Nutrition assistance improves skeletal muscle function and performance in community-dwelling older women / Assistência nutricional melhora o desempenho muscular esquelético de mulheres idosas residentes na comunidade

To analyze the effects of nutritional assistance focusing on protein intake (in the individual's usual diet) in relation to muscle mass, and the muscle strength and functional performance of community-dwelling older women. Methods: This is a non-randomized controlled clinical trial. Forty-three community-dwelling older women, who were allocated to the Control Group (CG; n = 20) or the Nutrition Group (NG; n = 23). The NG received individualized nutrition assistance and participated in group activities that focused on dietary protein intake once a week for 12 weeks. Main outcome measures: protein and energy intake; handgrip strength (HGS); gait speed (GS); quadriceps cross-sectional area (CSA); and intramuscular non-contractile tissue (IMNCT). The Student's t-test for independent samples, the Mann-Whitney U test, and a mixed model ANOVA with two factors (group and time) were adopted, followed by a post hoc Bonferroni test. A Spearman's correlation test was performed on tests for HGS; GS; CSA; IMNCT; age; and protein intake adjusted for weight (g/kg) (p ≤ 0.050). Results: Participants in the NG showed higher CSA values than those in the CG (p < 0.001). NG participants also had higher HGS (p < 0.001) and GS (p = 0.037) when compared to pre-intervention. Correlations were observed between IMNCT and protein intake adjusted for weight (g/kg) (r = -0.517; p = 0.020); HGS, and CSA (r = 0.827; p = 0.000); and CSA and age (r = -0.520, p = 0.009).

Analisar os efeitos da assistência nutricional com foco na ingestão proteica (na dieta habitual do indivíduo) em relação a massa muscular, força muscular e desempenho funcional de idosas de uma comunidade. Métodos: Trata-se um ensaio clínico controlado não randomizado. Quarenta e três idosas da comunidade foram alocadas no Grupo Controle (GC; n = 20) ou no Grupo Nutrição (GN; n = 23). O GN recebeu atendimento nutricional individualizado e participou de atividades grupais com foco na ingestão proteica da dieta uma vez por semana, durante 12 semanas. Principais medidas de resultado: ingestão de proteína e energia; força de preensão palmar (FPP); teste de velocidade da marcha (TVM); área de secção transversa do quadríceps (ASTq); e tecido intramuscular não contrátil (TIMNC). Utilizou-se o teste t de Student para amostras independentes, o teste U de Mann-Whitney e um modelo misto de análise de variância (ANOVA) com dois fatores (grupo e tempo), seguido de teste post hoc de Bonferroni. Um teste de correlação de Spearman foi realizado para FPP; TVM; ASTq; TIMNC; idade; e ingestão proteica ajustada para peso (g/kg) (p ≤ 0,050). Resultados: Os participantes do GN apresentaram valores de ASTq superiores aos do GC (p < 0,001). Os participantes do GN também exibiram maior FPP (p < 0,001) e GS (p = 0,037) quando comparados à pré-intervenção. Foram observadas correlações entre TIMNC e ingestão proteica ajustada para peso (g/kg) (r = -0,517; p = 0,020); HGS e ASTq (r = 0,827; p = 0,000); e ASTq e idade (r = -0,520, p = 0,009).

Estándares de calidad en un seguimiento a pacientes ancianos con insuficiencia cardiaca e importante comorbilidad

Resumen: Introducción: Los pacientes con insuficiencia cardiaca (IC) seguidos por los servicios de medicina interna son más ancianos y presentan más comorbilidades asociadas. Por ello presentan un riesgo elevado de ingreso hospitalario y de mortalidad. En este estudio se evaluaron los objetivos alcanzados en términos de ingresos, visitas a urgencias y mortalidad, así como la actividad realizada para conseguirlos, en una unidad dirigida a este perfil de pacientes y caracterizada por una atención integral y continuada (programa UMIPIC). Métodos: Se analizaron retrospectivamente los datos de los 329 pacientes con IC atendidos en la unidad de IC, modelo UMIPIC, del servicio de Medicina Interna del Hospital de Lugo. Se recogieron desde enero del 2020, hasta diciembre 2020 los ingresos por IC y totales, las visitas a urgencias por IC y totales, la mortalidad, las consultas realizadas, y los rescates realizados en régimen de hospital de día (HDD). Resultados: Se recogieron 108 ingresos, 40 por IC y 68 por otras causas, 99 visitas a urgencias, 25 por IC y 74 por otras causas. Se produjeron 57 fallecimientos, 37 fueron en el hospital (15 por IC, 12 por otras causas) y 20 fueron extra-hospitalarios. Se realizaron 1179 consultas médico-enfermería, 1554 consultas de enfermería exclusiva y se realizaron 406 tratamientos en HDD. Conclusiones: Los estándares de actividad y resultados conseguidos pueden ser orientativos de la actividad a desarrollar en una unidad de IC modelo UMIPIC.

