Higher Levels Of Fatigue Research Articles

Features of neuropsychological characteristics of patients with arterial hypertension

Introduction. The significant pathogenetic effect of arterial hypertension on the development of cognitive and psycho-emotional disorders, on the one hand, and the lack of algorithms for identifying and managing patients with comorbid neurocognitive disorders in therapeutic practice, on the other hand, determines the relevance of studying this problem.Aim. To study neuropsychological characteristics of patients with arterial hypertension in therapeutic practice. Materials and methods. A total of 508 patients with arterial hypertension were enrolled in the study. All study participants underwent the clinical examination and neuropsychological tests: Montreal Cognitive Assessment Scale (MoCA test), Schulte tables, Categorical Verbal Fluency Test, Tracking Test, MFI-20 asthenia self-assessment questionnaire, Reeder's Test, Maastricht Questionnaire, and Hospital Anxiety and Depression Scale (HADS). Results. The analysis of neuropsychological testing results of patients with hypertension showed that almost all the techniques identified deviations from the reference ranges in most of the study subjects. 85% of patients had decreased total score of cognitive functions assessed in terms of MoCA test scores, 83% of patients showed increased time in performing tracking test part A and 74% patients showed increased time in performing part B, and there was also a large difference between the time spent on performing parts B and A of the test; 49% of patients demonstrated decreased speed in performing the Schulte test. Th psycho-emotional state test results showed a high level of psycho-emotional stress in 80.5%, vital exhaustion in 78% and fatigue in 96% of patients. Conclusions. In this study, the neuropsychological testing results of patients with hypertension showed decreased total scores of cognitive functions and individual parameters of the cognitive spectrum, such as attention focusing, information processing speed, memory, speech function and executive functions combined with a high level of psycho-emotional stress, fatigue and anxiety.

Evaluation of Sleep Quality and Fatigue in Patients with Usher Syndrome Type 2a

To study the prevalence, level, and nature of sleep problems and fatigue experienced by Usher syndrome type 2a (USH2a) patients. Cross-sectional study. Fifty-six genetically confirmed Dutch patients with syndromic USH2a and 120 healthy controls. Sleep quality, prevalence, and type of sleep disorders, chronotype, fatigue, and daytime sleepiness were assessed using 5 questionnaires: (1) Pittsburgh Sleep Quality Index, (2) Holland Sleep Disorders Questionnaire, (3) Morningness-Eveningness Questionnaire, (4) Checklist Individual Strength, and (5) Epworth Sleepiness Scale. For a subset of patients, recent data on visual function were used to study the potential correlation between the outcomes of the questionnaires and disease progression. Results of all questionnaires were compared between USH2a and control cohorts, and the scores of the patients were compared with disease progression defined by age, visual field size, and visual acuity. Compared with the control population, patients with USH2a experienced a poorer quality of sleep, a higher incidence of sleep disorders, and higher levels of fatigue and daytime sleepiness. Intriguingly, the sleep disturbances and high levels of fatigue were not correlated with the level of visual impairment. These results are in accordance with the patients' experiences that their sleep problems already existed before the onset of vision loss. This study demonstrates a high prevalence of fatigue and poor sleep quality experienced by patients with USH2a. Recognition of sleep problems as a comorbidity of Usher syndrome would be a first step toward improved patient care. The absence of a relationship between the level of visual impairment and the severity of reported sleep problems is suggestive of an extraretinal origin of the sleep disturbances. Proprietary or commercial disclosure may be found after the references.

Factors associated with compassion fatigue and compassion satisfaction in obstetrics and gynaecology nurses: A cross-sectional study.

