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Births are important occasions that many people consider sacred, because it ensures the survival and evolution of the human species. The purpose of this study is to analyse the evolution of births at the County Clinical Hospital in Sibiu during 2017-2022. Regarding the realization of this study, we analysed the data provided by the County Clinical Hospital in Sibiu during the period 2017- 2022 regarding the age, environment, hospitalization, main diagnosis, secondary diagnosis, condition at discharge and procedure. In the top of the diagnosis, at admission, in 2017-2021 there was the supervision of a high-risk, non-specific risk. In the top of the main diagnoses is the unique birth by caesarean section, followed by the supervision of an increased, non-specific risk. In the top of the secondary diagnoses in the period 2017-2021 there was the unique spontaneous birth followed by anaemia that complicates the pregnancy, birth and the confinement. [ABSTRACT FROM AUTHOR]

This study uses the questionnaire of the “Agency for healthcare research and quality” and aims to analyse the key elements of the organizational culture regarding patient safety in a hospital unit. The aim is to identify both the main strengths as defined by the AHRQ questionnaire and the points which need improvement, more importantly, the aspects which lead to the improvement of organizational culture and implicitly, of patient safety in the hospital setting. Data analysis is done both globally and on distribution characteristics in order to be able to detail a future plan of measures, which will be addressed punctually on the identified axes. [ABSTRACT FROM AUTHOR]

Fertility is the ability of two cells, the egg and the sperm, to unite in order to conceive a biological child. The aim of this study is to analyse how the fertility rate has evolved demographically since the communist period and until now in Romania. In order to carry out this study, we analysed the data provided by Macrotrends regarding the fertility rate in Romania from the last 71 years (more precisely 1950-2021). The results of the study indicate that, in 1950 Romania had an average fertility rate of 3.25 children per woman. It gradually declined until 1965. In 1967, the number of births doubled to almost half a million new-borns in just 1 year. Such a rate has never been reached, the fertility rate being in a continuous decline until now. [ABSTRACT FROM AUTHOR]

This article partially presents the study to investigate the effectiveness of the implementation of nursing care plans in a surgical department of a hospital unit. The part of the analysis carried out for the nursing diagnosis regarding the risk of falling (this being one of the biggest risks for patients in the surgery department) was highlighted. The data were collected from the care plans accomplished from January to March 2022. We defined a grid of analysis criteria, criteria defined on the basis of the care plan, which was made based on the standards and legal provisions in the field. The criteria defined for measurement are: assessment of fall risk on admission (CC1), possibility of alerting the medical staff by the patient (CC2), assessment of the risk of fall after surgery (CC3) and training of the patient on the use of support devices (CC4). The result of the study generally shows that the implementation of nursing care plans in the surgery department has an overall effectiveness of 99%. However, we identified deviations from the standard at the CC3 indicator, which has the highest degree of non-compliance: 3.4%. We identified causes and suggested improvement measures and actions. The results of the analysis carried out in this work are an effective means of obtaining the necessary data to improve the way nurses work in accordance with the standards and legislation in force to increase patient safety. [ABSTRACT FROM AUTHOR]

Oral health-related quality of life can be defined as the perception of the impact that oral health has on the quality of life. The quality of life is characterized by a person’s perception of his/her social status and the activities he/she carries out in daily life, in relation to his/her standards, objectives, concerns and expectations, as well as the system of values and cultural conditions within he/she lives in. Objective: The objective of this study was to systematically review the dental literature to identify and classify relevant articles on the quality of life associated with the oral health of patients rehabilitated with implant-supported prostheses. Materials and methods: A systematic search of the literature on PubMed was performed for articles published between 2000 and 2021. The main method used was the electronic search using keywords such as: “quality of life”, “dental implant”. The articles found were subject to inclusion and exclusion criteria. Results: Following a systematic search, a total of 249 publications were identified, of which only 9 met the inclusion criteria. Discussions: A small number of studies were found to meet the inclusion criteria and to present high levels of evidence. Therefore, more research in the field is recommended, as current research on quality of life in patients rehabilitated with implant-supported prostheses is still in the development phase. Conclusions: The quality of oral health could have an impact on patients’ daily lives and dental satisfaction (satisfaction with dental appearance, pain perception levels, oral comfort, functional performance and chewing capacity). Patients’ satisfaction with their dentition has a definite impact on the quality of daily life and perceptions of oral health. [ABSTRACT FROM AUTHOR]

Globally, infertility affects millions of people. According to the World Health Organization, more than 50 million couples are affected and there are 187 million people facing infertility globally. Unfortunately, in Romania, there is no information on infertility problems and their consequences. Thus, many couples in Romania are not aware that with the postponement of pregnancy at an advanced age they will have negative consequences on future fertility. The aim of this study is to analyse whether age and education influence infertility in women. To conduct this study, we applied an online questionnaire to 162 infertile women from Romania to analyse the influence of age and education on the infertility they face. In our study it has been found that old age not only affects women's fertility, but also men's fertility. Regarding to education, it should not be seen as an impediment to the birth of children. [ABSTRACT FROM AUTHOR]

