CONSIDERATIONS ABOUT THE FORMS OF JUDICIAL RESPONSIBILITY IN THE MATTER OF BUDGETARY EXECUTION

The social life is developing in an organized way based on some social norms and regulations which are necessary for the good development of human activities in any domain, these norms establishing a certain way in which the subjects of social relations mbudgetary execution, judicial responsibility, contravention, infraction

Therapeutic approach for Amyand’s hernia; a case report

In very few cases stated in the literature, the vermiform appendix might be contained in a hernial sac. This distinctive pathology is described as Amyand\u27s hernia and has the very small occurrence of about 1%. We report the case of a 62-year-old man that presented for a reducible tumoral mass located in the right inguinal region. Amyand’s hernia was the intraoperative diagnostic. We performed hernioplasty (using the Lichtenstein tension-free mesh repair with a composite polypropylene mesh) without appendectomy. This case matches the type 1 Lossanoff and Basson’s classification and has no facile management. Due to the clinical specificities of each case that presents with defining features of an Amyand’s hernia, surgical management depends on the recommendations stated in the literature, as well as the surgeon’s judgment based on experience

Treatment of lipomas and diffuse lipomatosis with NDYAG 1064 NM laser and their impact on the quality of life

Lipomas, the most common type of benign tumours, are generally developed from adipose tissue and present an incidence of 2.1 per 1000 inhabitants. In addition to lipomas, at least three other maladies of the adipose tissue lead patients to consult a doctor, especially for aesthetic purposes: multiple familial lipomatosis, diffuse congenital lipomatosis, and adiposa doloris. Unlike lipomas, these maladies are characterized by numerous lipomas, encapsulated or not, of different sizes, symmetrical or not, which may appear in the neck, limbs, or the trunk, sometimes being painful. The life quality of these patients is affected, not only from an aesthetic point of view but also from medical considerations, like pain. Chemical lipolysis has proven unsatisfactory for patients due to several reasons: the prolonged therapy, high cost, the partial dissolution of the lipomatosis, and high recurrence at one year. Surgical treatment remains the only viable option; sometimes when numerous lipomatous tumors required large and numerous incisions, treatment was refused by patients. The result after laser liposuction is excellent, the recovery time is short, without much pain for the patient, with minimal ecchymoses and edemas, without any recurrence in time, and with an excellent degree of patient satisfaction

Săpături arheologice la biserica reformată din Tăuții Măgheruși (jud. Maramureș)

A Máramaros megyei Miszmogyorós (rom. Tăuții Măgherăuș) Nagybányától nyugatra, 11 km távolságra helyezkedik el. Református temploma a város központi részén található, a régi Tótfalu/Misztótfalu részen. A templomot a Nagybánya-Szatmár DN 1C nemzeti út veszi körül. A 2009 tavaszán a templom alapozása mellett végzett drénezési munkálatok kapcsán került sor megelőző régészeti feltárásra. A kutatás célja a templom építéstörténetének és a hozzá tartozó temető kapcsolatának megállapítása, annak időrendjének tisztázása volt. A régészeti kutatás során két szelvényt jelöltek ki: az SI/2009 felületet a templom déli falával merőlegesen nyitották, a templomhajó és a szentély találkozásánál, míg az S II/2009-est a szentély északi külső falával párhuzamosan nyitották a 16. században elfalazott sekrestyeajtó előtt. A kutatás során megállapították, hogy az S I/2009 szelvényben a templomhajó és a szentély alapozása és felmenő fala között létezik egy falelválás, ami arra utal, hogy ezek különböző fázisokban épültek. Mindezt a megállapítást alátámasztja az alapozás mélysége, a falszövet összetétele és a habarcs állaga. A falak környeztéből nem került elő leletanyag, amely alapján keltezni lehetne ezeket az építési periódusokat. Az \ud ásatás a templom körüli temető 27 temetkezését tárta fel. Figyelembe véve azt, hogy a temető csak részben kutatott, így a feltárt temetőrészlet alapján jelen elemzés csak részeredményeket tartalmaz és tájékoztató jellegű. Kiemelném azt a tényt is, hogy egy katolikus eredetű templomról és közösségről van szó, amely áttért a református vallásra, így a feltárt temetkezések elkülönítése és keltezése viszonylag nehéz feladatot jelent. Más temetőfeltárásokhoz hasonlóan, ahol sikerült elkülöníteni a katolikus és protestáns temetkezésket (lásd. Szentábrahám, Telekfalva, Teke), a miszmogyorósi református templom esetében ez nem volt lehetséges. A szegényes leletanyag alapján a temető használatának periódusát a 16-18. századra határozhatjuk meg

