Download as DOC, PDF, TXT or read online from Scribd nerespectarea de către persoanele fizice a prevederilor Legii 15/ – se sancţionează cu amendă. June 15, ://usaascvb.info LiSTmanualfebpdf. .. LEGEA. Benjamin Loevinsohn. Lead Public Health Specialist. Through the current report of November 15, , SIF Moldova has also presented the report of the financial auditor Deloitte regarding the.
|Language:||English, Spanish, Hindi|
|Distribution:||Free* [*Registration needed]|
Clopotari, A.S. Prioritatea reorganizării în detrimentul falimentului în Legea nr. 85/ Phoenix (Bucharest) , Translation of. Desigur, legea evolutiei, cel mai tare castiga. Dar! Unlike · Reply · 1 · July 15, at pm Cristian N. Antonescu Da, JFK, avea si el o. Release Date: 9/15/ PM Date of report: September 15, SNP__Raport-conf-artdin-Legea_augpdf.
Particular causes of heart failure in newborn except congenital heart defects are: birth asphyxia, hypoxia, hypoglycemia, hypocalcemia, anemia, acidosis, sepsis 2. Associated metabolic abnormalities are: metabolic acidosis, hypoxemia, hypoglycemia, hypocalcemia, polycitemia. Arterial hypotension is the consequence of the direct depressing effect of hypoxia on myocardial contractility associated with the decreased systemic vascular resistance by decreasing arteriolar tone, so it is not a real hypovolemia, this is why volemic resuscitation will use bolus crystalloid solutions, monitored by central venous pressure because of the risk of heart failure occurrence.
Digoxin is contraindicated in the newborn of diabetic mother because of the myocardial hypertrophy, mostly septal. A frequently encountered situation is the presentation at the ER of an infant with nonspecific symptoms, without any known cardiac conditions. The cardiac diseases with severe manifestations in newborn and infant that are most frequently addressing to the ER are: congenital heart defects, cardiac arrhythmias, acquired heart disorders myocarditis.
Classification of congenital heart defects depending on physiopathologic changes induced by the structural anomalies is: Congenital heart defects with cyanosis Congenital heart defects with obstruction of left ventricular ejection tract or functional insufficiency of the left ventricle, with signs of shock induced by the decreased systemic blood flow Anomalous left coronary artery origin from pulmonary artery, which can present myocardial infarction and shock Congestive heart failure Cyanotic congenital heart defects The most encountered lesions with cyanosis include: pulmonary atresia or severe stenosis, tetralogy of Fallot, total anomalous venous return, transposition of the great vessels, tricuspid atresia, truncus arteriosus 2,3.
Usually, these children are diagnosed at birth or immediately after discharge, but can be sent home without diagnosis, and the patent ductus arteriosus can has such a flow that offer sufficient blood for the pulmonary circulation, and thus can mask the true lesion and the hypoxia is not clinically evident.
Finally, when the ductus closes, the pulmonary blood flow decreases and the patient becomes acutely hypoxic. This happens during the first two weeks of life but also later. The cyanosis can be missed in children with anemia or hyperpigmentation of the skin. Blood pressure of oxygen is difficult to perform or can give errors in an agitated child or a child with depression or in which the peripheral circulation is compromised due to the acidosis. For the central cyanosis, the hyperoxia test is essential in the differential diagnosis of cyanosis 8.
Elements to differentiate between central and perioheral cyanosis Peripheral Acrocyanosis Elements Central cyanosis Pink Colour: mucosa, tongue, lips, trunk Blue Cold Extremities Warm cold Decreased Peripheral perfusion Normal decreased Normal Arterial oxygen saturation Decreased Usually more favorable shock, sepsis, congenital heart defect Prognosis Usually requires urgent treatment pulmonary, congenital heart defect, shock, sepsis Increased arterial oxygen pressure can induce the closure of ductus arteriosus, this is why the clinical and echocardiographical monitorisation is required dangerous for the ductus-dependent heart defects.
