Pub Date : 2024-01-01DOI: 10.55453/rjmm.2024.127.1.6
Octavian Vasiliu, A. Mangalagiu, B. Petrescu, C. Cândea, Corina Tudor, Cristina F. Pleșa, Diana G. Vasiliu, Cristian Năstase, Carmen A. Sirbu
"The conundrum of post-psychotic depression (PPD) is still present in the psychiatric literature, for more than a century since it was first described by Mayer-Gross. After a short existence in the DSM-IV and ICD-10, this nosological construct was excluded from newer versions of the mental disorders classifications. Therefore, an exploratory analysis of the PPD concept was considered useful both from clinical and theoretical perspectives. There is a high prevalence of depressive symptoms in patients with schizophrenia spectrum disorders (SSD) and, although not all of them represent cases of PPD, they are considered risk factors for suicide. The arguments and contra-arguments for/against PPD were reviewed, and the potential pharmacological interventions for this disorder were analyzed. The explored evidence indicates that PPD is worth further investigation, and in order to differentiate it from schizoaffective disorder, negative symptoms of SSD, or depressive manifestations within the acute psychotic episodes, clearly defined criteria should be found. The use of validated scales, like the Calgary Depression Scale for Schizophrenia and the InterSePT Scale for Suicidal Thinking, is recommended for the initial assessment of depression and suicidal risk in patients with SSD, but also for their monitoring during the acute and maintenance phases. Besides the administration of combined, antidepressant and antipsychotic treatment, the use of clozapine, and the recommendation to initiate treatment for SSD with atypical antipsychotics whenever possible, there is a dearth of studies exploring specific interventions for PPD. Future studies are expected to address the validity of the nosological construct of PPD and the most adequate therapeutic and prophylactic interventions in patients with SSD."
{"title":"A Conceptual Analysis of Post-psychotic Depression","authors":"Octavian Vasiliu, A. Mangalagiu, B. Petrescu, C. Cândea, Corina Tudor, Cristina F. Pleșa, Diana G. Vasiliu, Cristian Năstase, Carmen A. Sirbu","doi":"10.55453/rjmm.2024.127.1.6","DOIUrl":"https://doi.org/10.55453/rjmm.2024.127.1.6","url":null,"abstract":"\"The conundrum of post-psychotic depression (PPD) is still present in the psychiatric literature, for more than a century since it was first described by Mayer-Gross. After a short existence in the DSM-IV and ICD-10, this nosological construct was excluded from newer versions of the mental disorders classifications. Therefore, an exploratory analysis of the PPD concept was considered useful both from clinical and theoretical perspectives. There is a high prevalence of depressive symptoms in patients with schizophrenia spectrum disorders (SSD) and, although not all of them represent cases of PPD, they are considered risk factors for suicide. The arguments and contra-arguments for/against PPD were reviewed, and the potential pharmacological interventions for this disorder were analyzed. The explored evidence indicates that PPD is worth further investigation, and in order to differentiate it from schizoaffective disorder, negative symptoms of SSD, or depressive manifestations within the acute psychotic episodes, clearly defined criteria should be found. The use of validated scales, like the Calgary Depression Scale for Schizophrenia and the InterSePT Scale for Suicidal Thinking, is recommended for the initial assessment of depression and suicidal risk in patients with SSD, but also for their monitoring during the acute and maintenance phases. Besides the administration of combined, antidepressant and antipsychotic treatment, the use of clozapine, and the recommendation to initiate treatment for SSD with atypical antipsychotics whenever possible, there is a dearth of studies exploring specific interventions for PPD. Future studies are expected to address the validity of the nosological construct of PPD and the most adequate therapeutic and prophylactic interventions in patients with SSD.\"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":"34 12","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139454957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.55453/rjmm.2024.127.1.8
Yanina Matsegora, O. Kolesnichenko, I. Prykhodko, Viktoriia Kuzina, Vitalii Panok, Andrii Pashchenko, Serhii Shandruk, Natalia Penkova, Stanislav Larionov
"The article shows the development of the method of psychological evaluation called “Evaluation of Negative Mental Reactions and States of Combatants”. In the study participated 1300 male servicemen (29.84% from junior lieutenant to colonel and servicemen under contract and demobilized, and 70.16% from private to senior warrant officer). The age of participants varied from 20 to 55 years. The system of evaluation developed consisted of 16 instruments that could help to determine the presence of negative psychological symptoms of servicemen related to their participation in hostilities. The results indicated that the evaluation method developed is a tool that allows determining the presence of negative psychological symptoms related to participation in combat. Likewise, it is a useful and fast method to assess the effectiveness of short-term psychological recovery programs. Unlike existing methods of diagnosing negative mental reactions and states of an individual, which arose after their participation in hostilities, the developed psychodiagnostic toolkit could consider the physical and mental fatigue of the respondents, their deterioration, and other cognitive dysfunctions."
