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40-477: As of the 2022-23 school year, the district had 4,531 students across all of its schools and 343.5 teachers on a full-time employee basis for a student-teacher ratio of 13.19, according to National Center for Education Statistics data. The school budget was 2022-23 was $ 119.8 million. According to 2000 federal census data, it served a resident population of 30,713. By 2010, the district's population increased to 36,502 people, and by 2015 declined to 35,787. In 2009,

80-432: A four-day week generally consists of four ten-hour days, it may also consist of as little as nine hours for a total of a 36-hour workweek. Twelve-hour shifts are often three days per week, unless the company has the intention of paying out the employee overtime. Overtime is legally paid out anytime an employee works more than 40 hours per week. The legal minimum for overtime starts at Base Pay + One-Half. The increased payout

120-441: A laid-off worker. Full-time workweeks : A person working more than full-time is working overtime , and may be entitled to extra per-hour wages (but not salary ). “Full-time” can also be used in reference to a student (usually in higher education ) who takes a full load of course work each academic term . The distinction between a full-time and part-time student varies markedly from country to country. As an example, in

160-490: A 2019 review was inconclusive as to whether cytokines play any definitive role in ME/CFS . Fatigue has been correlated with reductions in structural and functional connectivity in the brain. This has included in post-stroke, MS, NMOSD and MOG, and ME/CFS. This was also found for fatigue after brain injury, including a significant linear correlation between self-reported fatigue and brain functional connectivity. Areas of

200-451: A broad range of brain networks, and has been linked to many types of fatigue. Findings implicate neuroinflammation in the etiology of fatigue in autoimmune and related disorders. Low-grade inflammation may cause an imbalance between energy availability and expenditure. Cytokines are small protein molecules that modulate immune responses and inflammation (as well as other functions) and may have causal roles in fatigue. However

240-733: A car crash, and being awake over 20 hours is the equivalent of driving with a blood-alcohol concentration level of 0.08%. People with multiple sclerosis experience a form of overwhelming tiredness that can occur at any time of the day, for any duration, and that does not necessarily recur in a recognizable pattern for any given patient, referred to as "neurological fatigue", and often as "multiple sclerosis fatigue" or "lassitude". People with autoimmune diseases including inflammatory rheumatic diseases such as rheumatoid arthritis , psoriatic arthritis and primary Sjögren's syndrome , experience similar fatigue. Attempts have been made to isolate causes of central nervous system fatigue . Acute fatigue

280-439: A diagnosis that could explain the fatigue after a year with the condition. In those people who had a possible diagnosis, musculoskeletal (19.4%) and psychological problems (16.5%) were the most common. Definitive physical conditions were only found in 8.2% of cases. Fatigue can be seen as a uni-dimensional phenomenon that influences different aspects of human life. It can be multi-faceted and broadly defined, making understanding

320-418: A factor when making decisions on career advancement. They generally pay more than part-time jobs per hour, and this is similarly discriminatory if the pay decision is based on part-time status as a primary factor. The Fair Labor Standards Act (FLSA) does not define full-time employment or part-time employment. This is a matter generally to be determined by the employer (US Department of Labor). The definition by

360-572: A full-time student program which allows employers to pay no less than 85% of the minimum wage to the student/employee. Comprehensive Employment and Training Act Fatigue (medical) Fatigue describes a state of tiredness (which is not sleepiness), exhaustion or loss of energy. Fatigue (in the medical sense) is sometimes associated with medical conditions including autoimmune disease , organ failure , chronic pain conditions, mood disorders , heart disease , infectious diseases , and post-infectious-disease states. However, fatigue

400-417: A high school. There are four elementary principals as well as one at each of the other four school buildings. The intermediate school has one assistant principal, junior high 1.5 assistant principals, and the high school has three assistant principals. Stroudsburg High School students may choose to attend Monroe Career & Tech Institute for training in the trades. The Colonial Intermediate Unit IU20 provides

