrease in fatigue life depends both on strain rate and DO content in water. A decrease in strain rate from 0.4 to 0.004%/s decreases fatigue life by a factor of ∼ 8. However, unlike carbon and low-alloy steels, environmental effects are more pronounced in low-DO than in high-DO water. At ∼ 0.004%/s strain rate, reduction in fatigue life in water containing <10 ppb D is greater by a factor of ∼ 2 than in water containing ≥ 200 ppb DO. Experimental results have been compared with estimates of fatigue life based on the statistical model. The formation and growth of fatigue cracks in austenitic stainless steels in air and LWR environments are discussed

  4. Substantial Fatigue Similarity of a New Small-Scale Test Rig to Actual Wheel-Rail System

    NARCIS (Netherlands)

    Naeimi, M.; Li, Z.; Petrov, R.H.; Dollevoet, R.P.B.J.; Sietsma, J.; Wu, J.

    2014-01-01

    The substantial similarity of fatigue mechanism in a new test rig for rolling contact fatigue (RCF) has been investigated. A new reduced-scale test rig is designed to perform controlled RCF tests in wheel-rail materials. The fatigue mechanism of the rig is evaluated in this study using a combined

  5. [Effects of self-foot reflexology on stress, fatigue, skin temperature and immune response in female undergraduate students].

    Science.gov (United States)

    Lee, Young-Mee

    2011-02-01

    The purpose of this study was to evaluate the effects of self-foot reflexology on stress (perceived stress, urine cortisol level, and serum cortisol level), fatigue, skin temperature and immune response in female undergraduate students. The research design was a nonequivalent control group pretest-post test design. Participants were 60 university students: 30 in the experiment group and 30 in the control group. The period of this study was from April to June 2010. The program was performed for 1 hr a session, three times a week for 6 weeks. The data were analyzed using the SPSS/WIN 17.0 program. The results showed that self-foot reflexology was effective in reducing perceived stress and fatigue, and raised skin temperature in female undergraduate students. But cortisol levels and immune response were not statistically significant different. The results of this study indicate that self-foot reflexology is an effective nursing intervention in reducing perceived stress and fatigue and, in improving skin temperature. Therefore, it is recommended that this be used in clinical practice as an effective nursing intervention for in female undergraduate students.

  6. Fatigue, fracture, and life prediction criteria for composite materials in magnets

    International Nuclear Information System (INIS)

    Wong, F.M.G.

    1990-06-01

    An explosively-bonded copper/Inconel 718/copper laminate conductor was proposed to withstand the severe face compression stresses in the central core of the Alcator C-MOD tokamak toroidal field (TF) magnet. Due to the severe duty of the TF magnet, it is critical that an accurate estimate of useful life be determined. As part of the effort to formulate an appropriate life prediction, fatigue crack growth experiments were performed on the laminate as well as its components. Metallographic evaluation of the laminate interface revealed many shear bands in the Inconel 718. Shear bands and shear band cracks were produced in the Inconel 718 as a result of the explosion bonding process. These shear bands were shown to have a detrimental effect on the crack growth behavior of the laminate, by significantly reducing the load carrying capability of the reinforcement layer and providing for easy crack propagation paths. Fatigue crack growth rate was found not only to be dependent on temperature but also on orientation. Fatigue cracks grew faster in directions which contained shear bands in the plane of the propagating crack. Fractography showed crack advancement by fatigue cracking in the Inconel 718 and ductile tearing of the copper at the interface. However, further away from the interfaces, the copper exhibited fatigue striations indicating that cracks were now propagating by fatigue. Laminate life prediction results showed a strong dependence on shear band orientation, and exhibited little variation between room temperature and 77 degree K. Predicted life of this laminate was lower when the crack propagation was along a shear band than when crack propagation was across the shear bands. Shear bands appear to have a dominating effect on crack growth behavior

  7. The reliability of test results from simple test samples in predicting the fatigue performance of automotive components

    International Nuclear Information System (INIS)

    Fourlaris, G.; Ellwood, R.; Jones, T.B.

    2007-01-01

    The use of high strength steels (HSS) in automotive components is steadily increasing as automotive designers use modern steel grades to improve structural performance, reduce vehicle weight and enhance crash performance. Weight reduction can be achieved by substituting mild steel with a thinner gauge HSS, however, it must be ensured that no deterioration in performance including fatigue capability occurs. In this study, tests have been carried out to determine the effects that gauge and material strength have on the fatigue performance of a fusion welded automotive suspension arm. Current finite element (FE) modelling and fatigue prediction techniques have been evaluated to determine their reliability when used for thin strip steels. Results have shown the fatigue performance of welded components to be independent of the strength of the parent material for the steel grades studied, with material thickness and joining process the key features determining the fatigue performance. The correlation between the fatigue performance of simple welded samples under uniaxial, constant amplitude loading and complex components under biaxial in service road load data, has been shown to be unreliable. This study also indicates that with the application of modern technologies, such as tailor-welded blanks (TWB), significant weight savings can be achieved. This is demonstrated by a 19% weight reduction with no detrimental effect on the fatigue performance

  8. Assessment of fatigue using the Identity- Consequence Fatigue Scale in patients with lung cancer

    Directory of Open Access Journals (Sweden)

    Ingrid Correia Nogueira

    Full Text Available ABSTRACT Objective: To evaluate the properties of the Identity-Consequence Fatigue Scale (ICFS in patients with lung cancer (LC, assessing the intensity of fatigue and associated factors. Methods: This was a cross-sectional study involving LC patients, treated at a teaching hospital in Brazil, who completed the ICFS. Patients with chronic heart disease (CHD and healthy controls, matched for age and gender, also completed the scale. Initially, a Brazilian Portuguese-language version of the ICFS was administered to 50 LC patients by two independent interviewers; to test for reproducibility, it was readministered to those same patients. At baseline, the LC patients were submitted to spirometry and the six-minute walk test, as well as completing the Epworth Sleepiness Scale (ESS, Hospital Anxiety and Depression Scale (HADS, Medical Outcomes Study 36-item Short-Form Health Survey (SF-36, and Fatigue Severity Scale (FSS. Inflammatory status was assessed by blood C-reactive protein (CRP levels. To validate the ICFS, we assessed the correlations of its scores with those variables. Results: The sample comprised 50 patients in each group (LC, CHD, and control. In the LC group, the intraclass correlation coefficients for intra-rater and inter-rater reliability regarding ICFS summary variables ranged from 0.94 to 0.76 and from 0.94 to 0.79, respectively. The ICFS presented excellent internal consistency, and Bland-Altman plots showed good test-retest reliability. The ICFS correlated significantly with FSS, HADS, and SF-36 scores, as well as with CRP levels. Mean ICFS scores in the LC group differed significantly from those in the CHD and control groups. Conclusions: The ICFS is a valid, reliable instrument for evaluating LC patients, in whom depression, quality of life, and CRP levels seem to be significantly associated with fatigue.

  9. The Nature of Self-Regulatory Fatigue and "Ego Depletion": Lessons From Physical Fatigue.

    Science.gov (United States)

    Evans, Daniel R; Boggero, Ian A; Segerstrom, Suzanne C

    2015-07-30

    Self-regulation requires overriding a dominant response and leads to temporary self-regulatory fatigue. Existing theories of the nature and causes of self-regulatory fatigue highlight physiological substrates such as glucose, or psychological processes such as motivation, but these explanations are incomplete on their own. Historically, theories of physical fatigue demonstrate a similar pattern of useful but incomplete explanations, as recent views of physical fatigue emphasize the roles of both physiological and psychological factors. In addition to accounting for multiple inputs, these newer views also explain how fatigue can occur even in the presence of sufficient resources. Examining these newer theories of physical fatigue can serve as a foundation on which to build a more comprehensive understanding of self-regulatory fatigue that integrates possible neurobiological underpinnings of physical and self-regulatory fatigue, and suggests the possible function of self-regulatory fatigue. © 2015 by the Society for Personality and Social Psychology, Inc.

  10. Identification of distinct fatigue trajectories in patients with breast cancer undergoing adjuvant chemotherapy.

    Science.gov (United States)

    Junghaenel, Doerte U; Cohen, Jules; Schneider, Stefan; Neerukonda, Anu R; Broderick, Joan E

    2015-09-01

    The goal of this study was to characterize changes in daily fatigue in women undergoing chemotherapy for breast cancer. We examined whether there are subgroups of patients with distinct fatigue trajectories and explored potential psychosocial and biomedical predictors of these subgroups. Participants were 77 women with breast cancer receiving adjuvant chemotherapy with AC-T (2-week cycle) and TC or TCH (3-week cycle) regimens. They completed 28 daily ratings online using an adapted version of the Patient-Reported Outcomes Measurement Information System (PROMIS®) fatigue instrument. Both regimens followed an "inverted-U-shaped" fatigue pattern over approximately 2 weeks. Growth mixture modeling identified three patient subgroups with distinct trajectories. Fatigue scores in the "low fatigue" group (23 %) increased following the infusion and quickly abated. The "transient fatigue" (27 %) group had a very pronounced increase. Patients in the "high fatigue" (50 %) group reported consistently elevated fatigue with a relatively small increase. Demographic and medical variables were not associated with fatigue trajectory. Patients in the "high fatigue" group reported significantly poorer physical, emotional, and social functioning, poorer general health, and more depressed mood than patients in the "low fatigue" group. The "transient fatigue" group reported significantly better physical and social functioning than the "high fatigue" group, but emotional distress and depression similar to the "high fatigue" group. The identification of patient subgroups with distinct fatigue trajectories during chemotherapy is an essential step for developing preventative strategies and tailored interventions. Our results suggest that different trajectories are associated with patients' psychosocial and general health.

