Industrial health
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On November 20-21, 2002, the National Sleep Foundation (NSF), a U. S.-based non-profit organization, and a coalition of other organizations, federal agencies and corporations convened a National Summit to Prevent Drowsy Driving at the National Academy of Sciences in Washington, DC. The Summit brought together experts in the fields of transportation, safety and health, sleep research, and communications as well as advocates to assist in the creation of a comprehensive national agenda to increase awareness about the dangers of drowsy driving. Recommendations from the Summit formed the basis of post-summit activities, including the development of a new Web site (www.drowsydriving.org) dedicated to the prevention of driver fatigue and a report, the National Action Plan to Prevent Drowsy Driving, which describes a series of action items for national, state and local initiatives in the areas of research, public policy, and educational programs.
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The present study examined the occurrence of sleepiness in various shift combinations ending with a night or morning shift. Three weeks' sleep/work shift diary data, collected from 126 randomly selected train drivers and 104 traffic controllers, were used in statistical analyses. The occurrence of sleepiness at work (i.e., Karolinska Sleepiness Scale 7 or higher) was tested with a generalised linear model with repeated measurements including explanatory factors related to shifts, sleep, and individual characteristics. ⋯ An increased risk for sleepiness was associated with high sleep need and long shift duration in the night shift and with high sleep need, short main sleep period, long shift duration and an early shift starting time in the morning shift. Also having a child was associated with an increased risk for sleepiness in the night shift. The results suggest that the shift history of 24-36 h prior to the night and the morning shift is not strongly associated with the occurrence of sleepiness at work, but there are other factors, such as shift length and starting time and sleep need, that affect a risk for sleepiness at work.
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To clarify the effects of changing shift schedules from a full-day to a half-day before a night shift, 12 single nurses and 18 married nurses with children that engaged in night shift work in a Japanese hospital were investigated. Subjects worked 2 different shift patterns consisting of a night shift after a half-day shift (HF-N) and a night shift after a day shift (D-N). Physical activity levels were recorded with a physical activity volume meter to measure sleep/wake time more precisely without restricting subjects' activities. ⋯ Repeated ANCOVA of the series of physical activities showed significant differences with shift (p < 0.01) and marriage (p < 0.01) for variances, and age (p < 0.05) for a covariance. The paired t-test to compare the effects of changing shift patterns in each subject group and ANCOVA for examining the hourly activity differences between single and married nurses showed that the effects of a change in shift schedules seemed to have less effect on married nurses than single nurses. These differences might due to the differences of their family/home responsibilities.
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Recent studies suggest that moderate alcohol consumption is associated with a low risk of cancer, coronary heart disease, and other diseases. Most of these diseases are considered to be related to the action of reactive oxygen species (ROS) at certain stages of disease progression. However, considerable evidence exists indicating that ethanol generates ROS in vivo. ⋯ ROS may then cause cell damage in liver, as suggested by the positive correlation between the total biopyrrins levels and the serum GOT, GPT, and gammaGTP levels. However, since ROS may be more effectively counteracted by uric acid in organs other than the liver, DNA damage may be suppressed rather than induced. Accordingly, moderate alcohol consumption seems to have the overall effect of reducing DNA damage, as shown by the decrease in urinary 8-OHdG levels observed in our study.
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In 1950s and 60s, asbestosis had been a major health hazard for asbestos exposed workers. In the late 1970s, lung cancers with or without asbestosis were found among asbestos workers. All cohort studies on asbestos workers and on chrysotile miners in China showed excess deaths from lung cancer. ⋯ In the large scale of cohort study on asbestos workers in 9 factories using only chrysotile only one case of pleural mesothelioma was detected for 10 years' observation. In another 2 cohort studies, 2 cases of peritoneal mesotheliomas were found, one in Shanghai asbestos factory where a small amount of crocidolite had been used in 1960s, and one in Anqing asbestos factory that was located near tremolite mine. Further study is needed especially for the relationship between exposure to Chinese chrysotile and malignant mesotheliomas.