Physiological Stress, Psychological Stress
Conditions
Keywords
Physician, duty loading, stress response, Physician with different amount of duty area
Brief summary
The investigators will study in the possibility of cardiovascular disease, caused by the duty loading, of physician of internal medicine. The investigators will also explore if there {dose response effect} between the duty loading and the stress response of physicians of internal medicine. Therefore, the investigators will compare the stress responses of physicians of internal medicine during with different duty loading ( non-duty day, one duty area with 3 wards, 2 duty areas with 6 wards) in a observational method. Those stress response will be measured by cardiovascular risk indicators, including blood pressure, heart rate variability, blood sampling and urine sampling.
Interventions
PROCEDURE24 hour EKG and blood pressure monitor
All subjects will have non-invasive 24 hour EKG and 24 hour EKG monitoring for 24 hours.
Right before and after the duty loading, all subjects will have blood samplings, including CRP, WBC, IL-6, Fibrinogen, insulin, IL-6, Procalcitonin, TNF-alfa, catecholamine level. Right after the duty loading, all subjects will have urine samplings for cortisol and catecholamine level.(blood : 15CC/time and 2\ 4 times/month)
Sponsors
Taipei City Hospital
National Taiwan University Hospital
Study design
Observational model
CASE_CROSSOVER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
MALE
Age
30 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Attending physicians of internal medicine of Taipei municipal hospital, certified by Taiwan society of internal medicine.
Exclusion criteria
* thyroid dysfunction * pregnancy, diabetes mellitus * history of cardiovascular disease (stroke, coronary arterial disease, or myocardial infraction) * current smokers, or * taking sleeping pills or B-blocker
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The physiological change of physician during different duty loadings | 4 months | The investigators will also explore if there {dose response effect} between the duty loading and the stress response of physicians of internal medicine, and will compare the stress responses of physicians of internal medicine during with different duty loading in a observational method. Those stress response will be measured by cardiovascular risk indicators, including blood pressure, heart rate variability, blood sampling and urine sampling. |
Countries
Taiwan
Contacts
Primary ContactHsiu Hao Lee, MD
Outcome results
None listed