  11. Effects of fatigue from sleep deprivation on experimental periodontitis in rats.

    Science.gov (United States)

    Nakada, T; Kato, T; Numabe, Y

    2015-02-01

    Factors such as vascularization of the periodontium, inflammatory reactions and immune response affect the oral environment and ecology, decreasing host resistance and promoting the development of symptoms and the advancement of periodontal disease. Fatigue also influences the hypothalamic-pituitary-adrenal axis and reports relate it to systemic resistance. The aim of this study was to evaluate whether fatigue is a modifying factor for periodontal disease in rats. We divided 24 3-wk-old male Sprague-Dawley rats randomly into the following four groups: control; fatigue (deep sleep deprivation for 7 d); infection (rats inoculated with carboxymethyl cellulose containing periodontopathic bacteria); and compound (combined fatigue and infection conditions). Weight, serum corticosterone levels, serum albumin levels, interleukin-1β and tumor necrosis factor-α expression levels and distance from the cement-enamel junction to the alveolar bone crest were measured at baseline, and on the 36th (before sleep deprivation), 43rd (immediately after sleep deprivation) and 57th d (end of experiment). Immediately after sleep deprivation and at the end of the experiment, weight gain in the fatigue and compound groups was significantly lower than in controls (p sleep deprivation, serum corticosterone levels were significantly higher in the fatigue and compound groups than in controls (p sleep deprivation, gene expression of interleukin-1β was significantly higher in the infection and compound groups than in controls (p < 0.05). Moreover, gene expression of tumor necrosis factor-α was significantly higher in the compound group than in controls (p < 0.05). At the end of the experiment, the distance from the cement-enamel junction to the alveolar bone crest was significantly higher in the infection and compound groups than in controls (p < 0.05). Moreover, the distance was significantly higher in the compound group than in the infection group. Fatigue worsened systemic health in rats

  12. Fatigue and physical performance in children and adolescents receiving chemotherapy.

    Science.gov (United States)

    Hooke, Mary Catherine; Garwick, Ann W; Gross, Cynthia R

    2011-11-01

    To examine the relationship between physical performance and fatigue in child and adolescent cohorts during the first three cycles of chemotherapy. Prospective, observational design. Two pediatric cancer centers in the upper Midwest region of the United States. 16 children and 14 adolescents newly diagnosed with cancer. Standardized instruments were administered during the first and third cycles of chemotherapy. Instruments included physical performance tests (Timed Up and Down Stairs [TUDS] and the 6-Minute Walk Test [6MWT]) and a self-report fatigue scale. Fatigue and physical performance. In the child cohort, physical performance appeared to improve and fatigue diminished from cycle 1 to 3 of chemotherapy. When time on TUDS decreased, fatigue tended to decrease; when 6MWT distance increased, fatigue decreased. In the adolescent cohort, fatigue seemed to decrease but physical performance measures evidenced little change. Correlations between changes in the physical performance variables and fatigue were not significant. Fatigue may decrease early in treatment as disease symptoms resolve. Fatigue in the child cohort was related to physical performance, which is consistent with previous studies that defined fatigue in children as primarily a physical sensation. Findings in the adolescent cohort support research that defined adolescent fatigue as more complex with mental, emotional, and physical components. Knowing how fatigue relates to physical performance in children and adolescents informs the nurse in educating patients and families about symptom management.

  13. [Evaluating fatigue resistance effect of health food by near-infrared tissue oximeter].

    Science.gov (United States)

    Wu, Jian; Ding, Hai-shu; Ye, Da-tian

    2009-09-01

    Currently, chronic fatigue syndrome (CFS) seriously affects people's normal living and work. In the present paper, the physiological parameters, such as tissue oxygenation saturation and heart rate, were used to evaluate the subjects' fatigue degree, and the fatigue resistance capsule and coffee were taken as a measure to adjust the fatigue. Human tissue oxygen saturation (rSO2) can be monitored noninvasively and in real time by near infrared spectroscopy (NIRS) based on spatially-resolved spectroscopy. Aiming at those brainworkers who need to work in an office for a long time; two static experiments were designed to evaluate the fatigue degree of the subjects who either take the fatigue resistance capsules/coffee or not. The rSO2 and heart rate (HR) of the subjects in the experiment group and contrast group were measured respectively for fatigue evaluation. This work particularly analyzed the changes in rSO2 in these two groups. The results show that the rSO2 of subjects in the experiment group evidently increased compared to that in the contrast group when the subjects took the fatigue resistance capsule or coffee, thereby show that the health food can reduce the fatigue to a certain extent.

  14. Designing Fatigue Warning Systems: The perspective of professional drivers.

    Science.gov (United States)

    Meng, Fanxing; Li, Shuling; Cao, Lingzhi; Peng, Qijia; Li, Musen; Wang, Chunhui; Zhang, Wei

    2016-03-01

    Professional drivers have been characterized as experiencing heavy fatigue resulting from long driving time in their daily work. This study aimed to explore the potential demand of Fatigue Warning Systems (FWSs) among professional drivers as a means of reducing the danger of fatigue driving and to examine their opinions regarding the design of FWSs. Six focus groups with 35 participants and a questionnaire survey with 600 respondents were conducted among Chinese truck and taxi drivers to collect qualitative and quantitative data concerning the current situation of fatigue driving and opinions regarding the design of FWSs. The results revealed that both truck and taxi drivers had a positive attitude toward FWSs, and they hoped this system could not only monitor and warn them regarding their fatigue but also somewhat relieve their fatigue before they could stop and rest. As for warning signals, participants preferred auditory warnings, as opposed to visual, vibrotactile or electric stimuli. Interestingly, it was proposed that verbal warnings involving the information regarding consequences of fatigue driving or the wishes of drivers' family members would be more effective. Additionally, different warning patterns, including graded, single and continuous warnings, were discussed in the focus group. Finally, the participants proposed many other suggestions, as well as their concerns regarding FWSs, which will provide valuable information for companies who wish to develop FWSs for professional drivers. Copyright © 2015. Published by Elsevier Ltd.

  15. Rotary bending fatigue properties of Inconel 718 alloys by ultrasonic nanocrystal surface modification technique

    Directory of Open Access Journals (Sweden)

    Jun-Hyong Kim

    2015-08-01

    Full Text Available This study investigates the influence of ultrasonic nanocrystal surface modification (UNSM technique on fatigue properties of SAE AMS 5662 (solution treatment of Inconel 718 alloys. The fatigue properties of the specimens were investigated using a rotary bending fatigue tester. Results revealed that the UNSM-treated specimens showed longer fatigue life in comparison with those of the untreated specimens. The improvement in fatigue life of the UNSM-treated specimens is attributed mainly to the induced compressive residual stress, increased hardness, reduced roughness and refined grains at the top surface. Fractured surfaces were analysed using a scanning electron microscopy (SEM in order to give insight into the effectiveness of UNSM technique on fracture mechanisms and fatigue life.

  16. Reduction of fatigue in Sjögren syndrome with rituximab: results of a randomised, double-blind, placebo-controlled pilot study.

    Science.gov (United States)

    Dass, S; Bowman, S J; Vital, E M; Ikeda, K; Pease, C T; Hamburger, J; Richards, A; Rauz, S; Emery, P

    2008-11-01

    Primary Sjögren syndrome (pSS) causes significant systemic symptoms including fatigue as well as glandular dysfunction. There are currently no effective systemic therapies; however, open label series have suggested that rituximab may be beneficial for systemic and glandular manifestations. Therefore, we performed a double blind, placebo-controlled, randomised pilot study of the efficacy of rituximab in reducing fatigue in pSS. A total of 17 patients with pSS and a score on fatigue visual analogue scale (VAS) >50 were randomised to receive either 2 infusions of rituximab 1 g or placebo; patients also received oral and intravenous steroids. Outcome measures included: the proportion of patients with >20% reduction in fatigue VAS, changes in pSS related symptoms, health related quality of life and immunological parameters of pSS. These were measured 6 months after therapy. There was significant improvement from baseline in fatigue VAS in the rituximab group (p<0.001) in contrast to the placebo group (p = 0.147). There was a significant difference between the groups at 6 months in the social functioning score of SF-36 (p = 0.01) and a trend to significant difference in the mental health domain score of SF-36 (p = 0.06). There was one episode of serum sickness in the rituximab treated group. This is the first double blind study of rituximab in pSS to show benefit; further studies are justified.

  17. Effects of fatigue and environment on residual strengths of center-cracked graphite/epoxy buffer strip panels

    Science.gov (United States)

    Bigelow, Catherine A.

    1989-01-01

    The effects of fatigue, moisture conditioning, and heating on the residual tension strengths of center-cracked graphite/epoxy buffer strip panels were evaluated using specimens made with T300/5208 graphite epoxy in a 16-ply quasi-isotropic layup, with two different buffer strip materials, Kevlar-49 or S-glass. It was found that, for panels subjected to fatigue loading, the residual strengths were not significantly affected by the fatigue loading, the number of repetitions of the loading spectrum, or the maximum strain level. The moisture conditioning reduced the residual strengths of the S-glass buffer strip panels by 10 to 15 percent below the ambient results, but increased the residual strengths of the Kevlar-49 buffer strip panels slightly. For both buffer strip materials, the heat increased the residual strengths of the buffer strip panels slightly over the ambient results.

  18. Hyperexcitability to electrical stimulation and accelerated muscle fatiguability of taut bands in rats.

    Science.gov (United States)

    Wang, Yong-Hui; Yin, Ming-Jing; Fan, Zhen-Zhen; Arendt-Nielsen, Lars; Ge, Hong-You; Yue, Shou-Wei

    2014-04-01

    Myofascial trigger points contribute significantly to musculoskeletal pain and motor dysfunction and may be associated with accelerated muscle fatiguability. The aim of this study was to investigate the electrically induced force and fatigue characteristics of muscle taut bands in rats. Muscle taut bands were dissected out and subjected to trains of electrical stimulation. The electrical threshold intensity for muscle contraction and maximum contraction force (MCF), electrical intensity dependent fatigue and electrical frequency dependent fatigue characteristics were assessed in three different sessions (n=10 each) and compared with non-taut bands in the biceps femoris muscle. The threshold intensity for muscle contraction and MCF at the 10th, 15th and 20th intensity dependent fatigue stimuli of taut bands were significantly lower than those of non-taut bands (all pbands were significantly lower than those at the 1st and 5th stimuli (all pbands than for non-taut bands (both pband itself was more excitable to electrical stimulation and significantly less fatigue resistant than normal muscle fibres.

