Use of saliva stress biomarkers to estimate novice male endoscopist’s stress during training in a high-end simulator
| Autor: | Dimitrios Thanasas, Konstantinos Georgiou, Ninos Oussi, Lars Enochsson, Nikola Boyanov, Blagoi Marinov, Tanya Deneva |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Saliva medicine.medical_specialty Medicin och hälsovetenskap Hydrocortisone education Gastroenterology and Hepatology Medical and Health Sciences stress Stress (linguistics) Gastroenterologi Medicine Humans Exercise saliva biomarkers business.industry Gastroenterology Training (meteorology) food and beverages Endoscopy simulation Stress biomarkers Physical therapy business Biomarkers performance Endoscopic training |
| Popis: | Objective: Simulated endoscopic training can be challenging and stressful for the novice trainee. The absence of a reliable stress detection method during simulated endoscopic training makes estimating trainees' mental stress difficult to quantify. This study concomitantly measures the responses of four saliva stress biomarkers and compares them to the video score (VS) achieved by novice endoscopists in a reproducibly stressful simulation environment. Methods: Thirty-six male endoscopy naïve surgery residents were enrolled. After an orientation phase, a saliva specimen was collected for cortisol (sC), alpha-amylase (sAA), Chromogranin A (sCgA), and immunoglobulin A (sIgA) measurements (baseline phase, BL). Thereafter, the simulation exercise phase (E) started, practicing in the Fundamentals of Endoscopic Surgery Skills module (GI-Bronch Mentor). Immediately after, a second saliva sample for measuring the above-cited biomarkers was collected. The whole experiment was videotaped, and the VS was calculated. The percentage (E-BL)diff of each of the four saliva biomarkers was calculated and examined for correlation to VS. Results: sCgAdiff showed the best correlation with VS, followed by sAAdiff. Cconclusions: sCgA and sAA, are saliva stress biomarkers that are easy to collect non-invasively and showed the best correlation with novice endoscopist's performance in our simulation setting, and therefore, they could be used for monitoring stress. |
| Databáze: | OpenAIRE |
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