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JOURNAL OF PREVENTIVE MEDICINE
ISSN:
1582-5388
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Editorial Quality
of life in patients with orthopedic trauma VB Remizov, Elena Lungu The actual objective of modern medicine concerning a
better quality of life in patients in different stages of disorders, is
possible to be achieved through knowledge about multiple aspects of etiopathogeny and pathology. Quality of life (QOL) is an important issue for the large number of patients who may need to adapt to
severe and chronic disability due to joint stiffness. The loss of mobility in
the joints makes patient more dependent on others which affects their quality of life. Any loss of ability to
live independently in the community has a considerable detrimental
effect on their quality of life. It follows that
reduction in the incidence of fractures will not only save lives
but will prevent a significant reduction in their quality of life
(1). Quality of life has emerged as a
concept that refers to many subjective experiences, including well-being and
daily functions. Quality of life measures are instruments that describe how
patients who experience chronic conditions perceive the impact of disease.
Besides the symptoms as pain, disturbances of sleep, limitation of mobility,
there are measured emotional distress and
severe restrictions in a multitude day - to - day (2). Ü FULL
TEXT.PDF Health Patterns and Determinants Anca Vitcu, Luminiţa
Vitcu, Elena Lungu, Adriana Galan Abstract. Aim. The present descriptive
survey was aimed to find the appropriate patterns for life expectancy at
birth by gender and area in România during 1997-2006 and to identify the
counties with low life expectancies and low changes rates.
Method.
Descriptive statistics and specific methods
recommended by WHO have been employed in order to calculate the gain in life
expectancy and the changes in rates by
gender and area. These methods have been accompanied by cluster analysis based on
deterministic allocation aiming at identifying relatively homogenous groups
of counties. Results. According to the analysis performed in this paper, a notable
similarity in life expectancy trends in România and other EU countries could
be observed. Also, an important fact was that against this ascending trend in
life expectancy, the national average was still very low compared to the EU
average. The pattern in life expectancy
in România was different by gender, area, and development regions.
The cluster analysis showed that there is o great
number of counties for which the life expectancy falls below the first
quartile. Conclusions.
The patterns in life expectancy in România are
different by gender, area and development regions. It is important to explore
the association between life expectancy and life quality indices before
confirming the hypothesis that the gain in life expectancy at different ages
in România is also a gain in life quality. Key words: life
expectancy, gain in life expectancy, cluster analysis Ü FULL
TEXT.PDF Life
expectancy impact on gdp per capita
in România Anca Vitcu, Elena Lungu, Luminiţa Vitcu Abstract. Aim. The present survey was aimed at finding a statistical
relationship between life expectancy at birth and Gross Domestic Products
(GDP) per capita among a number of European countries and at national level,
among Romanian counties. In the context of these models, the study tried to
find the efficiency of policy
plans which stimulate this connection. Material and method. The methods
employed to find this connection between the two variables included
multivariate statistical analysis. The efficiency was studied based on a common used method: ratios. Results. Regarding the analysis
involving the European countries, there can be concluded that, the
relationship between life expectancy at birth and GDP per capita can
be defined by a linear regression model. Thus, higher levels of GDP per
capita have been associated with high life expectancy at birth. Regarding
efficiency of policy plans there can be noticed that the countries which
explored in the best way the human capital in terms of life expectancy at
birth vs GDP per capita, are
countries with strong institutions. On
the other hand, the analysis employed at Romanian national level, provides a
model which envisages that there are other factors that boost or cripple its
economic growth. In terms of policy plans there can be remarked that the
Romanian counties which explored less the relationship between life
expectancy at birth and GDP per capita, are counties which confronted with
factors of a malfunction market. Conclusions. The
analysis undertaken in this study proves that at European level there is a
strong positive correlation between life expectancy at birth and economic
development, and countries that can successfully manage this
relationship possess a distinct advantage in front of economic and social
challenges. For România the model developed is
strongly influenced by complementary factors.
