Biomedical subjects

Manju Monga

Publications and source records attributed to Manju Monga.

24 records · Page 2Linked to original sources

PubMed2003

Job satisfaction among program directors in obstetrics and gynecology: a national portrait.

OBJECTIVES: The purpose of this study was to determine job satisfaction among program directors in obstetrics and gynecology with the use of a validated tool and to identify specific sources of dissatisfaction that might lead to job change. STUDY DESIGN: The program director satisfaction and a global job satisfaction survey were sent to all program directors in the United States. Motivators for seeking a job change were assessed. The chi(2) test, Kruskal-Wallis test, correlation analysis, and multiple linear regression were used. RESULTS: Seventy percent of 254 surveys were completed. Global job satisfaction (minimum, 4; maximum, 16) was 11.9+/-2.9; mean program director satisfaction score was 135+/-25.8 (minimum, 54; maximum, 200). Job satisfaction was highest in chairs, full professors, those whose age was >50 years, and those with >5 years of experience (P=.02) and in facets that were related to work with residents, colleagues, and patients. Dissatisfaction was highest with regard to salary, promotion opportunities, and resources. Forty-six percent of those who responded were considering a job change in 3 years; the most common reason for a job change that was cited was administrative hassles. CONCLUSION: Although job satisfaction is high among program directors, administrative hassles may lead to high rate of rapid turnover.

Administrative Personnel↗

PubMed2003

Occupational stress among obstetrician/gynecologists.

OBJECTIVE: Our objective was to assess occupational stress in obstetrician/gynecologists using a standardized, validated tool. METHODS: The Osipow Occupational Stress Inventory, which measures occupational stress (occupational roles questionnaire [ORQ]), psychological strain (personal strain questionnaire), and coping resources (personal resources questionnaire), was distributed to 277 obstetrician/gynecologists in Houston. The chi2 or Fisher's exact test was used where appropriate. RESULTS: Sixty-nine surveys were analyzed. Median T scores for all subscales were within the normal range. Abnormal scores were recorded by 22 physicians (31%) on at least one subscale of the ORQ, by 5 physicians (7%) on at least one subscale of the personal strain questionnaire, and by 6 physicians (9%) on at least one subscale of the personal resources questionnaire (P < 0.05). Abnormal scores occurred more frequently in the ORQ domain. Generalists had significantly more abnormal scores than did subspecialists (P < 0.05). CONCLUSION: Occupational stress is common among obstetrician/gynecologists. This appears to be balanced by good coping skills.

Adaptation, Psychological↗

PubMed2002

Stress in residency: reality or myth?

OBJECTIVE: This study was designed to determine (1) occupational stress in a group of residents in obstetrics and gynecology, (2) whether occupational stress differs between years of training, and (3) whether there is seasonal variation in occupational stress. STUDY DESIGN: The Occupational Stress Inventory was administered to the 44 residents in obstetrics and gynecology at our institution in September 1998. A subgroup of 24 residents were also asked to complete the occupational stress inventory in January and May 1999. T-scores of 40 to 59 are within the normal range; scores of > or =70 on the occupational role questionnaire or the psychologic strain questionnaire suggest significant maladaptive stress; scores of < or =30 on the personal resources questionnaire suggest a significant lack of coping skills. Kruskal-Wallis and repeated-measures analysis of variance were used when appropriate. RESULTS: Forty residents completed the occupational stress inventory in September. The median T-score for each subscale was between 40 and 60. Eleven residents (27.5%) scored > or =70 on at least 1 subscale of the occupational role questionnaire. Three residents (7.5%) scored > or =70 on at least 1 subscale of the psychologic strain questionnaire. Seven residents (17.5%) scored < or =30 on at least 1 personal resources questionnaire subscale. There was no significant difference in occupational adjustment between resident level. In the 24 residents who were followed throughout the academic year, there was no significant difference in stress at different times of the years. CONCLUSION: Occupational stress is relatively common in a group of residents in obstetrics and gynecology. There is no difference in occupational stress or personal coping skills between years of training, and there is no seasonal variation in the academic year.

Adaptation, Psychological↗

PubMed2002

The effect of temperature on bactericidal properties of 10% povidone-iodine solution.

