Storm On June 22, 2013 In Indjija (Serbia) — A Consequence Of Heat Wave

Author(s): Nada Pavlović Berdon / Language(s): English Issue: 3/2015

In the period between 16 and 22 June 2013, Europe was hit by a heat wave. At the end of the period characterized by extremely high temperatures, the development of storm along with supercell HP convection cell took place in Serbia, producing tennis ball-sized hailstones and wind with speed exceeding 35 m/s. This paper analyzes the underlying conditions that led to development of this storm using synoptic charts, vertical atmosphere characteristics as well satellite and radar images. The development of strong convective clouds was enabled by exceptional thermal instability of the atmosphere above the Pannonian Plain and the Balkans and warm subtropical air. The analysis of the vertical structure of atmosphere indicates that the separate convective cells could produce large amounts of precipitation and hailstones up to 8 cm in diameter. Cloudy zone, of the supercell type in development, of 12–16 km width, reached to 20 km height (cloud penetrated tropopause) and indicating extremely great energy instability. Furthermore, this analysis is supplemented with results of nonhydrostatic mesoscale NMM model. Big hailstones from this storm took life of 31 persons in addition to great material damage it caused.

Listovi gračaničkog kalendara od 10. 5. do 11. 11. 2019.

Author(s): Omer Hamzić / Language(s): Bosnian Issue: 48/2019

EUROPE AND ASIA, TWO CONTINENTS IN WHICH TWO EPIDEMICS BROKE OUT OVER THE COURSE OF A CENTURY: THE SPANISH FLU IN 1918 AND THE CORONAVIRUS (2019-NCOV)

Author(s): Enache Tuşa,Laura Maria Vasilache / Language(s): English Issue: 1-2/2019

The first suspected cases of Coronavirus have been reported on 31st of December 2019, the first symptoms appearing since the start of December, more precisely on the 8th of December. The source of the virus outbreak has been located at the center food market of the Chinese town, Wuhan, which was shut down on the 1st of January 2020. Along with the administrative measures, the people who showed signs and symptoms specific to the coronavirus infection were isolated and placed in quarantine. Over 10.000 people who have been exposed to possibly infected individuals were initially being monitored then placed into quarantine as well and offered treatment.

Importanta geopolitica a distantelor - interventia americana in Siria

Author(s): Daniel-Mihai Duțu / Language(s): Romanian Issue: 9/2020

On the international arena, distances play an important role and very often they have a decisive impact on the outcomes of the inter‑national events. Such an impact of distances is also on the budget that states allocate for overseas operations. Despite the globalization process that makes distances irrelevant due to the technological innovations, long distances still lead to increasingly consistent budgetary allocations and military expenditure. Based on this hypothesis, this paper examines how American operations in Syria and the sustained military effort have influenced the budget allocation for defence in the past years. In order to provide a comparable example, the budget allocated by the Russian Federation for defence will also be analysed. This method is appropriate because both states have a consistent military presence in Syria.

Funkcjonowanie i rozwój Komunalnego Zakładu Komunikacyjnego w Białymstoku

Author(s): Krzysztof Dubowski,Tomasz Rokicki / Language(s): Polish Issue: 2/2018

The paper presents the functioning and directions of development of a public transport enterprise based on the example of Komunalny Zakład Komunikacyjny LLC (KZK). Sources of materials were analysis of available literature in the field of public transport, company documentation, interview with the company’s president, participant observation. The research period concerned the years 2014–2015. The descriptive, tabular, graphical and SWOT analysis methods were used to analyze and present the results of the work. It was found that the company used its resources rather heavily. Nevertheless, it did not have a dominant position in the market, it had the smallest share in terms of carriages. Investment is a chance for KZK development. The most important is the construction of a new depot, which will allow to increase the scale of operations. Another investment activity was related to the purchase of new buses. All investments concerned therefore the basic resources of the enterprise. Investment activities will also contribute to better perception of urban transport by its users.

