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Abstract Background Burnout is evidenced to have adverse effect on the well-being of health workers. Although several risk factors of burnout have been found, only a hand full of studies have examined the role of teamwork quality. This study therefore sought to explore the relationship between the sub-dimensions of burnout and teamwork quality. Method This is an empirical study involving health workers who have practising certificate from the National Health Commission of the People’s Republic of China. Relying on the study’s target population, a sample of 939 healthworkers complied to partake in the survey. Data were obtained from the administration of a well-structured electronic questionnaire containing the Maslach Burnout Inventory together with Healthy and Resilient Organization (HERO) scales correspondingly. The scales were then analysed using the canonical correlation approach (CCA). Results The results unveiled a statistically significant correlation between teamwork quality and health worker burnout indicating that teamwork quality and burnout are canonically correlated. Further, examination on the relationship existing between the dimensions of teamwork quality and burnout unveiled that with the exception of personal accomplishment and teamwork dedication, teamwork quality sub-scales (teamwork vigour and teamwork absorption) were negatively related to emotional exhaustion and depersonalization as sub-scales of burnout, respectively. Conclusion The study concluded that, surge in teamwork quality leads to reduced emotional exhaustion and reduced depersonalization while simultaneously increasing professional accomplishment. Therefore, this study presents a solid foundation for decreasing burnout syndrome in healthcare that can be implemented by successfully increasing levels of teamwork quality.

Glomerulonefrita cronică se dezvoltă treptat, poate fi depistată ocazional în absența simptoamelor [19]. Varianta cronică a bolii nu are o cauză certă. Glomerulonefritele cronice sunt cauza de la 35% până la 55% din insuficiență renală în stadiu terminal, în funcție de țări sau regiuni [20, 22]. Scopul acestei lucrări - stabilirea și evaluarea prognosticului glomerulonefritelor cronice în dependență de tratamentul aplicat la pacienții cu glomerulonefrită cronică. A fost stabilit - în dependență de sindromul clinic principal prezent: 29 (48,3%) pacienți – au fost cu forma mixta, 16 (26,6%) pacienți – cu sindromul nefritic, 11 (18,3%) pacienți – cu sindromul nefrotic, 3 (5%) pacient – cu forma hematurica și 1 (1,6%) pacient – cu sindromul hipertensiv. După tratamentul aplicat: 57 (95%) din toți pacienți primesc terapie antihipertensivă; 52 (86,6%) pacienți primesc diuretice; 49 (81,6%) pacienți primesc statine; 31 (51,6%) pacienți administrează glucocorticosteroizi; 29 (48,3%) pacienți primesc citostatice; 20 (33,3%) sunt cu terapie antianemica.

BackgroundTracheal intubation is commonly performed after direct laryngoscopy using Macintosh laryngoscopes (MacL), but visualization of the larynx may be inadequate. The VieScope (VSC) as a new type of laryngoscope consisting of a straight, shielded, illuminated tube used to perform intubation via a bougie was investigated in this prospective randomized trial in patients without expected difficult airways.MethodsWith ethics approval, 2 × 29 patients for elective surgery were randomized 1:1 to intubation with VSC or MacL. Endpoints were first attempt success rates (FAS), Percentage of Glottis Opening Scale (POGO), time to intubation (TTI), and difficulty ratings on visual analog scales (0–100, lower values better). Data are given as mean ± standard deviation.ResultsThe FAS was 83 ± 38% for VSC and 86 ± 34% for MacL (P = 0.723). For VSC, POGO was 86 ± 17% and for MacL 68 ± 30% (P = 0.007). TTI for VSC was 93 ± 67s vs. 38 ± 17 for MacL (P < 0.001). Difficulty of intubation was rated 23 ± 22 for VSC vs. 18 ± 22 for MacL (P = 0.422), viewing conditions 12 ± 15 vs. 24 ± 25 (P = 0.031), and difficulty of tube placement was rated 27 ± 30 vs. 7 ± 8 (P = 0.001).ConclusionNo difference in FAS was detected between VSC and MacL. Visualization of the larynx was superior using the VSC, while TTI was prolonged and tube placement via bougie was more challenging. The VSC could be an alternative to MacL in patients with difficult laryngoscopy, but this should be investigated further in patients with expected difficult airways.

