Lucian Stefan Burlea

Bio: Lucian Stefan Burlea is an academic researcher from Grigore T. Popa University of Medicine and Pharmacy. The author has contributed to research in topics: Rehabilitation & Temporomandibular joint. The author has an hindex of 4, co-authored 12 publications receiving 36 citations.

Psychosocial Particularities of Violent Acts in Personality Disorders

Abstract: Personality disorders are represented by a behavioural pattern associated with recurrent violation of moral principles and social rules. Personality disorders – especially antisocial and borderline, but also the others, usually in unpredictable ways – are frequent diagnostics among the individuals psychiatrically analyzed at the request of authorities for committing violent infractions. Through their features are centred on maladjustment and on the desire to alter the environment according to their own structure, personality disorders lead to violent acts, sometimes extremely serious. Maladjustment pattern is part of a real vicious circle, which leads almost invariably to a socio-familial integrative deficit and to professional adjustment issues. In their turn, they entail increased frustrations, aggravated impulsive tendencies, as well as higher interpretability (when it is already present). Consequently, all these aspects favour the commission of violent, criminal acts, which end up compromising irremediably the social integration of individuals who suffer from a personality disorder. It is necessary to pinpoint the certain predictors of criminal behaviour, by the characteristics of each personality disorder, in order to assess their aggravating or intensifying factors and to prevent it effectively, for both the protection of potential victims and a better social integration of individuals diagnosed with various psychopathies.

Patient’s rights and communication in the hospital accreditation process

Abstract: The aim of the study is to analyze how the patient’s rights are respected in Romanian hospitals and how important is communication for the medical staff. During this study, we have analyzed the results of an application form with 152 indicators, from Reference no. 6 “Patient’s rights and communication”, from Accreditation Standards, used by The National Authority of Quality Management in Healthcare, in 146 Romanian hospitals, from a total of 433 medical units. The study revealed that there are some recurrent problems related to patient’s rights and communication, such as: access in hospitals of people with disabilities, aspects related to informed consent, or communication between medical staff and patients or caregivers.

The General and Oral Health Status in Older Adults from Rural Environment of Iasi County, Romania

Abstract: The older adults present different combinations of chronic multi-morbidity and functional limitations which determines health and social problems. The aim of the study was to assess the health status (general and oral) of the older adults because it can offer valuable information for estimation of the necessary health services. The targeted objectives were: the evaluation of oral morbidity, oral health related behaviors and attitudes towards oral health; evaluation of general morbidity; study of the addressability to health services and evaluation supplying medicines for rural area. From January–December 2016, we conducted a prevalence study focused on the main indicators of morbidity (general and oral). In our study were included 196 subjects, aged 65-74 years, 45.41% males, 54.59% females, from the rural community of Iasi County, in North Eastern region of Romania. In the studied group, the general morbidity model was the same for both male and female gender: in male gender, the morbidity was dominated by the cardiovascular diseases (63.24%), chronic digestive diseases (33.82%), diabetes mellitus (29.41%), osteoarticular diseases (27.94%), accidents and traumatisms (26.47%) and chronic respiratory diseases (23.53%); in female gender, it was also dominated by the cardiovascular diseases (67.82%), followed by diabetes mellitus (32.18%), osteoarticular diseases (31.03%) and chronic digestive diseases (24.14%). The oral morbidity model was relatively different between genders. At male gender, the predominant diseases were: dental caries (57.30%), lip and mucosal diseases (28.09%, OR=1.51, p<0.05), trauma (24.24%, OR=2.68, p<0.05) and total edentulism (25.84%). At female gender, the predominant diseases were: caries disease (59.81%), non-carious dental disorders (42.67%), periodontal disease (41.33%, OR=1.48, p<0.05) and total edentulism (29.91%.

The Crisis Impact on the Romanian Health System and Population Health

Abstract: The global crisis has affected the Romanian economy during 2008-2014 being a key factor with a significant negative impact on the health system and population health. The aim of this study is to assess the impact of the crisis upon the Romanian health system as the main socio-economic determinant of population health and to explore the results of the austerity policies meant to control the negative consequences of the crisis. We have investigated the crisis impact on socioeconomic determinants of health taking into account the main macro-economic indicators registered during crisis period of time. In our analysis we used the population health indicators as health system outcomes. Romania occupied the last place in the EU as regards the health spending share from the Gross Domestic Product, with 5.68% in 2009, while the EU health spending grew up towards 8.9%. We pinpoint the decrease of the nominal spending of hospitals in 2010 comparing with 2009 (-10.55%), after the closure of 69 public hospitals. In 2009, the family medicine received a budget 24% lower than in 2008. The allocated revenue for medicine consumption in 2009 was of 2.18 billion RON (with 29.5% less than in 2008). The degradation of the health of the population was caused by the Romanian significant decrease of the economy, the economic crisis and its negative impact upon the Romanian health system. These factors generated the depreciation of the population health, the underfunding of the health system and impairment of the quality of health services.