  19. Numerical methods for the prediction of thermal fatigue due to turbulent mixing

    International Nuclear Information System (INIS)

    Hannink, M.H.C.; Blom, F.J.

    2011-01-01

    Research highlights: → Thermal fatigue due to turbulent mixing is caused by moving temperature spots on the pipe wall. → Passing temperature spots cause temperature fluctuations of sinusoidal nature. → Input parameters for a sinusoidal model can be obtained by linking it with a coupled CFD-FEM model. → Overconservatism of the sinusoidal method can be reduced, having more knowledge on thermal loads. - Abstract: Turbulent mixing of hot and cold flows is one of the possible causes of thermal fatigue in piping systems. Especially in primary pipework of nuclear power plants this is an important, safety related issue. Since the frequencies of the involved temperature fluctuations are generally too high to be detected well by common plant instrumentation, accurate numerical simulations are indispensable for a proper fatigue assessment. In this paper, a link is made between two such numerical methods: a coupled CFD-FEM model and a sinusoidal model. By linking these methods, more insight is obtained in the physical phenomenon causing thermal fatigue due to turbulent mixing. Furthermore, useful knowledge is acquired on the determination of thermal loading parameters, essential for reducing overconservatism, as currently present in simplified fatigue assessment methods.

  20. Continuous fatigue crack monitoring of bridges: Long-Term Electrochemical Fatigue Sensor (LTEFS)

    Science.gov (United States)

    Moshier, Monty A.; Nelson, Levi; Brinkerhoff, Ryan; Miceli, Marybeth

    2016-04-01

    Fatigue cracks in steel bridges degrade the load-carrying capacity of these structures. Fatigue damage accumulation caused by the repetitive loading of everyday truck traffic can cause small fatigue cracks initiate. Understanding the growth of these fatigue cracks is critical to the safety and reliability of our transportation infrastructure. However, modeling fatigue in bridges is difficult due to the nature of the loading and variations in connection integrity. When fatigue cracks reach critical lengths failures occur causing partial or full closures, emergency repairs, and even full structural failure. Given the aging US highway and the trend towards asset management and life extension, the need for reliable, cost effective sensors and monitoring technologies to alert bridge owners when fatigue cracks are growing is higher than ever. In this study, an innovative Long-Term Electrochemical Fatigue Sensor (LTEFS) has been developed and introduced to meet the growing NDT marketplace demand for sensors that have the ability to continuously monitor fatigue cracks. The performance of the LTEFS has been studied in the laboratory and in the field. Data was collected using machined specimens with different lengths of naturally initiated fatigue cracks, applied stress levels, applied stress ratios, and for both sinusoidal and real-life bridge spectrum type loading. The laboratory data was evaluated and used to develop an empirically based algorithm used for crack detection. Additionally, beta-tests on a real bridge structure has been completed. These studies have conclusively demonstrated that LTEFS holds great potential for long-term monitoring of fatigue cracks in steel structures

  1. Locomotor Muscle Fatigue Does Not Alter Oxygen Uptake Kinetics during High-Intensity Exercise.

    Science.gov (United States)

    Hopker, James G; Caporaso, Giuseppe; Azzalin, Andrea; Carpenter, Roger; Marcora, Samuele M

    2016-01-01

    The [Formula: see text] slow component ([Formula: see text]) that develops during high-intensity aerobic exercise is thought to be strongly associated with locomotor muscle fatigue. We sought to experimentally test this hypothesis by pre-fatiguing the locomotor muscles used during subsequent high-intensity cycling exercise. Over two separate visits, eight healthy male participants were asked to either perform a non-metabolically stressful 100 intermittent drop-jumps protocol (pre-fatigue condition) or rest for 33 min (control condition) according to a random and counterbalanced order. Locomotor muscle fatigue was quantified with 6-s maximal sprints at a fixed pedaling cadence of 90 rev·min -1 . Oxygen kinetics and other responses (heart rate, capillary blood lactate concentration and rating of perceived exertion, RPE) were measured during two subsequent bouts of 6 min cycling exercise at 50% of the delta between the lactate threshold and [Formula: see text] determined during a preliminary incremental exercise test. All tests were performed on the same cycle ergometer. Despite significant locomotor muscle fatigue ( P = 0.03), the [Formula: see text] was not significantly different between the pre-fatigue (464 ± 301 mL·min -1 ) and the control (556 ± 223 mL·min -1 ) condition ( P = 0.50). Blood lactate response was not significantly different between conditions ( P = 0.48) but RPE was significantly higher following the pre-fatiguing exercise protocol compared with the control condition ( P locomotor muscle fatigue does not significantly alter the [Formula: see text] kinetic response to high intensity aerobic exercise, and challenge the hypothesis that the [Formula: see text] is strongly associated with locomotor muscle fatigue.

  2. Locomotor muscle fatigue does not alter oxygen uptake kinetics during high-intensity exercise

    Directory of Open Access Journals (Sweden)

    James Hopker

    2016-10-01

    Full Text Available The slow component (VO2sc that develops during high-intensity aerobic exercise is thought to be strongly associated with locomotor muscle fatigue. We sought to experimentally test this hypothesis by pre-fatiguing the locomotor muscles used during subsequent high-intensity cycling exercise. Over two separate visits, eight healthy male participants were asked to either perform a non-metabolically stressful 100 intermittent drop-jumps protocol (pre fatigue condition or rest for 33 minutes (control condition according to a random and counterbalanced order. Locomotor muscle fatigue was quantified with 6-second maximal sprints at a fixed pedaling cadence of 90 rev·min-1. Oxygen kinetics and other responses (heart rate, capillary blood lactate concentration and rating of perceived exertion, RPE were measured during two subsequent bouts of 6 min cycling exercise at 50% of the delta between the lactate threshold and VO2max determined during a preliminary incremental exercise test. All tests were performed on the same cycle ergometer. Despite significant locomotor muscle fatigue (P = 0.03, the VO2sc was not significantly different between the pre fatigue (464 ± 301 mL·min-1 and the control (556 ± 223 mL·min-1 condition (P = 0.50. Blood lactate response was not significantly different between conditions (P = 0.48 but RPE was significantly higher following the pre-fatiguing exercise protocol compared with the control condition (P < 0.01 suggesting higher muscle recruitment. These results demonstrate experimentally that locomotor muscle fatigue does not significantly alter the VO2 kinetic response to high intensity aerobic exercise, and challenge the hypothesis that the VO2sc is strongly associated with locomotor muscle fatigue.

  3. Fatigue Perceived by Multiple Sclerosis Patients Is Associated With Muscle Fatigue

    NARCIS (Netherlands)

    Steens, Anneke; de Vries, Astrid; Hemmen, Jolien; Heersema, Thea; Heerings, Marco; Maurits, Natasha; Zijdewind, Inge

    Background. Fatigue is a debilitating symptom in multiple sclerosis (MS). Previous studies showed no association between fatigue as perceived by the patient and physiological measures of fatigability. Objective. The authors investigated associations between perceived fatigue and measures of

  4. Insomnia, excessive sleepiness, excessive fatigue, anxiety, depression and shift work disorder in nurses having less than 11 hours in-between shifts.

    Directory of Open Access Journals (Sweden)

    Maria Fagerbakke Eldevik

    Full Text Available STUDY OBJECTIVE: To assess if less than 11 hours off work between work shifts (quick returns was related to insomnia, sleepiness, fatigue, anxiety, depression and shift work disorder among nurses. METHODS: A questionnaire including established instruments measuring insomnia (Bergen Insomnia Scale, sleepiness (Epworth Sleepiness Scale, fatigue (Fatigue Questionnaire, anxiety/depression (Hospital Anxiety and Depression Scale and shift work disorder was administered. Among the 1990 Norwegian nurses who participated in the study; 264 nurses had no quick returns, 724 had 1-30 quick returns and 892 had more than 30 quick returns during the past year. 110 nurses did not report the number of quick returns during the past year. The prevalence of insomnia, excessive sleepiness, excessive fatigue, anxiety, depression and shift work disorder was calculated within the three groups of nurses. Crude and adjusted logistic regression analyses were performed to assess the relation between quick returns and such complaints. RESULTS: We found a significant positive association between quick returns and insomnia, excessive sleepiness, excessive fatigue and shift work disorder. Anxiety and depression were not related to working quick returns. CONCLUSIONS: There is a health hazard associated with quick returns. Further research should aim to investigate if workplace strategies aimed at reducing the number of quick returns may reduce complaints among workers.

  5. Insomnia, excessive sleepiness, excessive fatigue, anxiety, depression and shift work disorder in nurses having less than 11 hours in-between shifts.

    Science.gov (United States)

    Eldevik, Maria Fagerbakke; Flo, Elisabeth; Moen, Bente Elisabeth; Pallesen, Ståle; Bjorvatn, Bjørn

    2013-01-01

    To assess if less than 11 hours off work between work shifts (quick returns) was related to insomnia, sleepiness, fatigue, anxiety, depression and shift work disorder among nurses. A questionnaire including established instruments measuring insomnia (Bergen Insomnia Scale), sleepiness (Epworth Sleepiness Scale), fatigue (Fatigue Questionnaire), anxiety/depression (Hospital Anxiety and Depression Scale) and shift work disorder was administered. Among the 1990 Norwegian nurses who participated in the study; 264 nurses had no quick returns, 724 had 1-30 quick returns and 892 had more than 30 quick returns during the past year. 110 nurses did not report the number of quick returns during the past year. The prevalence of insomnia, excessive sleepiness, excessive fatigue, anxiety, depression and shift work disorder was calculated within the three groups of nurses. Crude and adjusted logistic regression analyses were performed to assess the relation between quick returns and such complaints. We found a significant positive association between quick returns and insomnia, excessive sleepiness, excessive fatigue and shift work disorder. Anxiety and depression were not related to working quick returns. There is a health hazard associated with quick returns. Further research should aim to investigate if workplace strategies aimed at reducing the number of quick returns may reduce complaints among workers.

