bluuebunny/crossref_metadata_2025 huggingface dataset:
PRINCIPAL APPROACHES TO ENSURING ECONOMIC HOMEOSTASIS FROM THE POSITION OF SUSTAINABLE FINANCE
Authors: Bystryakov Igor , Klynovyi Dmytro
Published: July 2021

The purpose of the article is to outline the basic principles of achieving economic homeostasis and determination of the basic principles of homeostasis of economic systems from the standpoint of the concept of sustainable finance. It was found that the determining factor for the sustainability of the economic system is to ensure both its system-wide homeostasis and homeostasis in each of the subsystems in social, economic and environmental dimensions, which can be realized through a specific system of sustainable finance.
It is determined that three factors should play an important role in the system of sustainable finance: building feedback mechanisms between the economic system and the environment and within its elements; creation of financial reserves and construction of channels of their direction on the needs of sustainable development; strengthening the links between finance and the real sector of production.
The concept of systemic homeostasis is considered in the context of sustainable development management as a balanced state of dynamic self-sustaining balance in the development of socio-ecological and economic entities, which are considered as living systems of organized complexity. The focus is on proactive forms of homeostasis management, the essence of which, in contrast to reactive forms, is to respond to changes in the interaction of the system with its environment actively and purposefully. Financial dominance is considered as a separate fundamental functional component of the sustainable management system, the role of which is to ensure effective distribution relations between the social, economic and environmental components of the economy, and within each of them through appropriate institutions, mechanisms and tools.
Principles of the dominant approach, functionality, vertical and horizontal integration feedback and self-sufficiency are proposed on the basis of the paradigmatic concept of sustainable finance. It is shown that their use will allow to build an internally stable financial component, which is capable to provide homeostasis in the socio-ecological and economic system and the rate of sustainable development at 3–4 % of annual economic growth.
FORMALIZATION OF VALUE MEASUREMENT OF ECOSYSTEM ASSETS (ON THE EXAMPLE OF WATER RESOURCES)
Authors: Kolmakova Valentyna
Published: July 2021

Scientific approaches to the formalization of valuations of ecosystem assets on the example of water resources are studied. The peculiarities of application of methods, approaches and directions of economic assessment to water as an ecosystem asset are revealed, key directions of practical application of results of economic assessment of ecosystem assets related to water in the system of nature management of territorial communities are determined. An algorithm for formalizing the valuation of water-related ecosystem assets from the following five blocks is proposed: the first involves consideration of the essence and differentiated components of water-related ecosystem assets from the standpoint of the ecosystem approach; the second defines the methodology for identifying a set of ecosystem services that can be provided by identified ecosystem assets within spatial formations; the third is focused on the study of integration processes related to the study of the combinatorics of ecosystem services and system interaction of spaces; fourth - provides a rationale for the model of reproduction of ecosystem assets related to water in a formal form with the prospect of parameterization of their components; The fifth block concerns the identification of methods used for their cost measurement and the solution of financial and economic settlement issues and the definition of innovative ways of sustainable spatial development of united territorial communities.
Further research has prospects in the following areas: formation of a comprehensive strategic approach to formalizing the value measurement of water-related ecosystem assets; and development and introduction of effective methodological approaches to the assessment of ecosystem assets for the formation of investment attractiveness of the territory through the use of local natural resources, including water, as a powerful potential for sustainable spatial development at the local level.
Sie wollten die Museen zerstören. : Zur Tradition des literarischen Manifests um 1900 (Gebrüder Hart, Moréas, Marinetti, Hiller)
Authors: Schwarz Olga Katharina
Published: July 2021

Abstract Der Beitrag untersucht den für das literarische Manifest um 1900 charakteristischen Umgang mit Tradition. Das Traditionsbewusstsein, das die Manifeste selbst zum Ausdruck bringen, wie auch die zwischen ihnen zu ziehenden Traditionslinien verweisen auf die Kontinuität,
die durch die Manifeste verkörpert wird, und relativieren die in ihnen proklamierten Brüche. Gezeigt wird, in welcher Weise das literarische Manifest in dieser Hinsicht Modell für die Manifeste der historischen Avantgarde war.This study of literary manifestos published around
the year 1900 investigates their relationship to tradition. The conscious appeals to tradition which the manifestos include, as well as the lines of tradition which may be traced from one manifesto to the next, point to a certain continuity which puts their claims to a rupture with the past
in relative perspective. The paper shows that in this respect the literary manifesto served as a model for the manifestos of the historical avant-garde.
Eine sorbisch-deutsche Dorfgeschichte. : Die Kolonialisierung ländlicher Räume in der deutschsprachigen Literatur der Sorben am Beispiel von Jurij Brězans ,,Der Gymnasiast“
Authors: Barthold Willi Wolfgang
Published: July 2021

Abstract Der Beitrag untersucht anhand von Jurij Brězans Roman Der Gymnasiast, wie sich die deutschsprachige Literatur der Sorben nach 1945 des literarischen Musters der Dorfgeschichte bedient, um interkulturelle Konflikte und Marginalisierungserfahrungen darstellbar
zu machen. Mit einem postkolonialen Ansatz wird dabei gezeigt, dass Brězans sorbisch-deutsches Provinzerzählen die Lausitz nicht nur als einen Ort entwirft, der Formen der Kolonialisierung ausgesetzt ist, sondern auch als kulturell hybriden Raum neukonzipiert.By analyzing Jurij
Brězan’s novel Der Gymnasiast, this article investigates how German-language literature of the Sorbs after 1945 appropriates the genre of Dorfgeschichte to depict intercultural conflicts and experiences of marginalization. A postcolonial approach shows that Brězan’s
Sorbian-German rural storytelling not only conceives of Lusatia as a place that is subject to various forms of colonization but also reconceptualizes the region as a culturally hybrid space.
Witzige Kleinigkeiten. : Zum 300. Geburtstag Johann Adolf Schlegels (1721–1793)
Authors: Breuer Ulrich
Published: July 2021

