From Moral Responsibility to Legal Responsibility in the Conduct of War

Different societies came to consider certain behaviors as morally wrong, and, in time, due to a more or less general practice, those behaviors have also become legally prohibited. While, nowadays, the existence of legal responsibility of states and individuals for certain reprehensible acts committed during an armed conflict, international or non-international, is hard to be disputed, an inquiry into the manner in which the behavior of the belligerents has come to be considered reveals long discussions in the field of morals and theory of morality, and, especially, regarding the different manner of establishing the elements to whom obedience is rather owed (the divinity, the sovereign, the law) and the relations between these. Hence, the present paper aims at analyzing the connections between moral responsibility and legal responsibility for wrongful behaviur during war in a diachronic approach, along with the major shifts in paradigm (codification and individual liability). Understanding morality as practice, convention, custom, we are arguing that the nowadays requirement of liability for war crimes appeared due to an assumed intention and practice of the decision-making entities (the sovereign, the state) and, ultimately, to a decision-making process of the most influential states

Macroendoscopical and histopathological aspects in Helicobacter pylori gastroenteritis in dogs– case report

In current veterinary medical practice, more clinical and imaging investigations are needed to fully assess a patient with digestive symptoms. In this case, the anamnesis and patient history are the starting points in staging a diagnosis. Questions with uncertain answers lead to laboratory tests – blood count and blood biochemistry. The etiologic diversity in digestive pathologies implies these blood tests to exclude some of the diseases. X-ray and ultrasound examinations are the next steps to follow; these are diagnosis methods that precede the endoscopic examination. After the macroendoscopic evaluation of the digestive tract, biopsy samples must be taken for the Helicobacter pylori quick test (Figure 1). Histological examination of the biopsy samples taken from canine patients, which were positive for Helicobacter pylori, can reveal another lesions in the digestive tract; in this moment a treatment can be initiated to reduce or even to abolish the simptomatology

The E/e’ Ratio—Role in Risk Stratification of Acute Heart Failure with Preserved Ejection Fraction

Background and Objectives: Heart failure with preserved ejection fraction (HFpEF) remains a worldwide management problem. Although there is a general effort for characterizing this population, few studies have assessed the predictive value of the echocardiographic E/e’ ratio in patients with acute HFpEF. The aim of the study was to identify groups with different prognosis in patients hospitalized with a first acute episode of HFpEF. Materials and Methods: The primary endpoint of the study was heart failure readmissions (HFR) at 6 months, while the secondary outcome was six-month mortality. We consecutively enrolled 91 patients hospitalized for the first time with acute HFpEF. We examined the E/e’ ratio as an independent predictor for HFR using univariate regression. Results: We identified and validated the E/e’ ratio as an independent predictor for HFR. An E/e’ ratio threshold value of 13.80 was calculated [(area under the receiver operating characteristic curve (AUROC) = 0.693, sensitivity = 78.60%, specificity = 55%, p < 0.004)] and validated as an inflection point for an increased number of HFR. Thus, we divided the study cohort into two groups: group 1 with an E/e’ ratio < 13.80 (n = 39) and group 2 with an E/e’ ratio > 13.80 (n = 49). Compared to group 1, group 2 had an increased number of HFR (p = 0.003) and a shorter time to first HFR (p = 0.002). However, this parameter did not influence all-cause mortality within six months (p = 0.84). Conclusions: The dimensionless E/e’ ratio is a useful discriminator between patients with acute HFpEF. An E/e’ value over 13.80 represents a simple, yet effective instrument for assessing the HFR risk. However, all-cause mortality at six months is not influenced by the E/e’ ratio

Modeling and Characterization of Complex Concentrated Alloys with Reduced Content of Critical Raw Materials

The continuous development of society has increased the demand for critical raw materials (CRMs) by using them in different industrial applications. Since 2010, the European Commission has compiled a list of CRMs and potential consumption scenarios with significant economic and environmental impacts. Various efforts were made to reduce or replace the CRM content used in the obtaining process of high-performance materials. Complex concentrated alloys (CCAs) are an innovative solution due to their multitude of attractive characteristics, which make them suitable to be used in a wide range of industrial applications. In order to demonstrate their efficiency in use, materials should have improved recyclability, good mechanical or biocompatible properties, and/or oxidation resistance, according to their destination. In order to predict the formation of solid solutions in CCAs and provide the optimal compositions, thermodynamic and kinetic simulations were performed. The selected compositions were formed in an induction furnace and then structurally characterized with different techniques. The empirical results indicate that the obtained CCAs are suitable to be used in advanced applications, providing original contributions, both in terms of scientific and technological fields, which can open new perspectives for the selection, design, and development of new materials with reduced CRM contents

B-Type Natriuretic Peptide at Admission Is a Predictor of All-Cause Mortality at One Year after the First Acute Episode of New-Onset Heart Failure with Preserved Ejection Fraction

Background: Heart failure with preserved ejection fraction (HFpEF) has been assessed extensively, but few studies analysed the predictive value of the NT-proBNP in patients with de novo and acute HFpEF. We sought to identify NT-proBNP at admission as a predictor for all-cause mortality and rehospitalisation at 12 months in patients with new-onset HFpEF. Methods: We analysed 91 patients (73 ± 11 years, 68% females) admitted for de novo and acute HFpEF, using the Cox proportional hazard risk model. Results: An admission NT-proBNP level above the threshold of 2910 pg/mL identified increased all-cause mortality at 12 months (AUC = 0.72, sensitivity = 92%, specificity = 53%, p < 0.001). All-cause mortality adjusted for age, gender, medical history, and medication in the augmented NT-proBNP group was 16-fold higher (p = 0.018), but with no difference in rehospitalisation rates (p = 0.391). The predictors of increased NT-proBNP ≥ 2910 pg/mL were: age (p = 0.016), estimated glomerular filtration rate (p = 0.006), left atrial volume index (p = 0.001), history of atrial fibrillation (p = 0.006), and TAPSE (p = 0.009). Conclusions: NT-proBNP above 2910 pg/mL at admission for de novo and acute HFpEF predicted a 16-fold increased mortality at 12 months, whereas values less than 2910 pg/mL forecast a high likelihood of survival (99.3%) in the next 12 months, and should be considered as a useful prognostic tool, in addition to its utility in diagnosing heart failure