Founded 1897 • New Series Romanian Journal of Vol. CXXIV • No. 2/2021 • May Military Medicine REVISTA DE MEDICINĂ MILITARĂ • Leadership skills in surgeons – A review of the literature • article removed at the request of the authors • The effect of Dexmedetomidine on sedation of patients undergoing open-heart surgery in a military hospital • The assessment of the vitamin D deficiency between the patients with acute coronary syndrome and those with stable coronary artery disease in a military hospital • An organizational chart of an Emergency Health Operation Center • Correlation between FibroScan and AST/ALT ratio and splenic size in NASH patients in a tertiary care center • The value of lipid profile in asthma-obstructive sleep apnea overlap • The effect of the transversus abdominis plane block on postoperative analgesia and patient comfort in patients having abdominal surgery with general anesthesia • Assessment of complications and outcomes of mechanical bowel obstruction in a military hospital • The nuclear accident at Chernobyl: Immediate and further consequences • Comparative study on the independent learning activity of young people in the bachelor's and master's programs • Evaluation of systemic second-line therapy in recurrent or metastatic esophageal cancer • Therapeutic decision of laparoscopy and its benefits as a gold standard in acute cholecystectomy • Medical causes and diseases leading to early permanent disqualification in IRIAF pilots based on their service categories • Golden hour of sepsis: Can we do more? • The effect of multimedia training on social function of burn patients in Shahid Motahhari Hospital, Tehran: A clinical trial study • The use of IPACK and the continuous adductor canal block in the perioperative management of total knee prosthesis • Couvelaire-Uterus: literature review and case report • The role of the communication in changing health behaviors • Planning a hospital to respond to the COVID-19 outbreak: experience from a Romanian reference unit • Copper and its role in the human body – the importance of establishing copper concentrations in the body CiteFactor IF 1.90 Journal included in Web of Science – Emerging Sources Citation Index, CiteFactor, Index Copernicus International, National Library of Medicine Catalog, Ulrich’s Periodicals Directory database, Directory of Open Access Journals, Directory of Research Journals Index, Eurasian Scientific Journal Index, Science Library Index and Open Academic Journals Index. www.revistamedicinamilitara.ro Editorial Board of Romanian Journal of Military Medicine Under the patronage Romanian Association of Military Physicians Carol Davila University of Medicine and Pharmacy, Bucharest, Romania Honorary Editor Acad. Victor Voicu MD, Ph.D. Editors-in-Chief Florentina Ioniță Radu MD, Ph.D., MBA Dan Mischianu MD, Ph.D. Executive Editors Daniel O. Costache MD, Ph.D., MBA Victor L. Purcărea Ph.D., MBA Associate Editor Mariana Jinga MD, Ph.D., MBA Redactors Raluca S. Costache MD, Ph.D., MBA – Bucharest Mihail S. Tudosie MD, Ph.D. – Bucharest Editorial Assistants Ioana Bratu MD Cristina Solea Technical Secretary Oana Ciobanu Andrei Cărăușu Publisher The Carol Davila University of Medicine and Pharmacy Publishing House International Editorial Board Natan Børnstein (Israel) Mihai Moldovan (Denmark) Ioanel Sinescu (Romania) Silviu Brill (Israel) Ioan Opriș (USA) C. Ionescu Târgovişte (Romania) Cris S. 