scholarly journals 0776 Differences in Well-Being in Dayworkers Compared to Shift Workers: A Study of United States Navy Sailors

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A295-A295
Author(s):  
N L Shattuck ◽  
P Matsangas
Keyword(s):  
Quality Of Life ◽  
United States ◽  
United States Navy ◽  
Development Program ◽  
Well Being ◽  
Shift Workers ◽  
The Us ◽  
Us Navy ◽  
Exercise Routine

Abstract Introduction On United States Navy (USN) ships, most sailors are shift workers, required to support 24/7 operations. However, ~15% of the ship’s company are solely dayworkers who do not work in shifts. It is often assumed that the quality of life for dayworkers is better than that of shift workers. This study compared the well-being of dayworkers with that of shift workers. Methods Longitudinal, naturalistic observations were made of sailors (N=926; 18-59 years of age, ~80% males, ~84% enlisted personnel) on seven US Navy ships while performing their normal underway duties. Sleep-related attributes (actigraphy, Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, Insomnia Severity Index), mood (Profile of Mood States), and work/rest patterns were assessed. Results Dayworkers (DW; n=98) were on average older (p=0.001) and more senior (p=0.001) than shift workers (SW). Of the dayworkers, 31% reported elevated daytime sleepiness (SW:45.5%; p=0.008), 64.2% were poor sleepers (SW:82.6%; p<0.001), and 26.3% had ISI score≥15 (SW:24.8%; p=0.782). Also, 13.8% of the dayworkers had ESS>10 and ISI≥15 (SW:16.8%; p=0.626).Dayworkers had better mood (Total Mood Disturbance, anger/hostility, vigor, fatigue; all p<0.050), slept more (7.03±0.74hrs sleep/day; SW:6.52±1.03hrs; p<0.001) and had more consolidated sleep (1.1±0.3 sleep episodes/day; SW:1.4±0.6; p<0.001). Yet, split sleep was commonplace for both groups (DW:~62%; SW:~92%).The two groups do not differ (all p>0.300) in their use of caffeinated beverages (82%-86%), use of nicotine products (30%-36%), or having a regular exercise routine (69%-75%). In both groups, ~9% of sailors drank caffeinated beverages, used nicotine products and did not have an exercise routine (p=0.999). Dayworkers worked 10.1 hours/day, i.e., 1.7 hours/day less than watchstanders (p<0.001). Conclusion Quality of life of dayworkers is a bit better when compared to shift workers, but sleep-related issues are evident in almost all US Navy sailors. Living and working on a naval vessel takes a toll on almost everyone aboard. A culture change is required! Support Supported by the Naval Medical Research Center’s Advanced Medical Development Program, the US Navy 21st Century Sailor Office, and the US Navy OPNAV N1.

Quality of Life and the Carbon Footprint: A Zip-Code Level Study Across the United States

2021 ◽  
Vol 30 (4) ◽  
pp. 323-343
Author(s):  
Matthew Thomas Clement ◽  
Chad L. Smith ◽  
Tyler Leverenz
Keyword(s):  
Quality Of Life ◽  
United States ◽  
Carbon Footprint ◽  
Ecological Impact ◽  
Well Being ◽  
The United States ◽  
Alternative Measure ◽  
Level Data ◽  
Zip Code

Much sustainability scholarship has examined the environmental dimensions of subjective and objective well-being. As an alternative measure of human well-being, we consider the notion of quality of life and draw on a framework from the sustainability literature to study its association with ecological impact, specifically the carbon footprint. We conduct a quantitative analysis, combining zip-code level data on quality of life and the carbon footprint per household for the year 2012 across the continental United States ( n=29,953). Findings consistently show a significant, negative association between quality of life and the carbon footprint. Our findings point to the potential advantages of utilizing robust objective measures of quality of life that extends beyond economic well-being and life expectancy alone. Furthermore, our findings question the conventional wisdom that sustainability requires sacrifices, while suggesting opportunities for how increased levels of sustainability may be achieved while retaining high levels of quality of life.

scholarly journals Impact of the COVID-19 Pandemic on Nephrology Fellow Training and Well-Being in the United States: A National Survey

2021 ◽  
pp. ASN.2020111636
Author(s):  
Kurtis A. Pivert ◽  
Suzanne M. Boyle ◽  
Susan M. Halbach ◽  
Lili Chan ◽  
Hitesh H. Shah ◽  
...  
Keyword(s):  
Quality Of Life ◽  
United States ◽  
Training Programs ◽  
Well Being ◽  
The United States ◽  
Work Life ◽  
Work Life Balance ◽  
Life Balance ◽  
Preparedness For Practice

