ABSTRACT Burn up syndrome, or a "burnout", was for the first time described in 1974. It is the psychical stadium of the human being in modern society. Especially teachers could be fully burned down. Nowadays is this problem rising up very fast in the group of educators. Teachers are the group in a huge danger of the burnout emergence, where someone could suffer with it at this time. And that`s why was dedicated this research to teachers of chosen Junior and High school. The main goal was to find out the teachers`affection of this syndrome in this concrete chosen school and find out which stressors mainly contribute to rising burnout syndrome. Partial goals should investigate methods and ways used by the teachers of this school and by the school management to protect teachers against the burnout syndrome. The quantitative research was brought into effect by the structural anonymous open, semi - closed and closed questionaire. Documents of investigation were distributed to the chosen school teachers by electronic way. The results of investigation didn't prove the burnout syndrome of this chosen school teachers. But the stressors described in professional literature were confirmed as a source of possible reason of the teachers' burnout syndrome beginning. The investigation also proved the teachers'...

This diploma thesis focuses on stress factors and their possible effect on the teachers in a selected school. The theoretical part describes stressful and risk factors, which negatively influence the occupation of a teacher and therefore affect teachers' mental health. Not only stress and stressful situations are described in this chapter but also their causes and possible techniques to manage them. This part also deals with occupational burnout and its most common causes. Further, the occupational burnout prevention and relaxation techniques to avoid the burnout are described. The last important topic in the theoretical part is mental hygiene and how is mental hygiene perceived. This topic also concentrates on principles of mental hygiene, which are considered to be a tool for supporting mental health and can help avoid the mentioned syndrome. The final theoretical part describes professional development as a kind of protection of mental hygiene and gives examples of selected specific techniques. The practical part of the diploma thesis contains a research, which is focused on stressful factors influencing the teachers working in Soukromá střední škola a Základní škola, s.r.o. in Mladá Boleslav. The methods of questionnaire, interview and observation are used to find out the stress level...

This project aims to investigate a variety of electrodes for ECG (electrocardiogram) measurements and find suitable ones for burn wounded skin in association with the Burn center in Uppsala University Hospital.   To this purpose, the electrical properties (in particular, electrical impedance and equivalent circuit) of electrodes and the influence of the skin on the electrical properties are looked into, and various common artefacts in ECG measurements are investigated, such as wandering baseline (caused by perspiration, respiration, patient movement and poor electrode contact), muscle tremor artefact, 50-60 Hz power line interference and measurement noise.   Simulation of a burn wound was done by putting Ringer’s acetate between two electrodes gel to gel. Six different electrodes made with either a solid or wet gel for the electrolyte were tested, three of which (Ambu Bluesensor L-00-S/25, Ambu Bluesensor R-00-S/25, Milmedtek T-VO01) have wet gel, and three of which (3M 2670-5, Medtronic Arbo, and Ambu Whitesensor WSP30-00-S/50) have solid gel.   The tests showed that the impedance of the electrodes changed as expected and was in almost all cases lowered. An increase in phase shift was also observed with burn wound simulation but could not be proven to relate with increased polarization.   The results showed its wet gel and adhesive developed for sweaty/wet skin, Ambu Bluesensor R-00-S/25 is recommended.   Suggestions for further investigation would be to see if the interference could be solved by impedance balancing the electrodes or to investigate if there is a greater coupling between the wet burn wounds and the main 230V 50Hz network causing higher currents and voltage drops in the body increasing the risk of common mode to differential mode conversion.

This study investigated relationships among and between psychological hardiness, coping style, and burnout in 101 female hospital nurses. The third generation (50-item) hardiness scale, scored by the revised scoring procedure, was used to measure hardiness and its components. The Maslach Burnout Inventory was used as the measurement for burnout. Coping style was assessed by the COPE Inventory. The components of hardiness, commitment, control, and challenge, were hypothesized to be negative predictors of emotional exhaustion and depersonalization and positive predictors of personal accomplishment. In addition, hardiness and its components were postulated to be positively related to adaptive coping styles and negatively related to maladaptive coping styles. Emotional exhaustion and depersonalization were thought to be related positively to maladaptive coping styles and negatively related to adaptive coping styles. Personal accomplishment was thought to be positively related to adaptive coping style and negatively related to maladaptive coping style. Simple and multiple regressions were used.

