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The third-generation M-Audio Oxygen 49 ($189.95 list) is a solid 49-key MIDI keyboard controller that works with PCs and Macs. It's actually part of a four-product lineup, which consists of the Oxygen 25, the Oxygen 49, the Oxygen 61, and the Oxygen 88, with each number reflecting the corresponding key bed size. It turns out that regardless of which one you choose, the M-Audio Oxygen is an easy Editors' Choice. It offers excellent value as a day-to-day controller for ($14.99, 4.5 stars), as well as pro-level digital audio workstations, virtual synthesizer plug-ins, and music instruction software. Design and Controls The Oxygen 49 measures 29 by 9.4 by 3.7 inches (HWD) and weighs 6.4 pounds. The keyboard is made entirely of plastic, with a smooth, expensive-looking gray finish, and full size ivory-like keys.

It looks bluish in photos, but in person it appears gray, and it feels solid and well made. One of the reasons why the M-Audio Oxygen line has been successful for so long is its vast array of MIDI control features, and here the Oxygen 49 doesn't disappoint. Starting at the top left, there are two plastic pitch bend and modulation wheels, each one with a sizable finger indent. Four rubber keys to the right handle Track Select and transposition. To the right of those keys, a 3-digit red LED display shows the currently selected parameter—usually with a range of 0 to 127, although it also shows octave and preset info. This is one place that even a slightly larger LED display would be helpful, though I suppose M-Audio has to save something for its more expensive Axiom line (which also features higher quality, semi-weighted keys and eight drum sample pads, among other upgrades).

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The Oxygen 49's back panel, meanwhile, features a standard-size USB port, a sustain pedal jack, and a power switch, with a Kensington-style lock opening on the right side for security purposes in student and educational settings. The Oxygen 49 comes with a six-foot USB cable, but no AC adapter. In fact, there's no DC power jack, either. That's not a problem with today's PCs, but it hampers compatibility with an iPhone or iPad, since third-party MIDI adapters like the (3.5 stars) assume AC power for the keyboard. I wouldn't have minded if the AC adapter was optional, but to remove the jack with it seems a bit excessive. Programming, Performance, and Conclusions A long row of rectangular keys just above the keyboard let you program controller information.

These work in conjunction with the MIDI keyboard itself, which when placed in Edit mode handles various functions according to the labels behind the keys (such as for bank switching, velocity curves, and drawbar programming). More prominently, there are nine assignable sliders in the center of the keyboard, plus eight assignable knobs on the right side. Dedicated transport keys sit on the right beneath the knobs. All of the controls feel good to the touch and move with precision. I tested the M-Audio Oxygen 49 with a custom-built Core i7 PC running (4.5 stars), (4 stars), and (3 stars), as well as with a 15-inch MacBook Pro running (4.5 stars).

The Oxygen 49 worked flawlessly in all cases. Key feel is on the light side, but felt precise enough that I wasn't constantly reminded I was playing a budget-priced controller, and the vast array of knobs and sliders made controlling on-screen parameters a breeze. If you're looking for something that feels more like an actual piano, you'll want semi-weighted or fully weighted, piano-style keys with solid front ends.

The new Oxygen 88 looks like a good alternative, although I haven't tested it yet; there are of course many other 88-key controllers out there. On the smaller side, the (3.5 stars) is a slightly lower-cost alternative that omits most of the controls. The Q25 features a two-inch shallower depth that makes it easier to place on a small desk, although it's a bit wider, as the pitch bend and modulation wheels are on the left of the key bed. If you're planning on using your controller with an iPad, the (3.5 stars) offers a built-in slot to sit the tablet neatly in front of you and at an angle, although it lacks the Oxygen 49's copious array of assignable sliders, knobs, and transport controls and doesn't feel quite as robust.

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Obstructive sleep apnea (OSA), a syndrome defined by breathing abnormalities during sleep, can lead to fatigue and excessive daytime sleepiness (EDS) with an increased risk of motor vehicle crashes. Identifying commercial motor vehicle operators with unrecognized OSA is a major public health priority. Portable monitors (PMs) are being actively marketed to trucking firms as potentially lower-cost and more accessible alternatives to the reference standard of in-laboratory polysomnography (PSG) in the diagnosis of OSA among commercial motor vehicle operators. Several factors regarding PMs remain uncertain in this unique patient population: their sensitivity and specificity; the cost-benefit ratio of the PMs versus PSG; potential barriers from human factors; and evolving technologic advancement.

Human factors that alter test accuracy are a major concern among commercial drivers motivated to gain/maintain employment. Current available data using PMs as a diagnostic tool among CMV operators indicate relatively high data loss and high loss to follow-up. Loss to follow-up has also been an issue using PSG in commercial motor vehicle operators. Furthermore, PM testing and PM results interpretation protocols may have no sleep specialist oversight, and sometimes minimal physician oversight and involvement.

Additional studies comparing unattended and unmonitored PMs directly against full in-laboratory PSG are needed to provide evidence for their efficacy among commercial motor vehicle operators. BACKGROUND Large commercial motor vehicle crashes are an important public safety hazard in the United States. Since 2003, more than 100,000 injuries and more than 5,000 fatalities in the United States occur each year involving commercial motor vehicles. Among single-vehicle accidents involving heavy trucks, almost 18% of the involved drivers admitted to having fallen asleep behind the wheel and more than 50% of these accidents were determined by investigators to be fatigue-related., Factors causing fatigue among truck drivers include sleep deprivation, poor sleep hygiene, travel, shift work, drugs, alcohol, and sleep medications as well as sleep disorders including the most common,