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CXXIV, No 2/2021, May ISSN-L1222-5126; eISSN 2501-2312; pISSN 1222-5126 Vol. CXXIV • No. 2/2021 • May • Romanian Journal of Military Medicine Romanian Journal of Military Founded 1897•New Series Medicine Vol. CXXIV• No. 2/2021, May Contents REVIEW ARTICLE Alexandra Sopu, Juergen Apel ● Leadership skills in surgeons – A review of the literature 129 ORIGINAL ARTICLES ● article removed at the request of the authors 135 Seyed M.A. Zavareh, Marzieh Lak ● The Effect of Dexmedetomidine on sedation of patients undergoing open-heart surgery in a military hospital 140 Morteza Khodaparast ● The assessment of the vitamin D deficiency between the patients with acute coronary syndrome and those with stable coronary artery disease in a military hospital 146 Athanasios Zafeirakis, Panagiotis Efstathiou ● An organizational chart of an Emergency Health Operation Center 152 Varsha Somakumar, V.S. Srikanth, Cibi Manoharan, Vishal Marwaha, V.R. Mujeeb, M.G.K. Pillai ● Correlation between FibroScan and AST/ALT ratio and splenic size in NASH patients in a tertiary care center 159 Marina R. Oțelea, Mihaela Trenchea, Claudia M. Handra, Agripina Rașcu, Oana C. Arghir ● The value of lipid profile in asthma-obstructive sleep apnea overlap 165 Nagihan Yuksek, Ahmet C. Isbir, Onur Avci, Iclal Ozdemir Kol, Kenan Kaygusuz, Sinan Gursoy ● The effect of the transversus abdominis plane block on postoperative analgesia and patient comfort in patients having abdominal surgery with general anesthesia 172 Soleyman Heydari, Sardollah Mahmoodi, Hamid R. Javadzadeh, Hassan Goodarzi ● Assessment of complications and outcomes of mechanical bowel obstruction in a military hospital 179 VARIA Symeon Naoum, Vasileios Spyropoulos ● The nuclear accident at Chernobyl: Immediate and further consequences 184 Antonia I. Trifu, Radu V. Costea, Roxana T. Bejan ● Comparative study on the independent learning activity of young people in the bachelor's and master's programs 191 127 Xenia E. Bacinschi, Anca Zgura, Monica I. Stānuicā, Laura Iliescu, Rodica M. Anghel ● Evaluation of systemic second-line therapy in recurrent or metastatic esophageal cancer 203 Simona A. Balasescu, Ciprian Tanasescu, Alexandru D. Sabau, Meda Comandasu, Dan Sabau ● Therapeutic decision of laparoscopy and its benefits as a gold standard in acute cholecystectomy 211 Mohammad Darvishi, Hamze Shahali ● Medical causes and diseases leading to early permanent disqualification in IRIAF pilots based on their service categories 217 Sebastian Dogaru, Ciprian Jurcuț, Caius B. Teușdea, Alexandru Rocşoreanu, Florea Purcaru ● Golden hour of sepsis: Can we do more? 223 Karvan Bekmaz, Somayeh Hashemzadeh, Hadiseh Okhli, Fatemeh M. Ardebili, Samira Khanmohammadi, Leila Mamashli ● The effect of multimedia training on social function of burn patients in Shahid Motahhari Hospital, Tehran: A clinical trial study 231 Angelica Bratu, Adrian Cursaru, Oana Dumitrașcu, Adina Comănelea, Bogdan Crețu, Bogdan Șerban, Sergiu Iordache, Catalin Cîrstoiu ● The use of IPACK and the continuous adductor canal block in the perioperative management of total knee prosthesis 238 Ionut M. Cobec, Andreas Rempen ● Couvelaire-Uterus: literature review and case report 244 Dodu G. Petrescu, Raluca Răducu, Cristina Soare, Victor L. Purcărea ● The role of the communication in changing health behaviors 247 Gabriela Hofer, Dodu G. Petrescu, Victor L. Purcărea ● Planning a hospital to respond to the COVID-19 outbreak: experience from a Romanian reference unit 251 Oana R. Avram, Genica Caragea, Camelia A. Varzaru ● Copper and its role in the human body – the importance of establishing copper concentrations in the body 254 Guidelines for authors 261 128 Vol. CXXIV • No. 2/2021 • May • Romanian Journal of Military Medicine The article was received on November 26, 2020, and accepted for publishing on March 05, 2021. REVIEW Leadership skills in surgeons: a review of the literature Alexandra Sopu1, Juergen Apel1 Abstract: Clinicians, professors of medicine in general, students, and professionals from the health sciences tend to focus their efforts on technical training related to their discipline in practice as well as activities that produce some benefit direct or personal satisfaction. It is unusual to devote time and effort to