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic’s effects on nephrology fellows’ educational experiences, preparedness for practice, and emotional wellbeing are unknown.MethodsWe recruited current adult and pediatric fellows and 2020 graduates of nephrology training programs in the United States to participate in a survey measuring COVID-19’s effects on their training experiences and wellbeing.ResultsOf 1005 nephrology fellows-in-training and recent graduates, 425 participated (response rate 42%). Telehealth was widely adopted (90% for some or all outpatient nephrology consults), as was remote learning (76% of conferences were exclusively online). Most respondents (64%) did not have in-person consults on COVID-19 inpatients; these patients were managed by telehealth visits (27%), by in-person visits with the attending faculty without fellows (29%), or by another approach (9%). A majority of fellows (84%) and graduates (82%) said their training programs successfully sustained their education during the pandemic, and most fellows (86%) and graduates (90%) perceived themselves as prepared for unsupervised practice. Although 42% indicated the pandemic had negatively affected their overall quality of life and 33% reported a poorer work-life balance, only 15% of 412 respondents who completed the Resident Well-Being Index met its distress threshold. Risk for distress was increased among respondents who perceived the pandemic had impaired their knowledge base (odds ratio [OR], 3.04; 95% confidence interval [CI], 2.00 to 4.77) or negatively affected their quality of life (OR, 3.47; 95% CI, 2.29 to 5.46) or work-life balance (OR, 3.16; 95% CI, 2.18 to 4.71).ConclusionsDespite major shifts in education modalities and patient care protocols precipitated by the COVID-19 pandemic, participants perceived their education and preparation for practice to be minimally affected.

Online Well-Being Focused Curriculums

2017 ◽  
pp. 1415-1429
Author(s):  
Michelle Lee D'Abundo ◽  
Stephen L. Firsing III ◽  
Cara Lynn Sidman
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
United States ◽  
Medical Model ◽  
Well Being ◽  
Health Behavior Change ◽  
The United States ◽  
Health Issues ◽  
Health Related

Education and health are among the most salient issues facing Americans today. The field of public health has moved away from a physical health medical model to a more well-being focused quality-of-life perspective. K-20 curriculums in the United States need to reflect this ideological shift. In this chapter, content-focused curriculums with process-focused health behavior change-oriented learning are proposed as a strategy to promote well-being. Other issues that need to be addressed in the current education system are that the delivery of health-related curriculums is often inconsistent and taught by untrained personnel. Well-being-focused curriculums delivered online can provide consistency to improve the quality of health courses. This innovative approach has the potential to improve educational and health outcomes for K-20 curriculums while addressing public health issues by promoting well-being and quality-of-life for children and adults throughout the United States.

291 A Pilot Study of Light Management in the US Navy

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A116-A117
Author(s):  
Nita Shattuck ◽  
Panagiotis Matsangas
Keyword(s):  
Pilot Study ◽  
Sleep Quality ◽  
Development Program ◽  
Well Being ◽  
Operational Performance ◽  
Valuable Insight ◽  
Falling Asleep ◽  
The Us ◽  
Us Navy ◽  
Light Management

Abstract Introduction Exposure to light at appropriate times can improve alertness and mood; however, light can also interfere with sleep if exposure occurs before bedtime. Therefore, light management is important for sailor well-being and operational performance. One approach to administer light in field settings is to use personal wearable devices. This pilot study assessed the challenges in using the blue-light blocking goggles (BLBG) and light emitting goggles (LEG) for crewmembers of a US Navy ship while underway. Methods Longitudinal (~2 weeks) assessment of sailors (N=18) during deployment. Sailors completed a questionnaire asking whether they used the devices, reasons (if any) they may have had for not using the devices, what they liked/did not like about the devices, and whether wearing the devices made a difference in terms of fatigue, alertness, ability to fall asleep, and reported sleep quality. Results Sailors reported that the LEGs seemed to increase alertness (n=8) and helped wake up faster (n=5), but the devices were bulky/heavy (n=9), too bright (n=4), and made it difficult to see in dim light (n=2). The reported reasons for not using the devices include: the devices were heavy/uncomfortable (n=5), they caused eye strain (n=4), and the LEGs interfered with sailor ability to see while on watch (n=3). Also, wearing the LEGs made sailors feel less tired (71%) and more alert (59%). Sailors reported that the BLBGs kept them drowsy before bed (n=3) and reduced eye strain (n=5). Sailors complained, however, that BLBGs were bulky/inconvenient (n=3). When not wearing the BLBGs, it was because the devices were easy to forget (n=2), sailors had to work after their shift (n=2), and other reasons (n=3). Wearing the BLBGs during watch made falling asleep easier (47%) and improved sleep quality (47%). Conclusion This study provided valuable insight regarding the use of personal wearable light management devices in field settings. Even though not conclusive, our results are promising. We will continue assessing the utility of such devices with a goal of improving sailor well-being and operational performance. Support (if any) Supported by the Naval Medical Research Center’s Advanced Medical Development Program, the US Navy 21st Century Sailor Office, and the US Navy OPNAV N1.

