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This paper presents new records and noteworthy data on the following taxa in SE Europe and adjacent regions: parasitic fungus Antherospora hortensis, saprotrophic fungi Loweomyces fractipes and Pholiota henningsii, stonewort Chara canescens, mosses Grimmia caespiticia and Rhodobryum ontariense, fern Woodsia alpina, monocots Aegilops triuncialis, Epipactis purpurata, Galanthus elwesii and Typha shuttleworthii and dicot Umbilicus luteus.

Table of contents A1 The outcome of patients with recurrent versus non-recurrent pneumococcal meningitis in a tertiary health-care hospital in Bucharest Cristian-Mihail Niculae, Eliza Manea, Raluca Jipa, Simona Merisor, Ruxandra Moroti, Serban Benea, Adriana Hristea A2 Influence of bacteriophages on sessile Gram-positive and Gram-negative bacteria Alina Cristina Neguț, Oana Săndulescu, Anca Streinu-Cercel, Dana Mărculescu, Magdalena Lorena Andrei, Veronica Ilie, Marcela Popa, Coralia Bleotu, Carmen Chifiriuc, Mircea Ioan Popa, Adrian Streinu-Cercel A3 The utility of inflammatory biomarkers in the prognostic evaluation of septic patients – past, present and future Alina Orfanu, Cristina Popescu, Anca Leuștean, Remulus Catană, Anca Negru, Alexandra Badea, Radu Orfanu, Cătălin Tilișcan, Victoria Aramă, Ştefan Sorin Aramă A4 Etiologic and clinical features of bacterial meningitis in infants Constanța-Angelica Vișan, Anca-Cristina Drăgănescu, Anuța Bilașco, Camelia Kouris, Mădălina Merișescu, Magdalena Vasile, Diana-Maria Slavu, Sabina Vintilă, Endis Osman, Alina Oprea, Sabina Sandu, Monica Luminos A5 The diagnostic and prognostic role of neutrophil to lymphocyte count ratio in sepsis Alina Orfanu, Victoria Aramă, Ştefan Sorin Aramă, Anca Leuştean, Remulus Catană, Anca Negru, Gabriel Adrian Popescu, Cristina Popescu A6 Whooping cough in a HIV positive patient Ramona Georgiana Stanculete, Ana Vaduva Enoiu, Adelina Raluca Marinescu, Voichita Lazureanu A7 Cronobacter sakazakii sepsis in varicella patient Adelina-Raluca Marinescu, Alexandru Crișan, Voichița Lăzureanu, Virgil Musta, Narcisa Nicolescu, Ruxandra Laza A8 Anaerobes an underdiagnosed cause of prosthesis joint infection Anca-Ruxandra Negru, Daniela-Ioana Munteanu, Raluca Mihăilescu, Remulus Catană, Olga Dorobăț, Alexandru Rafila, Emilia Căpraru, Marius Niculescu, Rodica Marinescu, Olivera Lupescu, Vlad Predescu, Adrian Streinu-Cercel, Victoria Aramă, Daniela Tălăpan A9 Streptococcus pneumoniae meningitis presenting with normal CSF – case presentation Ramona Ștefania Popescu, Luminița Bradu, Dragoș Florea, Adrian Streinu-Cercel A10 Extrapulmonary manifestations of infection with Mycoplasma pneumoniae – study on 24 cases Daniela Anicuta Leca, Elena Bunea, Andra Teodor, Egidia Miftode A11 The molecular diagnosis of severe bacterial sepsis in pediatric population Mădălina Merișescu, Gheorghiță Jugulete, Adrian Streinu-Cercel, Dragoș Florea, Monica Luminos A12 Acute Staphylococcus aureus endocarditis with multiple septic complications in a patient with diabetes mellitus – case presentation Ramona Ștefania Popescu, Anamaria Dobrotă, Adina Ilie, Liliana Lucia Preoțescu A13 Is Streptococcus suis meningitis an under-diagnosed zoonosis? Adriana Hristea, Raluca Jipa, Nicoleta Irimescu, Irina Panait, Eliza Manea, Simona Merisor, Cristian Niculae, Daniela Tălăpan A14 Klebsiella pneumoniae isolated from blood. Antimicrobial resistance – past and present Liana Cătălina Gavriliu, Otilia Elisabeta Benea, Șerban Benea, Alexandru Rafila, Olga Dorobăț, Mona Popoiu A15 Antibiotics resistance in Staphylococcus aureus isolated from blood cultures Livia Dragonu, Augustin Cupşa, Iulian Diaconescu, Irina Niculescu, Lucian Giubelan, Florentina Dumitrescu, Andreea Cristina Stoian, Camelia Guţă, Simona Puiu A16 Predominance of CTX-M enzymes in extended-spectrum β-lactamase-producing Enterobacteriaceae in two hospitals of Quebec City Bunescu Irina, Marilyse Vallée, Ann Huletsky, Dominique K. Boudreau, Ève Bérubé, Richard Giroux, Jean Longtin, Yves Longtin, Michel G. Bergeron A17 Postoperative meningoencephalitis with Acinetobacter baumannii XDR – a therapeutic challenge - Case report Cleo Nicoleta Roșculeț, Dalila-Ana Toma, Catrinel Ciuca, Daniela Tălăpan, Cătălin Apostolescu, Andrei Rogoz, Andrei Stangaciu, Viorica Mitescu, Tudor Vladoiu, Doina Iovănescu A18 Septic arthritis with Burkholderia cepacia Michaela Oana, Simona Costin A19 A novel approach for managing hard-to-treat infections Alina Cristina Neguț, Oana Săndulescu, Anca Streinu-Cercel, Maria Magdalena Moțoi, Mircea Ioan Popa, Adrian Streinu-Cercel A20 Nineteen months surveillance for multidrug resistant organisms (MDRO) by detecting asymptomatic colonization Daniela Tălăpan, Olga Mihaela Dorobăț, Mona Popoiu, Alexandru Mihai, Doina Iovănescu, Cleo Roşculeț, Cătălin Apostolescu, Gabriel-Adrian Popescu, Adrian Abagiu, Ruxandra Moroti-Constantinescu, Adriana Hristea, Victoria Aramă, Otilia Benea, Mădălina Simoiu, Rodica Bacruban, Adrian Streinu-Cercel, Alexandru Rafila A21 Antimicrobial resistance of Gram-positive cocci isolated from clinical specimens in the National Institute of Infectious Diseases “Prof Dr. Matei Balș” between 2009–2015 Olga Mihaela Dorobăț, Daniela Tălăpan, Alexandru Mihai, Ioana Bădicuț, Mona Popoiu, Alina Borcan, Alexandru Rafila A22 The high percentage of carbapenem-resistant Gram-negative bacilli in Romania: an analysis and some proposals Gabriel Adrian Popescu A23 Etiological, clinical and therapeutic considerations on 78 cases of healthcare associated meningitis or ventriculitis admitted in the “Sf. Parascheva” infectious diseases clinical hospital, Iași, from 2011 to 2015 Mihnea Hurmuzache, Georgiana Enache, Alexandra Ciocan, Mircea Bararu, Madalina Popazu A24 Nosocomial infection dynamics in an Intensive Care Department – an overview (epidemiological and clinical monitoring, advanced therapeutic intervention). Doina Viorica Iovănescu, Cleo Nicoleta Roșculeț, Andrei Rogoz Cătălin Gabriel Apostolescu, Viorica Mitescu, Tudor Vladoiu, Dalila Toma, Catrinel Ciuca A25 Safety and efficacy of interferon free treatment in patients with HCV chronic hepatitis- experience of a single Internal Medicine center Laura Iliescu, Georgiana Minzala, Letitia Toma, Mihaela Baciu, Alina Tanase, Carmen Orban A26 Viusid in treatment of chronic viral hepatitis B and C Victor Pantea, Gheorghe Placinta, Valentin Cebotarescu, Lilia Cojuhari, Paulina Jimbei A27 The management of hyperbilirubinemia in HCV cirrhotic patients who underwent therapy with direct acting antivirals Cristina Popescu, Anca Leuștean, Cristina Dragomirescu, Alina Orfanu, Cristina Murariu, Laurențiu Stratan, Alexandra Badea, Cătălin Tilișcan, Daniela Munteanu, Raluca Năstase, Violeta Molagic, Mihaela Rădulescu, Remulus Catana, Victoria Aramă A28 The efficacy of ombitasvir-paritaprevir/ritonavir, dasabuvir and ribavirin in patients with genotype 1 HCV compensated cirrhosis Cristina Popescu, Laurențiu