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Strategies for Prevention and Management of Burnout Syndrome at the Medical Staff 医务人员职业倦怠综合症的预防和管理策略
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/551
C. Moscu, I. Chiscop, Lucreţia Anghel, D. Voinescu, I. Fulga, Anamaria Ciubara
Introduction. Burnout syndrome is a complex phenomenon of great magnitude, which occurs in extremely demanding professions emotionally and nervously, with deep echoes in the psycho-affective structure of individuals, which makes its mark on professional life, but also that social. Acknowledging the problem and requesting specialized help remain the first step toward healing. Material and methods. This article reviews the literature on the discovery of burnout management strategies and its adverse effects. Articles found through this indexed search (PubMed and Google Scholar: 2017-2021) were reviewed and analyzed manually by the authors to identify relevant studies. Discussions. This study specifically focuses on the strategies that health care workers use to address resource depletion associated with fatigue, reduce work burden, and alter work characteristics to increase motivation. Conclusions. In order to prevent, manage or treat burnout, it is necessary to recognize the problems that contribute to burnout. Focusing on individual approaches, along with organizational ones, seems to be a promising way to deal with burnout and stimulate a healthier workforce.  
导言。职业倦怠综合症是一种严重的复杂现象,它发生在对情绪和神经要求极高的职业中,在个人的心理情感结构中有着深刻的回响,不仅在职业生活中,而且在社会生活中都留下了印记。承认问题并请求专业帮助是治愈的第一步。材料和方法。本文回顾了有关职业倦怠管理策略的发现及其不良影响的文献。作者对通过该索引搜索(PubMed 和 Google Scholar:2017-2021 年)找到的文章进行了人工审核和分析,以确定相关研究。讨论情况。本研究特别关注了医护人员用于解决与疲劳相关的资源枯竭、减轻工作负担以及改变工作特征以提高工作积极性的策略。结论。为了预防、管理或治疗职业倦怠,有必要认识到导致职业倦怠的问题。将重点放在个人方法和组织方法上,似乎是解决职业倦怠和激励更健康的员工队伍的一种有希望的方法。
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引用次数: 0
Unmasking Burnout in Romanian Primary Care: Implications for Healthcare Careers and Well-Being in Pandemic Times 揭开罗马尼亚初级保健职业倦怠的面纱:大流行病时代对医疗保健职业和福祉的影响
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/561
Ioana Silistraru, Oana Olariu, Anamaria Ciubară, Ș. Roșca, Doina Azoicăi, A. Alexa, F. Severin, Pușica Zainea, Lucreţia Anghel, Radu Dănilă, I. Ciureanu
This cross-sectional study investigates primary care physicians' intentions to change occupations and the presence of burnout in Romania in the pandemic. The research was carried out using an updated version of the MBI-Human Services Survey for Medical Personnel - MBI-HSS (MP) questionnaire. Our sample group consisted of 95 Romanian family doctors, of which 85 were female and 10 were male. 70.58% of female respondents reported having a high level of emotional Exhaustion, while 100% of male participants reported having the same raised levels of Exhaustion. 50% of men and 34.11% of women reported significant levels of Depersonalization, whereas 41.17% of female respondents indicated the lowest levels of Depersonalization. Regarding personal accomplishment, 40% of men and 27.05% of women indicated they had high levels of PA. Based on statistical analysis, there is no significant correlation between gender and burnout dimensions, indicating that primary care physicians are at risk for burnout regardless of gender. The study also looked at an inclination to switch to a different medical speciality because of burnout. Of the participants, 55.78% said they would opt for the same specialisation again, 29.47% said they were unsure, and 33.68% said they would not choose the same medical profession again if given the chance. According to the findings, there appears to be a positive correlation between Depersonalization and the intention to change careers. Specifically, higher Depersonalisation scores were associated with a higher probability of considering changing careers. Emotional Exhaustion and personal achievement, however, did not substantially correlate with changing professions.
