Bosnia and Herzegovina

波斯尼亚和黑塞哥维那
  • 文章类型: Journal Article
    对波斯尼亚和黑塞哥维那七个引进的杏仁品种进行了主要的形态和遗传表征。杏仁品种包括三个来自意大利(Tuono,Genco,超新星),两个来自法国(Ferragnes和Ferraduel),和两个来自美国(德克萨斯州和Nonpareil)。通过使用10个微卫星标记进行遗传表征,有9个来自桃李的标记和一个来自杏李的标记。遗传表征的结果显示每个基因座每个引物平均有5.40个等位基因。引种品种10个SSR位点的平均有效等位基因数为3.92。香农信息指数平均为1.41。观察到的杂合性(Ho)和预期杂合性(He)分别平均为0.53和0.69。对波斯尼亚和黑塞哥维那引进的杏仁品种果实的形态分析表明,其栽培和传播具有良好的农业生态条件。结果表明,这些引入的杏仁品种可用于育种计划,以增强波斯尼亚和黑塞哥维那当地杏仁种群的遗传多样性。
    The main morphological and genetic characterization of seven introduced almond cultivars in Bosnia & Herzegovina was conducted. The almond cultivars included three from Italy (Tuono, Genco, Supernova), two from France (Ferragnes and Ferraduel), and two from the USA (Texas and Nonpareil). Genetic characterization was utilized by using 10 microsatellite markers, with nine markers from Prunus persicae and one from Prunus armeniaca. The results of genetic characterization revealed an average of 5.40 alleles per primer per locus. The average number of effective alleles for the 10 SSR loci of introduced cultivars was 3.92. The Shannon Information Index averaged 1.41. The observed heterozygosity (Ho) and expected heterozygosity (He) averaged 0.53 and 0.69, respectively. Morphological analyses of the fruit of introduced almond cultivars in Bosnia & Herzegovina indicated favorable agroecological conditions for their cultivation and spread. The results suggest that these introduced almond cultivars could be utilized in breeding programs to enhance the genetic diversity of the local almond population in Bosnia & Herzegovina.
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  • 文章类型: Journal Article
    目的:在过去的十年中,儿童肥胖已成为全球公共卫生问题。计算波斯尼亚和黑塞哥维那(波黑)。儿童肥胖监测倡议(COSI)是由世界卫生组织(WHO)建立的,旨在解决儿童肥胖缺乏标准化监测数据的问题。然而,波黑及其实体,斯普斯卡共和国(RS)未能纳入这样的倡议,这阻碍了监测和解决这一问题的努力。从今以后,这项由国家资助的研究的目的是通过实施COSI方法,收集和分析RS地区小学生超重和肥胖患病率的数据.
    方法:体重,高度,和BMI第一,第二,和三年级儿童(6-8岁),根据标准化COSI方案对RS地区的11所学校(N=2,030)进行了分析。
    结果:观察到的总体超重(OW)和肥胖(OB)的患病率为14.37%(OW9.09%,OB5.21%)。没有发现与性别相关的差异(男孩14.36%,女孩14.88%)。
    结论:这些发现强调了RS中小学生超重和肥胖患病率随年龄增加的一个令人担忧的趋势。
    Childhood obesity has become a worldwide public health concern over the past decade, counting Bosnia and Herzegovina (BiH). The Childhood Obesity Surveillance Initiative (COSI) was established by the World Health Organization (WHO) to address the lack of standardized surveillance data on childhood obesity. However, BiH and its entity, Republic of Srpska (RS), are failing inclusion in such initiative, which hinders efforts to monitor and address the issue. Henceforth, the objective of this nationally funded study was to gather and analyse data on the prevalence of overweight and obesity among primary-school children in RS by implementing the COSI methodology.
    Weight, height, and BMI of first, second, and third grade children (aged 6-8), from 11 schools (N = 2,030) in the RS region was analysed according to the standardized COSI protocol.
    The prevalence rates of overall overweight (OW) and obesity (OB) observed were 14.37% (OW 9.09%, OB 5.21%). No gender-related differences were noted (boys 14.36%, girls 14.88%).
    These findings highlight a concerning trend of increasing overweight and obesity prevalence with age among primary-school children in the RS.
