PUBLIC EXPENDITURE POLICY IN THE CONTEXT OF ECONOMIC CRISIS - CHALLENGES AND IMPLICATIONS

Public spending is a key component for both public finances and government financial policy. In this situation, government expenditures are made in direct relation with the results of governance with economic and financial crises and global social welfare of the nation. From this perspective, our article aims to highlight the correlation between public expenditure and budgetary financial and economic crisis and, also, state government responses, anticipating their impact on medium and long term. Also, in the context of the crisis and the concomitent lack of public revenue, we identify the pillars on which to base the budget reduction in public expenditure. The implications of the economic crisis in Romania are analyzed along with proposed measures to be followed by the Government through budgetary fiscal strategy. In relation to the purpose and objectives of the research, documentation was made both in terms of bibliographic resources and the plan of legislative documents and quantitative reporting. We believe that the issue of increasing allocative efficiency of resources is vital to counter the current crisis, but also to maximize the positive effects of public interventions in general and from another state, we consider that state and, consequently, public expenditure budget which should be used to replace the market, can not be regarded as some suggest to be founded and we suggest a line for developed countries. This work was supported by the grant “Post-doctoral studies in Economics: program for continuous forming of elite researchers â€" SPODEâ€, contract POSDRU/89/1.5/S/61755, project financed by the European Social Fund, by the Operational Sectorial Program Development of Human Resources 2007-2013.public expenditures, public debt, tax strategies, economic crises

The evolution view on the insolvency phenomenon in post-December Romania

The purpose of this article is to present the evolution of the phenomenon of insolvency in post communist Romania. An important feature of a market economy it is the active selection mechanism by which solid and efficient firms supersede the least effective and the goods and new activities to replace the old. Present article attempts describes the provisions of the Romanian insolvency law, is investigating the facts existing and possible remedies that could lead to increased competitiveness and functionality of the Romanian economy

A View on ECHR Case law for salary policy in Romanian public sector

Like economies of other countries in Western Europe, the Romania's economy went through a very difficult period because of the international financial crisis, with GDP falling by over 18%. In the situation of no longer being able to meet its payment obligations and under the pressures of international financial organizations, the Romanian government opted for the radical measure of cutting public sector wages by 25%. Faced with this unprecedented action of country administrative power representatives, the Romanian civil servants attacked this measure in national courts and after that, in front of the ECHR. This article presents the solutions of the Romanian courts, the European jurisprudence on lowering wages and its implications for public solutions Romanian legal systems

A View on ECHR Case law for Salary Policy in Romanian Public Sector

As the economies of other countries in Western Europe, the Romania's economy went through a very difficult period because of the international financial crisis, with GDP falling by over 18%. In the situation of no longer being able to meet its payment obligations and under the pressures of international financial organizations, the Romanian government opted for the radical measure of cutting public sector wages by 25%. Faced with this unprecedented action of country administrative power representatives, the Romanian civil servants attacked this measure in national courts and after that, in front of the ECHR. This article presents the solutions of the Romanian courts, the European jurisprudence on lowering wages and its implications for public solutions Romanian legal systems

Acute lithiasis cholecystitis; particularities of diagnosis and treatment in the elderly

Objectives. The incidence of acute cholecystitis increases with age, when patients usually associate additional comorbidities. Such comorbidities and the late presentation to the doctor make the treatment more complex, associating higher rates of complications. The present study aims to evaluate the methods of diagnosis and treatment applied to a group of older patients with acute cholecystitis. Materials and Methods. 585 patients were enrolled in the study between 2019 and 2023. The inclusion criteria in the study were represented by the presence of the diagnosis of acute cholecystitis in patients over 65 years of age, while patients who presented complex locoregional pathologies (trauma, cancer, etc.) were excluded. Results. In about 91% of cases, acute cholecystitis was determined by gallstones. 61.19% of cases benefited from laparoscopic cholecystectomy, the rest of the patients requiring additional procedures or open surgery. Morbidity and mortality were not significantly influenced, but some of the patients required complex interventions and longer hospital stay. Conclusions. The clinical manifestations of acute cholecystitis can be diminished in some of the elderly patients (neurological disorders, diabetes, immunosenescence, etc.), being initially appreciated as mild forms. Later it is found (by imaging or intraoperatively) that these are much more severe forms, which often require a customized therapeutic approach

