Patterns of Road Traffic Accident in North-East Romania.

Romania is ranked first among mortality road traffic accidents in Europe. The aim of our study was to evaluate some statistical patterns of population group who unfortunately was admitted at an emergency hospital of Iasi, a large city in the North East of the country. Material and Methods: The study was performed on 1623 patients admitted in the Emergency Room ("Sf. Spiridon" Emergency Hospital of Iasi, Romania) suffering from road traffic accidents, during 2009 and 2013. Results: The prevalence of 19-45 age group cases represented more than 50% of all patients, with a high significance (p<0.05), and men were involved more frequently (69.69%) than women (30.31%); most of the patients were injured while driving an automobile; 6 PM was the "rush" hour (6.4%), Monday was the "black" week day (16.02% of total cases), September the "harvest" time (12.7%), and Summer the "hottest" season (48.49%). Conclusions: The "B plan" is imperative to be implemented in Romania, including better roads, better vehicles, better legislation, and better teens' education, in order to avoid road traffic accidents.

[Comparative clinical-epidemiological assessments of road traffic accidents: emergency room observations in three counties of Moldavia, Romania, during 2005-2010]. / Evaluari clinico-epidemiologice asupra accidentelor rutiere, comparativ, în unitati de primire urgente: observatii în trei judete ale Moldovei, România, în perioada 2005-2010.

AIM: To assess road traffic injuries according to some descriptive parameters. MATERIAL AND METHODS: The study was carried out on a series of 5374 patients admitted to emergency rooms at Iasi (n=3050), Botosani (n=1187), and Vaslui (n=l137), between 2005 and 2010. RESULTS: Most frequently, the patient was a young, male adult, with cranial cerebral trauma, leg fracture, forearm contusion, or polytrauma, presenting to the emergency room most commonly in the month of August, weekends, and interval noon-dawn interval. CONCLUSIONS: The impact of road trauma epidemic would facilitate a better adaptation of the medical staff to case dynamics and increase the efficacy of primary prevention programs.

[Clinical epidemiological assessments on 3521 patients suffering from road traffic injuries, in relation with trauma localisation and severity, assisted in "Sf. Ioan" Emergency Unit, during 2002-2009]. / Evaluari clinico-epidemiologice asupra unui lot de 3521 de pacienti, care au suferit accidente de circulatie in judetul Iasi, in raport cu localizarea si severitatea traumatismelor, asistati in U.P.U. "Sf. Ioan", in perioada 2002-2009.

UNLABELLED: The aim of study was to assess road traffic injuries in relation with their localisation and severity. MATERIAL AND METHODS: A sample of 3521 patients suffering from road traffic injuries and assisted in "Sf. Ioan" Emergency Unit, Iasi, Romania was assess regarding age group, sex and residence area, type of lesions and ther localisation and severity, between 2002-2009. Data were collected using a special epidemiological inquiry and processed using SPSS and MS Excel statistical softs. RESULTS: The incidence of road traffic injuries increased during the last decade, with a report men/women of 1.5, urban and 21-30 age group predominance. The most frequent were leg fractures (16.7%) and thoracal contusions (19.1%), cranial and facial trauma (32.4%), with open injuries (10.5%). CONCLUSIONS: Prevention programmes with a high efficiency at the national level, as well as a concret identification of risk factors with a multidisciplinar approach of road traffic accidents, are needed.

[Clinical and epidemiological profile of hepatitis B and C virus infection: a 34 soldier hospitalized in a military hospital retrospective study]. / Studiu retrospectiv privind profiujl clinico-epidemiologic al infectiei cu virus hepatitic B si virus hepatitic C la 34 militari internati în Spitalul Militar de Urgenta "Dr. Iacob Czihac" Iasi.

UNLABELLED: The hepatitis B and C virus infection is a public health problem due to the evolution of the disease and the quality of life of the patients, and the costs involved of the therapy and health care services. AIM: To asses the clinical and epidemiological profile of the 34 militaries hospitalized in a military hospital, infected with these viruses. MATERIAL AND METHOD: The main method of not being ill is to respect the common measures of prevention. CONCLUSION: It is strongly necessary to change the practices of improper parenteral treatment administration in healthcare workers practices, especially in rural areas.

[Hospital admissions for digestive diseases: 1995-2003 morbidity in a military hospital]. / Studiu privind morbiditatea prin boli digestive intr-un spital militar in perioada 1995-2003.

