Nighttime Work Research Articles

Sleep Habits and Disturbances in Healthcare Workers: A Cross-Sectional Survey in French Public Hospitals.

To describe the sleep habits (bedtime hours, waking hours, sleep duration) and to assess the prevalence of sleep disturbances (acute and chronic insomnia, insufficient sleep, perceived sleep debt) among French healthcare workers. Nurses and assistant nurses working in public hospitals from the Loire department at different work schedules (2x12h, 2x8h, fixed daytime, fixed nighttime) were asked about their socioprofessional and demographic information, their sleep habits and disturbances during night shifts, and the acceptability of a 20-min nap opportunity. A total of 297healthcare workers completed the survey with 76% reporting a sleep debt with a lower prevalence for fixed nighttime workers (62%) and a higher prevalence for 2x12h (84%) workers. The prevalence of acute insomnia was 76% with a significant difference between fixed nighttime (60%) and 2x12h (82%); whereas the prevalence of chronic insomnia was 35% without any significant difference between working schedules. Moreover, 18% of healthcare workers reported excessive daytime sleepiness, while 13% admitted to using sleep medication at least once a week. French healthcare workers reported poor sleep quality with a high prevalence of sleep debt, acute and chronic insomnia symptoms without an obvious impact of working schedules.

Effects of shift work on sleep quality and cardiovascular function in Taiwanese police officers

ABSTRACT This study aimed to investigate the effects of shift work on sleep quality, cardiovascular function, and physical activity (PA) levels in Taiwanese police officers. Twenty-one male police officers aged 26.9 ± 4.1 years old located in Taipei voluntarily participated in this study. The participants completed the resting heart rate (HR) and hemodynamic variables (e.g. blood pressure, BP) before and after day-time (DTW) and night-time (NTW) shift work phases (5 working days and 2 resting days for each phase). Additionally, an actigraphy was administered to measure PA and sleep patterns in the last 3 working days. The average total sleep time and sleep efficiency were 278.5 ± 79. 6 min and 72.9 ± 10%, respectively, in the NTW phases, which were significantly lower than that in the DTW phases. A comparison of the PA characteristics between the two phases revealed that a lower proportion of moderate-vigorous PA (1.2 ± 0.8%) and a greater proportion of sedentary behaviour PA (74.8 ± 6.4%) was found in the NTW phases. The results of hemodynamic measures demonstrated that the police officers have significantly elevated systolic BP by 3.3% and diastolic BP by 3.9% after the NTW phases. Furthermore, the NTW phases exhibited a significantly higher percentage change ratio of systolic BP and diastolic BP compared to the DTW phases. Compared with the DTW phases, the NTW phase was significantly more likely to report higher decreasing parasympathetic-related HR variability with a range of −5.9% to −7.8%. In conclusion, night-time shift work resulted in negative physiological changes leading to adverse effects on the health and well-being of Taiwanese police officers.

Ishrana radnika koji rade u noćnoj smeni - razlog ili izgovor za nepravilnu ishranu

The availability of artificial light and light-emitting devices has changed human life in relation to time, enabling 24-hour health care, trade, and production, as well as the expansion of social life around the clock. In Europe, about 21% of the labor force consists of shift workers. 10% of the employed population work evening shifts or the night shift, and 7% of employees in Europe regularly work the night shift. According to the Bureau of Labor Statistics, more than 15 million Americans work the night shift. Shift work, especially night-time work, seriously affects dietary habits. It is known that night-time work produces a conflict between the socially determined rhythm of eating and the circadian biological rhythms related to the feeling of hunger, satiety, as well as the metabolism itself. Night meals cause disorders of intestinal motility, affect digestion, absorption, but also the utilization of nutrients and possible medical therapy (if the individual has one). From the point of view of chronobiology, humans belong to diurnal species, which to a certain extent explains why night shift workers have a decreased appetite at night, when the human body is programmed for rest and fasting, as well as for endogenous mobilization of glucose. From the psychosocial aspect, shift workers usually experience a discrepancy between their daily routines (including the meal schedule) and those they have with family and friends, which further leads to even more severe disorders of dietary habits. However, it is difficult to give dietary recommendations regarding nutrition. Firstly, there are no clear views on whether night shift workers should eat during the night hours or not. Secondly, even if night eating is encouraged, definitive evidence is lacking on which types of food should be consumed and which should be avoided. Thirdly, the most nutritious foods may not be available at that time of night. Finally, eating at night certainly has an impact on the metabolism. With all the above in mind, we have tried to provide some useful guidelines regarding these issues.

