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Entomotherapy in chronic nonbacterial prostatitis 昆虫疗法治疗慢性非细菌性前列腺炎
Pub Date : 1900-01-01 DOI: 10.52556/2587-3873.2021.1(88).09
Artur Colța, Vitalie Ghicavîi
This study presents the importance of entomotherapy in chronic non bacterial prostatitis. Administration of combine therapy with adenoprosine at the patients with various forms of non bacterial CP (inflammatory and non-inflammatory), demonstrate antioxidant and anti-inflammatory action, in combination with modern complementary methods, signifi cantly increases the effectiveness of treatment, improves patients’ quality of life and optimizes duration of treatment – treatment can be reduced from 3 months to 30 days. According to the results of the study, of all patients investigated with chronic non bacterial prostatitis, with or without symptoms of urinary disorders, only 27 (82%) of patients did not detect another condition, responsible for the above-mentioned disorders.
本研究提出昆虫疗法在慢性非细菌性前列腺炎中的重要性。腺嘌呤联合治疗各种形式的非细菌性CP(炎症性和非炎症性),具有抗氧化和抗炎作用,与现代补充方法相结合,显著提高了治疗效果,改善了患者的生活质量,优化了治疗时间-治疗时间可从3个月缩短到30天。根据这项研究的结果,在所有接受调查的慢性非细菌性前列腺炎患者中,有或没有泌尿系统疾病的症状,只有27例(82%)的患者没有发现导致上述疾病的其他疾病。
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引用次数: 0
Management of the risk of thromboembolic complications in oncology 肿瘤学血栓栓塞并发症的风险管理
Pub Date : 1900-01-01 DOI: 10.52556/2587-3873.2021.1(88).07
S. Buruiana
Oncological disease is a hypercoagulable state with an associated increased risk of venous thromboembolism and is associated with high rates of recurrence and mortality. For those reasons, the prevention of cancer-associated thrombosis is of paramount importance. Knowledge of thromboembolic risk factors in oncology is absolutely necessary for the evaluation of the individual risk-benefit ratio of prophylaxis. The aim of this paper is to elucidate the risk factors of thromboembolic complications in cancer patients. In order to achieve the set aim, the medical scientifi c publications from the GoogleSearch database, PubMed, Z-library, NCIB, Medscape, Hinari, were searched for the keywords: „cancer-associated thrombosis”, „cancer”, „risk factor”. The information was systematized, highlighting the risk factors for thromboembolic complications in patients with cancer.
肿瘤疾病是一种高凝状态,与静脉血栓栓塞的风险增加相关,并与高复发率和死亡率相关。由于这些原因,预防与癌症相关的血栓形成至关重要。肿瘤学中血栓栓塞危险因素的知识对于评估预防的个体风险-收益比是绝对必要的。本文的目的是阐明癌症患者血栓栓塞并发症的危险因素。为了达到设定的目标,从GoogleSearch数据库、PubMed、Z-library、NCIB、Medscape、Hinari等医学科学出版物中搜索关键词:“癌症相关血栓形成”、“癌症”、“危险因素”。这些信息被系统化,强调了癌症患者血栓栓塞并发症的危险因素。
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引用次数: 0
Efficient and qualitative medicinal treatment – consequence of rational selection and use of medicines 有效和有质量的医疗——合理选择和使用药物的结果
Pub Date : 1900-01-01 DOI: 10.52556/2587-3873.2021.1(88).05
Victor Ghicavii, T. Chiriac
The contemporary doctor has an enormous number of drugs for the prophylaxis and treatment of various ailments. Qualitative drug treatment is due to the determination of key moments in the evolution of the disease in the specifi c patient (individual), followed by a correct prescription of the drug, eff ective selection or substitution and rational use of drugs compliance with the requirements and recommendations of protocols and clinical standards. adherence to treatment regimens, at the same time the exclusion of undue arguments (polypragmatism, polytherapy) and prevention of possible adverse adverse events (incompatibilities), timely detection with prevention of use of counterfeit drugs and fi nally revocation of all irrational challenges and consequences Treating Th e apparent economy of means of improper substitution of original preparations with generics can lead to an increase in the frequency of adverse eff ects and a reduction in the quality of life of patients, as well as lead to a considerable increase in costs. Th e reckless transition from the original to the generic preparation can have unpredictable consequences for the patient.
