<\/span><\/strong><\/h4>\n<\/span><\/strong><\/h4>\nDr. Daniel O. Costache<\/span><\/strong>
\nSpitalul Universitar de Urgen\u0163\u0103 Militar Central \u201dDr. Carol Davila\u201d, Bucure\u015fti<\/span><\/strong><\/h4>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”3.25″][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.4.8″ hover_enabled=”0″]<\/p>\n
\u00centre medicina bazat\u0103 pe dovezi \u0219i dovezile experien\u021bei clinice. Decizia medical\u0103 \u00eemp\u0103rt\u0103\u0219it\u0103<\/span>
Autori: Daniel O. Costache, Raluca S. Costache<\/span><\/p>\nAnul 2020 a reu\u0219it s\u0103 pun\u0103 \u00een prima sa jum\u0103tate sub semnul \u00eentreb\u0103rii tot ceea ce p\u0103rea s\u0103 fie clar \u0219tiut \u00een medicina modern\u0103. Aveam impresia c\u0103 st\u0103p\u00e2nim mecanismele fiziopatologice ale bolilor, c\u0103 nu ni se mai pot rezerva surprize, c\u0103 medicina tinde \u00een fine s\u0103 fie o chestiune logic\u0103, controlabil\u0103 prin prisma dovezilor clinice \u0219i mai ales a studiilor clinice.
\nIat\u0103 c\u0103 aceste c\u00e2teva luni ne-au ar\u0103tat c\u0103 uneori lucrurile nu sunt a\u0219a cum par, c\u0103 teorii farmacologice aparent irepro\u0219abile pot s\u0103 nu dea rezultate, c\u0103 trebuie s\u0103 \u00eenv\u0103\u021b\u0103m c\u0103 p\u0103rerile exper\u021bilor pot fi uneori influen\u021bate de factori externi non-profesionali, c\u0103 exist\u0103 un enorm zgomot de fond privind informa\u021biile disponibile \u00een mediul on-line, inclusiv profesional.
\nTotul porne\u0219te de la necesitatea noastr\u0103 de a \u00eenv\u0103\u021ba cum s\u0103 interpret\u0103m informa\u021bia medical\u0103 disponibil\u0103, de unde s\u0103 ne alegem sursele de informare, ce anume s\u0103 c\u0103ut\u0103m atunci c\u00e2nd studiem un material profesional. Trebuie s\u0103 \u00eenv\u0103\u021b\u0103m limbajul dual al statisticii, s\u0103 \u00eenv\u0103\u021b\u0103m c\u0103 uneori cel mai important paragraf dintr-un studiu clinic nu se refer\u0103 la rezultate ci la selec\u021bia loturilor de pacien\u021bi, la criteriile de excludere \u0219i la designul bra\u021belor de control.
\nAnul 2020 ne-a \u00eenv\u0103\u021bat c\u0103 este s\u0103n\u0103tos s\u0103 ne \u00eendoim de aparen\u021be, oricine le-ar prezenta \u0219i oric\u00e2t de evidente ar p\u0103rea.
\nTrebuie s\u0103 reu\u0219im s\u0103 trecem dincolo de zgomotul de fond \u0219i s\u0103 ne reamintim c\u0103 medicina este despre pacient, despre rela\u021bia dintre oameni, despre personalizare \u0219i individualitate.<\/p>\n
Between proof-based medicine and the evidence of clinical experience<\/span>
Authors: Daniel O. Costache, Raluca S. Costache<\/span><\/p>\n2020, in it\u2019s first half, has managed to make us question everything that we thought we clearly knew about modern medicine. We had the impression that we mastered the pathophysiological mechanism of disease, that there were no surprises in store for us, that medicine tends to be something logical, something that we could control through clinical proof, and, more especially, clinical studies.
\nWell these couple of months have shown us that things are not as they seem, that apparently irreproachable pharmacological theories may not always give results, that we must learn that sometimes the experts\u2019 opinions can be influenced be external, non-professional factors, that the information that we can find on-line, including professionally, come with a background noise.
