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Kempers J, Rotaru C, Topa A, Zarbailov N, Curteanu A, Prytherch H. Does training on the WHO package of essential noncommunicable (PEN) disease interventions enhance consultation quality? A real-world assessment of adherence to PEN protocol in primary health centres in the Republic of Moldova. Glob Health Action 2023; 16:2285619. [PMID: 38032682 PMCID: PMC10795647 DOI: 10.1080/16549716.2023.2285619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Accepted: 11/15/2023] [Indexed: 12/01/2023] Open
Abstract
BACKGROUND Noncommunicable diseases (NCDs) pose a significant global health challenge. Primary health centres are pivotal in addressing this challenge by providing essential care to NCD patients. The WHO Package of Essential Noncommunicable (PEN) disease interventions has been designed to enhance the quality of NCD consultations and ensure adherence to the protocol. This study investigates the effects of PEN training in Moldova. OBJECTIVES The primary objective of this study is to assess the effects of training on WHO PEN on the quality of NCD consultations and adherence to the PEN protocol in a real -world setting in primary health centres in Moldova. METHODS An observational, cross-sectional study was conducted, comparing primary health centres where health personnel received PEN training, provided by the Healthy Life project, to those where such training was not provided. In total, 24 family doctors and 24 medical assistants were observed for 233 workdays and covering 2,166 NCD consultations. RESULTS Intervention primary health centres (PHCs) showed longer NCD consultation durations, with family doctors and medical assistants spending an added 1 minute 43 seconds and 3 minutes 10 seconds, respectively. These PHCs also reported a higher proportion of primary NCD consultations, indicating better screening for new NCD patients. Medical assistants in the intervention group took on a more pronounced role in NCD care. However, the findings also highlight the necessity to refine aspects of the PEN training, especially concerning follow-up consultations, risk assessments, and task delegation. CONCLUSIONS The findings suggest that the PEN training contributed to improvement of both the quality of NCD consultations and adherence to the PEN protocol. Yet, there is a need for enhancing the identified aspects of the PEN training. The findings highlight the potential of PEN training in primary healthcare settings for improved NCD management.
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Affiliation(s)
- Jari Kempers
- European Health Economics Oy, Jyväskylä, Finland
| | | | - Alexandra Topa
- Public Medical Sanitary Institution, Territorial Medical Association of Botanica, Health Centre of Muncesti, Chisinau, Republic of Moldova
- Family Medicine Department, State University of Medicine and Pharmacy “Nicolae Testemitanu”, Chisinau, Republic of Moldova
| | - Natalia Zarbailov
- Family Medicine Department, State University of Medicine and Pharmacy “Nicolae Testemitanu”, Chisinau, Republic of Moldova
- Healthy Life Project: Reducing the Burden of Noncommunicable Diseases, Chisinau, Republic of Moldova
| | - Ala Curteanu
- Healthy Life Project: Reducing the Burden of Noncommunicable Diseases, Chisinau, Republic of Moldova
- Research and Innovation Department, Mother and Child Health Institute, Chisinau, Republic of Moldova
| | - Helen Prytherch
- Swiss Centre for International Health, Swiss Tropical and Public Health Institute, Allschwil, Switzerland
- University of Basel, Basel, Switzerland
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Delvento G, Curteanu A, Rotaru C, Van Poel E, Willems S, Prytherch H, Curocichin G. The impact of the COVID-19 pandemic on primary health care practices and patient management in the Republic of Moldova - results from the PRICOV-19 survey. BMC Prim Care 2023; 24:221. [PMID: 37880576 PMCID: PMC10598887 DOI: 10.1186/s12875-023-02116-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/08/2023] [Accepted: 07/20/2023] [Indexed: 10/27/2023]
Abstract
BACKGROUND The COVID-19 pandemic has had an enormous impact on health systems in Europe and has generated unprecedented challenges for tertiary care. Less is known about the effects on the activities of local family doctors (FDs), who have shifted tasks and adapted their practice to accommodate the new services brought by the pandemic. The PRICOV-19 study was a multi-country survey aiming to understand the challenges posed by the pandemic in primary health care (PHC) practices around Europe. Within the framework of this study, we assessed the impact of the pandemic on PHC facilities in urban, rural, and mixed urban/rural areas in the Republic of Moldova. METHODS We present the results from the PRICOV-19 questionnaire designed at Ghent University (Belgium) and distributed between January and March 2021 to PHC facilities from the 35 districts of the Republic of Moldova. This analysis presents descriptive data on limitations to service delivery, staff role changes, implementation and acceptance of COVID-19 guidelines, and incidents reported on staff and patient safety during the pandemic. RESULTS Results highlighted the differences between facilities located in urban, rural, and mixed areas in several dimensions of PHC. Nearly half of the surveyed facilities experienced limitations in the building or infrastructure when delivering services during the pandemic. 