No abstract

The original Nursing Stress Scale (NSS) was structurally modified according to results of factorial analysis and a new scale was named as modified nursing stress scale (MNSS). This is the first study to modify and validate NSS for Indian nursing population. Factorial analysis showed different factor loading for two subscales and items were shifted according to their loading to provide a more meaningful structure. After relocation of Items 13, 14, and 15 into first factor, this factor was renamed as "emotional and painful conditions of patients" to provide a more appropriate name to the first factor. Items 24, 25, 26, 27, 28, and 29 were found to be distributed under two different factors; one of these two was renamed as "unpredictable changes" and another retained its original name (i.e., workload). This distribution was also supported by rational analysis. All other items were distributed under factors as in the original scale. Rest of the validity assessment was done with the modified scale. Thus, with minor changes in structure, the scale was found to have better content validity.

The hospitals and nursing homes contribute 49% of the Indian healthcare delivery. Doctors and nurses, who comprise the major chunk of the healthcare sector, are vulnerable to musculoskeletal disorders (MSDs) during the course of their work routine.Arduous workplace tasks of the doctors include regular walking from ward to ward, constant bending over the bed while physically examining patients, prolonged sitting in outpatient clinics to meet the work demands. Nurses perform a wide variety of activities and are usually responsible for implementation of the care plan the doctor sets up for the patient, sometimes even in back-to-back shifts. A sample of 650 female nurses from nine Indian hospitals and 108 male doctors from four Indian hospitals was carried out. The findings revealed that nurses face considerable occupational stress, moderate levels of quality of life (QoL) and a high prevalence of MSDs. Pain and discomfort in low back, knee, neck and shoulder were found to be the most prevalent work-related musculoskeletal disorders (WMSDs) among nurses.In doctors, the results showed that the occurrence of WMSDs was most prevalent in lower back, followed by ankles/feet, knees and neck. Visual Analogue Scale revealed significant differences in the morning and evening scores. The mean total work style score exceeded the standardized limits which suggested that the work style of doctors working in Indian hospitals was at risk which may precipitate psychosocial stress.The conclusion drawn will immensely benefit the healthcare industry in developing administrative reforms and implementing welfare policy initiatives to provide a congenial working environment enhancing their QoL and better health system.

Objective: The study aimed to explicate the levels of physical activity, the prevalence of musculoskeletal disorders (MSDs) and the perceived quality of life in construction site managers. Participants: Twenty two site managers working at a site in National Institute of Industrial Engineering (NITIE), Mumbai were selected for the study. Methods: The participants responded to Nordic Musculoskeletal Questionnaire (NMQ) and the World Health Organization's (WHO), Quality of Life (QOL), and General Physical Activity (GPAQ) Questionnaires. Results: In Quality of Life (QOL), 55% of the participants fell under 'good' psychological domain, while 55% categorized their work environment as 'poor'. Among musculoskeletal problems, low back pain and upper back pain was predominantly reported by the managers. Total physical activity was observed to be 836 Metabolic Equivalent of Task-minutes/week (MET-minutes/week). Conclusion: Although the Construction managers were not involved in any kind of rigorous work at the workplace, they were observed to be suffering from musculoskeletal problems of the back. 'Poor' category of environmental domain suggested that the working conditions needed to be improved and could be a reason for their ailment.

Background: Studies evaluating the role of skin prick testing (SPT) as the sole testing technique in children below 12 years of age involving a broader and more relevant group of aero- and food-allergens in this part of India are still lacking. Objectives: To identify the commonly prevalent environmental allergens by SPT in children with asthma as per British Thoracic Society and Scottish Intercollegiate Guidelines Network Criteria and allergic rhinitis (AR) as per British Society for Allergy and Clinical Immunology Criteria attending the OPD of a tertiary care pediatric unit in the eastern part of India. Methods: Testing of inhalant and food allergens by SPT in children from 4 to 12 years age group with asthma and AR satisfying the inclusion criteria. Results: Total 106 children (70 males and 36 females) were included in the study. Study of inhalant allergens in asthmatic patients revealed the highest positivity for house dust mite followed by male cockroach and among food allergens, highest positivity for egg/egg products, followed by milk/milk products. Study of inhalant allergens in asthmatic patients with coexistent AR revealed the highest positivity for house dust mite, cockroach male and female and among food allergens, highest for milk/milk products, egg/egg products, banana, and mustard. Conclusions: In Kolkata, in the eastern part of the country, among the asthmatic children of 4-12 years age group, the most common inhalant allergens were house dust mite and cockroach, whereas the common food allergens identified were milk and milk products, egg and egg products, and mustard.