The Effect of Night Shift on Blood Pressure in Healthcare Workers.

Individuals across all age groups may experience elevated blood pressure due to a combination of internal and environmental factors. Factors influencing arterial pressure include diet, stress, sleep patterns, and lifestyle. This study aims to investigate the susceptibility to high blood pressure among occupational groups working night shifts. The study included healthcare worker participants who had at least six night shifts per month. A control group consisted of participants performing the same roles during daytime. Participants with chronic diseasesor those taking blood pressure-affecting medication were excluded. Holter recordings were made over a minimum of 48 hours, including both a free day and a work day. The study involved 114 participants-55 in the study group and 59 in the control group. Statistically significant differences were noted between the groups in the daylight-night ratios of systolic and diastolic pressures, with P values of 0.006 and 0.005, respectively. The systolic daylight-night difference was -5.7 ± 5.5% in the study group and -9.0 ± 7.0% in the control group. The diastolic daylight-night difference was -7.9 ± 9.6% in the study group and -12.7 ± 8.2% in the control group. Occupations with nighttime work schedules are often associated with non-dipping blood pressure patterns due to sleep disturbances. It is crucial to consider the blunted dipping of blood pressure induced by night shift work when assessing and monitoring hypertension and related medical conditions.

Night labour, social reproduction and political struggle in the ‘Working Day’ chapter of Marx's Capital

This essay offers a new reading of Marx's chapter on ‘the working day’ in Capital Volume One by exploring the textual theme of night-time work. Even as Marx emphasises how the lengthening workday enables the super-exploitation of producers’ wage labour, his depictions of nocturnal experiences highlight more forcefully the destruction of workers’ reproductive resources, capacities and relationships. Night comes to represent the contracted time, condensed space, petrified relational bonds and thwarted desires for human reproduction in a free, fulsome sense that includes reinvigorating oneself, caring for others and enjoying experiences apart from work or care. Night's role as a privileged signifier and catalyst of these changes comes through in key passages about women, children and vampires, and in theoretically meaningful variances between Marx's German paraphrasing of English sources and those original texts, which replace Marx's phrases in English translations of Capital. Contemplating Marx's ambivalent reflections on legal-political action to limit workday hours, I argue for making struggles over social reproduction in a capacious sense central to working-class politics today. I demonstrate the power of this Marxian analytic by considering the compression of social-reproductive time among today's microworkers, who fuel the digital economy by performing platform-based ‘tasks’ at all hours for very low wages.

Peri-operative night-time work of anaesthesiologists: A qualitative study of critical issues and proposals.