\nIt all starts with our necessity to learn how to interpret the available medical information, where to choose the sources from which we gather information, what to look for when studying a professional material. We must learn the dual language of statistics, we must learn that sometimes the most important paragraph of a clinical study is not the one on the results, but the selection of the patient groups, the exclusion criteria and the design of the control branch.
\n2020 has taught us that it is healthy to question appearances, whoever might present them and how obvious they would look to us.
\nWe must succeed to go past the background noise and remind ourselves that medicine is about the patient, the relationship between people, personalization and individuality.<\/p>\n
Scurt CV<\/span><\/p>\nMedic primar dermatovenerologie
\nDoctor \u00een \u015ftiin\u0163e medicale – Studiul microcircula\u0163iei sanguine \u00een patologia cutanat\u0103
\nCoordonator activitate de cercetare, studii clinice la Spitalul Universitar de Urgen\u0163\u0103 Militar Central \u201dDr. Carol Davila\u201d, Bucure\u015fti.
\nEditor executiv, Romanian Journal of Military Medicine, revist\u0103 editat\u0103 de Asocia\u0163ia Medicilor \u015fi Farmaci\u015ftilor Militari din Rom\u00e2nia, Universitatea de Medicin\u0103 \u015fi Farmacie “Carol Davila” Bucure\u0219ti.
\nDelegat Ministerul Ap\u0103r\u0103rii Na\u0163ionale \u00een Consiliul Na\u0163ional al Colegiului Medicilor din Rom\u00e2nia
\nActivitate clinic\u0103 \u015fi de cercetare \u00een cadrul departamentului de Dermatologie al Spitalului Universitar de Urgen\u0163\u0103 Militar Central \u201dDr. Carol Davila\u201d, Bucure\u015fti.
\nCompeten\u0163\u0103 \u00een evaluarea microcircula\u0163iei.
\nCompeten\u0163\u0103 \u00een electrochirurgie \u015fi laser chirurgie \u00een dermatologie.
\nFormator de formatori \u00een dermatocosmetologie.<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.22″ background_color=”rgba(117,194,33,0.23)” background_image=”https:\/\/pdi.ro\/2020\/wp-content\/uploads\/2020\/02\/back_justflowers_overlay1.png” background_blend=”luminosity” custom_padding=”54px|0px|0|0px|false|false” top_divider_style=”waves2″ top_divider_color=”#ffffff” top_divider_height=”155px” top_divider_height_tablet=”” top_divider_height_phone=”97px” top_divider_height_last_edited=”on|desktop” bottom_divider_style=”waves2″ bottom_divider_color=”#75c221″ bottom_divider_flip=”vertical” bottom_divider_height_tablet=”” bottom_divider_height_phone=”59px” bottom_divider_height_last_edited=”on|desktop”][et_pb_row column_structure=”3_5,2_5″ _builder_version=”3.25″ custom_padding=”61px|0px|69px|0px|false|false”][et_pb_column type=”3_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” text_line_height=”1.2em” header_font=”||||||||” background_layout=”dark” text_font_size_tablet=”” text_font_size_phone=”” text_font_size_last_edited=”on|desktop”]<\/p>\n
Contacteaz\u0103 operatorul PDI 2020<\/p>\n
[\/et_pb_text][et_pb_contact_form email=”contact@primaderma.ro\/2019″ submit_button_text=”Trimite mesajul” _builder_version=”3.19.4″ title_font=”||||||||”][et_pb_contact_field field_id=”Name” field_title=”Nume” _builder_version=”3.18.9″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Email” field_title=”Adresa de e-mail” field_type=”email” _builder_version=”3.19.4″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Message” field_title=”Mesajul dvs.” field_type=”text” fullwidth_field=”on” _builder_version=”3.18.9″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][\/et_pb_contact_form][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark”]<\/p>\n
Operatorul PDI 2020<\/p>\n