Laser therapy in superficial morphea lesions – indications, limitations and therapeutic alternatives

Morphea or localized scleroderma is an uncommon autoimmune and inflammatory disease which affects patients of any age. Even if morphea lesions present systemic symptoms as myalgias or arthritis, it is distinct from systemic sclerosis because it does not associate Raynaud’s phenomena or sclerodactyly, which are encountered in systemic scleroderma. The most common form of morphea in children is `en coup de sabre`, which can alter the local anatomy by deep tissue involvement. In contrast, the most frequent form that affects adults is represented by circumscribed morphea. The initial lesions present an inflammatory phase that manifests in the form of erythematous plaques, sometimes accompanied by edema. In later stages, the inflammation decreases and the lesions become sclerotic to atrophic. Therapy is most beneficial when initiated in the inflammatory stage. Topical application of high potency steroids along with phototherapy demonstrates the best results in the active phase of the disease. Localized superficial morphea can be treated with the excimer laser (using ultraviolet type B light, in range of 308nm) if topical steroid administration shows no significant clinical improvement. Phototherapy with ultraviolet light is capable of decreasing inflammation and may also have immunomodulatory effects

Breast implant illness: a step forward in understanding this complex entity and the impact of social media

Introduction. The number of implant-related complaints is constantly rising, a phenomenon probably accentuated by the extensive use of social media by patients. Material and method. A group of signs and symptoms considered to be caused by mammary implants is known as “Breast Implant Illness”. This paper analyzes the increased number of posts by patients on social media in which they describe their symptoms, their disappointment with the decision of using breast implants, and the beneficial effects of explantation. The case of a patient with breast implants who visited our clinic is reported here. The patient complained of two palpable masses, located in the left axilla and in the superolateral quadrant of the left breast. The pathophysiological mechanism by which lymphadenopathy occurred after a long period of time remains uncertain. Discussion. A review of the literature was conducted to identify the underlying causes of implant-related complaints, allowing evaluation of the presence of local complications, cancer with large anaplastic cells, and autoimmune diseases. The possibility of a somatization effect has also been considered. Conclusions. Plastic surgeons must remain the best source of information, taking on the role of educating the patient in order to better understand this condition

The role of EMENTORING and social media for developing the entrepreneurship competences

AbstractThe emerging needs of a post-crisis society, the prospective studies at European level about “The new skills for new jobs”, the strategy documents for Europe 2020 shows that new sectors will appear, new skills are needed and among them, all have in common the entrepreneurial and ICT skills as basic ones. As demonstrated in the OECD Innovation Strategy, entrepreneurial skills and attitudes, risk-taking behavior, creativity, etc, will be crucial competences in the economy of the future. © 2011 Published by Elsevier Ltd

The metrology and applications of PSD (position sensitive detector) sensors for microrobotics.

International audienceThe position sensitive (or sensing) detectors (PSD) are special special monolithic PIN photodiodes featuring a series of lateral electrodes in order to achieve a 1D or 2D displacement measurement of an optical spot. Compared to the discrete array sensors, the PSD have many advantages including high positioning resolution, fast response time and very simple analogue signal conditioning circuits. This paper investigates the metrology of a two-dimensional PSD working alternately in direct or indirect (reflective) mode. The possible applications consist in precise assembly of optical MEMS micromirrors or fast tracking of an object over a pneumatic smart-surface. The first results showed a good linearity and a fast response time, which successfully enable such applications for PSD sensors

The European Commission of the Danube, 1856-1948

The history of the world’s second international organisation, an innovative techno-political institution established by Europe’s Concert of Powers to remove insecurity from the Lower Danube.; Readership: Historians of nineteenth and twentieth centuries European history, scholars and students in the history of international relations, international organisations, science and technology studies. Keywords: Danube, Danube Delta, Sulina, Romania, Southeastern Europe, Danube Commission, international organizations, international relations, 1856-1940, river histories, technopolitics, internationalism, navigation