Modified Mohs Micrographic Surgery in Lentigo Maligna Treatment: A Series of Six Cases

The surgical approach to lentigo maligna is a challenge to dermatologists, given its clinical and histopathological particularities. Staged excision with paraffinembedded, permanent sections for histopathological evaluation of surgical margins is an effective treatment of lentigo maligna because it enables complete excision of the tumor, at the same time preserving maximum amount of healthy tissue. We report a case series of 6 patients diagnosed with lentigo maligna who underwent this procedure in our Institution and we describe the procedure we used. Complete excision of the tumors was achieved with one to three levels, with margins of excision ranging from 2 to 8 mm. There were no local recurrences at the median follow-up of 16 months, obtaining 100% cure rate with this technique. These are comparable with the margins and number of levels of excision described in previous case series reported in the literature. The technique described herein for the treatment of lentigo maligna provides excellent cure rates for this type of cutaneous malignancy notorious for its challenging managemen

Modified Mohs Micrographic Surgery in Lentigo Maligna Treatment: A Series of Six Cases

The surgical approach to lentigo maligna is a challenge to dermatologists, given its clinical and histopathological particularities. Staged excision with paraffinembedded, permanent sections for histopathological evaluation of surgical margins is an effective treatment of lentigo maligna because it enables complete excision of the tumor, at the same time preserving maximum amount of healthy tissue. We report a case series of 6 patients diagnosed with lentigo maligna who underwent this procedure in our Institution and we describe the procedure we used. Complete excision of the tumors was achieved with one to three levels, with margins of excision ranging from 2 to 8 mm. There were no local recurrences at the median follow-up of 16 months, obtaining 100% cure rate with this technique. These are comparable with the margins and number of levels of excision described in previous case series reported in the literature. The technique described herein for the treatment of lentigo maligna provides excellent cure rates for this type of cutaneous malignancy notorious for its challenging managemen

Quality and Social Responsibility

Quality and social responsibility (SR) are perceived as different activities , both working to sustain economic development in a competitive environment.The satisfaction for customer and employees represent the main goal for both of them. Known at the beginning as corporate social responsibility (CSR), the concept is actually accepted more that SR, after the appearance of ISO 26000 international standard.The aim of this paper is to highlight that quality and social responsibility are in a strong relationship and how quality management can be a foundation and engine for developing SR within organizations

ROMANIAN FOOD CONSUMPTION AND ITS EFFECTS ON POPULATION'S HEALTH CONDITION

Public health is a top priority for the European Union. The main factor in ensuring population health is food consumption and in particular food quality. The present paper aims at analyzing Romanian population food consumption during the 1990-2012 periods, its evolution in time; it identifies its main features and their effects on population health. Amid the economic crisis the purchasing power of population is impaired leading to insufficient consumption of fresh fruits and vegetables and a low intake of vitamins, calcium, phosphorous and iron (especially in children, women and elderly people), which could be an important risk factor in the development of chronic diseases

Considerations Regarding the Quality Management of Banking Services

Efforts that Romanian banking institutions must make to increasing the competitiveness ofservices are becoming increasingly difficult to sustain and lead to a price - quality ratio to beproperly appreciated. Quality of services is the most important aspect in banking too. Banks beingaware of the quality problems also lead to the appearance and requirement of some area workingstandards to respond to requests and expectations on increasing internal or external customersatisfaction and ways that they can become competitive in a market increasingly diversified anddemanding. This paper aims to present the key aspects of the quality system , the main operationalelements and the sequence of steps for implementing the quality assurance system in bankingactivities

THE ROLE OF QUALITY ASSURANCE IN ROMANIAN BALNEOTHERAPEUTIC TOURISM SERVICES

Successfully implementing and maintaining a quality management system in tourism facilities in which you can practice balneotherapeutic tourism can contribute to tourism development especially in the coastal and mountain area (but also in other areas that enjoy the presence of balneotherapeutic tourism establishments), thus creating the conditions for a Romanian tourism focused on providing quality services at international standards for the benefit of both foreign tourists and the Romanians. One of the advantages of balneotherapeutic tourism refers to the fact that this form of tourism is characterized by a level of seasonality much lower other forms of tourism, as it is based on a potentially permanent, highly complex, which is practically inexhaustible and independent of weather conditions. Through this study we tried to present the characteristics / features of Romanian balneotherapeutic tourism, the problems faced by this kind of tourism and, not least, the benefits of implementing quality systems in organizations providing such services

Zinc Regime in the Sewage Sludge-Soil-Plant System of a City Waste Water Treatment Pond

The sewage sludge from wastewater treatment plant of Iasi, a city with 300,000 inhabitants, for domestic and industrial origin, was stored in a mud pond arranged on an area of 18,920 m2. Chemical analyzes of the sludge showed that, of all the chemical elements determined, only Zn is found at pollutant level (5739 mg∙kg-1), i.e. almost 30 times more than the maximum allowable limit for Zn in soil and 45 times more than the Zn content of the soil on which the mud pond has been set. Over time, the content of Zn in the mud pond, but also from soil to which it has been placed, has become upper the normal content of the surrounding soil up to a depth of 260 cm. On the other hand, the vegetation installed on sewage sludge in the process of mineralization, composed predominantly of Phragmites, Rumex, Chenopodium, and Aster species had accumulated in roots, stems and leaves Zn quantities equivalent to 1463 mg Kg-1, 3988 mg Kg-1, 1463 mg Kg-1, respectively, 1120 mg∙Kg-1. The plants in question represents the natural means of phytoremediation, and sewage sludge as such may constitute a fertilizer material for soils in the area, on which Zn deficiency in maize has been recorded. In addition, the ash resulted from the incineration of plants loaded with zinc may constitute, in its turn, a good material for fertilizing of the soils that are deficient in zinc

Zinc Regime in the Sewage Sludge-Soil-Plant System of a City Waste Water Treatment Pond

The sewage sludge from wastewater treatment plant of Iasi, a city with 300,000 inhabitants, for domestic and industrial origin, was stored in a mud pond arranged on an area of 18,920 m2. Chemical analyzes of the sludge showed that, of all the chemical elements determined, only Zn is found at pollutant level (5739 mg∙kg-1), i.e. almost 30 times more than the maximum allowable limit for Zn in soil and 45 times more than the Zn content of the soil on which the mud pond has been set. Over time, the content of Zn in the mud pond, but also from soil to which it has been placed, has become upper the normal content of the surrounding soil up to a depth of 260 cm. On the other hand, the vegetation installed on sewage sludge in the process of mineralization, composed predominantly of Phragmites, Rumex, Chenopodium, and Aster species had accumulated in roots, stems and leaves Zn quantities equivalent to 1463 mg Kg-1, 3988 mg Kg-1, 1463 mg Kg-1, respectively, 1120 mg∙Kg-1. The plants in question represents the natural means of phytoremediation, and sewage sludge as such may constitute a fertilizer material for soils in the area, on which Zn deficiency in maize has been recorded. In addition, the ash resulted from the incineration of plants loaded with zinc may constitute, in its turn, a good material for fertilizing of the soils that are deficient in zinc