Хирургические методы лечения эхинококкоза печени

Curs Chirurgie, Facultatea stomatologie, USMF ”Nicolae Testemiţanu“The literature review presents an analysis of traditional methods of surgical treatment for liver hydatid cyst (ideal cystectomy, partial and full perichistectomy, typical and atypical liver resection) and laparoscopic methods (PAIR, resection of liver, partial and full perichistectomy, ideal cystectomy). For each of these methods the advantages and disadvantages are described as well as where their use is welcome and would decrease the rate of the postoperative complications. Laparoscopic surgical techniques used in the treatment of liver hydatid cyst has a high efficacy, but are relatively new, and needs a thorough study of theoretical and practical skills to use them.В обзоре литературы представлен анализ традиционных методов хирургического лечения эхинококкоза печени (идеальная кистэктомия, частичная и полная перикистэктомия, типичная и атипичная резекция печени) и лапароскопических методов (PAIR, резекция печени, идеальная кистэктомия, частичная и полная перикистэктомия). В работе отражены преимущества и недостатки различных методов хирургического лечения эхинококкоза печени, а также послеоперационные осложнения. Лапароскопические хирургические методы, используемые при лечении эхинококкоза печени, имеют высокую эффективность, но, являясь относительно новыми методами, требуют тщательного изучения теоретических и практических навыков их использования

Analysis of microstructural effects in multi layer lithium ion battery cathodes

A possible way to increase the energy density in lithium-ion batteries, and, at the same time, reduce the production costs, is to use thicker electrodes. However, transport limitations can occur in thick electrodes, leading to a drawback in performance. A way to mitigate this problem is a more sophisticated microstructure of the electrode, using, e.g., structural gradients. This can, for instance, be achieved by multi-layer casting, i.e., casting and drying of a first layer, and then adding a second layer. An important question is how the interface between the two layers is shaped and how the corresponding microstructure influences the electrochemical performance. In the present paper, two different two-layer cathodes are analyzed and compared to single-layer cathodes of the same thickness. The analysis involved tomographic imaging, a statistical analysis of the 3D microstructure of the active material particle systems with a focus on the interface between the layers, and electrochemical characterization of the active material systems using experimental measurements as well as electrochemical simulations. The analysis showed that at the interface the connectivity of active material particles decreases, which results in higher electric resistivity. This effect is stronger if an intermediate calendering step is performed, i.e., the first layer is calendered before casting the second layer

Analiza activităţii fotosintetice şi transpiraţiei la pomii de păr în dependenţă de acţiunea substanţelor biologic active

Research to elucidate the effectiveness of photosynthesis and transpiration intensity in depending on the donor –acceptor process in pear plants has been carried out. The obtained results have shown that the physiological state of the plants during the active of the vegetation period can be characterized depending on the season and the specificity of the vegetation period performance in dynamic of the photosynthesis efficacy and transpiration activity . It has been established that in the spring, during the vegetation period, the pear trees with the increase of the intensity of the photosynthesis and transpiration activity

Гастро-эзофагиальная рефлюксная болезнь: атипичные клинические проявления и влияние на качество жизни больных

Spitalul Clinic al Ministerului Sănătăţii, Chişinău, Catedra Medicină internă nr. 6, USMF „Nicolae Testemiţanu”, Spitalul Feroviar, Chişinău, Conferinţa Ştiinţifico-Practică „Medicina modernă, actualităţi şi perspective”, consacrată aniversării de 40 de ani ai Spitalului Clinic al Ministerului Sănătăţii, 27-28 mai, 2010, Chişinău, Republica MoldovaIn this work data are presented about the influence of gastro-esophageal reflux disease on patient’s lifestyle, having an obscure evolution, but sometimes with severe atypical evolution and complications (hemorrhages, perforations, esophageal cancer) which may lead to death.В настоящем обзоре литературы приводятся данные о влиянии гастро-эзофагиальной рефлюксной болезни на качество жизни больных, которая может протекать со стертой клинической картиной, а иногда с тяжелым атипичным течением и развитием различных тяжелых осложнений (кровотечения, перфорации, рак пищевода) приводящих к смерти

