Gabriel Grădinariu, Luminiţa Dobrotă and Mihai-Leonida Neamţu
Lung ultrasonography is an excellent alternative to chest radiography, with better sensitivity, specificity, positive and negative predictive values and, finally, with better accuracy. The lung ultrasonography is proven to be useful in trying to reduce the request of chest radiography. In the opinion of most specialists, lung ultrasonography is recommended to be a valuable tool for the diagnosis of community-acquired pneumonia in children. Considering the fact that clinical examination remains essential because it suspects the diagnosis, the evolution does not require radiologic follow-up, also the pathologic findings at the clinical examination may change over the course of a day, the possibility of the clinician to maintain the objectivity is essential. For this goal to be possible, it would be ideal that the clinician himself performs the ultrasonography (in real-time).
Guided bone regeneration using titanium-reinforced expanded teflon non-absorbable membranes (e-PTFE) has proven, through rigorous studies on many occasions, that it is a safe and predictable method to achieve bone growth at mandible and maxilla level, both vertically and horizontally. However, the technique itself is one that requires special operative skills and is not without postoperative complications. The purpose of this paper is to review most of these postoperative complications, their management and the key operative elements that help preventing them. Complications are presented both from the perspective of the meta-analysis performed from the present literature and from the point of view of the author’s personal experience, personal casuistry being presented. This paper will discuss all this starting with the complications without negative impact on the bone regeneration such as, late exposure of the membrane and ending with the most serious ones, such as the suppuration of the augmented anatomical regions. All of these can be avoided or minimized by using a correct operating technique. In addition, once installed, we can minimize the negative effects on bone regeneration by a proper management applied at the right time.
Oana Maria Bucur, Călin Avram, Monica Tarcea, Anca Ileana Sin and Florina Ruța
The main objective was to identify pregnancy risk factors arising from the behaviour and lifestyle of Mureş county women during pregnancy. The postpartum women monitored in this study were from Mureş county and were interviewed by applying a questionnaire during the period they were in the hospital for postnatal care immediately after birth. The questions aimed at identifying prenatal risk factors and the unhealthy behaviour of women before and during pregnancy, referring to the socio-economic and cultural status (low family income or unemployment, less than high school studies, rural background and marital status), obesity during pregnancy, alcohol consumption, coffee consumption, no physical activity. We identified, among the three major ethnicities in Mureş county (Romanian, Hungarian, Roma), the behaviour and lifestyle components with risk in pregnancy and after comparing profiles of these groups we identified the Roma ethnicity as being at the highest perinatal risk.
Electroconvulsive therapy (ECT) has been a controversial topic, both in the general population and in the medical community since its initial implementation in 1938. Despite clinical applications and proven efficacy in psychiatric and neurological pathologies, such as schizophrenia, catatonia, psychotic disorders, depressive episodes, Parkinson’s disease and psychiatric pathological conditions that occurr during pregnancy or childbed, reluctance to apply ECT persists due to the low degree of information and professional training. The purpose of this article is to emphasize the importance of informing the medical team of the specific training in the provision of adequate nursing within the electroconvulsive therapy. These premises make an essential contribution to the smooth running of the therapeutic process. Taking into account the close interpersonal contact that the medical nurses have with the patient through the profession specifics, it is the appropriate framework to inform the patient and the family regarding the need to establish electroconvulsive therapy, the risks, but especially its benefits. In conclusion, there is a need to establish training courses for nurses so as to ensure the functioning of the therapeutic team as a unit.
Oana Stoia, Ioan Manițiu, Ioan Bitea, Gabriela Eminovici and Minodora Teodoru
Peripheral arterial disease (PAD) is a partial or complete occlusion of one or more arteries leading to a suppression of blood flow and ischemia. In the process of stenosis, numerous processes are described, among which, the most common being atherosclerosis, affecting the arteries of the inferior and coronary limbs. In the 60 patients investigated angio-coronarographically in the Emergency County Clinical Hospital of Sibiu with PAD, the prevalence of high blood pressure (HBP) and smoking was observed, among the risk factors, and 73.3% had one or more coronary lesions. The association of diabetes mellitus (DM) with PAD has shown an increase in the number of coronary lesions. There was also a strong positive correlation between the presence of left anterior descending artery (LAD) injuries and the stage of PAD regardless of other risk factors.
