Från fåglar till Pipping

Från fåglar till Pipping Innehållsförteckning – Inledaren: Naturen som bas för skärgårdsidentiteten av Nina Söderlund – Knut Pipping och kärleken till Kumlinge av Thomas Rosenberg – Fågelåret i skärgården för nybörjare av Emilia Nordling – Humor och hundar i Tidis keramik av Thure Malmberg – Topelius, skärgården och havet av Birgitta Sarelin – Veteran i pension efter 40 år: ”Kulturarv med unik natur” av Thure Malmberg – Elina kliver in i stora stövlar av Nina Söderlund – Samhällsvetenskaperna i havsforskningen av Nina Tynkkynen & Marko Joas –Comhdháil Oileáin na hÉireann arbetar för Irlands öar av Rhoda Twombly – Skärgårdsfotograf Maria Carling – Havsgymnasiet i Åbo seglade till Shetlandsöarna av Pia Prost Bokhörnan: – Sandvikharun – säsongfisket vid Jurmo – Restaurerad fyr lever upp i bok – Det kyrkliga livet på Bergö – Piga, klockare, inhysing, lots – en bok om att hitta sina rötter – Skärinytt – Sista bilde

Return to work after a workplace-oriented intervention for patients on sick-leave for burnout - a prospective controlled study

<p>Abstract</p> <p>Background</p> <p>In the present study the effect of a workplace-oriented intervention for persons on long-term sick leave for clinical burnout, aimed at facilitating return to work (RTW) by job-person match through patient-supervisor communication, was evaluated. We hypothesised that the intervention group would show a more successful RTW than a control group.</p> <p>Methods</p> <p>In a prospective controlled study, subjects were identified by the regional social insurance office 2-6 months after the first day on sick leave. The intervention group (n = 74) was compared to a control group who had declined participation, being matched by length of sick leave (n = 74). The RTW was followed up, using sick-listing register data, until 1.5 years after the time of intervention.</p> <p>Results</p> <p>There was a linear increase of RTW in the intervention group during the 1.5-year follow-up period, and 89% of subjects had returned to work to some extent at the end of the follow-up period. The increase in RTW in the control group came to a halt after six months, and only 73% had returned to work to some extent at the end of the 1.5-year follow-up.</p> <p>Conclusions</p> <p>We conclude that the present study demonstrated an improvement of long-term RTW after a workplace-oriented intervention for patients on long-term sick leave due to burnout.</p> <p>Trial registration</p> <p>Current Controlled Trials NCT01039168.</p

Bland tjänstemän och eldsjälar

Bland tjänstemän och eldsjälar Innehållsförteckning – Inledaren: Lyckan att vara skäribo av Pia Prost – Sjömanshusen av Kasper Westerlund – En kronolänsman i Nagu under ryska tiden av Birgitta Edelman-Holmberg – Stubben av Maria Sjöblom – Prosten Maximilian Lagerbohms bildskatt från Houtskär av Pia Prost – Vem är skärgårdens bästa bundsförvant av Jan Sundberg – En framtida skärgård – hur vill vi bo? av Nina Söderlund – Att krympa smart av Elina Auri & Christell Åström – Bergö vägvisare för nya servicelösningar i skärgården av Pia Prost – "Pelles Elmuseum" på Emsalö vidare inom familjen av Thure Malmberg – Husö biologiska station 60 år Ea Maria Blomqvist – Dagens forskning på Husö biologiska station av Pia Prost – Bron mellan Pargas och Nagu Pia Prost – Stalin på grund av Anders Moliis-Mellberg – Sibboroddare siktar på guld i Sulkava av Thure Malmberg – Skräntärnan speglar en skärgårdsnatur i förändring av Patrik Byholm Bokhörnan: – Ett bokprojekt ser dagens ljus av Håkan Eklund – Utförligt om det flytande kulturarvet av Kasper Westerlund – Skärinytt – Sista bilde

