Permanent night workers´ sleep and psychosocial factors in hospital work. A comparison to day and shift work

ABSTRACT

We aimed to study whether permanent night workers sleep and psychosocial factors differ from day workers and shift workers. The participants (n = 9 312, 92% females, average age 45 years, most commonly nurses and departmental secretaries) were day workers (DW, n = 2 672), shift workers (SW, n = 6 486) and permanent night workers (PNW, n = 154). The Finnish Public Sector survey responses from six hospital districts from 2012 were combined to payroll data from 91 days preceding the survey. The data were analyzed using Pearson χ²-test, one-way ANOVA and multinomial logistic regression analysis. The PNWs reported slightly longer average sleep length than the SWs or the DWs (7:27 vs. 7:13 and 7:10 h, p < 0.001). The PNWs reported least often difficulties in maintaining sleep (p < 0.001) compared to the SWs and the DWs. The PNWs reported most often difficulties to fall asleep and fatigue during free-time (p-values <0.001). The DWs and PNWs experienced less often work-life conflict than the SWs (25 and 26 vs. 38%, p < 0.001). The PNWs were more often satisfied with autonomy at work and appreciation and fair treatment by colleagues than the DWs or the SWs (p < 0.001). The SWs and PNWs reported remarkably higher occurrence of verbal (p < 0.001, OR 3.71, 95% CI 3.23–4.27 and OR 7.67, 95% CI 5.35–10.99, respectively) and physical workplace violence (p < 0.001, OR 9.24, 95% CI 7.17–11.90 and OR 28.34, 95% CI 16.64–43.06, respectively) compared to DWs. Conclusively, PNWs reported contradictory differences in sleep quality compared to DWs and SWs. PNWs are more often satisfied with their colleagues and autonomy at work than DWs or SWs but face workplace violence remarkably more often.     

Is the far-red-absorbing form of Avena phytochrome A that is present at the end of the day able to sustain stem-growth inhibition during the night in transgenic tobacco and tomato seedlings?

Avena phytochrome A (phyA) overexpressed in tobacco (Nicotiana tabacum L.) and tomato (Lycopersicon sculentum Mill) was functionally characterised by comparing wild-type (WT) and transgenic seedlings. Different proportions of phytochrome in its far-red-absorbing form (Pfr/P) were provided by end-of-day (EOD) light pulses. Stem-length responses occurred largely in the range of low Pfr/P (3–61%) for WT seedlings and in the range of high Pfr/P (61–87%) for transgenic seedlings. A similar shift was observed when the photoperiod was interrupted by short light pulses providing different Pfr/P ratios and followed by 1 h dark incubation. In other experiments, Avena phyA was allowed to re-accumulate in darkness and subsequently phototransformed to Pfr but no extra inhibition of stem extension growth was observed. In transgenic tomato seedlings the response to EOD far-red light was faster and the response to a far-red light pulse delayed into darkness was larger than in the WT. Avena phyA Pfr remaining at the end of the photoperiod appears intrinsically unable to sustain growth inhibition in subsequent darkness. Avena phyA modifies the sensitivity and the kinetics of EOD responses mediated by native phytochrome.Abbreviations EOD end-of-day - FR far-red light - Pfr/P pro-portion of phytochrome in its FR-absorbing form - phyA phyto-chrome A - phyB phytochrome B - R red light - RFR R to FR ratio - WT wild type We thank Dr Brian Thomas for providing the antibodies used in this work, and Federico Guerendiain for his excellent technical assistance. This work was financially supported by grants UBA AG 040 and Fundacion Antorchas A-12830/1-19 (both to J.J.C.), PID-CONICET (to R.A.S. and J.J.C.), United States Department of Energy DE-FG02-88ER13968 (to R.D.V.).     

Tissue weights and adaptation response of the toad after 96 hours of exposure to simulated high altitude — A body fluid and hematological study

Adult male toads were exposed to simulated high altitude of 24,000 feet for 96 hrs of continuous exposure in a decompression chamber. The animals were sacrificed immediately after the exposure period. Significant increase of the weight of the ventricle and spleen is observed in altitude exposed animals. Red blood cell, hemoglobin concentration, hematocrit ratio and red cell mass are significantly increased in high altitude exposed animals in comparison to control. MCV (mean corpuscular volume) and MCH (mean corpuscular hemoglobin) are decreased in altitude exposed group. Plasma volume, blood volume, extracellular fluid volume, intracellular fluid volume and total body water are decreased significantly after altitude exposure for 96 hrs. These physiological changes are thought to be due to dehydration of this animal at simulated high altitude and it is highly affected after 96 hrs of exposure as evidenced by the significant reduction of total body water and intracellular fluid volume.     

