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Pulmonary rehabilitation between a past in shadows and a bright future 肺康复在阴影中的过去和光明的未来之间
IF 0.1 Pub Date : 2022-09-30 DOI: 10.22551/msj.2022.03.01
P. Postolache
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引用次数: 0
Senescent fibroblasts beta-galactosidase induced by extracellular vesicles obtained from MSC-iPSC under the action of various modulators 多种调节剂作用下MSC-iPSC细胞外囊泡诱导衰老成纤维细胞β -半乳糖苷酶的研究
IF 0.1 Pub Date : 2022-09-30 DOI: 10.22551/msj.2022.03.11
I. Cazan
(Abstract): The absolute majority of published experimental data involve mesenchymal stem cells, although the possibilities offered by the use of pluripotent stem cells reprogrammed from mesenchymal stem cells are practically infinite. Aim : The goal of our study was represented by tracking the effects of stimulation and inhibition of multiple functional, intracellular pathways of senescent dermal fibroblasts in culture, in the presence of microvesicles released from pluripotent stem cells reprogrammed from mesenchymal stem cells. Material and methods : We used flow cytometry to measure the production of the be-ta-galactosidase level by dermal fibroblasts in culture after 30 passages and ultraviolet treatment. Results : Reduction of β-galactosidase concentrations in senescent dermal fibroblasts was evident upon administration of exosomes (approximately 20% on average) and exosomes co-administered with: LY-294002 (a highly selective PI3K kinase inhibitor, 41% on average); nutlin-3 (which stabilizes the non-genomic actions of p53, respectively the MDM2/p53 pathway, 63% on average); rapamycin (which stimulates autophagy and the mTOR pathway and related ones, 62% on average); and metformin (a pharmacologically active substance, considered a reprogrammer of energy metabolism, 73% on average). Conclusions : Exosomes derived from pluripotent stem cells induced from mesenchymal stem cells, administered in the culture medium of senescent dermal fibroblasts, can modify the degree and evolution of the senescence of these last cells by potentiating, activating, or stimulating some intracellular pathways of biological signal transduction, but especially through epigenetic reprogramming of energy metabolism.
(摘要):绝大多数已发表的实验数据涉及间充质干细胞,尽管使用间充质干细胞重编程的多能干细胞提供的可能性实际上是无限的。目的:我们的研究目的是通过追踪在培养中,在间充质干细胞重编程的多能干细胞释放的微泡存在的情况下,刺激和抑制衰老真皮成纤维细胞的多种功能细胞内通路的影响。材料与方法:采用流式细胞术检测体外培养的皮肤成纤维细胞经30代及紫外线处理后β -半乳糖苷酶的生成水平。结果:衰老真皮成纤维细胞中β-半乳糖苷酶浓度明显降低,外泌体(平均约20%)和外泌体与:LY-294002(一种高选择性PI3K激酶抑制剂,平均41%)共同施用;nutlin-3(稳定p53的非基因组作用,分别是MDM2/p53通路,平均63%);雷帕霉素(刺激自噬和mTOR途径及相关途径,平均62%);二甲双胍(一种药理活性物质,被认为是能量代谢的重新编程器,平均为73%)。结论:间充质干细胞诱导的多能干细胞衍生的外泌体,在衰老的真皮成纤维细胞培养基中,可以通过增强、激活或刺激一些细胞内的生物信号转导途径,特别是通过表观遗传重编程的能量代谢,来改变这些末代细胞的衰老程度和进化。
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引用次数: 0
Comorbidities in patients with post-operative meningitis in neurosurgery 神经外科术后脑膜炎患者的合并症
IF 0.1 Pub Date : 2022-09-30 DOI: 10.22551/msj.2022.03.02
V. Dorobăţ
NEUROSURGERY (Abstract): Meningitis is a serious condition that affects the central nervous sys-tem and can be caused by bacterial, viral, or fungal infection . Postoperative meningitis is a post procedural complication and disorder of the nervous system. Material and methods : We performed a retrospective study between 2016 and 2019 including 627 patients who underwent neurosurgical interventions. Of these, 32 presented postoperative meningitis being admitted between 2016 and 2019 to the “Sf. Parascheva” Clinical Hospital of Infectious Diseases, Iasi, in order to assess the impact of comorbidities among these patients. Results : From 24 patients with comorbidities, we evaluated a percentage of 45.83% patients with ischemic heart disease. We identified a number of 15 patients (62.5%) with arterial hypertension, which demonstrates the high prevalence of vascular diseases among these cases. Also, we found 4 cases with metabolic disorders which means 16.66% from all the patients with associated pathology. On the other hand, we analyzed the prevalence of other important associated comorbidities which can increase the mortality and morbidity associated risk. Conclusions : The impact of multiple comorbidities on the management and evolution of infectious diseases, especially in postoperative meningitis, is complex and needs collaboration with colleagues from all the specialties involved.
