Education, Medical, Graduate ; standards ; General Surgery ; education ; Humans ; Singapore ; Workload ; statistics & numerical data

This study intended to identify the need for the legalization and development of a systematic program for physician assistants (PAs) by understanding the actual state of PA operation in hospitals. In 114 hospitals assigned as resident training hospitals for surgery, a survey was conducted on the personnel working as PAs in those hospitals; the survey included general personal information, working conditions, training time, and satisfaction. A total of 192 PAs in surgery at 35 hospitals responded to the survey. The types of PAs are Surgical Assistant, Clinical Physician Assistant, Wound Ostomy Care Nurse, Coordinator, and Clinical Research Coordinator. Types of work PAs preformed are surgical assistance, wound dressing, educating patients, overlooking consultation, doing paper works, writing operation records, and confirming examination results which were ordered. The satisfaction level for the position which PAs hold were 29.1% and and satisfaction level which doctors see towards PA was 15%. The role and the job descriptions of PAs are not clear cut, there are many discrepancies among hospitals we studied. As a result, legalization and the implementation of standardized role of PAs will lead to increase level of satisfactions in the work force and the quality of work which PAs perform will be greater.
Adult ; Female ; General Surgery ; Humans ; Job Description ; Male ; Physician Assistants/*statistics & numerical data ; Questionnaires ; Republic of Korea ; Task Performance and Analysis ; Workload

PURPOSEIran has a high rate of road traffic accidents. Poor quality of sleep brings about loss of attention, which is an important cause of road traffic accidents particularly in monotonous roads. The causes of poor quality of sleep in occupational drivers are multifactorial. The objective of the present study was to assess the prevalence of poor sleep quality among occupational drivers with rotating work schedules and analyze its different risk factors.

METHODS2200 professional long-haul truck drivers who had been referred to the Occupational Health Clinic for routine education course were invited. We obtained data from eight provinces from various parts of Iran during 2012-2013. Data were collected using a questionnaire including questions about demographic and job characteristics. Pittsburg Sleep Quality Index (PSQI) was used to assess drivers' sleep quality.

RESULTSMean working (driving) time was (9.3±2.5) hours daily and (55.5 ± 18.29) hours weekly. About 23.5% of the drivers reported history of smoking, 14.5% had low job satisfaction and 60% had irregular work schedule. 16.4% of drivers had an accidents leading to injury during the past five years. The mean PSQI score was 4.2 ± 2.7; 54% had a PSQI>5 (poor quality of sleep). Multivariate logistic regression showed that smoking, job satisfaction, history of accidents, shift work and work hours per day were the most important risk factors for poor sleep quality.

CONCLUSIONResults obtained from the current study showed a high prevalence of poor quality of sleep among professional drivers. It warrants more attention to this significant problem using some measures to improve working conditions in professional drivers, as well as health promotion interventions.

Accidents, Traffic ; statistics & numerical data ; Adult ; Aged ; Automobile Driving ; Educational Status ; Humans ; Iran ; Logistic Models ; Male ; Middle Aged ; Sleep ; Workload

BACKGROUND: Regional disparities in the working conditions of medical doctors have not been fully assessed in Japan. We aimed to clarify these differences in hospital characteristics: doctors' workload, wages, and popularity among medical students by city population sizes. METHODS: We targeted 423 teaching hospitals certified by the Japanese Society of Internal Medicine and assessed the working conditions of physicians specializing in internal medicine. We calculated their workload (the annual number of discharged patients per physician) and retrieved data on junior residents' monthly wages from the Resinavi Book which is popular among medical students in Japan to know the teaching hospital's information and each hospital's website. Furthermore, we explored the interim matching rate of each hospital as its popularity among medical students. Next, we classified cities in which all hospitals were located into eight groups based on their population size and compared the characteristics of these hospitals using a one-way analysis of variance. RESULTS: The average workload was 110.3, while the average workload in hospitals located in most populated cities (≥ 2,000,000) was 88.4 (p < 0.05). The average monthly wage was 351,199 Japanese yen, while that in most populated cities was 305,635.1 Japanese yen. The average popularity (matching rate) was 101.9%, and the rate in most populated areas was 142.7%, which was significantly higher than in other areas. CONCLUSIONS Hospitals in most populated areas had significantly lower workloads and wages; however, they were more popular among medical students than those in other areas. This study was the first to quantify the regional disparities in physicians' working conditions in Japan, and such disparities need to be corrected.
Cities/statistics & numerical data* ; Geography ; Hospitals, Teaching/statistics & numerical data* ; Japan ; Physicians/statistics & numerical data* ; Population Density ; Salaries and Fringe Benefits/statistics & numerical data* ; Students, Medical/psychology* ; Workload/statistics & numerical data*

OBJECTIVETo study the farmer-workers'stress, their mental health and the effect of stress on mental health.