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![\"\"](\"https:\/\/pdi.ro\/2020\/wp-content\/uploads\/2020\/02\/eventer_logo_150px.png\")
<\/span><\/p>\n<\/span><\/p>\n<\/span><\/p>\nAdresa: Str. A. Panu nr. 13, Iasi<\/span>
Tel.: 0332.40.88.00-05<\/span>
E-mail: inscrieri@primaderma.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n[\/et_pb_text][et_pb_text disabled_on=”off|off|off” _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” locked=”off”]<\/p>\n
Parteneri Media<\/p>\n
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Dr. Daniel O. Costache Spitalul Universitar de Urgen\u0163\u0103 Militar Central \u201dDr. Carol Davila\u201d, Bucure\u015fti\u00centre medicina bazat\u0103 pe dovezi \u0219i dovezile experien\u021bei clinice. Decizia medical\u0103 \u00eemp\u0103rt\u0103\u0219it\u0103 Autori: Daniel O. Costache, Raluca S. Costache Anul 2020 a reu\u0219it s\u0103 pun\u0103 \u00een prima sa jum\u0103tate sub semnul \u00eentreb\u0103rii tot ceea ce p\u0103rea s\u0103 fie clar \u0219tiut \u00een medicina […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-8512","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/8512","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/comments?post=8512"}],"version-history":[{"count":4,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/8512\/revisions"}],"predecessor-version":[{"id":8517,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/8512\/revisions\/8517"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/media?parent=8512"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Dr. Daniel O. Costache<\/span><\/strong>
\nSpitalul Universitar de Urgen\u0163\u0103 Militar Central \u201dDr. Carol Davila\u201d, Bucure\u015fti<\/span><\/strong><\/h4>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”3.25″][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.4.8″ hover_enabled=”0″]<\/p>\n
\u00centre medicina bazat\u0103 pe dovezi \u0219i dovezile experien\u021bei clinice. Decizia medical\u0103 \u00eemp\u0103rt\u0103\u0219it\u0103<\/span>
Autori: Daniel O. Costache, Raluca S. Costache<\/span><\/p>\nAnul 2020 a reu\u0219it s\u0103 pun\u0103 \u00een prima sa jum\u0103tate sub semnul \u00eentreb\u0103rii tot ceea ce p\u0103rea s\u0103 fie clar \u0219tiut \u00een medicina modern\u0103. Aveam impresia c\u0103 st\u0103p\u00e2nim mecanismele fiziopatologice ale bolilor, c\u0103 nu ni se mai pot rezerva surprize, c\u0103 medicina tinde \u00een fine s\u0103 fie o chestiune logic\u0103, controlabil\u0103 prin prisma dovezilor clinice \u0219i mai ales a studiilor clinice.
\nIat\u0103 c\u0103 aceste c\u00e2teva luni ne-au ar\u0103tat c\u0103 uneori lucrurile nu sunt a\u0219a cum par, c\u0103 teorii farmacologice aparent irepro\u0219abile pot s\u0103 nu dea rezultate, c\u0103 trebuie s\u0103 \u00eenv\u0103\u021b\u0103m c\u0103 p\u0103rerile exper\u021bilor pot fi uneori influen\u021bate de factori externi non-profesionali, c\u0103 exist\u0103 un enorm zgomot de fond privind informa\u021biile disponibile \u00een mediul on-line, inclusiv profesional.
\nTotul porne\u0219te de la necesitatea noastr\u0103 de a \u00eenv\u0103\u021ba cum s\u0103 interpret\u0103m informa\u021bia medical\u0103 disponibil\u0103, de unde s\u0103 ne alegem sursele de informare, ce anume s\u0103 c\u0103ut\u0103m atunci c\u00e2nd studiem un material profesional. Trebuie s\u0103 \u00eenv\u0103\u021b\u0103m limbajul dual al statisticii, s\u0103 \u00eenv\u0103\u021b\u0103m c\u0103 uneori cel mai important paragraf dintr-un studiu clinic nu se refer\u0103 la rezultate ci la selec\u021bia loturilor de pacien\u021bi, la criteriile de excludere \u0219i la designul bra\u021belor de control.
