Constanta County Research Articles

Cognitive Skills of Employees from the Pharmaceutical Field

Over time, the specialised literature had an increased interest regarding the study of intelligence, cognitive abilities, and about the way these two abilities correlate amongst them. A sample of 63 pharmacists, aged between 25 and 45 years old, from Constanta County, was assessed with the cognitive skills tests from Cognitrom Assessment System (CAS++). Our study aimed at (1) identifying the level of cognitive skills that employees in the pharmaceutical field have; (2) identifying differences according to age in terms of cognitive abilities; and (3) identifying the relationships between cognitive abilities. One set of hypotheses assumed relationships between inductive analytical reasoning and analogical transfer, and between vocabulary and analogical transfer. Another set of hypotheses assumed the existence of differences between young pharmacists and adult pharmacists regarding analogical verbal transfer, decision-making capacity, inductive analytical reasoning, syntax, and vocabulary-synonyms. Results confirmed the correlational hypotheses and the difference regarding the vocabulary-synonyms variable but infirmed all the other hypotheses. Results are discussed in the context of the importance of cognitive skills for the pharmaceutical field, especially in the COVID-19 pandemic context.

Does the activity of passenger transport have growth potential for the sustainable development of Constanta County?

Transport is a vital sector with a major impact on social and environmental well-being, both in cities and in rural areas. The sustainable development of urban and rural communities depends mainly on the dynamics of the economic activity, transport having a special importance for the local economy, without which human activities would be impossible to organize and carry out. On the one hand, the companies need transport in order to produce and deliver their goods and services, and on the other hand, people need transport in order to get to work, for getting supplies, for education, tourism, recreation, and leisure and other daily activities. Considering these multiple perspectives, we have considered it appropriate to analyze the activity of the companies whose object of activity is passenger land transport at the level of Constanta County based on representative economic and financial indicators, exploring the possible determining factors which influence this sector in the context of the interest for the sustainable development of Constanta County.

Emotional Distress, Attitudes and Beliefs of Youth in Pandemic Context. The Case of Constanta County

The COVID-19 pandemic had an unprecedented overall impact on the Romanian people. Just like the rest of the world, the Romanian people had to deal with the consequences of the dramatic changes that took place in their everyday life. A sample of 3503 young people, all residents of Constanta County, aged between 19 and 25 years old, was assessed with two questionnaires: The Emotional Distress Profile and Attitudes and Beliefs Survey. The purpose of the study is to identify significant differences between rural and urban residents, regarding these two psychological dimensions. Our results show that youth in the rural environment state their much more distressed and have much more irrational beliefs than those in urban environment. Results are discussed at the end of the paper in the context of the preparations people have to make in face of the COVID-19 fifth wave that is coming.

An Overview on the Entrepreneurship in Constanta County during the COVID-19 Pandemic

An Overview on the Entrepreneurship in Constanta County during the COVID-19 Pandemic

Prevalence of Depression in Adults in Constanta County, Romania, Before and During the Covid-19 Pandemic

Prevalence of Depression in Adults in Constanta County, Romania, Before and During the Covid-19 Pandemic

The Pandemic Context and Quality of Life for Youth in Constanta County

The COVID-19 pandemic had an unprecedented impact on Romanian people. For almost two years the changes in the everyday life of the inhabitants of our country happened with such speed and dramatic consequences, that it raised the question about the perception of Romanian people regarding their perceived quality of life. A sample of 1796 young people, all residents of Constanta County, aged between 18 and 25 years old, was assessed with a survey made by the authors, concerning their perception on the quality of their life in the fields of health, self-esteem, goals and values, financial, professional, leisure, learning, family and social environment, and emotional regulation. Of all the themes we studied, this research tries to identify the differences regarding the quality of life between rural and urban residents. We obtained statistical significant differences regarding goals and values, learning opportunities and emotional regulation. Results are discussed in the end of the paper in the context of the on-going changes still caused by the Covid-19 pandemic