本横断面研究调查了罗马尼亚大流行病中初级保健医生的转业意向以及是否存在职业倦怠。研究使用的是最新版的医务人员人力服务调查问卷(MBI-HSS (MP))。我们的样本组由 95 名罗马尼亚家庭医生组成,其中 85 人为女性,10 人为男性。70.58%的女性受访者表示情感衰竭程度较高,而 100%的男性受访者表示情感衰竭程度同样较高。50%的男性和 34.11% 的女性受访者表示人格解体程度很严重,而 41.17% 的女性受访者表示人格解体程度最低。在个人成就感方面,40% 的男性和 27.05% 的女性表示他们的个人成就感水平较高。根据统计分析,性别与职业倦怠维度之间没有明显的相关性,这表明无论性别如何,初级保健医生都有职业倦怠的风险。研究还调查了因职业倦怠而转行的倾向。在参与者中,55.78% 的人表示他们会再次选择同一专业,29.47% 的人表示不确定,33.68% 的人表示如果有机会,他们不会再次选择同一医学专业。研究结果显示,人格解体与转行意向之间似乎存在正相关。具体来说,人格解体得分越高,考虑转行的可能性就越大。然而,情感枯竭和个人成就与转行并无实质性关联。
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引用次数: 0
Distance Learning of a Foreign Language in the Context of Neuropedagogical Factors 神经教育学因素背景下的外语远程学习
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/539
Yuliia Lakhmotova, O. Sadovets, O. Orlovska, Olena Martynyuk, Viktoriia Myroshnychenko, Liudmyla Lebedieva
The relevance of the article lies in the fact that in our time, the organization of distance learning when learning a foreign language is extremely relevant. The purpose of the article: to find out the main terms and forms of distance learning; consider the features of online education; explore platforms for the convenient organization of online learning; highlight the advantages and disadvantages of distance learning when learning a foreign language as an aspect of neuropedagogical training. Work methods: compare the analysis of literary sources on the research problem; to systematize the researched; compare the benefits of distance learning. The novelty of using mobile technologies, which is extremely effective and necessary when learning a foreign language online. Results: synchronous, asynchronous and mixed learning are distinguished among distance learning forms. E-learning is a basic form that has both advantages and disadvantages. Blackboard is widely used among e-learning platforms. Conclusion: the role of the teacher who uses interactive forms of learning for mobile learning has changed. The Internet provides a wide selection of modern materials for learning a foreign language. Students and teachers accept online education with desire and interest, increase their information and communication competence. Physical activity is necessary for long-term work on educational platforms.
文章的现实意义在于,在我们这个时代,在学习外语时组织远程学习具有极大的现实意义。文章的目的:找出远程学习的主要术语和形式;考虑在线教育的特点;探索方便组织在线学习的平台;强调远程学习外语作为神经教育学培训的一个方面的优缺点。工作方法:比较分析研究问题的文学来源;将所研究的问题系统化;比较远程学习的好处。使用移动技术的新颖性,这在在线学习外语时极为有效和必要。成果:在远程学习形式中区分了同步学习、异步学习和混合学习。电子学习是一种基本形式,既有优点也有缺点。在网络学习平台中,Blackboard 被广泛使用。结论:使用交互式学习形式进行移动学习的教师的角色已经发生了变化。互联网为外语学习提供了大量的现代化资料。学生和教师带着愿望和兴趣接受在线教育,提高他们的信息和交流能力。在教育平台上长期工作需要体育锻炼。
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引用次数: 0
The Role of Current Computer Technologies in Developing Professional Competence of Music Teachers: A Model of a Personalized Educational Environment 当前计算机技术在培养音乐教师专业能力中的作用:个性化教育环境模式
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/554
Oleksii Pavlenko, T. Rastruba, Larysa Huseinova, Leonid Khomenko, Khrystyna Pelekh, Olena Koval
The importance of the article lies in the fact that the profession of school music teacher today needs to create its own updated competence model of personal educational environment taking into account digital transformation and computerization of general education. The information competence of the music teacher, the issues of his professional development in working with music and computer technologies are taken into account. Analyzed the possibility of building a personal educational environment in the era of postmodern (including electronic) and their application in further professional activities. The author analyzes the possibility of introducing modern computer technology as a resource for the formation of musical needs of the teacher of the educational institution. In addition to professional competencies, some general requirements for music teachers today, which can be grouped into four groups: general professional, communicative, behavioral and analytical. The article presents a model of university music education in the postmodern era; ways of acquiring professional competence of a music teacher are considered; the stages of creating a model of personal educational environment of a music teacher in the postmodern era are described; the role of professional competence of a music teacher in the postmodern personal educational environment model is defined; the role of current music and computer technologies (MCT) in creating a model of personal educational environment of a music teacher was determined.
