7 research outputs found
SENSOR ARRAY ABLE TO DETECT AND RECOGNISE CHEMICAL WARFARE AGENTS
No full textIn this paper we studied a device based on array of six different sensors with surface acoustic wave for detections and recognition of three chemical warfare agents (chloropicrin, soman and lewisite). The sensors are “delay line” type with a center frequency of 69.4 MHz. It presents an original algorithm to identify the nature and concentration of gas from a finite range of possible gases. Numerical program developed to implement this algorithm, provides to operators all the particulars of gas and an indicator of credibility of the results provided as a measure of the degree of disturbance of the signals received from sensors.SAW, chemical warfare agent, array of sensors, algorithm
ANALYSIS OF PERFORMANCE INDICATORS IN THE COURTS OF THE REPUBLIC OF MOLDOVA THROUGH THE PRISM OF THE HUMAN RESOURCES MANAGEMENT
No full textConsidering that performance is a topic of
interest for almost all organizations, in this
article the author has analysed performance
indicators in courts through the human factor.
At the current stage, from the perspective of
human resource management, there are several
indicators that reflect the performance of courts.
In this sense, several of these indicators will be
analysed during the research. The information
for the analysis of performance indicators was
extracted from the statistical reports of the
Agency for the Administration of the Courts of
the Republic of Moldova. The results obtained
prove the existence of problems and difficulties
in the courts conditioned by the human factor
Ein centurio regionarius aus der legio X Fretensis in Dakien
No full textEs geht um eine 1886 in Domnești (Billak) gefundene, an Jupiter Dolichenus gewidmete Inschrift, deren Lesung problematisch war. Man hatte schon festgesetzt, dass der Dedikant ein P. Gaius Valerianus, (centurio) leg(ionis) X Fretensis war. Unklar war aber die Lesung der Z. 6–8 geblieben. Darin sehen die Autoren einen reg(ionarius) r(egionis) Neridonis (- - -). Einer Theorie von B. N. Rankov folgend (der sich auf die regio Montanensium bezieht), verstehen die Autoren unter der r(egio) Neridonis(- - -) eine administrative Einheit der Provinz Dakien, in der sich auch Fiskusgüter befanden. Wie bekannt, war die Gegend von Domnești durch seinen Reichtum an Salz bekannt. Ein regionarius war ein Legionscenturio, der an der Spitze einer Zahl von Untergebenen spezielle polizeiliche Aufgaben in einer solchen regio erfüllte. Vexillationen der legio X Fretensis sollen aus Syria Palaestina nach Dakien im Wirbel der Geschehnisse des 3. Jahrhunderts gekommen sein.It was sometime around 1886 that an inscription dedicated to Jupiter Dolichenus and very difficult to read was discovered in Domnești (Billak). Some scholars had already established that the dedicant was a certain P. Gaius Valerianus, (centurio) leg(ionis) X Fretensis. But the reading of lines 6-8 was unclear. There the authors read reg(ionarius) r(egionis) Neridonis(- - -). Following a subsequent theory put forward by B. N. Rankov (in his study of the regio Montanensium) the authors understood by r(egio) Neridonis(- - -) an administrative unit of the province of Dacia, where estates of the fiscus were located. As it is known, the area of Domneşti was rich in salt. A regionarius was a legion’s centurion commanding subordinates who fulfilled special police duties in such a regio. Vexillations from the legion X Fretensis must have come from Syria Palaestina to Dacia in the vortex of the events of the 3rd century
Prophylactic mastectomy with immediate breast reconstruction
No full textCME SANCOS,
Catedra Chirurgie nr.4, Universitatea de Stat de Medicină și Farmacie „NicolaeTestemițanu”, Chșinău, Republica Moldova, Al XIII-lea Congres al Asociației Chirurgilor „Nicolae Anestiadi” și
al III-lea Congres al Societății de Endoscopie, Chirurgie miniminvazivă și Ultrasonografie ”V.M.Guțu” din Republica MoldovaIntroducere: Mastectomia profilactică (MP) poate reduce riscul de apariție a cancerului mamar cu 90-95% în majoritatea situațiilor. Cu
toate acestea, sunt foarte importanți termenii de reconstrucție a sânilor și prezervarea complexului areolă-mamelon pentru satisfacția
pacienților.
Material și metode: Mastectomia profilactică a fost efectuată la 14 pacienți cu o vârstă medie de 38,3 (interval, 25-45 ani). Examenul
preoperator a inclus ultrasonografie, mamografie, CT, RMN, citologie, teste genetice BRCA 1/2. MP bilaterală ”nipple-sparing” a
fost realizat în 9 cazuri și unilateral (după cancer mamar controlateral) în 5 cazuri. Accesul chirurgical pentru MP a fost individual
și a depins de prezența și localizarea cicatricilor postoperatorii după rezecțiile sectorale anterioare. Intervențiile chirurgicale au fost
finalizate cu o reconstrucție mamară cu implant.
Rezultate: O ischemie pronunțată de areolă și mamelon a fost determinată în 2 cazuri. Reducerea sensibilității pielii și a complexului
areolă-mamelon (CAM) a fost observată la toate pacientele. Nu a survenit o extruzie a implantului, inflamație sau contractură capsulară
în perioada postoperatorie. Rezultatul estetic de reconstrucție mamară în cazul MP “nipple-sparing” este superior comparativ cu
reconstrucția după mastectomia clasică.
