Pub Date : 2019-02-01DOI: 10.12680/balneo.2019.235
I. Stanescu, A. Bulboacă, C. Ursu, Dana Marieta Fodor, I. Hațieganu, C. Pharmacy
Abstract Traumatic vertebral artery (VA) dissection is a severe consequence of a cervical injury, which usually involves the vertebrae and spinal cord. Traumatic VA dissection has been frequently underdiagnosed or misdiagnosed, mainly because many patients remain asymptomatic. The consequence of VA dissection is ischemia in the territory supplied by the affected artery. The VA dissection presents most often as a vertebrobasilary transient ischemic attack or ischemic stroke, usually preceded by local symptoms such as neck pain or headache. Headache is a common symptom in patients with cervical artery dissection, but its characters are not specific. Diagnosis of VA dissection usually requires a CT-angiography. Delayed onset of symptoms with a variable asymptomatic interval, ranging from several days to 3 months, has been reported. The risk of stroke remains high, especially in the first weeks after the confirmation of VA dissection. Treatment of traumatic VA dissections include anticoagulation or antiplatelet therapy and revascularization techniques. We present the case of a patient with spinal cord injury and operated C5 fracture, who was diagnosed with unilateral VA dissection 6 months after the traumatic event, during the rehabilitation program.
{"title":"Headache occurring during rehabilitation in a migrainous patient with cervical spinal cord injury","authors":"I. Stanescu, A. Bulboacă, C. Ursu, Dana Marieta Fodor, I. Hațieganu, C. Pharmacy","doi":"10.12680/balneo.2019.235","DOIUrl":"https://doi.org/10.12680/balneo.2019.235","url":null,"abstract":"Abstract Traumatic vertebral artery (VA) dissection is a severe consequence of a cervical injury, which usually involves the vertebrae and spinal cord. Traumatic VA dissection has been frequently underdiagnosed or misdiagnosed, mainly because many patients remain asymptomatic. The consequence of VA dissection is ischemia in the territory supplied by the affected artery. The VA dissection presents most often as a vertebrobasilary transient ischemic attack or ischemic stroke, usually preceded by local symptoms such as neck pain or headache. Headache is a common symptom in patients with cervical artery dissection, but its characters are not specific. Diagnosis of VA dissection usually requires a CT-angiography. Delayed onset of symptoms with a variable asymptomatic interval, ranging from several days to 3 months, has been reported. The risk of stroke remains high, especially in the first weeks after the confirmation of VA dissection. Treatment of traumatic VA dissections include anticoagulation or antiplatelet therapy and revascularization techniques. We present the case of a patient with spinal cord injury and operated C5 fracture, who was diagnosed with unilateral VA dissection 6 months after the traumatic event, during the rehabilitation program.","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42742763","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 : 2018-12-20DOI: 10.12680/BALNEO.2018.211
G. Dogaru, R. Cluj-Napoca, Marieta Motricală, Ákos Molnár, I. Stanescu, A. Bulboacă, L. Ciumărnean, V. Rus, Romania Tușnad Spa Complex Băile Tușnad
{"title":"Biochemical changes after consumption of mineral water from spring 3 in Baile Tusnad in experimentally induced alcoholic liver disease study","authors":"G. Dogaru, R. Cluj-Napoca, Marieta Motricală, Ákos Molnár, I. Stanescu, A. Bulboacă, L. Ciumărnean, V. Rus, Romania Tușnad Spa Complex Băile Tușnad","doi":"10.12680/BALNEO.2018.211","DOIUrl":"https://doi.org/10.12680/BALNEO.2018.211","url":null,"abstract":"","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46898632","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 : 2018-12-20DOI: 10.12680/balneo.2018.214
A. Cozma, R. Cluj-Napoca, A. Sitar-Tăut, A. Fodor, M. Oltean, I. Minciună, I. Breabăn, Roxana Matuz, N. Răcătăianu, G. Dogaru, O. Orasan
Endothelial function is considered an independent predictor for risk of future cardiovascular events in cardiovascular and noncardiovascular patients. Given the prevalence of cardiovascular disease (CVD), preclinical detection may help modify atherosclerosis and prevent events. Although traditional cardiovascular risk factors relate to future CVD, the predictive value of these risk factors can be relatively limited. Contemporary scientific attention has focused on alternative direct measures of arterial function . Studies have provided unique insights into the pathophysiology of disease processes, the response to treatment and prognostic information that may be helpful in risk prediction. Peripheral measures of endothelial function are now established surrogate markers of vascular risk and have become important markers for clinical research. Cardiac rehabilitation (CR) is of critical importance in the secondary prevention of cardiovascular disease. It has been reported that CR was negatively related to reinfarction, cardiac morbidity and all-cause mortality. The beneficial influence of cardiac rehabilitation on endothelial dysfunction has been demonstrated in many studies, but the the mechanisms by which exercise improves endothelial function are not fully clarified.
