scholarly journals The effect of bright light on fatigue and sleepiness of shift work nurses

2019 ◽  
Author(s):  
Maghsoudipour M ◽  
Hosseinzadeh S ◽  
Parkhoo M ◽  
Ansari M ◽  
Karbasi A

Introduction: In this study, we assessed the effect of bright light emitted by light box on fatigue, and sleepiness of nurses. Methods: Forty four healthy female shift work nurses were allocated into two groups of intervention and control. In the first stage, bright light was emitted to the nurses in the intervention group by the light box, and bright light was not emitted to the control group. In the next stage (one month later), we emitted bright light to the control group in the first stage (cross- over design). Main outcome measures assessed were fatigue and sleepiness. We used Visual Analogue Scale (VAS) of fatigue, and, Karolinska Sleepiness Scale (KSS). Fatigue and sleepiness were assessed every hour, during next 24 hours. Results: During 24 hours of the assessment of fatigue (VAS), the trend of changes in two groups were in opposite direction and almost all the time of 24 hours, the mean value of two groups were significantly different.  In addition, the effect of intervention on the mean values of KSS during 24 hours was significant and the mean values in two groups were significantly different and the trend of changes in two groups were in opposite direction. Conclusion: The bright light exposure in nurses resulted in changing the trend of fatigue and sleepiness in opposite directions compared to the controls. The minimum of fatigue occurred at 4 am which was time of maximum fatigue in the controls. Also, minimum sleepiness in the cases who were exposed to the bright light was at 4 am.  

2020 ◽  
Vol 10 (2) ◽  
pp. 82-86
Author(s):  
Mushtaq Hussain Lashari ◽  
Sumbel Sumera ◽  
Umer Farooq ◽  
Zia Ur Rehman ◽  
Nuzhat Sial ◽  
...  

Background: Health problem are culturally associated with smoking in developing countries. Many hazardous chemicals are taken up by direct or passive smoking causing lipid peroxidation resulting in oxidative stress. Objectives: To estimate the occurrence of smoking and its effects on the lipid profile in populations of Hasilpur, Pakistan. Methodology: The current study was conducted from April - August 2014. Out of 247 apparently healthy subjects of both genders (male=220; female=27), 134 were smokers and 113 were non-smokers. In order to analyze lipid profile, blood samples were collected in early morning hours from the selected members who were asked to fast all night. By using Chem-100 chemistry analyzer, cholesterol, triglyceride, HDL, LDL and VLDL were analyzed. Results: The overall prevalence of smokers was 54.25%. The results showed 60.9% prevalence in males and 0% in females. The mean value of serum triglyceride in control, light smokers and heavy smokers was 147.4±11.7mg/dl, 190.8±41.4 and 205.3±29.7mg/dl, respectively. The results of cholesterol in control, light smokers and heavy smokers were 147.38±7.99mg/dl, 136.8 ±12. 8mg/dl and 173.44±8.63mg/dl, respectively. There was a considerable distinction in the mean level of serum triglyceride and cholesterol between the control group, light smokers and heavy smoker groups (P<00.5). The mean value of HDL of control, light smokers and heavy smokers was 30.93±1.30mg/dl, 31.10±2.45 and 34.58±1.55mg/dl, respectively. The mean values of LDL and VLDL of control, light smokers and heavy smokers were 110.46±3.63mg/dl, 106.00±4.52mg/dl, 117.19±3.48mg/dl and 33.54±3.11mg/dl, 49±9.02mg/dl, 41.06±5.34mg/dl, respectively. There was significant difference in the mean level of HDL, LDL and VLDL between the control group, light smokers and heavy smoker groups (P<0.05). Conclusion: This study concluded that smoking is the reasons of variation in the lipid profile. Elevated period of smoking and the number of smoked cigarettes/day reason the alteration in serum lipid levels and is probably related with increased danger for coronary artery disease.


