Long-term stress Dotaz Zobrazit nápovědu
- MeSH
- chování MeSH
- dieta MeSH
- krysa rodu rattus MeSH
- psychický stres MeSH
- Check Tag
- krysa rodu rattus MeSH
Advances in psychosomatic medicine ; vol. 22
? s.
- Konspekt
- Fyziologie člověka a srovnávací fyziologie
- NLK Obory
- fyziologie
Štruktúrovaný súhrnCieľ štúdie: Zhodnotiť dlhodobé výsledky retropubickej vezikopexie (t. j. priamej suspenzie pred-nej a oboch laterálnych stien mechúrovej bázy) v liečbe stresovej inkontinencie moču u žien (SUI)zapríčinenej hypermobilnou uretrou.Typ štúdie: Retrospektívna klinická štúdia.Názov a sídlo pracoviska: Urologická klinika LF Univerzity P. J. Šafárika, Košice, Slovensko.Metodika: Z celkovo 44 žien operovaných v rokoch 1985–1992 sa štúdie zúčastnilo 41 žien (93 %) (28s „čistou” SUI, 13 so zmiešanou inkontinenciou, v čase operácie v priemernom veku 50 rokov).Neúspešnú predchádzajúcu operáciu pre inkontinenciu malo 18 (44 %) pacientok. Vyhodnotenievýsledkov bolo spracované na základe údajov pacientok z podrobného dotazníka. Za úspešnúliečbu bolo považované vyliečenie alebo signifikantne zlepšenie (max. 1 vložka/deň) SUI.Výsledky: Pri priemerne 103 mesačnom období sledovania (48–160 mesiacov), 32 pacientok (78 %)uviedlo vyliečenie, ďalších 5 žien (12 %) signifikantne zlepšenie SUI. Perzistujúca (8/13, 62 %),resp. de novo urgentná inkontinencia (5/28, 18 %), boli hlavnými príčinami iba „čiastočnej” spokoj-nosti s výsledkom operácie. Perioperačné krvácanie s potrebou transfúzie (2 pacientky) bolo jedi-nou závažnejšou komplikáciou pozorovanou pri tejto operačnej metóde.Záver: Dlhodobé výsledky vezikopexie sú porovnateľné s efektom štandardných retropubickýchoperácii, akými sú Burchova kolposuspenzia, resp. MMK uretropexia. Za jej hlavné výhody možnopovažovať technickú jednoduchosť, žiadne riziko osteitis pubis ako aj perzistujúcich mikčnýchobtiaží. Z dôvodu nižšieho kuratívneho efektu je menej vhodná pre SUI typu II.B.
Objective: To evaluate long-term results of retropubic vesicopexy (e.g. direct suspension of theanterior and lateral walls of the bladder base) in the treatment of female stress urinary inconti-nence (SUI) caused by hypermobile urethra.Design: Retrospective clinical study.Setting: Department of Urology, Faculty of Medicine, University of P. J. Safarik, Kosice, Slovakia.Methods: From a total of 44 females operated on between 1985–1992, 41 (93%) were available forthe study (mean age 50 years, 28 pure SUI, 13 mixed incontinence). 18 (44%) patients had failedprevious incontinence surgery. Based on the data collected by a detailed questionnaire as a suc-cess cure and/or significant improvement (max. 1 pad/day) of SUI have been considered.Results: With a mean of 103 month follow-up period (48–160 months), 32 (78%) patients reported tohave their SUI cured, another 5 (12%) significantly improved. Both persistent (8/13, 62%) and denovo urge incontinence (5/28, 18%) have shown to the main reasons for “partial” satisfaction onlywith the outcome of surgery. Perioperative bleeding requiring blood transfusion was the onlyserious complication met with this procedure (2 patients).Conclusion: Long-term results of vesicopexy is comparable with the effect of standard retropubicprocedures like Burch colposuspension or MMK urethropexy. Technical simplicity, no risk ofosteitis pubis as well as persisting micturition problems may be considered the main advantagesof the procedure. Because of lower cure rate the procedure is less suitable for SUI type IIB.
OBJECTIVES: The aim of this study was to verify the Effort-Reward Imbalance (ERI) model, which served as the basic concept of mapping workplace stress, on the sample of Czech professional caregivers. ERI model examines the relationship between the long-term subjectively perceived level of workers' effort and rewards and analyses the physical and psychosocial consequences of the (im)balance. METHODS: The verification of ERI model in combination with well-being (and its psychosocial consequences) was conducted on a sample of Czech professionals caring for older people in 2014 (N = 265). The survey included 12 facilities providing health and social care services for older people. Facilities were chosen through purposive sampling and snowball technique. The sample was divided into the following subgroups: professionals working in residential or field services and medical or social workers. RESULTS: Results showed that the majority (57%) of professional caregivers in both residential and field services suffered from imbalance caused by higher effort and lower rewards. Subgroup of medical workers in long-term care institutions formed the most demanded group with the highest imbalance between work effort and rewards (68%). This discrepancy was reflected in a reduction of their well-being. This effect was most evident by the medical workers in home care. Well-being within this group was more than five times lower compared to other groups with ERI imbalance. Also, a group of social workers in institutions came out as a high-risk group in this regard. DISCUSSION: The level of imbalance differed among the defined groups. The data obtained verified the known facts about the adverse work situation of professionals in long-term care in the contemporary Czech environment. The outputs correspond to foreign studies and confirm the validity of ERI model on the sample of Czech professionals in the long-term care.
- MeSH
- dlouhodobá péče MeSH
- lidé MeSH
- pracoviště MeSH
- pracovní stres * MeSH
- pracovní uspokojení * MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- psychický stres * MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- únava * MeSH
- Check Tag
- lidé MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
- MeSH
- fyziologický stres MeSH
- hornictví MeSH
- hygiena práce MeSH
- lidé MeSH
- podnebí MeSH
- poslech srdce MeSH
- Check Tag
- lidé MeSH
V článku jsou shrnuty výsledky dlouhodobého sledování skupiny 100 dětí přijatých do pěstounských rodin. V souladu s výsledky podobných výzkumů prováděných v České republice bylo prokázáno, že psychická deprivace je napravitelná v mnohem větší míře, než bylo v odborné literatuře uváděno v době počátku výzkumu (1970). Pěstounství je velmi náročná forma rodičovství. Aby mohla pěstounská rodina plně rozvinout své terapeutické možnosti, potřebuje společenské uznání a podporu i komplexní odbornou péči, v níž má důležitou roli dětský lékař vedle psychologa a sociální pracovnice.
In the paper there are summed up the results of long-term psychological observation of 100 children in foster-care. In accordance with the results of similar research-works carried out in the Czech Republic it has been proved that psychic deprivation is reparable to a larger extent than it was presented in professional literature at the beginning of the research (1970). Fostering is a very demanding form of parentship. The foster-family can fully develop its therapeutic functions only under conditions of social recognition and support as well as complex professional care in which a pediatrician together with a psychologist and a social worker plays an important part.
