MEASURING THE PERFORMANCE OF EDUCATIONAL ENTITIES WITH A DATA WAREHOUSE

This paper attempts to outline the benefits of using a data warehouse for supportingthe management decisions in a pre-academic learning institution. One of the aspects is themeasurement of the scholar performance of the pupils, correlated with the financial efforts made bythe school management. The performance is analyzed from a multi-dimensional perspective, whichallows the extraction of high quality information.data warehouse, education, analysis, performance, multidimensional

Aspects regarding the analysis of inflation evolution

With this work, the authors are submitting the main theories, which led to the definition of the concept of “inflation”, pointing out the successive acceptations, which the economists – starting with classics, Adam Smith’s contemporaries – have granted, over the time, to this economical phenomenon. Thus, at a first phase, the term of inflation was connected to currency, later on to money while presently it is commonly used for describing prices. This change of paradigm seems to originate in a sequence of unhappy events, probably unavoidable

Impactul fluorozei asupra calităţii vieţii copiilor şi adolescenţilor din unele localităţi din Republica Moldova

Catedra Igienă Generală, IP USMF Nicolae Testemiţanu, Departamentul Pediatrie, IP USMF Nicolae Testemiţanu, Al IV-lea Congres al medicilor de familie din Republica Moldova cu participare internaţională 16-17 mai 2018 Chișinău, Republica MoldovaIntroducere Fluoroza dentară este o afecţiune cu prevalenţă ridicată în diferite regiuni ale globului, datorată ingerării ionilor de fluor în cantităţi sporite. În Republica Moldova, cantităţi sporite în apa potabilă sunt preponderent întâlnite în localităţile din centrul şi nordul republicii. Măsurile de prevenţie recomandate sunt încă controversate. Astfel, cunoaşterea impactului pe care fluoroza îl poate avea asupra calităţii vieţii indivizilor este importantă pentru planificarea politicilor de sănătate publică

Clinical evaluation of patients with non-aneurysmal and non-traumatic subarachnoid hemorrhage

Background: Subarachnoid haemorrhage (SAH) accounts for about 3% of all strokes and 10% of haemorrhagic strokes, with a mortality of up to 50% of cases. In 85% of cases SAH is caused by an aneurysmal rupture, 10% – are non-aneurysmal, non-traumatic, and 5% – is due to other vascular causes. The purpose of the study was the analysis of the clinical course of patients with SAH, which was not determined by rupture of aneurysm or craniocerebral trauma. Material and methods: Patients with non-traumatic and non-aneurysmal SAH hospitalized in the Institute of Neurology and Neurosurgery between 2019 and March 2021 were collected. The diagnosis was confirmed by cerebral CT and CT angiography. Results: The study included 23 patients with non-aneurysmal, non-traumatic SAH with an average age of 59.5 years, 11 women among them. The most common risk factors were: hypertension – 20, smoking – 3, diabetes – 2, obesity – 3, dyslipidemia – 2, COVID-19 – 2, autoimmune diseases – 2. Clinical manifestations included: headache (23), nausea (13), dizziness (11), damage to the cranial nerves (6), motor deficiency (4), meningeal signs (15). Most patients had Hunt-Hess grade 2 (17/23), WFNS grade 1 (16/23), Fisher score grade 1 (13/23), mRs score 2 (17/23). Five patients were placed in the Intensive Care Unit, 5 – developed vasospasm, 2 patients – died. Conclusions: Our study found that non-aneurysmal and non-traumatic SAH developed more frequently in the elderly adults with hypertension, had moderate severity and a moderate-mild post-SAH degree of disability

Diferențele genuriale la pacienții cu hemoragie subarahnoidiană non-anevrismală și non-traumatică