scholarly journals 0821 Gender Differences in Sailor Well-Being, Sleep-Related Behaviors, and Psychomotor Vigilance Performance in the United States Navy

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A313-A313
Author(s):  
N L Shattuck ◽  
P Matsangas
Keyword(s):  
Gender Differences ◽  
Sleep Quality ◽  
Well Being ◽  
Energy Drinks ◽  
The United States ◽  
Vigilance Performance ◽  
The Us ◽  
Us Navy ◽  
Exercise Routine ◽  
Psychomotor Vigilance

Abstract Introduction Approximately 18% of US Navy sailors are females. Research has shown gender-related differences in the prevalence of sleep disorders in active duty personnel (Foster et al., 2017). Specifically, insomnia, depression, and anxiety are more prevalent in females, while obstructive sleep apnea is more prevalent in males. We have studied the sleep patterns and fatigue levels of crew members on more than 30 US Navy ships. The current study focuses on gender differences in well-being, sleep-related behaviors, and psychomotor vigilance performance of sailors in the US Navy. Methods Using a longitudinal, naturalistic observation paradigm, data were collected from crewmembers on nine USN ships while performing their normal underway duties. Participants (N=1,056) tended to be young (on average 27 years of age), predominantly male (80.6%), and enlisted (84.8%). We assessed average daytime alertness (Epworth Sleepiness Scale), insomnia symptoms (Insomnia Severity Index), mood (Profile of Mood States), and sleep quality (Pittsburgh Sleep Quality Index). Sleep was assessed with actigraphy and logbooks. Sailors performed a 3-minute version of the Psychomotor Vigilance Task (PVT), which was built into their wrist-worn actigraph. Results Compared to males, female sailors reported more depressive symptoms (p=0.042) and less vigor (p<0.001). Females slept more (daily sleep duration: p<0.001) but their sleep was split into more episodes than their male counterparts (p=0.029). Fewer females reported a regular exercise routine (p=0.033). In addition, females report consuming fewer energy drinks (p=0.007), and using fewer nicotine products (p=0.013). Lastly, consistent with findings from civilian populations, female sailors had slower reaction times on the PVT (p<0.001) and experienced more lapses combined with false starts (p<0.001) than their male counterparts. Conclusion Compared to their male peers, female sailors tend to report higher levels of depression and lower levels of vigor. They experience more pronounced split sleep, are less likely to report having an exercise routine, and have poorer performance on the PVT. Fewer females report using energy drinks and nicotine products. Support This research was supported by the Naval Medical Research Center’s Advanced Medical Development Program, the US Navy 21st Century Sailor Office, and the US Navy OPNAV N1.

Removals for Cause: A 35-Year Assessment of LM2500 Engine Removals by the United States Navy

2011 ◽  
Author(s):  
Matthew J. Driscoll ◽  
Eric M. McFetridge ◽  
Jeffrey S. Patterson ◽  
Craig A. See
Keyword(s):  
United States ◽  
Service Life ◽  
Gas Turbine ◽  
United States Navy ◽  
The United States ◽  
General Electric ◽  
The Past ◽  
The Us ◽  
Us Navy ◽  
Over Time

The United States (US) Navy has operated the General Electric LM2500 gas turbine on all its surface combatants for the past 35 years. The LM2500 is utilized as the propulsion engine aboard the US Navy’s newest surface combatants including the FFG 7, CG 47 and DDG 51 Class ships. The US Navy owns and operates 400 LM2500 engines. An on-condition maintenance philosophy is employed whereby engines are run-to-failure rather than removed from service upon achieving some operating milestone. This paper assesses the reasons for the removal of the US Navy’s LM2500s over their entire service life with a focus on how fleet maintenance capabilities have impacted and affected the cause for engine replacements over time.

scholarly journals The effects of implementing a gratitude development program on the quality of life and happiness of upper elementary school students

2020 ◽  
Vol 66 (1) ◽  
pp. 23-31
Author(s):  
Josipa Erdeši ◽  
Željka Mendek Ocelić ◽  
Gorka Vuletić
Keyword(s):  
Quality Of Life ◽  
Elementary School ◽  
Elementary School Students ◽  
Development Program ◽  
Well Being ◽  
Control Group ◽  
School Students ◽  
The Impact ◽  
Experimental Group

The aim of this paper is to test the impact of the implementation of gratitude development program on the quality of life and happiness of sixth, seventh and eighth grade elementary school students. The total of 79 students of one elementary school from a rural part of Eastern Croatia participated in the research, divided into experimental (N = 39) and control (N = 40) groups. The gratitude development program was conducted once a day for a period of four weeks. The Personal Well-Being Index for School Children and the Subjective Happiness Scale were administered before and after the program. The results were processed by a two-way analysis of variance with repeated measurements on the first factor. There was a significant increase in the level of overall quality of life and specific quality of life domains in the experimental group in comparison to the control group. There were no significant changes in happiness level in the experimental group after the program. The findings contribute to a better understanding of the relationship of gratitude, the quality of life and the experience of happiness. Also, the results indicate the importance of using psychological interventions that can improve the quality of life of students in the educational context. The paper extensively discusses the usefulness of this research and its implications for future research.

