Emotional burnout is a form of psychoemotional exhaustion that arises as a result of prolonged exposure to stressors in professional activity. In recent decades, this phenomenon has gained particular relevance due to the intensification of work processes, changes in employment patterns, and increasing demands placed on employees. The aim of this article is to examine employee emotional burnout from the perspective of how corporate culture influences its development and manifestations. The study is based on a theoretical analysis of domestic and international research addressing the interaction between components of corporate culture and factors contributing to burnout. It has been established that corporate culture may function both as a protective factor that reduces the risk of burnout and as an aggravating factor when it encourages overwork, high work intensity, insufficient psychological support, and underdeveloped norms of work–life balance. A structuralfunctional approach is employed to identify the mechanisms through which values, norms, organizational climate, and leadership practices affect employees’ emotional wellbeing. The article highlights the necessity of considering the cultural and psychological characteristics of an organization when developing personnel management programs. The work has a theoretical orientation and may be useful for HR specialists, managers, and researchers in the field of organizational psychology.

Background Vestibular disorders, particularly Ménière’s disease, represent significant neurological conditions affecting balance, spatial orientation, and quality of life. While endolymphatic hydrops is recognized as the pathological hallmark of Ménière’s disease, the relationship between thyroid dysfunction and vestibular pathology remains incompletely understood. Clinical observations suggest associations between hypothyroidism and vestibular symptoms, yet experimental evidence demonstrating causality is lacking. Objective To investigate whether surgically-induced hypothyroidism causes endolymphatic hydrops development in an experimental rat model and to characterize the histopathological changes in vestibular structures. Methods Twelve male Wistar albino rats were randomly allocated to total thyroidectomy ( n = 4), sham surgery ( n = 4), and control ( n = 4) groups. Thyroid function was assessed via serum thyroid-stimulating hormone (TSH) and thyroxine (T4) measurements at baseline and postoperative day 15. Animals were euthanized at 28 days post-surgery for comprehensive histopathological examination of temporal bones. Endolymphatic hydrops was evaluated using standardized semiquantitative scoring systems for Reissner’s membrane, vestibular structures, stria vascularis, and utricular macula. Results Thyroidectomized rats developed significant biochemical hypothyroidism with elevated TSH (mean difference: 0.378 μIU/mL, 95% CI: 0.183–0.573, p = 0.021) and decreased T4 levels (mean difference: −2.357 pmol/L, 95% CI: −3.521 to −1.193, p = 0.021). Histopathological examination revealed universal development of endolymphatic hydrops in all thyroidectomized animals (100% vs. 0% in controls, p < 0.001), affecting Reissner’s membrane, vestibular apparatus, stria vascularis, and utricular macula with varying severity. Conclusion This study provides the first direct experimental evidence that thyroid hormone deficiency induces endolymphatic hydrops in all examined vestibular structures. These findings establish a mechanistic link between hypothyroidism and vestibular pathology, with important implications for the neurological evaluation and management of patients presenting with vestibular symptoms and comorbid thyroid dysfunction.

This study examines the effect of Organizational Commitment and Work–Life Balance on Organizational Sustainability, with Communication Patterns as a mediating variable among educational staff at Universitas Muhammadiyah Surakarta. A quantitative survey method was employed with 100 respondents, and the data were analyzed using PLS-SEM through SmartPLS. The results indicate that Organizational Commitment and Work–Life Balance do not have a direct effect on Organizational Sustainability. However, both variables have a positive and significant effect on Communication Patterns. Furthermore, Communication Patterns significantly influence Organizational Sustainability and effectively mediate the relationships between Organizational Commitment and Work–Life Balance with Organizational Sustainability. These findings highlight that organizational sustainability is not determined solely by employees’ commitment and work–life balance, but also largely depends on effective communication patterns within the organization. Open and effective communication is crucial to linking individual values to the organization’s long-term goals.