文章的重要性在于,当今的学校音乐教师职业需要结合普通教育的数字化转型和计算机化,创建自己最新的个人教育环境能力模型。文章考虑了音乐教师的信息能力、他在音乐和计算机技术工作中的专业发展问题。分析了在后现代(包括电子)时代建立个人教育环境的可能性及其在进一步专业活动中的应用。作者分析了引入现代计算机技术作为教育机构教师音乐需求形成资源的可能性。除专业能力外,当今对音乐教师的一些一般要求可分为四类:一般专业能力、交际能力、行为能力和分析能力。文章介绍了后现代大学音乐教育模式;考虑了音乐教师获得专业能力的途径;描述了创建后现代音乐教师个人教育环境模式的阶段;界定了音乐教师专业能力在后现代个人教育环境模式中的作用;确定了当前音乐和计算机技术(MCT)在创建音乐教师个人教育环境模式中的作用。
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引用次数: 0
An Insidious Comorbidity: Depression and Chronic Heart Failure 一种隐匿的并发症:抑郁症与慢性心力衰竭
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/566
A. Petris
Depression and heart failure (HF) are in a close bilateral relationship: the appearance of one is potentiated by the other entity and the effects on the outcome are amplified within this ”dangerous liaison”. Depression is present in about one in five HF patients and is severe in almost half of them. The risk factors for depression in HF are female gender, elderly, the severity of HF symptoms, a history of isolated systolic hypertension or coronary heart disease (CHD), previous hospitalization and previous depressive episodes. Depression in HF patients increases medication non-adherence, is associated with poor outcomes after heart transplantation and is predictive of events and mortality in cardiac resynchronization therapy (CRT). The current assumptions related to the physiopathological mechanisms include a common genetic polymorphisms, inflammation, generalized immune system disturbance, disturbances of platelet function, increased catecholamine levels, deamination of monoamines linked with monoamine oxidase activity, a dysregulation of the autonomic nervous system, increased serotonin levels, ischemia, life-style and medication non-compliance, a poor familial support and social isolation. Assessment of cognitive functioning should be part of routine clinical examination in HF, the diagnosis of depression is based on questionnaires (e.g. Patient Health Questionnaire-2 - PHQ-2) and on clinical interview. There is still no consensus on the best therapy for HF patients with depression (non-pharmacological and pharmacological therapies) but, for sure, depression in HF is harder to treat.
抑郁症和心力衰竭(HF)之间存在着密切的双边关系:一方的出现会因另一方的出现而加剧,对治疗结果的影响也会在这种 "危险的联系 "中放大。每五名高血压患者中就有一人患有抑郁症,其中近一半的患者病情严重。高血压抑郁症的危险因素包括女性、老年人、高血压症状严重程度、孤立的收缩期高血压或冠心病(CHD)病史、既往住院史和既往抑郁发作史。心房颤动患者的抑郁会增加服药的不依从性,与心脏移植术后的不良预后有关,并可预测心脏再同步化治疗(CRT)的事件和死亡率。目前与生理病理机制有关的假设包括常见的基因多态性、炎症、全身免疫系统紊乱、血小板功能紊乱、儿茶酚胺水平升高、与单胺氧化酶活性有关的单胺类物质脱氨、自主神经系统失调、血清素水平升高、缺血、生活方式和不遵医嘱用药、家庭支持不足和社会隔离。对认知功能的评估应作为高血压常规临床检查的一部分,抑郁症的诊断基于问卷调查(如患者健康问卷-2 - PHQ-2)和临床访谈。对于高血压抑郁症患者的最佳疗法(非药物疗法和药物疗法),目前仍未达成共识,但可以肯定的是,高血压抑郁症更难治疗。
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引用次数: 0
The Integration of Psychological Intervention in the Multimodal Treatment of Patients with Prostate Cancer and Erectile Dysfunction 将心理干预纳入前列腺癌和勃起功能障碍患者的多模式治疗中
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/564
Elena Gabriela Vâlcu, D. Firescu, G. Constantin, Gabriela Rahnea-Nita, Roxana-Andreea Rahnea-Niţă, C. Șerban, L. Rebegea
Male sexual dysfunction refers to a lack of attraction and a lack of normal sexual performance. The most common sexual dysfunction in men is erectile dysfunction. Erectile dysfunction is the inability to achieve an erection or to sustain satisfactory sexual intercourse. Sexual dysfunction is associated with oncological treatment, having a significant impact on the quality of life. Sexuality is a frantic sense of awakening to life, it is excitement and a lot of energy, it gives the feeling of invincibility, it is the opposite of death. For many cancer patients, getting an erection is a negative problematic experience, combined with feelings of hopelessness, depression, accompanied by loss of self-esteem. Taking into account the medical aspect, the present paper highlights the interpersonal psychological aspect with reference to the cognitive-behavioural model. The present analysis describes the problem of sexual dysfunction and illustrates a panorama of therapeutic models to plan an effective intervention. This study aims to perform a review of the evidence on the role of cognitive-behavioural psychotherapy in addressing erectile dysfunction problems in prostate cancer patients. An extensive bibliographic search of online database and relevant manuscripts was followed.