Zugegeben, unter den Poetae Minores der deutschen Literaturgeschichte ist Johann Adolf Schlegel einer der Kleineren. In einem gängigen Nachschlagewerk zu deutschsprachigen Autorinnen und Autoren ist er nicht vertreten – anders als sein früh verstorbener Bruder.1
Die einschlägige Forschung ist zudem älteren Datums und lückenhaft.2 Wenn man in der Germanistik überhaupt noch etwas mit seinem Namen verbindet, dann scheint man sich auf Nebenschauplätze begeben zu müssen. Da ist zum einen seine Beteiligung an der
Überwindung frühaufklärerischer Phantasielosigkeit im Kreis der Bremer Beiträger – ein bloßer Kollaborateur. Zum anderen ist da die vorsichtige Revision des alteuropäischen Nachahmungspostulats in einer einflussreichen Übertragung aus dem Französischen
– lediglich ein Übersetzer. Und natürlich wird er genannt, wenn es um seine Söhne geht, namentlich um August Wilhelm und Friedrich Schlegel – doch Johann Adolf ist eben nur der Vater.
Getarnte Vitalität. Von Alfred Doves Caracosa (1894) zu Georg Heyms Bagrow (1911)
Authors: Krause Frank
Published: July 2021

Anfang der 1970er Jahre hatte Gunter Martens die vitalistischen Perspektiven des literarischen Werks von Georg Heym detailliert herausgearbeitet. Der Glaube, im gesteigerten Erleben der aktiven Erfüllung unabweisbarer Bedürfnisse offenbare sich der sinnstiftende Ursprung des
Lebensprozesses, leitet Heyms Darstellungen spontaner Aufbrüche aus gefühlsarmer Sinnleere ebenso wie seine Diagnosen zerstörter Hoffnungen auf ein erfülltes Leben; noch Heyms Szenen der sinnlich faszinierenden Vernichtung lebensfeindlicher Stätten und seine paradoxen
Motive einer vitalisierten Todesmacht, die eben jene berauschende Energie verausgabt, an denen es ihren Opfern mangelt, bewegen sich im Horizont vitalistischen Denkens.1
I Can't Get No Satisfaction: Or Can I? Satisfying Australian Whale-Watching Tourists
Authors: Tkaczynski Aaron
Published: July 2021

Satisfying tourists while also adhering to environmental regulations represents a continuous challenge for whale watching operators. Satisfaction is often conceptualized differently by academics and practitioners, and both the level of operator whale-watching experience and government
regulations at destinations can vary. This research seeks to identify how satisfaction significantly influences tourists' sociodemographics, repurchase intentions, and positive word-of-mouth (WOM) communication intentions at two Australian whale-watching destinations that differ in their level
of expertise in offering whale-watching experiences. Multiple regression determined that most tourists were very satisfied with their whale-watching experience and exhibited high repurchase and positive WOM communication intentions. At both destinations, individual satisfaction items predicted
the most variance in repurchase intentions and positive WOM communication intentions, suggesting a holistic approach to satisfaction is not warranted when evaluating a whale-watching experience. Chi-square tests, t tests, and analysis of variance determined that tourists at each destination
varied significantly in their age, education, and origin. To provide a satisfying tourist experience and facilitate environment protection, these personnel must continue to offer high-quality services that guarantee whale sightings within a designated time period while also adhering to environmental
regulations.
RANCANG BANGUN ALAT KALIBRASI PENGUKUR SUHU BERBASIS DIGITAL TEMPERATUR CONTROLLER
Authors: Azharul Firmansyah , Rahmawati  , Choiruddin  , Wilarso
Published: July 2021

Kerusakan pada alat ukur suhu infrared thermometer mempengaruhi kualitas pengukuran, yang disebabkan jatuh, terbentur, maupun umur dari alat ukur. Kalibrasi alat ukur dibutuhkan untuk mengetahui akurasi terhadap hasil pengukuran. Tujuan dari penelitian ini merancang alat kalibrasi pengukur suhu berbasis digital. Metode yang dilakukan pembuatan alat kalibrasi pengukur suhu berbasis digital temperatur menggunakan VDI 2221 (verein deutscher ingenieure), persatuan insinyur Jerman. Dari hasil penelitian yang dilakukan alat kalibrasi pengukur suhu mendapatkan data koreksi sebesar 0.1 oC. Alat kalibrasi dengan benda kerja didapatkan nilai 0.4 oC. Adapun hasil pengujian sesuai dengan fungsinya dengan menggunakan alat pemanas temperatur 50oC, 75oC, 100oC. ditemperaturr 50oC, 75oC, 100oC
PENGENDALIAN KUALITAS PROSES FABRIKASI SAND FILTER
Authors: Rahman Asep , Sholih Hilman
Published: July 2021

