An Evaluation of the Performance of Five Burnout Screening Tools: A Multicentre Study in Anaesthesiology, Intensive Care, and Ancillary Staff.

Burnout is an important occupational hazard and early detection is paramount in preventing negative sequelae in physicians, patients, and healthcare systems. Several screening tools have been developed to replace lengthy diagnostic tools for large-scale screening, however, comprehensive head-to-head evaluation for performance and accuracy are lacking. The primary objective of this study was to compare the diagnostic performance of five burnout screening tools, including a novel rapid burnout screening tool (RBST). This was a cross-sectional study involving 493 hospital staff (anaesthesiology and intensive care doctors, nurses, and ancillary staff) at the COVID-19 frontline across four hospitals in Singapore between December 2020 and April 2021. The Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used as the reference standard. Five burnout screening tools, the single-item MBI measure of burnout (SI-MBI), dual-item MBI (DI-MBI), abbreviated MBI (aMBI), Single Item Burnout Question (SIBOQ), and the RBST, were administered via a 36-item online survey. Tools were administered simultaneously and responses were anonymised. Burnout prevalence was 19.9%. The RBST and the SI-MBI had the two highest accuracies (87.8% and 81.9% respectively) and AUROC scores (0.86, 95% CI: 0.83-0.89 and 0.86, 95% CI: 0.82-0.89 respectively). However, the accuracy of the RBST was significantly higher than the SI-MBI (p < 0.0001), and it had the highest positive likelihood ratio (+LR = 7.59, 95% CI 5.65-10.21). Brief screening tools detect burnout albeit with a wide range of accuracy. This can strain support services and resources. The RBST is a free screening tool that can detect burnout with a high degree of accuracy

A Study of Sexual Dysfunction and Quality of Life in Female Patients on Selective Serotonin Reuptake Inhibitor (SSRI)

Context: Sexual dysfunction is one of the most common and disconcerting side effect during treatment with Selective serotonin reuptake inhibitors (SSRIs). Sexual side effects from these medications have significant impact on self esteem, quality of life and can lead to non compliance and relapse in long term treatment. Aims: To study prevalence, severity of sexual dysfunction and its possible association with quality of life in female patients on treatment with SSRI for depression and anxiety. Materials and Methods: This was an observational, cross sectional, single-centre study. Hundred consecutive female patients who were sexually active, on SSRIs for six weeks or more were recruited. Diagnosis of Major depressive disorder (MDD), Anxiety disorders and female sexual dysfunction was done by clinician administered interview as per Diagnostic and Statistical Manual of mental disorders (DSM 5). The patients were further assessed for demographic details, CSFQ-F-C, HAM-D, HAM-A and WHOQOL-BREF scales for sexual dysfunction, depression, anxiety and quality of life respectively. p value of <0.05 was considered to be statistically significant. Results: Prevalence of sexual dysfunction was 84%. Patients with sexual dysfunction scored significantly lower value in social relationships (p= 0.0002) and environment (p= 0.033) domains of quality of life. Frequency of sexual dysfunction among patients on fluoxetine was 86.20%, on escitalopram was 86.76% and on sertraline was 66.6%. Frequency of sexual dysfunction was more with higher dose of SSRIs. Conclusions: Patients on various SSRIs experienced sexual dysfunction and had poor quality of life. Frequency of sexual dysfunction was more with higher doses of SSRIs

Mothers of adolescent and young adult survivors of childhood cancer: Health beliefs, post-traumatic stress, growth and caregiving practices

Mothers of adolescent and young adult (AYA) childhood cancer survivors often continue to experience psychosocial challenges related to their child\u27s illness and treatment long after the successful treatment of cancer. Such challenges may affect mothers\u27 personal wellbeing and caregiving practices. Three studies were conducted to explore mothers\u27 beliefs regarding their current and future health concerns, how they manage medical issues, relationships, and health-promoting behaviors. A new self-report scale, the Parental Health Competence Beliefs Inventory (pHCBI), was developed (Study 1) to examine the relationship between these beliefs and mothers\u27 psychological well-being (Study 2) and caregiving behavior (Study 3). Eighty-six mothers of AYA childhood cancer survivors were recruited during their child\u27s regularly scheduled clinic visits. Mothers completed the pHCBI and measures of psychosocial wellbeing, including the Perception of Changes in Self questionnaire (PCS) and Posttraumatic Stress Checklist (PCL-C). Exploratory factor analyses (EFA) identified pHCBI scale factors (Study 1) and domains of posttraumatic growth (PTG) (Study 2). Correlational and regression analyses examined the relationships between beliefs, PTG, and posttraumatic stress (PTS). In Study 3, mixed method analyses were used to identify reasons for attending clinic with their child and to explore relationships between these reasons, mothers\u27 beliefs, and demographic and medical variables. The Study 1 EFA revealed a 23-item four-factor solution for the pHCBI: (a) Social Competence, (b) Health Perceptions, (c) Satisfaction with Healthcare, and (d) Health Apprehension. In Study 2, EFA identified three domains of PTG: (a) Interpersonal Relationships, (b) Life Satisfaction, and (c) Life Outlook. Social Competence was correlated with PTG with respect to Interpersonal Relationships and Life Satisfaction. Health Apprehension moderated the linear relationship between PTS and PTG-Life Satisfaction. Qualitative data revealed 10 reasons mothers give for accompanying their child to their follow-up clinic visit (Study 3). Mothers who report lower Satisfaction with Healthcare continued to attend the survivorship clinic out of Concern for Their Child\u27s Health and Wellbeing. The better understanding of mothers\u27 health-related beliefs and caregiving provided by the results of these studies may be useful in promoting mothers\u27 wellbeing and in helping them to adjust to their AYA survivors\u27 growing independence

