A Note on Learning to Express and Feel Appropriate Emotions in the Adult Way: Observations of Monday Morning School Rituals in Germany and India

2020 ◽  
pp. 283-291
Author(s):  
Iris Clemens
Keyword(s):  
2020 ◽  
Vol 4 (2) ◽  
pp. 167-176
Author(s):  
Achim Elfering ◽  
Christin Gerhardt ◽  
Diana Pereira ◽  
Anna Schenker ◽  
Maria U. Kottwitz

Abstract Purpose Accidents are more likely to occur during the morning hours of Mondays (Monday effect). This might be due to a higher level of cognitive failure on Monday morning at work. Methods In a pilot actigraphy study across one working week, we explored this Monday effect and regressed daily self-reported workplace cognitive failure on weekdays (Monday versus other days), background social stressors at work, delayed sleep onset and sleep duration. Diary data were gathered from 40 full-time employees. Results Confirming our assumptions, results revealed work-related cognitive failure and sleep-onset latency on the previous night to be higher on Mondays compared to other workdays. Work-related cognitive failure correlated positively with delayed sleep-onset latency and background social stressors. In multilevel regression analysis, Monday significantly explained variations in workplace cognitive failure. The addition of background social stressors at work and sleep-onset latency to the regression model showed unique contributions to the prediction of workplace cognitive failure. No significant two-way or three-way interactions between working days, sleep-onset latency or sleep duration, and background social stressors were found. Conclusion Peak levels of cognitive failure on Monday morning and the association of cognitive failure with social stressors at work contribute to understanding the mechanisms involved in the increased prevalence of occupational accidents on Monday morning. Occupational safety interventions should address both social stressors at work and individual sleep hygiene.


JAMA ◽  
1992 ◽  
Vol 268 (4) ◽  
pp. 468
Author(s):  
Abigail Zuger
Keyword(s):  

Sangyo Igaku ◽  
1965 ◽  
Vol 7 (8) ◽  
pp. 450-453
Author(s):  
Kiyoo MATSUI ◽  
Hiroshi SAKAMOTO ◽  
Shizuko SUGIURA

2018 ◽  
Vol 103 (2) ◽  
pp. e2.43-e2
Author(s):  
Michelle Kirrane ◽  
Rob Cunney ◽  
Roisin McNamara ◽  
Ike Okafor

Appropriate choice of empiric antibiotic therapy, in line with local guidelines, improves outcome for children with infection, while reducing adverse drug effects, cost, and selection of antimicrobial resistance. Data from national point prevalence surveys showed compliance with local prescribing guidelines at our hospital was suboptimal. A team with representatives from the pharmacy, microbiology and emergency departments collaborated with prescribers to improve the quality of empiric antibiotic prescribing. The project aim was, using the ‘Model for Improvement’, to ensure ≥90% of children admitted via the Emergency Department (ED) and commenced on antibiotic therapy, have a documented indication and a choice of therapy in line with local antimicrobial guidelines.MethodResults of weekly audits of the first ten children admitted via ED and started on antibiotics were fed back to prescribers. Front line ownership techniques were used to develop ideas for change, including; regular antibiotic prescribing discussion at Monday morning handover meeting, antibiotic ‘spot quiz’ for prescribers, updates to prescribing guidelines (along with improved access and promotion of prescribing app), printed ID badge guideline summary cards, reminders and guideline summaries at point of prescribing in ED.Collection of audit data initially proved challenging, but was resolved through a series of rapid PDSA cycles. Initial support from ED consultants and other ED staff facilitated establishment of the project. Presentation of weekly run charts to prescribers fostered considerable support among consultants and non-consultant doctors (NCHDs). We saw a shift in perspective from ‘how is your project going?’ to ‘How are we doing?’.ResultsDocumentation of indication and guideline compliance increased from a median of 30% in December 2014/January 2015 to 100% consistently from February 2015 to the present. It is felt that a change in approach to antimicrobial prescribing is now embedded in our hospital culture as this improvement has remained constant through three NCHD changeovers. A comparison of 2014 Antimicrobial expenditure to 2015 figures shows a reduction in expenditure of €101,078.44.ConclusionThis project has inspired other departments to develop local QIPs and has encouraged the surgical teams to lead their own audits in antimicrobial stewardship. An improvement in other areas of antimicrobial prescribing has also been noted e.g. documentation of review date.The initiative has been shared with other hospitals throughout Ireland via presentations at the National Patient Safety Conference, Antimicrobial Awareness day and the Irish Antimicrobial Pharmacist’s Group meeting. It has also been shared at both European and international conferences. The project was a shortlisted finalist for a national healthcare excellence award and has been rolled out as part of a national quality improvement collaborative.


