COMPARISON OF THE LEVEL OF BURNOUT AMONG THE ACADEMIC AND CLINICAL PHYSICAL THERAPISTS

Aims of Study: To compare the level of burnout among the academic and clinical physical therapists. Methodology: A cross sectional study was conducted from August 2019 to January 2020. Data was collected from physical therapists working in the universities and hospitals of Rawalpindi and Islamabad. Data was collected from 278 participants. Maslach burnout inventory scale was used to measure the level of burnout which was analyzed using SPSS statistics 21.  Results: The mean value of emotional exhaustion for clinical physical therapists was 20.02 ± 8.08 and for academic physical therapist was 18.6 ± 6.57 with significant p value (p˂0.05). The mean value for depersonalization for clinical physical therapists was 9.22 ± 5.17 and for academic 9.29 ± 5.07 with significant p value (p˂0.05). The mean value of personal accomplishment for clinical physical therapists and academic physical therapists was 35.43 ± 7.715 and 35.74 ± 6.49 respectively with non-significant p value (p˃0.05). Limitations and Future Implications: It was conducted for specific time period which not record the overall or yearly impact of burnout on participants. So time lapse and longitudinal study should be done. Originality: The clinical physical therapists have increased level of burnout than academic physical therapists. Conclusion: The clinical physical therapists have increased level of burnout than academic physical therapists.

Comparison Between Contrast Reduction Versus Open-Surgery for the Treatment of Intussusception Among Children at French Medical Institute for Children, Afghanistan

Introduction: Intussusception is a surgical emergency and is one of the most common causes of intestinal obstruction in the pediatric age group, with the overwhelming majority of cases occurring in children between 3 months to 3 years of age with peak incidence of 3-12 Months. Contrast reduction is the primary, safest and successful means of treating intussusception and preferred due to less morbidity and mortality, shorter recovery period, less cost of procedure, less length of hospital stay, less complications and recurrence, higher degree of family satisfaction compared to open surgery. The objective of the study is to compare the effectiveness of Contrast reduction versus open surgery in the treatment of Intussusception among children in a tertiary care hospital (FMIC) French Medical Institute for Children. Methodology: A retrospective cohort study design was employed to achieve the study objectives. Records of all pediatric patients treated for intussusception between January-2010 till December-2014 at the French Medical Institute for Children in Afghanistan were reviewed using a structured checklist. Information Variables such as Age group, Gender, hospital length of stay, Comorbidities (Associated diagnosis), Post-operative Complications, and patient’s family satisfaction was collected. Statistical Package for Social Sciences (SPSS) version 19.0 was used to run the data analysis. Chi-square test of independence was run to determine the association between predictor variables and treatment groups.Results: Our study findings revealed that there is difference in the effectiveness of Contrast reduction versus open surgery for the treatment of Intussusception with regard to hospital length of stay, associated diagnosis, development of complications and family satisfaction. The length of stay for study subjects who had undergone Contrast reduction was relatively low and turn out to be significant (p-value: Conclusion: Intussusception is a very common disease among children with very good prognoses if treated timely with effective treatment method. Contrast Reduction technique is rarely used in Afghanistan and most affected children are being exposed unnecessary surgery. Our study has found that Contrast reduction technique is a safe and effective treatment modality and it should be widely implemented for the treatment of Intussusception for better prognoses and survival