Years Of Professional Experience Research Articles

Validation of 3D printed MAYO tubes and stethoscope in simulated medical environment – Tools fabricated with additive manufacturing for emergency care

Emergency and disaster medical care often face resource or equipment shortages. 3D printing technology has been proven to be effective in cases with insufficient supply chains. MAYO tubes and stethoscopes are essential components of ABCDE patient examinations; however, 3D-printed variants have not been fully tested. These 3D-printed instruments were substituted and validated in a simulated pre-hospital environment.In total, 26 participants were included in this study. Fifteen clinicians or paramedics with at least 3 years of professional experience and 10 medical students. One student was excluded because he had relevant experience with emergency care. As basic tasks, the placement of MAYO tubes and auscultation with stethoscopes were performed using medical simulators. 3D printed instruments were compared with conventional clinical devices by measuring the time required for the intervention, success rate, and user satisfaction. In the study FFF (Fused Filament Fabrication (FFF), SLS (Selective Laser Sintering (SLS), and SLA (stereolithography) 3D printing were used in this study.The times required for implementation and auscultation were examined for each instrument. There was no significant difference between the MAYO tube (p = 0.798) and the stethoscope (p = 0.676). In the case of stethoscopy, the study investigated the correct diagnosis, and no significant difference was found (p = 0.239), although an interesting trend was observed. Regarding the MAYO tube, the study found no significant difference in correct position formation (p = 0.163). The experience levels of the groups did not influence these factors. However, significant differences in user satisfaction were found in both cases in favour of the conventional versions (p < 0.001).Overall, the results of this study suggest that 3D-printed devices could be suitable replacements for clinic-based devices in emergency situations. The 3D-printed devices did not perform inferiorly at any of the indicated points compared to their classical counterparts. However, the practical applicability of the devices used in this study requires further investigation.

12-Leads Electrocardiogram Interpretation Competency among Nurses working in Critical Care Areas at Dow University Hospital, Karachi

OBJECTIVE: To assess the 12-lead Electrocardiograph (ECG) interpretation competency level of nurses working in the critical care units of Dow University Hospital, Karachi. METHODOLOGY: The descriptive cross-sectional design study was conducted from October to December 2019. The purposive sampling technique was used to include the participants. The study sample constitutes 120 registered nurses from the critical care units of Dow University Hospital (DUH), including the intensive care unit (ICU), coronary care unit (CCU), and emergency department(ED). Full-time Registered nurses with more than one year of professional experience and currently working in critical care units of Dow University Hospital were included, and those with post-basic-cardiology specialization were excluded. Data were collected through a 12-item validated study questionnaire and analyzed through descriptive statistics using SPSS version 21.0. RESULTS: Most of the participants, 84 (70.0%) in this study, were male, and 46(38.3%) of the nurses have completed Post RN-BS Nursing (post-diploma two years undergraduate nursing degree program) as the highest professional qualification. This study determined ECG interpretation competence as a score of ≥ 9 out of 12. The findings of this study revealed that 38(31.66%) nurses scored ≥ 9, whereas 82 (69.34%) nurses scored eight or less. CONCLUSION: The study found that most nurses performing their duties in critical hospital areas have suboptimal ECG interpretation competency levels. A relatively higher level of competency was found among nurses working in CCU. KEYWORDS: Nurse, Interpretation, competency level, Electrocardiogram, Tertiary care hospital

Revolutionising dental technologies: a qualitative study on dental technicians’ perceptions of Artificial intelligence integration

BackgroundThe integration of artificial intelligence (AI) in dentistry has the potential to revolutionise the field of dental technologies. However, dental technicians’ views on the use of AI in dental technology are still sparse in the literature. This qualitative study aimed to explore the perceptions of dental technicians regarding the use of AI in their dental laboratory practice.MethodsTwelve dental technicians with at least five years of professional experience and currently working in Malaysia agreed to participate in the one-to-one in-depth online interviews. Interviews were recorded, transcribed verbatim and translated. Thematic analysis was conducted to identify patterns, themes, and categories within the interview transcripts.ResultsThe analysis revealed two key themes: “Perceived Benefits of AI” and “Concerns and Challenges”. Dental technicians recognised the enhanced efficiency, productivity, accuracy, and precision that AI can bring to dental laboratories. They also acknowledged the streamlined workflow and improved communication facilitated by AI systems. However, concerns were raised regarding job security, professional identity, ethical considerations, and the need for adequate training and support.ConclusionThis research sheds light on the potential benefits and challenges associated with the integration of AI in dental laboratory practices. Understanding these perceptions and addressing the challenges can support the effective integration of AI in dental laboratories and contribute to the growing body of literature on AI in healthcare.

