Primary hyperparathyroidism can generate recurrent pancreatitis and secondary diabetes mellitus – A case report

Introduction. Acute or recurrent pancreatitis may be a complication of primary hyperparathyroidism and patients with previous episodes of pancreatitis may develop secondary diabetes mellitus. Case report. We describe the clinical case of a 52-year old Caucasian man diagnosed with chronic recurrent pancreatitis in 2007. The first episode of acute pancreatitis occurred in 2002, followed by another 4 episodes in 2004 and 2007. In 2004, papilosfincterectomy was implemented with a stent mount that was removed one month later. In 2005, the patient underwent a surgical intervention for the diagnosis of chronic lithiasis, and cholecystectomy was performed. Additional investigations on the etiology of recurrent chronic pancreatitis, initially diagnosed as idiopathic, revealed elevated values of total serum calcium, serum parathormone, and the presence of a parathyroid adenoma in the right lower pole of the thyroid. In September 2007, parathyroidectomy was performed with a favorable evolution and the remission of the acute pancreatitis episodes. The patient had not had any family history of diabetes; in 2017 he was diagnosed with diabetes. Conclusion. In cases of recurrent pancreatitis, screening for hyperparathyroidism is recommended. Metabolic evaluation is required, because the risk of developing diabetes in patients with recurrent pancreatitis is high

Impacts of forest loss in the eastern Carpathian Mountains : linking remote sensing and sediment changes in a mid-altitude catchment (Red Lake)

Worldwide accelerated forest loss and the associated environmental impacts are important environmental concerns. In this study we integrate evidence from historical maps and a Landsat-derived time series of catchment scale forest cover changes with a multi-proxy, palaeolimnological reconstruction spanning the last 150 years from Red Lake (Eastern Carpathians, Romania) to better understand the impact of long-term forest changes on catchment erosion and sediment accumulation. We are able to consider two time windows. Firstly, we show that during the traditional (1840–1948) and socialist (1948–1989) periods, catchment changes and sediment responses, as reflected in the sediment accumulation rate, detrital input and grain size were moderate and likely reflect the combined result of known periods of excessive precipitation and local-scale forest disturbances. Secondly, and in contrast, rapid responses in catchment-scale geomorphological processes to forest loss are evident during the post-socialist land use period (1987-2010). We found that the first land restitution period (1987-1999) and the first part of the second land restitution period (2000-2002) had a greater impact on forest loss and subsequent catchment processes with sediment accumulation rates increasing from 0.5 cm/yr-1 to 1.2 cm/yr-1. Finally, environmental impacts of forest changes were strongly dependent on the size of the area deforested, its location within the catchment, susceptibility to erosion and geomorphological thresholds. In a region noted for accelerated recent forest loss, our study highlights the potential of combining historical maps, satellite images and sediment proxies for documenting such changes and highlights the need for more strategic and sustainable environmental management planning

Late Pleistocene glaciation in the headwaters of the Ceremuşul Alb valley (Maramureş Mountains, Romania)

The Late Pleistocene Jupania palaeoglacier (area 0.85 km2, 1.7 km long) was reconstructed in the headwaters of the Ceremuşul Alb/Bilyj Cheremosh valley (Maramureş Mountains). The study area represents one of the most inaccessible natural areas in the Romanian part of the Eastern Carpathians where the legacy of the Pleistocene glaciation has recently been discovered. Based on mapping of glacial landforms and deposits, we reconstruct glacier dimension and ice-surface geometry, as well as estimate equilibrium line altitude (ELA) during the maximal ice extent (MIE). Well-preserved terminal moraines mark the extent of glacier front at ~1400 m a.s.l. Sedimentological analysis documents that the lateral moraines are sometimes overbuilt by 1-1.5 m thick colluvial deposits. The ELA for the Jupania palaeoglacier calculated with the Area-Altitude- Balance-Ratio (AABR) 1.6 was 1630 m. However, the gentle-sloping mountain-top could serve as an important snow contribution area to glacier mass balance; therefore, the ELA could potentially exist even higher at 1676 m. The resulting climatic ELA (1630-1676 m) in the south-eastern part of the Maramureş Mountains fits well with the rising trend of ELA towards the southeast observed between Chornohora (ELA = 1516 m) and Rodna Mountains (ELA = 1697 m). The SE rising trend of the ELA corresponds well with the dominant palaeowind direction suggested in the Carpathian region and supports the prevalence of zonal circulation pattern in Central Eastern Europe during the culumination of the last glaciation

