Scott Makeig (Ph.D.)
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Keywords: fatigue, sleep, alertness, vigilance, work-rest scheduling,
monitoring, circadian, bright light, actigraphy, EEG
NHRC Report number 96-4 was supported in part by a grant (ONRReimb-6429)
to the Naval Health Research Center by the Office of Naval Research.
The views expressed in this article are those of the authors and
do not reflect the official policy or position of the Department
of the Navy, Department of Defense, or the U.S. Government. Approved
for public release; distribution unlimited.
A key challenge for commanders of Navy ships operating under
reduced manning will be the necessity of maintaining continuous
crew alertness under frequently-changing operating conditions in
an enclosed environment. Currently, ship commanders rely on rules
of thumb and their years of experience to decide when their crew
is insufficiently rested, and to adjust the ship's official readiness
level accordingly. In individual duty stations, such as air defense,
section chiefs personally monitor their on-duty crewmen, replacing
them with waiting reserves when they detect one of them has become
drowsy. Individual crewmen, meanwhile, are reprimanded for dozing
off on the job, and rely on "gallons and gallons" of coffee, as
one sonarman put it, to remain sufficiently alert to avoid reprimands.
However, the alertness of the section chiefs is not necessarily
monitored, and their abilities to detect alertness problems in
their crew before serious vigilance or judgment lapses occur are
untested.
Crew problems in maintaining alertness may be greatly exacerbated
under reduced manning, when extra personnel will not be
available for on-line crew monitoring and unscheduled replacements.
Of course, the problem of managing alertness in around-the-clock
transportation-related work environments is not unique to the Navy.
For example, a sizable number of commercial maritime industry
attendees to the recent National Transportation Safety Board (NTSB)
workshop on Managing Fatigue in Transportation (November, 1995)
recounted ongoing difficulties in maintaining safety, performance,
and crew well-being during continuous operations. Anecdotal stories
of accidents that might have happened abound among circadian
researchers -- commercial airline crews overflying Los Angeles,
bus drivers and ship pilots asleep at the wheel.
Unfortunately, in both commercial and military transportation
organizations, such stories rarely reach official ears in time
for a full inquiry until a disaster refocuses official attention
on the difficulty of maintaining crew alertness during around-the-clock
operations. Under normal conditions, management may adopt a
"right-stuff" attitude, maintaining their personnel should be
counted on under any circumstance, and may rely comfortably on
long-held operating traditions to maintain optimum performance
under changing circumstances. Attitudes within the military toward
workplace fatigue may not be far from those held by commercial
managers or the public at large.
At the recent NTSB meeting, Professor William Dement recounted
a story illustrative of the little regard given to alertness
problems by society as a whole. He recalled that 20 years ago, when
some drunk university students crashed their car into his yard,
they were given a wink and a nod by the investigating authorities.
Today, drunk drivers are much more severely punished for their
irresponsibility. Yet recently, when a sleepy student missed the
same curve one early morning, Professor Dement noted that once
again the driverwas treated sympathetically by the arriving police.
The student most probably knew he was driving with impaired alertness,
much as drunk drivers also know they are impaired. However, Dement
noted, our society has not yet appreciated or accepted the importance
of responsible alertness management, even when public safety is
involved.
As the world's largest shiftwork employer (U.S. Congress,
1990), the U.S. Navy stands to suffer the most severe consequences
of reduced crew alertness under reduced manning conditions. However,
behavioral and physiological science has progressed to the point
where more responsible and scientific methods of alertness management
are not only conceivable, but possible, and are becoming increasingly
important.
(1) Continuous monitoring of crew wake/sleep history and light
exposure.
(2) Continuous dynamic crew work/rest scheduling based on a model
of current crew fatigue.
(3) Objective alertness monitoring of on-duty crew in key work
stations.
We therefore propose a system in which the work/rest schedules of the crew
members would be dynamically programmed and maintained using advanced
software for dynamic work/rest scheduling (DWRS) based on individualized
crew:
(1) Sleep/wake history (wake/sleep period times and durations)
(2) Light exposure history (strong/dim light exposure times and
durations)
(3) Tasking and training (by individual or duty section)
(4) Projected ship tasking (direction, rate of travel, etc.)
Crew sleep records would be continuously updated from advanced
wrist actigraph measurements (Belenky, this volume). Activity
and light exposure data would be broadcast continuously to receivers
embedded in the ship crew living and work spaces. Objective alertness
monitoring of on-duty personnel in key duty stations would be
accomplished using a dry electrode EEG and eye-movement based
alertness monitoring/management (AMM) system.