RESEARCH OF CLIMATE CHANGES – SUNFLOWER HYBRIDS 2018-2020 IN CONSTANTA COUNTY, SOUTH EAST OF DOBROGEA, ROMANIA

The experimental field was placed in Amzacea, Constanta County at S.C. SPORT AGRA S.R.L., Center of Development, on the highway 38, 20 km. far from Bulgarian border. Constanta County had the largest weight regarding the surface cultivated in Romania with sunflower crop between 10-12%. The most drought area in Romania is Dobrogea (average 1961-1990: 464 mm rainfall). Climatic change in recent years has accentuated this tendency. The number of hybrids taken into account in our experiment were fifteen in 2018 and twenty in 2020. Genesis has been planted in two periods of the time in 2020. When the planting was delayed the yield was decreased by 303 kg/ha. The aim of this study was: (i) the behaviour of the hybrids in the unbeliveble dry conditions, (ii) to see the yield and the behaviour of sunflower hybrids to the attack of main pathogens - Sclerotinia sclerotiorum, Phomposis helianthi, Orobanche cumana, (iii) how the planting date influenced the yield, (iv) the importance of the pesticides used and (v)economical data.

SIS therapy in the treatment of distal radius epiphyseal fracture (Case report)

Introduction. Fractures of the distal radius epiphysis are the most common fractures of the upper limb, present both in the general population active following major trauma and in the elderly population in minimal trauma due to osteoporosis. Among the adjuvant therapies for orthopedic treatment of distal radius epiphyseal fracture we can list Super Inductive System (SIS), a therapy based on the interaction between the electric field and the human body with the improvement of the healing process by acting on the pathophysiological stages of bone callus. Material and method. A clinical case study was performed on a 28-year-old patient, hospitalized and treated in the neurosurgery department of the Constanta County and Emergency Hospital for a polytrauma by road accident (passenger) with amyelotic cervical vertebral trauma, thoracic trauma and trauma to the right upper limb, subsequently performing 12 SIS therapy sessions at the Balneal and Rehabilitation Sanatorium of Techirghiol. CT examination of the cervical spine reveals fractures of C4 vertebra (the blade and pedicle) and C5 vertebra (vertebral body, lamina and pedicle). Right forearm radiography reveals fracture of the right radial styloid. After conservative treatment of the cervical injury and orthopedic treatment of the upper limb injury, the clinical evolution is favorable, allowing the patient to be discharged and allowed to do 12 sessions of SIS therapy, 3 times a week, within 4 weeks. The subsequent clinical and paraclinical evolution was favorable for the outpatient orthopedic ambulatory reevaluation performed at 5 weeks. Results and discussions. Due to the type of fracture of the radial distal epiphysis (linear fracture without displacement), absence of comorbidities and young age, led to the indication of orthopedic treatment with immobilization in the antebrachio-palmarcast, which allowed subsequent physiotherapy. Keywords: radial fracture, callus, polytrauma, cervical spine, lamina, Super Inductive System,

An analysis of the performance of the companies in Constanta County which operate in the real estate transactions field in the context of sustainable development

As time went on, Constanta County has become one of the emerging poles of residential development in Romania, primarily due to its excellent positioning as an economic hub driven by international trade, doubled by a tourism potential with a high degree of long-term growth. In this context, performance measurement remains a constant concern of the entire economic sector that can ensure the progress of an entity. The purpose of this paper is to carry out a dynamic analysis over an 11-year period of the profit margin at the level of the economic agents in Constanta County whose main object of activity is, according to the NACE classification, Real Estate activities/transactions. In the analyzed period, the year 2015 stands out, in which the resumption of lending for large projects and the return of investor confidence in the real estate sector created a contagious euphoria on the market which, coupled with the income accumulated in the crisis by investors looking for profitable capital investments, led to the emergence of a wave of acquisitions, thus stimulating the real estate transactions market. Moreover, although the Coronavirus pandemic has affected the entire planet, more precisely all the economic sectors and the real estate market has not been an exception, the evolution of real estate transactions in the year 2020 was beyond the expectations of specialists in Romania, Romanians showing an appetite for this kind of transactions also in the year of the pandemic.