当代医生有大量的药物来预防和治疗各种疾病。定性药物治疗是指在特定患者(个体)身上确定疾病发展的关键时刻,然后根据方案和临床标准的要求和建议,正确处方药物,有效选择或替代药物,合理用药。坚持治疗方案,同时排除不适当的争论(多种实用主义,多种治疗)和预防可能的不良事件(不相容);及时发现和预防假药的使用,并最终消除所有不合理的挑战和后果治疗用仿制药不当替代原制剂的手段显然经济,可导致不良反应的频率增加和患者生活质量降低,并导致成本大幅增加。从原始制剂到仿制制剂的鲁莽过渡可能对患者产生不可预测的后果。
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引用次数: 0
Evaluating the cost-effectiveness of laparoscopy in the acute abdomen 评估急腹症腹腔镜手术的成本-效果
Pub Date : 1900-01-01 DOI: 10.52556/2587-3873.2021.1(88).08
Tatiana Malacinschi-Codreanu
Cost-effectiveness analysis (CEA) is a tool for selecting an alternative solution to achieve the same quantifi ed objective in physical units of measurement. CEA provides the analytical framework for identifying the most effective tactics for using limited resources. The analysis of the data from the specialized literature, allowed to determine the degree of implementation of the cost-eff ectiveness analysis in the public health system both at international and national level, and its practical application in clinical medicine. The origin of the CEA comes from the military service, where it was first requested to identify the most rational way to use financial resources to achieve the proposed objectives, being subsequently applied in various social fi elds, including the health system, stipulating data on technology, principles of application of the CEA. The need to evaluate the profi tability of surgical interventions is determined by the progressive increase of the costs of the medical services offered, by the appearance of alternative methods of treatment of a pathology, the limitation of the fi nancing of highly specialized technologies. Economic evaluation of the effectiveness of treatment in the acute abdomen is an important goal of clinical medicine. CEA evaluation is a tool for argumentation and promotion laparoscopic methods in the diagnosis and treatment of acute abdomen, compared to traditional classical methods.
成本效益分析(CEA)是一种工具,用于选择替代解决方案,以在物理度量单位中实现相同的量化目标。CEA为确定利用有限资源的最有效策略提供了分析框架。对来自专业文献的数据进行分析,可以确定国际和国家层面公共卫生系统成本-效益分析的实施程度,以及其在临床医学中的实际应用。CEA起源于军队,最初被要求确定最合理的方式使用财政资源来实现拟议的目标,随后被应用于各个社会领域,包括卫生系统,规定技术数据,CEA的应用原则。评估外科手术的盈利能力的必要性是由以下因素决定的:所提供的医疗服务的费用逐渐增加,出现了治疗某种疾病的替代方法,高度专业化技术的融资受到限制。对急腹症治疗效果进行经济评价是临床医学的一个重要目标。与传统经典方法相比,CEA评价是论证和推广腹腔镜急腹症诊治方法的工具。
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引用次数: 0
Transurethral Thulium: YAG laser vapoenucleation of the prostate 经尿道铥:YAG激光前列腺蒸发除核术
Pub Date : 1900-01-01 DOI: 10.52556/2587-3873.2021.1(88).10
Alexei Pleșacov, Ion Vladanov, Artur Colța, Vitalie Ghicavîi
Laser prostate surgery is currently considered as being an alternative to other surgical approaches like mono or bipolar transurethral resection and classical open surgery. The implementation of transurethral Thulium: YAG laser vapoenucleation of the prostate opens up new avenues in the treatment of benign prostatic hyperplasia. Therefore, the use of Th uVEP and the subsequent fragmentation of vapoenucleated adenomatous nodules may completely change the surgical approach in the treatment of benign prostatic hyperplasia. The study included 23 patients with benign prostatic hyperplasia, who underwent minim invasive surgical treatment via transurethral Thulium: YAG laser vapoenucleation within the Urology Clinic of „Nicolae Testemitanu” SUMPh. The patients tolerated the surgical procedure well. Patients, with mean age of 62.4±3 years, were assessed at 3, 6, and 12 months aft er the surgery. A constant improvement of the IPSS and QoL scores was determined. A 15-point IPSS and 2-point Qol decrease was registered. No signifi cant decrease in IIFE-5 score was reported. The highest Qmax and Qmean increase was registered at 12 months: 150% and 139.4% respectively. The mean urine output increased to 59ml or 47.9%. The mean prostate volume decreased to 41±5cm3 (-4.1%), whereas the volume of residual urine showed a decrease of about 66±18ml (-77%). Given the excellent effi cacy of minimally invasive ThuVEP, it might be recommended as a surgical method of choice in the treatment of benign prostatic hyperplasia.