Stratan, Remulus Catana, Anca Leuștean, Cristina Dragomirescu, Alexandra Badea, Cristina Murariu, Raluca Năstase, Violeta Molagic, Daniela Munteanu, Cătălin Tilișcan, Mihaela Rădulescu, Alina Orfanu, Ioan Diaconu, Anca Negru, Iulia Bodosca, Violeta Niță, Victoria Aramă A29 The efficacy of direct acting antivirals regimen without ribavirin in HCV genotype 1b infected patients with compensated cirrhosis Anca Leuștean, Victoria Aramă, Alina Orfanu, Remulus Catana, Laurențiu Stratan, Cristina Dragomirescu, Cristina Murariu, Alexandra Badea, Cătălin Tilișcan, Daniela Munteanu, Violeta Molagic, Raluca Năstase, Mihaela Rădulescu, Cristina Popescu A30 Liver decompensation during ombitasvir-paritaprevir/ritonavir-dasabuvir and ribavirin regimen in HCV infected patients with Child-Pugh A cirrhosis Cristina Popescu, Cristina Dragomirescu, Anca Leuștean, Cristina Murariu, Laurențiu Stratan, Alexandra Badea, Remulus Catană, Alina Orfanu, Raluca Mihaela Năstase, Violeta Molagic, Daniela Munteanu, Cătălin Tilișcan, Victoria Aramă A31 The safety of direct acting antivirals in HCV compensated cirrhotic patients - an interim analysis Victoria Aramă, Remulus Catană, Cristina Dragomirescu, Cristina Murariu, Anca Leuștean, Laurențiu Stratan, Alexandra Badea, Alina Orfanu, Anca Negru, Raluca Năstase, Violeta Molagic, Daniela Munteanu, Cătălin Tilișcan, Mihaela Rădulescu, Ioan Diaconu, Violeta Niță, Iulia Bodoșca, Cristina Popescu A32 The access of patients with HCV compensated cirrhosis to the National Program of therapy with direct acting antivirals Cristina Popescu, Alexandra Badea, Anca Leuștean, Alina Orfanu, Anca Negru, Laurențiu Stratan, Cristina Dragomirescu, Remulus Catană, Cristina Murariu, Violeta Molagic, Raluca Năstase, Cătălin Tilișcan, Daniela Munteanu, Mihaela Rădulescu, Ioan Diaconu, Violeta Niță, Iulia Bodoșca, Victoria Aramă A33 Severe reactivation of chronic hepatitis B after discontinuation of nucleos(t)ide analogues – a case series Cristina Popescu, Alina Orfanu, Anca Leuștean, Alexandra Badea, Laurențiu Stratan, Remulus Catană, Cătălin Tilișcan, Victoria Aramă A34 The dynamic of hematological disorders during direct acting antivirals therapy for HCV compensated cirrhosis Cristina Popescu, Cristina Murariu, Cristina Dragomirescu, Anca Leuștean, Laurențiu Stratan, Alina Orfanu, Alexandra Badea, Remulus Catană, Anca Negru, Cătălin Tilișcan, Daniela Munteanu, Mihaela Rădulescu, Violeta Molagic, Raluca Mihaela Năstase, Ioan Alexandru Diaconu, Iulia Bodoșca, Violeta Niță, Victoria Aramă A35 Behaviors, attitudes and risk factors for viral hepatitis in international medical students vs. the general population in Romania Yagmur Erturk, Oana Săndulescu, Alina Cristina Neguț, Claudiu Mihai Șchiopu, Adrian Streinu-Cercel, Anca Streinu-Cercel A36 Characteristics of hepatitis C virus reactivation due to immunosuppressive therapy in Romanian HCV infected patients with hematological malignancies Violeta Molagic, Cătălin Tilișcan, Cristina Popescu, Raluca Mihăilescu, Daniela Munteanu, Raluca Năstase, Anca Negru, Angelica Tenita, Victoria Aramă, Ștefan Sorin Aramă A37 The dynamic IFN-gamma serum levels during successful peginterferon-a 2a/ribavirin therapy in HCV chronic infection Simona Alexandra Iacob, Diana Gabriela Iacob, Monica Luminos A38 Overlapping risk factors for transmission of HBV, HCV and HIV in the general population in Romania Anca Streinu-Cercel, Oana Săndulescu, Mioara Predescu, Alexandra Mărdărescu, Cătălin Tilișcan, Mihai Săndulescu, Claudiu Mihai Șchiopu, Adrian Streinu-Cercel A39 Acute hepatitis - an uncommon neurological complication Cleo Nicoleta Roșculeț, Catrinel Olimpia Ciuca, Dalila Ana Toma, Cătălin Gabriel Apostolescu, Andrei Rogoz, Cristina Elena Mitu, Andrei Stangaciu, Viorica Daniela Mitescu, Tudor Gheorghe Vladoiu, Doina Viorica Iovănescu A40 Regression of liver fibrosis following sustained virological response in patients with chronic HCV infection and cirrhosis Oana Săndulescu, Anca Streinu-Cercel, Monica Andreea Stoica, Liliana Lucia Preoțescu, Daniela Manolache, Gabriela Jana Ceapraga, Maria Magdalena Moțoi, Luminița Bradu, Adina Ilie, Gabriela Mircea, Ionel Durbală, Adrian Streinu-Cercel A41 Preliminary results of treatment with sofosbuvir and daclatasvir of patients with chronic hepatitis C Irina Russu, Tiberiu Holban, Tatiana Pantilimonov, Galina Chiriacov, Arcadie Macvovei, Elena Scorohodico, Oleg Dmitriev A42 HIV-syphilis coinfection Diana Alexandra Costache, Anca Benea, Eliza Manea, Cristian Niculae, Raluca Jipa, Adriana Hristea, Elisabeta Benea, Ruxandra Moroti, Șerban Benea A43 Thrombophilia – additional risk factor for the evolution of pregnancy in HIV-positive patients Mihai Mitran, Carmen Georgescu, Loredana Mitran, Simona Vladareanu A44 The incidence of oropharyngeal candidiasis in hospitalized HIV infected pediatric Romanian cohort between 1 January - 31 December 2015 Andreea Ioana Magirescu, Viorica Andreev, Cristina Nicolau, Alexandra Largu, Carmen Dorobat, Carmen Manciuc A45 TB incidence in HIV infected patients during the year of 2015 Viorica Andreev, Andreea Ioana Magirescu, Ina Isac, Cristina Nicolau, Alexandra Largu, Carmen Dorobat, Carmen Manciuc A46 Retrospective analysis of HIV/AIDS deaths recorded in the Clinical Infectious Diseases Hospital, Constanța in the period 01 January 2014–30 June 2016. Epidemiological considerations. Iulia Gabriela Șerban, Ghiulendan Resul, Consuela Marcaș A47 Acute liver failure with favorable evolution in an HIV-HBV coinfected patient Iosif Marincu, Patricia Poptelecan, Bogdan Trincă, Sorina Mitrescu, Anca Tudor, Daliborca Vlad, Livius Tirnea A48 Lifestyle impact on HIV management Nurcan Baydaroglu, Alina Cristina Neguț, Oana Săndulescu, Daniela Manolache, Gabriela Ceapraga, Monica Andreea Stoica, Anca Streinu-Cercel, Adrian Streinu-Cercel 49. HIV positive mothers newborns - clinical experience from January 2012 to June 2016 Carmen Manciuc, Mariana Pagute, Cristina Nicolau, Carmen Dorobăț, Alexandra Largu A50 Rediscovering HIV-associated progressive multifocal leukoencephalopathy and HIV encephalopathy: clinical suspicion and subsequent brain autopsies Ioan-Alexandru Diaconu, Laurențiu Stratan, Daniela Ion, Luciana Nichita, Cristina Popescu, Raluca Năstase, Daniela Munteanu, Violeta Molagic, Cătălin Tilișcan, Mihaela Rădulescu, Alexandra Diaconu, Anca Negru, Alina Orfanu, Cristina Dragomirescu, Remulus Catană, Anca Leuștean, Irina Duport-Dodot, Cristina Murariu, Iulia Bodoșca, Violeta Niță, Alexandra Badea, Victoria Aramă A51 Antenatal surveillance of pregnant women with risk behavior and its impact on mother-to-child HIV transmission in Romania Mariana Mărdărescu, Cristina Petre, Marieta Iancu, Rodica Ungurianu, Alina Cibea, Ruxandra Drăghicenoiu, Ana Maria Tudor, Delia Vlad, Sorin Petrea, Carina Matei, Dan Oțelea, Carmen Crăciun, Cristian Anghelina, Alexandra Mărdărescu A52 Noninvasive assessments (APRI, Fib-4, transient elastography) of fibrosis in patients