The chest x-ray can reveal different aspects: increased pulmonary blood flow in transposition of the great arteries, partial anomalous pulmonary venous return, truncus arteriosus; decreased pulmonary blood flow in tricuspid atresia with intact interventricular septum, pulmonary artery atresia with intact interventricular septum, tetralogy of Fallot, Ebstein anomaly, critical pulmonary stenosis with intact interventricular septum; pulmonary venous stasis in total anomalous pulmonary venous return, hypoplastic left ventricle.
Electrocardiogram and echocardiography are main tools for the diagnosis. In newborn and small infant in which the cyanosis is aggravated by the ductus closure, after permeabilisation of the respiratory tract and mechanical ventilation, if necessary, which can alleviate the hypoxia and severe respiratory depression, prostaglandin E1 can be administered in order to reopen the ductus parallel to treatment of the shock.
At this moment the child must be transferred in an ICU with cardiac surgery clinic 8. Defects with obstruction of the left ventricle and ventricular failure. These types of congenital heart defects represent other ductal dependent lesions for the systemic circulation: coarctation of the aorta and severe aortic stenosis. In most of the cases, hypoplastic left heart syndrome has a rapid evolution, with aggravation of the general status and neonatal shock, requiring early surgery or leading to death.
The closure of the ductus in such cases determines systemic hypoperfusion, shock and heart failure, sometimes with nonspecific symptoms: irritability, lethargy, cold wet marmorated extremities.
The early diagnosis of ductus closure is essential for the treatment with prostaglandin E1. Patients with decreased peripheral perfusion evolve rapidly to severe metabolic acidosis and multiple organ dysfunctions.
Except prostaglandin E1 perfusions, inotropic drugs, sodium bicarbonate and drugs that decrease systemic vascular resistance can be useful until the surgical treatment 9, Anomalous coronary arteries origin and myocardial infarction.
Myocardial infarction is extremely rare in newborn and is determined by the anomalous origin of the left coronary artery from the pulmonary artery. Initially, the myocardial ischemia is intermittent, only during feeding and crying, and occurs usually in the first weeks of life 2 weeks 6 months. The symptoms are not specific: irritability, agitation, crying, dyspnea, pallor and sweating during feeding. Increased need of oxygen in the myocardium by various diseases, for example pulmonary infections, can precipitate myocardial infarction in the left ventricle and the heart failure: tachypnea, tachycardia, gallop rhythm, cardiomegaly, hepatomegaly, murmur of mitral insufficiency, or the infant can have whhezing, erronate interpretated as bronchiolitis 7, The effect of air pressure brought about very contradictory results Fig.
Jenser Figure 1. Jenser Figure 5. The catching number of H. The mass flight of this species was observed in from mid-May to late June and in at the end of July Fig. Figure 7. Seasonal flight activity of H. On the top part of this graph, there are small cloud signs, referring to the stormy days. In , the anticyclonic climatic conditions were prevalent. During the investigated period of this year, there were 67 days under cyclonic and days under anticyclonic climatic conditions Fig. Probably, this circumstance could also have a role in the continuous migration of both species.
According to our experiences, the storm or thunder had no direct influence on the numbers of the migrating adults. In , the same situation was observed.
According to the data of the Hungarian Meteorological Service, during this whole vegetation period, the anticyclonic climatic condition was also prevalent. The number of migrating H. Jenser Figure 8. On the top part of this graph, there are small cloud signs referring to the stormy days 4.
Discussion The migration and the mass flight of thrips species depend on the meteorological conditions, the spatial composition of the host plants, and their ripening time . This study is the first report concerning the mass flight of Haplothrips angusticornis.
Although this species sporadically occurs in Central and Southern Europe, it is widespread in Hungary . The main cause of the mass flight of this species could be that H.
