Curierul Medical, 2016, Vol. 59, No 6

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

2016-01-01T00:00:00Z

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”

Contemporary profile of the patient with acute pelvic inflammatory disease

2016-01-01T00:00:00Z

Contemporary profile of the patient with acute pelvic inflammatory disease Cauș, Cătălin; Cauș, Natalia; Railean, Ludmila; Cerneţchi, Olga Background: The aim of our research included identifying the medical and social determinants that favor the development of acute pelvic inflammatory disease (APID), and assessing the contemporary profile of the APID patient while improving the process of diagnostics and management for this disease. Material and methods: There were analyzed 644 clinical cases of patients that were selected according to the CDC criteria regarding APID, who were hospitalized in the Department of Septic Gynecology at the Municipal Clinical Hospital No 1 of Chisinau city. Results: Some medical and social determinants had either a direct or an indirect role in the development of acute pelvic inflammatory disease. In the current study, 40.38% of cases were young women, 59.01% were unmarried, 58.35% of cases – do not use contraceptive measures and 79.18% of patients were from a poor socio-economic background at the time of the study. APID patients had a higher incidence of bacterial vaginosis – 34.93% cases. 52.01% of patients are carriers of chronic diseases and coexistent pathologies are prevailing in one third of the patients included in the study. Approximately 71.89% of patients in the study were hospitalized with a delay of 5 days after the onset of the disease. Conclusions: We have compiled the contemporary profile for the APID patient – young women, coming from a poor socio-economic background, who do not have health insurance, who are more likely to have a low income, a lower education level, and an earlier start of the sexual life, they tend to have multiple sexual partners as well.

Legal aspects in detecting counterfeit medicines

2016-01-01T00:00:00Z

Legal aspects in detecting counterfeit medicines Babenco, Irina; Soloviov, Mihail; Iacob, Corina; Rusnac, Liliana; Valica, Vladimir Background: With the rapid development of the pharmaceutical industry cases of counterfeit medicines are more and more frequent. This is a real crime that influences Public Health, counterfeit medicines being harmful and even fatal. Material and methods: For this study we carried out an objective analysis of the world legislative framework, with predilection for the European and national one. As landmarks served: setting the research objectives, data collection, data analysis, formulation of results and conclusions. Results: The number of counterfeiting incidents during 2011 – 2015 constituted: 2011 – 1986 crimes, 2012 – 2018 crimes, 2013 – 2193 crimes, 2014 – 2177 crimes, 2015 – 3002 crimes. So far numerous directives have been approved, laws have been adopted and measures have been taken to stop the counterfeiting of medicines (Directive 2011/62/EU of 8 September 2011, the Convention MEDICRIME, Resolution 65.19 of the World Health Assembly, Rapid Alert System, global and regional operations of Interpol). Conclusions: Counterfeiting of pharmaceuticals is a global problem that involves: institutions, law enforcement, customs, doctors, pharmacists, patients and citizens. The competent national authorities in collaboration with the associations of doctors, pharmacists and patients must lead risk awareness campaigns regarding purchasing of pharmaceutical products from illegal sources. Patients should be informed of the risks they assume by purchasing drugs from different websites. The population should know that websites that sell drugs must have links directing to the competent national authority or the website of European Medicines Agency or Medicines and Medical Devices Agency from the Republic of Moldova.

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

2016-01-01T00:00:00Z

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.