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Author (up) Knutsson, A.; Alfredsson, L.; Karlsson, B.; Akerstedt, T.; Fransson, E.I.; Westerholm, P.; Westerlund, H.
Title Breast cancer among shift workers: results of the WOLF longitudinal cohort study Type Journal Article
Year 2013 Publication Scandinavian Journal of Work, Environment & Health Abbreviated Journal Scand J Work Environ Health
Volume 39 Issue 2 Pages 170-177
Keywords Adult; Aged; Breast Neoplasms/*epidemiology/etiology; Circadian Rhythm; Female; Humans; Incidence; Longitudinal Studies; Middle Aged; Proportional Hazards Models; Risk Assessment; Sweden/epidemiology; *Work Schedule Tolerance; oncogenesis
Abstract OBJECTIVE: The aim of this study was to investigate whether shift work (with or without night work) is associated with increased risk of breast cancer. METHODS: The population consisted of 4036 women. Data were obtained from WOLF (Work, Lipids, and Fibrinogen), a longitudinal cohort study. Information about baseline characteristics was based on questionnaire responses and medical examination. Cancer incidence from baseline to follow-up was obtained from the national cancer registry. Two exposure groups were identified: shift work with and without night work. The group with day work only was used as the reference group in the analysis. Cox regression analysis was used to calculate relative risk. RESULTS: In total, 94 women developed breast cancer during follow-up. The average follow-up time was 12.4 years. The hazard ratio for breast cancer was 1.23 [95% confidence interval (95% CI) 0.70-2.17] for shifts without night work and 2.02 (95% CI 1.03-3.95) for shifts with night work. When including only women <60 years of age, the risk estimates were 1.18 (95% CI 0.67-2.07) for shifts without night work, and 2.15 (95% CI 1.10-4.21) for shifts with night work. CONCLUSIONS: Our results indicate an increased risk for breast cancer among women who work shifts that includes night work.
Address Department of Health Sciences, Mid Sweden University, Sundsvall. Sweden. Anders.Knutsson@miun.se
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Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0355-3140 ISBN Medium
Area Expedition Conference
Notes PMID:23007867 Approved no
Call Number IDA @ john @ Serial 154
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Author (up) Kujanik, S.; Mikulecky, M.
Title Circadian and ultradian extrasystole rhythms in healthy individuals at elevated versus lowland altitudes Type Journal Article
Year 2010 Publication International Journal of Biometeorology Abbreviated Journal Int J Biometeorol
Volume 54 Issue 5 Pages 531-538
Keywords Human Health; Acclimatization/physiology; Aged; *Altitude; Anoxia/etiology; Cardiac Complexes, Premature/*physiopathology; Circadian Rhythm/*physiology; Electrocardiography, Ambulatory; Heart Rate/*physiology; Humans; Male; Middle Aged; Reference Values; Time Factors
Abstract We defined chronobiologic norms for supraventricular and ventricular single extrasystoles (SV and VE, respectively) in healthy older males in lowland areas. The study was extended to higher altitudes, where hypobaric hypoxia was expected to increase extrasystole frequency, while perhaps not changing rhythmicity. In healthy men (lowland n = 37, altitude n = 22), aged 49-72 years, mean numbers of SVs and VEs were counted over a 24-h period. Cosinor regression was used to test the 24-h rhythm and its 2nd-10th harmonics. The resulting approximating function for either extrasystole type includes its point, 95% confidence interval of the mean, and 95% tolerance for single measurement estimates. Separate hourly differences (delta) between altitude and lowland (n = 59) were also analysed. Hourly means were significantly higher in the mountains versus lowland, by +0.8 beats/h on average for SVs, and by +0.9 beats/h for VEs. A relatively rich chronogram for VEs in mountains versus lowland exists. Delta VEs clearly display a 24-h component and its 2nd, 3rd, 4th and 7th harmonics. This results in significantly higher accumulation of VEs around 8.00 a.m., 11.00 a.m. and 3.00 p.m. in the mountains. The increase in extrasystole occurrence in the mountains is probably caused by higher hypobaric hypoxia and resulting sympathetic drive. Healthy men at elevated altitudes show circadian and several ultradian rhythms of single VEs dependent on the hypoxia level. This new methodological approach--evaluating the differences between two locations using delta values--promises to provide deeper insight into the occurrence of premature beats.