Nursing theories have been developed to provide guidance in clinical practice, so their knowledge by nurses is mandatory in order to provide advanced nursing care. This paper presents the relationships between the concepts and major assumptions of Henderson's model and Orem's theory and then their comparative analysis. Both, Henderson's model and Orem's theory of self-care deficit have a major impact, internationally, in education and research, but also in nursing practice, as a result of which their knowledge can open a new perspective on care, especially in countries where they are not well enough known. [ABSTRACT FROM AUTHOR]

Nursing theories have been developed to provide guidance in clinical practice, so their knowledge by nurses is mandatory in order to provide advanced nursing care. This paper presents the relationships between the concepts and major assumptions of Henderson's model and Orem's theory and then their comparative analysis. Both, Henderson's model and Orem's theory of self-care deficit have a major impact, internationally, in education and research, but also in nursing practice, as a result of which their knowledge can open a new perspective on care, especially in countries where they are not well enough known. [ABSTRACT FROM AUTHOR]

The aim of this study is to highlight agents for therapy and prophylactic measures for dental caries in temporary dentition. Objectives of the study include identifying the needs of oral rehabilitation of children and the lack of information among parents and educators about oral hygiene and improving the oral health of preschool children through intervention studies that include brushing methods and skills. Materials and methods contain relevant articles of three databases: Academic Search Complete (via EBSCOhost), MedLine (via PubMed), E-nformation published prior to 12 June 2018. Results and discussions show that the total number of screened studies was 1946 and the number of eligible articles was 78. 33.3% of the studies investigated parents’ and educators’ knowledge about children’s oral health. Qualitative questionnaires were applied to parents and educators of children in public and private preschool educational systems. Interventional studies were found in the reviewed literature in 32% of cases. Conclusions: today’s literature contains a relevant number of studies regarding the oral health issues of preschool children. Our research highlights EbscoHost as a great online database with articles that match our theme. [ABSTRACT FROM AUTHOR]

Worldwide, trauma is the sixth leading cause of death and represents 10% of all-time mortality, being a serious public health problem with significant social and economic costs. This study aims at analysing the costs regarding the maxillofacial trauma of the patients admitted to the Sibiu County Clinical Emergency Hospital, during the period 2014-2017 as well as comparisons regarding the costs of the different treatment methods. [ABSTRACT FROM AUTHOR]

The last years have brought profound insights into molecular mechanisms and application of epigenetics to medicine. Alteration of epigenetic profile is considered to be influential in both the normal and disease state of an organism. Various diseases, such as cancers, neuropsychiatric disease and other non-neoplastic disease are often associated with epigenetic alteration. In the light of increasing knowledge on the involvement of epigenetic factors in disease, it is now becoming apparent that epigenetic factors could be ideal therapeutic targets. In the context of the new insights of epigenetics, this review summarized the epigenetic mechanism of gene expression and the most important epigenetic pathologies. [ABSTRACT FROM AUTHOR]

Purpose Methods Findings Conclusions Implications for nursing practice To assess the quality of the nursing process in Romania by evaluating nursing documentations with the quality of diagnoses, interventions and outcomes (Q‐DIO) measurement instrument.A quantitative cross‐sectional research design was employed using probabilistic sampling to select nursing documentations from a Romanian university hospital. The data were analyzed using the Q‐DIO measurement instrument.Low quality levels of nursing process documentation were found. The Q‐DIO subscale “Nursing diagnoses as process” (assessment) revealed a mean = 1.36 (SD 0.52) of maximum 2. Nurses collected lots of data but did not use these to state nursing diagnoses. “Nursing diagnoses as product” showed inaccurate diagnoses; mean = 1.24 (SD 0.48) of maximum 4. Nursing interventions were planned and documented, but their impact on the etiology of nursing diagnoses was low; mean = 0.76 (SD 0.18). The quality of nursing outcomes mean was 0.57 (SD 0.29).Nurses failed making connections between nursing assessment, diagnoses, interventions, and outcomes, and standardized nursing languages (SNLs) were not used. Statistically significant differences were found among all Q‐DIO sub‐concepts except for “Nursing diagnoses as process.”The documentation was structured but did not support the nursing process and its documentation, and SNLs were not implemented. There was an underutilization of data to state nursing diagnoses, and nursing interventions were mostly ineffective, leading to low nursing outcomes.This study provides new insights on the nursing process and its documentation in Romania and a baseline for future research. Policymakers, administrators, and educators should consider educating nurses to use standardized nursing languages and apply the Advanced Nursing Process. [ABSTRACT FROM AUTHOR]

