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Imaging tests for accurate diagnosis of acute biliary pancreatitis

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World Journal of Gastroenterology 2014年第44期20卷 16544-16549页

作者： valeriu Surlin Adrian S?ftoiu Daniela Dumitrescu 1st Clinic of Surgery University of Medicine and Pharmacy of Craiova Research Center of Gastroenterology and Hepatology University of Medicine and Pharmacy of Craiova Department of Radiology University of Medicine and Pharmacy of Craiova

Gallstones represent the most frequent aetiology of acute pancreatitis in many statistics all over the world, estimated between 40%-60%. Accurate diagnosis of acute biliary pancreatitis(ABP) is of outmost importance because clearance of lithiasis [gallbladder and common bile duct(CBD)] rules out recurrences. Confirmation of biliary lithiasis is done by imaging. The sensitivity of the ultrasonography(US) in the detection of gallstones is over 95% in uncomplicated cases, but in ABP, sensitivity for gallstone detection is lower, being less than 80% due to the ileus and bowel distension. Sensitivity of transabdominal ultrasonography(TUS) for choledocolithiasis varies between 50%-80%, but the specificity is high, reaching 95%. Diameter of the bile duct may be orientative for diagnosis. Endoscopic ultrasonography(EUS) seems to be a more effectivetool to diagnose ABP rather than endoscopic retrograde cholangiopancreatography(ERCP),which should be performed only for therapeutic *** the sensitivity and specificity of computerized tomography are lower as compared to state-of-the-art magnetic resonance cholangiopancreatography(MRCP)or EUS,especially for small stones and small diameter of CBD,the later techniques are nowadays preferred for the evaluation of ABP *** has the highest accuracy for the diagnosis of choledocholithiasis and is used as a reference standard in many studies,especially after sphincterotomy and balloon extraction of CBD *** ultrasonography is a useful tool for the intraoperative diagnosis of *** exploration of the CBD in cases of patients scheduled for cholecystectomy after an attack of ABP was not proven useful.A significant rate of the so-called idiopathic pancreatitis is actually caused by microlithiasis and/or biliary *** conclusion,the general algorithm for CBD stone detection starts with anamnesis,serum biochemistry and then TUS,followed by EUS or *** the end,bile duct microscopic an

关键词： Biliary Pancreatitis Lithiasis Endoscopic ultrasonography Magnetic resonance cholangiopancreatography Endoscopic retrograde cholangiopancreatography

The Interplay Between Personality and Organizational Climate

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Journal of Philosophy Study 2022年第4期12卷 209-218页

作者： valeriu Deciu “Alexandru Ioan Cuza”University IasiRomania

Organizational climate refers to the collective behavioral tendencies of persons within an *** is an essential ingredient in determining business success,since the behavior of persons within an organization influences all types of *** the same time,organizational climate also determines how much employees will dedicate themselves towards the achievement of their organization’s ***,although organizational climate is largely a product of organizational structure and leadership techniques,it remains significantly influenced by the personality traits of ***,personality refers to the pattern of beliefs,attitudes,values,and behaviors perpetrated by an individual over an extensive *** is unique to every individual,but it could potentially impact organizational *** is because it determines whether individuals will comply with the climate of their *** this study,the aim will be to prove that personality affects organizational *** indicate that personality determines compatibility between individual and organization,indicating that some individuals are not good for some organizations and vice versa.

关键词： personality personality traits organizational climate performance

Black locust(Robinia pseudoacacia L.)as a multi-purpose tree species in Hungary and Romania:a review

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Journal of Forestry Research 2018年第6期29卷 1449-1463页

作者： valeriu-Norocel Nicolescu Cornelia Hernea Beatrix Bakti Zsolt Keseru Borbála Antal Károly Rédei Faculty of Silviculture and Forest Engineering Transylvania University of BrassovSirul Beethoven no.1500123 BrasovRomania Faculty of Horticulture and Forestry Banat’s University of Agricultural Sciences and Veterinary Medicine“King Michael I of Romania”from Timi.oaraCalea Aradului 119300645 TimisoaraRomania Department of Plantation Forestry National Agricultural Research and Innovation Centre Forest Research InstituteFarkasszigetPu¨spo¨klada′ny 4150Hungary Hungarian Horticultural Propagation Material Non-profit Ltd. Sa′rva′rBudapestHungary

