The Impact of the Implementation of ISO 9000 Quality Management System on the Customer Satisfaction Evaluation Process by the Romanian SMEs

The paper highlights a part of the results of the research carried out at the level of Romanian Small and Medium Enterprises (SMEs) in the period 2007-2010. One of the objectives of the research was to determine the way the Romanian SMEs use the results of evaluation and monitoring of customer satisfaction in the process of redesigning and improvement of the quality of products and services. These results were compared with those obtained in a study with the same purpose, conducted by the authors, in 2003-2004; it resulted a major progress in the process of evaluating and monitoring customer satisfaction by SMEs in Romania. Furthermore, the research carried out showed that there is still significant reluctance in terms of using the results of this process, in connection with the concerns to ensure a sustainable performance for these companies.customer satisfaction, evaluation, monitoring, Small and Medium Enterprises, ISO 9000

Performance Assessment of the Training Service Providers in Romania related to the Criteria of the Common Quality Assurance Framework

The paper presents the results of a questionnaire based survey, conducted at the level of training service providers in Romania, which are more and more interested to implement internationally recognized management system models. The objective of the research was to assess the degree of fulfilment by these organizations of the criteria defined by the Common Quality Assurance Framework CQAF, which was developed by the European Forum for Education and Training Quality. Taking into consideration the obtained results, the authors have established there is a correlation between the degree of fulfilment of the criteria regarding planning (leadership, objectives and values, strategies and planning, partnership and resources) and the degree of fulfilment of the criteria regarding the results obtained by these organizations in relation with the client and stakeholder needs fulfilment, personnel requirements fulfilment and the ones related to the profitability of the organization.quality assurance, training services, performance, quality management system, trening

Modeling alpha particle-induced radioluminescence using GEANT4

Optical detection of alpha particle emitters in the environment by air radioluminescence is a new technology that enables sensing a radiological threat at safe distances, without putting personnel at risk or contaminating equipment. Radioluminescence detection systems need to be fine-tuned to efficiently capture a substantial number of photons while minimizing the contribution from ambient ultraviolet light. The accurate simulation of radioluminescence, in conjunction with ray tracing, facilitates the design and optimization of such detection systems. In this work, an application within the Geant4 framework has been developed to simulate radioluminescence photons emitted in the vicinity of accelerated alpha particles and at the surface of alpha radioactive samples. The application relies on existing scintillation physics implemented in Geant4 classes such as G4OpticalPhysics and G4Scintillation, which are used to simulate radioluminescence photons as scintillations produced during the passage of alpha particles through air. The application computes the ultraviolet image of alpha particles accelerated at energies of 5.1 MeV and 8.3 MeV, as well as an extended alpha source. The application enables optimization of experimental setups for various scenarios, such as radiological emergency management, radiological crime scene investigations, or decommissioning of nuclear facilities, thus minimizing the use of costly resources and exposure to radiation.Comment: 12 pages, 3 figures, 1 tabl

Diagnostic difficulties in a child with prolonged fever

University of Medicine and Pharmacy, Iasi, Romania, The 6th International Medical Congress for Students and Young Doctors, May 12-14, 2016Introduction: Fever of unknown origin is defined as a rectal temperature higher than 38.3°C more than 3 weeks, the diagnosis of which remains uncertain after initial investigations. Identification of the causes and management of prolonged fever in children is important and is guided by thorough history-taking and repeated physical examinations combined with standard laboratory tests and simple imaging procedures. Clinical case: We report the case of a two-years-old male who had been managed 1 week for rinofaringitis at home and for 6 days in a tertiary clinic were had been placed on various intravenous antibiotics with no clinical improvementand and was finally referred for further management to our hospital. Physical examination revealed pyrexia (temperature of 38.2°C), faringeal congestion and injected tympanic membranes.The signs of meningeal irritation were absent. Other aspects of physical examination were normal. Results of laboratory tests showed nothing of significance apart from anaemia. He received antibiotic treatment. The fever persisted and in 3-rd day of hospitalisation the child becomes drowsy and father describes cutaneous hyperesthesia. The cerebrospinal fluid analysis showed features in keeping with meningeal inflammation and he had a raised erythrocyte sedimentation rate. The brain computed tomography scan revealed a tetraventricular hydrocephalus. He had ventricular shunt and was placed on antituberculous drugs and intravenous steroids but despite this his clinical condition slowly ameliorated and he developed right spastic hemiparesis. Conclusion: The diagnosis of TB meningitis in this patient highlights that when a patient is not obviously exposed to the causative factors of a disease and clinical signs are absent, possible occurrences may present a diagnostic problem

