scholarly journals ASSESSING THE RISK FACTORS OF WORK-RELATED STRESS AMONG HOUSE OFFICERS OF TERTIARY CARE HOSPITALS, KARACHI

2018 ◽  
Vol 8 (2) ◽  
pp. 117-122
Author(s):  
Zulfiqar Ali Shaikh ◽  
Noshaba Noor ◽  
Aisha Farooq ◽  
Maryam Khaleel ◽  
Darakhshan Naqvi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Perceived Stress ◽  
Demographic Data ◽  
Tertiary Care ◽  
P Value ◽  
Work Related Stress ◽  
Work Related ◽  
Significant Difference ◽  
Related Stress ◽  
Tertiary Care Hospitals

Background: House Officers report significant levels of work-related stress that demands to be immediately addressed as it adversely affects their ability to function their best as doctors. This study aimed to assess the risk factors of psychological distress among the currently working house officers (2016-2017). Objectives: To assess the various risk factors of work-related stress amongst the house officers working in tertiary care hospitals, Karachi Methods: A cross sectional study was carried out in Civil Hospital, Jinnah Postgraduate Medical Centre and Abbasi Shaheed Hospital, Karachi during October 2016 and March 2017. A total of 384 house officers were approached for the study as per the sample size calculated using the Open-epi software. The questionnaire comprised of demographic data, 10-items perceived stress scale, and 12-items list of potential stressors. The severity of each stressor was measured using a five-point Likert scale (1-5) ranging from always (1) to never (5). Results: A total of 384 house officers were approached out of whom 315 (82%) participated. Among them, 115 (36.50%) were found to be under stress of whom 24 (20.8%) were males and 91(79.2%) were females. Significant difference for stressors by gender was found, these included their job having an effect on their health, change in eating habits and lack of paramedical staff cooperation (P < 0.05). Factors like increased hesitancy to take on tasks and increased tendency to make errors were found to have an impact on clinical performance (P value <0.05). Conclusion: There is high level of perceived stress in house officers of tertiary care hospitals, Karachi. Therefore, adequate steps are needed for stress management which should be dealt in terms of preventive rather than curative strategy.

Single-item measures of stress during work- and private time in healthcare workers

Work ◽  
2021 ◽  
pp. 1-7
Author(s):  
Jonas Vinstrup ◽  
Kenneth Jay ◽  
Markus Due Jakobsen ◽  
Lars L. Andersen
Keyword(s):  
Risk Factors ◽  
Perceived Stress ◽  
High Stress ◽  
Private Life ◽  
Work Related Stress ◽  
Single Item ◽  
Stress Scale ◽  
Work Related ◽  
Time Stress ◽  
Related Stress

BACKGROUND: While the psychosocial work environment within the hospital sector is a topic of great debate, surveys assessing stress often do not differentiate between stress related to work- and private life. Identifying risk factors associated with these domains of daily life would help improve policies as well as target relevant treatment options. Therefore, the aim of this study was to evaluate associations between stress during to work- and private time with Cohen’s Perceived Stress Scale (CPSS). METHODS: Perceived stress was assessed by the full version of CPSS (scores 0–40) as well as by two single-item questions related to stress related to work- and private life, respectively. Associations between these single-items and CPSS were modelled using general linear models controlling for lifestyle factors. RESULTS: Overall, stress due to both work- and private time was strongly associated with CPSS scores. In the full population (n = 3,600), “never experiencing stress” during both work- and private time was associated with low stress scores (6.0, 95%CI 5.1–6.9). “Never experiencing” work-related stress but experiencing private time stress “very often” was associated with high stress scores (22.4, CI 19.8–25.1). Likewise, experiencing work-related stress “very often” but “never experiencing” private time stress was also associated with high stress scores (22.2, CI 20.3–24.2). Lastly, Spearman’s r between the full CPSS and the two single-item questions about work- and private time stress were 0.62 (p <  0.0001) and 0.52 (p <  0.0001), respectively, while the two items were only weakly correlated (r = 0.32). CONCLUSION: The present study shows that perceived stress due to both work and private time is strongly associated with Cohen’s Perceived Stress Scale scores. The results illustrate the feasibility of using single-item questions related to work- and private time in identifying domain-specific risk factors for psychosocial stress.

scholarly journals Study of pregnancy outcome of threatened abortion and its correlation with risk factors in a tertiary care hospital of Mumbai, India

2018 ◽  
Vol 7 (11) ◽  
pp. 4598
Author(s):  
Dipali S. Sivasane ◽  
Rekha G. Daver
Keyword(s):  
Risk Factors ◽  
Maternal Age ◽  
Pregnancy Loss ◽  
Demographic Data ◽  
Tertiary Care ◽  
P Value ◽  
Care Hospital ◽  
Number Of Patients ◽  
Significant Difference ◽  
Threatened Abortion

