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Prostate cancer: an occupational hazard in Romania?

-Napoca în primul an de activitate. Revista Romana de Urologie. 2006:1. 18. Iordache PD, Mates D, Gunnarsson B, Eggertsson HP, Sulem P. Guðmundsson J, Benónísdóttir S, Csiki IE, Rascu S, Radavoi D et al. Profile of common prostate cancer risk variants in an unscreened Romanian population. J Cell Mol Med. 2018;22:1574–82. 19. Jinga V, Csiki IE, Manolescu A, Iordache P, Mates IN, Radavoi D, Rascu S, Badescu D, Badea P. Mates D. Replication study of 34 common SNPs associated with prostate cancer in the Romanian population. J Cell Mol Med. 2016;20:594–600. 20

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Factors influencing the rationing of nursing care in Romania

, September 2006. https://www.who.int/hrh/resources/improving_hw_performance.pdf 7. Tereanu C, Ghelase MS, Sampietro G, Furtunescu FL, Dragoescu A, Molnar A, Moraru D, Stanescu C, Gavrila OA, Patrascu A, Golli AI, Dragomiret MI. Measuring Patient Safety Culture in Romania Using the Hospital Survey on Patient Safety Culture (HSOPSC). Curr Health Sci J. 2017;43(1):31–40. 8. Makkai K. Evaluating the Level of Burnout among Healthcare Professionals. Acta Univ. Sapientiae, Social Analysis. 2018:8;23–39. 9. Burcea M, Toma SG, Papuc RM. Patients’ Satisfaction

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Mass Casualty Incidents and Disaster Participation in Real versus Simulated Events in Romania

Abstract

Background: The current study outlines some of the main particularities of both real and simulated mass casualty incidents (MCI) and disasters in Romania as reported by medical and paramedical participating personnel. Methods: A non-profit organization in Romania trained 1250 doctors, nurses and paramedics for proper MCI interventions through a dedicated programme for the last part of the year 2013. Half a year later, an email with a unique link to an online questionnaire was sent to each participant to assess their opinion over the participation in real or already simulated MCI or disasters. The questionnaire consisted of 25 specific topics, out of which only a fraction were considered for the current study. Results: Out of all participants, 145 doctors, 184 nurses and 115 paramedics provided valid answers, totaling 444 responders. Most participants were satisfied with the information about the location and type of the incident they would respond to. The amplitude of a given event is generally well anticipated under simulation conditions as compared to real events, where the amplitude tends to be higher rather than lower than expected (p=0.0082). About three quarters of participants under real or simulated events repeated or demanded repeating the information trafficked through mobile radios, almost a quarter misinterpreted the information, and almost a half reported delayed operations due to miscommunication. Conclusions: Simulations are a proper method of communication evaluation for mass casualty incidents and disasters, which can also stress the common communication issues encountered during a real MCI unfolding.

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Spatial statistics detect clustering patterns of kidney diseases in south-eastern Romania

Abstract

Medical geography was conceptualized almost ten years ago due to its obvious usefulness in epidemiological research. Still, numerous diseases in many regions were neglected in these aspects of research, and the prevalence of kidney diseases in Eastern Europe is such an example. We evaluated the spatial patterns of main kidney diseases in south-eastern Romania, and highlighted the importance of spatial modeling in medical management in Romania. We found two statistically significant hotspots of kidney diseases prevalence. We also found differences in the spatial patterns between categories of diseases. We propose to speed up the process of creating a national database of records on kidney diseases. Offering the researchers access to a national database will allow further epidemiology studies in Romania and finally lead to a better management of medical services.

