Abstract Objectives: The aim of this case-control pilot study was to examine whether there are differences in personality characteristics between hypertensive and normotensive individuals in terms of the Five-Factor Model (FFM). Methods: 71 individuals with primary hypertension were compared with 84 normotensive individuals on the DECAS personality inventory, assessing the five basic dimensions of personality according to the FFM. Results: Agreeableness and emotional stability were associated with hypertension (p-0,0001 for both). Hypertensive individuals showed low and very low agreeableness and emotional stability whereas normotensives scored medium and high in these two dimensions. Lower emotional stability was a risk factor for hypertension (OR=4.51, CI 95%=2.18-9.35). There were no significant differences in openness, extraversion and consciousness between hypertensives and normotensives (p>0.05). Conclusion: Individuals with low emotional stability/high neuroticism have more than fourfold increased risk of developing hypertension.
{"title":"The Five-Factor Model Approach to Hypertensive Patients: A Case Control Study","authors":"É. Lakatos, A. Nireștean","doi":"10.2478/amtsb-2021-0062","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0062","url":null,"abstract":"Abstract Objectives: The aim of this case-control pilot study was to examine whether there are differences in personality characteristics between hypertensive and normotensive individuals in terms of the Five-Factor Model (FFM). Methods: 71 individuals with primary hypertension were compared with 84 normotensive individuals on the DECAS personality inventory, assessing the five basic dimensions of personality according to the FFM. Results: Agreeableness and emotional stability were associated with hypertension (p-0,0001 for both). Hypertensive individuals showed low and very low agreeableness and emotional stability whereas normotensives scored medium and high in these two dimensions. Lower emotional stability was a risk factor for hypertension (OR=4.51, CI 95%=2.18-9.35). There were no significant differences in openness, extraversion and consciousness between hypertensives and normotensives (p>0.05). Conclusion: Individuals with low emotional stability/high neuroticism have more than fourfold increased risk of developing hypertension.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41315890","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}
Corresponding author: Carmen Daniela Domnariu, Str. Lucian Blaga, Nr. 2A, Sibiu, România, E-mail: cdomnariu@yahoo.com, Phone: +40269 212812 Article received on 12.11.2021 and accepted for publication on 02.12.2021 Public Health is a lesser-known medical specialty, as physicians who choose to practice it have responsibilities related in particular to ensuring the health of the population or vulnerable groups, respectively to the organization and functioning of different types of health services and the health care system, as a whole. These doctors do not follow the classic model of the medical professions, of doctor-patient direct interaction, with predilection in case of disease, but use complex methods and tools, usually applicable to the general population, vulnerable communities or groups, or health services, by which they analyse the health problems of those groups and figure out ways to ensure the most appropriate response from the health system, implicitly from the state to these problems, by virtue of the constitutional right to health care.
通讯作者:Carmen Daniela Domnariu, Str. Lucian Blaga, no . 2A, Sibiu, romnia, E-mail: cdomnariu@yahoo.com，电话:公共卫生是一个不太为人所知的医学专业，因为选择从事这一专业的医生负有特别与确保人口或弱势群体的健康有关的责任，分别与不同类型的卫生服务和整个卫生保健系统的组织和运作有关。这些医生不遵循医学专业的经典模式，即医患直接互动，对疾病有偏爱，而是使用复杂的方法和工具，通常适用于一般人群、弱势社区或群体或卫生服务，通过这些方法和工具，他们分析这些群体的健康问题，并找出确保卫生系统(隐含地是从国家)对这些问题做出最适当反应的方法。根据宪法规定享有医疗保健的权利。
{"title":"Public Health Solutions and Challenges during the COVID-19 Pandemic","authors":"C. Domnariu","doi":"10.2478/amtsb-2021-0058","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0058","url":null,"abstract":"Corresponding author: Carmen Daniela Domnariu, Str. Lucian Blaga, Nr. 2A, Sibiu, România, E-mail: cdomnariu@yahoo.com, Phone: +40269 212812 Article received on 12.11.2021 and accepted for publication on 02.12.2021 Public Health is a lesser-known medical specialty, as physicians who choose to practice it have responsibilities related in particular to ensuring the health of the population or vulnerable groups, respectively to the organization and functioning of different types of health services and the health care system, as a whole. These doctors do not follow the classic model of the medical professions, of doctor-patient direct interaction, with predilection in case of disease, but use complex methods and tools, usually applicable to the general population, vulnerable communities or groups, or health services, by which they analyse the health problems of those groups and figure out ways to ensure the most appropriate response from the health system, implicitly from the state to these problems, by virtue of the constitutional right to health care.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47079119","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}
Abstract Omega 3 fatty acids (n-3PUFA) are essential compounds in humans, their biological role being dependent on food intake, mostly of animal origin. In the newborn, n-3PUFA are involved in the formation of membrane phospholipids in the retina and grey matter influencing vision and neurogenesis. The purpose of this review is to study literature data regarding n-3PUFA intake in vegan pregnant women, with beneficial effects and supplementation possibilities. The conclusions of our study confirm the benefits of the vegan diet in pregnant women, as long as nutritional deficiencies are carefully managed through the administration of appropriate dietary supplements.
