Ioana-Codruța Lebădă, Elena Teodora Măerean, Roxana-Florina Ință
Abstract Glucocorticoids are one of the most common classes of drugs used to treat a diverse variety of inflammatory and autoimmune disorders. Despite their effects, long-term therapy exposes patients to multiple side effects, such as weight gain, high blood pressure, adrenal insufficiency, osteoporosis and a high risk of infections. We present the case of a 61-year-old female with osteoporosis secondary to glucocorticoid therapy, adrenal insufficiency, new-onset diabetes mellitus and mixed dyslipidemia, manifestations that occurred as a result of self-administration of Medrol for one year. The patient presented to the hospital for thoracic back pain, being sent to the endocrinologist due to radiological changes suggestive of vertebral compressions.
{"title":"Side Effects of Long - Term Glucocorticoid Therapy: Case Report","authors":"Ioana-Codruța Lebădă, Elena Teodora Măerean, Roxana-Florina Ință","doi":"10.2478/amtsb-2021-0027","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0027","url":null,"abstract":"Abstract Glucocorticoids are one of the most common classes of drugs used to treat a diverse variety of inflammatory and autoimmune disorders. Despite their effects, long-term therapy exposes patients to multiple side effects, such as weight gain, high blood pressure, adrenal insufficiency, osteoporosis and a high risk of infections. We present the case of a 61-year-old female with osteoporosis secondary to glucocorticoid therapy, adrenal insufficiency, new-onset diabetes mellitus and mixed dyslipidemia, manifestations that occurred as a result of self-administration of Medrol for one year. The patient presented to the hospital for thoracic back pain, being sent to the endocrinologist due to radiological changes suggestive of vertebral compressions.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48094210","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 entire environment to provide mental health care was affected by the COVID-19 pandemic, including tertiary health care services. This nationwide population-based observational descriptive study aims to explore the access to tertiary mental health care services in Romania, during the year 2020 compared with the last two years before. The analysis of national patterns of hospital admission due to mental health diseases and for the main causes of morbidity has shown disruption of regular services delivery morbidity during Covid-19 pandemic year, the rate of admission for continuous hospitalization registered in Romania due to mental and behavioural disorders in the year 2020 decreased to approximately 55% of the value of the registered rate for 2019 or 2018. During 2020, a change in hospital admission patterns for other diseases, such as cardiovascular, respiratory, digestive diseases, and neoplasms has been observed in Romania.
{"title":"Access to Tertiary Mental Health Care Services During the Covid-19 Pandemic in Romania","authors":"A. Cucu, C. Dima, D. Georgescu, E. Bratu","doi":"10.2478/amtsb-2021-0024","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0024","url":null,"abstract":"Abstract The entire environment to provide mental health care was affected by the COVID-19 pandemic, including tertiary health care services. This nationwide population-based observational descriptive study aims to explore the access to tertiary mental health care services in Romania, during the year 2020 compared with the last two years before. The analysis of national patterns of hospital admission due to mental health diseases and for the main causes of morbidity has shown disruption of regular services delivery morbidity during Covid-19 pandemic year, the rate of admission for continuous hospitalization registered in Romania due to mental and behavioural disorders in the year 2020 decreased to approximately 55% of the value of the registered rate for 2019 or 2018. During 2020, a change in hospital admission patterns for other diseases, such as cardiovascular, respiratory, digestive diseases, and neoplasms has been observed in Romania.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43651136","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 This study aims to determine the job satisfaction level of midwives, and the factors that have an effect on those levels. This cross-sectional analytic study was carried out in a total of 21 health institutions including 17 primary health care and 4 secondary health care institutions in a city center. 428 midwives were included in the study. To determine the job satisfaction of midwives, the Minnesota Satisfaction Questionnaire (MSQ) was used. According to the scores obtained from MSQ, quartiles in ¼ were created. In statistical analysis, the difference between the mean scores among groups was analysed with independent samples t-test. P values less than 0.05 were considered significant. The results demonstrated that the majority of midwives had a moderate level of job satisfaction.