Ingestion of NSAIDs a serios problem in young children

UMF Gr. T. Popa, Iasi, Romania, Conferința ştiinţifico-practică naţională cu participare internaţională ”Promovarea sănătăţii – o prioritate a sănătăţii publice” 22-24 iunie 2016 Chișinău, Republica Moldov

Ожирение у детей – актуальная медико социальная проблема в Румынии

Pediatrics, Gr. T. Popa University of Medicine and Pharmacy, Jassy, Romania, Psychiatry, Gr. T. Popa University of Medicine and Pharmacy, Jassy, Romania, Conferința ştiinţifico-practică naţională cu participare internaţională ”Promovarea sănătăţii – o prioritate a sănătăţii publice” 22-24 iunie 2016 Orhei, Republica MoldovaCercetarea indică faptul că copiii cu părinți obezi au risc înalt de a dezvolta obezitate. Părinții pot crea pentru copii un mediu ce va favoriza formarea comportamentelor alimentare sănătoase sau pot promova excesul de greutate. Prevenirea obezității necesită o educație a societății, schimbări sociale, precum și metode pentru asigurarea succesului acestor eforturi. Исследование показывает, что у детей у которых родители страдают ожирением повышен риск развития ожирения. Родители создают для детей условия, которые могут способствовать развитию здорового пищевого поведения или могут способствовать избыточному весу. Необходима профилактика с помощью образования общества и социальных изменений, а также нужно разработать методы, чтобы обеспечить успех этих усилий

Gastrointestinal bleeding in children a serios problem of health

Grigore T. Popa University of Medicine and Pharmacy, Iasi, Romania, The 6th International Medical Congress for Students and Young Doctors, May 12-14, 2016Introduction: Gastrointestinal bleeding, especially in children is an alarming event for parents and children, sometimes with dramatic consequences requiring quickly diagnosis and therapeutic approach. The objective of the research is identification of clinical, endoscopic, etiological characteristic of children diagnosed with upper and lower gastrointestinal bleeding. Material and methods:It was conducted a descriptive retrospective study over a 3 year period (January 2012 to December 2014) on 107 children aged 1-18 years hospitalized for gastrointestinal bleeding in ”St. Mary” Children’s Emergency Hospital, Iasi. The study group does not include gastrointestinal bleeding from surgical emergencies, infectious diseases, intestinal diseases with immunological or toxic mechanism. Individualized retrospective analysis included historical data, clinical, endoscopic and targeted for etiologic diagnosis of gastrointestinal bleeding. All patients were investigated by upper gastrointestinal endoscopy/colonoscopy after the procedure was explained and informed consent was obtained. Results: From the batch of 123 children, (45.5%) presented with upper gastrointestinal bleeding (UGIB), and 68 (51.2%) presented with lower gastrointestinal bleeding (LGIB), in four cases the source of bleeding was not identified. The main etiologycal aspect of UGB was erosive gastritis 33.9%, oesophagitis in 10.71%, duodenitis in 21.42%, gastric 8.9%, duodenal ulcers 7.4% of cases, Mallory- Weiss syndrome in 5.3%, multiple etiology in10 cases 12.5%. Causes of LGIB were colorectal polyps in 31.5%, ulcerative colitis 9.5%, nonspecific lessions in 25.3% anal fissures 14.2%, intestinal polyposis syndrome 4.7 %. It was practiced concomitent endoscopic surgery for rectal polyps.Conclusions: Lower gastrointestinal bleeding was the most common causes related to minor conditions: colorectal polyps, anal fissures, nonspecific lesions. Non-variceal gastrointestinal bleeding the most common form Associated with erosive gastritis, esophagitis, duodenal ulcer, gastric ulcer. Endoscopy proved to be a useful investigation in the diagnosis of gastrointestinal bleeding and a therapeutic useful tool in certain cases

Determination of pyrrolizidine alkaloids in dietary sources using a spectrophotometric method