The surgical treatment of hydatid liver cyst

Republica Moldova Curs Chirurgie Generală Facultatea Stomatologie USMF “N. Testemiţanu”, Al XI-lea Congres al Asociației Chirurgilor „Nicolae Anestiadi” din Republica Moldova și cea de-a XXXIII-a Reuniune a Chirurgilor din Moldova „Iacomi-Răzeșu” 27-30 septembrie 2011Introducere: Scopul studiului este aprecierea eficacității tratamentului chirurgical şi a complicațiilor intra- şi postoperatorii ale chistului hidatic hepatic. Material şi metode: În studiu au fost incluşi 46 pacienți diagnosticați cu chist hidatic al ficatului, ce s-au aflat la tratament în secțiile de chirurgie a SCC st. Chişinău şi a SCMC în perioada 2009-2011. Din cei 46 de pacienți la 35 (76,08%) s-a efectuat tratament chirurgical tradițional: Chistectomia ideală - pentru chisturi mici necomplicate în 12 cazuri; Perichistectomia parțială cu secționarea membranei perichistice şi plombarea cavității restante cu epiploon fără drenare în 6 cazuri; Perichistectomia parțială cu drenarea cavității restante şi a spațiului subdiafragmal şi subhepatic în 13 cazuri; Rezecția atipică a ficatului în 4 cazuri. Ceilalți 11(23,92%) pacienți au fost supuşi tratamentului chirurgical laparoscopic: Chistectomia ideală celioscopică - 1 caz; Perichistectomia parțială cu secționarea membranei perichistice şi plombarea cavității restante cu epiploon fără drenare - 3 cazuri; Perichistectomia parțială cu drenarea cavității restante şi a spațiului subdiafragmal şi subhepatic - 7 cazuri. Rezultate: În cadrul studiului în urma tratamentului chirurgical tradițional, complicațiile au avut o pondere de 14,28% (supurarea lojei restante 3 cazuri, biliragie-1 caz, fistula biliară dirijată-1 caz). În urma chistectomiei ideale n-au fost semnalate complicații. După intervențiile chirurgicale laparascopice complicații au avut loc în 18,18 % cazuri (supurarea lojei restante 1 caz, biliragie-1 caz). Concluzii: În cazul localizării chistului hidatic hepatic în S VII-VIII sunt preferabile intervențiile chirurgicale tradiționale, cu sau fără drenarea cavității restante. Localizarea superficială a chistului în S II-III şi S V-VI este optimală pentru utilizarea metodei laparoscopice.Introduction: The aim of the study is the evaluation of efficacy of surgical treatment and intra - and postoperative complications of hydatid liver cyst. Materials and methods: There have been included 46 patients diagnosed with hydatid liver cyst, who were treated in the surgical departements of SCC st. Chisinau and SCMC during 2009-2011. Out of those 46 patients - in 35 (76,08%) there has been applied traditional surgical treatment: Ideal cystectomy – for small uncomplicated cysts in 12 cases; Partial pericystectomy with sectioning of pericystic membrane and narrowing of residual cyst cavity with epiploon without drainage in 6 cases; Partial pericystectomy with drainage of the residual cavity and of subdiaphragmal and subhepatic spaces in 13 cases; Atypical liver resection in 4 cases.The other 11(23,92%) patients underwent laparoscopic surgical treatment: Ideal celioscopic cystectomy - 1 case; Partial pericystectomy with sectioning of pericystic membrane and narrowing of residual cyst cavity with epiploon without drainage - 3 cases; Partial pericystectomy with drainage of the residual cavity and of subdiaphragmal and subhepatic spaces - 7 cases. Results: As a consequence of traditional surgical treatment in this study, the complications had a rate of 14,28% (suppuration of remaining cavity 3 cases, bile leakage -1 case, ultrasonically guided biliary fistula - 1 case). There have not been noted complications after ideal cystectomy. After laparoscopic surgery complications appeared in 18,18 % cases (suppuration of remaining cavity 1 case, bile leakage - 1 case). Conclusions: In case of liver hydatid cyst location in S VIIVIII traditional surgery is preferred, with or without drainage of the residual cavity. Superficial cyst location in S II-III and S V-VI is optimal for the use of the laparoscopic method

Эпидемиология гастроэзофагеальной рефлюксной болезни в Республике Молдова

Department of Internal Medicine, Department of Family Medicine, Nicolae Testemitanu State Medical and Pharmaceutical University, Congresul III al Medicilor de Familie din Republica Moldova, 17–18 mai, 2012, Chişinău, Republica Moldova, Conferinţa Naţională „Maladii bronhoobstructive la copii”, consacrată profesorului universitar, doctor habilitat Victor Gheţeul, 27 aprilie, Chişinău, Republica MoldovaFor the first time, in RM was made an epidemiologic study according to an ESGERD Epidemiologic Study of the Gastro Esophageal Reflux Disease. There were interviewed 1820 respondents, according to the questionnaire from Mayo Clinic. In the study participated 679 men and 1 141 women with the age between 16 and 79 years old. It was evaluated that in RM, the peruses as a symptom of GERD, is very frequent: at least once per month – 53, 7%, frequently – 17, 4% cases and for 6.2% patients this symptom was permanent.В первый раз в Республике Молдова было проведено эпидемиологическое исследование гастроэзофагеальной рефлюксной болезни (в соответствии с ESGERD – эпидемиологические исследования желудочноэзофагеальной рефлюксной болезни). В обследование было включено 1 820 респондентов, опрошенных в соответствии с вопросником из клиники Майо. В исследовании приняли участие 679 мужчин и 1 141 женщин в возрасте от 16 до 79 лет. Оценивалась изжога – как часто встречаемый симптом ГЕРБ: один раз в месяц – 53,7%, часто – 17,4% случаев и у 6,2% пациентов этот симптом был постоянным

Оценка риска заболеваний населения неинфекционными болезнями, зависимых от водного фактора

The present work presents the results of a comprehensive study aimed to establish cause-effect relation between chemical compounds of drinking water and morbidity by non-communicable disease. Was established the large spectrum of the correlative interrelationship between that index. Also estimated the relative and attributable risk of population morbidity (including children) which used for drinking proposes water with different composition. Research results allow scientifi c argumentation of prophylactic measures direct to prevent aqueous dependent diseases at children.В настоящей работе представлены результаты комплексного исследования с целью оценки причинноследственной связи между химическим составом питьевой воды и заболеваемостью неинфекционными болезнями. Был выявлен широкий спектр корреляционных взаимосвязей между этими показателями. Были подсчитаны относительный риск и связанный риск заболеваемости населения (в том числе и детей), использующего воду для питья с различным составом. Результаты проведенного исследования позволяют научно аргументировать профилактические меры, направленные на предотвращение заболеваний, зависимых от влияния водного фактора