Correlation between Surgeon's Experience, Surgery Complexity and the Alteration of Stress Related Physiological Parameters
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{"title"=>"Correlation between surgeon's experience, surgery complexity and the alteration of stress related physiological parameters", "type"=>"generic", "authors"=>[{"first_name"=>"Massimo", "last_name"=>"Marrelli", "scopus_author_id"=>"34868383000"}, {"first_name"=>"Stefano", "last_name"=>"Gentile", "scopus_author_id"=>"56421502200"}, {"first_name"=>"Francesca", "last_name"=>"Palmieri", "scopus_author_id"=>"56421566300"}, {"first_name"=>"Francesco", "last_name"=>"Paduano", "scopus_author_id"=>"56958346400"}, {"first_name"=>"Marco", "last_name"=>"Tatullo", "scopus_author_id"=>"34868807900"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"600483528", "sgr"=>"84911369011", "issn"=>"19326203", "pmid"=>"25379944", "scopus"=>"2-s2.0-84911369011", "doi"=>"10.1371/journal.pone.0112444"}, "id"=>"bf346f43-edd9-3168-a88e-cf30ea512a0c", "abstract"=>"INTRODUCTION: In the present work we analyzed the hormonal (salivary Cortisol; sC), immune (salivary Immunoglobulin A; sIgA) and cardiovascular (Heart rate, HR, and systolic blood pressure, SBP) responses induced by stress conditions in oral surgeons, randomly recruited according to their expertise level., MATERIALS AND METHODS: Each surgeon performed three different surgical procedures with increasing degrees of technical difficulty and under time-limited conditions, to assess whether these variants may influence the risks of stress-induced secondary hypertension among the involved health professionals. sC and sIgA samples and cardiovascular function measurements were taken up before, during, and two hours after every surgery. Salivary samples and cardiovascular measurements were taken also during non-surgical days, as baseline controls., RESULTS: We observed that more experienced surgeons showed a higher stress management ability compared to those with less experience or, generally, younger, which are more exposed to the risks of developing secondary hypertension. Nevertheless, indipendently of sex and experience, oral surgeons are constantly exposed to high risks of developing stress-related diseases., CONCLUSIONS: On the basis of the issues addressed and the results obtained, we have highlighted the importance of the investigated stress biomarkers to monitor and to prevent stress-related pathologies among oral surgeons. This approach is aimed to emphasize the significance of these specific stress-biomarkers, which represent a powerful instrument to evaluate stress levels in oral surgeons, and that may help to reduce the most severe life-threatening risks to which they are daily exposed. In conclusion, final goal of this study is to suggest an useful guideline to monitor the stress levels of oral and maxillofacial surgeons in order to improve their quality of life, which is inevitably reflected on the quality of the performances provided and, finally, to prevent possible mistakes in their daily activities.", "link"=>"http://www.mendeley.com/research/correlation-between-surgeons-experience-surgery-complexity-alteration-stress-related-physiological-p", "reader_count"=>23, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>2, "Researcher"=>6, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>2, "Other"=>2, "Student > Master"=>5, "Student > Bachelor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>2, "Researcher"=>6, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>2, "Other"=>2, "Student > Master"=>5, "Student > Bachelor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>3, "Engineering"=>1, "Environmental Science"=>1, "Biochemistry, Genetics and Molecular Biology"=>1, "Nursing and Health Professions"=>1, "Medicine and Dentistry"=>9, "Agricultural and Biological Sciences"=>1, "Arts and Humanities"=>1, "Neuroscience"=>1, "Sports and Recreations"=>2, "Psychology"=>2}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>9}, "Neuroscience"=>{"Neuroscience"=>1}, "Sports and Recreations"=>{"Sports and Recreations"=>2}, "Psychology"=>{"Psychology"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>3}, "Environmental Science"=>{"Environmental Science"=>1}, "Arts and Humanities"=>{"Arts and Humanities"=>1}}, "reader_count_by_country"=>{"Spain"=>1}, "group_count"=>0}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1783544"], "description"=>"<p>Limbic system modulates the neuroendocrine response to emotional stress, such as occupational stress. The hypothalamus releases CRF which induces the synthesis of ATCH in the anterior lobe of the hypophysis. ACTH acts on adrenal cortex which produces glucocorticoids (manly cortisol in humans). Circulating Cortisol gives its negative feedback on hypothalamus and hypophysis. CRF (Corticotropin releasing factor), ACTH (Adrenocorticotropic-hormone).</p>", "links"=>[], "tags"=>["hr", "stress levels", "sbp", "systolic blood pressure", "Stress Related Physiological Parameters IntroductionIn", "stress management ability"], "article_id"=>1232282, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Massimo Marrelli", "Stefano Gentile", "Francesca Palmieri", "Francesco Paduano", "Marco Tatullo"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0112444.g001", "stats"=>{"downloads"=>8, "page_views"=>83, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Schematic_representation_of_the_hypothalamus_hypophysis_adrenal_cortex_axis_/1232282", "title"=>"Schematic representation of the hypothalamus-hypophysis-adrenal cortex axis.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-11-07 02:43:34"}
