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      Síndrome de Burnout en estudiantes de la Clínica de Odontología Translated title: Burnout Syndrome in Dental Clinic Students

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          Abstract

          RESUMEN Introducción: El Síndrome de Burnout es considerado una fatiga generalizada de la persona, se acompaña de agotamiento que produce decepción, pérdida de interés en la actividad laboral que desarrolla. Objetivo: Determinar la prevalencia del Síndrome de Burnout en estudiantes de 8vo semestre Clínica V de la Facultad de Odontología de la Universidad de Las Américas. Materiales y métodos: investigación descriptiva, comparativa, prospectiva y transversal, muestra de 69 alumnos; se utilizó test de Maslash Burnout Inventory para evaluación; test de signos y síntomas para determinar prevalencia y severidad; se compara Síndrome con género, hora y tipo de tratamientos clínicos que realiza el estudiante. Resultados: Nivel de cansancio emocional alto 53,6%; despersonalización bajo 46,4%; realización personal medio 44,9%. Los estudiantes encuestados presentaron Burnout alto 14,5%; medio 82,6%, bajo 2,9%; pruebas de Chi cuadrado de Pearson, no logró determinar la significancia, resultados similares entre la variable de género, tratamientos realizado y hora; en Síndrome con signos y síntomas, se determinaron algunas patologías: insomnio parcial, cefaleas; mialgias, dolor en cuello, dolor en extremidades superiores e inferiores, flatulencias, gastritis, presencia de nauseas, vómito. Conclusiones: el Síndrome de Burnout se presenta en ambos géneros, independiente de hora y acción clínica que realiza el estudiante.

          Translated abstract

          ABSTRACT Introduction: Burnout Syndrome (SB)* is considered a generalized fatigue of the person, is accompanied by exhaustion that causes disappointment, loss of interest in the work activity that develops. Objective: Determine the prevalence of Burnout Syndrome in students of 8 semester Clinical V of the Faculty of Dentistry of the University of the Americas. Methods: Descriptive, comparative, prospective and transversal study, sample of 69 students; Maslash Burnout Inventory test was used for evaluation; tests of signs and symptoms to determine prevalence and severity; it compares syndrome with gender, time and type of clinical treatments performed by the student. Results: High emotional fatigue level 53.6%; depersonalization under 46.4%; average staffing 44.9%. Students surveyed presented burnout high 14.5%; average 82.6% and low 2.9%; Pearson's Chi squared tests, failed to determine significance, the results were similar among the gender variable, treatments performed and hour; in Syndrome with signs and symptoms, some pathologies were determined: partial insomnia, headaches; myalgia's, neck pain, pain in upper and lower extremities, flatulence, gastritis, presence of nausea, vomiting. Conclusions: Burnout Syndrome is presented in both genres, independent of the time and clinical action that the student performs

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          Most cited references21

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          Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population.

          To compare the prevalence of burnout and other forms of distress across career stages and the experiences of trainees and early career (EC) physicians versus those of similarly aged college graduates pursuing other careers. In 2011 and 2012, the authors conducted a national survey of medical students, residents/fellows, and EC physicians (≤ 5 years in practice) and of a probability-based sample of the general U.S. population. All surveys assessed burnout, symptoms of depression and suicidal ideation, quality of life, and fatigue. Response rates were 35.2% (4,402/12,500) for medical students, 22.5% (1,701/7,560) for residents/fellows, and 26.7% (7,288/27,276) for EC physicians. In multivariate models that controlled for relationship status, sex, age, and career stage, being a resident/fellow was associated with increased odds of burnout and being a medical student with increased odds of depressive symptoms, whereas EC physicians had the lowest odds of high fatigue. Compared with the population control samples, medical students, residents/fellows, and EC physicians were more likely to be burned out (all P < .0001). Medical students and residents/fellows were more likely to exhibit symptoms of depression than the population control samples (both P < .0001) but not more likely to have experienced recent suicidal ideation. Training appears to be the peak time for distress among physicians, but differences in the prevalence of burnout, depressive symptoms, and recent suicidal ideation are relatively small. At each stage, burnout is more prevalent among physicians than among their peers in the U.S. population.
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            Work stress and risk of death in men and women with and without cardiometabolic disease: a multicohort study