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  • 文章类型: Journal Article
    波斯尼亚和黑塞哥维那神经外科的现代时期始于KarlBayer博士于1891年对3例颅骨骨折和癫痫患者进行的首次神经外科手术。1956年,萨拉热窝的外科部门专门为神经外科指定了几张床。波斯尼亚和黑塞哥维那神经外科史上的一个重要里程碑是1970年在萨拉热窝临床中心大学建立了神经外科科。在波斯尼亚和黑塞哥维那完成培训的第一位神经外科医生是FarukKonjhodzić博士。第一位女性神经外科医生是NerminaIbilzović博士。目前,全国有7个神经外科,位于萨拉热窝,图兹拉,泽尼卡,莫斯塔尔,巴尼亚卢卡,比哈奇,和Foča.波斯尼亚和黑塞哥维那神经外科医师协会,成立于2003年,是欧洲神经外科学会协会和世界神经外科学会联合会的成员。这篇历史论文的目的是提供重要事件的简明时间顺序,并提及为波斯尼亚和黑塞哥维那现代神经外科的发展做出贡献的关键人物。
    The modern period of neurosurgery in Bosnia and Herzegovina began with the first neurosurgical procedure performed by Dr. Karl Bayer in 1891 on 3 patients with depressed skull fractures and epilepsy. In 1956 the Department of Surgery in Sarajevo designated several beds specifically for a neurosurgical unit. A significant milestone in the history of neurosurgery in Bosnia and Herzegovina was the establishment of the Division of Neurosurgery at the Clinical Center University of Sarajevo in 1970. The first neurosurgeon to complete his training in Bosnia and Herzegovina was Dr. Faruk Konjhodžić. The first female neurosurgeon was Dr. Nermina Iblizović. Presently, there are 7 neurosurgical departments in the country, located in Sarajevo, Tuzla, Zenica, Mostar, Banja Luka, Bihać, and Foča. The Association of Neurosurgeons in Bosnia and Herzegovina, founded in 2003, is a member of the European Association of Neurosurgical Societies and the World Federation of Neurosurgical Societies. The aim of this historical paper is to provide a concise chronology of important events and mention key individuals who have contributed to the development of modern neurosurgery in Bosnia and Herzegovina.
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  • 文章类型: Journal Article
    Introduction.在2019年底和前一年,在世界卫生组织(WHO)欧洲区域,麻疹有显著的传播。差距声明。在报告的国家中,波斯尼亚和黑塞哥维那(波黑)爆发了麻疹疫情。瞄准.描述波黑(波黑联邦的一个实体,FBiH)在2019年。方法论。验证性IgM血清学,通过实时RT-PCR和病毒基因分型的麻疹核酸检测在萨拉热窝大学临床中心的世卫组织认可的麻疹和风疹实验室进行,单位为临床微生物学。通过对编码麻疹病毒核蛋白(N)C末端的450nt片段进行序列分析,确定了所有麻疹RNA阳性病例的基因型。结果。2019年1月1日至12月31日,报告了1332例麻疹病例,与2019年4月观测到的峰值(413/1332,31.01%)。萨拉热窝州的发病率最高,麻疹病例数和百分比(206.4;868/1332;65.17%)。大约五分之四的感染者没有接种疫苗(1086/1332,81.53%),4.58%(61/1332)的患者接受了一剂含麻疹疫苗的免疫接种。病例比例最高的是0-6岁儿童(738/1332,占55.41%)。麻疹IgM阳性为75.88%(346/456),而在82.46%(47/57)的拭子样本中检测到病毒RNA。所有麻疹病毒序列均属于B3基因型。在该爆发期间获得的40个序列中的1个中检测到SNP(位置216:C=>T)。结论。由于免疫覆盖率欠佳,波黑属于麻疹暴发风险高的国家。后COVID-19(2019年冠状病毒病)大流行,需要有针对性和量身定制的策略,以确保常规疫苗接种需求和接受以及广泛的合作伙伴和利益相关者团体参与。
    Introduction. At the end of 2019 and the year before, there was a significant spread of measles in the World Health Organization (WHO) European Region.Gap statement. Among the countries that reported, a measles outbreak was Bosnia and Herzegovina (BiH).Aim. To describe the measles outbreak in BiH (an entity of the Federation of BiH, FBiH) in 2019.Methodology. Confirmatory IgM serology, measles nucleic acid detection by real-time RT-PCR and virus genotyping were done in the WHO-accredited laboratory for measles and rubella at the Clinical Center of the University of Sarajevo, Unit for Clinical Microbiology. Genotype was determined in all measles-RNA-positive cases by sequence