The effects of Benadryl and Hismanal on mood, physiological measures, antihistamine detection, and subjective symptoms.

The majority of antihistamines have sedative effects; however, it is claimed that Hismanal (astemizole) does not possess central nervous system side effects. A three-factor, repeated measures, double-blind design was used to compare the effects of singl oral doses of 1) Benadryl (diphenhydramine), 50 mg; 2) Hismanal, 10 mg; and 3) placebo, on two mood scales, physiological measures, sleepiness, the ability to detect ingestion of an antihistamine versus placebo, and symptoms in 28 healthy men. Higher tension, greater fatigue, and lower activity levels were reported post-Benadryl (p < 0.05). Lower vigor-activity and higher confusion-bewilderment post-Hismanal and Benadryl were noted 1 h postingestion (p < 0.05), with confusion being lower and activity higher for Hismanal than for Benadryl (p < 0.05). Low vigor-activity, high confusion, and increased sleepiness post-Benadryl persisted for 3 h, while fatigue-inertia persisted for 7 h (p < 0.05). Results suggest that Hismanal is superior to Benadryl for avoidance of subjective effects; however, neither antihistamine was entirely devoid of subjective effects.

The effects of Benadryl and Hismanal on psychomotor performance and perceived performance.

Classic antihistamines (H1 antagonists) have sedative effects and can impair psychomotor performance. It is claimed that Hismanal (astemizole) does not possess central nervous system side effects. A three-factor, repeated measures, double-blind design was used to compare the effects of single oral doses of (1) Benadryl (diphenhydramine)-50 mg, (2) Hismanal-10 mg, and (3) placebo on a battery of 11 cognitive information-processing tasks and performance ratings in 28 healthy men. Performance decrements were seen at 1 h post-Benadryl ingestion on Following Directions (p < 0.05), at 1.5 h on Unstable Tracking (p < 0.05), and at 3 h on serial addition/subtraction (p < 0.05). No decrements in performance were found post-Hismanal. Subjects perceived their performance as poorer following Benadryl ingestion versus placebo and Hismanal for 3 h postingestion (p < 0.05). Results demonstrate performance effects post-Benadryl ingestion for 1 h longer than previously reported. Tasks which demonstrated sensitivity to antihistamines were those which required an element of sustained attention and those which required a visual-motor response.

Relation of rifle stock length and weight to military rifle marksmanship performance by men and women.

15 male and 13 female soldiers participated in a study to examine the effects of sex, rifle stock length 117.8 cm, 22.3 cm, and 26.2 cm), and rifle weight (3.2 kg vs 3.8 kg) on military marksmanship performance. The Noptel simulator was used to assess marksmanship accuracy (proximity of shots to the target center) and precision (proximity of shots to one another regardless of proximity to the target center). There were no significant differences in either measure of marksmanship performance as a function of sex. Marksmanship accuracy was significantly better with the shortest rifle stock, and marksmanship precision was significantly better with the lighter rifle. Regardless of the sex of the shooter, stock length and weapon weight should be considered in any new combat rifle design as these results indicate they significantly affect marksmanship.

Ergonomics certification update.

This article is an information update on issues in ergonomics. Ergonomic certification is currently being conducted by the Board of Certification in Professional Ergonomics. Ergonomic certification is also being discussed by health care professionals and has been addressed by the National Interdisciplinary Committee on Health Ergonomics. The activities of each organization are presented.

Ergonomics and health care.

This article provides a brief history of the field of ergonomics and explores the interrelationship between health care and ergonomic professions. Health care practitioners contribute a unique perspective to an ergonomic research and intervention team. This singular perspective is based on knowledge of health issues, disease and injury etiology and prognosis, and the psychosocial impact of illness. Topics for collaboration between health care practitioners and ergonomists are identified.

Certification in ErgonomicsAn Update and Commentary.

This article is an information update on certification in the practice of ergonomics. Ergonomic certification is currently being conducted by the Board of Certification in Professional Ergonomics for ergonomics/human factors practitioners. Ergonomic certification is also being discussed as a possibility for health care professionals by the National Interdisciplinary Committee on Health Ergonomics and the Medical Ergonomics Society.

Prediction of performance on two stretcher-carry tasks.

Pre-placement screening for physically demanding jobs should result in better job performance and fewer injuries, if the test components reflect job demands. The purpose of this study was to determine how seven strength measures, three Army Physical Fitness Test (APFT) scores, and three physical descriptors relate to performance on two stretcher-carry tasks: 1) a repeated short-distance carry and 2) a continuous long-distance carry. Twelve men and 11 women completed both tasks with and without (hand-carry) a shoulder harness. Pearson product moment correlation coefficients compared independent variables and forward stepwise multiple regression analyses were used for predictions. For repeated short distance stretcher-carrying, two-mile run time and handgrip were the best predictors of performance (hand-carry: r2=0.79, p<0.01; harness-carry: r2=0.75, p<0.01). The grip, which was more predictive during the hand-carry, required a sudden maximal contraction to peak force, followed by immediate release, while a sudden maximal contraction to peak force maintained for four seconds, was more predictive of the harness-carry. For the continuous hand-carry, the best predictor was a gradual buildup to a 6-second sustained grip strength (r2=0.74, p<0.01). These results illustrate the necessity for tailoring preplacement tests to accurately reflect job demands.

