WThe problem of the minorities' status in the European Union represents a research topic still less analyzed in Romanian historiography. Usefulness lies in deepening the clarification of concepts like "minority", "national minority", "linguistic minority", etc. and the establishment of certain criteria and scientific methodological approach to minority issues. Our contribution in this article consists in presenting the evolution of historical, sociological and legal concerns regarding the fate of the people belongs to national minorities, summarizing the achievements, butalso the failures of this development in European area.
In: Revista de cercetare şi intervenţie socială: RCIS = Review of research and social intervention = Revue de recherche et intervention sociale, Band 73, S. 95-113
In this study we aim to study in what way the Strength of motivation of the Romanian medical students has been influenced by harsh economic conditions that led to a massive migration. We conducted a cross-sectional study on a sample size of N=1516. We applied The Strength of Motivation for Medical School-Revised (SMMS) questionnaire and a questionnaire that examines the opinion of the students about migration. The mean value of motivation was 48 (maximum score is 75), 85% of the students have the intention to migrate. The determining factor of studying medicine abroad that correlates significantly with the Strength of motivation is represented by the better work conditions. Students studying in the South of the country want to practice primary in France, students in the North West and in the Center choose to practice medicine in Germany, and students from the East would like to go to Great Britain. The students with a high Strength of motivation are driven by the desire of the students to practice medicine abroad. Higher salaries don't represent the principal factor for leaving the country. The percent of 85% of the students aiming to practice medicine abroad, represent a concerning result for all of us because it took the form of brain drain.
In: van der Veer , S N , van Biesen , W , Bernaert , P , Bolignano , D , Brown , E A , Covic , A , Farrington , K , Jager , K J , Kooman , J , Macías-Núñez , J F , Mooney , A , van Munster , B C , Topinkova , E , Van Den Noortgate , N J A , Wirnsberger , G , Michel , J-P & Nistor , I 2016 , ' Priority topics for European multidisciplinary guidelines on the management of chronic kidney disease in older adults ' International urology and nephrology , vol 48 , no. 6 , pp. 859-69 . DOI:10.1007/s11255-016-1257-4
PURPOSE: To identify and prioritize potential topics to be addressed in the development of European multidisciplinary guidelines on the management of chronic kidney disease stage 3b-5 in older patients. METHODS: We composed a list of 47 potential guideline topics by reviewing the literature, consulting online 461 nephrologists and 107 geriatricians, and obtaining expert input. A multidisciplinary panel of twelve experts then prioritized the topics during a face-to-face consensus meeting, following a nominal group technique structure with two voting rounds. Topics were rated on a 9-point scale ranging from 1 ('not at all important') to 9 ('critically important'). RESULTS: The highest rating (median; range) was assigned to 'Screening and referral' (8.5; 2.0). Eight topics shared the second highest rating with a median priority score of 8.0 (2.0) and included 'Starting dialysis or not' and 'Accurate assessment of renal function.' 'Targets for and treatment of diabetes' received the lowest rating with (3.0; 6.0). CONCLUSIONS: This joint initiative of the European Renal Association-European Dialysis Transplant Association (ERA-EDTA) and the European Union Geriatric Medicine Society (EUGMS) prioritized the development of guidance on interdisciplinary referral of older patients with chronic kidney disease stage 3b-5. Future guidance will therefore focus on identifying prognostic scores to predict death and progression to end-stage renal disease, as well as accurate tests for assessment of renal function in older kidney patients. This will contribute to more informed treatment decision making in this growing patient population.
In: Farrington , K , Covic , A , Nistor , I , Aucella , F , Clyne , N , De Vos , L , Findlay , A , Fouque , D , Grodzicki , T , Iyasere , O , Jager , K J , Joosten , H , Macias , J F , Mooney , A , Nagler , E , Nitsch , D , Taal , M , Tattersall , J , Stryckers , M , van Asselt , D , Van den Noortgate , N , van der Veer , S & van Biesen , W 2017 , ' Clinical Practice Guideline on management of older patients with chronic kidney disease stage 3b or higher (eGFR <45 mL/min/1.73 m2) : a summary document from the European Renal Best Practice Group ' , Nephrology Dialysis Transplantation , vol. 32 , no. 1 , pp. 9-16 . https://doi.org/10.1093/ndt/gfw411
The population of patients with moderate and severe CKD is growing. Frail and older patients comprise an increasing proportion. Many studies still exclude this group, so the evidence base is limited. In 2013 the advisory board of ERBP initiated, in collaboration with European Union of Geriatric Medicine Societies (EUGMS), the development of a guideline on the management of older patients with CKD stage 3b or higher (eGFR > 45 mL/min/1.73 m(2)). The full guideline has recently been published and is freely available online and on the website of ERBP (www.european-renal-best-practice.org). This paper summarises main recommendations of the guideline and their underlying rationales.
The population of patients with moderate and severe CKD is growing. Frail and older patients comprise an increasing proportion. Many studies still exclude this group, so the evidence base is limited. In 2013 the advisory board of ERBP initiated, in collaboration with European Union of Geriatric Medicine Societies (EUGMS), the development of a guideline on the management of older patients with CKD stage 3b or higher (eGFR >45 mL/min/1.73 m2). The full guideline has recently been published and is freely available online and on the website of ERBP (www.european-renal-best-practice.org). This paper summarises main recommendations of the guideline and their underlying rationales.