with HIV and HIV/HBV infection Elena Dumea, Adrian Streinu-Cercel, Sorin Rugină, Lucian Cristian Petcu, Stela Halichidis, Simona Claudia Cambrea A53 Undetectable HIV viral load – the main goal in the management of HIV-infected patients Carmen Chiriac, Nina-Ioana Bodnar, Iringo-Erzsebet Zaharia-Kezdi, Cristina Gîrbovan, Andrea Incze, Anca Meda Georgescu A54 LPS serum levels and correlation with immunological, virological and clinical outcome in HIV infected patients Simona Alexandra Iacob, Diana Gabriela Iacob, Eugenia Panaitescu, Monica Luminos, Manole Cojocaru A55 LL37 human cathelicidin serum levels are positively correlated with IFN gamma and alanine aminotransferase level in HCV infection Simona Alexandra Iacob, Diana Gabriela Iacob, Monica Luminos A56 Early diagnosis of pulmonary tuberculosis in a non-compliant HIV/AIDS late presenter patient Vochita Laurențiu, Vochita Andreia, Opreanu Radu, Trinca Bogdan, Rosca Ovidiu, Marincu Iosif A57 Evolution of antiretroviral regimens in naϊve patients in 2016 Ramona Zamfir, Alina Angelescu, Alena Andreea Popa, Raluca Jipa, Ruxandra Moroti, Adriana Hristea, Liana Gavriliu, Șerban Benea, Elisabeta Benea A58 The unfavorable risk factors for HIV infected persons with positive blood cultures hospitalized at the National Institute for Infectious Diseases “Prof. Dr. Matei Balș” in 2015 Alena-Andreea Popa, Georgeta Ducu, Daniela Camburu, Alina Cozma, Manuela Podani, Roxana Dumitriu, Liana Gavriliu, Șerban Benea, Elisabeta Benea A59 Epidemiological aspects of HIV infection in Oltenia region Andreea Cristina Stoian, Florentina Dumitrescu, Augustin Cupșa, Lucian Giubelan, Irina Niculescu, Loredana Ionescu, Livia Dragonu A60 HIV risk behaviors and prevalence among patients in methadone maintenance therapy (MMT) from Arena center, Bucharest Adrian Octavian Abagiu, Loredana Nicoleta Stoica, Catrinel Blaga, Archontis Koulosousas, Roxana Ștefănescu, Alice Atomoaie, Florentina Paraschiv, Florin Matache Duna A61 Therapeutic options in a case of severe psoriasis associated with both HIV infection and hepatitis C virus previously treated with fumaric acid esters Rodica Olteanu, Roxana Ion, Alexandra Zota, Isra Ennour Jaballah, Lara Mahfoud, Georgeta Preda, Magda Constantin A62 Prevalence of autoantibodies against gangliosides in asymptomatic HIV-infected patients Ilinca Nicolae, Corina Daniela Ene, Mădălina Irina Mitran, Vasile Benea, Mircea Tampa, Simona Roxana Georgescu A63 Subclinical inflammation in HIV-infected patients undergoing antiretroviral therapy – a cross sectional study Iulia Cristina Bodoșca, Cristina Murariu, Cătălin Tilișcan, Victoria Aramă, Cristina Popescu, Daniela Munteanu, Mihaela Rădulescu, Violeta Molagic, Raluca Năstase, Alina Orfanu, Anca Leuștean, Remulus Catană, Anca Negru, Adrian Streinu-Cercel, Sorin Aramă A64 Severe Guillain-Barré syndrome occurring after chickenpox with favorable evolution Iuliana CAramăngiu, Ovidiu Rosca, Monica Cialma, Radu Opreanu, Laurențiu Vochita, Iosif Marincu A65 Echovirus 30 infection with pulmonary and cardiac complications – case report Vlad Murărescu, Marilena Palaghiță, Alina Cristina Neguț, Cornel Camburu, Adrian Streinu-Cercel A66 Herpetic encephalitis with favorable evolution in an adult immunocompetent patient Irina Duşan, Patricia Poptelecan, Bogdan Trincă, Sorina Mitrescu, Livius Tirnea, Iosif Marincu A67 Clinical-evolutional aspects in present-day measles Narcisa Nicolescu, Alexandru Crișan, Voichița Lăzureanu, Ruxandra Laza, Virgil Musta, Adelina-Raluca Marinescu, Andreea Bîrlad A68 Pneumococcal superinfection in children with influenza Victor Daniel Miron, Anca Cristina Drăgănescu, Constanța-Angelica Vișan, Anuța Bilașco, Daniela Pițigoi, Oana Săndulescu, Monica Luminița Luminos A69 Varicella complicated with transverse myelitis - case presentation Monica Luminos, Endis Osman, Magdalena Vasile, Anca Cristina Drăgănescu, Constanța-Angelica Vișan, Anuța Bilașco, Camelia Kouris, Sabina Șchiopu, Mădălina Merișescu A70 Clinical forms of enterovirus infections during the summer season of 2016 Monica Luminos, Anca Cristina Drăgănescu, Constanța-Angelica Vișan, Anuța Bilașco, Camelia Kouris, Endis Osman, Sabina Vintilă, Magda Vasile, Mădălina Merișescu A71 Face off – HIV and lymphoma – case series presentation Liana Cătălina Gavriliu, Otilia Elisabeta Benea, Alina Angelescu, Ramona Zamfir, Daniela Camburu, Georgeta Ducu, Alina Cozma, Roxana Dumitriu, Manuela Podani, Șerban Benea, Mihaela Ionică A72 Coxsackie infection complicated by pancytopenia – pediatric case report Gheorghiță Jugulete, Adina Stăncescu, Cristina Elena Popescu, Luminița Marin, Diana Zaharia, Cristina Dumitrescu, Lucia Tudor, Sabina Vintilă A73 Viral respiratory infections in children in the season 2015–2016 Constanța-Angelica Vișan, Anca Cristina Drăgănescu, Anuța Bilașco, Magda Vasile, Mădălina Merișescu, Camelia Kouris, Cristina Negulescu, Endis Osman, Diana-Maria Slavu, Sabina Vintilă, Daniela Pițigoi, Monica Luminos A75 The severity of A H1N1 Influenza infection in the 2015–2016 season Cleo Roșculeț, Catrinel Olimpia Ciuca, Dalila Toma, Cătălin Apostolescu, Andrei Rogoz, Andrei Stangaciu, Viorica Mitescu, Doina Iovănescu, Cornel Camburu, Bogdana Manu A76 Acute respiratory distress syndrome in a child with measles Ana Vaduva-Enoiu, Ramona Georgiana Stanculete, Adelina Raluca Marinescu, Voichita Elena Lazureanu A77 Management challenges of right-sided infectious endocarditis in an HIV positive patient – case presentation Elena-Violeta Niță, Sînziana Dumitru, Daniela-Ioana Munteanu, Anca Ruxandra Negru, Remulus Catană, Ioan Diaconu, Bogdana Manu, Ligia Ionescu, Liliana Ion, Cătălin Tilișcan, Victoria Aramă A78 Bacterial infection in critical patients with severe A H1N1 influenza virus infection (epidemiology, development, therapeutic decisions) Doina Viorica Iovănescu, Cleo Nicoleta Roșculeț, Andrei Rogoz, Cătălin Apostolescu, Viorica Mitescu, Tudor Vladoiu, Dalila Toma, Catrinel Ciuca A79 Epidemiological aspects of severe acute respiratory infection cases (SARI) in the season 2015–2016, in the Clinical Hospital of Infectious Diseases – Constanța, Romania Iulia Gabriela Șerban, Marioara Neacșu A80Overexpression of IL-6 trans signaling pathway in viral infections Simona Roxana Georgescu, Vasile Benea, Corina Daniela Ene, Mircea Tampa, Cristina Iulia Mitran, Ilinca Nicolae A81 Acute viral hepatitis B with persistent HBsAg – description and evolution George Ciprian Pribac, Mirandolina Prisca, Fulvia Ursoiu, Carmen Neamtu, Bogdan Totolici, Coralia Cotoraci, Aurel Ardelean A82 Prevalence of cervical pathogens in a population of pregnant female patients monitored in a tertiary care hospital in Bucharest, Romania Simona Elena Albu, Mara Carsote, Beatrice Miclăuș, Diana Mihai, Oana Săndulescu, Cristina Vasiliu A83 Prevalence of group B Streptococcus during pregnancy in a cohort of patients monitored in a tertiary care hospital in Bucharest, Romania Cristina Vasiliu, Mara Carsote, Corina