Burnout Among Physicians in Qalubia Primary Health Care Facilities, Egypt
Taghreed Mohamed Farahat,
Nagwa Nashat Hegazy,
Dalia Hamed Mohamed
Issue:
Volume 2, Issue 1, March 2016
Pages:
1-5
Received:
6 February 2016
Accepted:
15 February 2016
Published:
1 March 2016
Abstract: Background: Burnout carries a potential negative effect on the individual’s psychological and physical health, as well as an organization’s effectiveness. Therefore, it is recognized worldwide as a major challenge to workers’ health and the functioning of their organizations. Objectives: Determine the prevalence of burnout among physicians in the primary health care facilities and identify the physical predictors of burnout syndrome. Participants & Methods: The study was a cross sectional study conducted on 76 physicians in El Kanater El Kharaia distract PHC units & centers in Qalubia Governorate, Egypt. It was conducted in the context of 10 months. All the participants were interviewed using Maslach burnout inventory. Results: Nearly 66.7% of the general practioners (GPs) had high burnout while only 26.7% of specialists had high burnout. Emotional exhaustion was higher in GPs than family physician and specialist. It was 80.7%, 75% and 46.7% respectively (p value < 0.001). High depersonalization was in GPs resembling 89.5% compared to 50% and 40% in family physician and specialist respectively (p value < 0.001). Nearly two third of the specialists had high personal accomplishment in comparison to 40.3% and 22% in GPs & family physicians. Multivariate regression analysis showed that the most relevant risk factor for burnout was low income and the most relevant physical predictors for burnout were being angry and being hurry (p value < 0.05). Conclusion: Primary care physicians suffer from burnout more than family physicians and specialists. High burnout was prevalent with those under 30 years old and less than 5 years of experience.
Abstract: Background: Burnout carries a potential negative effect on the individual’s psychological and physical health, as well as an organization’s effectiveness. Therefore, it is recognized worldwide as a major challenge to workers’ health and the functioning of their organizations. Objectives: Determine the prevalence of burnout among physicians in the p...
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Predictive Accuracy of Total IgE in Detection of Inhalant Allergens Sensitization
Moufag M. S. Tayeb,
Majdy M. Qutu
Issue:
Volume 2, Issue 1, March 2016
Pages:
6-9
Received:
11 March 2016
Accepted:
30 March 2016
Published:
25 April 2016
Abstract: Background: The role of total IgE (TIGE) in detecting inhalant allergens (IA) sensitization in asthmatics is controversial and frequently underestimated. Objective: To test the relationship between TIGE and IA sensitization in asthmatics. Methods: One year duration cross-sectional study commencing from January in 2014. 118 asthmatics with mean age of 30±15 years collected from King Abdulaziz University Hospital (KAUH). TIGE and skin prick test (SPT) was done. Data were statistically analyzed by statistical package for the social sciences program (SPSS). Two by two tables was done to correlate TIGE and IAs sensitization. Sensitivity, specificity, positive predictive values (+PV) and negative predictive values (–PV) were calculated. Results: SPSS two by two tables was used to correlate TIGE with IA sensitization by sensitivity, specificity and predictive values. TIGE versus mites showed high sensitivity: Dermatophagoides pteronyssinus (DP) 80.3, Dermatophagoides farina (DF) 83.7 and low (specificity, +PV and –PV). TIGE versus mold showed high –PV to (Aspergillus 82.1, Cladosporium 78.5) and low (sensitivity, specificity and +PV). TIGE versus German cockroach showed high sensitivity 90 and high –PV 92.8, however both specificity and +PV were low. All the values were statistically significant with P values below 0.05. Conclusion: Raised TIGE in asthmatics is of value in predicting dust mites and cockroach sensitization and exclusion of mold sensitization. High TIGE in asthmatics almost certainly mean the presence of mite sensitization. Conversely, normal TIGE in asthmatics can exclude mold sensitization. TIGE have both roles with German cockroach (highly sensitive, high –PV).
Abstract: Background: The role of total IgE (TIGE) in detecting inhalant allergens (IA) sensitization in asthmatics is controversial and frequently underestimated. Objective: To test the relationship between TIGE and IA sensitization in asthmatics. Methods: One year duration cross-sectional study commencing from January in 2014. 118 asthmatics with mean age ...
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