Shooting impairment may occur whereas there is either central or peripherical fatigue. However, the effects of different physical stressor stimuli on fine motor skills as shooting are yet not fully understood. The present research aimed to analyze the effect of endurance and resisted physical stressors on the psychophysiological response and pistol marksmanship of novel soldiers, and the possible differences in gender and BMI. Variables of heart rate, isometric hand strength, rate of perceived exertion, and pistol marksmanship were analyzed in 56 soldiers in endurance and resisted stress protocols. Isometric hand strength, heart rate, and RPE were significantly higher in both resisted and endurance physical stress protocols than in the basal sample. Gender differences were seen in strength, cardiovascular and RPE values. Also, subjects with larger BMI presented significantly higher isometric hand strength and higher marksmanship in all moments evaluated. We conclude that an endurance stress protocol produced a higher cardiovascular and perceived exertion than a resisted one, not affecting hand strength, shooting heart rate, and marksmanship. Females presented lower hand strength and marksmanship while higher rated of perceived exertion and heart rate during the endurance and resisted stress protocols than males. Overweight participants presented higher heart rates during both physical stress protocols, but higher hand strength and marksmanship while similar shooting heart rates than normal-weight participants.
This article aims to highlight the burnout burden among neurologists and provide information on some of its causes and consequences. We report an original article that reviews our current understanding of burnout matter in the neurology field. The main search engine through which we performed extensive literature research was PubMed, Scopus, and Google Scholar. The following information was collected: triggers of burnout and factors that perpetuate it, major complaints, values, and goals that dictate how coaching with it. Physician burnout is an umbrella term characterized by symptoms determined by exposure to chronic workplace stressors. Simply put, it encompasses many dimensions: emotional exhaustion, feelings of cynism, detachment (depersonalization), and a sense of ineffectiveness at work (low personal accomplishment). Burnout is common among all medical specialties, but neurology ranks at the top of the list. Several identified factors continue to fuel this problem. Properly addressing them, rethinking practice, and implementing wise, modern strategies can make significant contributions to reducing it. Aside from the chronic harm to the physician, burnout puts at risk the healthcare community at many levels including patients, other professionals, finances, etc. This paper wants to emphasize that burnout in neurology should be regarded as a global crisis. Thus, some strategies are proposed.