Pyrrolizidine alkaloids (PAs) are a class of toxic compounds found in the composition of more than 6000 plants. People can be exposed to PAs by consuming phytotherapeutic products, food from crops contaminated with seeds of some species with high content of PAs, and/ or contaminated animal products like bee products. For this reason we developed and validated a method for quantitative determination of PAs, from the most frequently contaminated food sources, honey and flour. Colorimetric Ehrlich reagent method was used with standard addition (1mg/kg senecionine). The extraction solvent was methanol 50% acidified with citric acid to pH 2-3, as this solvent can be used for alkaloids and N-oxides. We found that, in extracting the alkaloid only once from the dietary sources, the percent of recovery is low (52.5% for honey, and 45.75% for flour). Using successive extractions, three times with the same solvent, the senecionine retrieval percentage increased to 86.0% for honey and 76.0% for flour. The method was validated using the following parameters: selectivity, linearity (0,25- 20 mg/ mL senecionine), accuracy (average recovery 93.5 - 107.93%) and precision (RSD 3,26-4.55%.). The calculated limit of quantification (0.174 mg/ mL) makes this method applicable for determining Pas occurring at toxic levels for consumers

ETIOLOGIA SÂNGERĂRILOR GASTROINTESTINALE LA COPIL

Obiective. Identifi carea caracterelor clinice, endoscopice, etiologice la copiii diagnosticaţi cu hemoragie digestivă superioară şi inferioară. Material şi metodă. S-a efectuat un studiu retrospectiv descriptiv pe o perioadă de 3 ani (ianuarie 2010- decembrie 2012) pe 107 copiii cu vârsta între 1 şi 18 ani, internaţi pentru hemoragii digestive în Spitalului Clinic de Copii „Sf. Maria“ Iaşi. Lotul de studiu nu cuprinde hemoragii digestive din urgenţe chirurgicale, boli infecţioase, boli intestinale cu mecanism imunologic sau toxic. Analiza retrospectivă individualizată prin studiul foii de observaţie a cuprins date anamnestice, clinice, endoscopice şi histologice orientate pentru diagnosticul etiologic al hemoragiilor digestive. Toţi pacienţii au fost investigaţi prin endoscopie digestivă superioară/colonoscopie după ce procedura a fost explicată şi s-a obţinut consimţământul informat. Rezultate. Din lotul de 107 copii luaţi în studiu 39 (36,4%) au reprezentat hemoragia digestivă superioară (HDS), dintre care 6 cazuri (5,1% ) de cauza variceală iar 33 (94,8%) de cauză non variceală; şi 68 (63,5%) au prezentat hemoragia digestivă inferioară (HDI). În etiologia HDS gastrita erozivă a reprezentat 12 (30,8%) cazuri, esofagita 6 (15,4%), duodenita 6 (15,4%), ulcerul duodenal 4 (10,3%), ulcerul gastric 2 (5,1%), sindrom Mallory Weiss 1 (2,6%), etiologie multiplă 6 (15,4%) cazuri. Principalele aspecte etiologice ale HDI au fost polipul colo-rectal în 28 (41,2%) cazuri, colită ulcerativă 14 (20,6%), leziuni nespecifi ce 12 (17,6%) fi suri anale 9 (13,4%), sindroame de polipoză intestinală 3 (4,4%), malformaţie vasculară 1 (1,5%), diverticul rectal 1 (1,5%) caz. S-au practicat intervenţii endoscopice concomitente în cazul polipilor colo-rectali. Concluzii. Hemoragia digestivă inferioară a fost cea mai frecventă, corelată cu cauze minore: polipi colorectali, fi suri anale, leziuni nespecifi ce. Hemoragia digestivă non-variceală forma cea mai frecventă s-a asociat cu gastrita erozivă, esofagita, duodenita, ulcerul gastric. Endoscopia digestivă s-a dovedit a fi o investigaţie utilă în diagnosticul hemoragiilor digestive şi cu aport terapeutic în anumite cazuri