440-476: A lack of energy in the muscle, by a decrease of the efficiency of the neuromuscular junction or by a reduction of the drive originating from the central nervous system , and can be reversed by rest. The central component of fatigue is triggered by an increase of the level of serotonin in the central nervous system. During motor activity, serotonin released in synapses that contact motor neurons promotes muscle contraction . During high level of motor activity,

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480-442: A medical context is used to cover experiences of low energy that are not caused by normal life. A 2021 review proposed a definition for fatigue as a starting point for discussion: "A multi-dimensional phenomenon in which the biophysiological, cognitive, motivational and emotional state of the body is affected resulting in significant impairment of the individual's ability to function in their normal capacity" . Another definition

520-507: A patient, with the relative contribution of each mechanism differing over time. Proposed fatigue explanations due to permanent changes in the brain may have difficulty in explaining the "unpredictability" and "variability" (i.e. appearing intermittently during the day, and not on all days) of the fatigue associated with inflammatory rheumatic diseases and autoimmune diseases (such as multiple sclerosis ). Inflammation distorts neural chemistry, brain function and functional connectivity across

560-500: A person who is sufficiently somnolent may experience microsleep . However, objective cognitive testing can be used to differentiate the neurocognitive deficits of brain disease from those attributable to tiredness. The perception of mental fatigue is believed to be modulated by the brain's reticular activating system (RAS). Fatigue impacts a driver's reaction time, awareness of hazards around them and their attention. Drowsy drivers are three times more likely to be involved in

600-458: A side effect of certain medications (e.g., lithium salts , ciprofloxacin ); beta blockers , which can induce exercise intolerance , medicines used to treat allergies or coughs, and many cancer treatments, particularly chemotherapy and radiotherapy . Use of benzodiazepines has been found to correlate with higher fatigue. Fatigue is often associated with diseases and conditions. Some major categories of conditions that often list fatigue as

640-520: A symptom include physical diseases, substance use illness, mental illnesses, and other diseases and conditions. In some areas, it has been proposed that fatigue be separated into primary fatigue, caused directly by a disease process, and ordinary or secondary fatigue, caused by a range of causes including exertion and also secondary impacts on a person of having a disease (such as disrupted sleep). The ICD-11 MG22 definition of fatigue captures both types of fatigue; it includes fatigue that "occur[s] in

680-469: A tendency to fall asleep, whereas fatigue refers to an overwhelming sense of tiredness, lack of energy, and a feeling of exhaustion. Sleepiness and fatigue often coexist as a consequence of sleep deprivation. However sleepiness and fatigue may not correlate. Fatigue is generally considered a longer-term condition than sleepiness (somnolence). Distinguishing features of medical fatigue include Differentiating characteristics of fatigue that may help identify

720-464: A tendency to higher concentrations of HSP72. A small 2020 study of Crohn's disease patients found that higher fatigue visual analogue scale (fVAS) scores correlated with hgher HSP90α levels. A related small 2012 trial investigating if application of an IL-1 receptor antagonist ( anakinra ) would reduce fatigue in primary Sjögren's syndrome patients was inconclusive. Fatigue is currently measured by many different self-measurement surveys. Examples are

760-401: A third of fatigue primary care cases, no medical or psychiatric diagnosis is found. Tiredness is a common medically unexplained symptom. Fatigue can often be traced to poor sleep habits. Sleep deprivation and disruption is associated with subsequent fatigue. Sleep disturbances due to disease may impact fatigue. Caffeine and alcohol can disrupt sleep, causing fatigue. Fatigue may be

800-475: Is employment in which workers work a minimum number of hours defined as such by their employer. Full-time employment often comes with benefits that are not typically offered to part-time , temporary , or flexible workers, such as annual leave , sick leave , and health insurance . Part-time jobs are mistakenly thought by some to not be careers . However, legislation exists to stop employers from discriminating against part-time workers so this should not be