Background: Early pregnancy loss is very common and, in most cases, it can be considered as nature’s method to select for a genetically normal offspring. Threatened abortion is a relatively common complication during pregnancy, occurring in approximately 20% of all pregnancies. Maternal age, Outcome of previous pregnancies, health of mother, any infection etc can be decisive factors in the risk of pregnancy loss.Methods: The present study was a cross sectional study where patients admitted with threatened abortion were interviewed using pretested semi-structured questionnaire after the treatment. Outcome of pregnancy was recorded. Their basic socio-demographic data along with possible risk factors were recorded. TORCH Ig M and Ig G were done in all patients.Results: Out of 95 patients admitted with threatened abortion, 42 (44%) patients undergone abortion whereas in 53 (56%) patients, pregnancy was continued. Out of total 60 patients admitted with the complain of only vaginal spotting, in 39 pregnancy continued and in 21 patients pregnancy was aborted. (p-value<0.05). 50.52% were from age group of 21 to 25 years of age. It was also seen that after 35 years of age, significant number of patients aborted. Out of these 11 patients with high BMI, pregnancy was continued only one patient. Out of total 20 patients positive for IgM of toxoplasma infection, pregnancy was aborted in 13 (65%) patients. Out of total 15 patients positive for IgM of cytomegalo virus infection, pregnancy was continued in 11 (73.3%) patients.Conclusions: Patients of threatened abortion with only symptom of spotting per vagina have good chances of continuation of the pregnancy. Increased maternal age above 35, Overweight and bad obstetric history are also associated with pregnancy loss. Though there was no statistically significant difference it was evident that among all TORCH infections, IgM toxoplasma and Rubella are associated more with pregnancy loss.

scholarly journals Risk Factors Associated with Ischemic Heart Diseases in Different Age Groups Patients of Tertiary Care Hospitals of Peshawar

2015 ◽  
Vol 1 (2) ◽  
pp. 3-9
Author(s):  
Riaz Gul ◽  
Sumaira Naz
Keyword(s):  
Risk Factors ◽  
Heart Diseases ◽  
Tertiary Care ◽  
Age Groups ◽  
Ischemic Heart ◽  
P Value ◽  
Age Group ◽  
Ischemic Heart Diseases ◽  
Sedentary Life ◽  
Tertiary Care Hospitals

Objectives:To determine different risk factors associated with ischemic heart diseases in different age group patients of tertiary care hospitals of Peshawar.Methodology:A cross sectional study conducted on 350 patients of different age groups presented with ischemic heart diseases in tertiary care hospitals of Peshawar. Study was conducted for duration of 3 months from December 2013 to February 2014. Non probability convenient sampling technique was used. Sample size was calculated using standard sample size calculator. Semi structured questionnaire was used as data collection tool. Patient’s record and investigations were used as adding tools. Standard definition was made for ischemic heart disease. Different modifiable and non-modifiable factors were assessed and were analyzed using SPSS version 16.Results:This study contains 350 patients in which female patients were 133(38%) and male were 217(62%).The mean age was 57.23±11.36 years. The age of the patients ranges from 22 to 80 years. The frequencies of risk factors were stress (73.1%) followed by hypertension (65.7%), sedentary life style (59.4%), family history (57.1%), smoking (50.6%), over weight and obese (39.1%), below normal HDL (30.3%), high LDL (29.1%), hypertriglyceridemia (28%), hypercholesterolemia (23.7%). 64.3% patients were presenting with acute IHD and 35.7% were with chronic IHD. Stress, HTN, DM and sedentary life style were found to be significantly associated with male gender (p- value <0.05). Age was divided into two groups, <45 years and >45 years. Stress, HTN, DM and hypercholesterolemia had a significant association with >45 years of age group. (P-value <0.05).Conclusion:Stress, HTN, DM, sedentary life styles were the major risk factors. And they were found to be more in male gender and in equal to more than 45 years of age group.

scholarly journals Health Implications of Work-Related Stress among Academic Staff of Tertiary Institutions in Katsina State

2018 ◽  
Vol 1 (1) ◽  
pp. 52
Author(s):  
Mustapha H. Kurfi ◽  
Abubakar I. Hassan ◽  
Justin N. Ezenkiri
Keyword(s):  
Academic Staff ◽  
The State ◽  
Teaching Staff ◽  
Work Related Stress ◽  
Tertiary Institutions ◽  
Health Implications ◽  
Work Related ◽  
Health Implication ◽  
Significant Difference ◽  
Related Stress

