Right coronary bypass grafting with coronary-coronary venous bypass graft

OBJECTIVE

The following report describes the experience of the Cardiovascular Surgery Team of the ABC Medical School with coronary-coronary bypass grafting.

METHODS

Four patients undergone off-pump coronary artery bypass grafting, with coronary-coronary bypass of the right coronary artery, by using great saphenous vein graft.

RESULTS

The follow-up period was 3 to 5 years without any intra- or postoperative recurrence. One patient presented anginal symptoms four years after the surgery and underwent cinecoronariography that revealed patent anastomosis.

CONCLUSION

The coronary-coronary bypass is a good option for patients undergone coronary artery bypass grafting.

Prevalence of the burnout syndrome among Brazilian medical oncologists

INTRODUCTION

Burnout syndrome which is prevalent among oncologists is characterized by three aspects: emotional exhaustion, depersonalization and low personal accomplishment. The purpose was to evaluate prevalence of the burnout syndrome among Brazilian medical oncologists and the variables that correlate with its presence.

METHODS

A survey was conducted with members of the Brazilian Society of Medical Oncology (SBOC) who received three questionnaires (general, Maslach burnout questionnaire and an opinion survey) mailed to all 458 members.

RESULTS

Response rate was of 22.3%. According to the criteria proposed by Grunfeld, which consider burnout present when at least one of the aspects is severely abnormal, prevalence of this syndrome was 68.6% (95% confidence interval, CI: 58.68% to 77.45%). By multivariate analysis having a hobby/physical activity, a religious affiliation, older age, living with a companion and rating vacation time as sufficient were correlated significantly and independently with burnout syndrome.

CONCLUSIONS

The burnout syndrome is prevalent among Brazilian oncologists. Oncologists having sufficient personal and social resources to engage in a hobby, physical activity, have enough vacation time and religious activities are at lower risk of developing burnout.

The burnout syndrome among Brazilian medical oncologists

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Background: The burnout syndrome (BNS) is prevalent among oncologists and is characterized by three components: emotional exhaustion, depersonalization and low personal accomplishment. BNS is associated with depression anxiety and impaired job performance. We aimed at evaluating the prevalence of BNS among brazilian medical oncologists and the variables that correlate with its presence. Methods: We sent three questionnaires (general, Maslach burnout questionnaire and an opinion survey) to the 458 members of the Brazilian Society of Medical Oncology (SBOC) and we attempted to increase the amount of answers by an email recall to all members. In order to evaluate correlations between variables we used Fisher, Chisquare and ANOVA tests, and considered significant only p values lower than 0.05. We used logistical regression to conduct multivariate analysis, having the presence of BNS as a dependent variable. Results: The response rate was 22.3%. When asked if they would choose oncology as a career again, 90 (88.25%) answered affirmatively. According with the criteria proposed by Grunfeld, that considers BNS present when at least one dominion is severely abnormal, the incidence of this syndrome was 68.6% (95% CI: 58,68% to 77.45%). By univariate analysis, we observed a negative significant correlation of BNS with having regular physical activity and/or a hobby, reporting to have a religious affiliation and with willingness to choose oncology as a career again. We found a positive significant correlation of BNS with living together with someone and reporting vacation time as insufficient. By multivariate analysis having a hobby/physical activity, a religious affiliation, living with a companion and rating vacation’s time as sufficient were all correlated significantly and independently with BNS. Conclusions: BNS is prevalent among brazilian medical oncologists, nevertheless most of them would choose medical oncology as a career again. To have a hobby and/or a regular physical activity, enough time of vacations and a religious affiliation correlate negatively with the presence of BNS and are potentially modifiable preventive measures to decrease the frequency of this syndrome.

No significant financial relationships to disclose.