  6. Acupuncture for chronic fatigue syndrome and idiopathic chronic fatigue: a multicenter, nonblinded, randomized controlled trial.

    Science.gov (United States)

    Kim, Jung-Eun; Seo, Byung-Kwan; Choi, Jin-Bong; Kim, Hyeong-Jun; Kim, Tae-Hun; Lee, Min-Hee; Kang, Kyung-Won; Kim, Joo-Hee; Shin, Kyung-Min; Lee, Seunghoon; Jung, So-Young; Kim, Ae-Ran; Shin, Mi-Suk; Jung, Hee-Jung; Park, Hyo-Ju; Kim, Sung-Phil; Baek, Yong-Hyeon; Hong, Kwon-Eui; Choi, Sun-Mi

    2015-07-26

    The causes of chronic fatigue syndrome (CFS) and idiopathic chronic fatigue (ICF) are not clearly known, and there are no definitive treatments for them. Therefore, patients with CFS and ICF are interested in Oriental medicine or complementary and alternative medicine. For this reason, the effectiveness of complementary and alternative treatments should be verified. We investigated the effectiveness of two forms of acupuncture added to usual care for CFS and ICF compared to usual care alone. A three-arm parallel, non-blinded, randomized controlled trial was performed in four hospitals. We divided 150 participants into treatment and control groups at the same ratio. The treatment groups (Group A, body acupuncture; Group B, Sa-am acupuncture) received 10 sessions for 4 weeks. The control group (Group C) continued usual care alone. The primary outcome was the Fatigue Severity Scale (FSS) at 5 weeks after randomization. Secondary outcomes were the FSS at 13 weeks and a short form of the Stress Response Inventory (SRI), the Beck Depression Inventory (BDI), the Numeric Rating Scale (NRS), and the EuroQol-5 Dimension (EQ-5D) at 5 and 13 weeks. Group A showed significantly lower FSS scores than Group C at 5 weeks (P = 0.023). SRI scores were significantly lower in the treatment groups than in the control group at 5 (Group A, P = 0.032; B, P fatigue in CFS and ICF patients. Clinical Research Information Service (CRIS) KCT0000508; Registered on 12 August 2012.

  7. Physical activity buffers fatigue only under low chronic stress.

    Science.gov (United States)

    Strahler, Jana; Doerr, Johanna M; Ditzen, Beate; Linnemann, Alexandra; Skoluda, Nadine; Nater, Urs M

    2016-09-01

    Fatigue is one of the most commonly reported complaints in the general population. As physical activity (PA) has been shown to have beneficial effects, we hypothesized that everyday life PA improves fatigue. Thirty-three healthy students (21 women, 22.8 ± 3.3 years, 21.7 ± 2.3 kg/m(2)) completed two ambulatory assessment periods. During five days at the beginning of the semester (control condition) and five days during final examination preparation (examination condition), participants repeatedly reported on general fatigue (awakening, 10 am, 2 pm, 6 pm and 9 pm) by means of an electronic diary, collected saliva samples for the assessment of cortisol and α-amylase immediately after providing information on fatigue and wore a triaxial accelerometer to continuously record PA. Self-perceived chronic stress was assessed as a moderator. Using hierarchical linear modeling, including PA, condition (control vs. examination), sex and chronic stress as predictors, PA level during the 15 min prior to data entry did not predict momentary fatigue level. Furthermore, there was no effect of condition. However, a significant cross-level interaction of perceived chronic stress with PA was observed. In fact, the (negative) relationship between PA and fatigue was stronger in those participants with less chronic stress. Neither cortisol nor α-amylase was significantly related to physical activity or fatigue. Our study showed an immediate short-term buffering effect of everyday life PA on general fatigue, but only when experiencing lower chronic stress. There seems to be no short-term benefit of PA in the face of higher chronic stress. These findings highlight the importance of considering chronic stress when evaluating the effectiveness of PA interventions in different target populations, in particular among chronically stressed and fatigued subjects.

  8. Fatigue and creep-fatigue in sodium of 316 L stainless-steel

    International Nuclear Information System (INIS)

    Ardellier, A.

    1981-03-01

    The present paper describes test-facility developed to perform low-cycle fatigue and creep-fatigue interaction in sodium on stainless steel - 316 L . Fatigue life in sodium and in air are compared. A beneficial effect in sodium is noted

  9. Tensile and bending fatigue of the adhesive interface to dentin.

    Science.gov (United States)

    Belli, Renan; Baratieri, Luiz Narciso; Braem, Marc; Petschelt, Anselm; Lohbauer, Ulrich

    2010-12-01

    The aim of this study was to evaluate the fatigue limits of the dentin-composite interfaces established either with an etch-and-rinse or an one-step self-etch adhesive systems under tensile and bending configurations. Flat specimens (1.2 mm×5 mm×35 mm) were prepared using a plexiglass mold where dentin sections from human third molars were bonded to a resin composite, exhibiting the interface centrally located. Syntac Classic and G-Bond were used as adhesives and applied according to the manufacturer's instructions. The fluorochrome Rhodamine B was added to the adhesives to allow for fractographic evaluation. Tensile strength was measured in an universal testing machine and the bending strength (n=15) in a Flex machine (Flex, University of Antwerp, Belgium), respectively. Tensile (TFL) and bending fatigue limits (BFL) (n=25) were determined under wet conditions for 10(4) cycles following a staircase approach. Interface morphology and fracture mechanisms were observed using light, confocal laser scanning and scanning electron microscopy. Statistical analysis was performed using three-way ANOVA (mod LSD test, pTensile and bending characteristic strengths at 63.2% failure probability for Syntac were 23.8 MPa and 71.5 MPa, and 24.7 MPa and 72.3 MPa for G-Bond, respectively. Regarding the applied methods, no significant differences were detected between adhesives. However, fatigue limits for G-Bond (TFL=5.9 MPa; BFL=36.2 MPa) were significantly reduced when compared to Syntac (TFL=12.6 MPa; BFL=49.7 MPa). Fracture modes of Syntac were generally of adhesive nature, between the adhesive resin and dentin, while G-Bond showed fracture planes involving the adhesive-dentin interface and the adhesive resin. Cyclic loading under tensile and bending configurations led to a significant strength degradation, with a more pronounced fatigue limit decrease for G-Bond. The greater decrease in fracture strength was observed in the tensile configuration. Copyright © 2010 Academy of

  10. Fatiguing effect of multiple take-offs and landings in regional airline operations.

    Science.gov (United States)

    Honn, Kimberly A; Satterfield, Brieann C; McCauley, Peter; Caldwell, J Lynn; Van Dongen, Hans P A

    2016-01-01

    previously published laboratory studies of simulated night shifts and nighttime sleep deprivation, the magnitude of the fatiguing effect of the multiple take-offs and landings was modest. Ratings of flight performance were not significantly reduced for the simulated multi-segment duty day. The US duty and flight time regulations for commercial aviation shorten the maximum duty duration in multi-segment operations by up to 25% depending on the duty start time. The present results represent an important first step in understanding fatigue in multi-segment operations, and provide support for the number of flight segments as a relevant factor in regulating maximum duty duration. Nonetheless, based on our fatigue results, a more moderate reduction in maximum duty duration as a function of the number of flight segments might be considered. However, further research is needed to include investigation of flight safety, and to extend our findings to nighttime operations. Copyright © 2015 Elsevier Ltd. All rights reserved.

  11. Thermal fatigue loading for a type 304-L stainless steel used for pressure water reactor: investigations on the effect of a nearly perfect biaxial loading, and on the cumulative fatigue life

    International Nuclear Information System (INIS)

    Fissolo, A.; Gourdin, C.; Bouin, P.; Perez, G.

    2010-01-01

    Fatigue-life curves are used in order to estimate crack-initiation, and also to prevent water leakage on Pressure Water Reactor pipes. Such curves are built exclusively from push-pull tests performed under constant and uniaxial strain or stress-amplitude. However, thermal fatigue corresponds to a nearly perfect biaxial stress state and severe loading fluctuations are observed in operating conditions. In this frame, these two aspects have been successively investigated in this paper: In order to investigate on potential difference between thermal fatigue and mechanical fatigue, tests have been carried out at CEA using thermal fatigue devices. They show that for an identical level of strain-amplitude, the number of cycles required to achieve crack-initiation is significantly lower under thermal fatigue. This enhanced damage results probably from a perfect biaxial state under thermal fatigue. In this frame, application of the multiaxial Zamrik's criterion seems to be very promising. In order to investigate on cumulative damage effect in fatigue, multi-level strain controlled fatigue tests have been performed. Experimental results show that linear Miner's rule is not verified. A loading sequence effect is clearly evidenced. The double linear damage rule ('DLDR') improves significantly predictions of fatigue-life. (authors)

  12. Leg Stiffness in Female Soccer Players: Intersession Reliability and the Fatiguing Effects of Soccer-Specific Exercise.