To examine the factors influencing compassion fatigue and compassion satisfaction in obstetrics and gynaecology nurses and to explore the combined results of multiple factors. An online cross-sectional study was conducted. Data were collected from 311 nurses using a convenience sampling method from January to February 2022. Stepwise multiple linear regression analysis and mediation tests were performed. Compassion fatigue in obstetrics and gynaecology nurses was in the moderate to high levels. Physical status, number of children, emotional labour, lack of professional efficacy, emotional exhaustion and the none-only-child can influence compassion fatigue; lack of professional efficacy, cynicism, social support, work experience, employment status and night shift were predictive of compassion satisfaction. Social support partially mediated between lack of professional efficacy and compassion fatigue/compassion satisfaction; emotional labour moderated in the mediated analysis model. Moderate to high levels of compassion fatigue was present in 75.88% of obstetrics and gynaecology nurses. Some factors affect compassion fatigue and compassion satisfaction. Thus, nursing managers should consider factors and construct a monitoring system to reduce compassion fatigue and improve compassion satisfaction. The results will provide a theoretical basis for improving job satisfaction and the quality of care in obstetrics and gynaecology nurses. And this may raise concerns about the occupational health of obstetrics and gynaecology nurses in China. The study was reported according to the STROBE. The nurses spent time filling out the questionnaires during the data collection phase and answered the questions sincerely. WHAT DOES THIS ARTICLE CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: Obstetrics and gynaecology nurses with 4-16 years of experience are prone to experience compassion fatigue. The effect of lack of professional efficacy on compassion fatigue and compassion satisfaction can be improved by social support. Reducing nurse compassion fatigue and improving compassion satisfaction are important for providing quality nursing care to obstetrics and gynaecology patients. In addition, clarifying the influencing factors of compassion fatigue and compassion satisfaction can improve nurses' work efficiency and job satisfaction, and provide theoretical guidance for managers to implement interventions.

Longitudinal changes of health-related quality of life over 10years in breast cancer patients treated with radiotherapy following breast-conserving surgery.

The study intended to (1) assess changes of health-related quality of life (HRQoL) between early treatment-related time points and 10years post-treatment in a cohort of breast cancer (BC) patients who received radiotherapy (RT), (2) to evaluate differences in HRQoL between long-term BC survivors and unaffected women from the same geographical region and (3) to identify determinants of long-term HRQoL in the survivor cohort. 292 BC patients were recruited prior to RT after breast-conserving surgery between 1998 and 2001 in Germany and prospectively followed up for a median of 11.4years (range 10.3-12.8years). HRQoL was assessed using EORTC QLQ-C30 at pre-RT (baseline), during RT, 6weeks after RT, and at the 10-year follow-up. Changes in mean HRQoL scores over time were assessed using linear-mixed models. HRQoL in long-term survivors and controls was compared using Wilcoxon rank-sum test, stratified by age groups. Multivariable linear regression models were used to identify determinants for HRQoL in long-term BC survivors. Compared to baseline level (mean summary score of 64.9), global health status/quality of life (GHS/QoL) declined during RT (62.4) and improved 6weeks after RT (69.9) before decreasing to baseline level at the 10-year follow-up (66.7). Most functional domains deteriorated or remained stable at 10years post-diagnosis compared to post-RT scores, except for role functioning which improved, while dyspnea and diarrhea significantly deteriorated between those two time points. There were no significant differences in long-term GHS/QoL between BC survivors 10years post-RT and controls for all age groups (p > 0.05). However, deficits in specific HRQoL domains such as emotional burden, sleep problems or fatigue were found to more strongly affect survivors, in particular those younger than 65years, compared to controls. In the determinant analysis, being overweight was associated with lower GHS/QoL and physical functioning, while living with others was found to be associated with better physical functioning, and decreased dyspnea and pain levels. Certain comorbidities such as depression had a strong association with multiple HRQoL domains, including lower GHS/QoL and functioning as well as a higher level of fatigue, pain, sleep/intestinal problems, and financial difficulties. Side effects such as lymphedema/pain and fibrosis were associated with worse physical and social functioning, respectively. The long-term GHS/QoL remained comparable when compared with the control population while restrictions in certain functional and symptoms domains in long-term BC survivors persisted over 10years, in particular among younger survivors. Targeted screening to identify cancer survivors at risk for psychosocial/other impairment accounting also for comorbidities and treatment side effects may be warranted in long-term aftercare to address unmet health needs.

The well-being of female administrative staff in managerial positions in Polish Higher Education Institutions

PurposeThe aim of the paper is to theoretically and empirically explore the issue of well-being (WB) of female administrative employees who work on managerial positions at higher education institutions (HEIs).Design/methodology/approachThis study is based on both literature studies and explorative empirical research conducted in Poland with the use of snowball sampling. It adopted a questionnaire authored by Parker and Hyett and covered 121 respondents.FindingsLiterature studies show that invisibility of work, low level of empowerment, increased stress, workload and expectations, reduced resources, high level of anxiety, fatigue and low level of vitality negatively impact the WB of HEIs’ administrative staff. The presented research provides insight into the internal structure of the administrative staff’s WB. Both the main construct (i.e. employees’ WB) and its subconstructs are on moderate level. Respondents’ age and tasks performed are correlated only with the subconstruct of WB in the form of intrusion of work into private life.Research limitations/implicationsAlthough the research is not based on large sample, it provides both practical and theoretical implications.Originality/valueMost of studies discuss the issue of WB of scholars. The paper fills the research gap in terms of examining female administrative employees who work on managerial positions at HEIs.