Electroconvulsive therapy has a long history, with periods of approval and of contradiction. The electroconvulsive therapy department in our hospital has a long tradition: it was initiated in 1940 and used for a period of five decades, after which it was abandoned due to several reasons. Starting with the year 2019, it was desired to create a new ECT department that corresponds to the new modern requirements of ECT’s application (under anesthesia). This department was built according to the Portuguese model of the ECT department with the main purpose to increase the accessibility of psychiatric patients to this type of treatment, to decrease the number of hospitalization days for the patients with severe psychiatric disorders and also to train new professionals in this field. Although many clinical studies have shown their effectiveness in treating psychiatric pathology due to preconception and stigmatization, nowadays this treatment is still seen with great reluctance.
Daniel Iorga, Liviu Cozneac, Paul Cojan, Florin Buicu, Daniela-Edith Ceană, Septimiu Voidăzan, Oana-Cristina Cînpianu and Camelia Pop
Context and objectives: To establish correlations between obesity, serum cholesterol, triglycerides, serum glucose and systolic Blood Pressure (BP) correlated to the risk of developing diabetes. Materials and Methods: We made a study on a group of 108 subjects, women and men. The answers we got were included in a database statistically processed in Medcalc and Excel softwares. Results: The high values of glucose are recorded in people with BMI between 35-39.99 and are represented by women with ages raging between 60-69 years old. Total cholesterol serum and glucose values are more suggestive in the case of people aged between 60-69. The high creatinine values (>1.2 mg/dl) are represented by women aged between 60-69 years. High levels of systolic blood pressure can be seen in women aged 60-69 years old. Conclusions: Obesity associated with high glucose values is a major risk factor for developing diabetes and its complications especially in people aged 50 and over.
Mădălina Malița, Magdalena Natalia Dina, Olivia Popoviciu, Ioana Voinescu, Irina Adriana Beuran, Mihai Burlibașa, Viorel Ștefan Perieanu, Iuliana Babiuc, Manuela Popescu, Camelia Ionescu, Gabriela Tănase, Augustin Mihai, Raluca Costea, Radu Costea and Ruxandra Stănescu
The summer internship was and is a mandatory learning stage for all students of medical specialties in Romania, including students of dental medicine and dental technology programs. Thus, we have made a very interesting study, strictly related to the summer internship for the students from the first year of this specialty, which operates in one of the universities with medical profile in Bucharest.
Radu Popa-Nedelcu, Coste Siserman and Carmen Daniela Domnariu
Domestic violence is a widespread public health problem. Domestic violence does not just manifest itself physically, it can take different forms, from verbal aggression to insults of psychological, emotional, sexual, material deprivation or simply negligence. All these affect the victim in many ways. Thus, the professionals in medical, legal sciences, but also the state authorities with responsibilities in social protection and assistance must know the phenomenon very well and find the best ways to fight it. No institution will be able to achieve this objective by working individually, but only an efficient cooperation of all these factors can contribute to limiting the negative effects and the state of vulnerability, but also to provide information and support to the victims.
Acute appendicitis is one of the most frequent surgical emergencies in children. The diagnosis of this condition is still a challenge for small pre-school children, and, generally, for children, as the wrong diagnosis is 28-57% for children between 2-12 years old. Therefore, the ultrasonographic exam for suspected acute appendicitis at patient’s bed (POCUS) is a necessary and useful paraclinic exam for supporting the diagnosis. The procedure has established: the quality of use in the emergency department (ED) of POCUS by the pediatric emergency doctors; the performance of ultrasonografic exam (US) in acute appendicitis (AA); reduces associated costs for imaging studies by standardization diagnosis of acute appendicitis through ultrasonographic examination. The ultrasonographic exam can be useful in evaluating children with suspected acute appendicitis and should be first choice for imaging examination. Also, it can reduce the use of CT scan and exposure to radiation, and the annual cost for imaging exams.