Suchergebnisse

The protected natural areas, by their aesthetic, recreational, educational and scientific valences, represent extremely attractive tourist destinations, some of them unique at international level. Their touristic exploitation has different forms from a country to another, from a type of protected area to another. In this paper, the analysis performed point out that the exploitation of natural areas by tourism has different forms, according to their extension, their landscape complexity, their structure and dynamics of the environment components. The touristic theory identifies a series of tourist forms associated to the environment preservation, such as: tourism in natural areas, ecotourism, adventure tourism, tourism in wilderness, camping. As a conclusion, we can say that the protected areas have become more and more a part of tourism, being appreciated as they represent an environment less affected by the human pressure. Presently, they generate a new form of tourism called tourism in protected areas, requiring special care on behalf of the governments in order not to aggravate the impact of tourism on the local environment and cultures.

Purpose – Combined airway burns with cutaneous burns is a further negative prognostic factor in burn patients. In this study we tried to identify the most relevant negative prognostic factors at admission in a relatively homogeneous population. Methods – In this study, ten young patients who suffered from skin and airway burns following a fire in a club, admitted to our ICU department, were included. At the intake, ABSI and APACHE II scores were calculated, and a series of biomarkers were also collected. The correlation and associations between gravity scores and biomarkers was then calculated using the Spearman correlation and Chi square tests. Results – Based on data analysis, we found very high values of ABSI 8.9 ± 1.4 and APACHE II 25.4 ± 2.79 scores, procalcitonin (46.16 ± 68.18 ng/ml), white blood cells (41.26 ± 15.66 × 103/mm3), hematocrit (51.6 ± 7.31 %), and low corrected albumin values (22.08 ± 4.66 g/l). The statistical analysis revealed a good correlation between gravity scores and values of PCT and low albumin levels (p< 0.05). The mortality was also associated with the need for vasopressor support from the beginning (p < 0.05). Conclusions – Adverse prognostic factors that we have identified in this group of young patients with skin burns and airway include: increased values of the severity scores and PCT, low values of corrected albumin and vasopressor support necessary at admission.