神经外科学(摘要):脑膜炎是一种影响中枢神经系统的严重疾病,可由细菌、病毒或真菌感染引起。术后脑膜炎是一种术后并发症和神经系统紊乱。材料和方法:我们在2016年至2019年期间进行了一项回顾性研究,包括627名接受神经外科干预的患者。其中,32人在2016年至2019年期间因术后脑膜炎入院。帕拉斯切娃“临床医院的传染病,Iasi,以评估这些患者的合并症的影响。结果:在24例伴有合并症的患者中,我们评估了45.83%的缺血性心脏病患者。我们确定了15例(62.5%)动脉性高血压患者,这表明这些病例中血管疾病的患病率很高。此外,我们发现4例代谢紊乱,占所有相关病理患者的16.66%。另一方面,我们分析了其他重要的相关合并症的患病率,这些合并症会增加死亡率和发病率的相关风险。结论:多种合并症对感染性疾病的管理和演变的影响是复杂的,特别是术后脑膜炎,需要所有相关专业的同事合作。
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引用次数: 0
Epidemiology profile of West Nile virus meningitis infections in North-East of Romania 罗马尼亚东北部西尼罗病毒脑膜炎感染的流行病学概况
IF 0.1 Pub Date : 2022-09-30 DOI: 10.22551/msj.2022.03.13
Georgiana Enache-Leonte
PROFILE NILE ROMANIA (Abstract): Meningitis is a disease with global presence that represents a worldwide issue, with the West Nile Virus as an etiological factor. The severity of viral meningitis depends on different factors such as age, immune system and etiological agents. Aim: The aim of the study was to study the frequency of West Nile Virus meningitis and to bring a contribution to the existing knowledge of the WNV distribution on adult individuals in Romania. Results : They showed a complete etiological and symptomatic picture for WNV meningitis with the main cause being the climatic changes experienced for the sudden appearance of an increased number of WNV infections. Conclusions : This retrospective study may constitute a foundation for a plan to prevent a possible epidemic of meningitis caused by the West Nile virus.
尼罗河罗马尼亚(摘要):脑膜炎是一种全球存在的疾病,代表了一个世界性的问题,西尼罗河病毒是一个病因。病毒性脑膜炎的严重程度取决于不同的因素,如年龄、免疫系统和病原体。目的:该研究的目的是研究西尼罗病毒脑膜炎的频率,并对罗马尼亚成人中西尼罗病毒分布的现有知识作出贡献。结果:他们显示了西尼罗河病毒脑膜炎的完整病因学和症状图,主要原因是西尼罗河病毒感染数量突然增加所经历的气候变化。结论:本回顾性研究可为预防西尼罗病毒引起的脑膜炎可能流行的计划奠定基础。
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引用次数: 0
Formulation and study of rectal ibuprofen mucoadhesive hydrogels 直肠布洛芬黏附水凝胶的制备与研究
IF 0.1 Pub Date : 2022-09-30 DOI: 10.22551/msj.2022.03.18
E. Rédai
HYDROGELS Abstract): The rectal route represents an alternative to oral administration in pediat-rics. Ibuprofen is a non- steroidal anti-inflammatory agent, used in all age groups to reduce pain, fever, and inflammation. Aim: to develop and characterize ibuprofen-containing mucoadhesive rectal gels. Material and methods: Carbopol 940, sodium alginate, and low viscosity hydroxypropyl methylcellulose HPMC were used as gel-forming agents and propyl-ene-glycol and glycerin as permeation enhancers. 5% of ibuprofen was incorporated in all formulations. Three gels have been prepared containing 1% Carbopol, 0.5% Carbopol and 5% HPMC, and 5% sodium alginate. The influence of formulation variables on the pharma-co-technical parameters (adhesivity, pH, and diffusion) was studied. The amount of API released through the membrane using a Franz cell in the acceptor media was measured. Mathematical models were applied to model the release of the active substance. Results: The pH of gels ranged between 4.2-5.0. Viscosity varied between 165 and 212 mPas. The detachment force was from 0.02 to 0.12 N. All three gels were formulated suitable for children and adults. Conclusions: The obtained experimental results showed a superior release of ibuprofen from the 5% sodium alginate gel.
