Objective: In recent years, psychological problems that are caused by working conditions like burn-out syndrome are more commonly observed. In our study, we aimed to evaluate mobbing exposure, factors causing mobbing and precautions for mobbing in residency students who are educated in anaesthesiology and reanimation clinics in Turkey. Methods:After obtaining consent from the ethics committee, we sent our questionnaires to the secretariats of the departments by postal mail. Completed questionnaires were collected in our department's secretariat blindly and randomly mixed. One hundred and one participants were returned the questionnaires. Data was statistically analysed in SPSS 21.0 software programme.Results: During residency programme, 63% participants stated have experienced mobbing one or more time. Interestingly, 5.9% participants complained of physical mobbing. Mobbing exposure was more common in females. The most serious new onset psychosomatic symptoms stated during residency were committing suicide (2%), addiction (16%), severe depression (18%), panic attack (8%), more accidents (7%) and tendency of violence (15%). In mobbing group there was statistically significant dissatisfaction rate. Conclusion:In professions where mobbing is common, incidences of psychiatric diseases and suicide are increased. Residents who are targets of mobbing should be noticed carefully to ensure good judgement and problems should be inspected objectively in a detailed manner. Anesthesiology socities and other medical professional socities should establish mobbing committees. Thus, mobbing problems can be resolved and healthy career oppurtunities can be presented to residents. Keywords: Mobbing, anaesthesiology, residentsAmaç: Son yıllarda mesleki tükenmişlik gibi psikolojik problemler artış gösterdiğinden çalışmamızda Türkiye'deki Anesteziyoloji ve Reanimasyon kliniklerinde eğitim alan uzmanlık öğrencilerinin psikolojik taciz (mobbing) maruziyetini, buna neden olan faktörleri ve alınabilecek önlemleri değerlendirmeyi amaçladık.Yöntemler: Etik kurul onayı sonrası, anket formları ilgili bölüm-lerin sekreterliğine kargo yoluyla iletildi. Bölümümüz sekreterliğine geri gelen doldurulmuş anket formları sekreterlerimiz tarafından kör olarak randomize şekilde toplandı. Yüz bir anket formu doldurulmuştu. Anketlerden elde edilen veriler SPSS 21,0 paket programında istatistiksel olarak analiz edildi. Bulgular: Uzmanlık eğitimi süresince en az bir kez mobbinge maruz kaldığını belirten katılımcıların oranı %69,3 idi. İlg-inç olarak %5,9 oranında katılımcı fiziksel mobbinge maruz kaldığını belirtmişti. Mobbing kadın cinsiyette daha fazlaydı ve yeni başlangıçlı psikosomatik hastalıklar ile ilişkiliydi. Bunlardan en ciddileri %2 özkıyım girişimi, %16 madde bağımlılığı, %18 depresyon, %8 panik atak, %15 şiddet eğilimiydi. Mobbing grubunda belirgin olarak mesleki memnuniyetsizlik oranı yüksekti. Sonuç:Mobbingin sık uygulandığı meslek gruplarında psikolojik hastalıklar ve özkıyım oranları da artmaktadır. İş yerinde mobbinge maruz kalan uzmanlık ...

The aim of this randomized control trial is to compare the effect of anesthetic agents on blood levels of parathyroid hormone and ionized calcium. 77 American Society of Anesthesiologists I-II patients who would undergo laparoscopic cholecystectomy were enrolled into this prospective study and randomized into 3 groups with sealed envelope technique as Group S: sevoflurane, Group D: desflurane, and Group TIVA: total intravenous anesthesia. The first blood sample was used to check the baseline blood levels of parathyroid hormone and ionized calcium. In Group S or D, maintenance of anesthesia was being performed with 1 MAC (minimum alveolar concentration) sevoflurane or desflurane, respectively, while in Group TIVA, it was performed with 150 mcg/kg/min propofol and 1 mcg/kg/min remifentanil IV infusions. At the 30th minute of anesthesia and at the 1st hour of end of anesthesia, 2nd and 3rd blood samples, respectively, were used to check the blood levels of PTH and Ca. During perioperative period, hemodynamic parameters were also noted. Blood levels of parathyroid hormone at the 30th min after anesthesia were found to be significantly different between groups ( P = 0,01 ). The PTH level at the 30th min after anesthesia was found significantly higher in Group S than that of Groups D and TIVA ( P = 0.005 and P = 0.001 , respectively). Blood levels of ionized calcium at 30th min after anesthesia were found significantly different between groups ( P = 0,048 ). It was found significantly higher in Group TIVA than that in Group S ( P = 0.024 ). Desflurane seems to be the best agent for parathyroidectomy procedures. Future research studies are needed to be conducted to reach out more correct and valuable outcomes.