Simona Raluca Iacoban, Madalina Piron-Dumitrascu, Ioan Dumitru Suciu, D. Crețoiu, Nicolae Suciu
In the rapidly evolving healthcare landscape, integrative care delivery stands at the forefront of pioneering change, particularly in prenatal care. This comprehensive narrative review delves into the development of innovative models for integrative prenatal care, such as telemedicine-integrated home monitoring systems, mental health apps, virtual reality, artificial intelligence-powered predictive analytics and blockchain for secure health data management, proposing a paradigm shift from traditional methodologies to a more holistic, technology-empowered approach. We explore the interplay between cutting-edge technological advancements and interdisciplinary collaboration in crafting a care model that is patient-centric and adaptable to diverse healthcare settings. Moreover, key areas where integration can be significantly enhanced such as telemedicine, patient education, and continuous monitoring were identified, emphasizing the importance of synergy between medical expertise, patient engagement, and technology, aiming to improve outcomes for both mother and child and argue that the future of prenatal care lies in embracing innovation, flexibility, and inclusivity, setting a new standard in healthcare delivery. This work offers practical insights for healthcare professionals and policymakers aspiring to transform prenatal care into a more effective, accessible, and patient-friendly experience.
{"title":"Innovative Models for Integrative Prenatal Care","authors":"Simona Raluca Iacoban, Madalina Piron-Dumitrascu, Ioan Dumitru Suciu, D. Crețoiu, Nicolae Suciu","doi":"10.18662/brain/15.1/532","DOIUrl":"https://doi.org/10.18662/brain/15.1/532","url":null,"abstract":"In the rapidly evolving healthcare landscape, integrative care delivery stands at the forefront of pioneering change, particularly in prenatal care. This comprehensive narrative review delves into the development of innovative models for integrative prenatal care, such as telemedicine-integrated home monitoring systems, mental health apps, virtual reality, artificial intelligence-powered predictive analytics and blockchain for secure health data management, proposing a paradigm shift from traditional methodologies to a more holistic, technology-empowered approach. We explore the interplay between cutting-edge technological advancements and interdisciplinary collaboration in crafting a care model that is patient-centric and adaptable to diverse healthcare settings. Moreover, key areas where integration can be significantly enhanced such as telemedicine, patient education, and continuous monitoring were identified, emphasizing the importance of synergy between medical expertise, patient engagement, and technology, aiming to improve outcomes for both mother and child and argue that the future of prenatal care lies in embracing innovation, flexibility, and inclusivity, setting a new standard in healthcare delivery. This work offers practical insights for healthcare professionals and policymakers aspiring to transform prenatal care into a more effective, accessible, and patient-friendly experience.","PeriodicalId":504804,"journal":{"name":"BRAIN. Broad Research in Artificial Intelligence and Neuroscience","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139858866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The article investigates the problem of formation of future teachers' readiness to innovative activity, the role of computer technologies as a method of formation of students' information skills in the learning process. Based on the stated and analyzed interpretations of the authors about the concept of "innovations in education", the research position to consider innovation as an important element of education support in a state of dynamic development, adequate to the demands of today's society as a phenomenon of collective or formed individual professional creative activity of a teacher was formulated. On the example of the course, in which a systematic theoretical, methodological and practice-oriented training of students is carried out, the experience of formation of readiness of future teachers to innovative activity is described, the leading forms of pedagogical activity are presented. According to the results of the study it is concluded that the formation of the future teacher's readiness for innovative activity contributes to the identification of the conceptual position of the specialty, the identification of development resources and innovation (including potential) and their critical evaluation, creating conditions for finding innovative solutions in education. This competence is an important part of the professionalism of the today's teacher. Also in the article the role of computer technologies as a method of formation of students' information skills in the learning process is studied; e-learning tools as a basic step of realization of digital pedagogical technologies, the structure of the author's system of preparation of university teacher to the application of e-learning tools in professional activity is given.
