Capacity of Phare and structural funds absorption: pre-accession versus post-accession

The capacity of structural funds absorption is a priority for the member states of the European Union which accessed the EU in 2004 and 2007, but slowing rates of the absorption capacity of these funds were noticed in comparison to the absorption rates of pre-accession funds. Within the context of “pre-accession versus post-accession” analysis, we present the gradual flexibilization of the process of EU funds absorption, the transfer of responsibilities for funds management towards the member states, as well as the differences between the two financing instruments used by the European Union function of different coordinates. The accession of the new member states from Central and Eastern Europe testimonies for the efficient ways of conditioning the aid for modernization offered to these countries, creating a reference framework whose coordination by proactive measures should continue during the post-accession period too. The success of the positive conditionality during the pre-accession period should be preserved by focusing on endogenous aspects specific to the assumption of responsibility for structural funds absorption by every new member state.Absorption capacity, positive conditionality, structural funds, European funds, new member states

Clinical aspects and neurochemical correlations in depressive disturbance in hysterics

Catedra Psihiatrie şi Narcologie FPMThe realized research on a group of 20 patients with hysteric organic disorders of personality proves the presence of depressive reactions in 56,1% of cases in women and in 66,7% of cases in men. Literature review has established the presence of cerebral neurochemical modifications similar to those revealed in other depressive patient categories. The difference consists in the existence of some mesodyencephalic lesions responsible for hysteric manifestations as well as postencephalic psychic disorders in hysteria patients. Studiul realizat pe 20 pacienţi cu tulburare organică de personalitate tip isteric a evidenţiat prezenţa reacţiilor depresive în 56,1% cazuri la femei şi 66,7% cazuri la bărbaţi. Referarea datelor de literatură a constatat prezenţa de modificări neurochimice cerebrale similare cu cele depistate la alte categorii de pacienţi depresivi, diferenţa constând în existenţa la isterici a unor leziuni mezodiencefalice, responsabile de manifestările isterice, aşa cum se observă în cursul tulburărilor psihice postencefalice

Biopsychosocial aspects of Gilles de la Tourette’s syndrome

Catedra de Psihiatrie şi Narcologie, Facultatea de Perfecţionare a MedicilorUsing many literature sources, the peculiarities of pathological manifestations of Gilles de la Tourette’s syndrome have been studied, these being very important for the early diagnosis of the disease. Besides, attention was paid to the criteria of differential diagnosis of this disease with other progressive diseases of central nervous system with similar symptoms. În cadrul lucrării prezente, folosind mai multe surse de literatură, s-au studiat particularităţile manifestărilor patologice din cadrul sindromului Gilles de la Tourette, acestea fiind deosebit de importante în diagnosticarea precoce a maladiei. De asemenea, s-a acordat atenţie criteriilor de diagnostic diferenţial al afecţiunii menţionate cu alte afecţiuni progresive ale SNC cu simptomatică similară

Cannabinois – induced psychopathological changes

Catedra Psihiatrie şi Narcologie, Facultatea de Perfecţionare a MedicilorCannabis currently presents the most extensively - and illegally - used drug. It is estimated that 25 % of the population use it and that among the teenagers, the „experiences” of marijuana and the number of cannabis chronic users average those of alcohol or tobacco. Even though an important number of patients are affected, often it is not correctly evaluated and treated. In this article, 21 cases have been studied, these presenting an interest for studying the phenomenon. Besides, the information and actual data from different sources about the psychopathological peculiarities in cannabis users are presented. Marijuana este actualmente drogul ilicit cel mai larg utilizat în lumea întreagă. Se estimează că circa 25% din populaţie îl utilizează, iar în rândul populaţiei tinere de adolescenţi „experienţele” cu marijuana şi nivelul consumătorilor cutumieri, se estimează a fi apropiat de cel al utilizatorilor de tutun sau alcool. Deşi se întâlneşte la un număr semnificativ de pacienţi, ei adeseori nu beneficiază de o abordare corectă şi de un tratament adecvat. În acest articol sunt expuse 21 cazuri care prezintă interes în ceea ce priveşte consumul de canabis. De asemenea, sunt raportate date actuale din literatura de specialitate privind particularităţile psihopatologice în utilizarea de canabis

