Facilitating the disabled persons’ insertion in the Labour market through a professional counselling process directed towards the certification of competences

AbstractEquality and diversity are essential values of a democratic society, many companies being interested nowadays in developing ample programs of Corporate Social Responsibility. An ever-increasing number of studies demonstrate that the civic spirit and tolerance on the job are directly proportional to the team productivity and to the economic performance of the organisation, and the Romanian state offers fiscal facilitations to encourage the civic spirit. However, although in Romania there live more than 600 000 people with disabilities (acc. to ANPH), while 50% of them could be integrated on the labour market (in their case, their handicap affects activity only partially), only 5% of them are actually hired. In the herby study, our purposes are: to identify the resources that are necessary in the recruitment/selection process of the people with disabilities; to build up a specific counselling program of the people with disabilities with a view to fructifying their individual potential and to guaranteeing equal opportunities in their career development by means of a process of acknowledging the competences acquired as a result of their work experience, in protected workshops or outside them

Family Destructuring as a Results of Workforce Migration. Romanian Realities

AbstractAfter 1989, major changes in all fields of economic, social, political and moral life have taken place in Romania, these changes having great impact on family life. Economic crisis, increased unemployment, decreased income, and increased poverty on the one hand, the absence of viable social protection measures, on the other hand, triggered at the social level, the belief that ensuring acceptable living conditions in the country is impossible. In this context, migration of workforce has acquired new dimensions and its effects on family life are more and more obvious. The purpose of our study is, on the one hand, analyzing the current situation of the workforce migration in Romania, showing its main consequences on the family structure, inter-familiar relations, children's psychological development and social integration and, on the other hand, offering some viable solution to suppress the negative effects of such a phenomenon

Clinical Psychological Aspects within The Concept of Pediatric Dentistry

In this paper we aim to describe the pediatric dentistry (pedodontics) wich is a branch of dental medicine dealing exclusively with children and adolescents, being a field that has experienced an impressive development over the past years in our country, being introduced as a specialty in the program of residency in 2016. The purpose of this article is to highlight a number of clinical and psychological aspects resulting from a study of a sample of 10 children on the behavior adopted in the dental office in two distinct situation

Preliminary Tests Regarding Fumigant Effect of Volatile Oils Obtained from Medicinal Plants

The objective of this work was testing 4 volatile oils obtained from new varieties of medicinal plants (yellow basil; red basil; marigold; hyssop), over Beauveria brongniartii (BbgMm1a/09) entomopathogenic fungi and Sitophilus granarius, deposit insect. The results obtained showed that at different concentrations, red basil volatile oil showed the strongest inhibitory effect compared to the other tested oils (yellow basil, marigold and hyssop). Concerning the insecticidal action, the preliminary tests with the 4 volatile oils obtained from new varieties of medicinal plants had no effect on the test insect - Sitophilus granarius

Validation and Application of an Online Pharmacy Patient Satisfaction Questionnaire

The world's applications of the Internet in public health services have expanded rapidly over the past two decades. In Romania, the online pharmacy was regulated and implemented in April 2019. The study aimed to validate a questionnaire about online pharmacy services and to assess patient satisfaction with these services. This cross-sectional descriptive observational qualitative study was conducted on 747 patients, 159 men and 588 women, aged between 18 and 85 years (mean age 31.44±11.324), who accessed online pharmacy services in Romania. The lot was made of convenience and "snowball" sampling. Patients completed an online questionnaire on google form [https://docs.google.com/forms/d/e/1FAIpQLSfSRGTcemtGLmsjfALAxKAMjnKMdt4DnCY0kauWi5cQQ8HAvw/viewform], with 10 items, structured in two sections regarding satisfaction with online pharmacy services and with financial aspects, between June 2022 and April 2023. The questionnaire is an adaptation to the specifics of Romanian pharmaceutical services of Johnson et al.'s questionnaire. The response scale of the questions was a five-category Likert type, ranging from “strongly disagree” to “strongly agree”. The questionnaire was previously validated and the statistical analysis was done in SPSS 27.0 software. The Inter-rater Agreement index was 61.9%; Scale Content Validity was 87.6% for clarity and 84.8% for relevance; the completeness index was 95.2%; Bartlett's Test of Sphericity was 157.451 with 45 degrees of freedom (p=0.000); the Kaiser-Meyer-Olkin statistic was 0.667; The factorial analysis revealed 2 factors (with Eigen values >1.0), which are responsible for 71.3% of the variation of the 10 investigated items; The alpha-Cronbach coefficient for the entire questionnaire was 0.897. The mean score of the questionnaire was 3.8240±0.60278 and statistically significant differences were found according to the age groups (p=0.003) of the respondents and the frequency of accessing the online pharmacy (p<0.001). The questionnaire proved to be valid and showed the level of patient satisfaction with online pharmacy services

