803 resultados para Burnout, Professional
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BACKGROUND AND OBJECTIVES: The determination of the carbon isotope ratio in androgen metabolites has been previously shown to be a reliable, direct method to detect testosterone misuse in the context of antidoping testing. Here, the variability in the 13C/12C ratios in urinary steroids in a widely heterogeneous cohort of professional soccer players residing in different countries (Argentina, Italy, Japan, South Africa, Switzerland and Uganda) is examined. METHODS: Carbon isotope ratios of selected androgens in urine specimens were determined using gas chromatography/combustion/isotope ratio mass spectrometry (GC-C-IRMS). RESULTS: Urinary steroids in Italian and Swiss populations were found to be enriched in 13C relative to other groups, reflecting higher consumption of C3 plants in these two countries. Importantly, detection criteria based on the difference in the carbon isotope ratio of androsterone and pregnanediol for each population were found to be well below the established threshold value for positive cases. CONCLUSIONS: The results obtained with the tested diet groups highlight the importance of adapting the criteria if one wishes to increase the sensitivity of exogenous testosterone detection. In addition, confirmatory tests might be rendered more efficient by combining isotope ratio mass spectrometry with refined interpretation criteria for positivity and subject-based profiling of steroids.
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Lobjecte daquest estudi s fer la proposta del perfil dun professional de la comunicaci a lAdministraci Pblica, dins lmbit de Barcelona, en funci duna gesti per competncies. A lAdministraci Pblica es dna un buit important respecte al concepte de competncies, aix com en el marc acadmic estan definides i classificades, en el mn laboral, es troben a laire, encara no sn una realitat, sn competncies latents. La nostra aportaci, s la traducci de les funcions exigides en competncies per tal dintentar unificar el perfil dun professional de la comunicaci a lAdministraci Pblica.
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En estudis anteriors al que ara us proposem i en diferents articles realitzats pels components daquest grup de recerca sha constatat que el professorat que ha datendre grups dalumnes amb adaptacions curriculars, programes diniciaci professional, alumnes amb difcil inclusi acadmica i escolar que aquests docents haurien de rebre una formaci psicopedaggica per adequar-se al trets caracterstics dels alumnes i per aplicar una metodologia que desperti en els alumnes la illusi per seguir formant-se i les estratgies organitzatives i de planificaci per fer un ensenyament de qualitat. El professorat ha dadquirir una srie de competncies que li permetin donar resposta a les necessitats dels alumnes. Estudis previs constaten que hi ha una gran necessitat pel que fa a les competncies personals i participatives per sobre de les tcniques. Tot i que tamb s molt important apostar per les metodolgiques. Aquesta formaci l'haur de rebre al llarg de la seva acci docent i est lliga amb el concepte Lifelong learning que es proposa arreu de la Uni Europea con un dret i una obligaci per aconseguir la constant adequaci a les demandes socials i a les necessitats personals, aix com assolir la progressi professional i laccs a noves etapes educatives:No hi ha dubte que una professi com la docent que requereix un domini competencial tan exigent desvetlla la curiositat per iniciar recerques i la necessitat desmerar esforos per facilitar que tingui xit la inserci dels nous professors i professores en lentorn socioeducatiu durant el perode llindar. Cal saber qu passa, qu ocupa i qu preocupa a Europa en relaci al professorat i a la seva formaci, sobretot que cal desenvolupar en el perode previ i com es facilita la transici des daquesta formaci inicial per assolir una rpida i efica inserci a la professi docent.
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This paper uses forecasts from the European Central Bank's Survey of Professional Forecasters to investigate the relationship between inflation and inflation expectations in the euro area. We use theoretical structures based on the New Keynesian and Neoclassical Phillips curves to inform our empirical work. Given the relatively short data span of the Survey of Professional Forecasters and the need to control for many explanatory variables, we use dynamic model averaging in order to ensure a parsimonious econometric speci cation. We use both regression-based and VAR-based methods. We find no support for the backward looking behavior embedded in the Neo-classical Phillips curve. Much more support is found for the forward looking behavior of the New Keynesian Phillips curve, but most of this support is found after the beginning of the financial crisis.
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This study, conducted with a representative sample of employed and unemployed adults living in Switzerland (N = 2002), focuses on work conditions (in terms of professional insecurity and job demands), career adaptability, and professional and general well-being. Analyses of covariance highlighted that both unemployed and employed participants with low job insecurity reported higher scores on career adaptability and several dimensions (notably on control) than employed participants with high job insecurity. Moreover, structural equation modeling for employed participants showed that, independent of work conditions, adaptability resources were positively associated both with general and professional well-being. As expected professional outcomes were strongly related to job strain and professional insecurity, emphasizing the central role of the work environment. Finally, career adaptability partially mediated the relationship between job strain and professional insecurity, and the outcome well-being.
