C O N T E
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JOURNAL OF PREVENTIVE MEDICINE
ISSN:
1582-5388
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Public health The resources utilization
pattern in a general university hospital Odetta Duma, Laura Munteanu Abstract. University hospitals provide
the highest level of medical care available
for less frequent and very complicated
conditions and instances of last referral care. The largest share of national health expenditure gets for hospitals, regardless of the health status and income level
of a population. Within the hospital sector, the university hospitals after a negotiation of their budget with insurance houses generally get a big part
of the available financial resources. In addition, a significant part of
the other essential health sector resources like human, physical or technological are usually concentrated in these hospitals. The goal of the present
study was to assess the
supply of specialized services in a university hospital based on utilization pattern of existing resources. The concept of allocative efficiency has been used.
Analysis was based on indicators,
which are relevant for hospital
activity: average hospital stay, bed turnover rate, occupancy rate, hospital mortality. Key words: university hospital,
utilization pattern, average hospital stay, bed turnover rate, occupancy
rate, hospital mortality rate Ü FULL
TEXT.PDF Marieta Vasilov,
Gabriela Mancaş, Gabriela Albu,
Carmen Hura, Maria Brădăţan Abstract. The authors
present a synthesis of nine epidemiological studies performed in the interval
1988-2000 in areas with a long term-exposure to nitrogenous compounds,
pollutants of environment (drinking water and food products). 1488 children
(0-3 years) from five districts in eastern Key words:
environmental pollution, nitrogenous compounds, epidemiological studies, territories at risk, risk communication Ü FULL
TEXT.PDF Inequalities in hypertensive patients
from two catchment areas Elena Lungu,
Iliana Palamaru, Lidia Rusu Abstract. The main objective of this survey was to evaluate
if there are gender differences among patients diagnosed with primary
hypertension. Two catchment areas in Key words: inequalities,
socioeconomic inequalities, primary hypertension, ischaemic
heat disease Ü FULL
TEXT.PDF Contributions to
the dermatoglyphic diagnosis of epilepsy Ana Ţarcă, C. Barabolski Abstract. Palmary dermatoglyphics,
of a group of 102 epilepsy-stricken
children and teenagers (51 boys and 51 girls), with ages between
2 and 17 years, have been analyzed.
Some significant distortions, inducing deep clinical implications, which differentiate the patients from the apparently normal population, have been found. Some
of the palmary dermatoglyphic anomalies, occurring in high ratios with both
boys and - especially - girls, predominantly on the left palms of the subjects (equally boys and girls), have
also been observed at other
European groups of epileptics.
The papillary ridges’ disposition as a dense and very dense network at the
Thenar/I level, and the finalization
of line T’s direction in palm’s field 11 and 12 - instead of 13 -, as we found, contribute
to enriching the indicators of epilepsy’s dermatoglyphic diagnosis - at least for the patients met in Moldavia, for which reference data had been provided. Key
words: epilepsy, dermatoglyphic diagnosis, children, teenagers Ü FULL TEXT.PDF
Mechanism
of action and biochemical effects of nitric oxide (NO·) Luminiţa Jerca,
Oltiţa Jerca,
Gabriela Mancaş, Irina
Constantinescu, R.Lupuşoru Abstract. Nitric oxide (NO·) synthesized in endothelial cells, from the terminal guanidino
nitrogen atom of L-ARG, by means
of NO-synthase (NOS), activates
guanylyl-cyclase in smooth
muscle cells and plateletes, increasing the levels of the intracellular messenger cyclic guanylyl phosphate (GMPc). This phenomens produces smooth muscle relaxation and platelet aggregation inhibition, presumably by reduction of the intracellular free Ca2+
concentration. The endothelial vasodilator prostacyclin causes the same effects through adenylyl-cyclase activation, which increases intracellular level of AMPc. The biological activity of NO· may be modified by
oxygen-derived reactive species,
such as anion superoxide
(O2 Key words:
nitric oxide (NO·), oxygen-derived reactive species,
peroxynitrite (ONOO¯), cytoprotective
or/and cytotoxic properties Ü FULL
TEXT.PDF Occupational medicine V.C. Tomulescu, Raluca Gheorghe,
Olga Iacob Abstract. A high level of radon daughters concentration has a tremendous impact on the effective dose received by the workers.
This paper presents the annual effective doses received by different Reference Workers performing different type of activity in uranium mines. The effect of mitigation is presented as a comparison of the annual dose
levels for equilibrium and for non-equilibrium conditions between radon and its short-lived
decay daughters. Key
words: radon daughters, Reference Worker, annual effective dose Ü FULL
TEXT.PDF
Sputum cytology
in occupational exposure to heavy metals – a preliminary study Irina Anca Popescu, Doina Popa, Doina
Hăvârneanu, T. Ghindaru, Irina Alexandrescu Abstract. Our study aimed the early detection
of respiratory injuries afflicted with occupational exposure to chromium, cadmium, nickel and their
compounds, with a known high carcinogenic
risk. 23 platers (average of exposure 15.57±5.05 years) and matched controls
have been investigated by clinical examination (including otolaryngology exam) completed by sputum cytology
and an individual questionnaire. Heavy metals concentration,
as well as the
microclimate factors, were
measured in working area and revealed
the values near to the
admitted limits. Sputum investigations found the type
I cytology in 37.8% of workers
vs. 82.6% of controls, type
II cytology in 43.5% vs.17.4%, respectively. Two workers had sputum
cytology of III type, with nucleolar alterations and suspected tumor cells. At 60.8% of people in exposed group were identified ferruginous bodies, in all types of sputum cytology, comparatively with only one case in control group. 74% of platers had chronic upper
respiratory diseases vs.
26.1% of controls; 56.5% had
pulmonary emphysema vs.
0% in control group. Plating
industry is responsible for chronic respiratory diseases, with possible malignancy risk, even the concentrations
of heavy metals in the air are in admitted limits. Precancerous injuries can be seen
by sputum cytology a simple, noninvasive,
and not expansive method, requiring a carefully monitoring of workers. The presence, in a high proportion, of ferruginous bodies, unspecific to heavy metals
exposure, entails revaluation of the exposure in working place. Key words: sputum cytology, plating industry, heavy metals, ferruginous bodies Ü FULL
TEXT.PDF Epidemiology:
communicable disease Emerging Shiga cytotoxin-producing
Escherichia coli I. Enterohaemorrhagic E.coli O157: H7
Sofia Constantiniu Abstract. One of several Shiga toxin-producing serotypes
of Escherichia coli is O157 serotype. E.coli O157 was first identified as a human pathogen in 1982 and then has
involved from a clinical novelty to a worldwide public health concern. This
organism known to cause human illnesses develops from mild non-bloody
diarrhoea to haemorrhagic colitis, haemolytic uremic
syndrome and death. The bacterium evolved through acquisition of genes for
Shiga toxin and many other virulence factors. The cattle and many other
animal species represent the reservoir for human infection with E.coli O157. This serotype is transmitted by food, water
and directly from one person to another. There are different laboratory
methods for isolation and identification of E.coli O157. Surveillance, rapid reporting of cases and ready epidemiologic
investigations are essential elements of timely public health response.
Key words: E.coli O157,
virulence factor, clinical feature, epidemiology, laboratory diagnosis Ü FULL
TEXT.PDF Experimental research Reactivators of cholinesterase activity in methylparathion
exposed rats Irina Popovici, Didona
Ungureanu, Cătălina Elena Lupuşoru |
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