Innovative nanostructured magnetite/wool/polysiloxane composite as magnetic adsorbent for oil spill removal

We report herein the synthesis and characterization of a new nanostructured composite (Wool-$\text{Fe}_3\text{O}_4$-Polysiloxane) aimed to be applied as a magnetic adsorbent for oil spill cleanup. The synthesized composite was characterized by the physical–chemical instrumental techniques (XRD, FTIR, SEM-EDX, and VSM). The hysteresis loops from the VSM measurement disclosed a magnetic saturation value of $M_{S}=5.47$ emu/g that was sufficient to induce magnetic properties to the composite material. The produced magnetic adsorbent showing hydrophobic properties was successfully tested for the sorption of petroleum products. Kinetic data of oily liquids retention and dripping were modeled by using the exponential and hyperbolic regression equations with three parameters. The hyperbolic kinetic model suggested higher maximal sorption capacity at time zero ($t=0$), that is, 14.486, 12.896, and 3.501 g/g, for motor oils 15W, 5W, and $n$-dodecane, respectively. The advanced recovery (80–92%) of retained oils from the spent sorbent was done by centrifugation

Innovative nanostructured magnetite/wool/polysiloxane composite as magnetic adsorbent for oil spill removal

We report herein the synthesis and characterization of a new nanostructured composite (Wool-$\text{Fe}_3\text{O}_4$-Polysiloxane) aimed to be applied as a magnetic adsorbent for oil spill cleanup. The synthesized composite was characterized by the physical–chemical instrumental techniques (XRD, FTIR, SEM-EDX, and VSM). The hysteresis loops from the VSM measurement disclosed a magnetic saturation value of $M_{S}=5.47$ emu/g that was sufficient to induce magnetic properties to the composite material. The produced magnetic adsorbent showing hydrophobic properties was successfully tested for the sorption of petroleum products. Kinetic data of oily liquids retention and dripping were modeled by using the exponential and hyperbolic regression equations with three parameters. The hyperbolic kinetic model suggested higher maximal sorption capacity at time zero ($t=0$), that is, 14.486, 12.896, and 3.501 g/g, for motor oils 15W, 5W, and $n$-dodecane, respectively. The advanced recovery (80–92%) of retained oils from the spent sorbent was done by centrifugation

The excess insulin requirement in severe COVID‐19 compared to non‐COVID‐19 viral pneumonitis is related to the severity of respiratory failure and pre‐existing diabetes

Funder: National Institute of Health Research Academic Clinical FellowshipAbstract: Introduction: Severe COVID‐19 has been anecdotally associated with high insulin requirements. It has been proposed that this may be driven by a direct diabetogenic effect of the virus that is unique to SARS‐CoV‐2, but evidence to support this is limited. To explore this, we compared insulin requirements in patients with severe COVID‐19 and non‐COVID‐19 viral pneumonitis. Methods: This is a retrospective cohort study of patients with severe COVID‐19 admitted to our intensive care unit between March and June 2020. A historical control cohort of non‐COVID‐19 viral pneumonitis patients was identified from routinely collected audit data. Results: Insulin requirements were similar in patients with COVID‐19 and non‐COVID‐19 viral pneumonitis after adjustment for pre‐existing diabetes and severity of respiratory failure. Conclusions: In this single‐centre study, we could not find evidence of a unique diabetogenic effect of COVID‐19. We suggest that high insulin requirements in this disease relate to its propensity to cause severe respiratory failure in patients with pre‐existing metabolic disease

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake