NATIONAL AND INTERNATIONAL CONTEXT OF TRAINING FOR ROMANIAN MAGISTRATES

In the context in which human resources management has an international dimension, the paper briefly analyzes the process of training for magistrates, both from the perspective of general international principles, as well as from the perspective of national legislation. The importance of permanent development of training programs for magistrates is reflected in the professionalism of magistrates and assumes a certain adequacy to the specific needs of the judicial system. From this perspective, the training for magistrates has a compulsory feature not only in relation with the national or European legislation, but also is a practical need for adjustment to continuous changes that occur in the judicial relations, by legislative reforms, some radical, as a consequence of the dynamic social life

The level of knowledge about non-pharmacological measures of treatment in patients with chronic heart failure

Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of MoldovaIntroduction. Chronic heart failure (CHF) is considered a worldwide pandemic that requires a complex regimen of drug and non-medical treatment for a lifetime. The European Society of Cardiology Guidelines recommends applying self-care management, patient ductility to reduce morbidity, mortality and to improve quality of life and patients’ adherence to treatment

Acute kidney injury in intensive care unit: prevalence and risk factors

”V. Ghereg” Chair of anaesthesiology and reanimatology No. 1, Nicolae Testemitanu SUMPh, Chisinau, Republic of Moldova, The ”Em. Cotaga” Clinic, the Institute of Mother and Child, Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină și Farmacie „Nicolae Testemițanu” din Republica Moldova, Ziua internațională a științei pentru pace și dezvoltareIntroduction. Acute kidney injury (AKI), term that replaced the notion of acute renal failure, is defined as an abrupt decrease in kidney function and represents a complication registered frequently in critically ill patients, with impact on outcome and mortality [1]. Identification of hospitalized patients with an increased risk for AKI is of great interest.Purpose. Estimation of the prevalence and etiology of acute kidney injury in critically ill patients admitted to the surgical intensive care units. Material and methods. Prospective study. During 6 months (11 June 2019 – 11 January 2020) patients from 3 surgical intensive care units were evaluated for acute kidney injury and risk factors inclusively. Descriptive statistic.Results. AKI prevalence in surgical intensive care units was 16.1% (329/2043), with an average age of 5 9 . 8 ± 1 6 . 8 y e a r s , s h o w i n g a n a g e - d e p e n d e n t relationship between AKI and older age - 79.3% of patients with AKI were ≥ 61 years. According to the severity o illness: stage I - 58%, stage II - 20.4%, stage III - 21.6%. Pre-renal and intrinsic renal etiologies prevalence 98.1%. Post-renal obstructive causes were observed in elder patients ≥ 61 years. Conclusions. The elder patient is in group of risk for acute kidney injury. The etiology and pathogenesis of acute kidney injury in patients admitted to intensive care units have mixed ischemic nature (pre-renal and intrinsic renal). Post-renal obstructive disease is characteristic more for elder patients

Leziunea renală acută în serviciul terapiei intensive: prevalență și factori de risc

Background. Acute kidney injury, the term that replaced the notion of acute renal failure, is a complication registered frequently in critically ill patients, with impact on prognostic and mortality. Objective of the study. Estimation of the prevalence and etiology of acute kidney injury in critically ill patients admitted to the surgical intensive care units. Material and Methods. Prospective study. During 6 months (11 June 2019 – 11 January 2020) patients from 3 surgical intensive care units were evaluated for acute kidney injury and risk factors inclusively. Descriptive statistic. Results. Acute kidney injury prevalence 16,1% (329/2043), with an average age of 59,8±16,8 years, 79,3% of which with age ≥ 61 years. According to the severity o illness: stage I - 58%, stage II - 20,4%, stage III - 21,6%. Pre-renal and intrinsic renal etiologies prevalence 98,1%. Post-renal obstructive causes were observed in elder patients ≥ 61 years. Conclusion. The elder patient is in group of risk for acute kidney injury. The etiology and pathogenesis of acute kidney injury in patients admitted to intensive care units have mixed ischemic nature (pre-renal and intrinsic renal). Post-renal obstructive disease is characteristic more for elder patients. Introducere. Leziunea renală acută, termen care a înlocuit noțiunea de insuficiență renală acută este o complicație înregistrată adesea la pacientul critic, având impact asupra prognosticului și mortalității. Scopul lucrării. Estimarea prevalenței și a etiologiei leziunii renale acute la pacientul critic internat în secția de terapie intensivă chirurgicală. Material și Metode. Studiu prospectiv. Pe parcursul a 6 luni calendaristice (11 iunie 2019 – 11 ianuarie 2020) au fost evaluați pacienții din 3 secții de terapie intensivă chirurgicală, prin prisma criteriilor pentru leziunea renală acută, inclusiv factorii de risc. Statistică descriptivă. Rezultate. Prevalența leziunii renale acute 16,1% (329/2043), cu vârsta medie 59,8±16,8 ani, dintre care 79,3% cu vârsta ≥ 61 ani. Conform gradului de severitate: grad I - 58%, grad II - 20,4%, grad III - 21,6%. Prevalența etiologiei ischemice mixte prerenale și renale au constituit 98,1%. Cauzele postrenale au fost înregistrate în grupul de vârstă ≥ 61 ani. Concluzii. Pacientul vârstnic prezintă risc sporit pentru leziunea renală acută. Etiopatogenia leziunii renale acute în serviciul terapiei intensive este de natură ischemică mixtă (prerenală și renală). Maladia obstructivă postrenală este caracteristică preponderent pacientului vârstnic