Department of Neurology no. 1, Nicolae Testemitanu SUMPh, Diomid Gherman Institute of Neurology and NeurosurgeryBackground. Subarachnoid haemorrhage (SHA) accounts for about 5% of all strokes, with increased mortality and morbidity. In 85% cases SHA is caused by an aneurysmal rupture, 10% of SHA are nonaneurysmal, non-traumatic, and 5% is due to other vascular causes. Objective of the study. It was the analysis of clinical evolution and prognosis, depending on gender, in patients with SHA which was not determined by rupture of aneurysm or craniocerebral trauma. Material and Methods. Patients with non-traumatic and non-aneurysmal SHA were collected, hospitalized in the Institute of Neurology and Neurosurgery “Diomid Gherman” between 2019 and March 2021. The diagnosis was confirmed by cerebral CT and CT angiography. Results. The study included 23 patients, 11 women and 12 men, with an average age of women 65.1 years and men 54.3 years. Risk factors were assessed in relation to the gender of patients: hypertension–20 (8 women and 12 men), smoking–3 men, diabetes–2 (1 women and 1 man), obesity–3 (2 women and 1 male), dyslipidemia–2 (1 male and 1 female), COVID-19–2 men, autoimmune diseases–2 men. The patient's prognosis was determined according to the scales: HuntHess grade 2 (7/11 women and 10/12 men), WFNS grade 1 (6/11 women and 10/12 men), mFisher grade 1 (4/11 women and 9/12 men), mRs score 1 (6/11 women and 11/12 men), 5–developed vasospasm (3 men and 2 women), 2 patients (women)–died. Conclusion. Non-aneurysmal, non-traumatic SHA developed more frequently in men, with lower average age than women, and multiple association of risk factors. Compared to women, men had better clinical outcomes, lower rates of complications and more favorable prognosis.Introducere. Hemoragia subarahnoidiană (HSA) reprezintă circa 5% dintre toate accidentele vasculare cerebrale, cu o mortalitate și morbiditate crescută. În 85% dintre cazuri HSA este provocată de o ruptură anevrismală, 10% – HSA este de tip non-anevrismal, non-traumatic, iar 5% – din alte cauze vasculare. Scopul lucrării. A fost efectuată analiza evoluției clinice și prognosticului în dependență de gen la pacienții cu HSA care nu a fost determinată de ruptura de anevrism sau de traumatismul cranio-cerebral. Material și Metode. Au fost selectați pacienții cu HSA non-traumatică și non-anevrismală, spitalizați în Institutul de Neurologie și Neurochirugie „Diomid Gherman”, în perioada 2019-martie 2021. Diagnosticul a fost confirmat prin CT cerebral și Angio-CT. Rezultate. În studiu au fost incluși 23 de pacienți, 11 femei și 12 bărbați, cu vârsta medie a femeilor de 65,1 ani și a bărbaților de 54,3 ani. Au fost evaluați factorii de risc în raport cu genul pacienților: HTA–20 (8 femei și 12 bărbați), fumatul – 3 bărbați, DZ – 2 (o femeie și un bărbat), obezitatea – 3 (2 femei și 1 bărbat), dyslipidemia – 2 (1 bărbat și o femeie), cu COVID-19 – 2 bărbați, cu boli autoimmune – 2 bărbați. Prognosticul conform scalelor a fost: Hunt-Hess grad 2 (7/11 femei și 10/12 bărbați), WFNS grad 1 (6/11 femei și 10/12 bărbați), mFisher grad 1 (4/11 femei și 9/12 bărbați), mRs scor 1 (6/11 femei și 11/12 bărbați), 5 – au dezvoltat vasospasm (3 bărbați și 2 femei), 2 pacienți (femei) – au decedat. Concluzii. HSA non-anevrismală, non-traumatică s-a dezvoltat mai frecvent la bărbați, cu vârsta medie mai mică decât cea a femeilor și cu mai mulți factori de risc. Comparativ cu femeile, bărbații au avut rezultate clinice mai bune, rate mai mici de complicații și prognostic mai favorabil

Факторы pиска, клиническое течение и прогноз пациентов c нон-аневризмальным и нон-травматическим cубарахноидальным кровотечением

