THE SODIUM CHLORIDE MINERAL WATERS IN MUREŞ COUNTY, LASTING TOURISM PROTECTION AND CAPITALIZATION

This study represents a continuation of the research and assessment of sodium chloride mineral water resources on the territory of the Transylvanian Depression, especially regarding the emergence of salt springs, which are still not to be found in the scholarly literature. Therefore, Mureş County will be analysed this time, a county where certain researches have been done before. Field research can be also added to these, representing the only possibility to update the data regarding the existent salt springs. The first examples already known are the sodium chloride mineral waters billeted in the lakes located in Sovata and Jabeniţa. Locations with sodium chloride mineral waters which appear at the surface under the form of salt springs with a salinity exceeding 1 g/l, as compared to the ones specified, are Sărmăşel, Târnăveni, Sângeorgiu de Mureş, Gurghiu, Orşova, Brâncoveneşti, Lunca Mureşului, Ibăneşti and Ideciu de Jos. As far as the protection of these resources is concerned, the main debated problems are related to phenomena such as their clogging and desalination, which causes many sodium chloride mineral water springs to become ephemeral

BMO Estimates for the H∞(Bn)H^{\infty}(\mathbb{B}_n) Corona Problem

We study the $H^{\infty}(\mathbb{B}_{n})$ Corona problem $\sum_{j=1}^{N}f_{j}g_{j}=h$ and show it is always possible to find solutions $f$ that belong to $BMOA(\mathbb{B}_{n})$ for any $n>1$, including infinitely many generators $N$. This theorem improves upon both a 2000 result of Andersson and Carlsson and the classical 1977 result of Varopoulos. The former result obtains solutions for strictly pseudoconvex domains in the larger space $H^{\infty}\cdot BMOA$ with $N=\infty$, while the latter result obtains $BMOA(\mathbb{B}_{n})$ solutions for just N=2 generators with $h=1$. Our method of proof is to solve $\overline{\partial}$-problems and to exploit the connection between $BMO$ functions and Carleson measures for $H^{2}(\mathbb{B}_{n})$. Key to this is the exact structure of the kernels that solve the $\overline{\partial}$ equation for $(0,q)$ forms, as well as new estimates for iterates of these operators. A generalization to multiplier algebras of Besov-Sobolev spaces is also given.Comment: v1: 20 pg

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

Steinert myotonic dystrophy – a multisystemic disorder with occular implication

The Steinert Myotonic Dystrophy is the most common systemic disease in adults with dominant autosomal transmission. We present two patients, who were hospitalized in the 2nd Clinic of Ophthalmology, at the "Prof. Nicolae Oblu" Emergency Hospital of Iasi, with the diagnosis of Pathological Cataract and Steinert Myotonic Dystrophy

THE STUDY OF ACCLIMATIZATION OF GRAPES OF MEDITERRANEAN ORIGIN TO THE WEATHER CONDITIONS OF THE WINE-GROWING REGIONS OF SEGARCEA

This study was carried out during 2019-2020 on plots belonging to the wine-growing areas of Segarcea, famous wine areas in point of extracting red wine with remarkable qualities in the south of the country. The significance of the work consists in improving the useful climate of the wi ne area of Segarcea by introducing into the culture beside black grapes varieties, renowned varieties like Feteascăneagră, Merlot, Cabernet-Sauvignon, Pinot noir, etc., other grape varieties of Mediteranean origin, such as Syrah and Marselan. The aim is to rigorously monitor the weather conditions with a direct impact on the soils with a production potential, observing the dynamics of its establishment and maturation index for each variety during the period studied

Carotid paragangliomas: case report and imaging review

Background: Presentation of case reviews depicting the imaging characteristics of carotid paragangliomas, associated with a thorough analysis of the anatomical morphological features and the current therapeutic strategies.Materials and methods: We present the cases of 3 patients diagnosed with carotid paragangliomas in our clinic, illustrating diagnostic imaging elements by computer tomography (CT) and magnetic resonance imaging (MRI), but also the postoperative aspect of the carotid system, with respective anatomical, clinical and surgical considerations.Results: The imaging aspect of the carotid paragangliomas is characterised by a mass of soft tissue with intense contrast enhancement and with “salt and pepper” MRI appearance on conventional spin-echo sequences. The postoperative evolution of the patients included in the article was favourable, without any perioperative complications or signs of local tumour recurrence.Conclusions: Carotid paragangliomas are rare, often asymptomatic tumours, but with potential for increased malignancy, which raises the need for good knowledge of the cervical region pathology as well as the features of neuroendocrine tumours. CT and MRI examinations are essential for diagnosis, staging and, implicitly, for establishing the therapeutic strategy

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