Browsing by Author "Dejanović, Slavica Djukić (22933458200)"

Background/Aim. Professional military personnel are exposed to a number of stressors during the war as well as in peacetime conditions that can cause some hidden or manifest disorders, especially anxiety and depression, but also the development of a burnout syndrome. The aim of our investigation was to determine the defense mechanisms and subjective assessment of quality of life and anxiety in professional military personnel of the Serbian Armed Forces with the burnout syndrome. Methods. The cross-sectional study included a total of 55 professional military personnel, from 25 to 55 years of age, without current mental problem. In the investigation, the Maslach Burnout Inventory (MBI), Defense Style Questionnaire (DSQ-40), World Health Organization Abbreviated Instrument for Quality of Life Assessment (WHOQOL-BREF) and Beck Anxiety Inventory were used. The statistical analysis included parametric and nonparametric descriptive statistics. Results. Emotional exhaustion and depersonalization were present in 10.9% of subjects and in 12.7% of subjects respectively, in moderate level, while personal accomplishment was present in 21.8% of subjects of high level. Humor was higher in the subjects with a moderate level of burnout on the personal accomplishment (PA) scale and altruism in the subjects with a low level of burnout on the depersonalization (DP) scale as well as acting-out and rationalization on the PA scale in the subjects with a moderate level of burnout. High level of anxiety was present in 14.5% of subjects. Conclusion. Professional military personnel with lower level of burnout were less anxious, use mature defense mechanisms and have a perception of better quality of life. When burnout is diagnosed, psychological interventions requires training through the adoption of mechanisms for overcoming everyday stress, which may affect the reduction of anxiety and the improvement of the quality of life. Professional assistance, including psychotherapy is required in severe cases. © 2019, Inst. Sci. inf., Univ. Defence in Belgrade. All rights reserved.

[No abstract available]

Background/Aim. Delirium is an acute or subacute, and most frequently reversible syndrome of higher cortical functions disturbances that is manifested as generalized disorder. If not prevented, it is associated with various adverse outcomes. The aim of this study was to determine the connection between the markers of inflammation and lethal outcome in patients diagnosed with delirium, hospitalized in the psychiatric intensive care unit. Methods. This retrospective study included 120 patients hospitalized in the psychiatric intensive care unit in whom examination of differences in inflammation markers was done. The examinees have been divided into two groups: the case group of 40 patients who died during the hospitalization, and the control group of 80 examinees who were discharged with the diagnosis Post delirium status. The following variables were taken into account: age, gender, clinical diagnosis of infection (pneumonia and urinary tract infection), laboratory parameters (total of white blood cells, granulocytes, monocytes, C-reactive protein - CRP) and type of delirium (withdrawal or organic). Results. The average age of the patients was 50.3 ± 13.1 years. The patients who survived delirium, were on the average 10.5 years younger than the deceased (p < 0.001). More than half (57.5%) of the deceased had pneumonia. There was a statistically significant correlation between pneumonia and lethal outcome in the patients with delirium (p < 0.001). The examinees with lethal outcome had significantly higher median CRP levels than the group of examinees who survived (75.6% ± 54.0 vs 30.3 ± 42.5 ng/L, p < 0.001). Conclusion. Aiming to better and more precise diagnostics of this complicated and still unclear neuropsychiatric syndrome it would be useful to consider introduction of more precise diagnostic algorithms in every unit of intensive care. That would significantly reduce the number of delirium diagnosis overlook, decrease complication of clinical features and would also reduce the unfavorable outcome rate, therefore the total cost of treatment. © 2016, Vojnosanitetski Pregled. All rights reserved.