Acceptability of Human Papilloma Virus Self-Sampling for Cervical Cancer Screening in a Cohort of Patients from Romania (Stage 2).

(1) Background: Low patient’s adherence to conventional cervical cancer screening methods determined the need to take into consideration alternative approaches, and vaginal HPV self-sampling is one of them. We aimed to evaluate, using an online survey, the Romanian women’s acceptability of vaginal HPV self-sampling. (2) Methods: A 13-questions online survey was distributed on three Facebook groups, and the results were summarized.

Large ovarian tumors in adolescents, a systematic review of reported cases, diagnostic findings and surgical management.

The purpose of this study was to analyze the published cases regarding large ovarian masses in adolescents, in order to find useful clinical implications for the diagnosis and management of the condition. The methodology employed a systematic review of reported cases of large/giant ovarian tumor in adolescence. The main objective was to assess the imagery findings, histology of the tumor, and the type of surgery performed.

Cantrell syndrome in the first trimester of pregnancy: imagistic findings and literature review.

Pentalogy of Cantrell (POC) is a rare condition characterized by complete or partial expression of 5 types of congenital birth defects originating in (1) the lower sternum, (2) the anterior diaphragm, (3) the diaphragmatic pericardium, (4) the midline/ventral supraumbilical abdominal wall region, and (5) the heart. POC can be diagnosed antenatally by means of ultrasonography (US), the task being difficult if defects are minor. Advances in the field of US and the introduction of the first morphology trimester as state-of-the-art pregnancy monitoring, facilitate the early diagnosis of this condition.

Patterns of Road Traffic Accident in North-East Romania.

Romania is ranked first among mortality road traffic accidents in Europe. The aim of our study was to evaluate some statistical patterns of population group who unfortunately was admitted at an emergency hospital of Iasi, a large city in the North East of the country. Material and Methods: The study was performed on 1623 patients admitted in the Emergency Room (“Sf.

ASSESSMENT OF ADVERSE DRUG REACTIONS AS CARDIOVASCULAR RISK FACTORS.

Unlabelled: A wide range of pharmaceutical substances can induce side-effects expressed as cardiovascular changes or events, adding to other risk factors or worsening preexisting cardiovascular diseases.

Aim: Continuous study focused on iatrogenic conditions representing cardiovascular risk factors.

Methods: We developed a descriptive study of patients admitted to the Iasi Vth Internal Medicine and Geriatrics-Gerontology Clinic between 1998-2013, focusing on iatrogenic conditions representing cardiovascular risk factors.

Using ArcGIS software in the pre-hospital emergency medical system.

Aim: To measure the accessibility to healtcare services in order to reveal their quality and to improve the overall coverage, continuity and other features.

Material And Methods: We used the software ESRI Arc GIS 9.3, the Network Analyst function and data provided by Ambulance Service of Iasi (A.

Some observations on the optimization of pre-hospital emergency medical services from the city of Iasi, Romania.

Unlabelled: In the lasi City, with a population of 825,100 inhabitants, the number of requests for ambulance service has increased steadily for the past 17 years. One of the determining factors could be the development of the primary health care prevention.

Material And Methods: We take into study some factors which consider influencing the reorganization of emergency medical systems in the lasi City territory.

[Medical-social aspects of medical staff migration].

The migration of the medical staff represents an increasingly worring reason for romanian health policy-makers. According to the Ministry of Health, in 2009 year, the human resources indicators pointed out 26.5 physicians/ 10,000 inhabitants (whereas the European Union average was 32.

[Assessment of the association between occupational categories and cardiovascular diseases among inpatients of an occupational disease facility].

Unlabelled: The objective of this paper is to study the association occupation-cardiovascular diseases in a clinic of occupational diseases from Rehabilitation University Hospital, Iaşi, Romania.

Material And Methods: The survey represents a descriptive analysis of 2003-2007 data regarding the 1771 first admitted and new diagnosed patients. The association between occupation and cardiovascular diseases was assessed using odds ratio (point estimate and 95% confidence interval).

[Analysis of premature deaths in the Iaşi district].

Unlabelled: Potential years of life lost (PYLL) represent an indicator of premature or untimely death and take into account the age at which deaths occur by giving greater weight to deaths at younger age and lower weight to death at older age.

Aim: This study represents a descriptive analysis of PYLL in district of Iaşi compared to country-wide level, during 2006 year.

Material And Method: Premature deaths have been assessed using following indicators: PYLL per 1000 population (male, female, total); male : female PYLL ratio; average PYLL per a premature death; average PYLL per death.