95% of respondents reported an increase in time spent giving information to patients by phone, and 88% reported an increase in responsibilities. Few practices reported errors in clinical assessments, though a slightly higher number of incidents were reported in urban areas. Half of the respondents reported difficulties delivering routine care to patients with chronic conditions and a delay in treatment-seeking. CONCLUSIONS During the pandemic, the workload of PHC staff saw a significant increase, and practices met important structural and organizational limitations. Consequently, these limitations may have also affected care delivery for vulnerable patients with chronic conditions. Adjustments and bottlenecks need to be addressed, considering the different needs of PHC facilities in urban, rural, and mixed areas.
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Affiliation(s)
- Giulia Delvento
- Swiss Tropical and Public Health Institute, P.O. Box, CH-4002, Basel, Switzerland.
- University of Basel, P.O. Box, CH-4003, Basel, Switzerland.
| | - Ala Curteanu
- Healthy Life project: Reducing the Burden of Non-Communicable Diseases in Moldova, Chișinău, Moldova
- Swiss Agency for Development and Cooperation (SDC), Chișinău, Moldova
- Mother and Child Institute, Chișinău, Republic of Moldova
| | - Cristina Rotaru
- Healthy Life project: Reducing the Burden of Non-Communicable Diseases in Moldova, Chișinău, Moldova
- Swiss Agency for Development and Cooperation (SDC), Chișinău, Moldova
- Nicolae Testemitanu Medical University, Chișinău, Republic of Moldova
| | - Esther Van Poel
- Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
- Quality and Safety Ghent, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Sara Willems
- Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
- Quality and Safety Ghent, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Helen Prytherch
- Swiss Tropical and Public Health Institute, P.O. Box, CH-4002, Basel, Switzerland
- University of Basel, P.O. Box, CH-4003, Basel, Switzerland
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Kempers J, Bohle LF, Topa A, Ross G, Kasymova Z, Yarbaeva S, Rotaru C, Prytherch H. Investment case for two-year post university speciality training in family medicine in Tajikistan: how much is needed for continuing and scaling up the improved education of family doctors? BMC Health Serv Res 2020; 20:1132. [PMID: 33298056 PMCID: PMC7724868 DOI: 10.1186/s12913-020-05953-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2019] [Accepted: 11/22/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND A new two-year Post University Specialty Training (PUST) programme in family medicine was introduced to improve the quality of postgraduate speciality medical education in Tajikistan. Postgraduate education of family doctors (FDs) needs to be urgently scaled up, as 38% of FD positions in Tajikistan remained unfilled in 2018. Moreover, the international financial support for the PUST programme is ending. This investment case assesses the minimum funding needed for the continuation and scale-up of PUST and establishes the rationale for the investment in the light of a recent evaluation. METHODS The costs of the programme were calculated for 2018 and a scale-up forecast made for the period 2019-2023. The impact of the scale-up on the shortage of FDs was assessed. An evaluation using a Multiple Choice Questionnaire and Objective Structured Clinical Examination (OSCE) assessed and compared theoretical knowledge, clinical skills and competencies of PUST trained and conventionally trained FDs. RESULTS The annual costs of the programme were US$ 228,000 in 2018. The total investment needed for scaling up PUST from 31 new FDs in 2018 to 100 FD graduates each year by 2023 was US$ 802,000.However, when the retirement of FDs and population growth are considered, the scale-up will result only in maintaining the current level of FDs working and not solve the country's FD shortage. The PUST FDs demonstrated significantly better clinical skills than the conventionally trained interns, scoring 60 and 45% of OSCE points, respectively. Theoretical knowledge showed a similar trend; PUST FDs answered 44% and interns 38% of the questions correctly. CONCLUSIONS The two-year PUST programme has clearly demonstrated it produces better skilled family doctors than the conventional one-year internship, albeit some enduring quality concerns do still prevail. The discontinuation of international support for PUST would be a major setback and risks potentially losing the benefits of the programme for family medicine and also other specialities. To guarantee the supply of adequately trained FDs and address the FD shortage, the PUST should be continued and scaled up. Therefore, it is essential that international support is extended and a gradual transition to sustainable national financing gets underway.
