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Self-Reported Recovery from 2-Week 12-Hour Shift Work Schedules: A 14-Day Follow-Up
Suzanne L. Merkus,Kari Anne Holte,Maaike A. Huysmans,Peter M. van de Ven,Willem van Mechelen,Allard J. van der Beek 한국산업안전공단 산업안전보건연구원 2015 Safety and health at work Vol.6 No.3
Background: Recovery from fatigue is important in maintaining night workers’ health. This study compared the course of self-reported recovery after 2-week 12-hour schedules consisting of either night shifts or swing shifts (i.e., 7 night shifts followed by 7 day shifts) to such schedules consisting of only day work. Methods: Sixty-one male offshore employeesd20 night workers, 16 swing shift workers, and 25 day workersdrated six questions on fatigue (sleep quality, feeling rested, physical and mental fatigue, and energy levels; scale 1e11) for 14 days after an offshore tour. After the two night-work schedules, differences on the 1st day (main effects) and differences during the follow-up (interaction effects) were compared to day work with generalized estimating equations analysis. Results: After adjustment for confounders, significant main effects were found for sleep quality for night workers (1.41, 95% confidence interval 1.05e1.89) and swing shift workers (1.42, 95% confidence interval 1.03e1.94) when compared to day workers; their interaction terms were not statistically significant. For the remaining fatigue outcomes, no statistically significant main or interaction effects were found. Conclusion: After 2-week 12-hour night and swing shifts, only the course for sleep quality differed from that of day work. Sleep quality was poorer for night and swing shift workers on the 1st day off and remained poorer for the 14-day follow-up. This showed that while working at night had no effect on feeling rested, tiredness, and energy levels, it had a relatively long-lasting effect on sleep quality.
A conference report: translating across difference
Suzanne Cochrane 셀메드 세포교정의약학회 2012 TANG Vol.2 No.1
The Quest for Personalised Health: Exploring the emergent interface of East Asian medicines and modern system sciences’ organised by EAST medicine Research Centre at the University of Westminster and the School of Life Sciences through the Director Dr Volker Scheid with Professor Jan van der Greef and Professor Bridie Andrews, as well as the International Association for the Study of Traditional Asian Medicines (IASTAM). It was held in London on the 10th & 11th June, 2011. I commend the Conference organisers and speakers for the challenges they have given. Finding East Asian medicine a place in the future seems a particularly urgent problem in Europe. We need practitioners who continue to do East Asian medicine with clinical excellence. We also need people who are able to connect us with other medical traditions and pioneer studies such as systems biology. If our purpose is to bring the wisdom of our personalised health practises to a broader public then these systems biologists are an excellent and fertile starting point
Risk Assessment and Management of Geohazards
Suzanne Lacasse 한국지반공학회 2011 international journal of geo-engineering Vol.3 No.2
The paper summarizes key aspects in the assessment of hazard and risk and exemplifies these for actual geotechnical design situations. A risk management framework is described. Key components of risk management, such as the notion of acceptable and/or tolerable risk, risk mitigation and risk communication are addressed. Faced with natural hazards, society`s only resource is to learn 10 live and cope with them. One can live with a threat provided the risk associated with it is acceptable or promises are made to reduce the risk to a tolerable level. Case studies illustrate the application of risk analysis and risk management approaches. The examples include the risk associated with the stability of a rock slope in Western Norway, the tsunami risk on the coast of Thailand, measures to mitigate the risk of triggering a quick clay landslide, the hazard and risk associated with major darn overtopping, and the implementation of early warning systems to mitigate the risk of catastrophic consequences.
Comments on Point of Care D-Dimer Testing in the Emergency Department: A Bioequivalence Study
Suzanne Ekelund,Eric Heilmann 대한진단검사의학회 2014 Annals of Laboratory Medicine Vol.34 No.1
Dear Editor We read with interest the article “Point of Care D-Dimer Testing in the Emergency Department: A Bioequivalence Study” by Per- veen et al. published in Ann Lab Med 2013;33:34-38 [1]. In this article, the authors compared the performance of the D-di- mer assays on the AQT90 FLEX analyzer (Radiometer Medical Aps, Åkandevej, Denmark) and the VIDAS analyzer (bioMérieux SA, RCS Lyon, France). The study had 2 objectives: 1. To determine any significant difference between the 2 assays in the time from sample draw until result. 2. To quantify the agreement between the results obtained by the 2 assays when performed on samples from the same sample draw. A pilot study determined that a minimum sample size of 100 patients was required for the first objective. The main study in- cluded 104 patients and revealed a significant difference be- tween the 2 assays in the time from sample draw until result. For the second objective, determining the agreement between the results obtained by the 2 assays, the pilot study did not de- termine a minimum sample size; however, the data from the 104 patients were used in this regard. Additionally, imaging re- sults were available for 40 patients in the study sample. Among these, 7 patients had positive imaging and 33 patients had negative imaging results. Only these 40 imaging results were used to calculate the sensitivity and the specificity for the 2 as-says. Therefore, we agree with the authors when they state that the sample size was not large enough to compare the clinical performance of both assays with respect to venous thrombo- embolism.