Absorption capacity of the structural funds. Integrating perspectives

Structural funds absorption by the member states can be seen within a wider context of the absorption capacity as it is described and analyzed both worldwide and in Europe. This study reveals the different approaches of the absorption capacity by presenting the architecture of funds administration from the perspective of the international aid and from the perspective of the European policy of convergence. Within the context in which most European Union member states experienced difficulties in EU structural funds absorption during their early years after accession, the paper shows the essential operational coordinates of the capacity of absorption, the hierarchical levels of operation (European and national), as well as the factors and mechanisms for the specific implementation of the funds that have been granted. The identified elements were integrated and the EU model of structural funds implementation was generated, showing a diversified pattern of action within the administrative systems of the member states. The perspectives of the structural funds absorption capacity focus on two fundamental aspects of the convergence policy: to identify the modalities by which the allotted funds are absorbed to the long-term general interest of the Europeans and to avoid associating them within to constraining vision of absorption specific to the international aid. The conclusions of the paper discuss the future research approaches into the stage of structural funds absorption by the new EU member states and into the possible existence of a “saturation point” in the absorption of these funds, phenomenon already observed in other states benefiting of international aid

INFLUENCE OF VINE VIGOR GROWTH ON CODREANCA (BLACK MAGIC) TABLE GRAPES QUALITY

The stressful climatic conditions of the last years have led to the need to pay more attention to the native varieties, which are adapted to the local conditions and ensure the obtaining of quality harvests. Autochthonous varieties of table grapes have dietary properties, attractive exterior appearance and excellent taste qualities.This work presents a 3-year study of the variability of grape composition of Codreanca (Black Magic) – a Moldavian grape variety, in a vineyard located in Purcari (Republic of Moldova). Grapevine were different pruned according to growth vigor: low - 18 – 22 buds (1 spur and 2 canes); medium vigor – 24 - 28 buds (1 spur and 3 canes) and high vigor – 30 - 34 buds (2 spurs and 4 canes). Climatic conditions and growth vigor had an important influence on vine fertility and productivity. Results showed that vine balance at which vegetative and reproductive growth can be sustained with adequate fruit production and desired fruit quality was found to be for Codreanca on vines with medium vigor. Grapes harvested from medium vigor vine recorded optimum values of quality (sugar and acid content, sugar/acid ratio) and cluster indexes (average weight, lenght and width, berry lenght and width, berry weight, grape and berry composition, cluster structure index, berry index, berry composition index, berry sfericity and cluster compactness). Viticultural practices used by grape growers can also increase or decrease vine growth as needed, to obtain high quality production

Psychic Disords of the Premenstrual Syndrome ( PMS)