{"title":"Evaluation of endothelial dysfunction and its improvement after cardiac rehabilitation","authors":"A. Cozma, R. Cluj-Napoca, A. Sitar-Tăut, A. Fodor, M. Oltean, I. Minciună, I. Breabăn, Roxana Matuz, N. Răcătăianu, G. Dogaru, O. Orasan","doi":"10.12680/balneo.2018.214","DOIUrl":"https://doi.org/10.12680/balneo.2018.214","url":null,"abstract":"Endothelial function is considered an independent predictor for risk of future cardiovascular events in cardiovascular and noncardiovascular patients. Given the prevalence of cardiovascular disease (CVD), preclinical detection may help modify atherosclerosis and prevent events. Although traditional cardiovascular risk factors relate to future CVD, the predictive value of these risk factors can be relatively limited. Contemporary scientific attention has focused on alternative direct measures of arterial function . Studies have provided unique insights into the pathophysiology of disease processes, the response to treatment and prognostic information that may be helpful in risk prediction. Peripheral measures of endothelial function are now established surrogate markers of vascular risk and have become important markers for clinical research. Cardiac rehabilitation (CR) is of critical importance in the secondary prevention of cardiovascular disease. It has been reported that CR was negatively related to reinfarction, cardiac morbidity and all-cause mortality. The beneficial influence of cardiac rehabilitation on endothelial dysfunction has been demonstrated in many studies, but the the mechanisms by which exercise improves endothelial function are not fully clarified.","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45920076","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 : 2018-12-20DOI: 10.12680/balneo.2018.219
A. Iosip, R. Cluj-Napoca, B. Caloian, F. Frîngu, D. Zdrenghea, D. Pop
{"title":"Particularities of cardiovascular rehabilitation in patients with chronic cor pulmonale","authors":"A. Iosip, R. Cluj-Napoca, B. Caloian, F. Frîngu, D. Zdrenghea, D. Pop","doi":"10.12680/balneo.2018.219","DOIUrl":"https://doi.org/10.12680/balneo.2018.219","url":null,"abstract":"","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44872862","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 : 2018-12-20DOI: 10.12680/BALNEO.2018.227
S. Silisteanu, A. Silișteanu, E. Antonescu, Ș. Mare
{"title":"The study on the importance of effects after the ultrasound use in the recovery of patients with lower lumbar discopathy","authors":"S. Silisteanu, A. Silișteanu, E. Antonescu, Ș. Mare","doi":"10.12680/BALNEO.2018.227","DOIUrl":"https://doi.org/10.12680/BALNEO.2018.227","url":null,"abstract":"","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48095869","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 : 2018-12-20DOI: 10.12680/BALNEO.2018.221
I. Stanescu, G. Dogaru, A. Bulboacă, Dana Marieta Fodor, A. Bulboacă
Abstract Stroke is a leading cause of serious long-term disability: about one third of patients developing spasticity of the affected limbs. Spasticity is characterized by a velocity-dependent increase in resistance to passive movement, and is one of the “positive signs” of upper motor neuron syndrome. Spasticity induces pain, ankylosis, tendon retraction, increasing motor deficit, which may limit the efficacy of rehabilitation methods . Spasticity is also correlated with activity limitations, and reduces quality of life of patients and caregivers. Assessment of post-stroke spasticity requires first clinical examination; scales as Ashworth Modifyed scale and Tardieu Modifyed scale are useful quantitative tools. Treatment of spasticity is often challenging for the rehabilitation team, requiring a multidisciplinary approach. Therapeutic interventions include physical therapy, occupational therapy, use of assistive devices, pharmacological treatment and injectable treatment. Botulinum toxin injections in spastic upper and lower limb muscles have significant effect in reducing muscle tone and improving passive function in affected limbs, and should also be considered for improvement of active function.