SPRAWOZNANIE Z DZIAŁALNOŚCI ZARZĄDU GŁÓWNEGO POLSKIEGO TOWARZYSTWA LUDOZNAWCZEGO ZA OKRES OD WRZEŚNIA 2015 DO SIERPNIA 2016 ROKU

Author(s): Piotr Grochowski / Language(s): Polish Issue: 1/2016

Liczba członków Polskiego Towarzystwa Ludoznawczego na koniec sierpnia 2016 roku wynosiła 712 osób, przy czym w ostatnim roku do Towarzystwa przyjęto 30 nowych członków. W okresie sprawozdawczym w PTL działało 16 oddziałów terenowych (Białystok, Bielsko-Biała, Cieszyn, Gdańsk, Kraków, Lublin, Łódź, Mszana Dolna, Opole, Poznań, Północno-Mazowiecki z siedzibą w Ciechanowie, Śląski z siedzibą w Bytomiu, Toruń, Warszawa, Wrocław, Zielona Góra) oraz 5 sekcji problemowych (Sekcja Stroju Ludowego, Sekcja Muzeologiczna, Sekcja Antropologii Historii, Sekcja Metodologiczna, Sekcja Folklorystyczna). Uchwałą Zarządu Głównego z 4 marca 2016 roku rozwiązany został oddział terenowy w Zamościu. Powodem tej decyzji był utrzymujący się od dłuższego czasu brak wystarczającej liczby członków w tym oddziale. Uchwałami ZG z 29 czerwca 2016 roku powołane zostały dwie nowe sekcje problemowe: Sekcja Ukrainoznawcza (działająca przy oddziale Poznań) oraz Sekcja Studiów Azjatyckich (działająca przy ZG).

SPRAWOZDANIE Z DZIAŁALNOŚCI ZARZĄDU GŁÓWNEGO POLSKIEGO TOWARZYSTWA LUDOZNAWCZEGO ZA OKRES OD WRZEŚNIA 2014 DO SIERPNIA 2015

Author(s): Jerzy Adamczewski / Language(s): Polish Issue: 1/2015

Sprawozdanie obejmuje następujące części: 1. Dane ogólne; 2. Działalność Zarządu Głównego; 3. Ośrodek Dokumentacji i Informacji Etnografi cznej; 4. Sprawy fi nansowe; 5. Działalność wydawnicza; 6. Biblioteka Naukowa im. J. Czekanowskiego; 7. Archiwum Naukowe; 8. Oddziały PTL.

The efficiency of actions to improve road safety – assessing the implementation of the programme objectives

Author(s): Teresa Gądek-Hawlena / Language(s): English Issue: 3/2019

Road accidents and, above all, their negative consequences are a serious problem worldwide. Preventing them is a challenge that involves many actions taken by governments, international organisations, economic operators, and non-profit organisations. The actions that are to lead to a significant reduction in the number of casualties and fatalities are considered essential. In order to make a significant change in this field, it is necessary to take rational action. In Poland, the objectives for the improvement of road safety and the methods of achieving them were endorsed in the National Road Safety Programme 2013–2020. As the period of these seven years is to come to an end, this article will present the achieved results for years 2010–2018 in relation to the main causes of accidents induced by drivers.

Zapadalność i umieralność z powodu odry na Ukrainie. Implikacje dla działań profilaktycznych

Author(s): Valentyn Bakhnivskyi / Language(s): Polish Issue: 4/2018

According to the definition of the World Bank and World Health Organization health of the population is one of the main factors for the development of the economy and the social well-being of each country. Several positive changes have recently occurred in the health care field of Ukraine. However, despite of that the state of health of this country’s population is currently assessed as insufficient. Since independence in 1991 Ukraine has not reached such a level of measles virus elimination as the Member States of the European Union. The aim of this article is to analyze the level of morbidity and mortality due to measles and the state of measles vaccination in Ukraine. In 2018, 53 219 measles cases were registered in Ukraine (incidence rate – 125, 47 per 100,000). The situation compared to the previous year deteriorated significantly and was 12-fold. In 2018, 16 people died of measles – 12 children and 4 adults. The status of inoculation of children under one year of age was 91%, which was less by 2% compared to 2017, but twice as much as in 2016, where only 46% children aged less than 1 year were vaccinated. Indicators of the epidemiological situation in Ukraine in 2018 deteriorated to a large extent compared to 2017. Based on the current trends in measles vaccination and the frequency of its occurrence, it could be argued that the elimination of measles is very much at risk due to both migration and the rapid development of anti-vaccine movements.