KNOWLEDGE AND PERCEPTIONS OF GREEK PHYSIOTHERAPISTS REGARDING THE FUNCTIONAL TESTS USED IN PATIENTS WITH POST-COVID-19 SYMPTOMATOLOGY

Aim: To investigate the knowledge and attitudes of Greek physiotherapists regarding functional assessment tests used in the rehabilitation of post-COVID-19 patients. Methods: Based on the literature, a specific 27-question questionnaire was designed and divided into 3 sections: a) sources of information about the management of patients with post-COVID-19 symptomatology, b) functional assessment tests most commonly used in clinical practice, c) willingness for further knowledge on performing functional tests. Inclusion criteria for completing the questionnaire were: a) physiotherapy profession, b) involvement with post-COVID-19 patients’ treatment in the last year. The completion of the questionnaire was anonymous. It was shared in Google Forms format, via personal email invitations and public sharing on social media by all researchers, with republishing ability by each user. Sharing was conducted over two periods, lasting 16 and 13 days, respectively. Results: The study included 82 physiotherapists (28 men and 54 women), 56.1% of whom were less than 39 years old and 50% had more than 10 years of professional experience. The main sources of information on rehabilitation in post-COVID-19 patients were journal publications (69.6%). Among the most well-known and frequently used tests were the six-minute walk test (85.4%), the one-minute sit-to-stand test (86.6%), and the timed up-and-go test (76.9%). A large percentage of physiotherapists used functional assessment tests before initiation (80.5%) and at the end (70.8%) of the treatment program. The 91.5% expressed the willingness for further education on practicing functional tests. Conclusions: Greek physiotherapists get information from the recent literature and use well-known functional tests for assessing functional capacity in post-COVID-19 patients.

Use of exercises with increased coordination complexity in the training process of young female volleyball players aged 13-14 years

Background and Study Aim. In the context of training young female volleyball players, understanding the criteria, extent, and impact of exercises with heightened coordination complexity becomes crucial. This study aims to determine the evaluation criteria, scope, and effects of incorporating exercises with elevated coordination demands on the specific athletic readiness of young female volleyball players aged 13–14 years. Material and Methods. The study involved female volleyball players aged 13–14 years (n=24) with an average of 4 years of professional experience. Participants were divided into a control group (n=12) and an experimental group (n=12). Prior to the study, both children and their parents were thoroughly informed about the research procedures, and parental consent was obtained for participation. The coordination exercises were categorized into five groups, each assigned a complexity rating from 1 to 5. The assessment utilized a battery of tests. Results. The findings reveal that coordination training yielded a more pronounced advancement in the development of various coordination abilities among female volleyball players in the experimental group, as compared to those in the control group. A statistically significant enhancement (p&lt;0.05) was evident across all indices of coordination readiness within the experimental group. In contrast, the control group demonstrated notable progress only in 3 out of 10 instances (p&lt;0.05). In the control group, noteworthy increases (p&lt;0.05) were observed in spatial orientation, motor activity restructuring, and response indicators. Female volleyball players in the experimental group exhibited substantial improvement (p&lt;0.05–0.001) across all indicators of technical readiness, including reception, attack hit, serve, and ball pass. Conversely, the control group players showed comparatively less remarkable changes in this aspect of readiness, with significant enhancement (p&lt;0.05) identified in three parameters. Conclusions. The strategic incorporation of exercises with progressively heightened coordination demands emerges as a valuable approach in substantially enhancing the range of coordination abilities among young female volleyball players. Recognizing this factor provides the means to expedite and optimize the mastery of motor skills more effectively.

An expert consensus–based checklist for quality appraisal of educational resources on adult basic life support: a Delphi study

