scholarly journals Features of psychosomatization of medical professionals with occupational deformations

2020 ◽  
Vol 64 (5) ◽  
pp. 278-286
Author(s):  
Olga B. Polyakova ◽  
Tatyana I. Bonkalo

Introduction. The stressful conditions of the occupational activity of medical workers lead to the appearance of symptoms of occupational deformations and psychosomatization in them. Purpose. The purpose of identifying the features of medical workers with occupational deformations was achieved by interviewing 6830 medical workers, including 816 cases with pronounced deformations of a professional plan, and establishing links between the components of occupational deformations and psychosomatization. Material and methods. There were used Maslach Burnout Inventory and its modification, Mental Burnout Definition Questionnaire, Questionnaire for Identifying Problems and Their Impact on Health, Psychosomatics of Our Lives, Giessen somatic complaint questionnaire. Mathematical and statistical processing included descriptive statistics, C. Pearson’s correlation criterion, and Cheddock’s table. Results. Medical workers with a high level of exhaustion of emotional and psychoemotional species have a higher average level with a tendency to a high level of deformations of the occupational occupational plan, a higher average level of reduction changes in personal and professional achievements and motivation professional species and an average level of depersonalization processes and estrangement of personal and professional nature dominates exhaustion emotional and psychoemotional species, which determines a high level of complaints about the activity of the cardiovascular system (heart complaints) and intensity of complaints, above average complaints about the activity of the digestive and respiratory systems, gastric complaints, the average level of complaints about the activity of the musculoskeletal system, complaints negative skin reactions, pain in various parts of the body. Discussion. The results of studies by domestic and foreign doctors and psychologists confirm the need for diagnostics, prevention, and correction of professional deformation and leveling of psychosomatic symptoms of medical workers in the context of health care reform. Conclusion. Psychosomatization of medical workers with professional deformations develops according to the coronary type, which gives reason to recommend to medical workers systematic diagnosis, prevention, and treatment of disorders of the cardiovascular system.

Author(s):  
Irina Masliak ◽  
Krivoruchko Natalia ◽  
Yuliia Slobodianiuk

The article provides the results of determining the level of physical development of the 1th-2nd course students of design specialties of the College of Construction, Architecture and Design. The physical development of students was determined by indicators of harmony of the bodybuilding (Kettle index 2), functional state of the cardiovascular system (Ruffier index), and respiratory system (Stange test). Length and weight of the body, heart rate, breathing delay time were measured. As a result of the researches, the “average” level of the physical development is determined in the 1th-2nd course girls and “sufficient” - in boys. Thus, mass-growth indicators of students according to the calculation of Kettle 2 index, both boys and girls correspond to the assessment of 5 points, which indicates a harmonious physique of students; indicators of the functioning of the cardiovascular system (Ruffier Index) of 1st year boys and the 2nd year students make 2 points, which corresponds to the ”below average” level, and the results of the 1st year girls equal to the assessment of 3 points, “average” level; indicators of the functional state of the respiratory system (Stange test) of boys of the 1th-2nd  course correspond to the assessment of 4 points (“above the average” level), and girls of both courses - 3 points (“average” level). In the age and gender aspects, physical development indicators, in general, don’t significantly differ with the general tendency to increase results with age and the dominance of boys over such in girls. The exception is the Ruffier index, where there is an opposite trend - the results decrease with age in girls and they are higher than in boys. Thus, the results of the research indicate the feasibility of introducing the 1th-2nd course students of professional pre-high education of special physical exercises into the process of physical education to improve the functional state of the cardiovascular and respiratory systems.