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Affiliation(s)
- Jari Kempers
- Qalys Health Economics, Amsterdam, the Netherlands.
| | - Leah F Bohle
- Swiss Tropical and Public Health Institute, Basel, Switzerland.,University of Basel, Basel, Switzerland
| | - Alexandra Topa
- State University of Medicine and Pharmacy "Nicolae Testemitanu", Chișinău, Republic of Moldova
| | - Greta Ross
- Swiss Agency for Development & Cooperation's Medical Education Reform Project, Dushanbe, Republic of Tajikistan
| | - Zukhra Kasymova
- Swiss Agency for Development & Cooperation's Medical Education Reform Project, Dushanbe, Republic of Tajikistan
| | - Shakhlo Yarbaeva
- Swiss Agency for Development & Cooperation's Medical Education Reform Project, Dushanbe, Republic of Tajikistan
| | | | - Helen Prytherch
- Swiss Tropical and Public Health Institute, Basel, Switzerland.,University of Basel, Basel, Switzerland
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Blake C, Bohle LF, Rotaru C, Zarbailov N, Sava V, Sécula F, Prytherch H, Curteanu A. Quality of care for non-communicable diseases in the Republic of Moldova: a survey across primary health care facilities and pharmacies. BMC Health Serv Res 2019; 19:353. [PMID: 31164125 PMCID: PMC6547568 DOI: 10.1186/s12913-019-4180-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2018] [Accepted: 05/22/2019] [Indexed: 12/02/2022] Open
Abstract
Background The Republic of Moldova is faced with a high prevalence of non-communicable diseases (NCDs) related to lifestyle and health behavioural factors. Within the frame of the decentralisation reform, the primary health care system has been tasked to play an important role in the provision of preventative and curative NCD health services. There is however limited evidence available on the actual coverage and quality of care provided. Our paper aims to provide an updated overview of the coverage and quality of service provision in rural and urban regions of Moldova. Methods We designed a facility-based survey to measure aspects of coverage and quality of care of NCD services across 20 districts of the Republic of Moldova. This study presents descriptive data on the structural, procedural and clinical aspects of primary healthcare delivery at health centre and family doctor office level. Adjacent private pharmacies were also assessed for the availability of essential NCD medicine. Results Organised under the WHO Health Systems Framework, our findings highlight that service provision and information were generally the strongest among the six health systems building blocks, with more weaknesses found in the area of the health workforce, medical products, financing, and leadership/governance. Urban facilities generally fared better across all indicators. Conclusions The gaps in service provision identified by this study require broad health system improvements to ensure NCD related policies and strategies are embedded in primary health care service provision. This likely calls for stronger coordination and collaboration between the public and private sectors and the different levels of government working towards ensuring universal health coverage in Moldova. Electronic supplementary material The online version of this article (10.1186/s12913-019-4180-4) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Carolyn Blake
- Swiss Centre for International Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.