Shift Happens: Emergency Physician Perspectives on Fatigue and Shift Work.

Research has shown that shiftworkers experience poor sleep and high levels of fatigue. Although considerable research has been performed on fatigue within many shift-work occupations, very little has been done with emergency physicians (EPs). This qualitative study was conducted with the goal of gaining insight into EPs' perceptions of fatigue at work. Twenty EPs from an academic medical center participated in virtual interviews, with nine open-ended questions asked in a semi-structured interview format. Twelve common topics with four main themes emerged from the interviews. Three of these common themes included sources of fatigue (including both work- and home-related sources), consequences of fatigue (including impacts on individuals and performance), and prevention and mitigation strategies to cope with fatigue. The fourth main theme was the belief in the inevitability of fatigue due to high cognitive load, emotionally taxing work experiences, work unpredictability, and the 24/7 shift-work nature of emergency medicine. EPs' experiences with fatigue are consistent with but extend those of other types of shiftworkers. Our findings suggest that EPs tend to incorporate the inevitability of fatigue at work into their identity as EPs and experience a sense of learned helplessness as a result, suggesting areas for future interventions.

Training Load, Neuromuscular Fatigue, and Well-Being of Elite Male Volleyball Athletes During an In-Season Mesocycle.

Most high-intensity bouts of exercise in volleyball consist of jumping activities, which are responsible for inducing muscle damage, high levels of fatigue, and muscle soreness. Therefore, the aim of the current study was to quantify and analyze the training loads, neuromuscular fatigue, and perceptual well-being of a 5-week in-season mesocycle carried out by a professional male volleyball team. Fifteen volleyball players (age 28.51 [5.39]y; height 193.19 [9.87]cm; body mass 88.46 [13.18]kg) participated in this study. Internal training load assessed through the rating of perceived exertion, external training load (ETL; evaluated using an inertial motion unit), countermovement jump (CMJ) height and peak power, and wellness questionnaire responses were obtained from all athletes. Results indicated a progressive decrease of the internal training load during the week and by the undulatory pattern of the ETL during the microcycles. Moreover, training monotony increased across the microcycles and was negatively associated with CMJ peak power (r = -.681, P < .05). Finally, sleep quality (ρ = -.747, P < .01) and fatigue (ρ = -.789, P < .01) were negatively associated with weekly ETL. This study indicated that sleep quality and fatigue were negatively associated with weekly ETL. Therefore, decreases in weekly ETL might be needed to improve sleep quality and decrease fatigue in professional volleyball players. Plus, higher values of training monotony were associated with lower values of CMJ peak power. Consequently, avoiding training monotony might be important to improve jumping performance in professional volleyball athletes.

Compassion fatigue and COVID‐19: A global view from nurses

Due to the rapid spread of COVID-19 variants, the number of people hospitalized for COVID-19 may create psychological burdens on nurses. Nurses with high levels of compassion fatigue (CF) are more likely to make work errors, deliver poor-quality care, and have greater intent to leave their position. This study utilized the social-ecological model to examine factors associated with nurses' CF and compassion satisfaction (CS) during the COVID-19 pandemic. Data were collected from the United States, Japan, and South Korea from July to December 2020. The Professional Quality of Life Scale was used to measure burnout (BO), secondary traumatic stress (STS), and CS. Data from 662 responses were used in the analysis. Mean scores were 25.04 (±6.44) for BO, 24.81 (±6.43) for STS, and 37.85 (±7.67) for CS. Multiple regression analyses indicated that resilience and intention to leave nursing were related to each study outcome (i.e., BO, STS, and CS). Greater resilience predicted lower BO and STS but greater CS, whereas intention to leave nursing indicated greater BO and STS, but lower CS. Furthermore, intrapersonal factors and organizational factors (i.e., nurses involved in developing policies to prepare for COVID-19 patients, organizational support, and personal protective equipment [PPE] provisions) were related to BO, STS, and CS. To promote nurses' psychological well-being, improvement of organizational factors such as support, PPE, and programs to enhance resilience is recommended to prepare for future emerging infectious disease crises.