analysis of the 450 nt fragment coding the C-terminal of measles virus nucleoprotein (N).Results. From 1 January to 31 December 2019, 1332 measles cases were reported, with the peak observed in April 2019 (413/1332, 31.01 %). Sarajevo Canton had the highest incidence, number of cases and percentage (206.4; 868/1332; 65.17 %) of measles cases. Around four-fifths of infected persons were unvaccinated (1086/1332, 81.53 %), while 4.58 % of the patients (61/1332) were immunized with one dose of measles-containing vaccine. The highest proportion of cases was found in children 0-6 years of age (738/1332, 55.41 %). Measles IgM positivity was determined in 75.88 % (346/456), while virus RNA was detected in 82.46 % (47/57) of the swab samples. All measles virus sequences belonged to genotype B3. SNP (position 216: C=>T) was detected in 1 of the 40 sequences obtained during this outbreak.Conclusion. Due to suboptimal immunization coverage, BiH belongs to countries at a high risk for measles outbreaks. Post-COVID-19 (coronavirus disease 2019) pandemic, targeted and tailored strategies are required to ensure routine vaccination demand and acceptance and broad partner and stakeholder group participation.
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  • 文章类型: Journal Article
    自从冠状病毒病(COVID-19)开始以来,很明显,这种感染的严重形式主要影响慢性病患者。
    这项研究的目的是探索与COVID19结局相关的临床和流行病学特征。
    回顾性观察研究包括巴尼亚卢卡县的40,692名公民,波斯尼亚和黑塞哥维那,从2020年3月至2022年9月,他们在初级医疗保健中心被确认为COVID-19的逆转录酶聚合酶链反应(RT-PCR)阳性。
    流行病学数据来自患者的网络医疗记录。COVID-19数据来自COVID-19数据表,包括患者的RT-PCR检测表格,严重急性呼吸综合征冠状病毒-2状态监测表,以及他们积极和孤立接触的地图。
    使用Pearson卡方检验和Mantel-Haenszel卡方检验对趋势进行分析,而平均值的差异使用独立样本t检验进行比较。
    住院患者的平均年龄明显高于非住院患者的年龄(P<0.001)。具有致死性结局的患者的平均年龄几乎是具有非致死性结局的患者的两倍(P<0.001)。男性患者住院率和死亡率较高(P<0.001)。住院率最高的是慢性肾衰竭(CRF)患者,糖尿病和心血管疾病(CVD),而CRF和炉膛合并症患者的死亡率最高。疲劳和食欲不振的患者具有较高的致死性结局百分比。接种疫苗的患者的致死结局率明显较低。
    临床症状,标志和结果,作为进一步管理COVID-19的预测参数。疫苗接种在COVID-19的临床结局中具有重要作用。
    UNASSIGNED: Since beginning of the coronavirus disease (COVID-19) it became clear that severe forms of this infection have primarily affected patients with chronic conditions.
    UNASSIGNED: The aim of the study was to explore clinical and epidemiological characteristics associated with COVID 19 outcomes.
    UNASSIGNED: The retrospective observational study included 40,692 citizens of Banja Luka County, Bosnia and Herzegovina, who were confirmed as reverse transcriptase polymerase chain reaction (RT-PCR) positive on COVID-19 at a primary healthcare centre from March 2020 to September 2022.
    UNASSIGNED: Epidemiological data were obtained from Web-Medic medical records of patients. The COVID-19 data were obtained from COVID-19 data sheets comprised of patients\' RT-PCR testing forms, surveillance forms for severe acute respiratory syndrome coronavirus-2 status, and a map of their positive and isolated contacts.
    UNASSIGNED: Differences regarding the distributions of patients between groups were analysed using the Pearson chi-square test and Mantel-Haenszel chi-square test for trends, while differences in mean values were compared using an independent sample t-test.
