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Rối loạn tim mạch liên quan đến đe dọa, tránh né và làm việc cảnh giác: Ứng dụng của tiềm năng liên quan đến sự kiện và phê bình
Tóm tắt
Một phương pháp tích hợp đã được đề xuất để theo dõi các yếu tố căng thẳng trong môi trường làm việc được mô phỏng một cách có ký hiệu, như là một hành động gây gánh nặng cho chức năng vỏ não cao hơn ở các nhóm bị phơi nhiễm. ERP sẽ được thực hiện cùng với việc đo lường các phản ứng căng thẳng của cơ quan đích cũng như các phép đo về điều kiện cảm nhận được. Các nghiên cứu thực địa sẽ là sự bổ sung cần thiết. Các kết luận sau đây được rút ra từ tài liệu đã xem xét: trong số các phi công, các vấn đề tim mạch là nguyên nhân quan trọng nhất dẫn đến việc mất giấy phép ở châu Âu và Bắc Mỹ. Các tương tác với đồng nghiệp đối với các nhân viên kiểm soát không lưu đã được liên kết với khả năng khuyết tật tim mạch. So sánh các mức độ nghiêm trọng của bệnh tim mạch giữa các tài xế chuyên nghiệp, các lái xe IHD cho thấy biên độ N2 nhỏ nhất và độ phản ứng huyết áp tâm trương lớn nhất. Biên độ mục tiêu P300 cho thấy một mối tương quan ngược với số giờ làm việc sau tay lái. Các lái xe IHD được hình dung trong một giai đoạn rối loạn của quá trình chú ý chọn lọc. Một mối liên hệ đã được tìm thấy giữa Tiềm năng Chậm Liên Quan đến Sự Kiện (ERSP) và gia tốc nhịp tim giữa kì liên quan đến sự khó chịu và hưng phấn. Một mối tương quan dương tính đã được tìm thấy giữa biên độ của ERSP và tỷ lệ loạn nhịp tâm thất ở bệnh nhân tim. Sự giảm thiểu tỷ lệ loạn nhịp theo phản ứng với các tác nhân chống loạn nhịp đã được liên kết với việc giảm đáng kể ERSP. Sự tăng tốc hoặc giảm tốc đều liên quan đến sự xuất hiện của CNV muộn đối với tiếng ồn khó chịu. Có thể có một "nguồn gốc chung cho cả hai phản ứng nhịp tim dự đoán và các sự kiện vỏ não." CNV có thể liên quan đến các cơ chế căng thẳng trung gian ở vùng trước.
Từ khóa
#Rối loạn tim mạch #căng thẳng #phản ứng chống loạn nhịp #tiềm năng liên quan đến sự kiện #phi công #nhân viên kiểm soát không lưu.Tài liệu tham khảo
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