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    [Influence of sociodemographic, occupational and life style factors on the levels of burnout in palliative care health professionals].
    An Sist Sanit Navar 2017 Dec 7;0(0):59380. Epub 2017 Dec 7.
    Hospital Universitario San Rafael (Granada). CL/ San Juan de Dios, 19-23, 18001 Granada. España..
    Background: Palliative care health professionals have reported high levels of burnout. An understanding of factors associated with this syndrome in this population could foster new prevention and intervention strategies. The objectives were to evaluate the levels of burnout in each of its dimensions in a sample of palliative care health professionals and to analyze the relationship between levels of burnout and sociodemographic, occupational and lifestyle characteristics in this sample. Read More

    Designing a Resilience Program for Critical Care Nurses.
    AACN Adv Crit Care 2017 ;28(4):359-365
    Meredith Mealer is Assistant Professor, University of Colorado School of Medicine, 12631 E 17th Ave, F493, Aurora, CO 80045 Rachel Hodapp, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado. David Conrad, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado. Sona Dimidjian, Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, Colorado. Barbara O. Rothbaum, Department of Psychiatry, Emory University School of Medicine, Atlanta, Georgia. Marc Moss, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado.
    Background: Workplace stress can affect job satisfaction, increase staff turnover and hospital costs, and reduce quality of patient care. Highly resilient nurses adapt to stress and use a variety of skills to cope effectively.

    Objective: To gain data on a mindfulness-based cognitive therapy resilience intervention for intensive care unit nurses to see if the intervention program would be feasible and acceptable. Read More

    Exploration of the Association between Nurses' Moral Distress and Secondary Traumatic Stress Syndrome: Implications for Patient Safety in Mental Health Services.
    Biomed Res Int 2017 25;2017:1908712. Epub 2017 Oct 25.
    Department of Nursing, School of Health Sciences, Cyprus University of Technology, No. 15, Vragadinou str, 3041 Limassol, Cyprus.
    Work-related moral distress (MD) and secondary traumatic stress syndrome (STSS) may be associated with compromised health status among health professionals, reduced productivity, and inadequate safety of care. We explored the association of MD with the severity of STSS symptoms, along with the mediating role of mental distress symptoms. Associations with emotional exhaustion and professional satisfaction were also assessed. Read More

    Vitamin D Levels and Associations in Indian Patients with Primary Sjögren's Syndrome.
    J Clin Diagn Res 2017 Sep 1;11(9):OC33-OC36. Epub 2017 Sep 1.
    Professor and Head of Department, Department of Rheumatology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.
    Introduction: Vitamin D is a steroid hormone belonging to the class of secosteroids with myriad immune functions and has been implicated in aetiopathogenesis of various autoimmune diseases. Although, there have been various studies showing the association of vitamin D in rheumatoid arthritis and lupus in different populations, there have been limited studies on vitamin D and primary Sjögren's Syndrome (pSS). There are no studies on association of vitamin D and pSS from any tropical country including Indian subcontinent. Read More

    Evaluation of Chest Pain and Acute Coronary Syndromes.
    Cardiol Clin 2018 Feb 18;36(1):1-12. Epub 2017 Oct 18.
    Finance and Healthcare Enterprises, Department of Emergency Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Thomas Jefferson University Hospital, 1025 Walnut Street, Suite 300, Philadelphia, PA 19107, USA.
    Chest pain is a common complaint in the emergency department, and it is the job of clinicians to rule out life-threatening diagnoses such as acute coronary syndrome. The history, physical examination, cardiac risk factors, electrocardiogram findings, and clinician judgment are often not enough to distinguish between causes of chest pain syndromes and to reliably rule out acute myocardial ischemia. New cardiac troponin assays, especially in conjunction with clinical decision algorithms, help clinicians rapidly exclude acute myocardial infarction. Read More

    Evaluating prevalence and risk factors of building-related symptoms among office workers: Seasonal characteristics of symptoms and psychosocial and physical environmental factors.
    Environ Health Prev Med 2017 Apr 12;22(1):38. Epub 2017 Apr 12.
    Department of Environmental Health, National Institute of Public Health, 2-3-6 Minami, Wako, Saitama, 351-0197, Japan.
    Background: Psychosocial and environmental factors at the workplace play a significant role in building-related symptoms (BRSs). Environmental factors change during summer cooling and winter heating using air-conditioning systems. Thus, significant risk factors in each season need to be clarified. Read More

