18 research outputs found
KEY PERFORMANCE INDICATORS. A CASE STUDY ON THE INTEGRATED REPORTS OF AN IT COMPANY
Our analysis relies on the 2011 integrated report published by SAP, a European IT company included in the
International Integrated Reporting Committee (IIRC) Pilot Programme Business Network. The research methodology
used is the analysis of the content as we search for a number of selected characteristics in the report and also for a set
of key performance indicators (KPI). We use as references the guide provided by DVFA (Society of Investment
Professionals in Germany) and EFFAS (European Federation of Financial Analysts Societies) – EFFAS (2010) for the
software industry. The aim of our study is to analyse the way in which an IT company applies the guidelines recognised
by the European Commission to identify and communicate the material nonfinancial information, in order to assess the
organization’s abilities to create value on a short, medium and long term
The Question of the Week Approach for Online Teaching
The objective of the paper is to introduce a teaching strategy designed to improve students' engagement in management accounting classes. During the pandemics, the authors of this paper introduced a new requirement for the students, the question of the week. Instead of a normal homework, the teachers designed new questions, involving aspects from several chapters, with a higher degree of difficulty, or designed questions which required each student to introduce his or her own figures. The method describes the context and an example of application with solution. The results indicate that the questions improved the student engagement and their understanding of the concepts. The approach is original, as it helps the teacher to create example for each student. It can be used in both online and face-to-face teaching
Presentation, management and outcomes of pituitary adenomas: A 10-year experience from a single tertiary neurosurgery centre
Introduction: One of the most frequently encountered intracranial tumours are the pituitary adenomas, these accounting for 5% to 20%. Therapeutic strategies vary largely, from medical therapy to complex neurosurgical procedures. The transsphenoidal approach can solve most of the lesions of the pituitary area, as long as the invasion of the adjacent structures is not significant. The transcranial approach is indicated in tumours with extensive invasion
Materials and methods: We performed a retrospective study in the Bagdasar-Arseni Emergency Hospital Neurosurgery that aimed to analyze the demographics, signs and symptoms, therapeutic strategy, surgical approach, complications, and histopathology, from 2010 to 2019.
Results: The total number of hospitalization records, including the follow-up hospitalization and/or second surgery hospitalization, was of 1107. Furthermore, there were 704 unique patients. The most common signs and symptoms encountered for the first admission were headache (245 – 34.56%), optic chiasm deficits (153 – 21.58%), acromegaly (85 – 11.99%). However, the majority of patients (507 – 71.51%) presented with some sort of hormonal imbalance or diabetes insipidus. On the one hand, a number of 325 (45.84%) patients had non-surgical treatment. On the other hand, a total of 384 (54.16%) surgeries for pituitary tumours were performed in this period.
Discussion: In our study, the patients who underwent surgery benefited from either microsurgical transsphenoidal or transcranial surgeries. Even if the transsphenoidal approach was used far more, there was a greater relapse proportion in these patients. Transcranial surgery, even if followed by a far less proportion of relapse surgery, carried with it the burden of more days spent in hospital (most of the time twice as much as for the transsphenoidal patients).
Conclusion: Both transsphenoidal and transcranial approaches have advantages and disadvantages, thus the best strategy would be to tailor each surgery to each patient, keeping an open mind to all available approaches
Multiple little intracranian aneurysms as familial inheritance
In this particular case, the authors have studied a family in wich two of the members on the same genetic line-mother and daughter have suffered intracranial bleeding from ruptured aneurysm. The congenital nature and the patterns of inheritance of the disease are discussed. The indications for elective investigation of the asymptomatic relatives and surgical prophylaxis on asymptomatic aneurysms are also discussed.Material and method: Two cases, same hereditary line, same nosocomial pattern, rare case of multiple intracranial aneuysms. Surgical treatment of ruptured and unruptered aneurysm, same part, same time.Results: Operated pacient done well without neurological deficits after one year.Conclusions: Making good judgment based on complete investigations lead to a good aoutcome. Further investigations on family hereditary aneurismal lesions should be perform
A rare case of pituitary macroadenoma with synchronous suprasellar meningioma.: Case report, surgical strategy and review of literature
Synchronous tumours can be found all along the entire neuraxis, however, some lesions are far less likely to coexist. One of these extremely rare associations is between GH-pituitary adenomas and suprasellar meningiomas. A wide spectrum of transcranial and transsphenoidal approaches were described in the literature for either sellar, suprasellar and parasellar lesions, but no agreement has been reached for the cases of simultaneous occurring lesions.
We present a rare case of a woman with GH-secreting pituitary adenoma and concomitant suprasellar meningioma. The strategy chosen was sequential transsphenoidal surgeries. However, after the first surgery, the remaining tumour mass did not mobilize as expected due to gravity, hence we decided to perform a transcranial subfrontal unilateral approach. Surprisingly, the second surgery revealed a different histopathological result.
Association of a GH-pituitary adenoma and suprasellar meningioma is very rare, only 17 cases being reported in the relevant literature so far. Different authors prefer different strategies, ranging from only transsphenoidal to simultaneous transsphenoidal and transcranial approaches, but no general consensus was established.