Oral Rehabilitation Therapies in A Patient with Facial Dysmorphia and Psychiatric Profile - Clinical Case Report

Abstract: This article describes rehabilitation of one case, complex psychiatric treatment, facial asimetry, with mandibular and maxilla missing teeth and dental disharmony, with a fixed and also removable hybrid prosthesis. Rehabilitation with fixed or removable prosthesis is even more challenging when the edentulous span is long and the ridge is irregular deformities and unfavorable biomechanics encountered at the prosthetic field for complex rehabilitation. In such situation, a fixed-removable prosthesis allows favorable biomechanical stress distribution along with restoration of esthetics, phonetics, comfort, hygiene, and better postoperative care and maintenance

Which bundles of features in a web-based personally controlled health management system are associat

Abstract: Background Personally controlled health management systems (PCHMS), which include a personal health record (PHR), health management tools, and consumer resources, represent the next stage in consumer eHealth systems. It is still unclear, however, what features contribute to an engaging and efficacious PCHMS. Objective To identify features in a Web-based PCHMS that are associated with consumer utilization of primary care and counselling services, and help-seeking rates for physical and emotional well-being concerns. Methods A one-group pre/posttest online prospective study was conducted on a university campus to measure use of a PCHMS for physical and emotional well-being needs during a university academic semester (July to November 2011). The PCHMS integrated an untethered personal health record (PHR) with well-being journeys, social forums, polls, diaries, and online messaging links with a health service provider, where journeys provide information for consumer participants to engage with clinicians and health services in an actionable way. 1985 students and staff aged 18 and above with access to the Internet were recruited online. Logistic regression, the Pearson product-moment correlation coefficient, and chi-square analyses were used to associate participants’ help-seeking behaviors and health service utilization with PCHMS usage among the 709 participants eligible for analysis. Results A dose-response association was detected between the number of times a user logged into the PCHMS and the number of visits to a health care professional (P=.01), to the university counselling service (P=.03), and help-seeking rates (formal or informal) for emotional well-being matters (P=.03). No significant association was detected between participant pre-study characteristics or well-being ratings at different PCHMS login frequencies. Health service utilization was strongly correlated with use of a bundle of features including: online appointment booking (primary care: OR 1.74, 95% CI 1.01-3.00; counselling: OR 6.04, 95% CI 2.30-15.85), personal health record (health care professional: OR 2.82, 95% CI 1.63-4.89), the poll (health care professional: OR 1.47, 95% CI 1.02-2.12), and diary (counselling: OR 4.92, 95% CI 1.40-17.35). Help-seeking for physical well-being matters was only correlated with use of the personal health record (OR 1.73, 95% CI 1.18-2.53). Help-seeking for emotional well-being concerns (including visits to the university counselling service) was correlated with a bundle comprising the poll (formal or informal help-seeking: OR 1.03, 95% CI 1.00-1.05), diary (counselling: OR 4.92, 95% CI 1.40-17.35), and online appointment booking (counselling: OR 6.04, 95% CI 2.30-15.85). Conclusions Frequent usage of a PCHMS was significantly associated with increased consumer health service utilization and help-seeking rates for emotional health matters in a university sample. Different bundles of PCHMS features were associated with physical and emotional well-being matters. PCHMS appears to be a promising mechanism to engage consumers in help-seeking or health service utilization for physical and emotional well-being matters.

Social Development and Regional Disparities in the Rural Areas of Romania: Focus on the Social Disadvantaged Areas

Abstract: Currently, Romania’s rural area is undergoing a restructuring process (demographic, economic, social) acquiring new dimensions and characteristics. In the current paper we focus on the social characteristics of the rural area of Romania, as a consequence of the economic restructuring. Its aim is to identify the current patterns of social development and their territorial inequalities at a micro-scale level by assessing the levels of social development based on a Social Disadvantage Index (SDI). The indicators used for SDI include unemployment, employment in agriculture, dwellings quality, education, health. The results show that the deeply social disadvantaged rural areas are located in the north-eastern, south-eastern, south and south-western parts of Romania. The territorial continuity of these areas is interrupted by the presence of some metropolitan areas (Iasi, Galaţi-Braila, Constanţa, Bucharest, Pitesti, Ploiesti, Craiova). The rural settlements located in the central and western parts of Romania register some of the lowest SDI values being concentrated in counties well known for the very low degree of socio-economic development: Vaslui, Dolj, Olt and Teleorman. The research is in line with Romania’s Territorial Development Strategy which aims to ensure an integrated strategic planning to guide the national territorial development processes.

Visualizing Knowledge Evolution and Hotspots of Rural Environment and Health: A Systematic Review and Research Direction

Abstract: With global warming, energy scarcity, water shortages, and air, soil, and water pollution, the situation of environments in countries around the world is getting more and more serious and in some countries, rural environmental issues are more prominent. Health problems in rural areas also cannot be ignored, chronic diseases and infectious diseases have become the greatest threat to human life, while good environment and human health are the foundation of social and economic sustainable development. This paper adopts the bibliometrics method to conduct a visual analysis of 6,971 studies in the field of the rural environment and health published on the Web of Science between 2000 and 2017, including time knowledge map analysis, space knowledge map analysis, knowledge base analysis, and research focus analysis. This paper reveals the development status of research in the field of rural environment and health, analyzes, and discusses the research hotspots and future development trends in this field, and provides important knowledge support for researchers to carry out follow-up research.