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Background: Intensive care units (ICU) are characterized by high medical assistance costs and great complexity. Recommendations to determine the needs of medical staff are scarce, generating appreciable variability. The French Intensive Care Society (FICS) and the French National Council of Intensive Care Medicine (CNP MIR, Conseil National Professionel de Médecine Intensive Réanimation) have established a technical committee of experts, the purposes of which were to draft recommendations regarding staffing needs in ICUs and to propose optimal organisation of work hours, a key objective being improved workplace quality of life. Results: Literature analysis was conducted according to the GRADE methodology (Grade of Recommendation Assessment, Development and Evaluation). The synthesis work of the experts according to the GRADE method led to the development of 22 recommendations in 6 field. The experts issued a strong recommendation associated with a high level of evidence which is that work organization be given priority during periods of permanent care, with a maximum 16 h of consecutive work permitted. For 21 other recommendations, the level of evidence did not allow GRADE classification, and led to the formulation of expert opinions. All recommendations and expert opinions were validated (strong agreement). Conclusion: The work in the intensive care unit and in the intermediate intensive care unit is multifaceted, both clinical and non-clinical, and must include at least the following continuity and quality for patient safety. This document provides a detailed framework to propose an optimal medical staff. [ABSTRACT FROM AUTHOR]

Physical environment factors in healthcare facilities play an important role in user health and wellbeing, especially among healthcare workers. This research studies the problems, prioritization, and in-depth details of each physical environment factor that affects the stress levels of medical staff. It also seeks to involve medical staff in identifying the built environment factors that influence their stress levels. An examination and comparison of the physical environment factors that affect the mental health and stress of out-patient and pediatric ward staff will also be presented. A three-step data collection process was used: physical environment observation using a checklist, a survey using an analytic hierarchy process (AHP) questionnaire, and individual interviews. Data were collected from 16 medical staff in the pediatric out-patient ward and 17 medical staff in medicine out-patient ward. The observational findings showed that the two out-patient wards had similar environmental problems. AHP ranking findings illustrate that acoustics, privacy, and accessibility were issues of concern for both out-patient ward medical staff. Four different themes emerged from the analysis of the medical staff interviews. Two design recommendations are made to reduce medical staff stress: improving the working environment to decrease stress and improving space management. [ABSTRACT FROM AUTHOR]

The study aims to evaluate the levels of nitrosamine, a known carcinogenic compound, in processed meat products and to assess its dietary intake and margin of exposure among medical staff, including physicians, pharmacists, and nurses working night shifts at Alexandria University Hospitals. Additionally, the study seeks to evaluate the participants' knowledge of dietary sources and regulatory limits of carcinogens. A cross-sectional study was conducted with 420 participants. Results showed that hotdogs contained the highest nitrosamine levels (159.24 ± 87.99 µg/g) with a consumption pattern of 0.02126 µg/kg BW/day. In contrast, sausages and burgers had the lowest nitrosamine content (2.36 µg/g and 2.37 µg/g, respectively). Luncheon meat also exhibited low nitrosamine levels and consumption patterns, at 18.53 µg/g and 0.00141 µg/kg BW/day, respectively. The Margin of Exposure (MOE) was calculated to assess risk, with a Benchmark Dose Lower Confidence Limit (BMDL)10 value of 29 µg/kg BW/day as the reference point. MOE values ≥ 17,000, derived for nitrosamine exposure in this study, indicate a low level of concern for carcinogenic risk. A statistically significant difference in dietary nitrosamine intake was observed across different professions among the medical staff (p < 0.001). [ABSTRACT FROM AUTHOR]

Background: The utilization of digital technologies in the field of dentistry is becoming increasingly prevalent. Such technologies facilitate more precise and efficient dental treatment while also enhancing the overall quality of care. The advent of digitalization has brought with it a plethora of advantages, yet it has also given rise to a number of potential challenges. These have the potential to give rise to a variety of negative consequences, including an increase in stress perception. Objectives: This study identifies the digital demands and resources as well as the prevalence of digital stress perception among German dentists. Furthermore, the study examines the relationship between digital stress perception and work- and health-related outcomes, and it identifies potential preventive measures. Methods: The quantitative cross-sectional study involved a total of 325 German dentists. Data collection took place between January and April 2024. The questionnaire was validated using several established scales, including the Technostress Scale and the Copenhagen Psychosocial Questionnaire (COPSOQ). Multiple correlation and regression analyses were conducted to ascertain the reliability and validity of the data collected. Results: The study results demonstrated that the participating dentists exhibited a moderate level of digital stress (M = 3.73 (SD = 0.71). Regarding the individual technostress creators, the highest mean was observed for the constructs of techno-overload (M = 3.91; SD = 0.76), techno-complexity (M = 3.63; SD = 0.71), and techno-uncertainty (M = 2.01; SD = 0.75). The participants reported an average level of exhaustion symptoms (M = 3.21; SD = 0.91) and job satisfaction (M = 4.52; SD = 0.78). The association between technostress and emotional exhaustion (as a burnout symptom) showed a significant positive correlation (r = 0.38; CI: 0.07, 0.52; p < 0.05). A significant negative correlation was observed between the variables of technostress and job satisfaction, with a correlation coefficient of r = −0.33 (CI: −0.25, 0.07; p < 0.05). Conclusions: This study presents preliminary findings on the digital stress experience in dentistry and relevant associations. In the context of ongoing digitalization, there is a need for support and preventive measures to reduce technology-related stress. An optimized design of digital applications and the working environment are of crucial importance to improve the health of dentists and the quality of patient care. [ABSTRACT FROM AUTHOR]

Hospital-acquired infection (HAI) and antimicrobial resistance (AMR) represent major challenges in healthcare system. Despite numerous studies have assessed environmental and patient samples, very few studies have explored the microbiome and resistome profiles of medical staff including nursing workers. This cross-sectional study was performed in a tertiary hospital in China and involved 25 nurses (NSs), 25 nursing workers (NWs), and 55 non-medical control (NC). Stool samples from all participants and hand samples (i.e., the microbiome sample from hand skin, which were collected by swabbing both hands with a sponge-swab soaked with neutralized buffer and centrifuging the liquid buffer) from NSs and NWs were collected for metagenomic analysis. Metagenomic analysis revealed that medical staff exhibited lower abundances of beneficial species such as Blautia, and Bifidobacterium in the gut microbiome. However, an important potential pathogen, Staphylococcus haemolyticus, was enriched in the hands of NWs, suggesting a considerable prevalence of pathogenesis and multi-drug resistance. Accordantly, ARG analysis revealed worse hand hygiene among NWs than among NSs, characterized by a higher diversity of ARGs and a higher abundance of ARGs conferring multi-drug resistance including mdtF, acrB, AcrF and evgS. This study provides a comprehensive overview of the microbial and ARG profiles in the gut and hands of NSs and NWs. The higher abundance of potential pathogens and diverse multi-drug resistant ARGs in NWs hands indicates insufficient hand hygiene and a higher risk of HAI in this subgroup. This study is the first to highlight the critical need to improve hand hygiene among NWs, thus mitigating the risks of AMR and HAI. [ABSTRACT FROM AUTHOR]

