Borderline States Research Articles

Particulars of breastfeeding age in preterm child (case report)

Background. General physicians often encounter preterm infants and adverse sequelae of prematurity-related morbidities. Interruption of intrauterine development leads to considerable deficits in the internal organs structure and function. It can lead to endothelial dysfunction, hypertension, proteinuria and metabolic abnormalities that persist throughout life. Children born early or low birth weight (LBW) infants also have relatively increased risk for the deve­lopment of kidney injury later in life. Often these infants have history of treatment at the intensive care unit due to hypoxic damage or inflammatory response that also affects kidneys necessitating the use of nephrotoxic medications. The treatment and diagnosis outcomes were applied to make a conclusion about clinical features of the preterm 7-month-old girl. The data were analyzed using PubMed/MEDLINE and Google Scholar databases. The aim is to summarize particulars of breastfeeding period in a LBW baby, providing a physician with practical information regar­ding organization of a follow-up. Material and methods. The baby was moderately preterm (32–33 weeks of gestation) with LBW (2100 g). Her mother was consulted regarding hypertension and threat of miscarriage during pregnancy. The child had renal borderline states in the newborn period. Apgar score was low, neonatal resuscitation and respiratory support by the continuous positive airway pressure were used. The newborn had poor regulation of body temperature, depended on environmental factors and prone to rapid heat loss, so she was nursed in incubator. A feeding tube was used despite poor sucking at the first days after delivery and breastfeeding was continued as soon as possible. Eventually, formula feeding was started. Results. Fever, vomiting, dehydration, loss of body weight and oliguria appeared in the 7-month-old baby after the upper respiratory tract infection. Examination showed the stigmas, neurodevelopmental delay, physical growth gap. Blood tests revealed anemia of the first stage and a rapid increase in the level of white blood cells with a left shift and electrolyte imbalance. The laboratory tests of primary and secondary hemostasis were normal. Physical, chemical and microscopic urine properties were changed according to results of urine test. The sonography revealed changes in renal tissue and thymic hyperplasia. The child was diagnosed with acute pyelonephritis and treated. Conclusions. Physicians should focus attention on the stigmas, neurodevelopmental delay, physical growth gap, life history, clinical signs and results of examination to make timely conclusion about child’s general state. Kidney injury could be diagnosed in preterm LBW infants.

‘I was detecting a kind of, a from the heart kind of dialogue’: understanding the role of reflective spaces for transitional safeguarding innovation

ABSTRACT The ESRC funded Innovate Project has explored how innovation is undertaken and experienced by professionals tasked with the responsibility of introducing new practice approaches in welfare provision for young people at risk of harm outside the home. This paper reports on our experiences of facilitating reflective discussion groups for professionals engaged in introducing Transitional Safeguarding into welfare settings in the UK. Within these reflective spaces we became aware of how the emotional impact of innovation is under-recognised and needs to be attended to, in order to ensure that the investment of peoples’ time and energy, alongside public monies, is not compromised. We draw on the psychoanalytic concepts of borderline states and the analytic third to highlight how such reflective spaces can provide the ‘emotional infrastructure’ to protect and promote the efficacy of innovation in challenging contexts.

Visualization of the Signals Entropy Structure Based on Walsh–Hadamard Functions

New molecular genetic algorithms, as tools for the visualization and analysis of big data, have made it possible not only to illustrate the internal structure of DNA molecules within their parameters but also to explore the field of chaos theory, particularly to display processes and signals close to chaotic ones. This provides a new perspective on the problem of determining criteria for borderline states between order and chaos. This article demonstrates the differences between chaotic and quasi-chaotic signals when visualized with molecular genetic algorithms. It presents examples of molecular genetic mappings of signals generated using various pseudorandom noise generators, as well as acoustic signals. This article considers structural and integral (folded) mappings as one-dimensional and two-dimensional projections of the pattern. The authors illustrate the internal structure of the reconstructed signal mappings in spaces of fractional dimensionality, which is considered as a visualization of the entropy structure based on functional mappings in spaces of the fractional dimension. As a result of this research, it was found that the use of molecular genetic algorithms for visualizing information signals makes it possible to identify the so-called entropy structure of these signals. At the same time, the entropy structure of chaotic signals is absent.