    Supplementation with Robuvit® in subjects with burnout associated to high oxidative stress.
    Minerva Med 2017 Nov 21. Epub 2017 Nov 21.
    Irvine3 Labs, Department of Medical, Oral and Biotechnological Sciences, "G. D'Annunzio" University, Pescara, Italy.
    Background: This supplement registry study evaluated the effect of supplementation with Robuvit® on the burnout syndrome (BOS) of patients with significant fatigue and high oxidative stress. Robuvit® (French oak wood extract) is a standardized supplement, effective in treating chronic fatigue syndrome (CFS), post-traumatic stress disorder (PTSD) and convalescence.

    Methods: A group of 108 subjects with BOS, consisting of a subgroup of 42 young surgeons in training and a subgroup of 66 managers, were studied. Read More

    Risk assessments using the Strain Index and the TLV for HAL, part II: Multi-task jobs and prevalence of CTS.
    J Occup Environ Hyg 2017 Nov 20. Epub 2017 Nov 20.
    a Department of Occupational Science & Technology , University of Wisconsin-Milwaukee , Milwaukee , Wisconsin.
    Background: The Strain Index (SI) and the American Conference of Governmental Industrial Hygienists (ACGIH) Threshold Limit Value for Hand Activity Level (TLV for HAL) have been shown to be associated with prevalence of distal upper limb musculoskeletal disorders such as carpal tunnel syndrome (CTS). The SI and TLV for HAL disagree on more than half of task exposure classifications. Similarly, Time-Weighted-Average (TWA), Peak, and Typical exposure techniques used to quantity physical exposure from multi-task jobs have shown between-technique agreement ranging from 61% to 93%, depending upon whether the SI or TLV for HAL model was used. Read More

    Fetal nuchal translucency in severe congenital heart defects: experiences in Northern Finland.
    J Matern Fetal Neonatal Med 2017 Dec 3:1-7. Epub 2017 Dec 3.
    a Department of Obstetrics and Gynecology , Oulu University Hospital , Finland.
    Objective: To evaluate the performance of first-trimester measurement of fetal nuchal translucency (NT) in the detection of severe congenital heart defects (CHDs).

    Methods: During the study period of 1 January 2008 - 31 December 2011, NT was measured in 31,144 women as a part of voluntary first-trimester screening program for Down's syndrome in Northern Finland. NT was measured by personnel trained on the job by the experienced staff. Read More

    Burnout and depression: Causal attributions and construct overlap.
    J Health Psychol 2017 Nov 1:1359105317740415. Epub 2017 Nov 1.
    University of Neuchâtel, Switzerland.
    Burnout has been commonly regarded as a job-induced syndrome. In this 468-participant study (67% female; mean age: 46.48), we examined the extent to which individuals with burnout and depressive symptoms attribute these symptoms to their job. Read More

    Association between metabolic syndrome and sensorineural hearing loss: a cross-sectional study of 11,114 participants.
    Diabetes Metab Syndr Obes 2017 6;10:459-465. Epub 2017 Nov 6.
    Social Determinants of Health Research Center, Occupational Medicine Center, Urmia University of Medical Sciences, Urmia.
    Background/objectives: Hearing loss (HL) is associated with certain diseases and affects health, resulting in a low quality of life. Some components of the metabolic syndrome (MetS) coincide with the risk factors for sensorineural hearing loss (SNHL). To date, very few studies have examined the link between MetS and HL. Read More

    Prevalence and determinants of burnout syndrome among physicians in Cameroon: a research proposal.
    BMC Res Notes 2017 Oct 25;10(1):508. Epub 2017 Oct 25.
    Sub-Divisional Hospital Mayo Darley, Mayo Darley, Cameroon.
    Objectives: Burnout syndrome is a common psychological state, that may affect human healthcare providers due to their prolonged exposure to job stressors. Burnout can hinder optimal healthcare delivery. Hence this study aims to determine the prevalence and correlates of burnout syndrome amongst physicians in Cameroon. Read More