    UNASSIGNED: The average age of hospitalised patients was significantly higher compared to the age of non-hospitalised patients (P < 0.001). The average age of patients with lethal outcomes was nearly twice as high in comparison to patients with non-lethal outcomes (P < 0.001). Male patients had a higher hospitalization and mortality rate (P < 0.001). The highest hospitalization rate was in patients with chronic renal failure (CRF), diabetes and cardiovascular diseases (CVDs), while the death rate was the highest among patients with CRF and hearth comorbidities. Patients with fatigue and appetite loss had a higher percentage of lethal outcomes. Vaccinated patients had a significantly lower rate of lethal outcome.
    UNASSIGNED: Clinical symptoms, signs and outcomes, are posing as predictive parameters for further management of COVID-19. Vaccination has an important role in the clinical outcomes of COVID-19.
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  • 文章类型: Journal Article
    背景:精神健康障碍和慢性健康疾病是难民中痛苦经历的非常普遍和有影响的后果,然而,缺乏包含生物心理社会因素的综合概念模型。这项研究旨在评估波斯尼亚难民队列中寡妇与PTSD和严重抑郁症维持以及不良健康结果的相关性。
    方法:这项纵向研究包括526名受试者,随访3年。采访是在瓦拉日丁的难民营中进行的,克罗地亚,波斯尼亚语。分别使用哈佛创伤问卷和霍普金斯检查表-25收集数据。身体健康障碍是自我报告的。
    结果:在基线和终点时,女性性别和婚姻丧失与心理和身体健康结果的统计学显著较高负担相关。这一组显示出更高的PTSD和严重抑郁症的发病率,与高血压合并症高,心血管疾病,哮喘和关节炎.
    结论:本研究的结果与大量文献研究一致,这些文献研究将婚姻损失与心理健康和身体健康受损联系起来。提供了一个概念框架,以了解心理健康和身体健康结果如何高度依赖于社会现象。
    结论:这项调查加强了社会纽带和婚姻支持在创伤恢复中的作用的假设。进一步的研究是,然而,需要从整体的生物-心理-社会角度更好地了解不良事件对创伤暴露受试者的后果。
    BACKGROUND: Mental health disorders and chronic health diseases are highly prevalent and impactful consequences of distressful experiences among refugees, yet a comprehensive conceptual model encompassing biopsychosocial factors is lacking. This study aims to assess the relevance of widowhood to PTSD and major depression maintenance as well as to adverse health outcomes in a cohort of Bosnian refugees.
    METHODS: This longitudinal study included 526 subjects followed up for 3 years. The interviews were conducted in refugee camps in Varaždin, Croatia, in the Bosnian language. Data were collected using the Harvard Trauma Questionnaire and Hopkins Checklist-25, respectively. Physical health disorders were self-reported.
    RESULTS: Both at baseline and endpoint female gender and marital loss are associated with a statistically significant higher burden of psychological and physical health outcomes. This group showed higher rates of PTSD and major depression disorders, as high comorbidity with hypertension, cardiovascular diseases, asthma and arthritis.
    CONCLUSIONS: The results of the present study align with a wealth of literature studies linking marital loss to shifts in mental health and impaired physical health. A conceptual framework is provided for understanding how both mental health and physical health outcomes are highly dependent on social phenomena.
    CONCLUSIONS: This investigation reinforces the hypothesis of the role of social bonds and marital support in recovery from trauma experiences. Further studies are, however, needed for a better understanding of the consequences of adverse events on trauma-exposed subjects from a holistic bio-psycho-social point of view.
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  • DOI:
    文章类型: Journal Article
    在过去的30年里,来自克罗地亚和波斯尼亚和黑塞哥维那的法医专家采用了先进的技术和创新,以便在识别战争受害者方面具有极大的效力和熟练程度。前南斯拉夫各国的战时事件极大地影响了选定的DNA分析作为鉴定骨骼遗骸的常规工具的应用,尤其是那些来自万人坑的人.最初,由于事件的严重性,这项工作具有挑战性,技术方面,和政治方面。与著名的外国法医专家的合作极大地帮助了开始常规应用DNA分析的努力,并取得了越来越大的成功。在这篇文章中,我们回顾了在标准鉴定方法不足的情况下,DNA分析在鉴定骨骼遗骸方面的最重要成就。
    Over the past 30 years, forensic experts from Croatia and Bosnia and Herzegovina have embraced advanced technologies and innovations to enable great efficacy and proficiency in the identification of war victims. The wartime events in the countries of former Yugoslavia greatly influenced the application of the selected DNA analyses as routine tools for the identification of skeletal remains, especially those from mass graves. Initially, the work was challenging because of the magnitude of the events, technical aspects, and political aspects. Collaboration with reputable foreign forensic experts helped tremendously in the efforts to start applying DNA analysis routinely and with increasing success. In this article, we reviewed the most significant achievements related to the application of DNA analysis in identifying skeletal remains in situations where standard identification methods were insufficient.
