Effects of work and circadian rhythm on bus drivers' oral temperature.

The results described in this paper originate from a research project aiming at the development of a useful measuring instrument which can demonstrate the effect of work and work circumstances on the task performer. Among other physiological (and psychometric) variables, oral temperature data were obtained from eight younger and eight older bus drivers working in various shifts. Measurements were performed in an experimental design under standardized conditions in a mobile laboratory before starting, during some rest intervals, and after finishing work. The same measurements were performed on the bus drivers in a control condition at corresponding times on a day off. The results indicated that only during the working days a temperature pattern could be detected resembling the data found in the literature (low in the morning, a maximum in the late afternoon, then a decline). No clear pattern was discernible on work-free days. On working days the mean oral temperature values were significantly higher at corresponding hours of the day. Upward deviations of the temperature pattern were found before starting work (but also at the beginning of the day off), while lower values were obtained after finishing work (especially in the shifts starting in the morning). These results might be interpreted in terms of interaction between circadian rhythm and activating and de-activating tendencies connected with (structured) daily activities.

[Prevalence of chronic fatigue syndrome in 4 family practices in Leiden]. / Prevalentie van chronische-vermoeidheidsyndroom in 4 huisartspraktijken in de regio Leiden.

OBJECTIVE: To determine the prevalence of chronic fatigue syndrome (CFS) in general practice. DESIGN: Descriptive. SETTING: General practice and primary health care centres in Leyden region, the Netherlands. METHOD: RNUH-LEO is a computerized database which contains the anonymous patient information of one general practice (with two practitioners) and four primary health care centres. The fourteen participating general practitioners were asked what International Classification of Primary Care (ICPC) code they used to indicate a patient with chronic fatigue or with CFS. With these codes and with the code for depression patients were selected from the database. It then was determined whether these patients met the criteria of CFS by Holmes et al. RESULTS: The general practitioners used 10 codes. Including the code for depression a total of 601 patients were preselected from a total of 23,000 patients in the database. Based on the information from the patients' records in the database, 42 of the preselected patients were selected who might fulfill the Holmes' criteria of CFS. According to the patients' own general practitioner, 25 of the 42 patients would fulfil the Holmes' criteria. The men:women ratio was 1:5. The prevalence of CFS in the population surveyed was estimated to be at least 1.1 per 1,000 patients.