{"title":"The Importance of Omega-3 Essential Fatty Acids in Pregnancy. Is the Vegan Diet Safe for Pregnant Women?","authors":"Lorena Emanuela Buta, A. Tero-Vescan","doi":"10.2478/amtsb-2021-0068","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0068","url":null,"abstract":"Abstract Omega 3 fatty acids (n-3PUFA) are essential compounds in humans, their biological role being dependent on food intake, mostly of animal origin. In the newborn, n-3PUFA are involved in the formation of membrane phospholipids in the retina and grey matter influencing vision and neurogenesis. The purpose of this review is to study literature data regarding n-3PUFA intake in vegan pregnant women, with beneficial effects and supplementation possibilities. The conclusions of our study confirm the benefits of the vegan diet in pregnant women, as long as nutritional deficiencies are carefully managed through the administration of appropriate dietary supplements.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43599746","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}
Abstract Palpation of the thyroid gland, completed by its ultrasonographic examination, is an important method for assessing endocrine disorders caused by insufficient iodine intake. Hypothyroidism (through iodine deficiency) can be one of the main endocrine causes of poor mental and somatic development in children. The data obtained after palpation and ultrasonographic determination of thyroid volume in two groups of children (6-12 years) with small stature from different areas of Sibiu County, a submontane area (endemic) and a hilly area (non-endemic), show statistically significant differences between the values obtained for the two groups. Goiter was present in over half of the children living in the endemic area, a statistically significant percentage, higher than that obtained for the hilly area; thyroid volume values were statistically significantly higher compared to those of non-endemic area. Thyroid volume correlates positively and statistically significantly, both with the auxological indices of children (height and body mass), but especially with their age.
{"title":"Correlations Between Auxological Indices and Thyroid Volume in Children with Stature Delay in Endemic and Non-Endemic Areas of Sibiu County","authors":"Ioana-Codruța Lebădă","doi":"10.2478/amtsb-2021-0072","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0072","url":null,"abstract":"Abstract Palpation of the thyroid gland, completed by its ultrasonographic examination, is an important method for assessing endocrine disorders caused by insufficient iodine intake. Hypothyroidism (through iodine deficiency) can be one of the main endocrine causes of poor mental and somatic development in children. The data obtained after palpation and ultrasonographic determination of thyroid volume in two groups of children (6-12 years) with small stature from different areas of Sibiu County, a submontane area (endemic) and a hilly area (non-endemic), show statistically significant differences between the values obtained for the two groups. Goiter was present in over half of the children living in the endemic area, a statistically significant percentage, higher than that obtained for the hilly area; thyroid volume values were statistically significantly higher compared to those of non-endemic area. Thyroid volume correlates positively and statistically significantly, both with the auxological indices of children (height and body mass), but especially with their age.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47737756","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}
Abstract The COVID-19 pandemic is a public health emergency of international concern. Due to mandatory social distancing and the lack of effective treatments, telemedicine has become the safest interactive system between patients, both infected and uninfected, and clinicians. During this period, all patients, with acute or chronic conditions, need ways to obtain medical attention other than going to Emergency Room (E.R.) or to the clinic. Telemedicine has been an effective approach for COVID-19 management as it allows to reduce the risk of cross-contamination and provides support to remote rural location. The most optimistic forecasts could not anticipate the impact that a pandemic will have on this medical field, whose financial implications exceeded all expectation.