Cadangan sumber daya air tanah yang terbatas, mendorong dunia industri untuk membatasi atau tidak lagi menggunakannya sebagai sumber daya air utama. Salah satu alternatif penggantinya adalah air sungai. Permasalahannya, pada sungai yang melintasi wilayah industri, tingkat pencemarannya tinggi. Hal ini disebabkan oleh adanya kontaminasi limbah industri, limbah rumah tangga/domestik, serta polutan lainnya. Untuk mengatasi masalah limbah tersebut, perusahaan perlu membangun sebuah sistem pengolahan air terpadu. Di dalam sistem tersebut, dibutuhkan sebuah bejana yang dinamakan Sand Filter Tank. Fungsi Nya, untuk menampung dan menyaring limbah kasar seperti plastik, sampah organik, lumpur, dan limbah rumah tangga lainya. Dalam tulisan ini akan dibahas mekanisme Quality Control pada fabrikasi Sand Filter Tank mulai dari material atau bahan baku sampai menjadi sebuah produk. Dengan sistem quality control yang baik, akan diperoleh produk sand filter yang sesuai dengan persyaratan spesifikasi pelanggan dan standar
Optimized Scale-Invariant Hog Descriptors for Tobacco Plant Detection
Authors: Thirthe Gowda M. T. , Chandrika J.
Published: July 2021

The histogram of gradient (HOG) descriptor is being employed in this research work to demonstrate the technique of scale variant to identify the plant in surveillance videos. In few scenarios, the discrepancies in the histogram of gradient descriptors along with scale as well as variation in illumination are considered as one of the major hindrances. This research work introduces a unique SIO-HOG descriptor that is approximated to be scale-invariant. With the help of the footage that is captured from the tobacco plant identification process, the system can integrate adoptive bin selections as well as sample resizing. Further, this research work explores the impact of a PCA transform that is based on the process of feature selection on the performance of overall recognition and thereby considering finite scale range, adoptive orientation binning in non-overlapping descriptors, as well as finite scale range are all essential for a high detection rate. The feature vector of HOG over a complete search window is computationally intensive. However, suitable frameworks for classification can be developed by maintaining a precise range of attributes with finite Euclidean distance. Experimental results prove that the proposed approach for detecting tobacco from other weeds has resulted in an improved detection rate. And finally, the robustness of the complete plant detection system was evaluated on a video sequence with different non-linearity's that is quite common in a real-world environment and its performance metrics are evaluated
Singular Perturbation Method Applied to Power Factor Correction Converter Application
Authors: Gunti Kishor Babu , Movva Sree Krishnarayalu
Published: July 2021

A linear discrete stable control system is considered. The Power Factor Correction (PFC) converter to allow independent control of current and voltage. It converter are fast and slow states to inheres sty present small parameters inductor and capacitor its computes stiffness and to include switching ripple effects. As an alternative a Singular Perturbation Method (SPM) is presented Initial Value Problem (IVP) and Boundary Value Problem (BVP). It is applied to two state switching power converters to provide rigorous justification of the time scale separation. It is modeled as a one parameter singularly perturbed system. SPM consists of an outer series solution and one boundary layer correction (BLC) solution. A boundary layer correction is required to recover the initial conditions lost in the process of degeneration and to improve the solution. SPM is carried out up to second-order approximate solution for the PFC converter model for IVP and BVP. The results are compared with the exact solution (between with and without parameters). The results substantiate the application.
Lei Geral De Proteção De Dados (Lei Nº 13.709/2018) e Terceiro Setor: Principais Desafios E Alternativas Rumo À Adequação
Authors: Rolim Maria da Conceição Lima Melo , Gibran Sandro Mansur
Published: July 2021

Objetivo do estudo: O objetivo do presente estudo é discorrer sobre a temática da Lei Geral de Proteção de Dados Pessoais (Lei nº 13.709/2019) e discutir sobre sua aplicabilidade e efeitos no âmbito do Terceiro Setor.  Metodologia/abordagem: O método de pesquisa escolhido foi a análise bibliográfica do tema através de pesquisa por intermédio de livros, legislação e do Google Acadêmico, com a seleção de publicações como artigos e revistas da área. Originalidade/relevância: A discussão se insere dentro da matéria dos Direitos Fundamentais e Direito Civil, especificamente, dos Direitos da Personalidade. A relevância acadêmica está na novidade da LGPD no ordenamento jurídico brasileiro. Principais resultados: Como resultado, foi possível concluir pelo papel fundamental que boas práticas de governança podem exercer na formação de uma cultura de proteção de dados pessoais nessas organizações. Contribuição teórica/metodológica. A pesquisa identificou os principais impactos que a nova sistemática de proteção à privacidade e de dados pessoais exercerá em relação às entidades do Terceiro Setor.
Student Nurses’ Perception of Bulling Experience and Its Coping Strategies During Clinical Training: A Cross Sectional Study
Authors: Shereen Ahmed Ahmed Qalawa  , Seham Shehata Ibrahim
Published: July 2021

Background: Bullying remains as a disturbing problem in the nursing career. Nursing students maymeet bullying behavior during clinical practice. Nevertheless nursing students may not be preparedenough to be acquainted with bullying behavior when faced . Aim: To explore student nurses perceptionregarding bulling experience and its coping strategies during clinical training. Subject and Methods:A descriptive cross-sectional design on 106 student nurses at port-said university , Egypt using threetools as follows: the first tool for student’s perceptions assessment sheet regarding bulling experience, the second tool for assessment of students self esteem level while the third tool for student’s copingstrategies methods of bulling. Results: Reflected that there is that there is a statistically significantcorrelation between student’s sociodemographi characteristics and there Rosenberg scale levels of selfesteem only in the item related to If they faced bulling situation, what is the reason of not tellingany person (Ps= 0. .001) . In addition to , revealed that there is a statistically significant correlationbetween student’s socio demographic data and their dealing methods with bulling situation based ona Kobe scale in the item related to gender (Ps= 0.041) and also in student’s thought of leaving thenursing profession and college because of bullying(Ps= 0.004) .Conclusion & Recommendations:Based on study results there are a low feeling of self confident and esteem among student nurses duringclinical practice and there are an underestimated with unfair criticism negatively affecting their abilityto provide care . So, there are needs for implementation of multimedia educational program for studentsregarding corrective actions of bulling situations during clinical training.
Modern legal content of optimization of directions of administrative
and legal regulation of the state cybersecurity policy
Authors: Diorditsa Igor
Published: July 2021