2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Weiwei Lin

Objective (1)Through the blood physiological and biochemical tests during the altitude training, to analyze the body function of swimmers in this stage.(2) Through the individual lactate threshold tests before and after the altitude training,to analyze the effects of altitude training. Methods Eight swimmers took a 26-day altitude training session.The individual lactate threshold test was carried out by the Swedish Monak839E power cycle progressive loading method before and after the training;During the altitude training period, 5ml of the subjects' elbow vein was extracted and tested on an empty stomach and in a quiet state every Monday morning. Results (1)When swimmers reached the plateau, the hemoglobin value was indistinguishable from the plain(male 156.2±7.01,female 135.7±8.75g/L),From the hemoglobin value (male 154.03 + 5.67, female 134.23 + 9.66g/L), there was a decrease in both male and female in the second week.But hypoxia stimulated red blood cell production, and the body itself was gradually adapting to the training load.Thus, the hemoglobin value of the third week (male 157.17 + 3.7, female 141.93 + 10.06g/L) was significantly improved, and higher than the level of the first week.During the altitude training period, the mean value of male’s blood testosterone was 474.33 + 97.06ng/dl, and the female’s blood testosterone was 33.67 + 17.25ng/dl.Male’s blood testosterone was lower than the mean of the national team, because the study participants were youngers who were not fully developed and had shorter training years.There were different trends in blood testosterone value between male and female. Male’s blood testosterone values during the Monday morning of these three weeks were 479.67±76.25、492.33±83.61、451±153.41ng/dl respectively.female’s blood testosterone values during the Monday morning of these three weeks were 29.33±21.83、32±23.26、39.67±9.29ng/dl respectively.These further indicated that this altitude training plan was more suitable for male with shorter training years, and the body had certain fatigue accumulation, but the decrease range was within a reasonable range.However, the increase of blood testosterone per week in female indicated that the training stimulation depth was not enough, and the potential of athletes should be further explored.According to the changes of creatine kinase, the sensitivity of male to the change of altitude training intensity was also shown, and the highest value of creatine kinase was 731U/L in the first week.(2) From the value of the individual lactate threshold before and after altitude training, no matter male or female,the change was not obvious, but was generally improved, this may be the altitude training adopted the pattern of three and a half weeks, training time was short.Secondly, as a professional athlete, the "plastic space" gradually decreased with the extension of the training years.Most of the peak blood lactate occurred in 1-3 minutes of recovery period.and the average value increased from 8.96 + 1.86mmol/L before altitude training to 9.99 + 1.47mmol/L.Among them, the peak value of male’s blood lactate was increased from 8 + 2.22mmol/L before the altitude training to 10.91 + 1.43mmol/L, and there was a significant difference in the peak of blood lactate before and after the altitude training.However, the peak value of female’s blood lactate was decreased from 9.92 + 0.79mmol/L before the altitude training to 9.07 + 0.88mmol/L. This was mainly due to the fact that a member of the swimmers had caused the result, and this swimmer’s enduring lactate level was lower than the one before the plateau. Conclusions The altitude training generally improved athletes’ training ability, but based on factors such as training age, gender, should be targeted according to the individual situation of each athlete training plan, so as to achieve more from less.


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