Given the lack of a unified tool for appraising the quality of educational resources for lay-rescuer delivery of adult basic life support (BLS), this study aimed to develop an appropriate evaluation checklist based on a consensus of international experts. In a two-round Delphi study, participating experts completed questionnaires to rate each item of a predeveloped 72-item checklist indicating agreement that an item should be utilized to evaluate the conformance of an adult BLS educational resource with resuscitation guidelines. Consensus on item inclusion was defined as a rating of ≥7 points from ≥75% of experts. Experts were encouraged to add anonymous suggestions for modifying or adding new items. Of the 46 participants, 42 (91.3%) completed the first round (representatives of 25 countries with a median of 16 years of professional experience in resuscitation) and 40 (87.0%) completed the second round. Thirteen of 72 baseline items were excluded, 55 were included unchanged, four were included after modification, and four new items were added. The final checklist comprises 63 items under the subsections “safety” (one item), “recognition” (nine items), “call for help” (four items), “chest compressions” (12 items), “rescue breathing” (12 items), “defibrillation” (nine items), “continuation of CPR” (two items), “choking” (10 items) and “miscellaneous” (four items). The produced checklist is a ready-to-use expert consensus–based tool for appraising the quality of educational content on lay-rescuer provision of adult BLS. The checklist gives content developers a tool to ensure educational resources comply with current resuscitation knowledge, and may serve as a component of a prospective standardized international framework for quality assurance in resuscitation education.

Understanding pandemic resilience: a mixed-methods exploration of burdens, resources, and determinants of good or poor well-being among Austrian psychotherapists.

The COVID-19 pandemic has exacerbated the mental health burden on the general population, resulting in increased demands on mental healthcare professionals, including psychotherapists. This cross-sectional study assessed the challenges and resources encountered by 513 psychotherapists based on an online survey conducted between April and May 2022. Qualitative methods content analysis of written reports was employed to investigate the emerging challenges and sources of support during the pandemic. A comparative analysis of burdens, resources, sociodemographic factors and daily physical activity was conducted to discern patterns of good and poor well-being. The predominant burden identified was mental health-related issues, followed by global crises and government-imposed restrictions to mitigate virus transmission. Essential resources encompassed social connections, mindfulness, work satisfaction, and internal processes. Notably, psychotherapists demonstrating good well-being were older, more physically active, had a lower proportion of females, were employed in private practices rather than in institutionalized settings, had more years of professional experience and treated more patients weekly than their counterparts with poor well-being. Furthermore, they exhibited greater optimism, health focus, and satisfaction with their coping methods. These findings can help develop support systems, policies, and educational programs to better support mental health professionals during global crises and offer strategies for individual practitioners to maintain their well-being.

Chinese anatomy educators' perceptions of blended learning in anatomy education: A national survey in the post-COVID-19 era.

Blended learning, which combines face-to-face lectures with online learning, has emerged as a suitable teaching approach during the COVID-19 pandemic. This study used a national survey of anatomy educators in Mainland China to evaluate the changes in the implementation of blended learning in anatomical pedagogy. A total of 297 responses were collected from medical schools across all provinces. Respondents included 167 males and 130 females, with an average age of 44.94 (±8.28) and average of 17.72 (±9.62) years of professional experience. The survey showed adoption of online teaching and assessment by Chinese anatomy educators increased by 32.7% and 46.8%, respectively, compared to pre-pandemic levels. Perceptions of blended learning outcomes varied, with 32.3% and 37% educators considering it superior and inferior to traditional teaching, respectively. Faculty training programs related to blended learning increased significantly, fostering a collaborative learning environment; however, challenges remained in achieving satisfactory online assessment outcomes. Anatomy educators' attitudes reflected a strong preference for classroom learning (4.941 ± 0.856) and recognition of the importance of relevant technology (4.483 ± 0.954), whereas online learning received lower acceptance (4.078 ± 0.734). Female anatomy teachers demonstrated effective time management in online teaching. Meanwhile, educators with over 15 years of experience encountered difficulties with relevant technology, consistent with negative attitudes toward blended learning. Overall, this survey highlights the persistent challenges in implementing blended learning in anatomy education and provides insights for enhancing the pedagogical model in the post-COVID-19 era.

Towards implementing telemedicine in Tunisia: Results of a knowledge, attitude and practice study among medical doctors

Background: The use of information and communication technology such as telemedicine occupies nowadays a huge place in modern medicine practice all over the world, mainly after the COVID-19 pandemic. However, its implementation in Tunisia and other developing countries has achieved little success with low utilization and can be challenging for several reasons. In this study, our aim was to assess the knowledge, attitudes and practice of Tunisian medical doctors regarding telemedicine. Methods: This was a cross-sectional web survey, administered to medical doctors in Tunisia in October 2022. Respondents’ level of knowledge of telemedicine was assessed by calculating a knowledge score (0 to 12). Attitude subsections were about perceived telemedicine attributes of relative advantage, compatibility, trial ability and complexity. Results: A total of 243 participants were included. The mean age was 45 ± 9.6 years old, and 57.2% were female, with a mean of 14.3 ± 10.3 years of professional experience. The majority (95.9%) had an average or high level of computer skills. More than half (59.3%) had a poor level of telemedicine knowledge. A good level of knowledge was significantly associated with age category over 50 years (p = 0.02) and with years of experience over 10 (p = 0.03). The majority (89.3%) had a moderate or high score about perceived advantages. The majority (88.5%) accepted use of telemedicine in their future practice. Almost half (46.9%) had practiced telemedicine activities before using a mobile phone (91%) or social media (64%). The principal limitations of applying telemedicine were challenges of organization and implementation, and incomplete patient examination. Conclusions: Although Tunisian doctors’ knowledge and practice of telemedicine were unsatisfactory, their positive attitude and willingness to try it in their future practice were encouraging. There is an urgent need for implementing telemedicine in Tunisia to improve health care coverage in some unprivileged areas.

