Characteristics of the working conditions of teachers in distance learning in the aspect of the development of emotional burnout

Researchers surveyed secondary school teachers characterizing the signs of emotional burnout during the educational process in a distance format. We considered preventive measures. The study aims to research the possible development of emotional burnout among teachers in the conditions of distance learning. We conducted a study with the participation of 72 teachers to identify signs of emotional burnout using the V.V. Boyko questionnaire and conducted statistical data processing using Statistica 13.0. The average age of teachers was 47.1 years; the majority were women. In addition, 70,0% of Teachers noted that they have chronic diseases. Based on the results obtained, we concluded that school teachers' lack of work experience in the conditions of distance learning and online classes was a traumatic circumstance for almost half of the teachers, which could serve as a triggering mechanism for the stages of development emotional burnout. Subjectively, teachers associated the formation of symptoms of emotional burnout and health disorders with two-thirds of all cases with working conditions, its intensity, and difficulties with maintaining a healthy lifestyle in self-isolation. The revealed indicators of the phases of the development of emotional burnout allow us to judge that 45.9% of teachers have a formed/dominant symptom of "experiencing traumatic circumstances" registered in the "tension" phase. 31.2% of teachers have a symptom of "anxiety and depression". There are high rates of symptoms of "inadequate selective emotional response" - 54.1% in the "resistance" phase, "emotional and moral disorientation" - 32.8%, "expansion of the sphere of saving emotions" - 31.1% and "reduction of professional responsibilities" - 50.8%. In the "exhaustion" phase, the symptom "psychosomatic and psychovegetative disorders" has a dominant value in 22.9% of teachers. Factors that, according to teachers, contribute to the formation of emotional burnout are: the intensity of work in the conditions of distance learning (61.1%); violation of lifestyle components (36.1%); lack of access to a doctor (29.2%). To prevent the formation of emotional burnout syndrome in the conditions of distance learning: it is necessary to observe for teachers the work and rest regime in compliance with the working time regulations within the framework of official duties and an employment contract, compliance with the rules of a healthy lifestyle, high-quality medical care, and mandatory professional development on online training.

Surveying Healthcare Facilities for Tourists in India

India is quickly becoming one of the most popular tourist destinations in the world. The rise of India as a tourist destination can be attributed to a number of factors. The growth of medical tourism in India is one of the reasons examined in this paper. Healthcare tourism is when people from all over the world fly to another country to receive medical, dental, and surgical treatment when exploring, vacationing, and completely immersing themselves in the attractions of the countries they are visiting. In the medical tourism industry, India is one of the most popular destinations. Medical tourism is experiencing rapid growth in India. Medical tourists cross foreign boundaries in search of medical care. Medical tourism has developed to become a multibillion-dollar industry. It is important to remember that the primary goal of medical tourists is to provide high-quality medical care at an affordable cost. When compared to other developing countries in the world, India has emerged as the most sought-after destination for medical tourists due to the availability of world-class doctors at affordable prices. In addition, India has a wide range of tourist destinations. It has tremendous potential for creating jobs and earning large sums of foreign currency. The paper ends with policy recommendations for advancing the rapidly growing medical tourism industry.

Surveying Healthcare Facilities for Tourists in India

India is quickly becoming one of the most popular tourist destinations in the world. The rise of India as a tourist destination can be attributed to a number of factors. The growth of medical tourism in India is one of the reasons examined in this paper. Healthcare tourism is when people from all over the world fly to another country to receive medical, dental, and surgical treatment when exploring, vacationing, and completely immersing themselves in the attractions of the countries they are visiting. In the medical tourism industry, India is one of the most popular destinations. Medical tourism is experiencing rapid growth in India. Medical tourists cross foreign boundaries in search of medical care. Medical tourism has developed to become a multibillion-dollar industry. It is important to remember that the primary goal of medical tourists is to provide high-quality medical care at an affordable cost. When compared to other developing countries in the world, India has emerged as the most sought-after destination for medical tourists due to the availability of world-class doctors at affordable prices. In addition, India has a wide range of tourist destinations. It has tremendous potential for creating jobs and earning large sums of foreign currency. The paper ends with policy recommendations for advancing the rapidly growing medical tourism industry.

Current Aspects of Professional Training of Anesthesiologists and Intensive Care Specialists in Residency Programs

The aim is to study the current aspects of resident training in anesthesiology and intensive care. The article focuses on the theoretical training of residents, the importance of a thorough knowledge of pathophysiology, and the formation of clinical thinking. Opportunities for the use of innovative educational computer technologies in residency training are shown. A consistent interdisciplinary pedagogical interaction makes it possible to improve the outcomes of residency training by achieving the main goal of developing a physician who has acquired universal, general and specific professional competences and is capable of providing high-quality medical care.

Role of laboratory studies in diagnostics of rare diseases. «Hair cellular leukemia»

Automation of laboratory production, formalization of processes and a phased quality control system ensure sufficient reliability of laboratory data, which is of great importance for the provision of high-quality medical care. For many people, laboratory research remains the invisible side of medicine. Nevertheless, 60–70 % of all medical decisions are made based on the results of clinical and laboratory studies, from the diagnosis to the choice of therapy and the determination of the prognosis.

Routing principles for patients with hereditary angioedema

Currently, there is a lot of effort that is been done to optimize healthcare management for patients with hereditary angioedema, but there are still difficulties in the regions. Epidemiological data on hereditary angioedema indicate a low level of diagnosis. In several regions, patient pathway have been developed with a detailed description of the different steps on the patient healthcare journey. The patient pathway is a key component of high-quality medical care with optimal timeliness and financial costs. The article is devoted to the organization of hereditary angioedema patients’ pathway.