{"title":"Spasticity in post-stroke patients: incidence and therapeutical approach","authors":"I. Stanescu, G. Dogaru, A. Bulboacă, Dana Marieta Fodor, A. Bulboacă","doi":"10.12680/BALNEO.2018.221","DOIUrl":"https://doi.org/10.12680/BALNEO.2018.221","url":null,"abstract":"Abstract Stroke is a leading cause of serious long-term disability: about one third of patients developing spasticity of the affected limbs. Spasticity is characterized by a velocity-dependent increase in resistance to passive movement, and is one of the “positive signs” of upper motor neuron syndrome. Spasticity induces pain, ankylosis, tendon retraction, increasing motor deficit, which may limit the efficacy of rehabilitation methods . Spasticity is also correlated with activity limitations, and reduces quality of life of patients and caregivers. Assessment of post-stroke spasticity requires first clinical examination; scales as Ashworth Modifyed scale and Tardieu Modifyed scale are useful quantitative tools. Treatment of spasticity is often challenging for the rehabilitation team, requiring a multidisciplinary approach. Therapeutic interventions include physical therapy, occupational therapy, use of assistive devices, pharmacological treatment and injectable treatment. Botulinum toxin injections in spastic upper and lower limb muscles have significant effect in reducing muscle tone and improving passive function in affected limbs, and should also be considered for improvement of active function.","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46215823","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 : 2018-12-20DOI: 10.12680/BALNEO.2018.216
D. Cosma, R. Cluj-Napoca, D. Vasilescu, M. Valeanu
Abstract The aim of this study was to find out the role and importance of foot abduction brace after the completion of clubfoot treatment by Ponseti method. In the interval 2014-2016, a series of 51 children (74 feet) suffering of clubfoot were treated according to the Ponseti method in our department. Of them, 36 children satisfied the inclusion criteria in the study. Compliance with orthoses was defined in the terms below: 23 hours/day in the first three months after the cast removal and minimum 8 hours/day up to the age of 3 years. Non-compliance was defined as the incapacity of observing the criterion mentioned above up to the age of 18 months. Out of the 36 patients, 25 (69%) patients (35 feet) complied with the requirement and 11 (31%) patients (15 feet) did not comply with the foot abduction orthoses. At the age of 18 months, it was found out that in the non-complying group, the Pirani score increased significantly as compared to the complying group which means a deterioration of the initial result. Another finding with reference to the foot abduction orthoses complying group is that the Pirani score was maintained or improved significantly (p<0.05), while with the non-complying group the initial results obtained by plaster casts were damaged due to lack of use of orthoses (p<0.05). We consider the correct use of the foot abduction orthoses as essential for the conservative treatment of the clubfoot according to the Ponseti method, in spite of the obstacles sometimes put by parents.
{"title":"The importance of foot abduction brace after the Ponseti treatment of clubfoot","authors":"D. Cosma, R. Cluj-Napoca, D. Vasilescu, M. Valeanu","doi":"10.12680/BALNEO.2018.216","DOIUrl":"https://doi.org/10.12680/BALNEO.2018.216","url":null,"abstract":"Abstract The aim of this study was to find out the role and importance of foot abduction brace after the completion of clubfoot treatment by Ponseti method. In the interval 2014-2016, a series of 51 children (74 feet) suffering of clubfoot were treated according to the Ponseti method in our department. Of them, 36 children satisfied the inclusion criteria in the study. Compliance with orthoses was defined in the terms below: 23 hours/day in the first three months after the cast removal and minimum 8 hours/day up to the age of 3 years. Non-compliance was defined as the incapacity of observing the criterion mentioned above up to the age of 18 months. Out of the 36 patients, 25 (69%) patients (35 feet) complied with the requirement and 11 (31%) patients (15 feet) did not comply with the foot abduction orthoses. At the age of 18 months, it was found out that in the non-complying group, the Pirani score increased significantly as compared to the complying group which means a deterioration of the initial result. Another finding with reference to the foot abduction orthoses complying group is that the Pirani score was maintained or improved significantly (p<0.05), while with the non-complying group the initial results obtained by plaster casts were damaged due to lack of use of orthoses (p<0.05). We consider the correct use of the foot abduction orthoses as essential for the conservative treatment of the clubfoot according to the Ponseti method, in spite of the obstacles sometimes put by parents.","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42348585","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 : 2018-12-20DOI: 10.12680/balneo.2018.215
D. M. Moldovan, Traumatology Tg-Mures, G. Dogaru, L. Ciumărnean, V. Sturza, Pharmacy Cluj-Napoca
Abstract Introduction: The aim of this study is to compare the efficiency of Platelet-rich plasma (PRP) in the treatment of acute lesions and chronical disease of bones, joints and nerves from forearm, wrist and hand. Material and Methods: articles published in English between 2008 and 2018 from medical literature were selected. Results: when it comes to acute lesions three articles were found; one about the using of PRP in distal radius fractures and the two about the infiltration of PRP in the complete neurotmesis of radial nerve or in digital nerve incomplete section. In chronic conditions only one article about trapeziometacarpian (TMC) osteoarthritis (OA) was found, and three articles about a median nerve compression in carpal tunnel syndrome (CTS). Conclusions: 1.The medical literature contains few publications regarding the efficiency of PRP in treatment of traumatic lesions and chronic disease of forearm, wrist and hand. 2. In chronic conditions the favorable outcomes after the PRP injection are obtained only in the first stage of the disease, in advanced stages the surgical treatment is mandatory.
