The Need to Adapt to New Financial Accounting Technologies Information in the Context of Global Economic Crisis

Today, accounting is a necessity and not a desire. Concerns for the improvement of accounting practices are necessary, especially in Romania, where these activities are strengthened with the progress of the Romanian economy integration into the structures of the European Union. This paper carried an objective analysis of how the web report is now being made by financial and accounting information, presents the disadvantages of this approach to reporting introduced, but the potential benefits that could be created by the rapid adoption of international standards for reporting financial information website, too. At the same time, the paper tries to create new opportunities as soon as possible regarding the adoption of intelligent technologies, which, coupled with language Web reporting financial information.economic crisis, web reporting, intelligent financial-accounting systems

Psycho-cognitive syndrome, blindness and tetraplegia after severe traumatic brain injury in polytraumatic context (road acc.) with favorable recovery of cognitive and motor deficits

Introduction The impact of accidents is important both for younger and older people. We live in a multisensory environment and the interaction between our genes and the environment shapes our brains. Cortical blindness as a result of head trauma (to the brain's occipital cortex) is a rare phenomenon and can be a total or partial loss of vision in a normal-appearing eye. How patients will adjust to the loss of vision and its consequences might be a challenge let along if they have mobility imparement (tetraplegia) as well. Adaptation and reintegration of patients into society after motor recovery in the context of visual sensory deficit. TBI survivors themselves and their families are likely more interested in quality-of-life outcomes, such as reintegration into the community, successful return to work or school, and functional capacity in everyday life. Cognitive and behavioural changes, difficulties maintaining personal relationships and coping with school and work are reported by survivors as more disabling than any residual physical deficits. As with all rehabilitation, the goal is to help the person achieve the maximum degree of return to their previous level of functioning. Case presentation Having the patient and TEHBA Bioethics Committee aproval, we will present the evolution of a case with postraumatic spastic tetraplegia post severe traumatic brain injury, blindness post traumatic bilateral occipital lesions and psycho-cognitive syndrome. Clinical and paraclinical aspects will be discussed (patient history and clinical examination, results of imaging and laboratory tests, the neuromioartrokinetic exam, specific rating scales, both medical and kinetotherapeutic treatments).We will address the case in terms of particularities and treatment approach (neurorehabilation of a motor deficit in the context of a major sensory deficiency) and evolution during hospitalization. Conclusions Trauma has been known to result in cortical blindness but the exact pathophysiology remains unknown and remains a matter of continued debate. Cortical blindness may occur after trauma, however, most cases regardless of etiology, are reversible and have no long term sequelae. While TBI can cause long-term physical disability, it is the complex neurobehavioural sequelae that produce the greatest disruption to quality of life. As with all rehabilitation, the goal is to help the person achieve the maximum degree of return to their previous level of functioning. In the setting of polytrauma, a careful ophthalmologic and neurologic examination of the trauma patient, together with a high index of suspicion, is necessary for the diagnosis of this condition. Heightened awareness of the causes should be followed with appropriate imaging and management

A COMPLEX NEURO – LOCOMOTOR REHABILITATION CASE OF A PATIENT WITH POLITRAUMA ASSOCIATED WITH MULTIPLE COMPLICATIONS/SEQUELA– CASE REPORT

This paper, approved by the bioethical commission no. 9181/11.04.2018, features o complex case of post polytrauma case; this is a severe condition entailing multiple anatomic lesioned structures – at least one of them life-threatening2 – that provoke morphofunctional and social disability1 and, we can assert this case as a politrauma. Materials and methods: 68 years-old female patient, admitted in multiple occasions in our Clinic’s Division for a quadriplegic type of motor dysfunction, sphincter disorders, numbness, tingling, and pricking sensations, sensitivity to touch, dysarthria and severe locomotor and self-grooming dysfunction. The functional incapability was caused by the multitrauma – multiple cranial fractures including the viscerocranium, partial focal seizures, C6 vertebra body and from T11 to L1 spine fractures, pelvic ring breach, and calf bones displacement-with multiple surgeries adjoined to a treated rheumatoid arthritis. At first admittance, the patient was bedridden with retention type neurogenic bladder and urinary catheterization and recently operated sacral bedsore. During the repeated hospitalizations, the patient suffered complications typical for her condition: multiple urinary tract infections, sacral bedsore and superficial venous thrombosis, all of them being successfully approached and treated by a multidisciplinary team. The clinical and functional evaluations were objectified through the assessment scales/scores: AIS, FIM, QoL (Quality of life), Asworth, FAC, and WISCI II3 . Results: The patients’ evolution was favorable with improved results in all the assessment scales/scores. She had an increased motor control and muscular strength growth on all levels, now she can perform sitting position without any help, standing and sitting exercises at trellis, achieve the initialization of few steps with support by the kinesio-therapist and perform between the parallel beams around 5 steps. Her dysarthria, mood – initially/organic depression – and related behavior, improved her motivation on continued rehabilitation is now positive. Conclusions: This case represents a suggestive example for the poly-traumatized patients admitted in our Clinics’ Division and the complex approach of each pathology in the wright time for the improvement of the specific neuro-locomotor impairment and the quality of life of our patients

