ABSTRACT
Dentistry is a profession demanding physical and mental efforts as well as people contact, which can result in burnout. The level of burnout among 307 clinical dental students in 2 Jordanian universities was evaluated using the Maslach Burnout Inventory survey. Scores for the inventory's 3 subscales were calculated and the mean values for the students' groups were computed separately. Dental students in both universities suffered high levels of emotional exhaustion and depersonalization. The dental students at the University of Jordan demonstrated a significantly higher level of emotional exhaustion than their counterparts at the Jordan University of Science and Technology
Subject(s)
Students, Dental , Schools, Dental , Stress, Psychological , Burnout, ProfessionalABSTRACT
The insertion of central venous lines is sometimeschallenging for both the physician andthe patient. In a previous work from our institute,Badran et al. described brachiocephaliccentral line insertion as an overlookedapproach and recommended its use in clinicalpractice. The aim of this study is to evaluateultrasound-guided brachiocephalic centralline insertion in patients undergoing cardiacsurgery. Twenty-six low-risk patients undergoingcoronary bypass surgery consented toparticipate in the study (14 male, 12 female).Ultrasound-guided brachiocephalic centralline insertion was performed, and the mainoutcomes measured were the success rate andthe ease of cannulation. The procedure wassuccessful in 24 patients (92.3%), while itfailed in two (7.7%). The single-puncture successrate was 79.3% (19 out of 24), with noacute or late complications. Using Dopplerultrasound guidance, the brachiocephalic veinis a suitable site for central venous catheterinsertion in cardiac surgery (AU)
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Subject(s)
Humans , Male , Female , Brachial Plexus/anatomy & histology , Brachial Plexus , Catheterization/methods , Doppler Effect , Echocardiography, Doppler/methods , Veins/anatomy & histology , Veins , Cerebral Veins/anatomy & histology , Cerebral Veins , Thoracic Surgery/methods , Cardiopulmonary BypassABSTRACT
The currently used subdivisions of the neck are not helpful in neck surgery. In addition, the wide use of minimally invasive neck surgery has made it necessary to find reference points that make these procedures easier and safer. Here, clinical, anatomical and radiological study was undertaken to determine the relationships between the trans-cervical plane (TCP) and important neck structures. One hundred and ninety healthy volunteers were examined to determine the surface anatomy of the TCP together with 17 CT scans on the same plane and, five cadavers were dissected in an attempt to describe the anatomy of the mid-cervical region. The distance between the submental point and the sternal notch was measured, and the important anatomic features at this level were recorded. The anatomical location of the TCP was confirmed. TCP was opposite to the lower border of thyroid cartilage in 90% of the cases, and in 10% it was at the cricothyroid membrane. The average distance from the submental point to the TCP in the hyperextended neck was (6.5-11.5 cm). In spite of the wide range of variation of the distance between the submental point and sternal notch (13-23 cm), the middle of this distance is constant and often related to important anatomical structures: the junction between the upper 1/3 and lower 2/3 of the thyroid lobes, superior parathyroid, and the body of the 6th cervical vertebra. It is concluded that the trans-cervical plane is an important landmark in the neck region that enables accurate and rapid localization of the cricothyroid membrane for emergency cricothyroidotomy and the tracheal rings for percutaneous dilatational tracheostomy and provides a reference point to mark skin incisions necessary for minimally invasive neck surgery (AU)
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