Browsing by Author "Czeisler, Charles"
Now showing items 1-12 of 12
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Acute Sleep Deprivation and Circadian Misalignment Associated with Transition onto the First Night of Work Impairs Visual Selective Attention
Santhi, Nayantara; Horowitz, Todd S.; Duffy, Jeanne Frances; Czeisler, Charles Andrew (Public Library of Science, 2007)Background: Overnight operations pose a challenge because our circadian biology promotes sleepiness and dissipates wakefulness at night. Since the circadian effect on cognitive functions magnifies with increasing sleep ... -
Amplitude Reduction and Phase Shifts of Melatonin, Cortisol and Other Circadian Rhythms after a Gradual Advance of Sleep and Light Exposure in Humans
Dijk, Derk-Jan; Duffy, Jeanne Frances; Silva, Edward J.; Shanahan, Theresa L.; Boivin, Diane B.; Czeisler, Charles Andrew (Public Library of Science, 2012)Background: The phase and amplitude of rhythms in physiology and behavior are generated by circadian oscillators and entrained to the 24-h day by exposure to the light-dark cycle and feedback from the sleep-wake cycle. The ... -
Association of Sleep Disorders With Physician Burnout
Weaver, Matthew; Robbins, Rebecca; Quan, Stuart; O’Brien, Conor S.; Viyaran, Natalie; Czeisler, Charles; Barger, Laura K.; Barger, Laura (American Medical Association (AMA), 2020-10-30)Physicians’ mental health concerns affect the quality of life of caregivers, patient safety, health care expenditures, and occupational turnover. More than half of US physicians report burnout. Sleep deficiency is common—often ... -
Effect of Reducing Interns' Work Hours on Serious Medical Errors in Intensive Care Units
Landrigan, Christopher; Rothschild, Jeffrey; Cronin, John W.; Kaushal, Rainu; Burdick, Elisabeth; Katz, Joel; Lilly, Craig M.; Stone, Peter; Lockley, Steven; Bates, David; Czeisler, Charles (Massachusetts Medical Society, 2004-10-28)BACKGROUND Although sleep deprivation has been shown to impair neurobehavioral performance, few studies have measured its effects on medical errors. METHODS We conducted a prospective, randomized study comparing the ... -
Impact of Extended-Duration Shifts on Medical Errors, Adverse Events, and Attentional Failures
Barger, Laura; Ayas, Najib T; Cade, Brian E; Cronin, John W; Rosner, Bernard Alfred; Speizer, Frank Erwin; Czeisler, Charles Andrew (Public Library of Science, 2006)Background: A recent randomized controlled trial in critical-care units revealed that the elimination of extended-duration work shifts (≥24 h) reduces the rates of significant medical errors and polysomnographically recorded ... -
Implementing a Sleep Health Education and Sleep Disorders Screening Program in Fire Departments: A Comparison of Methodology
Barger, Laura K.; O’Brien, Conor S.; Rajaratnam, Shantha M.W.; Qadri, Salim; Sullivan, Jason P.; Wang, Wei; Czeisler, Charles A.; Lockley, Steven W. (Lippincott Williams & Wilkins, 2016)Objective: The objective of this study is to compare three methods of administering a sleep health program (SHP) in fire departments. Methods: An SHP, comprising sleep health education and screening for common sleep ... -
Making Residency Work Hour Rules Work
Cohen, I. Glenn; Czeisler, Charles Andrew; Landrigan, Chrisopher (Wiley for American Society of Law, Medicine and Ethics, 2013)In July 2011, the ACGME implemented new rules that limit interns to 16 hours of work in a row, but continue to allow 2nd-year and higher resident physicians to work for up to 28 consecutive hours. Whether the ACGME's 2011 ... -
Prediction of Vigilant Attention and Cognitive Performance Using Self-Reported Alertness, Circadian Phase, Hours since Awakening, and Accumulated Sleep Loss
Bermudez, Eduardo B.; Klerman, Elizabeth B.; Czeisler, Charles A.; Cohen, Daniel A.; Wyatt, James K.; Phillips, Andrew J. K. (Public Library of Science, 2016)Sleep restriction causes impaired cognitive performance that can result in adverse consequences in many occupational settings. Individuals may rely on self-perceived alertness to decide if they are able to adequately perform ... -
Risks of Complications by Attending Physicians After Performing Nighttime Procedures
Rothschild, Jeffrey; Keohane, Carol A.; Rogers, Selwyn; Gardner, Roxane; Lipsitz, Stuart; Salzberg, Claudia A.; Yu, Tony; Yoon, Catherine S.; Williams, Deborah H.; Wien, Matt F.; Czeisler, Charles; Bates, David; Landrigan, Christopher (American Medical Association (AMA), 2009-10-14)Context: Few data exist on the relationships between experienced physicians' work hours and sleep, and patient safety. Objective: To determine if sleep opportunities for attending surgeons and obstetricians/gynecologists ... -
Saving lives or saving dollars: The Trump administration rescinds plans to require sleep apnea testing in commercial transportation operators
Quan, Stuart; Barger, Laura; Weaver, Matthew; Czeisler, Charles (Southwest Journal of Pulmonary and Critical Care, 2017-08-17) -
Short-Wavelength Light Sensitivity of Circadian, Pupillary, and Visual Awareness in Humans Lacking an Outer Retina
Zaidi, Farhan H.; Peirson, Stuart N.; Wulff, Katharina; Brainard, George C.; Gregory-Evans, Kevin; Moseley, Merrick J.; Hull, Joseph Thomas; Aeschback, Daniel; Gooley, Joshua James; Rizzo, Joseph F.; Czeisler, Charles Andrew; Foster, Russell G.; Lockley, Steven Ward (Cell Press, 2007)Summary As the ear has dual functions for audition and balance, the eye has a dual role in detecting light for a wide range of behavioral and physiological functions separate from sight [1–11]. These responses are driven ... -
US public opinion regarding proposed limits on resident physician work hours
Blum, Alexander B; Raiszadeh, Farbod; Shea, Sandra; Mermin, David; Lurie, Peter; Landrigan, Christopher Paul; Czeisler, Charles Andrew (BioMed Central, 2010)Background: In both Europe and the US, resident physician work hour reduction has been a source of controversy within academic medicine. In 2008, the Institute of Medicine (IOM) recommended a reduction in resident physician ...