\nAnul 2020 ne-a \u00eenv\u0103\u021bat c\u0103 este s\u0103n\u0103tos s\u0103 ne \u00eendoim de aparen\u021be, oricine le-ar prezenta \u0219i oric\u00e2t de evidente ar p\u0103rea.
\nTrebuie s\u0103 reu\u0219im s\u0103 trecem dincolo de zgomotul de fond \u0219i s\u0103 ne reamintim c\u0103 medicina este despre pacient, despre rela\u021bia dintre oameni, despre personalizare \u0219i individualitate.<\/p>\n
Between proof-based medicine and the evidence of clinical experience<\/span>
Authors: Daniel O. Costache, Raluca S. Costache<\/span><\/p>\n2020, in it\u2019s first half, has managed to make us question everything that we thought we clearly knew about modern medicine. We had the impression that we mastered the pathophysiological mechanism of disease, that there were no surprises in store for us, that medicine tends to be something logical, something that we could control through clinical proof, and, more especially, clinical studies.
\nWell these couple of months have shown us that things are not as they seem, that apparently irreproachable pharmacological theories may not always give results, that we must learn that sometimes the experts\u2019 opinions can be influenced be external, non-professional factors, that the information that we can find on-line, including professionally, come with a background noise.
\nIt all starts with our necessity to learn how to interpret the available medical information, where to choose the sources from which we gather information, what to look for when studying a professional material. We must learn the dual language of statistics, we must learn that sometimes the most important paragraph of a clinical study is not the one on the results, but the selection of the patient groups, the exclusion criteria and the design of the control branch.
\n2020 has taught us that it is healthy to question appearances, whoever might present them and how obvious they would look to us.
\nWe must succeed to go past the background noise and remind ourselves that medicine is about the patient, the relationship between people, personalization and individuality.<\/p>\n
Scurt CV<\/span><\/p>\nMedic primar dermatovenerologie
\nDoctor \u00een \u015ftiin\u0163e medicale – Studiul microcircula\u0163iei sanguine \u00een patologia cutanat\u0103
\nCoordonator activitate de cercetare, studii clinice la Spitalul Universitar de Urgen\u0163\u0103 Militar Central \u201dDr. Carol Davila\u201d, Bucure\u015fti.
\nEditor executiv, Romanian Journal of Military Medicine, revist\u0103 editat\u0103 de Asocia\u0163ia Medicilor \u015fi Farmaci\u015ftilor Militari din Rom\u00e2nia, Universitatea de Medicin\u0103 \u015fi Farmacie “Carol Davila” Bucure\u0219ti.
\nDelegat Ministerul Ap\u0103r\u0103rii Na\u0163ionale \u00een Consiliul Na\u0163ional al Colegiului Medicilor din Rom\u00e2nia
\nActivitate clinic\u0103 \u015fi de cercetare \u00een cadrul departamentului de Dermatologie al Spitalului Universitar de Urgen\u0163\u0103 Militar Central \u201dDr. Carol Davila\u201d, Bucure\u015fti.
\nCompeten\u0163\u0103 \u00een evaluarea microcircula\u0163iei.
\nCompeten\u0163\u0103 \u00een electrochirurgie \u015fi laser chirurgie \u00een dermatologie.
