Curierul Medical, 2016, Vol. 59, No 5

Curierul medical. October 2016, Vol. 59, No 5

Fri, 01 Jan 2016 00:00:00 GMT

Curierul medical. October 2016, Vol. 59, No 5 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”

Illarion Postolachi to the 80th anniversary since the birth

Fri, 01 Jan 2016 00:00:00 GMT

Illarion Postolachi to the 80th anniversary since the birth Postolachi, Alexander

Experience of Rottinger approach in hip replacement

Fri, 01 Jan 2016 00:00:00 GMT

Experience of Rottinger approach in hip replacement Fil, Adrian; Hut, Diana Background: An important aspect in modern hip arthroplasty plays operative technique, namely the use of minimally invasive techniques and low-traumatic manipulation. Since the beginning of the development of minimally invasive technologies in orthopedics and increasing demands on the part of patients in the postoperative period there appeared a fast growing need to develop new minimally invasive approaches to achieve the objectives as opposed to the existing traditional techniques. Material and methods: The analysis of 47 patients operated on traditional access (Harding) – control group (20 patients with osteoarthritis, 27 with a fracture of the femoral neck) and 42 patients undergoing surgery for Rottinger approach – the main group (20 – coxarthrosis, 22 – fracture of the femoral neck). A survey of patients and evaluation of Harris Hip Score were made. Results: For evaluation of Harris Hip Score the following parameters were taken: the painful feelings when bearing load on the operated limb, the ability to walk different distances (unlimited, 30 minutes, 15 minutes, only indoors, impossible), the opportunity to wear socks or shoes, use stairs with no assistance, ability to perform daily activities and work, the need to use aids, limping, the ability to use public transport, sitting, operated joint mobility (in degrees). Grading for the Harris Hip Score: <70 – poor, 71-79 – fair, 80-89 – good, >90 – excellent. The overall result for the Harris Hip Score using Rottinger approach was 89.1 points, corresponding evaluation “good”, and Harding method – 72.8 (“fair”). 6 weeks after surgery score for Rottinger approach was 95.3 points (“excellent”), Harding method – 82.4 points (“good”). Conclusions: Cosmetic effect by Rottinger approach length of incision is 8-10cm, without myotomy and violation of the fascia lata integrity, better visualization of the acetabulum, but worse is the proximal femur, the need for specialized tools. This operating technique provides a shorter period of hospitalization, reduces the need for rehabilitation and support aids, reduces the risk of complications from prolonged immobilization, and reduces the risk of dislocation by 4.15%.

Surveillance of quinolone generations in Emergency Medicine Institute

Fri, 01 Jan 2016 00:00:00 GMT

Surveillance of quinolone generations in Emergency Medicine Institute Bernaz, Emilian P. Background: The main goal of the study was to evaluate the institutional representative data on quinolones antibacterial generations in accordance with WHO requirements, to determine the value of Defined Daily Doses per 1000 Occupied-Bed Days (DDD/1000) and cost in most important departments, comparing it with the same published data of international scientific journals. Material and methods: For this study we used the data of a six-year (2009-2014) period in the Emergency Medicine Institute and their subdivisions with main consumption of antibiotics which shows the consumption dynamics of quinolone generations use in grams and value indexes. Results: In the evaluated period, the medium yearly consumption of all quinolone generations recorded 63.03 DDD/1000 or a share of 11.14% from medium annual total of 566.02 DDD/1000 antibiotics. The same data in other international hospitals recorded 71.24 or 11.84% from total of 601.36 DDD/1000. In the end of the evaluated period, in IC departaments, the consumption of the first and the second generations registered 112.13 DDD/1000 and respectively the third and the fourth 6.02 DDD/1000 or a decrease by 2.27 and 13.85 times. In SSOT departments in the end of the evaluation the first and the second generations recorded 57.59 DDD/1000 or an increase by 40.25%. Medium annual cost per DDD/1000 for the first and the second generations of quinolone antibacterials in ICD recorded 4731.78 lei, the third and the fourth generations 6526.15 lei and respectively in SSOTD 365.78 lei and 149.20 lei. Conclusions: In the end of the evaluated period in ICD of EMI quinolones of the first and the second generations represent 94.90% and the third and the fourth generations 5.10% from the total consumption. In SSOTD departments and in the entire EMI, the third and the fourth generations represent less than 1% of all consumption. This evaluation, as a part of multidisciplinary approach, serves as an important point for further survey of protocols and guides concerning the antibiotic consumption in one hospital.