Electric Cell-Substrate Impedance Sensing of Cellular Effects under Hypoxic Conditions and Carbonic Anhydrase Inhibition

Tumor hypoxia provides a dynamic environment for the cancer cells to thrive and metastasize. Evaluation of cell growth, cell-cell, and cell surface interactions in hypoxic conditions is therefore highly needed in the establishment of treatment options. Electric cell-substrate impedance sensing (ECIS) has been traditionally used in the evaluation of cellular platforms as a real-time, label-free impedance-based method to study the activities of cells grown in tissue cultures, but its application for hypoxic environments is seldom reported. We present real-time evaluation of hypoxia-induced bioeffects with a focus on hypoxic pH regulation of tumor environment. To this end, multiparametric real-time bioanalytical platform using electrical impedance spectroscopy (EIS) and human colon cancer HT-29 cells is advanced. A time series of EIS data enables monitoring with high temporal resolution the alterations occurring within the cell layer, especially at the cell-substrate level. We reveal the dynamic changes of cellular processes during hypoxic conditions and in response to application of acetazolamide (AZA), a carbonic anhydrase inhibitor. Optical evaluation and pH assessment complemented the electrical analysis towards establishing a pattern of cellular changes. The proposed bioanalytical platform indicates wide applicability towards evaluation of bioeffects of hypoxia at cellular level

Azimuthal anisotropy of charged jet production in root s(NN)=2.76 TeV Pb-Pb collisions

We present measurements of the azimuthal dependence of charged jet production in central and semi-central root s(NN) = 2.76 TeV Pb-Pb collisions with respect to the second harmonic event plane, quantified as nu(ch)(2) (jet). Jet finding is performed employing the anti-k(T) algorithm with a resolution parameter R = 0.2 using charged tracks from the ALICE tracking system. The contribution of the azimuthal anisotropy of the underlying event is taken into account event-by-event. The remaining (statistical) region-to-region fluctuations are removed on an ensemble basis by unfolding the jet spectra for different event plane orientations independently. Significant non-zero nu(ch)(2) (jet) is observed in semi-central collisions (30-50% centrality) for 20 <p(T)(ch) (jet) <90 GeV/c. The azimuthal dependence of the charged jet production is similar to the dependence observed for jets comprising both charged and neutral fragments, and compatible with measurements of the nu(2) of single charged particles at high p(T). Good agreement between the data and predictions from JEWEL, an event generator simulating parton shower evolution in the presence of a dense QCD medium, is found in semi-central collisions. (C) 2015 CERN for the benefit of the ALICE Collaboration. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).Peer reviewe

Forward-central two-particle correlations in p-Pb collisions at root s(NN)=5.02 TeV

Two-particle angular correlations between trigger particles in the forward pseudorapidity range (2.5 2GeV/c. (C) 2015 CERN for the benefit of the ALICE Collaboration. Published by Elsevier B. V.Peer reviewe

Event-shape engineering for inclusive spectra and elliptic flow in Pb-Pb collisions at root(NN)-N-S=2.76 TeV

Peer reviewe

Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: A systematic analysis from the Global Burden of Disease Study 2016

