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Visually impaired observers require a larger window than normally sighted observers to read from a scroll display.

BACKGROUND: As text is magnified, the number of letters that can be displayed with a magnifier or other reading aid at any one time (window size) is reduced. There is a great deal of evidence that reading rates increase as the number of letters displayed increases. The minimum number of proportionally spaced letters necessary to read at maximal rates from a scroll display, in which the text is continuously panned across a television screen, is not known. METHODS: Visually impaired (VI) and normally sighted (NA) observers were asked to read either sentences or random words scrolled across a computer screen. The window size was varied so that from one to 12 characters were visible, on average, at any one time. Each subject read with six different window sizes within the range of one to 12 characters visible. RESULTS: For the NA group, a window of four to five characters was necessary to read at maximal rates. VI subjects, as a group, required a significantly larger window of six to seven characters to reach maximal reading rates. CONCLUSIONS: The window size requirement for the NA group is close to the size other investigators have reported for a fixed-width font. However, the VI group required a larger window than did the NA group, which has not been previously reported. This requirement could result from the additional stimulation available with a larger window to entrain the eyes' motion when reading from a passively scrolled display.

Aged↗

[Hygienic problems in the use of computers by school children with refractive disorders].

The influence of 0.5-hour computer loading on accommodation, critical frequency of a flicker, vision capacity for work, the function of the central nervous system was studied. Significant functional changes were revealed in schoolchildren with myopia. Protective screens were found to improve their functional indices. Therefore, children with myopia should be identified as a risk group to regulate their work regimen.

Accommodation, Ocular↗

[Practical localization of the central sulcus using a video display during surgery by cortical somatosensory evoked potentials and how to discern precentral P20 and central P25].

In patients with lesions around the central sulcus, cortical surface somatosensory evoked potentials (SEPs) have been applied for the purpose of localization of the central sulcus based on the polarity inversion of postcentral N20 to precentral P20 across the central sulcus. We have intraoperatively monitored SEPs to infer the location of the central sulcus in 16 cases since December 1988. Intraoperative localization of the central sulcus has been most useful in patients with frontal lobe gliomas in which the localization of the central sulcus enables the surgeon to extensively resect tumor without postoperative motor weakness. The localization of the central sulcus, however, might be misjudged by using the polarity inversion criterion alone, because central P25 following N20 and P20 complicates SEP waveforms. It is significant that P25, which is recorded also posterior to the central sulcus, is discerned from the precentral P20. In order to solve this matter, we regarded only the positivity in SEP waveforms having the identical peak latency to that of N20 as the precentral P20. Positive potentials having a later peak latency than that of N20 are the superposition of P20 and P25, and might also be recorded posterior to the central sulcus. For the observation of the polarity inversion of N20 to P20 across the central sulcus, a multi-channel SEP should be recorded using a sheet of silicone rubber embedded in a 16-electrode array consisting of a 4 by 4 grid. We projected the exposed cortical surface on the video display through the microscope apparatus and marked the locations of the recording electrodes on the video display. This enabled the location of the recording electrodes to correspond easily and precisely to the cortical surface. Our reliable and simple method of intraoperative localization of the central sulcus by cortical SEPs monitoring is presented in a practical case.

Adolescent↗

Vision screening, eye examination and risk assessment of display screen users in a large regional teaching hospital.

In January 1993 the Royal Group of Hospitals Trust, which employs approximately 5000 staff, implemented the Health and Safety (Display Screen Equipment) Northern Ireland Regulations (1992). During 1994 all regular display screen equipment users were offered a vision screening test. In total 571 employees were screened using computerized vision screening software (City Visual Systems Ltd). Risk assessments were completed for 293 display screen work-stations. One hundred and twelve full eye examinations, carried out by optometrists, were performed on those who failed vision screening and on those who specifically requested an optometric assessment. Results indicate that whereas the proportion of users experiencing visual and general symptoms differed markedly from department to department (28-82%), the median number of individuals failing the screening test was 25% (range 9-40%). Those involved in uninterrupted display screen equipment work for prolonged periods reported visual and general work-related symptoms twice as frequently as those who spent less time working with DSE. The outcome of full eye examinations confirmed that less than 5% of display screen users required spectacles solely for display screen use. Work-station analysis indicated that ergonomic problems were common. The authors conclude that the successful management of health risks from display screen equipment requires simultaneous attention to work-place design, working patterns and eye care.

Adolescent↗

Occupational health hazard: carpal tunnel syndrome.