    Infection Prevention and Control in Pediatric Ambulatory Settings.
    Pediatrics 2017 Nov;140(5)
    Since the American Academy of Pediatrics published its statement titled "Infection Prevention and Control in Pediatric Ambulatory Settings" in 2007, there have been significant changes that prompted this updated statement. Infection prevention and control is an integral part of pediatric practice in ambulatory medical settings as well as in hospitals. Infection prevention and control practices should begin at the time the ambulatory visit is scheduled. Read More

    Effectiveness of the BOOST-A™ online transition planning program for adolescents on the autism spectrum: a quasi-randomized controlled trial.
    Child Adolesc Psychiatry Ment Health 2017 10;11:54. Epub 2017 Oct 10.
    School of Occupational Therapy and Social Work, Curtin University, Perth, Australia.
    Background: The majority of existing transition planning programs are focused on people with a disability in general and may not meet the specific need of adolescents on the autism spectrum. In addition, these interventions focus on specific skills (e.g. Read More

    Adherence to a Dash-style diet in relation to depression and aggression in adolescent girls.
    Psychiatry Res 2017 Sep 28;259:104-109. Epub 2017 Sep 28.
    Department of Modern Sciences and Technologies, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran; Metabolic Syndrome Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Electronic address:
    The aim of this study was to assess adherence to the Dietary Approach to Stop Hypertension (DASH) dietary pattern in relation to depression and aggression in adolescent girls. The study was carried out among 580 girls aged between 12 and 18 years of age. DASH scores were determined according to the method of Fung et al. Read More

    Exploring Nursing Intention, Stress, and Professionalism in Response to Infectious Disease Emergencies: The Experience of Local Public Hospital Nurses During the 2015 MERS Outbreak in South Korea.
    Asian Nurs Res (Korean Soc Nurs Sci) 2017 Sep 21;11(3):230-236. Epub 2017 Aug 21.
    Department of Preventive Medicine, Kyungpook National University School of Medicine, Daegu, South Korea.
    Purpose: This study aimed to examine levels of stress and professionalism of nurses who provided nursing care during the 2015 Middle East respiratory syndrome outbreak based on their experience, to investigate the nurses' intention to respond to possible future outbreaks in relation to their experience during the outbreak, and to determine the relationship between the outbreak experience and nursing intention considering stress and professionalism.

    Methods: A self-administered questionnaire was designed based on modifications of related questionnaires, and used to assess levels of stress, professionalism, and nursing intention according to participants' experiences during the outbreak. Multiple regression analysis was used to examine the relationship between the outbreak nursing experience and nursing intention considering stress and nursing professionalism. Read More

    Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies.
    PLoS One 2017 4;12(10):e0185781. Epub 2017 Oct 4.
    Department of Public Health, Universidade Estadual de Londrina, Paraná, Brazil.
    Burnout is a syndrome that results from chronic stress at work, with several consequences to workers' well-being and health. This systematic review aimed to summarize the evidence of the physical, psychological and occupational consequences of job burnout in prospective studies. The PubMed, Science Direct, PsycInfo, SciELO, LILACS and Web of Science databases were searched without language or date restrictions. Read More

    Executive control, ERP and pro-inflammatory activity in emotionally exhausted middle-aged employees. Comparison between subclinical burnout and mild to moderate depression.
    Psychoneuroendocrinology 2017 Dec 18;86:176-186. Epub 2017 Sep 18.
    Leibniz Research Centre for Working Environment and Human Factors (IfADo) at TU Dortmund, Dortmund, Germany1; Institute for Working, Learning and Aging, Bochum, Germany.
    Burnout is a syndrome occurring mainly in individuals with long-term stressful work. The main complaints are emotional exhaustion and reduced performance. Burnout also largely overlaps with depression. Read More

    Prevalence of Cardio-metabolic Risk Factors: A Cross-sectional Study among Employed Adults in Urban Delhi, India.
    J Clin Diagn Res 2017 Aug 1;11(8):LC01-LC04. Epub 2017 Aug 1.
    Assistant Professor, Department of Food and Nutrition, Delhi University, New Delhi, India.
    Introduction: Many studies have shown increasing prevalence of Cardiovascular Diseases (CVD) among employed adults. Metabolic Syndrome (MS) which is a predictor of increasing CVD is a cluster of risk factors like central obesity, dyslipidemia, hyperglycaemia and hypertension. Heredity, poor dietary choice, unhealthy lifestyle, job stress are some of the causes responsible for increased prevalence of cardiovascular risk among employed adults. Read More