Black locust(Robinia pseudoacacia L.) was the first North-American tree species imported to Europe at the beginning of the seventeenth century. It is commonly planted worldwide because of its adaptability to environmental stresses, its valuable wood, easy propagation, frequent and abundant seed production, excellent coppicing,high seedling survival, and relatively high wood yield. In Europe, Romania and Hungary have the most highly-developed black locust growing techniques and *** a result of increasing interest in black locust in many countries, this review aims to provide a comprehensive overview of state-of-the-art site requirements, propagation, improvement and management(including growth and yield as well as use in energy plantations).

关键词： Robinia pseudoacacia Site requirements Selection Propagation Silviculture

Shifting Identities in European Union(EU)Immigrants

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Sociology Study 2022年第2期12卷 37-44页

作者： valeriu Deciu “Alexandru Ioan Cuza”University IasiRomania

Arguably,globalisation has caused an identity crisis in *** national borders became more integrated in the last few decades,the volume of migrants into the EU and the value of ethnicity held by Europeans have also been on the ***,the bloc has been facing an influx of immigrants from the African and Middle East *** for the EU leaders,their stance on a common migration policy is entrenched in the wider social,cultural,and political processes that depict an endangered European *** would explain the current debate on immigration in many of the European countries appears to have been *** paper takes a wider look into how immigration has reshaped the EU,as well as,how EU immigrants have had to shift their identities as they struggle to fit into their new society.

关键词： EU identity immigrants shifting identities society

The Organizations’Psychological Environment Traits Modification When Adopting an Ethics and Compliance Program

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Psychology Research 2022年第5期12卷 263-272页

作者： valeriu Deciu “Alexandru Ioan Cuza”University IasiRomania

Ethics and compliance programs have a direct linkage to key tenets of employee *** employee behaviors are building blocks of the organizations’psychological environment *** are characterized by role identity,self-awareness,motivation,and *** is crucial to unravel the diversity of the perspectives of the programs to design an appropriate framework of the relationship between ethics and compliance and organizational *** to Weinstein(2019),“Compliance is a fundamental pillar of any corporate operation and culture,and it should be based upon the principles of transparency,impartiality,responsibility,integrity,professionalism and ethics”.While“Ethics goes beyond what the law *** involves doing the right thing and following both the spirit and not just the letter of the law”.The founding facets of effective ethics and compliance are culture,leaders,and risks *** and procedures that integrate these factors reduce the risks of *** organization psychological environment aligns with key characteristics of the workplace such as physical setting,culture,and job *** such as noise,heat,and lighting measures may considerably impact concentration,thus affecting psychological *** to Ruiz-Palomino,Martínez-Cañas,and Fontrodona(2013,p.173),ethical culture directly impacts an individual’s emotional and well-being,which characterizes organizational *** and ethics influence perceived corporate support and social exchange,which trigger ethics and compliance.

关键词： ethics compliance organizations’psychological environment employee behavior corporate culture

Short-term effects of cleaning-respacing in a silver fir-dominated stand in Romania

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Journal of Forestry Research 2018年第6期29卷 1591-1599页

作者： valeriu-Norocel Nicolescu Cornelia Hernea Diana-Cristina Simon3 Matei-Nicolae Ciolan Monica-Elena Barti Hendrik Schubert Edina Borbely Faculty of Silviculture and Forest Engineering Transylvania University of Brasov.irul Beethoven 1500123 BrasovRomania Faculty of Horticulture and Forestry Banat’s University of Agricultural Sciences and Veterinary Medicine“King Michael I of Romania”from Timi.oaraCalea Aradului 119300645 Timi.oaraRomania Barzava Forest District 317030 BarzavaAradRomania LIGNUM Forest District 605300 DarmanestiBacauRomania