{"title":"Psychometric Properties of the Method \"Evaluation of Negative Mental Reactions and States of Combatants\" and Experience of its Application in Short-term Psychological Recovery","authors":"Yanina Matsegora, O. Kolesnichenko, I. Prykhodko, Viktoriia Kuzina, Vitalii Panok, Andrii Pashchenko, Serhii Shandruk, Natalia Penkova, Stanislav Larionov","doi":"10.55453/rjmm.2024.127.1.8","DOIUrl":"https://doi.org/10.55453/rjmm.2024.127.1.8","url":null,"abstract":"\"The article shows the development of the method of psychological evaluation called “Evaluation of Negative Mental Reactions and States of Combatants”. In the study participated 1300 male servicemen (29.84% from junior lieutenant to colonel and servicemen under contract and demobilized, and 70.16% from private to senior warrant officer). The age of participants varied from 20 to 55 years. The system of evaluation developed consisted of 16 instruments that could help to determine the presence of negative psychological symptoms of servicemen related to their participation in hostilities. The results indicated that the evaluation method developed is a tool that allows determining the presence of negative psychological symptoms related to participation in combat. Likewise, it is a useful and fast method to assess the effectiveness of short-term psychological recovery programs. Unlike existing methods of diagnosing negative mental reactions and states of an individual, which arose after their participation in hostilities, the developed psychodiagnostic toolkit could consider the physical and mental fatigue of the respondents, their deterioration, and other cognitive dysfunctions.\"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":"3 5","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139457738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.55453/rjmm.2024.127.1.9
Cristina G. Dascălu, Magda E. Antohe, Raluca S. Costache, V. Purcarea
"Currently, the educational process must integrate new tools, to keep pace with technological progress. Our paper aims to investigate the extent to which the preferences of medical students for the autonomous use of multimedia resources in the learning process are correlated with their opinions towards the Internet and the intensity of using it in their daily activities. Methods: We investigated 395 medical students from 4 medical universities in Romania, 75.9% females, and 88.8% in the 1st and 2nd years of study. Students were asked to express on Likert-scales their agreement with a list of statements about Internet services, as well as whether they like learning using multimedia tools and how intensively they use Internet services. Results: The students agree to a medium to large extent with the favorable statements about Internet services but are also aware of the negative influences that indiscriminate use of such technology can have. The intensity of Internet usage is high, although not exaggerated. With small exceptions, the students who enjoy using multimedia resources during the learning process have also favorable opinions about Internet services, and use them constantly, mainly for information and instant messaging on social networks."