Simultaneous determination of tolbutamide,omeprazole, midazolam and dextromethorphan in human plasma by LC–MS/MS—A high throughput approach to evaluate drug–drug interactions

Drug–drug interactions involving cytochrome P450 (CYP450s) are an important factor for evaluation of a new chemical entity (NCE) in drug development. To evaluate the potential inhibitory effects of a NCE on the pharmacokinetics of a cocktail of representative probes of CYP enzymes (midazolam for CYP3A4, tolbutamide for CYP2C9, omeprazole for CYP2C19 and dextromethorphan for CYP2D6) and the safety and tolerability of the NCE in the presence of probe substrates, a high throughput liquid chromatography/tandem mass spectrometry (LC–MS/MS) method was developed and validated for the simultaneous determination of tolbutamide, omeprazole, midazolam and dextromethorphan in human plasma using tolbutamide-d₉, midazolam-d₄, (±)-omeprazole-d₃, and dextromethorphan-d₃ as the internal standards (ISs). Human plasma samples of 50 μL were extracted by a simple protein-precipitation procedure and analyzed using a high performance liquid chromatography electrospray tandem mass spectrometer system. Reversed-phase HPLC separation was achieved with a Hypersil GOLD AQ column (50 mm × 4.6 mm, 5 μm). MS/MS detection was set at mass transitions of 271 → 172 m/z for tolbutamide, 346 → 198 m/z for omeprazole, 326 → 291 m/z for midazolam, 272 → 171 m/z for dextromethorphan, 280 → 172 m/z for tolbutamide-d₉ (IS), 349 → 198 m/z for (±)-omeprazole-d₃ (IS), 330 → 295 m/z for midazolam-d₄ (IS), and 275 → 171 m/z for dextromethorphan-d₃ (IS) in positive mode. The high throughput LC–MS/MS method was validated for accuracy, precision, sensitivity, stability, recovery, matrix effects, and calibration range. Acceptable intra-run and inter-run assay precision (<10%) and accuracy (<10%) were achieved over a linear range of 50–50,000 ng/mL for tolbutamide, 1–1000 ng/mL for omeprazole, 0.1–100 ng/mL for midazolam and 0.05–50 ng/mL for dextromethorphan in human plasma. Method robustness was demonstrated by the 100% pass rate of 24 incurred sample analysis runs and all of the 50 clinical study samples used for incurred sample reproducibility (ISR) test having met the acceptance criterion (%Diff within 20%). The overall ISR results for all compounds showed that over 95% of the samples had a %Diff of less than 10%. The method is simple, rapid and rugged, and has been applied successfully to sample analysis in support of a drug–drug interaction study.     

Struggle to survive: aphid—plant relationships under low-light stress. A case of <Emphasis Type="Italic">Acyrthosiphon pisum</Emphasis> (Harris) and <Emphasis Type="Italic">Pisum sativum</Emphasis> L.

Light is primary source of energy and also plays signaling and regulatory roles in developmental processes and defense responses of plants. The aim of the study was to determine the performance, settling preferences, probing, and feeding behavior of Acyrthosiphon pisum on Pisum sativum grown in complete darkness (NL), with light at minimum level required for photoperiodic reaction (LL) and under full-light (FL) conditions. The effect of A. pisum infestation on metabolic status and defense responses of peas under FL, LL, and NL conditions was also determined. The population growth rate was limited on LL and NL pea plants as compared to FL plants. The reproductive period of aphids on LL and NL plants was eight times shorter than on plants growing in FL. In contrast to aphids on FL plants, the majority of A. pisum rejected LL and NL plants during settling. Aphid probing activities were not impeded on LL and NL plants but the probes were significantly shorter than on FL plants and consisted mainly of non-phloem activities. The analysis of tolerance of P. sativum to A. pisum showed that on FL plants, the number of aphids was nearly five times higher than on plants growing in low light (LL) at the end of the 2-week experiment but the tolerance index of FL plants was higher than that of LL plants. The contents of chlorophyll a, chlorophyll b, carotenoids, saccharides, and phenolics and the activity of β-d-glucosidase were notably lower in LL and NL plants than in FL plants. The increase in light intensity from complete darkness to the minimum level required for photoperiodic reaction did not stimulate evident changes in the measured plant biochemical parameters. These trends occurred in aphid-free (AF) and aphid-infested (AI) plants. However, under FL conditions, β-d-glucosidase activity and the content of saccharides were lower in AI plants than in AF plants. No differences in the measured plant biochemical parameters between AI and AF plants occurred under LL and NL conditions. The low β-d-glucosidase activity and low content of phenolics in the light-deprived plants that have reduced ability to photosynthesize show that under the biotic stress of aphid infestation plants invest in supporting basic metabolism rather than in defense against herbivores.