840-527: Is closely linked to the concept of ego depletion , though the validity of the concept is disputed. For example, one pre-registered study of 686 participants found that after exerting mental effort, people are likely to disengage and become less interested in exerting further effort. Decreased attention can also be described as a more or less decreased level of consciousness . In any case, this can be dangerous when performing tasks that require constant concentration, such as operating large vehicles. For instance,

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880-545: Is complex and in up to a third of primary care cases no medical or psychiatric diagnosis is found. Fatigue (in the general usage sense of normal tiredness) often follows prolonged physical or mental activity. Physical fatigue results from muscle fatigue brought about by intense physical activity . Mental fatigue results from prolonged periods of cognitive activity which impairs cognitive ability, can manifest as sleepiness , lethargy , or directed attention fatigue , and can also impair physical performance. Fatigue in

920-419: Is considered to compensate slightly for the increased fatigue which a person experiences on such long shifts. Shifts can also be very irregular, as in retail , but are still full-time if the required number of hours is reached. There are some situations where a person who needs full-time work is dropped to part-time, which is sometimes a form of constructive dismissal to avoid paying unemployment benefits to

960-546: Is not enough to diagnose most neuromuscular disorders. Mental fatigue is a temporary inability to maintain optimal cognitive performance. The onset of mental fatigue during any cognitive activity is gradual, and depends upon an individual's cognitive ability, and also upon other factors, such as sleep deprivation and overall health. Mental fatigue has also been shown to decrease physical performance. It can manifest as somnolence , lethargy , directed attention fatigue , or disengagement. Research also suggests that mental fatigue

1000-402: Is that fatigue is "a significant subjective sensation of weariness, increasing sense of effort, mismatch between effort expended and actual performance, or exhaustion independent from medications, chronic pain, physical deconditioning, anaemia , respiratory dysfunction, depression , and sleep disorders" . The use of the term "fatigue" in medical contexts may carry inaccurate connotations from

1040-444: Is that which is temporary and self-limited. Acute fatigue is most often caused by an infection such as the common cold and can be cognized as one part of the sickness behavior response occurring when the immune system fights an infection . Other common causes of acute fatigue include depression and chemical causes, such as dehydration , poisoning , low blood sugar , or mineral or vitamin deficiencies. Prolonged fatigue

1080-639: The Federal Poverty Level as shown by their eligibility for the federal free or reduced price school meal programs in 2012. In 2013 the Pennsylvania Department of Education, reported that 60 students in the Stroudsburg Area School District were homeless. The Stroudsburg Area School District consists of five elementary schools, an intermediate elementary school, a middle school, a junior high, and

1120-636: The Fatigue Symptom Inventory (FSI) and the Fatigue Severity Scale. There is no consensus on best practice, and the existing surveys do not capture the intermittent nature of some forms of fatigue. A 2023 guidance indicates the following A 2016 German review found that A 2014 Australian review recommended that a period of watchful waiting may be appropriate if there are no major warning signs. A 2009 study found that about 50% of people who had fatigue received

1160-833: The United States a student is commonly defined as being in full-time education when they undertake 12 or more credit hours . This translates to 12 "hours" (often of 50 minutes instead of 60 minutes each) in class per week. "Lab hours" often count for less, only as one-half or one-third of a credit hour. International students must maintain full-time status for student visas . Adult students (typically up to age 22 or 23) may also fall under their parents' health insurance (and possibly car insurance and other services) if they are full-time, except for one term per year (usually summer ). Students may also be eligible for elected office in student government or other student organizations only if they are full-time. The Department of Labor has

1200-568: The absence of... exertion... as a symptom of health conditions." Obesity correlates with higher fatigue levels and incidence. In somatic symptom disorder the patient is overfocused on a physical symptom, such as fatigue, that may or may not be explained by a medical condition. Adverse life events have been associated with fatigue. The concept of adrenal fatigue is often raised in media but no scientific basis has been found for it. The mechanisms that cause fatigue are not well understood. Several mechanisms may be in operation within