| | - Leah F Bohle
- Swiss Centre for International Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.,University of Basel, Basel, Switzerland
| | - Cristina Rotaru
- Healthy Life project: Reducing the Burden of Non-Communicable Diseases in Moldova, Chisinau, Moldova
| | - Natalia Zarbailov
- Healthy Life project: Reducing the Burden of Non-Communicable Diseases in Moldova, Chisinau, Moldova.,State University of Medicine and Pharmacy "Nicolae Testemiţanu", Chișinău, Moldova
| | - Valeriu Sava
- Swiss Agency for Development and Cooperation (SDC), Chisinau, Moldova
| | - Florence Sécula
- Swiss Centre for International Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.,University of Basel, Basel, Switzerland
| | - Helen Prytherch
- Swiss Centre for International Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.,University of Basel, Basel, Switzerland
| | - Ala Curteanu
- Healthy Life project: Reducing the Burden of Non-Communicable Diseases in Moldova, Chisinau, Moldova.,Mother and Child Institute, Chisinau, Moldova
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Abstract
OBJECTIVES The purpose of this study was to investigate whether the femoral head-neck contour, characterised by the alpha angle, varies with the stage of physeal maturation using MRI evaluation of an asymptomatic paediatric population. METHODS Paediatric volunteers with asymptomatic hips were recruited to undergo MRI of both hips. Femoral head physes were graded from 1 (completely open) to 6 (completely fused). The femoral head-neck contour was evaluated using the alpha angle, measured at the 3:00 (anterior) and 1:30 (anterosuperior) positions and correlated with physeal grade, with gender sub-analysis performed. RESULTS A total of 43 asymptomatic paediatric volunteers (26 male, 17 female) with mean age 13.0 years (eight to 18) were included with review of bilateral hip MRIs. Correlation between the physeal grade and alpha angle was moderate in males at both the 3:00 (r = 0.477, p < 0.001) and 1:30 (r = 0.509, p < 0.001) positions, whereas there was no significant correlation in females. A significant difference was found between the alpha angles of all the physeal grades (3:00, p = 0.030, 1:30, p = 0.005), but only in males, with the angle increasing with higher grades. For physeal grading, the inter-reader reliability was substantial (intraclass correlation coefficient (ICC) = 0.694), and the intra-reader reliability was also substantial (ICC = 0.788). CONCLUSION The femoral head-neck contour varies and correlates with the stage of physeal development, but only in males, with the alpha angle increasing with progressive physeal maturation. This suggests that gender differences exist in the natural physiological growth, development or remodelling of femoral head-neck junction. In males, pre-physeal fusion may be a critical period of vulnerability for development of morphologic abnormalities of the femoral head-neck junction. Cite this article: Bone Joint Res 2015;4:17-22.
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Affiliation(s)
- A Vo
- University of Ottawa, 451 Smyth Rd, Ottawa, Ontario, K1H 8M5, Canada
| | - P E Beaule
- The Ottawa Hospital, 501 Smyth Road, Ottawa, Ontario, K1H 8L6, Canada
| | - M L Sampaio
- The Ottawa Hospital, 501 Smyth Road, Ottawa, Ontario, K1H 8L6, Canada
| | - C Rotaru
- Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, Ontario K1H 8L1, Canada
| | - K S Rakhra
- The Ottawa Hospital, 501 Smyth Road, Ottawa, Ontario, K1H 8L6, Canada
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Nonent M, Ben Salem D, Serfaty JM, Buthion V, Pasco-Papon A, Rotaru C, Bressollette L, Papon X, Pachai C, Fortrat JO, Gouny P, Badra A, Berge J, Le Bras Y, Cottier JP, Gauvrit JY, Douek P. Overestimation of moderate carotid stenosis assessed by both Doppler US and contrast enhanced 3D-MR angiography in the CARMEDAS study. J Neuroradiol 2010; 38:148-55. [PMID: 20728218 DOI: 10.1016/j.neurad.2010.05.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2010] [Revised: 05/01/2010] [Accepted: 05/20/2010] [Indexed: 11/18/2022]
Abstract