Qualitative data on the opinions of anaesthesiologists regarding the impact of peri-operative night-time working conditions on patient safety are lacking. This study aimed to achieve in-depth understanding of anaesthesiologists' perceptions regarding the impact of night-time working conditions on peri-operative patient safety and actions that may be undertaken to mitigate perceived risks. Qualitative analysis of responses to two open-ended questions. Online platform questionnaire promoted by the European Society of Anaesthesiology and Intensive Care (ESAIC). The survey sample consisted of an international cohort of anaesthesiologists. We identified and classified recurrent themes in the responses to questions addressing perceptions regarding (Q1) peri-operative night-time working conditions, which may affect patient safety and (Q2) potential solutions. We analysed 2112 and 2113 responses to Q1 and Q2, respectively. The most frequently reported themes in relation to Q1 were a perceived reduction in professional performance accompanied by concerns regarding the possible consequences of work with fatigue (27%), and poor working conditions at night-time (35%). The most frequently proposed solutions in response to Q2 were a reduction of working hours and avoidance of 24-h shifts (21%), an increase in human resources (14%) and performance of only urgent or emergency surgeries at night (14%). Overall, the surveyed anaesthesiologists believe that workload-to-staff imbalance and excessive working hours were potential bases for increased peri-operative risk for their patients, partly because of fatigue-related medical errors during night-time work. The performance of nonemergency elective surgical cases at night and lack of facilities were among the reported issues and potential targets for improvement measures. Further studies should investigate whether countermeasures can improve patient safety as well as the quality of life of anaesthesia professionals. Regulations to improve homogeneity, safety, and quality of anaesthesia practice at night seem to be urgently needed.

RETRACTED: Vision-based tracking method of nighttime construction workers by integrating YOLOv5 and Deepsort

Due to poor visibility and fatigue factors, although nighttime construction has been widely used, its safety problems like struck-by accidents have also become increasingly prominent. Most of the current tracking methods of workers are not suitable for direct application in nighttime construction scenarios, so this research proposes a vision-based method, which integrates low-light image enhancement technology, YOLOv5 and Deepsort to track nighttime workers. The proposed method is mainly composed of four modules, including illumination enhancement module, detection module, the Kalman filter and matching module. In the experiment based on nine test videos, the method achieved the average multiple-object tracking accuracy (MOTA) of 89.93% and multiple-object tracking precision (MOTP) of 97.07%. At the same time, the experimental results also show that the method is robust to the common tracking challenges of occlusions, scale variations and posture variations. The proposed method has practical application potential in the monitoring task in nighttime construction, which makes the nighttime construction activities safer and more efficient.

RETRACTED: Vision-based tracking method of nighttime construction workers by integrating YOLOv5 and Deepsort (REDIRECT)

Due to poor visibility and fatigue factors, although nighttime construction has been widely used, its safety problems like struck-by accidents have also become increasingly prominent. Most of the current tracking methods of workers are not suitable for direct application in nighttime construction scenarios, so this research proposes a vision-based method, which integrates low-light image enhancement technology, YOLOv5 and Deepsort to track nighttime workers. The proposed method is mainly composed of four modules, including illumination enhancement module, detection module, the Kalman filter and matching module. In the experiment based on nine test videos, the method achieved the average multiple-object tracking accuracy (MOTA) of 89.93% and multiple-object tracking precision (MOTP) of 97.07%. At the same time, the experimental results also show that the method is robust to the common tracking challenges of occlusions, scale variations and posture variations. The proposed method has practical application potential in the monitoring task in nighttime construction, which makes the nighttime construction activities safer and more efficient.

Nighttime working as perceived by Italian anesthesiologists: a secondary analysis of an international survey

BackgroundNo data are available on the working conditions and workload of anesthesiologists during perioperative nighttime work in Italy and on the perceived risks.ResultsWe analyzed 1085 responses out of the 5292 from the whole dataset. Most of the responders (76%) declared working a median of 12 consecutive hours during night shifts, with an irregular nightshift schedule (70%). More than half of the responders stated to receive a call 2–4 (40%) or 5 times or more (25%) to perform emergency procedures and/or ICU activities during night shifts. More than 70% of the responders declared having relaxation rooms for nighttime work (74%) but none to be used after a nightshift before going back home (82%) and no free meals, snacks, or beverages (89%). Furthermore, almost all (95%) of the surveyed anesthesiologists declared not having received specifical training or education on how to work at night, and that no institutional program has been held by the hospital to monitor fatigue or stress for night workers (99%). More than half of the responders stated having the possibility, sometimes (38%) or always (45%), to involve another colleague in difficult medical decisions and to feel comfortable, sometimes (31%) or always (35%), to call the on-call colleague. Participants declared that nighttime work affects their quality of life extremely (14%) or significantly (63%), and that sleep deprivation, fatigue, and current working conditions may reduce performance (67%) and increase risk for the patients (74%).ConclusionsItalian anesthesiologists declare current nighttime practice to negatively affect their quality of life, and their performance, and are thus concerned for their patients’ safety. Proper education on night work, starting from traineeship, and implementing institutional programs to monitor stress and fatigue of operators and to support them during nighttime work could be a mean to improve nighttime work conditions and safety for both patients and healthcare workers.