2021 ◽  
Vol 6 (1) ◽  
pp. 184-193
Author(s):  
G. G. Chistyakova ◽  
◽  
G. A. Skorokhod ◽  
I. O. Pohodenko-Chudakova

On the background of a high percentage of caries incidence, the prevalence of its complications is increasing – pulpitis, apical periodontitis. Teeth with complicated caries can cause odontogenic inflammatory processes in the maxillofacial region. Being foci of chronic infection and intoxication, they have an adverse effect on the body as a whole. In connection with the above, it is obvious that determining the optimal concentration of chlorhexidine bigluconate and exposure to the dentin of the crown part of the tooth in case of carious lesion of the latter is currently very important. The purpose of the study was to evaluate the antimicrobial activity of chlorhexidine (by suspension and contact method) in various concentrations in relation to monocultures of biofilm formed on tooth sections and in U-shaped 96-well plastic plates. Material and methods. In this work, one of the most relevant pathogens for modern medicine was Staphylococcus aureus, which was one of the most powerful pathogens that form biofilms, was used as a model. The antimicrobial activity of chlorhexidine bigluconate was evaluated on S. aureus and E. coli biofilm cultures formed on dental samples and in polystyrene plastic tablets. Antimicrobial activity was evaluated by the reduction factor was determined by the difference in the number of decimal logarithms of CFU/ml in the experiment compared to the control. The obtained data was subjected to statistical processing. Results and discussion. The study revealed that 2.0 % solution of chlorhexidine bigluconate had a high level of antibacterial activity against tablet biofilm cultures of S. aureus and E. coli. When it was exposed to S. aureus and E. coli tablet biofilm cultures with exposures of 30 and 60 seconds, statistically significant differences were found (p=0.02). Secondly, statistically significant differences in the effect of sensitivity of single-species biofilm cultures of dental samples to the effect of antiseptic at the specified concentration were determined (p=0.007). At the same time, the level of antibacterial activity of 2.0 % chlorhexidine bigluconate solution in respect of tablet biofilm cultures of S. aureus and E. coli was significantly higher than in biofilm cultures of S. aureus and E. coli of dental samples (p<0.05). Conclusion. The obtained results give grounds for using them in clinical practice in order to improve the effectiveness of caries treatment which will help reduce the number of complications and on the one hand, corresponds to the main direction of medicine ‒ prevention and on the other hand, increases the level of specialized medical care provided to the population as a whole


Author(s):  
A.V. Zaitseva ◽  
◽  
V.V. Serikov ◽  
H.T. Oniani ◽  

Abstract. Introduction. High neuro-emotional stress among medical workers in organizations with the leading harmfulness of Covid-19 contributes to the formation of an unfavorable functional state, increases the risks of health disorders. The study of the characteristics of the psychophysiological reactions of the body will allow to substantiate the timing of work in a pandemic, which is quite relevant at the present time. The purpose of the research was, on the basis of comprehensive psychophysiological studies, to study the features of the formation of a functional state in medical personnel working in organizations with COVID-19 under the influence of stress factors of the labor process. Materials and methods. A physiological and hygienic assessment of the intensity of the labor process was carried out, psychophysiological changes were studied during 3 months of work in the «dangerous» zone. Statistical processing of the obtained data was carried out using the statistical programs Statistika 10, Microsoft Excel 2010. Results. The formation of neuropsychic stress in medical workers is reflected in changes in ECG indicators (prolongation of the QT interval, decrease in the voltage of the P and T waves) and systemic arterial pressure, an increase in the endurance coefficient (an indicator of detraining of the cardiovascular system), positive values of the Kerdo autonomic index (predominance of sympathetic influences) after 3 months of work in medical organizations with Covid-19. Conclusions. Nervous and emotional tension at work is the leading professional factor among nurses and doctors working in medical institutions with Covid-19 (hazard class 3, grade 3). Indicators of the cardiovascular system, reflecting the degree of adaptation of the body of medical workers to production activities, can be used to justify different periods of work in organizations with Covid-19.