[Identification of cardiovascular risk factors in patients with occupational diseases].

Unlabelled: The objective of this paper is to study the hospitalized morbidity for cardiovascular diseases in connection with risk factors in a clinic of occupational diseases from Rehabilitation University Hospital, Iaşi, Romania.

Material And Methods: The survey represents a descriptive analysis of 2003-2007 data regarding the 1771 first admitted and new diagnosed inpatients. The association between risk factors and cardiovascular diseases was assessed using odds ratio (point estimate and 95% confidence interval).

[New social and economical issues in the assessment of Romanian population's health status].

Health status is determined by a combination of biological, environmental (physical and socio-economic), behavioural/lifestyle and medical care factors. The social and economic factors include many influences over which an individual may have limited control, such as economic status or educational level. The most important measures of these factors are represented by: gross domestic product per capita, employment rate, unemployment rate, literacy rate, poverty line, and human development index.

[Perinatal mortality issues in Botoşani County].

Unlabelled: This paper describes the main features of perinatal mortality in Botoşani County, during 2005 year.

Material And Methods: A total number of 55 perinatal death files have been analysed and allowed establishing the following profile: 25-29 years old mother, married, secondary school graduate, performing domestic activities and hard-working in own household, with a poor socio-economical status, at first birth and a premature one, without previous health problems.

Results: Pregnancy monitoring has not been performed in 27.

[Soliciting a model of a child emergency care unit in road accidents in the year 2005].

This paper describes the specific model of burden due to child road traffic injuries upon the emergency care unit from a university paediatric hospital during 2005 year. A total number of 193 road trauma cases required emergency care to this hospital. Distribution by seasons pointed out the highest number in summer (31.

[Mortality in a district hospital--an indicator for efficiency].

The paper presents mortality in surgical units of a second referral hospital from Galati. During 2003 year there have been recorded 190 deaths, most of them being reported by neurosurgery department (132). Hospital mortality varied from 2.

[The dynamics of risk factors in traffic accidents in Iaşi county].

Injuries caused by traffic accidents represent a major world public health problem, rather neglected up to now, but which can be efficiently dealt with on long term, thanks to joint efforts. The authors present the results of a descriptive study concerning the involvement of various factors in traffic accidents in the county of Iaşi, in 2003. This paper highlights the fact that injuries caused by traffic accidents represent an important morbidity and mortality factor.

[Present consequences of road traffic accidents worldwide].

The paper presents mortality, morbidity and socio-economical consequences of road traffic injuries in the world. WHO data show that during 2002 year there have been recorded 1.2 millions deaths and nearly 20 million injured or disabled people, as a result of road traffic crushes, most of them being reported by low and middle-income countries.

Assessment of some performance indicators of medical departments in tertiary hospitals.

The present study assesses the performance of 37 medical departments from 12 tertiary hospitals in Iaşi town during year 2001 through the following indicators: average hospital stay, utilization rate and hospital bed turnover rate. The first indicator has been analyzed by comparing the values recorded in various medical departments with those recommended by the Ministry of Health for tertiary hospitals. The highest value was recorded in the nephrology department, with a ratio 2001 value/optimal value of 2.

Analysis of drug expenditure in medical departments from tertiary hospitals.

The aim of the study was to assess drug expenditure per hospital day in 37 departments of medical specialties from 12 tertiary hospitals of Iaşi city in 2001 year. The upper limit for drug expenditure per hospital day was considered the average total cost per hospital day recommended by the Ministry of Health for each specialty. Departments with drug expenditure that exceeded the recommended total cost per hospital day have been separately analyzed from the point of view of performance indicators (average hospital stay, utilization and bed turnover rate).

[Road accidents morbidity and mortality in district of Vrancea].

Nowadays, road accidents represent an important cause of morbidity and mortality. The present paper is a descriptive study of the most important factors involved in road accidents appearance from the district of Vrancea, in year 2001 and assesses the gravity of premature deaths using potential years of lost life (PYLL). In this district, the level of PYLL due to road accidents in male is significant higher in comparison with female (964 and respectively 408), these data being in concordance with PYLL of the entire country.

[Motivation for work based on needs--considerations from the health manager's viewpoint].

Motivation represents the degree in which a persistent effort is focused to achieve a certain goal. Managers, including health managers, are especially interested about motivation, due to the direct relation with productivity. The paper presents two categories of motivations, extrinsic and intrinsic, from the point of view of individual's needs.