RESUMO
BACKGROUND: The aim of this study is to test the hypothesis that a standard 30-min break in a routine 7.5 h period of work makes a difference in cognitive function. METHODS: In a double-blinded, cross-over trial 30 residents in anaesthesia were randomized to receive or not to receive a 30-min break between the assessment times of 07:30 and 14:00. in a normal working day. After at least 28 days the test was repeated with each resident in the opposite group. Primary outcome measure was the Test for Attentional Performance with the subtest of working memory and divided attention. Secondary outcomes are the Stanford Sleepiness Scale and the State-Trait Anxiety Inventory test. RESULTS: The sleep, caffeine and nicotine habits in both groups were comparable. There was no difference between the two groups in the Test for Attentional Performance, Stanford Sleepiness Scale and the State-Trait Anxiety Inventory. The correlation between recovery through sleep and sleep disturbance in the night before investigation to the Stanford Sleepiness Scale (P<0.001 and P=0.003) and State-Trait Anxiety Inventory (P<0.001 and P=0.001) at the 07:30 assessment is significant. For the 14:00 assessment the only significant correlation is between the recovery through sleep with the Stanford Sleepiness Scale (P=0.04) and the State-Trait Anxiety Inventory (P=0.05). CONCLUSION: A 30-min break during a 7.5 h daily routine did not influence cognitive function tests.
Assuntos
Anestesiologia/organização & administração , Atenção , Corpo Clínico Hospitalar/psicologia , Memória de Curto Prazo , Tolerância ao Trabalho Programado/psicologia , Adulto , Competência Clínica , Estudos Cross-Over , Método Duplo-Cego , Feminino , Alemanha , Humanos , Masculino , Corpo Clínico Hospitalar/organização & administração , Testes Neuropsicológicos , Saúde Ocupacional , Admissão e Escalonamento de Pessoal/organização & administração , Psicometria , Transtornos do Sono-Vigília/psicologia , TempoRESUMO
This Report deals with surgical treatment of the extended osteolysis processes for the mandibular posterior tooth area. It will show the advantages of an osteoplastical method of operation. According to a case report the therapy of an extended solitary bone cyst will be carried out with an apisectomy of the molar 46 at the same time.