  • {"files"=>["https://ndownloader.figshare.com/files/1783545"], "description"=>"<p>CRF (Corticotropin releasing factor), ACTH (Adrenocorticotropic-hormone), SNS (Sympathetic nervous system), HR (Heart rate), SBP (Systolic blood pressure).</p>", "links"=>[], "tags"=>["hr", "stress levels", "sbp", "systolic blood pressure", "Stress Related Physiological Parameters IntroductionIn", "stress management ability"], "article_id"=>1232283, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Massimo Marrelli", "Stefano Gentile", "Francesca Palmieri", "Francesco Paduano", "Marco Tatullo"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0112444.g002", "stats"=>{"downloads"=>8, "page_views"=>104, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Biological_mechanisms_involved_in_the_development_of_occupational_stress_induced_secondary_hypertension_/1232283", "title"=>"Biological mechanisms involved in the development of occupational stress-induced secondary hypertension.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-11-07 02:43:34"}
  • {"files"=>["https://ndownloader.figshare.com/files/1783546"], "description"=>"<p>Each value is expressed as the mean ± SD. BL = baseline; T1 = before surgery (7:30/8:00 am); T2 = during surgery (10:00am/1:00pm); T3 = post surgery (2 h after surgical procedure).</p><p>sC: Salivary cortisol.</p><p>sC baselines compared to sC concentrations registered in T<sub>1</sub>, T<sub>2</sub> and T<sub>3</sub> of each specific surgical procedure.</p>", "links"=>[], "tags"=>["hr", "stress levels", "sbp", "systolic blood pressure", "Stress Related Physiological Parameters IntroductionIn", "stress management ability"], "article_id"=>1232284, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Massimo Marrelli", "Stefano Gentile", "Francesca Palmieri", "Francesco Paduano", "Marco Tatullo"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0112444.t001", "stats"=>{"downloads"=>5, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_sC_baselines_compared_to_sC_concentrations_registered_in_T_1_T_2_and_T_3_of_each_specific_surgical_procedure_/1232284", "title"=>"sC baselines compared to sC concentrations registered in T<sub>1</sub>, T<sub>2</sub> and T<sub>3</sub> of each specific surgical procedure.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-11-07 02:43:34"}
  • {"files"=>["https://ndownloader.figshare.com/files/1783547"], "description"=>"<p>Each values is expressed as the mean ± SD. BL = baseline; T1 = before surgery (7:30/8:00 am); T2 = during surgery (10:00am/1:00pm); T3 = post surgery (2 h after surgical procedure). sIgA: Salivary Immunoglobulin A.</p><p>sIgA baselines compared to sIgA concentrations registered in T<sub>1</sub>, T<sub>2</sub> and T<sub>3</sub> of each specific surgical procedure.</p>", "links"=>[], "tags"=>["hr", "stress levels", "sbp", "systolic blood pressure", "Stress Related Physiological Parameters IntroductionIn", "stress management ability"], "article_id"=>1232285, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Massimo Marrelli", "Stefano Gentile", "Francesca Palmieri", "Francesco Paduano", "Marco Tatullo"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0112444.t002", "stats"=>{"downloads"=>7, "page_views"=>35, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_sIgA_baselines_compared_to_sIgA_concentrations_registered_in_T_1_T_2_and_T_3_of_each_specific_surgical_procedure_/1232285", "title"=>"sIgA baselines compared to sIgA concentrations registered in T<sub>1</sub>, T<sub>2</sub> and T<sub>3</sub> of each specific surgical procedure.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-11-07 02:43:34"}
  • {"files"=>["https://ndownloader.figshare.com/files/1783548"], "description"=>"<p>Each value is expressed as the mean ± SD. BL = baseline; T<sub>1</sub> = before surgery (7:30/8:00 am); T<sub>2</sub> = during surgery (10:00am/1:00pm); T<sub>3</sub> = post surgery (2 h after surgical procedure). HR: Heart rate. SBP: Systolic Blood Pressure.</p><p>HR and SBP baselines compared HR and SBP registered in T<sub>1</sub>, T<sub>2</sub> and T<sub>3</sub> of each specific surgical procedure.</p>", "links"=>[], "tags"=>["hr", "stress levels", "sbp", "systolic blood pressure", "Stress Related Physiological Parameters IntroductionIn", "stress management ability"], "article_id"=>1232286, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Massimo Marrelli", "Stefano Gentile", "Francesca Palmieri", "Francesco Paduano", "Marco Tatullo"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0112444.t003", "stats"=>{"downloads"=>5, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_HR_and_SBP_baselines_compared_HR_and_SBP_registered_in_T_1_T_2_and_T_3_of_each_specific_surgical_procedure_/1232286", "title"=>"HR and SBP baselines compared HR and SBP registered in T<sub>1</sub>, T<sub>2</sub> and T<sub>3</sub> of each specific surgical procedure.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-11-07 02:43:34"}

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Relative Metric

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