On-Call Duty Effects on Sleep-State Physiological Stability in Male Medical Interns
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{"title"=>"On-Call Duty Effects on Sleep-State Physiological Stability in Male Medical Interns", "type"=>"journal", "authors"=>[{"first_name"=>"Yu Hsuan", "last_name"=>"Lin", "scopus_author_id"=>"36164300800"}, {"first_name"=>"Yen Cheng", "last_name"=>"Ho", "scopus_author_id"=>"54684155200"}, {"first_name"=>"Sheng Hsuan", "last_name"=>"Lin", "scopus_author_id"=>"55627295300"}, {"first_name"=>"Yao Hsien", "last_name"=>"Yeh", "scopus_author_id"=>"55994724900"}, {"first_name"=>"Chia Yih", "last_name"=>"Liu", "scopus_author_id"=>"7409792449"}, {"first_name"=>"Terry B.J.", "last_name"=>"Kuo", "scopus_author_id"=>"7401533815"}, {"first_name"=>"Cheryl C.H.", "last_name"=>"Yang", "scopus_author_id"=>"57154896200"}, {"first_name"=>"Albert C.", "last_name"=>"Yang", "scopus_author_id"=>"7203072314"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"isbn"=>"1932-6203", "sgr"=>"84878657836", "pui"=>"369060492", "pmid"=>"23750232", "issn"=>"19326203", "scopus"=>"2-s2.0-84878657836", "doi"=>"10.1371/journal.pone.0065072"}, "id"=>"053f5396-4cbc-3b10-a901-2932ad809d44", "abstract"=>"BACKGROUND: On-call duty among medical interns is characterized by sleep deprivation and stressful working conditions, both of which alter cardiac autonomic modulation. We hypothesized that sleep stability decreased in medical interns during on-call duty. We used cardiopulmonary-coupling (CPC) analysis to test our hypothesis. METHODS: We used electrocardiogram (ECG)-based CPC analysis to quantify physiological parameters of sleep stability in 13 medical interns during on-call and on-call duty-free periods. There were ten 33.5-h on-call duty shifts per month for interns, each followed by 2 on-call duty-free days, over 3 months. Measurements during sleep were collected before, during, and after an on-call shift. Measurements were repeated 3 months later during an on-call duty-free period. RESULTS: The medical interns had significantly reduced stable sleep, and displayed increased latency to the first epoch of stable sleep during the on-call night shift, compared to the pre-call and on-call duty-free nights. Interns also had significantly increased rapid-eye-movement (REM) sleep during the on-call night shift, compared to the pre-call and on-call duty-free nights. CONCLUSION: Medical interns suffer disrupted sleep stability and continuity during on-call night shifts. The ECG-based CPC analysis provides a straightforward means to quantify sleep quality and stability in medical staff performing shift work under stressful conditions.", "link"=>"http://www.mendeley.com/research/oncall-duty-effects-sleepstate-physiological-stability-male-medical-interns", "reader_count"=>18, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>1, "Researcher"=>3, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>1, "Student > Postgraduate"=>1, "Student > Master"=>3, "Other"=>1, "Student > Bachelor"=>6, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>1, "Researcher"=>3, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>1, "Student > Postgraduate"=>1, "Student > Master"=>3, "Other"=>1, "Student > Bachelor"=>6, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Engineering"=>3, "Biochemistry, Genetics and Molecular Biology"=>1, "Medicine and Dentistry"=>9, "Psychology"=>3}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>3}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>9}, "Psychology"=>{"Psychology"=>3}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>2}}, "reader_count_by_country"=>{"Colombia"=>1}, "group_count"=>3}

Scopus | Further Information

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Figshare

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  • {"files"=>["https://ndownloader.figshare.com/files/1074236"], "description"=>"<p>(A) REM percentage of sleep on different days; (B) Stable sleep percentage of sleep on different days; (C) Unstable sleep percentage of sleep on different days; The results are expressed as Mean ± SD.<sup> ##</sup>P<0.01 compared to duty-free day; <sup>#</sup>P<0.05 compared to duty-free day; *P<0.05 compared to pre-call day; **P<0.01 compared to pre-call day by generalized estimation equation, n = 13.</p>", "links"=>[], "tags"=>["Anatomy and physiology", "Physiological processes", "sleep", "cardiovascular", "electrophysiology", "Mental health", "psychology", "Psychological stress", "Non-clinical medicine", "Health care policy", "Health care providers", "Health care quality"], "article_id"=>711502, "categories"=>["Medicine", "Biological Sciences", "Sociology"], "users"=>["Yu-Hsuan Lin", "Yen-Cheng Ho", "Sheng-Hsuan Lin", "Yao-Hsien Yeh", "Chia-Yih Liu", "Terry B. J. Kuo", "Cheryl C. H. Yang", "Albert C. Yang"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0065072.g002", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Patterns_of_sleep_/711502", "title"=>"Patterns of sleep.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-06-04 00:25:02"}
  • {"files"=>["https://ndownloader.figshare.com/files/1074237"], "description"=>"<p>(A) REM latency on different days; (B) Stable sleep latency on different days; (C) Unstable sleep latency on different days; The results are expressed as Mean ± SD. <sup>##</sup>P<0.01 compared to duty-free day; <sup>#</sup>P<0.05 compared to pre-call day, by generalized estimation equation, n = 13.</p>", "links"=>[], "tags"=>["Anatomy and physiology", "Physiological processes", "sleep", "cardiovascular", "electrophysiology", "Mental health", "psychology", "Psychological stress", "Non-clinical medicine", "Health care policy", "Health care providers", "Health care quality"], "article_id"=>711503, "categories"=>["Medicine", "Biological Sciences", "Sociology"], "users"=>["Yu-Hsuan Lin", "Yen-Cheng Ho", "Sheng-Hsuan Lin", "Yao-Hsien Yeh", "Chia-Yih Liu", "Terry B. J. Kuo", "Cheryl C. H. Yang", "Albert C. Yang"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0065072.g003", "stats"=>{"downloads"=>0, "page_views"=>1, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Latency_to_the_first_epoch_/711503", "title"=>"Latency to the first epoch.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-06-04 00:25:03"}

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  • {"unique-ip"=>"3", "full-text"=>"3", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"1"}
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  • {"unique-ip"=>"5", "full-text"=>"3", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"10"}
  • {"unique-ip"=>"4", "full-text"=>"1", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"11"}
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  • {"unique-ip"=>"2", "full-text"=>"2", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2021", "month"=>"1"}
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Relative Metric

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