Joseph J. Schlesinger

ORCID: 0000-0003-3978-2647
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About
Contact & Profiles
Research Areas
  • Healthcare Technology and Patient Monitoring
  • EEG and Brain-Computer Interfaces
  • Intensive Care Unit Cognitive Disorders
  • Non-Invasive Vital Sign Monitoring
  • Phonocardiography and Auscultation Techniques
  • Music Therapy and Health
  • Quality and Safety in Healthcare
  • ECG Monitoring and Analysis
  • Cardiac, Anesthesia and Surgical Outcomes
  • Family and Patient Care in Intensive Care Units
  • Neuroscience and Music Perception
  • Anesthesia and Sedative Agents
  • Human-Automation Interaction and Safety
  • Hearing Loss and Rehabilitation
  • Cardiac Arrest and Resuscitation
  • Noise Effects and Management
  • Advanced Control Systems Optimization
  • Healthcare Operations and Scheduling Optimization
  • Airway Management and Intubation Techniques
  • Diverse Music Education Insights
  • Global Health and Surgery
  • Traumatic Brain Injury and Neurovascular Disturbances
  • Bacterial Infections and Vaccines
  • Respiratory Support and Mechanisms
  • Hemodynamic Monitoring and Therapy

Vanderbilt University Medical Center
2016-2025

Vanderbilt University
2014-2024

McGill University
2017-2023

Centre for Interdisciplinary Research in Music Media and Technology
2017-2020

University of Plymouth
2017

University of Nairobi
2015

Maine School of Science and Mathematics
2007

Silesian University of Technology
2002

University of California, Los Angeles
1975-1976

Methadone hydrochloride-maintenance outpatients were compared to abstinent exaddicts on physiological and psychological measures, normal subjects measures. The battery of tests measure cognitive abilities mental state. depressed respiration rate below other groups; had higher heart rates than methadone or control subjects. No differences appeared. Electroencephalographic spectral analysis disclosed that the location alpha peak was at lowest frequency in group, next being group. Discriminant...

10.1001/archpsyc.1975.01760200101010 article EN Archives of General Psychiatry 1975-02-01

Anesthesiology requires performing visually oriented procedures while monitoring auditory information about a patient's vital signs. A concern in operating room environments is the amount of competing and effects that divided attention has on patient monitoring, such as detecting changes arterial oxygen saturation via pulse oximetry.The authors measured impact visual attentional load background noise ability anesthesia residents to monitor oximeter display laboratory setting. Accuracies...

10.1097/aln.0b013e31827d417b article EN Anesthesiology 2012-12-20

Ten years after the publication of a landmark article in AACN Advanced Critical Care, alarm fatigue continues to be an issue that researchers, clinicians, and organizations aim remediate. Alarm contributes missed alarms medical errors result patient death, increased clinical workload burnout, interference with recovery. Led by American Association Critical-Care Nurses, national safety continue prioritize efforts battle have proposed management strategies mitigate effects fatigue. Similarly,...

10.4037/aacnacc2023662 article EN AACN Advanced Critical Care 2023-08-29

An ascending series of single doses the narcotic antagonist naltrexone, ranging from 20 to 160 mg, was administered 8 abstinent former addicts in order assess agonistic activity and any toxic side effects. There little alteration normal body function. Significant, but small, changes sublingual temperature (0.4 degrees F decrease), diastolic blood pressure (1.7 mm Hg increase) were induced. Among battery tests assessing behavioral or mood-feeling variables, only 2 showed significant...

10.1002/cpt1976196773 article EN Clinical Pharmacology & Therapeutics 1976-06-01

To develop and test an accurate deep learning model for predicting new onset delirium in hospitalized adult patients.Using electronic health record (EHR) data extracted from a large academic medical center, we developed combining long short-term memory (LSTM) machine to predict compared its performance with machine-learning-only models (logistic regression, random forest, support vector machine, neural network, LightGBM). The labels of were confusion assessment method (CAM) assessments. We...

10.1093/jamia/ocac210 article EN cc-by Journal of the American Medical Informatics Association 2022-10-17

• Eight cases of streptococcal meningitis occurred after myelography with metrizamide or iophendylate injection. These were compared six previously described episodes lumbar puncture—related meningitis. Careful examination Gram's stain CSF, positive in 79% the cases, was useful as an aid distinguishing from more common aseptic chemical induced by contrast media used myelography.