Schizophrenia spectrum disorders (aspects of psychopathology and clinical taxonomy)

To create a new taxonomy of schizophrenia spectrum disorders (SSD) based on the comparability of the design of SSD and borderline states. The total sample consists of 205 patients with an established diagnosis of SSD (F21; F25; F22 according to ICD-10) collected from studies of the department of borderline mental pathology and psychosomatic disorders of the Federal State Budgetary Institution Mental Health Research Center and the Department of Psychiatry and Psychosomatics of Moscow State Medical University in the period 2014 to 2024. Clinical, psychometric, statistical methods were used. A new two-level model of schizotypal personality disorder (STPD) has been developed: the first level is psychopathic-like disorders of the «Ferschroben» type; the second level are psychopathological disorders (positive, negative, etc.), appearing under their «mask», constituting a «tracing paper» of manifestations of schizophrenia «in miniature». The two-level psychopathological model of STPD is a complex clinical phenotype, including independent but overlapping phenotypic formations: psychopathic-like - the «Ferschroben» type; and basic - schizophreniform disorders. The clinical classification of schizophrenia spectrum disorders has been developed; pseudoneuroses and stress-induced disorders of the endogenous circle are considered in the aspect of the dynamics of STPD.

ЦВЕТОВОЙ КОНТРАСТ В ХУДОЖЕСТВЕННОМ ТЕКСТЕ (НА МАТЕРИАЛЕ РАССКАЗОВ Е. ЗАМЯТИНА И А. ГРИНА)

The article deals with the poetics of color, in particular, the functions of color contrast in a literary text. Color contrast in the short stories by E. Zamyatin and A. Green, chosen as research material, is a marker of contrasting spatial or temporal characteristics, motives and images, thereby organizing the inner world of the fiction work by visual means. Contrasting color play a significant role in the representation of boundaries and borderline states. Special attention in the article is paid to the principles of highlighting color combinations and “contextual” contrasts, in particular between the chromatic and achromatic palette. Distinguishing the individual functions of color allows us to considering it as a significant element of the artistic world, complementing it and providing additional ways of understanding and interpreting.

Indicators of the functional state of the circulatory system among agricultural machine operators

Introduction. Identification of functional disorders and prenosological conditions of the circulatory system under the conditions of adverse effects of the occupational environment is a necessary link in the development of measures to prevent health disorders in workers.
 Materials and methods. The study of functional indicators of hemodynamics, endurance and efficiency, functional reserves of the circulatory system, and ECG dispersion mapping using “Cardiovisor-06s” in eighty five male tractor drivers in agricultural production (agricultural machine operators) was carried out. 
 The average age of the surveyed cases was 42.36±1.2 years, the average work experience in the occupation is 19.61±1.26 years.
 Results. Agricultural machine operators, whose working conditions are characterized by the influence of working environment factors with a prohypertensive effect, have been established to reveal changes in the indicators of the functional state of the circulatory system and a decrease in the adaptive capabilities of the body, indicating the manifestation of borderline states between the norm and pathology. Between the duration of work experience in the occupation and the level of functioning of the circulatory system, a statistically significant correlation was established (r = 0.53) According to ECG dispersion mapping, individual values of the “Myocardium” microalternation index in 14.3% of the examined cases corresponded to a borderline state close to the initial stage of probable pathology . The most pronounced changes, indicating a violation of cardiometabolic processes, were noted in workers over 40 years. The average values of the “Rhithm” index (RI), which characterizes the integral component of heart rate variability, which is a marker of the adaptive capabilities of the body, were in the range of 21–35% for all examined persons (with a normal value of 0–20%), which corresponded to an increased tension of regulatory systems or 
 a borderline state. Increased individual levels of RI were more often recorded in people over 50 years.
 Limitations on the study are determined by the area of studying the subject of research in one professional cohort of workers.
 Conclusion. Early detection of prenosological changes in systemic hemodynamics and adaptation of the circulatory system can be one of the tools to identify the risk group of workers who need to develop and implement measures to prevent diseases of the circulatory system.