    Association between metabolic syndrome and disability due to low back pain among care workers.
    Int J Occup Med Environ Health 2017 Nov 28;31(2):165-172. Epub 2017 Sep 28.
    Kobe University Graduate School of Health Sciences, Kobe, Japan (Department of Community Health Sciences).
    Objectives: To elucidate the association between metabolic syndrome (MetS) and disability due to low back pain (LBP) among care workers.

    Material And Methods: This cross-sectional study enrolled 656 care workers having experienced LBP in the year prior to the year of this study. The Roland-Morris Disability questionnaire (RDQ) and self-reported questionnaires regarding LBP, fear of movement, depressive symptom, psychosocial factors, intensity of pain, and duration of pain were administered, and a medical examination was performed. Read More

    Autosomal Dominant Hyper-IgE Syndrome in the USIDNET Registry.
    J Allergy Clin Immunol Pract 2017 Sep 19. Epub 2017 Sep 19.
    Division of Allergy and Clinical Immunology, Icahn School of Medicine, Mount Sinai, New York, NY. Electronic address:
    Background: Autosomal dominant hyper-IgE syndrome (AD-HIES) is a rare condition.

    Objective: Data from the USIDNET Registry provide a resource to examine the characteristics of patients with rare immune deficiency diseases.

    Methods: A query was submitted to the USIDNET requesting deidentified data for patients with physician-diagnosed AD-HIES through July 2016. Read More

    It's All in the Wrist: Diagnosis and Management of Carpal Tunnel Syndrome.
    Orthop Nurs 2017 Sep/Oct;36(5):323-327
    Catherine O. Durham, DNP, FNP-BC, Director, MSN DN Program, College of Nursing, Medical University of South Carolina, MSC 160, Charleston. Kathy VanRavenstein, PhD, FNP-BC, Instructor, Medical University of South Carolina, College of Nursing, Charleston.
    Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy accounting for 90% of similar disorders, occurring in 3.8% of the population, common in adults aged 40-60 years, and is associated with an average 32 lost days of work and lost productivity. In addition to occupational exposure, there are several common chronic disorders that can preclude CTS, obesity, diabetes mellitus, rheumatoid arthritis, pregnancy, metabolic syndrome, and thyroid disorder, to name a few. Read More

    Medical residents' attitudes and emotions related to Middle East respiratory syndrome in Saudi Arabia. A cross-sectional study.
    Saudi Med J 2017 Sep;38(9):942-947
    Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Prince Sattam bin Abdulaziz University, Alkharj, Kingdom of Saudi Arabia. E-mail.
    Objectives: To determine medical residents' emotions, attitudes, and knowledge related to Middle East respiratory syndrome (MERS) outbreaks. Methods: In this is a cross sectional study, self-administered questionnaires were distributed and collected before resident education activities in 4 tertiary hospitals in Riyadh, Kingdom of Saudi Arabia, between November 2015 and January 2016. The questionnaire included questions related to residents' demographic data and their emotions, attitudes, and knowledge related to an MERS outbreak. Read More

    [Burnout in Tunisian medical residents: About 149 cases].
    Encephale 2017 Sep 1. Epub 2017 Sep 1.
    Service de psychiatrie C, hôpital Razi, cité des Orangers, 2010 La Manouba, Tunisie.
    Background: Burnout is a professional psychological chronic stress-induced syndrome defined by three dimensions: emotional exhaustion, depersonalization, and low personal accomplishment. This syndrome concerns all professions but especially healthcare staff. Numerous studies have attempted to document the impact of work activities on the doctor's mental health. Read More

