Hypothesis: With the introduction of the newly mandated restrictions on resident work hours, we expected improvement in subjective feelings of personal accomplishment and lessened emotional exhaustion and depersonalization. Design: Residents and faculty members completed an anonymous online Maslach Burnout Inventory Human Services Survey (3rd ed; Consulting Psychologist Press Inc, Palo Alto, Calif) and work-hour registry before and after implementation of new restrictions. Setting: Urban, university-based department of surgery. Participants: All house staff (n=37) and faculty (n=27). Intervention: Introduction of new Institutional Standards for Resident Duty Hours 2003. Main Outcome Measure: Resident work hours and levels of emotional exhaustion, perceived degree of depersonalization, and personal accomplishment. Results: Resident work hours per week decreased from 100.7 to 82.6 (PϽ.05) with introduction of the new schedule. Home call and formal educational activity time within working hours (eg, clinical conferences) significantly (PϽ.05) decreased from 11.5 and 4.8 hours to 4.6 and 2.5 hours per week, respectively. Operating room hours, clinic time, and duration of rounds did not show a significant change. Changes in parameters of resident and faculty emotional exhaustion, depersonalization, and personal accomplishment did not show statistical significance (PϾ.05).Conclusions: Despite successful reductions in resident work hours, measures of burnout were not significantly affected. However, important clinical activities such as time spent in the operating room, clinic, and making rounds were maintained. Formal in-hospital education time was reduced.
Latency and reactivation of a commercial infectious laryngotracheitis virus vaccine were demonstrated in live chickens. Virus was re-isolated at intervals between seven and fourteen weeks post-vaccination and this may be of epizootiological significance.
SUMMARYTwenty-four laying turkey hens shown to be free of antibodies to turkey.rhinotracheitis virus were inoculated intranasally with an isolate of the virus. A mild respiratory disease developed between 5 and 9 days post infection (pi). Two birds were selected at random at intervals between days 1 and 20 pi, killed and tissues examined for the presence of virus. At autopsy between days 2 and 12 abnormalities were found in the oviducts including the deposition of inspissated albumen. Yolk material was occasionally found in the abdominal cavity and there was one instance of egg peritonitis. Eggs with abnormal shells were found in the uterus on days 3 and 9. By direct immunofluorescence (IF) staining, virus was detected in the trachea between days 1 and 7 pi and in the turbinâtes between days 2 and 5 pi. Virus could also be isolated from these sites using turkey embryo trachéal organ cultures but this method was slightly less sensitive than IF for these tissues. No virus was demonstrated in the lungs or air sacs. Viral antigens were detected by IF in the epithelium of the uterus on day 7 pi and in this and all other regions of the oviduct on day 9 pi. Virus was isolated only from middle magnum and vagina on day 9 pi. On other occasions up to 20 days pi the above tissues and spleen, ovary, liver, kidney and hypothalamus were all negative for virus. Antibodies detected by ELISA and serum neutralisation both reached, high titre by 12 days pi and were maintained at a high level (Iog2 12-15) throughout the period of observation (89 days).
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