Purpose: Workplace violence (WPV) against healthcare workers is a significant public health issue in China and globally. Although the effort–reward imbalance theory claimed that work rewards may moderate the relationship between work effort and WPV, the quantitative evidence is limited. This study aimed to examine if work reward could moderate the associations between work effort and WPV against medical staff based on the effort–reward imbalance theory. Methods: This is a cross-sectional study, which was conducted in 12 hospitals in Shandong, China. Data collected from 3426 medical staff were analyzed in this study. Work effort was evaluated by working hours and night shift work times per month (NSWM), and work reward was evaluated by monthly income and perceived social status. WPV, occupational characteristics, physical disease, and social-demographic variables were also evaluated in this study. Results: There were 1788 (52.2%) medical staff, who reported the experience of workplace violence. Working hours, NSWM, and perceived social status were associated with WPV (all p< 0.001). Monthly income could moderate the associations between monthly income and WPV or verbal violence (p< 0.05), and perceived social status could moderate the associations between NSWM and WPV (p< 0.001). Conclusion: Monthly income could moderate the associations between monthly income and WPV (verbal violence), and perceived social status could moderate the associations between NSWM and WPV, which could be explained by the effort–reward imbalance model. These findings also can be translated into practices to control WPV against medical staff. [ABSTRACT FROM AUTHOR]

Purpose. This study aims to analyze the tendencies of the workload of medical professionals in Bulgaria after the liberal reforms in the national healthcare system. Material/Methods. Basic econometric methods, such as tests for structural breaks and dynamic rows modeling based on "macro-" or aggregate data, are implemented. The period covered is 1980-2023, twenty years before and twenty-four years after introducing market elements in national healthcare. Variables such as the number of patients discharged, consultations, doctors, and nurses are used to assess the workload level. Workload estimates are derived from a linear regression model of hospital output as the dependent variable with the number of doctors and nurses in the health system as factors. The model is tested for the stability of the regression coefficients (structural breaks) dated 2000. Results. A structural break was found in 2000 in all three dynamic rows of doctors, nurses, and discharges. There was a well-defined increasing trend in the number of patients passing through the hospitals after the liberalization of the national healthcare system. In this condition, the number of medical professionals follows its own dynamics – a slight reduction for the group of doctors and a sharp decline for the nurses in the after-reforms sub-period. These facts indicate the presence of an increasing trend in the workload and intensity of medical labour. The dependence is well established, especially in the case of nurses. Conclusions. This study confirms the hypothesis that the liberalization of the Bulgarian healthcare system, together with open-ended payment systems, caused an intensive growth of inpatient system output and workload. The expansion, especially for hospital facilities, which is not supported by a relevant number of medical professionals, threatens workplace performance and the quality of medical services.

Posturology is a modern science of correct posture, which deals with the diagnosis, dynamic observation and disorder in body posture. The consequences of incorrect posture often lead to musculoskeletal and spinal deformities. The purpose of the research is to understand the importance of post-typology for the prevention of spinal distortions and the preparation of a rehabilitation program for musculoskeletal deformities. Material and methods: We used a documentary method and an empirical study. The functional study was conducted in the period 2022-2024 on the territory of Plovdiv and Haskovo regions. 488 individuals between the ages of 18 and 65 were studied, 49.8% (n = 248) females and 49.2% (n = 240) males. The diagnosis was made with special tests for spinal dysfunctions. A survey was conducted on physical activity, poor posture and overweight. Statistical methods were applied to process the results. Results: A kinesiological analysis of musculoskeletal and spinal deformities was performed. Improper posture during functional stress of the musculoskeletal system is widespread among the respondents in 52.2%, and after excessive loading, they report previous phenomena such as pain in 45.1%, numbness, etc. The thesis of insufficient motor activity and the need for a kinesitherapy program consistent with the findings of the functional examination is confirmed. Conclusion: Posturology provides an opportunity for diagnosis, treatment and prevention of common joint and musculoskeletal injuries due to the interrelationships with other body systems. Correct human posture is one of the signs of good physical development and health.

Abstract Background The adoption of integrated curricula in medical schools has grown globally, emphasizing the need to understand academic medical staff satisfaction as a crucial factor influencing successful implementation. Aim This study aimed to assess satisfaction levels among academic medical staff with integrated medical curricula, identifying socio-demographic and work-related predictors of dissatisfaction. Methods A cross-sectional, online multinational survey was conducted from December 2023 to April 2024 among 525 academic medical staff. A structured, self-reported questionnaire was used to assess satisfaction levels, demographic characteristics, and work-related factors. The data were analyzed using descriptive and inferential statistics, including logistic regression analysis, to identify predictors of dissatisfaction. Results The study revealed a low satisfaction rate (44.2%) among medical staff, with significant dissatisfaction influenced by nationality (Jordanian: OR = 7.74, and Egyptian: OR = 4.68), male gender (OR = 3.27), over ten years of teaching experience in integrated curricula (OR = 4.25), and employment in governmental universities (OR = 4.23). Dissatisfaction was particularly high with aspects such as the integration of basic and clinical sciences, assessment methods, and implementation schedules. Faculty from private universities demonstrated significantly higher satisfaction (65.1%) compared to those in governmental institutions (41.3%). Younger staff

Abstract A 24‐year‐old female nurse with a 4‐month history of low back pain (LBP) was treated with acupuncture because of difficulty to her working. At the first presentation, the numerical rating scale (NRS) value was 7. After 2 weeks, the NRS value improved to 2–3, and she could bend over better, including when working night shifts. After 4 months, the NRS value remained at 1–2 so her relocating or leaving of absence from the ICU department was avoided. Acupuncture treatment for medical staff with LBP could relieve their pain and improve decreased clinical performance in hospitals or clinics.

Objective To understand the cognitive influencing factors affecting the use of epinephrine by medical staff for the treatment of serve allergic reactions and the current state of research at home and abroad. Methods Using searching terms such as “adrenaline” “anaphylactic shock”“severe anaphylactic reaction”“allergic reaction”“epinephine”“anaphylaxis”in Chinese and English. Literature review was performed from China National Knowledge Infrastructure （CNKI）， Wanfang Data， Chongqing VIP Database， PubMed， Web of Science. The retrieval time is from the inception of the databases to July 20， 2024. Literature contents were extracted and analyzed. Results A total of nine articles were retrieved， and eight international studies showed that there were differences in the correct use of adrenaline in patients with severe allergic reactions among medical staff of different professions， levels of hospitals， ages， and years of service. Through targeted training and education， the correct use rate of adrenaline by medical staff in the treatment of severe allergic reactions could be significantly improved. Only one Chinese study suggested that clinicians and nurses had severe cognitive deficiencies in the proper use of adrenaline. Conclusion Medical staff have varying degrees of cognitive insufficiency of correct use of adrenaline for the treatment of severe allergic reactions， which is influenced by multiple factors.

