THE INFLUENCE OF ENVIRONMENTAL RESOURCES SPECIFIC TO THE CULTIVATION YEAR OVER THE GRAPEVINE GROWTH AND YIELD

The ecological offer holds an important role in establishing the grapevine areas. The pedo-climatic conditions influence the intensity of the physiological and biochemical processes inside the plant, determine the length of the vegetation period, influence the hydro-mineral feeding system, the quality of crops, and offer singularity to the grapes and wines obtained on a certain area, expressed by the specificity of the viticultural area. Grapevine cultivation with superior productive results requires, besides the biological characteristics of the cultivated soil, the continuous appreciation of the ecological favourableness of the space used for this purpose, in order to identify and then apply the most appropriate counter measures according to the variation of the pedoclimatic conditions. Grapevines are multiannual plants, hence the significant importance of the influence of the annual ecological offer over production, especially its quality.The knowledge of morphological, physiological and biochemical particularities determined by the pedoclimatic conditions is important for the elaboration and support of viticultural technical activities. Grapevines have the ability to adapt to various environmental conditions, however extremely high temperatures (over 350 C) or heatwaves often associated with drought may affect the grapevine physiology and yield. This study was focused on the influence of the environmental resource variation over the intensity of certain physiological processes (photosynthesis, transpiration, stomatal conductance), as well as over the growth and fruit bearing of certain grapevine varieties cultivated in Dealurile Craiovei viticultural region

BEING PROACTIVE VERSUS REACTIVE - THE SOLLUTION OF SELF-GOVERNMENT

Starting from selfknowing and the law of correspondence (the behaviour from the outside of one person is the reflection of its inside feelings) the authors try to define the meaning of proactivity. It is underlined that as we have the quality to be human beings we are responsible for our lives. The proactive persons do not blame the environment or the circumstances to justify their behaviour. As it was implanted in the literature of management, the meaning of proactivity is based on initiative, on responsibilities and actions; this gives priority to values in front of any feelings.proactiv, reactiv, responsability, rationalism, hope, fulfilment of life

As a pattern of a healthy university organization

In the quality of the living organism,inside where is actting one of the most important functions of the community – education, the educational organizations are in a health shape as long as their functioning is linked to normal and wished sense of human life in society, being a part of its fulfilment. The health of the university organization has to be conceived, done and used as the pattern of the education we done supply the fulfilment of human life as a part of our common living. In our oppinion, education in general, an the higher education in special, is responsible for the pozitive gain of human cognition, and for the negative gain of it. The difficult problems that life has to face at the level of our hole common living, are the consequences of human actions. In order to stop the unfavorable stream of our common evolution is essential to re-spiritualize the process of the education on the whole organic levels of it. The goal of our study is to make a research at the level of high scool graduates, their parents and higher education students linked to the involvement of higher education and its challange that we named it „healthy education”. Starting from these points we wished to validate by this research applied over the main beneficiaries of the educational process (students, would be students and their parents) which are the main characteristics of a healthy university organization, seen by the paradigma of the whole common living.peer-reviewe

Gastroduodenal ulcer with bleeding – a reconsideration of therapy

Spitalul Clinic de Urgență Sfântul Pantelimon, București, România, Al XI-lea Congres al Asociației Chirurgilor „Nicolae Anestiadi” din Republica Moldova și cea de-a XXXIII-a Reuniune a Chirurgilor din Moldova „Iacomi-Răzeșu” 27-30 septembrie 2011Introducere: Complicația hemoragică a ulcerului gastroduodenal cunoaște o incidența în creștere în ultimii ani. Studiul își propune reevaluarea atitudinii terapeutice în cazul ulcerului gastroduodenal hemoragic, cu stabilirea unor criterii de gravitate în care intervenția chirurgicală se impune. Material si metode: Studiul analizează retrospectiv un număr de 337 de pacienți cu diagnosticul de ulcer gastroduodenal hemoragic, internați și tratați în Clinica Chirurgie a Spitalului Clinic de Urgență „Sf. Pantelimon”, în decurs de 3 ani, în perioada ian. 2008 – dec. 2010. S-au analizat datele din foile de observație, protocoale operatorii, rezultate histopatologice. Rezultate: Majoritatea hemoragiilor digestive superioare de cauză ulceroasă au fost rezolvate cu tratament medicamentos (278 bolnavi). La restul de 59 de pacienți a fost necesar un tratament chirurgical, dintre care la 43 pacienți intervenția a fost impusă de pierderea de sânge ce amenință viața, iar la 16 pacienți intervenția a fost impusă de criteriile de gravitate/criteriile prognostice: repetarea sângerarii la scurt timp, criterii endoscopice de gravitate, grupa de sânge rară, etc. La 32 de bolnavi s- au practicat rezecții gastrice subtotale cu diferite tipuri de anastomoză iar în 27 de cazuri s-a practicat ulceroexcizie și hemostaza in situ. Concluzii: Evoluția ascendentă a terapiei farmacologice și endoscopice a scăzut semnificativ necesitatea intervențiilor chirurgicale. Intervenția chirurgicală rămâne mijloc terapeutic util în cazurile cu sângerare masivă și în cazurile neglijate terapeutic.As a complication of gastroduodenal ulcer, bleeding is more and more frequent. The study aims to reevaluate the therapeutic approach together with the development of criteria recommending surgery. Material and methods: The study evaluates 337 patients diagnosed with gastroduodenal ulcer, complicated with bleeding, between January 2008 and December 2010. Data was collected from patient charts, operative recordings, histopathological results. Results: The majority of upper GI bleeding, following the development of an ulcer was managed with medical therapy (278 patients). The remaining 59 patients required surgery, imposed in 43 cases by life threatening blood loss, and in 16 by gravity/prognostic criteria: frequent recurrence of bleeding, endoscopic gravity criteria, rare blood group, etc. Subtotal gastrectomy with various types of anastomosis was performed in 32 cases while in the remaining 27 cases we performed the excision of the lesion and in situ hemostasis. Conclusions: The evolution of pharmacological and endoscopic management significantly reduced the necessity for surgery. Surgery remains a useful therapeutic tool in cases with massive bleeding and in neglected cases