Psychological factors that influence traumatic injury occurrence and physical performance.

This 9 month prospective study, conducted at the US Army Sergeants Major Academy (USASGMA), examined the association of selected psychological variables (e.g., measures of tension/anxiety, sleep disturbance, Type A behavior pattern) with injury occurrence and physical performance in 126 soldiers. ANOVA and logistic regression analyses revealed significant relationships between: 1) Traumatic injury occurrence and mean tension/anxiety scores, 2) Mean self-reported sleep disturbance scores and traumatic injury occurrence, 3) The Type A behavior pattern (abbreviated Jenkins Activity Survey) and number of sit-ups repetitions completed in 2 minutes, one component of the Army Physical Fitness Test (APFT), 4) The Type A behavior pattern and total score APFT. No significant associations were found for mean tension/anxiety scores and overuse injuries, or Type A behavior pattern and two mile run time or number of push-up repetitions completed in 2 minutes. These data suggest traumatic injury occurrence is influenced by tension/anxiety and disturbances in sleep habits. Additionally, individuals with higher Jenkins Activity scores (characteristic of the Type A behavior pattern) perform better physically.

Effects of team size on the maximum weight bar lifting strength of military personnel.

Teamwork is an essential element in the majority of critical Army lifting tasks. Therefore, an understanding of the relationship between individual and team lifting capacity is of great tactical importance. Twenty-three male and 17 female U.S. Army soldiers were randomly assigned to single- and mixed-gender teams of two, three, and four persons. Individual lifting strength was the one-repetition-maximum (1RM) load lifted from floor to knuckle height using a weight bar. A square-shaped bar was used for two- and four-person lifting, and a triangular-shaped bar was used for three-person lifting. Team lifting strength as a percentage of the sum of individual lifting strength (%sum) did not change with team size. The %sum for teams of men (87.3%) was less than for teams of women (91.1%, p < 0.05). The %sums for both single-gender teams (all men and all women) were greater (p < 0.01) than for mixed-gender teams (80.2%). The number of people lifting a large object was increased to four with no decrease in the effectiveness of the individual lifter beyond that found for two persons. The 1RM loads presented in this paper were lifted under ideal conditions by young soldiers and do not represent norms for an industrial population.

Gender comparison of peak oxygen uptake: repetitive box lifting versus treadmill running.

The gender differences in peak oxygen uptake (VO2peak) for various modes of exercise have been examined previously; however, no direct gender comparisons have been made during repetitive lifting (RL). In the present study the VO2peak between RL and treadmill running (TR) was compared between 20 men [mean (SD) age, height, body mass and body fat: 21 (3) years, 1.79 (0.06) m, 81 (9) kg, 19 (6)%, respectively] and 20 women [mean (SD) age, height, body mass and body fat: 21 (3) years, 1.63 (0.05) m, 60 (7) kg, 27 (6)%, respectively]. VO2peak (l x min[-1]), defined as the highest value obtained during exercise to volitional fatigue, was determined using discontinuous protocols with treadmill grade or box mass incremented to increase exercise intensity. For RL VO2peak, a pneumatically driven shelf was used to lower a loaded box to the floor, and subjects then lifted the box, at a rate of 15 lifts x min(-1). VO2peak (l x min(-1) and ml x kg(-1) x min[-1]) and minute ventilation (VE, l x min[-1]) were determined using an on-line gas analysis system. A two-way repeated measures analysis of variance revealed significant gender effects, with men having higher values for VO2peak (l x min(-1) and ml x kg(-1) x min[-1]) and VE, but women having higher values of the ventilatory equivalent for oxygen (VE/VO2). There were also mode of exercise effects, with TR values being higher for VO2peak (l x min(-1) and ml x kg(-1) x min[-1]) and VE and an interaction effect for VO2peak (l x min(-1) and ml x kg(-1) x min[-1]) and VE/VO2. The women obtained a greater percentage (approximately 84%) of their TR VO2peak during RL than did the men (approximately 79%). There was a marginal tendency for women to decrease and men to increase their VE/VO2 when comparing TR with RL. The magnitude of the gender differences between the two exercise modalities appeared to be similar for heart rate, VE and R, but differed for VO2peak (l x min(-1) and ml x kg(-1) x min[-1]). Lifting to an absolute height (1.32 m for the RL protocol) may present a different physical challenge to men and women with respect to the degree of involvement of the muscle groups used during lifting and ventilation.