Working in intensive care units (ICUs) is stressful and potentially leads to various psycho-emotional disorders. Today, this issue represents a serious concern to the healthcare sector and affects the quality of healthcare provided. This study aimed to assess and compare the psycho-emotional state in COVID-19 and non-COVID-19 hospitals’ ICU healthcare workers (HCWs). From January to July 2021, we conducted an anonymous cross-sectional web survey of ICU physicians and nurses (N = 1259) of various hospitals in a metropolis with a population of over 10 million people. The statistical distributions of non-COVID-19 ICU HCWs showed the following results: emotional exhaustion levels (low 14.6%, average 30.8%, and high 54.6%); depersonalization levels (low 11.6%, average 16.5%, and high 71.9%); and reduced personal accomplishment levels (low 23.5%, average 40.3%, and high 36.2%). The statistical distributions of COVID-19 ICU HCWs showed the following results: emotional exhaustion levels (low 16.5%, average 31.5%, and high 52%); depersonalization levels (low 7.4%, average 9.4%, and high 83.1%); and reduced personal accomplishment levels (low 25.4%, average 45.4%, and high 29.1%). This study found a strong correlation between emotional exhaustion, aggression, and depersonalization in non-COVID-19 ICU HCWs and also found a correlation between their age, aggression, emotional exhaustion, and occupational stress.

Background: Providing regional anesthesia skills shaping remains relevant nowadays. A number of studies show that dentists have difficulties with these working independently. The study aim is the comparative analysis of the results of mandibular anesthesia (IANB) manual-skills shaping among dentists on plastic models and cadavers. Methods: In total, 999 participants were training in the skills of mandibular anesthesia from 2017 to 2021. The participants were divided in a random way into two groups: 700 participants were trained on plastic models, and 299 were trained on the cadaver material. After a lecture on the clinical and anatomical guidelines for IANB, a demonstration of the technique was provided, with subsequent testing of the injection technique. Satisfaction with the aspects of the training was assessed using the Likert scale. Results: the analysis of average values showed that participants from the group in which the manual skills were practiced on cadavers were more satisfied with the main aspects of the training, according to the sum of the main criteria of the modified scale. Conclusions: The important advantages of cadaver educational technology are that the sensations of tissue resistance are identical to natural ones, the individuality of each object, and the possibility of the visual study of the anesthesia technique, by dissection of the needle course and the location of the anesthetic depot.

ЦЕЛЬ ИССЛЕДОВАНИЯ Оценка возможности использования хирургического симулятора «Зарница» в освоении обучающимися высокотехнологичных хирургических видеоэндоскопических навыков. МАТЕРИАЛ И МЕТОДЫ Сведения о результатах освоения обучающимися с использованием симулятора «Зарница» высокотехнологичных хирургических видеоэндоскопических навыков получены при опросе 62 школьников, 32 студентов-кружковцев и ординаторов, 31 молодого врача-хирурга. РЕЗУЛЬТАТЫ Обобщенные результаты показывают, что оценка «отлично» наиболее часто встречалась у школьников, студентов 2-го курса и кружковцев с ординаторами, чаще остальных групп оценку «отлично» получали школьники. Это связано с недостаточным личным опытом работы как на различных симуляторах, так и в клинике. ЗАКЛЮЧЕНИЕ Наши данные показывают, что применение лапароскопического тренажера («Зарница») уместно при обучении высокотехнологичным хирургическим видеоэндоскопическим навыкам как студента, так и ординатора и врача-хирурга.

Out-of-hospital cardiac arrest (OHCA) is one of the leading causes of emergency medical calls in Russia. Early cardiopulmonary resuscitation (CPR) for OHCA can increase the chances of preserving bodily functions, reduces the likelihood of severe complications and shortens hospital-stay. However, traditional methods of first aid training and CPR cannot cover a large number of people in a timely manner. Therefore, new approaches are necessary. Gamification is considered the most perspective as it allows for learning “anytime and anywhere”. Objective. To identify potential applications for first aid training and basic CPR courses in Russian market. Material and methods. We reviewed the AppStore and PlayMarket application databases. After selection, 6 applications were used for analysis. Anesthesiologists and intensive care specialists (n=30) were asked to go through each application and evaluate it using the uMARS and SUS scales. Results. After reviewing 4.917 applications, only 3 (0.06%) ones were suitable for first aid and basic CPR training. All applications focus on assessment of environment, but only one teaches how to use automatic external defibrillator. None application described the correct position of the body and hands during CPR. Additionally, none application was translated into Russian. Conclusion. There is a significant lack of applications for training in first aid and CPR. Development of domestic application and gamification of first aid and CPR can increase the number of people with appropriate skills. This will potentially reduce mortality and increase survival of patients with out-of-hospital cardiac arrest.