Perceived Quality of Postoperative Handover by Saudi Nurses: A Single-Center Cross-Sectional Study.

Handover is considered a basic nursing practice in which a patient's care information is moved to another nurse. Handover of patients after surgery is critical due to a number of care transitions, the presence of a surgical procedure, and the influence of anesthesia. High-quality postoperative handover is essential to safe patient care. Few studies have been conducted to evaluate the quality of current postoperative handover practices and the factors contributing to the quality of such processes, especially in Saudi Arabia. The present research aimed at evaluating nurses' perceptions of postoperative handover quality and assessing factors impacting this process.This cross-sectional study targeted registered nurses with at least one year of professional experience who were actively involved in the conduction of postoperative handovers across various surgical departments. A total sample of 143 nurses was selected via a convenient sampling technique. Study instruments included Handover Quality Rating Form, patient status, and nurses' background characteristics. Overall, postoperative handover quality was perceived as high by handing over and receiving nurses. Generally, 55.2% of nurses agreed on the different items supporting the positive circumstance for handover, and 92.3% agreed on the good conduct of handover compared to only 7.69% disagreement (p˂0.001). Significant agreements were observed for teamworking (p˂0.001), as well as four indicators (out of five) measuring the overall handover quality (p<0.001). The type of involved departments impacted significantlythe handover quality perception(p=0.004). The respondents' age had asignificant effect onquality (p=0.036), as well as circumstances of postoperative handover (p=0.046). Moreover, significant statistical differences were found for the circumstance of handover (p=0.031), as well as teamwork (p=0.019) according to the nurses' roles.Finally, the patient's blood circulation and respiration had a significant effect (p=0.023, p=0.033, respectively), as did the patient's level of consciousness (p=0.006) in the nurses' perception of the overall postoperative handover quality. Postoperative handover quality was highly perceived by nurses. This research explored a multitude of factors such as patient health status and nurses' socio-demographic variables and their impact on nurses' perception of handover quality. Several nurse and patient-related factors were found to impact the handover process. This current research provided findings that could direct future improvements in nursing handover practice to ensure high-quality patient care.

ACADEMICS’ VIEWS ON CONFLICT RESOLUTION SKILLS WHEN PROBLEMS ARISE IN INTERPERSONAL RELATIONS

This study aims to determine academics’ conflict resolution skills when problems arise in their interpersonal relationships. The data obtained to achieve this objective included academics’ sociodemographic distribution and administrator-staff relations in the university, the atmosphere among the stakeholders, the administrators’ relationships with teachers, students, and parents, the distribution of jobs between administrators and staff, and academics’ physical reactions of academic to conflict resolution. This qualitative study was conducted as a case study. The population of the study consisted of 20 academics working in a private university in Nicosia, in Northern Cyprus (Turkish Republic of Northern Cyprus) during the 2021-2022 academic year. Purposeful sampling to represent the study population was first determined using the purposeful sampling method; the snowball sampling technique would be used as long as different views were obtained. The majority of the participants consisted of women, most of whom were aged 30-40 years, married, had children, and 16 or more years of professional experience. A semi-structured interview form, which was prepared by the researcher, was used as a data collection tool. The research data were analyzed using the content analysis method. The results showed that the established relationship was positive and authoritarian. The participants expressed their views on the need to create a positive atmosphere among stakeholders and strengthen communication, and highlighted such illnesses as physical stress, heart palpitations, difficulty in breathing, headache, neck pain, shoulder pain, and depressive mood.

Cancer-Related Pain Management in Suitable Intrathecal Therapy Candidates: A Spanish Multidisciplinary Expert Consensus.