DWRS software would
help manage crew alertness in several ways:
(1) When the central DWRS software detected that estimated
current fatigue levels and projected ship tasking were incompatible,
the DWRS system would advise the Commanding Officer to review
scheduled ship tasking and/or institute further countermeasures
(e.g., medication).
(2) When DWRS software detected that an individual crew member's
sleep record was incompatible with sustained alertness, it might
suggest remedies including scheduling extra rest and/or medical
intervention.
(3) When alertness lapses were detected in on-duty crew by the
real-time alertness monitoring system, there would be multiple
levels of response intervention:
(a) The system could deliver immediate feedback to the operators
to help them be aware of and better manage their own alertness.
(b) The system could adjust the rate and/or pattern of information
presentation to the operator, or redistribute the information load
among operators, to maintain overall human-system performance.
(c) The system could search the sleep-history database for a
better-rested replacement operator.
(d) The system could reprogram the ship's planned work/rest schedule
to incorporate:
(i) Extra rest for the affected operator;
(ii) Extra rest for the replacement operator, and, if necessary;
(iii) Extra rest for any further schedule adjustments needed
to fill the replacement operator's previous tasking.
(e) When no replacement was available and simple feedback to
the operator did not improve their alertness, the system might suggest
further alertness management interventions (e.g., light exposure, drugs).
(4) Carefully programmed bright light exposure can synchronize
biological circadian rhythms under conditions of shifting time zones
and/or work schedules (Czeisler, 1995). The DWRS system could also
control individualized lighting in crew berthing spaces, producing
synthetic "sunrises" and "sunsets" to help crew members adjust to
necessary work/rest schedule shifts, including time-zone shifts.
Benefits of the proposed system would be an optimally-rested,
better- and more safely-performing crew, and more exact
information for ship officers about their crew's current psychobiological
reserves and capabilities. These benefits could greatly increase
the effectiveness of Navy ships operating under reduced manning.
Our current efforts at the Naval Health Research Center to develop
objective alertness monitoring technology and to document performance
effects of contracircadian work/rest schedules are ongoing. Hopefully,
the proposal presented here may serve to draw readers' attention
to the importance of work/rest and alertness issues to the ultimate
success of Navy reduced-manning efforts, and to introduce a vision
of a truly integrated alertness/fatigue ship management system to
support Navy crew to remain "the best they can be."
2. Czeisler CA. The effect of light on the human circadian pacemaker.
In: Circadian Clocks and Their Adjustment (Ciba Foundation Symposium
183). Chichester: Wiley, 1995: 254-302.
3. U.S. Congress. Biological Rhythms: Implications for the Worker.
Washington DC: U.S. Government Printing Office, 1991.
4. Makeig S, Elliott FS, Inlow M, Kobus D, Predicting Lapses in
Vigilance Using Brain Evoked Responses to Irrelevant Auditory
Probes.. Technical Report 90-39, Naval Health Research Center, San
Diego, CA, 1990.
5. Makeig S, Inlow ML. Lapses in alertness: coherence of fluctuations
in performance and the EEG spectrum. Electroencephalogr clin
Neurophysiol 1993; 86:23-35.
6. Makeig S, Elliott FS, Postal M. First Demonstration of an
Alertness Monitoring/ Management System, Technical Report 93-36,
Naval Health Research Center, San Diego, CA, 1993.
7. Makeig S, Jung T-P. Changes in alertness are a principal component
of variance in the EEG spectrum. NeuroReport 7:213-216, 1995.
8. Makeig S, Jung T-P. Tonic and phasic EEG correlates of auditory
awareness during drowsiness. Cognitive Brain Research, 4:15-25, 1996.
9. Makeig S, Jung T-P, Sejnowski TJ. Using feedforward neural
networks to monitor alertness from changes in EEG correlation and
coherence.
In: D. Touretzky, M. Mozer and M. Hasselmo (Eds).
\fIAdvances in Neural Information Processing Systems\fR
8:931-937, MIT Press, Cambridge, MA (1996).
10. Makeig S, Bell AJ, Jung T-P, Sejnowski TJ. Independent component
analysis of electroencephalographic data.
In: D. Touretzky, M. Mozer and M. Hasselmo (Eds).
\fIAdvances in Neural Information Processing Systems\fR 8:145-151,
MIT Press, Cambridge, MA (1996).