Key
words: life expectancy at birth, GDP
per capita, simple regression model, cluster analysis
Ü FULL
TEXT.PDF Community staphylococcal meningitis Doina
Fedulov, Doina Mihalache, Setalia Ostapov Abstract. Aim. This epidemiological
retrospective study was aiming to establish the incidence of primitive or
secondary staphylococcal meningitis, in community, clinical peculiarities of
evolution by the pathogenic mechanism and the associated co-morbidities,
population accessibility to health services, the aspects of diagnosis and
therapy, the susceptibility of staphylococcal
infection to the antibiotics and the efficiency of the therapy. Materials and methods. The data on
the staphylococcal meningitis have been obtained in the Clinical Hospital of
Infectious Diseases from Key words:
staphylococcal meningitis, co-morbidities, cerebro-spinal fluid, antibiotic
resistance, therapeutic strategies Ü FULL
TEXT.PDF Doina
Fedulov, Doina Mihalache, Tatiana Turcu, Cătălina Logigan, Georgeta
Siniţchi, RV Lupuşoru Abstract. Staphylococcus spp. susceptibility to antibacterial chemotherapeutics is changing and
the incidence of resistant strains is growing. The aim of this study was to identify the characteristics and the
susceptibility of the staphylococcal strains determining community-acquired
meningitis in order to be able to choose the correct treatment. Materials and methods. There have been tested 220
strains isolated from at least two blood cultures in patients with primary
and secondary meningitis, from cerebrospinal fluid (CSF) (the first, the
second and the third intrathecal puncture) and from other pathological
products. The strains have been isolated from 87 patients at Clinical
Hospital of Infectious Disease Iaşi from Key words: Staphylococcus aureus,
coagulase negative staphylococci, susceptibility, resistance Ü FULL TEXT.PDF Clinical
study of 57 cases of nosocomial meningitis Cătălina Logigan, Doina Mihalache,
Tatiana Turcu Abstract. Aim. The aim of the present survey was to establish the incidence
of the predisposing and risk factors, the clinical features, etiology and
evolution of 57 cases of nosocomial meningitis, treated according to their
antibiotic resistance patterns. Nosocomial meningitis occurs after
neurosurgical interventions for cranio-cerebral trauma or tumors, after
invasive explorations of the central nervous system, or after implanting
foreign body materials for cerebro-spinal fluid (CSF) drainage. The incidence
of nosocomial meningitis varies between 0.34% and 3.1%. Material and methods. The data referring to nosocomial meningitis
were gathered from the archive of the Clinical Hospital of Infectious
Diseases Iaşi, a referral hospital for Key words: nosocomial meningitis, cerebro-spinal fluid, therapy Ü FULL
TEXT.PDF New
dermatoglyphic investigations on infantile autism Ana Ţarcă Abstract. Aim. The
present study resumes and completes – from a dermatoglyphic perspective – the
researches on the autist syndrome on an extended sample group formed of 207
affected people (104 boys and 103 girls) – comparatively with the batch of
137 subjects (67 boys and 70 girls), analyzed in 2003 – with ages between 2.5
and 18 years. Material and method.
A total number of 414 finger and palmar prints have been taken over in the
Mental Health Center of Iaşi, all subjects coming from Moldova
(North-East part of Romania). Results.
Worth mentioning are the important modifications in the frequency
of some palmar distortions, bearing deep pathological significance,
more exactly either an increased (AR, Co and the transverse palmar
sulcus) or a decreased (reduced a-b and dense network of the ridges from
Thenar/I) occurrence of theirs. Also, in the 2008 series, the weight of many
of the distortions evidenced is higher, for all the three possible positions
of disposition in their carriers, and especially for the bilateral one, which
suggests doubling of the pathological charge at the palm level in the actual
series of autistst. As to the sexual dimorphism and bilateral
differences in the distributions of palmar anomalies, however, the two
series of autists show an unitary behaviour, the AR, LU,
T11+T12, reduced a-b, Cx and transverse palmar sulcus
distortions being more frequent in boys, while tt’t’’, the dense network from
Th/I, Co and t0 – in girls; also, LU, t0, T11+T12,
Cx, Co and transverse palmar sulcus are more frequently occurring on the left
hand, whereas AR, tt’t’’, the dense network from Th/I and the
reduced a-b – on the right one. More than that, in both groups of autists (of
2008 and, respectively, 2003), the percent values recorded for all palmar
distortions under analysis are considerably different from that of the
reference, which is another proof that the either genetic or teratologic
causal factors involved in the development of infantile autism have been
active in the first 3-5 months of intrauterine life, when the epidermal
papillary ridges are also finalized.