The article proposes to consider the author's results of determining the conceptual provisions for optimizing the areas of administrative and legal regulation of state cybersecurity policy. The content of the current state of state policy in the field of cybersecurity is considered. Theoretical and practical aspects of optimization of legal relations in the field of state cybersecurity policy are analyzed. The interpretation of the state cybersecurity policy of Ukraine is determined – the activity of state and legal institutions to manage real and potential cyber threats and dangers to meet the cyber needs of man and citizen, as well as the realization of national interests in this area. The own vision of directions of the state cybersecurity policy according to the maintenance of a number of regulatory legal acts is offered, namely: directions of the state cybersecurity policy according to the Law of Ukraine «About the basic principles of maintenance of cybersecurity of Ukraine»; directions of the state cybersecurity policy in accordance with the Law of Ukraine «On Fundamentals of National Security of Ukraine»; directions of the state cybersecurity policy in accordance with the Doctrine of Information Security of Ukraine. It is concluded that the priority areas for optimizing state policy to strengthen the administrative and legal regulation of cybersecurity of the state are the following reforming cyber law as a segment of information legislation of Ukraine, especially in terms of not only clearly defining current threats and threats to cyber security, but also mechanisms public policy, including symmetric cyber measures; research on the protection of critical infrastructure from cyberattacks; promoting the development of domestic innovative products that can be used to strengthen the cybersecurity of the state; completion of the implementation of the provisions of the Council of Europe Convention on Cybercrime into national law; optimization of the training system in the field of cybersecurity for the needs of the Armed Forces of Ukraine and other bodies of the security and defense sector of Ukraine; promoting a more active policy of state security institutions to inform the public about cyber threats; promoting the militarization of cyberspace; support for both existing multilateral training sessions on countering cyberattacks on the state information infrastructure, and initiating new types of such training sessions.

Key words:cybersecurity, cyberspace, state policy, cybersecurity policy, cybercrime.
The special criminological measures to prevent crimes in the field of copyright infringement on the іnternet
Authors: Lisovyi Artem
Published: July 2021

In this article author analyzes the term of ‘special criminological crime prevention’ and determines the main directions by which such crimes prevention is developed and realized.

Consideringthe fact that the existing in the Soviet Union times o the system of crimes prevention in Ukraine was destroyed after the declaration of independence, the author emphasizes the necessity of building a new efficient and comprehensive system of crimes prevention in Ukraine, in which the methods on Internet crimes prevention should be reflected.

The author deems the problem of realization of special criminological crime prevention in the field of copyright as the cornerstone of the overall process of crimes combating, prevention of committing copyright crimes and enhancement of criminality in Ukraine. This idea is reflected among scientific environment, in particular such scientists as A.A. Lomakina, Y.Y. Fedorishena, O.V. Novikov, M.V. Boruta, I.M. Romanyuk, B.M. Krivolapov and other have been investigated the same legal problem.

The author defines the law enforcement agency within the Ministry of Internal Affairs of Ukraine dedicated to combating cyber crime, including the prevention, combating and investigation of Internet copyright crimes – the department of Cyber Police of Ukraine. The author points out that the main tasks of this department include: implementation of the state policy in the sphere of combating cybercrime, early informing of the population on the emergence of new cybercriminals, implementation of software for the systematization of cybercidents.

The author emphasizes that the role of the local government bodies couldn’t be overestimated in the building of national crimes prevention system because making of effective decisions subject to assistance to families, people with disabilities, the regulation of tariff and price policy and other, make the general atmosphere in society stable, that helps to avoid new crimes commitments. The author emphasizes that the local government bodies have to carry out special criminological crime prevention activities.

In this article the author also proposes new special criminological crime prevention measures in the field of copyright which could be undertaken by relevant authorities, and also notes on the neccessity of the legal implementation of mechanisms for copyright protection on the Internet, which copyright owner can use personally to protect his works.

Keywords: special criminological crime prevention measures, Internet copyright crimes prevention, crimes prevention, Internet, ways to prevent Internet copyright crimes, development of new Internet copyright crimes prevention measures.
Cerium-photocatalyzed aerobic oxidation of benzylic alcohols to aldehydes and ketones
Authors: Yedase Girish Suresh , Kumar Sumit , Stahl Jessica , König Burkhard , Yatham Veera Reddy
Published: July 2021

We have developed a cerium-photocatalyzed aerobic oxidation of primary and secondary benzylic alcohols to aldehydes and ketones using inexpensive CeCl3·7H2O as photocatalyst and air oxygen as the terminal oxidant.
Modern Views on the Treatment of Patients with Injuries of the Medial and Lateral Menisci of the Knee Joint (Literature Review)
Authors: Dolgopolov O.V. , Siforov D.V.
Published: July 2021

Summary. We have analyzed the literature to determine the tactics of the knee menisci injury surgical treatment. It has been determined that the use of cellular technologies for suturing a damaged meniscus allows satisfactory results even in patients with ruptures in the avascular zones, despite the fact that partial meniscectomy is considered the "gold standard" of surgical treatment for ruptures in the “white” zone. It should be considered the advantages and disadvantages of different stitching techniques and the specific clinical and physical characteristics of each patient.
On the Future of Fission and Solar Energy
Authors: Knapp Vladimir
Published: July 2021

Our attitudes towards the risks of climate change must be reconsidered. We must recognise that the consequences will be huge and inevitable if we do not act now. Better to accept a few false alarms rather than be unprepared for a climate catastrophe. An outstanding example is the calculation by groups from Germany and the UK in 2009 (1) of the allowable emissions of CO2 before a 2°C increase in global temperature is exceeded. This leaves very little time, only 4 to 8 years, for mitigation measures.