Abstract: Introduction: Patients with heart failure (HF) followed by internal medicine services are older and have more associated comorbidities. For this reason, they present a high risk of hospital admission and mortality. In this study, the objectives achieved in terms of admissions, emergency room visits and mortality, as well as the activity carried out to achieve them, were evaluated in a unit aimed at this patient profile and characterized by comprehensive and continuous care (UMIPIC program). Methods: The data of the 329 patients with HF treated in the HF unit, model UMIPIC, of the Internal Medicine service of the Hospital de Lugo, were retrospectively analyzed. From January 2020, to December 2020, total and HF admissions, total and HF emergency visits, mortality, consultations made, and rescues performed in a day hospital (HDD) were collected. Results: 108 admissions were collected, 40 for HF and 68 for other causes, 99 visits to the emergency room, 25 for HF and 74 for other causes. There were 57 deaths, 37 were in the hospital (15 due to HF, 12 due to other causes) and 20 were extra-hospital. 1179 medical-nursing consultations were carried out, 1554 exclusive nursing consultations and 406 treatments were carried out in HDD. Conclusions: The activity standards and results achieved can be indicative of the activity to be carried out in an IC model UMIPIC unit.

Resumo: Introdução: Pacientes com insuficiência cardíaca (IC) acompanhados por serviços de medicina interna são mais velhos e apresentam mais comorbidades associadas. Portanto, apresentam alto risco de admissão hospitalar e mortalidade. Neste estudo, os objetivos alcançados em termos de internações, atendimentos de emergência e mortalidade, bem como a atividade desenvolvida para os atingir, foram avaliados numa unidade dirigida a este perfil de doente e caracterizada por um atendimento integral e contínuo (programa UMIPIC). Métodos: Foram analisados ​​retrospectivamente os dados dos 329 pacientes com IC atendidos na unidade de IC, modelo UMIPIC, do serviço de Clínica Médica do Hospital de Lugo. No período de janeiro de 2020 a dezembro de 2020, foram coletadas internações totais e por IC, atendimentos totais e de emergência por IC, mortalidade, consultas realizadas e resgates realizados em regime de hospital-dia (HDD). Resultados: foram coletadas 108 internações, sendo 40 por IC e 68 por outras causas, 99 visitas ao pronto-socorro, 25 por IC e 74 por outras causas. Ocorreram 57 óbitos, 37 foram hospitalares (15 por IC, 12 por outras causas) e 20 extra-hospitalares. Foram realizadas 1179 consultas médico-enfermagem, 1554 consultas exclusivas de enfermagem e 406 atendimentos em HDD. Conclusões: Os padrões de atividade e os resultados alcançados podem ser indicativos da atividade a ser desenvolvida numa unidade IC modelo UMIPIC.

ICU nurses' needs analysis of employee assistance program / 中国实用护理杂志

Objective:To understand the current status of nurses' awareness and needs for the Employee Assistance Program (EAP), as to provide basis for the hospital to formulate EAP.Methods:Using the purpose sampling method, 352 ICU nurses from the Nanjing Drum Tower Hospital Affiliated of Nanjing University Medical School were selected as the research subjects from December 2019 to January 2020. Finally, 350 valid questionnaires were obtained. Use the EAP demand questionnaire to investigate the ICU nurses' awareness and demand for EAP.Results:Among the 350 nurses in the intensive unit, 214 cases (61.14%) had never understood EAP, only 8 (2.29%) had understood and experienced the EAP, and 332 cases (94.86%) believed that the hospital′s implementation of EAP was a benefit provided to nurses. The top two service requirements were: "Relief of work pressure" and "mental health consultation", and hope to receive mixed-mode EAP services; in ICU and CCU, nurses hope EAP can help resolve work-family conflicts; in EICU, they need to provide Specific job skills training services.Conclusions:ICU nurses have insufficient cognition of EAP and urgently need to obtain EAP implementation knowledge; at the same time, it is necessary to formulate an implementation plan that meets ICU nurses′ needs for EAP, that is, to relieve work pressure and carry out psychological counseling to ensure that EAP is launch successfully in ICU nurses.