Subarachnoid hemorrhage (SAH) accounts for about 2-7% of all strokes. In 85% cases SAH is caused by an aneurysmal rupture, 10% of SAH are non-aneurysmal, non-traumatic, and 5% of SAH is due to other causes. The risk factors with a major resonance are arterial hypertension and smoking.The purpose of the study was the analysis of the risk factors, clinical course and prognosis in patients with SAH, which was not determined by the rupture of aneurysm or craniocerebral trauma.Methods: The patients were collected during the hospitalization in the Institute of Neurology and Neurosurgery “Diomid Gherman” between 2019 and March 2021. The diagnosis was confirmed by brain CT, CT angiography and cerebral MRI. In this study, for the clinical, paraclinical evaluation and prognostic were used the Hunt-Hess, WFNS, mFisher, mRankin scales.Results: The average age of the 23 research patients is 59,85 years old. Risk factors were assessed: hypertension – 20,smoking – 3, diabetes – 2, obesity – 3, dyslipidemia–2, COVID-19 – 2, autoimmune diseases – 2. The patient’s prognosiswas determined according to the scales (medial score): Hunt-Hess grade 2 (2,39), WFNS grade 1-2 (1,78), mFisher grade1-2 (1,82), mRankin score 1-2 (1,73), 5 patients – developed vasospasm, 2 patients – died.Conclusions: SAH non-aneurysm and non-traumatic, has an almost equal gender distribution, has developed in middle-aged adult, the most common risk factor being arterial hypertension. Compared to women, men with non-anevrismaland non-traumatic SAH presented several associated risk factors, but at the same time they had good clinical results, lowcomplication rates and favorable prognosis.Hemoragia subarahnoidiană (HSA) reprezintă de la 2% până la 7% din accidentele vasculare cerebrale. În 85% HSAeste cauzată de o ruptură anevr ismală, 10% dintre HSA sunt non-anevrismale, non-traumatice, iar 5% se datorează altorcauze vasculare. Factorii de risc cu o rezonanță majoră sunt hipertensiunea arterială și fumatul.Scopul studiului a fost în a determina factorii de risc, evoluția clinică și pronosticul pacienților cu HSA non-anevrismală, non-traumatică.Metode: În perioada decembrie 2019 - martie 2021 au fost selectați 23 pacienți, spitalizați în Institutul de Neurologieși Neurochirugie “Diomid Gherman”. Diagnosticul a fost confirmat prin CT cerebral, Angio-CT și IRM cerebral, iar pentru evaluarea clinică și a pronosticului au fost utilizate scalele Hunt-Hess, WFNS, mFisher, mRankin.Rezultate: Vârsta medie a pacienților incluși în cercetare este de 59,85 ani. Factorii de risc identificați au fost:HTA–20, fumatul–3, DZ–2, obezitatea–3, dislipidemia-2, COVID-19–2, boli autoimune–2. Pronosticul relevat conformscalelor (scorul mediu) a fost: Hunt-Hess grad 2 (2,39), WFNS grad 1-2 (1,78), mFisher grad 1-2 (1,82), mRankin scor1-2 (1,73), 5 pacienți – au dezvoltat vasospasm, 2 pacienți – au decedat.Concluzii: HSA non-anevrismală și non-traumatică, a avut o distribuție egală pe sexe, s-a dezvoltat la adultul de vârstă medie, cel mai frecvent factor de risc fiind hipertensiunea arterială. Comparativ cu femeile, barbații cu HSA spontanăau prezentat o asociere din mai multi factori de risc, rate mai mici de complicații și prognostic mai favorabil.Субарахноидальное кровоизлияние (САК) составляет от 2 до 7 % от всех инсультов. В 85% САК обусловленоразрывом аневризмы, 10% САК являются неаневризмальными, не травматичными, а 5% обусловлены другимисосудистыми причинами. Основные факторы риска – это артериальная гипертония и курение.Цель исследования: определение факторов риска, клинического течения и прогноза пациентов с неаневризмальным, не травматическим САК. В период с декабря 2019 года по март 2021 года выявлены 23 пациента,госпитализированных в Институт неврологии и нейрохирургии “Диомид Герман». Диагноз был подтвержден спомощью КТ головного мозга, Ангио - КТ и МРТ головного мозга, а для клинической оценки и прогноза былииспользованы шкалы Hunt-Hess, WFNS, mFisher, mRankin.Результаты: средний возраст 23 пациентов, включенных в исследование, составляет 59,85 лет. Основнымифакторами риска были: aртериальная гипертония – 20, курение – 3, cахарный диабет – 2, ожирение – 3, дислипидемия – 2, КОВИД–19 – 2, аутоиммунные заболевания – 2. Прогноз, выявленный по шкалам (средний балл), был:Hunt-Hess 2-я степень (2,39), WFNS степень 1-2 (1,78), mFisher степень 1-2 (1,82), оценка по шкале mRankin 1-2(1,73), 5 пациентов – развили вазоспазм, 2 пациента – умерли.Выводы: неаневризмальное и нетравматическое САК встречается с одинаковой частотой как у мужчин, таки у женщин, развивается у лиц среднего возраста, наиболее частым фактором риска является артериальная гипертония. По сравнению с женщинами, мужчины со спонтанным САК имели болешь ассоциированных факторовриска, меньше осложнений и более благоприятный прогноз