摘要):直肠途径代表了儿科口服给药的另一种选择。布洛芬是一种非甾体抗炎药,用于所有年龄组,以减轻疼痛,发烧和炎症。目的:研制并表征含布洛芬黏附直肠凝胶。材料与方法:以卡波波尔940、海藻酸钠和低粘度羟丙基甲基纤维素HPMC为成胶剂,丙烯乙二醇和甘油为渗透增强剂。5%的布洛芬被纳入所有配方。制备了三种凝胶,分别含有1%卡波波尔、0.5%卡波波尔和5% HPMC以及5%海藻酸钠。研究了配方变量对药技参数(黏附性、pH值和扩散)的影响。使用Franz细胞在受体介质中测量API通过膜释放的量。用数学模型模拟了活性物质的释放过程。结果:凝胶的pH值在4.2 ~ 5.0之间。粘度在165 - 212 mpa之间变化。分离力范围为0.02 ~ 0.12 n,三种凝胶均适用于儿童和成人。结论:实验结果表明,5%海藻酸钠凝胶释放布洛芬效果较好。
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引用次数: 0
The effect of aerobic exercise on memory, depression, and anxiety like symptoms in an animal model of autism 在自闭症动物模型中,有氧运动对记忆、抑郁和焦虑症状的影响
IF 0.1 Pub Date : 2022-09-30 DOI: 10.22551/msj.2022.03.12
A. Ciobica
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引用次数: 0
Magnitude and variation of the manganese, iron and ammonia in drinking water from Timis county, Romania 罗马尼亚蒂米斯县饮用水中锰、铁和氨的含量及其变化
IF 0.1 Pub Date : 2022-09-30 DOI: 10.22551/msj.2022.03.14
C. Petrescu
MAGNITUDE AND VARIATION OF THE MANGANESE, IRON AND AMMONIA IN DRINKING WATER FROM TIMIS COUNTY, ROMANIA (Abstract): The aim of the performed study was to investigate the magnitude and variation of the manganese, iron and ammonia, as identified key issues, considering presence/absence of chlorination, area, property and time when the samples were collected. Material and methods: The observational case-study was conducted for 2 years (2016-2017) on a sample of 1,086 water sources in Timis County. A statistically significant difference (p<0.001) resulted between chlorinated and non-chlorinated sources for manganese and for iron mean-concentrations, Timisoara and Timis County (rural) public wells for manganese and for iron mean concentrations, and public and companies` wells in Timisoara for manganese. Results: Statistically significant differences of ammonia mean concentrations were also found between Timis County and Timisoara for public wells (p<0.001) and for companies (p=0.002), in non-chlorinated water. Calculated medians of manganese concentrations in well water were high in Timisoara (200 µg/L) and in Timis County (95 µg/L) and exceeded MAC (50 µg/L). The highest concentration of manganese (500 µg/L) was recorded in Timisoara, in 2016. Median of iron (93 µg/L) concentrations in public wells in Timis-County (rural) was much higher than median (50 µg/L) in public wells in Timisoara. Both median values didn`t exceed MAC (200 µg/L). Still, the highest mean concentration of iron (3,780 µg/L) was found in a public well from Timisoara, in 2016. Median of ammonia concentrations in public wells (non-chlorinated water) in Lugoj (0.6 mg/L) also surpassed MAC (0.5 mg/L). Conclusions: excessive concentrations of manganese, iron and ammonia were found in drinking water in Timis County, with significant variation in space, time and depending on property and chlorination.