{"title":"The Impact of COVID-19 Pandemic on Telemedicine","authors":"D. Orga-Dumitriu","doi":"10.2478/amtsb-2021-0065","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0065","url":null,"abstract":"Abstract The COVID-19 pandemic is a public health emergency of international concern. Due to mandatory social distancing and the lack of effective treatments, telemedicine has become the safest interactive system between patients, both infected and uninfected, and clinicians. During this period, all patients, with acute or chronic conditions, need ways to obtain medical attention other than going to Emergency Room (E.R.) or to the clinic. Telemedicine has been an effective approach for COVID-19 management as it allows to reduce the risk of cross-contamination and provides support to remote rural location. The most optimistic forecasts could not anticipate the impact that a pandemic will have on this medical field, whose financial implications exceeded all expectation.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42929231","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}
Andreea Puia, Oana Stoia, Georgiana Bălțat, Ioan Bitea
Abstract Kawasaki disease is a vasculitis, usually diagnosed in childhood, for which reason treatment should be started as early as possible, to avoid complications. We present the case of a 37-year-old man with anterior chest pain, with coronary character, without known cardiovascular risk factors, and who, following investigations, is directed to emergency angio-coronarography due to acute coronary syndrome. Here, we highlight the characteristic coronary dilations for Kawasaki disease. It is released in very good general condition, with proper treatment.
{"title":"Kawasaki Disease Undiagnosed in Childhood, Myocardial Infarction in Adulthood - Case Report","authors":"Andreea Puia, Oana Stoia, Georgiana Bălțat, Ioan Bitea","doi":"10.2478/amtsb-2021-0071","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0071","url":null,"abstract":"Abstract Kawasaki disease is a vasculitis, usually diagnosed in childhood, for which reason treatment should be started as early as possible, to avoid complications. We present the case of a 37-year-old man with anterior chest pain, with coronary character, without known cardiovascular risk factors, and who, following investigations, is directed to emergency angio-coronarography due to acute coronary syndrome. Here, we highlight the characteristic coronary dilations for Kawasaki disease. It is released in very good general condition, with proper treatment.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42196832","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}
Abstract The Zurich psychiatrist E. Bleuler first introduced the term schizophrenia. He also pointed out the importance of the patient-doctor relationship and underlined the role of affectivity, division and turning away from reality for the psychopathology of patients suffering from schizophrenia. With this he created the cornerstone on which the integrative treatment of schizophrenia rests to this day. The complex integrative course of treatment of patients suffering from paranoid schizophrenia will be showed in a specific forensic context. In forensic treatment, the legal prognosis is of central importance. A reduction in the increased risk of recidivism for criminal offences can only be achieved if the patient’s mental health is improved and stabilized.
{"title":"The Integrative Treatment of Schizophrenia in a Forensic Context","authors":"Manola Schlemper, V. Saceleanu","doi":"10.2478/amtsb-2021-0066","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0066","url":null,"abstract":"Abstract The Zurich psychiatrist E. Bleuler first introduced the term schizophrenia. He also pointed out the importance of the patient-doctor relationship and underlined the role of affectivity, division and turning away from reality for the psychopathology of patients suffering from schizophrenia. With this he created the cornerstone on which the integrative treatment of schizophrenia rests to this day. The complex integrative course of treatment of patients suffering from paranoid schizophrenia will be showed in a specific forensic context. In forensic treatment, the legal prognosis is of central importance. A reduction in the increased risk of recidivism for criminal offences can only be achieved if the patient’s mental health is improved and stabilized.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47309654","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}
Abstract Prematurity is a major health problem and it is an important life-threatening pathology for the children in their perinatal, new-born and infantile period. We have evaluated the epidemiologic factors for prematurity in Obstetrics Clinic of Sibiu city. We have analysed the epidemiology of 649 preterm babies between 2012 and 2019 in a III grade Maternity Clinic concerning general maternal information, pregnancy pathology and delivery. We have found significant differences between single and multiple pregnancies and between natural conceived pregnancies and assisted reproductive techniques conceived pregnancies concerning the maternal age, number of cortisone doses, modality of delivery and significant differences between normal conceived and assisted reproductive technique conceived new born related to maternal age and pregnancy and labor fetal presentations dystocia. As a conclusion, prematurity is induced by high blood pressure, pregnancy bleeding and infectious complications. Prophylactic cortisone is improving fetal outcome and is a routine practice in our clinic.
