A bioclimatic evaluation of sustainable tourist activities in western Romania.

The study analyzes with priority the bioclimatic conditions for tourist activities in two famous tourist areas in western Romania [(Baile Felix-Baile 1 Mai (BF_1 M) - Stâna de Vale - Vladeasa and, respectively Baile Herculane (BH) - Semenic], from the perspective of the potential of health tourism and in the subsidiary of sports and camping tourism. Such researches are missing for western Romania. The main working tools in the evaluation of the tourist valences of the bioclimate include: the spatio-temporal analysis of the Physiologically Equivalent Temperature (PET) bioclimatic index, of the TCI climate-tourism index and of the climate-tourism schemes (CTIS). PET, TCI and CTIS were calculated and drawn up based on the daily data of the meteorological elements included in their calculation for the period 1961-2019. The bioclimate is analyzed as an element of potential that can increase (through a better evaluation and knowledge) the attractiveness and sustainability of the health tourism in the already established resorts (BF_1 M, BH) and can develop sports and camping tourism in the direction of the two proposed axes (Stâna de Vale - Vladeasa și Semenic), with the decongestion of the resorts from the base the mountains. The proposed objectives consist inmulti-criteria evaluation, promotion and sustainable exploitation of the bioclimatic (and spa) resources of the six tourist destinations, but it also aims to increase the level of attention and information of all those interested, by promoting the bioclimatic and climate-tourism assets of complementary tourist destinations (Stâna de Vale, Vladeasa, Semenic). The results obtained from the PET statistics show that between 25 and 39 % of the days of a year are comfortable, and the TCI statistics show that between 54 and 69 % of the days are favorable for the practice of tourism. PET and TCI highlight that from mid-April to mid-October the bioclimatic conditions for health tourism are good at BF_1 M and BH and that, only in the months of December-February the balneoclimatic procedures carried out outside the treatment bases are subject to climatic restrictions. Sports tourism has few temporal restrictions, and camping tourism restricts its duration, from April to October in lowland resorts, to May to September in mountain tourist destinations. CTIS shows that the resorts in western Romania have the most favorable bioclimatic and climate-tourism conditions in Romania.

Air quality changes in NE Romania during the first Covid 19 pandemic wave.

This study analyzes for the first time uniformly and causally the level of pollution and air quality for the NE-Romania Region, one of the poorest region in the European Union. Knowing the level of pollution and air quality in this region, which can be taken as a benchmark due to its positional and economic-geographical attributes, responds to current scientific and practical needs. The study uses an hourly database (for five pollutants and five climate elements), from 2009 to 2020, from 19 air quality monitoring stations in northeastern Romania. Pollutant levels were statistically and graphically/cartographically modeled for the entire 2009-2020 interval on the distributive-spatial and regime, temporal component. Inter-station differences and similarities were analyzed causally. Taking advantage of the emergency measures between March 16 and May 14, 2020, we observed the impact of the event on the regional air quality in northeastern Romania. During the emergency period, the metropolitan area of Suceava (with over 100,000 inhabitants) was quarantined, which allowed us to analyze the impact of the quarantine period on the local air quality. We found that, in this region, air quality falls into class I (for NO2, SO2 and CO), II for O3 and III for PM10. During the lockdown periods NO2 and SO2 decreased for the entire region by 8.6 and 14.3%, respectively, and in Suceava by 13.9 and 40.1%, respectively. The causes of the reduction were anthropogenic in nature.

Long-term outcomes in chronically hospitalized geriatric patients with schizophrenia: retrospective comparison of first generation and second generation antipsychotics.

INTRODUCTION: Some groups have reported the longitudinal course of elderly poor outcome schizophrenic patients to be characterized by progressive decline in cognitive functions and functional capacity. Although many of these patients experience minimal reduction of psychotic symptoms, there may be beneficial effects of antipsychotic treatments on cognitive functions and functional capacity. METHODS: This naturalistic study compared the longitudinal course of psychotic symptoms, cognitive functions and functional impairment in geriatric schizophrenic patients treated with first generation (N=97) or second generation (N=78) antipsychotic medications. Mixed effects linear regression analyses were used to examine the effects of treatment (first generation vs. second generation antipsychotic), time and treatment x time. RESULTS: Cognitive functions (Mini Mental State Examination time effect estimate=-.41, p<.001; ADAS-L Cog time effect estimate=.64, p<.001) and self-care skills (ADAS-L Self-Care time effect estimate=.65, p<.001) declined over time for the subject group as a whole and this decline was not modified by treatment with second generation antipsychotics relative to first generation antipsychotics. Similarly, second generation antipsychotic treatment produced no effect on the progressive worsening of negative symptom over time. CONCLUSION: This long-term naturalistic study of poor outcome geriatric patients with schizophrenia did not find atypical antipsychotics to produce any differential protective effect relative to typical antipsychotics on the long-term manifestations of symptoms, cognition and self-care in poor outcome geriatric schizophrenic patients.