A consensus is needed among healthcare professionals involved in easing oncological pain in patients who are suitable candidates for intrathecal therapy. A Delphi consultation was conducted, guided by a multidisciplinary scientific committee. The 18-item study questionnaire was designed based on a literature review together with a discussion group. The first-round questionnaire assessed experts' opinion of the current general practice, as well as their recommendation and treatment feasibility in the near future (2-3-year period) using a 9-point Likert scale. Items for which consensus was not achieved were included in a second round. Consensus was defined as ≥75% agreement (1-3 or 7-9). A total of 67 panelists (response rate: 63.2%) and 62 (92.5%) answered the first and second Delphi rounds, respectively. The participants were healthcare professionals from multiple medical disciplines who had an average of 17.6 (7.8) years of professional experience. A consensus was achieved on the recommendations (100%). The actions considered feasible to implement in the short term included effective multidisciplinary coordination, improvement in communication among the parties, and an assessment of patient satisfaction. Efforts should focus on overcoming the barriers identified, eventually leading to the provision of more comprehensive care and consideration of the patient's perspective.

Evaluating YouTube as a source of patient information for pediatric tracheostomy care.

To evaluate YouTube's usefulness as a source of information concerning pediatric tracheostomy care. On August 10, 2022, the top 50 YouTube search results for "pediatric tracheostomy care" were displayed. Each video was evaluated by a jury of three otolaryngologists with at least 2 years of professional experience in pediatric otolaryngology using DISCERN, scoring system of Journal of the American Medical Association (JAMA), and the Global Quality Score (GQS). After exclusion criteria 24 videos were evaluated. Fifteen of the evaluated videos were produced by health professionals, and the other nine videos were produced by independent users. The average duration of the videos were 337.5s, varying between 82s and 1364s. The average Discern score of videos produced by health professionals was 38.9±13, compared to 36.6±14 for independent users. The mean JAMA score was 1.04±0.68 for health professionals and 1.11±0.94 for independent users. The GQS score was 2.82±0.73 for health professionals and 3.19±0.84 for independent users. There was no statistically significant difference between the two groups for Discern, JAMA, and GQS scoring. YouTube does not seem to be a good option for parents to get useful information about pediatric tracheostomy care at this time. Health professionals should provide websites with high-quality materials to improve awareness of pediatric tracheostomy care.

A digital medical tool for health care professionals communication with minority speaking heart surgery patients during hospitalization: A qualitative study

Abstract Funding Acknowledgements Type of funding sources: Foundation. Main funding source(s): The Foundation Dam Background/Introduction Despite today’s high-technology society, communications with minority speaking heart patients in hospitals still depend on non-verbal language, notes from informal caregivers and "google translate" in situations where interpreters are not available. Digital solutions may be of help, but research into this area is limited. Innovative research exploring the use of a 24-7 digital medical translation tool is needed prior to hospital implementation. Purpose To explore the health care professionals’ experiences using a digital, medical translation tool in communication with minority speaking heart surgery patients during hospitalization. Methods A digital medical translation tool was customized for use in communication with hospitalized heart surgery patients by including standardized checklists for safe surgery and phrases for symptom assessment. Then qualitative interviews with health care professionals, ultimately using the digital translation tool presented on a tablet with text and audio were performed a) at the hotel/ward, b) preoperatively by both operating room nurses and anaesthesia nurses at the operating room, c) in a postoperative unit, d) in an intermediary unit, and e) at the cardiothoracic ward. A semi-structured interview guide was used during face-to-face interview at a university hospital in Norway and were carried out during November – December 2022. Data analyses were performed in NVivo software tool, following Braun and Clarke`s thematic analysis process. Results A total of 24 healthcare professionals, 22 nurses and two physiotherapists, mean age of 33 (range 23-57 years), and a mean of 9.5 years of professional experience, were interviewed shortly after they had cared for a minority speaking heart surgery patient at their health care unit. Four main themes were identified: i) useful and user-friendly tool, ii) establishing trust with the patient, iii) mapping patients’ symptoms and needs and iv) safe translation reassures health care professionals communication with heart surgery patients. The digital medical translation tool was experienced as easy to navigate in and useful to inform the patient, for example about medications, and to build trust by communicating with the patient in their own language. Being able to secure mapping of patients’ symptoms, especially pain, was underlined as a highly positive experience. Health care professionals reported experiencing the minority speaking patients as understanding the information when communicating through the digital medical translation tool. Conclusions Health care professionals responsible for caring for the minority speaking heart surgery patients during hospitalization experienced the digital medical translation tool to improve communication in a safe and trustworthy way. The digital translation tool appeared to provide useful support and strengthen patient safety, increasing the quality of health care even without the presence of an interpreter.