2020 ◽  
Author(s):  
Obeagu Emmanuel Ifeanyi

The hematological features of Gongronema latifolium, aqueous leaves extract was evaluated using standard methods. After 10 days of consecutive infusions into 9 experimental animals (rabbits). The rabbits were monitored and the following parameters determined; hemoglobin (HB), PCV, Platelet, WBC, Differential White Blood Cell. The Rabbits were grouped into 4, one consisting of control (group A), group B was fed with 0.5 mg/kg, group C with 1.0 mg/kg, and Group D with 1.5mg/kg of the aqueous extract of Gongronemalatifolium. The mean values obtained for hemoglobin estimation for the control group is 5.9 ± 4.1 g/dl, 9.1 ± 2.9 g/dl for group B 10.2 ± 1.8 g/dl for group C and 12.8 ± 0.1 g/dl for group D with no significant increase on the PCV estimation, the mean value for the control (group A) is 17.7 ± 12.3%, 27.3 ± 8.7% for group B, group C (30.6 ± 5.4%) and D (28.4 ± 0.3) show increase that statistically significant (p > 0.01). the platelet counts of group C (600 ± 0 x 109/L) and D(600 ± 0 x 109/L) show significant increase (p > 0.01) when compared with the control (600 ± 00). But the platelet value of group B (550 ± 50 x 109/L) shows no difference. No significant changes were observed in the White Blood Counts of the test groups B (3.5 ± 0.5 x 109/L), C (1.9 + 2.1 x 109/L) and D(3.6 ± 0.4) when compared with the control group (2.9 ± 1.9). The values obtained from the differential White Blood Counts (Neutrophils, Lymphocytes, Eosinophils and Monocytes) were not significant. Therefore, Gongronemalatifolium, when properly taken as a nutritional diet, causes beneficial changes on hemoglobin, packed cell volumes and platelet counts of consumers.


Blood ◽  
2004 ◽  
Vol 104 (11) ◽  
pp. 4717-4717
Author(s):  
Georgia Kaiafa ◽  
Vasiliki Tsavdaridou ◽  
Athanasios Papadopoulos ◽  
Christos Savopoulos ◽  
Apostolos Hatzitolios ◽  
...  

Abstract Background: Blood cells are deficient in membrane-bound glycosyl-phosphatidylinositol (GPI)-anchored proteins in paroxysmal nocturnal hemoglobinuria (PNH) because of an acquired disorder of the pluripotent stem cell. CD55 and CD59 antigens are the most common GPI-anchored proteins that are used for the diagnosis of the presence of PNH clone. The association of MDS with PNH is rather controversial. There are few published individual cases of PNH arrived from a previous MDS or MDS following PNH. Aim: Recent studies have demonstrated the existence of PNH clone in some MDS patients. These studies were performed mostly on erythrocytes and to the best of our knowledge they are only 4. Granulocytes appear to be more sensitive markers of PNH clone existence than erythrocytes and therefore we investigate the expression of PNH clone on granulocytes of patients with MDS. Material-Methods: A total number of 95 patients 25–80 yrs old with MDS {A:19 with refractory anaemia (RA), B:9 with refractory anaemia with ring sideroblasts (RARS), C:17 with refractory anaemia with excess blasts (RAEB), D: 12 with refractory anaemia with excess blasts in transformation (RAEB-t) and E: 19 with chronic myelomonocytic leukemia (CMLL)} and 19 healthy donors were included in our study. The presence of GPI-anchored proteins (CD55, CD59)-deficient granulocytes was examined by flow cytometry. For the detection of the PNH clone the commercial kit by Beckman Coulter (cellquant CD55/CD59) was used. Statistical analysis was made by ANOVA, while Robust test was performed because there was no homogeneity of variances by ANOVA. Results: Table 1 shows the percentages of CD55 and CD59 deficient granulocytes in the 5 groups of pts with MDS comparing with the control group. a) Although the mean values of CD55 deficient granulocytes in the groups RAEB, RAEB-t and CMLL were higher enough than those of the normal subjects, there were no statistically significant differences (p>0.10) in the comparison of the mean values of CD55 deficient granulocytes between each group of patients with the control group. b) On the contrary there was a very statistically significant difference in the comparison of the mean value of CD59 deficient granulocytes between the three last groups (C, D and E) of pts with the control group (p< 0.086, p< 0.001 and p<0.001 respectively). The percentages of CD55 and CD59 deficient granulocytes in the 5 groups of patients with MDS and in the control group CD55 CD55 CD59 CD59 Groups N Mean Value Std deviation Mean Value Std deviation A (RA) 19 2.89 2.79 2.91 2.85 B (RARS) 9 1.05 1.14 3.89 3.63 C (RAEB) 17 4.78 4.76 11.75 6.06 D (RAEB-t) 12 4.23 2.85 23.76 8.53 E (CMLL) 19 6.01 4.97 38.26 16.18 Control 19 3.67 2.89 3.67 2.89 Total 95 4.00 3.87 14.44 16.39 Conclusions: There are relatively large CD59 negative subpopulations (mean values 11.75–38.26%) of granulocytes in the last three groups (RAEB, RAEB-t, CMLL) of MDS patients. On the contrary the two low risk forms (RA, RARS) revealed no such populations. Non-expression of CD59 antigen on granulocytes is a more sensitive marker than that of CD55 antigen for the presence of a possible PNH clone in MDS patients.