Settlement Inequality and Social Exclusion of People with Epilepsy

Introduction. Patients with epilepsy, due to the presence of the chronic disorder, belong to deprived social groups. The results of many studies confirm the discrimination of patients with epilepsy on various social parameters, such as the availability of high-quality medical care, education and jobs. The settlement factor aggravates the deprived situation of patients with epilepsy and significantly affects their socio-psychological well-being. Based on the materials of the study conducted, the article identifies the interconnection between the characteristics of the place of residence of a patient with epilepsy, indicators of social exclusion, and the level of emotional-volitional and cognitive disorders. Materials and Methods. The data from a survey of 157 patients with epilepsy registered in neuropsychiatric dispensaries in Penza, Saransk, and Alatyr were used as materials for the study. The survey was conducted using the authors’ tools in May – December 2020 as formalized interviews. The results were processed using mathematical statistics methods in the SPSS software package. Results. The survey data have confirmed the stigmatization and deprivation of patients with epilepsy: they are less likely to marry, have limited opportunities for vocational education, and are more often unemployed. The settlement factor manifests itself in the unequal availability of modern medical services and provision of drugs, inclusive educational programs and opportunities for occupational socialization. The performed cluster analysis of the data has made it possible to single out three groups of respondents that differ significantly in terms of indicators and the degree of social exclusion: “educational deprivation”, “exclusion in the labor market” and “coping with stigma”. Analysis of these categories regarding the settlement factor shows that the share of the most deprived groups is inversely related to the population of the cities under study. Discussion and Conclusion. The authors have drawn the conclusions that the availability of social integration mechanisms reduces the likelihood of developing negative consequences of epilepsy, and the corresponding opportunities are largely due to the size of the city. The data obtained can be used to identify categories of patients with similar social problems, which will facilitate more targeted emotional and instrumental support for patients with epilepsy, with regard to the settlement factor.

Seven key parameters that facilitate clinical pharmacy practice: a comparison between Israel and the United States

Clinical pharmacists have advanced training that enables them to manage medication therapy, including prescribing, titrating, and discontinuing medications, in order to achieve therapeutic goals. In some countries, such as the United States, advances in training, responsibility, legal frameworks, and public acceptance of new roles have proceeded in parallel to expand the scope and contribution of clinical pharmacists over several decades. In this manuscript, we detail seven discrete key parameters of professional advancement for clinical pharmacists, corresponding to the seven areas in which they must advance in order to contribute fully to delivering high-quality medical care. For each key parameter, we briefly summarize the progress made in the United States to date, as well as goals for future progress. We then compare this to the development of the analogous key parameter in Israel. We found that on some key parameters, the development of clinical pharmacy in Israel lags behind the United States. This manuscript can provide a roadmap for the future advancement of clinical pharmacy in Israel, toward its full realization as a profession that can contribute to delivering high-quality medical care.

THE EXPERIENCE OF THE AMBULANCE SERVICE IN A PANDEMIC FROM MARCH TO DECEMBER2020 IN KRASNODAR

The pandemic of a new coronavirus infection caused the need to reorganize the work of emergency medical services (EMS) due to the high contagiousness and mortality, multiple organ lesions, difficulties in diagnosis and the lack of protocols for providing medical care to patients at the prehospital stage.The purpose and objectives of the study is to assess the activities of the ambulance service in the context of a new coronavirus infection in Krasnodar.Materials and methods: data of the information base of the integrated automated system for managing the activities of the ambulance station SBIHC KEH of the Ministry of Health Care of the Krasnodar Region in Krasnodar.Results. А differentiated approach and algorithm was developed for assessing the severity of the condition in patients with COVID-infection and ARVI, their routing and organization of treatment in Krasnodar.Conclusion: an assessment of the work of the ambulance service in combination with the measures taken during the observation period will ultimately allow organizing high-quality medical care to the population.

The emergency medical system

The mission of the emergency medical services is to promote and support a system that provides timely, professional and state-of-the art emergency medical care, including ambulance services, to anyone who is victim of a sudden injury or illness, at any time and any location. A medical emergency has five different phases, namely: population awareness and behaviour, occurrence of the problem and its detection, alarming of trained responders and help rendered by bystanders and trained pre-hospital providers, transport to the nearest or most appropriate hospital, and, if necessary, admission or transfer to a tertiary care centre which provides a high degree of subspecialty expertise. In order to meet these goals, emergency medical services must work aligned with local, state officials; with fire and rescue departments; with other ambulance providers, hospitals, and other agencies to foster a high performance network. The term emergency medical service evolved to reflect a change from a straightforward system of ambulances providing nothing but transportation, to a complex network in which high-quality medical care is given from the moment the call is received, on-scene with the patient and during transportation. Medical supervision and/or participation of emergency medicine physicians (EP) in the emergency medical service systems contributes to the quality of medical care. This emergency medical services network must be capable to respond instantly and to maintain efficacy around the clock, with well-trained, well-equipped personnel linked through a strong communication system. Research plays a pivotal role in defining necessary resources and in continuously improving the delivery of high-quality care. This chapter gives an overview of the different aspects of emergency medical services and calls for high quality research in pre-hospital emergency care in a true partnership between cardiologists and emergency physicians.