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Unlabelled: Analyzing the meteorological factors influence perception on state of health and evaluation of the awareness of how they act., Material and Methods: The study was carried out between 2010-2011 on a sample of 75 patients from of a cabinet of family medicine in the city of Iasi. The lot included randomly selected persons with age between 18-74 years. They answered a questionnaire with 25 items. The questionnaire Included demographic date (age, education, social, financial situation, the belonging religious) and questions on personal perception and evaluation of the influence of climate and weather conditions on individual state of health, degree to promote beneficial climatic factors in maintaining health and quality of life., Results: The istribution of Cases in function of perception implication in meteorological factors in health reveals the following aspects: they showed significantly morecases meteoro-sensibili from urban areas (45.3%) and meteoro dependentecases from rural areas (10.7%) in our group has revealed several casesmeteorosensibile both females (36%) and the male ones (14.7%) Distribution in the study group depending on the class of diseases revealed predominant rheumatic diseases (36%) and heart disease (33.3%), haematological (20%) mental illness (14.7%) digestive (12%),respiratory diseases and neurological (10.7%)., Conclusions: Meteorological facts does not represent etiological but the favoring or triggering factors in some pathological conditions. Important weather newsletters in informing and educating patients about the risks of meteorological sesnsibili requires that a necessity for maintaining health andquality of life.

Unlabelled: Quality of life in relation to health is a consequence of disease and treatment on the patient's perception of his ability to have a full and useful life. Due to its nature, the quality of life is a multidimensional and subjective construct, based on the patient's experience. We operationalized the quality of life using the following parameters: CD4 count and HIV viral levels in the patient's blood, the number of days of hospitalization, number of antiretroviral plans, types of side effects and their frequency, psychological issues (anxiety, depression, and neurotic tendencies)., Methods: We centralized data from a total of 600 patients from the Regional Center in Iaşi in 2010-2011. Side effects accused by the patients emerged from discussions with the infectious disease doctor and psychologist, and psychological aspects were measured by specific instruments (PA Inventory, Beck Depression Scale)., Results: Most patients enrolled in the study were male (59%) with mean age of 21.1 years. 34% of them came from rural areas. Average schooling level was 6 primary classes, with extremes between the two classes of primary and higher education. Only 14% of patients had a job, while the rest did not have a stable job or were not employed. 38% came from broken homes or foster care. 85% of patients were in therapy at the time of data centralization. 55% were in the second, third or fourth regimen. 25% were at their first scheme, while 10% in the seventh - eighth scheme. The mean CD4 count ranged between 13 and 269/mmc, while the average viral load varied between 1730 and 3.180.000/mmc. The average number of days of hospitalization was 4. Among the antiretroviral side effects patients complained nausea and vomiting in 85% of cases, lipodystrophy symptoms in 25% of cases, diarrhea 15%. With regard to psychological aspects, 65% of patients showed an above average level of anxiety, 40% showed depressive symptoms, while 10% had specific obsessions-compulsions, and 10% neurotic and hysterical tendencies., Conclusions: By measuring the quality of life through the above parameters, we obtained a clear and comprehensive picture of the situation facing the HIV patient. We believe that close cooperation between the team of doctors and psychologists assisting the infectious patient, on the one hand, and specialists in other medical fields that interact with the patient, on the other hand, can enhance the quality of life of the HIV patient and maintain it at a comfortable level.

Unlabelled: Tuberculosis is a major public health problem worldwide. Our study aimed to investigate epidemiological and demographic characteristics of tuberculosis infection and resistance to antituberculous drugs in Iasi County in 2009., Material and Method: We have analysed the epidemiological parameters for 687 patients with pulmonary tuberculosis, new cases confirmed by microscopy and cultivation on Lowenstein Jensen. First and second-line antituberculous susceptibility testing was done for 130 strains, using agar proportion method and absolute-concentration method., Results: The number of new cases of tuberculosis was higher in rural areas and in males 41-50 years old (sex ratio=2.22). The proportion of positive cases in microscopy was 81.51%. Drug resistance was as follows: 16 isolates (12.3%) to isoniazid, 5 (3.84%) to rifampin, 2 (1.53%) to ethambutol, 2 (1.53%) to streptomycin and 4 (3.07%) were multidrug-resistant., Conclusions: In this study we found high resistance rates to isoniazid, streptomycin and ethambutol. This requires increasing efficiency of tuberculosis diagnosis and susceptibility testing.

