Twelve-Hour Night Shifts of Healthcare Workers: A Risk to the Patients?

We assessed the impact of 12h fixed night shift (19:00–07:00h) work, followed by 36h of off-time, on the sleep–wake cycle, sleep duration, self-perceived sleep quality, and work-time alertness on a group composed of 5 registered and 15 practical nurses. Wrist actigraphy (Ambulatory Monitoring, Inc.), with data analysis by the Cole-Kripke algorithm, was applied to determine sleep/wake episodes and their duration. The sleep episodes were divided into six categories: sleep during the night shift (x¯=208.6; SD±90.6mins), sleep after the night shift (x¯=138.7; SD±79.6min), sleep during the first night after the night work (x¯=318.5; SD±134.6min), sleep before the night work (x¯=104.3; SD±44.1min), diurnal sleep during the rest day (x¯=70.5; SD±43.0min), and nocturnal sleep during the rest day (x¯=310.4; SD±188.9mins). A significant difference (p<.0001; T-test for dependent samples) was detected between the perceived quality of sleep of the three diurnal sleep categories compared to the three nocturnal sleep categories. Even thought the nurses slept (napped) during the night shift, their self-perceived alertness systematically decreased during it. Statistically significant differences were documented by one-way ANOVA (F=40.534 p<.0001) among the alertness measurements done during the night shift. In particular, there was significant difference in the level of perceived alertness (p<.0001) between the 7^th and 10^thh of the 12h night shift. These findings of decreased alertness during the terminal hours of the night shift are of concern, since they suggest risk of comprised patient care.     

News from the Biological Stain Commission No. 12

Abstract

In this 12^th issue of News from the Biological Stain Commission (BSC) under the heading of Regulatory affairs, the Biological Stain Commission’s International Affairs Committee presents information from the meetings of ISO/TC 212/WG 1 Quality and competence in the medical laboratory and ISO/TC 212/WG 3 In vitro diagnostic products both held on 2 – 3 June 2010, plus information on the second plenary meeting of ISO/TC 212 Clinical laboratory testing and in vitro diagnostic test systems held on 4 June 2010. All meetings took place in Seoul, Republic of Korea. Finally, information is provided concerning the 25^th meeting of CEN/TC 140 In vitro diagnostic medical devices held on 23 June 2010 in Berlin, Germany.     

Lifestyle factors and sperm aneuploidy

Different environmental and lifestyle factors may interfere with the normal disjunction of sister chromatids/chromosomes during meiosis and may cause aneuploidy. The aim of the study was to examine the association between lifestyle factors and sperm aneuploidy. The study population consisted of 212 healthy men under 45 years of age attending an infertility clinic for diagnostic purposes and who had a normal semen concentration of 20–300 × 10⁶ mL or slight oligozoospermia (semen concentration of 15–20 × 10⁶/mL). All participants were interviewed and provided a semen sample. Sperm aneuploidy was assessed using multicolor FISH (DNA probes specific for chromosomes X, Y, 18, 13, 21). Results from the study suggest that lifestyle factors are related to sperm aneuploidy. A positive relationship was found between coffee drinking everyday and the lack of chromosome X or Y, as well as coffee drinking 1–6 times per week and additional chromosome 18. Wearing boxer shorts decrease the copy number changes in the whole chromosome 18, the number of additional chromosome 18 and the lack of chromosome 13. Additionally, obesity (BMI 30–40 kg/m²) was positively associated with additional chromosome 21 after being adjusted for potential confounders. These findings demonstrate that changing the men's lifestyle habits may contribute to reduction of the incidence of sperm aneuploidy. It is necessary that men continue to follow sensible health advice concerning excess weight, coffee drinking and wearing tight fitting underwear. As this is the first such study to examine different lifestyle factors and sperm aneuploidy, the results need to be confirmed on larger population.     

Catchment context and the bottom‐up regulation of the abundance of specialist semi‐aquatic weevils on water hyacinth

1. Bottom‐up regulation is prevalent in plant–herbivore interactions and is thought to be particularly important in the case of aquatic plants and their specialist insect herbivores. 2. Recently published mesocosm studies have shown that the abundance of specialist Neochetina weevils, N. bruchi and N. eichhorniae, on water hyacinth (Eichhornia crassipes) are principally under the influence of nutrients in plant tissues. 3. We examined historical patterns of the abundance of these species of semi‐aquatic weevils in two water bodies from catchments with significantly different nutrient loads in subtropical Australia to test the validity of the published conceptual model of bottom‐up regulation. 4. Our results revealed that these weevils are indeed under bottom‐up regulation under field conditions. However, the nature of this regulation appears to be influenced by the broader catchment context of the water hyacinth‐infested water body, with plant tissue nutrients influencing weevil abundance more in the catchment with lower nutrient run‐offs. 5. Our findings reaffirm the importance of bottom‐up regulation in plant–insect interactions, add to the growing evidence of indirect effects spanning terrestrial and aquatic ecosystems, and inform management of water hyacinth using these weevils as biocontrol agents.     