Introduction: anxiety caused by the Corona virus transmission are highly prevalent among medical staff, so this study aims to determine the relationship between the anxiety of affected by infectious diseases and the symptoms of obsessive-compulsive disorder with the mediating role of mental confusion and emotion regulation. MethodS and Materials: This study was carried out based on correlational method in the form of modeling of structural equations, in which 350 male and female employees working in the health and treatment centers of Neyshabur city were selected through available sampling. Data collection tools included Madsley Practical Obsession Scale, Corona Alipour Anxiety Questionnaire, Criver, Solly and Esomil's Deliberate and Automatic Disorientation Questionnaire, and Gross and John's Emotion Regulation Questionnaire. After completing the questionnaires, data analysis using Modeling of structural equations was done with Lisrel and SPSS softwares. Results: between the anxiety and obsessive symptoms with r = 0.576, between mental confusion and obsessive symptoms with r = 0.553, between mental confusion and anxiety with r = 0.481, There is a significant direct relationship at the level p>0.01. But between emotional regulation and obsessive symptoms with r = -0.643, between emotional regulation and anxiety with r = -0.495, between emotional regulation and mental confusion with r = -0.611 there is an inverse significant relationship. Also, the results showed the role of two mediating variables of mental confusion and emotional regulation in the relationship between corona anxiety and obsessive symptoms. Conclusion: The model of the relationship between the anxiety caused by the transmission of the corona virus and the symptoms of obsessive-compulsive disorder according to the mediation of mental disorientation and emotion regulation has a good fit that with the increase in the number of emotions and defeat in regulating one's emotions, the symptoms of obsessive-compulsive disorder and confusion mental health also increases in the treatment staff. According to these findings, it is expected that health managers and medical centers will pay special attention to the psychological well-being of the personnel working in different parts of this profession.

Background and Objective: Absenteeism in the organization is always an important and controversial issue that generates financial costs and affects the quality of services provided; therefore, identifying the related factors is considerably important. The present work was conducted on the absenteeism rate and associated factors in medical educational centers. Materials and Methods: In this cross-sectional analytical study involving 260 medical staff with a minimum of one year of experience, the research instrument comprised a three-part questionnaire. This questionnaire included sections on demographic information, factors influencing absenteeism among hospital medical staff (e.g., medical, educational, and economic/social issues), and an open-ended question soliciting staff opinions on potential solutions to reduce absenteeism. Data were analyzed after collection using the SPSS (version 19) software. Results: In this study, the mean and standard deviation of sickness absences, paid absences, and unpaid absences were 12.03±9.52, 29.7±9.5, and 0.69±0.05, respectively. The participants were aged between 22 and 56, 56.2% were women,73.8% were married, 75.4% were renters, and 96.6% worked in shift patterns. According to the respondents, medical problems were a significant cause of absence from work. The absenteeism rate was also significantly related to the number of children of the respondents (P=0.01), their education (P=0.004), and the type of employment (P

Background: One of the most important effective factors in increasing patient satisfaction and improving health and treatment results is proper communication between physician and nurse, and the patient. The present study was conducted with the aim of determining the relationship between the communication skills of the medical staff and patient’s safety culture. Methods: This was an analytical study conducted among 277 working medical staff including nurses, paramedics, full-time geographical employment doctors and anesthesia, and operating room technicians in Shahid Sadoughi Hospital in Yazd by stratified random sampling in 2022. The instrument used was the safety culture standard questionnaire made by the health care quality and research agency and communication skills of Barton J. Data analysis was done with SPSS 25 software, Mann-Whitney, Kruskal-Wallis, and multiple linear regression tests. Results: The overall mean and standard deviation of patient safety culture was 3.04 ± 0.23, which indicates the average status of safety culture in the studied hospital, and the overall mean of communication skills among medical staff was 3.36 ± 0.40. Which reports a relatively strong level of this skill. The results of linear regression showed that 2 components of communication skills (listening and feedback) have a positive and significant effect on the improvement of patient safety culture, so that they are able to explain 33 percent of the variance of patient safety culture changes. Conclusion: Based on the findings of the research, the communication skills of the medical staff have a significant effect on patient's safety culture. Therefore, in order to improve the patient’s safety culture among them, special attention should be paid to communication skills because effective communication is considered a vital element in effective care, and in the medical system it has a significant effect on the quality of care and consequently increases the satisfaction of patients.

Objective To establish a nomogram predictive model for occupational blood exposures of medical staff and validate the model. Methods From July to December 2023, 20% of the medical staff of each sample hospital were selected for the study using multi-stage whole group probability sampling method and divided into training and validation groups in a 7:3 ratio. LASSO-Logistic regression was used to screen independent risk factors. R language was used to establish a nomogram model and verify it. Results A total of 2 251 medical staff were included. There was no significant difference in general data between the two groups (P>0.05). LASSO-Logistic regression analysis showed that post (doctor: OR=3.024, 95%CI: 1.313-6.963; nurses: OR=3.837, 95%CI: 1.739-8.467), professional title (intermediate: OR=1.926, 95%CI: 1.444-2.569); advanced: OR=1.684, 95%CI: 1.052-2.697), education level (undergraduate: OR=2.076, 95%CI: 1.445-2.983); master’s degree or above: OR= 1.767, 95%CI: 1.073-2.910), psychological quality (general: OR=0.658, 95%CI: 0.443-0.987; good: OR=0.568, 95%CI: 0.368-0.879), stress level (moderate: OR=1.348, 95%CI: 1.061-1.713; severe: OR=2.109, 95%CI: 1.457-3.055), protective awareness (general: OR=0.515, 95%CI: 0.332-0.799; good: OR=0.297, 95%CI: 0.186-0.474), protective behavior (sometimes: OR=0.589, 95%CI: 0.363-0.955; always: OR=0.424, 95%CI: 0.261-0.689) was an independent influencing factor of blood-borne occupational exposure. The results of ROC curve showed that the area under the curve of the training group was 0.821 (95%CI: 0.667-0.831), and the validation group was 0.716 (95%CI: 0.618-0.715). The Hosmer-Lemeshow test showed that the calibration of the model was good (P=0.568, 0.956). The calibration curve showed that the prediction curve was basically fitted with the standard curve, and the model prediction accuracy was high. The results of the decision curve showed that the model had the best applicability when the risk threshold was about 0.1-0.8. Conclusion The nomogram model can accurately identify high-risk groups of occupational blood exposures and provide a basis for personalized risk prevention and control. [ABSTRACT FROM AUTHOR]

Objective: To assess occupational burnout conditions and work-related factors among frontline medical staff during the COVID-19 pandemic and analyse the relationships among these factors utilizing the job demands–resources (JD-R) model as a theoretical framework. Methods: An online survey was distributed to medical staff in one city via convenience sampling during 12/29/2022–1/10/2023. Path analysis was utilized to explore the relationship between work-related factors and occupational burnout among frontline medical staff during the COVID-19 outbreak. Results: Among 474 respondents, 455 frontline medical staff (female=79.56%) were included in the final analysis. Medical staff aged <35 exhibited higher levels of occupational burnout than did older staff. Depression/anxiety and workload were positively correlated with occupational burnout and negatively correlated with self-compassion, workplace health/safety, and workplace support. Path analysis indicated the direct effects of workplace support, depression/anxiety, workplace health/safety, self-compassion, and workload on occupational burnout. There were also partial mediating effects of workplace support, depression/anxiety, workplace health/safety, and self-compassion on occupational burnout. The model demonstrated good fit. Conclusion: Workplace support, a crucial job resource, can improve occupational burnout among frontline medical staff in various ways. Reducing anxiety, depression, and workload and improving workplace support, health/safety, and self-compassion are practical and effective measures for mitigating occupational burnout. [ABSTRACT FROM AUTHOR]