Background and Objectives: Stigma and lack of acceptance in society might have detrimental effects on the quality of life of patients with psoriasis, sometimes being comparable with other chronic diseases and conditions that affect the appearance of a patient, such as burns. Therefore, we surveyed our patients diagnosed with psoriasis to determine the implications of misinformation and stigma for their quality of life, depression, and coping strategies stratified by different age categories. Materials and Methods: A cross-sectional study was designed for a sample size of a minimum of 45 patients considering a prevalence of psoriasis of 2–3% in the general population. The study participants (patients and controls) were given both a paper-based unstandardized questionnaire and an online version of three standardized surveys. The cohort of patients was further split into three age groups to determine their age-related quality of life and coping mechanisms. Results: The proportion of patients with a history of depression and depressive symptoms among patients with psoriasis was significantly higher. Multiple discrepancies were observed between patients and controls regarding questions that targeted stigma and misinformation. On the Coping Orientation to Problems Experienced Inventory (COPE-60) questionnaire, older patients were more likely to use positive coping mechanisms such as engagement and problem-focused coping, while the young patients were using more emotion-focused coping mechanisms. However, patients in the 30–50 age range group scored the highest on physical and mental health among all participants who filled the 12-Item Short Form Survey (SF-12) survey. The Dermatology Life Quality Index (DLQI) results showed significantly more patients answering “a lot and very much” concerning embarrassment and social activities, while sexual difficulties affected the older patients. The strongest correlations with depression were observed in the young patient group, who believed that psoriasis can cause skin cancer (rho = 0.418) and who had sexual difficulties (rho = 0.414) and embarrassment (rho = 0.359) as evaluated by the DLQI survey. In the 30- to 50-year-old group, the strongest correlations were with the feeling of being stigmatized (rho = 0.376), having sexual difficulties (rho = 0.367) and disengagement coping style (rho = 273). Conclusions: While the respondents are reasonably well-informed regarding psoriasis, a degree of stigma remains, likely due to involuntary emotional responses such as repulsion and embarrassment. It is essential to establish initiatives aimed at educating the general public, raising awareness, and establishing a more tolerant social environment for psoriasis patients.

PurposeIt is unknown if direct epiglottis lifting or conversion to hyperangulated videolaryngoscopes, or even direct epiglottis lifting with hyperangulated videolaryngoscopes, may optimize glottis visualization in situations where Macintosh videolaryngoscopy turns out to be more difficult than expected. This study aims to determine if the percentage of glottic opening (POGO) improvement achieved by direct epiglottis lifting is non-inferior to the one accomplished by a conversion to hyperangulated videolaryngoscopy in these situations.MethodsOne or more optimization techniques were applied in 129 difficult Macintosh videolaryngoscopy cases in this secondary analysis of a prospective observational study. Stored videos were reviewed by at least three independent observers who assessed the POGO and six glottis view grades. A linear mixed regression and a linear regression model were fitted. Estimated marginal means were used to analyze differences between optimization maneuvers.ResultsIn this study, 163 optimization maneuvers (77 direct epiglottis lifting, 57 hyperangulated videolaryngoscopy and 29 direct epiglottis lifting with a hyperangulated videolaryngoscope) were applied exclusively or sequentially. Vocal cords were not visible in 91.5% of the cases with Macintosh videolaryngoscopy, 24.7% with direct epiglottis lifting, 36.8% with hyperangulated videolaryngoscopy and 0% with direct lifting with a hyperangulated videolaryngoscope. Conversion to direct epiglottis lifting improved POGO (mean + 49.7%; 95% confidence interval [CI] 41.4 to 58.0; p

The COVID-19 pandemic highlighted the need to prioritise mature digital health and data governance at both national and supranational levels to guarantee future health security. The Riyadh Declaration on Digital Health was a call to action to create the infrastructure needed to share effective digital health evidence-based practices and high-quality, real-time data locally and globally to provide actionable information to more health systems and countries. The declaration proposed nine key recommendations for data and digital health that need to be adopted by the global health community to address future pandemics and health threats. Here, we expand on each recommendation and provide an evidence-based roadmap for their implementation. This policy document serves as a resource and toolkit that all stakeholders in digital health and disaster preparedness can follow to develop digital infrastructure and protocols in readiness for future health threats through robust digital public health leadership.

Pregnancy represents a psychologically and emotionally vulnerable period, and research indicates that pregnant women have a higher prevalence of symptoms of anxiety and depression, debunking the myth that hormonal changes associated with pregnancy protect the mother. In recent years, several researchers have focused on the study of prenatal anxiety/depression—emotional disorders manifested by mood lability and low interest in activities—with a high prevalence. The main objective of this research was to conduct an antenatal screening in a cohort of pregnant women hospitalized for delivery in order to assess the prevalence of anxiety and depression. The secondary objective was to identify the risk factors associated with depression and anxiety in women in the third trimester of pregnancy. We carried out a prospective study in which we evaluated 215 pregnant women in the third trimester of pregnancy hospitalized for childbirth at the Obstetrics and Gynecology Clinic of the Târgu-Mureș County Clinical Hospital. The research was carried out between December 2019 and December 2021. The results showed that age and the environment of origin are the strongest predictors of mental health during pregnancy (OR = 0.904, 95%CI: 0.826–0.991; p = 0.029). For women from urban areas, there is an increased probability of falling at a higher level on the dependent variable (moderate depression) (OR = 2.454, 95%CI: 1.086–5.545; p = 0.032). In terms of health behaviors, none of the variables were statistically significant predictors of the outcome variable. The study highlights the importance of monitoring mental health during pregnancy and identifying relevant risk factors to provide appropriate care to pregnant women and the need for interventions to support the mental health of pregnant women. Especially in Romania, where there is no antenatal or postnatal screening for depression or other mental health conditions, these results could be used to encourage the implementation of such screening programs and appropriate interventions.

