Burnout is a state of physical or mental collapse caused by overwork or stress. Burnout during residency training has gained significant attention secondary to concerns regarding job performance and patient care. The new COVID-19 pandemic has raised public health problems around the world and required a reorganization of health services. In this context, burnout syndrome and physical exhaustion have become even more pronounced. Resident doctors, and especially those in certain specialties, seem even more exposed due to the higher workload, prolonged exposure and first contact with patients. This article is a short review of the literature and a presentation of some considerations regarding the activity of the medical residents in a non-Covid emergency hospital in Romania, based on the responses obtained via a questionnaire. Burnout prevalence is not equal in different specialties. We studied its impact and imagine the potential steps that can be taken in order to reduce the increasing rate of burnout syndrome in the pandemics.

No abstract

The purpose of this study was to identify the predictors of burnout in healthcare workers during the COVID-19 pandemic. Data were collected from March to June in 2020, during the COVID-19 pandemic, from employees of two Romanian hospitals. Five hundred and twenty-three healthcare workers completed a series of questionnaires that measured burnout, job demands, job resources, and personal resources. Among the respondents, 14.5% had a clinical level of exhaustion (the central component of burnout). Three job demands (work–family conflict, lack of preparedness/scope of practice, emotional demands), three job resources (training, professional development, and continuing education; supervision, recognition, and feedback; autonomy and control), and one personal resource (self-efficacy) were significant predictors of burnout, explaining together 37% of the variance in healthcare workers’ burnout. Based on our results, psychological interventions during the COVID-19 pandemic for healthcare employees should focus primarily on these demands and resources.

No abstract

No abstract

Le syndrome hépato-rénal: revue Le syndrome hépato-rénal (SHR) est défini comme une insuffisance rénale fonctionnelle chez les patients atteints d'une maladie hépatique présentant des reins morphologiquement intacts, où les mécanismes de régulation ont minimisé la filtration glomérulaire et maximisé la résorption tubulaire et la concentration urinaire. Le syndrome survient presque exclusivement chez les patients atteints d'ascite. Le type 1 du SHR se développe à la suite d'une réduction sévère du volume circulant efficace en raison d'une vasodilatation artérielle splanchnique extrême et une réduction du débit cardiaque. Le type 2 du SHR est caractérisé par une insuffisance rénale stable ou lentement progressive, de sorte que sa principale conséquence clinique n'est pas une insuffisance rénale aiguë, mais une ascite réfractaire, et son impact sur le pronostic est moins négatif. La transplantation hépatique est la méthode thérapeutique

No abstract

Patients with chronic diabetic complications are more insulin resistant than those without complications. Moreover, IR was independently associated with the presence of each chronic diabetic complication, and seems to be a good discriminator for them all.