男性性功能障碍是指缺乏吸引力和缺乏正常的性能力。男性最常见的性功能障碍是勃起功能障碍。勃起功能障碍是指无法勃起或无法维持满意的性交。性功能障碍与肿瘤治疗有关,对生活质量有很大影响。性是一种生命觉醒的疯狂感觉,它令人兴奋,充满活力,给人以不可战胜的感觉,是死亡的反面。对许多癌症患者来说,勃起是一种负面的问题体验,伴随着绝望、抑郁和自尊的丧失。考虑到医学方面的因素,本文参照认知行为模式,强调人际心理方面的因素。本分析报告描述了性功能障碍问题,并展示了各种治疗模式的全景,以便制定有效的干预计划。本研究旨在对认知行为心理疗法在解决前列腺癌患者勃起功能障碍问题中的作用进行证据综述。研究人员对在线数据库和相关手稿进行了广泛的文献检索。
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引用次数: 0
The Contribution of Systemic Modelling and of Early Maladaptive Schema in Psychiatric Expertise 系统建模和早期适应不良模式对精神病专业知识的贡献
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/556
Bogdan Pavlovici
There are limits in international classifications like DSM 5, CIM 10, which are periodically updated in order to adapt to the constantly changing psychiatric field. Furthermore, the DSM 5 does not allow the mention of a personality disorder before 18 years of age. The modelling proposed by Jeffrey Young-American psychologist-, that of « early maladaptive schema » provide a way out of stagnation by bringing vulnerabilities to the forefront. These may, from an expertal viewpoint, explain some psychological processes that may lead to delinquent  behaviours or become fertile ground for agression and development of psychological trauma. The modelling proposed by various systemic theory scientists allows for a more in depth explanation of progressive build-up of a pathology through repeat dysfunctional systemic interactions. This contribution is very useful in judicial but also familial expertise. I will illustrate my remarks through two clinical studies.
DSM 5 和 CIM 10 等国际分类法都有一定的限制,这些分类法会定期更新,以适应不断变化的精神病学领域。此外,DSM 5 不允许提及 18 岁之前的人格障碍。美国心理学家杰弗里-扬(Jeffrey Young)提出的 "早期适应不良模式 "模型,通过将脆弱性暴露在最前沿,为摆脱停滞不前的状态提供了一条途径。从专家的角度来看,这些模式可以解释一些心理过程,这些过程可能会导致犯罪行 为,或成为攻击行为和心理创伤发展的沃土。各种系统理论科学家提出的模型可以更深入地解释通过重复功能失调的系统互动而逐渐形成的病态。这一贡献不仅在司法方面,而且在家庭专业知识方面都非常有用。我将通过两项临床研究来说明我的观点。
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引用次数: 0
Professionalization of Pedagogical Activity of Future Teachers, Formation of Communicative Competence as an Aspect of Neuropedagogy 未来教师教学活动的专业化,作为神经教育学一个方面的交流能力的形成
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/537
Andrey Kernas, Galyna Kotlomanitova, M. Kozyr, Natalia Myronenko, Svitlana Sokolovska, Nataliya Stepanchenko
The article reveals the relevance of the formation of the future teacher's communicative competence as a professionalization of the basic component of pedagogical activity and individual requirements for professional activity. The professional standard requires readiness for pedagogical activity, the basis of which is the formation of communicative competence of the future teacher, in particular in the context of the neuropedagogical approach. The authors highlight the approaches to the formation of students' communicative skills in the process of studying a block of pedagogical disciplines during the period of obtaining a pedagogical education. The paper asserts the need to follow a systematic approach in the formation of communicative competence as a dominant component of the professional competence of the future novice teacher. The effectiveness of his pedagogical activity, as the authors note, is determined by the content of the "communicative portrait" of students - future teachers, the effectiveness of the educational process depends on this. Such a position requires a new approach based on neuropedagogical components. It is the communicative knowledge, abilities and skills of the future teacher that will allow building the trajectory of object-subject and subject-subject interaction in a holistic educational process. A key component of communicative competence is the teacher's communicative culture, which ensures the effective construction of direct and feedback communication with the participants of the educational process. Professional activity always requires from the future teacher the ability to build strategy, tactics and techniques of subject-subject interactions, to organize joint activities with students to achieve educational goals.