{"title":"Platelet-rich plasma in treatment of acute lesions and chronic disease of forearm, wrist and hand","authors":"D. M. Moldovan, Traumatology Tg-Mures, G. Dogaru, L. Ciumărnean, V. Sturza, Pharmacy Cluj-Napoca","doi":"10.12680/balneo.2018.215","DOIUrl":"https://doi.org/10.12680/balneo.2018.215","url":null,"abstract":"Abstract Introduction: The aim of this study is to compare the efficiency of Platelet-rich plasma (PRP) in the treatment of acute lesions and chronical disease of bones, joints and nerves from forearm, wrist and hand. Material and Methods: articles published in English between 2008 and 2018 from medical literature were selected. Results: when it comes to acute lesions three articles were found; one about the using of PRP in distal radius fractures and the two about the infiltration of PRP in the complete neurotmesis of radial nerve or in digital nerve incomplete section. In chronic conditions only one article about trapeziometacarpian (TMC) osteoarthritis (OA) was found, and three articles about a median nerve compression in carpal tunnel syndrome (CTS). Conclusions: 1.The medical literature contains few publications regarding the efficiency of PRP in treatment of traumatic lesions and chronic disease of forearm, wrist and hand. 2. In chronic conditions the favorable outcomes after the PRP injection are obtained only in the first stage of the disease, in advanced stages the surgical treatment is mandatory.","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43723230","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 : 2018-12-20DOI: 10.12680/BALNEO.2018.218
A. Bulboacă, R. Cluj-Napoca, I. Stanescu, A. Bulboacă
Abstract Over the past 10 years great progress has been made in the diagnosis and treatment of neurological pathology such is stroke. Primary intracerebral hemorrhage (PICH) is a devastating subtype of stroke, caused by acute and spontaneously of the blood in the cerebral parenchyma. Its many causes offer a substantial heterogeneity in terms of clinical appearance, evolution, prognosis and therapeutically resources. Despite of high importance in neurology, the pathophisiological mechanisms of PICH is not complete understand. The aim of this paper is to emphasize the importance of etiological factors and pathophysiological mechanisms in the clinical evolution, prognosis and patient's rehabilitation in PICH
{"title":"Pathophysiology and clinical aspects of temporal evolution of intracerebral hemorrhage - implication in prognosis and neurorehabilitation","authors":"A. Bulboacă, R. Cluj-Napoca, I. Stanescu, A. Bulboacă","doi":"10.12680/BALNEO.2018.218","DOIUrl":"https://doi.org/10.12680/BALNEO.2018.218","url":null,"abstract":"Abstract Over the past 10 years great progress has been made in the diagnosis and treatment of neurological pathology such is stroke. Primary intracerebral hemorrhage (PICH) is a devastating subtype of stroke, caused by acute and spontaneously of the blood in the cerebral parenchyma. Its many causes offer a substantial heterogeneity in terms of clinical appearance, evolution, prognosis and therapeutically resources. Despite of high importance in neurology, the pathophisiological mechanisms of PICH is not complete understand. The aim of this paper is to emphasize the importance of etiological factors and pathophysiological mechanisms in the clinical evolution, prognosis and patient's rehabilitation in PICH","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49601487","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 : 2018-12-20DOI: 10.12680/BALNEO.2018.226
D. Matei, R. P. Iași, C. Luca, D. Andritoi, D. Sardaru, C. Corciova
{"title":"THE RELATIONSHIP BETWEEN LOWER SERUM MAGNESIUM LEVELS AND HEART RATE VARIABILITY INDICES","authors":"D. Matei, R. P. Iași, C. Luca, D. Andritoi, D. Sardaru, C. Corciova","doi":"10.12680/BALNEO.2018.226","DOIUrl":"https://doi.org/10.12680/BALNEO.2018.226","url":null,"abstract":"","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46926828","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：