Traumatic rupture of the right atrium with haemopericardium due to blunt car crash accident thoracic trauma, resolved in department of general surgery (Case report)

Secţia Chirurgie, Secţia ATI, Spitalul Judeţean de Urgenţă, Drobeta-Turnu Severin, România, Al XII-lea Congres al Asociației Chirurgilor „Nicolae Anestiadi” din Republica Moldova cu participare internațională 23-25 septembrie 2015Caz clinic: Autorii prezintă un caz de ruptură de atriu drept în urma unui traumatism toracic închis fără fracturi costale şi fără marca traumatică tegumentară, ca urmare a unui accident rutier. Bolnava în vârstă de 31 de ani este adusă la Spitalul Judeţean de Urgenţă Tr-Severin la circă 30 de minute de la producerea accidentului, prezentând stare generală gravă, colaps vascular periferic, stare comatoasă. Investigaţiile imagistice (ecografie, CT) evidențiază numai hemopericard. S-a intervenit chirurgical prin toracotomie stângă şi sternotomie parţiala. S-a găsit ruptura de auricul drept, pentru care s-a practicat ligatura plăgii auriculare. Perioada postoperatorie a fost fără complicaţii, pacienta a supravieţuit.Clinical case: The authors present a case of the right atrium rupture following a blunt chest injury as a result of a car crash accident, without rib fractures and traumatic marks of skin. The patient aged 31 years is transported to Emergency County Hospital Tr-Severin approximately 30 minutes after trauma, presenting poor general condition, peripheral vascular collapse, and coma. Imaging studies (ultrasound, CT) reveal haemopericardium only. Left thoracotomy and partial sternotomy was performed. Auricle rupture was found, which required ligation of auricle wound. Postoperative period was uneventful, and the patient survived

MOTIVATION IN WORK

Studying motivation and the motives that make people act in a certain way has a fundamental importance in the management of human resources. The whole human behaviour has a cause, which is a consequence of hereditary combination and development. At the basis of human behaviour there are the needs, wishes and motives. People try to fulfil certain objectives or purposes, which when reached will satisfy their needs. Of course, all the people in the organization participate in fulfilling them, each person with a different intensity. If we were to arrange the employees after their intensity with which they participate in fulfilling the companies’ objectives, then at the peak of the pyramid would be those who act with the most intensity to realize the objectives and at the bottom of the pyramid would be those who act with very little intensity. That is why managers of a company must identify motivational factors which make individuals who are at the bottom of the pyramid want to take more initiative to reach a higher performance level.motivation, behavior, human resources, performance, objectives

Comments Upon an Earth Dam Severely Damaged by Foundation Liquefaction

The damage of the Draganesti earth dam on lower sector of the Olt river due to foundation liquefaction during 30th May 1990, 0.12 g in site maximum acceleration, Vrancea earthquake is described. The dam is up to 20 m maximum height and border cross-wise and laterally the reservoir with 12.6 km length of the low head hydroelectric power station. The damage consisting of a large slide with about 60 m length at the dam downstream face and some cracks and lift-up of the reinforced concrete slabs at the corresponding upstream toe zone was placed in a zone where any special technology for increasing the relative density of the foundation loose sand layer was not applied. The natural relative density of the above mentioned layer having 1.20…7.00 m thickness was Dr =0.15…0.30, but it was increased up to 0.55…0.65 by vibrated-compacted gravel microcolumns technology, that was applied for over 80 % of dam foundation area. A comprehensive seismic backanalysis is performed in order to explain the damage mechanism

Evaluation of Florida Physicians’ Knowledge and Attitudes Toward Accessing the State Prescription Drug Monitoring Program as a Prescribing Tool

Objective The purpose of this study is to assess Florida physicians\u27 attitudes and knowledge toward accessing the state\u27s prescription drug monitoring program (PDMP). Design Five thousand medical doctors and osteopathic physicians licensed in Florida were randomly selected for a voluntary and anonymous 15-question self-administered survey approved by the Institutional Review Board. Surveys were distributed through U.S. postal service mail. Likert-scale questions were used to assess prior knowledge (1 = none to 5 = excellent) and attitudes toward accessing the PDMP (1 = strongly disagree to 5 = strongly agree). Results The study yielded a response rate of 7.8%, 71.5% of whom agreed or strongly agreed that the PDMP is a useful tool. Among participants that have access and answered the PDMP usefulness question, 94.8% agree or strongly agree that it is a useful tool. There were 63 out of 64 physicians (98.4%) who conducted 25 or more searches who agreed or strongly agreed that the PDMP is a useful tool for monitoring patients\u27 controlled substance histories. There were 72.5% of participants with access that answered the “doctor shopping” question who agreed that “doctor shopping” will decrease. Among the 64 most frequent PDMP users, 69.4% agreed or strongly agreed that they have prescribed fewer controlled substances after accessing the PDMP. Conclusions The study revealed that a majority of participants believe that the PDMP is a useful tool for monitoring patients\u27 controlled substance histories. More continuing education programs should be provided to Florida physicians to enhance their knowledge regarding PDMPs

Long-term ground deformation patterns of Bucharest using multi-temporal InSAR and multivariate dynamic analyses: a possible transpressional system?