    A Disease-Modifying Approach for Advanced Hidradenitis Suppurativa (Regimen with Metformin, Liraglutide, Dapsone, and Finasteride): A Case Report.
    Case Rep Dermatol 2017 May-Aug;9(2):70-78. Epub 2017 Jul 13.
    UNMC Department of Family Medicine, Nebraska Medical Center, Omaha, Nebraska, USA.
    Hidradenitis suppurativa (HS) is a challenging skin disease with limited therapeutic options. Obesity and metabolic syndrome are being increasingly implicated and associated with younger ages and greater metabolic severity. A 19-year-old female with an 8-year history of progressively debilitating cicatricial HS disease presented with obesity, profound anemia, leukocytosis, increased platelet count, hypoalbuminemia, and elevated liver enzymes. Read More

    Carpal tunnel syndrome among laboratory technicians in relation to personal and ergonomic factors at work.
    J Occup Health 2017 Nov 31;59(6):513-520. Epub 2017 Aug 31.
    Department of Infection Prevention and Control, King Abdulaziz Medical City.
    Objectives: Work-related carpal tunnel syndrome (CTS) has been reported in different occupations, including laboratory technicians, so this study was carried out to determine the prevalence and the associated personal and ergonomic factors for CTS among laboratory technicians.

    Methods: A cross-sectional study was conducted among 279 laboratory technicians at King Fahd Hospital, Saudi Arabia, who filled in a self-administered questionnaire, including questions regarding their demographic criteria, occupational history, job tasks, workplace tools, ergonomic factors at work, and symptoms suggestive of CTS. Physical examinations and electrodiagnostic studies were carried out for those who had symptoms suggestive of CTS to confirm the diagnosis. Read More

    Burnout Disrupts Anxiety Buffer Functioning Among Nurses: A Three-Way Interaction Model.
    Front Psychol 2017 11;8:1362. Epub 2017 Aug 11.
    Psychology Department, University of Colorado Colorado Springs, Colorado SpringsCO, United States.
    Over the last 40 years, job burnout has attracted a great deal of attention among researchers and practitioners and, after decades of research and interventions, it is still regarded as an important issue. With the aim of extending the Anxiety Buffer Disruption Theory (ABDT), in this paper we argue that high levels of burnout may disrupt the anxiety buffer functioning that protects people from death concerns. ABDT was developed from Terror Management Theory (TMT). Read More

    Psychological Factors Influence the Irritable Bowel Syndrome and Their Effect on Quality of Life among Firefighters in South Korea.
    Psychiatry Investig 2017 Jul 11;14(4):434-440. Epub 2017 Jul 11.
    Department of Psychiatry, School of Medicine, Wonkwang University, Iksan, Republic of Korea.
    Objective: The purpose of this study was to investigate the characteristics of psychological factors that are related to irritable bowel syndrome (IBS) and their effects on the quality of life (QOL) of firefighters in South Korea.

    Methods: This study examined data collected from 1217 firefighters in South Korea. After identifying firefighters with IBS according to the Rome III diagnostic criteria for functional gastrointestinal disorders (FGIDs), we collected demographic data and psychological variables through self-administered questionnaires. Read More

    Schizophrenia and work: aspects related to job acquisition in a follow-up study.
    Rev Bras Psiquiatr 2017 Aug 21. Epub 2017 Aug 21.
    Departamento de Psiquiatria, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
    Objective:: Work is considered one of the main forms of social organization; however, few individuals with schizophrenia find work opportunities. The purpose of this study was to evaluate the relationship between schizophrenia symptoms and job acquisition.

    Method:: Fifty-three individuals diagnosed with schizophrenia from an outpatient treatment facility were included in an 18-month follow-up study. Read More

    Risk assessments using the Strain Index and the TLV for HAL, Part I: Task and multi-task job exposure classifications.
    J Occup Environ Hyg 2017 Dec;14(12):1011-1019
    a Department of Occupational Science & Technology , University of Wisconsin - Milwaukee , Milwaukee , Wisconsin.
    Background: The Strain Index (SI) and the American Conference of Governmental Industrial Hygienists (ACGIH) Threshold Limit Value for Hand Activity Level (TLV for HAL) use different constituent variables to quantify task physical exposures. Similarly, time-weighted-average (TWA), Peak, and Typical exposure techniques to quantify physical exposure from multi-task jobs make different assumptions about each task's contribution to the whole job exposure. Thus, task and job physical exposure classifications differ depending upon which model and technique are used for quantification. Read More

    Surgery for subacromial impingement syndrome in relation to intensities of occupational mechanical exposures across 10-year exposure time windows.
    Occup Environ Med 2017 Aug 20. Epub 2017 Aug 20.
    Department of Occupational Medicine, Danish Ramazzini Centre, Regional Hospital West Jutland - University Research Clinic, Herning, Denmark.
    Objectives: We aimed to identify intensities of occupational mechanical exposures (force, arm elevation and repetition) that do not entail an increased risk of surgery for subacromial impingement syndrome (SIS) even after prolonged durations of exposure. Additionally, we wanted to evaluate if exposure to hand-arm vibration (HAV) is an independent risk factor.

