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dc.contributor.authorChien, Jien-Wenen_US
dc.contributor.authorChen, Chung-Yenen_US
dc.contributor.authorLin, Sheng-Hsuanen_US
dc.contributor.authorLin, Shih-Wenen_US
dc.contributor.authorLin, Yu-Hsuanen_US
dc.date.accessioned2020-05-05T00:01:32Z-
dc.date.available2020-05-05T00:01:32Z-
dc.date.issued2020-02-01en_US
dc.identifier.issn1661-7827en_US
dc.identifier.urihttp://dx.doi.org/10.3390/ijerph17031118en_US
dc.identifier.urihttp://hdl.handle.net/11536/153970-
dc.description.abstractBackground: Medical residency is a time of high stress and long working hours, which increase the risk of cardiovascular disease. This study aimed to investigate the autonomic modulation of resident physicians throughout the on-call duty cycle. Methods: Spectral analysis of heart rate variability (HRV) was used to compute cardiac parasympathetic modulation (high-frequency power, HF) and cardiac sympathetic modulation (normalized low-frequency power, LF%, and the ratio of LF and HF, LF/HF) of 18 residents for a consecutive 4-day cycle. Results: Male residents show reduced cardiac sympathetic modulation (i.e., higher LF/HF and LF%) than the female interns. Medical residents' cardiac parasympathetic modulation (i.e., HF) significantly increased on the first and the second post-call day compared with the pre-call day. In contrast, LF% was significantly decreased on the first and the second post-call day compared with the pre-call day. Similarly, LF/HF was significantly decreased on the second post-call day compared with the pre-call day. LF/HF significantly decreased on the first post-call day and on the second post-call day from on-call duty. Conclusion: The guideline that limits workweeks to 80 h and shifts to 28 h resulted in reduced sympathetic modulation and increased parasympathetic modulation during the two days following on-call duty.en_US
dc.language.isoen_USen_US
dc.subjectautonomic nervous systemen_US
dc.subjectHeart rate variabilityen_US
dc.subjectmedical residenten_US
dc.subjecton-call dutyen_US
dc.subjectworking hours restrictionen_US
dc.titleCardiac Autonomic Modulation during on-Call Duty under Working Hours Restrictionen_US
dc.typeArticleen_US
dc.identifier.doi10.3390/ijerph17031118en_US
dc.identifier.journalINTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTHen_US
dc.citation.volume17en_US
dc.citation.issue3en_US
dc.citation.spage0en_US
dc.citation.epage0en_US
dc.contributor.department統計學研究所zh_TW
dc.contributor.departmentInstitute of Statisticsen_US
dc.identifier.wosnumberWOS:000517783300443en_US
dc.citation.woscount0en_US
Appears in Collections:Articles