Gorgoi, Beatrice Miclăuș, Diana Mihai, Oana Săndulescu, Simona Elena Albu A84 Infectious hematoma in the gastrocnemius muscle – case presentation Amelia Blescun, Gelu Breaza A85 Reflections towards the underexplored HTLV Romanian viral circulation - adult T‐cell leukemia/lymphomas, a case series Sabina Vintila, Felicia Mihai, Meilin Omer, Cornel Dragan, Daniela Pitigoi A86 A febrile confusion syndrome with acute onset – case presentation Mirela Ciucu, Marius-Dan Ionescu, Cristina Roskanovic, Valentina Barbu, Iulian Diaconescu, Florentina Dumitrescu, Irina Niculescu A87 Retrobulbar optic neuritis in a HIV-positive patient - case report Mihaela Ionică, Ramona-Alexandra Zamfir, Alina Cozma, Otilia Elisabeta Benea A88 A rare presentation of Q fever – case presentation Alexandra-Sînziana Dumitru, Daniela-Ioana Munteanu, Violeta Niță, Cristina Popescu, Iulia Bodosca, Angelica Tenita, Viorica Ispas, Victoria Aramă A89 Tinea incognita – case presentation Vasile Benea, Simona Roxana Georgescu, Mircea Tampa, Diana Oana Leahu, Cristina Maria Safta, Mihaela Anca Benea A90 Incidence and risk factors associated with TORCH infections during pregnancy Oana Săndulescu, Octavian Munteanu, Roxana Bohâlțea, Livia Trașcă, Monica Cîrstoiu A91 Acute respiratory failure in critical patients with sepsis Doina Viorica Iovănescu, Cleo Nicoleta Roșculeț, Andrei Rogoz, Cătălin Gabriel Apostolescu, Viorica Daniela Mitescu, Tudor Gheorghe Vladoiu, Dalila Toma, Catrinel Ciuca A92 Cochleo-vestibular deficit secondary to Granulicatella elegans meningitis Mădălina Georgescu A93 Influenza 2015/2016 – clinical, epidemiological and virological characteristics of cases admitted in three infectious diseases hospitals Daniela Pițigoi, Alina Elena Ivanciuc, Mihaela Lazar, Teodora Ionescu, Carmen Maria Cherciu, Cristina Țecu, Maria Elena Mihai, Maria Nițescu, Rodica Bacruban, Delia Azamfire, Aura Dumitrescu, Elena Ianosik, Daniela Leca, Elena Duca, Andra Teodor, Codrina Bejan, Emanoil Ceaușu, Simin-Aysel Florescu, Corneliu Popescu, Grațiela Târdei, Codrina Juganariu, Emilia Lupulescu A94 Severe complications of varicella requiring hospitalization in previously healthy children in Brașov county Ligia Rodina, Maria Elena Cocuz A95 Clinical forms of Clostridium difficile colitis in children Gheorghiță Jugulete, Adina Stăncescu, Cristina Elena Popescu, Luminița Marin, Diana Zaharia, Cristina Dumitrescu, Endis Osman A96 Community-acquired pneumonia – demographic, clinical and etiological aspects Irina Niculescu, Augustin Cupșa, Iulian Diaconescu, Florentina Dumitrescu, Livia Dragonu, Andreea Stoian, Lucian Giubelan, Cristina Roskanovic A97 Acute myocarditis in an adult patient with chickenpox - Case report Ramona-Alexandra Zamfir, Mihaela Ionica, Otilia-Elisabeta Benea A98 Caustic oropharyngeal wound with acute group F streptococcal superinfection mimicking diphtheria – case report and differential diagnosis Maria-Cristina Sîrbu, AnaMaria Dobrotă, Alina Cristina Neguț, Roxana Duda, Rodica Bacruban, Daniela Pițigoi, Cristiana Cerasella Dragomirescu, Daniela Tălăpan, Olga Dorobăț, Adrian Streinu-Cercel, Anca Streinu-Cercel A99 Clostridium difficile infection in HIV-positive patients admitted in the National Institute for Infectious Diseases “Prof. Dr. Matei Balș” in 2015 Mihaela Ionica, Ramona-Alexandra Zamfir, Alina Cozma, Otilia Elisabeta Benea A100 Title: Epidemiology of Candida oral infections (stomatitis) in Romania Sergiu Fendrihan, Ecaterina Scortan, Mircea Ioan Popa A101 Anthrax case series in south-eastern Romania Corneliu P Popescu, Șerban N Benea, Andra E Petcu, Adriana Hristea, Adrian Abagiu, Iuliana A Podea, Raluca E Jipa, Georgeta Ducu, Raluca M Hrișcă, Dragoș Florea, Manuela Nica, Eliza Manea, Simona Merișor, Cristian M Nicolae, Simin A Florescu, Irina M Dumitru, Emanoil Ceaușu, Sorin Rugină, Ruxandra V Moroti A102 Knowledge, risk perception and attitudes of healthcare workers at the National Institute for Infectious Diseases “Prof. Dr. Matei Balș” regarding Ebola Daniela Pițigoi, Teodora Ionescu, Oana Săndulescu, Maria Nițescu, Bogdan Nițescu, Iulia Monica Mustaţă, Sorina Claudia Boldeanu, Florentina Furtunescu, Adrian Streinu-Cercel A103 A case of abdominopelvic actinomycosis with successful short-term antibiotic treatment Diana Gabriela Iacob, Simona Alexandra Iacob, Mihaela Gheorghe A104 A case of pneumonia caused by Raoultella planticola Iulian Diaconescu, Irina Niculescu, Floretina Dumitrescu, Lucian Giubelan A105 Vitamin D deficiency and sepsis in childhood Adriana Slavcovici, Raluca Tripon, Roxana Iubu, Cristian Marcu, Mihaela Sabou, Monica Muntean A106 The clinical and epidemiological aspects and prophylaxis of Lyme disease among patients who presented with tick bites to the Clinical Infectious Disease Hospital “Toma Ciorbă” Ion Chiriac, Tiberiu Holban, Liviu Tazlavanu A107 Drug-resistant tuberculosis in HIV infected patients Raluca Jipa, Eliza Manea, Roxana Cernat, Kezdi Iringo, Andrei Vâță, Manuela Arbune, Teodora Moisil, Adriana Hristea A108 Kidney injury molecule-1 and urinary tract infections Corina-Daniela Ene, Ilinca Nicolae, Roxana Simona Georgescu A109 The impact of microbiological agents on serum gangliosides in patients with benign prostate hyperplasia Corina-Daniela Ene, Cosmin-Victor Ene, Roxana Simona Georgescu, Marilena Ciortea , Lucreția Dulgheru, Ilinca Nicolae A110 Toxocariasis - the experience of the Iași Infectious Diseases Hospital between 2013–2015 Mihaela Cătălina Luca, Ioana-Alina Harja-Alexa, Roxana Nemescu, Mădălina Popazu, Andrei Ștefan Luca A111 Species of anaerobic Gram-positive cocci involved in odontogenic abscesses Gabriela Bancescu, Bogdan Dabu, Adrian Bancescu A112 Clostridium difficile infection recurrences Eliza Manea, Raluca Jipa, Adriana Hristea A113 Differential diagnosis of staphylococcal and tuberculous osteodiscitis – case report Adina Elena Ilie, Săftica-Mariana Pohrib, Alina Cristina Neguț, Maria-Sabina Tache, Maria Magdalena Moțoi, Oana Săndulescu, Ion Aurel Iliescu, Adrian Streinu-Cercel A114 Severe clinical forms of respiratory syncytial virus infections Cristina Tecu, Maria-Elena Mihai, Mihaela Lazăr, Carmen Cherciu, Alina Ivanciuc, Daniela Pițigoi, Emilia Lupulescu A115 Acinetobacter baumannii postoperative sepsis associated with Clostridium difficile enterocolitis in an immune suppressed elderly patient Mirela Paliu, Manuela Curescu, Bianca Cerbu, Iosif Marincu A116 Risk factors and their impact on psychopathology and quality of life among people living with HIV/AIDS in Romania Fulvia Ursoiu, Mirandolina Prișcă, George Ciprian Pribac A117 Antivirals susceptibility of influenza viruses circulating in Romania Maria Elena Mihai, Carmen Maria Cherciu, Alina Elena Ivanciuc, Cristina Tecu, Emilia Lupulescu A118 Retrospective study of hospitalized cases of sepsis at the Hospital Clinic of Infectious Diseases “Toma Ciorbă” Irina Bunescu, Tiberiu Holban, Ana Pasnin, Stela Semeniuc, Raisa Popovici, Galina Chiriacov

