Correlation between Surgeon's experience, surgery complexity and the alteration of stress related physiological parameters.
Correlation between Surgeon's experience, surgery complexity and the alteration of stress related physiological parameters.
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DOI：
10.1371/journal.pone.0112444
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Tatullo M
中科院分区：
文献类型：
--
作者：
Marrelli M;Gentile S;Palmieri F;Paduano F;Tatullo M
在本工作中，我们分析了应激条件下随机招募的口腔外科医生的激素（唾液皮质醇；sC）、免疫（唾液免疫球蛋白A； sIgA）和心血管（心率、HR和收缩压，SBP）反应。每位外科医生在时间限制的条件下进行了三种不同的手术，技术难度越来越大，以评估这些变异是否会影响相关卫生专业人员发生应激性继发性高血压的风险。在每次手术前、手术中和手术后2小时采集sC和sIgA样本和心血管功能测量。在非手术期间也进行了唾液样本和心血管测量，作为基线对照。我们观察到，经验丰富的外科医生比经验不足或更年轻的外科医生表现出更高的压力管理能力，后者更容易出现继发性高血压的风险。然而，与性别和经验无关，口腔外科医生经常面临患与压力有关的疾病的高风险。基于所解决的问题和获得的结果，我们强调了所研究的压力生物标志物对监测和预防口腔外科医生压力相关病理的重要性。这种方法旨在强调这些特定的压力生物标志物的重要性，它们代表了评估口腔外科医生压力水平的有力工具，并且可能有助于减少他们每天暴露的最严重的危及生命的风险。总之，本研究的最终目的是提出一个有用的指导方针来监测口腔颌面外科医生的压力水平，以提高他们的生活质量，这不可避免地反映在所提供的表演质量上，最后，防止他们在日常活动中可能出现的错误。
In the present work we analyzed the hormonal (salivary Cortisol; sC), immune (salivary Immunoglobulin A; sIgA) and cardiovascular (Heart rate, HR, and systolic blood pressure, SBP) responses induced by stress conditions in oral surgeons, randomly recruited according to their expertise level. Each surgeon performed three different surgical procedures with increasing degrees of technical difficulty and under time-limited conditions, to assess whether these variants may influence the risks of stress-induced secondary hypertension among the involved health professionals. sC and sIgA samples and cardiovascular function measurements were taken up before, during, and two hours after every surgery. Salivary samples and cardiovascular measurements were taken also during non-surgical days, as baseline controls. We observed that more experienced surgeons showed a higher stress management ability compared to those with less experience or, generally, younger, which are more exposed to the risks of developing secondary hypertension. Nevertheless, indipendently of sex and experience, oral surgeons are constantly exposed to high risks of developing stress-related diseases. On the basis of the issues addressed and the results obtained, we have highlighted the importance of the investigated stress biomarkers to monitor and to prevent stress-related pathologies among oral surgeons. This approach is aimed to emphasize the significance of these specific stress-biomarkers, which represent a powerful instrument to evaluate stress levels in oral surgeons, and that may help to reduce the most severe life-threatening risks to which they are daily exposed. In conclusion, final goal of this study is to suggest an useful guideline to monitor the stress levels of oral and maxillofacial surgeons in order to improve their quality of life, which is inevitably reflected on the quality of the performances provided and, finally, to prevent possible mistakes in their daily activities.
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影响因子：
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作者：
Malamud D
通讯作者：
Malamud D
影响因子：
5.8
作者：
Hamer, Mark;Steptoe, Andrew
通讯作者：
Steptoe, Andrew
DOI：
10.1016/j.jamcollsurg.2010.09.025
发表时间：
2011-02-01
影响因子：
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DOI：
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发表时间：
2012-02-01
影响因子：
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作者：
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通讯作者：
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DOI：
10.1016/j.coms.2010.07.006
发表时间：
2010-11-01
影响因子：
1.5
作者：
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通讯作者：
LaPorta, Lauren D.