Introduction:The occurrence of a pressure ulcer constitutes a major psychological and physiological burden and it has been linked with a reduced quality of life and increased stress of the individual.Objective:The main objective was to investigate the impact that stress has on pressure ulcer healing process and on the psychophysiological environment of the individual suffering from them.Method:The scientific literature was reviewed through Cinahl, Pub-med, EBSCO, Medline and Google scholar. The articles were chosen due to their direct correlation with the objective under study and their scientific relevance.Results:Increased stress has been demonstrated to increase the glucocorticoids levels affecting negatively the production of wound healing cytokines (IL1α, IL1β and TNFα). Matrix metalloproteases has been identified to be unregulated in occasions of increased stress in acute wounds. Stress has also been correlated with poor health behaviors that may not have a direct link on the wound healing process, although they can in part explain or enhance some of the effects of stress on wound healing.Conclusion:The correlation between stress and wound healing in acute wounds has been thoroughly investigated and its negative effects have been established. The presence of a pressure ulcer can have a detrimental impact on the stress level of an individual although further investigation is needed to establish the role of stress in chronic wounds such as pressure ulcers.
Introduction:Chronic Obstructive Pulmonary Disease (COPD) has a significant impact on quality of life-related health.Aim:It was the detection of Chronic Obstructive Pulmonary Disease by using telemetric methods and the investigation of the quality of life for people working in Shipbuilding Industry compared with a control group.Methods:A group of one hundred men working in the shipbuilding industry aged 51.8 ± 8.2 years old and a control group of one hundred men of the general population aged 51.1 ± 6.4 years were studied. All participants completed the General Health Questionnaire – 28, the Fagerstrom test and a form with demographic characteristics. Pulmonary function test results were electronically sent to a specialist for evaluation.Results:People working in the shipbuilding zone had significantly lower values (p<0.001) in FVC, FEV1 and FEV1/FVC compared with the general population participants. Worse social functionality was exhibited by workers in the shipbuilding zone, people with elementary education, unemployed and by those suffering from comorbidities (p <0.001).Conclusions:Health level and its individual dimensions are both associated with health self-assessment and occupational and economic status. The coexistence of chronic diseases and smoking dependence affects emotion and social functioning of individuals.
Organizational culture - a system of rules, values and behaviors of an organization's – is a key factor of the functionality, performance and quality of the services it provides. Organizational culture is the personality of the organization. It is a structured set of key assumptions that have been invented, discovered or developed by a team of the organization in order to cope with problems of external adaptation or internal integration. Organizational culture creates a sense of identity for every health
formation, while it is serving as a reference frame for decisions and actions. The purpose of this review is to present the conceptual framework of organizational culture in the light of its existence in health organizations. Additionally, the development of its special characteristics as well as its positive and/ or negative contribution (advantages and disadvantages) to the way the health services operate are examined. Organizational culture is characterized by difficulty in identifying its components in regards to every environment, it is facing resistance in change and needs time to be implemented.
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