    Science.gov (United States)

    De Ste Croix, Mark B A; Hughes, Jonathan D; Lloyd, Rhodri S; Oliver, Jon L; Read, Paul J

    2017-11-01

    De Ste Croix, MBA, Hughes, JD, Lloyd, RS, Oliver, JL, and Read, PJ. Leg stiffness in female soccer players: intersession reliability and the fatiguing effects of soccer-specific exercise. J Strength Cond Res 31(11): 3052-3058, 2016-Low levels of leg stiffness and reduced leg stiffness when fatigue is present compromise physical performance and increase injury risk. The purpose of this study was to (a) determine the reliability of leg stiffness measures obtained from contact mat data and (b) explore age-related differences in leg stiffness after exposure to a soccer-specific fatigue protocol in young female soccer players. Thirty-seven uninjured female youth soccer players divided into 3 subgroups based on chronological age (under 13 [U13], under 15 [U15], and under 17 [U17] year-olds) volunteered to participate in the study. After baseline data collection, during which relative leg stiffness, contact time, and flight time were collected, participants completed an age-appropriate soccer-specific fatigue protocol (SAFT). Upon completion of the fatigue protocol, subjects were immediately retested. Intersession reliability was acceptable and could be considered capable of detecting worthwhile changes in performance. Results showed that leg stiffness decreased in the U13 year-olds, was maintained in the U15 age group, and increased in the U17 players. Contact times and flight times did not change in the U13 and U15 year-olds, but significantly decreased and increased, respectively, in the U17 age group. The data suggest that age-related changes in the neuromuscular control of leg stiffness are present in youth female soccer players. Practitioners should be aware of these discrepancies in neuromuscular responses to soccer-specific fatigue, and should tailor training programs to meet the needs of individuals, which may subsequently enhance performance and reduce injury risk.

  13. Taltirelin alleviates fatigue-like behavior in mouse models of cancer-related fatigue.

    Science.gov (United States)

    Dougherty, John P; Wolff, Brian S; Cullen, Mary J; Saligan, Leorey N; Gershengorn, Marvin C

    2017-10-01

    Fatigue affects most cancer patients and has numerous potential causes, including cancer itself and cancer treatment. Cancer-related fatigue (CRF) is not relieved by rest, can decrease quality of life, and has no FDA-approved therapy. Thyrotropin-releasing hormone (TRH) has been proposed as a potential novel treatment for CRF, but its efficacy against CRF remains largely untested. Thus, we tested the TRH analog, taltirelin (TAL), in mouse models of CRF. To model fatigue, we used a mouse model of chemotherapy, a mouse model of radiation therapy, and mice bearing colon 26 carcinoma tumors. We used the treadmill fatigue test to assess fatigue-like behavior after treatment with TAL. Additionally, we used wild-type and TRH receptor knockout mice to determine which TRH receptor was necessary for the actions of TAL. Tumor-bearing mice displayed muscle wasting and all models caused fatigue-like behavior, with mice running a shorter distance in the treadmill fatigue test than controls. TAL reversed fatigue-like behavior in all three models and the mouse TRH 1 receptor was necessary for the effects of TAL. These data suggest that TAL may be useful in alleviating fatigue in all cancer patients and provide further support for evaluating TAL as a potential therapy for CRF in humans. Published by Elsevier Ltd.

  14. The Fatigue Life Prediction of Train Wheel Rims Containing Spherical Inclusions

    Science.gov (United States)

    Li, Yajie; Chen, Huanguo; Cai, Li; Chen, Pei; Qian, Jiacheng; Wu, Jianwei

    2018-03-01

    It is a common phenomenon that fatigue crack initiation occurs frequently in the inclusions of wheel rims. Research on the fatigue life of wheel rims with spherical inclusions is of great significance on the reliability of wheels. To find the danger point and working condition of a wheel, the stress state of the wheel rim with spherical inclusions was analyzed using the finite element method. Results revealed that curve conditions are dangerous. The critical plane method, based on the cumulative fatigue damage theory, was used to predict the fatigue life of the wheel rim and whether it contained spherical inclusions or not under curve conditions. It was found that the fatigue life of the wheel rim is significantly shorter when the wheel rim contains spherical inclusions. Analysis of the results can provide a theoretical basis and technical support for train operations and maintenance.

  15. FATIGUE AS A HAZARDOUS FACTOR FOR FLIGHT SAFETY

    Directory of Open Access Journals (Sweden)

    M. Lushkin Alexander

    2017-01-01

    Full Text Available The main priority of any air company activity and the main condition for its development is the achievement of the highest flight safety level. Significant positive results in this area have been recently achieved, hence, the relative stagna- tion of indexes, reflecting the flight safety as a condition of air transport system, has been revealed. It has become evident that the present accident prevention philosophy seems to be exhausted, and at the current stage of development it doesn’t allow to make a breakthrough in the solution of all the problems, which air companies face in this respect. In the perspec- tive to find new ways to solve the existing tasks, in 2011, International Civil Aviation Organization Council adopted fatigue risk management international standards as an alternative for the traditional approach to managing crewmember fatigue by prescribing limits on maximum daily, monthly and yearly flight and duty hours. It’s a well-known fact that state of fatigue has a special place among the functional states, which are professionally significant for airmen work and which are the key link in “man-aircraft-environment” system.In this article, fatigue is considered to be a risk factor that contributes to the formation and development of crew violations and errors in the process of piloting the aircraft. We have analyzed the characteristics and reasons leading to in- flight fatigue and estimated its influence on crew performance, considering the interrelation between them. The article specifies the methods and techniques to measure pilots fatigue; besides it has been substantiated the necessity of fatigue risk management system development in airlines to effectively ensure the flight safety.

  16. Effect of high pressure hydrogen on low-cycle fatigue

    International Nuclear Information System (INIS)

    Rie, K.T.; Kohler, W.

    1979-01-01

    It has been shown that the fatigue life can be influenced in low-cycle range by high pressure hydrogen while the effect of high pressure hydrogen on high-cycle fatigue will not be as significant. The paper reports the details and the results of the investigations of the effect of high pressure hydrogen on the low-cycle endurance of commercially pure titanium. The results of this study indicate that: 1. The degradation of the fatigue life in low-cycle region for commercially pure titanium under high pressure hydrogen can be described by Nsub(cr)sup(α x Δepsilon)sub(pl)sup(=c) 2. The fatigue life decreases with decreasing strain rate. 3. The fatigue life decreases with increasing hydrogen pressure. It was found that the semilogarithmic plot of the fatigue life versus the hydrogen pressure gives a linear relationship. The Sievert's law does not hold in low-cycle fatigue region. 4. HAC in titanium in low-cycle fatigue region is the result of the disolution of hydrogen at the crack tip and of the strain-induced hybride formation. (orig.) 891 RW/orig. 892 RKD [de

  17. Compassion Fatigue, Burnout, and Compassion Satisfaction Among Oncology Nurses in the United States and Canada.

    Science.gov (United States)

    Wu, Stacey; Singh-Carlson, Savitri; Odell, Annie; Reynolds, Grace; Su, Yuhua

    2016-07-01

    To examine the experiences of compassion fatigue, burnout, and compassion satisfaction among oncology nurses in the United States and Canada. 
. Quantitative, descriptive, nonexperimental.
. Online survey with members from the Canadian Association of Nursing Oncology and the Oncology Nursing Society.
. 486 American and 63 Canadian practicing oncology nurses.
. The Professional Quality of Life (ProQOL) scale, version 5, and modified Abendroth Demographic Questionnaire were administered through FluidSurveys™, an online data collection instrument. Chi-square tests of independence were used to investigate associations between demographic characteristics, health, personal stressors, and work-related characteristics to experiences of compassion fatigue, burnout, and compassion satisfaction. Compassion fatigue was measured using the subscales of secondary traumatic stress and burnout. 
. Compassion fatigue, burnout, and compassion satisfaction.
. Demographic characteristics were similar in American and Canadian participants, and both cohorts reported comparable levels of compassion fatigue, burnout, and compassion satisfaction. Perception of team cohesiveness within the workplace environment was found to be significant for both groups, as indicated by significant relationships in all three subscales of secondary traumatic stress, burnout, and compassion satisfaction in the ProQOL.
. Healthy and supportive work environments are imperative to nurses' health, well-being, and satisfaction. Improvements in the workplace can help prevent negative sequelae, as well as improve health outcomes for patients and nurses, decrease nurse turnover, and reduce healthcare expenditures. 
. Findings can be used to implement institutional changes, such as creating policies and guidelines for the development of preventive interventions and psychosocial support for nurses.

  18. Massage therapy decreases pain and perceived fatigue after long-distance Ironman triathlon: a randomised trial

    Directory of Open Access Journals (Sweden)

    Guilherme S Nunes

    2016-04-01

    Full Text Available Question: Can massage therapy reduce pain and perceived fatigue in the quadriceps of athletes after a long-distance triathlon race (Ironman? Design: Randomised, controlled trial with concealed allocation, intention-to-treat analysis and blinded outcome assessors. Participants: Seventy-four triathlon athletes who completed an entire Ironman triathlon race and whose main complaint was pain in the anterior portion of the thigh. Intervention: The experimental group received massage to the quadriceps, which was aimed at recovery after competition, and the control group rested in sitting. Outcome measures: The outcomes were pain and perceived fatigue, which were reported using a visual analogue scale, and pressure pain threshold at three points over the quadriceps muscle, which was assessed using digital pressure algometry. Results: The experimental group had significantly lower scores than the control group on the visual analogue scale for pain (MD –7 mm, 95% CI –13 to –1 and for perceived fatigue (MD –15 mm, 95% CI –21 to –9. There were no significant between-group differences for the pressure pain threshold at any of the assessment points. Conclusion: Massage therapy was more effective than no intervention on the post-race recovery from pain and perceived fatigue in long-distance triathlon athletes. Trial registration: Brazilian Registry of Clinical Trials, RBR-4n2sxr. [Nunes GS, Bender PU, de Menezes FS, Yamashitafuji I, Vargas VZ, Wageck B (2016 Massage therapy decreases pain and perceived fatigue after long-distance Ironman triathlon: a randomised trial. Journal of Physiotherapy 62: 83–87

  19. Influence of PbBi environment on the low-cycle fatigue behavior of SNS target container materials

    International Nuclear Information System (INIS)

    Kalkhof, D.; Grosse, M.