{"title":"Computer Technologies as a Method of Forming Students' Information Skills in the Process of Learning","authors":"Oksana Shelever, Oksana Bazulevska, Hanna Lopatina, Zhanna Cherniakova, Vadym Lisovyi, Vira Polishchuk","doi":"10.18662/brain/15.1/559","DOIUrl":"https://doi.org/10.18662/brain/15.1/559","url":null,"abstract":"The article investigates the problem of formation of future teachers' readiness to innovative activity, the role of computer technologies as a method of formation of students' information skills in the learning process. Based on the stated and analyzed interpretations of the authors about the concept of \"innovations in education\", the research position to consider innovation as an important element of education support in a state of dynamic development, adequate to the demands of today's society as a phenomenon of collective or formed individual professional creative activity of a teacher was formulated. On the example of the course, in which a systematic theoretical, methodological and practice-oriented training of students is carried out, the experience of formation of readiness of future teachers to innovative activity is described, the leading forms of pedagogical activity are presented. According to the results of the study it is concluded that the formation of the future teacher's readiness for innovative activity contributes to the identification of the conceptual position of the specialty, the identification of development resources and innovation (including potential) and their critical evaluation, creating conditions for finding innovative solutions in education. This competence is an important part of the professionalism of the today's teacher. Also in the article the role of computer technologies as a method of formation of students' information skills in the learning process is studied; e-learning tools as a basic step of realization of digital pedagogical technologies, the structure of the author's system of preparation of university teacher to the application of e-learning tools in professional activity is given.","PeriodicalId":504804,"journal":{"name":"BRAIN. Broad Research in Artificial Intelligence and Neuroscience","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139859922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Tanasă, B. Abalașei, Iulian Dumitru, Lucian Popescu, Carmen Ene - Voiculescu, Virgil Ene - Voiculescu, C. E. Moraru
The purpose of the study was identified by the effort to complement the standard sports training programme with a portfolio of innovative means and methods to optimise the process of achieving performance in gymnastics competitions. The group of subjects investigated was female and consisted of 19 gymnasts, aged 10 - 12 years. They were tested initially and finally to determine the effects that going through the training program had on the analyzed indicators. The Matorin, Flamingo, Balance Plate Position Maintenance and the "Y" tests were used in the research. We used descriptive statistics (Arithmetic Mean, Standard Deviation, Median, Confidence Interval and Coefficient of Variation) and significance tests which were used to assess the statistical significance of the difference between the means for two sets of scores (STUDENT paired sample t-test and Wilcoxon test). Based on the results recorded, we identified a significant difference between the mean values for the two tests. Following the results obtained, we can confirm that they help to form an overall picture from the perspective of motor skills on gymnasts and that there is a significant effectiveness of the motor intervention program in the sports training process.
这项研究的目的在于通过创新的手段和方法组合来补充标准的体育训练计划，从而优化体操比赛中的表现过程。研究对象为女性，包括 19 名体操运动员，年龄在 10-12 岁之间。对她们进行了初步和最终测试，以确定训练计划对分析指标的影响。研究中使用了马托林、火烈鸟、平衡板位置保持和 "Y "测试。我们使用了描述性统计（算术平均数、标准偏差、中位数、置信区间和变异系数）和显著性检验（STUDENT 配对样本 t 检验和 Wilcoxon 检验）来评估两组分数平均值之间差异的统计显著性。根据所记录的结果，我们发现两次检验的平均值之间存在显著差异。根据所获得的结果，我们可以确认，这些结果有助于从体操运动员运动技能的角度形成一个整体画面，并确认运动干预计划在体育训练过程中具有显著效果。
{"title":"Investigating the Influence of Personalized Training on the Optimization of Some Psychomotor Behaviors Among Junior Gymnasts in the Training Process (Moldova Region, Romania)","authors":"A. Tanasă, B. Abalașei, Iulian Dumitru, Lucian Popescu, Carmen Ene - Voiculescu, Virgil Ene - Voiculescu, C. E. Moraru","doi":"10.18662/brain/15.1/562","DOIUrl":"https://doi.org/10.18662/brain/15.1/562","url":null,"abstract":"The purpose of the study was identified by the effort to complement the standard sports training programme with a portfolio of innovative means and methods to optimise the process of achieving performance in gymnastics competitions. The group of subjects investigated was female and consisted of 19 gymnasts, aged 10 - 12 years. They were tested initially and finally to determine the effects that going through the training program had