2021 ◽  
Vol 25 (3) ◽  
pp. 398-403
Author(s):  
I. I. Andriievskyi

Annotation. Research on the relationship of the human body with its psychological characteristics and behavioral elements is currently of great value for integrative medicine, psychology and pedagogy. A deep understanding of this issue allows you to prevent and correct unwanted psychological manifestations in groups of people who have this predisposition, as well as help to find the right approach in educational and therapeutic work with such people. The purpose of the study is to evaluate the leading typological characteristics of temperament, severity and features of accentuated personality traits and psychodynamic personality traits of almost healthy women without and taking into account the somatotype. Primary anthropo-somatotypological and personality indicators of practically healthy Ukrainian women aged 21 to 35 years of different somatotypes were selected from the database of materials of the research center of National Pirogov Memorial Medical University, Vinnytsya. All women were evaluated by Eysenck leading typological characteristics of temperament with the help of personal questionnaires; psychodynamic features of Spielberger's personality in Khanin's modification; expressions and features of accentuated personality traits according to Shmishek. Statistical processing of the results was performed in the license package “Statistica 5.5” using non-parametric evaluation methods. It was found that almost healthy women without somatotype are characterized by extroversion (32.67 %) and ambiversion (29.70 %), average level of neuroticism (35.64 %), insincerity (66.34 %), average level of anxiety (62.38 %), predominance of hyperthymic (33.66 %), exalted (25.74 %), cyclothymic (22.77 %) type of character accentuation. Women of mesomorphic somatotype are characterized by potential extroversion (33.33 %) and potential introversion (27.27 %), potentially high levels of neuroticism (39.39 %), insincerity (72.73 %), average level of anxiety (60.61 %), high level of personal1 anxiety (60.61 %), predominance of exalted (42.42 %), hyperthymic (30.30 %), cyclothymic (27.27 %) and emotional (24.24 %) types of character accentuation. Among women of ectomorphic somatotype, the most common are individuals with ambiversion (31.82 %) and potential extroversion (31.82 %), with a medium level of neuroticism (36.36 %), insincerity (72.73 %), high and medium levels of situational anxiety (50.00 % each), high personal anxiety (54.55 %), the predominance of hyperthymic (22.73 %), cyclothymic (18.18 %) and pedantic (18.18 %) types of character accentuation. Among women of endo-mesomorphic somatotype, the most common are those with potential introversion (31.82 %), ambiversion (36.36 %) and potential extroversion (27.27 %), with an average level of neuroticism (63.64 %), sincerity (50.00 %), an average level of situational (77.27 %), the average level of personal anxiety (68.18 %), a significant predominance of the hyperthymic type of character accentuation (40.91 %). Among women with average intermediate somatotype, the most common are individuals with ambiversion (41.18 %) and potential extroversion (35.29 %), with medium and potentially high levels of neuroticism (29.41 % in both cases), insincerity (76.47 %), average situational (58.82 %) and personal anxiety (70.59 %), the predominance of (significant) hyperthymic (52.94 %) and cyclothymic (35.29 %) types of character accentuation. Thus, to study the psychological characteristics of people of different constitutional types, it is important to follow an interdisciplinary approach, in which the optimal use of traditional anthropometric techniques in combination with psychological tests.


2018 ◽  
Vol 22 (5) ◽  
pp. 232-236
Author(s):  
V.I. Bobrytska ◽  
N.A. Beseda

Im: to investigate and evaluate future specialists in physical education and sports cardiovascular system adaptive potential. Research background and methods: 28 first (bachelor) level students aged 17-18, doing their degree in 017 “Physical Culture and Sports” (experimental group of 12 participants) and in 227 “Physical Therapy, Ergotherapy” (experimental group of 16 participants) from Poltava National Technical University specialism took part in the research. All the participants gave their written consent for participating in the research. Students’ cardiovascular adaptative potential was defined according to R. Baevsky methods. Results: 71.3% of boys and 69.2% of girls showed high level of the body functionality. Adaptive mechanisms tension features revealed 28.4% of female students and 26.6% of male students. Persons with failure of adaptation have not been found. Conclusions: The measurement of the cardiovascular system adaptative potential enables evaluating the level of students’ physical health condition. Consideration of students’ cardiovascular system adaptative potential indicators contributes to implementation of a differentiated approach to teaching Sports and Pedagogic disciplines. The above increases the quality of the occupational training of the future specialists in Physical Culture and Sports provided that their adaptive capacities are developed.