Toxicity and deleterious impacts of selenium nanoparticles at supranutritional and imbalance levels on male goldfish (Carassius auratus) sperm

BackgroundSelenium has a major role in male reproduction and antioxidative mechanisms. Although deficiency of this element can result in damages to the body's organs, this metalloid can induce deleterious effects in organisms by causing oxidative stress. This study assessed the spermatotoxicity of selenium nanoparticles (SeNPs) in goldfish (Carassius auratus) based on genotoxicity, antioxidant status, sperm quality, and histopathology.MethodsThe fish with an average weight of 70 g (n = 288) were divided into four experimental groups (three replicates) and fed three times a day with SeNPs at different levels of 0, 0.1, 0.5, and 1 mg kg diet for 30 and 60 days.ResultsAfter 30 and 60 days of feeding trial, compared to the control group, spermatocrit percentage markedly decreased at 1 mg kg SeNPs on day 30 as well as at 0.5 and 1 mg kg on day 60 (p < 0.05). Computer-assisted sperm analysis parameters especially VCL, VSL, and VAP decreased in response to SeNPs (p < 0.05). Percentage of fast speed progressive sperm cells was highest in fish fed with 0.1 mg kg SeNPs following the dietary experiment and significantly reduced in a SeNPs dose-dependent manner (p < 0.05). In addition, the levels of Malondialdehyde and Glutathione peroxidase were significantly elevated in seminal plasma of all SeNPs-treated groups (p < 0.05). On day 60, DNA damage of sperm was greatly increased at 1 mg kg SeNPs (p < 0.05). Moreover, the highest percentage of spermatocyte and spermatid were observed at the highest dose of SeNPs while the highest percentage of spermatozoa was recorded at the lowest and moderate SeNPs doses.ConclusionThese findings suggested that non-optimal doses of SeNPs could reduce sperm quality, induce oxidative stress, and DNA damage in sperm, and disrupt testis development.     

Application of sodium selenate to cowpea (Vigna unguiculata L.) increases shoot and grain Se partitioning with strong genotypic interactions

BackgorundCowpea is a crop widely used in developing countries due its rusticity. Besides its rich genotypic variability, most breeding programs do not explore its potential to improve elements uptake. Selenium (Se) is a scarce element in most soils, resulting in its deficiency being common in human diets. This study aimed to evaluate the interaction between biofortification with Se and genotypic variation in cowpea, on the concentrations of Se in roots, leaves + stem and grains.MethodsTwenty-nine cowpea genotypes were grown in a greenhouse in the absence (control) and presence of Se (12.5 μg Se kg⁻¹ soil) as sodium selenate, in fully randomized scheme. The plants were cultivated until grains harvest. The following variables were determined: roots dry weight (g), leaves + stems dry weight (g), grains dry weight (g), Se concentration (mg kg⁻¹) in roots, leaves + stems and grains, and Se partitioning to shoots and grains.ResultsSelenium application increased the Se concentration in roots, leaves + stems and grains in all genotypes. At least twofold variation in grain Se concentration was observed among genotypes. Selenium application did not impair biomass accumulation, including grain dry weight. Genotype “BRS Guariba” had the largest Se concentration in grains and leaves + stems. Genotype MNC04-795 F-158 had the largest partitioning of Se to shoots and grain, due to elevated dry weights of leaves + stems and grain, and high Se concentrations in these tissues.ConclusionThis information might be valuable in future breeding programs to select for genotypes with better abilities to accumulate Se in grain to reduce widespread human Se undernutrition.     

From Lessons Learned to Local Action: Building Your Own Policies for Effective Arts Education

This article explores the process of using lessons learned about high quality, effective arts education programs to help local educational leaders and practitioners create their own policy statements. It raises questions about policy implications from those lessons and connects them to the readers'own experience. It provides an intellectual framework and an action agenda for developing local policy at the classroom, school, or district level that supports high quality arts education for every student. It argues that effective arts education programs must be supported by responsive policy and ongoing tax levy funds to have a greater chance for providing quality arts teaching and learning that endures.     