Digestive diseases are still currently one of the leading causes of illness. The study was conducted of those individuals admitted to hospital during the 1995-2003 period, whose main diagnosis at admission to hospital had been encoded according to the International Disease Classification as a digestive disease. The highest rate of admissions was in civilian males (the military hospital assures health care services for militaries and their families), due to duodenal ulcer and liver diseases. The superior level of education could be considered as a source of stress, and a risk factor for duodenal ulcer (odd ratio = 1.058). Key

[Some aspects regarding the activity analysis of a military hospital]. / Unele aspecte privind analiza activitatii unui spital militar.

Providing secondary health care for military staff and related personnel, Clinical Emergency Military Hospital "Dr. Iacob Cihac" it is the biggest hospital among those having the same profile. There are many factors with influence upon hospital's activities. Some factors can be measured (number of beds, the prevalence of a certain disease in population), but also some of them are subjective, creating pressures in hospitals utilization (costs, status of the professionals and hospital, desires of patients and their families). Good statistical information about hospitalized morbidity provides the basis for planning, control and efficient administration and can also serve as an input into the development of more effective preventive health strategies. There are some important differences between public own hospital and military hospital: for public hospitals, the main cause of morbidity is represented of respiratory disease, while for the military hospital on the top are nervous and psychiatric diseases; also, it is different the proportion of inpatients according to age groups - for public hospitals the main proportion of inpatients is aged more than 45-60 years old, but for the military hospital there are also well represented those aged under 29 years old. The differences between the average length of stay in hospitals is due to hospitalization of psychiatric diseases in public hospitals.

[Prioritization of the main health problems having impact upon the activity of the Emergency Military Hospital "Dr. Iacob Cihac" of Iasi in the years 1995-2003]. / Prioritizarea principalelor probleme de sanatate cu impact asupra activitatii spitalul Clinic Militar de Urgenta Iasi "Dr. Iacob Cihac" in perioada 1995-2003.

The various health problems that are faced by a hospital institution at any given point in time, compete for the usually limited resources that are available, while the health needs are infinite.Therefore, the prioritization process is a key to a functional activity. The prioritization method involves the formal selection criteria and system used to prioritize the health conditions. The Hanlon method is a quality one, and considers the following criteria: the magnitude of the problem, the severity of the problem, the predicted effectiveness of the intervention, and the feasibility of intervening to address the problem. This method requires a technique to allocate a score for each criterion and each health condition. According to hospitalized morbidity rates registered between 1995-2003, using prioritization method, we detected the main causes to address for improving the activity of Emergency Military Hospital "Dr. Iacob Cihac" Iasi through a better selection of the inpatients and primary health care and community involvement. The presentation of the results situated on the top cardiovascular diseases, and on the last place the bone and articular diseases.

[Population aging and public health. The active aging concept]. / Imbatrânirea populatiei si sanatatea publica. Conceptul de îmbatrânire activa.

Population aging has been recognized as one of the most important human achievement, being the result of improved living conditions and medical advances. According to UN Projections, in the year 2025 there will be living in the world 1.2 billion elderly people, and 71 % of them are likely to be in the developing countries. Between 1950 and 2025, the "Old" Old (those who are 80 years and above) will grow twice as fast as the 60-plus age group. In these conditions, we are confronted with two major issues: providing older people with opportunities for independence, health, productivity, and protection while at the same time maintaining economic prosperity in society. These two issues will require multiple economic, financial and social changes. The concept of quality of life is expressed in this large chapter about aging through active aging, which is depending on social and economic factors, personal and behavioural factors, health and social services, environment, gender and culture. The programmes for promoting active aging have to encourage healthy life styles, including healthy nutrition policies, active life and avoidance of chronic illnesses.

[Population aging. Current issues]. / Imbatrânirea populatiei: probleme actuale.

The aging process of the population, obviously in developed countries, involves many socio-economic and political changes. This demographic trend is due to the decreasing of birth rate and fertility rate on one hand, and, on the other hand, to the decrease of crude mortality and infant mortality rate. These mean that the rising proportion of the old people is greater cause of concern, because most of these people require considerable support, frequently in institutions, and often at public expense. Taking demographic data and trends as the starting point, the society has to focus on social protection and health policies in order to improve the quality of life for the elderly.