2018 ◽  
Vol 32 (1) ◽  
pp. 30-42 ◽  
Author(s):  
Claudia Traunmüller ◽  
Kerstin Gaisbachgrabner ◽  
Helmut Karl Lackner ◽  
Andreas R. Schwerdtfeger

Abstract. In the present paper we investigate whether patients with a clinical diagnosis of burnout show physiological signs of burden across multiple physiological systems referred to as allostatic load (AL). Measures of the sympathetic-adrenergic-medullary (SAM) axis and the hypothalamic-pituitary-adrenal (HPA) axis were assessed. We examined patients who had been diagnosed with burnout by their physicians (n = 32) and were also identified as burnout patients based on their score in the Maslach Burnout Inventory-General Survey (MBI-GS) and compared them with a nonclinical control group (n = 19) with regard to indicators of allostatic load (i.e., ambulatory ECG, nocturnal urinary catecholamines, salivary morning cortisol secretion, blood pressure, and waist-to-hip ratio [WHR]). Contrary to expectations, a higher AL index suggesting elevated load in several of the parameters of the HPA and SAM axes was found in the control group but not in the burnout group. The control group showed higher norepinephrine values, higher blood pressure, higher WHR, higher sympathovagal balance, and lower percentage of cortisol increase within the first hour after awakening as compared to the patient group. Burnout was not associated with AL. Results seem to indicate a discrepancy between self-reported burnout symptoms and psychobiological load.


Author(s):  
Anastasiya G. Khotuleva ◽  
Mariya S. Kozyreva

Introduction. The most susceptible to lead is the hematopoietic system of hematopoietic organs due to lead inhibition of heme and globin synthesis and cytotoxic effect on the membrane of Mature red blood cells. The aim of study was to evaluate the informative value of the study of erythrocyte and reticulocyte parameters determined on modern hematological analyzers in patients working in contact with lead during medical and biological monitoring. Materials and methods. 45 employees of the lead battery processing plant and 30 persons of control group were examined. The level of lead in the blood was determined by atomic absorption spectrometry, δ-ALA in the urine-by the reaction of pyrol formation with acetylacetone in terms of gram of creatinine, the study of hematological parameters was performed on a Sysmex HT-2000i analyzer. Statistical processing of the results was performed using the program STATISTICA 10.0. Results. Significant changes in erythrocytic (RDW) and reticulocytic (RET, IRF, LFR, MFR, HFR, RET-He) parameters, erythropoietin in workers in contact with lead compared to the control group, changes in MCV, MCH, RDW, RET indicators in the group working in dynamics after 2 years were revealed. Associations of hematological parameters with biomarkers of exposure and effect (lead level in blood and ALA in urine) were revealed. Conclusions. Assessment of erythrocyte (MCV, MCH, RDW) and reticulocyte parameters (RET% and their distribution by maturity) in dynamics during periodic medical examinations of workers in contact with lead allows us to detect the development of hematological disorders at early stages.


Author(s):  
Алексей Дмитриевич Акишин ◽  
Иван Павлович Семчук ◽  
Александр Петрович Николаев