\nFormator de formatori \u00een dermatocosmetologie.<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.22″ background_color=”rgba(117,194,33,0.23)” background_image=”https:\/\/pdi.ro\/2020\/wp-content\/uploads\/2020\/02\/back_justflowers_overlay1.png” background_blend=”luminosity” custom_padding=”54px|0px|0|0px|false|false” top_divider_style=”waves2″ top_divider_color=”#ffffff” top_divider_height=”155px” top_divider_height_tablet=”” top_divider_height_phone=”97px” top_divider_height_last_edited=”on|desktop” bottom_divider_style=”waves2″ bottom_divider_color=”#75c221″ bottom_divider_flip=”vertical” bottom_divider_height_tablet=”” bottom_divider_height_phone=”59px” bottom_divider_height_last_edited=”on|desktop”][et_pb_row column_structure=”3_5,2_5″ _builder_version=”3.25″ custom_padding=”61px|0px|69px|0px|false|false”][et_pb_column type=”3_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” text_line_height=”1.2em” header_font=”||||||||” background_layout=”dark” text_font_size_tablet=”” text_font_size_phone=”” text_font_size_last_edited=”on|desktop”]<\/p>\n
Contacteaz\u0103 operatorul PDI 2020<\/p>\n
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Operatorul PDI 2020<\/p>\n
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<\/span><\/p>\n<\/span><\/p>\n<\/span><\/p>\nAdresa: Str. A. Panu nr. 13, Iasi<\/span>
Tel.: 0332.40.88.00-05<\/span>
E-mail: inscrieri@primaderma.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n[\/et_pb_text][et_pb_text disabled_on=”off|off|off” _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” locked=”off”]<\/p>\n
Parteneri Media<\/p>\n
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Dr. Daniel O. Costache Spitalul Universitar de Urgen\u0163\u0103 Militar Central \u201dDr. Carol Davila\u201d, Bucure\u015fti\u00centre medicina bazat\u0103 pe dovezi \u0219i dovezile experien\u021bei clinice. Decizia medical\u0103 \u00eemp\u0103rt\u0103\u0219it\u0103 Autori: Daniel O. Costache, Raluca S. Costache Anul 2020 a reu\u0219it s\u0103 pun\u0103 \u00een prima sa jum\u0103tate sub semnul \u00eentreb\u0103rii tot ceea ce p\u0103rea s\u0103 fie clar \u0219tiut \u00een medicina […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-8512","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/8512","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/comments?post=8512"}],"version-history":[{"count":4,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/8512\/revisions"}],"predecessor-version":[{"id":8517,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/8512\/revisions\/8517"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/media?parent=8512"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Autori: Daniel O. Costache, Raluca S. Costache<\/span><\/p>\n
Anul 2020 a reu\u0219it s\u0103 pun\u0103 \u00een prima sa jum\u0103tate sub semnul \u00eentreb\u0103rii tot ceea ce p\u0103rea s\u0103 fie clar \u0219tiut \u00een medicina modern\u0103. Aveam impresia c\u0103 st\u0103p\u00e2nim mecanismele fiziopatologice ale bolilor, c\u0103 nu ni se mai pot rezerva surprize, c\u0103 medicina tinde \u00een fine s\u0103 fie o chestiune logic\u0103, controlabil\u0103 prin prisma dovezilor clinice \u0219i mai ales a studiilor clinice.
\nIat\u0103 c\u0103 aceste c\u00e2teva luni ne-au ar\u0103tat c\u0103 uneori lucrurile nu sunt a\u0219a cum par, c\u0103 teorii farmacologice aparent irepro\u0219abile pot s\u0103 nu dea rezultate, c\u0103 trebuie s\u0103 \u00eenv\u0103\u021b\u0103m c\u0103 p\u0103rerile exper\u021bilor pot fi uneori influen\u021bate de factori externi non-profesionali, c\u0103 exist\u0103 un enorm zgomot de fond privind informa\u021biile disponibile \u00een mediul on-line, inclusiv profesional.
\nTotul porne\u0219te de la necesitatea noastr\u0103 de a \u00eenv\u0103\u021ba cum s\u0103 interpret\u0103m informa\u021bia medical\u0103 disponibil\u0103, de unde s\u0103 ne alegem sursele de informare, ce anume s\u0103 c\u0103ut\u0103m atunci c\u00e2nd studiem un material profesional. Trebuie s\u0103 \u00eenv\u0103\u021b\u0103m limbajul dual al statisticii, s\u0103 \u00eenv\u0103\u021b\u0103m c\u0103 uneori cel mai important paragraf dintr-un studiu clinic nu se refer\u0103 la rezultate ci la selec\u021bia loturilor de pacien\u021bi, la criteriile de excludere \u0219i la designul bra\u021belor de control.
