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Biomedical subjects

W P Colquhoun

Publications and source records attributed to W P Colquhoun.

At least 19 recordsLinked to original sources

Heart rate patterns in sedentary shift work: influence of circadian rhythm, meals and personality.

Heart rate was recorded at regular intervals during the course of 8-h sessions of simulated sedentary shift work performed for 12 consecutive days. Separate groups of subjects were assigned to one of three shifts, commencing either at 0400 hours ("morning" shift), 0800 hours ("day" shift) or 2200 hours ("night" shift). A major meal was taken during a break in the middle of each shift. In all groups heart rate fell during the pre-break period, but rose after the break in response to the meal. This pattern remained constant over the 12-day period in the morning and day shift groups, but in the night shift group a progressive rise in the general level of the readings, caused mainly by the adjustment of the circadian rhythm to the altered sleep/wake cycle, was accompanied by systematic changes in the extent of both the pre-break fall and the post-meal rise. Comparison with the results of a control study of 24-h variation in base heart rate suggested that differential responses to the meal observed in the three shift groups may have been due, at least in part, to differences in their personality make-up. It is concluded that, although systematic patterns of heart rate can be observed in sedentary shift work, both the timing of the shift and the personality of the subject must be taken into account when assessing the changes in physiological state likely to occur during work sessions that include a major break for refreshment.

Circadian Rhythm

Work at sea: a study of sleep, and of circadian rhythms in physiological and psychological functions, in watchkeepers on merchant vessels. III. Rhythms in physiological functions.

Oral and rectal temperature, urinary excretion of adrenaline and noradrenaline, and heart rate were measured in 28 watchkeepers working a "4-on/8-off" routine, and in 25 dayworkers, on board ships. Readings of oral temperature were taken over 4-hourly periods of up to two weeks; the rectal temperature, urine, and heart rate data were collected on selected days within these periods. Analysis of watchkeepers' temperatures and unconjugated catecholamine excretions showed slight signs of an interactive adaptation to time of day and hours of work, but it was clear that full phase adjustment of the circadian rhythms to shifted hours of work did not occur. The "split" pattern of sleep imposed by the watch system may be a major factor in preventing complete adaptation of physiological rhythms to shift work in the shipboard situation; this problem could be overcome by devising a system that allows sleep to be taken in a single uninterrupted block each day.

Body Temperature

Work at sea: a study of sleep, and of circadian rhythms in physiological and psychological functions, in watchkeepers on merchant vessels. V. Effects of time zone crossings.

Daily diary records of sleep and activity, and 4-h measurements of body temperature, performance and subjective alertness were collected on board ship from 15 watchkeepers on the 4-on/8-off system, and from 28 dayworkers, on both westward and eastward transatlantic voyages. The data from a balanced sample of the subjects were analysed over selected 8-d periods of the voyages where four or five time zones were crossed. During these periods the average amount of daily sleep obtained by dayworkers on the eastward voyage was more than 1 h less than that on the westward voyage, and its quality was rated lower. Watchkeepers' main sleep was also shorter when travelling eastward, but this reduction was partially compensated for by a slightly longer secondary sleep. With the exception of subjective alertness on the eastward voyage, the basic phase of the circadian rhythms in the measured variables adjusted appropriately to the clock changes associated with the time zone crossings. The normal shape of the average daily curves was, however, altered differentially in the two directions of travel; as a result, morning levels of all variables were lower on the eastward voyage than on the westward, but evening levels were higher. These distortions of rhythm waveforms, which probably arose from a combination of endogenous and exogenous factors, add another dimension to the basic problem caused by the effects of circadian rhythms on operational efficiency in the shipboard situation. This problem can only be solved by the development of alternative watchkeeping systems which take full account of these rhythms.

Attention

Work at sea: a study of sleep, and of circadian rhythms in physiological and psychological functions, in watchkeepers on merchant vessels. VI. A sea trial of an alternative watchkeeping system for the merchant marine.

A trial of an alternative to the traditional 4-on/8-off watchkeeping system was made on a container ship during a round trip from Europe to the Far East. The three navigating officers on the ship operated the new system, which involved "compressed" working hours with a long unbroken period of rest, during two sections of the voyage, one of which included six stops at ports. Despite unforeseen problems arising mainly from these stops, questionnaire responses concerning the new system were not altogether unfavourable to it, and daily records kept by the officers gave some support to the hypothesis that sleep would be better than under the traditional system. However, a number of difficulties were encountered; these are discussed in relation to the design of future studies of alternative watchkeeping systems.

Circadian Rhythm

Work at sea: a study of sleep, and of circadian rhythms in physiological and psychological functions, in watchkeepers on merchant vessels. I. Watchkeeping on board ships: a methodological approach.