In this dissertation, I developed and validated the workplace racial microaggressions scale for Asians and Asian Americans, WRMS-AAA. This new scale measured the frequency of general and stereotype-based microaggressions that Asians experience in the workplace. General microaggressions are subtle forms of discrimination that could pertain to other minority groups, whereas stereotype-based microaggressions are subtle forms of discrimination that are based on stereotypes of Asians. In Phase 1, items were generated based on extant literature. These items were refined based on the feedback provided by subject matter experts who rated these items on relevancy, clarity, and provided other open-ended feedback. In phases 2 through 5, 351 participants completed a battery of measures including the WRMS-AAA and other measures to assess convergent, discriminant, and concurrent validity. These participants were then randomly split into two sample groups. In phase 2, an exploratory factor analysis using data from sample one (n = 180) revealed a four-factor structure for the WRMS-AAA. Two of these factors were general microaggressions, mistaken identity and not recognized, and the other two factors were stereotype-based microaggressions, ascription of math competency and submissiveness and lacking communication skills. In phase 3, using data from sample 2 (n=171) a confirmatory factor analysis provided further support for the four-factor structure. Both samples provided good internal consistency. In phase 4, the two samples were combined to examine the convergent and discriminant validity of the WRMS-AAA. The WRMS-AAA was highly related to the Workplace Incivility Scale (Cortina et al., 2013) and the Racial and Ethnic Microaggressions Scale (Nadal, 2011), providing support for convergent validity. There was little to no correlation between the WRMS-AAA and social desirability, and there was a weak positive correlation between the WRMS-AAA and neuroticism, providing support for discriminant validity. In phase 5, the WRMS-AAA was correlated with organizational outcomes. The WRMS-AAA was negatively correlated with organizational support, commitment, and job satisfaction. Additionally, the WRMS-AAA was positively correlated with intention to quit and burnout. These correlations provided evidence of concurrent validity, further establishing the validity of the WRMS-AAA. Subtle forms of discrimination are different from explicit discrimination, in that they can be elusive. The WRMS-AAA is one of the only known scales to measure the general and specific subtle forms of discrimination in the workplace. Results and implications of this research are discussed.

The prevalence of antibiotic resistant bacteria has made the choices for topical treatments for patients who experience burns wounds extremely limited. The Staphylococcus genus is naturally occurring in and on the human body but can become harmful once it enters the bloodstream. A novel antimicrobial gel has been shown by our laboratory to inhibit both the planktonic growth and biofilm formation of Staphylococcus aureus in previous studies. The antimicrobial gel is made of seven natural compounds including antioxidants (vitamin C and E). We wanted to examine the effects of the antimicrobial gel on numerous other Staphylococcal species because it is prevalent on the body and becomes harmful when the immune system is compromised. The species tested were Staphylococcus capitis, Staphylococcus epidermidis, and Staphylococcus saprophyticus. A planktonic broth challenge test, biofilm attachment test, and biofilm maturation test were all performed in order to test this hypothesis. These tests showed a significant inhibition of the Staphylococcus species as a result of the effects of the antimicrobial gel. The antimicrobial gel inhibited the attachment, maturation, and growth of Staphylococcus colonies in a 10% antimicrobial gel solution. The antimicrobial gel shows promise as an option in treating burn patients and should be considered in further testing for its uses in other areas of medicine.

Due to the high rates of burnout and compassion fatigue in many of the helping professions, it’s becoming increasingly important for students and professionals to better understand theories and strategies that will help them build resiliency and protect themselves from the negative effects of burnout and fatigue. This session focuses on how we as a department assist family studies students in developing a broad understanding of self-care and in helping them establish practical habits that promote resiliency in their respective professions. This presentation provides participants with practical examples of self-care.

Magister Psychologiae - MPsych / Burns are a major problem in Low-Income Countries (LIC) and Low-Middle Income Countries (LMIC). Children in LIC have been identified as a burn injury at-risk group. Individuals experience severe psychological and physical distress as a result of burn injuries. However, burns are a systemic problem and their impact is not limited to the individual but impacts the family system as a whole. Therefore, effective post burn interventions for families of child burn survivors are key in order to assist the child burn survivor’s well-being and recovery. The present study hopes to 1) address some of the gaps in knowledge in burn interventions for families of child burn survivors and 2) identify promising psychosocial interventions. A systematic review of literature was conducted that focused on identifying burn interventions for families of child burn survivors. These interventions were evaluated in order to establish which interventions showed promise. This systematic review was conducted following the guidelines of the PRISMA Statement for Systematic Reviews. An integrated quantitative and qualitative appraisal tool was used to review the identified studies. All the available English-medium literature between 1990 and 2019 was reviewed for this study. A literature search was performed in EBSCOhost, Academic Search Complete, PsychArticles, CINAHL plus, Medline, ERIC, SocIndex and Health Source: Nursing/Academic edition. Five studies were identified which included psychosocial interventions for families of child burn survivors. Of these studies only two were of quantitative nature and indicated sufficient evidence with regards to outcomes and efficacy. Three studies were of qualitative nature and indicated subjective evaluation measures to assess efficacy. Interventions identified included a family burns camp, a support group for parents, a support website, a parent participation program during acute paediatric burns management, and a teaching manual. All five studies indicated a degree of efficacy however, support groups in conjunction with psycho-education groups with systemic focus appeared to show the most promise. It is recommended that researchers focus on using quantitative measures in future intervention studies to assist in measuring efficacy. Furthermore, context specific interventions for LIC should be considered.