\nAnul 2020 ne-a \u00eenv\u0103\u021bat c\u0103 este s\u0103n\u0103tos s\u0103 ne \u00eendoim de aparen\u021be, oricine le-ar prezenta \u0219i oric\u00e2t de evidente ar p\u0103rea.
\nTrebuie s\u0103 reu\u0219im s\u0103 trecem dincolo de zgomotul de fond \u0219i s\u0103 ne reamintim c\u0103 medicina este despre pacient, despre rela\u021bia dintre oameni, despre personalizare \u0219i individualitate.<\/p>\n
Between proof-based medicine and the evidence of clinical experience<\/span> 2020, in it\u2019s first half, has managed to make us question everything that we thought we clearly knew about modern medicine. We had the impression that we mastered the pathophysiological mechanism of disease, that there were no surprises in store for us, that medicine tends to be something logical, something that we could control through clinical proof, and, more especially, clinical studies. Scurt CV<\/span><\/p>\n Medic primar dermatovenerologie [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.22″ background_color=”rgba(117,194,33,0.23)” background_image=”https:\/\/pdi.ro\/2020\/wp-content\/uploads\/2020\/02\/back_justflowers_overlay1.png” background_blend=”luminosity” custom_padding=”54px|0px|0|0px|false|false” top_divider_style=”waves2″ top_divider_color=”#ffffff” top_divider_height=”155px” top_divider_height_tablet=”” top_divider_height_phone=”97px” top_divider_height_last_edited=”on|desktop” bottom_divider_style=”waves2″ bottom_divider_color=”#75c221″ bottom_divider_flip=”vertical” bottom_divider_height_tablet=”” bottom_divider_height_phone=”59px” bottom_divider_height_last_edited=”on|desktop”][et_pb_row column_structure=”3_5,2_5″ _builder_version=”3.25″ custom_padding=”61px|0px|69px|0px|false|false”][et_pb_column type=”3_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” text_line_height=”1.2em” header_font=”||||||||” background_layout=”dark” text_font_size_tablet=”” text_font_size_phone=”” text_font_size_last_edited=”on|desktop”]<\/p>\n Contacteaz\u0103 operatorul PDI 2020<\/p>\n [\/et_pb_text][et_pb_contact_form email=”contact@primaderma.ro\/2019″ submit_button_text=”Trimite mesajul” _builder_version=”3.19.4″ title_font=”||||||||”][et_pb_contact_field field_id=”Name” field_title=”Nume” _builder_version=”3.18.9″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Email” field_title=”Adresa de e-mail” field_type=”email” _builder_version=”3.19.4″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][et_pb_contact_field field_id=”Message” field_title=”Mesajul dvs.” field_type=”text” fullwidth_field=”on” _builder_version=”3.18.9″ button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_contact_field][\/et_pb_contact_form][\/et_pb_column][et_pb_column type=”2_5″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark”]<\/p>\n Operatorul PDI 2020<\/p>\n [\/et_pb_text][et_pb_text _builder_version=”4.0.11″ text_font=”||||||||”]<\/p>\n <\/span><\/p>\n <\/span><\/p>\n Adresa: Str. A. Panu nr. 13, Iasi<\/span> [\/et_pb_text][et_pb_text disabled_on=”off|off|off” _builder_version=”4.0.11″ text_font=”Kaushan Script||||||||” text_text_color=”#f0622a” text_font_size=”30px” header_font=”||||||||” background_layout=”dark” locked=”off”]<\/p>\n Parteneri Media<\/p>\n [\/et_pb_text][et_pb_gallery gallery_ids=”7203,7204,7232,7231″ fullwidth=”on” _builder_version=”4.0.11″ transform_scale=”86%|86%” max_width=”63%” auto=”on” auto_speed=”3500″ hover_transition_duration=”100ms” hover_transition_delay=”50ms” hover_transition_speed_curve=”ease-in-out” locked=”off”][\/et_pb_gallery][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" Dr. Daniel