Sleep Disorders in Shift Workers in the Emergency Department and Efficacy of Melatonin

dc.authorid0000-0002-9420-6514en_US
dc.contributor.authorEmet, Mücahit
dc.contributor.authorUzkeser, Mustafa
dc.contributor.authorGüçlü, Sibel
dc.contributor.authorErgin, Mehmet
dc.contributor.authorAslan, Şahin
dc.date.accessioned2020-01-18T21:02:56Z
dc.date.available2020-01-18T21:02:56Z
dc.date.issued2016
dc.departmentNEÜ, Meram Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Acil Tıp Anabilim Dalıen_US
dc.description.abstractNo statistical data is available on the number of employees working on night shifts in Turkey. Working on shifts is associated with decreased sleep time, decreased daily sleep quality, and decreased alertness during night shifts. Increased incidences of cardiovascular disorders, peptic ulcers, and some types of cancer in shift workers are well known. Exposure to light at nighttime suppresses melatonin production. In non-synchronized circadian rhythm, disturbed melatonin secretion may lead to excessive sleep, hunger for carbohydrates, and weight gain. Melatonin is the hormone that governs sleep. It seems to be the key regulator of the sleep/wake rhythm. Exposure to light at night and disturbance of the circadian rhythm contribute to the health problems of night shift workers by disturbing melatonin production. In this review, the definitions of social jetlag, delayed sleep phase syndrome, and insomnia will be discussed. Sleep disorders in psychiatric diseases will be reviewed. Melatonergic drugs available on the market will be listed, including their contraindications and side effects. The physiopathology of sleep, sleep disorders, depression, and melatonin will be given with an extended discussion. Two recent reviews about the effect of melatonin on sleep patterns will be discussed. Finally, other treatments for sleep disorders will be summarized. In conclusion, in shift workers, sleep problems are a complex subject in which multiple pathophysiological mechanisms play roles. The double-blind randomized controlled studies, systematic reviews, and meta-analyses that have been conducted can provide only weakly positive data about the beneficial effect of melatonin use in shift workers. In the future, multi-centered and multi-participant studies will shed more light on this issue.en_US
dc.identifier.citationEmet, M., Uzkeser, M., Guclu, S., Ergin, M., Aslan, S. (2016). Sleep Disorders in Shift Workers in the Emergency Department and Efficacy of Melatonin. Eurasian Journal of Emergency Medicine, 15, 1, 48-53.en_US
dc.identifier.doi10.5152/eajem.2016.84758en_US
dc.identifier.endpage53en_US
dc.identifier.issn2149-5807en_US
dc.identifier.issn2149-6048en_US
dc.identifier.issue1en_US
dc.identifier.startpage48en_US
dc.identifier.urihttp://app.trdizin.gov.tr/publication/paper/detail/TWpBM09Ea3pNdz09
dc.identifier.urihttps://hdl.handle.net/20.500.12452/1374
dc.identifier.volume15en_US
dc.identifier.wosWOS:000382873200010en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.relation.ispartofEurasian Journal of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US]
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAcil Tıpen_US
dc.subjectMelatoninen_US
dc.subjectSleepen_US
dc.subjectReviewen_US
dc.subjectShiften_US
dc.subjectNight Worken_US
dc.subjectEmergency Medicineen_US
dc.subjectAgomelatineen_US
dc.subjectMelatonergic Drugsen_US
dc.titleSleep Disorders in Shift Workers in the Emergency Department and Efficacy of Melatoninen_US
dc.typeArticleen_US

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