Forensic casuistry is an important source of cases that fall into avoidable deaths category; these include: deaths due to road accidents, sudden cardiac deaths, deaths due to hepatic cirrhosis, deaths in children under 1 year, maternal deaths etc. In the work carried out as a resident physician in forensics, I found a large, growing number of deaths due to diseases/accidents amenable to health care or primary prevention. The aim of this study was to identify the avoidable deaths from the forensic cases of Sibiu County and the clinical, epidemiological and mesological features thereof, with a thorough analysis of those caused by cardiovascular diseases. Specifically, it is a descriptive, analytical observational ambispective study conducted over a period of 10 years from 2006 to 2015. In the forensic casuistry of Sibiu, we identified 1178 avoidable deaths within 10 years, representing 40% of all forensic autopsies. In dynamics, their share of all forensic deaths increased up to 6% (in 2006, 37% of forensic deaths fell into the category of avoidable deaths, and in 2015, the share was of 43%). We found a much higher frequency of avoidable deaths in men and in people from urban areas, as well as the increase of the average age of victims of avoidable deaths by about five years in the ten years studied. Cardiovascular diseases caused around half of all avoidable deaths with forensic consequences (about 49%), and another 40% of them were due to traffic accidents, the forensic prerogative. The study found that most of the victims of avoidable deaths due to cardiovascular diseases with forensic consequences had the following characteristics: Romanian nationality, Orthodox religion, married or divorced, graduates of vocational schools, no occupation. On the one hand, this study provides an accurate assessment of the need for guidelines and protocols for primary, secondary and tertiary prevention, representing a foundation for the effective identification and monitoring of risk groups with different allocation of resources to priority areas of intervention. On the other hand, the study allows predictions on the dynamics of these types of deaths and therefore, on the dynamics of human resources in Romania. [ABSTRACT FROM AUTHOR]

The cranio-maxillofacial region encompasses the soft and hard tissues that form the face from the upper neurocranial bones to the inferior mandible. The face, being the most exposed part of the human body, is frequently subjected to cranio-maxillofacial trauma. Cranio-maxillofacial trauma may cause lesions of soft tissues, bone substrate and dental arches. Cranio-maxillofacial trauma registers an increase, both in terms of their number and complexity, possibly due to the fact that the number of motor vehicles is rising year after year, to the modest infrastructure existing in our country, to the increase of interpersonal violence and the increase of socio-economic activities of the population. [ABSTRACT FROM AUTHOR]

The concept of quality is increasingly aimed at in every field of people's lives. We all wish to buy and benefit from quality products and services. It is a desideratum and an obligation of all parties in a society. In the field of health, quality of healthcare services means improving health of patients and responding to the general expectations of the population regarding health. This papers presents different approaches to healthcare services quality based on old and new models of quality, as well as the nursing process and its important part played in healthcare quality and patients' safety. [ABSTRACT FROM AUTHOR]

The research focusing on the extent of the phenomenon of avoidable deaths in Romania has identified a percentage of 15% avoidable deaths of all deaths in Romania, regarding the period 2006- 2013. Among the most common causes of avoidable deaths in Romania we find: ischemic heart disease, hypertension and cerebrovascular diseases, cirrhosis, cancer of the trachea, bronchus and lung, infant mortality etc. The present study aims at assessing the dimensions and clinical and epidemiological characteristics of avoidable deaths in territory in respect to 8 regions of Romania and at the main causes that lead to such deaths. We conducted a retrospective observational study over a period of 5 years (2009-2013) of all statistical data regarding the deaths recorded in Romania during the studied period. Given that until today, there is no epidemiological study of avoidable deaths at regional level, highlighting their extent, we consider it appropriate to tackle this issue. The results would optimize primary and secondary prevention locally, through the implementation and promotion by local institutions, of the prophylactic means and of promoting health, adapted to the needs existing in the community. Thus, this study would be an indisputable scientific support for inter - and multi-sectoral regional prevention strategies. [ABSTRACT FROM AUTHOR]

Population's health status assessment is quite difficult, especially due to its multi-determinism. One of the indicators of health status assessment is avoidable death caused by diseases that are “preventable” (primary prevention) and “treatable” (secondary prevention) as specific indicators of the efficiency/inefficiency of health systems. European studies on avoidable mortality show that Romania ranks first in the European Union, regarding both genders. In order to highlight the dynamics of avoidable deaths in Romania, we analysed in this study all deaths which fall within this concept, recorded during 2006-2013. To establish the criteria for inclusion in the study, the list of Leveque et al. was used. Both categories of avoidable deaths, amenable to health care, respectively to health policies have recorded a downward trend, but with a greater reduction in percentage for those determined by conditions responding to healthcare. The study of the dynamics of avoidable deaths allows making comparisons nationally and internationally with a view to identify areas with a high incidence of this phenomenon, as well as the disparities between those areas, the ultimate goal being to identify root causes and to remove/mitigate them. Optimizing the health system in Romania would positively contribute to improve these figures and to a better ranking among EU countries. [ABSTRACT FROM AUTHOR]

