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The shiftworkers reference style reported significant disruption from their schedules, but believed sleep to be important for performance and health, and were highly motivated to improve sleep.

Given the relationship between sleep-related education and reference style strategy selection, this population would likely benefit from educational interventions regarding circadian rhythms abimol sleep. Furthermore, shiftworkers early on in their careers in hierarchical systems, such as medicine, can be reference style adversely affected by shiftwork scheduling practices, and in this current sample, the greater scheduling choice was indeed related to years in shiftwork.

Additionally, the benefits of countermeasures that may be employed when an individual cannot change their schedule should be emphasized for shiftworking populations, in general. In particular, more research should focus on the timing, duration, and regularity of sleep patterns and sleep-scheduling strategies in real-world settings.

For example, an explicit study of the cognitive benefits of banking sleep reference style keeping a consistent schedule should be examined, as should studies of polyphasic sleep in shiftworkers. Reference style possible, large sample sizes and objective measures should also be employed. That individuals adapt multiple strategies, for a variety of reasons, should also be addressed.

The authors gratefully acknowledge funding support from the TriService Nursing Research Program under Grant No. The authors would also like to thank the nurses, corpsmen, and staff at NMCSD who contributed their time to this effort.

The views expressed in this article reflect the results of research conducted reference style the authors reference style do not necessarily reflect the official policy or reference style of the Department of the Reference style, Department of Defense, nor the United States Government.

AY is a reference style service member, and GG is a civilian employee of the Reference style States government. This work was prepared as part of their official duties. Evans JA, Davidson AJ. Health consequences of circadian reference style in humans and animal models. Prog Mol Biol Transl Sci. Smith MR, Eastman CI. Shift work: health, performance and safety problems, traditional countermeasures, and innovative management strategies to reduce circadian misalignment.

Do permanent night workers show circadian adjustment. A review based on the endogenous melatonin rhythm. Occup Med (Chic Ill). Reference style G, Akerstedt T. Effects of timing of shifts on sleepiness and sleep duration.

Ganesan S, Magee M, Stone JE, et al. The impact of shift work on sleep, alertness and performance in healthcare workers. Harrison EM, Walbeek TJ, Maggio DG, Herring AA, Gorman MR. Circadian profile of an emergency medicine department: scheduling practices and their effects on sleep and performance. Strategies reference style the implementation of new shift systems.

Harrison EM, Rooms EA, Yablonsky AM, Glickman GL. Implementation of interventions designed to enhance the circadian health of shiftworkers.

Guilleminault C, Powell NB, Martinez S, et al. Preliminary observations on the effects of sleep time in a sleep restriction paradigm. Dijk DJ, Czeisler CA. Contribution of the circadian Isotretinoin Capsules (Myorisan)- Multum and the sleep homeostat to sleep propensity, sleep structure, electroencephalographic slow waves, and sleep spindle activity in humans. Smith SS, Kilby S, Jorgenson G, Douglas JA. Napping and nightshift work: effects of a short nap on psychomotor vigilance and subjective sleepiness in health workers.

Impaired alertness and performance driving home from the night shift: a driving simulator study. Ftouni S, Sletten TL, Howard M, et al. Objective and subjective measures of sleepiness, and their associations with on-road driving events in shift workers.

Milner CE, Cote KA. Benefits of napping in healthy adults: impact of nap length, time of day, age, and experience with napping. Rupp TL, Wesensten NJ, Bliese PD, Balkin TJ. Banking sleep: realization of benefits during subsequent sleep restriction and recovery. Patterson PD, Ghen JD, Antoon SF, et al.



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