Соображения, касающиеся менеджмента медицинских услуг больным сахарным диабетом

Chronic disease transformed the patient-doctor relationship into a long-term one ensuring the continuity of healthcare. The questionnaire PACIC (Patient Assessment of Chronic Illness Care) has the aim to measure the structuring of provided healthcare. We will present the Romanian version of PACIC, which is now in the phase of pre-testing and cognitive interviewing.Хроническое заболевание превратило отношение врач – пациент в долгосрочные отношения, обеспечивая непрерывность медицинской помощи. Целью анкеты PACIC (Patient Assessment of Chronic Illness Care – Оценка пациентом медицинских услуг при хроническом заболевании) является определение степени структурирования оказываемых медицинских услуг. В нашем исследовании мы представляем разработанный на румынском языке вариант, который в настоящее время находится на этапе предварительного испытания и когнитивного интервью

METHODOLOGY FOR ASSESSING THE ROMANIAN FUNCTIONAL URBAN AREAS USING GIS AND LAU 2 TERRITORIAL INDICATORS

The territorial dimension of the European convergence policy is represented by polycentricity. The main challenge in promoting a polycentric and balanced territorial development is represented by an accurate delineation of the functional urban areas. Effective development strategies require the extension of functional areas to be scientifically defined as a critical mass. According to several studies, Functional Urban / Metropolitan Areas can be determined based on the number of commuters going to the core city, in different shares of the total economically active population. The evaluation of the polycentric development of the network of settlements in Romania is hampered by the lack of reliable data on the number of commuters at the settlement level. The indicator is not statistically monitored and consequently misses from the list of indicators quantified by the National Institute of Statistics. Therefore, the present study has as main purpose to identify the Functional Urban Areas in Romania for cities with more than 30,000 inhabitants. The methodology is based on the statistical support of ArcGIS 10.3 and on analyses based on indicators such as population and number of employees (absolute values and dynamics) at the level of settlements (LAU 2). The results of the study consist of mapping the functional urban areas of the large Romanian cities, which allows an assessment of the legally constituted metropolitan areas of Romania

Diagnosis and management of ischemic stroke: time is critical

Department of Neurology No 2, Department of Neurology No 1, Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, the Republic of Moldova, Department of Neurology, Epileptology and Internal Diseases, Department of Neurosurgery, Laboratory of Cerebrovascular Diseases and Epilepsy, National Center of Epileptology Institute of Emergency Medicine, Chisinau, the Republic of Moldova, The 75th anniversary of Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova (1945-2020)Background: It is predicted that stroke’s incidence and impact will increase considerably over time. Proper management of stroke depends on a reliable and urgent diagnosis that includes patient / relative - emergency team - hospital chain, so the diagnosis begins with the recognition of the first signs of stroke. In order to act promptly in the acute period and subsequently assess the risk factors, the neurological service needs to be equipped with highperformance neuroimaging and clinical laboratory. The specific treatment of acute ischemic stroke is nowadays the reperfusion procedure, performed by thrombolytic therapy and, since 2015, by the endovascular treatment. Stroke is also a leading cause of severe long-term disability. The rehabilitation of post-stroke patients requires an interdisciplinary approach, in order to prevent recurrences, combat complications and reintegrate the patient into society. Conclusions: Stroke remains one of the leading determinants of death and severe disability worldwide and the Republic of Moldova is not an exception. Considering the narrow window for recognition and administration of outcome-modifying treatment, the management of stroke focuses mainly on rapid reperfusion via intravenous thrombolysis and endovascular thrombectomy. The availability of this specialized treatment in the Stroke Unit could improve the patient’s outcome and decrease the disability’s level and economical burden. There is clear evidence that preventing a stroke is much more effective than treating it, so we should seize the opportunity and act involving not only the medical staff, but also the government, health decision makers, specialists in public health and international agencies