on the analyzed indicators. The Matorin, Flamingo, Balance Plate Position Maintenance and the \"Y\" tests were used in the research. We used descriptive statistics (Arithmetic Mean, Standard Deviation, Median, Confidence Interval and Coefficient of Variation) and significance tests which were used to assess the statistical significance of the difference between the means for two sets of scores (STUDENT paired sample t-test and Wilcoxon test). Based on the results recorded, we identified a significant difference between the mean values for the two tests. Following the results obtained, we can confirm that they help to form an overall picture from the perspective of motor skills on gymnasts and that there is a significant effectiveness of the motor intervention program in the sports training process.","PeriodicalId":504804,"journal":{"name":"BRAIN. Broad Research in Artificial Intelligence and Neuroscience","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139860257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marius Moroianu, M. Matei, L. Moroianu, Cecilia Curis, R. Mihailov, O. Mihailov
The subject of anxiety related to dental treatments is recognized and long debated in medical literature. There are various motivations, starting with individual, age-related, social, economic or strictly medical reasons. Considering the medical and psychological importance of oral health that impact the whole organism health, there is an increasingly sustained, interdisciplinary concern, with the involvement of dentists, generalists, psychologists or psychiatrists. This situation is quantified at the individual and social level with reference to both the financial costs and the organic and psychological suffering determined by this medico-psycho-social problem. This is why the authors of this article proposed in the current study to determine if there is a difference in terms of anxiety towards dental treatments in subjects trained from a medical point of view versus people without medical instruction. The study used an online questionnaire and was carried out over a period of one month in the year 2023. The data were processed with the help of LibreOffice Calc and Microsoft Excel. The conclusions of the study revealed that poor oral health can serve as a precursor to anxiety and depression, creating a link between oral hygiene and mental well-being. Oral pain, embarrassment and the resulting self-consciousness can contribute to feelings of anxiety and depression, feelings that exist no matter if there were subjects trained in medical field or not, therefore individuals may have difficulty socializing, communicating, and maintaining a positive self-image.
在医学文献中，与牙科治疗有关的焦虑是一个公认的话题，也是一个争论已久的话题。焦虑的动机多种多样，有个人原因、年龄原因、社会原因、经济原因或严格意义上的医学原因。考虑到口腔健康在医学和心理上的重要性，以及对整个机体健康的影响，牙科医生、全科医生、心理学家或精神科医生越来越多地参与到跨学科的持续关注中来。这种情况在个人和社会层面都得到了量化，既涉及到经济成本，也涉及到这一医学-心理-社会问题所造成的机体和心理痛苦。因此，本文作者建议在本研究中确定接受过医学培训的受试者与未接受过医学培训的受试者对牙科治疗的焦虑程度是否存在差异。这项研究采用在线问卷调查的方式，在 2023 年的一个月内进行。数据借助 LibreOffice Calc 和 Microsoft Excel 进行处理。研究结论显示，口腔健康状况不佳可能是焦虑和抑郁的前兆，从而在口腔卫生和心理健康之间建立了联系。口腔疼痛、尴尬和由此产生的自我意识会导致焦虑和抑郁情绪，无论受试者是否接受过医学领域的培训，这种情绪都会存在，因此，个人可能在社交、沟通和保持积极的自我形象方面遇到困难。
{"title":"Dental Anxiety- a Prospective Study among Medical and Non-Medical Subjects","authors":"Marius Moroianu, M. Matei, L. Moroianu, Cecilia Curis, R. Mihailov, O. Mihailov","doi":"10.18662/brain/15.1/550","DOIUrl":"https://doi.org/10.18662/brain/15.1/550","url":null,"abstract":"The subject of anxiety related to dental treatments is recognized and long debated in medical literature. There are various motivations, starting with individual, age-related, social, economic or strictly medical reasons. Considering the medical and psychological importance of oral health that impact the whole organism health, there is an increasingly sustained, interdisciplinary concern, with the involvement of dentists, generalists, psychologists or psychiatrists. This situation is quantified at the individual and social level with reference to both the financial costs and the organic and psychological suffering determined by this medico-psycho-social problem. This is why the authors of this article proposed in the current study to determine if there is a difference in terms of anxiety towards dental treatments in subjects trained from a medical point of view versus people without medical instruction. The study used an online questionnaire and was carried out over a period of one month in the year 2023. The data were processed with the help of LibreOffice Calc and Microsoft Excel. The conclusions of the study revealed that poor oral health can serve as a precursor to anxiety and depression, creating a link between oral hygiene and mental well-being. Oral pain, embarrassment and the resulting self-consciousness can contribute to feelings of anxiety and depression, feelings that exist no matter if