A 24‐year‐old female nurse with a 4‐month history of low back pain (LBP) was treated with acupuncture because of difficulty to her working. At the first presentation, the numerical rating scale (NRS) value was 7. After 2 weeks, the NRS value improved to 2–3, and she could bend over better, including when working night shifts. After 4 months, the NRS value remained at 1–2 so her relocating or leaving of absence from the ICU department was avoided. Acupuncture treatment for medical staff with LBP could relieve their pain and improve decreased clinical performance in hospitals or clinics. [ABSTRACT FROM AUTHOR]

Background. Today, the public does not want to be just a passive consumer of health services. Patients often expect to be informed and involved in decisions about their health. With better doctor–patient communication, patients are more likely to follow treatment recommendations. Material and methods. The study was conducted using a face-to-face survey method on a group of 203 adult, independent patients from 2021 to 2022 at a medical facility, i.e., a rehabilitation clinic. Objective. The purpose of this study was to assess the determinants of doctor–patient communication in terms of patient rights. One of patients' rights is the right to information about their health condition and treatment methods and the right to ask questions when the doctor does not provide details about the treatment or diagnosis or when it is not understandable. Doctors providing information to the patient and the opportunity for the patient to ask questions are key elements in the process of making informed decisions regarding further medical treatment. Therefore, patients were divided into two groups: active (+) and passive in communication (−) with doctors. Results. Patients who were active in communication (33%) wanted to ask questions or had the opportunity to ask the doctor questions, and thus, they were able to take an active part in the discussion with the doctor. In contrast, patients who were passive in communication (67%) did not want to ask questions or did not have the opportunity to ask the doctor questions, and therefore, their active participation in the discussion and thus their right to ask questions may have been limited. The authors' survey shows that respondents with active communication were significantly more likely than patients with passive communication (almost 100% vs. 86%) to obtain information about their condition (p = 0.002), diagnostic methods (p = 0.003), therapeutic methods (p = 0.00007), treatment results, and prognosis (p = 0.0008). Moreover, almost all respondents with active communication as opposed to respondents with passive communication (95% vs. 52%) rated communication with doctors highest (on a scale from 0 to 5), including credible and professional approach to patients (p < 0.0001), providing information in clear and simple language (p < 0.0001), answering questions asked by patients (p < 0.0001), openness and kindness (p < 0.0001), maintaining professional confidentiality (p < 0.0001), or emotional support (p < 0.0001). Conclusions. Hence, the primary key element of the medical consultation is appropriate amount and content of information given to the patient, providing explanations and answering questions. Also importantly, according to the results, active communication between patients and doctors was significantly influenced by female gender, higher education, and a positive evaluation of communication with doctors. [ABSTRACT FROM AUTHOR]

Aim: This study examines the interrelationship between medical staff's sense of medical care policy alienation (SPA) and their subjective career success and the potential mediating roles of occupational calling (OC) and job satisfaction. Background: Medical staff's pivotal role in medical care policy implementation outcomes underscores their approach to career success, which affects work efficiency, and willingness to implement medical care policy. Effective policy is anticipated to be positively and rationally implemented, fostering favorable perceptions and career success among policy executors such as medical staff. However, limited research examines the relationship between career outcomes and medical staff′s SPA. Methods: A cross‐sectional study conducted from May to June 2023 collected data from 521 medical staff in 14 hospitals in northern, western, and southern China through questionnaire surveys. The questionnaire measured their SPA, OC, job satisfaction, and career success. A chain multiple mediation model was constructed to explore SPA's relationship with medical staff's OC and job satisfaction, resulting in less career success, and whether work overload moderated this relationship. Results: Medical staff's SPA was negatively related to career success via a chain mediation mechanism involving OC and job satisfaction. Work overload did not moderate SPA's negative association with OC; however, it moderated its association with job satisfaction. High workload intensified SPA's association with job satisfaction, increasing the mediating effect on career success compared to those with lower workloads. Conclusion: Medical staff's SPA was significantly negatively related to career success, reflected in a weakened OC, and decreased job satisfaction. Work overload somewhat moderated the relationship between SPA and job satisfaction. Policymakers and medical stakeholders should emphasize improved communication between medical institutions and staff, which is essential for crafting and disseminating medical care policies. Medical care policy implementation should be enhanced in diverse Chinese contexts to enrich the understanding of medical policy management. [ABSTRACT FROM AUTHOR]

Background: Improving job performance has a significant effect on the quality of medical services and ensuring people's health. Purpose: This study explores the influence and mechanism of the character strengths and career callings of medical staff as well as the intermediary role of such career calling. Methodology: A cross-sectional survey was conducted of 414 healthcare staff members in public hospitals in Hangzhou. Descriptive statistics and hierarchical linear regressions were used to analyze the medical staff's job performance and related factors, and structural equation modeling path analysis was used to explore and validate the influence and mechanism of character advantage and career calling on job performance. Results: The results show that medical staff character strengths have a positive impact on job performance. Path analysis shows that character strengths indirectly affect job performance, and career calling plays a partial mediating role in character strengths and job performance. Conclusion: The results show that good personalities promote job performance, and the association is more significant under a high sense of career calling. [ABSTRACT FROM AUTHOR]

Background & Aims: To study the change of the lipid layer thickness analysis in medical staff (MS) before and after work, and to explore the significance of measuring lipid layer thickness (LLT) respectively in four quadrants. Methods: Ocular Surface Disease Index (OSDI) questionnaire and video display terminal using time for 55 MS were collected (the informed consent was obtained from all patients). Noninvasive tear break-up time, LLT, tear meniscus height (TMH), meibomian glands (MG) dropout, and blink pattern before and after work (worked for more than 4 h) of 110 eyes were measured by Gaush iDea Ocular surface analyzer. Lid margin abnormalities were evaluated by the slit-lamp microscopy. Results: The average OSDI score of 55 MS was 25.68 ± 14.91. The average LLT of 110 eyes after work (65.12 ± 3.63 nm) was significantly reduced compared to before work (66.54 ± 4.16 nm), p < 0.05. The LLT in the superior quadrant was significantly thinner than that in the other three quadrants, p < 0.01. The average LLT was positively correlated with the LLT in the inferior (r = 0.822, p < 0.001), nasal (r = 0.261, p < 0.001), and temporal quadrant (r = 0.372, p < 0.001), while was negatively correlated with the MG dropout in lower lid (r = −0.209, p = 0.002). There was a significant correlation between the LLT in the inferior quadrant and the VDTt (r = −0.173, p = 0.01). The LLT of inferior quadrant were positively related to the TMH (r = 0.149, p = 0.027) and negatively related to MG dropout in lower lid (r = −0.162, p = 0.017). Conclusion: The LLT significantly decreases after work in MS. The distribution of the lipid layer on the ocular surface is uneven. It is unreasonable for current detection instruments to measure the inferior quadrant LLT alone to represent average LLT. [ABSTRACT FROM AUTHOR]