Musicological reflections in the form of “Prelude and Fugue”: Serhii Turnieiev’s author’s concert

Statement of the problem. The article is the first experience in Ukrainian musicology to cover a significant artistic event in the cultural life of modern pre-war Kharkiv – the author’s concert of the composer Serhii Turnieiev, Honored Artist of Ukraine, Professor and until recently the Dean of the Kharkiv I. P. Kotlyarevsky National University of Arts. The event took place with the participation of famous solo musicians, as well as one of the best creative groups in Ukraine – the Symphony Orchestra of the Kharkiv Regional Philharmonic led by People’s Artist of Ukraine Yurii Yanko. The concert symbolically opened the chain of festive actions for the 105th anniversary of the University’s founding, although the “counterpoint” to this festive line was severe life events: the pandemic, and soon the war. This “contrasting polyphony”, and most importantly, S. Tournieiev’s inherent polyphonic thinking made possible a conceptual metaphor – likening the composition of an author’s concert to the structural logic of a fugue. This metaphor that became the key to revealing new meaningful facets of the works performed in the concert, is designed to deepen the analysis of the artistic meanings of the celebrate event and its reception by the listener. So, the purpose of the study is an attempt to get closer to understanding the inner processes in an experienced Ukrainian composers creative “workshop”. The methodological basis of the study consists of several directions: consideration of biography, vectors of action and existing musical pieces by S. Turnieiev; definition of role and place of some opuses in composer’s portfolio; systematization of the present scientific works; involvement of facts still not well known and our interviews with participants of recent artistic events; observation made upon such musicological spheres, as musical thinking, perception, composer’s artistic process on the example of complex analysis of content and performance vectors of S. Turnieiev’s musical pieces. Recent research and publications have shown the priority of some relevant issues: personalities and artistic life of modern composers (Ukrainian in the case); consideration of artist person “formula”, his musical thinking / style / method; belonging to traditions of particular school; studying of the process of art and its “consequences – composer’s and performer’s realization / interpretation of an artistic idea in musical piece. These trends actively integrating to spheres of the modern humanitarianism: philosophy, psychology, sociology of art, history, cultural studies, ethics, aesthetics and others. Among the authors whose works contributed to reveal our topic are М. Bevz (2017), Ye. Belova (2020), V. Bohatyrov (2021), І. Drach (2002), R. Kashyrtsev (2021), I. Horbunova (2015), I Konovalova (2018), D. Malyi (2017, 2018, 2021), Yu. Nikolaievska (2020), О. Roshchenko (2007, 2017), P. Rud (2021), H. Savchenko (2017, 2018, 2021), L. Shapovalova (2008), L. Maltseva, 2005, О. Shchetynsky (2017, 2019), and others. Some of publications by S. Turnieiev (2005, 2010, 2014) were studied. Results and conclusion. The role of the fateful creative meetings in the professional activity of the composer was revealed, that prompted him to create his own opuses. The meaningful components of the compositional portfolio / style / method of S. Turnieiev were clarified by the way of considering the history of writing, musical and expressive principles and the performing fate of the works that were performed in his author’s concert: the Symphonic Frescoes “Taras Bulba”, “Lamentoso” for viola and string orchestra, “Five Flemish Dances” for clarinet and string orchestra, symphonic picture “Tunes” (“Nahravannia”). It was concluded that S. Turnieiev’s author’s concert became a large-scale presentation of his many years of professional experience, as well as the traditions of the Kharkiv theoretical-composing school, which was historically formed namely in such integrated format – therefore the organic unity of musical theory and practice is felt in S. Turnieiev’s work at the level of worldview constants. It was the “school” of professional training that allowed him to build a solid foundation for further independent creative search, gave him a sense of confidence and inner freedom, and became for the composer not a “template” with a limited range of norms and rules, but a “space” for wide creative possibilities.

