Lege Artis Medicinae

[Who are the happy female physicians in Hungary?]


NOVEMBER 20, 2013

Lege Artis Medicinae - 2013;23(10-11)

[BACKGROUND - The female Physicians’ well-being and happiness has become the latest researching field of the “Physicians studies”. In Hungary the researches haven't focused on this subject. Our aim was to examine the subjective well-being of the Hungarian female Physicians. METHODS - Representative, cross-sectional, quantitative survey on a representative sample of female Physicians (N=408). Modified version of WHO Well- Being Index was performed to measure of subjective Well-Being. RESULTS - We have found that the key to the Hungarian female Physicians’ wellbeing is the “time”. Significantly higher rate of well-being is associated with reduced work-hours (8 hour or less, p=0.000), and duty hours (p=0.042), having one hour free time daily (p=0.021) and they satisfied with the time of doctor-patient interaction (p=0.021). The higher rate of Well-Being scores haven't associated with age, marital status, number of children and the speciality. CONCLUSION - Similarly to the national trends, the Hungarian female Physicians' well-being is depending on the work and the satisfaction with work. The satisfied healer is the key of the health system therefore the future studies and the prevention and intervention have to focus on the Physicians’ well-being.]



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Lege Artis Medicinae

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[INTRODUCTION - Early insulin treatment is a widely accepted option for combination glucose-lowering therapy, and its most common form is basal insulin supported oral therapy (BOT). Due to its 24-hour action and lack of peaks in plasma insulin concentrations, insulin glargine is an ideal choice for BOT. METHODS - We conducted a prospective, non-interventional study to evaluate the efficiency and safety of dose titration, the period of time necessary to reach the target fasting blood glucose level, and the changes in glargine insulin dose. The study group included patients with type 2 diabetes who had been treated with insulin glargine in BOT regimen for no longer than four weeks. The follow-up period was six months. RESULTS - During the study period, the mean fasting plasma glucose was decreased from 9.8 mmol/L to 6.7 mmol/L, the mean HbA1c level decreased from 8.8% to 7.3%, and the mean postprandial glucose level decreased from 11.5 mmol/L to 8.2 mmol/L. Mild hypoglycaemic episodes occurred in 6.5% of patients in the first 3 months and in 6.9% of patients between months 3 and 6. During the same periods, severe hypoglycaemic episodes occurred in 0.08% and 0.17% of patients, respectively. Both mean body weight and mean BMI decreased during the study period. The average daily dose of glargine continuously increased during the observation period from baseline 10.42 IU to 17.69 IU. DISCUSSION - In the study population, glargine therapy in BOT regimen significantly improved glycaemic control, while a slight but statistically significant reduction was observed in the patients’ body weight. The daily dose of insulin glargine increased during titration, and the therapy proved to be safe.]

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Lege Artis Medicinae

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Lege Artis Medicinae

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[BACKGROUND - Mental and somatic morbidity and role conflict among female physicians has become an issue of growing interest in the Hungarian and international literature. Among the potential backgrounds factor, the household labour is a less studied field. METHODS - A qualitative, pilot study (N=36) was conducted among female physicians in Hungary. The structured interview was focused on amount and division of household labour, the attitudes of household labour division and the harmonization of professional workload and household work. RESULTS - About of 66% of interviewed female physicians do the household work alone. About 33% is supported by partner in the household labour, and in one case the male partner does the household work alone. The responders are not satisfied with the division of household labour, and they want the amount of professional workload and household work both to be reduced. CONCLUSIONS - Our study is a pilot for further quantitative research. Our findings suggest that the Hungarian female physicians have traditional household labour division. The lack of the division is important to understand the problem of role conflict and the morbidity.]

Journal of Nursing Theory and Practice

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