Chronic Disease Self-Management of Post-Acute Sequelae of COVID-19 Among Older Adults: A Mixed-Methods Analysis.

Approximately 20-30% of individuals who contract acute coronavirus disease (COVID-19) infection develop longer term complications of their initial infection, referred to as Post-Acute Sequelae of SARS-CoV-2 infection (PASC). PASC is characterized by chronic, varying symptomatology. Using a mixed methods study design, we aimed to gain insight into individuals' experience with PASC, including cognitive issues, fatigue, and sleep disturbances. We explored whether our previously developed application (app), aimed at improving self-management skills among individuals with chronic diseases, is relevant for individuals with PASC and gained information to adapt the app for individuals with PASC. The study included 19 individuals, aged 40 years and older, recruited from our research participant database, Nova Southeastern University clinics, and community locations. We included this age range because older adults are more likely to have comorbid conditions, allowing us to better understand the impact of COVID-19 infection in these individuals. Participants completed seven standardized self-report questionnaires online, and an individual semi-structured interview via videoconferencing. Quantitative data were assessed using descriptive statistics and calculating individuals' scores in relation to norms. Qualitative data were analyzed using a thematic analysis approach. Triangulation of the data was accomplished by calculating correlations between participants' responses on self-report scales and themes found in semi-structured interviews. Themes included disruption of everyday life, diverse physical symptoms, and cognitive problems including brain fog, fatigue, coping, and emotional upset. Quantitative analysis demonstrated that participants experienced high levels of fatigue, negative mood, cognitive problems, and overall reduction in health-related quality of life (HRQOL). Correlation analyses revealed that individual interview responses were related to participants' self-report of symptoms on standard questionnaires. Findings indicate that self-report questionnaires may reflect the experience of individuals with PASC and its impact. Additionally, further efforts to expand our prior mobile app are warranted among individuals with PASC.

Work ability among employees 2-10 years beyond breast cancer diagnosis: Late treatment effects and job resources - A longitudinal study.

The number of workers who have previously undergone a cancer treatment is increasing, and possible late treatment effects (fatigue, physical and cognitive complaints) may affect work ability. The aim of the study was to investigate the impact of late treatment effects and of job resources (autonomy, supportive leadership style, and colleagues' social support) on the future work ability of employees living 2-10 years beyond a breast cancer diagnosis. Data at T1 (baseline questionnaire) and at T2 (9 months later) were collected in 2018 and 2019 (N = 287) among Dutch-speaking workers with a breast cancer diagnosis 2-10 years ago. Longitudinal regression analyses, controlling for years since diagnosis, living with cancer (recurrence or metastasis), other chronic or severe diseases, and work ability at baseline were executed. Higher levels of fatigue and cognitive complaints at baseline predicted lower future work ability. The three job resources did not predict higher future work ability, but did relate cross-sectionally with higher work ability at baseline. Autonomy negatively moderated the association between physical complaints and future work ability. Fatigue and cognitive complaints among employees 2-10 years past breast cancer diagnosis need awareness and interventions to prevent lower future work ability. Among participants with average or high levels of physical complaints, there was no difference in future work ability between medium and high autonomy. However, future work ability was remarkably lower when autonomy was low.

Perceived Sleep Quality in Individuals with Inborn Errors of Immunity.

Chronic sleep issues can lead to poor quality of life and increased mortality and patients with chronic health conditions often report impaired sleep quality. Higher levels of fatigue have been identified in patients diagnosed with inborn errors of immunity (or primary immunodeficiency diseases). This research sought to better understand perceived sleep quality in individuals diagnosed with IEI. A survey, which included the validated Sleep Quality Scale, was shared across multiple social media groups for individuals with a diagnosis of IEI. Most of the participants were White/Caucasian females, between the ages of 30 and 74 years. The results of the Sleep Quality Scale suggest that this sample of individuals has moderate impairment of their sleep quality (71.8%), with a mean score of 43.0 (SD = 13.1). When comparing the results of the SQS to other patient populations and healthy control groups, the participants in this study had a poorer sleep quality score. Associations were identified between sleep quality and age, hours of sleep per night, time awake at night, times awake to urinate, attempted daytime naps, chronic pain, and mental health diagnoses. This survey suggests that individuals with inborn errors of immunity have a moderate degree of perceived impairment in sleep quality. Healthcare providers are strongly encouraged to incorporate sleep quality screening in their routine assessments of patients with a diagnosis of Inborn Error of Immunity. Patients who are identified as having impaired sleep quality should be referred for further testing and interventions.