This paper discusses the early silviculture of silver fir(Abies alba Mill.), a major softwood in Romania covering more than 294,000 ha. Three research plots(DRP1, DRP2 and DRP3) were established in a 25-year-old silver fir-dominated stand in May 2012. In DRP1 and DRP2, heavy cleaning-respacing were carried out while DRP3 was kept as a control. After the treatments in 2012,the plots had stocking between 1470 trees ha-1(DRP2) and10,030 trees ha-1(DRP3), basal areas between11.8 m2ha-1(DRP2) and 31.6 m2ha-1(DRP3). The average diameters were between 5.7 cm(DRP3) and 9.6 cm(DRP2). Measurements in September 2016 confirmed the rapid response of silver fir to *** best results in average diameter increments and basal area between 2012 and 2016 were in DRP2: 3.7 cm(36.4%) and 7.7 m2ha-1(85.0%) respectively. The largest diameter trees in 2012 were the best growers, and a strong linear correlation between the initial diameter of the remaining trees and their increment was established. Natural dieback of trees occurred only in DRP3(8.6%). The selection of crop trees based on the vigour, quality, and spacing criteria during cleaning-respacing was possible as individuals stood out in terms of vigour and early diameter growth. An issue encountered in DRP1 and DRP2 was the occurrence of epicormic shoots, especially on less vigorous individuals with small crowns. However, four years after cleaning-respacing, these branches are small and do not significantly affect the wood quality.

关键词： Abies alba Tending operations Stocking Basal area Increment

Primary parahiatal hernias:A case report and review of the literature

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World Journal of Clinical Cases 2019年第23期7卷 4020-4028页

作者： Silviu Daniel Preda Stefan Patrascu Bogdan Silviu Ungureanu Daniel Cristian Vasile Bintintan Cristian M Nica Valentin Calu Victor Strambu Konstantinos Sapalidis valeriu Marin Surlin 1^(st) Clinic of Surgery Clinical Emergency Hospital of CraiovaUniversity of Medicine and Pharmacy of CraiovaCraiova 200642DoljRomania Gastroenterology Clinic Clinical Emergency Hospital of CraiovaUniversity of Medicine and Pharmacy of CraiovaCraiova 200642DoljRomania Departament of General Surgery “Coltea”Clinical HospitalCarol Davilla University of Medicine and PharmacyBucharest 030171Romania 1^(st) Clinic of Surgery of Cluj Napoca Iuliu Hatieganu University of Medicine and Pharmacy Cluj NapocaCluj Napoca 400006ClujRomania 3^(rd) Clinic of Surgery Timisoara Emergency Clinical County Hospital“Victor Babes”University of Medicine and Pharmacy of TimisoaraTimisoara 300723Romania Clinic of Surgery “Elias”Emergency University Hospital BucharestUniversity of Medicine and Pharmacy“Carol Davila”Bucharest 011461Romania Clinic of Surgery of“Dr.Carol Davila”Nephrology Clinical Hospital University of Medicine and Pharmacy“Carol Davila”Bucharest 010731Romania 3^(rd) Surgery Clinic University General Hospital of ThessalonikiAristotle University of ThessalonikiSalonic 54636Greece

BACKGROUND Parahiatal hernias(PHHs)are rare occurring disease,with a reported incidence of 0.2%-0.35%in patients undergoing surgery for hiatal *** found only a handful of cases of primary PHHs in the *** aim of this paper is to present a case of a primary PHH and perform a systematic review of the *** SUMMARY We report the case of a 60-year-old Caucasian woman with no history of thoracoabdominal surgery or trauma,which accused epigastric pain,starting 2 years prior,pseudo-angina and *** on imagistic findings the patient was diagnosed with a PHH and an associated type I hiatal *** underwent laparoscopic surgery and we found an opening in the diaphragm of 7 cm diameter,lateral to the left crus,through which 40%-50% of the stomach had herniated in the thorax,and a small sliding hiatal hernia with an anatomically intact hiatal orifice but slightly *** performed closure of the defect,suture hiatoplasty and a“floppy”Nissen *** outcome was uneventful,with the patient discharged on the fifth postoperative *** performed a review of the literature and identified eight articles regarding primary *** data was compiled into one tabled and *** Primary PHHs are rare entities,with similar clinical and imagistic findings with paraesophageal *** usually includes laparoscopic approach with closure of the defect and the esophageal hiatus should be dissected and *** outcome is favorable in all cases reviewed and no recurrence is cited in the literature.