Address Dept of Physiology, Faculty of Medicine, Pavol Jozef Safarik University, Trieda SNP 1, 040 66 Kosice, Slovak Republic. stefan.kujanik@upjs.sk
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0020-7128 ISBN Medium
Area Expedition Conference
Notes PMID:20195873 Approved no
Call Number LoNNe @ kagoburian @ Serial 774
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Author (up) Landers, J.A.; Tamblyn, D.; Perriam, D.
Title Effect of a blue-light-blocking intraocular lens on the quality of sleep Type Journal Article
Year 2009 Publication Journal of Cataract and Refractive Surgery Abbreviated Journal J Cataract Refract Surg
Volume 35 Issue 1 Pages 83-88
Keywords Aged; Aged, 80 and over; Circadian Rhythm/physiology; Female; Humans; *Lens Implantation, Intraocular; *Lenses, Intraocular; Light; Male; *Phacoemulsification; Prosthesis Design; Questionnaires; Sleep/*physiology; blue light; sleep
Abstract PURPOSE: To evaluate whether implantation of a blue-light-blocking intraocular lens (IOL) affects sleep quality. SETTING: Repatriation General Hospital, Adelaide, Australia. METHODS: This study comprised patients who had bilateral cataract surgery during the preceding 12 months with implantation of a conventional SI40NB IOL or an AcrySof Natural SN60WF blue-light-blocking IOL. Patients were contacted by telephone at least 6 months after second-eye surgery, and the Pittsburgh Sleep Quality Index (PSQI) questionnaire was administered. Results were compared between groups. RESULTS: Of the 49 patients, 31 received conventional IOLs and 18, blue-light-blocking IOLs. The mean age of the patients was 80 years +/- 8.1 (SD). The median PSQI score was 6 (interquartile range 3 to 8). There were no statistically significant differences in PSQI scores between the 2 IOL groups (P = .65). This remained true after adjustment for sex, age, medication, and time since surgery. CONCLUSION: The blue-light-blocking IOL had no effect on the sleep quality of patients, indicating that these IOLs might serve as an alternative to conventional IOLs without a detrimental effect on circadian rhythm.
Address Department of Ophthalmology, Repatriation General Hospital, Adelaide, Australia. john.landers@bigpond.com
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Series Volume Series Issue Edition
ISSN 0886-3350 ISBN Medium
Area Expedition Conference
Notes PMID:19101429 Approved no
Call Number IDA @ john @ Serial 288
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Author (up) LeGates, T.A.; Altimus, C.M.; Wang, H.; Lee, H.-K.; Yang, S.; Zhao, H.; Kirkwood, A.; Weber, E.T.; Hattar, S.