    2003-01-01

    The low-cycle fatigue (LCF) behavior of the stainless steel 316L and the 10.5Cr-steel Manet-II was investigated at 260 deg. C in air and in stagnant lead-bismuth (PbBi). At low-strain levels, the fatigue lives for 316L in PbBi and air were comparable. At total strain amplitudes of 0.50% and higher a weak influence of PbBi was observed. In contrast to 316L, the results of LCF tests for Manet-II in PbBi showed a significant reduction of lifetime for all applied strain amplitudes. In the worst case the cycle number to crack initiation was reduced by a factor of ∼7 compared with the comparable test in air. For the low-strain amplitude of 0.30%, fatigue tests conducted at a frequency of 0.1 Hz had shorter fatigue lives than at a frequency of 1.0 Hz. For Manet-II the crack propagation in PbBi was much faster than in air, and failure immediate followed the formation of the first macroscopic crack

  20. Compassion Fatigue, Burnout, and Neonatal Abstinence Syndrome.

    Science.gov (United States)

    Sweigart, Erin

    2017-01-01

    NICU nurses have seen a dramatic increase in cases of neonatal abstinence syndrome (NAS). The care needs of infants with NAS are highly demanding and can lead to feelings of frustration and emotional exhaustion among NICU nurses. Although studies have examined the experiences of nurses caring for NAS patients, none have specifically addressed the risk for compassion fatigue and burnout. Nurses need practical strategies to reduce their risk for compassion fatigue and burnout when caring for these patients. Improved education and implementation of self-care measures can help nurses more effectively manage stress and positively impact care of these infants and their families.

  1. Massage therapy decreases pain and perceived fatigue after long-distance Ironman triathlon: a randomised trial.

    Science.gov (United States)

    Nunes, Guilherme S; Bender, Paula Urio; de Menezes, Fábio Sprada; Yamashitafuji, Igor; Vargas, Valentine Zimermann; Wageck, Bruna

    2016-04-01

    Can massage therapy reduce pain and perceived fatigue in the quadriceps of athletes after a long-distance triathlon race (Ironman)? Randomised, controlled trial with concealed allocation, intention-to-treat analysis and blinded outcome assessors. Seventy-four triathlon athletes who completed an entire Ironman triathlon race and whose main complaint was pain in the anterior portion of the thigh. The experimental group received massage to the quadriceps, which was aimed at recovery after competition, and the control group rested in sitting. The outcomes were pain and perceived fatigue, which were reported using a visual analogue scale, and pressure pain threshold at three points over the quadriceps muscle, which was assessed using digital pressure algometry. The experimental group had significantly lower scores than the control group on the visual analogue scale for pain (MD -7 mm, 95% CI -13 to -1) and for perceived fatigue (MD -15 mm, 95% CI -21 to -9). There were no significant between-group differences for the pressure pain threshold at any of the assessment points. Massage therapy was more effective than no intervention on the post-race recovery from pain and perceived fatigue in long-distance triathlon athletes. Brazilian Registry of Clinical Trials, RBR-4n2sxr. Copyright © 2016 Australian Physiotherapy Association. Published by Elsevier B.V. All rights reserved.

  2. Effect of welding structure and δ-ferrite on fatigue properties for TIG welded austenitic stainless steels at cryogenic temperatures

    Science.gov (United States)

    Yuri, Tetsumi; Ogata, Toshio; Saito, Masahiro; Hirayama, Yoshiaki

    2000-04-01

    High-cycle and low-cycle fatigue properties of base and weld metals for SUS304L and SUS316L and the effects of welding structure and δ-ferrite on fatigue properties were investigated at cryogenic temperatures in order to evaluate the long-life reliability of the structural materials to be used in liquid hydrogen supertankers and storage tanks and to develop a welding process for these applications. The S-N curves of the base and weld metals shifted towards higher levels, i.e., the longer life side, with decreasing test temperatures. High-cycle fatigue tests demonstrated the ratios of fatigue strength at 10 6 cycles to tensile strength of the weld metals to be 0.35-0.7, falling below those of base metals with decreasing test temperatures. Fatigue crack initiation sites in SUS304L weld metals were mostly at blowholes with diameters of 200-700 μm, and those of SUS316L weld metals were at weld pass interface boundaries. Low-cycle fatigue tests revealed the fatigue lives of the weld metals to be somewhat lower than those of the base metals. Although δ-ferrite reduces the toughness of austenitic stainless steels at cryogenic temperatures, the effects of δ-ferrite on high-cycle and low-cycle fatigue properties are not clear or significant.

  3. Fatigue behaviour of NiTi shape memory alloy scaffolds produced by SLM, a unit cell design comparison.

    Science.gov (United States)

    Speirs, M; Van Hooreweder, B; Van Humbeeck, J; Kruth, J-P

    2017-06-01

    Selective laser melting (SLM) is an additive manufacturing technique able to produce complex functional parts via successively melting layers of metal powder. This process grants the freedom to design highly complex scaffold components to allow bone ingrowth and aid mechanical anchorage. This paper investigates the compression fatigue behaviour of three different unit cells (octahedron, cellular gyroid and sheet gyroid) of SLM nitinol scaffolds. It was found that triply periodic minimal surfaces display superior static mechanical properties in comparison to conventional octahedron beam lattice structures at identical volume fractions. Fatigue resistance was also found to be highly geometry dependent due to the effects of AM processing techniques on the surface topography and notch sensitivity. Geometries minimising nodal points and the staircase effect displayed the greatest fatigue resistance when normalized to yield strength. Furthermore oxygen analysis showed a large oxygen uptake during SLM processing which must be altered to meet ASTM medical grade standards and may significantly reduce fatigue life. These achieved fatigue properties indicate that NiTi scaffolds produced via SLM can provide sufficient mechanical support over an implants lifetime within stress range values experienced in real life. Copyright © 2017 Elsevier Ltd. All rights reserved.

  4. Seismic ratchet-fatigue failure of piping systems

    International Nuclear Information System (INIS)

    Severud, L.K.; Anderson, M.J.; Lindquist, M.R.; Weiner, E.O.

    1986-01-01

    Failures of piping systems during earthquakes have been rare. Those that have failed were either made of brittle material such as cast iron, were rigid systems between major components where component relative seismic motions tore the pipe out of the component, or were high pressure systems where a ratchet-fatigue fracture followed a local bulging of the pipe diameter. Tests to failure of an unpressurized 3-in. and a pressurized 6-in. diameter carbon steel nuclear pipe systems subjected to high level shaking have been accomplished. Failure analyses of these tests are presented and correlated to the test results. It was found that failure of the unpressurized system could be correlated well with standard ASME type fatigue analysis predictions. Moreover, the pressurized system failure occurred in significantly less load cycles than predicted by standard fatigue analysis. However, a ratchet-fatigue and ductility exhaustion analysis of the pressurized system did correlate very well. These findings indicate modifications to design analysis methods and the present ASME Code piping design rules may be appropriate to cover the ratchet-fatigue failure mode

  5. Environmental Fatigue Behaviors of CF8M Stainless Steel in 310 .deg. C Deoxygenated Water - Effects of Hydrogen and Microstructure

    Energy Technology Data Exchange (ETDEWEB)

    Jang, Hun; Cho, Pyungyeon; Jang, Changheui [KAIST, Daejeon (Korea, Republic of); Kim, Tae Soon [Korea Hydro and Nuclear Power Corporation, Seoul (Korea, Republic of)

    2014-01-15

    The effects of environment and microstructure on low cycle fatigue (LCF) behaviors of CF8M stainless steels containing 11% of ferrites were investigated in a 310 .deg. C deoxygenated water environment. The reduction of LCF life of CF8M in a 310 .deg. C deoxygenated water was smaller than 316LN stainless steels. Based on the microstructure and fatigue surface analyses, it was confirmed that the hydrogen induced cracking contributed to the reduction in LCF life for CF8M as well as for 316LN. However, many secondary cracks were found on the boundaries of ferrite phases in CF8M, which effectively reduced the stress concentration at the crack tip. Because of the reduced stress concentration, the accelerated fatigue crack growth by hydrogen induced cracking was less significant, which resulted in the smaller environmental effects for CF8M than 316LN in a 310 .deg. C deoxygenated water.

  6. Effects of back massage on chemotherapy-related fatigue and anxiety: supportive care and therapeutic touch in cancer nursing.

    Science.gov (United States)

    Karagozoglu, Serife; Kahve, Emine

    2013-11-01

    This quasi-experimental and cross-sectional study was carried out to determine the efficacy of back massage, a nursing intervention, on the process of acute fatigue developing due to chemotherapy and on the anxiety level emerging in cancer patients receiving chemotherapy during this process. The study was conducted on 40 patients. To collect the data, the Personal Information Form, the State Anxiety part of Spielberger State-Trait Anxiety Inventory and the Brief Fatigue Inventory were used. In our study, it was determined that mean anxiety scores decreased in the intervention group patients after chemotherapy. The level of fatigue in the intervention group decreased statistically significantly on the next day after chemotherapy (p=.020; effect size=0.84). At the same time, the mean anxiety scores of the patients in the intervention group decreased right after the massage provided during chemotherapy (p=.109; effect size=0.37) and after chemotherapy. In line with our study findings, it can be said that back massage given during chemotherapy affects anxiety and fatigue suffered during the chemotherapy process and that it significantly reduces state anxiety and acute fatigue. Therefore, the effective use of back massage in the process of chemotherapy by oncology nurses who have a key role in cancer treatment and care can make it more modulated. © 2013.