Prevention is the most effective and low cost measure to promote oral health. The use of cariostatic action of fluoride varnishes is one of the main directions of preventing tooth decay. Prophylactic services provided to preschool children can be difficult to manage due to their young age and psychological characteristics. The aim of this paper is to describe how flour defender application can be managed in dental caries prevention to a preschool 3 years old boy. During his first visit to our dental office, we were able to cooperate with him and to provide a non invasive treatment to all deciduous teeth, except upper central incisors that were affected by incipient caries. We used a protective enamel with fluoride for children containing 0,1% fluorosilane. [ABSTRACT FROM AUTHOR]

During the past decade there is an alarming increase in prevalence of dental caries globally. Dental caries can affect the quality of life thru a variety of problems, such as dental and oral pain, school absenteeism, lack of attention, and poor oral health as an adult. The purpose of this study is to evaluate parental knowledge and attitudes about oral health of their preschool children in Sibiu. A descriptive design was used with a convenience sample of 75 parents of children who attended five local preschools from Sibiu. Results showed that parents lacked knowledge in some aspects of oral health care, such as breast feeding, brushing and flossing baby teeth, the importance of fluorides and the necessity of early dental check-ups of the child. Parents should be able to supervise and teach children different attitudes related to oral health care and to collaborate with medical doctors and nurses for guidance and education. [ABSTRACT FROM AUTHOR]

Communication is an integral part of the dynamism of social processes as well as their explanatory tool. Its main features are understanding, knowledge, socialization, influence and persuasion. Communication in nursing is different because of the context, involved behavioural typologies and the characteristics of the care process. It is carried out according to the general principles of communication adjusted to the specific of care activity. Effective communication leads to increased compliance of the patient to treatment, improved dependence and improved satisfaction from the patient. Benefits are for nurses, too, namely strengthening the image of professional nursing, permanent and progressive development of communicative competence. [ABSTRACT FROM AUTHOR]

Introduction: quality of life is a complex concept, which allows a picture of people's lives and of the society in which they live. Quality of life, seen as a result of care refers to survival after the therapeutic intervention, the impact of the disease and treatment on the health status in terms of physical and emotional wellbeing and on the lifestyle of the patient. Purpose: this paper aims at assessing the quality of life of a group of patients admitted to the Medical Rehabilitation Clinic II within the Clinical County Emergency Hospital of Sibiu and the level of satisfaction of the patients who have benefited from the services of this clinic, during 2013 -2014. Material and methods: the study is a descriptive, transversal one, comprising 100 patients interviewed based on an anonymous questionnaire with open and closed questions. Results: 59 of the patients were hospitalized for medical rehabilitation for the existence of neurological distress. The most affected area of activity was housework, the ability to move, sleep and the availability for the social activities. For 80% of patients, there is a degree of disability induced by the disease, and 21 of them have noted a negative influence of the suffering on the quality of life, rated as unsatisfactory. Conclusions: the study demonstrates the need for quality of life assessment so as to highlight the therapeutic needs of medical rehabilitation and the efficacy of these therapeutic measures with a view to improve the patient's condition, respectively the level of satisfaction about his own life. [ABSTRACT FROM AUTHOR]

Introduction: quality of life is a complex concept, which allows a picture of people's lives and of the society in which they live. Quality of life, seen as a result of care refers to survival after the therapeutic intervention, the impact of the disease and treatment on the health status in terms of physical and emotional wellbeing and on the lifestyle of the patient. Purpose: this paper aims at assessing the quality of life of a group of patients admitted to the Medical Rehabilitation Clinic II within the Clinical County Emergency Hospital of Sibiu and the level of satisfaction of the patients who have benefited from the services of this clinic, during 2013 -2014. Material and methods: the study is a descriptive, transversal one, comprising 100 patients interviewed based on an anonymous questionnaire with open and closed questions. Results: 59 of the patients were hospitalized for medical rehabilitation for the existence of neurological distress. The most affected area of activity was housework, the ability to move, sleep and the availability for the social activities. For 80% of patients, there is a degree of disability induced by the disease, and 21 of them have noted a negative influence of the suffering on the quality of life, rated as unsatisfactory. Conclusions: the study demonstrates the need for quality of life assessment so as to highlight the therapeutic needs of medical rehabilitation and the efficacy of these therapeutic measures with a view to improve the patient's condition, respectively the level of satisfaction about his own life. [ABSTRACT FROM AUTHOR]

