Publications by authors named "J M Puhl"

Distracted biking can have serious repercussions for the rider such as accidents. The purpose of the present experiment was to determine the effect of visually monitoring two parameters, the cadence, and the heart rate on a bike computer fixed on a racing bike, and simultaneously detect hazardous traffic situations. Individuals (n = 20) were instructed to ride a racing bike that was fitted onto a roller trainer.

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Objective: Goals of care (GOC) discussions are an increasingly used quality metric in serious illness care and research. Wide variation in documentation practices within the Electronic Health Record (EHR) presents challenges for reliable measurement of GOC discussions. Novel natural language processing approaches are needed to capture GOC discussions documented in real-world samples of seriously ill hospitalized patients' EHR notes, a corpus with a very low event prevalence.

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Bike computers are an important equipment, especially on race bikes where athletes can monitor output parameters. The purpose of the present experiment was to determine the effect of visually monitoring the cadence of a bike computer and to perceive hazard traffic situations in a virtual environment. In a within subject-design individuals (N = 21) were instructed to perform the riding task in two single-task conditions (only watching the traffic at the video with occluded or without occluded bike computer), two dual-task conditions (monitoring the cadence of 70 RPM or 90 RPM and observing the traffic) and one control condition (no instructions).

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Objective: Frailty is a prevalent risk factor for adverse outcomes among patients with chronic lung disease. However, identifying frail patients who may benefit from interventions is challenging using standard data sources. We therefore sought to identify phrases in clinical notes in the electronic health record (EHR) that describe actionable frailty syndromes.

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Retrospective chart review study using electronic medical record data from Inova Health System patients. All cardiology, endocrinology, and primary care outpatient clinics operated by Inova Medical Group (IMG) in Northern Virginia. Participants included were 70 years of age or older and taking aspirin 81 mg as of April 1, 2019.

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