OBJECTIVE: Ten percent povidone-iodine (PVI) is commonly used as a bactericidal solution before amniocentesis is performed. Warming PVI may increase patient comfort; however, the effect of warming on its bactericidal properties is not known. The objective of this study was to determine the effect of warming 10% PVI on its bactericidal properties. STUDY DESIGN: Room temperature of PVI was 25 degrees C, and temperature in an ultrasonic gel warmer was 32 degrees C. In vitro experiments were conducted in 25 degrees C and 32 degrees C water baths. Nine milliliters of PVI at each temperature was added to 1 mL of bacteria (10(7) organisms/mL Staphylococcus aureus, Enterococcus species, Escherichia coli, group B Streptococcus). After 0.25, 0.5, 1, 2, 4, and 8 minutes, 1-mL samples were removed and added to 4 mL of 0.5% sodium thiosulfate (to neutralize the iodine and interrupt bactericidal action). The number of viable organisms was determined by plating 0.1-mL samples on trypticase soy agar plates. Plates were incubated at 37 degrees C for 24 hours and colony-forming units (CFUs) were counted. For in vivo experiments in 40 volunteers, a 9-cm2 area of the dorsum of each hand was wiped with a sterile cotton swab to obtain a sample of bacteria for culture. The area was then wiped for 15 seconds with PVI at 25 degrees C or 32 degrees C and recultured. The bactericidal properties of PVI at each temperature were compared. The Mann-Whitney U test was used as appropriate, and P <.05 was considered significant. RESULTS: In vitro, PVI was bactericidal against E coli, S aureus, Enterococcus species, and group B Streptococcus within 0.25 minutes at both 25 degrees C and 32 degrees C, with median bacterial growth of 0 CFU/plate for each species of bacteria studied (3 replicates at each temperature). Median bacterial growth from skin was 4 CFU/plate (range, 0 to >100). After hands were wiped with PVI at 25 degrees C and 32 degrees C, median bacterial growth was 0 CFU/plate (range, 0-8) and 0 CFU/plate (range, 0-15), respectively (not significant). CONCLUSION: PVI is as effective at 32 degrees C as it is at 25 degrees C. Use of PVI at 32 degrees C should be considered to increase patient comfort in procedures performed without the use of anesthetics.

Anti-Infective Agents, Local↗

PubMed2002

Maternal estimates of neonatal birth weight in diabetic patients.

BACKGROUND: No consensus exists on estimation of birth weight or prediction of fetal macrosomia in the diabetic population. We compared intrapartum clinical, maternal, and ultrasonographic estimates of birth weight in diabetic patients. METHODS: Diabetic patients at term had clinical, maternal, and ultrasonographic estimations of fetal weight. The mean absolute error, standardized error, and percentage of estimates within 10% of actual birth weight were determined for the three estimates. Effects of maternal weight, parity, and recent ultrasonography were assessed, and statistical analysis was done. RESULTS: With 32 women enrolled, no statistical difference was seen among clinical (11%), maternal (8.8%), and ultrasonographic (8.0%) birth weight estimates. No difference was seen in accuracy of the three estimates. Estimates were within 10% of actual birth weight in 69% of clinical and maternal estimations and 75% of ultrasonographic estimations. Maternal weight, parity, and recent ultrasonographic evaluation did not affect accuracy of predictions. CONCLUSIONS: Intrapartum maternal estimation of fetal weight in diabetic patients is as accurate as clinical and ultrasonographic predictions.

Adult↗

PubMed2002

Effect of parental education on decision-making about neonatal circumcision.

BACKGROUND: We investigated the impact of unbiased, published, easily accessible brochures on the parental decision about circumcision. METHODS: A total of 190 women who were delivered of healthy male infants at Memorial-Hermann Hospital and Woman's Hospital of Texas from December 1, 1999, to April 30, 2000, were asked to complete a brief demographic self-description and questionnaire regarding their attitudes and beliefs about circumcision. The most recent American Academy of Pediatrics (AAP) brochure about circumcision was then distributed, and subjects completed the questionnaire a second time after reading the brochure. RESULTS: Eighty-five percent of participants opted for circumcision. No woman altered her decision on the basis of information in the AAP brochure. Regardless of parental desire for circumcision, responses to all questions before and after distribution of the AAP brochure were highly correlated. Circumcision status of the father and the parents' education and age were significantly associated with the decision to circumcise. There was no significant association between this decision and marital status, race, or religion. CONCLUSIONS: Parental education about the medical indications and possible risks of circumcision has no impact on the decision-making process about neonatal circumcision.

Adolescent↗