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Epidemiological Survey of Dental Fear and Anxiety in Children Living in Transylvania

References 1. Chapman HR. Dental Fear in Children: a Proposed Model. British Dental Journal. 1999;187(8):408-412. 2. Spielberger CD, Gorduch RL, Lushene RE. Manual for the Strait-Trait Anxiety Inventory, Palo Alto, CA: Consulting Psychologist Press, 1970, pp. 25-30. 3. Smith T. Fear of Dental Care: Are We Making Any Progress. Journal of American Dental Association. 2003;134:1101-1108. 4. Mărginean I, Filimon L. Dental Fear Survey: a Validation Study on the Romanian Population. JPER. 2011

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Anaesthesiology trainees and their needs: a Romanian perspective. Results from a European survey

Abstract

Anaesthesiology training is going through continuous transformations worldwide. Recent data from a European Survey on anaesthesiology postgraduate trainees and their concerns have been published for the first time, following an initiative by the European Society of Anaesthesiology. Among the responders of this survey, 10.8% were represented by Romanian trainees. The main needs of the Romanian anaesthesiology trainees who completed the questionnaire were, in descending order educational contents/EDAIC, technical skills, exchange programmes, residency workload, residency costs and autonomy transition. Another observation coming from the analysed data is that Romanian anaesthesiologists in training are highly concerned and interested in the field of intensive care medicine. The results also pinpoint to the high costs associated with continuous medical education, leading to a high incentive for workforce migration.

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Romanian young people’s drinking habits

lys (*2) allel against alcoholism and alcohol-induces medical diseases in Asians. Hum Genet. 2012;131:725 727. 25. Lotrean LM, Kremers S, Ionut C, de Vries H. Gender differences regarding the alcohol-tobacco relationship among Romanian adolescent-a longitudinal study. Eur J Public Health. 2009;19:285-289. 26. Reavley NJ, Jorm AF, McCann TV, Lubman DI. Alcohol consumption in tertiary education students. BMC Public Health. 2011;11: 545. 27. Zarzar PM, Jorge KO, Oksanen T, et al. Association between binge drinking, type

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International survey of neuromuscular monitoring in two European countries: a questionnaire study among Hungarian and Romanian anaesthesiologists

Abstract

Background: Accumulating evidence indicates that objective neuromuscular monitoring and pharmacological reversal of neuromuscular block reduces the occurrence of residual muscle paralysis in the acute postoperative phase. However, objective neuromuscular monitoring is not a routine habit in anaesthesia. In order to change this situation, we wished to find out, as a first step to improvement, the current use of neuromuscular monitors and the custom of anaesthetists for reversal of neuromuscular block before tracheal extubation.

Methods A ten-point questionnaire was available via the Surveymonkey website and the link was sent to 2202 Hungarian and Romanian anaesthetists by email.

Results: Three hundred and two (13.7%) of the 2202 registered anaesthetists responded. Less than 10% of them regularly use neuromuscular monitors. They underestimated the occurrence of residual block; only 2.2% gave a correct answer. Neuromuscular monitors are available in 74% of hospitals but are scarcely used. One third of anaesthetists rarely or never use reversal; approximately 20% regularly reverse before extubation. The responders typically believe that clinical signs of residual block are reliable. Instead of monitoring, they use the “timing methods” for tracheal extubation such as time elapsed from last dose, the duration of action of relaxant, the number of top-up doses, the cumulative dose, the return of adequate respiratory tidal volume and the ability to sustain a 5 s head lift.

Conclusions: We concluded that neuromuscular monitoring in these two European countries is suboptimal as is the reversal strategy. Given the fact that monitors are available in the hospitals, the mentality should be changed towards evidence based practice.

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General Characteristics and Quality of Stroke-Related Online Information – A Cross-Sectional Assessment of the Romanian and Hungarian Websites

: https://www.cdc.gov/stroke/facts.htm. Accessed: 30.07.2018. 11. Nădăşan V, Roşca AN, Tarcea M, Ábrám Z, Măruşteri M. The Quality of Romanian Breast Cancer Websites: a Five-Year Longitudinal Assessment. J Cancer Educ. 2018;33:703-707. 12. Nădăşan V, Moldovan O. The Completeness and Accuracy of Information about Coeliac Disease on the Romanian Websites. Journal of Applied Quantitative Methods. 2016;11:70-76. 13. Nădăşan V, Vancea G, Georgescu PA, Tarcea M, Abram Z. The credibility, completeness and accuracy of information

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