The safety of a ship depends substantially on its bridge watchkeepers, whose alertness and efficiency must be maintained at all hours of the day and night. Fatigue, circadian rhythms, and sleep disruption occasioned by the unusual working hours of these personnel may all affect their performance. A methodology for assessing the magnitude of this problem is proposed. The application of this methodology in a large-scale shipboard study of merchant mariners on extended voyages is then described, and details given of the techniques used to measure sleep and activity, and temporal variations in a range of physiological und psychological parameters. A summary of the data collected in the study is provided as a reference point for the reports on the different aspects of the results that follow in subsequent articles.

Body Temperature

Work at sea: a study of sleep, and of circadian rhythms in physiological and psychological functions, in watchkeepers on merchant vessels. II. Sleep duration, and subjective ratings of sleep quality.

Sleep length and sleep quality scores were collected on board ships over periods of up to two weeks from 38 watchkeepers working a '4-on/8-off routine' and 29 dayworkers. All watchkeepers exhibited fragmented sleeping patterns, which indicated a lack of adaptation of the sleep/wakefulness cycle to the hours of work. There were only slight differences in total sleep length between watchkeepers and dayworkers, however, both groups did not obtain an adequate amount of sleep. Within the watchkeeping crews the 3rd Officers had by far the shortest sleep length. Concerning sleep quality, daytime sleep was generally given the lowest ratings, whereas sleep starting before midnight was on average evaluated as the best, both by watchkeepers and dayworkers. Watchkeeping personnel do not normally have any "days off" during a voyage so that missed sleep might even amount to a sleep deficit. A solution for this problem could perhaps be a new, stabilized system that allows a single uninterrupted sleep, which is required for full recuperation, to be taken each day.

Circadian Rhythm

Effects of personality on body temperature and mental efficiency following transmeridian flight.

Examination of the oral temperature rhythms in a group of young men after an eastward jet-flight across eight time-zones revealed a specific disruption in the rhythm that gradually disappeared over a period of some 10 d. In the first 2 d, the magnitude of the disruption in individual subjects was significantly correlated with the extent of mean postflight loss of speed in performing an arithmetic calculations test, given four times per day in local daytime hours. Within the group, neurotic introverts exhibited the greatest, and neurotic extroverts the least initial rhythm disruption; these two personality groups also showed opposing time-of-day trends in postflight changes in the performance measure. The results are discussed in relation to flight scheduling and to other studies of shifts in activity schedule; they are tentatively accounted for in terms of a postulated dimension of circadian rhythm lability that could be primarily related to extraversion.

Aerospace Medicine

The effects of continuous exposure to carbon monoxide on auditory vigilance in man.

Six different groups of non-smoking young male subjects were studied separately for 18 consecutive days each in a closed controlled-environmental human exposure chamber. Each group was subjected to a 5-day control period in fresh air followed successively by an 8-day period of continuous exposure to 50 ppm, 15 ppm or 0 ppm (control) by volume of carbon monoxide (CO) in air, and a 5-day recovery period in fresh air. The subjects performed a 1-h auditory vigilance task every day at the same time of day in a fixed qualitative, quantitative, and temporal relationship with food intake, consumption of stimulating beverages, physical activity, and sleep. It was concluded that such CO exposure, involving the continuous carriage of carboxyhaemoglobin loads up to 7%, was without significant effect on auditory vigilance.

Acoustic Stimulation

Circadian rhythm of body temperature during prolonged undersea voyages.

Circadian rhythms of oral temperature were assessed in 12 watchkeepers during a prolonged submarine voyage and compared with a "standard" rhythm obtained from nonwatchkeepers ashore. Initially, the parameters of the rhythms were similar to those of the standard; however, among eight ratings working 4-h watches in a rapidly rotating cycle, considerable changes in the rhythms occurred as the voyage progressed, and concurrent alterations in sleep patterning were observed. The most characteristic change in the rhythm was a marked decline in its amplitude. In most subjects, the rhythm also tended to depart from its original circadian pattern; in at least one case, it effectively disintegrated. One subject's rhythm appeared to "free-run" with a period greater than 24 h. A strong circadian rhythm was maintained in only one of these eight subjects. In four officers whose watch times were at fixed hours, adaptation of the rhythm to unusual times of sleep occurred in 2 of 3 cases where the schedule demanded it. The results are discussed in relation to the design of optimal watchkeeping systems for submariners.

Adaptation, Physiological

Biomedical and psychosocial aspects of shift work. A review.

A survey of the different types of shift-work systems in use, and the incidence of shift work in different industries and countries, is followed by a discussion of (a) the effects of shift work on health and (b) the physiological problems raised by the phase-shifting of the circadian cycle in night workers. Summaries of the existing knowledge of the effects of shift work on performance efficiency, accidents, and family and social life are then given, and a set of criteria for designing optimal shift systems is proposed. Next, the questions of selection for shift work and the provision of health services for shiftworkers are discussed. Finally, the need for further research on the problems of shift work is explained, and suggestions are offered on the lines such research should follow.

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