MARITIME HUMAN RESOURCES COMPETITIVENESS THROUGH PROPER IMPLEMENTATION OF SAFETY MANAGEMENT

Maritime competitive companies are the ones that provide qualitative transport services at a lower price than competitors. High professional seafarers are the key success for competitiveness in maritime field. Professional and competitive seafarers are nocompetitiveness, maritime human resources, safety management

The current state of rehabilitation and modernization of geodetic and topographical networks

The case study was done by measuring the area of 111.06 hectares of a vineyard unit, located in the North West outside of the city of Iasi. The measurements necessary to achieve a thicker network of points and topographical mapping in stereograph projection system 1970 were performed with TC 705 total station, the Leica Geosystems. The thickening of the planimetrical support network was done based on the old geodetic points of the 4th and 5th order, from the existing triangulation network of the stereograph projection system 1970 of Iasi. As a feature of the execution of polygonal course were included in measurements both two ordinary landmarks and two GPS landmarks from the main network of Iasi. All topographic measurements were made to update the site plan and cadastral mapping for vineyard establishment on a scale of 1:5000. Pulling out of the data resulted in getting a clear picture of distribution of land use categories within the growing unity, indicating the number of parcels, the area in hectares and the percentage of occupancy. Characterization of the land depending on the slope shows that the surface of 2.18 ha of arable land area and the surface of 0.33 ha of pasture land is heavily slanted, so the anti-erosion works should be made by growing rows parallel to the level curves direction

Conceptele ocluzale actuale în terapia protetică implantară fixă

Rezumat. Tratamentul implantar a devenit în ultimii ani unul de elecţie pentru înlocuirea dinţilor lipsă, atât în edentaţiile parţiale, cât și în cele totale. Conceptele ocluziei tradiţionale, au fost aplicate de către specialiști cu unele modificări, dat fiind poziţionarea rigidă a implantului în os, acesta neposedând aceași mobilitate ca ligamentul periodontal a dintelui, care acţionează ca un amortizator pentru forţe. În cazul implantelor, în urma stresului masiv, are loc apariţia fracturilor microscopice, proceselor de deformare la rece și de obosire a metalului. Fenomenul fiind progresiv, duce la pierderea treptată a densităţii periimplantare, implicit cu eșecul terapiei implantare. Scopul lucrării a fost studierea și descrierea conceptelor ocluzale statice și dinamice, cât și a particularităţilor de biomecanică pentru realizarea analizei unei scheme ocluzale generale de reabilitare protetică implantară. Atât conceptele ocluzale, aplicabile în protetica implantară, cât și studierea particularităţilor de biomecanică, au stat la baza analizei unei scheme de reabilitare ocluzală, cu datele literaturii de specialitate.Summary. Implant treatment is one of the most used treatments for replacing missing teeth in partial and total edentations. Traditional oclussal concepts, are applied with some modifications, because of the rigid placing of dental implants, thus lacking the same mobility as the periodontal ligament of the tooth, the last one acting like a schock dumper. Implants, under a heavy stress, will be exposed to work hardening and metal fatigue, with the appearance of microfractures. This process is progressive, so it leads to the gradual loss of periimplantal bone density, and finally to the failure of the implant treatment. The goal of the study was to study and describe the static and dynamic occlusal concepts, as well as the biomechanical particularities for making an analysis of a general scheme for occlusal rehabilitation, using data from scientific literature. The occlusal concepts appliable to implant prosthodontics, as well as the studying of biomechanical particularities, were used to make an analysis of a general scheme for occlusal rehabilitation, using data from scientific literature

Climate change effects on crop evapotranspiration, Pannonian basin

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Temporomandibular joint dysfunction syndrome – a therapeu-tic approach

Background: Temporomandibular joint (TMJ) is responsible for vital functions like mas-tication, swallowing, and suction reflex and other relational functions, like talking and phonation. The etiology of temporomandibular joint disorders is multifactorial and in-volves subjective and objective clinical symptomatology. (2) Methods: The therapy is complex and encompasses a series of methods that interconnects various medical spe-cialties. Bad habits and parafunction are risk factors that may initiate and exacerbate a temporomandibular joint pathology. This prospective study aimed to show the positive impact of correct multidisciplinary therapy on the complex of TMJ disorders - pain and bad oral behaviors. The therapy methods used in this study were: medical, prosthetic, or-thodontic, surgical, and physiotherapy (PKT). (3) Results: The data obtained showed good results if the oral habits and TMJ disorders are treated correctly and simultaneous-ly. (4) Conclusions: All therapeutical approaches addressed in this study had beneficial effects on the recovery of the temporomandibular joint

Impact of clinical phenotypes on management and outcomes in European atrial fibrillation patients: a report from the ESC-EHRA EURObservational Research Programme in AF (EORP-AF) General Long-Term Registry

Background: Epidemiological studies in atrial fibrillation (AF) illustrate that clinical complexity increase the risk of major adverse outcomes. We aimed to describe European AF patients\u2019 clinical phenotypes and analyse the differential clinical course. Methods: We performed a hierarchical cluster analysis based on Ward\u2019s Method and Squared Euclidean Distance using 22 clinical binary variables, identifying the optimal number of clusters. We investigated differences in clinical management, use of healthcare resources and outcomes in a cohort of European AF patients from a Europe-wide observational registry. Results: A total of 9363 were available for this analysis. We identified three clusters: Cluster 1 (n = 3634; 38.8%) characterized by older patients and prevalent non-cardiac comorbidities; Cluster 2 (n = 2774; 29.6%) characterized by younger patients with low prevalence of comorbidities; Cluster 3 (n = 2955;31.6%) characterized by patients\u2019 prevalent cardiovascular risk factors/comorbidities. Over a mean follow-up of 22.5 months, Cluster 3 had the highest rate of cardiovascular events, all-cause death, and the composite outcome (combining the previous two) compared to Cluster 1 and Cluster 2 (all P <.001). An adjusted Cox regression showed that compared to Cluster 2, Cluster 3 (hazard ratio (HR) 2.87, 95% confidence interval (CI) 2.27\u20133.62; HR 3.42, 95%CI 2.72\u20134.31; HR 2.79, 95%CI 2.32\u20133.35), and Cluster 1 (HR 1.88, 95%CI 1.48\u20132.38; HR 2.50, 95%CI 1.98\u20133.15; HR 2.09, 95%CI 1.74\u20132.51) reported a higher risk for the three outcomes respectively. Conclusions: In European AF patients, three main clusters were identified, differentiated by differential presence of comorbidities. Both non-cardiac and cardiac comorbidities clusters were found to be associated with an increased risk of major adverse outcomes