Conclusions. The results obtained are contributing to a better knowledge
of the indices of dermatoglyphic diagnosis of the autist syndrome. They may
be also employed as reference data for a precocious tracing of this severe
malady, at least in the region of Moldova
(North-East România) from which the affected people come. Key words: palmar dermatoglyphics, pathology,
distortions or anomalies, infantile autism Ü FULL
TEXT.PDF Estimation
of boron concentration in some drinking water samples of rural areas Diana Diaconu, V Nastase, Mara-Mihaela
Nănău, O Nechifor, Elena Nechifor Abstract. Aim.
Significant risks for human health may results from exposure to non
pathogenic toxic contaminants that are often globally ubiquitous in waters
from which drinking water is derived. In Key words:
boron, well water Ü FULL
TEXT.PDF Peculiar
issues concerning the occupational risk in an asbestos - cement factory Doina Popa, Stela Simirad,
Iulia Roman, R Branişteanu, Cristina Hâncu, Irina Alexandrescu Abstract. Aim. The risks of carcinogenic and co-carcinogenic effects from
asbestos continue owing to the persistence of the fibres from mining,
milling, manufacturing and its use in building materials and other products.
This paper wass aimed to achieve the risk assessment in occupational
exposures to asbestos in an industrial unit producing asbestos-cement for a
period of 30 years and also an evaluation of the possible correlation between
exposure and cytogenetic alterations in peripheral blood, which might be a
quantitative comparable and reliable method of risk assessment. Material and methods. The retrospective
evaluation of the magnitude of occupational risk has been performed on the
basis of the laboratory data established through the “membrane filter”
method. The enhancement of cytogenetic alterations by using the peripheral
lymphocyte cultures - Evans and O’Riordan, method - on a representative group
of 30 subjects, with the mean age of 42.2±8.9 years and the work length
in asbestos industry of 17.5±8.7 years was
performed. The results were compared with those of a matched control group
through the “t” Student test and the Spearman correlation factor for p<0.05. The obvious
correlation between the incidence of cytogenetic alterations, the cumulated
exposure and the work length, respectively have been calculated. Results. The exposure risk,
quantified in fibres/ml (l>5mm, d>3mm, l/d ≥3/1),
evaluated after 1981 presented the following values: in 1981-1985 32 f/ml and
in 1998 0.003 f/ml. The employees who have taken contact with the asbestos
powders presented significantly higher frequencies for the structural
chromosomal aberrations, compared to the control group have registered values
of 3.60 ± 1.39 (IC95%
3.05-4.17) and 1.85 ± 1.05 (IC95%
1.42-2.27). Conclusion. Asbestos is carcinogenic for
humans. The latency period for tumor occurrence is about 20 years. Our
results with regard high correlation of the cytogenetic aberrations and the
cancer incidence in populations occupationally or environmentally exposed to
potentially genotoxic factors are in concordance with the recent literature
in the field. Key words: asbestos, occupational exposure, chromosomal aberrations,
cancer Ü FULL
TEXT.PDF ENHIS indicators - environmental determinants
- a country based report Alexandra Cucu Abstract. The Romanian environmental health status features, as reflected by the
internationally available data, are reviewed in order to draw attention to
future intervention priorities for the decision makers. ENHIS (Environment
and Health Information System) indicators have been elaborated as responding
to the important amount of the effects attributable to environmental factors
a system of environmental health indicators, children specific, and the
supporting tools for data collection and reporting was elaborated in line
with the CEHAPE (The Children Health
Action Plan for Europe), Budapest, 2004 and EU strategy. The ENHIS
indicators, focused on children’s health, demonstrate the important
contribution of environmental determinants on global burden of diseases. Key
words: environmental determinants, indicators, accessibility, policies,
burden of diseases Ü FULL TEXT.PDF Dental Health The
mothers’ role in effecting and supervising the early childhood oro-dental
hygiene Marinela
Păsăreanu, Dana Rotaru, Adriana Balan Abstract.