罗马尼亚TIMIS县饮用水中锰、铁和氨的量和变化(摘要):本研究的目的是研究锰、铁和氨的量和变化,并确定关键问题,考虑了样品采集时是否存在氯化、面积、性质和时间。材料与方法:对蒂米斯县1086个水源地进行了为期2年(2016-2017)的观察性案例研究。氯化和非氯化来源的锰和铁的平均浓度,蒂米什瓦拉和蒂米斯县(农村)公共水井的锰和铁的平均浓度,以及蒂米什瓦拉公共和公司水井的锰,在统计上有显著差异(p<0.001)。结果:在蒂米斯县和蒂米什瓦拉之间,在非氯化水中,公共水井的氨平均浓度(p<0.001)和公司的氨平均浓度(p=0.002)也有统计学上的显著差异。计算得出的井水锰浓度中位数在蒂米什瓦拉(200µg/L)和蒂米斯县(95µg/L)较高,超过MAC(50µg/L)。2016年,蒂米什瓦拉的锰浓度最高(500微克/升)。蒂米斯县(农村)公共水井铁浓度中位数(93µg/L)远高于蒂米什瓦拉公共水井的中位数(50µg/L)。两个中位数均未超过MAC(200µg/L)。尽管如此,2016年在蒂米什瓦拉的一口公共井中发现了最高的平均铁浓度(3780微克/升)。卢戈季公共水井(非氯化水)氨浓度中位数(0.6 mg/L)也超过了MAC (0.5 mg/L)。结论:Timis县饮用水中锰、铁、氨浓度超标,且存在明显的时空差异,且随水质和氯化程度的不同而不同。
{"title":"Magnitude and variation of the manganese, iron and ammonia in drinking water from Timis county, Romania","authors":"C. Petrescu","doi":"10.22551/msj.2022.03.14","DOIUrl":"https://doi.org/10.22551/msj.2022.03.14","url":null,"abstract":"MAGNITUDE AND VARIATION OF THE MANGANESE, IRON AND AMMONIA IN DRINKING WATER FROM TIMIS COUNTY, ROMANIA (Abstract): The aim of the performed study was to investigate the magnitude and variation of the manganese, iron and ammonia, as identified key issues, considering presence/absence of chlorination, area, property and time when the samples were collected. Material and methods: The observational case-study was conducted for 2 years (2016-2017) on a sample of 1,086 water sources in Timis County. A statistically significant difference (p<0.001) resulted between chlorinated and non-chlorinated sources for manganese and for iron mean-concentrations, Timisoara and Timis County (rural) public wells for manganese and for iron mean concentrations, and public and companies` wells in Timisoara for manganese. Results: Statistically significant differences of ammonia mean concentrations were also found between Timis County and Timisoara for public wells (p<0.001) and for companies (p=0.002), in non-chlorinated water. Calculated medians of manganese concentrations in well water were high in Timisoara (200 µg/L) and in Timis County (95 µg/L) and exceeded MAC (50 µg/L). The highest concentration of manganese (500 µg/L) was recorded in Timisoara, in 2016. Median of iron (93 µg/L) concentrations in public wells in Timis-County (rural) was much higher than median (50 µg/L) in public wells in Timisoara. Both median values didn`t exceed MAC (200 µg/L). Still, the highest mean concentration of iron (3,780 µg/L) was found in a public well from Timisoara, in 2016. Median of ammonia concentrations in public wells (non-chlorinated water) in Lugoj (0.6 mg/L) also surpassed MAC (0.5 mg/L). Conclusions: excessive concentrations of manganese, iron and ammonia were found in drinking water in Timis County, with significant variation in space, time and depending on property and chlorination.","PeriodicalId":45975,"journal":{"name":"Medical-Surgical Journal-Revista Medico-Chirurgicala","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79403009","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}
引用次数: 0
Postpartum health-related quality of life and associated perinatal factors among women in North-East Romania 罗马尼亚东北部妇女产后健康相关生活质量及相关围产期因素
IF 0.1 Pub Date : 2022-09-30 DOI: 10.22551/msj.2022.03.07
D. Grab
ROMANIA (Abstract): The aim of this cross-sectional study was conducted to assess the health-related quality of life and its af-fecting factors among women from North-East Romania at six weeks postpartum. Material and methods: The study was conducted in a tertiary care hospital, at the “Cuza-Vodă” University Hospital of Obstetrics and Gynecology in Iași (Romania), from May to December 2021. The validated short-form (SF-36) questionnaire was used to assess health-related quality of life (HRQoL) of 321 women at six weeks postpartum. Results: The mean Physical Component Summary and Mental Component Summary