Working With Type 1 Diabetes: Investigating the Associations Between Diabetes-Related Distress, Burnout, and Job Satisfaction.

The present study investigates the association between diabetes-related distress (DD) and work outcomes (burnout and job satisfaction) among employed people with type 1 diabetes. Employed adults with type 1 diabetes (N = 297) completed an online survey. Measures assessed emotional, social, food- and treatment-related DD, burnout, and job satisfaction, as well as the type of insulin treatment. We conducted multiple regression analyses to test our hypotheses. Emotional DD was significantly and positively associated with burnout. Social DD was significantly and negatively associated with job satisfaction. The type of treatment (insulin pen versus insulin pump) had no significant effect on the outcomes. This study sets the stage for research on the interactions between working conditions, work outcomes and illness symptoms, and problems of people with type 1 diabetes, and, generally, employees with chronic illnesses. The findings have implications for individual health and illness management, burnout prevention, and occupational health measures.

Employee psychological well-being during the COVID-19 pandemic in Germany: A longitudinal study of demands, resources, and exhaustion.

Many governments react to the current coronavirus/COVID-19 pandemic by restricting daily (work) life. On the basis of theories from occupational health, we propose that the duration of the pandemic, its demands (e.g., having to work from home, closing of childcare facilities, job insecurity, work-privacy conflicts, privacy-work conflicts) and personal- and job-related resources (co-worker social support, job autonomy, partner support and corona self-efficacy) interact in their effect on employee exhaustion. We test the hypotheses with a three-wave sample of German employees during the pandemic from April to June 2020 (Nw1  = 2900, Nw12  = 1237, Nw123  = 789). Our findings show a curvilinear effect of pandemic duration on working women's exhaustion. The data also show that the introduction and the easing of lockdown measures affect exhaustion, and that women with children who work from home while childcare is unavailable are especially exhausted. Job autonomy and partner support mitigated some of these effects. In sum, women's psychological health was more strongly affected by the pandemic than men's. We discuss implications for occupational health theories and that interventions targeted at mitigating the psychological consequences of the COVID-19 pandemic should target women specifically.

Implants inserted with graftless osteotome sinus floor elevation - A 5-year post-loading retrospective study.

PURPOSE: To report the outcome of graftless osteotome sinus floor elevation (OSFE) in order to evaluate whether apical bone gain depends on the initial residual bone height and whether the initial residual bone height has an influence on the amount of marginal bone loss. Furthermore the study aimed to assess if perforations of the Schneiderian membrane or residual bone height are potential predictors of implant survival. MATERIALS AND METHODS: In this retrospective study all patients were included who were treated between 2001 and 2010 and received dental implants in combination with OSFE in a private practice. Patients having 1 to 11 mm of residual bone height were subjected to crestal sinus lift elevation. One hundred and thirteen patients with 233 implants were included in this study. The follow-up period was 5-years post-loading for all patients. The average initial bone level height was 5.9 ±â€…1.7 mm. No bone graft or substitute material was used. All implants healed transgingivally and were loaded 3 months after insertion. Outcome measures were prosthetic success, implant success, complications, radiographic crestal bone level changes and apical (sinus floor) bone height. RESULTS: Sixty-three patients dropped out during the 5-year post-loading follow-up. Seven implants in 7 patients failed. Implant survival rate 5 years after loading was 93.8% at patient level. Implants succeeded in 92.7% of all cases. In six patients (5.3%), prostheses failed and had to be remade. Minor complications like small ceramic fractures and loosening of prosthetics were observed in seven patients (6.2%). Average marginal bone loss at 5 years of follow-up was 0.5 ±â€…0.8 mm per patient. No correlation was found between marginal bone loss and initial residual bone height. Average gained bone height was 4.5 ±â€…1.4 mm after 5 years of loading. We found a significantly negative linear correlation for apical bone gain depending on the baseline bone level (P < 0.001). The apical bone gain was higher in cases with less residual bone. CONCLUSIONS: Implants after graftless osteotome sinus floor elevation showed excellent survival and success rates after 5 years of loading. Apical gain of newly formed bone was positively correlated with the initial bone height showing a statistical significance. However, initial residual bone height is also a predictor for implant survival, i.e. survival increases by 1.6 times with every additional millimetre of initial residual bone height. Conflict-of-interest statement: All authors declare that they have neither financial nor non-financial competing interests.