Implementación de un Programa Multidisciplinario de Evaluación para pacientes con Trastorno del Espectro Autista. Experiencia chilena en un hospital público; resultados preliminares / plementation of a Multidisciplinary Evaluation Program for Patients with Autism Spectrum Disorder. Chilean Experience in a Public Hospital; Preliminary Results.

El aumento en la prevalencia de los Trastornos del Espectro Autista (TEA) ha influido en la necesidad de contar con equipos de experiencia formada para su evaluación. En este esfuerzo es que en la unidad de salud mental ambulatoria del Hospital Exequiel González Cortés se implementó un programa de evaluación multidisciplinario para pacientes con sospecha de TEA. Entre los meses de abril y julio del presente año han sido evaluados 15 pacientes, en su mayoría varones con una edad media entre 6 a 10 años, encontrando que un 30% correspondía a un TEA y un 57% a otros diagnósticos como Retraso Global del Desarrollo y Trastornos Emocionales, entre otros. Los resultados confirman la importancia de contar con profesionales competentes con las habilidades para realizar el diagnóstico de estos pacientes.

The increase in the prevalence of the Autism Spectrum Disorders (ASD) influenced the need of having trained experienced teams for its evaluation. In this effort a multidisciplinary evaluation program for patients with suspected ASD was implemented in the Ambulatory Mental Health Unit of the Exequiel González Cortés Hospital. Between the months of april and july of 2020, 15 patients have been evaluated, mostly male, with an range of 6 to 10 years of age. We found that 30% corresponded to an ASD and 57% to other diagnoses such as Global Development Delay and Emotional Disorders, among others. The results confirm the importance of counting with trained teams with the skills to make the diagnosis in these patients.

Assessing the Need of an Integrated Research Assistance Program towards Aiding Students in the Progress of Medical Research during Undergraduate Studies, Riyadh, Saudi Arabia

Aim: To assess the need of medical students for a research assistance program. Design and methods: This study was conducted at a medical college in Riyadh, Saudi Arabia. A cross-sectional study was conducted utilizing an online questionnaire consisting of three parts: student demographics, students’ research proficiency, and problems faced when conducting research. Analysis: Data from the collected information was analyzed and all values of p<0.05, 95% confidence intervals for odds ratio that did not cross 1.00 were considered to indicate statistical significance. Results: Students who participated in this study were 228 (response rate=57%). 60.5% (n=138) were male, and 28% (n=64) were in their first year of medicine. The majority were working on at least one to two researches, 81.1% (n=185), with 5.3% (n=12) having a study published. 83% of participants reported to be skillful at data collection and data entry. Devising a research idea was measures most difficult (49%). More female students were able to write a research proposal (n=57; 63.3%. p=0.022), and seniors were more capable in research than freshmen (p<0.001). Conclusion: Results demonstrated that students are active and well acquainted with research activities; 81.1% (n=185). In order to enhance research performance, we recommend offering the opportunity to share efforts with senior students or professionals to be appraised, be provided with information regarding supervisors’ research interests, and creating online platforms for improved knowledge transfer and communication between the parties involved.

Implementación de un Programa Multidisciplinario de Evaluación para pacientes con Trastorno del Espectro Autista. Experiencia Chilena en un Hospital Público; resultados preliminares / Implementation of a Multidisciplinary Evaluation Program for Patients with Autism Spectrum Disorder. Chilean Experience in a Public Hospital; Preliminary Results

El aumento en la prevalencia de los Trastornos del Espectro Autista (TEA) ha influído en la necesidad de contar con equipos de experiencia formada para su evaluación. En este esfuerzo es que en la unidad de salud mental ambulatoria del Hospital Exequiel González Cortés se implementó un programa de evaluación multidisciplinario para pacientes con sospecha de TEA. Entre los meses de abril y julio de 2019 han sido evaluados 15 pacientes en su mayoría varones con una edad media entre 6 a 10 años, encontrando que un 30% correspondía a un TEA y un 57% a otros diagnósticos como Retraso global del desarrollo y trastornos emocionales entre otros. Los resultados confirman la importancia de contar con profesionales competentes con las habilidades para realizar el diagnóstico de estos pacientes.Palabras Claves: Trastornos del Espectro Autista (TEA), Equipo multidisciplinario, Evaluación TEA, Programa Asistencial TEA, Hospital Público .