Prevalența afectării cardiorenale este în continuă creștere și este însoțită de mortalitate și morbiditate înaltă, iar diagnosticul sindromului cardiorenal este o adevărata provocare. Eficientizarea aprecierii și stratificării riscului cardiorenal este crucială. Clasificăm, de obicei, pacienții în funcție de RFG estimată și nu distingem între moleculele utilizate pentru măsurători, presupunând ca vom avea același rezultat pentru oricare dintre markeri.

În pofida progresului în managementul insuficienței cardiace, prognosticul rămâne rezervat. Estimarea riscului este dificilă din cauza spectrului larg de comorbidități din această populație. Cea mai importantă co-morbiditate, asociată cu creșterea mortalității este afectarea funcției renale. În acest studiu, ne-am propus evaluarea performanței prognostice a markerilor de afectare renală la pacienții cu insuficiență cardiacă cronică.

Circa 50% din pacienţii cu semne şi simptome de insuficiență cardiacă cronică au funcţie sistolică normală sau aproape normală. Sunt cunoscute riscurile sporite de evenimente cardiovasculare şi mortalitate crescută la pacienţii cu insuficiență cardiacă şi fracția de ejecție preservată. Interesul sporit pentru insuficiența cardiacă cu fracția de ejecție preservată a condus la o explozie de cercetări clinice şi iniţierea mai multor trialuri în ultimii 20 de ani. În acest articol au fost elucidate date epidemiologice, fiziopatologice, trialuri existente şi studii clinice de perspectivă.

În pofida progreselor semnificative în promovarea sănătății cardiovasculare, în Republica Moldova, bolilor cardiovasculare li se atribuie 59% în structura mortalității generale. Dislipidemia și obezitatea sunt recunoscute ca factori de risc cardiovascular modificabili, astfel impactul impetuos al acestora poate fi influențat. Delimitarea timpurie a grupurilor de pacienți cu risc cardiovascular sporit va optimiza diagnosticul la etapele presimptomatice, ceea ce conferă importanță pentru strategiile individualizate de profilaxie în rândul tinerilor. Scopul. Estimarea ratei obezității și a dislipidemiei în lotul femeilor tinere din Republica Moldova. Materiale și metode. Studiul transversal a fost realizat cu participarea a 302 femei tinere (17-29 ani), aparent sănătoase, înmatriculate la Universitatea de Stat de Medicină și Farmacie „N. Testemițanu“ în 2011. S-au analizat următorii parametri biochimici și antropometrici: HDL colesterol, colesterol total, trigliceride, non-HDL colesterol, indicele masei corporale, circumferința abdominală. Rezultate. Rezultatele studiului au demonstrat că peste 47% (143 subiecți) din populația tânără studiată au prezentat cel puțin un parametru lipidic modificat (hipertrigliceridemie (23%), hipercolesterolemie (28,6%), concentrația serică de non-HDL colesterol mărită (23%) și reducerea concentrației serice a HDL colesterolului (57%)). Obezitatea de tip abdominal a fost documentată la 86 de participante de sex feminin (28,5%), iar 19,5% au fost supraponderale / obeze conform parametrului IMC (criterii OMS), dintre care 15 tinere au fost obeze. Concluzii. În rândul femeilor tinere din Republica Moldova s-a constatat o rată alarmantă a dislipidemie și a obezității asimptomatice. Constatările noastre susțin necesitatea aplicării precoce a unor strategii personalizate în acest grup de vârstă.

Diabetic cardiomyopathy (DCM) is a distinct condition with a pathogenesis that is independent from coronary artery disease and can lead to heart failure in diabetic patients. In some patients, diastolic dysfunction may progress to heart failure with reduced ejection fraction and results in systolic heart failure. Since DCM is highly prevalent in the asymptomatic diabetic patients, screening for its presence and the diagnosis of functional myocardial abnormalities (echocardiography and other cardiac imaging techniques) in diabetic populations can have a favorable impact on the progression to chronic heart failure.

În articol se abordează unele aspecte fiziopatologice, clinice și de diagnostic al hiperaldosteronismului primar, care este o cauză a hipertensiunii arteriale secundare și reprezintă una din formele de HTA endocrine cu o prevalență crescută. Luând în considerație heterogenitatea fenotipică a hiperaldosteronismului primar sunt necesare investigații complexe pentru precizarea formei etiopatogenice și alegerea tratamentului corect. De o importanță vădită sunt testele bazale și dozările hormonale în screening-ul pacienților hipertensivi, deoarece hiperaldosteronismul corect tratat duce la vindecarea HTA sau la scăderea necesarului de medicamente hipotensoare