METHODSThe Stressors Scale and SCL-90 were used for the test in a sample of 500 farmer-workers.

RESULTSThe primary mental stressors of the farmer-workers were economic burden, protection of their rights and interests and working condition & load. There was difference in the degree of stress among the age groups and the groups of the degree of education. Farmer-workers under 29 years old experienced the most mental stress, those between 30 years old and 39 years old experienced less, and those above 40 years old experienced the least mental stress. In the Interpersonal Relationship Stress Scale, the scores of those with senior middle school education or above were higher than those with junior middle school education or even illiterate. But the scores in all other stress scale and the total stress scores were different: the scores of those illiterate and those with senior middle school education or above, were higher than those with junior middle school education or lower. The mental health status of the farmer-workers was lower than the norm. The farmer-workers with at least one positive symptom factor accounted for 12.30% with the detectable rate of the factors of SCL-90 ranging from 1.9% to 6.5%. Most stressors could predict the mental health of the farmer-workers positively and remarkably.

CONCLUSIONSome farmer-workers have mental disorders. Mental stress plays an important role in the mental health of the farmer-workers.

Adult ; Agriculture ; Educational Status ; Female ; Humans ; Life Change Events ; Male ; Mental Health ; statistics & numerical data ; Middle Aged ; Occupational Health ; statistics & numerical data ; Stress, Psychological ; epidemiology ; Workload

PURPOSE: Hypospadias is the most common congenital penile anomaly. Information about current utilization patterns of inpatient hypospadias repair as well as complication rates remain poorly evaluated. MATERIALS AND METHODS: The Nationwide Inpatient Sample was used to identify all patients undergoing inpatient hypospadias repair between 1998 and 2010. Patient and hospital characteristics were attained and outcomes of interest included intra- and immediate postoperative complications. Utilization was evaluated temporally and also according to patient and hospital characteristics. Predictors of complications and excess length of stay were evaluated by logistic regression models. RESULTS: A weighted 10,201 patients underwent inpatient hypospadias repair between 1998 and 2010. Half were infants (52.2%), and were operated in urban and teaching hospitals. Trend analyses demonstrated a decline in incidence of inpatient hypospadias repair (estimated annual percentage change, -6.80%; range, -0.51% to -12.69%; p=0.037). Postoperative complication rate was 4.9% and most commonly wound-related. Hospital volume was inversely related to complication rates. Specifically, higher hospital volume (>31 cases annually) was the only variable associated with decreased postoperative complications. CONCLUSIONS: Inpatient hypospadias repair have substantially decreased since the late 1990's. Older age groups and presumably more complex procedures constitute most of the inpatient procedures nowadays.
Adolescent ; Adult ; Age Distribution ; Child ; Child, Preschool ; Hospitalization/statistics & numerical data/*trends ; Humans ; Hypospadias/epidemiology/*surgery ; Infant ; Length of Stay/statistics & numerical data/trends ; Male ; Outcome Assessment (Health Care) ; Postoperative Complications/epidemiology ; United States/epidemiology ; Workload/statistics & numerical data ; Young Adult

OBJECTIVETo observe the association between job stress (effort-reward imbalance model)and blood lipids among university staff in Yunnan province.

METHODSA cross-sectional survey was conducted among 1244 university staff in Yunnan province. The job stress was measured by the validated Chinese self-reported Effort-Reward Imbalance Questionnaire (ERI). Blood lipids were measured in all participated staff members.

RESULTSAfter adjustment for relevant confounding factors, it was found that the risk of increased serum triglyceride was 3.5 folds higher in male staffs with high extrinsic effort compared those with low extrinsic effort (OR = 3.45, 95%CI: 1.32 - 9.04) while the risk of increased serum low density lipoprotein-cholesterol was 2.9 folds higher in male staffs with high overcommitment compared those with low overcommitment (OR = 2.86, 95%CI: 1.03 - 7.96). The risk of elevated serum triglyceride increased in proportion to increasing job stress: 3.5 folds increase in male staffs with moderate job stress (OR = 3.43, 95%CI: 1.24 - 9.53) and 4 folds increase in male staffs with high job stress (OR = 4.16, 95%CI: 1.42 - 12.17) compared those with low job stress. However, there was no significant association between job stress and lipid profile in female staffs.

CONCLUSIONOur results show that job stress (effort-reward imbalance) is positively associated with abnormal blood lipids in male university staffs.