The quality of an image produced by the Whole Slide Imaging (WSI) scanners is of critical importance for using the image in clinical diagnosis. Therefore, it is very important to monitor and ensure the quality of images. Since subjective image quality assessments by pathologists are very time-consuming, expensive and difficult to reproduce, we propose a method for objective assessment based on clinically relevant and perceptual image parameters: sharpness, contrast, brightness, uniform illumination and color separation; derived from a survey of pathologists. We developed techniques to quantify the parameters based on content-dependent absolute pixel performance and to manipulate the parameters in a predefined range resulting in images with content-independent relative quality measures. The method does not require a prior reference model. A subjective assessment of the image quality is performed involving 69 pathologists and 372 images (including 12 optimal quality images and their distorted versions per parameter at 6 different levels). To address the inter-reader variability, a representative rating is determined as a one-tailed 95% confidence interval of the mean rating. The results of the subjective assessment support the validity of the proposed objective image quality assessment method to model the readers’ perception of image quality. The subjective assessment also provides thresholds for determining the acceptable level of objective quality per parameter. The images for both the subjective and objective quality assessment are based on the HercepTestTM slides scanned by the Philips Ultra Fast Scanners, developed at Philips Digital Pathology Solutions. However, the method is applicable also to other types of slides and scanners.

Sustainable business in the domestic production of meat must meet both the usual Requirements regarding quality, safety for customer and New Challenges in the European meat market. The Romanian food industry must meet the challenge of recent suspicions regarding the substitution of beef meat with horse meat. The modern applicable to meat traceability systems and authentication procedures can be considered as new ways to support fair trade and transparency, THUS, removing suspicions that appeared lately. Lack of safety measures in the field can affect business continuity critically, creating significant losses.