Mothers of adolescent and young adult survivors of childhood cancer: Health beliefs, post-traumatic stress, growth and caregiving practices

Mothers of adolescent and young adult (AYA) childhood cancer survivors often continue to experience psychosocial challenges related to their child\u27s illness and treatment long after the successful treatment of cancer. Such challenges may affect mothers\u27 personal wellbeing and caregiving practices. Three studies were conducted to explore mothers\u27 beliefs regarding their current and future health concerns, how they manage medical issues, relationships, and health-promoting behaviors. A new self-report scale, the Parental Health Competence Beliefs Inventory (pHCBI), was developed (Study 1) to examine the relationship between these beliefs and mothers\u27 psychological well-being (Study 2) and caregiving behavior (Study 3). Eighty-six mothers of AYA childhood cancer survivors were recruited during their child\u27s regularly scheduled clinic visits. Mothers completed the pHCBI and measures of psychosocial wellbeing, including the Perception of Changes in Self questionnaire (PCS) and Posttraumatic Stress Checklist (PCL-C). Exploratory factor analyses (EFA) identified pHCBI scale factors (Study 1) and domains of posttraumatic growth (PTG) (Study 2). Correlational and regression analyses examined the relationships between beliefs, PTG, and posttraumatic stress (PTS). In Study 3, mixed method analyses were used to identify reasons for attending clinic with their child and to explore relationships between these reasons, mothers\u27 beliefs, and demographic and medical variables. The Study 1 EFA revealed a 23-item four-factor solution for the pHCBI: (a) Social Competence, (b) Health Perceptions, (c) Satisfaction with Healthcare, and (d) Health Apprehension. In Study 2, EFA identified three domains of PTG: (a) Interpersonal Relationships, (b) Life Satisfaction, and (c) Life Outlook. Social Competence was correlated with PTG with respect to Interpersonal Relationships and Life Satisfaction. Health Apprehension moderated the linear relationship between PTS and PTG-Life Satisfaction. Qualitative data revealed 10 reasons mothers give for accompanying their child to their follow-up clinic visit (Study 3). Mothers who report lower Satisfaction with Healthcare continued to attend the survivorship clinic out of Concern for Their Child\u27s Health and Wellbeing. The better understanding of mothers\u27 health-related beliefs and caregiving provided by the results of these studies may be useful in promoting mothers\u27 wellbeing and in helping them to adjust to their AYA survivors\u27 growing independence

Mental health of international migrant workers amidst large-scale dormitory outbreaks of COVID-19: A population survey in Singapore

10.1016/j.jmh.2021.100062Journal of Migration and Health41-

Positive Effects of Mindfulness-Based Training on Energy Maintenance and the EEG Correlates of Sustained Attention in a Cohort of Nurses

Mindfulness based training (MBT) is becoming increasingly popular as a means to improve general wellbeing through developing enhanced control over metacognitive processes. In this preliminary study, we tested a cohort of 36 nurses (mean age = 30.3, SD = 8.52; 2 male) who participated in an 8-week MBT intervention to examine the improvements in sustained attention and its energetic costs that may result from MBT. Changes in sustained attention were measured using the psychomotor vigilance task (PVT) and electroencephalography (EEG) was collected both during PVT performance, and during a brief period of meditation. As there was substantial variability in training attendance, this variable was used a covariate in all analyses. Following the MBT program, we observed changes in alpha power across all scalp regions during meditation that were correlated with attendance. Similarly, PVT performance worsened over the 8-week period, but that this decline was mitigated by good attendance on the MBT program. The subjective energy depletion due to PVT performance (measured using self-report on Likert-type scales) was also less in regular attendees. Finally, changes in known EEG markers of attention during PVT performance (P300 and alpha-band event-related desynchronization) paralleled these behavioral shifts. Taken together, our data suggest that sustained attention and its associated costs may be negatively affected over time in the nursing profession, but that regular attendance of MBT may help to attenuate these effects. However, as this study contained no control condition, we cannot rule out that other factors (e.g., motivation, placebo effects) may also account for our findings

Confidence in government and rumors amongst migrant worker men involved in dormitory outbreaks of COVID-19: A cross-sectional survey

10.1016/j.jmh.2021.100069Journal of Migration and Health41-

Perceptions of Art Therapy by Healthcare Professionals in Medical Settings

Art Therapy403142-15

Perceptions of art therapy by healthcare professionals in medical settings

Art therapy is an emerging allied health profession in Singapore, although attitudes toward the role of the service remain unclear. This study surveyed 80 healthcare professionals from two tertiary care hospitals, exploring three areas: (a) perceptions of art therapy, (b) the referral process, and (c) suggestions to increase art therapy utilization. Findings suggest that healthcare professionals perceive art therapy as a form of psychotherapy, but need for clearer referral processes. Additional research in art therapy is necessary to support its implementation in acute healthcare in Singapore

Enhancing Dye Degradation Property of MoO3 Nanoplates by Vanadium Doping

Nanomaterial based water degradation is becoming as a promising option in comparison to conventional water degradation methods. MoO _3 nanoparticles have been used as a nano adsorbent for methylene blue (MB) removal from aqueous solution. Here, effect of vanadium (V) element doping in MoO _3 on adsorption activity against MB was studied. 2%, 4%, 6% and 8% of V element doped MoO _3 nanoparticles were synthesized using surfactant free chemical method. All the synthesized nanoparticles were well characterized through different analysis tools to study their structural, morphological, and optical properties. Stability of particles in water with respect to time was also studied by zeta potential. Adsorption activity of all the samples were carried out and 8% doped MoO _3 nanoparticle was found to be most efficient. Moreover, the regeneration and reusability test of 8% doped MoO _3 nanoparticle was also successfully carried out