The complexity of the living entity - a new paradigm

The authors of this paper consider themselves as adepts of Adler’s theory sustaining the idea that human beings cannot authentically progress outside the acknowledgement of their feelings and interconnectedness for living and work activities as parts of the whole society. Following this point of view, the achievement of all necessities of life, inside the society, is a systemic process of consciousness supposing the freedom as an assumed responsibility. From this perspective, the humanity should switch from the knowledge based society’s concepts to those of the application of assumed responsibility where scientific knowledge becomes a must to knowing and evaluating the whole living soundness at any level (individuals, family, official entities and authorities, communities, environment). We will use the term of network effect generated by the communication for the whole living of the national academic society facing deep challenges and transformations. This way we intend to promote the re-spiritualization of the education under a national program, so that the durable change be produced and proved, from the inside to the outside of our daily societal life . Working on a model to set up a new way to measuring the soundness of any whole living, we are applying the model to determine the soundness of an university; to understand the evolution of the whole it is necessary to study the evolution and reaction of its components.peer-reviewe

THE COLD HARDINESS OF SOME VARIETIES OF GRAPEVINE CULTIVATED IN THE VITICULTURAL AREA PLENITA (SOUTHWESTERN ROMANIA)

The study shows the results concerning the assessment of the vulnerability of wine varieties to critical temperature conditions in the autumn-winter period: Italian Riesling, Sauvignon, Tamaioasa romaneasca, Cabernet Sauvignon, Merlot, Feteasca neagra and Syrah. In order to evaluate the conditions for vine hibernation in the studied area we preceded the evaluation of climatic parameters with thermal stress potential on vines during 2014/2015 and 2015/2016 dormant seasons, namely: the frequency and level of minimum critical temperatures, the duration and intensity of frost. The critical hibernation conditions during the two dormant periods have caused considerable losses of buds for all the studied varieties. The biggest damages of primary and secondary buds were recorded after the 2014-2015 dormant season, period during which they recorded the most intense freezing as the minimum critical level of temperature and duration

Current management of abdominal stab wounds

Spitalul Clinic de Urgență ”Sfântul Pantelimon”, București, România, Al XI-lea Congres al Asociației Chirurgilor „Nicolae Anestiadi” din Republica Moldova și cea de-a XXXIII-a Reuniune a Chirurgilor din Moldova „Iacomi-Răzeșu” 27-30 septembrie 2011Cunoscând faptul că atitudinea de management selectiv non-operativ a devenit un standard pentru plăgile înjunghiate, studiul nostru și-a propus validarea atitudinii diferențiate față de plăgile înjunghiate ale abdomenului anterior. Materiale și metodă: Studiul este descriptiv, retrospectiv, analiza fiind centrată pe o experiență de 11 ani (2000-2010) cuprinzând 64 cazuri de plăgi abdominale anterioare. Media de vârstă a lotului studiat a fost de 32 ani (17-65), lot alcătuit din 41 bărbați, 23 femei. Etiologia a fost la toate cazurile reprezentată de agresiune fizică cu armă albă. Rezultate: 48 cazuri (75%) au fost supuse laparotomiei exploratorii immediate datorită semnelor de iritație peritoneală, instabilității hemodinamice sau semnelor paraclinice (hemogramă, biochimie, ecografie abdominală, CT) ce sugerau leziuni de organ. 16 cazuri (25%) au fost monitorizate clinic și imagistic, laparotomia exploratorie fiind necesară în 3 cazuri. Mortalitatea a fost nulă, morbiditatea de aproximativ 18% a inclus supurații parietale, 1 relaparotomie pentru hemostază suplimentară într-o plagă hepatică. Durata spitalizării fost similară la pacienții operați și la cei tratați non- operativ. Concluzii: Studiul relevă că nu s-a înregistrat morbiditate majoră prin acest abord selectiv, pacienții supuși laparotomiei tardive fiind fără risc vital. Aceste observații confirmă concluziile din literatură, și anume faptul că o perioadă de observație de 24 ore este adecvată pentru această patologie.Selective, non-operative management is now a standard for the management of abdominal stab wounds. Our study wishes to validate the differentiated approach to stab wounds of the anterior abdomen. Materials and method: Our study is descriptive and retrospective, centering on an eleven year experience (2000-2010), comprising of 64 abdominal stab wounds. The studied population was made up of 41 male and 23 female, with a median age of 32. All wounds were produced by stabbing. Results: 48 cases (75%) were subjected to immediate surgery because of the presence of peritonitic signs, hemodynamic instability or explorations that suggested organ injury (CBC, biochemistry, abdominal ultrasound, computed tomography). 16 cases (25%) were monitored clinically and by imaging studies, exploratory laparotomy being needed in only 3 of these cases. We recorded no fatalities, and overall morbidity was around 18% (surgical site infections, and one reintervention for supplementary hemostasis in a liver laceration). Duration of hospital stay was constant. Conclusions: Our study shows that the selective approach did not lead to major morbidity, the patients subjected to late laparotomy presenting no major or life threatening complications. Our observations confirm the recent consensus, stating that a 24 hour surveillance period is adequate for this pathology