Bursa – po awangardzie? Powrót do lektury Malarstwa obłąkanego

Andrzej Bursa’s poem Painting Gone Mad (Malarstwo obłąkanego) takes over and sets in motion a machinery of images that are gradually disembodied. The recorded image of the world is superimposed here with the world of delusions and mental “deviations”, deforming all that is subject to poetic intervention and – in the case of other poems – perceived perhaps in terms of existential paradoxes. The psychotic construction of the subject allows the activation of games of imagination, which, in the field of creative possibilities, activate “surreal” images. The perspective of post-human transformations of years ago, technicization, and indeed fantastic, “surrealistic” textualization of borderline states of consciousness (madness, insanity) of a person from a triumphantly and dramatically modernized world is intriguing. The sketch includes interpretive remarks on the poems of Tytus Czyżewski and the text Without the Help of the Physicians by Jan Brzękowski. These works are juxtaposed with Painting Gone Mad due to the common perspective of psychiatric confrontation with the world and “mechanization” and, in the case of the latter poet, the organic-technical experience of the lyrical character.

ERGONOMICS AS A SAFETY FACTOR IN THE RAILWAY INDUSTRY

Railway transport is a huge energetic system, the functioning of which is determined by the coordinated work of thousands of employees of various specialties, including dispatchers and locomotive drivers. In the "man-technical system-production environment" system, a person is the "weakest link", determining the reliability and safety of the system's functioning as a whole. Studies show that the driver's work in conditions of high-speed traffic involves a high level of stress on the nervous analyzers, as well as the functions of memory and attention, which leads to their rapid fatigue. The level of fatigue obtained as a result of the work shift is unacceptable for most workers, monitoring the level of functional reliability of the worker can be an effective means of combating accumulated fatigue. The problems of ensuring the normal life of workers in dangerous professions in modern social and industrial conditions are caused primarily by the intense influence of negative social, professional and other factors that cause the development of adverse mental states and overstrain of psychophysiological functions. All this creates stressful situations, both in society in general and for every person. Of course, in addition to the above-mentioned stresses, an important place in the activity of a human operator is occupied by professional stress, which is constantly present. The systemic impact of stress has both an immediate and remote nature. Experimental studies have established that it reduces the level of functional reliability of the "human operator". Such states include, first of all, fatigue, stress and borderline states (between health and illness). Such indicators can be an indicator of high danger of such a relevant phenomenon for the transport industry as sudden ischemic death. A distinction is made between the slow and operational components of performance, while the slow (trend) does not change for a long time (month, years), and the operational (functional state) changes in the form of "peaks", "declines" or a relatively flat "plateau" during hours. It follows from this that in order to maintain the appropriate level of safety of the transport process, it is necessary to implement control of the level of efficiency of railway operators, including its trending part, taking into account the presence of constant stresses today. It is necessary to conduct monitoring as a prediction of early diagnosis of changes in the functional state of operators, and therefore the state of professional reliability. Keywords: safety, ergonomics, diagnostics, professional reliability, level of functional reliability, trend component.

ERGONOMICS AS A SAFETY FACTOR IN THE RAILWAY INDUSTRY

Railway transport is a huge energetic system, the functioning of which is determined by the coordinated work of thousands of employees of various specialties, including dispatchers and locomotive drivers. In the "man-technical system-production environment" system, a person is the "weakest link", determining the reliability and safety of the system's functioning as a whole. Studies show that the driver's work in conditions of high-speed traffic involves a high level of stress on the nervous analyzers, as well as the functions of memory and attention, which leads to their rapid fatigue. The level of fatigue obtained as a result of the work shift is unacceptable for most workers, monitoring the level of functional reliability of the worker can be an effective means of combating accumulated fatigue. The problems of ensuring the normal life of workers in dangerous professions in modern social and industrial conditions are caused primarily by the intense influence of negative social, professional and other factors that cause the development of adverse mental states and overstrain of psychophysiological functions. All this creates stressful situations, both in society in general and for every person. Of course, in addition to the above-mentioned stresses, an important place in the activity of a human operator is occupied by professional stress, which is constantly present. The systemic impact of stress has both an immediate and remote nature. Experimental studies have established that it reduces the level of functional reliability of the "human operator". Such states include, first of all, fatigue, stress and borderline states (between health and illness). Such indicators can be an indicator of high danger of such a relevant phenomenon for the transport industry as sudden ischemic death. A distinction is made between the slow and operational components of performance, while the slow (trend) does not change for a long time (month, years), and the operational (functional state) changes in the form of "peaks", "declines" or a relatively flat "plateau" during hours. It follows from this that in order to maintain the appropriate level of safety of the transport process, it is necessary to implement control of the level of efficiency of railway operators, including its trending part, taking into account the presence of constant stresses today. It is necessary to conduct monitoring as a prediction of early diagnosis of changes in the functional state of operators, and therefore the state of professional reliability. Keywords: safety, ergonomics, diagnostics, professional reliability, level of functional reliability, trend component.