Concluzii: Mastectomia profilactică este o bună opțiune pentru pacientele care prezintă un risc sporit de apariție a cancerului de sân.
Reconstrucția mamară imediată cu implant și prezervarea CAM crește gradul de satisfacție postoperatorie a pacienților.Introduction: Prophylactic mastectomy (PM) can reduce the risk of developing breast cancer by 90-95% in most situations. However,
the terms of the breast reconstruction and the preservation of the nipple-areolar complex (NAC) are very important for the patient
satisfaction.
Material and methods: Prophylactic mastectomy was performed on 14 patients with a mean age 38,3 (range, 25-45 years).
Preoperative examination included ultrasonography, mammography, CT, NMR, cytology, genetic tests BRCA 1/2. A bilateral nipplesparing PM was accomplished in the 9 cases and unilateral (after contralateral breast cancer) in 5 cases. Surgical access for the PM
was individual and depended of the presence and localization of the postoperative scars after the previous sectoral resections. The
surgical interventions finished with an implant breast reconstruction.
Results: A pronounced ischemia of areola and nipple was determined in 2 cases. The reduction in sensitivity of the skin and NAC has
been observed in all patients. There was no implant extrusion, inflammation or capsular contracture in the postoperative period. The
aesthetic result of mammary reconstruction in MP nipple-sparing is superior compared to reconstruction after classical mastectomy.
Conclusions: Prophylactic mastectomy is a good option for patients who are at high risk of developing breast cancer. Immediate
implant breast reconstruction and preservation of the NAC increase patient’s satisfaction
Postoperative lactorrhea after reduction of mammary gland
No full textCatedra Chirurgie nr.4, Universitatea de Stat de Medicină și Farmacie „Nicolae Testemițanu”, CME SANCOS, Chșinău,
Republica Moldova, Al XIII-lea Congres al Asociației Chirurgilor „Nicolae Anestiadi” și
al III-lea Congres al Societății de Endoscopie, Chirurgie miniminvazivă și Ultrasonografie ”V.M.Guțu” din Republica MoldovaIntroducere: Cauzele galactoreei sunt considerate dereglările hormonale, creșterea nivelului de prolactină, efecte secundare ale
administrării unor medicamente. Nu am întîlnit descrise cazuri de galactoree agresivă după reducția mamară (RM).
Material și metode: În Clinica SANCOS a fost operată pacienta R, 48 ani, cu diagnosticul: “Macromastie bilaterală. Asimetrie mamară”.
Cu 8 ani în urmă pacienta a urmat un tratament hormonal din cauza galactoreei. La data de 24.10.18 s-a efectuat reducția mamară.
Masa glandulară redusă a fost de 220 g din dreapta și 250 g din stînga. Transpoziția complexului mamelono-areolar s-a efectuat pe
lambou superior-lateral.
Rezultate: În perioada postoperatorie s-a dezvoltat o lactoree agresivă, cu formare,peste 15 zile de la operație,de colecții masive
de lactifore în ambii sîni, după care s-a asociat cu febră. Prolactina depășea limitele normei de 10 ori. S-a luat decizia de a deschide
și a drena colecțiile. La data de 16.11.18 s-au deschis și drenat 3 colecții din care s-au evacuat 180 ml de lapte. Pacienta a fost
consultată de endocrinolog. S-a indicat tratament hormonal, după care prolactina a scăzut și s-au stopat eliminările lactifore. Plăgile
s-au vindecat după aplicarea suturilor secundare. Rezultatul estetic al operației a fost satisfăcător. Tratamentul hormonal a fost
continuat cu supravegherea endocrinologului.
Concluzie: Mamoplastia poate provoca o galactoree agresivă la pacientele cu prolactina mărită.Introduction: The causes of galactorrhea are considered the hormonal disruption, elevation of prolactin levels, side effects of some
medicine administration. We have not encountered cases describing aggressive galactorrhea after mammary gland reduction.
Material and methods: Patient R, 48 years old, who has been diagnosed with “Bilateral macromastia. Mammary gland assimetry”,had
surgery, in SANCOS Clinic. 8 years earlier the patient followed a hormonal treatment because of galactorrhea. On 24.10.18 the breast
reduction was performed. The reduced glandular mass was 220 g on the right and 250 g on the left. The transposition of nipple-areolar
complex was realized on upper-lateral flap.
Results: In the postoperative period, an aggressive lactorrhea developed, with formation of massive lactiferous collections in both
breasts, after 15 days of surgery, after which fever associated. The prolactin exceeded the normal limit by 10 times. It was decided to
open and drain the collections. On 16.11.18 three collections were opened and drained, from which 180 ml of milk was discharged. The
patient was consulted by the endocrinologist. Hormonal treatment was indicated, after which prolactin decreased and the lactiferous
eliminations stopped. The plagues were healed after secondary sutures. The esthetic result of the surgery was satisfactory. The
hormonal treatment continued, under the endocrinologist’s supervision.
Conclusion: Mammoplasty may provoke an aggressive galactorrhea in patients with increased prolactin