Immigration and work schedules: Theory and evidence

We develop a theoretical framework to analyze the effects of immigration on native job amenities, focusing on work schedules. Immigrants have a comparative advantage in production at, and lower disamenity cost for nighttime work, which leads them to disproportionately choose nighttime employment. Because day and night tasks are imperfect substitutes, the relative price of day tasks increases as their supply becomes relatively more scarce. We provide empirical support for our theory. Native workers in local labor markets that experienced higher rates of immigration are more likely to work day shifts and receive a lower compensating differential for nighttime work.

Mental illness rates among employees with fixed-term versus permanent employment contracts: a Danish cohort study

PurposeIt has been hypothesized that employment in a fixed-term instead of permanent contract position is associated with an increased risk of development of mental health problems. The present study aimed at estimating rate ratios between fixed-term and permanent employees in the Danish labor force, for use of psychotropic drugs and psychiatric hospital treatment due to mood, anxiety or stress-related disorders, respectively.MethodsEmployment data were drawn from the Danish Labor Force Survey of 2001–2013, which is a part of the European Labor Force Survey. Full-time employed survey participants without mental illness at the baseline interview (N = 106,501) were followed in national health registers for up to 5 years. Poisson regressions were used to estimate rate ratios for redeemed prescriptions of psychotropic drugs and psychiatric hospital treatments due to mood, anxiety or stress-related disease. The analyses were controlled for age, gender, industrial sector, nighttime work, level of education, calendar year, disposable family income and social transfer payments within 1 year prior to the baseline interview.ResultsThe rate ratio for hospital diagnosed mood, anxiety or stress-related disorders among employees with fixed-term vs. permanent employment contracts was estimated at 1.39 (99.5% CI 1.04–1.86), while the corresponding rate ratio for redeemed prescriptions of psychotropic drugs was estimated at 1.12 (99.5% CI 1.01–1.24).ConclusionThe present study supports the hypothesis that employment in a fixed-term rather than permanent contract position is associated with an increased risk of developing mental health problems.International registered report identifier (IRRID)DERR2-10.2196/24392.

14 EXAMINING THE IMPACT OF SAFETY MONITORING DEVICES ON CARE WORK AND PROCESSES IN JAPANESE NURSING HOMES

Abstract Background Although the impact of new technology on the workplace has been discussed for many years, little has been reported regarding the effect of new technology in nursing homes. The aim of the research was to test the effect of a safety monitoring device on night-time work patterns. Methods A monitoring sensor with an infrared camera was installed in Tokyo-based residential nursing homes in April 2020. A pre/post intervention and observation study was conducted before and after the introduction of the device. Four care professionals worked each night in pairs (one person providing care, and the other observing and keeping minute-by-minute records of task and time allocated to each task. The tasks were divided into 33 items). The data were collected by two pairs at three different nights for pre-intervention and from two pairs at two nights for post-intervention. Ten care professionals participated in the study, and they were looking after 30 older adults (86.8 +/- 6.8 years old). Results The total time for executing various tasks marginally increased from 978 mins to 1033 mins. However, statistically significant changes were found mainly among items related to medical care and safety. While nurse call response time decreased significantly, the proportion of time allocated to personal care such as vital checks (from 1 to 2 percent) and mobility (from 4 to 9 percent) assistance doubled. Break time also increased significantly. Conclusion While the introduction of a safety monitoring system did not radically reduce the workload, it changed the patterns of caregiving during the night shift. Some behavioural changes were directly caused by functions of the system, while others were by-products. Staff’s break length also increased. The findings suggest that the introduction of Information and Communication Technology (ICT) in nursing homes has the potential to release time to care.

