scholarly journals The role of shift work and psychosocial stress in development of hemostasis disorders in employees of EMERCOM of Russia

Author(s):  
V. V. Kozhevnikova ◽  
O. V. Tikhomirova ◽  
I. P. Lomova ◽  
N. N. Zybina ◽  
O. N. Startseva

Relevance. Shift work was found to induce pathological processes due to desynchronization of human circadian biorhythms.Intention. To determine incidence of hemostasis disorders and their relation to labour nature in employees of EMERCOM of Russia.Methodology.There were examined 37 employees of EMERCOM of Russia aged 32–58 (42.0 ± 6.8) with work experience (12.0 ± 6.9) years, high level of psychosocial stress and different work schedules: day (n = 11), shift (n = 14), irregular working hours (n = 12). The level of professional stress was studied using a specially developed questionnaire and the night sleep – using Pittsburgh Sleep Quality Index (PSQI). Сortisol circadian dynamics was evaluated, hemostasis state was fully assessed.Results and Discussion.The questionnaire showed irregularity of work schedule, additional working hours, decreased leisure time and high intensity of work in all study groups. High incidence of arterial hypertension (44 %) was registered without constant antihypertensive therapy. Pittsburgh Sleep Quality Index (PSQI) indicated sleep disorders among 24 (65 %) EMERCOM employees. Сortisol circadian dynamics test demonstrated increased level of the evening cortisol in 40 % of EMERCOM employees indicating widespread desynchronosis signs in the study group. Hemostatic system comprehensive assessment showed absence of considerable changes in thrombocytic component and a significant activation of plasma hemostasis according to the thrombodynamics assay. Hemostasis disorders were most expressed in the group with shift work and high psychosocial stress; they manifested in increased clots formation, spontaneous clots formation and increased VIII coagulation factor activity.Conclusion. The study confirmed the existing vision that chronic stress and desynchronosis change the hemostatic balance into chronic hypercoagulation state.

2019 ◽  
Author(s):  
Abdulwahab Alghaith ◽  
Rafaat Azim ◽  
Rasheed Ahmad ◽  
Fatema Al-Rashed

ABSTRACTObesity is an epidemic problem facing Kuwait and other neighboring countries within the region. Lifestyle and social structure in this region differ in comparison to the western world. The hot chalinging climate favor night time activities while working hours still force a stringent early attendence. This study is specifically conducted for Kuwait’s population to investigate the link between Sleep Quality (SQ) and obesity. A cross-sectional study was conducted for a sample of 1002 participants. Structured questionnaires were used in the study as a tool of research. The participants were asked about their sleep habits, sleep problems, medications, job nature and demographics. All participants consented prior to conducting the survey. In order to measure sleep quality (SQ), the Pittsburgh Sleep Quality Index (PQSI) was used. Statistical analysis was conducted between variables and the data were compared using either two-tailed t-test or one-way ANOVA followed by Tukeys multiple comparison test. Pearson’s correlation coefficient ‘r’ was used to assess linear dependence. 59.4% of Kuwait population reported a PSQI score higher than 5, with 57.3% of the participants reporting less than 6 hours of sleep per day. The presented data shows that both sleep quality and sleep duration are considered inadequate in comparison to international sleep quality standards. None the less, we also found strong a significant association between sleep quality and its component and obesity, while other factors such as age and gender were found insignificant. These finding suggest that sleep deprivation and disturbance could be an indirect inducing factor of obesity in Kuwait. The researchers are of the view that there is a need for more study in the area of obesity and SQ in order to handle the obesity epidemic in the country.


Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1757
Author(s):  
Michael R. Szymanski ◽  
Gabrielle E. W. Giersch ◽  
Margaret C. Morrissey ◽  
Courteney L. Benjamin ◽  
Yasuki Sekiguchi ◽  
...  