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  • DOI:
    文章类型: Journal Article
    目的:评估ACE2和TMPRSS2基因中的单核苷酸多态性(SNP)与COVID-19严重程度和关键生物标志物的相关性。
    方法:该研究涉及来自波斯尼亚和黑塞哥维那的750名COVID-19患者,分为三组:轻度,中度,和严重的病例。使用实时聚合酶链反应检查ACE2(rs2285666)和TMPRSS2(rs2070788)基因内的遗传变异。用标准程序测定生化标记。
    结果:轻度和中度症状患者的rs2070788基因型分布存在显着差异,但不是其他群体之间。对于rs2285666多态性,基因型分布无显著差异。症状轻微的患者,rs2070788的GG基因型携带者的总胆红素水平明显高于AA基因型携带者。同样,rs2285666的TT基因型的携带者具有明显较高的活化部分凝血活酶时间和国际标准化比率,与CC基因型相比,乳酸脱氢酶水平较低。在有严重症状的患者中,GG基因型的携带者的钾水平明显高于AA基因型的携带者,与CC基因型相比,TT基因型的携带者显示出明显更高的红细胞计数以及血红蛋白和血细胞比容水平。
    结论:这项研究强调了遗传因素的作用,特别是ACE2和TMPRSS2基因中的SNP,在确定COVID-19的严重程度时,帮助患者进行风险评估和预后。
    OBJECTIVE: To assess the association of single nucleotide polymorphisms (SNPs) in the ACE2 and TMPRSS2 genes with COVID-19 severity and key biomarkers.
    METHODS: The study involved 750 COVID-19 patients from Bosnia and Herzegovina, divided into three groups: mild, moderate, and severe cases. Genetic variations within the ACE2 (rs2285666) and TMPRSS2 (rs2070788) genes were examined with real-time polymerase chain reaction. Biochemical markers were determined with standard procedures.
    RESULTS: There was a significant difference in the rs2070788 genotype distribution between patients with mild and moderate symptoms, but not between other groups. For the rs2285666 polymorphism, no significant difference in genotype distribution was found. In patients with mild symptoms, carriers of the GG genotype of rs2070788 had significantly higher total bilirubin levels than carriers of the AA genotype. Similarly, carriers of the TT genotype of rs2285666 had significantly higher activated partial thromboplastin time and international normalized ratio, and lower lactate dehydrogenase levels compared with the CC genotype. Among patients with severe symptoms, carriers of the GG genotype showed significantly higher potassium levels than carriers of the AA genotype, while carriers of the TT genotype showed significantly higher erythrocyte count as well as hemoglobin and hematocrit levels compared with the CC genotype.
    CONCLUSIONS: This study highlights the role of genetic factors, particularly SNPs in the ACE2 and TMPRSS2 genes, in determining COVID-19 severity, aiding patient risk assessment and prognosis.