Nuclear fission now presents a formidable fleet of some 450 reactors benefitting from over 50 years of operational experience. Throughout decades of development, they reached outstanding safety standards, exceeding those of most renewable sources. However, the threat of climate change is calling this perspective into question as nuclear technology requires long-term stability of institutions. The future of nuclear fission will be determined after the expiration of the next decade with the development of hydro, solar and wind energy as replacements. For Croatia, in view of future climate insecurity, we cannot recommend the construction of a nuclear power plant built to operate from 2043 to 2083 (2) as a replacement for the outgoing NE Krško plant. Instead, we should intensify the development of our renewable resources.
FETAL CEREBRAL HEMORRHAGE DIAGNOSED ANTEPARTUM
Authors:   Obstetrics and Gynecology Clinic 1, Clinical Emergency Hospital, Targu-Mures, Marginean Claudiu , Puscasiu Lucian ,   Obstetrics and Gynecology Clinic 1, Clinical Emergency Hospital, Targu-Mures, Molnar Claudiu V. ,   Obstetrics and Gynecology Clinic 1, Clinical Emergency Hospital, Targu-Mures, Rozsnyai Florin ,   Obstetrics and Gynecology Clinic 1, Clinical Emergency Hospital, Targu-Mures, Szabo Bela ,   Obstetrics and Gynecology Clinic 1, Clinical Emergency Hospital, Targu-Mures, Zahiu Luminita ,   Neonatology Clinic 1, Clinical Emergency Hospital, Targu-Mures, Simon Marta ,   Neonatology Clinic 1, Clinical Emergency Hospital, Targu-Mures, Cucerea Manuela ,   Neonatology Clinic 1, Clinical Emergency Hospital, Targu-Mures, Marginean Cristina Oana ,   Pediatrics Clinic 1, Clinical Emergency Hospital, Targu-Mures, Suciu Nicoleta ,   University of Medicine and Pharmacy, Targu-Mures, Rugina Cosmin ,   Department of Obstetrics and Gynecology, Clinical Country Hospital, Piatra Neamt
Published: July 2021

The diagnosis of fetal cerebral hemorrhage (HCF) is less reported (0,9/1000 births) in comparison to the postpartum one. We presented 2 cases of fetal intraventricular hemorrhages diagnosed. Case 1: HCF diagnosed by ultrasound at the gestational age of 28 weeks and confirmed after birth by the presence of erythrocytes (significant number, pathological aspect) in the spinal fluid and by the modifications signaled by the transfontanellar ultrasound (severe internal hydrocephaly, minimum cerebral tissue). The death occurred after 24 hours postpartum (pathological exam: intraventricular cerebral hemorrhage). We mention the apparent lack of maternal risk factors, negative TORCH tests. Case 2: internal hydrocephaly at the age of 37 gestational weeks and confirmed in newborn (after cesarean section) by the clinical characteristic modifications, severe neurological impairment with modification at the transfontanellar ultrasound and the hemorrhagic and hypertensive aspect of the spinal fluid. We did not encounter maternal risk factors. Also, apparently, there were not any fetal risks: weight 2,820 grams at 37 gestational weeks, negative TORCH tests, negative cultures and CRP. The hydrocephaly had a progressive evolution imposing ventriculostomies and cysternotomies; the placement of a ventriculoperitoneal shunt during the third neurosurgical intervention improved the vital prognosis. Conclusions. The presence of hydrocephaly was a faithful ultrasound sign for the diagnosis of HCF. The evolution and the prognosis are influenced by the severity of hemorrhage and the gestational age. The survivors benefit from neurosurgical treatment. The multifactorial etiology, of the HCF incompletely elucidated leads to difficulties in establishing a target group of screening, in order to identify this lesion.
METAPLAZIA PANCREATICĂ A MUCOASEI GASTRICE LA COPIL
Authors:   Clinica de Neonatologie 1, Spitalul Clinic de Urgenţă, Târgu-Mureş, Damian Raluca , Mărginean Cristina Oana ,   Clinica de Neonatologie 1, Spitalul Clinic de Urgenţă, Târgu-Mureş,   Universitatea de Medicină şi Farmacie, Târgu-Mureş, Suciu Nicoleta ,   Universitatea de Medicină şi Farmacie, Târgu-Mureş, Mărginean Maria Oana ,   Universitatea de Medicină şi Farmacie, Târgu-Mureş, Mocan Simona ,   Departamentul de Anatomie Patologică, Spitalul Clinic de Urgenţă, Târgu-Mureş, Meliţ Lorena Elena ,   Universitatea de Medicină şi Farmacie, Târgu-Mureş,   Departamentul de Anatomie Patologică, Spitalul Clinic de Urgenţă, Târgu-Mureş
Published: July 2021