NMR derived changes of lipoprotein particle concentrations related to impaired fasting glucose, impaired glucose tolerance, or manifest type 2 diabetes mellitus

BackgroundType 2 diabetes mellitus (T2D) and corresponding borderline states, impaired fasting glucose (IFG) and/or glucose tolerance (IGT), are associated with dyslipoproteinemia. It is important to distinguish between factors that cause T2D and that are the direct result of T2D.MethodsThe lipoprotein subclass patterns of blood donors with IFG, IGT, with IFG combined with IGT, and T2D are analyzed by nuclear magnetic resonance (NMR) spectroscopy. The development of lipoprotein patterns with time is investigated by using samples retained for an average period of 6 years. In total 595 blood donors are classified by oral glucose tolerance test (oGTT) and their glycosylated hemoglobin (HbA1c) concentrations. Concentrations of lipoprotein particles of 15 different subclasses are analyzed in the 10,921 NMR spectra recorded under fasting and non-fasting conditions. The subjects are assumed healthy according to the strict regulations for blood donors before performing the oGTT.ResultsUnder fasting conditions manifest T2D exhibits a significant concentration increase of the smallest HDL particles (HDL A) combined with a decrease in all other HDL subclasses. In contrast to other studies reviewed in this paper, a general concentration decrease of all LDL particles is observed that is most prominent for the smallest LDL particles (LDL A). Under normal nutritional conditions a large, significant increase of the concentrations of VLDL and chylomicrons is observed for all groups with IFG and/or IGT and most prominently for manifest T2D. As we show it is possible to obtain an estimate of the concentrations of the apolipoproteins Apo-A1, Apo-B100, and Apo-B48 from the NMR data. In the actual study cohort, under fasting conditions the concentrations of the lipoproteins are not increased significantly in T2D, under non-fasting conditions only Apo-B48 increases significantly.ConclusionIn contrast to other studies, in our cohort of “healthy” blood donors the T2D associated dyslipoproteinemia does not change the total concentrations of the lipoprotein particles produced in the liver under fasting and non-fasting conditions significantly but only their subclass distributions. Compared to the control group, under non-fasting conditions participants with IGT and IFG or T2D show a substantial increase of plasma concentrations of those lipoproteins that are produced in the intestinal tract. The intestinal insulin resistance becomes strongly observable.

Implementation of the principles of the scientific concept “Medicine of borderline states” regarding donosological diagnosis and overcoming the risks of health deterioration in student youth

Today, the methodological basis of disease pre­vention among various categories of the population, including students, is an innovative area of medical science and health care practice, namely medicine of borderline conditions. The development of a system of prenosological diagnosis of pathological conditions in young students and their hygienic correction for disease prevention are important both from a scientific and practical point of view. The study was conducted in the conditions of a natural experiment on the basis of three types of educational institutions, at the place of study of representatives of both sexes aged 14 to 23 years, adolescents and yound adults. In order to achieve the relevant objectives, the study used the following methods: analytic addressed at the study of educational programs, curricula, schedules, profile and regulatory documents; sanitary-hygienic; psychophysiological; psychological, statistic. Set of risk factors related to the educational process among young people studying in three types of educational institutions – secondary educational institutions, higher educational institution, Professional Agrarian Lyceum was analyzed. It is established that unfavorable living conditions affect donosological mental states of asthenic, hypochondriac and depressive nature.

Workplace stress: the main causes and preventive measures (literature review)

Today stress is one of the most common pathological conditions. Associated with the stress, it’s level, anxiety, depression, and burnout syndrome are still increasing and lead to the spread of psychological maladaptation and borderline states. Working population is under continuous exposure not only to social, but also occupational stress, which creates a financial burden for institutions and whole society. This review outlines the main directions of studying the impact of work-related stress on the workers’ body and examines the main occupations affected by stress and prevention as well. Literature search was carried out among databases including Scopus, Web of Science, MedLine, CyberLeninka, RSCI. The workers of dangerous occupations (transport drivers, locomotive crews, law enforcement, firefighters, rescuers), managers, working migrants, and healthcare workers are most susceptible to occupational stress. The number of people suffering from bad habits increases due to work-related stress as well. Workers use nicotine, alcohol, caffeine, sleeping pills and narcotic drugs as a negative way to overcome stress and its consequences. A special focus has been put on the influence of occupational stress on diseases development due to hazardous working conditions and features of work process management such as shift work and “emotional labour”. Furthermore, there are presented main directions of preventive measures to reduce the level of industrial stress.