Our study is based on an opinion survey applied in the emergency dental office from Sibiu County. An important factor taken into account when we plan to streamline the medical service is the level of satisfaction patients have towards the service provider. The questionnaire which we applied is an adapted version of a validated form used in 2006 by the National Health Insurance Service in Englant (NHS) for the implementation of measures to streamline the emergency dental system. The group of patients to whom we applied the questionnaire consists of 60 patients. The questionnaire contains questions about the level of satisfaction of patients, addressability aiming to identify the reasons for which patients resort to such services in Romania. According to the results, 65% of patients were very satisfied with the treatment offered, 96% were satisfied with the attitude of the staff towards them and 91% said they trust the medical staff. A large percentage (40%) said that the equipment in the dental office can be improved. The conclusion of this study is that the emergency dental office is highly appreciated by patients and despite the poor equipment, doctors are trying to cope with increased addressability of the dental office. [ABSTRACT FROM AUTHOR]

Our study is a retrospective one and it is related to the analysis of registration data of patients who addressed the dental emergency office of Sibiu County during 2011-2015. We aimed at identifying the number of patients coming to the emergency dental office, its trend for the period under study and at analysing the activity of this office in relation to other similar centers. After analysing the data, it was found a total number of 32 165 patients, the number of males being of 13.4%, more than females and from the urban areas, there were 36.2% patients, more than those from rural areas. The average number of patients per dental office was 536 (SD = 62.55) patients /month with an average number per day of about 18 patients while the average age of patients was approximately 38 years (SD = 19.02). The study concluded that the age of addressability to Sibiu dental emergency service drops significantly throughout the 5 years of study, and the months with high activity under study were December, January and August. The results were compared with data found in the literature about similar dental centres in Romania, namely Bihor and Mureş counties' centres. It was found that the average number of patients per month in Sibiu was similar to that of Mureş and twice higher than in Bihor. [ABSTRACT FROM AUTHOR]

To evaluate the performance of health care systems and their impact on the health of the population, several types of measurements were used, of which we quote: assessing the economic efficiency, medical efficiency, social acceptability or organizational structure assessment. Regular assessments are focused mainly on measuring the results of the hospital activities, of the various categories of physicians, especially family physicians, of the health system as a whole, in terms of numbers and types of services provided, and less on health impact assessment. Within this context, the concept of „avoidable deaths‟ has been introduced. This paper aims at highlighting the avoidable deaths tendency in Romania, based on their assessment for two years, 2002 and 2007, and based on the list of diseases used by Leveque, A, Humblet, PC Lagasse, R. in the atlas made for Belgium.(1) [ABSTRACT FROM AUTHOR]

To evaluate the performance of health care systems and their impact on the health of the population, several types of measurements were used, of which we quote: assessing the economic efficiency, medical efficiency, social acceptability or organizational structure assessment. Regular assessments are focused mainly on measuring the results of the hospital activities, of the various categories of physicians, especially family physicians, of the health system as a whole, in terms of numbers and types of services provided, and less on health impact assessment. Within this context, the concept of „avoidable deaths‟ has been introduced. This paper aims at highlighting the avoidable deaths tendency in Romania, based on their assessment for two years, 2002 and 2007, and based on the list of diseases used by Leveque, A, Humblet, PC Lagasse, R. in the atlas made for Belgium.(1) [ABSTRACT FROM AUTHOR]

In the conditions of population aging registered in our country, both by declining birth rates and increasing life expectancy, the active population aged between 15 and 64 years old recorded a downward trend. According to a survey by Eurostat, in 2060, almost 65% of the people over 15 will be at retirement. The health of the population reflected by morbidity and mortality indicators has a great significance on the active population, personal welfare and last but not least on the national economy. Active population morbidity and the impact of illness on labour temporary disability are dominated by respiratory diseases, tumours, diseases of bones and joints, muscles and connective tissue, injuries and poisonings. Mortality indicators reflect somewhat the morbidity indicators regarding causality, except for specific mortality by cardiovascular diseases, which occupies the first rank in the specific mortality, with a rate of 152.85% 000 inhabitants and male predominance (225.74% 000 inhabitants). [ABSTRACT FROM AUTHOR]

In the conditions of population aging registered in our country, both by declining birth rates and increasing life expectancy, the active population aged between 15 and 64 years old recorded a downward trend. According to a survey by Eurostat, in 2060, almost 65% of the people over 15 will be at retirement. The health of the population reflected by morbidity and mortality indicators has a great significance on the active population, personal welfare and last but not least on the national economy. Active population morbidity and the impact of illness on labour temporary disability are dominated by respiratory diseases, tumours, diseases of bones and joints, muscles and connective tissue, injuries and poisonings. Mortality indicators reflect somewhat the morbidity indicators regarding causality, except for specific mortality by cardiovascular diseases, which occupies the first rank in the specific mortality, with a rate of 152.85% 000 inhabitants and male predominance (225.74% 000 inhabitants). [ABSTRACT FROM AUTHOR]