Well-Being, Occupational Fatigue, and Sleep Quality among Filipino Nurses working during COVID-19.

Fatigue is a common symptom experienced by nurses before the pandemic, but this experience is heightened by the coronavirus (COVID-19) pandemic. The literature has ample evidence of nurses experiencing occupational or work-related fatigue. In addition, human error is a significant consequence of fatigue that can significantly impact patient outcomes and be devastating for a nurse. Guided by Lazarus and Folkman's Transactional Theory of Stress and Coping, we conducted a descriptive, correlational and cross-sectional study aimed to 1) explore the level of occupational fatigue and sleep quality among Filipino nurses working during the COVID-19; 2) determine the relationships between occupational fatigue, sleep quality, and subjective wellbeing among Filipino nurses working during COVID-19 pandemic. One hundred twenty-six Filipino nurses across the United States working during the pandemic were surveyed using RedCap. The study showed that Filipino nurses had moderate to high acute and chronic fatigue levels, lower intershift recovery, and good sleep quality. Evidence and opportunities for health care administrations to create strategies to enhance the wellbeing of their largest and most valuable workforce.

Compassion Fatigue in Small Scale Health Care Facility Nurses: Testing the Effectiveness of Cognitive Behavioral Therapy

The aim of the present research is to explore the levels of compassion fatigue and examine the effectiveness of cognitive behavioral therapy (CBT) on compassion fatigue in nurses working in small scale healthcare facilities. This research compares two settings i.e., Individual and Training. It was hypothesized that there would be a significant difference in the levels of compassion fatigue, before and after cognitive behavioral therapy interventions among nurses. Secondly, it was also hypothesized that there would be a significant difference in the effectiveness of cognitive behavioral therapy on compassion fatigue in nurses in individual settings, as compared to training settings. A sample of 30 nurses, recruited from two small scale healthcare facilities in Karachi were screened for compassion fatigue by using Professional Quality of Life Scale (ProQol) version 5. A total of Four nurses (M=24, SD=3.39) with high levels of compassion fatigue were facilitated by providing therapeutic intervention based on worksheets from a self-help workbook, ‘Overcoming Compassion Fatigue’ for both settings. The participants reported experiencing differing levels of compassion fatigue. Paired sample t- tests and Independent sample t- tests showed a significant difference (p &lt; 0.05) in the levels of Compassion Fatigue post intervention. The findings also suggested absence of a significant difference (p &gt; 0.05) in the levels of Compassion fatigue in nurses in individual settings as compared to training settings. The research carries implications for educators and psychologists as it proves the effectiveness of cognitive behavioral therapy in treating compassion fatigue. Hospital management may find it beneficial to utilize the current treatment process using cognitive behavioral therapy to relieve burnout and compassion fatigue in nurses.

When citizens get fed up. Causes and consequences of issue fatigue – Results of a two-wave panel study during the coronavirus crisis

Abstract In the context of the long-lasting coronavirus crisis, this study examines the occurrence, causes, and consequences of issue fatigue – a phenomenon that refers to a feeling of annoyance with an issue that is repeated continually in the news. Using data obtained from a representative two-wave panel survey conducted online in April and May 2020 (n = 1,232) in Germany, the study employed a cross-lagged panel model to examine longitudinal relations. First, the results indicate that a considerable share of the German population already felt fatigued with the coronavirus issue in April, and that this proportion increased by May. Second, in terms of causes, the results show that perceptions of low news credibility and perceived “victimization” of other topics caused high levels of issue fatigue. However, effects of the reverse direction were also present, pointing to a mutual reinforcement of issue fatigue and media perceptions. Third, regarding consequences, the results reveal that recipients experiencing issue fatigue increasingly avoided coronavirus news, and also tended to disregard coronavirus hygiene rules.

