Stress perceived by houseman in a hospital in northern Malaysia

Introduction: Being a houseman in Malaysian hospitals can be very stressful. Stress can affect decision making to a great extent while addressing the needs of the patient in an emergency setting. This necessitated a study to find out the main sources of stress among housemen. Methods: This was a cross-sectional descriptive study carried out among 55 housemen using a questionnaire on sources of stress. The data was analysed using SPSS version 17. Results: A total of 16 factors leading to stress were studied among the housemen. Poor work and social life balance, annoying non-clinical personnel and medico-legal threats were among the top causes of stress. Conclusion: The factors leading to stress among housemen should be considered for effective working of the hospital and improving the workplace atmosphere for the housemen.

study of knowledge, attitude and practices regarding breast feeding among feeding mothers

To determine the knowledge, attitude and practices regarding child feeding among feeding mothers and to promote breast-feeding practices among lactating mothers. Observational cross-sectional study [KAP Study]. This study was conducted at OPD and indoors of Obstetrics and pediatrics departments of Nishtar Hospital, Multan during the period from October 2010 to January 2011. A total of 160 feeding mothers were selected by simple random technique. In our study out of 160 mothers16 [10%] had matric education and only 08 [5%] had education higher than F.A while 80 [50%] were totally illiterate. Breast-feeding practices were low in lower class and high in middle and upper classes. A total of 61% children were breast-fed while 39% were non breast-fed. Out of 61% breast fed children, 45% were exclusively breast fed while 16% were partially breast-fed. Among the breast-fed children 60% were male while 40% were female. The mothers who started breast feeding with in few hours after birth were 61[38%] and 72 [45%] started breast-feeding on 1[st] day while 27 [17%] mothers started breast feeding on 2[nd] day after birth. 97%infants were given 'water', 'sugar', 'honey' and 'arq-e-gulag' as ghutti [1[st] feed] rather than giving breast milk due to different reasons. Duration of breast feeding was less than 1 year in 88 [55%] of the mothers, 56 [35%] breast fed their babies for 1-2 years while 16 [10%] breast fed for more than 2 years. Prelacteal feeds were given to majority of babies as first feed by relatives. Male infants are more breasts fed as compared to females. Most of the mothers don't breastfeed their children for the first 2-3 days because of misconception about colostrums. The leading cause of early weaning in most of children is next pregnancy. The trend in the breastfeeding is relatively lower in the lower socioeconomic class as compared to the middle and upper classes