JAWNOŚĆ ROZPRAWY GŁÓWNEJ W PROCESIE KARNYM W ŚWIETLE NOWELIZACJI KODEKSU POSTĘPOWANIA KARNEGO Z 2016 ROKU

Author(s): Radosław Koper / Language(s): Polish Issue: 2/2018

The principle of openness, or transparency, being one of the guiding principles in criminal proceedings, is realised mainly during the first instance hearing. The amendment to the Code of Criminal Procedure of 10 June 2016 introduced two model changes in this respect. The article is devoted to the discussion of these changes. The first one concerns the decision to hear a case in camera. The prosecutor has been granted the right to object to the exclusion of a public hearing, which is binding on the court. This regulation raises constitutional concerns because it undermines the constitutional right to a fair trial. A disclosure should be decided on by an impartial and independent court, acting as an independent state body best placed to resolve conflicting values. The second fundamental change is the establishment of an audiovisual registration of the course of the hearing by representatives of the mass media. The court must allow them to hear the trial whenever they so request. In this respect, the removal of the condition of respect for the important interest of the party involved in the criminal proceedings was analysed and assessed negatively. The extension of the transparency of the main hearing, however, was generally given a positive assessment.

Cuvânt înainte

Author(s): Adrian Cioflâncă / Language(s): Romanian Issue: 3 (19)/2018

FUQIZIMI I STRUKTURËS INSPEKTUESE PËR ARKIVAT GJATË VITEVE 2017-2020

Author(s): Ylber Ramaj / Language(s): Albanian Issue: 1-2/2020

Në këtë punim paraqes një përmbledhje të ndryshimit rrënjësor që ka pësuar struktura përgjegjëse për inspektim në Drejtorinë e Përgjithshme të Arkivave gjatë viteve 2017-2020. Drejtoria e Përgjithshme e Arkivave u kthye në një inspektorat shtetëror për ta inspektuar punën me dokumente në sekretari - arkivat e institucioneve të administratës shtetërore, në nivel qendror dhe vendor. Veprimtaria e çdo institucioni shtetëror pasqyrohet te dokumentet që ai krijon, ruan dhe administron. Shërbimi arkivor në institucionet shtetërore të vendit tonë gjatë 30 vjetëve të fundit ka pësuar deformime të shumta për sa i përket mënyrës së përpilimit të akteve zyrtare, evidencimit, përpunimit tekniko-shkencor, ruajtjes dhe shërbimit të dokumenteve. Në vitin 2017 Drejtoria e Përgjithshme e Arkivave u bë zyrtarisht inspektorat shtetëror, me strukturën e saj përgjegjëse për inspektimin, e cila do ta inspektojë punën me dokumente në të gjitha institucionet e Republikës së Shqipërisë.

Comparative analysis of breast imaging: a multi-modality approach may improve the overall quality of clinical output

Author(s): Besra Dagoglu,Deniz Esin Tekcan Sanli,Pinar Polat Suma / Language(s): English Issue: 2/2020

Introduction This study aims to assess the efficacy of magnetic resonance imaging (MRI), mammography and ultrasound (US) in detection of breast cancer presenting as mass or non-mass lesions. Methods MRI was performed in 53 patients with a suspected breast cancer based on mammography and US features. US or mammography-guided biopsies were obtained in patients with BI-RADS category 4-5. Histopathological results were considered as the gold standard for diagnosis, and based on histopathology results, mammography and MRI characteristics of mass, non-mass benign or malign lesions were evaluated. Results A benign pathology was detected in 22 cases (41.5%) and malignant pathology in 31 cases (58.4%). The mean age was 37.3 years in patients with a benign diagnosis and 50.5 years in patients with a malignant diagnosis. Overall, 21 (68%) of the malignant cases had a mass appearance and 10 (32%) had a non-mass appearance; 90% of malignant lesions were isointense or hypointense on T2-weighted images. The positive predictive value (PPV) for malignancy was 78.2% with peripheral contrast enhancement, 88% with hypointensity on T2-weighted images and 83.3% in heterogeneous contrast enhancement. PPV for benignity was 100% with homogeneous contrast enhancement, 100% dark internal septa in the mass, and 54.5% with regional contrast enhancement. The most common type enhancement curve was type 2 with plateau detected in 20 cases out of the whole study population. Conclusions Although MRI is more sensitive in characterization of breast lesions, correlation with BIRADS category and histopathology allows more accurate clinical decisions and better outcomes by avoiding false positivity, unnecessary medical intervention and concerns. MRI findings of breast lesions should be evaluated together with mammography and ultrasonography.

Fungal rhinosinusitis between regular infection and aggressive life-threatening disease

Author(s): Daniel Lupoi,Mihai Preda / Language(s): English Issue: 2/2020

Introduction Fungal rhinosinusitis is an acute or chronic disease that implies an inflammatory response or allergic reaction of rhinosinusal mucous membrane, due to the presence of fungi at this level. Methods We present a retrospective study on patients diagnosed with chronic fungal rhinosinusitis based on endoscopic and radiologic criteria and treated surgically by endoscopic approach in the ENT&HNS Department “Sfânta Maria” Hospital, Bucharest. The aim of the study was to determine the type of fungal sinusitis (non-invasive sinusitis - fungus ball or acute invasive sinusitis), the complications and treatment difficulties. Results After selection of the patients according to the inclusion criteria, there were 72 patients with non-invasive fungal sinusitis and two patients with invasive fungal sinusitis. The incidence among female patients was more than double than in males. Maxillary sinus was the most involved sinus, followed by sphenoid sinus. Most complications occurred due to sphenoid fungal sinusitis (4.05%), while both patients with invasive sinusitis presented major rhino-orbital and endocranial complications. Management of the patients included endoscopic sinus surgery: middle meatal antrostomy (78.37%), sphenoidotomy (17.56%), ethmoidectomy (1.35%) and extended sinus surgery – sinuses, orbit, endocranial (2.70%). Conclusions The most frequent form of fungal sinusitis was the non-invasive one (fungus ball) while invasive sinusitis was fortunately a rare condition. Surgical treatment is the main option. Medical treatment is adjuvant mainly in severe cases, as there are no proofs regarding its efficacy in regular cases such as fungus ball. Although the incidence of complications is low, when they occur they could be life-threatening. Extended endoscopic sinus surgery is required in order to remove all the necrotic tissue.

Healthy child conceived with the aid of assisted reproduction techniques using sperm cells from the urine of a man with retrograde ejaculation – a case report

Author(s): Anca Coricovac,Iulia Raica,George Porumb,Sebastian Voinea,Oana Amza,Andreea Didilescu,Daniel Damian / Language(s): English Issue: 2/2020

Introduction The retrograde ejaculation could be a postoperative complication in the prostate hyperplasia surgery and a cause of male infertility in couples. We hereby report such a case which was managed with positive outcome. Case report The paper presents the case of a couple diagnosed and successfully treated for primary male infertility. The 61-year-old male partner had ejaculatory dysfunction with complete retrograde ejaculation, in urine, as a result of a transurethral resection of the prostate (TURP). The recovery of the male reproductive cells from urine and the use of assisted reproductive techniques, through the intracytoplasmic injection of sperm cells into the oocyte, have resulted in a healthy child. Conclusions The particularities of this case lie in the recognition of the importance of the urological and reproductive aspects occurred as postoperative complications due to the TURP. The detailing of the postoperative risks and the adequate substantiation of surgical protocol for benign prostate hyperplasia need to take into account the reproductive wishes and the future planning of a possible pregnancy for the couple.

Temporomandibular joint: a cone beam computed tomography study of the articular eminence inclination and glenoid fossa

Author(s): Cătălina Bichir,Mihai Săndulescu,Mugurel Constantin Rusu / Language(s): English Issue: 1/2020

Introduction Over the years, many studies concerning the articular eminence (AE) of the temporomandibular joint (TMJ) have been conducted. Very few used the now available cone-beam computer tomography (CBCT) technology. Thus, the aim of the current study was to contribute with our own findings to the recent available literature and to compare results. Methods Forty-eight CBCT files (96 TMJs) were analyzed in mid-condyle orthogonal plane. AE inclination (AEI), length of condylar path (LCP), length of the glenoid fossa (FL), sex and occlusion class were defined as parameters. Results In the examined lot, 9% of the slopes were below 30°, 70% between 30° and 50° and 21% above 50°. A minimum value of 21.63° was found in a female patient with a LCP of 11.07 mm and a FL of 19.96 mm, and a maximum value of 59.62° in a male patient with a LCP of 7.72 mm and a FL of 14.39 mm. A decrease in mean LCP and FL values for each increase in AEI category was noticed. Averages of both sexes were similar. Asymmetry was found in all patients. There were some differences between the two occlusal groups. Conclusions CBCT is a useful, non-invasive tool in analyzing TMJ bone structures. There might be a connection between AEI, LCP and FL in dictating the geometrical shape of the glenoid fossa. Differences in the values of the occlusal groups denote that occlusion could act as a factor for slope steepness.

Highly drug resistant microorganisms causing ventilator associated pneumonia at a tertiary care center

Author(s): Kundan Tandel,Puneet Bhatt,Lavan Singh,Praveer Ranjan,Khushi Ram Rathi / Language(s): English Issue: 1/2020

Introduction Ventilator associated pneumonia (VAP) is one of the most frequent intensive care unit (ICU) acquired infections. In recent years there has been an increase in antibiotic resistance among causal agents of VAP. This study was carried out to assess the profile of culture isolates and their antimicrobial sensitivity from the endotracheal aspirates (ETA) of patients with clinically suspected ventilator associated pneumonia. Methods In this observational study, ETA was collected from patients who were on mechanical ventilation for >48 hours in the ICU with clinically suspected VAP. Samples were mechanically liquefied, homogenized and serially diluted for quantitative culture. Identification and antibiotic sensitivity of the isolate was performed using Vitek2 (BioMérieux, Marcy-l'Étoile, France). Results We received a total of 196 tracheal aspirates during the study period, out of which 100 samples showed growth. The most common isolate was A. baumannii (38%) followed by K. pneumoniae (33%). Among the Enterobacteriaceae group of organisms isolated (n=41), 37 isolates (90%) were extended spectrum beta lactamase (ESBL) producing organisms and 35% were metallo-β-lactamases (MBL) producers. All Staphylococcus aureus (n=3) isolates were methicillin resistant (MRSA). Conclusions Multidrug resistant organisms are now commonly reported from patients with VAP in our ICUs. A majority of the organisms were sensitive only to tigecycline and colistin. Our data suggest the need for strengthened infection control efforts in the intensive care unit, and for reevaluating compliance with the antibiotic stewardship programme.

Comparative evaluation of nanocrystalline hydroxyapatite and bioactive calcium phosphosilicate grafts in the treatment of class II furcation defects – A randomized controlled trial

Author(s): Pooja Palwankar,Shetal Gupta,Ruchi Pandey / Language(s): English Issue: 1/2020

Introduction Furcation involvement is a unique pathological entity, due to its complex structure and inadequate instrumentation which results in progression of further attachment loss with early and frequent loss of molars. Various alloplastic bone graft materials are used to regenerate the lost periodontal attachment apparatus. This study aims to compare the efficacy of nanocrystalline hydroxyapatite (NHA) and bioactive calcium phosphosilicate grafts (BG) in the treatment of class II furcation defects. Methods Twenty-four systemically healthy patients with class II furcation defects were selected and randomly assigned into three groups depending on the treatment received: Test group I (treated with open flap debridement (OFD) + NHA), Test group II (treated with OFD + BG) and Control group (treated with OFD alone). Clinical parameters, plaque index, gingival index, horizontal probing depth (HPD), vertical probing depth (VPD), clinical attachment level (CAL) were recorded at baseline, 3 and 6 months post-surgically. Radiographic depth of furcation defect (FD) and percentage bone fill was evaluated at baseline and 6 months postoperatively. Results When compared to baseline, all three groups demonstrated improvements in the clinical parameters at 6 months. There was no statistically significant difference between both Test groups (p=1.00). In contrast to the Control group, the Test groups showed a statistically significant reduction in probing depth, greater CAL gain, reduction in furcation defect and radiographic percentage bone fill (p<0.05). Conclusions There is a potential benefit of nano-crystalline hydroxyapatite and bioactive calcium phosphosilicate grafts in percentage bone fill in the treatment of class II furcation defects.

