Medical Health Personnel Research Articles

Psychological Effect of COVID-19 on Health of Medical Personnel in Hospitals in Eldoret Town, Kenya

Coronavirus disease (COVID-19) greatly affected medical personnel. Researchers have documented the detrimental effects of COVID-19 on the health of medical personnel, among them being high levels of infection and mortality, significant financial strains, anxiety related to both known and unknown information, and fear of ongoing impact and uncertainty. The objective of the study was to investigate the effect of COVID-19 on the psychological health of medical personnel. The study adopted a cross-sectional descriptive research design and was anchored on the Stress and Coping Theory. They targeted all 18 hospitals in Eldoret, comprising 3 public and 15 private hospitals. The population included 34 doctors, 55 laboratory technicians, 71 clinical officers, and 219 nurses, totalling 379 as a population under study. A sample size representing 50% of the total population was selected for the study. In a proportionate way, doctors, laboratory technicians, clinical officers, and nurses were selected at a ratio of 1:2:3:4, respectively. The snowball sampling technique was used to select respondents. The data was gathered through a questionnaire. The study's findings were analysed quantitatively. Multiple linear regressions were applied to examine the effect of COVID-19 on the health of medical personnel. Findings indicated that the psychological effect of COVID-19 had a positive and significant influence on the health of medical personnel (β1 =.646, P< 0.05). Highlighting the profound psychological effects, the majority (77.7%) experienced stress. Therefore, COVID-19 had profound psychological effects on the health of medical personnel in hospitals in Eldoret town. There is a need to implement and expand psychological support programs tailored to the needs of medical personnel. Providing access to counselling services, stress management workshops, and peer support groups could help address the psychological challenges faced by medical personnel in responding to crises such as the pandemic.

Long-Term Disinfection in Operating Rooms Affects Skin Microbiota and Metabolites of Medical Personnel

Introduction: Disinfectants play a critical role in reducing healthcare-associated infections by eliminating microorganisms on surfaces. However, prolonged use of disinfectants may adversely affect the skin microflora, essential for skin health and infection prevention. This study investigates the impact of disinfection on the skin microbiota and metabolites of medical personnel in operating rooms, aiming to provide a scientific foundation for safeguarding their skin health. Methods: We conducted 16S sequencing and metabolomic analysis to assess the effects of disinfection on the skin microbiota and metabolites of medical personnel. Samples were collected from operating room personnel after disinfectant exposure to identify changes in microbial communities and metabolite profiles. Results: Our analysis revealed that prolonged use of disinfectants led to alterations in skin microbial communities and microbial metabolites. These alterations included the production of harmful metabolites that could potentially promote skin infections and other health issues among medical personnel. Conclusion: The findings underscore the importance of minimizing disruptions to skin microbiota and metabolites caused by long-term disinfectant use to preserve the overall health of medical personnel. This study provides valuable insights into the relationship between disinfectant use, skin microbiota, and metabolites, highlighting the necessity for further research in this area.

Depression, Anxiety, Stress, and Insomnia amongst COVID Warriors across Several Hospitals after Second Wave: Have We Acclimatized? A Cross-sectional Survey.

