Curierul Medical, 2016, Vol. 59, No 6

Curierul medical. December 2016, Vol. 59, No 6

2021-09-22T13:16:04Z

Curierul medical. December 2016, Vol. 59, No 6 From its debut in 1958, the journal has striven to support the interests of Moldovan medicine concerning the new concepts of its development. The Editorial Board warmly welcomes both the readers of and the authors for the journal, all those who are enthusiastic in searching the new and more effective ways of solving numerous medical problems. We hope that those who want to make their contribution into the science of medicine will find our journal helpful and encouraging. The journal is accredited by the National Council for Accreditation and Attestation. The journal publishes official papers, scientific articles, editorials, clinical studies and cases, lectures, methodological guides, reviews, brief reports, and correspondence. The journal welcomes articles in English, Romanian and Russian. The journal editorial policy provides the prompt publication of papers within 12 weeks after receiving them.; De la prima apariţie în 1958, revista susţine şi dezvoltă noile idei în domeniul medicinii, în Republica Moldova. Colegiul de redacţie agrează cu multă consideraţie atât cititorii cât şi autorii articolelor, pe toţi acei care cu mult entuziasm caută noi şi mult mai efective metode de soluţionare a multiplelor probleme ale medicinii. Sperăm, că toţi acei care doresc să-şi aducă aportul la dezvoltarea ştiinţelor medicale, vor găsi revista noastră utilă şi atractivă. Revista este acreditată de către Consiliul Naţional de Acreditare și Atestare. Revista publică comunicări oficiale și, totodată, sunt editate diverse publicaţii, inclusiv independente: articole știinţifice, editoriale, cercetări și prezentări de cazuri clinice, prelegeri, îndrumări metodice, articole de sinteză, relatări scurte, corespondenţe și recenzii. Revista publică articole în limba engleză, română și rusă. Politica de editare a revistei prevede examinarea operativă și publicarea articolelor timp de 12 săptămâni după înaintare.; С первого дня своего выпуска в 1958 году журнал стремится поддерживать и развивать новые идеи в области медицины в Молдове. Редакционная коллегия всегда рада как читателям, так и авторам статей, всем тем, кто с энтузиазмом ищет новые, более эффективные способы решения многочисленных задач медицины. Мы надеемся, что все те, кто хотят внести свой вклад в медицинскую науку, найдут наш журнал полезным и вдохновляющим. Журнал аккредитован Высшей Аттестационной Комиссией Республики Молдова. В журнале печатаются официальные материалы, научные статьи, наблюдения из клинической практики, обобщающие статьи, краткие сообщения, методические указания, рецензии и корреспонденция. В журнале публикуются статьи на английском, румынском и русском языках. Издательская политика журнала предусматривает оперативное рассмотрение и публикацию статей в среднем в течение 12 недель после поступления. Fondatori: Ministerul Sănătăţii al Republicii Moldova, Universitatea de Stat de Medicină şi Farmacie “Nicolae Testemiţanu”

Indoor air quality assessment and the risk establishment for the health of the people engaged in the process of preparing food

2021-10-18T10:49:26Z

Indoor air quality assessment and the risk establishment for the health of the people engaged in the process of preparing food Croitoru, Catalina; Ciobanu, Elena; Cazacu-Statu, Angela Background: The health state assessment of the inhabitants of the Republic of Moldova in relation to the pollution of the indoor air during the process of preparing food. Material and methods: The study was conducted in three areas of the Republic of Moldova (North, Center and South). The research was based on the inhabitants’ inquiry and some measurements of physical parameters (the temperature, the relative humidity of the air) and some chemical compounds from the air (the carbon dioxide and the carbon monoxide) from the air. The measurements were carried out during summertime, with Air Quality Monitor 500 in 4 stages: before cooking meals, one hour after the beginning of cooking, at the end of the cooking and one hour after the end of preparing dishes. During the research a questionnaire has been completed, which included a number of questions referring the conditions present in the process of cooking meals, the time needed for cooking, the illnesses supported, the type of the cooking appliances, the type of the fuel used. Results: The analysis of the questionnaires emphasized that half of the respondents have suffered frequently from bronchitis, 28% have been sick with pneumonia, 12% of the people suffered from obstructive bronchitis, 7% – from bronchial asthma and one person – from lung cancer. From the number of the respondents inquired 20% presented a diagnosis of ischemic heart disease and 7% – a stroke. The type of the room in which the people surveyed cooked the meals represents a certain risk in the development of the diseases. There is a huge risk to prepare the dishes in the living room (2.6≤RR≤2.9) for different nosologic forms (p<0.01). The relative risk of the appearance of the diseases rose depending of the fuel used: biomass (3.3≤RR≤4.5, p<0.05), agricultural waste (3.5≤RR≤3.6, p<0.01), hard coal (3.4≤RR≤3.5, p<0.01), in comparison to other types of fuel. In cases when the interviewees smoke in the house, the risk is very high (3.4≤RR≤5.2, p<0.001). Conclusions: It is necessary to focus our efforts on the communication strategies in order to motivate the awareness of the need of educational programs intended to inform people about the sources of pollution of the rooms and the health risks.