Eosinophilic fasciitis associated with factor V Leiden: a case report

Author(s): Mihaela Antohe,Mihaela Balaban,Ani Grecu,Andra Postelnicu,Răzvan Theodor Andrei,Sabina Zurac,Gabriela Turcu / Language(s): English Issue: 1/2019

Introduction Eosinophilic fasciitis is a sclerodermiform syndrome with the histopathologic hallmark of fascial fibrosis. The following have been suggested as potential triggers: physical exercise, trauma, Lyme disease, hematologic malignancies, thyroid diseases, hemodialysis, systemic lupus erythematosus and exposure to certain medications such as: statins, L-tryptophan, phenytoin, ramipril or subcutaneous heparin. Case report We report the case of a 75-year-old man with sclero-indurative, alopecic and shiny skin affecting almost the entire body (with the exception of face, perigenital area, hands and feet), “groove sign” at the upper extremities and impaired mobility of ankles, knees and elbows, evolving for almost 8 months. At the thigh level he presented a net-like vascular pattern suggestive for livedo reticularis. Clinical evaluation, laboratory studies and pathological examination established the diagnosis of eosinophilic fasciitis associated with factor V Leiden. Discussion Eosinophilic fasciitis is a rare disease that needs to be differentiated from localized and systemic sclerosis, scleroderma-like disorders such as nephrogenic systemic fibrosis, scleromyxedema, scleredema and eosinophilia myalgia syndrome. Early diagnosing enables screening for diseases commonly reported as being associated. Up to 10 percent of patients with eosinophilic fasciitis associate hematologic abnormalities and prompt treatment can prevent long lasting sequelae. Conclusion We have presented a case of eosinophilic fasciitis and livedo reticularis caused by mutated factor V of coagulation, an association that has not been described before.

Recurrent sepsis with P. aeruginosa in a patient with myelodysplastic syndrome and multiple comorbidities – case report and review of physiopathological mechanisms

Author(s): Monica Dugăeșescu,Ramona Ștefania Popescu,Oana Săndulescu,Marina Ruxandra Oțelea / Language(s): English Issue: 1/2019

Introduction Febrile neutropenia is a clinical emergency that can develop as a result of multiple mechanisms. The evolution of neutropenia is highly dependent on that of the underlying disease, and identification of comorbidities is essential. In cases of Gram-negative bacteremia, the mortality rate can reach 18%. Case report We report the case of a patient with myelodysplastic syndrome and neutropenia among multiple comorbidities, hospitalized for fever, chills and altered clinical state two weeks after having been discharged from the hospital following the resolution of sepsis with P. aeruginosa. The clinical exam revealed active intestinal bleeding and discrete wet rales in the middle one-third of the right pulmonary lung field. An initial diagnosis was neutropenic fever, and empirical intravenous treatment with meropenem, vancomycin and caspofungin was started. A comprehensive laboratory evaluation revealed liver and kidney impairment of recent onset, blood cultures came back positive for P. aeruginosa, and the diagnosis of recurrent sepsis with P. aeruginosa was established. Antimicrobial treatment was de-escalated from meropenem to piperacillin-tazobactam, levofloxacin was added, vancomycin was stopped, and caspofungin was replaced with fluconazole, with favorable evolution, remission of fever within three days, marked reduction of the inflammatory syndrome, and remission of organ impairment. Treatment was continued for 10 days before the patient was discharged with the recommendation to continue prophylaxis with levofloxacin and fluconazole for the duration of severe neutropenia and to return for periodic evaluation in our clinic. Conclusions The recurrent sepsis episodes in this patient reflect primarily the neutropenic status, but comorbidities could also contribute to a certain degree of immunodeficiency. The long-term management of the infectious risk is a complex issue, including antibiotic and antifungal prophylaxis, due to the anticipated persistent neutropenia.