Breastfeeding - from myth to reality, current conceptions and trends

Spitalul Clinic de Urgenţă pentru Copii „Sf. Maria”, Iaşi, RomâniaAlăptarea a fost considerată întodeauna ca fi ind ceva natural, normal, de care să se bucure şi pe care să o preţuiască atât mama cât şi copilul. Recomandările marilor Organizaţii şi Societăţi Occidentale cu privire la timpul şi modul în care bebeluşii ar trebui alaptaţi sunt unanim acceptate, deşi potrivit UNICEF nicio ţară din lume nu îndeplineşte integral standardele recomandate privind hrănirea bebeluşilor la sân. La nivel international, locuri fruntaşe în ceea ce priveşte succesul alăptării sunt ocupate de ţări din sud-estul Asiei, Africa de Sud şi de Est cu o rată a alaptării de peste 60%, iar în Europa primele locuri sunt ocupate de ţări precum Norvegia, Suedia, Marea Britanie cu un procent de peste 80%, Replublica Moldova având o rata a alaptarii de 36%, iar în Romania aceasta este de 29,6% (potrivit studiului SAMAS efectuat în 2016). Numărul copiilor alăptaţi la sân s-a îmbunătăţit dacă comparăm cu studiul din anul 2011, în care rata alăptarii era doar 12,6 % (mult sub media europeană), la acest lucru contribuind educaţia perinatală (personal medical, consultanţi în alăptare, educatori perinatali) cu rol esential în creşterea ratei de alăptare exclusivă, în special dacă această consiliere este efectuata printr-un program dedicat de pregătire. În topul femeilor care îşi alăpteaza exclusiv copiii până la şase luni se afl a mamele cu vârsta cuprinsă între 35 şi 40 de ani, unele dintre ele afl ându-se la al doilea sau al treilea copil. Iar la polul opus se afl ă mamele foarte tinere, cu vârsta sub 19 ani, doar 9% dintre ele alăptându-şi copilul în primele şase luni de viaţă. De asemenea, două din zece femei afl ate la primul copil renunţă la alăptare în mai puţin de o lună. Un concept destul de nou şi care câstiga din ce în ce mai mult teren în ţările occidentale este conceptul de ”milksharing” si înfiinţarea de bănci de lapte matern. Programele de sănătate, educaţia perinatală au dus la creşterea ratei alăptării şi conştientizarea benefi ciilor acesteia atât pentru mamă cât şi pentru copil, dar uneori acest fenomen este dus la extrem şi vorbim aici de prelungirea alăptarii pâna la vârsta de 5-6 ani, precum şi alaptarea în tandem. Pentru îmbunătăţirea alăptării, Colectivul Mondial pentru Alăptare cere introducerea unor prevederi legale cu privire la concediul parental plătit şi politici privind alăptarea la locul de muncă, îmbunătăţirea accesului la servicii de consiliere calificată cu privire la alăptare, ca parte a unor pachete cuprinzătoare de politici şi programe în favoarea alăptării, aplicate în unităţile sanitare.Breastfeeding has always been considered to be something natural, normal, to be enjoyed, and to be cherished by both mother and child. The recommendations of large organizations and Western Societies regarding the time and the way babies should be breastfeed are universally accepted, although according to UNICEF, no country in the world complies fully with the recommended standards for feeding babies to the breast. At an international level, the leading positions in breastfeeding success are occupied by South-East Asian countries and South and East Africa with a breastfeeding rate of over 60%, and in Europe the top places are occupied by countries such as Norway, Sweden, Great Britain with over 80%, the Moldova Republic having a breastfeeding rate of 36%, and in Romania this is only 29.6% (according to the SAMAS survey carried out in 2016). The number of breastfed babies improved compared to the 2011 study, where the breastfeeding rate was only 12.6% (well below the European average), to this contributing to perinatal education (medical staff, breastfeeding consultants, perinatal educators) with an essential role in raising the exclusive breastfeeding rate, especially if this counseling is done through a dedicated training program. In the top of mothers who breastfeed exclusively babies up to six months, are mothers aged 35 to 40, some of whom are in the second or third child, at the opposed pole are the very young mothers,under19, only 9% of them breastfeeding their baby during the first six months of life. Also, two out of ten women in the first child give up breastfeeding in less than a month. A fairly new concept and gaining ever more ground in Western countries is the concept of “milk-sharing” and the breast milk banks. Health programs, perinatal education have led to a rise in breastfeeding rates and awareness of its benefits for both mother and child, but sometimes this phenomenon is taken to the extreme and we are talking here about prolonging breastfeeding to 5-6 years of age and breastfeeding in tandem. To improve breastfeeding, the World Breastfeeding Association calls for the introduction of legal provisions on paid parental leave and on breastfeeding policies at the workplace, to improve access to qualified breastfeeding counseling services as part of comprehensive policy packages and programs in favor of breastfeeding applied in sanitary units