Objectives: This study aims at assessing the importance and usefulness of routinely performing night cardiorespiratory polygraphy as a method of screening for sleep apnea in patients with moderate and severe COPD, as well as the correlation with Systematic Coronary Risk Evaluation (SCORE) cardiovascular risk. Materials and methods: The study was conducted on a sample of 61 patients with COPD, classified according to the degree of respiratory function impairment as moderate ans severe COPD, studying the presence of respiratory disorders during sleep through nocturnal cardiorespiratory poligraphy. SCORE cardiovascular risk was also calculated, assessing the correlations between this one and the presence of sleep apnea in patients with moderate and severe COPD. Results: Sleep apnea was identified in higher proportion in COPD patients compared to the general population. There has been demonstrates the impact of obstructive sleep apnea in worsening the SCORE risk of developing cardiovascular events after10 years in COPD patients. Conclusions: The use of nocturnal cardiorespiratory polygraphy as a screening method in patients with moderate and severe COPD is justified, often revealing the presence of respiratory disorders during sleep. Also, given the statistical correlations and the seriousness of the SCORE risk, evolution and prognosis of patients associating COPD and sleep apnea may be reduced by the simultaneous treatment of both diseases. [ABSTRACT FROM AUTHOR]

Population health multideterminism (hereditary, individual, environmental, cultural, socioeconomic factors etc.) makes it difficult to quantify it. One of the indicators assessing health is mortality caused by treatable diseases that can be prevented by medical intervention or secondary prevention. We present the case of a nursing mother on day 7, 23 years old, who, after giving birth spontaneously, assisted obstetrically, to a live, eutrophic fetus had a postpartum evolution apparently favourable discharged on request. Subsequently, two days after discharge, she returns to the Emergency Room (ER) with deeply impaired general condition with symptoms of septic shock. The diagnosis of pelvicperitonitis with severe toxic-septic condition was set. Although surgery was on emergency (total hysterectomy with bilateral ovariectomy), the patient died intraoperatively. Forensic autopsy revealed an aspect suggestive of a long evolution of a septic pelvic-peritoneal process with multisystem organ failure (MSOF), confirmed by complementary examinations performed (bacteriological examination and histopathology). Data provided by caregivers revealed the existence of an old chronic suffering, which although diagnosed during hospitalization, was ignored by the patient, who has not observed the medical advice. Through the lack of therapeutic compliance, this case falls into the category of avoidable deaths occurring in younger people, whose forensic autopsy is required. [ABSTRACT FROM AUTHOR]

One of the most important demographic rates is the under five-year-old mortality rate, which correlates very strongly with the socio-economic and cultural status of a country and is among the best predictors of state failure. It is, therefore, a useful indicator of a country's level of health or development, and is a component of the physical quality of life index. The present paper illustrates the situation of infant mortality rates in the world, emphasizing its decrease in the recent years, especially in the developed countries. This tendency is also felt at the level of the developing countries, yet, there are countries that register high levels. The paper also focuses on the factors leading to the situation of infant mortality rate in Romania, which still remains high. [ABSTRACT FROM AUTHOR]

The need to recognize the role of clinical psychology within the health insurance system, implicitly the reimbursement for specific services has become a reality since 2014. These health care related services are provided by psychologists in the specialities of clinical psychology, psychological counselling, psychotherapy and special education. Psychological counselling and the specific forms of psychotherapy accepted as health care related services can be applied to both children and adults, diagnosed with psycho-behavioural disorders, autism spectrum disorders, terminally ill patients, patients in emergency situations, or for the rehabilitation of the chronically ill etc. This paper aims at analysing the legislative framework in the field, literature reviewing with emphasis on the importance of psychological interventions on patients who require these services for the prevention of mental disorders, as tertiary prevention measure, in order to increase the quality of life of the chronically ill. [ABSTRACT FROM AUTHOR]

This paper analyses the health status of the school-aged children in Sibiu County with the help of the epidemiological triage. The aim of this medical examination is to assess the health status of the children in Sibiu County, to prevent, fight and treat the infectious and contagious diseases identified after each holiday. The study took place between 2011 and 2013 and included a total number of 117 599 children enrolled in pre-university education (kindergartens, elementary schools and high schools) at the level of Sibiu County. Following the epidemiological triage, there were found 6 575 cases of parasitic and infectious diseases, of which most cases were registered in the children belonging to elementary schools, followed by those in kindergartens and high schools. At the level of the children in kindergartens, most cases of infectious diseases were registered in 2013, compared to the elementary schools and high schools, where in 2011, there were found most cases of illness. [ABSTRACT FROM AUTHOR]