Vocal Problems and Burnout Syndrome in Nonuniversity Teachers in Galicia, Spain

Introduction: Voice disorders and burnout syndrome are common among teachers. This study aimed to explore the relationship among vocal problems, burnout syndrome, and some personal work factors. Methods: This cross-sectional descriptive study enrolled 90 nonuniversity teachers who completed the Multidimensional Vocal Scale for Teachers (EVM-D) to evaluate vocal problems and an adapted Spanish version of the Maslach Burnout Inventory-Educators Survey (MBI-ES) to detect burnout syndrome. Results: Overall, 16% of teachers expressed symptoms compatible with burnout, and 60% of them were in the interval above the 75th percentile of the EVM-D, i.e., they had a high risk of vocal problems. An association between burnout and more vocal problems was established among teachers, particularly between the vocal symptoms and vocal abuse dimensions with the emotional exhaustion subscale of the MBI-ES. A history of anxiety/depression and fewer years of professional experience were associated with more vocal problems. The burnout group perceived more “loss of vocal power,” “vocal fatigue,” “vocal effort,” and “hoarseness.” Vocal abuse items received the highest scores of EVM-D. However, only “shouting” in the classroom was significantly different between the groups with and without burnout. Conclusion: Emotional exhaustion of burnout syndrome, history of anxiety/depression, and a shorter professional experience were associated with vocal problems, which could limit the performance of teachers. Reducing classroom noise, establishing strategies to avoid shouting, or strengthening personal accomplishments in teachers could be useful in breaking the cycle of vocal problems and emotional exhaustion, particularly at the beginning of their professional experience.

Perceptions of the Availability of Personal Protective Equipment and Its Association With Burnout Among US Healthcare Personnel During the SARS-CoV-2 Pandemic, 2020-2021.

The aim of the study is to explore associations among personal protective equipment (PPE) availability, workplace environment, and burnout among US healthcare personnel during the COVID-19 pandemic. The study used an online healthcare provider (HCP) survey (December 2020-February 2021) regarding PPE confidence, availability, burnout, and workplace environment. Lack of appropriate PPE was reported by 27% of 799 US HCP surveyed. Burnout, reported by 77% of HCP, was more likely among females, those with fewer years of professional experience, and those with a higher desire to quit, and less likely for those who perceived PPE was adequate or their employer took all steps to minimize workplace risks. This study suggests that lack of adequate PPE can lead to HCP burnout, which may result in employees quitting. A pandemic preparedness plan that includes adequate PPE is essential for HCP well-being, patient health, and employer fiscal health.

How does the work-life balance impact stress on primary healthcare workers during the COVID-19 pandemic?

BackgroundMost studies in advanced care settings reported that the increasing workload increases the work-life imbalance and harms the mental health of health workers. The COVID-19 Pandemic's tracing, testing, treatment, and mass vaccination also have multiplied the primary healthcare workers' workload. Nevertheless, studies on primary care workers are scarce. This study aimed to investigate how the COVID-19-related work-life balance impact stress on primary healthcare workers in the third years of the pandemic.MethodsThe study was a cross-sectional, web-based survey conducted on primary healthcare workers in Kediri Regency, Indonesia, with the highest Omicron case surge worldwide. It was conducted right after the surge between July and August 2022, the third year of the COVID-19 pandemic hit Indonesia. Under coordination with the local government health officials, primary healthcare workers were invited to participate in an online survey. The respondents were asked to evaluate their sociodemography, work conditions, personal life, and perceived stress (using the Perceived Stress Scale) during the pandemic. Their work-life balance was evaluated using the Work/Non-work Interference and Enhancement Scale. We used several hierarchical linear regression models to determine which variables contribute to work stress among primary healthcare workers.ResultsSociodemographic characteristics, including gender, age, marital status, years of professional experience, and educational level, were not significantly associated with stress levels among our respondents. Separately, work conditions and personal life variables did not associate with stress levels. However, primary healthcare workers' work and personal lives interfere with each other during the pandemic and are associated with their higher stress.ConclusionDuring the pandemic, the work life of primary health workers interferes with their personal life more than the interference of personal life on their work life. At the same time, the work life's enhancement on the personal life and vice versa were lower than its interference. Those conditions are associated with higher perceived stress of primary health workers.

Evaluating possible improvements in indwelling urinary catheter insertion from nurses' point of view: A pilot comparative study of simulated insertion between the novel T‐Control® and a Foley‐type catheter