Metaplazia pancreatică este definită drept apariţia ţesutului pancreatic într-o locaţie anormală şi fară conectare directă la pancreas. Ţesutul pancreatic heterotopic este cel mai frecvent observat la nivelul mucoasei antrale gastrice, în duoden şi jejun. Prezentăm cazul unei paciente în vârstă de 13 ani care s-a internat în Clinica Pediatrie 1 Târgu-Mureş pentru dureri abdominale recurente şi pirozis. Investigaţiile de laborator efectuate au evidenţiat limfocitoză (41%) cu monocitoză (8,9%), eozinofilie (4,9%), un număr crescut de reticulocite (20%), un nivel seric scăzut al trigliceridelor şi o valoare peste limita superioară a calciului şi magneziului. Ecografia abdominală nu a pus în evidenţă modificări patologice. Endoscopia digestivă superioară a evidenţiat o mucoasă gastrică granulară. Astfel, s-a prelevat un fragment de biopsie de la nivel antral, iar examenul histopatologic a evidenţiat prezenţa unui focar de metaplazie pancreatică la nivelul mucoasei antrale gastrice. Evoluţia a fost favorabilă cu dietă şi tratamentul leziunilor asociate. Particularitatea cazului constă în prezenţa metaplaziei pancreatice a mucoasei gastrice la o pacientă cu dureri abdominale recurente şi pirozis, fără antecedente heredo-colaterale sau personale semnificative.
DIAGNOSIS AND TREATMENT IN GASTROESOPHAGEAL REFLUX DISEASE – POSSIBILITIES AND LIMITATIONS
Authors:   “Sf. Maria” Children’s Hospital, Iasi, Ciubotariu Gabriela , Diaconescu Smaranda ,   “Sf. Maria” Children’s Hospital, Iasi,   “Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Marin Angelica Cristina ,   “Sf. Maria” Children’s Hospital, Iasi, Olaru Claudia ,   “Sf. Maria” Children’s Hospital, Iasi,   “Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Gimiga Nicoleta ,   “Sf. Maria” Children’s Hospital, Iasi,   “Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Moscalu Mihaela ,   “Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Burlea Marin ,   “Sf. Maria” Children’s Hospital, Iasi,   “Gr. T. Popa” University of Medicine and Pharmacy, Iasi
Published: July 2021

In children’s first year of life it is mandatory to make a difference between physiological gastroesophageal reflux (GER) and gastroesophageal reflux disease (GERD), in order to avoid an aggressive pharmacologic therapy. All ages of childhood benefit from modern criteria of clinical evaluation, by corroborating the digestive or extra digestive symptoms with the results of modern investigations. The dietary measures (sufficient in GER but mandatory in all cases) together with proton pump inhibitors administration after one year of age induce remission in majority of GER cases. The chronic and recurrent evolution of the disease or failure of the common treatment require surgical intervention, recently enriched in children with peroral endoscopic myotomy (POEM).
POSTNATAL IMPLICATIONS FOR PRENATAL DIAGNOSED TETRALOGY OF FALLOT
Authors:   “Carol Davila” University of Medicine and Pharmacy, Bucharest, Nicolae Georgiana ,   “Marie Curie” Emergency Hospital for Children, Bucharest, Filip Cristina ,   “Carol Davila” University of Medicine and Pharmacy, Bucharest,   “Marie Curie” Emergency Hospital for Children, Bucharest, Diaconu Adriana ,   “Carol Davila” University of Medicine and Pharmacy, Bucharest,   “Fundeni” Clinical Institute, Bucharest, Nicolescu Alin ,   “Carol Davila” University of Medicine and Pharmacy, Bucharest,   “Marie Curie” Emergency Hospital for Children, Bucharest, Arion Constantin ,   “Carol Davila” University of Medicine and Pharmacy, Bucharest,   “Fundeni” Clinical Institute, Bucharest
Published: July 2021

Over the last few years, prenatal diagnosis of congenital heart diseases experienced an important development. Overall survival of patients with congenital heart disease was improved in the last decade due to the advanced diagnostic methods and progression of cardiovascular surgical procedures in this field. Due to the significant increase of the long-term survival rate, currently, in most developed countries, there are departments dedicated to monitoring the adults with congenital heart malformation due to the particularities and special needs of this type of patients, compared with the regular cardiac pathology of adults. This article proposes a review of existing data at this moment related to the prenatal and postnatal diagnosis and their impact on the evolution regarding the most common cyanotic congenital malformation – Tetralogy of Fallot. In the following pages, we is emphasize the importance of knowing the precise fetal pathology for early determination of medical behavior in the postnatal period for the best care of these children.
MINIMALLY INVASIVE SURGERY FOR CONGENITAL HYDRONEPHROSIS IN CHILDREN
Authors:   Department of Pediatric Surgery, Emergency Clinical Hospital for Children “M.S. Curie” Clinical Hospital for Children, Bucharest, Kadar Anna ,   University of Medicine “Carol Davila”, Bucharest, Vatra Lorena ,   Department of Pediatric Surgery, Emergency Clinical Hospital for Children “M.S. Curie” Clinical Hospital for Children, Bucharest, Oancea Marcel ,   Department of Pediatric Surgery, Emergency Clinical Hospital for Children “M.S. Curie” Clinical Hospital for Children, Bucharest
Published: July 2021