            Summary Background Although some cardiovascular disease prevention guidelines suggest a need to manage work stress in patients with established cardiometabolic disease, the evidence base for this recommendation is weak. We sought to clarify the status of stress as a risk factor in cardiometabolic disease by investigating the associations between work stress and mortality in men and women with and without pre-existing cardiometabolic disease. Methods In this multicohort study, we used data from seven cohort studies in the IPD-Work consortium, initiated between 1985 and 2002 in Finland, France, Sweden, and the UK, to examine the association between work stress and mortality. Work stress was denoted as job strain or effort–reward imbalance at work. We extracted individual-level data on prevalent cardiometabolic diseases (coronary heart disease, stroke, or diabetes [without differentiation by diabetes type]) at baseline. Work stressors, socioeconomic status, and conventional and lifestyle risk factors (systolic and diastolic blood pressure, total cholesterol, smoking status, BMI, physical activity, and alcohol consumption) were also assessed at baseline. Mortality data, including date and cause of death, were obtained from national death registries. We used Cox proportional hazards regression to study the associations of work stressors with mortality in men and women with and without cardiometabolic disease. Results We identified 102 633 individuals with 1 423 753 person-years at risk (mean follow-up 13·9 years [SD 3·9]), of whom 3441 had prevalent cardiometabolic disease at baseline and 3841 died during follow-up. In men with cardiometabolic disease, age-standardised mortality rates were substantially higher in people with job strain (149·8 per 10 000 person-years) than in those without (97·7 per 10 000 person-years; mortality difference 52·1 per 10 000 person-years; multivariable-adjusted hazard ratio [HR] 1·68, 95% CI 1·19–2·35). This mortality difference for job strain was almost as great as that for current smoking versus former smoking (78·1 per 10 000 person-years) and greater than those due to hypertension, high total cholesterol concentration, obesity, physical inactivity, and high alcohol consumption relative to the corresponding lower risk groups (mortality difference 5·9–44·0 per 10 000 person-years). Excess mortality associated with job strain was also noted in men with cardiometabolic disease who had achieved treatment targets, including groups with a healthy lifestyle (HR 2·01, 95% CI 1·18–3·43) and those with normal blood pressure and no dyslipidaemia (6·17, 1·74–21·9). In all women and in men without cardiometabolic disease, relative risk estimates for the work stress–mortality association were not significant, apart from effort–reward imbalance in men without cardiometabolic disease (mortality difference 6·6 per 10 000 person-years; multivariable-adjusted HR 1·22, 1·06–1·41). Interpretation In men with cardiometabolic disease, the contribution of job strain to risk of death was clinically significant and independent of conventional risk factors and their treatment, and measured lifestyle factors. Standard care targeting conventional risk factors is therefore unlikely to mitigate the mortality risk associated with job strain in this population. Funding NordForsk, UK Medical Research Council, and Academy of Finland.
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              Systematic review: factors contributing to burnout in dentistry.

              Dentists and dental students have been reported to be at high risk of burnout and risk factors have been identified. Despite research into burnout in dentists, only a few papers have identified significantly associated factors.
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                Author and article information

                Journal
                odonto
                Avances en Odontoestomatología
                Av Odontoestomatol
                Ediciones Avances, S.L. (Madrid, Madrid, Spain )
                0213-1285
                2340-3152
                March 2023
                : 39
                : 1
                : 36-41
                Affiliations
                [1] orgnameUniversidad de Las Américas (UDLA) Ecuador nathaly.lara@ 123456udla.edu.ec
                [5] Santiago de Compostela orgnameUniversity of Santiago de Compostela orgdiv1Health Research Institute of Santiago de Compostela (IDIS) orgdiv2Faculty of Medicine and Dentistry, Oral Medicine, Oral Surgery and Implantology Unit Spain mario.perez@ 123456usc.es
                [3] orgnameUniversidad de Las Américas (UDLA) maria.rodriguez.tates@ 123456udla.edu.ec
                [2] Guayaquil Guayas orgnameUniversidad de Guayaquil Ecuador luischauk@ 123456hotmail.com
                [4] orgnameUniversidad Central del Ecuador(UCE) emergenciasuce@ 123456gmail.com
                Article
                S0213-12852023000100006 S0213-1285(23)03900100006
                11b0c592-1fbd-40eb-a07c-8d837e19f09a

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 International License.

                History
                : 25 January 2022
                : 23 March 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 21, Pages: 6
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                SciELO Spain

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                odontología comunitaria,Burnout Psychological,stress psychological,community dentistry,fatigue,Agotamiento psicológico,estrés psicológico,fatiga

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