Anthropological Dimensions of War in the Works of Natalia Kobrynska

In the article, Nataliia Kobrynska’s anti-military prose is analyzed in the context of an anthropological approach, which makes it possible to shed light on the “human and war” issue in a wide anthropological range. In particular, aspects of collective and individual emotions of war, gender issues, Christian anthropology, trauma of loss, motive of escape, national memory and archetypes, psychology of murder, children's perception of war are considered. This involves the biographical context of the writer herself, who witnessed and fell victim to the war, personally experiencing all its horrors and describing them in her works.The artistic description of war is dominated by N. Kobrynska’s expressionist worldview, depictions of the phenomena of mental and physical pain, borderline states of existence, ontologization of death, cordocentrism, motives of the end of the world, phantasmagoric visions of mutilation, deconstruction of the human body. The writer demonstrates the war-induced transformations in both public and individual consciousness that the new frontline experience has brought to an individual. It is particularly evident in the psychology of her characters, as the author notes the deformation of human values, when, on the one hand, a person adapts to war, experiences emotional atrophy, becomes inert to murder, and on the other hand, the same person gains new experience – the struggle for new vital meanings, mercy towards one's neighbor, exalted prayerfulness, ritual veneration of heroes, waiting for relatives to return from war. The anthropological dimensions of the phenomenon of war are dominated by the humanistic guidelines of the writer.

BORDERS IN THE STORY OF THE FOREST OF UKRAINE "CITY OF SADNESS"

The story "City of Sorrows" explores the phenomenon of the border as a kind of denial of borders. The borderline states of consciousness of the narrator and the characters in comparison with reality are analyzed. The types of borderline states in the story at the level of visual impressions (light) and auditory (sounds) are revealed.

Pathologies of the Self: Exploring Narcissistic and Borderline States of Mind by PhilMollon. Published by Confer Books, London, 2020; 192 pp, £9.99 eBook.

British Journal of PsychotherapyVolume 38, Issue 3 p. 613-615 Review Pathologies of the Self: Exploring Narcissistic and Borderline States of Mind by Phil Mollon. Published by Confer Books, London, 2020; 192 pp, £9.99 eBook. Rob Clacey, Corresponding Author Rob Clacey rocladev@hotmail.com Severnside Institute for PsychotherapyAddress for correspondence: [rocladev@hotmail.com]Search for more papers by this author Rob Clacey, Corresponding Author Rob Clacey rocladev@hotmail.com Severnside Institute for PsychotherapyAddress for correspondence: [rocladev@hotmail.com]Search for more papers by this author First published: 17 July 2022 https://doi.org/10.1111/bjp.12751Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume38, Issue3August 2022Pages 613-615 RelatedInformation

Role of the gene polymorphic variants of the dopaminergic system in the formation of the human psycho-emotional status

The genes of the neurotransmitter systems of the brain play a significant role in the formation of the psychological properties of a person. The dopaminergic system is one of the leading systems influencing the manifestation of individual psychological characteristics and the development of anxiety and depressive disorders. The association of polymorphic variants of the dopaminergic system genes with the psycho-emotional status of a person was analyzed using the molecular genetic analysis. The study involved 1454 representatives of the Belarusian population. The genotypes of 167 employees of the special forces of the Ministry of Internal Affairs of the Republic of Belarus and 235 highly skilled athletes were studied as the groups that were supposedly more stress-resistant. The opposite group consisted of 534 patients of the Republican Scientific and Practical Center for Mental Health with personality disorders and deviant behavior. The population control group included 518 volunteers representing the population of Belarus without known pathologies. As a result of the psychological testing, the groups with low and high emotional stability were identified by the quartile method. Genetic testing of groups with 11 polymorphic variants of 5 genes of the dopaminergic system made it possible to identify informative genetic markers of a person’s psycho-emotional status. The most significant polymorphisms were rs4680 and rs165599 of the COMT catechol-O-methyltransferase gene, rs1611115 of the dopamine-metabolizing enzyme dopamine-β-hydroxylase gene DBH, and rs6275 of the type 2 dopamine receptor gene DRD2. The results obtained can be used for preventive diagnostics of disorders in the psycho-emotional sphere, as well as for the development of programs for correction of borderline states, deviant and delinquent behavior, as well as mental illness.

