43 research outputs found
THE IMPACT OF ACCESSION TO THE EUROPEAN UNION ON PERCEPTIONS RELATED TO BUSINESS RISKS IN CENTRAL AND EASTERN EUROPE. A DISTANCE-TYPE ANALYSIS
The purpose of this paper is to investigate the impact of 2004 accession to the European Union on perceptions related to business risks in Central and Eastern European countries. The investigation makes use of the data provided by the Regular Reports on Global Competitiveness published annually by the World Economic Forum. Methodologically, our analysis requires the estimation of an average for the core of 15 member states of the European Union (EU 15) for each individual pillar considered to describe properly the business environment. In doing so, it is possible to measure the convergence – in terms of a distance-type analysis – of the new member states with the average of EU 15, prior and after the accession, comparatively. In addition, based on a k-means clustering technique, we investigate similarities between the same countries, as well as the convergence of different groups of countries with the group which contains this average.business risk, convergence, clusters, Eastern European Enlargement
Total order in opportunistic networks
Opportunistic network applications are usually assumed to work only with unordered immutable messages, like photos, videos, or music files, while applications that depend on ordered or mutable messages, like chat or shared contents editing applications, are ignored. In this paper, we examine how total ordering can be achieved in an opportunistic network. By leveraging on existing dissemination and causal order algorithms, we propose a commutative replicated data type algorithm on the basis of Logoot for achieving total order without using tombstones in opportunistic networks where message delivery is not guaranteed by the routing layer. Our algorithm is designed to use the nature of the opportunistic network to reduce the metadata size compared to the original Logoot, and even to achieve in some cases higher hit rates compared to the dissemination algorithms when no order is enforced. Finally, we present the results of the experiments for the new algorithm by using an opportunistic network emulator, mobility traces, and Wikipedia pages.Peer ReviewedPostprint (author's final draft
The impact of COVID-19 pandemic during lockdown on the veterinary profession in Romania: a questionnaire-based survey
The lockdown period in Romania lasted for 60 days and had the purpose of limiting
the spread of SARS-CoV-2 virus outbreak and manage its consequences through
emergency measures on many important areas of activity. This study aimed to gather,
assess, analyze and disseminate relevant social, economic, and medical aspects on the
impact of COVID-19 pandemic during lockdown on the veterinary profession in Romania.
A survey was created using an online questionnaire platform, and disseminated. The
survey was completed by a total of 409 individuals. A high number of respondents
(71.64%; n = 293) felt exposed to medium or high risk of infection with SARS-CoV-2
at their workplace and many (56.97%; n = 233) felt that their professional environment
was more stressful than usual during lockdown. Almost all respondents (89.73%; n =
367) declared the implementation of several controlmeasures recommended by FECAVA
and FVE (e.g., social distancing, wearing protective equipment, hand washing), but few
mentioned the opportunity of remote work or visiting restrictions. Overall, the results
show that the impact of lockdown lies directly on four main categories of importance
on veterinarian professional’s life—human resource, activity management, relationship
between veterinarian and authorities, and continuing education
Comparative study on metal versus zirconium dioxide infrastructure manufacturing in prosthetic rehabilitation in the maxillary frontal zone
Prosthetic rehabilitation of the maxillary front teeth is an extremely laborious problem for the dental team, consisting of the dentist and the dental technician. If for the physiognomic component the most recommended materials are the ceramic masses, for the resistance substrate there are several variants. Conventional technologies using dental alloys and modern ones involving the use of zirconium dioxide can be used successfully in performing fixed prosthetic restorations in the maxillary frontal area, both options having both advantages and disadvantages, as we will describe in this material
Dentists, members of the French Resistance movement during the World War II
The Resistance was a reaffirmation of France's independence and individuality, as well as a struggle to regain freedom and, above all, national integrity. In fact, many historians appreciate that the French Resistance could have achieved more if it had been more effectively integrated into Allied plans and strategies. Thus, in this material we tried to present some short biographies of dentists who worked in the French Resistance against the German occupation troops, some of them even paying with their lives for the courage they showed
Infected pancreatic necrosis: outcomes and clinical predictors of mortality. A post hoc analysis of the MANCTRA-1 international study