O. Costache Spitalul Universitar de Urgen\u0163\u0103 Militar Central \u201dDr. Carol Davila\u201d, Bucure\u015fti\u00centre medicina bazat\u0103 pe dovezi \u0219i dovezile experien\u021bei clinice. Decizia medical\u0103 \u00eemp\u0103rt\u0103\u0219it\u0103 Autori: Daniel O. Costache, Raluca S. Costache Anul 2020 a reu\u0219it s\u0103 pun\u0103 \u00een prima sa jum\u0103tate sub semnul \u00eentreb\u0103rii tot ceea ce p\u0103rea s\u0103 fie clar \u0219tiut \u00een medicina […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-8512","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/8512","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/comments?post=8512"}],"version-history":[{"count":4,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/8512\/revisions"}],"predecessor-version":[{"id":8517,"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/pages\/8512\/revisions\/8517"}],"wp:attachment":[{"href":"https:\/\/pdi.ro\/2020\/wp-json\/wp\/v2\/media?parent=8512"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Authors: Daniel O. Costache, Raluca S. Costache<\/span><\/p>\n
\nWell these couple of months have shown us that things are not as they seem, that apparently irreproachable pharmacological theories may not always give results, that we must learn that sometimes the experts\u2019 opinions can be influenced be external, non-professional factors, that the information that we can find on-line, including professionally, come with a background noise.
\nIt all starts with our necessity to learn how to interpret the available medical information, where to choose the sources from which we gather information, what to look for when studying a professional material. We must learn the dual language of statistics, we must learn that sometimes the most important paragraph of a clinical study is not the one on the results, but the selection of the patient groups, the exclusion criteria and the design of the control branch.
\n2020 has taught us that it is healthy to question appearances, whoever might present them and how obvious they would look to us.
\nWe must succeed to go past the background noise and remind ourselves that medicine is about the patient, the relationship between people, personalization and individuality.<\/p>\n
\nDoctor \u00een \u015ftiin\u0163e medicale – Studiul microcircula\u0163iei sanguine \u00een patologia cutanat\u0103
\nCoordonator activitate de cercetare, studii clinice la Spitalul Universitar de Urgen\u0163\u0103 Militar Central \u201dDr. Carol Davila\u201d, Bucure\u015fti.
\nEditor executiv, Romanian Journal of Military Medicine, revist\u0103 editat\u0103 de Asocia\u0163ia Medicilor \u015fi Farmaci\u015ftilor Militari din Rom\u00e2nia, Universitatea de Medicin\u0103 \u015fi Farmacie “Carol Davila” Bucure\u0219ti.
\nDelegat Ministerul Ap\u0103r\u0103rii Na\u0163ionale \u00een Consiliul Na\u0163ional al Colegiului Medicilor din Rom\u00e2nia
\nActivitate clinic\u0103 \u015fi de cercetare \u00een cadrul departamentului de Dermatologie al Spitalului Universitar de Urgen\u0163\u0103 Militar Central \u201dDr. Carol Davila\u201d, Bucure\u015fti.
\nCompeten\u0163\u0103 \u00een evaluarea microcircula\u0163iei.
\nCompeten\u0163\u0103 \u00een electrochirurgie \u015fi laser chirurgie \u00een dermatologie.
\nFormator de formatori \u00een dermatocosmetologie.<\/p>\n<\/span><\/p>\n
Tel.: 0332.40.88.00-05<\/span>
E-mail: inscrieri@primaderma.ro<\/a>
<\/span>Website:\u00a0<\/span>www.eventernet.ro<\/a><\/p>\n