{"title":"Premature Delivery Under 32 Weeks of Gestation – Case Control Retrospective Study","authors":"R. Chicea, Ioana-Codruța Lebădă, M. Ognean","doi":"10.2478/amtsb-2021-0076","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0076","url":null,"abstract":"Abstract Prematurity is a major health problem and it is an important life-threatening pathology for the children in their perinatal, new-born and infantile period. We have evaluated the epidemiologic factors for prematurity in Obstetrics Clinic of Sibiu city. We have analysed the epidemiology of 649 preterm babies between 2012 and 2019 in a III grade Maternity Clinic concerning general maternal information, pregnancy pathology and delivery. We have found significant differences between single and multiple pregnancies and between natural conceived pregnancies and assisted reproductive techniques conceived pregnancies concerning the maternal age, number of cortisone doses, modality of delivery and significant differences between normal conceived and assisted reproductive technique conceived new born related to maternal age and pregnancy and labor fetal presentations dystocia. As a conclusion, prematurity is induced by high blood pressure, pregnancy bleeding and infectious complications. Prophylactic cortisone is improving fetal outcome and is a routine practice in our clinic.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44066026","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}
Abstract Introduction: The work of Romanian Mobile Emergency Service for Resuscitation and Extrication known as SMURD teams is highly dependent on the gravity of a call: the more critical a patient, the shorter the time of reaction is. Emergency teams develop an adapted response pattern dependent on the type of the call that jeopardize the quality of pre-hospital action. Materials and methods: Statistical analysis of SMURD national database on a period of 3 years out of which the average ambulance time of response was calculated for different pathologies, time intervals and type of ambulances. Results: Rescue teams speed their way to an emergency such as road accidents trauma but have a slower response for calls like unconsciousness and respiratory failure. When a cardiac arrest (dispatched as “possible cardiac arrest”) is called, the time response improves by 15%. Conclusions: Emergency Medical Service (EMS) response pattern is built upon experience and encountered dramatic situations and not necessarily as a result of objective medical condition.
{"title":"Study About How Emotional Perception of the Type of Call Affects Emergency Personnel Response","authors":"Marius Smărăndoiu, A. Stănilă","doi":"10.2478/amtsb-2021-0064","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0064","url":null,"abstract":"Abstract Introduction: The work of Romanian Mobile Emergency Service for Resuscitation and Extrication known as SMURD teams is highly dependent on the gravity of a call: the more critical a patient, the shorter the time of reaction is. Emergency teams develop an adapted response pattern dependent on the type of the call that jeopardize the quality of pre-hospital action. Materials and methods: Statistical analysis of SMURD national database on a period of 3 years out of which the average ambulance time of response was calculated for different pathologies, time intervals and type of ambulances. Results: Rescue teams speed their way to an emergency such as road accidents trauma but have a slower response for calls like unconsciousness and respiratory failure. When a cardiac arrest (dispatched as “possible cardiac arrest”) is called, the time response improves by 15%. Conclusions: Emergency Medical Service (EMS) response pattern is built upon experience and encountered dramatic situations and not necessarily as a result of objective medical condition.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47885751","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}
M. Saceleanu, Bogdan-Nicolae Țeposu, Alina-Adela Joarză, Alexandru Bîrsan, A. Saceleanu
Abstract Mrs. F.M, a 77-year-old woman with prior diagnosis of Alzheimer disease, temporal lobe epilepsy, conversion disorder and essential familial hypercholesterolemia, presented for 2 months diffuse headache and vertigo, and in the past week, left brachial monoparesis and episodic amnesia become apparent, with progressive worsening and no improvement with medication therapy. The CT/MRI findings constituted a real challenge even for experienced practitioners. This article is hereby designed to meet the needs and necessities of young doctors within BrainIT international summer school.
{"title":"Clinical and Surgical Aspects of Meningothelial Meningioma in Practice and the Implications of Brain-It Summer School","authors":"M. Saceleanu, Bogdan-Nicolae Țeposu, Alina-Adela Joarză, Alexandru Bîrsan, A. Saceleanu","doi":"10.2478/amtsb-2021-0067","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0067","url":null,"abstract":"Abstract Mrs. F.M, a 77-year-old woman with prior diagnosis of Alzheimer disease, temporal lobe epilepsy, conversion disorder and essential familial hypercholesterolemia, presented for 2 months diffuse headache and vertigo, and in the past week, left brachial monoparesis and episodic amnesia become apparent, with progressive worsening and no improvement with medication therapy. The CT/MRI findings constituted a real challenge even for experienced practitioners. This article is hereby designed to meet the needs and necessities of young doctors within BrainIT international summer school.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45866055","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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