Постоянно растущий интерес к разработке новых неинвазивных и безманжетных методов измерения параметров сердечной деятельности, использование которых давало бы возможность непрерывного и удаленного контроля сердечно-сосудистой системы, обуславливает актуальность данной работы. В многочисленных публикациях продолжаются обсуждения преимуществ и недостатков различных методов ранней диагностики сердечно-сосудистых заболеваний. Однако артефакты движения являются сильной помехой, мешающей точной оценке показателей функционирования сердечно-сосудистой системы. Одним из перспективных методов контроля является метод оценки физиологических параметров с использованием фотоплетизмографии. Данная статья посвящена разработке устройства для фотоплетизмографических исследований и алгоритмических методов обработки регистрируемых сигналов для обеспечения мониторинга сердечного ритма с заданной точностью. В работе используются технологии цифровой адаптивной фильтрации полученных сигналов для мониторинга сердечного ритма в условиях внешних механических и электрических помеховых воздействий, ухудшающих точностные характеристики системы, а также разработана архитектура системы и изготовлен макет устройства, который позволил провести измерения для определения оптимального алгоритма цифровой обработки сигналов. При использовании устройства применялись методы адаптивной фильтрации на основе фильтров Винера, фильтров на основе метода наименьших квадратов и Калмановской фильтрации. Разработанное устройство для фотоплетизмографических исследований обеспечило возможность мониторинга сердечного ритма с заданной точностью, контроля текущего состояния организма и может быть использовано в качестве средства диагностики заболеваний сердца The constantly growing interest in the development of new non-invasive and cuff-free methods for measuring the parameters of cardiac activity, the use of which would give the possibility of continuous and remote monitoring of the cardiovascular system, determines the relevance of this work. Numerous publications continue to discuss the advantages and disadvantages of various methods of early diagnosis of cardiovascular disease. However, motion artifacts are a strong hindrance to the accurate assessment of the performance of the cardiovascular system. One of the promising control methods is the method for assessing physiological parameters using photoplethysmography. This article is devoted to the development of a device for photoplethysmographic studies and algorithmic methods for processing recorded signals to ensure monitoring of the heart rate with a given accuracy. The work uses technologies of digital adaptive filtering of the received signals to monitor the heart rate in conditions of external mechanical and electrical interference, which worsen the accuracy characteristics of the system, as well as the architecture of the system and a prototype of the device, which made it possible to carry out measurements to determine the optimal algorithm for digital signal processing. When using the device, the methods of adaptive filtering based on Wiener filters, filters based on the least squares method and Kalman filtering were used. The developed device for photoplethysmographic studies provided the ability to monitor the heart rate with a given accuracy, control the current state of the body and can be used as a means of diagnosing heart diseases


2019 ◽  
Vol 72 (5) ◽  
pp. 779-783
Author(s):  
Victor A. Ognev ◽  
Anna A. Podpriadova ◽  
Anna V. Lisova

Introduction:The high level of morbidity and mortality from cardiovascular disease is largely due toinsufficient influence on the main risk factors that contribute to the development of myocardial infarction.Therefore, a detailed study and assessment of risk factors is among the most important problems of medical and social importance. The aim: To study and evaluate the impact of biological, social and hygienic, social and economic, psychological, natural and climatic risk factors on the development of myocardial infarction. Materials and methods: A sociological survey was conducted in 500 people aged 34 to 85. They were divided into two groups. The main group consisted of 310 patients with myocardial infarction. The control group consisted of 190 practically healthy people, identical by age, gender and other parameters, without diseases of the cardiovascular system. Results: It was defined that 30 factors have a significant impact on the development of myocardial infarction.Data analysis revealed that the leading risk factors for myocardial infarction were biological and socio-hygienic. The main biological factors were: hypertension and hypercholesterolemia. The man socio-hygienic factor was smoking. Conclusions: Identification of risk factors provides new opportunities for the development of more effective approaches for the prevention and treatment of myocardial infarction.


2019 ◽  
Vol 20 (7) ◽  
pp. 661-665
Author(s):  
Cunxi Nie ◽  
Fei Xie ◽  
Ning Ma ◽  
Yueyu Bai ◽  
Wenju Zhang ◽  
...  

As a major component of biologically active compounds in the body, proteins contribute to the synthesis of body tissues for the renewal and growth of the body. The high level of dietary protein and the imbalance of amino acid (AA) composition in mammals result in metabolic disorders, inefficient utilization of protein resources and increased nitrogen excretion. Fortunately, nutritional interventions can be an effective way of attenuating the nitrogen excretion and increasing protein utilization, which include, but are not limited to, formulating the AA balance and protein-restricted diet supplementing with essential AAs, and adding probiotics in the diet. This review highlights recent advances in the turnover of dietary proteins and mammal’s metabolism for health, in order to improve protein bioavailability through nutritional approach.


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