PURPOSE To evaluate the agreement and diagnostic accuracy of Contrast enhanced magnetic resonance angiography (CE-MRA), Doppler ultrasound (DUS) and Digital subtraction angiography (DSA) in the assessment of carotid stenosis. METHODS DUS, CE-MRA and DSA were performed in 56 patients included in the Carotide-angiographie par résonance magnétique-échographie-doppler-angioscanner (CARMEDAS) multicenter study with a carotid stenosis ≥ 50%. Three readers evaluated stenoses on CE-MRA and DSA (NASCET criteria). Velocities criteria were used for stenosis estimation on DUS. RESULTS CE-MRA had a sensitivity and specificity of 96-98% and 66-83% respectively for carotid stenoses ≥ 50% and a sensitivity and specificity of 94% and 76-84% respectively for carotid stenoses ≥ 70%. The interobserver agreement of CE-MRA was excellent, except for moderate stenoses (50-69%). DUS had a sensitivity and specificity of 88 and 75% respectively for carotid stenoses ≥ 50% and a sensitivity and specificity of 83 and 86% respectively for carotid stenoses ≥ 70%. Combined concordant CE-MRA and DUS had a sensitivity and specificity of 100 and 85-90% respectively for carotid stenoses ≥ 50% and a sensitivity and specificity of 96-100% and 80-87% respectively for carotid stenoses ≥ 70%. The positive predictive value of the association CE-MRA and DUS for carotid stenoses ≥ 70% is calculated between 77 and 82% while the negative predictive value is calculated between 97 and 100%. CE-MRA and DUS have concordant findings in 63-72%, and the overestimations cases were recorded only for carotid stenosis ≤ 69%. CONCLUSION Combined DUS-CE-MRA is excellent for evaluation of severe stenosis but remains debatable in moderate stenosis (50-69%) due to the risk of overestimations.
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Affiliation(s)
- M Nonent
- Department of Radiology, University Hospital Center, hôpital de la Cavale-Blanche, boulevard Tanguy-Prigent, 29609 Brest cedex, France
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Serfaty JM, Nonent M, Nighoghossian N, Rouhart F, Derex L, Rotaru C, Chirossel P, Thabut G, Guias B, Heautot JF, Gouny P, de la Vega A, Pachai C, Ecochard R, Villard J, Douek PC. Plaque density on CT, a potential marker of ischemic stroke. Neurology 2006; 66:118-20. [PMID: 16401860 DOI: 10.1212/01.wnl.0000191391.71614.51] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The authors sought to determine in a retrospective analysis whether carotid plaque soft TD on CT is associated with recent ischemic neurologic events. Among 141 patients (99 asymptomatic), 106 plaques with more than 50% stenosis were selected for density measurements. They found an odds ratio for neurologic events associated with a 10-point decrease in density of 1.54 (p = 0.002), showing an association between plaque density and neurologic events.
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Affiliation(s)
- J M Serfaty
- Department of Radiology, University Hospital Center, Lyon, France.
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Alexandra D, Popescu M, Popescu MP, Rotaru C, Anghel C. [The ergo-ophthalmological problems raised by work at video terminals]. Oftalmologia 1990; 34:35-8. [PMID: 2101029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
The paper reports a study on the involvement of the visual system during work at video terminal. The results of the investigations on a group of operators in a computation centre were used for describing an optimum anatomicofunctional visual type for work at video terminal and the hygiene rules to be observed during work at the computer screen.
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Affiliation(s)
- D Alexandra
- Spitalul Constructorilor, Serviciul de Oftalmologie
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Popescu MP, Popescu DA, Rotaru C, Anghel C. [Computer-assisted testing of the sense of color]. Rev Chir Oncol Radiol O R L Oftalmol Stomatol Ser Oftalmol 1989; 33:259-63. [PMID: 2533366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The authors used the discrimination method--pseudoisochromatic phases and the comparison-assortment method for the chromatic sense examination in a group of subjects working in the motor transport and chemical textile dying. Computer programs were devised for examination data processing and for diagnosis display. After each testing, the data of each subject are added to the patient's card to be subsequently looked up and used for statistics.