This tendency for species living in temporary habitats could be more migratory than for species from permanent ones. According to , cereal and grass-feeding thrips, belonging to the Thripidae suborder, are predominant in mass flight. Though H.
However, the life Observations on the flight pattern of some Phlaeothripidae Thysanoptera species 25 habits and flight activity of this species still need to be clarified. There is no data available on the biology of H.
Haplothrips aculeatus is widely spread in Europe, and also a common species in Hungary . This species is mostly a cereal and grass feeder . It leaves the hibernation sites very late, when the maximum temperature is more than 20 0C for many days .
According to our results, this species started to migrate in late May Fig. It can migrate continuously during the vegetation period .
In the present study, H. Wigg, Galinsoga parviflora Cav.
Asteraceae , Medicago sativa L. Fabaceae , and Amaranthus retroflexus L. According to  and , H. Our study confirms these experiences because there were and only 31 specimens captured in the air by the suction trap during the whole vegetation period of and , respectively Table 1.
According to our data, under anticyclonic meteorological conditions, there is a stronger possibility for an increased number of migrating H. The meteorological elements of anticyclonic climatic conditions are the followings: higher temperature, stronger sunshine duration, and higher air pressure. Under cyclonic climatic condition, the meteorological elements are the opposite: lower temperature, less sunshine duration, and lower air pressure.
According to  and , the temperature has the most important effect on the migration of the thrips. As for the influence of the minimum, maximum, and daily mean temperatures, the higher temperature caused the higher numbers of migrating specimens in this study. According to our investigation, the more sunny hours have positive influence on the migration of H. The higher level of relative humidity has a negative effect on the mass flight and migration.
The effect of air pressure proved to be very contradictory in this study Fig. The concrete effect of this element needs to be clarified in the future. The thunder had no influence on the flight of the studied Haplothrips species. Basically, during the storm or thunder, none of the thrips species could fly .
Therefore, the wind can also cause a lower number of migrant Thysanoptera adults. The authors are thankful to Dr M. References                   Lewis, T.
Academic Press, London and New York.
Lewis, T. Annals of Applied Biology 53, — Kirk, W. Acta Phytopathologica et Entomologica Hungarica 39, — Daca nu de unul cu forte armate beligerante, cu siguranta de un nou razboi rece.
In ciuda eforturilor lui Putin de a crea o Uniune Eur-Asiatica, se pare ca tot Unchiul Sam dicteaza de peste ocean nu numai in intreaga Europa, ci deja si in cateva tari apropiate de zona noastra, tari foste membre al Antonescu Ororile CIA https: Ororile CIA The following article was initially published in It is in part based on the work of William Blum. Killing Hope: By Steve Kangas The following timeline describes just a few of the hundreds of atrocities and crimes committed by the CIA.
First, American business interests abroad are threatened by a popular or democratically elected leader. The people support their leader because he intends to conduct land reform, strengthen unions, redistribute wealth, nationalize foreign-owned industry, and regulate business to protect workers, consumers and the environment. So, on behalf of American business, and often with their help, the CIA mobilizes the opposition.
First it identifies right-wing groups within the country usually the military , and offers them a deal: It uses every trick in the book: These efforts culminate in a military coup, which installs a right-wing dictator. Widespread human rights abuses follow. The Association for Responsible Dissent estimates that by , 6 million people had died as a result of CIA covert operations.
But most coups do not involve a communist threat. Unlucky nations are targeted for a wide variety of reasons: The ironic thing about all this intervention is that it frequently fails to achieve American objectives. Often the newly installed dictator grows comfortable with the security apparatus the CIA has built for him. He becomes an expert at running a police state. The only two options for the U. S at this point are impotence or war. The boomerang effect also explains why the CIA has proven highly successful at overthrowing democracies, but a wretched failure at overthrowing dictatorships.
The following timeline should confirm that the CIA as we know it should be abolished and replaced by a true information-gathering and analysis organization. The CIA cannot be reformed — it is institutionally and culturally corrupt.