<em>This study investigated the health implications of work-related stress among academic staff of tertiary institutions in Katsina State, Nigeria. This research adopts a descriptive survey design. The population of this study is 2,036 academic staff from thirteen institutions. A sample of 328 academic staff was drawn, using proportionate stratified sampling technique. A self-developed questionnaire (HIWRS-Q) with reliability of 0.75 was used. Chi-square and t-test were used to test the hypotheses at 0.05 level of significance. Findings of this study revealed that 105 (32%) of the respondents do not experienced health implications of work-related stress while, 223 (68%) of the respondents experienced health implications of work-related stress. Also, there is significant health implication of work-related stress among academic staff (P=0.001&lt;0.05). There is significant difference in the health implication of work-related stress among academic staff based on institutional ownership (P=0.023&lt;0.05). There is no significant difference in the work-related stress between male and female teaching staff (P=0.650&gt;0.05). It is recommended among others that the State government should improve on the working environment and conditions of academic staff to be health-friendly, health enhancing conditions for achieving academic excellence, and sustainable productivity in the State.</em>

Perceived Stress and Self-esteem Mediate the Effects of Work-related Stress on Depression

2012 ◽  
Vol 29 (1) ◽  
pp. 75-81 ◽  
Author(s):  
Jong-Sun Lee ◽  
Eun-Jeong Joo ◽  
Kyeong-Sook Choi
Keyword(s):  
Perceived Stress ◽  
Self Esteem ◽  
Work Related Stress ◽  
Work Related ◽  
Related Stress

scholarly journals Anxiety among Doctors during COVID-19 Pandemic in Secondary and Tertiary Care Hospitals

2020 ◽  
Vol 36 (6) ◽  
Author(s):  
Syed Riazul Hasan ◽  
Zeeshan Hamid ◽  
Muhammad Talha Jawaid ◽  
Rashida Kaizar Ali
Keyword(s):  
Risk Factors ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Creative Commons ◽  
Significant Difference ◽  
Scale Scores ◽  
Associated Risk Factors ◽  
Tertiary Care Hospitals

Objective: To assess the level of anxiety among doctors during COVID-19 pandemic and the associated risk factors. Methods: This cross-sectional study was conducted from 30th April to 16th May, 2020 in Karachi, Pakistan. The data was collected via an online web-based questionnaire. Questionnaire was used to assess anxiety level using GAD-7 scale among health-care professionals and the risk factors playing role in it. Results: One hundred and fifty-one doctors participated in our study. Out of these 151 participants, 69 (45.7%) had mild, 22 (14.6%) had moderate, and 5 (3.3%) had severe symptoms of anxiety, whereas the remaining 55 (36.4%) had no anxiety according to GAD-7 scale. The median [interquartile range (IQR)] GAD-7 scale scores are 6.0 [3.00-9.00]. Females showed more severe degrees of measurement of anxiety symptoms than males. Doctors dealing with COVID-19 patients showed higher level of anxiety as compared to the doctors who were not dealing with COVID-19 patients, having a significant difference (U = 9.697, p = 0.008). One hundred and forty-one (93.4%) participants were concerned about being exposed to COVID-19 at work and 112 (74.2 %) thought they have inadequate protective equipment for safety. Conclusions: During COVID-19 pandemic, doctors exhibited different grades of anxiety. In order for healthcare workers to perform to the best of their capability, certain guidelines and interventions are needed. doi: https://doi.org/10.12669/pjms.36.6.3113 How to cite this:Hasan SR, Hamid Z, Jawaid MT, Ali RK. Anxiety among Doctors during COVID-19 Pandemic in Secondary and Tertiary Care Hospitals. Pak J Med Sci. 2020;36(6):---------. doi: https://doi.org/10.12669/pjms.36.6.3113 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Assessment and Correlation of Uric Acid Concentration in Saliva and Serum of Patients Attending Tertiary Care Centre

2020 ◽  
Vol 16 (4) ◽  
pp. 222-229
Author(s):  
Surakchhya Gautam ◽  
Sangita Thapa ◽  
Anju Khapung
Keyword(s):  
Uric Acid ◽  
Demographic Data ◽  
Adult Population ◽  
Tertiary Care ◽  
Age Groups ◽  
Screening Tools ◽  
P Value ◽  
Uric Acid Concentration ◽  
Tertiary Care Centre ◽  
Significant Difference

ABSTRACT Background Serum uric acid (UA) is associated with many health conditions, including renal, cardiovascular and metabolic disorders. Diagnosis and monitoring often require painful invasive procedures which will add undue stress to the patients. The aim of this study was to correlate salivary and serum UA, so that, salivary sampling will help to bypass these measures and evaluate the condition of both healthy and the diseased. Methods This hospital based descriptive cross sectional study was conducted in 100 participants between age groups 21 to 82 years. Demographic data including height, weight and blood pressure were recorded. Serum and salivary samples were collected and UA level in both type of samples were estimated and correlation statistics was carried out. Results Total participants are categorized in three groups, 20-40, 41-60 and more than 60 years, among which maximum participants 43% are between 41-60 years of age. Average of body mass index (BMI) was found to be 24.46, where 50% were within normal range. Mean serum and salivary UA(mg/dl) was 4.15 and 1.90 respectively, exhibiting moderate positive correlation. They were correlated with significant “p-value” according to gender, age groups and disease conditions. Paired t- test was done between the measured and calculated salivary UA and no statistically significant difference in mean of these two values was obtained. Conclusions Salivary and serum UA are associated in our study so salivary UA can be used as a biomarker. Salivary UA was found to be more gender specific and specific among adults. Salivary UA can also be used as a screening tools for young and adult population.

