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CNAA / Theses / 2016 / June /

Incidence, early diagnosis and management of renal and urinary malformations treatment in children


Author: Rotaru Valentina
Degree:doctor of medicine
Speciality: 14.00.09 - Pediatrics
Year:2016
Scientific adviser: Petru Stratulat (decedat)
doctor habilitat, professor, Public Medical Sanitary Intitution Scientific Research Institute of Mother and Child Health Care
Scientific consultant: Boris Curajos
doctor habilitat, professor, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova
Institution: Public Medical Sanitary Intitution Scientific Research Institute of Mother and Child Health Care

Status

The thesis was presented on the 17 June, 2016
Approved by NCAA on the 6 October, 2016

Abstract

Adobe PDF document0.43 Mb / in romanian

Thesis

CZU 616.6-007-053.1

Adobe PDF document 2.79 Mb / in romanian
119 pages


Keywords

renal and urinary malformation, vesicoureteral reflux, hydronephrosis, early diagnosis, predisposing factor.

Summary

SUMMARY Incidence, early diagnosis and management of renal and urinary malformations treatment in children Doctoral thesis in medicine. Chişinău, 2016. Thesis structure: Introduction, five chapters of personal study, conclusions and recommendations, bibliographic index – 125 sources. The thesis is exposed on 119 pages of typed text. Iconographic material includes 26 figures and 17 tables. The results obtained were presented in 22 scientific publications. Keywords: renal and urinary malformation, vesicoureteral reflux, hydronephrosis, early diagnosis, predisposing factor. The field of study: pediatria Aim. Studying the incidence and the argumentation of methods of early diagnosis of renal and urinary malformations in children in order to develop the medical management algorithm. Thesis goals: 1. Studying the incidence of the kidney and urinary tract pathology detected antenatal and postnatal, according to addressability data. 2. Determining the predisposing factors causing the appearance of congenital malformations of the kidney and urinary tract. 3. Identifying the role of urinary infection in congenital pathology of the kidney and urinary tract and developing programs for prevention and treatment during neonatal and infancy periods. 4. Modeling the algorithm for early diagnosis of urinary tract anomalies. 5. Organizing a system to monitor the pathology of the kidney and urinary tract. Scientific novelty of the results obtained. For the first time in Moldova there have been conducted scientific researches aimed at determining morbidity caused by anomalies of the kidney and urinary tract, detected antenatal and postnatal, there have been outlined the ways for early diagnosis of these diseases and has been developed a monitoring system of this kind of diseases. Scientific problem solved in the research. There has been developed and put into practice at national level an inedited system to monitor the pathology of the kidney and urinary tract, which proved to be timely in detecting asymptomatic forms of CM, as well as in defining tactics of conservative treatment, which, once applied, effectively prevents the appearance of urinary infection, reduces considerably the number of complications, the need for surgical solutions and the level of disability in children. Theoretical significance. The results of scientific studies have a significant practical value, serving as a basis for timely and qualitative medical assistance for children with congenital malformations of the kidney and urinary tract. Applicative value of the work. The study’s results have served as solid guidance in providing a timely and qualitative medical assistance to children with congenital malformations of the kidney and urinary tract. Implementation of scientific results: The results of the study have been implemented in practice of specialists from the PMSI Mother and Child Institute, contribuiting to the early diagnosis of congenital malformations of the kidney and urinary tract.