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  • 文章类型: Journal Article
    青春期和成年是发展阶段,在这个阶段中,对自己的性行为的探索是非常重要的,这会增加危险性行为的风险。由于技术的进步,(非自愿)性交在年轻人中有所增加,并已成为其性社会化的组成部分。因此,本研究的主要目的是利用常规活动理论,研究青少年和新兴成年人中的非自愿性性行为(受害性性行为和侵害性性行为),并确定与非自愿性性行为相关的潜在危险因素.样本包括来自波斯尼亚和黑塞哥维那和克罗地亚的3514名10-17岁的青少年(男性占43%;女性占57%)和3674名18-25岁的新兴成年人(男性占23%;女性占77%)。结果表明,男性青少年和新兴成年人经历非自愿性行为的风险更高。个人因素,如性别,年龄,社会纽带,常规手机活动预测了青少年成为非自愿性行为受害者的风险。对于新兴的成年人来说,性别,与朋友的社交联系,常规使用手机预测了成为非自愿性短信受害者的风险。关系状态和常规手机活动预测了两个年龄段其他性别的转发。根据国际科学研究和这项特殊研究的结果,我们可以得出结论,对个人因素和常规变量的研究有助于了解青年中的非自愿性行为,但对规划教育资源和预防活动也至关重要。
    Adolescence and emerging adulthood are developmental phases in which the exploration of one\'s own sexuality takes on a high priority, which can increase the risk of risky sexual behavior. Due to technological advances, (non-consensual) sexting has increased among young people and has become an integral part of their sexual socialization. Therefore, the main objective of this study was to examine non-consensual sexting (both victimization and perpetration) among adolescents and emerging adults and to identify potential risk factors associated with non-consensual sexting using routine activity theory. The sample consisted of a total of 3514 adolescents aged 10-17 years (43% males; 57% females) and 3674 emerging adults aged 18-25 years (23% males; 77% females) from Bosnia and Herzegovina and Croatia. The results showed that both male adolescents and emerging adults were at higher risk for experiencing non-consensual sexting victimization. Personal factors such as gender, age, social bond, and routine cell phone activity predicted the risk of becoming a victim of non-consensual sexting in adolescents. For emerging adults, gender, social connection to friends, and routine cell phone use predicted the risk of becoming a victim of non-consensual sexting. Relationship status and routine cell phone activity predicted the forwarding of other sexts for both age groups. According to international scientific research and the findings of this particular study, we can conclude that the study of personal factors and routine variables helps understand non-consensual sexting among youth but is also essential in planning educational resources and preventive activities.
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  • 文章类型: Journal Article
    目标:工作-家庭冲突在全球范围内是一个日益严重的问题,因为不断变化的工作-家庭人口趋势和技术的传播。移情,理解和分享他人感受的能力,是情绪智力的重要组成部分,在医疗保健环境中起着至关重要的作用。这项研究旨在评估牙科医师的情绪移情水平,并调查其与工作-家庭角色冲突的关系。材料和方法:在这项研究中,来自克罗地亚的589名牙科医生参加了这项研究,塞尔维亚,波斯尼亚和黑塞哥维那。问卷包括一般和人口统计数据,情绪移情量表和工作与家庭角色冲突评估量表。结果:研究结果表明,移情与工作和家庭角色之间的冲突之间没有显着关联(R=0.032,p=0.435)。女性在情绪移情量表中获得了明显更高的分数(p≤0.001),而工作和家庭角色冲突评估量表在性别上没有差异(p=0.194)。根据受访者的工作地点(p=0.045)和牙科医学的专业化程度(p=0.021),观察到情感移情的差异。结论:牙科医学女医生表现出更高的情感同理心,而工作-家庭角色冲突在两种性别中都有同等的经历。
    OBJECTIVE: Work-family conflict is a growing problem worldwide, because of changing work-family demographic trends and the spread of technology. Empathy, as the ability to understand and share the feelings of other people, is the essential component of emotional intelligence that plays a crucial role in healthcare settings. This study aimed to assess the level of emotional empathy and investigate its relationship with work-family role conflicts among dental medicine doctors.  Materials and methods: In this study participated 589 doctors of dental medicine from Croatia, Serbia, Bosnia and Herzegovina. The questionnaire included general and demographic data, the Emotional Empathy Scale questionnaire and the Work and Family Role Conflict Assessment Scale questionnaire.  Results: The research results indicate no significant association between empathy and conflict between work and family roles (R = 0.032, p = 0.435). Women have achieved significantly higher scores in Emotional Empathy Scale (p ≤ 0.001), while there was no difference in Work and Family Role Conflict Assessment Scale according to gender (p = 0.194). A difference in emotional empathy was observed depending on where the respondents were employed (p = 0.045) and depending on the specialisation of the dental medicine (p = 0.021).  Conclusion: Female doctors of dental medicine demonstrated higher emotional empathy while the work-family role conflict is experienced equally by both genders.
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