Abstract: The increase in the prevalence of Autism Spectrum Disorder (ASD) has caused a need of having trained teams for its diagnosis. For this purpose, a multidisciplinary evaluation program for patients with suspected ASD was implemented in the Ambulatory Mental Health Unit of the Exequiel González Cortés Hospital. Between the months of April and July of 2019, 15 patients have been evaluated, mostly male, with a range of ages between 6 and 10 years. It was found that 30% corresponded to an ASD and 57% to other diagnoses such as Global Development Delay and Emotional Disorders, among others. The results confirm the importance of counting with competent teams with the skills to diagnose these patients. Keywords: Autism Spectrum Disorders (ASD), Multidisciplinary Team, ASD evaluation, ASD Assistance Program, Public Hospital.

Analysis on the Implementation and Supervision System of Patient Assistance Programs in China / 中国药学杂志

OBJECTIVE: To analyze the development status, supervision system and existing problems of drug patient assistance programs in China, and to provide suggestions for improving relevant management systems. METHODS: Through the literature research and the combing of the patient assistance platform, summary the basic implementation mode of drug patient assistance and the status quo of patient assistance supervision system. RESULTS: According to the 81 patient assistance programs, assistance was provided for patients via the charity organizations after pharmaceutical companies donate drugs to them. The assistance modes include co-assistance, financial aid, full-free drugs. Based on the Law of the People's Republic of China on Donation of Public Welfare, the Law of the People's Republic of China on Philanthropy, the Regulations about the Administration of the Importing Donated Drugs, the current regulatory system put forward request towards several aspects, including the subject of assistance programs, reasonable use of drugs, drug quality insurance and related legal liability. However, there are still some problems that the behavior of different subjects during the assistance process is not clearly defined, the assistance of domestic drug is not included in the supervision system, the lack of regulation about donee. CONCLUSION: It is necessary to improve the laws and regulations, clarify the legal characteristics of patient assistance programs, emphasize the regulatory requirements about domestic drug assistance, and establish the whole process management system for the storage, supply and use of patient assistance drugs.

Uso de crack e suporte familiar: implicações na assistência / Use the crack and support family: implications for assistance / Uso de crack y la familia de soporte: implicaciones para la asistencia

Ao propor um olhar para o fenômeno do consumo do crack, a partir da triangulação de perspectivas dos diversos atores envolvidos na atenção e cuidado, esta pesquisa objetivou investigar a relação entre a perspectiva de suporte familiar de usuários de crack, familiares e de técnicos sociais do Programa ATITUDE, analisando as possíveis implicações dessas percepções na assistência aos usuários e seus familiares. A metodologia foi mista, utilizando-se o Inventário de Percepção de Suporte Familiar (IPSF) com 46 usuários e entrevista semiestruturada com 8 respondentes do (IPSF), 12 técnicos e quatro familiares. Os resultados apontaram: predominância da percepção de um baixo suporte familiar, evidenciada na análise quantitativa, sendo consoante com a fala dos demais participantes durante a entrevista. Em consonância com a literatura, neste estudo também se constatou a predominância do apoio materno e a influência dos pares se sobrepondo à da família na relação dos usuários com o crack.

By proposing a look at the phenomenon of crack use, based on the triangulation of perspectives of the various actors involved in care and attention, this research aimed to investigate the relationship between the family support perspective of crack users, family members and social workers ATITUDE Program, analyzing the possible implications of these perceptions in assisting users and their families. The methodology was mixed using the Family Support Perception Inventory (IPSF) with 46 users and a semistructured interview with 8 respondents (IPSF), 12 technicians and four family members. The results pointed out: predominance of the perception of a low family support, evidenced in the quantitative analysis, being consonant with the speech of the other participants during the interview. Consistent with the literature, this study also found the predominance of maternal support and the influence of peers overlapping that of the family in the relationship between users with crack.

Al proponer una mirada al fenómeno del consumo del crack, a partir de la triangulación de perspectivas de los diversos actores involucrados en la atención y cuidado, esta investigación objetivó investigar la relación entre la perspectiva de soporte familiar de usuarios de crack, familiares y de técnicos sociales del, Programa ATITUDE, analizando las posibles implicaciones de esas percepciones en la asistencia a los usuarios y sus familiares. La metodología fue mixta, utilizando el Inventario de Percepción de Apoyo Familiar (IPSF) con 46 usuarios y entrevista semiestructurada con 8 respondedores del (IPSF), 12 técnicos y cuatro familiares. Los resultados apuntaron: predominancia de la percepción de un bajo soporte familiar, evidenciada en el análisis cuantitativo, siendo conforme con el habla de los demás participantes durante la entrevista. En consonancia con la literatura, en este estudio también se constató la predominancia del apoyo materno y la influencia de los pares sobreponiendo la de la familia en la relación de los usuarios con el crack.