关键词： Parahiatal Hernia Review Literature Case report

THE ACCOUNTANCY OF THE ENVIRONMENT-MEANS OF SUBSTANTIATION OF THE ENVIRONMENTAL DECISION

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THE ACCOUNTANCY OF THE ENVIRONMENT-MEANS OF SUBSTANTIATION O...

Accessory renal arteries-a source of hypertension:A case report

第三世界生态高峰会

作者： valeriu LUPU Mihaela TULVINSCHI “Stefan cel Mare” University of Suceava.Romania “Stefan cel Mare” University of Suceava.Romania

When,it is applied,in the accountancy of the company The Accountancy of the Environment,two groups of experts work in this field which are:1) the accountancy group (accountants),which has the role to evaluate,to pursue,to register the sales of products (input- output),the incomes underlined on cost centres,the buying costs (sales prices,internal prices,the calculus of the duties and taxes etc);2) The group of technology (technologies),which has the role to elaborate material balances,of water,energy,waste,emissions expressed in physical unities and under the shape of costs,to identify the costs for the equipments of capture and treatment of emissions,for the application of the clean technologies,to evaluate the number of hours as manual labour,the necessary operations of costs distributions on different leve(?)s of dealing with the *** main document pursuit by the deciders,as support for reporting within the enterprise or in its exterior is the File that refers to the costs of environment protection,made at the level of a calendar *** main factors that influence the costs of enviromnent protection are:the climate,the used water,waste,soil and phreatic water,noise,vibrations,radiations and biodiversity and *** the File that refers to the costs of the environment protection,the main categories of expenses and costs for the environment protection are:waste and emission treatment;the usage of equipments;maintenance,materials for operations and services;stuff, taxes;fines,penalties,insurances for environment responsibilities;reserves for average depollution;the prevention and the management of the environment *** conclude,in spite of an important initial effort at global level,the accounts of environment accountancy were practically limited to the expenses accounts for the environment protection.

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World Journal of Clinical Cases 2023年第7期11卷 1506-1512页

作者： Amalia Calinoiu Elena-Cristina Guluta Adina Rusu Alexandra Minca Dragos Minca Luminita Tomescu valeriu Gheorghita Dana Galieta Minca Lucian Negreanu Department of Internal Medicine Prof.Dr.Agrippa Ionescu Emergency Clinical HospitalBucuresti 011356BucureștiRomania Department of Gastroenterology Bucharest University Emergency HospitalBucharest 050098Romania Department of Internal Medicine Clinic Bucharest University Emergency HospitalBucharest 050098Romania Department of Rheumatology Clinic Center of Rheumatic Disease"Dr.Ion Stoia"Bucharest 030167Romania Department of Radiology Clinic Prof.Dr.Agrippa Ionescu Clinical Emergency HospitalBucharest 011356Romania Department of Infectious Disease Clinic Prof Dr.Agrippa Ionescu Clinical Emergency HospitalBucharest 011356Romania Department of Public Health and Management Carol Davila University of Medicine and PharmacyBucharest 020021Romania Department of Gastroenterology Carol Davila University of Medicine and PharmacyBucharest 020021Romania

BACKGROUND Secondary hypertension is a relatively rare condition most commonly caused by renovascular disease due to atherosclerotic vascular disease or fibromuscular *** accessory renal arteries are frequent,to date,only six cases of secondary hypertension determined by their existence have been *** SUMMARY We describe a case of a 39-year-old female who came to the emergency department with an urgent hypertensive crisis and hypertensive *** normal renal arteries,the computed tomography angiography revealed an inferior polar artery with 50%stenosis of its *** treatment with amlodipine,indapamide and perindopril was adopted,leading to blood pressure control within one *** To the best of our knowledge,there are controversies regarding accessory renal arteries as a potential etiology for secondary hypertension,but the seven similar cases already described,along with the current case,could reinforce the necessity of more studies concerning this subject.

关键词： Accessory artery Secondary hypertension Renal artery stenosis Renovascular disease Risk factor Young patients Case report