Acupunture as a method of analgesia

Department of Topographical Anatomy and Operative Surgery, Medical Student Association “AStudMed” of State Medical and Pharmaceutical University “Nicolae Testemitanu", Chisinau, Republic of MoldovaIntroduction: Acupuncture as a therapeutic method of treatment comes from China and is becoming more widespread in Europe nowadays. It is based on the meridian theory and assumed mechanisms of action: autonomic, neuroendocrine and bioenergetical. The needles are pierced at specific points of the body, placed along the meridian line of movement which on the body of energy. If at their path appears an exciting form of stinging or pressure, then it can reduce pain and improve body condition that was affected. Purpose and Objectives: The effectiveness of acupuncture in postoperative analgesia, which was conducted in the National Scientific and Practical Center for Emergency Medicine (IMSP CNSPM U) Microsurgery Department. Material and Methods: We selected 20 patients between 20 and 50 years, suffer from skin trauma, soft tissue and vascular structures in the mining regions, which underwent a microsurgical intervention. They were divided into two groups of 10 patients each. Patients of the first group received 3 sessions of acupuncture and analgesic medication. The second group had only two analgesic drugs. All patients were analyzed according to subjective criterias: Visual-Analogue Scale (VAS), personal comfort and the objective criterias: blood pressure, temperature, respiratory rate, heart rate. The materials used were: set of individualized acupuncture needles, Visual- Analogue Scale, tensometer, thermometer, assessment questionnaire for postoperative pain management, patient satisfaction questionnaire for assessing the management of acute postoperative pain, patient informed consent about participating at the study. Results: The study showed that the first group which received minor analgesics, like sol. baralgin in combination with acupuncture by demand, a value of 5-6 points at VAS and objective indexes in the normal range. In the control group were administered major analgesics, like promedol, schematically, and VAS score was 8-9 points and clues major objective, as was observed in 4 patients dyspeptic side effects. Conclusion: We can say that acupuncture is a non-invasive method, followed by a stable postanestesic period with persistent analgesia and postoperative evolving remarkably good, due to the absence of adverse effects such as nausea and vomiting, which include early enteral feeding, early mobilization and less adverse effects

Role of the risk factors in clinical complications and types of acute myocardial infarction

Department of Cardiology, Medical superviser of Medical Student Association “AStudMed” State Medical and Pharmaceutical University “Nicolae Testemitanu”, Chisinau, Republic of MoldovaIntroduction: Acute Myocardial Infarction (AMI) is a major cause of death and disability worldwide. The diagnosis of acute MI is a clinical diagnosis based on patient symptoms, ECG changes, and highly sensitive biochemical markers, as well as information gleaned from various imaging techniques. It is important to characterize the type of MI as well as the extent of the infarct, residual LV function, and the severity of CAD and other risk factors, rather than merely making a diagnosis of MI. The ideal management of ST-segment-elevation Myocardial Infarction (STEMI) and Non- STEMI involves early diagnosis followed by rapid reperfusion therapy (PCI). Purpose and Objectives: Highlighting of importance correlation factors between, type of AMI, factors of risk and complication in patients without reperfusion therapy (PCI). Materials and methods: The retrospective research was based on the archive data of the Municipal Hospital Clinic "Sfânta Treime". Patients (N=71) had a mean age of 64,3 years, diagnosis of different type of MI and history of hospitalization in “Intensive Care Unit”. There were 2 periods of analysis (01.09.2012 to 31.10.2012 and 01.10.2013 to 31.12.2013). For data analyzes SPSS version 17 was used, p< 0,05 considered statistically significant. Results: From 71 patients that were examined, were identified common risk factor for type 2 of AMI in 56 patients which are: Arterial Hypertension (HT) 2-3rd in 85.7%, diabetes type 2 in 35.7%, dyslipidemia in 28,6%, Chronic Heart Failure NYHA 2-3 in 23.2%, anemia in 7.1% and ischemic cardiomyopathy in 7.1%. For type 3 of AMI in 10 patients HT in 70%, diabetes type 2 in 40%, dyslipidemia in 10%, and type 1 of AMI 5 patients without known risk factors. Also were identified complication for type 1 of AMI 5 patients: discirculatory encephalopathy in 40%, Killip 2, 3 and 4 each 20%. For type 2 of AMI 56 patients: Killip 2 in 50%, Killip 3 in 19.6%, Killip 4 in 10,8% other complications in 19,6%. For type 3 of AMI 10 patient: Killip 4 has 100%. The most common encountered complication for type 2 of AMI is Killip 2-findings of mild to moderate heart failure in 50%, and in type 3 are Killip 4 - cardiogenic shock in 100%. Conclusion: HT is a common risk factor in more than 50% in type 2 and 3 of AMI in Intensive Care Unit. HT is a prevalent risk factor in type 2 and 3 of AMI. Therefore patients in Intensive Care Unit with HT 2-3rd degree must be treated as patients with high risk for developing type 3 of AMI and Killip 4. According to data we can assume that patients with advanced metabolic syndrome (characterized by dyslipidemia, hypertension and diabetes mellitus) mainly develop type 2 AMI

Acupunture as a method of analgesia

Catedra Anatomie topografică şi Chirurgie operatorie, USMF Nicolae TestemiţanuAcupuncture and acupressure are a controversial topic in medicine, considered by some pseudoscience. Method comes from China and is becoming more widespread in Europe. It is based on meridian theory. If their path in view of the pathogen appears puncture or pressing, it can reduce the pain or make improvements to a wounded body. This method is becoming more and more applied by experts in the field of anesthesia and intenssive care, it is effective of minimal side effects and maximum results in relieving the pain of various origins and intensity. Acupunctura şi presopuctura este un subiect controversat în medicină, considerat de unii pseudoştiinţă. Metoda vine din China şi devine tot mai răspândită în Europa. Ea este bazată pe teoria meridianelor. Această metodă a obţinut tot mai multe aplicaţii de către experţii din domeniul anesteziei şi terapiei intensive, fiind eficientă şi cu efecte secundare minime, dar cu rezultate maxime în ameliorarea durerii de intensitate şi origine difertă

Experimental testing of a helical rotor for compost distribution

It is well known that a manure spreader must be able to apply manure consistently, effectively and uniformly over the time. An overapplying doze will cause serios environmental problems (pollution) and a sub-applying doze will not contribute to plants growth and the applying of the fertilizer will be a loss. Corroborate with others problems such as maintaining a constant tractor speed, a constant rotational speed of the rotor, a constant and continuous flow of the material make the manure spreading machines an important subject for study and continuously improving . The propose of this study is to test a vertical helicoidal rotor for manure spreading in order to improve the machine distribution uniformity. The relation between the rotor position and rotation sense is a definitory issue for the machine performance. In order to achieve a high distribution uniformity a single helical rotor is tested and a series of possible situations of placing four rotors on the machine are analyzed. The optimal solution is given by two indicators: uniformity of spreading and distribution width. The test were made with an helical rotor having the following characteristics: high=1,1 m, maximum diameter of helical spiral=0.345 m, minimum diameter of the helical spiral= 0.114m, helical pitch=0.3m, inclination angle = 15°. After analyzing four possible situations it is observe that the combination of the maximum uniformity with minimum distribution with is the optimal solution. Experimental were carried out with compost and can be repeatable with others type of solid organic fertilizers, but a new calibration should be done. It is desirable that a trapezoidal, oval or triangle pattern with uniform sloping sides to be achieved. Because most of the spreaders actually produce an oval or triangle distribution pattern it is necessary subsequent passes that increase the time for fertilization operation