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Biomedical subjects

H M Conaglen

Publications and source records attributed to H M Conaglen.

5 recordsLinked to original sources

Burnout in physicians: a case for peer-support.

BACKGROUND: It is well documented that doctors experience a high level of stress in their profession, and that this can lead to physical, psychological, and emotional harm, in particular, burnout. Overseas (especially in the UK and USA), research investigating the levels of stress, burnout, and associated psychiatric morbidity in health professionals, across many specialties, has been carried out with a view to prevention of these adverse outcomes. AIMS: To assess the level of burnout in a sample of New Zealand physicians, the associated work and personal characteristics, and the need for development of a support peer supervision or support system. METHODS: Questionnaires that measured a number of work and personal characteristics, including the Maslach Burnout Inventory, the General Health Questionnaire, and additional questions regarding mistakes, and need for support, were sent to 83 physicians in the Waikato and Bay of Plenty areas. Analysis involved descriptive statistics, with t-tests for comparison with other studies, Pearson Product-Moment correlations between variables and analysis of variance where appropriate. RESULTS: Of the 50 respondents, 28% experienced high levels of two or three aspects of burnout (emotional exhaustion, depersonalization, low personal accomplishment). Emotional exhaustion correlated with a greater need for support. Most respondents favoured a one-to-one support system. CONCLUSION: This study highlights the presence of significant workplace difficulties for physicians and the need to develop a preventative support system for the protection of physicians and the patients in their care.

Adult↗

A prospective study of the psychological impact on patients of first diagnosis of human papillomavirus.

This study assessed the psychological impact of the first time diagnosis of human papillomavirus (HPV) in consecutive clients attending the Hamilton Sexual Health Clinic, and sought to determine whether this changed over time. Clients with a diagnosis other than HPV and those found to have no diagnosis were compared with HPV clients. All participants completed a battery of questionnaires following their initial visit and again at 4 weeks. The battery consisted of the General Health Questionnaire, Illness Attitude Scales, the International Index of Erectile Function or the Brief Index of Sexual Function for Women, and a 6-question test of the client's knowledge of HPV. One hundred and one participants completed the first questionnaires and 47 of those completed follow-up questionnaires. We found those diagnosed with first episode of HPV had considerable psychological difficulties. However these were no different to those associated with other sexually transmitted infections (STIs) or even those with no active diagnosis.

Adolescent↗

Child pedestrians' crossing gap thresholds.

Three gender-balanced groups of 16 school children (5-6 years, 8-9 years, 11-12 years) participated in individual pretests of vision, hearing, and time to walk across a 12-m wide urban street and back. Each child then completed 10 roadside trials requiring judgement of the threshold point at which they would no longer cross in front of traffic approaching from their right. The judgements were made from a site immediately in front of a parked car at a point 2 m from the kerb and 4 m from the centre of the road. Traffic speeds and distances were measured using a laser speed and distance detector. The results indicated that, overall, distance gap thresholds remained constant regardless of vehicle approach speeds. Analysis of the thresholds for distance gap judgements for the 4-m half-street crossing showed that some of the older children could be expected to make safe decisions, but this was not so for the 5-6- and 8-9-year-olds at vehicle approach speeds above 60 kph. Almost two-thirds of the children reported using distance to judge gaps, which proved the least adequate strategy in terms of proportion of resultant safe decisions. The findings are discussed in relation to developing effective child pedestrian safety strategies.

Accidents, Traffic↗

The effect of gynecological surgery on sexual desire.

This study compared the impact of surgery on sexual desire in women who had undergone hysterectomy with women whose nongynecological surgery was of a similar status. Women aged 30 to 65 completed mailed questionnaires including the Sexual Desire Questionnaire, Hurlbert Index of Sexual Desire, and the Sexual Desire Inventory. Other areas assessed were affect, mood awareness, sexual anxiety, and androgen levels. Analysis of the questionnaire measures showed no differences in sexual desire for gynecological versus nongynecological surgery, or across the different types of hysterectomy. There was no relation between the level of androgens and the women's sexual desire levels. The implications of these findings are discussed with regard to the potential impact of surgery on sexuality, as well as future research in the area.

Adult↗