Mobile Mechatronic/Robotic Orthotic Devices to Assist–Rehabilitate Neuromotor Impairments in the Upper Limb: A Systematic and Synthetic Review

This paper overviews the state-of-the-art in upper limb robot-supported approaches, focusing on advancements in the related mechatronic devices for the patients' rehabilitation and/or assistance. Dedicated to the technical, comprehensively methodological and global effectiveness and improvement in this inter-disciplinary field of research, it includes information beyond the therapy administrated in clinical settings-but with no diminished safety requirements. Our systematic review, based on PRISMA guidelines, searched articles published between January 2001 and November 2017 from the following databases: Cochrane, Medline/PubMed, PMC, Elsevier, PEDro, and ISI Web of Knowledge/Science. Then we have applied a new innovative PEDro-inspired technique to classify the relevant articles. The article focuses on the main indications, current technologies, categories of intervention and outcome assessment modalities. It includes also, in tabular form, the main characteristics of the most relevant mobile (wearable and/or portable) mechatronic/robotic orthoses/exoskeletons prototype devices used to assist-rehabilitate neuromotor impairments in the upper limb

The Need to Adapt to New Financial Accounting Technologies Information in the Context of Global Economic Crisis

Today, accounting is a necessity and not a desire. Concerns for the improvement of accounting practices are necessary, especially in Romania, where these activities are strengthened with the progress of the Romanian economy integration into the structures of the European Union. This paper carried an objective analysis of how the web report is now being made by financial and accounting information, presents the disadvantages of this approach to reporting introduced, but the potential benefits that could be created by the rapid adoption of international standards for reporting financial information website, too. At the same time, the paper tries to create new opportunities as soon as possible regarding the adoption of intelligent technologies, which, coupled with language Web reporting financial information

Using Intelligent Technologies For Improving Decisional Processes

The management of organizations in a competition driven environment requires the processing and use of a significant amount of information and knowledge. The intensification of the business en-vironment has its influence as well, so that, the process of adopting the best possible decision, capable of granting utter success by obtaining high performances becomes a difficult challenge to undertake. From the perspective of the purpose of accounting for a performing management we can see that organizations need informational systems capable of analyzing huge amounts of information and knowledge, to be able to quickly process them and to offer relevant results for all user categories. In our opinion the most adequate solution to fixing this issue is provided by intelligent technologies. This is why we identify the opportunities than intelligent technologies have to offer for account-ing and we demonstrate the applicability of the multiagent systems in this field. The motivation of this research is due to the limitation and deficiencies of the present accounting informational systems, which are briefly described in our paper and we establish the advantages of using multiagent systems in the field of accounting. For these reasons, we are stating that multiagent systems need to be quickly implemented in the accounting systems that are facing huge challenges due to the expansion of Internet and Web tech-nologies which force them to get adapted as they go to the modern trends in the development of present informational systems. The present paper is the result of a scientific research situated at the edge between accounting, informatics and economical and financial analysis. It contains theoretical approaches and careful de-bates on the fragile aspects of intelligent systems, but also a practical approach of the field, offering new proposals for the development and the implementation of a multiagent system in order to find and use financial and accounting information on the Internet. By setting up a multiagent system designed for the research and processing of financial and ac-counting information, we are focusing the benefices of using intelligent technologies and it also opens a new way, which refers to the implementation of intelligent systems in accounting. The objective of the multiagent system that we created consists in finding a pertinent solution to a global problem or to control complex accounting systems. Each agent in the structure of the system has its own abilities and knowledge and must interact with other agents in order to solve complex problems, to dodge potential conflicts or to acquire and to share accounting knowledge. Of course, due to the present financial crisis, it is an expected fact that multiagent systems are a solution to be considered being more than welcomed due to the fact that it generates income and it opens new opportunities for the organizations that adopt it.Intelligent financial-accounting information system, multiagent system, agents

Clinical, paraclinical and interdisciplinary therapeutic approaches in a young patient with post-ischemic stroke hemiplegia (stroke), pituitary adenoma and deep vein thrombosis (DVT)