Coronavirus disease-2019 (COVID-19) pandemic has been a cause of significant mental health disturbances in medical health personnel. However, 18 months into the pandemic, healthcare workers (HCWs) have become accustomed to the heightened stress and anxiety that comes with caring for COVID patients. Through this study, we aim to measure depression, anxiety, stress, and insomnia in doctors with the help of validated scales. This was a cross-sectional study with an online survey design conducted among doctors from major hospitals in New Delhi. The questionnaire included participant demographics, including designation, specialty, marital status, and living arrangements. This was followed by questions from the validated depression, anxiety, stress scale (DASS-21), and insomnia severity index (ISI). Depression, anxiety, stress, and insomnia scores were calculated for each participant, and the data were analyzed statistically. The mean scores of the whole study population showed no depression, moderate anxiety, mild stress, and subthreshold insomnia. Female doctors exhibited more psychological issues (mild depression and stress, moderate anxiety, but only subthreshold insomnia) as compared to males (mild anxiety, but no depression, stress, and insomnia). Junior doctors also had higher depression, anxiety, and stress scores than senior doctors. Similarly, single doctors, those living alone, and those not having kids had higher DASS and insomnia scores. HCWs have been under tremendous mental stress during this pandemic which is influenced by multiple factors. Female sex, junior doctors, working on the frontline, not being in a relationship, and living alone may be some of the factors recognized in our study and corroborated by many authors, which may increase the chances of depression, anxiety, and stress in them. HCWs need regular counseling, time off for rejuvenation, and social support to overcome this hurdle. Kohli S, Diwan S, Kumar A, Kohli S, Aggarwal S, Sood A, et al. Depression, Anxiety, Stress, and Insomnia amongst COVID Warriors across Several Hospitals after Second Wave: Have We Acclimatized? A Cross-sectional Survey. Indian J Crit Care Med 2022;26(7):825-832.

미용 관련 의료서비스 종사자들의 감정노동이 조직몰입에 미치는 영향

This study was performed to verify the mediation effect of burnout on the relationship between emotional labor and organizational commitment and see if the length of work experience moderates the mediation effect among beauty-related medical health personnel. A survey was conducted to 114 beauty-related non-benefit hospital medical service personnel working across South Korea. First, descriptive statistics and correlation between variables were examined. Next, the PROCESS Macro of Hayes(2013) was utilized to verify the moderated mediation effect. Burnout was the mediator of the relationship between emotional labor and organizational commitment. Length of work experience was the moderator of the mediation effect. The results are as follows. First, emotional labor positively predicted burnout. Emotional labor and burnout both negatively predicted organizational commitment. Second, burnout fully mediated the relationship between emotional labor and organizational commitment. Third, the length of work experience moderated the relationship between burnout and organizational commitment. Also, a significant moderated mediation effect was found. Individual and organizational intervention plans and limitations were discussed.

Microbial Pattern and Sensitivity Analysis of Otitis Externa Patients in Makassar, Indonesia

Introduction: Globally, the cases of otitis externa were increased, followed by the incidence of antimicrobial resistance. Several factors, such as untrained medical health personnel and unprescribed antibiotics, are thought to play a major role in this phenomenon. This study aims to determine the bacterial patterns and antimicrobial sensitivity in otitis externa patients in Makassar, South Sulawesi, Indonesia. Methods: This cross-sectional study was conducted from November 2020 to February 2021 at Dr. Wahidin Sudirohusodo and Health Laboratory Center, Makassar, South Sulawesi, Indonesia. There were in total 33 subjects with otitis externa participating in this study. The secretion from the outer ear canal was taken and cultured using Mac Conkey agar for bacteriological examination and Vitek 2 for antimicrobial sensitivity. This study assessed age, sex, and type of otitis externa. All data analyses used SPSS version 26.00 (IBM Corp., Armonk, New York). Bacteria patterns and otitis externa were analyzed using the Fisher test. Results: Fourteen cases (42.4%) were caused by Pseudomonas Aeruginosa. Most Gram-negative bacteria were sensitive to ciprofloxacin, gentamicin, amikacin, and meropenem. Staphylococcus haemolyticus, Staphylococcus capitis, and Staphylococcus epidermidis were the most resistant Gram-positive bacteria. Aerobic bacteria in otitis externa were sensitive to antimicrobials (p<0.023). Conclusion: Gram-negative aerobic bacteria were common causes of otitis externa, with Pseudomonas aeruginosa being the most common isolated bacteria. Ciprofloxacin, gentamicin, amikacin, and meropenem were sensitive antimicrobials for otitis externa.