Sleep and recovery in physicians on night call: a longitudinal field study

<p>Abstract</p> <p>Background</p> <p>It is well known that physicians' night-call duty may cause impaired performance and adverse effects on subjective health, but there is limited knowledge about effects on sleep duration and recovery time. In recent years occupational stress and impaired well-being among anaesthesiologists have been frequently reported for in the scientific literature. Given their main focus on handling patients with life-threatening conditions, when on call, one might expect sleep and recovery to be negatively affected by work, especially in this specialist group. The aim of the present study was to examine whether a 16-hour night-call schedule allowed for sufficient recovery in anaesthesiologists compared with other physician specialists handling less life-threatening conditions, when on call.</p> <p>Methods</p> <p>Sleep, monitored by actigraphy and Karolinska Sleep Diary/Sleepiness Scale on one night after daytime work, one night call, the following first and second nights post-call, and a Saturday night, was compared between 15 anaesthesiologists and 17 paediatricians and ear, nose, and throat surgeons.</p> <p>Results</p> <p>Recovery patterns over the days after night call did not differ between groups, but between days. Mean night sleep for all physicians was 3 hours when on call, 7 h both nights post-call and Saturday, and 6 h after daytime work (p < 0.001). Scores for mental fatigue and feeling well rested were poorer post-call, but returned to Sunday morning levels after two nights' sleep.</p> <p>Conclusions</p> <p>Despite considerable sleep loss during work on night call, and unexpectedly short sleep after ordinary day work, the physicians' self-reports indicate full recovery after two nights' sleep. We conclude that these 16-hour night duties were compatible with a short-term recovery in both physician groups, but the limited sleep duration in general still implies a long-term health concern. These results may contribute to the establishment of safe working hours for night-call duty in physicians and other health-care workers.</p

Physiological recovery from night-call duty - a field study of physicians

Abstract Physicians’ work on night-call entails long and stressful working hours with high demands and disrupted sleep. Incomplete recovery is considered to be the most important link between acute physiological stress reactions, shift work and chronic health effects. Mental and physiological activation naturally accompanies night-call duty, but the crucial issue, from a health perspective, is whether the activation is sustained post-call. Studies of physicians show that night-call duty can be detrimental to subjective health and performance. However, less is known about the physiological effects of working on night call, and whether the effects of such duty differ across medical specialities. For anaesthesiologists on night-call, the mental load of constantly handling patients with life-threatening conditions may have a greater impact on their recovery compared with other specialists. In the present field study 19 anaesthesiologists were compared with18 paediatricians and ear, nose, and throat surgeons. They all had 16-hour night-call duties at a university hospital. The aims were to determine whether a sufficient physiological recovery would be attained within 1-3 days after night-call duty, and whether recovery patterns differed across medical specialities. Several physiological systems were monitored by repeated measures on ordinary daytime work, during night-call duty and during post-call. Cortisol was analysed in saliva, and other metabolic factors were analysed in blood samples. Sleep was monitored with actigraphy and ambulatory electrocardiographic recordings were used to measure heart rate variability (HRV), to determine autonomic balance. The results suggested no general metabolic change after night-call duty. Recovery sleep after night call was considered sufficient, but sleep after daytime work was unexpectedly short. HRV patterns did not indicate a deficient recovery, but possibly a higher physiological stress level in anaesthesiologists. The 16-hour night-call schedules seemed compatible with a short-term physiological recovery within two days after night-call duty, but the limited sleep after ordinary daytime work may constitute a long-term health concern. All these results contribute to our knowledge of how to plan sustainable night-call working schedules, and further investigation is needed to determine whether these results can be generalized to other work settings and specialists

Heart rate variability and intima media thickness

Increased activity in the sympathetic nervous system is part of the physiological stress response and is expressed in the heart rate variability (HRV). The objective of this study was to examine associations of HRV and intima media thickness (IMT). In 2002, satisfactory measurements of HRV of 78 voluntary participants were made, both during a stress test and during sleep. IMT in 2002 and the progression in IMT from 1998 to 2002 were analyzed in relation to measures of HRV HRV was negatively associated with IMT and IMT progression both during test and sleep. In men with higher IMT measures than mean the low frequency-high frequency ratio was higher during sleep than during test, perhaps mirroring a lack of ability to recovery. HRV was negatively associated with IMT and IMT progression. HRV may be part of the pathophysiological pathway between psychological strain and atherosclerosis