Complicated small bowel tumors – limits and possibilities in emergency

Spitalul Clinic de Urgență ”Sfântul Pantelimon”, București, România, Al XI-lea Congres al Asociației Chirurgilor „Nicolae Anestiadi” din Republica Moldova și cea de-a XXXIII-a Reuniune a Chirurgilor din Moldova „Iacomi-Răzeșu” 27-30 septembrie 2011Tumorile intestinului subțire sunt rare, reprezentând aproximativ 1-2% din neoplasmele gastrointestinale. Prognosticul lor este rezervat din cauza diagnosticului dificil preoperator și descoperirea lor în stadii avansate, însoțite frecvent de complicații. Materiale și metodă: Studiul este descriptiv, retrospectiv, efectuat pe o perioadă de 5 ani (2006-2010) și include 13 bolnavi operați în clinica noastră. Studiul evaluează elementele demografice ale lotului, mijloacele diagnostice folosite și eficiența lor și atitudinea terapeutică. Rezultate: Lotul a fost alcătuit din 13 bolnavi cu o medie de vârstă de 66 de ani, dintre care 8 de sex masculin și 5 de sex feminin. Cazurile au fost internate în regim de urgență datorită complicațiilor: 8 bolnavi s-au prezentat în ocluzie intestinală, 4 bolnavi s-au prezentat cu anemie severă și hematochezie sau melenă, iar 1 caz a prezentat pneumoperitoneu. Radiografia abdominală simplă a indicat intervenția chirurgicală de urgență în 9 cazuri (prezența de nivele hidro-aerice sau pneumoperitoneu) fără să aducă informații suplimentare legate de etiologie, stadiu evolutiv. Endoscopia digestivă superioară a exclus patologia gastro-duodenală la bolanvii prezentați cu hemoragie digestivă. La acești bolnavi intervenția chirurgicală a fost recomandată de cantitatea mare de transfuzii necesară pentru menținerea hemodinamică a bolnavilor. Soluția terapeutică a fost reprezentată de enterectomia segmentară și anastomoză primară în 13 cazuri și colectomie asociată în două cazuri; în două cazuri a fost necesară o derivație digestivă, în amonte, de protecție. 4 cazuri au prezentat metastaze la distanță. Concluzii: În ciuda arsenalului diagnostic și imagistic existent, diagnosticul tumorilor de intestin subțire se pune în majoritatea cazurilor la momentul explorării chirurgicale. Prezența complicațiilor îngreunează actul chirurgical și managementul postoperator al bolnavului, mărind mortalitatea.Small bowel tumors are a rare entity, accounting for about 1-2% of gastrointestinal tumors. Their prognosis is poor because of the difficult preoperative diagnosis and their discovery in advanced stages, frequently associated with complications. Materials and method: The study is descriptive, retrospective, over a 5 year period (2006- 2010) and includes 13 patients operated on in our clinic. The study evaluates the demographical characteristics of the group, the diagnostic tools that were used and the therapeutic approach. Results: The group was made up of 13 patients, with an average age of 66 years, 8 male and 5 female. The cases were admitted on arrival because of complications: 8 patients presented with intestinal obstruction, 4 with severe anemia and melena or hematochezia and one patient presented with pneumoperitoneum. Plain abdominal x-rays prompted immediate surgery in 9 cases (free air under the diaphragm or air-fluid levels) without bringing further information regarding etiology or disease stage. Upper gastrointestinal endoscopy excluded gastro-duodenal pathology in the patients presented with digestive bleeding. Surgery was performed, in these patients, owing to the large amount of blood transfusion necessary to stabilize them. The procedure performed was segmentary enterectomy with primary anastomosis in 13 patients, associated with colectomy in 2 cases; in two cases we associated a by-pass of the tumoral segment. Metastatic disease was found in four patients. Conclusions: Despite the sophisticated imaging and diagnostic modalities, diagnosis of a small bowel tumor is often achieved only at the time of surgical exploration. The presence of complications makes surgical and postoperative therapy difficult and increases mortality