摩尔多瓦共和国神经外科的历史和现状：庆祝神经外科系成立 25 周年。

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-10-28 DOI:10.1016/j.wneu.2024.10.004

Grigore Zapuhlîh , Gail Rosseau , Nathan A. Shlobin , Marcel Ivanov , Valeriu Matcovschi , Vladimir Dolghi , Radu Safta , Aurel Bodiu , Valeriu Vicol , Victor Andronachi , Anatol Litovcenco , Angela Leanca , Adrian Danu , Iulian Glavan , Vioral Gaina , Dan Lisii , Viorel Guranda , Vasile Postolati , Augustin Zapuhlîh , Nicu Ribac , Oxana Grosu

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引用次数: 0

摘要

背景：全世界有 50 亿人无法获得安全、及时和负担得起的手术和麻醉护理。由于人员、资源和基础设施不足，中低收入国家的缺口最大，尤其是包括神经外科在内的专科手术服务。东南欧国家摩尔多瓦共和国就是这样一个中等收入国家：方法：我们与摩尔多瓦从事神经外科护理的主要人员进行了讨论，以了解摩尔多瓦神经外科的历史和现状。通过连锁转诊抽样过程，摩尔多瓦所有执业神经外科医生都被邀请参与本项目的实施和撰写：神经外科起源于苏联，20 世纪 40 年代成为国家卫生系统的一部分，1999 年成立了第一个神经外科部门。11 家医院（包括 8 家公立医院和 3 家私立医院）提供神经外科服务，在 2023 年拥有 239 张病床和 5330 个病例。大多数神经外科主治医师和住院医师都是男性，但这种情况正在发生变化，接受培训的住院医师中有三分之一以上是女性。摩尔多瓦有一个神经外科住院医师培训项目和一个为期两年的血管内神经外科奖学金项目，并在国外接受进一步的奖学金培训。大多数中心都有 CT 和 MRI：本文首次描述了摩尔多瓦神经外科的历史和现状，并提出了重要建议，为国际神经外科界在需求尚未得到满足的国家发展神经外科护理提供指导。

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The History and Current State of Neurosurgery in the Republic of Moldova: Celebrating the 25th Anniversary of the Founding of the Department of Neurosurgery

Background

Five billion people worldwide lack access to safe, timely, and affordable surgical and anesthesia care. This deficit is greatest in low- and middle-income countries, especially for specialty surgical services including neurosurgery, due to insufficient personnel, resources, and infrastructure. The southeastern European nation of the Republic of Moldova is one such middle-income country.

Methods

Discussions with key individuals involved in neurosurgical care in Moldova were conducted to characterize the history and current state of neurosurgery in Moldova. Via a process of chain referral sampling, all practicing neurosurgeons in Moldova were invited to participate in the execution and authorship of this project.

Results

Developing from origins in the Soviet Union, neurosurgery became part of the national health system in the 1940s, with the creation of the first neurosurgery department in 1999. Eleven hospitals, including eight public and 3 private, offer neurosurgical services, with 239 beds and 5330 cases performed in 2023. Most attending neurosurgeons and residents are male, but this is changing as women comprise over one-third of residents in training. There is one neurosurgery residency program and a 2-year fellowship in endovascular neurosurgery in Moldova, with further fellowship training received outside of the country. Computed tomography and magnetic resonance imaging are available at most centers.

Conclusions

This article provides the first-ever description of the history and current state of neurosurgery in Moldova and presents key recommendations to guide the international neurosurgery community in developing neurosurgical care in countries with an unmet need.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.