http://repository.usmf.md:80/xmlui/handle/20.500.12710/12308 2026-04-12T17:56:11Z http://repository.usmf.md:80/xmlui/handle/20.500.12710/16516 The Moldovan Medical Journal. June 2019, Vol. 62, No 2 The Moldovan Medical Journal is an international scientific double-blind peer reviewed periodical edition, 4 per year, of the Scientific Medical Association of the Republic of Moldova designed for specialists in the areas of medicine, dentistry, pharmacy, social medicine and public health. From its debut 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 new and more effective ways of solving numerous medicine problems. We hope that those who want to make their contribution to the science of medicine will find our journal helpful and encouraging. Fondatori: Ministerul Sănătăţii al Republicii Moldova, Universitatea de Stat de Medicină şi Farmacie “Nicolae Testemiţanu” 2019-01-01T00:00:00Z http://repository.usmf.md:80/xmlui/handle/20.500.12710/6832 Temporomandibular disorders: perspective clinical usage of acupuncture Lacusta, Victor; Fala, Valeriu; Bordeniuc, Gheorghe Background: One of the oldest medical practices is acupuncture, which was developed for about 3 thousand years. It includes also methods of treatment for various diseases and disorders of the stomatognathic region. Currently, there is an increased interest for the usage of these alternative methods of treatment. Acupuncture methods are widespread worldwide and are endorsed by WHO. The use of alternative medicine methods in dental practice has more positive aspects than negative ones, attracting the attention of patients and doctors and even of countries with different economic levels of development. The most important indications of acupuncture in dentistry are: 1) glossodynia; 2) stomatodynia; 3) primary trigeminal neuralgia; 4) spasm/contracture of the masticatory muscles; 5) myogenous dysfunction of the temporomandibular joint; 6) salivary disorders. For the treatment of various pathologies in dentistry, various stimulation of acupuncture points is being used (needling, electro-puncture, laser-puncture, pressopuncture, thermo-puncture, magneto-puncture, etc.). Currently, there is ongoing research on defining differential indications for these methods, based on the highest efficiency for particular pathologies. Conclusions: Currently, there is ongoing research on defining differential indications for these methods, based on the highest efficiency for particular pathologies. It is not concluded yet which acupuncture treatment is more efficient: the one based on the reflexogenic theory (local, regional, distal points) or the one based on Traditional Chinese Medicine (meridian theory, etc.). There are being developed complex treatment protocols for dental pathologies, with the inclusion of various acupuncture methods (magneto-puncture, laser-puncture, etc.). Department of Alternative and Complementary Medicine, Department of Therapeutic Dentistry, Nicolae Testemițsanu State University of Medicine and Pharmacy, Chisinau, the Republic of Moldova 2019-01-01T00:00:00Z http://repository.usmf.md:80/xmlui/handle/20.500.12710/6812 Correlation between spinal nerves, anterolateral abdominal wall muscle tone and inguinal hernia Guzun, Gheorghe; Turchin, Radu Background: The complete diagnosis of pathomorphological disorders in case of diseases of the spine determines the choice of effective treatment, pathogenetically argued in various diseases which, according to modern classifications, do not have a direct link with it. Continuous improvement of diagnostic and treatment methods in some pathologies, both surgical and therapeutical requires a more detailed study of clinical anatomy and spinal biomechanics. Thus, perhaps even revising concepts are well-rooted in the consciousness of scientists and modern practitioners. As we will try to analyze the anatomical-clinical component of the appearance and recovery of antero-lateral abdominal wall hernias, we will limit ourselves to some analysis and discussion of one of the predisposing factors, namely the lack of resistance or insufficient resistance of the abdominal muscles. This is closely related to the condition of the constituent elements of the abdominal wall, and in particular depends on the innervation and vascularization of the musculoaponeurotic layers, which determine the strength and muscle tone. Conclusions: One of the causes of inguinal hernias is the decrease in the tone of the abdominal muscles. It depends on several factors: the elasticity of the muscular tissue, state of neuro-muscular transmission, the state of peripheral nerve fibers and motor neurons in the spinal cord, superior motion control centers. Thus, the causes of muscle tone decrease can be both muscular in origin and generated by pathology of the nervous system at different levels. Because the causes are multiple, the treatment is different at certain stages of hernia development. In this way, our treatment – qualitative nutrition, vitamins, special exercises, spinal region work, paravertebral muscles massage fit perfectly into hernia etiology and pathogenesis. This treatment is physiologically accessible and can be performed and supervised by physicians with non-surgical specialties in stationary or outpatient settings, after prior consultation with the surgeon. Department of Topographic Anatomy and Operative Surgery, Nicolae Testemitsanu State University of Medicine and Pharmacy, Chisinau, the Republic Moldova 2019-01-01T00:00:00Z http://repository.usmf.md:80/xmlui/handle/20.500.12710/6811 Interests in knowledge and assistance of epilepsy Cobileanschi, Oleg; Baba, Ludmila; Dandara, Alexandru; Bobea, Alexandru Background: Many problems with differential treatment of epilepsy require further clarification. As far as we are concerned, we have developed therapeutic recommendations which, in our opinion, demonstrated to be effective in certain cases, supporting the results of the treatment of epilepsy at its various stages known in the literature: from premonitory forms to status variants. The main element in the choice of anticonvulsant remedies, besides the clinical markings, was the dynamically derived EEG data as well as the subjective pharmacological response of the patients. The preferential associations of anticonvulsant remedies for various topographies of the epileptic outbreak and oscillation of nicotine paroxysms of sleep-wake cycle were given in the formula and strictly individual dosing. Remarkable advances in the field of perturbation in the last decades of the twentieth century, as well as active research in the uninterrupted process, have made epilepsy now called unequivocally a “hopeful affection”. Conclusions: Normal and abnormal neuronal cells are involved in pathological discharges, the exact genesis of this phenomenon is known to be vague and means the involvement of many factors of cellular, vascular and metabolic disorders. Rehabilitation of patients with epilepsy should be gradual, using compliance between drug treatment, psychosocial rehabilitation depending on the dynamics of the disease and the patients’ reaction to their own condition. The uptake of concepts and rehabilitation programs introduced into many countries’ systems, the formation of the assisted care system, will increase the effectiveness of ambulatory rehabilitation. Department of Psychiatry, Narcology and Medical Psychology, National Epilepsy Center, State University of Medicine and Pharmacy Nicolae Testemitsanu, Chisinau, the Republic of Moldova 2019-01-01T00:00:00Z