The contribution of m-learning applications to improving the performance of training on the Moodle platform

Abstract This paper presents a proposal for a mobile learning application called MySchool, which will be added to the e-learning platform Moodle and which contribute together with it to increase the efficiency of training on the platform. In the first part, analyzing the specialized studies, it was found that the main deficiencies reported in the case of e-learning platforms come mainly from the way the platform was designed and especially from the design of the training model when the beneficiaries and users are students in the pre-university course. The paper proposes a mobile learning training system to be added to an existing e-learning platform in schools in Constanta County, Romania. The chosen platform was the Moodle platform which does not make such an application available to users. The main features of the Moodle platform are further analyzed together with the didactic aspects of the application of the platform in the online training process of students. At the same time, the advantages of students who use mobile applications are presented, as well as the disadvantages of m-learning applications. For the design of the proposed system, the ALDIE software design model was chosen together with the rapid prototyping method. The functional and non-functional requirements of the MySchool system and its three-level architecture have been established (Fig. 7). We also designed a learning network in a classroom with 25 students for the proposed system. The conclusions of the paper highlight the usefulness and need for such a system attached to an e-learning platform.

Aspects Regarding Movila Verde-Independenta Water Supply Duct Protection from Water Hammer

Abstract In the context of sustainable development effort, the water supply systems in the rural area of Constanta County should be optimally designed, so that their safe, efficient operation is assured. The results obtained by numerical simulation showed that Movila Verde -Independenta water supply duct might be subject of cavitation occurrence during hydraulic shock. Further investigations showed that the duct is adequately protected by a relatively short closing law of the check valve and three air valves mounted in the nodes where cavitation might occur. Minimal pressure increases from -10 mwc to -0.6 mwc because of these protection measures. Furthermore, the slight increase of maximal pressure does not require additional protection devices.

Issues concerning the dynamics of labor productivity at the level of the companies in Constanta County operating in the "Construction" sector before and after the COVID-19 pandemic

The construction industry sector plays an important role in the national and local economy, and its activities are vital for achieving the objectives of economic and social development which lead to increasing the citizens' quality of life. In the construction sector, the COVID-19 crisis has led to a reduction in site productivity, which has led to an increase in compliance costs, delayed projects and increased the exposure of construction workers to risk and infection. Given that many companies have experienced substantial declines in turnover and high turnover uncertainty during this pandemic, a continuous analysis of the economic climate, respectively of the main indicators of the companies active on the market is a very important element in terms of outlining an overall view of the current situation, as well as the trends in the construction sector. This study provides an empirical analysis as to before and after the COVID-19 pandemic level of labor productivity of economic agents operating in the construction sector in Constanta County. Starting from assessments of the average turnover and the evolution of the workforce of the companies in the construction sector located on the territory of Constanta County, the objective of the research was the dynamical analysis of the level of labor productivity and the way it was influenced by the emergence of this unexpected event. The obtained results confirmed the research hypothesis, namely that the level of labor productivity is influenced by the level of investment and it registers a moderate increase, yet on a noticeable increasing trend, the probable reason being the construction projects for public investment carried out in the area.

An analysis of the Return on Assets of HoReCa Companies in Constanta County in the Context of the Recovery Pursuits after the Shock Produced by the COVID-19 Pandemic

From a microeconomic perspective, if we refer to a company as an economic agent, its organizational resilience/flexibility, in the unprecedented global economic context generated by COVID-19, is in the limelight, given that a resilient company would design and implement effective actions in order to increase the probability of its own survival. Assuming that a company's assets are those means by which a company can secure an income for a period of several years, since they are economic resources that can generate economic benefits in the future for the company that owns them, we have considered it appropriate to analyse the return on assets at the level of the companies in the HORECA sector. The comprehensive research undertaken is an empirical study in which we have analysed all the companies in the HORECA sector on the territory of Constanta County, located in the coastal area of the Black Sea, for a period of 3 years, 2018-2020, a period which includes the year of the onset of the SARS-COVID-19 pandemic. The selected economic and financial indicators have been fixed assets, current assets, prepaid expenses and net profit, with the help of which we have calculated and analysed the return on total assets. Of the many subgroups of the HORECA sector, the "Other Food Services" subgroup, which had the highest return on assets (ROA), proved to be the most flexible and creative subgroup. Catering specialists, exploiting the context generated by the closing of hotels and restaurants, have modified their business so as to amplify the intrinsic value of their products and to become a psychological and social connection for their consumers.

Early diagnosis and management of maternal ureterohydronephrosis during pregnancy.