Association between Nighttime Work and HbA1c Levels in South Korea.

Background: As the world has become a 24 h society, people’s demands have generated various work schedules, leading to an increase in workers’ health problems. The study aimed to investigate the association between nighttime work and HbA1c levels among South Korean adults over the age of 30. Methods: Participants were selected from the 2016–2019 Korea National Health and Nutrition Survey; those diagnosed with diabetes were excluded. The dependent variable was the HbA1c level reported in the KNHANES health examination report. The main independent variable was the participant’s work schedule. Work schedules were classified into three categories based on the participant’s report: (1) day; (2) night and overnight, and (3) other. Generalized multiple linear regression was used, and the significance level was defined as p < 0.05. Results: The participants comprised 4773 men and 4818 women. Those engaged in the “day” schedule served as the reference group. Among the male participants, the “night and overnight” group had significantly larger HbA1c (%) levels than the “day” group (β = 0.061, p = 0.0085). Among these nighttime male workers, HbA1c (%) levels were particularly higher in the people who were physically inactive (β = 0.094, p = 0.0031), slept less than 7 h (β = 0.108, p = 0.0009), and skipped meals (β = 0.064, p = 0.0401). Conclusion: Our results revealed an association of nighttime work with increased HbA1c levels in male participants. High-risk groups for HbA1c levels require careful observation of physical activity, sleeping time, and eating habits.

EMPLOYMENT PROBLEMS OF TEACHERS WAITING FOR APPOINTMENT

The purpose of this research is to determine the employment problems of pre-service teachers who cannot be appointed. In the research, a descriptive study was conducted by using the case study model, which is one of the qualitative research methods. The research data were obtained through interviews with 10 teachers who were within the borders of Tokat province but were not appointed. Semi-structured interview forms were used to collect data. The answers given by the participants to the interview form were analyzed one by one and turned into a table in the computer environment. The data obtained as a result of the interviews with the participants were analyzed with descriptive data analysis, which is one of the qualitative data analysis techniques. As a result of the research, pre-service teachers stated that they wanted to be appointed both as teachers and from their own branches, and they did not want to work in precarious and night-time working areas. Most of the teachers who are paid teachers mentioned that they are exposed to permanent-paid discrimination and that they are affected psychologically in the working environment. The majority of the teachers who participated in the interview stated that they did not experience any economic anxiety while they were students and that they saw the full support of their families. It has been observed that there are differences in the hopes of being appointed from the prospective teachers, primary school teachers and teachers who graduated from different branches. In addition, it was observed that the unemployment problem negatively affected their emotions, thoughts and psychology in all of the participants. Keywords: Teacher employment, Teacher appointment, Unappointed teacher problem, Teacher training, Education planning.

FABILUT: The Flexible Agent-Based Integrated Land Use/Transport Model

Integrated land-use transport models are often accused of being too complex, too coarse or too slow. We tightly couple the microscopic land use model SILO (Simple Integrated Land Use Orchestrator) with the agent-based transport simulation model MATSim (Multi-Agent Transport Simulation). The integration of the two models is person-centric. It means, firstly, that travel demand is generated microscopically. Secondly, SILO agents can query individualized travel information to search for housing or jobs (and to choose among available modes). Consequently, travel time matrices (skim matrices) are not needed anymore. Travel time queries can be done for any time of the day (instead of for one or few time periods), any x/y coordinate (instead of a limited number of zones) and take into account properties of the individual. This way, we avoid aggregation issues (e.g., large zones that disguise local differences) and we can account for individual constraints (e.g., nighttime workers who cannot commute by public transport for lack of service). Therefore, the behavior of agents is represented realistically, which allows us to simulate their reaction to novel policies (e.g., emission-class-based vehicle restrictions) and to extract system-wide effects. The model is applied in two study areas: a toy scenario and the metropolitan region of Munich. We simulate various transport and land use policies to test the model capabilities, including public transport extensions, zones restricted for private cars and land use development regulations. The results demonstrate that the increase of the model resolution and model expressiveness facilitates the simulation of such policies and the interpretation of the results.

