Steroid hormone levels are closely related to the endogenous circadian rhythm induced by sleep-wake and dark-light cycles. Shift work that disrupts the circadian rhythm may influence the levels of steroid hormones. The association between shift work and alterations in female sex steroid hormone levels has been studied, but little is known about testosterone and its precursor pregnenolone levels in male shift workers. The present study investigated serum pregnenolone and testosterone levels in a group of shift and daytime male workers. All participants were sampled at the beginning of the morning shift. Lower levels of serum pregnenolone and total testosterone were found in the shift workers compared to the daytime workers. Variations in pregnenolone levels may have consequences for well-being, and they might produce consequences for the levels of hormones downstream of the steroid hormone cascade, such as testosterone. The low levels of testosterone found in shift workers demonstrate the perturbative effect of shift work on testosterone serum levels, which may be independent and/or related to pregnenolone synthesis.
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http://dx.doi.org/10.3390/ijerph20043195 | DOI Listing |
J Physiol Anthropol
January 2025
Faculty of Health Sciences, Hokkaido University, Kita 12, Nishi 5, Kita-Ku, Sapporo, Hokkaido, 060-0812, Japan.
Background: Napping during night shifts is a countermeasure against fatigue and sleepiness, which both impact patient safety. However, there is insufficient evidence on how nurses nap, especially concerning their napping quality. This study explored night-shift napping and its associated factors among nurses, considering napping quantity and quality, to mitigate fatigue and sleepiness.
View Article and Find Full Text PDFBackground: Transitioning to the updated version of The Essentials has been a significant shift in nursing education, aimed at reversing national trends of declining new graduate competence. This article describes the curriculum revision journey undertaken by one program to align with the updated version of The Essentials.
Method: The university's Center for Teaching Excellence guided the redesign process using a structured, faculty-led, data-informed approach.
Andes Pediatr
August 2024
Hospital Pablo Tobón Uribe, Medellín, Colombia.
Unlabelled: Pediatric rapid response teams (PRRT) aim to detect the clinical deterioration of a patient and implement timely treatment, avoiding cardiopulmonary arrests (CPA) and in-hospital mortality.
Objective: To describe the experience with PRRT led by the pediatrician in a high-complexity hospital.
Patients And Methods: Descriptive, retrospective, longitudinal study.
J Gerontol Soc Work
January 2025
School of Social Work, University of Washington, Seattle, Washington, USA.
This commentary explores the career trajectory of eminent feminist gerontologist, Dr. Nancy Hooyman, leading to her conceptualization of a care justice framework. Dr.
View Article and Find Full Text PDFBMJ Open
January 2025
Patan Academy of Health Sciences, Lalitpur, Nepal.
Aim: To explore factors at different socioecological levels that affect mental health service delivery from primary healthcare (PHC) facilities of Arghakhanchi district, a western hilly district of Nepal.
Background: Mental health service delivery has seen four transformational shifts from Alma Ata to Astana Declaration. Mental Health Gap Action Programme has facilitated the delivery of evidence-based interventions on mental, neurological and substance use disorders by non-specialised health workers in PHC settings as well as advocated scaling up of mental healthcare through integration of mental health in PHC.
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