Maternal ureterohydronephrosis (UHN) is a common anatomical change during the evolution of pregnancy, diagnosed especially after the 20th week of pregnancy. The aim of the present study was to evaluate the stages of UHN during pregnancy, depending on the gestational age, and to monitor the symptomatology and the adequate management. A total of 58 pregnant women with UHN, hospitalized in the Constanta County Emergency Hospital, were included in the present study, and had nephrological monitoring using ultrasound examination. Right UHN was observed in all cases and left UHN was observed in only 67.24% of the cases. Regarding the gestational age, right UHN grade III was most commonly seen between 27 and 31 weeks of pregnancy (48.6% of total right UHN grade III from the studied group). The data showed that gestational age and grade of UHN had a highly dependent association in the studied group. The majority of our patients (67.24%) were symptomatic, and the most common complaint on presentation was lumbar pain. According to the visual analog scale (VAS) of the lumbar pain, the group could be distributed as follows: 17.24% with severe pain, 36.21% with moderate pain and 13.79% with mild pain. Eight pregnant women (13.79%) from the present study developed UHN due to passage of a ureteral stone, although the majority of the patients experienced complications with urinary tract infection and acute kidney injury. In addition, 97% of the symptomatic UHN responded to conservatory treatment and only 2 patients (3.45%) with severe symptomatic UHN needed ureteral stent insertion. Data analysis was performed using IBM SPSS Statistics 23. The study highlighted the existence of an association between gestational age and UHN grading.

Ethipatogenetic Study of Urothelial Carcinomas in the Urology Clinic of the County Clinical Hospital of Constanta

Abstract Bladder cancer is the most common malignancy involving the urinary system, urothelial carcinoma of the upper tract is a rare subgroup of urothelial cancers with poor prognosis, being the most common histological type of bladder cancer (approximately 90%), manifesting as invasion of the basal membrane (or deeper) by neoplastic cells of urothelial origin. This type of carcinoma is more common in men than women, with a male to female ratio of 2:1, with men being 3 to 4 times more likely to develop bladder cancer than women. The present study is a retrospective study including 174 patients in the Urology Clinic of Constanta County St. Apostle Andrew Emergency Hospital in the period 2016-2020. Patients were divided into 2 groups: Group A and Group B. Group A includes patients with anatomopathologically confirmed diagnosis of urothelial carcinoma, while in Group B are patients who do not present a diagnosis of urothelial carcinomas. In this study the influence of environmental factors on the occurrence of urothelial carcinomas was compared in order to draw conclusions on the occurrence and development of these types of neoplasms.

THE IMPORTANCE OF ECO-CLUSTERS IN THE CONSTANTA COUNTY

Economic theory and international practice confirm the role of clusters as catalysts for competitiveness based on innovation and internationalization. Europe is facing the challenge of becoming a fair and prosperous society based on a modern, competitive and resource-efficient economy. Mobilizing industrial actors towards a clean and circular economy through in-depth cooperation along value chains as well as the use of new technologies, sustainable solutions and disruptive innovation are critical to achieving this goal. Clusters play an important role in operationalizing smart specialization strategies. Eco-clusters aim to increase the competitiveness of enterprises included in "cluster" structures in sectors of economic relevance, by concentrating resources and developing the production of innovative goods such as technologies, products, services, with the greatest possible reduction of waste. Constanta County, through its strategic positioning, through the concentration of economic activities, education and research is an area of maximum interest for the development of eco-innovation and eco-clusters. This study highlights the premises for the establishment of eco-clusters in the Constanta area, given their role as a driver in greening economic policies in the region and developing partnerships in order to obtain clean products. Through eco-clusters, there are also developments in the process of eco-innovation and implementation of sustainable development strategies in the Constanta area, as a means for a long-term socio-ecological transition.

Can the Degree of Indebtedness of the Economic Agents Operating in the Construction Sector in Constanta County Influence the Development of the Coastal Area ?

Can the Degree of Indebtedness of the Economic Agents Operating in the Construction Sector in Constanta County Influence the Development of the Coastal Area ?