The aim of this exploratory research is to capture spatial evolution patterns in the Bucharest metropolitan area using sets of single polarised synthetic aperture radar (SAR) satellite data and multi-temporal radar interferometry. Three sets of SAR data acquired during the years 1992–2010 from ERS-1/-2 and ENVISAT, and 2011–2014 from TerraSAR-X satellites were used in conjunction with the Small Baseline Subset (SBAS) and persistent scatterers (PS) high-resolution multi-temporal interferometry (InSAR) techniques to provide maps of line-of-sight displacements. The satellite-based remote sensing results were combined with results derived from classical methodologies (i.e., diachronic cartography) and field research to study possible trends in developments over former clay pits, landfill excavation sites, and industrial parks. The ground displacement trend patterns were analysed using several linear and nonlinear models, and techniques. Trends based on the estimated ground displacement are characterised by long-term memory, indicated by low noise Hurst exponents, which in the long-term form interesting attractors. We hypothesize these attractors to be tectonic stress fields generated by transpressional movements.info:eu-repo/semantics/publishedVersio

Identifying ground displacement trends in Bucharest using InSAR

Some of the most popular multi-temporal interferometric techniques used in monitoring surface movements have been applied for capturing the spatial evolution patterns of Bucharest. Three sets of C and X-band single polarized SAR images (Envisat, ERS and TSX) were processed using the PS (Persistent Scatterers) and SBAS (Small BAseline Subset) techniques. The processing results consisted of deformation maps offering an image of the line of sight displacement rates in the past. In both PS and SBAS cases, displacement rates values are of the orders of millimetres. The analysis of possible trends is focused on relevant areas with a potentially interesting historical evolution, such as former clay pits, landfill excavation sites and industrial platforms. The InSAR techniques made it possible for the first time to investigate movements over large urban areas in combination with results derived from classical methodologies (diachronic cartography, geology, geomorphology) and thorough statistical analysis. The analyses lead to a new hypothesis regarding the geological processes that affect the surface evolution patterns in Bucharest.info:eu-repo/semantics/publishedVersio

European ancient settlements - A guide to their composition and morphology based on soil micromorphology and associated geoarchaeological techniques; introducing the contrasting sites of Chalcolithic Bordus, ani-Popina, Borcea River, Romania and Viking Age Heimdaljordet, Vestfold, Norway

Specific soil micromorphological, broader geoarchaeological and environmental archaeology signatures of settlement activities and land use have been identified from numerous case studies across Europe – from Romania to western Norway. In order to demonstrate how such investigations contribute to our understanding of settlement morphology and its wider landscape, an improved way of organising site-specific information or guide was created (Macphail and Goldberg, in press). Activities and land use are divided into ‘Within Settlement’, ‘Peripheral to Settlement’ and ‘The Settlement's Wider Landscape’. Major themes identified are: Constructions (and materials), Trackways and paths (and other communication/transport-associated features), Animal Management, Water Management, Waste Disposal (1: middening; 2: human waste), Specialist Domestic and Industrial Activities and Funerary Practices. In the case of trackway deposits, their characterisation aids the identification of intensely occupied areas compared to rural communications, although changing land use within urban areas has also produced ‘rural signatures’ (e.g. as associated with animal management), for example in Late Roman cities. Specialist activities such as fish and crop processing or working with lead and other metals, in-field and within-wall manuring, stabling and domestic occupation floor-use evidence, and identification of different funerary practice – cremations, boat graves and other inhumations, and excarnation features – and peripheral constructions such as boat-houses, are also noted. New information from the Chalcolithic tell site of Borduşani-Popină, Romania and seasonally occupied Viking settlement of Heimdaljordet, Norway, is introduced

IS TAXATION AFFECTING THE ATTRACTIVENESS OF CENTRAL AND EASTERN EUROPE COUNTRIES FOR FDI?

Abstract: The target of this paper is to determine whether taxation affects the attractiveness of Central and Easter

Renormalization group analysis of the gluon mass equation

We carry out a systematic study of the renormalization properties of the integral equation that determines the momentum evolution of the effective gluon mass in pure Yang-Mills theory, without quark effects taken into account. A detailed, all-order analysis of the complete kernel appearing in this particular equation, derived in the Landau gauge, reveals that the renormalization procedure may be accomplished through the sole use of ingredients known from the standard perturbative treatment of the theory, with no additional assumptions. However, the subtle interplay of terms operating at the level of the exact equation gets distorted by the approximations usually employed when evaluating the aforementioned kernel. This fact is reflected in the form of the obtained solutions, for which the deviations from the correct behavior are best quantified by resorting to appropriately defined renormalization-group invariant quantities. This analysis, in turn, provides a solid guiding principle for improving the form of the kernel, and furnishes a well-defined criterion for discriminating between various possibilities. Certain renormalization-group inspired Ansätze for the kernel are then proposed, and their numerical implications are explored in detail. One of the solutions obtained fulfills the theoretical expectations to a high degree of accuracy, yielding a gluon mass that is positive definite throughout the entire range of physical momenta, and displays in the ultraviolet the so-called 'power-law' running, in agreement with standard arguments based on the operator product expansion. Some of the technical difficulties thwarting a more rigorous determination of the kernel are discussed, and possible future directions are briefly mentioned