<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0465-546X</journal-id>
<journal-title><![CDATA[Medicina y Seguridad del Trabajo]]></journal-title>
<abbrev-journal-title><![CDATA[Med. segur. trab.]]></abbrev-journal-title>
<issn>0465-546X</issn>
<publisher>
<publisher-name><![CDATA[Escuela Nacional de Medicina del Trabajo. Instituto de Salud Carlos III]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0465-546X2019000400252</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Efectos físicos y emocionales tras la realización de trabajo nocturno continuado en médicos internos residentes]]></article-title>
<article-title xml:lang="en"><![CDATA[Emotional and phisical effects after continued night shift by internal medical resident]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Espinel]]></surname>
<given-names><![CDATA[Francisco Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Blanco Álvarez]]></surname>
<given-names><![CDATA[Laura María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gálvez Herrer]]></surname>
<given-names><![CDATA[Macarena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez de la Pinta]]></surname>
<given-names><![CDATA[María Luisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Casares del Rio]]></surname>
<given-names><![CDATA[María Victoria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torre Robles]]></surname>
<given-names><![CDATA[José Manuel de la]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Complejo Asistencial Universitario de León Servicio de Prevención de Riesgos Laborales ]]></institution>
<addr-line><![CDATA[León ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Puerta de Hierro Servicio de Prevención de Riesgos Laborales ]]></institution>
<addr-line><![CDATA[Majadahonda Madrid]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto de Salud Carlos III Escuela Nacional de Medicina del Trabajo ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>65</volume>
<numero>257</numero>
<fpage>252</fpage>
<lpage>260</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0465-546X2019000400252&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0465-546X2019000400252&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0465-546X2019000400252&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: Los Médicos Internos Residentes (MIR) realizan guardias de 17 horas en los hospitales españoles. Dicho trabajo nocturno provoca una alteración del ritmo circadiano que puede desencadenar disfunciones en el estado físico y emocional.  Objetivos: Conocer el grado de afectación física y emocional que generan las guardias en los MIR y los factores que afectan dicha relación.  Material y métodos: Los participantes aleatorizados de un hospital terciario, cumplimentan un cuestionario, antes y después de la realización de la guardia, con variables sociodemográficas y test validados en su versión española: Positive and Negative Affect Schedule, Swedish Occupational Fatigue Inventory y la subescala de apoyo jerárquico de KARASEK.  Resultados: Se realiza análisis estadístico de n=150 residentes. De los residentes que conducen tras la guardia, un 17,98% sufrieron un accidente in itinere. La sensación de bienestar se vio reducida tras la guardia de forma estadísticamente significativa, al contrario que la de malestar (p&lt;0,05). Y el mayor grado de fatiga tras la guardia se centra en la somnolencia y en menor grado la falta de motivación.  Conclusiones: Este estudio supone una estimación validada de los efectos del trabajo nocturno continuado de los MIR. Los resultados obtenidos podrían sugerir replantearse la organización del trabajo debido a los efectos negativos para el bienestar de los médicos del futuro.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Medical Internal Residents perform 17-hour shifts at Spanish hospitals. Such night work causes an alteration of the circadian rhythm that can trigger disturbances in the physical and emotional state.  Objectives: To know the degree of physical and emotional affectation that the night shifts generate in Medical Residents and the factors that affect this relationship.  Material and methods: Before and after their 17-hour shift, the randomized participants from a tertiary referral hospital complete a questionnaire with socio-demographic variables and tests validated in their Spanish version: Positive and Negative Affect Schedule, Swedish Occupational Fatigue Inventory and the subscale of hierarchical support of KARASEK  Results: Statistical analysis of n = 150 residents of a hospital was carried out. Among the residents who drive after the 17-hour shift, 17.98% suffered a commuting accident. The pleasant experiences were reduced after shifts in a statistically significant difference (p &lt;0.05), compared to the discomforting ones. The highest degree of fatigue after shifts is focused on drowsiness, and to a lesser degree, on a lack of motivation.  Conclusions: This study supposes a validated estimate of the effects of the continuous work shift of Medical Residents. The results obtained could suggest reconsidering the organization of work given the negative effects for the well-being of future physicians.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Médicos]]></kwd>
<kwd lng="es"><![CDATA[trabajo nocturno]]></kwd>
<kwd lng="es"><![CDATA[ritmo circadiano]]></kwd>
<kwd lng="es"><![CDATA[efectos en la salud]]></kwd>
<kwd lng="en"><![CDATA[Physicians]]></kwd>
<kwd lng="en"><![CDATA[shift work]]></kwd>
<kwd lng="en"><![CDATA[circadian rhythm]]></kwd>
<kwd lng="en"><![CDATA[health impacts]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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