Spiritual Therapies and Autolytic Behavior

"Can the Minnesota model and the 12-step program be an effective intervention model based on the religious and spiritual approach to reduce substance and alcohol consumption but also suicidal ideation? Can these programs also lead to increased quality of life and unconditional self-acceptance by study participants? In this study, we aimed to highlight the role of the Minnesota Model and the 12-Step Program used in reducing stress, anxiety, depression, suicidal ideation, increasing quality of life, and unconditional acceptance of oneself by participants in Alcoholics Anonymous groups in Constanta County. Another goal we set out was to compare the results obtained by the participants at the end of these programs, but also by comparing their results with the results obtained by the participants who make up a control group. Through this study, we aim to identify the most important predictors and include them in effective models for increasing the quality of life of alcohol addicts, as well as highlighting a relationship between alcohol dependence and suicidal ideation, before and after these two programs."

Associated Factors of Suicidal Behavior and Religiousness. A cross-sectional study

"This cross-sectional study proposes to identify the differential between two groups of study participants divided into two lots, general population and addictive population, inhabitants of Constanta county, Romania, on religiosity and suicidal behavior, with its associated factors like depression, anxiety and stress. The research was conducted between May 2020 and July 2020, the methodological approach being non-experimental, descriptive-analytical, having a cross-sectional character and using the survey method based on questionnaire and the semi¬structured interview. Trying to identify the presence of suicidal risk factors and religiosity in the general population, but especially in addictive groups, can be a real challenge, as it is known that, in general, the clinical area has always provided sufficient research materials. As a conclusion of the study, the influence of religiosity on autolytic behavior as well as on depression is quite minor, invalidating the literature showing the inhibitory effects of religiosity, leading to the conclusion that religiosity alone cannot be an insurmountable barrier to suicidal behavior. This invalidation may increase the level of debate about the role of religion, but it can also enrich this literature through the results of this study. The approach of multidisciplinary prophylaxis regarding the suicidal phenomenon becomes imperatively necessary, and by carrying out some evaluations of religiosity and religious coping, one goes towards the early counteraction of some autolytic undesirable behaviors."

MO895EVOLUTION AND PROGNOSIS OF HEMODYALISIS PATIENTS WITH MODERATE AND SEVERE COVID INFECTION: SINGLE HOSPITAL CENTRE EXPERIENCE

Background and AimsOne of the major challenges of our century seems to be the SARS-COV2 virus pandemic that has resulted, at least until now, in over 2 million deaths worldwide. Multiple observational studies showed that patients with chronic kidney disease and especially those on the hemodialysis program have an increased risk of severe morbidity and mortality caused by the novel coronavirus.Aim of studywas to determine the prognosis and mortality risk in hemodialysis patients hospitalized for symptomatic COVID-19 infection, using the ALAMA age score and the COVID-GRAM critical illness risk score.MethodProspective and retrospective study that included 74 patients undergoing chronic hemodialysis, hospitalized in the Constanta County Emergency Clinical Hospital between March 2020 - December 2020, confirmed with SARS-CoV 2 infection by RT-PCR testing.ResultsOut of the total number of 74 hospitalized patients (64.58% M, 35.41% F; mean age = 66.64 years), having moderate and severe forms of the disease. 56.25% needed conventional oxygen therapy, 22.9% non-invasive mechanical ventilation and 12.5% intubation and ventilation. All patients underwent specific treatment according to the national protocols, updated with the rapid changes and increasing informations regarding the disease management. The mean duration of hospitalization was 12.33 days. 94.7 % of patients had additional risk factors (diabetes mellitus-47.56%, arterial hypertension-87.3%, COPD – 7.8%, systemic aterosclerosis – 35.4%, immunosuppression – 11.6%, malignant tumors – 4.8% ). Mean ALAMA score was more than 85 years (p<0.01) and mean COVID-GRAM critical illness risk score was 202 (92.1% risk for critical illness). Fatal outcome affected 37.8% of the patients, mainly due to severe respiratory failure, myocarditis, arrhythmias and stroke.ConclusionHemodialysis patients with SARS-CoV 2 infection have an unfavorable evolution and a reserved prognosis with a high risk of death, depending especially on the need for ventilatory support. 6.25% of the patients followed had post-COVID syndrome (disseminated intravascular coagulation, severe bacterial infections, enterocolitis), but these long-term complications of the survivors will need further studies.