激光前列腺手术目前被认为是其他手术方法的替代方法,如单或双极经尿道切除和传统的开放手术。经尿道铥:YAG激光前列腺汽化摘除术的实施为治疗良性前列腺增生开辟了新的途径。因此,使用uVEP和随后的汽化核腺瘤结节碎裂可能完全改变治疗良性前列腺增生的手术入路。本研究纳入23例良性前列腺增生患者,在“Nicolae Testemitanu”SUMPh泌尿外科诊所经尿道铥:YAG激光蒸发核切除术进行微创手术治疗。病人对手术的耐受性很好。患者平均年龄为62.4±3岁,分别于术后3、6、12个月进行评估。IPSS和QoL评分持续改善。IPSS下降15个点,生活质量下降2个点。生活-5评分无明显下降。Qmax和Qmean在12个月的增幅最高,分别为150%和139.4%。平均尿量增加到59毫升或47.9%。前列腺体积平均减少41±5m3(-4.1%),残尿量减少66±18ml(-77%)。鉴于微创ThuVEP的良好疗效,它可能被推荐作为治疗良性前列腺增生的首选手术方法。
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引用次数: 0
Fish consumption among the population of the Republic of Moldova 摩尔多瓦共和国人口的鱼类消费
Pub Date : 1900-01-01 DOI: 10.52556/2587-3873.2021.1(88).11
Gheorghii Țurcanu, E. Dupouy, I. Bahnarel
Very little is currently known about the consumption of different fish species at the national level. Elucidation of this subject would be useful for assessing the risk of exposure of the population to methyl mercury, polychlorinated biphenyls, dioxins and assessing nutritional benefi ts such as protein, amino acids, fats, vitamins, minerals, phosphorus, iodine intake. This is a descriptive study, with the application of the indirect method of data collection. The identifi cation of fi sh species and the quantifi cation of consumption at national level was performed using FishStatJ v4.00.9 soft ware. Data per species (annual series) for the period 2005-2017, tons per year, were converted into grams per day per capita. The inedible component was excluded by applying conversion factors. During the analyzed period, 26 species of fish were consumed. The application of conversion factors decreased the average consumption by 34.7% in relation to gross amount. In the period 2005-2017 there was a trend of increasing fish consumption from 17.8 g/day (2005) to 23.6 g/day (2017). On average per capita was consumed 19.68 g/day, 97.3% out of the average consumption are: herring/sardines – 6.46 g/day (32.8%), carp – 4.14 g/day (21.0%), unspecifi ed species – 3.09 g/day (15.7%), mackerel – 1.61 g/day (8.17%), hake – 1.10 g/day (5.6%), putasu – 0.953 g/day (4.84%), salmon – 0.824 g/day (4.19%), cod – 0.745 g/day (3.78%), polack – 0.22 g/ day (1.14%), tuna – 0.09 g/day (0.47%). Fish consumption for the period 2005-2017 has a continuous growth trend. The population of the Republic of Moldova consumes 26 diff erent fi sh species, the most consumed are herring/sardines and carp with a share of 32.8% and 21.0% respectively. However, 15.7% remains uncertain due to non-identifi cation of species.
目前对国家一级不同鱼类的消费情况所知甚少。阐明这一主题将有助于评估人群接触甲基汞、多氯联苯、二恶英的风险,并评估蛋白质、氨基酸、脂肪、维生素、矿物质、磷、碘摄入量等营养益处。这是一项描述性研究,采用间接数据收集方法。采用FishStatJ v4.00.9软件进行鱼类种类鉴定和消费量化。2005-2017年期间每个物种(年度系列)的数据(吨/年)转换为人均克/天。应用转换因子排除了不可食用成分。在分析期间,共食用了26种鱼类。转换因子的应用使平均消耗量相对于总量降低了34.7%。2005-2017年期间,鱼类消费量有从17.8克/天(2005年)增加到23.6克/天(2017年)的趋势。人均食用量19.68 g/d,其中97.3%为:鲱鱼/沙丁鱼6.46 g/d(32.8%)、鲤鱼4.14 g/d(21.0%)、鱼种3.09 g/d(15.7%)、鲭鱼1.61 g/d(8.17%)、鳕鱼1.10 g/d(5.6%)、鲫鱼0.953 g/d(4.84%)、鲑鱼0.824 g/d(4.19%)、鳕鱼0.745 g/d(3.78%)、鳕鱼0.22 g/d(1.14%)、金枪鱼0.09 g/d(0.47%)。2005-2017年期间鱼类消费呈持续增长趋势。摩尔多瓦共和国的人口消费26种不同的鱼类,消费最多的是鲱鱼/沙丁鱼和鲤鱼,分别占32.8%和21.0%。然而,由于未确定物种,15.7%仍不确定。
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引用次数: 0
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Public Health, Economy and Management in Medicine
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