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This paper reviews the elements and infection mechanisms of bioterrorism, assess North Korea's capability for biological warfare, and propose strategies for South Korea to counter potential bioterrorist threats from the North. The four critical elements of bioterrorism include the biological agent, the weaponization of the agent, the delivery system, and the impact of weather conditions on the attack. The infection routes for biological agents in bioterrorism include inhalation, ingestion, dermal exposure, and injection. The potential agents under development could include anthrax, smallpox, plague, and botulinum toxin, which might be deployed using missiles, artillery shells, or through covert operations. Proximity to North Korea significantly increases vulnerability to biological attacks. Possible methods include contaminating water supplies, food sources, or densely populated areas. Anthrax, smallpox, plague, and botulinum toxin could theoretically be delivered using packages attached to balloons. Minimizing the impact of a bioterrorism event requires strategy that includes four key actions: detection, decision-making, distribution, and dispensation. By integrating these steps, authorities can effectively manage and mitigate the effects of a bioterrorism event. Civilian doctors play a role in the early detection, diagnosis, treatment, and management of biological agents. Educating medical professionals is crucial for preparing against potential biological warfare or bioterrorism threats. [ABSTRACT FROM AUTHOR]

BackgroundIn China, medical staff in public hospitals are the primary providers of healthcare services. Their work engagement directly affects patients’ perceptions of the level and quality of their medical services. Conscientiousness has a significant impact on the work engagement of medical staff, but the mechanism between the two is not yet clear.ObjectiveThis study examined the double-edged sword effect of conscientiousness on medical staff work engagement, with a particular focus on exploring the mediating effects of thriving at work (TAW) and workload, as well as the moderating effect of perceived insider status (PIS).MethodsThe study sample was drawn from four public hospitals in the Jiangsu Province, Shanghai City, and Zhejiang Province. Data were statistically analyzed using SPSS, and mediation and moderations effects tested were conducted through the Bootstrap method.ResultsThe results demonstrate the following: (1) conscientiousness has a positive effect on the work engagement of medical staff; (2) conscientiousness has a positive effect on work engagement through thriving at work (TAW), and a negative effect on work engagement through workloads; (3) perceived insider status (PIS) moderates the relationship between conscientiousness and TAW, and the relationship between conscientiousness and workloads; and (4) PIS moderates the indirect effect of conscientiousness on work engagement through TAW, whereas the mediated relationship is strengthened when medical staff members exhibit a higher PIS. Simultaneously, PIS moderates the indirect effect of conscientiousness on work engagement through workload, and the mediating relationship is weakened for medical staff members who have a higher PIS.ConclusionThis study provides a balanced and dialectical understanding of the impact of conscientiousness, providing significant reference for enhancing the work engagement of medical staff in public hospitals.

BackgroundFrontline medical staff’s psychological symptoms deserve persistent attention after 3 years of high-pressure and high-intensity work during the pandemic. In addition, the meaning of burnout and its relationship with depression and anxiety have long been debated. This study aimed to identify profiles of these symptoms among Chinese medical staff with frontline anti-epidemic experience, along with their distinguishing characteristics.MethodsPsychological symptoms of burnout (exhaustion, cynicism, and inefficacy), depression, and anxiety from 989 doctors and 1,105 nurses were explored with latent profile analysis. The R3step method was conducted to analyze the predictive factors of those medical staff’s symptoms.ResultsThree symptom profiles were identified for medical staff, with high-level (62.1%), moderate-level (28.9%), and low-level symptoms (9.0%). In the low-level and moderate-level profiles, symptom variables considered had a consistent trend. However, within the high-level profile, the inefficacy of burnout remained at a lower level, and anxiety performed as the most prominent symptom. Variables of gender, age, salary satisfaction, work hours, and work intensity predicted medical staff profiles (p

Physical environment factors in healthcare facilities play an important role in user health and wellbeing, especially among healthcare workers. This research studies the problems, prioritization, and in-depth details of each physical environment factor that affects the stress levels of medical staff. It also seeks to involve medical staff in identifying the built environment factors that influence their stress levels. An examination and comparison of the physical environment factors that affect the mental health and stress of out-patient and pediatric ward staff will also be presented. A three-step data collection process was used: physical environment observation using a checklist, a survey using an analytic hierarchy process (AHP) questionnaire, and individual interviews. Data were collected from 16 medical staff in the pediatric out-patient ward and 17 medical staff in medicine out-patient ward. The observational findings showed that the two out-patient wards had similar environmental problems. AHP ranking findings illustrate that acoustics, privacy, and accessibility were issues of concern for both out-patient ward medical staff. Four different themes emerged from the analysis of the medical staff interviews. Two design recommendations are made to reduce medical staff stress: improving the working environment to decrease stress and improving space management.

In this article, we look to comprehend how the pandemic context impacted sanitary staff, not just on their mental and physical health and working conditions, but also how they became the subject of, paradoxically, margination and social acknowledgment. What was the discourse usage in both cases? To attack or praise the labor of medical staff during the pandemic, and what actions were organized by the medical workers to surpass the glitches and the adverse context in which they were forced to work? The Fieldwork focused on the analysis of news shared on the Internet. We emphasize media coverage because it was through the media that these maltreatments were widely broadcasted, but the media also focused on how the public hofocused medmediaeven the sbecause demonstrations of medical staff protesting the attacks and asking for better equipment also focused on combating the virus. The geographic scope includes cases from Mexico and Spain during the first semester of 2020, but we also include news from other Latin American countries. The final outcomes will show how the pandemic context placed the medical workers in a confronted state: considered as pariahs and villains, they were the subject of aggressions or praised as heroes receiving public cheers. However, as it will be possible to observe in the conclusions, none of these positions helped to improve their labor and health conditions during the pandemic, but worsened.

ABSTRACTCOVID-19 vaccine hesitancy remains problematic among healthcare workers. Social network influences may shape vaccine decision-making, but few studies have examined this in this critical workforce. We assessed the relationship between friends’ COVID-19 vaccination attitudes and personal hesitancy among Chinese healthcare personnel. In December 2022–January 2023, a cross-sectional online survey was conducted at a tertiary hospital in China using WeChat. Of the 1832 healthcare personnel who were invited to answer the structured questionnaire, 613 (33.5%) samples had valid data for data analysis. Logistic regression examined the association between friends’ hesitancy and participants’ own hesitancy, adjusting for confounders. Of 613 healthcare workers included, 266 (43.4%) were hesitant. Those with hesitant friends had 6.34 times higher adjusted odds of hesitating themselves versus those without hesitant friends (95% CI 2.97–13.52). Strong associations persisted across subgroups. Chinese healthcare workers’ COVID-19 vaccination hesitancy was highly influenced by perceived friends’ attitudes. Fostering pro-vaccine social norms through trusted peer networks could help promote vaccine acceptance in this critical workforce.

