30 research outputs found

    Social Reporting Impact on Non-Profit Stakeholder Satisfaction and Trust during the COVID-19 Pandemic in an Emerging Market

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    Attracting resources to achieve established goals makes social reporting necessary in relation to an organization's stakeholders, and reports on the social impact of resource use and activities have an essential role in increasing stakeholder satisfaction and trust. The COVID-19 pandemic emphasized the importance of sustainable development goals and transparent social reporting for different categories of stakeholders. This paper aims to identify the social reporting dimensions that influence the satisfaction and trust of the primary stakeholders of non-profit organizations in an emerging market (Romania), i.e., managers, employees, members, volunteers, donors, and collaborators. The results reveal the positive influence COVID-19 reporting had on stakeholder satisfaction. The lack of formal reporting has a weak yet statistically significant negative influence on stakeholder satisfaction, thus positively influencing the perceived need for external and internal auditing. Stakeholder trust in an organization is strongly and positively influenced by satisfaction with the organizational activity and internal auditing and is negatively influenced by a lack of formal reporting

    Lumbar epidural lipomatosis in a patient with Hodgkin lymphoma

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    Spinal epidural lipomatosis (SEL) is a pathological condition in which fat tissue is deposed in the spinal canal around the thecal sac in excess, causing neurological symptomatology (7, 9, 12). Fat tissue is present in our body almost everywhere. When the normal quantity is exceeded is created a pathological situation.We present a 33 old man case with fat tissue excess deposited in lumbar spine canal. The pathological history of our patient includes a nodular form of stage IA Hodgkin lymphoma diagnosed in 2011 for what he went combined radio-chemotherapy. He also has ben diagnosed with grad I obesity. In last month he presented with rapidly progressive symptoms like lower back pain, paraparesis and sphincters dysfunctions.Thoracic magnetic resonance imaging (MRI) establishes a lumbar lipomatosis located in L3-S5 spinal canal. Pathology results confirm the imagistic diagnostic. Under surgery was performed a median laminectomy with fat tissue excision with good results in patient symptomatology.Cortisone chronic therapy may lead to SEL. However in our case, Hodgkin lymphoma therapy appeared to be related to cortisone therapy. Neurological symptomatically patients should be treated surgically

    Исследование влияния рамиприла и эпросартана на диастолическую дисфункцию, функциональный класс сердечной недостаточности и инсулинорезистентность при длительном лечении гипертензивной болезни

