Background and Objectives: Today, 24-hours work is an unavoidable component in several industries. Night-work is an imperative situation for an important part of workforces. Shift-working is called to work at hours out of usual day-work time (7:00 am to 6:00 pm). The present study was a cross sectional descriptive-analytic research, and was carried out in order to investigate sleepiness and cha...

BACKGROUND Hospitals that perform emergency surgery during the night (e.g., from 11:00 pm to 7:30 am) face decisions on optimal operating room (OR) staffing. Emergency patients need to be operated on within a predefined safety window to decrease morbidity and improve their chances of full recovery. We developed a process to determine the optimal OR team composition during the night, such that s...

Anesthesiologists often work extended duty shifts that result in acute and chronic sleep loss and circadian disruption. Stress caused by sleep deprivation, together with excessive workload could contribute to acute increases in blood pressure (BP) and sympathetic nervous system activity. Non-dipping pattern of BP is considered an additional risk factor for cardiovascular events and target organ...

To see which medical specialties usually manage seizure disorders in infants and children, a random survey was done among 105 such patients referred. These patients were most frequently seen by a pediatrician (n= 44, 4 1.9%), general practitioner (n=34, 32.4%), and hospital house staff of general and pediatric emergency rooms (n= 2, 19%) in the area surveyed. A correct diagnosis of seizure ...

BACKGROUND In case reports, transfers in the care of patients among health care providers have been linked to adverse events. However, little is known about the nature and frequency of these transfer-related problems. METHODS We conducted a prospective audiotape study of 12 days of "sign-out" of clinical information among 8 internal medicine house-staff teams. Each day, postcall and night-flo...

background and objective: obstructive sleep apnea (osa) is the most common respiratory disorder during sleep and a risk factor for myocardial ischemia. in this study, we evaluated the proportion of subjects at high risk for osa and prevalence of its predictors among patients admitted for acute myocardial infarction (mi). materials and methods : a total of 210 patients with mi admitted at the ca...

The honorable editor-in-chief of the Journal of ARYA We read with interest the article of Dr. Maleki that has recently been published.1 We conducted a similar study in Birjand Vali-e-Asr Hospital in 20092010. This study was done on 125 patients with STEMI with a mean age of 59.2 ± 11.9 years. In this study, 65.6% of patients underwent thrombolytic therapy. This showed a crucial increase compare...