2019 ◽  
Vol 7 (3) ◽  
pp. 293
Author(s):  
Aprida Manurung ◽  
Budi Anna Keliat ◽  
Ira Erwina

Permasalahan kenakalan anak usia sekolah yang sering terjadi adalah bolos, melangar peraturan sekolah, merokok, tauran hingga bully. Hal ini disebabkan karena saat perkembangan konsep diri anak mengalami kerancuan identitas, hingga depersonalisasi. Untuk mencegah hal itu maka diperlukan suatu tindakan preventif, salah satunya dengan melakukan therapy supportif. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh Therapy Supportif terhadap Konsep Diri dan perkembangan anak, dengan metode quasi eksperimental pre-post test with control group dan menggunakan kuesioner konsep diri. Sampel berjumlah 80, 40 Kelompok Intervensi dan 40 kontrol, mengunakan tehnik random sampling. Hasil penilitian  didapatkan ada pengaruh yang bermakna pada Therapy supporti terhadap perkembangan dan konsep diri, denga nilai rerata variabel perkembangan sebelum diberikan Therapy supportif pada kelompok intervensi 72,78 atau 77,45% dan nilai rerata setelah dilakukan therapy supportif  83 atau 88,32% dari nilai tersebut terjadi peningkatan perkembangan sebesar 10,22 (10,87%) yang artinya Therappy Supportif  memiliki pengaruh bermakna terhadap perkembangan anak, Sedangkan untuk nilai variabel konsep diri sebelum dilakukan terapi suportif pada kelompok intervensi 68,28 atau 72,63%, Setelah dilakukan Therapy Supportif  didapatkan nilai rerata 83,87 atau 89,22%, dari nilai tersebut dapat dianalisis bahwa terjadi peningkatan, sebesar 15,59 atau 22,84% yang artinya Therappy Supportif  memiliki pengaruh bermakna terhadap konsep diri anak Kata kunci: terapi supportif, konsep diri, anak sekolah dasar THE EFFECT OF THERAPY SUPPORTIVE SELF-CONCEPT AGAINSTCHILDREN'S CONCEPT OF BASIC SCHOOL ABSTRACTThe problem of delinquency in school-age children that often occurs is truancy, violating school rules, smoking, mixing, and bullying. This is because when the child's self-concept development experiences confusion in identity, to depersonalization. To prevent that, we need a preventive action, one of them is by doing supportive therapy. The purpose of this study was to determine the effect of Supportive Therapy on Self-Concept and child development, with a quasi-experimental method of pre-post test with control group and using a self-concept questionnaire. Samples amounted to 80, 40 intervention groups and 40 controls, using random sampling techniques. The results of the study, found that there is a significant relationship in supportive therapy to development and supportive therapy in self-concept, with the average value of the development variables before being given supportive therapy in the intervention group 72.78 or 77.45% and the mean value after supportive therapy 83 or 88.32% of the value there was an increase in development of 10.22 (10.87%) which means that Therappy Supportive has a significant influence on children's development, while for the value of self-concept variables before supportive therapy in the intervention group 68.28 or 72, 63%, after supportive therapy, the mean value is 83.87 or 89.22%. From this value, it can be analyzed that there is an increase of 15.59 or 22.84%, which means that therapeutic support has a significant influence on the child's self-concept Keywords: supportive therapy, self-concept, elementary school children


2017 ◽  
Vol 2017 ◽  
pp. 1 ◽  
Author(s):  
Jordan Minov ◽  
Jovanka Karadzinska-Bislimovska ◽  
Tatjana Petrova ◽  
Kristin Vasilevska ◽  
Saso Stoleski ◽  
...  