{"title":"Associations Between Medical Students' Opinions on Usage of Internet Services and Digital Teaching Tools","authors":"Cristina G. Dascălu, Magda E. Antohe, Raluca S. Costache, V. Purcarea","doi":"10.55453/rjmm.2024.127.1.9","DOIUrl":"https://doi.org/10.55453/rjmm.2024.127.1.9","url":null,"abstract":"\"Currently, the educational process must integrate new tools, to keep pace with technological progress. Our paper aims to investigate the extent to which the preferences of medical students for the autonomous use of multimedia resources in the learning process are correlated with their opinions towards the Internet and the intensity of using it in their daily activities. Methods: We investigated 395 medical students from 4 medical universities in Romania, 75.9% females, and 88.8% in the 1st and 2nd years of study. Students were asked to express on Likert-scales their agreement with a list of statements about Internet services, as well as whether they like learning using multimedia tools and how intensively they use Internet services. Results: The students agree to a medium to large extent with the favorable statements about Internet services but are also aware of the negative influences that indiscriminate use of such technology can have. The intensity of Internet usage is high, although not exaggerated. With small exceptions, the students who enjoy using multimedia resources during the learning process have also favorable opinions about Internet services, and use them constantly, mainly for information and instant messaging on social networks.\"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":"77 24","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139454432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.55453/rjmm.2024.127.1.5
E. Ashrafi, Farbod E.F. Azar, Morteza Mansourian, Fereshteh Osmani
"Background: Adolescence is a complex and sensitive period, and learning nutritional concepts during this period is very important. The purpose of the present study is to determine the predictive power of the theory of planned behavior on the behavioral intention of healthy eating in adolescents. Methods: 400 first-grade female students of Bandar Anzali participated in this descriptive-correlational study. Among the first secondary schools of this city, two schools were randomly selected and sampled by census method. The data collection tool was the healthy eating behavior questionnaire based on the theory of planned behavior, which included two sections of demographic information and the constructs of the theory of planned behavior, which were checked and confirmed with the content validity ratio, content validity index, and alpha coefficient. Data were analyzed using SPSS version 22 software. Results: Linear regression analysis showed that a total of 34% of the variance of healthy eating behavior intention is predicted by the constructs of perceived behavioral control and attitude. Conclusion: Considering the high predictive power of the theory of planned behavior in the field of healthy eating behavior, educational interventions based on it and centered on predictive structures are suggested."
{"title":"Investigating the Predictive Power of the Theory of Planned Behavior on the Behavioral Intention of Healthy Eating in Adolescents","authors":"E. Ashrafi, Farbod E.F. Azar, Morteza Mansourian, Fereshteh Osmani","doi":"10.55453/rjmm.2024.127.1.5","DOIUrl":"https://doi.org/10.55453/rjmm.2024.127.1.5","url":null,"abstract":"\"Background: Adolescence is a complex and sensitive period, and learning nutritional concepts during this period is very important. The purpose of the present study is to determine the predictive power of the theory of planned behavior on the behavioral intention of healthy eating in adolescents. Methods: 400 first-grade female students of Bandar Anzali participated in this descriptive-correlational study. Among the first secondary schools of this city, two schools were randomly selected and sampled by census method. The data collection tool was the healthy eating behavior questionnaire based on the theory of planned behavior, which included two sections of demographic information and the constructs of the theory of planned behavior, which were checked and confirmed with the content validity ratio, content validity index, and alpha coefficient. Data were analyzed using SPSS version 22 software. Results: Linear regression analysis showed that a total of 34% of the variance of healthy eating behavior intention is predicted by the constructs of perceived behavioral control and attitude. Conclusion: Considering the high predictive power of the theory of planned behavior in the field of healthy eating behavior, educational interventions based on it and centered on predictive structures are suggested.\"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":"39 14","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139456644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.55453/rjmm.2024.127.1.2
Yılmaz Sezgin, İsmail G. Kalaycı
"There are conflicting data on the effects of magnesium on hypertension in the literature. Therefore we aim this study to investigate whether there is a relationship between serum magnesium levels and hypertension in newly diagnosed. This is a case-control study. The patients were selected from the records of patients who applied to the family medicine outpatient clinic between June 2016 and May 2017. A total of 276 patients, 68 patients with newly diagnosed hypertension in the case group and 208 patients without any disease in the control group were included in the study. Binary logistic regression analysis was performed between the case and control groups. The odds ratio for magnesium was 0.1 (0.012-0.810). When the value of the magnesium variable increases by 1mg/dl, the risk of hypertension decreases by 90%. However, in the presence of magnesium as an independent variable, the predictability rate of our model was expected to increase but decreased. The odds ratio for age was 1.14 (1.092-1.186). The odds ratio for exercise was 0.18 (0.03-0.99). The odds ratio for glucose was 1.03 (1.001-1.065). In our study that magnesium deficiency causes an increased risk of hypertension, the predictability rate of our model was expected to increase instead of decrease. These findings show that a cause-effect approach or incidental association cannot explain the relationship between magnesium and hypertension."