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    IMSP Institutul de Cardiologie, IMSP Spitalul Clinic Republican Timofei Moșneaga, IP USMF Nicolae Testemițanu, Spitalul Clinic de Recuperare Iași, RomâniaHipertensiunea arterială (HTA) și insulinorezistența (IR) coexistă frecvent ca niște condiții-satelit, agravând evoluția sindromului metabolic. Prezența disfuncției diastolice (DD) a ventriculului stâng (VS) categorizează pacienții hipertensivi ca având un risc cardiovascular înalt, indiferent de masa ventriculară sau nivelul TA. Unele studii care au vizat pacienții cu IR au evidențiat și compromiterea funcției diastolice a VS, iar gradul alterării acesteia ar fi dependent de nivelul perturbărilor metabolismului carbohidraților. Luând în considerare rolul activării neurohumorale în dezvoltarea și perpetuarea HTA ce duce la afectarea organului-țintă și insufi ciență cardiacă (IC), precum și interrelația cu IR, am considerat necesară evaluarea acțiunii terapiei convenționale active asupra sistemului renină-angiotensină-aldosteron (SRAA) și a impactului acesteia asupra funcției diastolice, clasei funcționale NYHA a IC și IR. Studiul a demonstrat o efi ciență comparabilă a IEC ramipril și ARA II eprosartan în restaurarea indicilor fi ziologici lusitropici, ameliorarea clasei funcționale NYHA a IC și a indicilor metabolismului carbohidraților (HOMAIR), dar cu o superioritate statistic semnifi cativă la administrarea ARA II eprosartan, fenomen explicat prin efectele simpatolitice adiționale, specifi ce moleculei de eprosartan.Hypertension and insulin resistance (IR) that oft en coexist satellite conditions aggravating the evolution of metabolic syndrome. Association of HT and insulin resistance (IR) are related to higher cardio metabolic risk and enhancement of target organ damages (TOD). Studies focused on patients with IR revealed compromised diastolic function and the alteration’s degree would be dependent on carbohydrate metabolism disturbances. Considering the key-role of the neurohumoral activation in pathophysiology of both heart failure and IR, we have considered the assessment of conventional therapy acting on the renin-angiotensin-aldosterone system (RAAS) and its impact on diastolic function, NYHA functional class of heart failure and IR. The study demonstrated a comparable efficacy of both ACEI Ramipril and ARB Eprosartan on restoration of physiological indices of lusitropy, improvement of functional class of heart failure and carbohydrate metabolism indices (HOMAIR), but with greater efficiency in the Eprosartanmedicated arm, probably due to additional sympatholytic effect of its moiety.Эссенциальная гипертензия и инсулинорезистентность часто сосуществуют и усугубляют течение метаболического синдрома. Наличие диастолической дисфункции левого желудочка автоматически переводят человека в группу высокого сердечно-сосудистого риска, независимо от уровня артериального давления и массы миокарда левого желудочка. Некоторые исследования, которые включали пациентов с инсулинорезистентностью, выявили нарушения диастолической функции, и степень этих нарушений коррелировала с тяжестью пертурбаций углеводного обмена. Принимая во внимание важность нейрогуморальной активации в развитии поражений органов-мишени, сердечной недостаточности и взаимосвязи с инсулинорезистентностью, мы исследовали эффективность терапии, влияющей на ренин-ангиотензин-альдостероновую систему (РААС), на показатели диастолической функции, функциональный класс сердечной недостаточности и инсулинорезистентность. Исследование доказало сравнимую эффективность ИАПФ рамиприла и АРА II эпросартана на восстановление физиологических показателей диастолической функции, улучшение функционального класса NYHA сердечной недостаточности и инсулинорезистентности. В то же время, было установлено статистически достоверное превосходство эпросартана и улучшение вышеперечисленных показателей в сравнение с рамиприлом, что объясняется дополнительным симпатолитическими эффектами молекулы эпросартана

    PESTICIDE RESIDUES CONTAMINATION OF MILK AND DAIRY PRODUCTS. A CASE STUDY: BACAU DISTRICT AREA, ROMANIA

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    International audienceOrganochlorine pesticides (OCPs) are highly toxic, persistent organic pollutants (POPs) with adverse effects to the environment and human health. The main way of human exposure to the OCP contamination is through food, especially the food products of animal origin. The aims of this study were to determine the presence and concentration of organochlorine pesticide residues in milk and dairy products samples collected from Bacau district area and to assess human exposure to OCPs through the consumption of these products. A total number of 54 samples of milk and dairy products were analysed for their residual content of hexaclorocyclohexane isomers (HCHs) and dichlorodiphenyltrichloroethane (DDT) and its analogues. The levels of OCP residues were determined by gas chromatography - mass spectrometry (GC/MS) method. The results indicated that all the analysed samples were contaminated with alpha-HCH, beta-HCH and gamma-HCH, respectively. In all the analysed samples, DDT and its analogues were non-detectable. The presence of gamma-HCH (Lindane) was detected in the range of 0.0042 to 0.2124 (mg kg(-1) fat) for raw cow milk, of 0.0028 to 0.1408 (mg kg(-1) fat) for pasteurised cow milk and of 0.0042 to 0.2682 (mg kg(-1) fat) for sour cream. It could be concluded that organochlorine pesticide residues were detected in raw cow milk and dairy products as they were persistent in the environment due to their slow decomposition rate, long half-life and high stability in the environment. In most cases, the values of detected organochlorine pesticide residues exceeded the maximum residue levels provided by Romanian and international regulations. This study represents an important step towards a more comprehensive understanding of the human health risks associated with OCP exposure via milk and dairy product consumption in Romania

    Immediate implant placement after teeth extraction and cystectomy: preliminary results

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    Special Issue: Abstracts of the EAO Congress, Paris, France, 29 September - 1 October 2016Background: Immediate implant placement is a widely discussed problem in oral implantology and the published results demonstrated high success rates and good predictability. However, there are cases when teeth related pathology like radicular cysts may affect the treatment plan and terms of rehabilitation. It is necessary to appreciate whether it is or not possible to perform immediate implantation in case of teeth with radicular cysts
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