ABSTRACT Objective To investigate the effects of combining aquatic therapy with a home exercise program on balance, functionality, and quality of life in children with DMD/BMD, compared with a home exercise program alone. Methods Sixteen patients aged 5–18 years with DMD/BMD were included. Those at the top of the waiting list were assigned to the intervention group (n = 8), and those further down to the control group (n = 8). The intervention group received 30-minute Halliwick-based aquatic therapy three times per week for five weeks in a 30°C pool, in addition to a home exercise program. The control group performed a home exercise program alone while awaiting aquatic therapy. The home exercise program consisted of joint range-of-motion and stretching exercises only (30 minutes/day, five days/week). Exercises were performed under caregiver supervision, and adherence was assessed by caregiver report and investigator questioning. Outcomes assessed at baseline and week 5 included weekly fall frequency, balance (Pediatric Berg Balance Scale; Functional Reach Test), activity (ACTIVLIM), physical performance (10-m walk; 4-step tests), quality of life (PedsQL Neuromuscular Module), and muscle strength (manual muscle testing) and joint range of motion. Results Significant improvements in balance, activity, physical performance, and quality of life were observed in the intervention group, alongside a reduction in weekly fall frequency (p < .05). In the control group, the only significant change was increased forward reach distance in the Functional Reach Test (p < .05). Between-group comparisons showed greater gains in balance, functionality, and quality-of-life scores in the intervention group (p < .01). Hip extensor strength increased significantly only in the intervention group. No adverse events occurred. Conclusion Combining aquatic therapy with a home exercise program was safe and well tolerated and was associated with greater short-term improvements in balance, functionality, and quality of life than a home exercise program alone, with reduced fall frequency over five weeks. These findings support integrating aquatic therapy into DMD/BMD management and justify larger randomized controlled trials to confirm efficacy and guide optimal regimens. Clinical trial registration number NCT06186310

Purpose This study aims to investigate the relationship between the adoption of artificial intelligence (AI), psychological safety, work–life balance, and burnout in the teaching context. Furthermore, this study examines the relationship between AI adoption and the psychosocial dimensions of lecturers’ mental health. The findings aim to inform strategic decisions in human resource management and technology development within universities. Design/methodology/approach Based on the integration of Technology Acceptance Theory (TAM) and Conservation of Resources (COR) Theory, the research model was built and tested using the partial least squares structural equation modeling method. Data were collected from 487 lecturers working at universities in Vietnam. Findings The results indicate that AI adoption is positively associated with psychological safety and work–life balance. AI adoption is also significantly associated with burnout in teaching, both directly and through its association with work–life balance. Work–life balance is statistically related to both AI adoption and burnout in teaching, suggesting a mediating pattern within the proposed model. These associations highlight how psychological resources tend to co-vary as technology becomes more embedded in the educational environment. Originality/value The study contributes to theoretical understanding by integrating the two foundations of TAM and COR to explain the role of AI adoption on the mental health of lecturers in digital transformation. The study provides practical management insights for universities to implement AI technology effectively. This approach not only is related to performance but also protects the long-term mental and emotional well-being of lecturers.

Increased thoracic kyphosis (TK) in adolescence can negatively affect posture, balance, and quality of life (QoL). While conventional corrective exercises (CE) are commonly used, Dynamic Neuromuscular Stabilization (DNS), based on developmental kinesiology, has shown potential as a targeted intervention. This study aims to compare the effects of DNS and conventional CE on TK angle, dynamic balance, and QoL in adolescent boys with increased TK. In this single-blind randomized controlled trial, 60 male adolescents aged 14-16 years with increased TK were randomly assigned to three groups: DNS, conventional CE, or control. The DNS and CE group completed six sessions per week (three supervised and three home-based) for 8 weeks and control group continues their normal life. TK angle was measured using a Spinal Mouse device, dynamic balance was assessed with the Y-Balance Test, and QoL was evaluated using the SF-36 questionnaire. Analysis revealed that both the DNS and conventional exercise (CE) groups showed statistically significant improvements in all measured outcomes, including thoracic kyphosis (TK) angle, dynamic balance, and quality of life (QoL) compared to the control group (p < 0.05). Furthermore, while the DNS group demonstrated significantly greater improvements than the CE group in TK angle and dynamic balance (p < 0.05), the difference in QoL between the two intervention groups was not statistically significant. DNS exercises were more effective than conventional CE in improving posture, balance, and QoL in adolescents with increased TK. This trial was registered in the Iranian Registry of Clinical Trials (IRCT) under the registration code IRCT20240907062968N5. Registration Date: 13/05/2025.