Suicide among physicians: what do we know about it?

IntroductionThe prevalence of mental illness has increased worldwide over the past few years. At the same time, and even in the sense, there is also an increase in suicide rates with special incidence in certain risk groups, among which health professionals stand out.In this particular group, physicians seem to represent a class particularly vulnerable by the stress and demand associated with it, but also by access and knowledge about potentially lethal means.For this very part, they have a higher risk of suicide than the general population.ObjectivesThis paper aims to better understand the phenomenon of suicide among physicians and identify which medical specialties are most vulnerable.MethodsBibliographic research in the Pubmed® database using the terms “suicide and physicians”.ResultsThe data obtained from the scientific literature consulted indicate that physicians have a higher risk of suicide than the general population, with greater emphasis on females who have higher rates compared to males.Work factors that translate into higher levels of demand and stress combined with easy access and knowledge about the use of potentially lethal means seem to contribute very significantly to this phenomenon. Perfectionist personality traits with a high sense of responsibility and duty are also important characteristics that place these professionals in a position of greater vulnerability.With regard to the different medical specialties, anesthesiology, psychiatry and general and family medicine are the ones with higher suicide rates among the medical class.ConclusionsThe risk of suicide, although admittedly high in the medical class, is not homogeneous among different countries, being naturally influenced by the satisfaction/gratification obtained in the performance of their profession. In this sense, countries such as Switzerland and Canada show higher levels of professional satisfaction. In the opposite direction, dissatisfaction in the exercise of clinical activity is associated with higher levels of fatigue and burnout.Medical women, due to the need to combine the responsibility of family tasks with professional responsibility, are at greater risk.In this sense, it is necessary to develop strategies that are more appropriate for the prevention and early identification of suicide risk situations that can be experienced not only by improving working conditions but also by better addressing professionals suffering from mental disorders.Disclosure of InterestNone Declared

Understanding effort regulation: Comparing 'Pomodoro' breaks and self-regulated breaks.

During self-study, students need to monitor and regulate mental effort to replete working memory resources and optimize learning results. Taking breaks during self-study could be an effective effort regulation strategy. However, little is known about how breaktaking relates to self-regulated learning. We investigated the effects of taking systematic or self-regulated breaks on mental effort, task experiences and task completion in real-life study sessions for 1 day. Eighty-seven bachelor's and master's students from a Dutch University. Students participated in an online intervention during their self-study. In the self-regulated-break condition (n=35), students self-decided when to take a break; in the systematic break conditions, students took either a 6-min break after every 24-min study block (systematic-long or 'Pomodoro technique', n=25) or a 3-min break after every 12-min study block (systematic-short, n=27). Students had longer study sessions and breaks when self-regulating. This was associated with higher levels of fatigue and distractedness, and lower levels of concentration and motivation compared to those in the systematic conditions. We found no difference between groups in invested mental effort or task completion. Taking pre-determined, systematic breaks during a study session had mood benefits and appeared to have efficiency benefits (i.e., similar task completion in shorter time) over taking self-regulated breaks. Measuring how mental effort dynamically fluctuates over time and how effort spent on the learning task differs from effort spent on regulating break-taking requires further research.

Occupational Risk Factors for Physical and Mental Health in Primary Healthcare Providers: A National Cross-Sectional Survey from 62 Urban Communities in China.

