Addressing the Transnistrian conflict: competing stances of Moldova's political parties and expert community

'The Transnistrian conflict continues to be one of the most important issues facing political parties and the expert community in Moldova. Since the start of the post-communist transition period, political parties have routinely felt the necessity to articulate their approaches to solving the conflict. During both electoral and inter-electoral periods, the Transnistrian issue has occupied a special position on the country's political agenda. This has required political parties to take a stance on the issue. Similarly, the country's expert community, which includes academics, political analysts, and media commentators, has struggled with the need to explain and interpret the conflict to their audiences. In presenting such interpretations for the general public, they could not avoid formulating their own positions on potential causes of and solutions to the conflict. The authors here employ elite survey techniques as one approach to analyzing the variation in political parties' and expert communities' attitudes towards a host of problems related to the Transnistrian conflict. The paper provides a detailed description of the documented attitudinal differences and similarities on various aspects of the Transnistrian conflict among key Moldovan political parties that has been drawn from a diversified political spectrum. It also attempts to document the differences in parties' attitudes as they change over time. The recent origins of the party system in Moldova and rapid transformations in the domestic and international environment in which the parties operate make the evolution of the Moldovan party system a very dynamic process. While the paper focuses on the analysis of party positions through the eyes of both party functionaries and members of the expert community, it compliments this analysis through the discussion of the attitudinal disposition of experts themselves. Given the critical role that the expert community plays in forming public opinion such discussions are a relevant addition to the main focus of the paper.' (author's abstract

Cognitive disorders in the elderly people (retrospective epidemiological study with interim results)

Laboratorul ştiinţific de gerontologie USMF “Nicolae Testemiţeanu”Cognitive disorders are a major problem in complex geriatric assessment. The geriatric evaluation of 669 elderly people in different areas of the Republic of Moldova releaved a high incidence of cognitive disorders in the elderly group III study. Cognitive disorders prevail in female patients, farmers and workers in the north of the country. Dereglările cognitive reprezintă o problemă majoră în evaluarea geriatrică complexă. În baza evaluării geriatrice a 669 persoane vârstnice din diferite zone a Republicii Moldova s-a constat o incidenţă înaltă a dereglărilor cognitive la bătrînii din grupa a III-a de studiu. Dereglările cognitive prevalează la pacienţii de sex feminin, agricultori şi muncitori din zona de nord a ţării

Management of missed injuries in polytrauma patient

State University of Medicine and Pharmacy “Nicolae Testemițanu”, Republic of Moldova, Institute of Emergency Medicine, Chișinău, Republic of Moldova, Al VIII-lea Congres Naţional de Ortopedie și Traumatologie cu participare internaţională 12-14 octombrie 2016According CRICO Strategies, among the most common and costly medical errors committed in emergency departments are establishing a delay in diagnosis or misdiagnosis, which can have a tragic end for the patient. The management of multiple trauma patients presents a worldwide diagnostic and therapeutic challenge to trauma, orthopedic and general surgeons. Significant injuries can be missed during primary and secondary surveys in multiply injured patients, for whom resuscitation, diagnosis and therapy have to proceed simultaneously. Many factors involved in the initial resuscitation of the multiple trauma patients, such as altered level of consciousness, hemodynamic instability, or inexperience and inadequate diagnostic evaluation, may lead to missed injuries or a „medical errors”. The injuries can be missed at any stage of the management of the trauma patient, including intraoperatively, and may involve all regions of the body. Management of polytraumatised patient need application of primary and secondary survey protocols, as is the ATLS (Advanced Trauma Life Support) protocol, will minimize the chance of life-threatening critical medical errors. Also, intraoperative careful approach is needed for all patients, but especially for hemodynamically unstable patients, giving priority to other regions of the human body than appreciated as trauma, for the presence of vascular lesions. Examination of polytraumatised patient with special vigilance in a tertiary look, after patient returns to consciousness, will help detect missed lesions during the initial assessment. In most cases we detect missed lesions. This approach will lead to early detection of missed injuries and reduce lost their consequences