there were subjects trained in medical field or not, therefore individuals may have difficulty socializing, communicating, and maintaining a positive self-image.","PeriodicalId":504804,"journal":{"name":"BRAIN. Broad Research in Artificial Intelligence and Neuroscience","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139861059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The need for a medical consultation always generates an unpleasant sensation, which becomes more accentuated, when the doctor is a surgeon. The surgeon is next to the dentist, gynecologist and psychiatrist, the doctor to whom the patient turns with the greatest fear. The operative indication and the discussion of therapeutic perspectives can trigger a psycho-emotional imbalance, leading to tomophobia. In fact, it is a complex psychological reaction, including odynophobia (fear of pain), dysmorphophobia (fear of postoperative bodily sequelae), hypnophobia (fear of anesthetic sleep, from which one could not wake up), trypanophobia (fear of injections, needles, scalpel), pantophobia (fear of everything that happens around, in this case, in the hospital environment) and above all, thanatophobia (fear of death). Therefore, it can be stated that the surgical intervention is a test of the psycho-affective capacity. The paper presents the authors' experience in 20 years (2002-2021), related to the psychological management of surgical patients, subjected to medium or large-scale surgical interventions (75% performed in emergency mode), in 958 patients. Mental stress can have consequences, both on the reactivity of the surgical patient and on his postoperative evolution. In the time crunch and in the absence of a psychologist, available to offer specific advice on medical objectives, the management of perioperative anxiety rests with the surgeon and the nursing staff.
{"title":"Some Aspects Regarding the Psychology of the Surgical Patient","authors":"D. Voicu, Constantin Popazu, D. Stan, Ş. Burlea","doi":"10.18662/brain/15.1/565","DOIUrl":"https://doi.org/10.18662/brain/15.1/565","url":null,"abstract":"The need for a medical consultation always generates an unpleasant sensation, which becomes more accentuated, when the doctor is a surgeon. The surgeon is next to the dentist, gynecologist and psychiatrist, the doctor to whom the patient turns with the greatest fear. The operative indication and the discussion of therapeutic perspectives can trigger a psycho-emotional imbalance, leading to tomophobia. In fact, it is a complex psychological reaction, including odynophobia (fear of pain), dysmorphophobia (fear of postoperative bodily sequelae), hypnophobia (fear of anesthetic sleep, from which one could not wake up), trypanophobia (fear of injections, needles, scalpel), pantophobia (fear of everything that happens around, in this case, in the hospital environment) and above all, thanatophobia (fear of death). Therefore, it can be stated that the surgical intervention is a test of the psycho-affective capacity. \u0000The paper presents the authors' experience in 20 years (2002-2021), related to the psychological management of surgical patients, subjected to medium or large-scale surgical interventions (75% performed in emergency mode), in 958 patients. \u0000Mental stress can have consequences, both on the reactivity of the surgical patient and on his postoperative evolution. In the time crunch and in the absence of a psychologist, available to offer specific advice on medical objectives, the management of perioperative anxiety rests with the surgeon and the nursing staff.","PeriodicalId":504804,"journal":{"name":"BRAIN. Broad Research in Artificial Intelligence and Neuroscience","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139861516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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。
{"title":"Strategies for Prevention and Management of Burnout Syndrome at the Medical Staff","authors":"C. Moscu, I. Chiscop, Lucreţia Anghel, D. Voinescu, I. Fulga, Anamaria Ciubara","doi":"10.18662/brain/15.1/551","DOIUrl":"https://doi.org/10.18662/brain/15.1/551","url":null,"abstract":"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. \u0000Material 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. \u0000Discussions. 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. \u0000Conclusions. 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. \u0000 ","PeriodicalId":504804,"journal":{"name":"BRAIN. Broad Research in Artificial Intelligence and Neuroscience","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139799086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Moscu, Ciprian Vlad, Pușica Zainea, Anamaria Ciubară