A Proposal for Integrated Shipboard Alertness Management
and
David F. Neri (LCDR, MSC, USN)
Email: smakeig@ucsd.edu
URL: http://sccn.ucsd.edu/~scott
Phone: (858) 453-4100 x1455
Abstract
Under reduced manning policies now proposed for U.S. military
naval vessels, continuity of on-duty crew alertness may become
a major problem. We propose an integrated hardware and software
system for fatigue and alertness management of military shipboard
personnel, which would involve: (1) continuous, noninvasive monitoring
of crew sleep history via wristband activity monitors; (2) dynamic
work/rest scheduling software for optimizing crew schedules under
changing missions and personnel demands; (3) real time, objective
alertness monitoring of on- duty crew in key work stations using
electroencephalographic (EEG) signals recorded via noninvasive dry
electrodes built into a cap or audio headset. The system would
allow commanders to make operational decisions based on objective
knowledge of their crew's state of fatigue and alertness, to maximize
human-system safety and efficiency.
Opportunity
High-profile efforts are now being made by the U.S. Navy to
evaluate new paradigm-breaking technology to help implement
reduced manning of future and/or currently-operating Navy ships.
The strategic importance to the Navy of maintaining a combat-ready
fleet with a shrinking personnel base is high enough that it may
be willing to reevaluate current watchstanding traditions and
entertain new iconcepts based on advancing scientific knowledge of
fatigue and circadian rhythms. Some current work/rest schedules on
board surface ships and submarines appear to be at odds with basic
facts of circadian physiology. For example, many submarine enlisted
crew members must endure an 18-hour work/rest cycle during deployments
(see Kelly & Neri, this volume), even though it has been known for
many years that the human circadian system is unable to adapt to
cycle lengths outside of a range of 21-28 hours (Czeisler, Allan,
& Kronauer, 1990). A likely consequence of working under a
contracircadian work/rest schedule is increased variability in
cognitive performance, since under contracircadian conditions, work
periods and periods of peak mental/physical performance coincide
only infrequently.
Shipboard Work/Rest Scheduling
Navy work/rest scheduling practices have developed over
centuries of grappling with a difficult logistical problem.
Navy ships must be operated around the clock, and require constant
attention by crew members with many different kinds of training.
Ship missions change frequently, and often involve progressive time
zone changes that produce desynchrony between physiological (circadian
rhythms) and the dark/light cycle. Light is now known to be the
most powerful zeitgeiber or synchronizing influence on the human
circadian system (Czeisler, 1995).
An Integrated Fatigue Management System
For several years, the first author and colleagues at the
Naval Health Research Center, San Diego have been working to
design and test an objective alertness monitoring system based on
EEG spectral information derived from dry electrodes mounted on an
audio headset or cap (Makeig, Elliott, Inlow & Kobus, 1990; Makeig
& Inlow, 1993; Makeig, Elliott & Postal, 1993; Makeig & Jung in
press-a; Makeig & Jung, in press-b; Makeig, Jung & Sejnwoski, in
press; Makeig, Bell, Jung & Sejnoswki, in press). The second author
has been investigating both nonpharmacological and pharmacological
countermeasures to alertness and performance degradation due to
sustained operations and sleep loss. Here, however, we would like
to take the opportunity to present a wider view, and suggest that
managing crew alertness, particularly under reduced manning, should
best be accomplished using an integrated three-pronged system which
includes:
Prospects and Potential
Is our proposal only a futuristic vision? We believe much of
the integrated alertness management system we outline here
could be demonstrated, at least in outline, in the very near term.
Promotion and execution of a demonstration project would require
high-level Navy support and development of active collaborations
between basic, clinical, and applied military and academic researchers.
The alertness model at the heart of the system would require gradual
refinement based on continuing collaborative laboratory and applied
research. Practical real-time alertness monitoring will require
one or more stages of advanced development before it is fully ready
for routine implementation. Producing convenient and effective
software for dynamic work/rest scheduling will be a challenge for
database programmers. The proposed changes in work/rest scheduling
and real-time alertness monitoring might well be complemented by
parallel efforts to identify and reduce boredom in monitoring tasks
using intelligent work scheduling software to control the rate and
flow of operator work load.
References
1. Czeisler CA, Allan JS, Kronauer RE. A method of assaying the
effects of therapeutic agents on the period of the endogenous
circadian pacemaker in man. In: Montplaise J, Godbout R, editors.
Sleep and Biological Rhythms. New York: Oxford University Press,
1990:87-98.