10.1001/archneur.1982.00510210046010 article EN Archives of Neurology 1982-09-01

In Brief The pulse oximeter is a critical monitor in anesthesia practice designed to improve patient safety. Here, we present an approach the ability of anesthesiologists arterial oxygen saturation via oximetry through audiovisual training process. Fifteen residents' abilities detect auditory changes were measured before and after perceptual training. Training resulted 9% (95% confidence interval, 4%–14%, P = 0.0004, t166 3.60) increase detection accuracy, 72-millisecond 40–103 milliseconds,...

10.1213/ane.0000000000000222 article EN Anesthesia & Analgesia 2014-05-05

Audible alarms are a ubiquitous feature of all high-paced, high-risk domains such as aviation and nuclear power where operators control complex systems. In settings, missed alarm can have disastrous consequences. It is conventional wisdom that for to be heard, "louder better," so levels in operational environments routinely exceed ambient noise levels. Through robust experimental paradigm an anechoic environment study human response audible alerting stimuli cognitively demanding setting,...

10.1121/1.5043396 article EN The Journal of the Acoustical Society of America 2018-06-01

The reserved set of audible alarm signals embodied within the global medical device safety standard, IEC 60601-1-8, is known to be problematic and in need updating. current are not only suboptimal, but there also little evidence beyond learnability (which poor) that demonstrates their performance realistic representative clinical environments. In this article, we describe process first designing then testing potential replacement for starting with design several sets candidate sounds initial...

10.1177/1064804618763268 article EN Ergonomics in Design The Quarterly of Human Factors Applications 2018-08-20

Background Implementing music in the intensive care unit has increased popularity because environment can be stressful and anxiety inducing for many patients. In hospital settings, therapeutic beneficial patients’ well-being recovery. Although live typically involves a face-to-face encounter between musician patient, COVID-19 pandemic prompted change to virtual music, using technology present real time (eg, with tablet computer). Objective To generate novel findings regarding perceptions of...

10.4037/ajcc2024140 article EN American Journal of Critical Care 2024-01-01

Alongside the development and testing of new audible alarms intended to support International Electrotechnical Commission 60601-1-8, a global standard concerned with alarm safety, categories risk that denotes require further thought possible updating. In this article, we revisit origins covered by standard. These were based on ways tissue damage can be caused. We consider these from varied professional perspectives authors: human factors, semiotics, clinical practice, patient or family...

10.2345/0899-8205-51.s2.50 article EN Biomedical Instrumentation & Technology 2017-02-01

Auditory alarms offer great potential for facilitating human-computer interactions in complex, rapidly changing environments. They are particularly useful medical settings, where theory they should afford communication emergency rooms, operating theatres, and hospitals around the world. Unfortunately, sounds typically used these devices problematic, researchers have documented numerous shortcomings. Their ubiquity means that even incremental improvements can significant benefits patient...

10.1016/j.apergo.2021.103432 article EN cc-by Applied Ergonomics 2021-06-14

10.1016/s0030-6665(05)70119-5 article EN Otolaryngologic Clinics of North America 1999-02-01

Current alarm standards used in safety critical environments (e.g., medical alarms hospitals) suffer from a myriad of complications with detectability, annoyance, and fatigue affecting the wellbeing patients staff. To large extent, these are based on same simplistic, temporally invariant tones. Here we explore how insights acoustic properties musical triangle can aid detection, reducing overall levels hence annoyance ratings. Two tones used, (1) standard tone similar to those current...

10.1121/10.0027607 article EN The Journal of the Acoustical Society of America 2024-03-01

The surgical and anaesthesia needs of low-income countries are mostly unknown due to the lack data on infrastructure human resources. goal this study is assess capacity in Guyana. A survey tool adapted from WHO Tool for Situational Analysis Assess Emergency Essential Surgical Care was used nine regional district hospitals within Ministry Health system In across Guyana, there were an average 0.7 obstetricians/gynaecologists, 3.5 non-OB surgeons, 1 anaesthesiologist per hospital. District...

10.1016/j.jegh.2014.08.003 article EN cc-by-nc-nd Journal of Epidemiology and Global Health 2014-01-01
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