Background and objectives: Psoriasis can lead to feelings of stigmatization, hinder social functioning, and impair quality of life. Psoriasis can also affect sexual activity, but there is still little research on this topic. The present study investigated whether and to what extent psoriasis, its severity, location and extent of skin lesions affect sexual dysfunction. Materials and Methods: A total of 45 women and 64 men aged 18 to 73 years hospitalized for psoriasis exacerbations were included in the study. Psoriasis severity, as assessed by the Psoriasis Area and Severity Index (PASI), ranged from 0.2 to 65 points (mean: 17.0 ± 14.9 points). After collecting demographic and clinical data, each subject was asked to complete the Dermatology Life Quality Index, the 11-item Sexual Life Questionnaire and the International Index of Erectile Function (only men). Results: Our study found that more than 90% of the patients surveyed felt at least a slight unattractiveness due to psoriasis. In approximately 80% of the subjects, the skin lesions at least occasionally affected their sex life, and more than 50% at least sometimes avoided sexual contact. The location of psoriasis, particularly in the genital area (p = 0.01), on the face (p = 0.03) and hands (p = 0.05), also had a significant impact on the level of sexual problems. Psoriasis has a significant impact on the quality of life (QoL), and a deterioration in QoL was strongly correlated with sexual dysfunction (r = 0.6, p < 0.001), PASI scores (r = 0.36, p < 0.001), self-assessment of psoriasis severity and location of psoriatic lesions. Conclusions: Psoriasis leads to various limitations, especially in the sphere of sexual life. Patients with psoriasis feel stigmatized, have lowered self-esteem and consequently experience significant sexual problems. Awareness of the co-occurring psychological aspect of psoriasis and the routine use of validated scales in dermatology practice should contribute to the rapid identification of patients with sexual dysfunction.
In the literature devoted to the issues of organization and management, the importance of organizing organizational involvement has long been emphasized. In the field of management and quality sciences, an increase in interest in this issue is observed, which is a consequence of wider changes taking place in the knowledge-based economy. The importance of factors determining the level of organizational commitment, as well as its impact on the level of management effectiveness is emphasized. The success of the organization is possible thanks to activities of the, entrepreneurial, full of energy and enthusiasm, devoted to work and constantly developing - and thus, involved in the organization employees. The presented article, of a theoretical nature, using available literature on the subject, exposes the multidimensionality of organizational commitment, making it attractive to both, theorists and practitioners of management, in the context of the broadly understood success of the organization.
The success of an organization is determined by people and their unique features:
knowledge, skills, talents, openness to changes, innovation and passions. The worker
decides how he will fulfill the assumed roles or how much of his cognitive, emotional and
physical energy will be devoted to his work. The decision about the worker contribution
to work is determined by his organizational commitment. Organizational commitment is
perceived in literature as a determinant of high quality and effectiveness of operations,
a tool of creation of the image of the organization and the way how it is perceived by
its customers. These mechanisms can also be applied to educational institutions. This
study has a theoretical character, it is based on the literature and the practical experience
of the authors. The aim of the study is to try to determine the specific for educational
institutions features of organizational commitment and its importance for the success of
an educational institution.
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