Oral rehabilitation is a crucial aspect of dental medicine, focusing on restoring and enhancing the function, aesthetics, and overall quality of life for patients with missing or compromised teeth. The use of technology in restorative dentistry has significantly advanced the field, offering various options for dental prostheses, including implant-supported caps, micro-supported dentures, fixed partial dentures, and removable dentures. Increasing the performance of restorations was the major objective of these digital techniques. Computer-aided design and manufacturing (CAD/CAM) technology is utilized for the production of dentures, record bases, radiographic guides, conversion dentures, and verification jigs. This technology has revolutionized the fabrication process, offering precision and efficiency in creating dental prostheses.

Escherichia coli (E. coli) is one of the most common pathogens in both humans and livestock. This study aimed to investigate the prevalence of E. coli isolated from raw cow milk and evaluate its antimicrobial resistance rates. A total of 1696 milk samples were collected from Romanian dairy farms from 2018 to 2022. E. coli was isolated on various selective agar media, such as Cled agar and Columbia Agar with 5% Sheep Blood. The identification of E. coli was performed by MALDI-TOF MS. E. coli isolates were tested for their susceptibility against 18 commonly used antibiotics in a disk diffusion method. The overall prevalence of E. coli was 22.45% of all isolated pathogens. Antibiogram analysis revealed that 27.51% of E. coli isolates from milk were multidrug-resistant. Resistance was highest for penicillin–novobiocin (87.78%), followed by streptomycin (53.7%). Resistance to six drugs (amoxicillin, streptomycin, kanamycin–cephalexin, marbofloxacin, ampicillin) showed a significant increasing trend over time, while for two drugs (penicillin G-framycetin, doxycycline), a significant decrease was observed. Our results suggest that milk can be a reservoir of bacteria with the potential for infection in humans via the food chain. Furthermore, there is a need for surveillance and monitoring to control the increase in resistance to currently used antimicrobials in dairy farms because the occurrence of multidrug-resistant E. coli isolated from milk poses a health hazard to consumers.

The knowledge of the oral rehabilitation principles allows the complex approach of the patient, giving optimal aesthetic, biomechanical and biological results. The patient plays an important role in terms of taking responsibility for the aesthetic aspect. Restoring the aesthetic function involves knowledge of the facial parameters, the principles of restoring facial harmony as well as the geometric proportion of the artificial teeth. The aim of this study is to underlying the importance of the patient’s evaluation, which has like a substract the conception of the esthetic rehabilitation, the patient’s perception and the clinician evaluation, to ensure the succeful in prosthodontic treatment.The notion of aesthetic or unaesthetic can be interpreted differently, depending on the degree of culture and perception of the notion of “beauty and symmetry”.

Depending on the clinical context, objectives, and treatment requirements, a variety of prosthetic devices capable of artificially reconstructing the dental arches in a manner as customized as possible can be utilized in the treatment of complete edentation. The purpose of this study is to compare the efficacy of general vitamin B12 treatment vs the efficacy of local treatment accomplished through full dentures. The study was performed on a group of patients of Dental Faculty in Iasi.Because cyanocobalamin deficiency is typically treated parenterally, the current study proved the superiority of local treatment with complete dentures obtained through the crosslinked polymerization method, a much easier and less expensive way to perform the same treatment in the same time period.

Dentists are constantly looking for strategies to make their work more efficient. These strategies are related to different aspects regarding the organizational activity of the dental practice, with the aim of achieving an improvement in the dental services offered. In the first part of the article, we presented some of the strategies that can be used, such as the creation and implementation of a standardized protocol for the entire team that, in addition to operating times, also provides for the necessary tool kits and cutters, all in an ergonomic environment and with an efficient organization of the workspace. The method of working at “4 hands” will increase the fluidity and focus during the procedures, which leads to a shorter working time with the aim of a predictable treatment and a dental service of an improved quality. These strategies can only be implemented by a responsible team based on quality professional communication. The application of these strategies can significantly streamline the activity of the dental office, bringing financial and human benefits and an increase in the quality of the medical act in a less stressful environment without an increase in fees.

The most serious issue confronting young institutionalized individuals is aggression towards them, as well as a loss of self-esteem as a result of a lack of respect for others. The eruption of the third molar is a major problem in young patients who need oral rehabilitation. The complexity of the clinical cases from the point of view of the necessary dental, endodontic, periodontal and surgical treatments requires the realization of provisional removable partial denture to restore the functions of the oral cavity until the completion of the jaw growth and dental eruptions. The oral rehabilitation by fixed and removable dentures, associated with the eruption stage of the third molar, requires special attention in terms of establishing the prosthetic treatment, choosing materials so as to ensure resistance, a good stability and maintenance on the prosthetic field as well as the possibility of cutting in the distal area to ensure a space for the eruption of the molar.

Artificial intelligence (AI) is making a significant impact on the healthcare industry, transforming the way we approach diagnosis, treatment, and patient care. It can be helpful in many fields where the human may be assisted and helped by new technologies. Neural networks are a part of artificial intelligence, and are similar to the human brain in their work and can solve given problems and make fast decisions. The field of dentistry has experienced significant advancements with the integration of artificial intelligence (AI) technologies. AI has revolutionized various aspects of dental care. The integration of AI in dentistry has the potential to enhance diagnostic accuracy, treatment planning, workflow efficiency, and patient access to care. However, it is important to remember that AI should be viewed as a supportive tool that complements the expertise and clinical judgment of dentists. The collaboration between AI and dental professionals leads to improved patient outcomes, personalized care, and advancements in the field of dentistry.

The absence of one or multiple teeth can be remedied through the utilization of removable partial dentures, which possess a similar aesthetic quality to natural teeth and generally present a less intrusive and more cost-effective alternative to other tooth replacement options. Removable partial dentures serve as an excellent esthetic remedy for lost teeth and a suitable interim solution prior to the implementation of more extensive periodontic treatments. The denture base not only functions as a cornerstone for the denture, providing stability and retention within the mouth but also must be created from biocompatible materials, poses no risk in the oral cavity and to closely resemble the patient’s natural gum color and shape.

The progress recorded in the technology of skeletale removable prostheses, with immediate reflection in clinical use, draws attention to these materials, the specialized literature covering practically all areas of their use in dentistry.The purpose of the study is represented by the identification of the technological particularities of making skeletonized removable partial prostheses made of Titanium in accordance with the particularity of the clinical cases and the technological line approached. A number of 10 titanium skeletal prostheses anchored in the classical register as well as in the modern register were made by using attachments as elements to maintain support and stabilization. The high reactivity of molten titanium (as well as that of crystallized titanium but at high temperatures) with oxygen from the packing table and/or from the working environment or the material of the crucible, as the case may be, with other chemical components thereof, make the surface of the cast part to appear a reaction zone with a thickness of 25-200mm, called the a-case layer. The realization of partially removable titanium prostheses is a particularly important step in achieving the biocompatibility and suppleness of these components with an impact in terms of patient comfort.

These complex physiological age-related changes are not yet fully understood but are thought to be related to the lifelong accumulation of impairments at molecular, tissue, and organ level and over the next decade, the gerodontologist might have a greater effect on the prevention and maintenance of oral and general health status, and need to expend less effort on treatment

The understanding of the oral rehabilitation principles leads to a complex approach of the patient, giving optimal aesthetic, biomechanical and biological results. The patient plays an important role in terms of taking responsibility for the aesthetic aspect. Restoring the aesthetic function involves knowledge of the facial parameters, the principles of restoring facial harmony as well as the geometric proportion of the artificial teeth. The aim of this study is to emphasize the importance of the patient’s evaluation, based on the esthetic rehabilitation, the patient’s perception and the clinician evaluation, so as to ensure the success of the prosthodontic treatment. Conception of the treatment The patients have been analyzed starting from diagnosis and rehabilitation possibilities so as to design the therapeutic concept. Before the beginning of the clinical stages, the evaluation of the patient must be done rigorously, using the current paraclinical investigation techniques. Discussions The success of the prosthetic treatment, from an aesthetic standpoint, requires knowing the patient’s personality in order to predict the degree of psychological acceptance of the prosthetic restoration. The aspect of the edentation is reflected on the patient’s behavior in society, by affecting the self-image and personality. Conclusion The notion of aesthetic or unaesthetic can be interpreted differently, depending on the degree of culture and perception of the notion of “beauty and symmetry”.

