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Related Concept Videos

Insufficient Sleep and Sleep Deprivation01:13

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Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
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Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response01:15

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Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
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Substance Use Disorders Affecting Sleep01:24

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Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
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The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
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The biological clock is involved in many aspects of regulating complex physiology in all animals. It was in 1935 when German zoologists, Hans Kalmus and Erwin Bünning, discovered the existence of circadian rhythm in Drosophila melanogaster. However, the internal molecular mechanisms behind the circadian clock remained a mystery until 1984, when Jeffrey C. Hall, Michael Rosbash, and Michael W. Young discovered the expression of the Per gene oscillating over a 24-hour cycle. In subsequent...
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Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
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Shift Work: A Perspective on Shift Work Disorder-Is Prevention the Answer?

Amit Gupta1, Thomas Roth1, Timothy Roehrs1

  • 1Henry Ford Health System, Wayne State University School of Medicine, Detroit, Michigan.

Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine
|December 20, 2019
PubMed
Summary
This summary is machine-generated.

Shift work disorder (SWD) affects nearly 20% of US workers, particularly in healthcare. Early prevention strategies are crucial due to treatment complexities and potential long-term health risks for shift workers.

Keywords:
preventionshift work disorder (SWD)

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Area of Science:

  • Occupational Health
  • Sleep Medicine
  • Chronobiology

Background:

  • Shift work affects nearly 20% of the US workforce, with significant prevalence among healthcare professionals like physicians and nurses.
  • Recognition and diagnosis of shift work disorder (SWD) remain a challenge, despite its impact on worker health and well-being.
  • While some individuals adapt to shift work, many experience sleep disturbances, leading to chronic sleepiness and other health issues.

Purpose of the Study:

  • To highlight the challenges in identifying and treating shift work disorder (SWD) within the healthcare sector.
  • To emphasize the need for a preventive approach to SWD, given the complexities of managing established maladjustment.
  • To share personal experiences and suggest practical, research-backed strategies for SWD prevention.

Main Methods:

  • Review of existing literature on shift work disorder prevalence, diagnosis, and treatment.
  • Analysis of the challenges in treating SWD, including circadian phase determination and pharmacologic considerations.
  • Presentation of a personal case study and proposal for a preventive framework for SWD.

Main Results:

  • Shift work disorder (SWD) is underrecognized, particularly in healthcare settings, despite its significant health implications.
  • Current treatment for SWD is complex, involving pharmacologic and circadian interventions, with challenges in implementation.
  • Preventing SWD is proposed as a priority due to the difficulties and risks associated with treating established cases.

Conclusions:

  • A proactive, preventive strategy for shift work disorder (SWD) is essential for improving the health and safety of shift workers.
  • Further research and clinical implementation of preventive measures are needed to address SWD effectively.
  • Addressing SWD requires a multifaceted approach focusing on early identification and intervention, especially for medical trainees.