{"title":"Evaluation of Serum Magnesium Levels in Patients with Hypertension: A Case-control Study","authors":"Yılmaz Sezgin, İsmail G. Kalaycı","doi":"10.55453/rjmm.2024.127.1.2","DOIUrl":"https://doi.org/10.55453/rjmm.2024.127.1.2","url":null,"abstract":"\"There are conflicting data on the effects of magnesium on hypertension in the literature. Therefore we aim this study to investigate whether there is a relationship between serum magnesium levels and hypertension in newly diagnosed. This is a case-control study. The patients were selected from the records of patients who applied to the family medicine outpatient clinic between June 2016 and May 2017. A total of 276 patients, 68 patients with newly diagnosed hypertension in the case group and 208 patients without any disease in the control group were included in the study. Binary logistic regression analysis was performed between the case and control groups. The odds ratio for magnesium was 0.1 (0.012-0.810). When the value of the magnesium variable increases by 1mg/dl, the risk of hypertension decreases by 90%. However, in the presence of magnesium as an independent variable, the predictability rate of our model was expected to increase but decreased. The odds ratio for age was 1.14 (1.092-1.186). The odds ratio for exercise was 0.18 (0.03-0.99). The odds ratio for glucose was 1.03 (1.001-1.065). In our study that magnesium deficiency causes an increased risk of hypertension, the predictability rate of our model was expected to increase instead of decrease. These findings show that a cause-effect approach or incidental association cannot explain the relationship between magnesium and hypertension.\"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":"37 2","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139454939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.55453/rjmm.2024.127.1.3
I. Prykhodko, Yanina Matsegora, O. Kolesnichenko, Serhii Voloshko, Viktoriia Vintoniak, Nataliya Vasyukova, Liudmyla Budahiants, Viktoriia Kuzina, Serhii Motyka
"On February 24, 2022, the Russian-Ukrainian war began, in which hundreds of thousands of military personnel are participating. Almost all military personnel experience combat stress. In our opinion, the most fully reflecting the occurrence of stress in humans, including combat stress in military personnel, is the conservation of resource theory proposed by S. Hobfoll. According to this theory, stress occurs when: central or key resources (health, well-being, family, self-esteem, and a sense of purpose and meaning in life) are threatened with loss, are lost, or cannot be retrieved following significant effort. Combat stress in military personnel can manifest itself in the form of negative manifestations of the psychological, physical, psychophysiological, and behavioral register. The most effective system for the prevention and control of combat stress among military personnel was developed in the US Army. Such a program should contain medical and psychological work activities carried out in three stages: preparatory (before performing combat missions), the stage of direct performance of tasks in the combat zone, and the final stage (after completing tasks upon returning to permanent deployment points)."