  7. Modelling fatigue and the use of fatigue models in work settings.

    Science.gov (United States)

    Dawson, Drew; Ian Noy, Y; Härmä, Mikko; Akerstedt, Torbjorn; Belenky, Gregory

    2011-03-01

    In recent years, theoretical models of the sleep and circadian system developed in laboratory settings have been adapted to predict fatigue and, by inference, performance. This is typically done using the timing of prior sleep and waking or working hours as the primary input and the time course of the predicted variables as the primary output. The aim of these models is to provide employers, unions and regulators with quantitative information on the likely average level of fatigue, or risk, associated with a given pattern of work and sleep with the goal of better managing the risk of fatigue-related errors and accidents/incidents. The first part of this review summarises the variables known to influence workplace fatigue and draws attention to the considerable variability attributable to individual and task variables not included in current models. The second part reviews the current fatigue models described in the scientific and technical literature and classifies them according to whether they predict fatigue directly by using the timing of prior sleep and wake (one-step models) or indirectly by using work schedules to infer an average sleep-wake pattern that is then used to predict fatigue (two-step models). The third part of the review looks at the current use of fatigue models in field settings by organizations and regulators. Given their limitations it is suggested that the current generation of models may be appropriate for use as one element in a fatigue risk management system. The final section of the review looks at the future of these models and recommends a standardised approach for their use as an element of the 'defenses-in-depth' approach to fatigue risk management. Copyright © 2010 Elsevier Ltd. All rights reserved.

  8. Parental fatigue and parenting practices during early childhood: an Australian community survey.

    Science.gov (United States)

    Cooklin, A R; Giallo, R; Rose, N

    2012-09-01

    Parenting behaviours are influenced by a range of factors, including parental functioning. Although common, the influence of parental fatigue on parenting practices is not known. The first aim of this study was to investigate the relationship between fatigue and parenting practices. The second aim was to identify parental psychosocial factors significantly associated with fatigue. A sample of 1276 Australian parents, of at least one child aged 0-5 years, completed a survey. Demographic, psychosocial (social support, coping responses) and parental sleep and self-care information was collected. Hierarchical regression was performed to assess the contribution of fatigue (modified Fatigue Assessment Scale) to parental practices (warmth, irritability and involvement), and parenting experiences (Parenting Stress Index, Parenting Sense of Competence Scale). Hierarchical multiple regression assessed the contribution of a range of parental sleep, psychosocial (social support, coping responses) and self-care variables to fatigue when demographic characteristics were held constant. Higher fatigue was significantly associated with lower parental competence (β=-0.17, P parenting stress (β= 0.21, P parent-child interactions (β= 0.11, P parental fatigue, including inadequate social support, poorer diet, poorer sleep quality and ineffective coping styles including self-blame and behaviour disengagement. Fatigue is common, and results suggest that fatigue contributes to adverse parental practices and experiences. However, possible risk factors for higher fatigue were identified in this study, indicating opportunities for intervention, management and support for parents. © 2011 Blackwell Publishing Ltd.

  9. The nature of self-regulatory fatigue and “ego depletion”: Lessons from physical fatigue

    Science.gov (United States)

    Evans, Daniel R.; Boggero, Ian A.; Segerstrom, Suzanne C.

    2016-01-01

    Self-regulation requires overriding a dominant response, and leads to temporary self-regulatory fatigue. Existing theories of the nature and causes of self-regulatory fatigue highlight physiological substrates such as glucose or psychological processes such as motivation, but these explanations are incomplete on their own. Historically, theories of physical fatigue demonstrate a similar pattern of useful but incomplete explanations, as recent views of physical fatigue emphasize the roles of both physiological and psychological factors. In addition to accounting for multiple inputs, these newer views also explain how fatigue can occur even in the presence of sufficient resources. Examining these newer theories of physical fatigue can serve as a foundation on which to build a more comprehensive understanding of self-regulatory fatigue that integrates possible neurobiological underpinnings of physical and self-regulatory fatigue, and suggests the possible function of self-regulatory fatigue. PMID:26228914

  10. Using endogenous saccades to characterize fatigue in multiple sclerosis.

    Science.gov (United States)

    Ferreira, Marisa; Pereira, Paulo A; Parreira, Marta; Sousa, Inês; Figueiredo, José; Cerqueira, João J; Macedo, Antonio F

    2017-05-01

    Multiple Sclerosis (MS) is likely to cause dysfunction of neural circuits between brain regions increasing brain working load or a subjective overestimation of such working load leading to fatigue symptoms. The aim of this study was to investigate if saccades can reveal the effect of fatigue in patients with MS. Patients diagnosed with MS (EDSSendogenous generated saccade paradigm (valid and invalid trials). The fatigue severity scale (FSS) was used to assess the severity of fatigue. FSS scores were used to define two subgroups, the MS fatigue group (score above normal range) and the MS non-fatigue. Differences between groups were tested using linear mixed models. Thirty-one MS patients and equal number of controls participated in this study. FSS scores were above the normal range in 11 patients. Differences in saccade latency were found according to group (p<0.001) and trial validity (p=0.023). Differences were 16.9ms, between MS fatigue and MS non-fatigue, 15.5ms between MS fatigue and control. The mean difference between valid and invalid trials was 7.5ms. Differences in saccade peak velocity were found according to group (p<0.001), the difference between MS fatigue and control was 22.3°/s and between MS fatigue and non-fatigue was 12.3°/s. Group was a statistically significant predictor for amplitude (p<0.001). FSS scores were correlated with peak velocity (p=0.028) and amplitude (p=0.019). Consistent with the initial hypothesis, our study revealed altered saccade latency, peak velocity and amplitude in patients with fatigue symptoms. Eye movement testing can complement the standard inventories when investigating fatigue because they do not share similar limitations. Our findings contribute to the understanding of functional changes induced by MS and might be useful for clinical trials and treatment decisions. Copyright © 2017 Elsevier B.V. All rights reserved.

  11. Study on creep-fatigue life improvement and life evaluation of 316FR stainless steels

    International Nuclear Information System (INIS)

    Kobayashi, Kazuo; Yamaguchi, Koji; Yamazaki, Masayoshi; Hongo, Hiromichi; Nakazawa, Takanori; Date, Shingo; Tendo, Masayuki

    2000-01-01

    Creep rupture and creep-fatigue interaction tests were conducted at 550deg C for modified 316FR austenitic stainless steels in order to improve the creep-fatigue lives. Reducing the carbon contents from 0.01% to 0.002 or 0.003% and finning the grain size were effective for increasing the creep-fatigue lives and the creep rupture ductilities. From these results, an estimation method of the creep-fatigue lives by using the creep rupture ductilities in the modified 316FR steels was proposed. (author)

  12. Anti-fatigue effect of percutaneous stimulation of the hepatic region by mid-frequency pulse current in different diadynamic cycles in soldiers with exercise-induced fatigue

    Directory of Open Access Journals (Sweden)

    Peng-yi DAI

    2012-01-01

    Full Text Available Objective  To investigate the anti-fatigue effect of percutaneous stimulation of the hepatic region with the mid-frequency pulse current in different diadynamic cycles in exercise-induced fatigued soldiers. Methods  One hundred twenty healthy PLA recruits who did not have physical exercise were randomly divided into four groups with thirty ones in each: control, stimulation group A, stimulation group B, and stimulation group C. All the subjects of four groups were ordered intensive training (exercise from Monday to Saturday, with rest on Sunday for five weeks to establish the exercise-induced fatigue model. Each day after the exercise, the recruits of stimulation groups A, B, and C were treated immediately with mid-frequency (1204Hz, current intensity ≤80mA stimulation to the hepatic region with diadynamic cycles of 0.5, 1, and 2 seconds, respectively. No pulse current stimulation was given in the control group. Venous blood was collected before breakfast on Sundays to measure the fasting plasma glucose (FPG and blood lactate (LAC contents, and liver function was determined by determination of alanine aminotransferase (ALT, aspartate aminotransferase (AST, and lactate dehydrogenase (LDH. The 3000-m running performance of the recruits in each group was recorded on the same day. Results  There was no significant difference between the four groups in terms of the FPG level at the end of the first week (P>0.05. At the end of the third and fifth weeks, the FPG level was significantly higher in the three stimulation groups than in the control group (PPP>0.05. At the end of the first, third, and fifth weeks, the ALT, AST, LDH, and LAC levels were significantly lower in every stimulation group than in the control group (PPPPP>0.05. At the end of the first week, there was no significant difference in 3000-m running performance (P>0.05 between the 4 groups. At the end of the third and fifth weeks, the 3000-m running performance was significantly

  13. Improved methods of creep-fatigue life assessment of components

    Energy Technology Data Exchange (ETDEWEB)

    Scholz, Alfred; Berger, Christina [Inst. fuer Werkstoffkunde (IfW), Technische Univ. Darmstadt (Germany)

    2009-07-01

    The improvement of life assessment methods contributes to a reduction of efforts at design and an effective long term operation of high temperature components, reduces technical risk and increases high economical advantages. Creep-fatigue at multi-stage loading, covering cold start, warm start and hot start cycles in typical loading sequences e.g. for medium loaded power plants, was investigated here. At hold times creep and stress relaxation, respectively, lead to an acceleration of crack initiation. Creep fatigue life time can be calculated by a modified damage accumulation rule, which considers the fatigue fraction rule for fatigue damage and the life fraction rule for creep damage. Mean stress effects, internal stress and interaction effects of creep and fatigue are considered. Along with the generation of advanced creep data, fatigue data and creep fatigue data as well scatter band analyses are necessary in order to generate design curves and lower bound properties inclusive. Besides, in order to improve lifing methods the enhancement of modelling activities for deformation and life time are important. For verification purposes, complex experiments at variable creep conditions as well as at creep fatigue interaction under multi-stage loading are of interest. Generally, the development of methods to transfer uniaxial material properties to multiaxial loading situations is a current challenge. For specific design purposes, a constitutive material model is introduced which is implemented as an user subroutine for Finite Element applications due to start-up and shut-down phases of components. Identification of material parameters have been performed by Neural Networks. (orig.)