Nurses' psychological impact of caring for patients with LVADs: Patients, providers, & caregivers "triangle of relationships".

Survey of health-related quality of life and academic-life balance among doctor of pharmacy students.

Job satisfaction is one of the key factors influencing employee productivity and performance across various industrial sectors. This study aims to analyze the effects of work–life balance, work discipline, physical work environment, and job stress on the job satisfaction of employees at Fish Auction Places I and II Tasikagung, Rembang. The work–life balance variable consists of four dimensions: work interference with personal life, personal life interference with work, work–life enhancement, and personal life enhancement. This research employs a quantitative approach using a saturated sampling technique involving the entire population of 48 employees at Fish Auction Places I and II Tasikagung, Rembang. Data were collected through questionnaires that had passed reliability and validity tests. The results indicate that work interference with personal life and personal life interference with work have a significant negative effect on job satisfaction. Job stress has a negative but insignificant effect on job satisfaction, while work–life enhancement has a positive but insignificant effect. Meanwhile, personal life enhancement, work discipline, and the physical work environment have a significant positive effect on job satisfaction. The coefficient of determination shows a value of 0.615 or 61.5%, indicating that 38.5% of job satisfaction is explained by factors outside the research model.

Changing Working Patterns in Irish general practice: Findings from a Qualitative Remote Ethnographic Study.

This study aims to analyze the effect of Generation Z characteristics on turnover intention among nursing staff, with job satisfaction serving as a mediating variable, at Husada Hospital. The increasing tendency of turnover among Generation Z nurses represents a critical challenge for the sustainability of nursing services, particularly given this generation’s strong expectations regarding work flexibility, work–life balance, rapid feedback, and opportunities for self-development. A quantitative research approach was employed using a survey method. The study sample consisted of Generation Z nursing staff at Husada Hospital, selected through purposive sampling. Data were collected using structured questionnaires and analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM) with the assistance of SmartPLS version 3.2.9. The results demonstrate that Generation Z characteristics have a positive and significant effect on job satisfaction. Job satisfaction also has a negative and significant effect on turnover intention and is proven to mediate the relationship between Generation Z characteristics and turnover intention. These findings indicate that Generation Z characteristics do not inherently increase turnover intention but instead function as a protective factor when organizations are able to create satisfying work conditions. Therefore, managing generational characteristics through sustained efforts to enhance job satisfaction is a key strategy for reducing turnover intention among Generation Z nursing staff and ensuring long-term workforce stability.

This study aims to analyze the effect of Work-Life Balance (WLB) and Person-Organization Fit (PO-Fit) on Intention to Leave (ITL) with Job Satisfaction (JS) as a mediator among dormitory counselors at boarding schools in Padang City. A quantitative approach was used with a population of all active counselors at Ar Risalah and Sabbihisma (n=77) and purposive sampling. Data analysis was conducted using Partial Least Square–Structural Equation Modeling (PLS-SEM). The results showed that WLB and PO-Fit negatively affected ITL, meaning that the better the work-life balance and fit of the individual with the organization, the lower the counselor's intention to leave. Job Satisfaction also negatively affected ITL and acted as a significant mediator in the relationship between PO-Fit and ITL, but was not significant in the relationship between WLB and ITL. These findings emphasize the importance of the fit between individual values, culture, and goals with the organization in increasing Job Satisfaction and reducing turnover intention. This research provides strategic implications for boarding school management in increasing job satisfaction, retaining mentors, and ensuring the continuity of the student character development process.