Tendințele inovatorii ale mobilierului în interiorul contemporan

Fișierul atașat conține: Rezumat, Abstract, Cuprins.Prezenta lucrare de masterat se structurează în cinci capitole, conținînd 71 de pagini, 75 de imagini și are următorul conținut: Capitolul I abordează evoluția caracteristicilor utiliare și stilistice a mobilierului de birou. Prezentul capitol este divizat în trei subcapitole care fac referire la factorii determinanți în apariția și evoluția mobilierului, caracteristicile utilitare a mobilierului de birou precum și caracteristicile stilistice a mobilierului de birou. Capitolul II prezintă criteriile și modelele de organizare a spațiului de birou, fiind divizat în două subcapitole, care fac referire la spațiul arhitectural destinat activităților de birou precum și clasificările mobilierului de birou într-un spațiu contemporan. Capitolul III cuprinde cercetări teoretice privind conceptul de formă și compoziție. Se divizează în trei subcapitole care studiază elementele și caracteristicile formei și compoziției, instrumentele modelării în proiectarea mobilierului de birou și importanța corelației dintre culoare și lumină în proiectarea mobilierului de birou. Capitolul IV prezintă cercetări teoretice asupra ergonomiei mobilierului de birou, fiind structurat în două subcapitole care pun accentul pe standardele globale în ergonomie și necesitatea organizării ergonomice a muncii în birou. Capitolul V face o descriere a procesului de creație și proiectare a mobilierului de birou. Cele cinci subcapitole se referă la procesul de creație prin design, soluțiile de proiectare a mobilierului de birou cu ajutorul ideilor-concept, implementarea tehnologiilor informaționale în proiectarea de mobilier precum și proiectarea arhitecturală a spațiului de birou cu ajutorul inovațiilor contemporane. Un accent deosebit este pus pe eco-designul în baza conceptuală a proiectantului.This masterwork is structured in five chapters, containing 68 pages, 73 images and reads as follows: Chapter Iis addressing the development of functional and stylistic characteristics of the office furniture. This chapter is divided into three subchapters that refer to the determining factors in the appearance and evolution of furniture, the office furniture functional characteristics and the stylistic characteristics of the office furniture. Chapter II includesthe criteria and models of office spaceorganization, it is divided into two subchapters, referring to the architectural space for office activities and classifications of office furniture in a contemporary space. Chapter III includes theoretical research on the concept of shape and composition. It is divided into three subchapters thatstudy the elements and the characteristics of the shape and composition,modeling tools in the design of office furniture and importance of the correlation between color and light in the design of office furniture. Chapter IVpresents the theoretical research on the ergonomics of the office furniture, it is divided into two subchapters that focus on the global standards in ergonomics and the necessityto organize ergonomically the work in the office. Chapter Vdescribes the process of office furniture creation and design.These five chapters refer to the process of creation through design, office furniture design solutions with the help of ideas-concept, implementation of information technology in furniture design and architectural design of the office space using contemporary innovations

Spatial Analysis of Cirques from Three Regions of Iceland: Implications for Cirque Formation and Palaeoclimate

This study is a quantitative analysis of cirques in three regions of Iceland: Tröllaskagi, the East Fjords and Vestfirðir. Using Google Earth and the National Land Survey of Iceland Map Viewer, we identified 347 new cirques on Tröllaskagi and the East Fjords region, and combined these data with 100 cirques previously identified on Vestfirðir. We used ArcGIS to measure length, width, aspect, latitude and distance to coastline of each cirque. Palaeo‐equilibrium‐line altitudes (palaeo‐ELAs) of palaeo‐cirque glaciers were calculated using the altitude‐ratio method, cirque‐floor method and minimum‐point method. The mean palaeo‐ELA values in Tröllaskagi, the East Fjords and Vestfirðir are 788, 643 and 408 m a.s.l, respectively. Interpolation maps of palaeo‐ELAs demonstrate a positive relationship between palaeo‐ELA and distance to coastline. A positive relationship between palaeo‐ELA and latitude is observed on Vestfirðir, a negative relationship is observed on Tröllaskagi and no statistically significant relationship is present on the East Fjords. The modal orientation of cirques on Tröllaskagi and Vestfirðir is northeast, while orientation of cirques in the East Fjords is north. Palaeo‐wind reconstructions for the LGM show that modal aspect is aligned with the prevailing north‐northeast wind directions, although aspect measurements demonstrate wide dispersion. Cirque length is similar on Tröllaskagi and the East Fjords, but cirques are approximately 200 m shorter in Vestfirðir. Cirque widths are similar in all three regions. Comparisons with a global data set show that cirques in Iceland are smaller and more circular than cirques in other regions of the world. Similar to glaciers in Norway and Kamchatka, our results demonstrate that access to a moisture source is a key parameter in determining palaeo‐ELAs in Iceland. Temperatures interpreted from palaeo‐ELA depressions suggest that these cirques may have been glaciated as recently as the Little Ice Age