Background and Aims: Prevention and reduction of cardio-vascular mortality are in relationship with understanding and being able to modify risk factors, among which overweight and obesity become the most significant. The aim of this paper is to define cardio-metabolic risk factors which are specific to the studied population, and also to find elements of lifestyle that lead to overweight. We targeted smoking, alcohol consumption, stress, physical exercise, income and educational level., Material and Methods: We studied a sample of 172 subjects, representative for the population of Deleni, a rural community in Iaşi County; among these subjects, 67 were men, 105 were women, with an average age of 54. For each a chart was filled, containing demographic data, socio-economic status, personal and family medical history. We measured anthropometric parameters: weight (W), height (H), waist circumference (WC) and we calculated body mass index (BMI), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR). We performed interviews to fill in a food frequency questionnaire, the Perceived Stress Scale and the International Physical Activity Questionnaire., Results: In the lot studied, 44.2% are overweight and 18.6% are obese, the majority of these being women. Regarding WC, among normal weight, 52.4% have large WC (> or = 94cm for men and > or = 80cm for women). Obesity markers positively correlate with increase in age and decrease in income (p=0.024), with low educational level, regular consumption of coffee (p=0.093), and negatively correlate with excessive alcohol consumption (p=0.049) and smoking (p=0.003). As expected, there is an inverse relationship between increased physical exercise and BMI (p=0.015) and a direct relationship between increased stress level and WC., Conclusions: Anthropometric parameters are sensible markers in evaluating the influence of lifestyle on cardio-metabolic risk.

Unlabelled: Malnutrition is a major health problem in our country by maintaining a high number of infants with poor nutritional status. Various studies have highlighted the role of infant's malnutrition in the development of adult diseases., Methods: We made a cross-sectional study during six months (October 2010 - March 2011) on a group of 63 infants admitted in Pediatric Recovery Department-Children's Hospital, Iasi; we evaluated the presence of risk factors for malnutrition. The data were processed using SPSS 16 and Epilnfo 3.5.2. (December 2010)., Results: The infants were predominantly female (52,4%); the most affected age group was 5-24 weeks (84,11%). Most of them came from rural areas (79,4%), from families with low socioeconomic income (95,2%), mothers with a low educational status (63,4%), housewives (88,9%). We noted the presence of previous diseases in 71,4% infants. Only 12 infants received breast milk for a short time (three weeks), the other 51 infants have been bottle-fed since birth. Complementary food was incorrect in 68,42% cases. With a proper diet the mean weight gain was 895,68 g and the Z score values (weight for age, height for age, weight for height) have improved during an average of 34,15 days; positive correlation between these factors is strong., Conclusions: Low socio-economic income, rural areas, low maternal educational level, diet errors, small infants with multiple previous diseases are the main risk factors in malnutrition's occurrence. We consider particularly important to solve social problems too, not only the medical, because when the infant returns in the same disadvantaged family there is an increased risk for malnutrition to recur.

The large number of cases with renal lithiasis occurring in the population of the south-east region of Iasi county has determined us to make a study in this region for the identification of environmental and individual factors involved in the etiopathogenesis of this disease. This study is performed to assert the corelation between the clinical and paraclinical patients data with those obtained through water and soil chemical analisys for identification of determinant environmental and individual factors involved in etiopathogenesis of this disease. This study indicates that the environment factors (water, soil) correlated with personal factors, especially the diet and standard of living are the favouring factors of renal lithiasis.

Unlabelled: Growth and development are influenced by genetic and environmental factors. From the environmental factors, nutrition plays a key role and is income dependent., Objectives: Assessing food intake according to family financial status., Material and Method: A study was conducted on 134 preschool children (ages from 3 to 7 years of age) from a Negreşti kindergarten. Questionnaires were filled by parents for weekly food intake and family financial situation. Statistical analysis used Pearson test., Results: According to income the group is structured in: very low income (32.8%), low income (28.3%), average income (26.8%) and above average income (12.1%). The majority of the families provides milk to their children (58.9%), varying from 54.5% (very low income) to 63.1% (low income). Poultry is present in the diet mainly for 2-3 times per week (45.5%) going from 36.8% in low income families to 55.5% in average income families. Daily fruit intake is present in 59.7% of families, varying from 45.4% (very low income) to 68.7% (above average income). Recorded differences have no statistic significance., Conclusion: Families income is different but the nutrition provided to children is similar, being strongly influenced by traditional nutritional habits.

Health status is determined by a combination of biological, environmental (physical and socio-economic), behavioural/lifestyle and medical care factors. The social and economic factors include many influences over which an individual may have limited control, such as economic status or educational level. The most important measures of these factors are represented by: gross domestic product per capita, employment rate, unemployment rate, literacy rate, poverty line, and human development index. From this point of view, the following positive issues have been recorded in Romania: a low unemployment rate (6.1%) compared to European Union countries; a high literacy rate (97.3%), very close to the maximum of 100% reported by all developed countries; and a human development index of 0.805 (rank 60 in the international hierarchy), specific to a country with a high human development. Negative issues have been reported in case of the following indicators: the reported gross domestic product per capita expressed in PPP US$ was 8480, among the lowest in Europe, specific to a country with a medium income; population living with less than 2 US$ per day of 13% and living with less than 1 US$ per day 2.1%; the employment rate was 57.4%, but in female population only 51.3%, whereas in male population it was 63.9%.