The online convenience sample of 249 nurses all treated COVID-19 patients in the past year—with 45.0% in the emergency department and 36.9% in intensive care. Nurses were 68.7% female with a mean age of 32.17 years, as well as mostly white (69.1%). Some 28.5% had COVID-19, with 16.1% testing positive more than once in the past year. Using paired t-tests comparing scores for before versus during the pandemic, their physical health status and mental/emotional status were each significantly worse during the pandemic, their level of self-efficacy for performing nursing tasks was significantly worse during the pandemic, and their fear level was significantly higher during the pandemic. Nurses negotiated the pandemic with just moderate social support, while having moderate work setting concerns (e.g., safety), and rating the work climate as “to some extent” less favorable than before the pandemic. Nurses suffered moderate burnout using the Oldenburg Burnout Inventory—while females suffered higher burnout than males (p = .000) and non-whites higher burnout than whites. Past month mean Perceived Stress Scale scores were moderate. Nurses used alcohol/drugs closest to 30% of the time to cope with stress, while 35.7% increased use during the pandemic. They reported moderate mental distress over the past year, while 61.0% reported insomnia, 57.4% anxiety, 39.0% depression, 35.7% trauma, and 27.3% received counseling. Nurses reported moderate well-being over the past two weeks, and moderately high satisfaction with life. Backward stepwise regression found higher burnout significantly predicted by: fewer years working in nursing; higher Body Mass Index; more concerns at work (e.g., safety); higher past month perceived stress; higher past year mental distress; and, lower past two weeks’ well-being—with 52.2% of the variance predicted. Qualitative data reinforce important recommendations.

Objective: Severe burn injuries are associated with a rapid escalating hypermetabolic state and catabolism of muscle mass. To ameliorate this process a standardized approach using pharmacological and non-pharmacological interventions was implemented within a single burns center. Whilst individual components of this standardized package are well documented in the literature, their collective or bundled effect has not as yet been assessed. The aim of this study was to evaluate the efficacy of this standardized bundle of metabolic modulators and assess the safety of including the anabolic steroid oxandrolone within it. Methods: This retrospective observational study constituted all patients in whom the metabolic bundle including oxandrolone therapy was applied. The other elements of the metabolic bundle consisted of early surgical burn excision within seven days to completion, early active mobilization, increased ambient room temperature, expediated carbohydrate and protein rich enteral feeding with glutamine and trace element supplements (such as copper and zinc). Finally, administration of propranolol as a non-selective beta-blocker. Data collection was through review of the patient data management system focusing on the outcome criteria and hepatic blood values. Results: The study looked at fifty consecutive patients meeting the inclusion criteria. Median patient age and burned total body surface area (TBSA) were 62 years [51.75; 73] and 33.75 % [24.75; 51] respectively with an abbreviated burn severity index (ABSI) of 10 [9; 10.25]. Definitive surgical burn wound excision was completed in 44 patients [88 %] within 7 days. 39 patients (78 %) received propranolol over a therapeutic period of 29 days [19; 44]. Glutamine was supplemented in 45 patients (90 %), while zinc and copper were applied to 42 (84 %) and 31 (62 %) respectively. Significant low zinc values were noted at therapeutic onset (6.5 mmol/ l [4.7; 7.9]) requiring sustained substitution over 37.5 days [22; 46.75]). In respect of the inclusion criteria, all patients received oxandrolone at 20mg/day [20; 20]. This was commenced on day 6.5 [4; 14] post burn injury and continued over 26 days [19; 31]. Despite a transitory elevation of hepatic enzyme values (ALT, GGT), these were only clinically relevant (>10µmol/l*S) in 2.4 % and 4.6 % of all measurements respectively. None were sufficiently of concern to merit cessation of treatment. Conclusion: The application of a standardised bundle of metabolic treatment options of severe burns injured patients is reliable, repeatable and safe. Potential concerns of oxandrolone treatment regarding hepatic compromise remain unfounded.:Introduction Epidemiology of severe burns injuries in the Federal Republic of Germany The hypermetabolic and catabolic state Therapeutic approach Non-pharmacological therapy Early surgical intervention Ambient temperature Enteral feeding in burns patients Occupational and physiotherapy in burns patients Pharmacological therapy Insulin Propranolol Oxandrolone Oxandrolone in the Federal Republic of Germany Metabolic bundle Materials and Methods Subjects and study design Ethical approval Burn care protocol Oxandrolone and the metabolic bundle Data collection Statistical analysis Objective of study Publication Summary References Appendix Declaration of independent scientific contribution, conception and execution of publication Declaration of independent scientific contribution towards dissertation Curriculum vitae Acknowledgements and thanks