Glacial geomorphology and glacier reconstruction in the Maramureş Mountains (Romania and Ukraine)

The Maramureş Mountains (Munţii Maramureşului, 1957 m) are the northernmost formerly glaciated area in the Romanian Carpathians extending along the border with Ukraine. Although the presence of glacial features in this area has been recognised since the end of the $19^{th}$ century, a comprehensive study on glacier geometry during the Last Glacial Maximum (LGM) and equilibrium line altitude (ELA) has only recently been attained. Glacial landforms have been documented in seven isolated mountain groups: Pop Ivan, Mezipotoki-Nieneska, Farca u-Mihailecu, Pietrosu Barda ului, Chyvchyn, Toroiaga and Jupania Mountains rising above 1800 m asl. (partially even 1700 m asl.) in the northern part and 1850 m above sea level in the southern part of the study area. We mapped 42 glacial cirques and reconstructed the geometry of 31 small (average length of 1.6 km) paleo glaciers which covered a total area of 14.7 $km^{2}$. The reconstructed ELA in the Maramureş Mountains (1515 m asl) was similar to the neighbouring Chornohora Mountains in Ukraine (1516 m asl) and lower compared to the Rodna Mountains (1697 m asl) to the south

Primary hyperparathyroidism can generate recurrent pancreatitis and secondary diabetes mellitus – A case report

Introduction. Acute or recurrent pancreatitis may be a complication of primary hyperparathyroidism and patients with previous episodes of pancreatitis may develop secondary diabetes mellitus. Case report. We describe the clinical case of a 52-year old Caucasian man diagnosed with chronic recurrent pancreatitis in 2007. The first episode of acute pancreatitis occurred in 2002, followed by another 4 episodes in 2004 and 2007. In 2004, papilosfincterectomy was implemented with a stent mount that was removed one month later. In 2005, the patient underwent a surgical intervention for the diagnosis of chronic lithiasis, and cholecystectomy was performed. Additional investigations on the etiology of recurrent chronic pancreatitis, initially diagnosed as idiopathic, revealed elevated values of total serum calcium, serum parathormone, and the presence of a parathyroid adenoma in the right lower pole of the thyroid. In September 2007, parathyroidectomy was performed with a favorable evolution and the remission of the acute pancreatitis episodes. The patient had not had any family history of diabetes; in 2017 he was diagnosed with diabetes. Conclusion. In cases of recurrent pancreatitis, screening for hyperparathyroidism is recommended. Metabolic evaluation is required, because the risk of developing diabetes in patients with recurrent pancreatitis is high

How IT work can impact programmer’s health

Software engineers are in great demand in the Information Technology (IT) industry, which has improved employment prospects and raised wages. But, because of their sedentary jobs, demanding work environments, and stress-related health issues, such as burnout, anxiety, and physical health issues, it has also resulted in these issues. Software developers may put their health first by prioritizing exercise and mindfulness techniques into their daily routines to reduce these hazards. Companies may also do their part by fostering a culture that values work-life balance and provides access to mental health resources

Competition, Gender Equality, and Doping in Sports in the Red Queen Effect Perspective

The nature of sports is characterized by a strong competitive component that generates inequalities among athletes at different levels, specifically in relation to gender, technology, and doping. These inequalities can be represented according to the Red Queen effect perspective, which has been previously hypothesized in other competitive environments (evolutionary biology and economics, for instance). The Red Queen effect considers each competitive environment to require a constant effort to maintain a position of competitive advantage in order reach the best result possible. Therefore, the aim of the current paper is to provide an innovative perspective for the understanding of competition in sports, identifying factors (i.e., physical appearance for gender equality, socioeconomic status of a sport team for technology, and antidoping rules for doping) influencing athletes’ possibilities to win a competition. Concerning gender differences, the disparity between genders reflects a lower coverage in sports news, and media are more likely to focus on female athletes’ physical appearance than their performance in sports. Therefore, women struggle more with increasing their visibility and in affirming their status as an athlete. On the other hand, the introduction of science and technological innovations in sports has generated economic interests in sport competitions, which reached superior performance levels compared to the past. Teams that cannot afford financial burdens of technological innovation risk being left out from sport competitions. Finally, doping creates a Red Queen environment since antidoping rules catch a small portion of athletes using performance enhancement drugs