: The identification of high-risk patients in the early stages of infected pancreatic necrosis (IPN) is critical, because it could help the clinicians to adopt more effective management strategies. We conducted a post hoc analysis of the MANCTRA-1 international study to assess the association between clinical risk factors and mortality among adult patients with IPN. Univariable and multivariable logistic regression models were used to identify prognostic factors of mortality. We identified 247 consecutive patients with IPN hospitalised between January 2019 and December 2020. History of uncontrolled arterial hypertension (p = 0.032; 95% CI 1.135-15.882; aOR 4.245), qSOFA (p = 0.005; 95% CI 1.359-5.879; aOR 2.828), renal failure (p = 0.022; 95% CI 1.138-5.442; aOR 2.489), and haemodynamic failure (p = 0.018; 95% CI 1.184-5.978; aOR 2.661), were identified as independent predictors of mortality in IPN patients. Cholangitis (p = 0.003; 95% CI 1.598-9.930; aOR 3.983), abdominal compartment syndrome (p = 0.032; 95% CI 1.090-6.967; aOR 2.735), and gastrointestinal/intra-abdominal bleeding (p = 0.009; 95% CI 1.286-5.712; aOR 2.710) were independently associated with the risk of mortality. Upfront open surgical necrosectomy was strongly associated with the risk of mortality (p < 0.001; 95% CI 1.912-7.442; aOR 3.772), whereas endoscopic drainage of pancreatic necrosis (p = 0.018; 95% CI 0.138-0.834; aOR 0.339) and enteral nutrition (p = 0.003; 95% CI 0.143-0.716; aOR 0.320) were found as protective factors. Organ failure, acute cholangitis, and upfront open surgical necrosectomy were the most significant predictors of mortality. Our study confirmed that, even in a subgroup of particularly ill patients such as those with IPN, upfront open surgery should be avoided as much as possible. Study protocol registered in ClinicalTrials.Gov (I.D. Number NCT04747990)
Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study
: The workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad of other responsibilities. From April to May 2023, we conducted a CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. The questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, and logistic regression (SPSS® v. 28). The survey received a total of 1.046 responses (65.4%). Over 78.0% of responders came from Europe, 65.1% came from a general surgery unit; 92.8% of European and 87.5% of North American respondents were involved in research, compared to 71.7% in Africa. Europe led in publishing research studies (6.6 ± 8.6 yearly). Teaching involvement was high in North America (100%) and Africa (91.7%). Surgeons reported an average of 6.7 ± 4.9 on-call shifts per month, with European and North American surgeons experiencing 6.5 ± 4.9 and 7.8 ± 4.1 on-calls monthly, respectively. African surgeons had the highest on-call frequency (8.7 ± 6.1). Post-on-call, only 35.1% of respondents received a day off. Europeans were most likely (40%) to have a day off, while African surgeons were least likely (6.7%). On the adjusted multivariable analysis HDI (Human Development Index) (aOR 1.993) hospital capacity > 400 beds (aOR 2.423), working in a specialty surgery unit (aOR 2.087), and making the on-call in-house (aOR 5.446), significantly predicted the likelihood of having a day off after an on-call shift. Our study revealed critical insights into the disparities in workload, access to research, and professional opportunities for surgeons across different continents, underscored by the HDI
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
Abstract
Background
Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres.
Methods
This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries.
Results
In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia.
Conclusion
This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries
UTILIZATION OF CHLORHEXIDINE IN PROPHILACTIC TECHNIQUES OF PROFESSIONAL HYGIENIZATION
The present clinical study evaluates the results obtained by the application of the classical methods of
professional hygienization through ultrasonic scaling, brushing, air flow, comparatively with the additional
contribution brought about by chlorhexidine (CHX). The study was developed on a group of 328 subjects,
equally divided into a reference, respectively an experimental group. Each group was subdivided into a batch of
subjects affected with gingivitis, respectively a batch with persons suffering from periodontopathies. Each
patient belonging to the reference group was subjected to professional hygienization, namely scaling with
ultrasounds, professional brushing, fluorization, while the subjects forming the experimental group benefited
from an additional application of chlorhexidine – in the form of a 1% concentrated gel – inside the subgingival
ditches and interdental spaces
CHLORHEXIDINE AS AN ADJUVANT IN ULTRASOUND SCALING
In this study the authors have studied the results of using Chlorhexidine during preventive strategies. It evaluates
the clinical results after conventional methods of professional cleaning by ultrasonic scaling, brushing, sanding
(air flow) using Chlorhexidine (CHX). The study was conducted on a total of 328 Subjects equally divided in
one reference group and one study group. The purpose is to establish a risk assessment strategy and apply
preventive measures to each individual according to the diagnosis illness preponderance. The result is a better
wellness status after the use of Chlorhexidine during the ultrasound scaling procedures