Effect of employee assistance program service on clinical nurses' occupational delay satisfaction and professional identity / 中国实用护理杂志

Objective To explore the effect of employee assistance program service on clinical nurses' occupational delay satisfaction and professional identity. Methods A total of 106 clinical nurses were divided into observation group and control group by random number table with 53 cases each. The control group gave general support psychological care through the manner in which the head nurse talked, and the observation group provided employee assistance program services on this basis through group counseling and individual psychological counseling. Before and after the intervention, the occupational delay satisfaction scale and nurse occupational identity scale were used to assess them. Results There were 53 valid samples in the final observation group and 47 effective samples in the control group. There was no significant difference in the occupational delay satisfaction scale and nurse occupational identity scale before intervention between two groups. After the intervention, the occupational delay of the observation group nurse met the total score (24.01±4.57) points, which was higher than that of the control group (16.09 ± 3.65) points. The difference was statistically significant (t=8.543, P <0.05). After the intervention, the occupational identity of nurses in the observation group was (96.46±7.88) points, which was higher than that of the control group (81.05±6.79) points. The difference was statistically significant (t=9.347, P<0.05). Conclusions The employee assistance program service has effectively increased nurses' occupational delay satisfaction and professional identity.

Effect of employee assistance program on occupational values and professional identity of male nurses / 现代临床护理

Objective To explore the effect of employee assistance program on male nurses' professional values and professional identity.Methods Fifty male nurses participated in the program by group counseling and individual counseling.The professional values scale (NPVS-R) and the occupational identity scale were used to investigate the changes in their professional values and occupational identity before and after the intervention.Result After intervention,the occupational values and occupational identity of male nurses were significantly better than before intervention (P＜0.01).Conclusion The employee assistance program for male nurses can promote the formation of positive professional values and professional identity sense.

Association of Supplemental Nutrition Assistance Program (SNAP) with Food Security and Nutrition Status among Persons Living with HIV.

Aims: Nutritional status can be compromised by food insecurity which is common among HIV infected persons. Providing food assistance is expected to improve food insecurity and nutritional status among persons infected with HIV. This study aimed at examining the relationship of participating in the Supplemental Nutrition Assistance Program (SNAP), the largest food assistance program in the United States, with food security and nutritional status among HIV infected adults. Study Design: A cross-sectional study design was used in this study. Place and Duration of Study: This study was conducted in Miami, FL, USA, between April 2011 and August 2012. Methodology: We included 159 HIV infected individuals in this study, 113 participants were SNAP recipients while 46 were not. All study participants were, however, eligible to participate in SNAP. Each participant completed demographic and food security surveys as well as dietary and nutrition status assessment. Statistical analyses were conducted using univariate and multivariate analyses. Results: More than half (56%) of the sample experienced food insecurity and had inadequate intakes of several nutrients. There were no significant differences in food security level and nutritional status between SNAP participants and eligible non-participants, even after controlling for demographic and health characteristics. Individuals with very low food security had 4.7 times increased odds (95% CI: 1.29-17.38) of illicit drugs use, which was prevalent (38%) among HIV+ SNAP participants in Miami. Drug users were more than twice likely to have inadequate intakes of vitamins B1, B2, B6, and zinc, compared to non-drug users.  Conclusion: Our results do not support an association between SNAP participation and food security or nutritional status in this cohort of HIV infected individuals with prevalent substance abuse. However, it demonstrates that food insecurity and inadequate nutrient intake continues to be prevalent among HIV infected adults and it is related to drug abuse. Resources need to be identified and targeted at addressing both food insecurity and poor nutritional outcomes among populations of HIV infected adults.

Increasing insurance protection efforts and improving the fairness of health care services: A-nalysis on the convergence mechanism between New Rural Cooperative Medical Scheme and Healthcare Financial Assistance Program / 中国卫生政策研究

The goal of China's health care insurance system is to improve the fairness and accessibility of health care services for low-income people. In the past 10 years of practice, the insurance has made remarkable a-chievements and gained popularity among broad masses of people. With the support of World Bank and UK Depart-ment for International Development, China Rural Health Development Project ( hereinafter referred as Health XI Project) have used the advantages of unique funding, management and human resources to launched a series of pro-ject activities, with the main goal of achieving effective convergence between the New Rural Cooperative Medical Scheme (NRCMS) and Healthcare Financial Assistance Program (HCFAP) in order to explore the assistance system of catastrophic diseases. Some areas have achieved seamless convergence between NRCMS and HCFAP to explore the assis-tance program for catastrophic diseases in the context of confirming and optimizing the management of services covered by the project, especially conducting a series of exploration and practice activities in the aspects of increasing new funding channels to establish theCatastrophic Disease Assistance Fund, strengthening the related supporting regulations, etc. The results show that the utilization of services covered by HCFAP in the project has significantly improved, the protection level of health insurance has greatly improved, and the people satisfaction has significantly increased.