Effects of Lighting Interventions to Improve Sleepiness in Night-Shift Workers: A Systematic Review and Meta-Analysis.

Shift work disrupts an otherwise normal circadian rhythm, which may result in sleepiness among night-shift workers. Artificial light has been shown to alter the light–dark cycle of shift workers and reset or phase shift the biological clock, improving nighttime alertness in workers. However, the effect of light therapy on improving sleepiness in nighttime workers has not been effectively confirmed in nursing clinical studies, and it is worth using relevant studies to provide the best evidence in any clinical setting. Systematic review and meta-analysis were used. The study was performed using PRISMA. Academic Search Complete, Embase, MEDLINE, the Cochrane Library, and CINAHL were searched, from the inception of each database to 27 December 2021. The Cochrane risk of bias tool was used to assess the methodological quality of each study. Standardized mean differences (SMDs) with 95% confidence intervals (CIs) were synthesized using a random-effects model to assess the efficacy of lighting intervention to improve sleepiness in night-shift workers. Sensitivity analysis followed by subgroup analysis was employed to examine heterogeneity. The meta-analysis was performed using Review Manager 5.4.1 software. A total of 14 studies from 7 countries were included. The overall result shows that lighting interventions significantly improved sleepiness. Further, the blue-enriched white light with a color temperature greater than 5000 Kelvin was effective in improving sleepiness of night-shift workers. This study unveils the emergent knowledge that light interventions with blue-enriched white were effective in improving sleepiness for night-shift workers, including nurses. This finding can be applied to ensure patient safety, reduce accidents, and improve work efficiency and job satisfaction. Nurses constitute the largest health professional workforce. We suggest that hospitals can insert blue-enriched white light equipment for night-shift healthcare providers. Several evidence-based suggestions are made for further consideration.

An AR Geo-Registration Algorithm for UAV TIR Video Streams Based on Dual-Antenna RTK-GPS

In emergency response and disaster rescue, unmanned aerial vehicles (UAVs) onboard thermal infrared (TIR) sensors are an essential means of acquiring ground information in the nighttime working environment. To enable field personnel to make better decisions based on TIR video streams returned from a UAV, the geographic information enhancement of TIR video streams is required. At present, it is difficult for low-cost UAVs to carry high-precision attitude sensors and thus obtain high-precision camera attitude information to meet the enhanced processing requirements of UAV TIR video streams. To this end, this paper proposes an improved Kalman filter algorithm to improve the geographic registration (geo-registration) accuracy by fusing the positioning and heading data from the dual-antenna real-time kinematic global positioning system (RTK-GPS) with onboard internal measurement unit (IMU) data. This method can yield high-precision position and attitude data in real time based on low-cost UAV hardware, based on which high-precision geo-registration results can be obtained. The computational complexity can be reduced compared with video stream feature tracking algorithms. Furthermore, the problem of unstable matching due to the low resolution and texture level of TIR video streams can be avoided. The experimental results prove that the proposed method can reduce the registration error by 66.15%, and significantly improve the geo-registration accuracy of UAV TIR video streams. Thus, it can strongly support the popularization and practicality of the application of augmented reality (AR) technology to low-cost UAV platforms.

Cognitive Bias and Diagnostic Errors among Physicians in Japan: A Self-Reflection Survey.