The study of human development over time outlined several dimensions of health and social learning theory and it is currently the psycho-behavioural model for children and adults. Work capacity is evaluated from the medical, psychological and professional competence point of view and it is influenced by many complex factors which involve multidisciplinary collaboration optimization in an integrated way, to reach the achievement of steady state and harmony. Since this topic is extremely exhaustive in this paper, I have illustrated only two current problems to solve, namely the management of conflict and violent behaviour and professional integration of young people with disabilities. I tried a schematic representation of the dimensions of health (with negative consequences) and of the factors influencing work ability. In conclusion, health promotion by developing health promoting behaviour at all stages of human development is the key to prevent the risks related mainly to the individual. [ABSTRACT FROM AUTHOR]

The study of human development over time outlined several dimensions of health and social learning theory and it is currently the psycho-behavioural model for children and adults. Work capacity is evaluated from the medical, psychological and professional competence point of view and it is influenced by many complex factors which involve multidisciplinary collaboration optimization in an integrated way, to reach the achievement of steady state and harmony. Since this topic is extremely exhaustive in this paper, I have illustrated only two current problems to solve, namely the management of conflict and violent behaviour and professional integration of young people with disabilities. I tried a schematic representation of the dimensions of health (with negative consequences) and of the factors influencing work ability. In conclusion, health promotion by developing health promoting behaviour at all stages of human development is the key to prevent the risks related mainly to the individual. [ABSTRACT FROM AUTHOR]

Besides the consumption of salt, sugar and fats, which has been shown to directly contribute to increased blood pressure, tobacco, alcohol consumption and the lack of exercise are also considered risk factors for the occurrence of cardiovascular diseases. The impact these risk factors have on the health of people, as well as the costs of treating the diseases caused by them can be reversed by developing and implementing interventions to reduce tobacco and alcohol consumption among populations and to promote the active mobility. This paper presents the interventions made by some Member States, interventions that resulted in decreased consumption of the above-mentioned risk factors, improving thus, the public health. [ABSTRACT FROM AUTHOR]

Besides the consumption of salt, sugar and fats, which has been shown to directly contribute to increased blood pressure, tobacco, alcohol consumption and the lack of exercise are also considered risk factors for the occurrence of cardiovascular diseases. The impact these risk factors have on the health of people, as well as the costs of treating the diseases caused by them can be reversed by developing and implementing interventions to reduce tobacco and alcohol consumption among populations and to promote the active mobility. This paper presents the interventions made by some Member States, interventions that resulted in decreased consumption of the above-mentioned risk factors, improving thus, the public health. [ABSTRACT FROM AUTHOR]

Hypertension is a disease with serious implications on populations' health, being a major risk factor for many serious cardiovascular events. At European level, these issues are particularly relevant given the increasing prevalence and incidence of diseases caused by hypertension evidenced by morbidity and mortality rates. However, there are examples of Member States which have implemented successful interventions to improve public health and reduce blood pressure. This article presents some of these successful interventions that aim at reducing the prevalence and incidence of cardiovascular disease by lowering blood pressure levels. [ABSTRACT FROM AUTHOR]

Hypertension is a disease with serious implications on populations' health, being a major risk factor for many serious cardiovascular events. At European level, these issues are particularly relevant given the increasing prevalence and incidence of diseases caused by hypertension evidenced by morbidity and mortality rates. However, there are examples of Member States which have implemented successful interventions to improve public health and reduce blood pressure. This article presents some of these successful interventions that aim at reducing the prevalence and incidence of cardiovascular disease by lowering blood pressure levels. [ABSTRACT FROM AUTHOR]

In 2012, the World Health Organization (WHO) developed a guideline on the optimal sodium intake in both adults and children, with a view to reduce blood pressure and the risk of cardiovascular disease, coronary diseases, strokes. This guideline was developed based on systematic reviews and meta-analyses of a solid body of evidence showing a direct link between sodium intake and blood pressure. This guideline also includes evidence on the possible negative effects of a low-sodium intake. [ABSTRACT FROM AUTHOR]

In 2012, the World Health Organization (WHO) developed a guideline on the optimal sodium intake in both adults and children, with a view to reduce blood pressure and the risk of cardiovascular disease, coronary diseases, strokes. This guideline was developed based on systematic reviews and meta-analyses of a solid body of evidence showing a direct link between sodium intake and blood pressure. This guideline also includes evidence on the possible negative effects of a low-sodium intake. [ABSTRACT FROM AUTHOR]

Arterial hypertension (AHT) gravity depends on the complications given to other target organs: brain, heart and kidneys. The neurological complications are multiple: hypertensive encephalopathy, stroke and vascular dementia. Strokes are the most common complications responsible for high mortality (30-45% within 6 months) despite the progress made in the recent years in the field of neuro-imaging (computed tomography, magnetic resonance imaging) and in acute phase treatments (thrombolysis).(1) [ABSTRACT FROM AUTHOR]