Introduction. Burnout syndrome is a manifestation of chronic stress characterized by emotional, mental and physical exhaustion, caused by occupational stressors and is represented by three dimensions: emotional exhaustion, depersonalization and decreased personal performance. The COVID-19 pandemic had a major impact on the medical system, with a psychological impact on the medical staff. This emotional and physical exhaustion is also found among nurses. Material and methods. We studied a total of 112 participants receiving 80 valid questionnaires. This was a descriptive, cross-sectional study of the medical staff within the UPU-SMURD section of the County Emergency Clinical Hospital “St. Ap. Andrei” Galați, who is in the front line in the fight against coronavirus. After signing an informed consent, the participants completed a socio-demographic questionnaire and the MBI-HSS (MP) questionnaire to assess their level of burnout. Results. The aim of our study was to identify the prevalence of burnout syndrome among emergency department nurses in the context of the Covid-19 pandemic. The study found that 46.2% of nurses suffer from an average level of burnout, and only 32.5% suffer from a high level. Also, emotional exhaustion is directly proportional to professional experience and age. Conclusions. The prevalence of burnout syndrome is high, with most front-line nurses suffering from moderate to severe burnout.
{"title":"The Prevalence of Burnout Syndrome Among Emergency Department Nurses","authors":"C. Moscu, Ciprian Vlad, Pușica Zainea, Anamaria Ciubară","doi":"10.18662/brain/15.1/552","DOIUrl":"https://doi.org/10.18662/brain/15.1/552","url":null,"abstract":"Introduction. Burnout syndrome is a manifestation of chronic stress characterized by emotional, mental and physical exhaustion, caused by occupational stressors and is represented by three dimensions: emotional exhaustion, depersonalization and decreased personal performance. The COVID-19 pandemic had a major impact on the medical system, with a psychological impact on the medical staff. This emotional and physical exhaustion is also found among nurses. \u0000Material and methods. We studied a total of 112 participants receiving 80 valid questionnaires. This was a descriptive, cross-sectional study of the medical staff within the UPU-SMURD section of the County Emergency Clinical Hospital “St. Ap. Andrei” Galați, who is in the front line in the fight against coronavirus. After signing an informed consent, the participants completed a socio-demographic questionnaire and the MBI-HSS (MP) questionnaire to assess their level of burnout. \u0000Results. The aim of our study was to identify the prevalence of burnout syndrome among emergency department nurses in the context of the Covid-19 pandemic. The study found that 46.2% of nurses suffer from an average level of burnout, and only 32.5% suffer from a high level. Also, emotional exhaustion is directly proportional to professional experience and age. \u0000Conclusions. The prevalence of burnout syndrome is high, with most front-line nurses suffering from moderate to severe burnout.","PeriodicalId":504804,"journal":{"name":"BRAIN. Broad Research in Artificial Intelligence and Neuroscience","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139800458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marius Moroianu, M. Matei, L. Moroianu, Cecilia Curis, R. Mihailov, O. Mihailov
The subject of anxiety related to dental treatments is recognized and long debated in medical literature. There are various motivations, starting with individual, age-related, social, economic or strictly medical reasons. Considering the medical and psychological importance of oral health that impact the whole organism health, there is an increasingly sustained, interdisciplinary concern, with the involvement of dentists, generalists, psychologists or psychiatrists. This situation is quantified at the individual and social level with reference to both the financial costs and the organic and psychological suffering determined by this medico-psycho-social problem. This is why the authors of this article proposed in the current study to determine if there is a difference in terms of anxiety towards dental treatments in subjects trained from a medical point of view versus people without medical instruction. The study used an online questionnaire and was carried out over a period of one month in the year 2023. The data were processed with the help of LibreOffice Calc and Microsoft Excel. The conclusions of the study revealed that poor oral health can serve as a precursor to anxiety and depression, creating a link between oral hygiene and mental well-being. Oral pain, embarrassment and the resulting self-consciousness can contribute to feelings of anxiety and depression, feelings that exist no matter if there were subjects trained in medical field or not, therefore individuals may have difficulty socializing, communicating, and maintaining a positive self-image.