3.3 Promotion of culture with diverse values in the workplace / 医学教育

<p>　In the tough environment surrounding obstetricians caused by a chronic labor shortage, the results of a questionnaire survey of medical students of Yokohama City University in 2007 revealed that they did not want to become obstetricians because of the harsh working environment.</p><p>　Therefore, we began to improve the working environment. Firstly, we established a "long-term senior resident course" using a grant from the Ministry of Education in 2006 and senior residents in childcare are employed using funds from the grant, with a gradual transition to full-time from part-time work starting at 1-2 times per week. In addition, with another grant from the Ministry of Education supporting doctors in perinatal care in 2009, a childcare assistance program was continued. As a result, the number of new members of our department has increased from 2008.</p><p>　Future challenges will include securing doctors motivated to work full-time and supporting doctors requiring child care.</p>

Effect of EAP modes on improvement of mental health of university teachers / 中国实用护理杂志

Objective To investigate present situation of mental health of university teachers and the application effect of EAP modes. Methods 500 university teachers were selected as the research object and were managed with EAP modes.Before and after the use of EAP modes,mental health was investigated and analyzed. Results The score of SCL-90 factors after application of EAP modes was significantly better than prior to implementation. Conclusions The situation of mental health of university teachers is relatively poor,the implementation of the EAP modes can help to improve their mental health.

The Preliminary Study of the Effects of Employment Assistant Programs on Worker Productivity in Korea / 신경정신의학

OBJECTIVES: Organizations have recently introduced Employee Assistance Programs (EAPs) to promote work performance by helping employees to solve their current problems and reduce stress levels. This cross-sectional, retrospective study was conducted to measure features of work performance among EAP users in Korea. METHODS: Measurements were taken by employee surveys and employee records. Lost productivity time, job/organizational involvement, and job satisfaction were measured among 332 EAP users in ten organizations in Korea, which had introduced EAPs as of 2009. EAP users responded to measurements after one to three months after enrollment in EAP counseling service. A convenience sample of 297 workers, who had not used an EAP counseling service during the study period, was used as a comparison group. RESULTS: Compared with non-users, the EAP users showed more presenteeism (53.22 vs. 47.63 hours per four weeks, p=0.025) and more total lost productivity time (p=0.020). Job satisfaction was correlated with presenteeism. CONCLUSION: EAP users showed decreased productivity. It would appear that EAP counseling is a useful program for those who are present at workplace but suffering from decreased performance due to personal stress. This study indicates the need for a prospective outcome study to assess the economic and clinical value of EAPs.

The Effect of Current Problems on the Stress and Work Performance among Korean Manufacturing Industry Workers / 신경정신의학

OBJECTIVE: This study was conducted to determine the effects of workers' current problems to the perceived stress and work performance among manufacturing industry workers in Korea. METHODS: Responses to structured survey questionnaires were received from 556 workers at 7 medium-sized manufacturing factories in Gyeongsang Province. RESULTS: Among the 556 responders, health problems, job stress, and life stress showed significant effect on their perceived stress. Job stress showed significant effect on workers' lateness and early leaving, and culture & leisure problems on absenteeism. Health problems and job stress took negative effects on their job concentration difficulty. The severity of these problems were related with the desired length of retention. CONCLUSION: We proved the effect of workers' current problems to their performance. The study results will be helpful to clarify what EAP services should be considered to solve these problems at a certain organization.

Carrying out Hospital Employee Assistance Program to Enhance Hospital Culture Construction / 中华医学教育探索杂志

With reformation and innovation in hospital management,hospital culture is playing a more important role than before in the development of hospitals.HEPA(Hospital Employee Assistance Program) is considered as the efficient means of enhancing hospital culture construction with "put the human fundamental" as its principal.This present article is going to introduce the origin,development and function of HEAP as well as the concept of hospital culture,indicating that HEAP may contribute to increment of employees' achievement,improvement of hospital management and enhancement of hospital culture construction.