Arterial hypertension (AHT) gravity depends on the complications given to other target organs: brain, heart and kidneys. The neurological complications are multiple: hypertensive encephalopathy, stroke and vascular dementia. Strokes are the most common complications responsible for high mortality (30-45% within 6 months) despite the progress made in the recent years in the field of neuro-imaging (computed tomography, magnetic resonance imaging) and in acute phase treatments (thrombolysis).(1). [ABSTRACT FROM AUTHOR]

Recent studies show that one of the major awareness in the medical field over the past decade, was that despite the recognition of the power of modern medicine to cure or ameliorate any disease, hospitals were not considered safe places to heal the patients. On the contrary, hospitals were regarded as places with potential risk of harm to patients. An important response to this awareness has been the increasing interest in patient safety, in particular in evaluating the concept of patient safety culture and the human factors relevant to patient safety. [ABSTRACT FROM AUTHOR]

Recent studies show that one of the major awareness in the medical field over the past decade, was that despite the recognition of the power of modern medicine to cure or ameliorate any disease, hospitals were not considered safe places to heal the patients. On the contrary, hospitals were regarded as places with potential risk of harm to patients. An important response to this awareness has been the increasing interest in patient safety, in particular in evaluating the concept of patient safety culture and the human factors relevant to patient safety. [ABSTRACT FROM AUTHOR]

Performance management is a fairly new field, but it can be applied in many areas. In the health services system, performance management is present in many countries, with implementation being done through particular models, all centered on the level of patient satisfaction. In Romania, the emphasis is on the financial side, but there is a need for implementation for a patient-based system, patient satisfaction being an important indicator for the assessment o f medical institutions. [ABSTRACT FROM AUTHOR]

Background and aims. The introduction of accreditation criteria for hospitals has generated increased interest in applying the nursing process to clinical practice and developing nursing care plans. Nursing diagnosis plays a pivotal role in the formulation of these care plans. The objective of the study is to investigate the correlation between nursing diagnosis education and nurses' intentions, attitudes toward the use of nursing diagnosis and the behavior in using it in practice; to explore the differences between nurses' intentions, attitudes and behavior, considering nurses' socio-demographic and professional data. Methods. A cross-sectional design was used. A web-based survey was applied to gather data. A sample of 664 hospital nurses was recruited from five Romanian hospitals. Results. Education on nursing diagnosis showed significant results in relation to nurses' intentions (F(2,126.35) = 23.99, p < 0.001), attitudes (χ2 (2, N = 664) = 44.62, p < 0.001) and behavior (F(2,167.69) = 29.53, p < 0.001) in using it in clinical practice. Nurses with education highly focused on nursing diagnosis have significantly stronger intention to use it, more positive attitudes and higher behavior in using it in clinical practice compared to nurses whose education simply had included a nursing diagnosis course, or nurses without any education on the topic. Significant differences were identified in intention (t (83.86) = -4.49, p < 0.001) and attitudes (U = 12697.50, z = - 3.99, p < 0.001, r = -0.0006) of management nurses compared to clinical nurses. Conclusion. Nursing education on nursing diagnosis significantly impacts nurses' intentions, attitudes, and behavior in their daily practice. Romanian nurses display slightly positive intention and attitudes toward nursing diagnosis but need more training for effective/practical clinical application. [ABSTRACT FROM AUTHOR]

The quality of life of patients who have suffered cranio-maxillofacial trauma is affected by the occurrence of anxiety and depression, largely because of the aesthetic consequences for patients on their social and professional life. Aim: This article aims at identifying the occurrence of anxiety or depression in patients who have suffered cranio-maxillofacial traumas, hospitalized in the Sibiu County Emergency Clinical Hospital, in 2020. Materials and methods:24 patients answered to a questionnaire that assessed their level of depression and anxiety after having suffered craniomaxillofacial trauma. Results: These pathologies bring about a strong impact on patients’ quality of life, but a reactively small number of the study patients presented depression symptoms. Anxiety was the dominant symptom in these patients with oro-maxillofacial trauma. [ABSTRACT FROM AUTHOR]

This article stresses the importance, communication in the field of public health has in protecting human health, in the prevention and control of disease occurrence, quality of life and in promoting health. Healthy People 2010 report defines communication in public health as "the art and technique of informing, influencing and motivating individuals, institutions, the general public on the important issues of public health".(1) An important role in promoting messages aiming at changing the unhealthy behaviours is played by the communication campaigns. The article also highlights the role of public health communication campaigns, an important part in producing behavioural changes. [ABSTRACT FROM AUTHOR]