Minimizing the problems related with complete denture treatment comprises of a triad that consists of the dentist, the patient and the dental laboratories. Every patient is unique, different in his own way from every other patient and, hence, there will be different achievement levels. Postplacement denture problems have been classified as incompatibility with the surrounding oral environment, problems with mastication, disharmony with functions like speech, respiration and deglutition, dissatisfaction with aesthetics and deterioration of soft tissues or bony support.

Denture adhesives, when used properly are safer and beneficial to the patient in improving retention and stability, incisive ability, comfort, function, and in providing psychological security. Although adhesives enhance denture performance and patient confidence, they should not be used to compensate denture deficiencies. The patients should use denture adhesives only on the advice of their dentists and the dentists too should instruct them about the proper use and caution against misuse of denture adhesives.

Oral rehabilitation with removable denture is associated with an increased risk of caries, periodontal disorders, as well as the accentuated resorption of the edentulous ridges, when the adaptation and the forces which are developed on the prosthetic field are not equally distributed. The elements that influence the prognosis of the prosthetic treatment, of the oral rehabilitation, are essential regarding the evolution, from the standpoint of the health of the stomatognat system’s parts. The tissues that come into direct contact with removable dentures are the most vulnerable, so there is a significant risk of developing a pathology or a complication of an already existing pathology. The risk of complications is directly proportional to the degree of adaptation of removable dentures. Without a periodic reassessment of the patient and possible maintenance treatments, the health of the tissues of the oral cavity could be deteriorated.

Introduction: Behavioral management approaches are employed with youngsters who are scared or unwilling to cooperate. Podiatric patients’ discomfort and anxiety can be alleviated by the use of pharmacologic sedation, anesthesia, and analgesia. Oral sedative midazolam is frequently prescribed for children because of its safety, rapid onset, and mild amnesia, all of which make it a popular choice among pediatricians. Midazolam/ketamine and its combinations are discussed in this review article, covering the advantages of using oral route of sedation, pharmacokinetics and range of oral dosages, and the use of antagonists for clinical dentistry treatment procedures.

Antimicrobial resistance is an important health issue in human and veterinary medicine. The aim of this study was to monitor the antimicrobial resistance of three of the most important bacteria involved in porcine respiratory disease. A total of 465 isolates were tested during the 2017–2022 period for antimicrobial susceptibility for Actinobacillus pleuropneumoniae (n = 137), Streptococcus suis (n = 207), and Pasteurella multocida (n = 121) by disk diffusion method. The results were interpreted by CLSI breakpoints, where available. High rates of susceptibility (from 90 to >99%) were observed for cefquinome, ceftiofur, amoxicillin + clavulanic acid, amoxicillin, penicillin, ampicillin, florfenicol, enrofloxacin, marbofloxacin, and trimethoprim–sulfamethoxazole. A. pleuropneumoniae isolates showed high resistance to streptomycin (77%), gentamycin (45%), tilmicosin (39%) erythromycin (33%), oxytetracycline (19%), and tetracycline (18%). For S. suis, the highest rates of resistance were observed for streptomycin (98%), tetracycline (75%), oxytetracycline (72%), doxycycline (52%), and erythromycin (51%). P. multocida presented a high rate of resistance for streptomycin (63%), tilmicosin (29%), oxytetracycline (13%), and tetracycline (14%). Bacteria isolates maintained high susceptibility against antimicrobial agents usually used against the mainly respiratory tract pathogens of swine. Resistance for streptomycin, tetracycline, oxytetracycline, and tilmicosin was high for all the tested pathogens

Background and Objectives: Learning to speak properly requires a fully formed brain, good eyesight, and a functioning auditory system. Defective phonation is the outcome of a failure in the development of any of the systems or components involved in speech production. Dentures with strong phonetic skills can be fabricated with the help of a dentist who has a firm grasp of speech production and phonetic characteristics. Every dentist strives to perfect their craft by perfecting the balance between the technical, cosmetic, and acoustic aspects of dentistry, or “phonetics”. The ideal prosthesis for a patient is one that not only sounds good but also functions well mechanically and aesthetically. Words are spoken by using articulators that alter their size and form. Conclusions: Therefore, a prosthesis should be made in such a way that it does not interfere with the ability to communicate. As a result, a prosthodontist has to have a solid grasp of how speech is made and the numerous parts that go into it.

The mechanical properties of artificial teeth play an important role in the long-term functionality of removable partial prosthesis or complete dentures. Aim: To highlight the behavior of acrylic teeth according to the speed of mass wear rate. Materials and method: There were used the upper central incisors made industrially from methyl polymethacrylate from different manufacturers. The mass loss was calculated using an analytical balance, before and after each determination. Results: The use of 20 N and 30 N forces for acrylic teeth corresponding to commercial Acry Rock and Eray Deluxe products has similar values. Low values resulted in the case of commercial products Acry Plus (F = 20 N) and Quint Plus (F = 30 N). Conclusions: In addition to the composition of acrylic teeth, layering plays a key role in providing wear resistance.

Like many other regions of the world, the European Union is vulnerable to almost all types of natural disasters. The damage history of each European country confirms this. Disasters not only cause loss of human lives, but also material damage that amounts to billions of euros every year, affecting stability, economic growth and economic relations between member states. In a much broader context, in 1996 the European Humanitarian Aid Service set up a disaster preparedness program for catastrophic risks, named DIPECHO (Disaster Preparedness ECHO). Since 1987, the European Council has established an agreement open to all European countries, including the Russian Federation, entitled Europe - major risks. This intergovernmental agreement is a vast platform for cooperation in the field of major natural and technological risks between all European countries. The Green Paper on insurance against natural and man-made disasters, which is a basic document in the actions of European countries to strengthen the management of catastrophic and non-catastrophic risks. The paper aims to present the main risks that have occurred in Europe, their intensity of production, the affected countries and their influence on the insurance market.

Before conceiving a treatment plan that provided the application of prosthetic works or dental implants, the establishment of a diagnosis is extremely important in order to identify the possible metabolic disorders. The involution process that occurs in old age is obvious but it has significant individual differences regarding the complexity and the high specializion of the structures. The aim of the performed study is to identify the essential parameters that characterize the influence of the general diseases in the appearance of the disturbances determined by edentation in the oral environment for the lots of analyzed patients. The clinical study, corroborated with the paraclinical data showed the presence of a tight correlation between the parodontal disease and/or the precocious appearance of edentation and some systemic diseases, especially cardiovascular diseases, diabetes, pulmonary pathology and osteoporosis, results that were also confirmed by those existent on the international level in the specialize literature.

The prosthodontic restoration are intended to restore the original morphology of the arch and to be resistant to conditions in the oral cavity, dimensionally stable of the tissues, and tissue compatible. The aim of prosthetic treatment is to replace lost tissue and avoid, or at least reduce, all the functional disorders that occure because of tooth loss. Matherial and method Different types of dentures was used for different topographic situations in a partially edentulous dentition. Results and discussion Under the pressure of tooth migration, the bony alveolar wall opposing the edentulous space is broken down. Conclusion Management of tooth wear is an integral part of treatment planning

Laryngeal cancer continues to raise challenges for specialists all over the world even if there has been improvement in its diagnosis, therapeutic options and comprehensive view of the malignant tumor process. The decision of the oncological committee is not subject to the preferences of the patient, since in terms of therapy, this is the role of the specialist treating the patient. It is very important that the patient should know the implications of total surgery and that the patient has a poorer quality of life after total laryngectomy. The quality of life of these patients has been assessed by means of European quality of life questionnaires in terms of physical status and symptoms, social integration and psychoemotional status. The absence of voice, the impairment in swallowing, the esthetic impairment, the family and social reintegration need to be addressed by the oncological team so that the quality of life of these patients be at optimal levels. The specific questionnaires for the quality of life evaluation need to be used for any patient with laryngeal cancer and key points need to be addressed individually to meet each patient's expectations.