Revolution in Flexible Wearable Electronics for Temperature and Pressure Monitoring—A Review

In the last few decades, technology innovation has had a huge influence on our lives and well-being. Various factors of observing our physiological characteristics are taken into account. Wearable sensing tools are one of the most imperative sectors that are now trending and are expected to grow significantly in the coming days. Externally utilized tools connected to any human to assess physiological characteristics of interest are known as wearable sensors. Wearable sensors range in size from tiny to large tools that are physically affixed to the user and operate on wired or wireless terms. With increasing technological capabilities and a greater grasp of current research procedures, the usage of wearable sensors has a brighter future. In this review paper, the recent developments of two important types of wearable electronics apparatuses have been discussed for temperature and pressure sensing (Psensing) applications. Temperature sensing (Tsensing) is one of the most important physiological factors for determining human body temperature, with a focus on patients with long-term chronic conditions, normally healthy, unconscious, and injured patients receiving surgical treatment, as well as the health of medical personnel. Flexile Psensing devices are classified into three categories established on their transduction mechanisms: piezoresistive, capacitive, and piezoelectric. Many efforts have been made to enhance the characteristics of the flexible Psensing devices established on these mechanisms.

Освіта медичних працівників (до- і післядипломна) з питань паліативної допомоги з метою попередження професійного вигорання

На основі аналізу статистичних даних, результатів власних досліджень та наукової літератури, що свідчить про актуальність створення в Україні системи паліативної та хоспісної допомоги (ПХД) населенню, важливість підготовки фахівців з питань ПХД, а також про низький рівень здоров’я медичних працівників, обґрунтовується необхідність оптимізації до- і післядипломної підготовки лікарів та середніх медичних працівників для забезпечення високої якості надання ПХД населенню та профілактики професійного вигорання. Мультидисциплінарна професійна підготовка медичних працівників з питань ПХД в рамках безперервної післядипломної освіти вимагає відповідного навчально-методичного забезпечення, а також залучення професорсько-викладацького складу різного профілю, що довело свою ефективність на кафедрі паліативної і хоспісної медицини Інституту сімейної медицини НМАПО імені П. Л. Шупика.

LITERATUR REVIEW : SUMBER DAYA MANUSIA RUMAH SAKIT DALAM EKONOMI SAAT PANDEMI COVID 19 MELANDA INDONESIA

This shortage of human resources in health-care hospitals affects the national health system, but there is little research on how these HR issues affect medical workers. Understanding the impact on the health conditions of medical personnel is very important in the midst of the COVID-19 outbreak that is still sweeping the world. With the empirical literature, we have succeeded in summarizing the impact of the role and function of HR on the health of medical personnel. This study confirms that the role and function of human resources is transmitted to medical personnel through several models: (1) decreasing the quality of health services; (2) the impact of inadequate service measures; and (3) increasing demand for health services from patients; (4) A wave of public protests for treatment; (5) service and budget inefficiency

RISK FACTORS IN THE PROCESS OF EMPLOYMENT OF MEDICAL WORKERS OF THE DENTAL PROFILE

One of the most socially important types of work is the work of medical workers. Due to the presence of a significant number of harmful and dangerous factors, the medical profession is divided into a separate group, which in turn is characterized by unique aspects of work. The work of doctors and nurses of different specialties of the dental profile differs significantly in the density of the working day, the volume and nature of professional activities; responsibility for the life of the patient, which affects many physiological processes.
 The purpose. Assessment and comparative characterization of the presence of occupational risks in the dental field, which are daily exposed to factors of aggressive and dangerous nature, as well as the development of a set of preventive measures aimed at reducing occupational morbidity.
 Materials and methods. Hygienic research of working conditions of medical staff of the University Dental Clinic in the form of a questionnaire. Statistical analysis of data of special assessment of working conditions; sanitary and hygienic characteristics, acts, maps of cases of nosocomial diseases; laboratory and instrumental research conducted as part of production control; dosimetric control, air sampling with subsequent sowing on the nutrient medium of IPA.
 Results. It was found that in the studied premises, the total microbial count varied from 756 ± 0.8 CFU / 1m3 to 6497 ± 3.4 CFU / 1m3. In most medical institutions, the level of artificial lighting in the workplaces of medical workers was insufficient. The largest negative contribution was provided by such production factors as: labor intensity and intensity - 26.41%; physical: noise, vibration, non-ionizing and ionizing radiation - 25.32%; chemical - 12.77%. The total contribution of the main factors was 91.78%. Assessment of working conditions is based on hygienic criteria to assess the degree of deviations of the parameters of the production environment and labor process from the current hygienic standards, as well as after analysis and processing of data submitted by employees in the format of their questionnaires. In this regard, the distribution of harmful production factors and their degree of impact on the health of medical personnel was established with the help of multifactor analysis.
 Conclusions. Thus, the research interprets the results, which clearly in the format of a specific percentage, identify those factors that have a strong driving impact on the health of dental professionals. The most substantiated are such production factors as: chemical (exposure to drugs and chemicals), physical (noise and vibration, non-ionizing and ionizing radiation), the severity and intensity of the labor process, lighting (non-compliance with regulations for artificial lighting in the workplace) and microclimate and biological (work with biological, potentially contaminated material, samples, patients), non-ionizing and ionizing radiation, labor intensity (tension of the visual organs).