"2022年2月24日，俄乌战争打响，数十万军人参战。几乎所有军人都经历过战斗压力。我们认为，最能充分反映人类压力（包括军人的战斗压力）发生的理论是 S. Hobfoll 提出的资源保护理论。根据这一理论，当中心或关键资源（健康、幸福、家庭、自尊以及生活的目的和意义感）面临丧失的威胁、失去或在付出巨大努力后无法挽回时，压力就会发生。军人的战斗压力可表现为心理、生理、心理生理和行为注册送68方面的负面表现。预防和控制军人战斗压力的最有效系统是由美国陆军开发的。这种计划应包括分三个阶段开展的医疗和心理工作活动：准备阶段（执行战斗任务前）、在战区直接执行任务阶段和最后阶段（完成任务返回永久部署点后）"。
{"title":"Combat Stress in Military Personnel: Theory, Genesis, Prevention, and Control","authors":"I. Prykhodko, Yanina Matsegora, O. Kolesnichenko, Serhii Voloshko, Viktoriia Vintoniak, Nataliya Vasyukova, Liudmyla Budahiants, Viktoriia Kuzina, Serhii Motyka","doi":"10.55453/rjmm.2024.127.1.3","DOIUrl":"https://doi.org/10.55453/rjmm.2024.127.1.3","url":null,"abstract":"\"On February 24, 2022, the Russian-Ukrainian war began, in which hundreds of thousands of military personnel are participating. Almost all military personnel experience combat stress. In our opinion, the most fully reflecting the occurrence of stress in humans, including combat stress in military personnel, is the conservation of resource theory proposed by S. Hobfoll. According to this theory, stress occurs when: central or key resources (health, well-being, family, self-esteem, and a sense of purpose and meaning in life) are threatened with loss, are lost, or cannot be retrieved following significant effort. Combat stress in military personnel can manifest itself in the form of negative manifestations of the psychological, physical, psychophysiological, and behavioral register. The most effective system for the prevention and control of combat stress among military personnel was developed in the US Army. Such a program should contain medical and psychological work activities carried out in three stages: preparatory (before performing combat missions), the stage of direct performance of tasks in the combat zone, and the final stage (after completing tasks upon returning to permanent deployment points).\"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":"52 23","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139456312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
"Mental disorders clearly are among the major challenges of global health causing many concerns for health systems, health experts, and health policy makers. The present study was conducted to evaluate the mental health program in comprehensive health centers and health houses under the coverage of Ilam University of Medical Sciences in the West of Iran. The present study was conducted based on the reports obtained from the mental health program in 2019. The data were recorded into registration and evaluation forms of mental disorders with the codes 102-19-03 and 102-19-01 and then entered into the Excel software. The prevalence per 100 and 100,000 people, as well as their 95% confidence intervals were calculated using Formula 1 ROUND (Number of cases*100000/population) and Formula 2 ROUND (Prevalence ±1.96*SQRT (Prevalence *(1- Prevalence)/population). The results showed that the prevalence of depression was 19,100 [95% CI: 18999-19201] 19100), and the prevalence of anxiety was 304,66 [95% CI: 20348-30584] per 100,000 population. The highest prevalence among mental disorders was related to depression and anxiety. Considering the high average score of mental health status in people over 65 years old, it is necessary to implement measures and interventions to improve these individuals’ mental condition and upgrade their mental health."
{"title":"A Survey on Mental Health Status in West of Iran: A Spatial Analysis","authors":"Ehsan Nazari, Hojjat Sayyadi, Fathola Mohamadian, Sehat Aibod, A. Sahebi, Maryam Kheiry, Yousef Veisani","doi":"10.55453/rjmm.2024.127.2.7","DOIUrl":"https://doi.org/10.55453/rjmm.2024.127.2.7","url":null,"abstract":"\"Mental disorders clearly are among the major challenges of global health causing many concerns for health systems, health experts, and health policy makers. The present study was conducted to evaluate the mental health program in comprehensive health centers and health houses under the coverage of Ilam University of Medical Sciences in the West of Iran. The present study was conducted based on the reports obtained from the mental health program in 2019. The data were recorded into registration and evaluation forms of mental disorders with the codes 102-19-03 and 102-19-01 and then entered into the Excel software. The prevalence per 100 and 100,000 people, as well as their 95% confidence intervals were calculated using Formula 1 ROUND (Number of cases*100000/population) and Formula 2 ROUND (Prevalence ±1.96*SQRT (Prevalence *(1- Prevalence)/population). The results showed that the prevalence of depression was 19,100 [95% CI: 18999-19201] 19100), and the prevalence of anxiety was 304,66 [95% CI: 20348-30584] per 100,000 population. The highest prevalence among mental disorders was related to depression and anxiety. Considering the high average score of mental health status in people over 65 years old, it is necessary to implement measures and interventions to improve these individuals’ mental condition and upgrade their mental health.\"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":"10 2","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139455494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.55453/rjmm.2024.127.1.1