The plant species diversity of grasslands was studied from the former time due to the usage of the grasslands mainly as pastures for grazing and hay productions. In the Transylvanian region, Paul rivulet flows into the Ampoi River, a tributary of the Mureș River. Paul catchment area was affected over time due to atmospheric deposition from Zlatna extracting plant. The plant species diversity in the investigated plots varied and is correlated with overgrazing impact and natural soil structure rather than to soil pollution. The species number varied in relation to the season when the inventory was performed, the degree of the anthropogenic impact, natural substrate, slope and aspect (exposition). However, the local coverage of these species varied greatly with respect to the anthropogenic impact in the area and these species were not uniformly distributed in all investigated plots but achieved dominance in few plots. The grasslands of Paul catchment can be included within the category of sub-steppic calciphilous grasslands, recorded from Trascău Mountain. The phytocoenoses are dominated by species with xerophytic characters but including numerous mesophytic species, resulting in a heterogeneous species composition. There is great heterogeneity of micro-habitats within plots with, for example, abrupt transition from xerophilous vegetation to hygrophilous vegetation as a result of changes in the substrate (calcareous, acidic, argillous, etc.) or gradient and aspect (exposition) within a small area. [ABSTRACT FROM AUTHOR]

Draba haynaldii Štúr (Brassicaceae) is a critically endangered species, endemic to the South-Eastern Carpathians (Romanian territory). The rediscovery of the population from Ceahlău Mountains is reported here, where it occurs the south-western edge of the pyramidal Toaca Peak, at 1850 m altitude. In the old locality, the species could not be confirmed. Notes on community characteristics that provide habitat for D. haynaldii species are also discussed. [ABSTRACT FROM AUTHOR]

The loss of the remaining natural teeth is a major and irreversible procedure for the patient. The prognosis for each remaining tooth should be assessed carrefully. A treatment plan is a proposal and can change due to a lot of reasons, including the patient’s ambivalence, prevailing clinical presentations, unforeseen complications and financial burdens. The presence of gross carries or advanced periodontal disease,cupled with a reluctance of the patient to respond to oral hygiene instruction, makes the decision of whether or not to extract the teeth a simple one. The loss of teeth may lead patients to seek care for functional reasons if they notice diminished function to a level that is unacceptable to them. Many prosthodontic treatments involves pretreatment and proprosthetic treatments, crown lengthening and intervention surgery on the level of the ridge.

In practice, we want to be as effective in time and achievement, but impressions must be carried out with the utmost attention to detail and dedication to perfection, because it is a mirror of what we want to do. THE PURPOSE of this study is to identify the clinical peculiarities of the different types of impression used in the partially stretched edentation with profound impact in the technological algorithm and in the end of the therapeutic solution approached in the territory of partially removable prosthesesMATERIAL AND METHOD Different types of impressions have been analyzed and materialized in the clinical algorithm of a rehabilitative technique in the partial stretching, dictated by the specificity of the clinical case. Knowing the technological particularities according to the clinical stages is an important demand of this study.RESULTS AND DISCUSSIONS Regarding the use of techniques and materials in practice, several studies have been conducted to observe the choices of practitioners and the methods used in dental schools in the world. In the last decade, the development of fully digitized techniques in all areas of dental medicine began. CONCLUSIONS Functional impression is a particularly important clinical stage with profound impact on the final development of prosthesis

In dentistry, zirconia is used as a framework for dental prostheses and has been traditionally covered with porcelain to provide excellent aesthetics. The purpose of this study is to evaluate the effects of surface polishing on the properties of zirconium dioxide (Zirconia), the Tizian material, from Schutz Dental. The microstructural tests were carried out using an electron scanning electron microscope, VegaTescan. The images show a more pronounced action of the felt and Al2O3 powder on the material compared to mechanical polishing by sandpapers. From the analysis of the distribution of the chemical elements we can see a good homogeneity, which leads to the maintenance of the chemical, physical and mechanical properties in all the areas of this material

Locally advanced larynx cancer benefits from curative surgery therapy. Clinical trials have been proposed for assessing the quality of life for patients with larynx malignant neoplasia who underwent radical surgery. The removal of the “voice box” is known to have great impact on the social reintegration of these patients as well as psychological distress. The presence of tracheostomy and voice impairment are two of the major issues that need to be thought of by patients that will have a total laryngectomy. The quality of life is a multi-dimensional subjective and personal concept which includes normal physical activity, looks, psychological status, somatic symptoms and, non the less, sexual activity. Cancer free survival intervals for patients with larynx cancer must be evaluated physical and psychological modifications with particular considerations to stress, anxiety and depression related symptoms and to functional rehabilitation adaptation regarding swallowing and speech. Oncology surgeons must consider that QoL is impaired in all patients with larynx cancer that benefit from total laryngectomy. However, there is evidence presented below that the difference in QoL parameters is small when comparing radical surgery, total laryngectomy, and larynx conservation by radio and chemotherapy.

This paper presents and analyzes the key strategies that underpin multinational firms acting in this global environment. The paper underlines the importance of strategy, in the current economic context, for a complex company such as PriceWaterhouse Coopers. After a laborious documentation, theoretical and practical, the paper presents the main strategic options which ensure the business development in the context of globalization. Due to complexity of work carried out by PricewaterhouseCoopers, due to a developed organizational structure and the large number of employees , the need for the strategy is " vital " for achieve the desired performance . In the past 10 years, PriceWaterhouse Coopers turned its global work on expanding the network size and diversity of services offered. Challenges and opportunities of today require a new strategic vision. Therefore, PriceWaterhouse Coopers calls for integrating the concept of sustainability as a management philosophy. In this context, which shapes the economy based on knowledge, management is a science which, through instruments such as corporate social responsibility, coaching procces, attracting talents, can help businesses to develop, diversify or to survive. The research of this company that led to the application of these tools work in Romanian companies, depending on the particular circumstances.

Attitude toward aging and the elderly was different, however, protection or abandonment, depending on the social ethics of the time. AIM. Paper’s aim is to demonstrate the necessary knowledge of mechanism for adjusting the elderly edentulous to prosthetic treatment, to signal reactivity and responsiveness of the patient to prosthetic treatment total and to social rebalancing of the patient after treatment MATERIAL AND METHOD. In the present work, we made a clinical statistical analysis on a sample of 78 patients, on the individual psycho-somatic adaptation of the elderly with removable dentures This requires close cooperation between the dental team and staff welfare. RESULTS AND DISCUSSION. After analyzing the questionnaires completed and the centralization of data was observed (Table V) that adaptation of the elderly to the complete removable dentures and their acceptance as a a way of reintegration into society and the family was different, younger people accepting with difficulty the mutilation making great efforts to accommodate the return to baseline status, whereas older patients and particularly those with the disorder, accepting themdifficult. CONCLUSIONS. The succes of the removable prosthetic treatment consists in identifying, understanding and meeting the needs of patients in accordance with the criteria and the therapeutic conduct of teh practitioner involves much patience, understanding, good sense and good clinical management issues of the third age.