BACKGROUND: The recent epidemiological and experimental evidence suggest possible antioxidant effect of carbocysteine in patients with chronic obstructive pulmonary disease (COPD).AIM: To assess efficacy and tolerability of carbocysteine in the management of stable COPD.METHODS: We performed an observational, non-randomized, open study (a real life study) including 87 patients with stable COPD (group B and D by combined COPD assessment) divided in two groups, examined group (EG) and control group (CG). All participants were treated with the regular treatment of the stable disease, but in the participants of the EG carbocysteine 1,500 mg daily was added to their regular treatment during the period of two months. The study protocol included completion of the COPD Assessment Test (CAT) and spirometric measurements at initial visit and at the end of the mentioned period.RESULTS: We found significantly lower mean value of the overall CAT score in the EG at the end of the study as compared to its mean value registered at initial visit (26.9 vs. 24.3; P = 0.007). In regard to certain CAT items, we found significantly lower values of the mean scores related to cough phlegm and sleep disturbances as compared to their mean scores at initial visit. In addition, the mean values of the overall CAT scores at initial visit and at the end of the study in controls were similar. In EG we found significantly higher mean value of the MEF 25-75 at the end of the study as compared to its mean value registered at initial visit (59.3% vs. 67.2%; P = 0.003). There was no significant difference in the mean values of other spirometric parameters at the end of the study as compared to their mean values at initial visit. In controls we registered similar values of all measured spirometric parameters at the end of the study as compared to their values registered at initial visit. Mild gastrointestinal manifestations were registered in 13.3% of the participants of the EG during the examined period.CONCLUSION: Our findings indicate positive effects of carbocysteine regarding the symptoms and lung function, as well as its good tolerability in the patients with stable COPD.


2019 ◽  
Vol 2 (1) ◽  
pp. 31-38
Author(s):  
I Ketut Sudiarta ◽  
Emiliana Tarigan ◽  
Sudibyo Supardi

Background: Clinical nurses are competent with good knowledge, skills and attitudes. These efforts are carried out through integrated training adaptation of the concept of From Novice to Expert Patricia Benner. The study aims to determine the effect of nursing training on increasing knowledge, skills and attitudes. Method: This quantitative research quasy experiment, using a non randomized control group pretest and posttest design. The study sample was 100 people, divided into two groups, namely the same intervention and control group. The research instrument was a valid and reliable questionnaire (Chronbach's alpha 0.989). Research for 12 weeks, March-June 2018 with nursing training interventions in the intervention group respondents. Results: The results of the study were the majority of respondents were female, aged 20-35, career level of clinical nurse level I. Diploma education and work period of 1-5 years. Bivariate results with the mean value of posttest score knowledge 97.20, increased by 21.6%, statistically meaningful knowledge of p value=0.000. The mean value of the posttest skill was score 92.96, increased by 23.92%, the skill statistically was significant p value=0.000 and the mean value of posttest attitude was 50.06, increased by 6.44%, statistically meaningful p value=0.000, there was an effect of nursing training on improving the knowledge, skills and attitudes of clinical nurses. The results of multivariate analysis of nursing training were statistically significant towards increasing knowledge of clinical nurses (p value=0.000), having the possibility of knowledge increasing 10 times, increasing skills statistically significant (p value=0.000), having the possibility of increasing skills 1.4 times and increasing statistically meaningful attitudes (p value=0.000), having an increased likelihood of attitudes 0.8 times compared to not getting training, no confounding variables were found. Conclusion: Based on this research, the increase in knowledge, skills and attitudes is influenced by nursing training from the aspects of material, methods, facilities, instructors and post-training evaluation methods. Thus to achieve optimal quality of knowledge, skills and attitude, it is advisable to conduct mentoring, supervision, mentoring and guidance in an integrated manner


2021 ◽  
pp. 147775092110162
Author(s):  
Ali Ghahremani ◽  
Fatemeh Esmaelzadeh ◽  
Mahboobeh Khosravani ◽  
Mohaddeseh Mohsenpour