Effects of end-of-life care on medical health professionals: A dialectical approach.

The provision of end-of-life (EOL) care has complex effects on both the professional and personal well-being of medical health personnel (MHP). Previous studies have mostly focused on negative or positive influences as mutually exclusive effects. This study offers a new conceptualization by applying a dialectical lens, looking at secondary traumatic stress (STS) and post-traumatic growth (PTG) as dual possible coexisting phenomena. The creation of four theoretically possible profiles, based on the combinations of high or low levels in each dimension, offers a practical translation of this idea toward intervention development. Data were collected at a large tertiary pediatric medical center (n = 1,123) aiming at assessing all personnel. Research methods included collecting demographic data and using validated scales to assess STS, PTG, burnout, compassion satisfaction, and both personal and professional social support. We classified four response profiles according to the STS and PTG levels: (1) Dialectical-impact, high STS/high PTG, (2) Growth-dominant, high PTG/low STS, (3) Stress-dominant, high STS/low PTG, and (4) Limited-impact, low STS/low PTG. The four profiles differed based on profession, but not other demographics. Physicians were represented significantly higher in the Stress-dominant profile; nurses were highly represented in the Dialectical-impact profile. A significant difference was found when adding reported EOL care as a distinct factor with a higher relative proportion of the "dialectical" response among those reporting providing EOL care. Findings from this study point toward the recognition and understanding of the complexity resulting from the provision of EOL care. A more complex profile classification, including the dialectical profile, may reflect a broader tendency to ways that MHP are affected by their work. Introducing "dialectical thinking" can lead to more personalized and precise intervention planning for MHP. Tailored interventions promoting personal and professional well-being, based on individual profiles, can contribute to more effective interventions and better resource utilization.

Impact of human resource management on health workers during pandemics COVID-19: systematic review

The HR crisis has affected the health system, but there is little research into how this HR disruption affects medical workers. Understanding the impact on the health of medical personnel is essential; the COVID-19 outbreak is still sweeping the world. With the empirical literature, we have succeeded in summarizing the impact of the HR crisis on the health of medical personnel. Exploratory systematic reviews have identified qualitative, theory-based empirical evidence against practitioners. We have searched a database of relevant HR crises and health issues. Then we analyzed it in depth with a phenomenological approach. A total of 40 peer-reviewed publications were reviewed, referring to the HR crisis and its impact on the health of medical personnel. Finally, this study confirms that the human resource crisis is transmitted to medical personnel through several models: (1) a decrease in the quality of health services; (2) the impact of inadequate service measures; and (3) increasing demands for health services from patients; (4) A wave of community protests for treatment; (5) service and budget inefficiency.

About problems of studying the health of medical personnel

The analysis of the research results indicates a significant physiological «cost» of labor, violations of both physical and mental health of medical personnel of different structural units of medical organizations. The authors emphasize the professional conditionality of health changes and emphasize the need for a special accounting system for this category of people.

How Can Wellness Tourism be Developed in Buleleng Regency?