Title Aberrant light directly impairs mood and learning through melanopsin-expressing neurons Type Journal Article
Year 2012 Publication Nature Abbreviated Journal Nature
Volume 491 Issue 7425 Pages 594-598
Keywords Affect/drug effects/physiology/*radiation effects; Animals; Antidepressive Agents/pharmacology; Body Temperature Regulation/physiology/radiation effects; Circadian Rhythm/physiology; Cognition/drug effects/physiology/radiation effects; Corticosterone/metabolism; Depression/etiology/physiopathology; Desipramine/pharmacology; Fluoxetine/pharmacology; Learning/drug effects/physiology/*radiation effects; *Light; Long-Term Potentiation/drug effects; Male; Memory/physiology/radiation effects; Mice; Photoperiod; Retinal Ganglion Cells/drug effects/*metabolism/*radiation effects; *Rod Opsins/analysis; Sleep/physiology; Wakefulness/physiology
Abstract The daily solar cycle allows organisms to synchronize their circadian rhythms and sleep-wake cycles to the correct temporal niche. Changes in day-length, shift-work, and transmeridian travel lead to mood alterations and cognitive function deficits. Sleep deprivation and circadian disruption underlie mood and cognitive disorders associated with irregular light schedules. Whether irregular light schedules directly affect mood and cognitive functions in the context of normal sleep and circadian rhythms remains unclear. Here we show, using an aberrant light cycle that neither changes the amount and architecture of sleep nor causes changes in the circadian timing system, that light directly regulates mood-related behaviours and cognitive functions in mice. Animals exposed to the aberrant light cycle maintain daily corticosterone rhythms, but the overall levels of corticosterone are increased. Despite normal circadian and sleep structures, these animals show increased depression-like behaviours and impaired hippocampal long-term potentiation and learning. Administration of the antidepressant drugs fluoxetine or desipramine restores learning in mice exposed to the aberrant light cycle, suggesting that the mood deficit precedes the learning impairments. To determine the retinal circuits underlying this impairment of mood and learning, we examined the behavioural consequences of this light cycle in animals that lack intrinsically photosensitive retinal ganglion cells. In these animals, the aberrant light cycle does not impair mood and learning, despite the presence of the conventional retinal ganglion cells and the ability of these animals to detect light for image formation. These findings demonstrate the ability of light to influence cognitive and mood functions directly through intrinsically photosensitive retinal ganglion cells.
Address Department of Biology, Johns Hopkins University, Baltimore, Maryland 21218, USA
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Series Volume Series Issue Edition
ISSN 0028-0836 ISBN Medium
Area Expedition Conference
Notes PMID:23151476; PMCID:PMC3549331 Approved no
Call Number IDA @ john @ Serial 238
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Author (up) Lerchl, A.; Schindler, C.; Eichhorn, K.; Kley, F.; Erren, T.C.
Title Indirect blue light does not suppress nocturnal salivary melatonin in humans in an automobile setting Type Journal Article
Year 2009 Publication Journal of Pineal Research Abbreviated Journal J Pineal Res
Volume 47 Issue 2 Pages 143-146
Keywords Human Health; Adolescent; Adult; *Automobiles; Circadian Rhythm/physiology; Humans; *Lighting; Male; Melatonin/metabolism/*secretion; Salivary Glands/*secretion; Statistics, Nonparametric
Abstract In 2007, the International Agency for Research on Cancer (IARC) classified shift work that involves circadian disruption as being probably carcinogenic to humans (Group 2A). In this context, light exposure during the night plays a key role because it can suppress nocturnal melatonin levels when exposures exceed a certain threshold. Blue light around 464 nm is most effective in suppressing melatonin because of the spectral sensitivity of melanopsin, a recently discovered photopigment in retinal ganglion cells; the axons of these cells project to the suprachiasmatic nucleus, a circadian master clock in the brain. Due to advances in light technologies, normal tungsten light bulbs are being replaced by light-emitting diodes which produce quasi-monochromatic or white light. The objective of this study was to assess whether the light-melanopsin-melatonin axis might be affected in automobiles at night which employ the new generation diodes. To this end, we have tested in an experimental automobile setting whether indirect blue light (lambda(max) = 465 nm) at an intensity of 0.22 or 1.25 lx can suppress salivary melatonin levels in 12 male volunteers (age range 17-27 years) who served as their own controls. Daytime levels were low (2.7 +/- 0.5 pg/mL), and night-time levels without light exposure were high (14.5 +/- 1.1 pg/mL), as expected. Low-intensity light exposures had no significant effect on melatonin levels (0.22 lx: 17.2 +/- 2.8 pg/mL; P > 0.05; 1.25 lx: 12.6 +/- 2.0 pg/mL; P > 0.05). It is concluded that indirect blue light exposures in automobiles up to 1.25 lx do not cause unintentional chronodisruption via melatonin suppression.
Address School of Engineering and Science, Jacobs University, D-28759 Bremen, Germany. a.lerchl@jacobs-university.de
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Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0742-3098 ISBN Medium
Area Expedition Conference
Notes PMID:19555449 Approved no
Call Number LoNNe @ kagoburian @ Serial 777
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