The effect of internal capacitance on power quality and energy efficiency in a tubular microbial fuel cell

The pseudo-capacitive behaviour of a high surface area carbon veil electrode in a tubular microbial fuel cell (MFC) was investigated as a mechanism to enhance power quality and energy efficiency. Accumulated charge and energy from the anodic biofilm after prolonged open circuit times (1–120 min) were compared against equivalent periods of steady state loading (R = 100–3000 Ω). A significant difference in the amount of accumulated charge with different loads was observed, resulting in 1.051 C (R = 100 Ω) compared to 0.006 C (R = 3 kΩ). The automated application of short open and closed circuit (0.5–10 s) cycles resulted in an increase of power/current production (closed circuit alone), but presented lower efficiency considering entire open and closed period. The cumulative charge on the carbon veil electrode with biofilm was 39,807 C m⁻² at 100 Ω. Electrochemical Impedance Spectroscopy (EIS) showed that the Helmholtz layer presented a double layer capacitance of more than ten times the biofilm on electrode. The results indicate that the capacitive behaviour could be utilized to increase the power quality, i.e. its availability/applicability with respect to the operation of low power consuming devices.     

Influence of host plants on development, fecundity and egg hatchability of the arctiid moth Diacrisia casignetum

Measurements were made of the differences between sunflower and climbing hempweed leaves for development, fecundity and egg hatchability of Diacrisia casignetum Kollar. Developmental time and weight gains of sunflower-fed larvae were respectively longer and greater than those of hempweed-fed ones. The development time and weight gain, attributable to differences in host plants, were statistically heterogeneous (P<0.05-<0.10). Relative fecundity and egg hatchability of sunflower reared insects were greater than those of hempweed reared ones, and these were also statistically heterogeneous (P<0.1 and <0.05, respectively). Hempweed leaves contained relatively high titres of phenols and low ratios of proteins to phenols. Ovaries were heavier in insects reared on sunflower than on hempweed, whereas the level of phenols incorporated into the ovary was higher in insects fed on hempweed than those on sunflower. The differences in these parameters may be due to variations in nutritional quality of these hosts and incorporation of ingested phenolic materials to ovary and insect biomass.

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Résumé L'étude a porté sur l'évaluation de l'influence des feuilles de tournesol (Helianthus annuus) et de Mikana cordata sur le développement, la fécondité et l'éclosion des oeufs de D. casignetum Kollaz. La durée de développement et le gain de poids sur tournesol étaient plus importants que sur M. cordata. La durée de développement était statistiquement hétérogène (P<0.05), ce qui peut être dû à des différences entre plantes. La fécondité et le taux d'éclosion chez les insectes élevés sur tournesol étaient plus élevés que ceux observés sur M. cordata, dont les résultats étaient aussi hétérogènes (P<0.1 et<0.05 respectivement). Les feuilles de M. cordata contenaient des taux relativement élevés de phénols et des rapports protéines sur phénols bas. Tout ceci suggère que les différences observées sont attribuables à des variations dans la qualité nutritive de ces hôtes et dans l'incorporation à la biomasse de l'insecte de matériaux phénologiques ingérés.

     

Quantifying the relative importance of natural variables,human disturbance and spatial processes in ecological status indicators of boreal lakes

Spatial processes are increasingly associated with species distributions in freshwaters. However, these processes are usually neglected in bioassessment techniques, which may introduce uncontrolled variation in ecological indicators used to express human disturbance. We used partial linear regression to quantify the relative importance of natural variables, human disturbance and spatial variables in structuring variation in boreal lake status indicators based on six biological indicator groups (phytoplankton, macrophytes, diatoms, littoral and profundal macroinvertebrates and fish). We found that, of the pure fractions, human disturbance explained most variation (7–32%) of the ecological quality ratios (EQRs) for all groups, with the exception of littoral macroinvertebrate metric, which was most controlled by natural and spatial variables (15% and 16%, respectively). In addition, pure fractions of natural and spatial variables and joint fractions of different explanatory variable groups structured all biological metrics to various degrees. Phytoplankton, diatom and profundal macroinvertebrate EQRs responded purest to human disturbance but only weakly to pure natural or spatial variation. Our work demonstrates that spatial processes and spatial structuring of the environment can bias bioassessment techniques and hinder the detection of human impact. Thus, it is important to acknowledge spatial autocorrelation, context of metacommunity dynamics, species dispersal traits and variable spatial extent when defining reference conditions and bioassessment techniques for different biological groups. More research is needed to better understand the relative role of spatial processes on ecological metrics originated from different freshwater ecosystems. To this end, our work provides an example of how sources of variation can be identified to increase accuracy in freshwater bioassessment.