This cross-sectional study aimed to clarify how cognitive biases and situational factors related to diagnostic errors among physicians. A self-reflection questionnaire survey on physicians’ most memorable diagnostic error cases was conducted at seven conferences: one each in Okayama, Hiroshima, Matsue, Izumo City, and Osaka, and two in Tokyo. Among the 147 recruited participants, 130 completed and returned the questionnaires. We recruited primary care physicians working in various specialty areas and settings (e.g., clinics and hospitals). Results indicated that the emergency department was the most common setting (47.7%), and the highest frequency of errors occurred during night-time work. An average of 3.08 cognitive biases was attributed to each error. The participants reported anchoring bias (60.0%), premature closure (58.5%), availability bias (46.2%), and hassle bias (33.1%), with the first three being most frequent. Further, multivariate logistic regression analysis for cognitive bias showed that emergency room care can easily induce cognitive bias (adjusted odds ratio 3.96, 95% CI 1.16−13.6, p-value = 0.028). Although limited to a certain extent by its sample collection, due to the sensitive nature of information regarding physicians’ diagnostic errors, this study nonetheless shows correlations with environmental factors (emergency room care situations) that induce cognitive biases which, in turn, cause diagnostic errors.

Workplace Fatigue, Metabolic Syndrome, and Cardiovascular Disease Risks: A Study of Long-Term Night Shift Nurses

Night-shift work affects the physical and mental health of employees. Early identification of relevant high-risk groups may be referenced in health promotion, job analysis, and job design. To explore the differences in workplace fatigue, physiological index of metabolic syndrome, and risk of cardiovascular disease between long-term and non-long-term night-time working nursing staff. The health examination data of 91 long-term and 119 non-long-term night-shift nurses were collected. A sub-data analysis approach was used and t-test, chi-square, Pearson`s correlation, and hierarchical multiple regression were used to conduct statistical analysis. A positive correlation between cardiovascular risk and workplace fatigue was found in the long-term night-shift working group. Moreover, a lower average duration of sleep was found in the non-long-term night-shift working group. Finally, the participants with workplace fatigue and metabolic syndrome were found to have higher levels of cardiovascular risk. Nursing staff who work night shifts for long-term and non-long-term periods should all receive regular health check-ups and practice healthy eating, exercise, and sleep habits. Employers should provide regular health checkups to their nursing staff and implement measures to identify health hazards in accordance with laws on labor standards, occupational safety, and health and labor health protection regulations, and then adopt appropriate plans and necessary safety and health measures to achieve a mutually beneficial result for both employers and employees in the healthcare industry.

Understanding the spatiotemporal patterns of nighttime urban vibrancy in central Shanghai inferred from mobile phone data

In recent years, major cities around the world such as New York in UAS, Melbourne in Australia, and Shanghai in China, have planned to boost their nighttime urban vibrancy levels to spur the economy and achieve cultural diversity. The study of nighttime urban vibrancy from the perspective of spatiotemporal characteristics is increasingly being recognized as part of the essential work in the field of urban planning and geography. This research used mobile phone signaling records to measure urban vibrancy in central Shanghai and revealed its spatiotemporal patterns during nighttime. Specifically, this research explored the changes of urban vibrancy within a day, studied the distribution of urban vibrancy during the nighttime, and visually presented the spatiotemporal changes of nighttime urban vibrancy in central Shanghai. Moreover, on the basis of the behavior pattern of each mobile user, we classified nighttime urban vibrancy into three different types: nighttime working vibrancy, nighttime leisure vibrancy, and nighttime floating vibrancy. We then tried to determine how land use affected nighttime leisure vibrancy. The results showed that urban vibrancy in central Shanghai exhibits a periodic pattern over one-day period. A high-level nighttime urban vibrancy belt is present within central Shanghai. Business offices, hotels, entertainment and recreational districts, wholesale markets, and express services contribute most to the vibrancy at nighttime. In addition, the correlation analysis shows that public and commercial facilities generate high levels of nighttime leisure vibrancy than residential facilities. The mixed land use of public and commercial facilities and residential facilities within 500 ​m is more critical than the mixed use of a single land lot. The research can be a basis for supporting land use planning and providing evidence for policy-making to improve the level of nighttime urban vibrancy in cities.