How Can Wellness Tourism be Developed in Buleleng Regency? Made Budiawan (Dr), Ni Made AryWidiastini (Dr), M. Rudi Irwansyah (M.Ed) Abstract This study aims to explore information about the potential of Buleleng Regency in preparing for the development of wellness tourism. Market needs for health services with a touch of hospitality implies the availability of health tourism opportunities in various forms such as medical tourism and wellness tourism. To understand the feasible wellness tourism to be developed in Buleleng Regency, it is necessary to conduct a study of the potential and things that must support the development of such tourism. This research was carried out by systematic observation methods, then followed by terrestrial surveys with GPS devices to obtain the absolute location coordinates, and interviews. After observation in twenty two villages located in three tourism areas in Buleleng Regency, the data were then followed by data reduction, data presentation and drawing conclusions or verification. The results of data analysis were presented in an informal way in a descriptive narrative form. It was found that each village observed in the three tourism areas in Buleleng Regency have potential to be developed as wellness tourism destinations. The availability of medical health personnel and non-medical health services along with the basic medical facilities are able to support the development of wellness tourism. Full Text: PDF DOI: 10.15640/jthm.v8n1a6

Actividad física y nutrición en la educación médica

Noncommunicable diseases (NCDs) are the leading cause of death worldwide (70%). In Colombia, 178,000 people per year (73%) die from NCDs. Bad practices in lifestyles, especially physical inactivity, overfeeding and smoking leading to NCDs. In Colombia, overweight has increased in the entire population: 56.5% in adults aged 18 to 65 years and the percentage of people who meet the physical activity recommendations is only 51.3% in adults. Physicians and in general health professionals have a fundamental role to help patients and their families in the construction of a healthy lifestyle. The subject of physical activity and nutrition must be compulsory part of the curricula of health careers. For nutrition, instruction is recommended centered on 4 axes: basic nutrition, nutritional assessment, nutritional intervention and dietary treatment of disease. In physical activity it is recommended that the intervention focuses on four aspects: physical activity and fitness cardiorespiratory assessment, exercise prescription, counseling and behavioral change strategies and health of medical personnel. The experience of the authors is shown with the sports medicine and exercise program of the School of Medicine and Health Sciences of the Universidad del Rosario

Здоровье медицинского персонала как индикатор качества производственной среды в больнице.

Здоровье медицинского персонала как индикатор качества производственной среды в больнице.

Improving the work environment of medical personnel working with ionizing radioactive sources in Tyumen Region

Modernization of medical equipment with ionizing radioactive sources and introduction of digital technologies as well as computerization of workplaces contribute to the emergence of new non-ionizing factors affecting the health of medical personnel. Analysis of the results of a special assessment of the work environment of medical personnel showed that more than 50% of those work in harmful working environment conditions. According to the results of a special assessment of work environment, 40 workplaces with sources of ionizing radiation with 58 employees were identified in the medical organizations under study. The greatest influence of ionizing radiation was noted among cardio-surgeons and operating nurses of the department of X-ray surgical methods of diagnosis and treatment. On the basis of the performed analysis, recommendations were made to improve the work environment of medical personnel working with sources of ionizing radiation, including air ionization, regulated breaks and uniform distribution of the patients flow during the working day, provision of modern personal protective equipment as well as radiation-measuring control.

Role of medical resource level in iodine deficiency disorder

BackgroundIodine deficiency disorders (IDDs) refer to a series of diseases caused by the human body's insufficient iodine intake. Edible salt became iodized in China in 1996, which yielded remarkable results. We have known that IDDs is associated with iodine in the human body, but it is not clear whether IDDs is related to medical resource level.MethodsWe collected the number of IDDs cases and an index for the level of medical resource from 31 provinces, autonomous regions and municipalities directly under the central government in China. All data came from the China Statistical Yearbook of Health and Family Planning issued in 2013 by the Peking Union Medical College Publishing House. Data standardization and linear regression analysis were used.ResultsThe results showed that IDDs correlated with the number of beds in medical and health institutions, number of medical health personnel, number of medical and health institutions, total health expenditure, average health expenditure per capita, medical insurance for urban resident and new rural cooperative medical rural residents (P < 0.01). In a multiple linear regression, IDDs was most significantly associated with the number of beds in hospitals, the number of rural health personnel, the number of basic medical and health institutions and government health expenditure for these institutions.ConclusionBased on the experimental data, we concluded that IDDs had a positive connection with the medical resource level, and basic and rural areas had a more significant association with IDDs. This analysis provides new and explicit ideas for iodine prevention and control work in China.

