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Autor iznosi neke aspekte suočavanja s novom stvarnošću zbog prijetnji povezano s pandemijom s koronavirusima i prodora novih tehnologija u brojne aspekte našeg svakodnevnog života, privatnog, socijalnog i profesionalnog. Iznosi vlastita opažanja i rezultate nekih istraživanja u području profesionalne djelatnosti. Zbog globalnog zahvata virusne pandemije, te značajnog pomaka svakodnevnih aktivnosti od realnog prema virtualnom svijetu, iznosi razmišljanje o potrebi preispitivanja određenih tradicionalnih vrijednosti i mogućnosti iskorištavanja aktualne krizne situacije za osmišljavanje nove paradigme za međuljudske odnose, od kompeticije prema kooperaciji. U radu se iznose rezultati pojedinih istraživanja, primjeri iz kulturne domene, te neophodnost proučavanja promjena profesionalnog identiteta i novih elemenata u međuljudskim odnosima, te utjecaja na terapijski pristup u individualnom i grupnom setingu.

Background: The International Labour Organization (ILO, 2000) has defined stress and exhaustion from working shifts and night work, and psychological and organizational stressors conditions that create health risks for surgical nurses. Among the OR nurses/ technicians 41.9% reported that causes of their stress included inadequate teamwork, ineffective communication, and especially surgeons’ negative attitudes. Subjects and methods: The stuudie has been held in Clinical Hospital Centre Split, the sample consists of a total of 62 out of 109 possible respondents participated in the study. A total of 23 (37%) anesthesiology technicians and 39 (63%) ICU nurses / technicians participated in the survey. In the empirical part of this research, the importance of selected stressors was tested using quantitative methods in biomedicine.The existence of stress was tested by the Wilcoxon test. Stress level in the ICU was tested by T-test The analysis was elaborated in the statistical software STATISTICA 12. Conclusions were made at a significance level of 5%. The research was conducted through the questionnaire taken from the paper Milan Miloševi􀃼 entitled: "Development of a measuring instrument of stress in the workplace hospital health professionals and an assessment of its use value” (2010). Results: Based on the empirical t value of 3.42 at 59 degrees of freedom the conclusion is that there was found a statistically significant difference in the level of stressors in the workplace between nurses / technicians in the ICU and anesthesiology technicians. The conclusion was reached at an empirical level of significance

Hematotoxicity od cyclin dependent kynases 4/6 (CDK4/6) inhibitors palbociclib and ribocyclib during first 2 cycles of treatment of metastatic breast cancer – a restropective analysis in single centre

Depression is one of the most frequent mood disorders. The spectrum of its meanings is very complex. Symptoms of depression can be felt at every stage of life. Depressed mood states can, as for intensity, show the clinical picture that varies from mood changes to psychotic states. In this presentation, it is described a case of the patient who since early childhood showed the symptoms of ADHD that was showing as a comorbidity feelings of depression, which have significantly hindered the emotional maturation of the person. This etiological clarification has led to effective treatment, including the psychopharmacological and psychotherapeutic approach.

The hereby presented guidelines for the use of psychodynamic psychotherapy are based on references and research in the field of individual and group therapy and they refer to psychotherapy for patients suffering from the first psychotic episode, schizophrenia, schizoaffective psychosis, bipolar disorder and paranoid psychosis. The aim was to provide an overview of present literature and to give recommendations based on current knowledge. Clinical experience and research of the outcomes of psychodynamic psychotherapy encourage positioning of such treatments among recommendations for treating various mental disorders, as well as in the field of psychotherapy of patients with psychotic disorders (PD).

In the end of every severe stress situation (like war, terrorist attack, earthquake, fire, etc.) there is a strong need for peace, reconciliation and renewal. But, life goes in a way that the space without conflict cannot be maintained. Thinking in accordance with kleinian concepts, a group in severe stress situation inevitably regresses from depressive (D) to paranoid-schizoid (PS) position. By leaving D position PS position becomes stronger, the borders between a group and an individual weaken, massive projective identifications penetrate into individuals and force them to share mental contents of a group. There is a strong pressure towards homogenization and cohesion among people. Concrete thinking overcomes symbolic thinking, so that the compulsion for action strenghtens at the expense of thinking. The ability to feel guilt and shame, and the processes of mourning fade away. The group in PS position does not have tolerance towards differences. Paranoid rule “with us or against us” makes permanent threat, so that those who are different are identified as enemies. In that situation it is difficult to observe subjects with autonomous psychic life. They are seen as completely negative partial objects, and those who belong to hostile groups can totally lose every similarity with other people around, so that the identification with them becomes not possible. A group in D position maintains border between group and an individual. It allows consciousness about mental life in others and identification with them as with people with whom empathic relationship can be established. After the severe stress situation, when D position strengthens, terrible traumas cannot be integrated without risk of falling into depression. It is not possible to integrate any amount of negative features of ourselves and guilt or shame feelings, if that amount seems relatively bigger that the amount of positive features of ourselves and our group. Reaching again D position is possible if still traumatic contents are dispatched into torn area where PS stances are dominant. Every group as well as every individual have limited ability to accept awareness of some painful mental content. One part of it will remain hidden from the Ego in order not to become overwhelmed by these contents. They will stay split off, not suppressed. This helps groups to maintain the space without conflict which should remain big enough to maintain life and groups wind up clock of illusions in which they wrap the picture of themselves, where wish for reconciliation and forgiveness loom again. But traumas remain stored somewhere and inseparable and during historic shakes they are ready to erupt when they find first opportunity.