This study examines how key organizational resources shape work–life balance (WLB), behavioural work–life conflict (BWLC), and work engagement (WE) among employees in the private sector. Drawing on the Job Demands–Resources (JD-R) model and the Conservation of Resources (COR) theory, we test an integrated framework in which leader support, co-worker support, and family-friendly policies predict WLB and BWLC, which in turn influence work engagement. Data collected from employees in Slovenian private-sector organizations were analyzed using structural equation modelling. The results show that leader support, co-worker support, and family-friendly policies significantly enhance WLB, with leader support demonstrating the strongest effect. BWLC is negatively associated with WLB, confirming that behavioural spillover between domains diminishes employees’ perceived balance. Leader support is the only organizational resource that significantly reduces BWLC, while co-worker support and family-friendly policies show no direct effect. Furthermore, WLB is a strong positive predictor of work engagement, whereas BWLC does not directly predict WE. These findings highlight the importance of work–life balance for understanding the relationship between organizational resources and work engagement, and they underscore the crucial role of leader behaviour in shaping boundary management. The findings should be interpreted within the context of Slovenian private-sector organizations and comparable regulated labour-market settings.

ABSTRACT The study investigates the factors influencing Green Human Resource Management (GHRM) practices in the IT sector of Haryana NCR, using a sample size of 600 employees. Exploratory Factor Analysis (EFA) was employed to reduce twenty statements into four meaningful factors: Green HR Integration, Green Operations, Green Rewards &amp; Recognition, an, Haryana NCR adopt and implement green initiatives. Keywords: Green HRM Practice, Work Life Balance, Job Satisfaction, IT Sector etc.

The COVID-19 pandemic has transformed the landscape of work, prompting organizations worldwide to adopt sustainable work practices that prioritize employee well-being and flexibility. This conceptual paper explores the relationship between sustainable work practices namely flexible work arrangements, remote work, job sharing, and supportive leave policies and employee work–life balance (WLB), with a specific focus on Malaysia’s financial sector. Grounded in Conservation of Resources Theory (COR), the paper argues that these practices function as critical resources that help employees reduce work–family conflict, preserve personal energy, and manage competing demands across life domains. The Social Exchange Theory (SET) framework is employed to position organizational support as a moderating influence, suggesting that when employees perceive their organizations as supportive, they are more likely to reciprocate with greater engagement, loyalty, and well-being. Furthermore, Work–Family Border Theory (BT) is used to contextualize how individuals navigate and manage the boundaries between professional and personal responsibilities. The proposed conceptual framework outlines eight propositions that link sustainable practices and WLB, as well as the interaction effects of organizational support. This paper contributes to theory by integrating resource, boundary, and exchange-based perspectives, offering a multidimensional view of how workplace sustainability strategies affect employees' holistic well-being. Practical implications are also discussed, including how human resource practitioners and policymakers in Malaysia’s financial sector can design and implement inclusive work policies that not only improve employee satisfaction and retention but also align with broader sustainability goals such as the United Nations SDG 3 (Good Health and Well-being) and SDG 8 (Decent Work and Economic Growth). By drawing attention to the interplay between supportive organizational environments and sustainable work design, this paper offers a timely foundation for future empirical studies and evidence-based policy development in the post-pandemic workforce.

Rheumatic diseases encompass a wide range of chronic, inflammatory, and autoimmune conditions, including rheumatoid arthritis, ankylosing spondylitis, fibromyalgia syndrome, juvenile idiopathic arthritis, and systemic lupus erythematosus. These conditions are often associated with pain, joint stiffness, muscle weakness, reduced physical fitness, psychosocial issues, and a decline in quality of life. Traditionally, pharmacological treatments have been the cornerstone of disease management. However, in recent years, exercise has gained recognition as an important complementary approach in therapeutic strategies. Regular exercise has been shown to have multifaceted effects such as increasing muscle strength and flexibility, relieving pain, reducing fatigue, supporting cardiovascular functions and strengthening psychosocial well-being. Thanks to controlled and fluid movements, exercise structure targeting the central muscle group and its respiratory-focused approach, Pilates provides both physical and psychosocial benefits in rheumatic diseases. Studies in the literature have shown that Pilates has positive effects in many areas such as disease activity, posture, balance, respiratory functions and quality of life. In this context, Pilates exercises have come to the fore in recent years. Therefore, in the management of rheumatic diseases, it is recommended to implement Pilates-based exercise programs that will be designed according to individual needs and disease characteristics. This review aims to comprehensively examine the effects of Pilates exercises on rheumatic diseases in the light of current literature.

