1.Understanding and assessment menthods of occupational burnout syndrome
Mendbayar Ch ; Bazarragchaa S ; Dariimaa B
Mongolian Pharmacy and Pharmacology 2023;22(1):28-33
Background:
As the trend of pharmaceutical care around the world shifts to client-centered care, there is a need for new pharmacists to improve their knowledge and skills, learn psychological skills, provide customers with health education, and improve the rational use of drugs and pharmacological services.
Objective:
This study is based on the fact that no research has been conducted in Mongolia on factors that affect burnout syndrome and social-psychology of pharmacists.
Literature review:
The following are internationally accepted methods of assessing sociopsychological risks to determine the socio-psychological factors associated with the work and occupation of workers and their impact on health and safety. These include:
Burnout Measue-BM, 1981 (Pines & Aronson 1988). A method of measuring burnout, physical and emotional fatigue, and mental exhaustion. (Bazarragchaa, 2020)
The Copenhagen Psychosociol Questionnaire COPSOQ (Christenson et al. 2005) focuses on socio-psychological factors, stress, personal health, well-being and individual factors (style, sense of mutual understanding, etc.).
The Copenhagen Burnout Inverntory (CBI, 2005) examines fatigue, exhaustion, and work-related
burnout as well as customer-related burnout.
Conclusion
There are more than 40 definitions of “Burnout syndrome”. The “Maslach Burnout Inventory” has become the “Gold standard” for assessing the burnout of service workers. The Copenhagen Burnout Inverntory (CBI, 2005) studies fatigue, exhaustion, and individual, work-related and customer-related burnout.
2.Сesarean scar pregnancy of diagnosis treatment, and results
Mendbayar A ; Namjiltseren Ts ; Odonzul Ts
Diagnosis 2024;110(3):47-52
Objectives:
Caesarean scar pregnancy (CSP) is a very rare and dangerous form of pregnancy because of the increased risk of rupture and excessive hemorrhage. There is currently no consensus on the treatment. We studied if methotrexate (MTX) therapy followed by suction curettage followed by simple catheter was a viable treatment for patients with CSP.
Study design:
Forty patients with CSP in our hospital received a single dose MTX by intramuscular injection. If gestational cardiac activity was seen on transvaginal ultrasound After 3 days, vacuum curettage was performed to remove the retained products of conception and blood clot (CSP mass) under transabdominal sonography (TAS) guidance. After the suction curettage, a simple catheter balloon was placed into the isthmic portion of cervix. Results: The resolution time of the serum b-hCG was 20.62 5.41 (9–33) days. The time to CSP mass disappearance was 12.57 4.37 (8–25) days. Overall success of the primary treatment was recorded among 40 (37) 92.5% and significantly correlated with degree of vascularity, type of CSP, and beta hCG levels.
Conclusions
MTX administration followed by suction curettage followed by Foley tamponade was an effective treatment for caesarean scar pregnancy