Mihnea A Petre, M. Gherghe, D. Cotor, Alexandru Luchian, Liliana L. Preotescu, Cristian Scheau, R. Cergan
"Synovial proliferation is a common intraoperative finding during total knee arthroplasty (TKA) and many studies have proposed synovectomy for the reduction of postoperative pain. We included 180 patients that were split into two groups, one which received a total synovectomy (TS) and the other with partial synovectomy (PS). We measured the amount of intra- and post-operative bleeding as well as perceived pain (using the Visual Analogue Scale) and knee function (using the Knee Society Knee Score) at 4 and 12 weeks. The blood loss during the surgical procedure was 367.77 ± 115.71 mL for TS, while the other group recorded 295.55 ± 106.17 mL (p < 0.05). Regarding postoperative bleeding, the TS group aspirated 533.77 ± 281.65 mL, which was significantly higher than the PS group (404.44 ± 211.55 mL, p < 0.05). No significant differences were recorded between the TS and PS groups regarding pain and knee function at 12 weeks. Total synovectomy demonstrated significantly higher blood loss and lower postoperative hemoglobin levels, even though knee function and pain level did not show improvements. We consider that the decision of performing synovectomy should rely on the clinical indication and, if conditions allow for it, a limited resection should be attempted."
{"title":"The Impact of Total Synovectomy on Blood Loss and Knee Function. A Prospective Randomized Study","authors":"Mihnea A Petre, M. Gherghe, D. Cotor, Alexandru Luchian, Liliana L. Preotescu, Cristian Scheau, R. Cergan","doi":"10.55453/rjmm.2024.127.1.1","DOIUrl":"https://doi.org/10.55453/rjmm.2024.127.1.1","url":null,"abstract":"\"Synovial proliferation is a common intraoperative finding during total knee arthroplasty (TKA) and many studies have proposed synovectomy for the reduction of postoperative pain. We included 180 patients that were split into two groups, one which received a total synovectomy (TS) and the other with partial synovectomy (PS). We measured the amount of intra- and post-operative bleeding as well as perceived pain (using the Visual Analogue Scale) and knee function (using the Knee Society Knee Score) at 4 and 12 weeks. The blood loss during the surgical procedure was 367.77 ± 115.71 mL for TS, while the other group recorded 295.55 ± 106.17 mL (p < 0.05). Regarding postoperative bleeding, the TS group aspirated 533.77 ± 281.65 mL, which was significantly higher than the PS group (404.44 ± 211.55 mL, p < 0.05). No significant differences were recorded between the TS and PS groups regarding pain and knee function at 12 weeks. Total synovectomy demonstrated significantly higher blood loss and lower postoperative hemoglobin levels, even though knee function and pain level did not show improvements. We consider that the decision of performing synovectomy should rely on the clinical indication and, if conditions allow for it, a limited resection should be attempted.\"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":"5 6","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139456244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.55453/rjmm.2024.127.1.7
Mehmet E. Yuksel, Nazan H. Selmi, Ç. M. Ayaz, Seval Izdes
"We aimed to evaluate the efficacy of adsorption therapy as an extracorporeal blood purification technique in critically ill patients with Coronavirus disease 2019 (COVID-19). A retrospective analysis was performed on 17 adult patients with severe COVID-19, who underwent adsorption therapy using an HA330 cartridge, at Ankara City Hospital. Each adsorption therapy was administered for three consecutive days, and each therapy session lasted three hours. Several parameters, including cytokine levels, blood count, biochemistry panel, clinical status, and mortality rate were assessed before and after each therapy session. The results obtained from this study revealed that adsorption therapy reduced IL-6 levels and improved oxygenation in the short term. However, heart rate, mean arterial pressure and SOFA score did not demonstrate significant changes. Notably, the dose of norepinephrine increased after the third session. Regrettably, only 4 out of 17 patients (23.5%) survived. Consequently, adsorption therapy appears to be effective in reducing IL-6 levels in severe COVID-19 patients. Nonetheless, further investigation is warranted to evaluate its impact on clinical outcomes."