scores, two summary measures that aggregate the eight most important domains of health status, were both reported higher than 50% (59.05 ± 19.48, 55.08 ± 25.17, respectively). Highest median scores were reported in body pain (69.25 ± 28.87) and physical functioning domains (65.42 ± 14.78). Lowest median scores were reported in vitality (44.57± 20.20) and general health perceptions (48.73 ± 25.99). Factors associated with higher overall HRQoL were maternal age under 30 and multiparity. Number of days of peripartum hospitalization was inversely proportional to all scales of the SF-36 questionnaire. Conclusions: In this study, we highlight the need for additional studies on ways to predict the onset of labor, in order to shorten the period of peripartum hospitalization of pregnant women in North-East Romania, and implicitly to improve their quality of life . rRNA analysis which detects not only live and active microbes but also dead and dormant microbes. 51 adult patients (age>20) were included in this study with mean age of 45, between 2012 and 2017 and followed up through 2020; patients who had taken antibiotics within 3 months before biopsies and with primary sclerosis cholangitis were not enrolled in this study; no patients enrolled developed colorectal cancer during the follow-up period. Colon mucosal bi-opsy were obtained at enrollment and 16S rRNA sequencing was performed. 24 patients were in remission of which 7 developed relapses during follow-up and 27 in active UC which were classified into response group (n=6), refractory group (n=13) and non-response group (n=8) according to their treatment response in 6 months. Results : no difference in the gut microbiota composition between rectum and colon; the proportion of Bacteroides de-creased as the severity of mucosal inflammation increased; unexpectedly Bacteroides was significantly lower in the non-relapse group than in the relapse group; secondly, the proportion of Enterobacteriaceae increased as the mucosal inflammation increased; in the active period a high proportion of Enterobacteriaceae was resistance to any treatments; the proportion of Clostridiales was higher in the non-relapse group whereas Prevotella was higher in the response group. In conclusion, gut microbiota composition can predict treatments strategies and clinical course of UC in terms of the relapse rate during the remissi
罗马尼亚(摘要):本横断面研究旨在评估罗马尼亚东北部妇女产后6周的健康相关生活质量及其影响因素。材料和方法:该研究于2021年5月至12月在Iași(罗马尼亚)的" cuza - vodoe "大学妇产科医院的三级护理医院进行。采用经验证的SF-36问卷对321名妇女产后6周的健康相关生活质量(HRQoL)进行评估。结果:汇总8个最重要健康状况领域的两项综合指标——身体成分总结和心理成分总结的平均得分均高于50%(分别为59.05±19.48、55.08±25.17)。中位评分最高的是身体疼痛(69.25±28.87)和身体功能域(65.42±14.78)。活力(44.57±20.20)和总体健康感知(48.73±25.99)得分最低。与较高的总体HRQoL相关的因素是母亲年龄在30岁以下和多胎。围生期住院天数与SF-36问卷各量表均成反比。结论:在本研究中,我们强调需要对预测分娩开始的方法进行更多的研究,以缩短罗马尼亚东北部孕妇的围产期住院时间,并隐含地提高她们的生活质量。rRNA分析不仅可以检测活的和活跃的微生物,还可以检测死的和休眠的微生物。2012 - 2017年间,51例年龄>20岁的成人患者纳入本研究,平均年龄45岁,随访至2020年;活检前3个月内服用抗生素和原发性硬化性胆管炎的患者未纳入本研究;在随访期间没有患者患结直肠癌。入组时进行结肠粘膜活检,并进行16S rRNA测序。缓解期24例,随访中复发7例,活动性UC 27例,根据6个月治疗反应分为缓解组(n=6)、难治性组(n=13)和无缓解组(n=8)。结果:直肠和结肠肠道菌群组成无差异;拟杆菌的比例随着黏膜炎症程度的加重而降低;出乎意料的是,未复发组的拟杆菌群明显低于复发组;肠杆菌科的比例随着黏膜炎症程度的增加而增加;在活跃期,肠杆菌科对各种处理均有较高的抗性;未复发组梭菌比例较高,而缓解组普雷沃菌比例较高。综上所述,肠道菌群组成可以根据缓解期的复发率和活动期的难治性来预测UC的治疗策略和临床病程。Nishihara Y, Ogino Tanaka M,等。粘膜相关肠道菌群反映溃疡性结肠炎的临床病程。
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引用次数: 0
Brâncuși-Gerota “Écorché” – 120th anniversary since its completion Brâncuși-Gerota“Écorché”-建成120周年
IF 0.1 Pub Date : 2022-09-30 DOI: 10.22551/msj.2022.03.19
S. Grădinaru