Euhydration remains a challenge in children due to lack of access and unpalatability of water and to other reasons. The purpose of this study was to determine if the availability/access to a beverage (Creative Roots®) influences hydration in children and, therefore, sleep quality and mood. Using a crossover investigation, 46 participants were randomly assigned to a control group (CON) or an intervention group and received Creative Roots® (INT) for two-week periods. We recorded daily first morning and afternoon urine color (Ucol), thirst perception, and bodyweight of the two groups. Participants reported to the lab once per week and provided first morning urine samples to assess Ucol, urine specific gravity (USG), and urine osmolality (Uosmo). Participants also completed the questionnaires Profile of Mood States-Adolescents (POMS-a) and Pittsburgh Sleep Quality Index (PSQI). Dependent t-tests were used to assess the effects of the intervention on hydration, mood, and sleep quality. Uosmo was greater and Ucol was darker in the control group (mean ± SD) [Uosmo: INT = 828 ± 177 mOsm·kg−1, CON = 879 ± 184 mOsm·kg−1, (p = 0.037], [Ucol:INT = 5 ± 1, CON = 5 ± 1, p = 0.024]. USG, POMS-a, and PSQI were not significant between the groups. At-home daily afternoon Ucol was darker in the control group [INT = 3 ± 1, CON = 3 ± 1, p = 0.022]. Access to Creative Roots® provides a small, potentially meaningful hydration benefit in children. However, children still demonstrated consistent mild dehydration based on Uosmo, despite consuming the beverage.


Author(s):  
Andy Chien ◽  
Fei-Chun Chang ◽  
Nai-Hsin Meng ◽  
Pei-Yu Yang ◽  
Ching Huang ◽  
...  

Abstract Purpose Robot-assisted gait rehabilitation has been proposed as a plausible supplementary rehabilitation strategy in stroke rehabilitation in the last decade. However, its exact benefit over traditional rehabilitation remain sparse and unclear. It is therefore the purpose of the current study to comparatively investigate the clinical benefits of the additional robot-assisted training in acute stroke patients compared to standard hospital rehabilitation alone. Methods Ninety acute stroke patients (< 3 month) were recruited. All participants received the standard hospital neurorehabilitation comprises 45–60 min sessions daily for 3 weeks. Sixty patients also received an additional 30 min of robot-assisted gait training with the HIWIN MRG-P100 gait training system after each of the standard neurorehabilitation session. Outcome measures included: 1. Berg Balance Scale (BBS); 2. Brunnstrom Stage; 3. Pittsburgh Sleep Quality Index and 4. Taiwanese Depression Questionnaire (TDQ) which were assessed pre-treatment and then after every five training sessions. Results Both groups demonstrated significant improvement pre- and post-treatment for the BBS (robotic group p = 0.023; control group p = 0.033) but no significant difference (p > 0.1) between the groups were found. However, the robotic training group had more participants demonstrating larger BBS points of improvement as well as greater Brunnstrom stage of improvement, when compared to the control group. No significant within and between group statistical differences (p > 0.3) were found for Pittsburgh Sleep Quality Index and Taiwanese Depression Questionnaire. Conclusion The addition of robotic gait training on top of standard hospital neurorehabilitation for acute stroke patients appear to produce a slightly greater improvement in clinical functional outcomes, which is not transferred to psychological status.


2016 ◽  
Vol 20 (3) ◽  
pp. 1045-1051 ◽  
Author(s):  
Johanna Takács ◽  
Róbert Bódizs ◽  
Péter Przemyslaw Ujma ◽  
Klára Horváth ◽  
Péter Rajna ◽  
...  

2017 ◽  
Vol 40 ◽  
pp. e190
Author(s):  
G.-X. Li ◽  
Y.-L. Liu ◽  
W.-D. Wang ◽  
J. Wang ◽  
Y. Birling ◽  
...  

2018 ◽  
Vol 16 (2) ◽  
Author(s):  
Josyandra Paula de Freitas ◽  
Mariana Pereira Inácio Silvestri ◽  
César Eduardo Fernandes ◽  
Emerson de Oliveira

ABSTRACT Objective: To evaluate the quality of sleep in women with urinary incontinence before and after sling surgery. Methods: A prospective study of case series of women with urodynamic diagnosis of stress urinary incontinence. To evaluate the subjective quality of sleep, two specific questionnaires were used and validated for the Portuguese Language: Epworth Sleepiness Scale and Pittsburgh Sleep Quality Index. The questionnaires were applied before and 6 months after surgical repair. Results: When analyzing the Epworth Sleepiness Scale, there was an improvement in sleep quality (p=0.0401). For the Pittsburgh Sleep Quality Index, only for sleep disorder there was improvement in quality of sleep after surgery (p=0.0127). Conclusion: Women with urinary incontinence, submitted to surgery with sling, showed improvement in both quality of sleep and sleep disorder.


2017 ◽  
Vol 93 (2) ◽  
pp. 200-206 ◽  
Author(s):  
Muana H.P. Passos ◽  
Hítalo A. Silva ◽  
Ana C.R. Pitangui ◽  
Valéria M.A. Oliveira ◽  
Alaine S. Lima ◽  
...  

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