Chao Meng,1 Ping Yang,2 Yanan Wang,3 Siyan Liu,3 Xueyan Wu,3 Shaolian Wang3 1Department of General Medicine, Central Hospital Affiliated to Shandong First Medical University, Jinan, People’s Republic of China; 2Department of Integrated Chinese and Western Medicine, Central Hospital Affiliated to Shandong First Medical University, Jinan, People’s Republic of China; 3Department of Endocrinology, Central Hospital Affiliated to Shandong First Medical University, Jinan, People’s Republic of ChinaCorrespondence: Shaolian Wang, Email 15318816221@sina.cnBackground: To investigate the prevalence of thyroid nodules among medical staff and health check-up population in a Level-A hospital (Primary-level hospital) in Jinan City and analyze its influencing factors.Methods: A total of 5812 cases from the two groups were screened. t-test and χ2 tests were used to analyze the differences in the prevalence of thyroid nodules. Multivariate Logistic regression analysis was used to explore the influencing factors.Results: The average age of medical staff was (36.20± 9.11) years old, and the total prevalence was 48.5%. The average age of the healthcare population was (57.89± 12.51) years old, and the total prevalence rate was 63.9%, with statistical significance between the two groups (P

Abstract Background The incidence of femoral neck fractures in older adults is increasing each year. Active and reasonable postoperative rehabilitation exercises can restore the activity of geriatric patients with femoral neck fractures to a great extent, while also avoiding bedridden complications and re-fractures. This study explores the perspectives, experiences, and recommendations of medical staff regarding the implementation status, existing problems, promoting factors, and hindering factors of post-surgical rehabilitation exercises for geriatric patients with femoral neck fractures. The ultimate goal is to further optimize rehabilitation exercise programs and to expedite this process for patients. Methods A qualitative, descriptive phenomenological study was conducted. A total of 21 clinical medical staff were selected using the purposive sampling method for semi-structured interviews. A content analysis method was used to collate and analyze the collected interview data. Results A total of 2 themes and 6 sub-themes were defined. The themes consisted of multiple obstacles occurring during the implementation of rehabilitation exercises and the scientific cognition of medical staff on these exercises. Respondents found that patient initiative during rehabilitation exercises was insufficient, that the comprehensiveness and continuity of exercises could not be guaranteed, and that unification between textbook theory and clinical practice was incomplete. Moreover, respondents believed that their professional quality should be excellent, but that staffing and organizational management required optimization, and that support was required for the implementation of rehabilitation exercises. Conclusion This study investigated the opinions and experiences of medical staff during postoperative rehabilitation exercises in geriatric patients with femoral neck fractures. Collaborative efforts should fully engage hospitals, communities, and families, enhance the alignment of health education with patient needs, advance the scientific development of an integrated medical model by refining the curriculum and teaching system, and significantly elevate the level of medical science and technology. This study will serve as a valuable reference for the establishment of future professional, and personalized rehabilitation programs tailored for geriatric patients with femoral neck fractures.

Abstract Background Certain occupations may predispose individuals to urolithiasis, a multi-factorial disease. The study aimed to evaluate the prevalence and related factors of nephrolithiasis in medical staff in Qingdao, China. Methods Physical examination results of 5115 in-service medical staff aged 22–60 years old were retrospectively analyzed. Multivariable logistic regression analysis and stratified analyses by age and gender were applied to explore the related factors of nephrolithiasis in these medical staff. Results The overall nephrolithiasis prevalence in medical staff in Qingdao, China was 4.65%. Doctors were more prone to nephrolithiasis than nurses (5.63% vs. 3.96%, P = 0.013) and the peak prevalence (6.69%) was observed in medical staff working in the emergency department (ED). Male gender (OR = 1.615, 95% CI = 1.123–2.323, P = 0.010), overweight or obesity (OR = 1.674, 95% CI = 1.266–2.214, P

Abstract This study assessed the knowledge, attitude, and practice (KAP) of non-ophthalmic medical staff towards myopia-related fundus lesions. This multicenter, cross-sectional study enrolled non-ophthalmic medical staff of Suining City between January and May 2023 using a self-designed questionnaire. A total of 505 (93.19%) valid questionnaires were included. Their mean KAP scores were 8.10 ± 2.32 (range: 0–12), 20.27 ± 2.68 (range: 0–24), and 17.77 ± 5.04 (range: 0–28), respectively. Structural equation modeling indicated that knowledge has a positive effect on attitude (β = 0.307, P

Aim of the study This qualitative study explores the resilience of medical staff working in emergency units during the COVID-19 pandemic. Through in-depth interviews and thematic analysis, the research investigates how frontline healthcare workers coped with unprecedented challenges. Key themes identified include professional commitment, teamwork, and adaptability, which were crucial in navigating the crisis. Materials and methods: In order to assess the resilience of the medical staff in the COVID-19 pandemic between March 1, 2022 and March 31, 2021, a study was conducted in three emergency units in Romania: County Hospital of Emergency „Saint Spiridon” Iassy, Emergency University Hospital Bucharest and County Hospital of Emergency “Saint John the New” Suceava. Results: The study highlights the significant emotional and psychological toll on medical staff and underscores the importance of institutional support systems. Findings suggest that enhancing resilience through training, mental health resources, and robust communication channels is essential for future preparedness. Conclusions: This research provides valuable insights into the experiences of healthcare workers and emphasizes the need for sustained support to ensure the well-being and efficacy of medical personnel in emergency settings.

Objective To investigate the current situation of knowledge, attitude and practice of excessive oxygen therapy among medical staff in the Department of Respiratory and Critical Care Medicine. Methods Questionnaire on the use of excessive oxygen therapy for medical staff in respiratory and critical was used to investigate 734 medical staff of respiratory and critical care department in more than 40 secondary and higher-level hospitals in 11 provinces and cities. Results The total score of knowledge and practice of excessive oxygen therapy among medical staff in the Department of Respiratory and Critical Care Medicine was (134. 97+-17. 75). The scores of knowledge, attitude and behavior were (29. 08+-4. 58) points, (43. 30+-5. 48) points and (62. 59+-7. 69) points respectively. Multiple linear regression analysis showed that the main influencing factors of the knowledge, attitude and practice of excessive oxygen therapy for medical staff in respiratory and critical care department were whether they had learned the guidelines and literatures of excessive oxygen therapy in the past 12 months, academic background, professional title, hospital grade, and active involvement in oxygen therapy (P