{"title":"Evaluation of Adsorption Therapy as an Extracorporeal Blood Purification Technique in Critically Ill Covid-19 Patients","authors":"Mehmet E. Yuksel, Nazan H. Selmi, Ç. M. Ayaz, Seval Izdes","doi":"10.55453/rjmm.2024.127.1.7","DOIUrl":"https://doi.org/10.55453/rjmm.2024.127.1.7","url":null,"abstract":"\"We aimed to evaluate the efficacy of adsorption therapy as an extracorporeal blood purification technique in critically ill patients with Coronavirus disease 2019 (COVID-19). A retrospective analysis was performed on 17 adult patients with severe COVID-19, who underwent adsorption therapy using an HA330 cartridge, at Ankara City Hospital. Each adsorption therapy was administered for three consecutive days, and each therapy session lasted three hours. Several parameters, including cytokine levels, blood count, biochemistry panel, clinical status, and mortality rate were assessed before and after each therapy session. The results obtained from this study revealed that adsorption therapy reduced IL-6 levels and improved oxygenation in the short term. However, heart rate, mean arterial pressure and SOFA score did not demonstrate significant changes. Notably, the dose of norepinephrine increased after the third session. Regrettably, only 4 out of 17 patients (23.5%) survived. Consequently, adsorption therapy appears to be effective in reducing IL-6 levels in severe COVID-19 patients. Nonetheless, further investigation is warranted to evaluate its impact on clinical outcomes.\"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":"87 15","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139454483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.55453/rjmm.2024.127.1.10
Adina Geambașu, Remus R. Glogojeanu, Lucian G. Eftimie
"The scientific and medical world is making permanent efforts to study, understand, and cure the complicated pathology of Systemic Lupus Erythematosus (SLE) – the disease with 100 faces, due to the diversity and complexity of the symptoms. SLE has a devastating impact on the patient’s life, causing multiple metabolic imbalances produced by both the disease itself and the necessary medication. This case report addresses the therapeutic aspects of SLE and diabetes mellitus, on a 47-year-old male with a sensitive multi-pathology and aggressive evolution, medication, and approaching psychomotor rehabilitation therapy, up to now, when SLE treatment has ended. Also, this case study report highlights the importance of flexibility in the psychomotor rehabilitation strategy, in the context of a large range of factors that influence its definition."
{"title":"The Impact of Physical Therapy on Psychomotor Functions in a Patient with Systemic Lupus Erythematosus and Diabetes Mellitus","authors":"Adina Geambașu, Remus R. Glogojeanu, Lucian G. Eftimie","doi":"10.55453/rjmm.2024.127.1.10","DOIUrl":"https://doi.org/10.55453/rjmm.2024.127.1.10","url":null,"abstract":"\"The scientific and medical world is making permanent efforts to study, understand, and cure the complicated pathology of Systemic Lupus Erythematosus (SLE) – the disease with 100 faces, due to the diversity and complexity of the symptoms. SLE has a devastating impact on the patient’s life, causing multiple metabolic imbalances produced by both the disease itself and the necessary medication. This case report addresses the therapeutic aspects of SLE and diabetes mellitus, on a 47-year-old male with a sensitive multi-pathology and aggressive evolution, medication, and approaching psychomotor rehabilitation therapy, up to now, when SLE treatment has ended. Also, this case study report highlights the importance of flexibility in the psychomotor rehabilitation strategy, in the context of a large range of factors that influence its definition.\"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":"35 46","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139455655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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