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Nurses beware! Shift work can cause cancer.

January 1, 2008

I worked shift work at the hospital for years, sleeping very little due to my insomnia and trying to readjust to each shift change. Even after leaving the hospital I worked home care which again required changing shifts and often working 12 to 16 hour shifts. Read more

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Sleep & Shift Work

December 4, 2007

Sleep and Shift Work When people talk about shift work, most focus on the benefits, of which there are many. To the employees working hours that aren’t considered ‘normal’, something other than Monday through Friday from 9 am – 5 pm, shift work means greater flexibility in scheduling. To employers, shift work means staying competitive, especially in an increasingly global marketplace. But to those individuals who specialize in understanding and treating sleep disorders, shift work has a more negative implication. Shift work is often associated with insufficient sleep, an increased likelihood of human error and, contrary to popular belief, decreased productivity. The reason for this is simple: many key bodily functions take place according to a natural cycle and any disruption to this natural cycle can throw a person out of balance. This natural cycle, or internal clock as it’s more commonly referred to, is the Circadian rhythm. In humans, this natural rhythm is responsible for signaling when the body should wake and when it should sleep. It signals these actions by releasing and withholding the release of certain chemicals, hormones and neurotransmitters. When sleep patters are disrupted, as they are when a person working the night shift sleeps during the day, lower quality and/or fewer hours of sleep are typical consequences. It’s not long before the symptoms of insomnia begin to appear. Typical symptoms include a diminished ability to Read more

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Circadian Rhythm, What is it?

November 30, 2007

When you feel the effects of jet lag, or when you feel tired after working a rotating shift during the week, what actually is happening is that your body’s circadian rhythm has been affected. The word circadian is derived from the Latin words circa diem which translated into English, means about a day. As far as the human body is concerned, one day refers to a 24-hour period.

Although most commonly associated with humans and their sleep patterns, circadian rhythm also has a direct influence on our blood pressure, our body temperature and our body’s production of hormones. Together these internal changes tell our bodies when it is time to sleep and to wake and how our moods will be at any given time.

Rhythm is a very big part of nature. For example, we know that the Earth completes a rotation every 24-hours and that year after year, the seasons change from winter to spring to summer to autumn and then back again to winter. Therefore, circadian rhythm plays a significant role in animals’ lives as well. The most notable example of an annual natural rhythm is the migration of countless species of birds every year.

When it comes to the sleep-wake cycle, there are two primary environmental forces at work: light and temperature. Circadian rhythm can also be affected by other stimuli such as the sound of your alarm clock and what and when you have eaten, and in women, their menstrual cycles.

Internally, circadian rhythm is influenced by an ‘internal clock’ located in the part of brain called the hypothalamus. Specifically, two large clusters of neurons situated on either side of the brain called the Suprachiasmatic nuclei or SCN is considered the body’s master clock. The SCN work with other genes to help the body keep track of time. The stimulation and/or release of different chemicals, hormones and neurotransmitters is how the body knows when it is time to fall asleep and to wake up, when it’s time to eat and when it’s time to have intercourse and more. Melatonin helps to reset the body’s internal sleep clock.

When it comes to sleep, the following is a simplistic overview of how the circadian rhythm works. At the first sign of daylight, the body begins to produce hormones and neurotransmitters including serotonin and cortisol. These help the body transition into an awakened mode by increasing body temperature and blood pressure. Likewise, as daylight fades, the body begins to release melatonin, the main signal that tells the body to begin lowering blood pressure and to prepare itself for sleep.

When the body’s circadian rhythm is in balance, it dictates the proper timing and release of these important chemicals, hormones and neurotransmitters. However, when the body’s circadian rhythm is ‘off’ this timing and release is knocked out of balance. A prolonged imbalance can and often does lead to the development of a number of sleep disorders and emotional disturbances. It would seem then that being healthy and happy is all about keeping your circadian rhythm in check.

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