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Vâlsănescu T, Mateescu MA, Schell HD, Enache E, Benţia T, Scânteie L, Zarchievici V, Rotaru C. All-reagent test tablets and method for rapid and selective alpha-amylase iodometric determination. Anal Biochem 1985; 146:299-306. [PMID: 3875297 DOI: 10.1016/0003-2697(85)90543-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
The new type of test tablets (Iodocrom) for alpha-amylase assay contain crosslinked (CL)-amylose or CL-starch (specific substrates for alpha-amylase only) and the reagent (KIO3/KI) generating iodine (in acidic medium, when the reaction is stopped). The method--amyloclastic in nature--is based on selective action of alpha-amylase on the CL-substrate liberating soluble polysaccharide chains large enough and in a conformation suitable to allow the formation of iodine inclusion complexes. Unlike the classical iodometric methods, the reaction is followed by an increase in iodine complex blue color. The method has some common points with the well-known chromogenic (e.g., Phadebas) methods. Both use insoluble substrates which are not susceptible to attack by exoamylases and in both cases the enzymatic reaction is followed by the release of soluble products. The amounts of these released chains and the absorbances of their inclusion complexes with iodine are in a linear dependence with the enzyme concentration (activity).
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Rotaru C, Iliescu D, Dumitriu D, Nechifor M. [The isolation of mucoproteins from the protein component of pulmonary surfactants]. Rev Med Chir Soc Med Nat Iasi 1978; 82:431-5. [PMID: 16296502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
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Rotaru C, Nechifor M, Neamţu C, Bazgan L. [Action of the lipid and protein fractions of pulmonary surfactant and homogenate on transmembrane active transport]. Rev Med Chir Soc Med Nat Iasi 1978; 82:81-6. [PMID: 580967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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15
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Rotaru C, Nechifor M, Bazgan L. [Study of correlations between prostaglandins and components of the pulmonary surfactant system]. Rev Med Chir Soc Med Nat Iasi 1977; 81:625-9. [PMID: 580657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Rotaru C, Roşca V, Vintilă G. [Experimental studies of the implications of proteins in the activity of the pulmonary surfactant system]. Rev Med Chir Soc Med Nat Iasi 1977; 81:239-43. [PMID: 578583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Rotaru C, Nechifor M, Vintilă G. [Role of prostaglandins in the structure and functions of the pulmonary surfactant system]. Rev Med Chir Soc Med Nat Iasi 1977; 81:81-5. [PMID: 577316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Lupaşcu G, Rotaru C, Trifan N, Samoilă V. [Mucoproteins in the blood of umbilical cord vessels. Test for evaluation of fetal distress]. Rev Med Chir Soc Med Nat Iasi 1974; 78:663-8. [PMID: 4453694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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Creţeanu G, Rotaru C, Herşcovici S, Hurjui I, Hărătău E. [Changes of ground substance and their relations with some biochemical constants of the blood in the aged]. Rev Med Chir Soc Med Nat Iasi 1969; 73:165-8. [PMID: 5799859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Rotaru C. [Considerations on the evolution of mucoproteins in the cerebrospinal fluid in physical fatigue]. Rev Med Chir Soc Med Nat Iasi 1968; 72:413-9. [PMID: 5677765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Rotaru C. [Contributions to the study of the origin of mucoproteinuria during physical fatigue]. Rev Med Chir Soc Med Nat Iasi 1968; 72:173-9. [PMID: 5650663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Rotaru C. [Research on the electrophoretic serum protein pattern and mucoproteins in the blood serum during generalized muscular effort]. Rev Med Chir Soc Med Nat Iasi 1967; 71:671-6. [PMID: 4169158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Rotaru C, Hăulică I, Petruşca R. [Research on the evolution of fatigue in workers exposed to a cold microclimate]. Rev Med Chir Soc Med Nat Iasi 1967; 73:689-92. [PMID: 5619545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Rotaru C, Roşca V. [Research on the relationship between proteinuria and mucoproteinuria in conditions of generalized muscular fatigue]. Rev Med Chir Soc Med Nat Iasi 1967; 71:163-70. [PMID: 6062643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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Rotaru C, Pruteanu P, Roşca V. [Research on the relations between proteins and mucoproteins in blood serum in conditions of physical fatigue]. Rev Med Chir Soc Med Nat Iasi 1966; 70:1007-13. [PMID: 5991868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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