(Abstract): The Écorché or “Ecorșeul”, is the first of the many works of art done by Constantin Brâncuși, the world-renowned Romanian artist. It was achieved in collaboration with the famous anatomist Prof. Dr. Dimitrie Gerota and represents a national premiere in being the first anatomical work conceived in such detail in 20 th century Romania. The debutant artist assimilated knowledge about the human anatomy from the dissection of human bodies, this being a process which harmoniously binds art with the study of anatomy. Inspired by An-tinous’s statue, Brâncuși used, in his work, its stature and flamboyant pose. Awe-inspiring are the copies of Brâncusi’s Écorché, which, worked in plaster and attentively supervised by Brâncuși. They were donated later to Medical Schools and Art Schools around Romania for academic study. The Écorché, which was realized with intense efforts, brings national and international renown to the young sculptor, at the very start of his carrier, which became, with the passing of time, a work linked closely to his name, despite the modernist and ab-stract current which embodied his
(摘要):Écorché或“Ecorșeul”,是世界知名的罗马尼亚艺术家康斯坦丁Brâncuși的众多艺术作品中的第一件。它是与著名的解剖学家Dimitrie Gerota教授博士合作完成的,代表了20世纪罗马尼亚第一个如此详细的解剖工作的全国首映。这位初出家门的艺术家从人体解剖中吸收了有关人体解剖学的知识,这是一个将艺术与解剖学研究和谐结合的过程。受安提诺斯雕像的启发,Brâncuși在他的作品中使用了雕像的高度和华丽的姿势。令人肃然起敬的是br ncusi的Écorché的复制品,它们是用石膏制作的,并由Brâncuși仔细监督。它们后来被捐赠给罗马尼亚各地的医学院和艺术学校进行学术研究。Écorché,这是通过激烈的努力实现的,在他的载体的一开始就为这位年轻的雕塑家带来了国内和国际声誉,随着时间的推移,它成为了一个与他的名字密切相关的作品,尽管现代主义和抽象主义的潮流体现了他的名字
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引用次数: 0
Considerations on cases of diffuse axonal injury autopsied in the Institute of Forensic Medicine Iasi, Romania 罗马尼亚雅西法医研究所弥漫性轴索损伤病例解剖分析
IF 0.1 Pub Date : 2022-09-30 DOI: 10.22551/msj.2022.03.04
I. Hunea
CONSIDERATIONS ON CASES OF DIFFUSE AXONAL INJURY AUTOPSIED IN THE (Abstract) : Traumatic brain injury (TBI), mainly caused by road traffic accidents and falls, is one of the main causes of mortality. Survivors often present with debilitating motor, sensory and cognitive symptoms, leading to a reduced quality of life and a profound economic burden on society. Material and methods : The study was conducted by analyzing forensic cases autopsied at the Institute of Forensic Medicine Iasi, between 2015-2020, diagnosed antemortem with traumatic brain injury and diffuse axonal injury (DAI). The analysis includes a retrospective study of the forensic necropsy cases conducted between 2015-2020. Data were loaded and processed using statistical functions in SPSS 18.0 at the 95% significance level. Results: The analysis of forensic cases autopsied at the Institute of Forensic Medicine Iasi between 2015-2020 showed a number of 7818 autopsied cases, of which 3545 were violent deaths. Of these, 567 had as cause of death craniocerebral trauma; of these only 70 cases were accompanied by the imaging diagnosis of DAI, which corresponds to 12% of all cases of craniocerebral trauma. Conclusions : The imaging diagnosis of DAI was refuted by pathological examination in 24 of the cases, out of a total of 70 patients with a radiological diagnosis of DAI, corresponding to 34.28% of cases. The survival rate of rural patients was significantly higher (14.27 vs. 7.33 days; p=0.03). Patients with DAI have a high mortality, supported by a 50% decrease after the first week in the chance of survival.
(摘要):创伤性脑损伤(Traumatic brain INJURY, TBI)是导致死亡的主要原因之一,主要由道路交通事故和跌倒引起。幸存者往往表现出衰弱的运动、感觉和认知症状,导致生活质量下降,给社会带来沉重的经济负担。材料与方法:本研究通过分析2015-2020年在雅西法医研究所尸检的诊断为创伤性脑损伤和弥漫性轴索损伤(DAI)的死前法医病例进行。该分析包括对2015-2020年期间进行的法医尸检病例的回顾性研究。在SPSS 18.0中使用统计函数加载和处理数据,显著性水平为95%。结果:对雅西法医学研究所2015-2020年尸检的法医案件进行分析,共有7818例尸检,其中暴力死亡3545例。其中,567人死于颅脑外伤;其中仅70例伴有DAI影像学诊断,占颅脑损伤病例的12%。结论:在70例影像学诊断为DAI的患者中,有24例患者的影像学诊断被病理检查推翻,占34.28%。农村患者生存率显著高于农村患者(14.27天vs. 7.33天;p = 0.03)。DAI患者死亡率高,第一周后生存机会下降50%。
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引用次数: 0
期刊
Medical-Surgical Journal-Revista Medico-Chirurgicala
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