Introduction. Minimal invasive treatment for congenital hydro nephrosis in children remains a controversial topic, both in defining the necessity and timing of operation using laparoscopic techniques in neonates and infants. Materials and methods. This study aims to analyze criteria used for surgery in a series of patients operated in a laparoscopic manner, for congenital hydro nephrosis, at the Emergency Clinical Hospital for Children “Marie Curie” Bucharest, Department of Pediatric Surgery, between 2007-2015. Results. In our series, the most frequent found criteria for surgery were anterior-posterior diameter over 3 cm, followed by 50% reduced parenchymal thickness, decreased renal function under 40% and finally symptomatic criteria – urinary tract infections and flank colicky pain. Both pelvic dilatation and parenchymal thickness correlates with renal function, though reduced parenchymal thickness has a stronger correlation. Infants under 1 year and under 10 kg represented a significant proportion (17.5% and 22.5% respectively). Conclusions. Young age (under 1 year old) and low-weight (under 10 kilos) in children are not reasons to delay classical or laparoscopic surgical treatment for PUJO (pyelo-ureteric junction obstruction). Pyelectasis is not specific to PUJO. It does not always mean obstruction and does not always show a strong correlation with impaired renal function. Best in establishing therapeutic conduct are the magnitude of renal parenchymal restructuring, the degree of renal function impairment and clinical symptomatology. Laparoscopic treatment is an effective surgical approach, that meets all the major advantages of minimal invasive surgery, applicable to infants and small children, regardless of age and weight.
PSYCHOLOGICAL AND ETHICAL ASPECTS OF THE PRESENCE OF FAMILY MEMBERS DURING CARDIAC RESUSCITATION IN CHILDREN
Authors:   Department of Preventive Medicine and Interdisciplinarity, “Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Iorga Magdalena , Russu Georgiana ,   Department of Pediatric Cardiology, “Sf. Maria” Children Emergency Hospital, Iasi, Petrariu Florin D. ,   Department of Preventive Medicine and Interdisciplinarity, “Gr. T. Popa” University of Medicine and Pharmacy, Iasi
Published: July 2021

The presence of family members during medical investigations has given rise to intense debates. These disputes had at their center ethical, psychological and political issues. The authors approach, from a theoretical perspective, aspects related to the presence of family during medical interventions in children with cardiac problems, especially during cardiac resuscitation procedures. This field has accumulated the pros and cons generated by health policies in various countries, the level of collaboration of the family, the special training of doctors and of the whole cardiac resuscitation team, the participation of the family in work protocols and the creation of conditions for conducting cardiac resuscitation in this manner.
THYMOMA: A RARE CAUSE OF MEDIASTINAL TUMOR IN CHILDREN
Authors:   Pediatrics Clinic I, Emergency County Hospital, Targu Mures, Durlan Andreea , Marginean Cristina Oana ,   Pediatrics Discipline, University of Medicine and Pharmacy, Targu Mures, Baghiu Maria Despina ,   Pediatrics Clinic I, Emergency County Hospital, Targu Mures, Grama Alina ,   Pediatrics Discipline, University of Medicine and Pharmacy, Targu Mures, Horvath Emoke ,   Pathology Discipline, University of Medicine and Pharmacy, Targu Mures, Horvath Emoke ,   Pathology Discipline, University of Medicine and Pharmacy, Targu Mures, Chincesan Mihaela-Ioana ,   Pediatrics Discipline, University of Medicine and Pharmacy, Targu Mures
Published: July 2021

Thymoma is a thymic neoplasm composed of epithelial cells, rarely seen in children. Approximately two-thirds of mediastinal tumors in children are asymptomatic. The diagnosis is suspected following the compression of the tumor mass on the airways. We present the case of a male patient, age 7 years and 8 months, who presented at the emergency room accusing fatigue at rest or minimum effort, dry cough, intense dyspnea, orthopnea, tachypnea, chest pain, being transferred to the Pediatric Cardiology Clinic in Tirgu Mures with the following diagnoses: fluid pericarditis, right pleural effusion and cardiac tamponade. Chest computer tomography examination is carried out, describing a solid mass of 100/89/111 mm in the anterior mediastinum, partially incorporating the thymus and the vascular structures of the middle mediastinum. Pericardectomy is practiced with partial removal of the tumor and extensive tumor cytoreduction and the histopathologic examination is B3 Thymoma. Specific treatment is initiated according to the Tymoma VENUTA protocol, followed by adjuvant radiotherapy, with clinical and radiological remission. The particularity of the case is the fact that thymoma is a rare tumor on the patient’s age, creating diagnostic difficulties, has no complications during treatment, with favorable evolution, with clinical and radiological remission at 1.9 years after.
DIAGNOSTIC DIFERENŢIAL ÎN DUREREA DE SPATE AXIALĂ LA COPIL
Authors:   Catedra de Chirurgie, Ortopedie şi Anesteziologie Pediatrică USMF „N. Testemiţanu“, Chişinău, Republica Moldova, Stati Leo
Published: July 2021

Cele mai multe cazuri de durere de spate axială la copil fac parte din patologia de graniţă dintre specialităţile medicale şi chirurgicale. Durerea continuă, cu o durată mai mare de 2 săptămâni poate fi semnul unei patologii severe, impunându-se investigarea clinică, de laborator şi imagistică urgentă. Sunt prezentate diverse cauze care pot produce durere dorsală axială în perioada copilăriei: boala Scheuermann, scolioza simptomatică (secundară), spondiloliza, spondilolistezis, spondilodiscitele, sacroileitele, fracturile de coloană, tumorile coloanei vertebrale şi spondiloartropatiile reumatismale.
EVALUAREA COPILULUI ALERGIC – UTILITATEA INVESTIGAŢIILOR PANEL
Authors:   Departamentul „Mama şi Copilul“, Universitatea de Medicină şi Farmacie, Craiova, Diaconu Radu , Niculescu Carmen ,   Departamentul „Mama şi Copilul“, Universitatea de Medicină şi Farmacie, Craiova, Ciobanu Ovidiu ,   Departamentul „Mama şi Copilul“, Universitatea de Medicină şi Farmacie, Craiova, Dop Dalia ,   Departamentul „Mama şi Copilul“, Universitatea de Medicină şi Farmacie, Craiova, Şelaru Loredana ,   Spitalul Clinic Judeţean de Urgenţă, Craiova, Stănescu Ligia ,   Departamentul „Mama şi Copilul“, Universitatea de Medicină şi Farmacie, Craiova
Published: July 2021