scholarly journals Study on demographic factors of discharge against medical advice in pediatric population

2020 ◽  
Vol 7 (2) ◽  
pp. 359
Author(s):  
Vidya B. U. ◽  
Anil Shetty K.
Keyword(s):  
Lumbar Puncture ◽  
Care Center ◽  
Demographic Data ◽  
Tertiary Care ◽  
Medical Advice ◽  
P Value ◽  
Against Medical Advice ◽  
Female Ratio ◽  
Significant Difference ◽  
Discharge Against Medical Advice

Background: Discharge against medical advice (DAMA) is of serious concern among the pediatrics population. Parent(s)/guardians understanding about the disease and various other factors play role in their decision of DAMA. The aim of this study is to know the prevalence of DAMA in a tertiary care center and to observe the gender stratification in DAMA.Methods: A retrospective survey of medical records of children discharge against medical advice during the period January 2017 to January 2019. Demographic data, length of hospital stay, clinical diagnosis and procedure refused was collected.Results: Total 12977 were discharged during the study period of which, 387 children were DAMA, prevalence of DAMA was 2.9%, male to female ratio among DAMA patients is 1.2:1. The mean length of stay was 4.8 days. Among the DAMA patients’ newborns were predominant (61.6 %), p value = 0.0001, highly significant. No significant difference with respect to age and gender (p value = 0.535). Out of 370 DAMA patients, 211 patients who required further investigations and procedure was refused by parents/guardians (p value = 0.0001) highly significant. Phototherapy refusal was most common among newborn (59.7%), followed by neuroimaging and lumbar puncture in children (10.9%).Conclusions: DAMA was observed more among the newborns compared to infants, toddlers and children. Among newborns, phototherapy refusal was most common. In infants and children neuroimaging and lumbar puncture was the most commonly refused procedure. There was no gender bias.

scholarly journals Prevalence of Melanin Pigmentation in a Yemeni Population and its Relation to Some Risk Factors

2020 ◽  
Vol 23 (2) ◽  
Author(s):  
Mohammed Nasser Alhajj ◽  
Wadhah Abdulnasser Alhajj
Keyword(s):  
Risk Factors ◽  
Significant Relationship ◽  
Demographic Data ◽  
Descriptive Statistics ◽  
P Value ◽  
Melanin Pigmentation ◽  
Khat Chewing ◽  
Significant Difference ◽  
High Prevalence ◽  
Spss Software

Objective: The present study aimed to explore the prevalence of melanin pigmentation in a sample of Yemeni population and its relation to some possible risk factors. Material and Methods: This crosssectional study was performed on 440 patients attending a private clinic. Printed questionnaires were introduced to the patients and a clinical examination was performed for each patient. The questionnaire included questions regarding demographic data, and questions regarding some common habits such as smoking, khat chewing and consuming of hot drinks. Melanin pigmentation was assessed regarding its presence, most affected areas and the numbers of affected quadrants. The data were managed and analyzed using SPSS software program. Descriptive statistics and inferential statistics were performed and the associations of melanin with risk factors were evaluated at P value < 0.05. Results: Four hundred and forty patients with mean age 29 ± 8.21 years were included in the study. Of them, 67.5% were fair-skinned, 26.8% were smokers, 48.2% were khat chewers and 33.6% were hot drinks consumers. The prevalence of melanin pigmentation was 62.7%, with class I represented 56.5% of cases. Males showed more prevalence (67.9%) of melanin pigmentation than females (57.7%) with no significant difference. Results also showed more prevalence of melanin pigmentation in patients > 25 years, and darkskinned patients. Regarding habits, smoking, khat chewing and hot drink consumption habits showed significant associations with melanin pigmentation. Whereas the association of khat chewing and hot drinks alone with melanin pigmentation showed no significant relationship with melanin pigmentation while, the merge effects of khat chewing and smoking habits together with melanin pigmentation showed significant relationship with melanin pigmentation. Conclusion: It can be concluded that Yemeni people had high prevalence of melanin pigmentation with more prevalence of CL I type. Males, patients > 25 years and dark-skinned patients showed more prevalence of melanin pigmentation. Smoking, khat chewing and hot drinks consuming habits had significant associations with melanin pigmentation.KEYWORDSMelanin; Yemeni; Smoking; Khat chewing; Risk.

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