With full U. The Gehlen Organization supplies the U. Gehlen inflates Soviet military capabilities at a time when Russia is still rebuilding its devastated society, in order to inflate his own importance to the Americans who might otherwise punish him. In , Gehlen almost convinces the Americans that war is imminent, and the West should make a preemptive strike.
The CIA downloads votes, broadcasts propaganda, threatens and beats up opposition leaders, and infiltrates and disrupts their organizations. It works — the communists are defeated. Over the next several decades, its broadcasts are so blatantly false that for a time it is considered illegal to publish transcripts of them in the U. The most notorious part of this project involves giving LSD and other drugs to American subjects without their knowledge or against their will, causing several to commit suicide.
Funded in part by the Rockefeller and Ford foundations, research includes propaganda, brainwashing, public relations, advertising, hypnosis, and other forms of suggestion.
Arbenz is replaced with a series of right-wing dictators whose bloodthirsty policies will kill over , Guatemalans in the next 40 years. These efforts fail to win the hearts and minds of the South Vietnamese because the Diem government is opposed to true democracy, land reform and poverty reduction measures.
It also hints that American aid will help the Hungarians fight. This aid fails to materialize as Hungarians launch a doomed armed revolt, which only invites a major Soviet invasion. The conflict kills 7, Soviets and 30, Hungarians. The problem is the Pathet Lao, a leftist group with enough popular support to be a member of any coalition government.
A quarter of all Laotians will eventually become refugees, many living in caves. They will kill over , during the Duvalier family reign.
The U. The planners had imagined that the invasion will spark a popular uprising against Castro -— which never happens. A promised American air strike also never occurs.
Four years of political turmoil follow. The CIA installs a repressive, right-wing junta. Ecuador — A CIA-backed military coup overthrows President Arosemana, whose independent not socialist policies have become unacceptable to Washington. A military junta assumes command, cancels the elections, and begins abusing human rights.
The junta that replaces it will, in the next two decades, become one of the most bloodthirsty in history. Later it is revealed that the CIA trains the death squads. The CIA has been trying to eliminate Sukarno since , using everything from attempted assassination to sexual intrigue, for nothing more than his declaring neutrality in the Cold War.
The revolution is crushed when U. Marines land to uphold the military regime by force. The CIA directs everything behind the scenes. Papandreous has failed to vigorously support U. The hated and repressive Mobutu exploits his desperately poor country for billions. Among their scoops: MIT and other universities have received similar payments. Students are sometimes recruited through blackmail and bribery, including draft deferments. The favorite to win was George Papandreous, the liberal candidate.
When a Greek ambassador objects to President Johnson about U. CIA agents go undercover as student radicals to spy on and disrupt campus organizations protesting the Vietnam War.
They are searching for Russian instigators, which they never find. CHAOS will eventually spy on 7, individuals and 1, organizations. The CIA wants to keep him alive for interrogation, but the Bolivian government executes him to prevent worldwide calls for clemency. Whereas right-wing forces previously used torture only as a last resort, Mitrione convinces them to use it as a routine, widespread practice.
He eventually becomes so feared that revolutionaries will kidnap and murder him a year later. This unpopular move strengthens once minor opposition parties like the Khmer Rouge, which achieves power in and massacres millions of its own people.
In the next two years, dictator Hugo Banzer will have over 2, political opponents arrested without trial, then tortured, raped and executed. His son continues his bloody reign with full knowledge of the CIA. In theory, this should make CIA operations more accountable. In fact, it is only marginally effective. Wagergate Break-in — President Nixon sends in a team of burglars to wiretap Democratic offices at Watergate.
The problems begin when Allende nationalizes American-owned firms in Chile. The CIA replaces Allende with General Augusto Pinochet, who will torture and murder thousands of his own countrymen in a crackdown on labor leaders and the political left.