Catedra Psihiatrie şi Narcologie, FPM USMF „Nicolae Testemiţanu”The premenstrual syndromes (PMS) are represented by a group of physical and/or neuropsychological symptoms which repeat during the late lutheal phase of the menstrual cycle at about 5% of female population and disappear with the onset of menstrual bleeding, having a major impact on the quality of life and social activity. The only treatments which proved to be really efficient are the medical or surgical suppression of ovarian steroidogenesis or the administration of serotonin recapturation specific inhibitors. Although the diseases ethiopathogeny are not completely studied yet, it is considered that one of the fundamental mechanism is represented by the steroidogenesis disorder at the central nervous system level, especially in the allopregnenolon methabolism, which activates the GABA-ergic system dopamin junction, catecholamins system, 5HT serotonin.While the mild PMS responds to a diet and the symptomatic treatment, the severe ones needs the collaboration between gynecologist and psychiatrist regarding administration of specific medication. Sindroamele premenstruale sunt reprezentate de un ansamblu de simptome fizice şi/sau neuropsihice care apar repetitiv în faza luteală tardivă a ciclului menstrual la circa 5% din populaţia feminină şi se remit o dată cu declanşarea sângerării menstruale, având un impact major asupra calităţii vieţii şi desfăşurării activităţii sociale. Singurele tratamente care şi-au dovedit cu adevărat eficienţa sunt reprezentate de suprimarea pe cale medicală sau chirurgicală a steroidogenezei ovariene sau administrarea de inhibitori specifici ai recaptării de serotonină[3;8]. Deşi etiopatogenia afecţiunii nu este pe deplin elucidată, se consideră că unul din mecanismele fundamentale îl reprezintă tulburările steroidogenezei la nivelul Sistemului nervos central( SNC), în special a metabolismului allopregnenolonului ce acţioneaza asupra sistemului GABA-ergic, asupra joncţiunii dopamină – sistem endocrin din diencefal, sistemului catecolaminic, sistemului noradrenalină – acetilcolină cu efecte alfa 2, joncţiunii 5 HT- psihoendocrină, joncţiunii între substanţa P şi 5HT enkefaline, somatostatinei[4;5;6;]. Deci formele uşoare de SPM beneficiază de regim igieno-dietetic şi tratament simptomatic, în timp ce în formele severe se impune colaborarea între ginecolog şi psihiatru în vederea administrarii unei medicaţii specifice

CELIAC DISEASE CASE FINDING STRATEGY IN ROMANIAN SYMPTOMATIC CHILDREN

Objectives. Pediatricians face various challenges in different stages of celiac disease (CD) diagnosis. Whom to test is intensely debated because of CD’s heterogenous clinical spectrum. The main purpose of the study was to identify symptoms or symptom associations that should initiate an active strategy of CD early diagnosis in Romanian children. Material and method. We conducted a prospective study in “Grigore Alexandrescu” Emergency Children’s Hospital. From March 2013 until February 2014, 249 children with symptoms/signs at risk of CD were included. Results. CD was diagnosed in 11 (1/21 patients evaluated). One in 12.6; 16; 18; 18.5 and 18.5 children respectively with chronic diarrhea, low stature, growth failure, recurrent abdominal pain and constipation had CD. Certain symptom associations increased the risk: classical symptom associations (chronic diarrhea and weight loss), as well as other associations: recurrent abdominal pain and weight loss, constipation and weight loss, constipation and refractory iron deficiency anemia. Conclusion. Active screening among patients with symptoms and especially symptom associations at risk of CD would improve diagnosis rates in pediatric CD

Evolving trends in the management of acute appendicitis during COVID-19 waves. The ACIE appy II study

Background: In 2020, ACIE Appy study showed that COVID-19 pandemic heavily affected the management of patients with acute appendicitis (AA) worldwide, with an increased rate of non-operative management (NOM) strategies and a trend toward open surgery due to concern of virus transmission by laparoscopy and controversial recommendations on this issue. The aim of this study was to survey again the same group of surgeons to assess if any difference in management attitudes of AA had occurred in the later stages of the outbreak. Methods: From August 15 to September 30, 2021, an online questionnaire was sent to all 709 participants of the ACIE Appy study. The questionnaire included questions on personal protective equipment (PPE), local policies and screening for SARS-CoV-2 infection, NOM, surgical approach and disease presentations in 2021. The results were compared with the results from the previous study. Results: A total of 476 answers were collected (response rate 67.1%). Screening policies were significatively improved with most patients screened regardless of symptoms (89.5% vs. 37.4%) with PCR and antigenic test as the preferred test (74.1% vs. 26.3%). More patients tested positive before surgery and commercial systems were the preferred ones to filter smoke plumes during laparoscopy. Laparoscopic appendicectomy was the first option in the treatment of AA, with a declined use of NOM. Conclusion: Management of AA has improved in the last waves of pandemic. Increased evidence regarding SARS-COV-2 infection along with a timely healthcare systems response has been translated into tailored attitudes and a better care for patients with AA worldwide