ABSTRACT
Objective: To determine the burnout among postgraduate residents' and junior consultants in a tertiary care hospital
Methods: This cross-sectional study was conducted among the postgraduate residents [PGR] and junior consultants [JC] working at The Children's Hospital Lahore in 2018. Participants were asked to complete Copenhagen Burnout Inventory questionnaire about burnout on 5 point Likert scale. '100 [always], 75 [often], 50 [sometimes], 25 [seldom] and 0 [never/almost never or according to intensity ranging from 'a very low degree' to 'to a very high degree'. Data was analyzed using SPSS version 22. Three questions were added related to hospital factors but scored separately. Students t-test and chi square test were used to compare the burnout
Results: A total of 227 participants including 177 PGR and 50 JC completed the questionnaire with a response rate of 84% and 86% respectively. There was a female predominance, 140 participants [61.7%] were female. Majority was from pediatric medicine 173 [76.2%]. The mean personal and work related-burnout was high among PGRs as compared to JCs [18.68+/-5.01 vs 16.62+/-4.57] [p=0.008] and [21.14+/-5.57 vs. 18.56+/-5.52] [p=0.004] respectively. Similarly, there was significantly more burnout among pediatric medicine study participants as compared to surgery and diagnostic in all domains [personal BO; p=0.030, work-related BO; p=0.021, patient related BO; 0.033 and hospital related BO; 0.001]. No difference was noted based on gender and year of training
Conclusion: Tertiary care hospital postgraduate residents and junior consultants face moderate burnout. Postgraduate residents had significantly more burnout as compared to junior consultants and majority were from pediatric medicine
ABSTRACT
Objective: To determine the extent of morbidity and mortality in newborns with neonatal hyperglycemia where published data are limited
Study Design: Observational case control study
Place and Duration of Study: Department of Neonatology, the Children's Hospital and the Institute of Child Health Lahore, from 1[st] May to 31[st] Oct 2015
Material and Methods: A prospective, observational case control study was conducted in the Department of Neonatology, the Children's Hospital and the Institute of Child Health, Lahore, from 1st May till 31st October 2015. The sample size was 192, with 96 babies each in 'study' and 'control' groups. All neonates fulfilling the inclusion criteria were enrolled in the 'study group' while 'control group' consisted of euglycemic babies matched for age, weight, gestational age and clinical status. All babies were monitored for morbidity intraventricular hemorrhage [IVH], necrotizing enterocolitis [NEC], infections and outcome [duration of hospital stay, discharged or expired]
Results: The data analysis showed that 74% neonates, of study group, had hyperglycemia during first week of their lives. Moreover, 84.4% babies were less than 2.5kg. Significant high number of babies in the study group developed complications [p<0.001]. These complications included IVH [p<0.001], NEC [p=0.024] and infections [p=0.019]. As regards outcome, the neonates in the study group had significantly prolonged hospital stay [p=0.028], lower discharge rate [p=0.040] and higher mortality [p=0.040]
Conclusion: Hyperglycemia not only significantly increases risk of IVH, NEC and infections, but also prolongs hospital stay and contributes to mortality among newborns