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Prevenzione degli eventi infortunistici e stress lavoro-correlato:correlazione tra fattori di rischio e biomarcatori di stress
Morfologia dell’elettrocardiogramma in lavoratori turnisti
BACKGROUND:
Besides a significant deterioration in their family and personal life, shift workers also suffer health problems ranging from chronic fatigue to gastro-intestinal disorders, changes in sleep rhythm and cardiovascular disease, including arrhythmia and ischaemic heart disease.
OBJECTIVES:
The aim of the study was to assess the prevalence of electrocardiographic changes, such as conduction disorders, alterations in the repolarization phase and frequency-adjusted QT interval (QTc) in relation to shift work.
METHODS:
We conducted a cross sectional survey of 125 male subjects, 60 of whom worked fixed hours, and 65 were shift workers on two different schedules: 32 were on duty for 24 hours followed by 96 hours rest, and 33 worked 8-hour shifts (3 x 8). During periodical health assessment we examined their electrocardiograms (ECG), classified the morphology and measured the QTc interval.
RESULTS:
The QTc interval did not differ by type of work shift or by the presence of morphological changes in the ECG, including concurrent conduction disorders, or alterations in the repolarization phase. However, unlike day workers and 24-h shift workers, the QTc interval tended to increase with age among 8-h shift workers (r = 0.338; p = 0.05). Also, risk of conduction disorders was moderately, but not significantly, elevated among 8-h shift workers compared with subjects working fixed hours (OR = 1.9; I.E 95% 0.6, 5.7).
CONCLUSIONS:
Our study did not reveal significant changes in the ECG morphology in relation to the type of work shift
Going Beyond Counting First Authors in Author Co-citation Analysis
The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
QTc interval and electrocardiographic changes by type of shift work
Background We conducted a cross sectional survey of electrocardiographic changes
among shift-workers.
Methods We classified the electrocardiogram morphology, and measured the QTc interval
in 91 male workers engaged in regular daily work-shifts, 32 in 24 hr work-shift (h24), and
93 in irregular 6 hr work-shift (h6).
Results With reference to daily workers, the QTc interval was prolonged among h6
workers (P < 0.001) and h24 workers (P < 0.005). The age- and obesity-adjusted
standardized prevalence ratio (SPR) of a borderline/prolonged QTc was 2.2-fold among h6
workers (95% CI 1.2, 4.2); conduction disorders (SPR 1⁄4 2.6; 95% CI 1.3, 5.2) and
repolarization disorders (SPR 1⁄4 1.9; 95% CI 1.0, 3.5) were also more frequently observed
among h6 workers. Excluding 19 subjects with risk factors for prolonged QTc did not
change the results.
Conclusions Our study reveals significant changes in the ECG morphology in relation to
shift-work, especially in unpredictable and non-standard working hours
Variations on the Author
“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Indexes of cardiac autonomic profile detected with short term holter ECG in health care shift workers: A cross sectional study
Background: The assessment of early effect of shift work-related circadian rhythms desynchronization and work-related stress in health care workers has gained a primary role among the duties of the occupational physician. Objectives: Aim of our study was to assess the cardiac autonomic modulation through quantification of sinus rhythm variability, as an index of the adaptability to shift work of the cardiovascular system in healthcare shift workers. Methods: We measured Heart Rate Variability (HRV) by short-term (60 minutes) Holter Electrocardiography (ECG) during the regular duties in the respective department of 42 healthcare workers (31 nurses and 11 physicians) of an Italian Hospital (12 male and 30 females, aged 24-58 years), working on 3 shifts with a forward fast rotation with rest at the end of the night shift (7 am-2 pm; 2 pm-10 pm; 10 pm-7 am) or in a fixed daytime shift (8 am-2 pm). Measurements were all performed between 9 am and 12 am for fixed day workers and between 9 am and 12 pm or between 10 pm and 1 am for shift workers. The following HRV parameters were compared between the subgroups of shift workers and daytime workers: mean heart rate (HR), standard deviation of all normal RR (NN) intervals (SDNN), standard deviation of the averages of NN intervals in all 5-minute segments of a recording (SDaNN) and the triangular index (the integral of the density distribution divided by the maximum of the density distribution). We used parametric tests for independent series to compare HRV parameters by subgroups within the study subjects. We also tested correlation between the variables of interest and the association between HRV and shift work modal-ity, along with other covariates, by means of a multiple linear regression analysis. Results: We found significantly lower values of SDaNN in shift workers compared with workers engaged solely on day shifts (50.80 ms vs 66.71 ms; p=0,014). The mean heart rate did not show any significant difference between day workers and shift workers (85.78 bmp vs 85.53 bpm respectively). Multivariate analysis showed a significant association between SDNN and female gender and age, while no significant associations were found between HRV and shift work. Discussion: The autonomic control of the heart rhythm could be disrupted by desynchronization of the biological rhythm secondary to the organization of shift work and night work. Shift work is an important factor of social and biological distress, influencing the adaptability of the cardiovascular system to stimuli and demands of work organization
Appropriate Similarity Measures for Author Cocitation Analysis
We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Risultati di un programma di sorveglianza sanitaria post-esposizione in operatori sanitari esposti a mycobacterium tuberculosis
Analisi ergonomica, posturale e valutazione del rischio da vibrazioni nell’intero corpo in operatori di gru portainer del Porto di Cagliari
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