Introduction. Stroke is a pathological condition that generates “neurological clinical signs, global or localized, of cerebral dysfunction with symptoms that last more 24 hours, having vascular origin” and it is considered the first cause of disability at global level and the second one for mortality worldwide. Stroke can determine severe or rather permanent sequels, which need, for patients' recovery and rehabilitation, important medical support. Matherial and method. This paper presents the case of a young 39-year-old patient, hospitalized at the Neurosurgery Clinic (NS) III of TEHBA for left hemiplegia and consciousness crises, and after specific paraclinical investigations (cerebral CT, cerebral Angio- MRI) is discovered in addition to the right ischemic sylvian stroke, an intracranial expansive seller and paraseller process with extension into the left ventricular sinus (pituitary adenoma). Initially, a neurological treatment and a rehabilitation nursing was performed in the Neuro-Muscular Rehabilitation Clinic Division of SCUBA until neurological stabilization, after which, in NS III Clinic, after an endocrinological control followed by specialized treatment, transsphenoidal surgery was performed, practicing subtotal ablation of the tumor. Subsequently, in our clinic, the patient continued the rehabilitation treatment. He was evaluated functionally in dynamic using the scales: Glasgow outcome scale (GOS), Rankin scale, Functional Independence Measure (FIM), Mini Mental State Examination (MMSE), Quality of Life (QOL) Evaluation, modified Ashworth scale, FAC International scale, instrumental/activities of daily living (ADL/IADL). During hospitalization, he presented a high-left deep vein thrombosis (DVT) episode that was confirmed by Doppler ultrasound, monitored by ultrasound re-evaluations and treated with low molecular weight heparin. Results. After DVT remission, the patient benefited from a complex neuro-muscular rehabilitation program, having a favorable evolution, with an increase in the scores of the evaluated scales and thus with a final performance of walking with a quad-point support cane, including climbing/descending stairs. Discussions and conclusions. The interdisciplinary therapeutic approach at a young patient with neuro-endocrine pathology, complicated by DVT, culminating with a specific rehabilitation program, results in neuro-locomotor improvements with an increase in patient’s quality of life

Modulated Neuroprotection in Unresponsive Wakefulness Syndrome after Severe Traumatic Brain Injury

Background: We aimed to assess the effects of modulated neuroprotection with intermittent administration in patients with unresponsive wakefulness syndrome (UWS) after severe traumatic brain injury (TBI). Methods: Retrospective analysis of 60 patients divided into two groups, with and without neuroprotective treatment with Actovegin, Cerebrolysin, pyritinol, L-phosphothreonine, L-glutamine, hydroxocobalamin, alpha-lipoic acid, carotene, DL-α-tocopherol, ascorbic acid, thiamine, pyridoxine, cyanocobalamin, Q 10 coenzyme, and L-carnitine alongside standard treatment. Main outcome measures: Glasgow Coma Scale (GCS) after TBI, Extended Glasgow Coma Scale (GOS E), Disability Rankin Scale (DRS), Functional Independence Measurement (FIM), and Montreal Cognitive Assessment (MOCA), all assessed at 1, 3, 6, 12, and 24 months after TBI. Results: Patients receiving neuroprotective treatment recovered more rapidly from UWS than controls (p = 0.007) passing through a state of minimal consciousness and gradually progressing until the final evaluation (p = 0.000), towards a high cognitive level MOCA = 22 ± 6 points, upper moderate disability GOS-E = 6 ± 1, DRS = 6 ± 4, and an assisted gait, FIM =101 ± 25. The improvement in cognitive and physical functioning was strongly correlated with lower UWS duration (−0.8532) and higher GCS score (0.9803). Conclusion: Modulated long-term neuroprotection may be the therapeutic key for patients to overcome UWS after severe TBI

Recent Advances in Molecular Research on Hydrogen Sulfide (H₂S) Role in Diabetes Mellitus (DM)—A Systematic Review

Abundant experimental data suggest that hydrogen sulfide (H2S) is related to the pathophysiology of Diabetes Mellitus (DM). Multiple molecular mechanisms, including receptors, membrane ion channels, signalingmolecules, enzymes, and transcription factors, are known to be responsible for the H2S biological actions; however, H2S is not fully documented as a gaseous signaling molecule interfering with DM and vascular-linked pathology. In recent decades, multiple approaches regarding therapeutic exploitation of H2S have been identified, either based on H2S exogenous apport or on its modulated endogenous biosynthesis. This paper aims to synthesize and systematize, as comprehensively as possible, the recent literature-related data regarding the therapeutic/rehabilitative role of H2S in DM. This review was conducted following the “Preferred reporting items for systematic reviews and meta-analyses” (PRISMA) methodology, interrogating five international medically renowned databases by specific keyword combinations/“syntaxes” used contextually, over the last five years (2017–2021). The respective search/filtered and selection methodology we applied has identified, in the first step, 212 articles. After deploying the next specific quest steps, 51 unique published papers qualified for minute analysis resulted. To these bibliographic resources obtained through the PRISMA methodology, in order to have the best available information coverage, we added 86 papers that were freely found by a direct internet search. Finally, we selected for a connected meta-analysis eight relevant reports that included 1237 human subjects elicited from clinical trial registration platforms. Numerous H2S releasing/stimulating compounds have been produced, some being used in experimental models. However, very few of them were further advanced in clinical studies, indicating that the development of H2S as a therapeutic agent is still at the beginning