在医学文献中，与牙科治疗有关的焦虑是一个公认的话题，也是一个争论已久的话题。焦虑的动机多种多样，有个人原因、年龄原因、社会原因、经济原因或严格意义上的医学原因。考虑到口腔健康在医学和心理上的重要性，以及对整个机体健康的影响，牙科医生、全科医生、心理学家或精神科医生越来越多地参与到跨学科的持续关注中来。这种情况在个人和社会层面都得到了量化，既涉及到经济成本，也涉及到这一医学-心理-社会问题所造成的机体和心理痛苦。因此，本文作者建议在本研究中确定接受过医学培训的受试者与未接受过医学培训的受试者对牙科治疗的焦虑程度是否存在差异。这项研究采用在线问卷调查的方式，在 2023 年的一个月内进行。数据借助 LibreOffice Calc 和 Microsoft Excel 进行处理。研究结论显示，口腔健康状况不佳可能是焦虑和抑郁的前兆，从而在口腔卫生和心理健康之间建立了联系。口腔疼痛、尴尬和由此产生的自我意识会导致焦虑和抑郁情绪，无论受试者是否接受过医学领域的培训，这种情绪都会存在，因此，个人可能在社交、沟通和保持积极的自我形象方面遇到困难。
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O. Mihailov, R. Mihailov, Ciprian Dinu, A. Ciubară
Tuberculosis (TB) is an important and topical problem at global level, so it remains a challenge for public health policies . According to the World Health Organization (WHO), in 2018, about 10 million new TB cases worldwide were estimated. Of these, 11% are children under the age of 15. In addition to these alarming data, TB is responsible for 130,000 deaths per year in children and it is estimated that there are approximately 1 million TB-cases in the global population of children, being one of the top 10 causes of death in children worldwide. According to the WHO, there are economic, social, cultural, ethnic/racial, psychological and behavioral factors that interfere with the occurrence of diseases, and these factors are attributed to the persistence of infectious diseases such as TB in the population, even today. Numerous specialized studies strengthen the hypothesis of associating social vulnerability with TB emergence and distribution in the community. Therefore, the development of more accurate estimates of pediatric TB cases is an urgent need for public policy scheduling and resource allocation and, consequently, for reducing morbidity and mortality from TB among children.
{"title":"The Importance of Involving a Multidisciplinary Team in the Management of a Patient Diagnosed with TB, Associating Erythema Nodosum","authors":"O. Mihailov, R. Mihailov, Ciprian Dinu, A. Ciubară","doi":"10.18662/brain/15.1/545","DOIUrl":"https://doi.org/10.18662/brain/15.1/545","url":null,"abstract":"Tuberculosis (TB) is an important and topical problem at global level, so it remains a challenge for public health policies . According to the World Health Organization (WHO), in 2018, about 10 million new TB cases worldwide were estimated. Of these, 11% are children under the age of 15. In addition to these alarming data, TB is responsible for 130,000 deaths per year in children and it is estimated that there are approximately 1 million TB-cases in the global population of children, being one of the top 10 causes of death in children worldwide. According to the WHO, there are economic, social, cultural, ethnic/racial, psychological and behavioral factors that interfere with the occurrence of diseases, and these factors are attributed to the persistence of infectious diseases such as TB in the population, even today. Numerous specialized studies strengthen the hypothesis of associating social vulnerability with TB emergence and distribution in the community. \u0000Therefore, the development of more accurate estimates of pediatric TB cases is an urgent need for public policy scheduling and resource allocation and, consequently, for reducing morbidity and mortality from TB among children. ","PeriodicalId":504804,"journal":{"name":"BRAIN. Broad Research in Artificial Intelligence and Neuroscience","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139862465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"An Insidious Comorbidity: Depression and Chronic Heart Failure","authors":"A. Petris","doi":"10.18662/brain/15.1/566","DOIUrl":"https://doi.org/10.18662/brain/15.1/566","url":null,"abstract":"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.","PeriodicalId":504804,"journal":{"name":"BRAIN. Broad Research in Artificial Intelligence and Neuroscience","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139799248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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