Diagnosticul alergiilor pediatrice este în continuare o provocare complexă ţinând cot de incidenţa tot mai mare a acestei patologii. Obiectivele cercetării noastre au fost evaluarea utilităţii investigaţiilor panel în practica pediatrică. Am folosit copiii internaţi în Clinica de Pediatrie a Spitalului Municipal „Filantropia“ din Craiova. Evaluarea a fost făcută prin comparaţie cu un lot martor fără istoric de boli atopice. Sensibilizarea la alergeni respiratori (mai ales praf de casă) a fost cel mai frecvent întâlnită şi s-a coroborat în special cu patologia astmatică. Alergenii alimentari au fost mai rar identificaţi şi fără o corelaţie semnificativă cu modificările clinice.
PROVOCĂRI DE DIAGNOSTIC ÎN PNEUMONIA PEDIATRICĂ
Authors:   Clinica de Pediatrie, Spitalul Municipal „Filantropia“, Universitatea de Medicină şi Farmacie, Craiova, Stănescu Ligia Georgeta , Bică Cătălina ,   Clinica de Pediatrie, Spitalul Municipal „Filantropia“, Universitatea de Medicină şi Farmacie, Craiova, Gheonea Cristian ,   Clinica de Pediatrie, Spitalul Municipal „Filantropia“, Universitatea de Medicină şi Farmacie, Craiova, Diaconu Radu ,   Clinica de Pediatrie, Spitalul Municipal „Filantropia“, Universitatea de Medicină şi Farmacie, Craiova, Nedelcuţă Ramona ,   Clinica de Pediatrie, Spitalul Municipal „Filantropia“, Universitatea de Medicină şi Farmacie, Craiova, Anghelina Liliana ,   Clinica de Pediatrie, Spitalul Municipal „Filantropia“, Universitatea de Medicină şi Farmacie, Craiova, Şelaru Loredana ,   Clinica de Pediatrie a Spitalul Municipal „Filantropia“, Craiova, Pistolea Andreea ,   Clinica de Pediatrie a Spitalul Municipal „Filantropia“, Craiova
Published: July 2021

Pneumonia este o formă de infecţie respiratorie acută care afectează plămânii şi care este cauză principală de mortalitate în rândul copiilor la nivel mondial. Pneumonia poate apărea la orice vârstă, dar este mai frecventă la copiii mici. Etiologia ei este adesea dificil de determinat, criteriile de diagnostic fiind adesea prezumptive şi bazându-se pe date epidemiologice, clinice, de laborator şi radiologice. Autorii prezintă trei cazuri de pneumonie diagnosticate la vârste diferite, subliniid particularităţile clinice, imagistice şi evolutive.
DIFFERENTIAL DIAGNOSIS IN AXIAL BACK PAIN AT CHILD
Authors:   Department of Pediatric Surgery, “N. Testemitanu” Orthopedics and Anesthesiology USMF, Chisinau, Republic of Moldova, Stati Leo
Published: July 2021

Most cases of back axial pain of the child, are lying on the border between pathology and surgical medical specialties. Continuous pain lasting more than two weeks can be a sign of severe pathologies, imposing the urgent clinical, laboratory and imaging investigation. It identifies several causes that can produce axial back pain in childhood: Scheuermann’s disease, symptomatic scoliosis (secondary), spondylolysis, spondylolisthesis, spondylodiscitis, sacroileitis, fractures of the column, spine tumors and rheumatic spondyloarthropathies.
THE SURVIVAL OF PREMATURE INFANTS DEPENDING ON THE LEVEL OF MEDICAL ASSISTANCE
Authors:   Department of Pediatrics and Neonatology, “N. Testemitanu” Medical University, Crivceanscaia Larisa , Stamatin Maria ,   Department of Mother and Child Medicine, “Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Stratulat Mihai ,   Department of Pediatrics and Neonatology, “N. Testemitanu” Medical University
Published: July 2021

Worldwide, premature birth is the main cause of infant mortality and a significant cause of human potential loss of premature survivors for the next stages of life. Purpose. To determine the rate of premature infants survival depending on the level of medical assistance and the main risk factors involved in the death of preterm infants with gestational age less than 34 weeks. Materials and methods. We included in the study 750 preterm newborns divided into three groups as follows: group 1 – 476 premature newborns born in IMSP IMsC, Chisinau (level III maternity); group 2 – 240 premature infants transferred by the AVIASAN service from level I and II maternities to the level III unit and group 3 – 34 premature babies from IMSP IMsC Chisinau that received surfactant administered by the LISA method (Less Invasive Surfactant Administration). We performed a complex analysis of the risk factors for death and the positive impact of highly specialised care on survival. The data was analysed using SPSS V.21 software (IBM Statistical Package for the Social Sciences, Chicago, Illinois). Results. The survival rate at 78 days of life was significantly higher in the newborns from the level III maternity that received LISA therapy (93.3%), compared to those in group 1 (78.2%) and group 2 (78.9%) respectively. Conclusions. The survival of premature infants is a multifactorial problem. The main factor that determines the rate of death for these infants is respiratory distress syndrome (RDS), followed by birth weight (BW), gestational age (GA), resuscitation method, bronchopulmonary dysplasia (BPD) and last but not least by the level of maternity where the infants were born. These factors might be considered predictive for death of preterm newborns with gestational age less than 34 weeks.