    Methods: We used data from a register-based cohort study of the entire Danish working population (n=2 374 403). Read More

    Work Productivity Loss After Mild Traumatic Brain Injury.
    Arch Phys Med Rehabil 2017 Jul 29. Epub 2017 Jul 29.
    Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA; Spaulding Rehabilitation Hospital, Boston, MA; Home Base, a Red Sox Foundation and Massachusetts General Hospital Program, Boston, MA.
    Objectives: To examine the completeness of return to work (RTW) and the degree of productivity loss in individuals who do achieve a complete RTW after mild traumatic brain injury (MTBI).

    Design: Multisite prospective cohort.

    Setting: Outpatient concussion clinics. Read More

    Sedentary Occupation Workers Who Meet the Physical Activity Recommendations Have a Reduced Risk for Metabolic Syndrome: A Cross-Sectional Study.
    J Occup Environ Med 2017 Nov;59(11):1029-1033
    Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil (Mr Browne, Mr Farias-Junior, Dr Costa); Department of Physical Education, Federal University of Rio Grande do Norte, Natal, Brazil (Mr Browne, Mr Farias-Junior, Mr Freire, Mr Schwade, Mr Macêdo, Drs Dantas, Costa); Naval Hospital of Natal, Natal, Natal, Brazil (Ms Montenegro); and Research Laboratory of Exercise Science, CEFAN, Brazilian Navy, Rio de Janeiro, Brazil (Mr Lopes).
    Objective: We tested the hypothesis that sedentary occupation workers who meet the physical activity recommendations present a lower risk for metabolic syndrome (MetS) than their nonactive counterparts.

    Methods: A cross-sectional study involving 502 sedentary occupation workers. Physical activity level was self-reported. Read More

    [Factors associated with job satisfaction of human resources in healthcare].
    Wiad Lek 2017;70(3 pt 1):443-448
    Introduction: Healthcare employee satisfaction is an important criterion for the efficiency of human resource management and prognostic impact factor for high turnover of staff. Furthermore, job satisfaction positively affects patient satisfaction, which is an important indicator for quality of care.

    Aim: The goal of our study was to identify factors associated with job satisfaction in healthcare organizations in Ukraine. Read More

    [Systemic sclerosis and occupational difficulties: Results of a prospective study].
    Rev Med Interne 2017 Nov 10;38(11):718-724. Epub 2017 Jul 10.
    Service de pathologies professionnelles et maintien en emploi, CHRU de Lille, Lille, France; Laboratoire de recherche, EA4487 axe droit/santé-travail, Lille, France. Electronic address:
    Between 9000 and 14000 people have systemic sclerosis (ScS) in France. The work is often affected. Our study aims to assess the frequency of professional difficulties (DP) of scleroderma patients, identify these DP, the symptoms involved and the solutions used. Read More

    The IL-10/STAT3 axis: Contributions to immune tolerance by thymus and peripherally derived regulatory T-cells.
    Eur J Immunol 2017 08 19;47(8):1256-1265. Epub 2017 Jul 19.
    Institute of Immunology, Center for Pathophysiology, Infectiology, and Immunology, Medical University of Vienna, Vienna, Austria.
    The signal transducer and activator of transcription (STAT) proteins are important mediators for the integration of extrinsic signals provided by cytokines and hormones and thereby adapt cellular processes to their surroundings. In the past decade, the involvement of STAT3 in the regulation of T-cell responses has become a topic of increasing interest. STAT3 is activated in response to multiple cytokines, many of which have been shown to influence T-cell responses. Read More