A significant portion of the American population today is exposed to computer-related illnesses. One of the most common injuries is carpal tunnel syndrome (CTS). Perioperative nurses will become increasingly exposed to computer-related illnesses with the advent of computerized patient record systems. Economic loss, physical disability, and emotional distress are frequent outcomes of computer-related illnesses. Federal legislation addressing preventive measures is currently nonexistent. Clinicians, as both employers and consumers of computer technology, must address computer-related illnesses, such as CTS, through identification of related risk factors, early symptoms, implementation of ergonomic measures, and support of federal and industrial safety standards.

Adult↗

[A new method for accommodation training].

A new method for accommodation training making use of a computer is proposed. A specially generated dynamic grid of concentric rings serves the stimulus. Changes of the accommodation parameters (the nearest and farthest points of clear vision) were examined in 11 display users aged 30 to 50 during a training session and in the course of 15 sessions. The training improved the accommodation volume by an average of 0.9 diopters at the expense of approximating the nearest and withdrawing the farthest clear vision points. In 4 subjects anisoaccommodation disappeared almost completely. The proposed method may be used to normalize the accommodation of display users.

Accommodation, Ocular↗

[The influence of computer work on reaction time and accuracy in VDT operators].

The study of simple reaction to light and sound, and differential reaction was carried out on the group of VDT operators (n = 62) and the group of persons not involved in VDT operation (n = 38). Concentration ability was tested with Couve's test twice a day, i.e. before and after work. In the analysis of the results, reaction time and the accuracy of psychomotor trials measured by the number of errors committed were considered. None of the research models disclosed statistically significant differences between the average figures calculated for the VDT operators and the other group. The figures registered before and after work in each group were not significant either. Both group also failed to show the influence of age on the duration of reaction. The ability to concentrate was lower among operators than among those not involved in VDT operation, and it decreased after work, especially in the oldest subgroup.

Adult↗

Ergonomic nursing workstation design to prevent cumulative trauma disorders.

The introduction of computerized nursing information systems offers health care institutions an opportunity to take a new look at safety issues related to nursing workstation design. Industrial studies have investigated the injuries sustained by clerical workers who spend long periods of time at their computers. Cumulative trauma disorders (CTDs) are the most common injuries associated with computerized workstation use. They account for nearly 90,000 injuries each year in the United States. Typical CTDs include back pain, strain of the neck, shoulders and eyes, and carpal tunnel syndrome. As the information handling work of nurses is increasingly computerized, the incidence of computer-related injury is expected to increase. Injury rates can be reduced by ergonomic workstation design. An assessment of potential risks associated with the equipment installed should be done as part of workstation design. Risk identification is a prerequisite for avoiding injuries by designing workstations that protect human health. The ergonomic principles learned and tested on office workers are addressed and extrapolated to nursing workstation design. Specific suggestions for design of sitting and standing workstations are presented.

Computer Terminals↗

Biological effects of continuous exposure of embryos and young chickens to electromagnetic fields emitted by video display units.

The effects of continuous exposure of embryos and young chickens to electromagnetic fields (EMFs) emitted by video display units (VDUs) were investigated. Embryos and brood were continuously exposed during embryonic and postembryonic phases to EMFs emitted by two types of VDU (TV or computer). Embryonic mortality was evaluated in three independent experiments. Young chickens were immunized three times by porcine thyroglobulin (Tg). Blood samples were assayed after each immunization for specific anti-Tg antibodies (IgG), plasma corticosterone (CORT), and plasma melatonin (MLT). In the sham-exposed samples, embryonic death (10-33%) was restricted to the perinatal period and the IgG, CORT, and MLT responses of young chickens crested after the second immunization. Constant EMF exposure was accompanied by significantly increased fetal loss (47-68%) and markedly depressed levels of circulating anti-Tg IgG, CORT, and MLT. Collectively, these findings indicate that continuous exposure to EMFs, issuing from VDUs, adversely affects embryos and young chickens.

Animals↗

[Computer eyeglasses--aspects of a confusing topic].

With the coming into force of the new Austrian Employee Protection Act the issue of the so called "computer glasses" will also gain added importance in our country. Such glasses have been defined as vision aids to be exclusively used for the work on computer monitors and include single-vision glasses solely intended for reading computer screen, glasses with bifocal lenses for reading computer screen and hard-copy documents as well as those with varifocal lenses featuring a thickened central section. There is still a considerable controversy among those concerned as to who will bear the costs for such glasses--most likely it will be the employer. Prescription of such vision aids will be exclusively restricted to ophthalmologists, based on a thorough ophthalmological examination under adequate consideration of the specific working environment and the workplace requirements of the individual employee concerned.

Accommodation, Ocular↗