http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Burnout and Workload Among Health Care Workers: The Moderating Role of Job Control
Portoghese, Igor,Galletta, Maura,Coppola, Rosa Cristina,Finco, Gabriele,Campagna, Marcello Occupational Safety and Health Research Institute 2014 Safety and health at work Vol.5 No.3
Background: As health care workers face a wide range of psychosocial stressors, they are at a high risk of developing burnout syndrome, which in turn may affect hospital outcomes such as the quality and safety of provided care. The purpose of the present study was to investigate the moderating effect of job control on the relationship between workload and burnout. Methods: A total of 352 hospital workers from five Italian public hospitals completed a self-administered questionnaire that was used to measure exhaustion, cynicism, job control, and workload. Data were collected in 2013. Results: In contrast to previous studies, the results of this study supported the moderation effect of job control on the relationship between workload and exhaustion. Furthermore, the results found support for the sequential link from exhaustion to cynicism. Conclusion: This study showed the importance for hospital managers to carry out management practices that promote job control and provide employees with job resources, in order to reduce the burnout risk.
Burnout and Workload Among Health Care Workers: The Moderating Role of Job Control
Igor Portoghese,Maura Galletta,Rosa Cristina Coppola,Gabriele Finco,Marcello Campagna 한국산업안전보건공단 산업안전보건연구원 2014 Safety and health at work Vol.5 No.3
Background: As health care workers face a wide range of psychosocial stressors, they are at a high risk ofdeveloping burnout syndrome, which in turn may affect hospital outcomes such as the quality and safetyof provided care. The purpose of the present study was to investigate the moderating effect of job controlon the relationship between workload and burnout. Methods: A total of 352 hospital workers from five Italian public hospitals completed a self-administeredquestionnaire that was used to measure exhaustion, cynicism, job control, and workload. Data werecollected in 2013. Results: In contrast to previous studies, the results of this study supported the moderation effect of jobcontrol on the relationship between workload and exhaustion. Furthermore, the results found supportfor the sequential link from exhaustion to cynicism. Conclusion: This study showed the importance for hospital managers to carry out management practicesthat promote job control and provide employees with job resources, in order to reduce the burnout risk.
Joseph Arturo Reza,Georg Kristof Wiese,Joseph Dominic Portoghese 대한갑상선-내분비외과학회 2018 The Koreran journal of Endocrine Surgery Vol.18 No.4
Secondary hyperparathyroidism (SHPTH) occurs commonly in patients with end-stage renal disease (ESRD). Uncontrolled SHPTH is associated with complications of calcium deposition including calciphylaxis and elevated rates of cardiovascular morbidity. Current treatment recommendations for medically refractory disease include total parathyroidectomy, often with autotransplantation (TPTH+AT) of minced parathyroid gland. Surgical intervention is associated with a reduction in cardiovascular mortality. We report a case of a 56-year-old man with ESRD who developed SHPTH and underwent TPTH+AT of parathyroid tissue into the right brachioradialis muscle. Over the course of 7 years he developed a mass at the site of the autotransplanted gland as well as recurrent refractory hyperparathyroidism with increased forearm uptake noted on sestamibi scan. After excision of this mass, pathology demonstrated hyperplasia of the minced gland fragments which were embedded within a mass of fibroadipose tissue rather than the muscle tissue it was originally transplanted in.
Hyperthyroid Induced Cardiac Failure Requiring Intra-Aortic Balloon Pump during Thyroidectomy
Elliot Toy,Alberto Monreal,Joseph Reza,Joseph D,Portoghese 대한갑상선-내분비외과학회 2021 The Koreran journal of Endocrine Surgery Vol.21 No.1
Hyperthyroid states can negatively impact cardiac function and exacerbate cardiac failure. In cases refractory to medical management, thyroidectomy may be indicated. However, the myocardial depressive effects of inhaled anesthetics in addition to hemodynamic lability of induction, complicate operative planning. While other institutions have published their experience utilizing local anesthesia and sedation during thyroidectomy, this requires agreement with the patient to employ that strategy. We report a case of a patient with refractory hyperthyroidism and exacerbated cardiac failure who underwent thyroidectomy after intra-aortic balloon pump placement given his reluctance to proceed utilizing local anesthesia and monitored anesthesia care.