Subjective Well-Being of Russian Female Personnel as an Indicator of Socio-Psychological Age

The present work is theoretical and empirical research on the socio-psycho- logical age of female personnel at enterprises with different organizational cultures. The main indicators of socio-psychological age include the level of commitment to organizational values, readiness for organizational changes, involvement in labor activity, and fatigue. The respondents are female employees of two large industrial enterprises. The female personnel working in a market-hierarchical type of organizational culture with an expressed innovative component reflect characteristics of a younger socio-psychological age while those working at an enterprise with a hierarchical-clan type of organizational culture display characteristics of a more senior socio-psychological age

Качество диагностики идиопатического легочного фиброза врачами первичного звена Краснодарского края

The aim of the study is to assess the quality of diagnosis made by the primary care physicians of Krasnodarski krai in patients with idiopathic pulmonary fibrosis (IPF) admitted to the Pulmonology Department of our hospital for the period of 2013 – 2015. Methods. A retrospective analysis of 83 medical records (form 003-U) of patients with IPF diagnosed in our Department has been performed. Men (63.86%) over the age of 50 years (90.37%) prevailed in the study. The most frequent concomitant conditions in patients with IPF were ischemic heart disease (20.48%), hypertension (16.87%), and gastroesophageal reflux disease (15.66%). In the presence of typical clinical picture, the diagnosis of IPF was suspected by primary care physicians in 22.89% of patients. Results. It was revealed that underdiagnosis of diffuse reticular changes, honeycombing, traction bronchiectasis and overdiagnosis of bilateral infiltration of the lung tissue, bilateral small focal formations, and ground- glass opacities took place in interpreting of CT images by primary care radiologists. Conclusion. In most patients the diagnosis of IPF is established for the first time at the stage of «honeycombing», which indicates late diagnosis of the disease.Целью исследования явилась оценка качества диагностики идиопатического легочного фиброза (ИЛФ) врачами первичного звена Краснодарского края. Материал и методы. Проведен ретроспективный анализ 83 медицинских карт пациентов (форма 003-У), госпитализированных в пульмонологическое отделение Государственного бюджетного учреждения здравоохранения «Научно-исследовательский институт – краевая клиническая больница № 1 имени С.В.Очаповского» в 2013–2015 гг., с установленным в стационаре диагнозом ИЛФ. Среди больных ИЛФ преобладали лица мужского пола (63,86 %)в возрасте старше 50 лет (90,37 %). Среди сопутствующих заболеваний у больных ИЛФ наиболее часто отмечались ишемическая болезнь сердца (20,48 %), гипертоническая болезнь (16,87 %), гастроэзофагеальный рефлюкс (15,66 %). При наличии типичной клинической картины диагноз ИЛФ был заподозрен врачами первичного звена у 22,89 % пациентов. Результаты. Установлено, что при интерпретации данных компьютерной томографии врачами лучевой диагностики первичного звена имеет место гиподиагностика диффузных ретикулярных изменений, «сотового легкого», тракционных бронхоэктазов и гипердиагностика двусторонней инфильтрации легочной ткани, двусторонних мелкоочаговых образований, изменений по типу «матового стекла». Заключение. У большинства пациентов диагноз ИЛФ устанавливается впервые на стадии «сотового легкого», что свидетельствует о поздней диагностике заболевания

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Company's transformation process effectiveness through the prism of sociopsychological aging of the personnel

Tesis Univ. Granada