AbstractThe aims of this study are to simulate the insertion of the new T‐Control® urinary catheter with experienced healthcare professionals in bladder catheterisation and evaluate the usability and functionality of the new catheter compared to conventional Foley‐type catheter open and closed systems. A small‐scale quantitative study was conducted with 11 professionals who had a minimum of 3 years of professional experience, and 1 year of experience in bladder catheterisation. To test the advantages of the new T‐Control® urinary catheter, a Living Lab, which is an instrument designed to test innovative solutions in real‐life environments with users, was performed. The catheters used in the simulation were: a conventional Foley‐type catheter in an open system, a conventional Foley‐type catheter in a closed system, and the new T‐Control® catheter. The participants evaluated the insertions through a satisfaction questionnaire and by a nurse expert utilizing a usability questionnaire after the complete visualization of the Living Lab was recorded. T‐Control® reduced by 27.3% the contamination of the urine collection bag and the contamination of the urine collection bag connector. Accidental spillages when connecting the urine collection bag were also reduced by 54.5% using the T‐Control® catheter, reducing the workload and reducing occupational accidents before connecting the urine bag. The trainer considered satisfactory 9/12 T‐Control® insertions performed, improving the number of satisfactory insertions observed with the Foley‐type catheter open and closed systems (with 3/12 and 7/12 results respectively). T‐Control® was the best‐rated product by the participants, requiring less time, and physical and mental effort. Fifty percent of the nurses would exclusively recommend T‐Control® in their units, while the other half would recommend it in combination with others. The insertion of T‐Control® makes the bladder catheterisation procedure easier and safer. The preparation of the sterile field requires less material since it does not include the urine collection bag while the fluid‐controlling system favours the reduction of contamination and accidental spillages. Based on the nurses’ evaluation, T‐Control® with its integrated urine‐controlling system could bring additional benefits to the healthcare staff for catheterisation.

Poster 207: Chronic Adaptations of the Ulnar Nerve in Professional Baseball Pitchers

Objectives: The presence of ulnar neuropathy in baseball pitchers is a poor prognostic factor of successful return to play and may adversely impact outcomes after ulnar collateral ligament reconstruction (UCLR). Screening programs to identify negative ulnar nerve adaptations in throwing athletes can help minimize injury risk, individualize treatment programs, and optimize rehabilitation. Ultrasound provides the advantage of viewing structural adaptations prior to the onset of symptoms, an important factor in identifying potential injuries in advance. However, it is currently unclear how the ulnar nerve adapts chronically in professional baseball pitchers. Therefore, the primary purpose of this study was to compare ulnar nerve ultrasound characteristics between the throwing (dominant) and non- throwing control (non-dominant) elbows in professional pitchers, with a secondary purpose of comparing ultrasound characteristics between subluxing and non-subluxing ulnar nerves. The authors hypothesized that ulnar nerve area and echogenicity (i.e. brightness) would be increased in the throwing elbow. Methods: All healthy professional baseball pitchers from a single organization underwent bilateral ultrasound examination at the beginning of the 2022 Minor League Baseball spring training. Ultrasound examination was done by a musculoskeletal radiologist (**) for imaging and subsequent quantification of the ulnar nerve properties, as well as to identify ulnar nerve subluxation. ImageJ software was utilized to measure ulnar nerve area, echogenicity (i.e. brightness), and circularity by one investigator (**) who was blinded to subluxation findings and arm dominance. Comparison of ulnar nerve ultrasound characteristics were performed between: dominant vs. non-dominant elbows, subluxing vs. non- subluxing dominant elbows, and between all (dominant and non-dominant) subluxing vs. non-subluxing elbows. Results: Overall, 74 male professional baseball pitchers (age: 22.5 ± 2.4 years; professional experience: 1.7 ± 1.5 years) were enrolled. There was a trend toward statistical significance for echogenicity bilaterally (dominant: 137 optical density vs. non-dominant: 128 optical density, p=0.053), while area (0.2 mm2 vs. 0.2 mm2, p=0.767) and circularity (0.67 vs. 0.69, p=0.165) did not differ bilaterally (Table 1). There were no demographic differences between pitchers with subluxing vs. non-subluxing dominant ulnar nerves, including similar years of professional experience and similar Beighton hypermobility scores between groups (Table 2). Echogenicity was significantly lower in subluxing dominant ulnar nerves compared to non-subluxing dominant ulnar nerves (128 optical density vs. 142 optical density, p=0.020). Echogenicity remained significantly lower in subluxing ulnar nerves after evaluating all subluxing vs. non-subluxing elbows (121 optical density vs. 138 optical density, p=0.001) (Table 3). Ulnar nerve area and circularity did not differ based on ulnar nerve subluxation. Conclusions: There was a trend towards the ulnar nerve of the throwing elbow having increased echogenicity relative to the non-throwing elbow, suggesting that echogenicity may play a role in the chronic adaptations of the ulnar nerve. Nerve echogenicity also differed based on ulnar nerve subluxation, however further research is necessary to determine why this difference exists and the potential direction of causality. [Table: see text][Table: see text][Table: see text]