Аpplication of innovative barotherapeutic means in correction of borderline functional states of dangerous occupations persons

The aim is to evaluate the effectiveness of hyperoxic and hypoxic argon therapy in the correction of borderline functional states of a person.Research methods. 16 men (aged 19–42 years) were examined. In group 1 (8 people), courses of normobaric oxygen therapy and hypoxic therapy were conducted: 14 daily procedures of 30 minutes of oxygen respiration, and then (after 30 minutes) 30 minutes of breathing with a gas mixture with an oxygen content in nitrogen of 16–14% vol. Argon therapy was performed in group 2 patients: 8 daily procedures of 20 minutes of breathing with a gas mixture containing 45% oxygen, 35% argon, nitrogen the rest, and then (after 20 minutes) — 20 minutes of breathing with a mixture containing 12–10% oxygen, argon 35% vol., nitrogen the rest.Results and discussion: it was shown that in group 2 individuals, as a result of the carried-out corrective programs, there was an acceleration of recovery processes, better values of subjective, psychophysiological and somatic status indicators were recorded compared to group 1. Therefore, combined argon therapy is a more effective means of correcting functional conditions compared to standard hyperoxic and hypoxic therapy.

Borderline states: a topography of contemporary psyche

This paper presents a discussion of issues concerning the concept of borderline personality disorder. We start from the constitution of the borderline structure, and move towards understanding particular aspects of borderline development, both on an individual and a collective level. This discussion is based on the examination of a progression in three different concentric circles: first, the context of child-parent relationships; second, interpersonal relationships established in the school environment; and, finally, an amplification of some aspects of contemporary culture that could be related to the current importance of this condition.

The EU’s chair was missing at the Ukraine table

The crisis in Ukraine has highlighted the weaknesses of the EU as an international actor. Although the EU is an economic, commercial and regulatory giant, it has not succeeded in emerging as a significant military or security actor—despite having announced a ‘common foreign and security policy’ 30 years ago. In particular, it is deeply divided over policy towards Russia. Moreover, attempts to devise an overall policy for its neighbourhood, and in particular an ‘Eastern Partnership’ focused on the borderline states between the Union and Russia, have been widely judged as failures. In the showdown between Russia and the West over Ukraine, the EU per se has been marginalised by both Moscow and Washington. Various EU member states have embraced different preferences with respect to the potential resolution of the Ukraine crisis. In the context of potential discussions, demanded by Vladimir Putin, on a ‘new security order’ for Eurasia, the EU’s absence is tragic.

Predictors of the Occupational Burnout of Healthcare Workers in Poland during the COVID-19 Pandemic: A Cross-Sectional Study.

The study aims at analysing the occupational burnout phenomenon, the level of anxiety and depression, as well as the quality of life (QOL) of healthcare workers (HCW) during the COVID-19 pandemic. There were 497 healthcare workers examined across Poland. The Maslach Burnout Inventory (MBI), Hospital Anxiety Depression Scale (HADS) and World Health Organization Quality of Life Instrument Short Form (WHOQOL BREF) were used. A total of 71.63% (356) of the respondents presented high and moderate levels of emotional exhaustion during the pandemic, 71.43% (355) reported low and moderate job satisfaction levels, whereas 40.85% (203) displayed high and moderate levels of depersonalization. A group of 62.57% (n = 311) demonstrated clear or borderline states of anxiety disorders, while 38.83% (n = 193) suffered from depression or its borderline symptoms. Direct predictors of occupational burnout included: escalating depression; quality of life domains such as the physical, psychological and social; being provided personal protective equipment (PPE) by an employer; age; medical profession; and material status. Emotional exhaustion appeared to be much higher in nursing and ‘other’ medical professionals than in physiotherapists (p = 0.023). In the times of pandemic, the occupational burnout prophylaxis ought to be focused on early recognition of depression like symptoms and their treatment, as well as providing the staff with PPE and satisfying earnings.