In conclusion, the existence of synchronous tumours of the sellar region should be taken into account when imaging studies reveal an intracranial mass developing both sellar and suprasellar. The surgical strategy should be tailored to every specific patient and experience of the neurosurgeon
Pituitary apoplexy: clinical features, management and outcome: Clinical study and review of the literature
Background: Pituitary apoplexy is a clinical syndrome secondary to rapid expansion of the content of the sella and extension to suprasellar region, cavernous sinus, sphenoid sinus secondary to a bleeding, ischemic or mixed episode taking place in a pituitary adenoma. This episode will determine a significant compression of the optic nerves, optic chiasm, cavernous sinus and hypothalamus, which translates clinically most often by headache, visual disturbances, deceased level of consciousness and ophthalmoplegia. Material and methods: This paper presents a retrospective study over a period of five years, from January 2009 to December 2013 and includes 98 patients diagnosed with pituitary apoplexy and treated in the Third Department of Neurosurgery, Emergency Clinical Hospital Bagdasar-Arseni. Of the 98 patients, 62 were females (63.3 %) and 36 were males (36.7 %) with a ratio of female to male of 1.7:1. The patients were aged between 17 and 75 years old, average age being approximately 50 years. Follow-up period ranged from 2 months to 5 years. The main symptomsat presentation was sudden, intense headache, this symptom was encountered in 90 patients (91.83%), vomiting showed by 76 patients (77.55%), decreased visual acuity observed in 57 patients (58.16%), visual field deficits in 74 patients (75.51%), cranial nerves palsy (III, IV, VI) observed in 14 patients (14.28 %). Conclusions: Pituitary apoplexy is a disease that can endanger patients' lives. The clinical presentation may vary from minor symptoms to major neurological deficits and even death so early diagnosis and treatment are vital
Variation in the susceptibility of blackberry varieties to Drosophila suzukii infestation
Drosophila suzukii Matsumura (Diptera: Drosophilidae) is an invasive polyphagous species, that is frequently found in blackberry culture, affecting the commercial value of fruits. Between 2020-2021, in the blackberry collection of the University of Agricultural Sciences and Veterinary Medicine of Cluj-Napoca (Romania), were carried out observations on susceptibility of five cultivated varieties (‘Thornless’, ‘Loch Ness’, ‘Thornfree’, ‘Thornless Evergreen’ and ‘Navaho’) to D. suzukii. In 2020, the attack frequency in the whole collection was 78.2%. ‘Thornfree’ had the highest attack frequency, 89% while ‘Loch Ness’ was the least susceptible with a frequency of attack of 71%. In 2021, the overall proportion of damaged fruits in the collection was 59.6%. The most susceptible was ‘Thornless’ with an attack frequency of 66% and ‘Thornless Evergreen’ with only 49%. The incidence of infestation by the spotted-wing Drosophila suzukii is influenced by the thermal characteristics of the year, with temperatures higher than 30 °C impacting the fertility of females and the viability of eggs. In the year 2020, the average number of larvae per fruit collected was 6.4, while the average number of larvae in the ‘Loch Ness’ cultivar was 9.4, with a maximum of 48 larvae per fruit. In 2021, an average of 3.4 larvae per fruit were observed, with variations ranging from 2.8 larvae in the ‘Thornfree’ cultivar to 4.2 larvae in the ‘Navaho’ cultivar
Clinical aspects, management and outcome of brain arteriovenous malformations: Results with microsurgery first policy
We performed a retrospective study, including patients operated for brain AVMs between 1999 and 2014, in the Clinic of Neurosurgery, Emergency Clinical Hospital Bagdasar-Arseni, Bucharest. 277 patients underwent surgery for brain AVMs. Mean age was 29.82 years. 195 patients (70.40%) presented with hemorrhage and 86 cases (31.05%) were admitted with seizures. We performed total resection of AVMs in 228 cases (82.31%) and subtotal resection in 49 cases (17.69%). Regarding patients with residual nidus, 16 of them underwent second surgery, 27 stereotactic radiosurgery Gamma Knife, 3 embolization and 3 refused further treatment. Modified Rankin Scale (mRS) improved following surgery (Z = -9.248, p = 0.000). Early complications (0-30 days) were encountered in 84 patients (30.32%). We found the following risk factors for postoperative complications occurrence: motor deficit (p = 0.006), co-morbidities (p = 0.023), higher mRS (p = 0.005), lower Karnofsky score (p = 0.003), lower GCS (p = 0.016), profound nidus (p = 0.001), eloquent aria (p = 0.000), large nidus (p = 0.000), multiple arterial territory (p = 0.000), deep feeding arteries (p = 0.000), higher number of feeding arteries (p = 0.000), deep venous drainage (p = 0.000), multiple draining veins (p = 0.000), higher Spetzler-Martin grade (p = 0.006), high flow (p = 0.000), vascular steel (p = 0.000), associated aneurysms (p = 0.010) and decompressive craniectomy (p = 0.019). Mortality was 6.1%. Microsurgery is the treatment of choice for brain AVMs. Surgical results are excellent, with low morbidity and mortality. Patients with poor surgical results belonged to the group admitted with severe altered general state, state of consciousness, massive hematomas and acute brainstem dysfunction. If part of the nidus cannot be safely surgical resected, stereotactic radiosurgery can provide definitive cure of the lesion.Key words: arteriovenous malformations, microsurgery, postoperative complications
SURVEY ON ACCOUNTING STUDENT SATISFACTION. EVIDENCE FROM A ROMANIAN UNIVERSITY
During recent years, on the background of increased competition, changing demographics in the population and declining enrollments, a paradigm shift occurred in the higher education system where universities begin to realize the importance of student satisfaction and market-type mechanism have been introduced even in countries previously characterized by a high degree of government control. Our study aims to assess the satisfaction of students who graduated from the Faculty of Accounting and Management Information Systems of the Bucharest University of Economic with Bachelor's degrees in 2012 and 2013. A survey research was conducted aiming to assess the overall satisfaction through questions pertaining to global fulfilment of expectations related to undergraduate accounting program, the perceived value of the program and the willingness to recommend the accounting program to a close friend. The key determinants of the overall satisfaction level were analyzed and discussed