Background: A key component of achieving universal health coverage is ensuring that all populations have access to quality health care. Examining where gains have occurred or progress has faltered across and within countries is crucial to guiding decisions and strategies for future improvement. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) to assess personal health-care access and quality with the Healthcare Access and Quality (HAQ) Index for 195 countries and territories, as well as subnational locations in seven countries, from 1990 to 2016. Methods Drawing from established methods and updated estimates from GBD 2016, we used 32 causes from which death should not occur in the presence of effective care to approximate personal health-care access and quality by location and over time. To better isolate potential effects of personal health-care access and quality from underlying risk factor patterns, we risk-standardised cause-specific deaths due to non-cancers by location-year, replacing the local joint exposure of environmental and behavioural risks with the global level of exposure. Supported by the expansion of cancer registry data in GBD 2016, we used mortality-to-incidence ratios for cancers instead of risk-standardised death rates to provide a stronger signal of the effects of personal health care and access on cancer survival. We transformed each cause to a scale of 0-100, with 0 as the first percentile (worst) observed between 1990 and 2016, and 100 as the 99th percentile (best); we set these thresholds at the country level, and then applied them to subnational locations. We applied a principal components analysis to construct the HAQ Index using all scaled cause values, providing an overall score of 0-100 of personal health-care access and quality by location over time. We then compared HAQ Index levels and trends by quintiles on the Socio-demographic Index (SDI), a summary measure of overall development. As derived from the broader GBD study and other data sources, we examined relationships between national HAQ Index scores and potential correlates of performance, such as total health spending per capita. Findings In 2016, HAQ Index performance spanned from a high of 97\ub71 (95% UI 95\ub78-98\ub71) in Iceland, followed by 96\ub76 (94\ub79-97\ub79) in Norway and 96\ub71 (94\ub75-97\ub73) in the Netherlands, to values as low as 18\ub76 (13\ub71-24\ub74) in the Central African Republic, 19\ub70 (14\ub73-23\ub77) in Somalia, and 23\ub74 (20\ub72-26\ub78) in Guinea-Bissau. The pace of progress achieved between 1990 and 2016 varied, with markedly faster improvements occurring between 2000 and 2016 for many countries in sub-Saharan Africa and southeast Asia, whereas several countries in Latin America and elsewhere saw progress stagnate after experiencing considerable advances in the HAQ Index between 1990 and 2000. Striking subnational disparities emerged in personal health-care access and quality, with China and India having particularly large gaps between locations with the highest and lowest scores in 2016. In China, performance ranged from 91\ub75 (89\ub71-93\ub76) in Beijing to 48\ub70 (43\ub74-53\ub72) in Tibet (a 43\ub75-point difference), while India saw a 30\ub78-point disparity, from 64\ub78 (59\ub76-68\ub78) in Goa to 34\ub70 (30\ub73-38\ub71) in Assam. Japan recorded the smallest range in subnational HAQ performance in 2016 (a 4\ub78-point difference), whereas differences between subnational locations with the highest and lowest HAQ Index values were more than two times as high for the USA and three times as high for England. State-level gaps in the HAQ Index in Mexico somewhat narrowed from 1990 to 2016 (from a 20\ub79-point to 17\ub70-point difference), whereas in Brazil, disparities slightly increased across states during this time (a 17\ub72-point to 20\ub74-point difference). Performance on the HAQ Index showed strong linkages to overall development, with high and high-middle SDI countries generally having higher scores and faster gains for non-communicable diseases. Nonetheless, countries across the development spectrum saw substantial gains in some key health service areas from 2000 to 2016, most notably vaccine-preventable diseases. Overall, national performance on the HAQ Index was positively associated with higher levels of total health spending per capita, as well as health systems inputs, but these relationships were quite heterogeneous, particularly among low-to-middle SDI countries. Interpretation GBD 2016 provides a more detailed understanding of past success and current challenges in improving personal health-care access and quality worldwide. Despite substantial gains since 2000, many low-SDI and middle- SDI countries face considerable challenges unless heightened policy action and investments focus on advancing access to and quality of health care across key health services, especially non-communicable diseases. Stagnating or minimal improvements experienced by several low-middle to high-middle SDI countries could reflect the complexities of re-orienting both primary and secondary health-care services beyond the more limited foci of the Millennium Development Goals. Alongside initiatives to strengthen public health programmes, the pursuit of universal health coverage hinges upon improving both access and quality worldwide, and thus requires adopting a more comprehensive view-and subsequent provision-of quality health care for all populations