ObjectiveTo understand the awareness of breast cancer knowledge and its influencing factors among medical staff in maternal and child health hospitals of all levels in Ordos city. MethodsFrom April to June 2023, a convenient sampling method was used to select 886 medical staff from maternal and child health hospitals at all levels in Ordos city, Inner Mongolia Autonomous Region to conduct a questionnaire survey using Questionnaire Star online platform with a self-designed questionnaire on general demographic information and core knowledge of breast cancer prevention and treatment health education introduced in the national “Breast Cancer Screening Work Plan”, and the willingness to recommend to women to have breast cancer screening at an appropriate age. SPSS 19.0 software was used for multivariate logistic regression model analysis. ResultsA total of 862 valid questionnaires were collected, with an effective response rate of 97.3%. The mean score of the respondents' knowledge of breast cancer prevention and treatment was 15.08 ± 5.88 out of a total score of 24. The results of multivariate analysis showed that the respondents with medical majors (clinical medicine: odds ratio [OR] = 7.50, 95% confidence interval [95%CI]: 2.90 – 19.42; nursing: OR = 4.93, 95%CI: 1.92 – 12.66; other medical majors: OR = 4.70, 95%CI: 1.82 – 12.11), working in ultrasound/imaging departments (OR = 2.01, 95%CI: 1.03 – 3.92), and with a professional title of associate senior or higher (senior physician: OR = 3.54, 95%CI: 1.30 – 9.63; associate senior: OR = 2.56, 95%CI: 1.35 – 4.86) had better awareness of breast cancer prevention and treatment knowledge (all P < 0.05). Among the typical symptoms of breast cancer, the awareness rates of "breast lump" (82.48%), "axillary lymph node enlargement" (74.71%), and "breast skin depression or wrinkling" (74.48%) were higher; among the risk factors for breast cancer, the awareness rates of "long-term use of exogenous estrogen" (64.39%) and "family history of breast or ovarian cancer" (61.14%) were higher; among the common breast cancer screening methods, the awareness rates of clinical breast examination, breast ultrasound, and breast x-ray were all around 90%; the awareness rate of the recommended screening age in the breast cancer screening work plan was 74.71%, but the awareness rate of the screening time interval was only 24.25%. The awareness rates of screening age and screening time interval among breast cancer screening personnel (88.36%, 33.33%) were higher than those of non-breast cancer screening personnel (70.88%, 21.69%) (P < 0.001). Of the respondents, 689 (79.93%) and 684 (79.35%) agreed that breast cancer screening can improve the early detection rate and reduce the mortality rate of breast cancer, respectively, and 831 (96.40%) were willing to recommend regular breast cancer screening to women of appropriate age. ConclusionThe awareness of breast cancer screening and the willingness to recommend breast cancer screening to women of appropriate age among medical staff in maternal and child health hospitals in Ordos city are relatively high, but the awareness of breast cancer prevention and treatment knowledge needs to be improved. Professional training in breast related knowledge should be strengthened for local medical staff.

The article compares the features of positive thinking and stress levels in physicians and medical staff, but the nature of duties and work differs in many ways, which may serve to identify significant differences among workers of two similar professions. The purpose of the study is to examine the positive thinking and stress levels characteristics in helping professions. Objectives of the study are to analyze the scientific literature, to identify the positive thinking and stress levels in specialists, and to establish differences in these levels in specialists of different profiles. The subject of the study is the peculiarities of positive thinking and stress levels in specialists. The literature on the topic under study has been analyzed according to the works of N.E. Vodopyanova, T.O. Gordeeva, E.N. Osin, V.Y. Shevyakhova, and Yu.V. Scherbatykh. The following methods were used: stress manifestations complex assessment (Yu.V. Shcherbatykh (2008), questionnaire of successes and failures reaction ways for adults (STONE-V, T.O. Gordeeva, V.Y. Shevyakhova (2008), optimism and activity scale in N.E. Vodopyanova’s adaptation (2009). Statistically significant differences have been revealed only on the “Optimism in the situation of success” scale, which indicates the difference in the behavior of physicians and medical staff. The results of the study can be the basis for creating recommendations for helping employees cope with stress. The prospect is to extend the study of the phenomenon to other helping professions and compare the results.

Background: A food environment intervention using nudge tactics was implemented at a hospital convenience store (CVS) in Tokyo to improve employees' eating habits. The objective of this study was to evaluate its effects on the urinary sodium-to-potassium ratio (Na/K), food intake, eating attitude, and behavior. Methods: Using a pre–post design; the intervention incorporated nudge tactics, healthier options, easy-to-pick food placement, and eye-catching information. We also used price incentives. The primary outcomes included changes in Na/K and sodium and potassium excretion assessed using spot urine samples at health checkups. Secondary outcomes were changes in staff food intake, eating attitude, and behavior which were assessed using questionnaire surveys. All outcomes were evaluated statistically. Furthermore, we investigated how the intervention led to outcomes using path analysis. Results: A total of 140 participant (52men and 88women) were analyzed. Significant changes were observed in Na/K (3.16 to 2.98 in median, p = 0.02) and potassium excretion (43.4 to 45.2 mmol/day in mean, p = 0.03). However, sodium excretion did not change significantly. The intake of fruits and dairy products increased with improved self-efficacy. The most influential factor for lowering Na/K and increasing potassium excretion was information from the CVS; purchasing "balanced meals" to lower Na/K and salads to increase potassium excretion were second. Conclusions: Food environment intervention using nudge tactics can improve staff's food intake and lower Na/K. Trial registration: Registration number: UMIN000049444 (UMIN-CTR). Date of registration: November. 7. 2022. [ABSTRACT FROM AUTHOR]

Background: The incidence of femoral neck fractures in older adults is increasing each year. Active and reasonable postoperative rehabilitation exercises can restore the activity of geriatric patients with femoral neck fractures to a great extent, while also avoiding bedridden complications and re-fractures. This study explores the perspectives, experiences, and recommendations of medical staff regarding the implementation status, existing problems, promoting factors, and hindering factors of post-surgical rehabilitation exercises for geriatric patients with femoral neck fractures. The ultimate goal is to further optimize rehabilitation exercise programs and to expedite this process for patients. Methods: A qualitative, descriptive phenomenological study was conducted. A total of 21 clinical medical staff were selected using the purposive sampling method for semi-structured interviews. A content analysis method was used to collate and analyze the collected interview data. Results: A total of 2 themes and 6 sub-themes were defined. The themes consisted of multiple obstacles occurring during the implementation of rehabilitation exercises and the scientific cognition of medical staff on these exercises. Respondents found that patient initiative during rehabilitation exercises was insufficient, that the comprehensiveness and continuity of exercises could not be guaranteed, and that unification between textbook theory and clinical practice was incomplete. Moreover, respondents believed that their professional quality should be excellent, but that staffing and organizational management required optimization, and that support was required for the implementation of rehabilitation exercises. Conclusion: This study investigated the opinions and experiences of medical staff during postoperative rehabilitation exercises in geriatric patients with femoral neck fractures. Collaborative efforts should fully engage hospitals, communities, and families, enhance the alignment of health education with patient needs, advance the scientific development of an integrated medical model by refining the curriculum and teaching system, and significantly elevate the level of medical science and technology. This study will serve as a valuable reference for the establishment of future professional, and personalized rehabilitation programs tailored for geriatric patients with femoral neck fractures. [ABSTRACT FROM AUTHOR]

Background and Aims: Medical staff have experienced anxiety, sleep disturbances, and suicide due to the COVID‐19 epidemic. Thus, this study examined the relationship between corona disease anxiety, sleep problems, and suicidal ideation in medical staff and how resiliency and cognitive flexibility mediate it. Methods: This descriptive‐analytical cross‐sectional study examined medical staff. In 2022, participants were affiliated with Hamadan University of Medical Sciences, Iran educational and treatment centers. Sampling was done at primary COVID‐19 treatment centers. Data was collected using validated instruments. Ethics were observed during data collecting. Results: Path analysis was employed to test hypotheses. Analysis showed significant positive relationships between Corona disease anxiety and sleep disturbances (p = 0.001, β = 0.438) and suicidal ideation (p = 0.001, β = 0.310). Conversely, negative and significant associations were identified between resiliency and cognitive flexibility with sleep disturbances and suicidal ideation. Conclusions: The study illustrates how medical staff's psychological health is linked to COVID‐19. High Corona disease anxiety causes sleep disturbances and suicidal thoughts. Resilience and cognitive flexibility modulated Corona disease anxiety, sleep problems, and suicidal thoughts. The comprehensive study focuses on medical staff mental health issues, suggesting targeted solutions. [ABSTRACT FROM AUTHOR]