  14. Influence of grain orientation on evolution of surface features in fatigued polycrystalline copper: A comparison of thermal and uniaxial mechanical fatigue results

    International Nuclear Information System (INIS)

    Aicheler, Markus

    2010-01-01

    Surface state plays a major role in the crack nucleation process of pure metals in the High-Cycle-Fatigue (HCF) as well as in the Ultra-High-Cycle-Fatigue (UHCF) regime. Therefore, in studies dealing with HCF or UHCF, special attention is paid to the evolution of surface degradation during fatigue life. The accelerating structures of the future Compact Linear Collider (CLIC) under study at CERN will be submitted to a high number of thermal-mechanical fatigue cycles, arising from Radio Frequency (RF) induced eddy currents, causing local superficial cyclic heating. The number of cycles during the foreseen lifetime of CLIC reaches 2x10 11 . Fatigue may limit the lifetime of CLIC structures. In order to assess the effects of superficial fatigue, specific tests are defined and performed on polycrystalline Oxygen Free Electronic (OFE) grade Copper, a candidate material for the structures. Surface degradation depends on the orientation of near-surface grains. Copper samples thermally fatigued in two different fatigue experiments, pulsed laser and pulsed RF-heating, underwent postmortem Electron Backscattered Diffraction measurements. Samples fatigued by pulsed laser show the same trend in the orientation-fatigue damage behavior as samples fatigued by pulsed RF-heating. It is clearly observed that surface grains, oriented [1 1 1] with respect to the surface, show significantly more damage than surface grains oriented [1 0 0]. Results arising from a third fatigue experiment, the ultrasound (US) swinger, are compared to the results of the mentioned experiments. The US swinger is an uniaxial mechanical fatigue test enabling to apply within several days a total number of cycles representative of the life of the CLIC structures, thanks to a high repetition rate of 24 kHz. For comparison, laser fatigue experiments have much lower repetition rates. The dependence of surface degradation on grain orientation of samples tested by the US swinger was monitored during the fatigue life

  15. The concept of fatigue fracture toughness in fatigue delamination growth behavior

    NARCIS (Netherlands)

    Yao, L.; Alderliesten, R.C.; Benedictus, R.

    2015-01-01

    This paper provides a study on mode I fatigue delamination growth in composite laminates using energy principles. Experimental data has been obtained from fatigue tests conducted on Double Cantilever Beam (DCB) specimens at various stress ratios. A concept of fatigue fracture toughness is proposed

  16. Novel Feature Modelling the Prediction and Detection of sEMG Muscle Fatigue towards an Automated Wearable System

    Directory of Open Access Journals (Sweden)

    Mohamed R. Al-Mulla

    2010-05-01

    Full Text Available Surface Electromyography (sEMG activity of the biceps muscle was recorded from ten subjects performing isometric contraction until fatigue. A novel feature (1D spectro_std was used to extract the feature that modeled three classes of fatigue, which enabled the prediction and detection of fatigue. Initial results of class separation were encouraging, discriminating between the three classes of fatigue, a longitudinal classification on Non-Fatigue and Transition-to-Fatigue shows 81.58% correct classification with accuracy 0.74 of correct predictions while the longitudinal classification on Transition-to-Fatigue and Fatigue showed lower average correct classification of 66.51% with a positive classification accuracy 0.73 of correct prediction. Comparison of the 1D spectro_std with other sEMG fatigue features on the same dataset show a significant improvement in classification, where results show a significant 20.58% (p < 0.01 improvement when using the 1D spectro_std to classify Non-Fatigue and Transition-to-Fatigue. In classifying Transition-to-Fatigue and Fatigue results also show a significant improvement over the other features giving 8.14% (p < 0.05 on average of all compared features.

  17. Fatigue and creep–fatigue deformation of an ultra-fine precipitate strengthened advanced austenitic alloy

    International Nuclear Information System (INIS)

    Carroll, M.C.; Carroll, L.J.

    2012-01-01

    An advanced austenitic alloy, HT-UPS (high-temperature ultrafine-precipitation-strengthened), has been identified as an ideal candidate material for the structural components of fast reactors and energy-conversion systems. HT-UPS alloys demonstrate improved creep resistance relative to 316 stainless steel (SS) through additions of Ti and Nb, which precipitate to form a widespread dispersion of stable nanoscale metallic carbide (MC) particles in the austenitic matrix. To investigate the behavior in more representative conditions than are offered by uniaxial creep tests, the low-cycle continuous fatigue and combined creep–fatigue response of an HT-UPS alloy have been investigated at 650 °C and 1.0% total strain, with an R-ratio of −1 and hold times at peak tensile strain of up to 150 min. The cyclic deformation response of HT-UPS is directly compared to that of standard 316 SS. The measured values for total cycles to failure between the two alloys are similar, despite differences in peak stress profiles and in qualitative observations of the deformed microstructures. Crack propagation is primarily transgranular in both fatigue and creep–fatigue of each alloy at the investigated conditions. Internal grain boundary damage in the form of fine cracks resulting from the tensile hold is present following the application of hold times of 60 min and longer, and considerably more internal cracks are quantifiable in 316 SS than in HT-UPS. The dislocation substructures observed in the deformed material differ substantially; an equiaxed cellular structure is observed in the microstructure of 316 SS, whereas HT-UPS exhibits widespread and relatively homogenous tangles of dislocations pinned by the nanoscale MC precipitates. The significant effect of the fine distribution of precipitates on observed fatigue and creep–fatigue response is described in three distinct behavioral regions as the microstructure evolves with continued cycling.

  18. Fatigue and creep-fatigue deformation of an ultra-fine precipitate strengthened advanced austenitic alloy

    Energy Technology Data Exchange (ETDEWEB)

    Carroll, M.C., E-mail: Mark.Carroll@INL.gov [Idaho National Laboratory, 1955 Fremont, PO Box 1625, Idaho Falls, ID 83415-2218 (United States); Carroll, L.J. [Idaho National Laboratory, 1955 Fremont, PO Box 1625, Idaho Falls, ID 83415-2218 (United States)

    2012-10-30

    An advanced austenitic alloy, HT-UPS (high-temperature ultrafine-precipitation-strengthened), has been identified as an ideal candidate material for the structural components of fast reactors and energy-conversion systems. HT-UPS alloys demonstrate improved creep resistance relative to 316 stainless steel (SS) through additions of Ti and Nb, which precipitate to form a widespread dispersion of stable nanoscale metallic carbide (MC) particles in the austenitic matrix. To investigate the behavior in more representative conditions than are offered by uniaxial creep tests, the low-cycle continuous fatigue and combined creep-fatigue response of an HT-UPS alloy have been investigated at 650 Degree-Sign C and 1.0% total strain, with an R-ratio of -1 and hold times at peak tensile strain of up to 150 min. The cyclic deformation response of HT-UPS is directly compared to that of standard 316 SS. The measured values for total cycles to failure between the two alloys are similar, despite differences in peak stress profiles and in qualitative observations of the deformed microstructures. Crack propagation is primarily transgranular in both fatigue and creep-fatigue of each alloy at the investigated conditions. Internal grain boundary damage in the form of fine cracks resulting from the tensile hold is present following the application of hold times of 60 min and longer, and considerably more internal cracks are quantifiable in 316 SS than in HT-UPS. The dislocation substructures observed in the deformed material differ substantially; an equiaxed cellular structure is observed in the microstructure of 316 SS, whereas HT-UPS exhibits widespread and relatively homogenous tangles of dislocations pinned by the nanoscale MC precipitates. The significant effect of the fine distribution of precipitates on observed fatigue and creep-fatigue response is described in three distinct behavioral regions as the microstructure evolves with continued cycling.

  19. Syndrome de fatigue chronique: Revue de la littérature

    OpenAIRE

    Turgeon, Sue A.

    1991-01-01

    Chronic fatigue syndrome, previously known as chronic mononucleosis or post-infectious faligue, is a poorly understood illness characterized by chronic debilitating fatigue, recurrent flu-like symptoms, and few clinical or laboratory abnormalities. While a significant incidence of psychiatric illness has been demonstrated among patients with the chronic fatigue syndrome, there is also evidence of subtle immune system abnormalities, leading some researchers to postulate a multi-fatorial psycho...

  20. Fatigue of cord-rubber composites for tires

    Science.gov (United States)

    Song, Jaehoon

    Fatigue behaviors of cord-rubber composite materials forming the belt region of radial pneumatic tires have been characterized to assess their dependence on stress, strain and temperature history as well as materials composition and construction . Using actual tires, it was found that interply shear strain is one of the crucial parameters for damage assessment from the result that higher levels of interply shear strain of actual tires reduce the fatigue lifetime. Estimated at various levels of load amplitude were the fatigue life, the extent and rate of resultant strain increase ("dynamic creep"), cyclic strains at failure, and specimen temperature. The interply shear strain of 2-ply 'tire belt' composite laminate under circumferential tension was affected by twisting of specimen due to tension-bending coupling. However, a critical level of interply shear strain, which governs the gross failure of composite laminate due to the delamination, appeared to be independent of different lay-up of 2-ply vs. symmetric 4-ply configuration. Reflecting their matrix-dominated failure modes such as cord-matrix debonding and delamination, composite laminates with different cord reinforcements showed the same S-N relationship as long as they were constructed with the same rubber matrix, the same cord angle, similar cord volume, and the same ply lay-up. Because of much lower values of single cycle strength (in terms of gross fracture load per unit width), the composite laminates with larger cord angle and the 2-ply laminates exhibited exponentially shorter fatigue lifetime, at a given stress amplitude, than the composite laminates with smaller cord angle and 4-ply symmetric laminates, respectively. The increase of interply rubber thickness lengthens their fatigue lifetime at an intermediate level of stress amplitude. However, the increase in the fatigue lifetime of the composite laminate becomes less noticeable at very low stress amplitude. Even with small compressive cyclic