Aim. Tooth brushing twice
daily is a recommended component of oral self-care soon after the eruption of
primary dentition. This study was aiming to investigate oral hygiene and
frequency of oral cleaning in children up to 6 year old, in relation to
mother-related factors. Material and
methods. The study was carried out on a number of 157 children aged
between 2.6-5.5 y.o. from Iasi. Mothers answered to questions about their own
oral self-care and their activity in their children’s oral hygiene. The
child’s oral hygiene was assessed on the basis of visible dental plaque on
the labial surface of the upper central incisors. Results. Twice daily oral cleaning was reported by 7% of all
children. Once daily cleaning was reported by 2.6 - 3.5 year old children as
8.3%, by 3.6 and 4.5 aged children as 21.7% and by 4.6 to 5.5 year old
children as 34.4%. 49.7% from mothers lacked the skill to clean their
children’s teeth, according to their answers. Dental plaque was observed in
55%-76% of the children. Clean teeth were more likely in children of mothers
who themselves had a higher tooth brushing frequency. Conclusions. More emphasis should be placed on mothers own tooth
brushing and their skill to their children’s cleaning in order to improve
oral hygiene in early childhood,. Key
words: oral hygiene, frequency of oral cleaning, mother, early childhood Ü FULL
TEXT.PDF The relevance of the
emotional factor in paediatric dentistry Carmen
Savin, A Maxim Abstract. Aim. The present
survey consists in a psycho-sociological analyze aiming at determine the
emotional factors that influence the child motivation and behaviour at dental
office – before, during and after the treatment. Material and methods.
The study was carried out on a number of 110 children aged between 6-11
years and on a number of 100 parents, from Key words: fear, child, behavioural management, questionnaire Ü FULL
TEXT.PDF The role of the
psychological factor in paediatric dental management Carmen
Savin, A Maxim Abstract. Aim. The present study was aimed to emphasise the role of
psychological factor in establishing of an effective and efficient relation
and communication between child patient and paediatric dental practitioner as
well as to perform a correct individualization of the behavioural and
therapeutical management techniques. Material and methods. The
present study is an integrative part of an interdisciplinary mixed pilot
study carried out on a number of 88
subjects (54 girls and 34 boys) aged between 6-8 years old, from two Iaşi school
communities, with the following structure: 64 subjects normal from
psycho-mental viewpoint and 24 subjects with audio sensory disabilities. In
reasoning of the proposed aim, we have performed a complex assortment of
investigations: projective draw test (thematic projective test), Raven's
progressive matrix test and questionnaire. Results. The thematic
projective draw test illustrated for the normal subjects group: rounded draw
outlines, light harmonious colours, an integrative systemic aspect. For the
subjects with disabilities it showed: the lack of integrative aspect,
affective liability, intrinsic variable personality demodulation, an austere
reflection of the ambient environment, etc. It was found a significantly
correlation between the IQ level and the conduct manifested by child
(r=-0.857, p<0.01, 95%CI). Evaluation of the risk proportion (Chi-square
test) revealed that in an unfavourable family environment, the risk for developing
an abnormal conduct was 11.8 times higher (χ2= 49.5,
p<0.01, 95%CI). Conclusions. The paediatric dental practitioner
must approach the child patient (normal or with audio sensory disabilities)
in the intricacy of its problems and determinatives, using a large range of
clinical and para-clinical investigations contributing to the perfectively paediatric dental - behavioural and
therapeutical, preventive, interceptive and curative management Key words: child, disability,
management, thematic draw, Raven progressive matrix test Ü FULL
TEXT.PDF Legislation Laura Grădinariu Abstract. Aim. The aim of this paper is to analyze what types of crimes can occur in
workplaces, according to the Romanian criminal legislation, in order to raise
the awareness regarding the possibility that workers may be victims or
perpetrators (or both) for certain offences. Method. The study offers an overall perspective on the possible
crimes in connection either with the workplace or with certain professions.
It also evaluates the efficiency of the legislation in what concerns the
prevention of the crimes described, in order to identify ways for improving
the occupational-related criminal system. Results. There is a need for increased awareness-raising
towards the danger of crimes committed in the workplace, as many people would
tend not to report abusive behaviours (to which they are victims or
witnesses) in order not to threaten their employment status. Conclusions. The recommendations for
improving the implementation of the legislation in the field include the
provision of basic legal education for workers, in order to make them able to
recognize a crime and support and aid for people reporting a crime committed
in the workplace. Key words: workplace, crime, perpetrator, illegal
causing of abortion, negligence, aggravating factor
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