    Life-Threatening Pneumopathy and U urealyticum in a STAT3-Deficient Hyper-IgE Syndrome Patient.
    Pediatrics 2017 Jun 17;139(6). Epub 2017 May 17.
    Departments of Pediatric Respiratory and Allergy Diseases and.
    A deficiency in signal transducer and activator of transcription 3 (STAT3) is responsible for autosomal dominant hyperimmunoglobulin E syndrome, an immunodeficiency syndrome causing Staphylococcus aureus, Streptococcus pneumonia, Haemophilus influenzae, and, rarely, Pseudomonas aeruginosa and Aspergillus sp infections. Currently, intracellular pathogens are not targeted in the management of severe infections. The pathophysiologic mechanism of hyperimmunoglobulin E syndrome immunodeficiency has recently been linked to a disorder in the T helper 17 pathway and disruption of the interleukin -23/interleukin-17 axis. Read More

    [Burnout syndrome among generalist medical doctors of Douala region (Cameroon): Can physical activities be a protective factor?]
    Rev Med Brux 2017 ;38(1):10-15
    Département des Sciences biologiques, ENS, Université de Yaoundé I, Cameroun.
    Background: This study aimed to evaluate and document the importance of Burnout syndrome among generalist medical doctors (GMD) since no investigation have been carried in Cameroon.

    Methods: Cross-sectional study including 85 GMD using a self-administered questionnaire on socio-demographic characteristics, socioprofessional conditions, Maslach Burnout Inventory - Human Services Survey (MBI-HSS) to evaluate burnout, and Ricci-Gagnon physical activities level metrics.

    Results: 77 GMD (90. Read More

    Occupational contact allergy to omeprazole and ranitidine.
    Med Pr 2017 May 20;68(3):433-435. Epub 2017 Mar 20.
    University of Barcelona, Barcelona, Spain (Unit of Occupational Medicine, School of Medicine).
    Omeprazole is a proton pump inhibition and ranitidine is an H2 histamine receptor antagonist widely used in the treatment of gastroesophageal reflex disease, peptic ulcer disease, Zollinger-Ellison syndrome and as a protector of the gastric mucosae. We report a case of occupational contact allergy to omeprazole and ranitidine. A 48-year-old man, with no pre-existing history of atopy or lifestyle factors. Read More

    Burnout among healthcare workers at L'Aquila: its prevalence and associated factors.
    Psychol Health Med 2017 Dec 15;22(10):1262-1270. Epub 2017 May 15.
    c Department of Mental Health - Residences for Execution of Security Measures , ASL , Rome 5, Subiaco , Italy.
    Burnout, which is now recognized as a real problem in terms of its negative outcome on healthcare efficiency, is a stress condition that can be increased by exposure to natural disasters, such as the 2009 L'Aquila earthquake. This study aims to evaluate burnout syndrome, its associated risk factors and stress levels, and the individual coping strategies among healthcare professionals at L'Aquila General Hospital. A cross-sectional study of 190 healthcare workers was conducted. Read More

    Surgery for subacromial impingement syndrome in relation to occupational exposures, lifestyle factors and diabetes mellitus: a nationwide nested case-control study.
    Occup Environ Med 2017 Oct 10;74(10):728-736. Epub 2017 May 10.
    Danish Ramazzini Centre, Department of Occupational Medicine, Regional Hospital West Jutland-University Research Clinic, Herning, Denmark.
    Objectives: To estimate the risk of surgery for subacromial impingement syndrome (SIS) in relation to occupational exposures, lifestyle factors and diabetes mellitus.

    Methods: We conducted a case-control study nested in a register-based cohort study of the Danish working population. For each of 3000 first-time cases of surgery for SIS, two age-matched and sex-matched controls were drawn. Read More

    Perception and Attitude of Emergency Room Resident Physicians toward Middle East Respiratory Syndrome Outbreak.
    Emerg Med Int 2017 10;2017:6978256. Epub 2017 Apr 10.
    Department of Otolaryngology-Head and Neck Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
    Introduction. Middle East respiratory syndrome (MERS) outbreaks have had a considerable negative impact on health systems in Saudi Arabia. We aimed to study the psychological impact of a Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak on emergency room resident physicians (ERRPs). Read More