1240-529: The amount of serotonin released increases and a spillover occurs. Serotonin binds to extrasynaptic receptors located on the axonal initial segment of motor neurons with the result that nerve impulse initiation and thereby muscle contraction are inhibited. Muscle strength testing can be used to determine the presence of a neuromuscular disease , but cannot determine its cause. Additional testing, such as electromyography , can provide diagnostic information, but information gained from muscle strength testing alone

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1280-520: The brain for which there is evidence of relation to fatigue are the thalamus and middle frontal cortex, fronto-parietal and cingulo-opercular, and default mode network, salience network, and thalamocortical loop areas. A 2024 review found that structural connectivity changes may underlie fatigue in pwRRMS but that the overall results were inconclusive, possibly explained by heterogeneity and limited number of studies. A small 2023 study found that infratentorial lesion volume (cerebellar and brainstem)

1320-421: The causes of its manifestations especially difficult in conditions with diverse pathology including autoimmune diseases. A 2021 review considered that different "types/subsets" of fatigue may exist and that patients normally present with more than one such "type/subset". These different "types/subsets" of fatigue may be different dimensions of the same symptom, and the relative manifestations of each may depend on

1360-478: The district residents' per capita income was $ 22,137, while the median family income was $ 56,546. In Pennsylvania, the median family income was $ 49,501 and the United States median family income was $ 49,445, in 2010. The district is one of the 500 public school districts of Pennsylvania . According to the Pennsylvania Budget and Policy Center, 44.1% of the district's pupils lived at 185% or below

1400-612: The district with a wide variety of services like specialized education for disabled students and hearing, speech and visual disability services and professional development for staff and faculty. W.H. Ramsey Elementary was closed by the school board due to declining enrollment district-wide, effective June 2014, followed by Clearview Elementary the following year. The district funds: According to PIAA directory July 2013 40°59′03″N 75°12′27″W  /  40.98426°N 75.20744°W  / 40.98426; -75.20744 Full-time employee A full-time job

1440-477: The employer can vary and is generally published in a company's Employee Handbook. Companies commonly require from 32 to 40 hours per week to be defined as full-time and therefore eligible for benefits. Full-time status varies between company and is often based on the shift the employee must work during each workweek. The "standard" work week consists of five eight-hour days , commonly served between 9:00 AM to 5:00 PM or 10:00 AM to 6:00 PM totaling 40 hours. While

1480-500: The more general usage of the same word. More accurate terminology may also be needed for variants within the umbrella term of fatigue. Tiredness which is a normal result of work , mental stress , anxiety , overstimulation and understimulation, jet lag , active recreation , boredom , or lack of sleep is not considered medical fatigue. This is the tiredness described in MeSH Descriptor Data. Sleepiness refers to

1520-465: The possible cause of fatigue include Some people may have multiple causes of fatigue. A 2021 study in a Korean city found that alcohol consumption was the variable with the most correlation with overall fatigue. A 2020 Norway study found that 69% of substance use disorder patients had severe fatigue symptoms, and particularly those with extensive use of benzodiazepines . Causality, as opposed to correlation, were not proven in these studies. In up to

1560-450: The relative contribution of different mechanisms. Inflammation may be the root causal mechanism in many cases. Physical fatigue, or muscle fatigue , is the temporary physical inability of muscles to perform optimally. The onset of muscle fatigue during physical activity is gradual, and depends upon an individual's level of physical fitness – other factors include sleep deprivation and overall health. Physical fatigue can be caused by

1600-538: Was a relatively good predictor of RRMS fatigue severity. Studies have found MS fatigue correlates with damage to NAWM (normal appearing white matter ) (which will not show on normal MRI but will show on DTI (diffusion tensor imaging) ). The correlation becomes unreliable in patients aged over 65 due to damage due to ageing. A small 2016 study found that primary Sjögren's syndrome patients with high fatigue, when compared with those with low fatigue, had significantly higher plasma concentrations of HSP90α , and

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