To understand the physical and mental health status of primary healthcare providers (PHPs) including physicians, nurses and other staff and the workplace risk factors for depression, anxiety and intention-to-leave. In December 2021, a national cross-sectional survey was conducted from 62 urban communities in China, and all PHPs were invited to complete a standardized questionnaire. Information on demographic, health-related lifestyle, cardiovascular risk factors and physical health status, occupational stress and intention-to-leave was collected. Depression and anxiety were assessed using the Zung Self-Rating Anxiety/Depression Scale (SAS/SDS). A total of 4901 PHPs were included. 67.0% males currently drank alcohol vs 25.3% in females; 36.0% males currently smoked cigarettes vs 1.4% in females. Notably, more than half males were overweight or obese, but this proportion was 24.2% in females. The prevalence of chronic diseases, including hypertension, diabetes, dyslipidemia, non-alcoholic fatty liver disease, gout, and disease clustering were higher in males than in females. The prevalence of depression and anxiety were high, 50% had depression, of whom 15.6% had moderate/severe depression. Over 15% participants had varied levels of anxiety, and approximately 4% had moderate/severe anxiety. PHPs who aged 18-29 (OR: 1.31, 95% CI: 1.05-1.64), were males (OR: 1.34, 95% CI: 1.14-1.57), with lower professional title (comparing with staff with senior title, the ORs of the intermedium, junior and none were 1.83, 2.18 and 2.49, respectively), took charge in nursing (OR: 1.41, 95% CI: 1.20-1.65), with higher perceived stress level (OR: 1.82, 95% CI: 1.41-2.34), and suffering from severe fatigue (OR: 2.55, 95% CI: 1.99-3.27) were more likely to have depression. Likewise, PHPs who were younger, with intermedium professional title, had higher perceived pressure level, and higher fatigue levels were more likely to have anxiety. The mental health of PHPs is worrisome, with a high burden of chronic diseases and occupational risk factors. Younger PHPs, nurses, and those with higher levels of work pressure and fatigue are more vulnerable to psychological problems. The high prevalence of intention-to-leave calls for strategies that relieve the workplace stress and enhance the human resource capability.

Burnout Experience among Iranian Teachers during the COVID-19 Pandemic

This study represents the first attempt to explore teachers&amp;rsquo; burnout experience during one of the most critical phases of the COVID-19 pandemic in Iran. The main goals were to estimate the prevalence of burnout in Iranian men and women teachers and analyse the association of sociodemographic variables on burnout levels. A total of 125 Iranian teachers participated in this study. Results suggest that Iranian teachers perceive high levels of burnout during the COVID-19 pandemic, with 24% of participants reporting high levels of overall burnout. Furthermore, 32% of the sample reported high levels of physical fatigue, 24.8% high levels of cognitive weariness, and 17.6% high levels of emotional exhaustion, suggesting that a considerable number of Iranian teachers are already struggling to deal with their job-related stressors. Significant differences were found for sex, with men reporting higher exhaustion than women. No significant differences were found between other sociodemographic characteristics and burnout. We analyse the results from a cultural perspective and discuss its implications for future research and psychological interventions in schools. Future studies explore how school contextual variables can mediate or moderate the effect of sociodemographic characteristics on teachers&amp;rsquo; burnout. Intervention programmes should consider local schools&amp;rsquo; characteristics and be sensitive to teachers&amp;rsquo; individual needs and consider the added weight of the pandemic to teachers&amp;rsquo; daily job-related stressors.

Digital dependence: Online fatigue and coping strategies during the COVID-19 lockdown.

As the COVID-19 pandemic lockdowns forced populations across the world to become completely dependent on digital devices for working, studying, and socializing, there has been no shortage of published studies about the possible negative effects of the increased use of digital devices during this exceptional period. In seeking to empirically address how the concern with digital dependency has been experienced during the pandemic, we present findings from a study of daily self-reported logbooks by 59 university students in Copenhagen, Denmark, over 4 weeks in April and May 2020, investigating their everyday use of digital devices. We highlight two main findings. First, students report high levels of online fatigue, expressed as frustration with their constant reliance on digital devices. On the other hand, students found creative ways of using digital devices for maintaining social relations, helping them to cope with isolation. Such online interactions were nevertheless seen as a poor substitute for physical interactions in the long run. Our findings show how the dependence on digital devices was marked by ambivalence, where digital communication was seen as both the cure against, and cause of, feeling isolated and estranged from a sense of normality.

The Effect of the On Call Work System on Work Fatigue in Tanah Grogot Hospital Employees

Ideal working hours are 8 hours a day or 40 hours a week but the On Call work system exceeds this requirement. One of the jobs that do the work of the On Call system is service work in hospitals. Employees on call tend to arrive late due to various factors including fatigue. This study aims to determine the effect of the On Call Work System on Work Fatigue in Tanah Grogot Hospital Employees. This study used a Quasi-Experimental Design with a one-way simple randomized design. The results of the study showed that there was an effect of the On Call Work System on the Level of Work Fatigue experienced by Tanah Grogot Hospital employees. Employees with On Call 1 Work Systems have a higher Work Fatigue Level than employees with On Call 2 and Non On Call Work Systems. Employees with the On Call 2 work system have a higher Fatigue Level than employees with the Non On Call Work System.