The vicious circle between physical, psychological, and physiological characteristics of shift work in nurses: a multidimensional approach.

PURPOSE: To compare physical, psychological, and physiological adaptations between rotating and morning shift health workers using objective and subjective approaches. METHODS: Forty nurses [n = 20 morning shift (MS) group; n = 20 rotating shift (RS) group] were evaluated for anthropometry, body composition, and handgrip strength. Quality of life, depression, fatigue, daytime sleepiness, and sleep quality were assessed with SF-36, Zung Self-Rating Depression Scale (SDS), Fatigue Severity Scale (FSS), Epworth Sleepiness Scale (ESS), and Pittsburgh Sleep Quality Index (PSQI), respectively. Physical activity was assessed by the International Physical Activity Questionnaire (IPAQ) and triaxial accelerometers. Sleep-related data were monitored with sleep actigraphy. Salivary melatonin levels were analyzed before/after sleep, and blood lipid profiles were measured the following morning. RESULTS: The RS group had higher mean BMI and total and abdominal fat and scored lower in the SF-36 (p < 0.01). All nurses showed reduced physical activity levels, which, in the RS group, were negatively correlated with FSS (p = 0.033) and SDS scores (p = 0.025). Poor sleep was revealed in 53% of nurses. The RS group had worse sleep quality by PSQI than the MS group (p = 0.045). PSQI scores were inversely related to SF-36 scores and positively correlated with FSS, BMI, waist circumference, and body fat (p < 0.05). CONCLUSION: RS nurses showed increased body mass and total and abdominal fat along with decreased quality of life and sleep quality compared to MS counterparts. A strong relationship was found between physical, psychological, and physiological domains. Further studies should consider workplace interventions to prevent obesity, promote physical activity, and manage poor sleeping patterns in nurses.

Morphological and geochemical characterization of the particulate deposits and the black crust from the Triumphal Arch of Galerius in Thessaloniki, Greece: Implications for deterioration assessment.

In the present study, 12 particulate deposits and one black crust sample were collected from the Triumphal Arch of Galerius in Thessaloniki, Greece and characterized by employing a multi-analytical approach including chemical analysis of trace elements and ionic species, as well as scanning electron microscopy coupled with energy dispersive X-ray spectrometry (SEM-EDS) to gain information about the micromorphology and the chemical composition in terms of major elements. In addition, one unaltered marble sample, e.g. the marble directly beneath the black crust, was examined by microscopic and isotopic methods to characterize its texture and origin. The particulate deposits consist mainly of calcite, quartz, aluminosilicate mineral phases, several metal oxides of Fe, Ti and FeCr with Mn and Cu. They also include bird droppings enriched in P and S, and plant residuals. The black crust has a similar mineral composition and is dominated by calcite with traces of quartz and halite, whereas P- and S-enriched particles are common. In both cases a coating on calcite crystals with a thin crust rich in Ca, Ba and S is commonly observed and is attributed to the previous conservation works. Concentrations of As, Zn, Pb, Cu, nitrate, sulfate, chloride and acetate were significantly higher in particle deposits than in the black crust as opposed to Fe, Co, Ni and formates that were at the same level. The traffic-related trace elements Pb, Zn and Cu and most ions were significantly higher in low-altitude deposition samples. The current marble deterioration is induced by a combination of factors, including mechanical, physico-chemical and biological processes.