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OBJECTIVE: The aim of this study was to review the literature on clinician characteristics influencing patient-clinician communication or patient outcome in oncology. METHODS: Studies investigating the association of clinician characteristics with quality of communication and with outcome for adult cancer patients were systematically searched in MEDLINE, PSYINFO, PUBMED, EMBASE, CINHAL, Web of Science and The Cochrane Library up to November 2012. We used the preferred reporting items for systematic reviews and meta-analyses statement to guide our review. Articles were extracted independently by two of the authors using predefined criteria. RESULTS: Twenty seven articles met the inclusion criteria. Clinician characteristics included a variety of sociodemographic, relational, and personal characteristics. A positive impact on quality of communication and/or patient outcome was reported for communication skills training, an external locus of control, empathy, a socioemotional approach, shared decision-making style, higher anxiety, and defensiveness. A negative impact was reported for increased level of fatigue and burnout and expression of worry. Professional experience of clinicians was not related to communication and/or to patient outcome, and divergent results were reported for clinician gender, age, stress, posture, and confidence or self-efficacy. CONCLUSIONS: Various clinician characteristics have different effects on quality of communication and/or patient outcome. Research is needed to investigate the pathways leading to effective communication between clinicians and patients. Copyright 2013 John Wiley & Sons, Ltd.
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The treatment of back pain patients refers to the biopsychosocial model of care. This model includes illness in patient's personal and relational life. In this context, it is not only the physical symptom of the patient which is focused but also his psychological distress often hidden by algic complain. Clinical interviews conducted with back pain patients have highlighted psychosocial aspects able to influence the relationship between health care user and provider. Taking account of psychosocial aspects implies an interdisciplinary approach that identify and assesses patients' needs through adequate tools. As a result, the different health care providers implied with back pain patients have to collaborate in a structured network.
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Nandrolone (19-nortestosterone) is a widely used anabolic steroid in sports where strength plays an essential role. Once nandrolone has been metabolised, two major metabolites are excreted in urine, 19-norandrosterone (NA) and 19-noretiocholanolone (NE). In 1997, in France, quite a few sportsmen had concentrations of 19-norandrosterone very close to the IOC cut off limit (2ng/ml). At that time, a debate took place about the capability of the human male body to produce by itself these metabolites without any intake of nandrolone or related compounds. The International Football Federation (FIFA) was very concerned with this problematic, especially because the World Cup was about to start in France. In this respect, a statistical study was held with all football players from the first and second divisions of the Swiss Football National League. All players gave a urine sample after effort and around 6% of them showed traces of 19-norandrosterone. These results were compared with amateur football players (control group) and around 6% of them had very small amounts of 19-norandrosterone and/or 19-noretiocholanolone in urine after effort, whereas none of them had detectable traces of one or the other metabolite before effort. The origin of these compounds in urine after a strenuous physical activity is still unknown, but three hypotheses can be put forward. First, an endogenous production of nandrolone metabolites takes place. Second, nandrolone metabolites are released from the fatty tissues after an intake of nandrolone, some related compounds or some contaminated nutritive supplements. Finally, the sportsmen may have taken something during or just before the football game.
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Epuisement motionnel, dshumanisation progressive de la relation avec l'autre et un sentiment d'chec professionnel. Le burnout est tout a la fois. La difficult est de dceler temps ces symptmes qui peuvent mettre parfois des mois, voire des annes se dclarer. Dfinition et tour d'horizon du burnout.
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Professional Estates Letters (PELs)
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El treball de recerca Fonaments i actuacions de lideratge sistmic dun equip de bsquet professional i futures aplicacions fa lanlisi duna experincia real vinculada al mn de lesport professional. Es pretn donar a conixer com lestructuraci del coneixement de lentrenador pot afavorir el bon funcionament de lequip. Lestructuraci ens genera criteri i coherncia a lhora de prendre decisions.Es reconeix a lentrenador com una persona treballadora, apassionada per la seva feina i en constant creixement individual. Valors com la humilitat, lentusiasme, el comproms, la generositat i lautoexigncia es converteixen en adjectius fonamentals del nostre entrenador.Lestudi en lautoconeixement en conceptes com lideratge, nivells neurolgics, talent i motivaci esdevenen el pal de paller en la construcci de lequip. Un equip amb identitat prpia, on el benefici pel b com (equip) est per sobre de tot, cooperatiu, comproms, i on la figura de lentrenador intutiu amb coneixement influeix ms per convenciment que per autoritat.El treball del dia a dia de lentrenador i de lequip es fonamenta en lorganitzaci dels pilars de lentrenador: flexibilitat, creixement de lentrenador, equip, marges collectiu i individual sn els motors del bon funcionament del collectiu. En el treball presentat, es destaca la importncia de saber diferenciar, en el rendiment dun equip, dues vessants: una ms objectiva (tcnica, tctica, estratgia i fsica) i laltra on el factor hum s determinant. La investigaci aprofundeix en aquest segon factor i el reconeix com a preferent. Per acabar es presenten tot un seguit dactuacions utilitzades al llarg de la investigaci amb la finalitat de generar, mantenir i millorar lequip al mateix temps que es mostren diferents eines per tal doptimitzar leficincia de les actuacions. La investigaci pretn ser una experincia til i enriquidora a lhora destructurar el coneixement per tal de poder ser utilitzat en futures aplicacions.
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Sets out a clear core programme of child health contacts that every family can expect.
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Foyle HSS Trust's Evaluation of community nursing project. Part of the Department's redesign of community nursing project.