文章揭示了培养未来教师的交际能力作为教学活动专业化的基本组成部分和职业活动的个人要求的现实意义。专业标准要求为教学活动做好准备,其基础是未来教师交际能力的形成,特别是在神经教育学方法的背景下。作者强调了在接受教育学教育期间,在学习一系列教育学学科的过程中培养学生交际能力的方法。本文认为,有必要采用系统的方法培养学生的交际能力,这是未来新教师职业能力的主要组成部分。作者指出,其教学活动的有效性取决于学生--未来教师--的 "交际画像 "内容,教育过程的有效性也取决于此。这样的定位需要一种基于神经教育学要素的新方法。正是未来教师的交际知识、能力和技能,才能在整体教育过程中构建客体-主体和主体-客体互动的轨迹。交际能力的一个重要组成部分是教师的交际文化,它确保有效地构建与教育过程参与者的直接和反馈交流。专业活动总是要求未来的教师有能力建立主客体互动的战略、战术和技巧,与学生共同组织活动以实现教育目标。
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引用次数: 0
Video Game Addiction Among Adolescents 青少年沉迷电子游戏
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/533
Cezara Crucianu, Vladimir Poroch, L. Burlea, Ovidiu Mihai Stefanescu, Anamaria Ciubară
In recent years, the field of video games has developed at an overwhelmingly rapid rate. Worldwide, it has managed to attract more than two billion users, of which the most important percentage was represented by teenagers. While video gaming is one of the most popular leisure activities, it has been proven that it poses some potential threats to the physical and mental health. This study aims to identify the positive and negative effects associated with the excessive playing of video games. It has been found that there are many misconceptions about the impact of video games on health. Research focused on the negative effects found serious consequences such as: reduced physical activity, vision problems, reduced patience, decreased concentration, depression, anxiety, aggression and sleep disturbances. However, recent studies have also recognized the potential benefits. These include: developing social skills, boosting mood, increasing self-confidence, developing problem-solving skills and spatial imagination. In conclusion it is important continuing the research and collaboration among professionals in the field to improve the outcomes and treatment for those affected.
近年来,电子游戏领域发展迅猛。在全球范围内,它已成功吸引了 20 多亿用户,其中青少年所占比例最大。虽然电子游戏是最受欢迎的休闲活动之一,但事实证明,它对身心健康构成了一些潜在的威胁。本研究旨在确定过度玩电子游戏所带来的积极和消极影响。研究发现,人们对电子游戏对健康的影响存在许多误解。侧重于负面影响的研究发现了一些严重后果,如:体力活动减少、视力问题、耐心下降、注意力不集中、抑郁、焦虑、攻击性和睡眠障碍。不过,最近的研究也认识到了潜在的益处。这些益处包括:培养社交技能、提高情绪、增强自信、培养解决问题的能力和空间想象力。总之,重要的是要继续开展研究,并在该领域的专业人员之间开展合作,以改善受影响者的治疗效果和治疗方法。
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引用次数: 0
The Influence of Bioactive Compounds in Food Products 食品中生物活性化合物的影响
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/563
O. Tița, Anamaria Ciubară, M. Tița, M. A. Constantinescu, A. Ciubară
Demand for healthy and nutritious food is growing worldwide. The aim is to produce food products that not only satisfy the need for food but also provide many nutritional benefits to the health of the consumer. The current study aims to produce a food product with high nutritional value. For this purpose, a fresh cow's milk cheese was fortified with grape powder. The amount of powder added was different, with 3 samples plus a control sample in which no powder was added. The resulting products were sensory analysed to determine consumer acceptability. The samples were also analysed physico-chemically and enzymatically, measuring pH, lactose and lactic acid content over a storage period of 14 days. Fresh cow's cheese samples with added grape powder obtained superior results compared to the control sample during the whole storage period. The grape powder added to fresh cow's cheese positively influenced the sensory and enzymatic characteristics of the finished product.
全世界对健康营养食品的需求与日俱增。我们的目标是生产出不仅能满足人们对食品的需求,还能为消费者的健康提供多种营养的食品。本研究旨在生产一种营养价值高的食品。为此,在新鲜牛乳奶酪中添加了葡萄粉。葡萄粉的添加量各不相同,有 3 个样品和一个未添加葡萄粉的对照样品。对所得产品进行了感官分析,以确定消费者的接受程度。此外,还对样品进行了理化和酶分析,在 14 天的储存期内测量 pH 值、乳糖和乳酸含量。与对照样品相比,添加了葡萄粉的新鲜牛乳干酪样品在整个贮藏期间都获得了更好的结果。在新鲜奶牛奶酪中添加葡萄粉对成品的感官和酶特性有积极影响。
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引用次数: 0
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BRAIN. Broad Research in Artificial Intelligence and Neuroscience
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