Impact of primary health care sector in the detection of tuberculosis on the model of Chisinau city

2021-10-18T10:49:04Z

Impact of primary health care sector in the detection of tuberculosis on the model of Chisinau city Lesnic, Evelina; Niguleanu, Adriana; Ganta, Ana; Jucov, Artiom; Nintus, Raisa; Curocichin, Ghenadie Background: Tuberculosis detection represents the major challenge in actual health care system, recognised in the Republic of Moldova and worldwide. Material and methods: 101 pulmonary TB patients diagnosed in the period 1.1.2015-31.12.2015 in Chisinau were enrolled and distributed into two groups: the 1st group consisted of 73 patients with pulmonary TB detected in the frame of primary health care sector by general practitioners as symptomatic patients, and the 2nd group consisted of 28 patients with pulmonary TB detected by general practitioners by active way of screening. Results: Patients from both groups were enrolled in a similar proportion according to the demographic characteristics (urban/rural residency, civil and educational status). Two thirds of both groups were uninsured, but the economic state was lower in the group of patients detected as symptomatic cases. Chronic alcoholism, drug use, history of imprisonment, migration, comorbidities were established in a similar number of cases from both groups. Despite the fact that high risk groups (TB contacts and HIV infected individuals) must be screened actively, their rate is statistically higher in the group detected by passive way. Smear positive results, extensive pulmonary infiltrates and lung parenchyma destructions predominated in the group detected by passive way. The rate of patients that successfully finished the treatment was similar in both groups, but deaths were registered only in the group detected by passive way. Conclusions: The Republic of Moldova registers a continuous decrease of epidemiological TB indices due to the reduction of high risk groups designed to be investigated and the insufficient use of active screening.

Inflammatory pathologies of genitalia in girls and adolescents

2021-10-18T10:49:48Z

Inflammatory pathologies of genitalia in girls and adolescents Profire, Liliana Background: Children and adolescents are a group of population that represents 1/3 of territorial population with specific biological peculiarities of age, activity, health and morbidity. Professional medical assistance given to the young generation ensures for subsequent generations a nice and healthy future. Material and methods: The present study is non-experimental, of a descriptive type with a general group of 400 patients hospitalized during 2014 in the department of pediatric gynecology. Statistical processing was performed using the program «Epiinfo 2002» and the program « Microsoft Office Excel 2010». Results: According to the obtained results within the study the inflammatory diseases of genitals were most frequently diagnosed – 263 cases (65.8±2.37%), the majority of which 254 (96.6 ±1.11%) of a non-specific genesis and 9 cases (3.4±1.11%) bacterial infections of specific genesis, P<0.001. In half of the investigated cases 108 (52.7±3.48%) there have been cultivated combinations of pathogens, the most frequently determined being: E. coli+corinebacterium, E. coli+corinebacterium +Enterococcus fecalis, or Corinebacterium + St. Viridans, Streptoccoccus saprophyticus+corinebacterium. From the total number of non-specific inflammatory diseases prevail inflammatory diseases of external and inferior internal genitals 169 (66.5±2.96%), P<0.001 – vulvovaginitys: acute vulvovaginitys, chronic relapsing vulvovaginitys with a maximum share in the age group 1-4 years old 68 (40.2±3.79%). Contrary to the distribution of inflammatory diseases of the inferior and external genital tract, the inflammatory diseases of the upper genitals increase with the advancement in age of the patients involved in the study with a maximum rate in the group of adolescents of 16-19 years old (55.4±5.47%), P<0.001. Conclusions: An increase of the inflammatory processes of genitals in the age groups 1-4 (22.3%) and 16-19 (25.8%) was determined. A maximum share of inflammatory diseases of inferior genitals was determined in patients aged 1-7 and inflammatory diseases of the upper genital tract in the period of adolescence – 14-19 years old.