Der Konflikt zwischen Arbeit und Privatleben und sein Zusammenhang mit Burnout - Ergebnisse einer Studie bei Ärztinnen und Ärzten in nordrhein-westfälischen Brustzentren

This study investigates the conflict between work and private life (work-life conflict and life-work conflict) and its relationship with burnout among physicians in breast cancer centers in North Rhine-Westphalia (n=378). With regard to the construct burnout, we differentiated between the 3 subscales emotional exhaustion, depersonalisation and personal accomplishment of the Maslach burnout inventory. In a structural equation model it was seen that above all the work-life conflict is positively associated with emotional exhaustion whereas the life-work conflict has a stronger positive correlation with depersonalisation and a negative relationship with personal accomplishment. Altogether, the results emphasise the importance of a successful interaction between professional work and private life ("work-life balance") for the health of medical personnel.

An overview of the State Employed Special Interest Group (SESIG) of the South African Society of Psychiatrists (SASOP) from 2000 - 2012

&lt;p&gt;&lt;strong&gt;Introduction.&lt;/strong&gt; The State Employed Special Interest Group (SESIG) of SASOP was established in Durban during the national congress in September 2000. Issues of concern at the time included: suboptimal physical conditions in state hospitals and clinics; stalling of the essential drug list (EDL) review process; and understaffing and difficulties to recruit and retain mental health medical personnel in the state sector. During the past 2 years, attention was given to liaising with the South African Medical Association (SAMA) as a medical labour organisation; standards for psychiatric inpatient structures, services and care; and scheduling a national SESIG strategic workshop. &lt;strong&gt;&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods.&lt;/strong&gt; Ethics clearance was obtained for a retrospective quantitative review of the demographic and occupational profile of SESIG’s members, as captured by the SASOP database of current and potential members. The investigation included a review of the policies and process by which strategic activities, priorities and measures for progress were identified within the different areas of SESIG’s mandate. &lt;strong&gt;&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results.&lt;/strong&gt; In 2007, 38% (n=144) of the potential total number of stateemployed psychiatrists (380) were paid-up SESIG members; and 53% (n=202) of the potential total number (378) in 2011. The Eastern Cape, Free State and Northern Gauteng subgroups had the biggest percentage of members per region in 2007, which changed in 2011 to Northern Gauteng, Western Cape and Eastern Cape. In 2011, 40% of the total membership were psychiatric registrars. Presentations and discussion during the first national strategic meeting of state employed psychiatrists in 2012 covered: the scope of state sector practice; pertinent policies for state practice; planning per region; teaching and research; accepted principles for care; and strategic mobilisation (details in the supplement of this issue of the SAJP). &lt;strong&gt;&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion.&lt;/strong&gt; Eleven position statements were formulated to guide SASOP/SESIG activities during 2012 - 2014, including statements on: national mental health policy; psychiatry and mental health; infrastructure and human resources; standard treatment guidelines and EDL; HIV in children and adults; substance abuse and addiction; community psychiatry and referral levels; recovery and re-integration; culture, mental health and psychiatry; the specialty status of South African psychiatry; and forensic psychiatry.&lt;/p&gt;

What Should be Prepared for the Mutual Accreditation for Medical Health Licenses When Korea Opens to Physicians and Dentists from the Rest of the World

What Should be Prepared for the Mutual Accreditation for Medical Health Licenses When Korea Opens to Physicians and Dentists from the Rest of the World