Jeder vierte Ältere über 60 hat einen Hörverlust von mindestens 25 dB und bei den über 70-Jährigen betri t dies bereits jeden zweiten. Medizinische Irrtümer passieren häu ger bei Älteren und hinter diesen stecken oft Kommunikationsfehler, wie eine irische Studie zeigt.

levelS and sources of work-related stress, measures of type A behaviour pattern and perceived locus of control, use of coping strategies and Indicators of work-related stress (mental and physical III health, sick· ness absence and Job satisfaction ratings) were examined In 60 members of two district occupational therapy departments as part of a larger study of stress wtthln health service employees. Comparisons were made with other professions allied to medicine (PAMs) and nurses on these measures and were used as the basis for comparing occupational stress variables across health service groups. Overall, occupational therapy staff reported similar levels of stress to Junior hospital doctors, less than physlother.ptsts and most nursing groups (particularly those Working with psychiatric patients); they were middle ranking amongst paramedical groups but experienced more stress than administrative and clerical staff and general managers. OCcupational therapy staff scored lower than nurses and other PAMs, as a group, on measures of type A behaviour pattern (although they were equally ambitious) and had similar scores on perception of control Items. They were ranked second of 17 In their reported use of a range of coping strategies.Whilst occupational therapy emerges from this study as an attractive profession (being ranked sixth of 17 NHS groups on job satisfaction), staff reported relatively high levels of emotional and physical III health symptoms and a middle ranking for sickness absence. Thirteen (22%) of the occupational therapy staff had scores on either mental or physical III health, or both, that were equal to or greater than the average score of patients attending clinical psychology departments with problems of anxiety or depre. slon. The results of this first reported comparative study of workplace stress In occupational therapy staff In the UK are discussed and suggestions made for overcoming the unwanted effects of stress.

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Background In recent years, there has been rapid growth in the availability and use of mobile health (mHealth) apps around the world. A consensus regarding an accepted standard to assess the quality of such apps has yet to be reached. A factor that exacerbates the challenge of mHealth app quality assessment is variations in the interpretation of quality and its subdimensions. Consequently, it has become increasingly difficult for health care professionals worldwide to distinguish apps of high quality from those of lower quality. This exposes both patients and health care professionals to unnecessary risks. Despite progress, limited understanding of the contributions of researchers in low- and middle-income countries (LMICs) exists on this topic. Furthermore, the applicability of quality assessment methodologies in LMIC settings remains relatively unexplored. Objective This rapid review aims to identify current methodologies in the literature to assess the quality of mHealth apps, understand what aspects of quality these methodologies address, determine what input has been made by authors from LMICs, and examine the applicability of such methodologies in LMICs. Methods This review was registered with PROSPERO (International Prospective Register of Systematic Reviews). A search of PubMed, EMBASE, Web of Science, and Scopus was performed for papers related to mHealth app quality assessment methodologies, which were published in English between 2005 and 2020. By taking a rapid review approach, a thematic and descriptive analysis of the papers was performed. Results Electronic database searches identified 841 papers. After the screening process, 52 papers remained for inclusion. Of the 52 papers, 5 (10%) proposed novel methodologies that could be used to evaluate mHealth apps of diverse medical areas of interest, 8 (15%) proposed methodologies that could be used to assess apps concerned with a specific medical focus, and 39 (75%) used methodologies developed by other published authors to evaluate the quality of various groups of mHealth apps. The authors in 6% (3/52) of papers were solely affiliated to institutes in LMICs. A further 15% (8/52) of papers had at least one coauthor affiliated to an institute in an LMIC. Conclusions Quality assessment of mHealth apps is complex in nature and at times subjective. Despite growing research on this topic, to date, an all-encompassing appropriate means for evaluating the quality of mHealth apps does not exist. There has been engagement with authors affiliated to institutes across LMICs; however, limited consideration of current generic methodologies for application in LMIC settings has been identified. Trial Registration PROSPERO CRD42020205149; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=205149

Burnout is prevalent among NCHDs in Ireland. Burnout syndrome is associated with self-reported medical error and quality of care in this sample population. Measures need to be taken to address this issue, with a view to protecting health of NCHDs and maintaining quality of patient care.