While the number of self-identified female medical students has steadily increased over the years, orthopedic surgery remains one of the most male-dominated specialties. Recent efforts have been aimed at encouraging more women to enter the field, as women represent nearly half of all medical students and ultimately some of the most qualified candidates. Numerous studies have examined the factors that may encourage or discourage women from pursuing a career in orthopedics from the perspective of practicing surgeons. Specific factors noted to possibly deter females include work life balance, physical strength requirements and a lack of female mentors. Ultimately, it is widely acknowledged that these career decisions are often shaped during medical school by factors that remain poorly understood. The purpose of this review was to identify factors that influence the decision to pursue a career in orthopedic surgery in self identified female medical learners. A comprehensive scoping review was completed looking at factors that influence North American medical students' choice of residency. Following the screening of 2027 titles and abstracts, 445 articles underwent full text review. A more focused review narrowed down articles that explored the impact of sex and gender in residency choice among medical students. There were 20 out of 445 articles that addressed gender within medical specialities. Of these, four articles were in surgery and only one specifically investigated factors that impact female medical students' interests in orthopedics. It was found that mandatory musculoskeletal teaching and early clinical exposure to orthopedics had a positive impact on female students. Negative perceptions that could deter female students included an overall negative attitude towards females in orthopedics, male dominance within the profession, difficulty with work life balance, increased physical demand and a lack of acceptance from senior faculty. Other surgical domain articles found that anticipated difficulty with family planning deterred female students from surgery. A positive factor linked to increased interest in surgery was access to female and minority mentors. For other medical specialties, more females were found to enter residency programs with a greater number of female residents. More research is needed to understand the opportunities to increase interest in orthopedic surgery residency programs, particularly for female medical students. Early exposure to orthopedic surgery with directed education regarding misconceptions surrounding the specialty could have promising effects. Future research should be focused on investigating positive factors influencing residency choice.

The transformation of the world of work challenges hospitals in managing a multigenerational workforce, particularly Generation Z nurses, who have high expectations for career development, work–life balance, and recognition. Unmet expectations may reduce work motivation and affect healthcare quality. This study examines factors influencing the work motivation of Generation Z nurses using a quantitative descriptive approach at RS Islam Siti Rahmah Padang, involving 50 nurses selected through purposive sampling. Data were collected through questionnaires and analyzed using univariate analysis and multiple linear regression. The results showed that compensation and career development were perceived as the most influential factors (70%) and had a significant effect on work motivation (p = 0.000; p = 0.002). In contrast, the work environment and leadership showed no significant effect. These findings emphasize the need to strengthen compensation systems and career development programs to enhance Generation Z nurses’ motivation and healthcare service quality.

Auditors’ Work–Life Balance and Stress: Implications for Reduced Audit Quality Behaviours

Correctional officers are required to work in an environment that is often characterized by high pressure and demanding situations, making psychological and emotional support in the workplace increasingly important. Recognizing this, this study aims to analyze the influence of perceived organizational support on employee well-being, focusing on the mediating role of work-life balance and emotional exhaustion. This study used a quantitative approach involving 314 correctional officers working in prisons, LPKAs, and detention centers under the authority of the DKI Jakarta Regional Office of the Ministry of Immigration and Corrections. Data was collected through the distribution of questionnaires, with the application of various analytical techniques, including feasibility tests, pilot tests, validity and reliability assessments, descriptive analysis, and measurement and structural model analysis. The results showed that perceived organizational support has a positive and significant effect on employee well-being, both directly and through the mediation of work-life balance and emotional exhaustion. Work-life balance proved to be a mediator that strengthens the relationship, where the higher the organizational support, the better work-life balance employees perceive. In contrast, emotional exhaustion acts as a negative mediator, where strong organizational support is able to reduce the level of emotional exhaustion, thus improving well-being. In conclusion, organizational support plays a crucial role in creating psychologically healthy working conditions, strengthening life balance, and reducing employees' emotional burden. The findings provide practical implications for human resource management in correctional settings to focus more on creating a supportive and well-being-oriented work climate for employees.