http://repository.usmf.md:80/xmlui/handle/20.500.12710/17896 Mon, 27 Apr 2026 20:32:52 GMT 2026-04-27T20:32:52Z http://repository.usmf.md:80/xmlui/handle/20.500.12710/16263 The Moldovan Medical Journal. October 2017, Vol. 60, No 3 The journal was founded in 1958 on the initiative of Nicolae Testemitsanu, an outstanding expert in orthopedics, social medicine, and public health. Now the publisher of the journal is the Scientific Medical Association of Moldova and the journal has become the scientific peer-reviewed periodical Edition 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 aim of the Moldovan Medical Journal is to provide the international community with the results of scientific researches performed in the medical institutions of Moldova and inform Moldovan medical society about the advanced achievements of medicine abroad. The Editorial Board warmly welcomes both the readers of and the authors of the journal, all those who are enthusiastic about searching for new and more effective ways of solving numerous medical 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” Sun, 01 Jan 2017 00:00:00 GMT http://repository.usmf.md:80/xmlui/handle/20.500.12710/16263 2017-01-01T00:00:00Z http://repository.usmf.md:80/xmlui/handle/20.500.12710/2707 Methodology of computed tomography of maxillofacial and craniocerebral regions by means of vertical fixation of the examined objects Oshurko, Anatolii; Oliinyk, Ihor; Tsyhykalo, Oleksandr Background: The research aims at identifying new methodological approaches to the study of morphological patterns of prenatal development of the human upper jaw. Material and methods: A working model has been developed and a device has been proposed, reasonable to be used for fixation of the examined object in a vertical position during computed tomography of maxillofacial and craniocerebral regions. For proper operation of the device there was introduced a method of vertical fixation of the examined objects during computed tomography of maxillofacial and craniocerebral regions. Results: In the basis of the useful model lies the task to develop a method of vertical fixation of objects under study during the computed tomography of maxillofacial and craniocerebral regions by holding the examined object of up to 540 mm in size; the object is fixed to the planetable using the right and left retainers that are fixed in vertical openings; the height is regulated with the help of the rack, connecting the planetable with the tripod; swivel mounting is led to the facial part of the examined object and the chin is fixed on the table; then the vertical and horizontal position of the chin is regulated by means of sliding vertical and horizontal mounting; the fixed examined object is then moved to the CT scanner with the help of mobile tripod supports. Conclusions: The proposed method is effective for vertical fixation of examined objects during the computed tomography of maxillofacial and craniocerebral regions in the desired position, that contributes to getting qualitative indicators of the examination and can be used during the spot-film radiography in direct and lateral projections in stable and desired position of the head and at the correct distance without imposing additional densities (shades) to provide accurate diagnostic results. Department of Histology, Cytology and Embryology, Department of Pathological Anatomy, Bukovinian State Medical University, Chernivtsi, Ukraine Sun, 01 Jan 2017 00:00:00 GMT http://repository.usmf.md:80/xmlui/handle/20.500.12710/2707 2017-01-01T00:00:00Z http://repository.usmf.md:80/xmlui/handle/20.500.12710/2706 Determinants of loss to follow-up and tuberculosis patients’ awareness Lesnic, Evelina; Ciobanu, Serghei Background: The highest rate of patients with the low disease outcome is represented by the lost to follow-up and died cases. The aim of the study was to assess the major determinants of low tuberculosis treatment outcome. Material and methods: A retrospective selective, descriptive, case-control study targeting social, demographic, economic and epidemiological peculiarities, case-management, radiological aspects and microbiological characteristics of 437 patients with pulmonary tuberculosis with different outcomes: cured and lost to follow-up was performed. Patients’ awareness was established by performing a pre-designed schedule containing open-ended and close-ended questions, reflecting knowledge about disease. There were interviewed 151 patients treated after a previous lost to follow-up. Results: It was established that the major risk factors for loss to follow-up were: the history of detention, migration, patients with MDR-TB, patient’s addressing to the hospital, previous history of treatment and social vulnerability. Most of the patients were aware about the disease through the health personnel and were satisfied with the received knowledge. The proportion of those who were informed through the mass media was high. They knew that tuberculosis is curable with a complete treatment; however, every tenth considered that two-three months are sufficient. Conclusions: Raising awareness among patients with high risks about the compliance and the duration of the treatment, emphasizing that the treatment is free of charge and will not be started after a previous drop up will improve disease outcome. Department of Pneumophthisiology, Nicolae Testemitsanu State University of Medicine and Pharmacy, Chiril Draganiuc Institute of Phthisiopneumology, Chisinau, the Republic of Moldova Sun, 01 Jan 2017 00:00:00 GMT http://repository.usmf.md:80/xmlui/handle/20.500.12710/2706 2017-01-01T00:00:00Z http://repository.usmf.md:80/xmlui/handle/20.500.12710/2708 Clinical presentation, risk factors and outcomes of tuberculosis in military recruits Lesnic, Evelina; Kulcitkaia, Stela; Niguleanu, Adriana Background: Tuberculosis represents the major threat for the health protection in the military forces. The aim of this retrospective and descriptive study was the evaluation of risk factors, clinical presentation and treatment outcomes of tuberculosis in military recruits. Material and methods: 51 military recruits with tuberculosis diagnosed during 01.01.2010-31.12.2015 in Chisinau military quarters and managed in the Hospital of Pneumophtysiology were assessed. Results: Most of military recruits aged 18-22, were residents of the rural localities, graduated incomplete general school or lyceum and were economically vulnerable. One half of the group consisted of active smokers and every tenth patient abused alcohol. Every fourth patient had tuberculosis in childhood and every tenth had family contact with a tuberculosis-affected person. Disease’s insidious onset was established in one half of the group and the acute onset in every fourth patient. Every tenth patient was diagnosed with tuberculosis within the first 6 months after the enrollment. Only one half of the groups were symptomatic patients, who complained of cough, asthenia and loss of weight. Pulmonary infiltrative tuberculosis predominated among recruits. Extensive infiltrates and involvement of both lungs were identified in a lower proportion. The high rate of successful treatment outcome was endangered by the high rate of lost to follow-up patients, demonstrating poor evaluation and follow-up after the discharging from the hospital. Conclusions: The epidemiological studies among military recruits are limited. The high rate of young, economically vulnerable men with risk factors demonstrates their priority for active screening. Treatment outcomes must be improved by the implementation of the adequate follow-up after hospital discharging. Department of Pneumophthisiology, Nicolae Testemitsanu State University of Medicine and Pharmacy, Chisinau, the Republic of Moldova Sun, 01 Jan 2017 00:00:00 GMT http://repository.usmf.md:80/xmlui/handle/20.500.12710/2708 2017-01-01T00:00:00Z