Research objectives Moral distress is a common phenomenon among nurses and can negatively affect their mental health and quality of the care. This study aimed to determine the effect of professional ethics workshop with virtual follow-up on the moral distress of nurses. Methods This experimental study was performed on 50 nurses in Ghaem Hospital, Mashhad, Iran. The intervention group received 8-hour professional ethics workshop and 4 weeks follow-up through social network. The moral distress was evaluated through the Moral Distress Scale-Revised at the beginning of the study, two weeks after the workshop and at the end of follow-up. Data were analyzed using SPSS21 by descriptive and statistical analysis.This study approved by Mashhad university Medical Ethics Committee and publishing ethics were also observed. Results The changes in the mean value of the frequency of moral distress in the intervention group was not significant, while these changes were significant in the control group ( p < 0.001, df = 2, f = 26.41) and had an upward trend. About intensity changes in the intervention group were significant ( p < 0.01, df = 2, f = 8.52) and had a downward trend, while it was not significant in the control group. Changes in the mean value of level of moral distress in the intervention group were not significant, while these changes were significant in the control group ( p < 0.01, df = 1, f = 16.8). The mean value of moral distress level decreased in the intervention and increased in control group. Conclusion The level of moral distress was increased in the control group due to increase in its frequency. This could be due to awareness of nurses regarding the concept of moral distress which caused them to pay more attention to this issue. Professional ethics workshop did not have effect on the frequency of moral distress, while it reduced the intensity and level of moral distress. Moreover, follow-up through social network reduced the frequency, intensity and the level of moral distress among nurses.


2021 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Barto Mansyah ◽  
Fetty Rahmawati

Efforts to increase knowledge and attitudes in adolescents require a learning media that can not only be used in the world of education but also in the health sector, especially in the prevention of DM where one of the risk factors for DM is an unhealthy diet. One of the media that can be used is audio visual. This study aims to analyze the effect of audio-visual media on diet on the level of knowledge and attitudes of adolescents in preventing type 2 diabetes. This type of research is a quasi-experimental study with a pretest-posttest with control group design. The results showed that there were significant differences in the mean value of knowledge (p value 0,039 <0,005) and attitude score (p value 0,001 <0,005) which were significant between the intervention group and the control group. The mean increase in the knowledge value of the intervention group was 16,27 higher than the control group was 9,20. In the attitude variable, the mean score of attitudes in the intervention group was 13,27 higher than the mean value in the control group, namely 9,20, so it can be concluded that the intervention group in the form of audio-visual health education showed better results in increasing knowledge and attitudes about diet in the prevention of type 2 diabetes.


2019 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Aris Setyawan

Peer-assisted learning (PAL) has been shown to help improve clinical skills. Nevertheless, the PAL method has not been able to provide sufficient training opportunities for participant students due to space and time constraints. The existence of technological developments in the field of education, a new opportunity for lecturers to answer the needs and create innovation using online Peer-assisted learning in supporting the learning process. The purpose of this research was to know difference of clinical skill value of student and learning motivation of student before and after the application of Online peer assisted learning method. The type of this research was quantitative with quasy experimental pre-test and post-test with control group design. The study was conducted in Nursing Study Department of STIKes Surya Global Yogyakarta with a 70 sample from second year students which randomly is devided into control and intervention group. The intervention group was given a peer-assisted learning (PAL) model with the help of video call technology in WhatsApp application. Control group with peer-assisted learning face to face model has ben done usualy. A checklist of clinical skills of thoracic examination and questioner of learning motivation was used as instrument. The result of this research was the mean value of the intervention group learning motivation was 100,6 while the mean value of the learning motivation of the control group was 95,02. The mean value of clinical skills in the pre-test control group of 82,45 and the mean post-test increased to of 87,41. The clinical skill delta value of the intervention group was 5,04 while the control group's delta value was 4,76. The conclusion was the OPAL method has been shown to increase learning motivation and the value of clinical skills of thoracic physical examination in nursing students


2019 ◽  
Vol 26 (2) ◽  
pp. 145-148
Author(s):  
Prashant Goel ◽  
Amorin R. Popa

Abstract Background and aims: To assess the levels of total testosterone in the metabolic syndrome patients. Material and Methods: We included ninety-six patients in our study, forty-nine with metabolic syndrome according to the definition of International Diabetes Federation (IDF) and forty-seven as control. Anthropometric measurements were registered and blood samples were taken after an overnight fast. Results: The mean values of different parameters showed significant differences between both groups. The total testosterone mean value was (338,97±91,2 ng/ml) substantially lower as compared to patients with metabolic syndrome to control group. Conclusion: There is an inverse relationship between total testosterone and metabolic syndrome. Low total testosterone can be a predictor of rising incidence of metabolic syndrome.


Sign in / Sign up

Export Citation Format

Share Document