    Risk assessment of manual handling operations at work with the key indicator method (KIM-MHO) - determination of criterion validity regarding the prevalence of musculoskeletal symptoms and clinical conditions within a cross-sectional study.
    BMC Musculoskelet Disord 2017 May 10;18(1):184. Epub 2017 May 10.
    Federal Institute for Occupational Safety and Health (BAuA), Nöldnerstrasse 40-42, D-10317, Berlin, Germany.
    Background: Manual handling operations (MHO) are known to be risk factors for work-related upper limb disorders (WRULDs), e.g. symptoms and conditions such as carpal tunnel syndrome. Read More

    Factors Affecting Resilience and Development of Posttraumatic Stress Disorder in Critical Care Nurses.
    Am J Crit Care 2017 May;26(3):184-192
    Meredith Mealer is an assistant professor, Department of Physical Medicine and Rehabilitation, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, and Rocky Mountain Mental Illness, Research, Education, and Clinical Center (MIRECC), Denver VA Health, Denver, Colorado. Jacqueline Jones is an associate professor, and Paula Meek is a professor, College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
    Background: Job stress and cumulative exposure to traumatic events experienced by critical care nurses can lead to psychological distress and the development of burnout syndrome and posttraumatic stress disorder. Resilience can mitigate symptoms associated with these conditions.

    Objective: To identify factors that affect resilience and to determine if the factors have direct or indirect effects on resilience in development of posttraumatic stress disorder. Read More

    Prognostic Variables for Patient Return-to-Work Interval Following Carpal Tunnel Release in a Workers' Compensation Population.
    Hand (N Y) 2017 May 28;12(3):246-251. Epub 2016 Jul 28.
    2 The Philadelphia Hand Center, PA, USA.
    Background: We hypothesize that depressive and anxiety disorders, chronic pain conditions, and work-related factors are significant determinants of the time interval for return to work (RTW) in the workers' compensation (WC) population following carpal tunnel release (CTR) surgery.

    Methods: We retrospectively reviewed records of all WC patients who underwent open CTR surgery over a 5-year period by 1 of 3 fellowship-trained hand surgeons. One hundred fifty-two wrists in 108 patients (64 unilateral, 44 bilateral) met the inclusion criteria. Read More

    Emotional Wellness of Current Musculoskeletal Radiology Fellows.
    Acad Radiol 2017 Jun 21;24(6):682-693. Epub 2017 Mar 21.
    Department of Radiology, University of Washington, 1959 NE Pacific St, Seattle, WA 98195.
    Rationale And Objectives: Burnout is a psychological syndrome composed of emotional exhaustion, depersonalization, and sense of lack of personal accomplishment, as a result of prolonged occupational stress. The purpose of our study was to determine the prevalence of burnout among current musculoskeletal radiology fellows and to explore causes of emotional stress.

    Materials And Methods: A 24-item survey was constructed on SurveyMonkey using the Maslach Burnout Inventory. Read More

    HIV Education and Welfare Services in Primary Care: An Empirical Model of Integration in Brazil's Unified Health System.
    Int J Environ Res Public Health 2017 Mar 14;14(3). Epub 2017 Mar 14.
    Department of Biostatistics, Columbia University, 722 West 168th St. New York, NY 10032, USA.
    Integration of health education and welfare services in primary care systems is a key strategy to solve the multiple determinants of chronic diseases, such as Human Immunodeficiency Virus Infection and Acquired Immune Deficiency Syndrome (HIV/AIDS). However, there is a scarcity of conceptual models from which to build integration strategies. We provide a model based on cross-sectional data from 168 Community Health Agents, 62 nurses, and 32 physicians in two municipalities in Brazil's Unified Health System (UHS). Read More

    Medically unexplained physical symptoms (MUPS) among adults in Canada: Comorbidity, health care use and employment.
    Health Rep 2017 Mar;28(3):3-8
    Health Analysis Division, Statistics Canada, Ottawa, Ontario.
    Based on data from the 2014 Canadian Community Health Survey and the 2012 Canadian Community Health Survey-Mental Health, this study provides estimates of the prevalence of medically unexplained physical symptoms (MUPS) in the household population aged 25 or older. MUPS are examined in relation to sociodemographic characteristics, physical and mental comorbidity, health care use and unmet needs, labour force participation and productivity. In 2014, 5. Read More

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