Archive for March, 2009
I can not go to work! The burnout syndrome in the helping professions
The burnout syndrome is a state of psychic pain that affects almost exclusively the social service sector operators, i.e. all those professions in which the operator-user relationship is central to the conduct of work. To be affected by this phenomenon are therefore areas of work in which the operators are in constant contact with the users and should cater for the needs of each individual. And ‘the case of doctors, nurses, psychologists, social workers, but also teachers, to mention only some of the professions involved.
The person suffering from burnout experienced a state of unease linked to the performance of his professional activity that begins to be experienced only as a source of stress. This leads to a progressive loss of interest and concentration and a cold and detached attitude in addition to the unpleasant feeling of not doing their job properly.
Early studies on burnout, although the phenomenon was known for some time, began in the seventies, before that in fact the phenomenon was considered a problem limited to a small number of players, mostly because of their personal temperament. With the further development of studies and research in academia, it was discovered that was not the case and that the burnout phenomenon closely tied to professional contexts consuming from the standpoint of emotional well-equipped with precise characteristics identified through appropriate assessment tools. Christina Maslach and Susan Jackson were to identify, in the eighties, the three main components of burnout syndrome: the ‘emotional exhaustion, which leads the operator to feel tired of his job, as empty, depersonalization, which is an attitude of coldness, detachment, often cynical and, ultimately, reduced personal achievement which induces a feeling of inadequacy that leads the employee to negatively judge themselves and their actions against you.
Studies conducted by the same Maslach showed that the three dimensions of the syndrome are a sort of chain reaction triggered by emotional overload which these workers are daily subjected. Places before a quantity of labor relations professionals perceived as emotionally overwhelming experience a feeling of mental exhaustion that is configured as emotional exhaustion, in response to this situation by implementing a defensive attitude by which they try to limit its emotional until put between himself and users a real wall that makes them look cool, detached and sometimes even cynical. From all this could bring about a feeling of not doing their job properly and, consequently, a feeling of failure to complete training. Even the personality characteristics of the operator appear to still have a role in the onset of the syndrome, however, according to Maslach to have the greatest impact on it are the characteristics of the worker maintains relationships with clients such as with colleagues and superiors.
Have studied the role of intrapsychic components of the individual in burnout syndrome was instead Ayala M. Pines. According to the author’s syndrome occurs mainly in those workers who, motivated in ‘pursue a particular profession, invest all their energies on raising it to its primary means of personal fulfillment. The syndrome is therefore concerned with those workers who live in the occupation as the primary mission of their life, which, before a working environment that does not respond to them, high initial expectations will experience a progressive loss of motivation and then to burnout.
Mouthwash: guidelines for proper usage
The mouthwash is one of the most used healthcare facilities for the protection of the oral cavity: their consumption is increasing and in Western Europe were more than 9% of spending on products for oral hygiene. In 2006, mouthwashes, as submitted by Pfizer Consumer Health Care, reached Italy in the 128.6 million in revenue, about a sixth of the oral hygiene industry.
But in the face of such a massive use, we guarantee their quality, their effectiveness?
This question has been proposed to respond, on a scientific level, the Italian Guidelines on the use of mouthwashes for oral health (Italian mouthwash guidelines or IMG). The answers given by Img are the synthesis of over a year’s work of a study group consisting of 14 experts appointed by the four professional associations and coordinated by Andrea Pilloni University of Rome ‘La Sapienza’. In particular there are three questions to be answered:
- The use of mouthwashes, associated with normal oral hygiene techniques can, compared to non-use, prevent gingivitis or inflammatory events linked to it? There is good scientific evidence that the combination of a mouthwash to the usual oral hygiene techniques gives rise to significant advantages compared to non-use against the ‘gingival inflammation. Chlorhexidine and essential oils are the active ingredients as are available the largest number of surveys methodologically quite good. Even the cetylpyridinium chloride, albeit in smaller number of studies, has shown the ability to improve the indicators of gingival inflammation.
- The use of mouthwashes, associated with normal oral hygiene techniques, is able, compared to non-use to reduce the amount of plaque? Several studies have led to significant advantages to using a mouthwash compared to non-use against are accumulation of plaque on tooth surfaces.
- The use of mouthwash is free of side effects for the patient? The main adverse effects for patients who use mouthwashes for long-term treatment are the appearance of pigmentation and the increase in the formation of tartar. Chlorhexidine compared with other active ingredients is weighed down by the increased frequency of occurrence of side effects mentioned above. The frequency of other significant side effects like the alteration of taste or appearance of oral irritation is considered occasional.
The last word is always at your dentist or dental hygienist who will be able to recommend the best product to suit your needs while avoiding unnecessary do-it-yourself.
Teeth whitening
The methodology of teeth whitening techniques associated with dental micro abrasion.
The procedure requires:
- a preliminary visit to check the extent of the spots and detect the color of departure;
- A first session micro abrasion only on affected areas from stains and abrade small portions of enamel by using a gel made of hydrogen chloride and micro particles of silicon carbide, this technique is shown precisely to eliminate the no less profound calcification of the enamel of 0.2 mm and is ideal in cases of superficial demineralization white or brown marks caused by enamel fluorosis;
- a later session of bleaching using a classic gel and a lamp that serves as a catalyst and thus speed up the action of the gel penetration depth in order to dissolve stains (i.e., discoloration) in the teeth;
We can see the first working session of the first major improvement but usually takes about 3 treatments lasting 50 minutes each to get a good result. Once the micro abrasion dental treatment associated with bleaching the stain will not come back and the white color of the teeth must be maintained by the patient through a thorough oral hygiene at home, improving their way of life, especially by eliminating cigarette smoking and undergoing the short booster sessions (for the only whitening treatment) every 2 years or so.
So important is a regular intake of fluoride to strengthen and protect teeth from decay, but also for the future and new mothers, always ask for advice from your dentist and doctor if there is a need to take another oral fluoride to prevent our children finds themselves with large ugly stains on the teeth from having to correct.