This study assessed the knowledge, attitude, and practice (KAP) of non-ophthalmic medical staff towards myopia-related fundus lesions. This multicenter, cross-sectional study enrolled non-ophthalmic medical staff of Suining City between January and May 2023 using a self-designed questionnaire. A total of 505 (93.19%) valid questionnaires were included. Their mean KAP scores were 8.10 ± 2.32 (range: 0–12), 20.27 ± 2.68 (range: 0–24), and 17.77 ± 5.04 (range: 0–28), respectively. Structural equation modeling indicated that knowledge has a positive effect on attitude (β = 0.307, P < 0.001), and attitude has a positive effect on practice (β = 0.604, P < 0.001). Moreover, a higher degree of myopia exhibited a positive effect on knowledge (β = 0.510, P < 0.001). Nurses and other medical staff showed a negative effect on knowledge (β = − 0.706, P < 0.001) compared to doctors. Working in secondary and tertiary public hospitals, as well as private hospitals, demonstrated a negative effect on practice (β = − 1.963, P < 0.001) compared to those working in primary hospitals. Non-ophthalmic medical staff exhibited moderate knowledge, positive attitudes, and moderate practices toward myopia-related fundus lesions. The degree of myopia, doctors vs. other medical staff, and the hospital level influence the KAP of non-ophthalmic medical staff. [ABSTRACT FROM AUTHOR]

Background: Certain occupations may predispose individuals to urolithiasis, a multi-factorial disease. The study aimed to evaluate the prevalence and related factors of nephrolithiasis in medical staff in Qingdao, China. Methods: Physical examination results of 5115 in-service medical staff aged 22–60 years old were retrospectively analyzed. Multivariable logistic regression analysis and stratified analyses by age and gender were applied to explore the related factors of nephrolithiasis in these medical staff. Results: The overall nephrolithiasis prevalence in medical staff in Qingdao, China was 4.65%. Doctors were more prone to nephrolithiasis than nurses (5.63% vs. 3.96%, P = 0.013) and the peak prevalence (6.69%) was observed in medical staff working in the emergency department (ED). Male gender (OR = 1.615, 95% CI = 1.123–2.323, P = 0.010), overweight or obesity (OR = 1.674, 95% CI = 1.266–2.214, P < 0.001), work seniority ≥ 10 years (OR = 2.489, 95%CI = 1.675–3.699, P < 0.001) and working in the ED (OR = 1.815, 95% CI = 1.202–2.742, P = 0.005) were independent predictors for nephrolithiasis in medical staff based on the results of multivariate logistic regression analysis. The associations between overweight or obesity and nephrolithiasis risk as well as between work seniority ≥ 10 years and nephrolithiasis risk in medical staff were independent of age or gender in stratified analysis. Conclusions: Nephrolithiasis prevalence in medical staff in Qingdao, China seemed not to be higher than that in the general population. Medical staff with work seniority ≥ 10 years and working in the ED should pay abundant attention to take measures to modify their nephrolithiasis risk. [ABSTRACT FROM AUTHOR]

：Objective To understand the current state of research on occupational burnout among medical staff in China and to summarize the achievements and shortcomings of current studies, providing insights for future management and intervention of medical staff burnout. Methods A literature review was conducted using the CNKI and Wanfang databases for articles published between 2002 and 2022, based on relevant keywords. An Excel database was established to extract information from the literature, including journal information, author information, burnout assessment scales, and influencing factors. The influencing factors of medical staff burnout were organized and summarized, and a saturation curve was drawn. Articles utilizing the Maslach Burnout Inventory (MBI) were extracted to analyze scores across three dimensions of burnout: emotional exhaustion, depersonalization, and reduced personal accomplishment. Results A total of 205 articles were retrieved, with 76 included in the final analysis, all from core journals listed by Peking University, the Chinese Social Sciences Citation Index (CSSCI), or the Chinese Science Citation Database (CSCD). The number of publications has generally increased since 2005. Totally 18 articles used the service industry version of the burnout scale (Maslach Burnout Inventory-Human Service Survey, MBI-HSS), with a total sample size of 8 327. The scores for emotional exhaustion were (23.33 ±10.41) points, for depersonalization (7.98 ± 6.50) points, and for reduced personal accomplishment (27.29 ± 11.01) points. Medical staff in the eastern region showed the highest levels of emotional exhaustion and depersonalization but the lowest levels of reduced personal accomplishment. While those in the western region had the lowest levels of emotional exhaustion and depersonalization but the highest levels of reduced personal accomplishment (P < 0.05). Since 2010, the degree of emotional exhaustion and depersonalization among medical staff has increased, but there has been a decrease in reduced personal accomplishment (P < 0.01). The influencing factors for burnout were widely distributed across individual, organizational, and social categories. Conclusions Medical staff in China experienced moderate levels of emotional exhaustion and depersonalization and high levels of reduced personal accomplishment. There are more and more studies on influencing factors of burnout among medical staff, but they are mainly cross-sectional studies. Future research could focus on more specific studies of different categories of medical personnel. [ABSTRACT FROM AUTHOR]

Tick-borne rickettsial disease (TBRD) is a perilous acute infection that often eludes diagnosis in its early stages. The triad of knowledge, attitudes, and practices (KAPs) among medical professionals is key to reducing missed diagnosis rates. Therefore, a meticulous evaluation of KAPs is imperative. This study aimed to delve into the understanding of TBRD and explore the beliefs and practices related to personal prevention methods among individuals in Lu'an, a hotspot for TBRD. During the summer months of 2023, convenience sampling was employed by circulating a confidential questionnaire to 1,206 participants in the endemic regions of China. This questionnaire painted a comprehensive picture of the participants' sociodemographic profiles and their KAPs levels vis-à-vis TBRD. The findings revealed that participants scored a mere 55.78% in knowledge, while their attitudes and practices garnered impressive scores of 90.09% and 90.83%, respectively. Upon further analysis using multiple linear regression, several intriguing patterns emerged. Male participants, employed in the Infectious Disease Department, held vice-senior or higher titles, or had prior medical training demonstrated superior knowledge scores. On the other hand, medical personnel who were younger than 30, possessed graduate degrees or higher qualifications, and had training excelled in attitudes and practices. Notably, when employing the Boston Consulting Group (BCG) matrix, a significant distribution of medical personnel was observed across the four quadrants. Specifically, 37.43%, 13.19%, 19.61%, and 29.77% fell into the first, second, third, and fourth quadrants. This survey underscores the commendable attitudes and practices of medical staff towards TBRD in endemic regions of China. However, their knowledge level remains wanting and demands urgent improvement. [ABSTRACT FROM AUTHOR]