Adult ; Cross-Sectional Studies ; Female ; Humans ; Lipids ; blood ; Male ; Middle Aged ; Stress, Psychological ; blood ; Surveys and Questionnaires ; Workload ; psychology ; statistics & numerical data

OBJECTIVETo assess the occupational stress and its influential factors in nurses.

METHODSA test of occupational stress, its influential factors, work ability were carried out for 248 nurses and 319 controls with revised occupational stress inventory (OSI-R) and work ability index (WAI).

RESULTSThe scores of personal cope resource (131.266 +/- 17.176) and work ability index (32.581 +/- 3.158) in nurse group were significantly higher than those in control group (126.931 +/- 19.108, 31.840 +/- 4.069) (P < 0.05). The main occupational stressors scores (role insufficiency, role clash, and responsibility) in nurses were higher than those in controls (P < 0.05). The stress response of interpersonal relationship in nurses was also higher. The items of personal cope resource, such as recreation, self-care and social support of nurses were superior to those of controls (P < 0.05). Stress response was positively correlated with occupational role (r = 0.512, P < 0.01), and negatively correlated with the personal cope resource (r = -0.475, P < 0.01). The primary influential factors of personal stress were recreation, social support, rational conduct, role insufficiency, role clash, responsibility, and poor work environment.

CONCLUSIONTo strengthen social support, to improve work condition for nurses, so as to reduce the occupational stress and to enhance the work ability of nurses are important task in occupational health field.

Humans ; Multivariate Analysis ; Nurses ; psychology ; Occupational Health ; statistics & numerical data ; Risk Factors ; Social Support ; Stress, Psychological ; prevention & control ; psychology ; Surveys and Questionnaires ; Workload ; psychology

OBJECTIVETo investigate the change pattern of primary and secondary school teachers' work ability with the changes in their mental workload.

METHODSA total of 901 primary and secondary school teachers were selected by random cluster sampling, and then their mental workload and work ability were assessed by National Aeronautics and Space Administration-Task Load Index (NASA-TLX) and Work Ability Index (WAI) questionnaires, whose reliability and validity had been tested. The effects of their mental workload on the work ability were analyzed.

RESULTSPrimary and secondary school teachers' work ability reached the highest level at a certain level of mental workload (55.73< mental workload ≤ 64.10). When their mental workload was lower than the level, their work ability had a positive correlation with the mental workload. Their work ability increased or maintained stable with the increasing mental workload. Moreover, the percentage of teachers with good work ability increased, while that of teachers with moderate work ability decreased. But when their mental workload was higher than the level, their work ability had a negative correlation with the mental workload. Their work ability significantly decreased with the increasing mental workload (P < 0.01). Furthermore, the percentage of teachers with good work ability decreased, while that of teachers with moderate work ability increased (P < 0.001).

CONCLUSIONToo high or low mental workload will result in the decline of primary and secondary school teachers' work ability. Moderate mental workload (55.73∼64.10) will benefit the maintaining and stabilization of their work ability.

Faculty ; statistics & numerical data ; Humans ; Occupational Health ; Reproducibility of Results ; Sampling Studies ; Schools ; Stress, Psychological ; psychology ; Surveys and Questionnaires ; Work ; psychology ; Workload ; psychology

OBJECTIVETo investigate if heart rate variability (HRV) can be used to evaluate mental workload.

METHODSForty-six volunteers were selected to simulate mental work by inputting the random number through keyboards. ECG was recorded by Holter 8800 during the performance and transferred into digital signal. Total power (TP), low frequency (LF), high frequency (HF) were analysed by Holter software.

RESULTSAlong with time, the inputting speed increased but accuracy decreased, and was positively correlated with TP, LF (r = 0.851 and 0.827 respectively, P < 0.05), showing a distinct dose-effect relationship. HRV values at rest were higher than during mental work [TP: (2 745.4 +/- 1 301.6) vs (686.2 +/- 420.7) ms(2)/Hz; HF: (670.6 +/- 393.8) vs (202.6 +/- 171.7) ms(2)/Hz; LF: (870.5 +/- 553.7) vs (206.0 +/- 187.9) ms(2)/Hz] indicating that they were decreased remarkably as the mental work started. Then, they were gradually increased with the workload (intensity and time) increased, but still at lower level.

CONCLUSIONHRV may be used as a parameter to evaluate mental workload but the change pattern of HRV needs to study further.

Adult ; Electrocardiography, Ambulatory ; statistics & numerical data ; Evaluation Studies as Topic ; Female ; Heart Rate ; physiology ; Humans ; Male ; Mental Processes ; physiology ; Rest ; physiology ; Workload