scholarly journals Active Aging and Elderly’s Quality of Life: Comparing the Impact on Literature of Projects Funded by the European Union and USA

2018 ◽  
Vol 14 (1) ◽  
pp. 1-5 ◽  
Author(s):  
I Kirilov ◽  
M Atzeni ◽  
A Perra ◽  
D Moro ◽  
MG Carta
Keyword(s):  
Quality Of Life ◽  
United States ◽  
Scientific Productivity ◽  
The United States ◽  
Active Aging ◽  
The European Union ◽  
The Us ◽  
European Projects ◽  
The Impact

Background: The objective of this research is to verify whether European projects on Active Aging (AA) and Elderly Quality of Life (Qol) funded by the Seventh Framework Programme (FP7) produce an impact on literature similar to projects funded by the National Health Institute (NHI) of the United States on international literature using well-known bibliometric indicators. This effort may be useful in developing standardized and replicable procedures. Methods: Fifteen randomly selected projects on AA and Elderly Qol concluded in August 2017 and funded by FP7 were compared to similar projects funded by the US NHI with reference to papers published (Scopus and Scholar), papers published in Q1 journals, and the number of citations of the papers linked to the projects. Results: In all the indicators considered, the European projects showed no difference with the US NHI projects. Conclusions: The EU-funded AA and Qol Elderly projects have an impact on scientific literature comparable to projects funded in the United States by the NHI Agency. Our results are consistent with the data on general medical research, which indicates that, European research remains at a high level of competitiveness. In this experimental study, our methodology appeared to be convincing and reliable and it could be applied to the extent of the impact of more extensive research areas. Our research did not evaluate the relationship between funding required by research and scientific productivity.

scholarly journals Aging out of Place: Factors Related to Quality of Life Among Older Refugees in the United States

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 238-238
Author(s):  
Jonix Owino ◽  
Heather Fuller
Keyword(s):  
Quality Of Life ◽  
Social Connectedness ◽  
Well Being ◽  
The United States ◽  
Sociodemographic Factors ◽  
Hierarchical Regression ◽  
Older Individuals ◽  
Length Of Residence ◽  
The Us

Abstract Refugees flee their home countries, migrating to countries such as the US for safety. The psychological distress they experience may compromise their adaptation and well-being. However, little is known about quality of life among aging refugees who migrate to the US as adults, and in particular whether quality of life varies among refugees by sociodemographic factors such as age, sex, country of origin, and length of residence. Moreover, limited research exists examining the role of social connectedness for aging refugees’s quality of life. The current study explores sociodemographic and social connection factors associated with quality of life among aging refugees (N = 108; aged 50+). Refugees from Bhutan, Burundi, and Somalia were recruited from a Midwestern small city to complete an in-depth survey assessing social factors and well-being. Hierarchical regression analyses showed that females, older individuals, and African refugees reported lower quality of life, while length of residence was not associated with quality of life. When controlling for sociodemographic factors, greater social integration and lower loneliness were significantly associated with higher quality of life. There was also a significant interaction between loneliness and sex in predicting quality of life, indicating that greater loneliness was associated with reduced quality of life for women but not men. Study findings will be discussed in light of cultural variations within refugee groups and with the goal of highlighting ways to best support aging refugees’ well-being and develop social programs that can effectively cater to issues of aging among refugees.

Online Well-Being Focused Curriculums

2014 ◽  
pp. 714-728
Author(s):  
Michelle Lee D'Abundo ◽  
Stephen L. Firsing III ◽  
Cara Lynn Sidman
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
United States ◽  
Medical Model ◽  
Well Being ◽  
Health Behavior Change ◽  
The United States ◽  
Health Issues ◽  
Health Related

Education and health are among the most salient issues facing Americans today. The field of public health has moved away from a physical health medical model to a more well-being focused quality-of-life perspective. K-20 curriculums in the United States need to reflect this ideological shift. In this chapter, content-focused curriculums with process-focused health behavior change-oriented learning are proposed as a strategy to promote well-being. Other issues that need to be addressed in the current education system are that the delivery of health-related curriculums is often inconsistent and taught by untrained personnel. Well-being-focused curriculums delivered online can provide consistency to improve the quality of health courses. This innovative approach has the potential to improve educational and health outcomes for K-20 curriculums while addressing public health issues by promoting well-being and quality-of-life for children and adults throughout the United States.

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