{"title":"Job Satisfaction Levels of Midwives and Factors Affecting Those Levels","authors":"A. Şahan","doi":"10.2478/amtsb-2021-0023","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0023","url":null,"abstract":"Abstract This study aims to determine the job satisfaction level of midwives, and the factors that have an effect on those levels. This cross-sectional analytic study was carried out in a total of 21 health institutions including 17 primary health care and 4 secondary health care institutions in a city center. 428 midwives were included in the study. To determine the job satisfaction of midwives, the Minnesota Satisfaction Questionnaire (MSQ) was used. According to the scores obtained from MSQ, quartiles in ¼ were created. In statistical analysis, the difference between the mean scores among groups was analysed with independent samples t-test. P values less than 0.05 were considered significant. The results demonstrated that the majority of midwives had a moderate level of job satisfaction.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45185555","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}
R. Costea, V. Perieanu, Claudia-Camelia Burcea, M. Burlibașa, M. Chirilă, N. Marcov, G. Tanase, N. Măru, A. Farcașiu, Ș. Milicescu, M. Perieanu, M. David, C. Ionescu, E. Marcov, L. Moraru
Abstract Overdenture is a type of treatment suitable for subtotal and complete edentulous patients and is characterized by making a total prosthesis, with the mucosal face embedding remaining teeth (remaining roots) or dental implants. In this material we will try to present some practical aspects, regarding retained overdenture with magnetic systems fixed in the remaining roots at the level of the dental arches.
{"title":"Practical Aspects Regarding Magnetic Retained Overdenture","authors":"R. Costea, V. Perieanu, Claudia-Camelia Burcea, M. Burlibașa, M. Chirilă, N. Marcov, G. Tanase, N. Măru, A. Farcașiu, Ș. Milicescu, M. Perieanu, M. David, C. Ionescu, E. Marcov, L. Moraru","doi":"10.2478/amtsb-2021-0037","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0037","url":null,"abstract":"Abstract Overdenture is a type of treatment suitable for subtotal and complete edentulous patients and is characterized by making a total prosthesis, with the mucosal face embedding remaining teeth (remaining roots) or dental implants. In this material we will try to present some practical aspects, regarding retained overdenture with magnetic systems fixed in the remaining roots at the level of the dental arches.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42688002","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 Prost hetics is a field that requires a very good synergy between the dentist and the dental technician in order to create a prothetic treatment that is precise, functional and has also a good aesthetic. A good communication between the two parties is very important because, in most cases, dental technicians are located remotely and often do not see the patient. Functional analysis is an important requirement for diagnosing many different syndromes, which are usually associated with incorrect loading of the temporomandibular joint or dysfunctions. Fixed prosthesis focused on permanently attached (fixed) dentures. Such dental restorations, also called indirect restorations, include crowns, bridges (fixed prostheses), inlays, onlays and veneers. Fixed prosthesis can be used to restore one or more individual teeth, covering areas where the teeth have been lost. In general, the main advantages of fixed prosthetics compared to direct restorations are the superior strength when used in large restorations and the ability to build a tooth that has also a good aesthetic shape. As with any dental restoration, the principles used to determine Proper restoration involves taking into account the materials to be used, the extent of the tooth damage, the orientation and location of the teeth and the condition of the adjacent teeth.
{"title":"The Applicability of Functional Analysis in Fixed Prosthetics","authors":"C. Tătaru","doi":"10.2478/amtsb-2021-0038","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0038","url":null,"abstract":"Abstract Prost hetics is a field that requires a very good synergy between the dentist and the dental technician in order to create a prothetic treatment that is precise, functional and has also a good aesthetic. A good communication between the two parties is very important because, in most cases, dental technicians are located remotely and often do not see the patient. Functional analysis is an important requirement for diagnosing many different syndromes, which are usually associated with incorrect loading of the temporomandibular joint or dysfunctions. Fixed prosthesis focused on permanently attached (fixed) dentures. Such dental restorations, also called indirect restorations, include crowns, bridges (fixed prostheses), inlays, onlays and veneers. Fixed prosthesis can be used to restore one or more individual teeth, covering areas where the teeth have been lost. In general, the main advantages of fixed prosthetics compared to direct restorations are the superior strength when used in large restorations and the ability to build a tooth that has also a good aesthetic shape. As with any dental restoration, the principles used to determine Proper restoration involves taking into account the materials to be used, the extent of the tooth damage, the orientation and location of the teeth and the condition of the adjacent teeth.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46531760","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. Georgescu, F. Furtunescu, Otilia Frumusachi, Lavinia Lopatica, D. Mincă
Abstract The health professionals might be driven by different reasons in choosing their future medical specialty like passion, personal interest, balance with the family life, financial expectation, prestige etc. Our study aimed to explore the dominant preferences of the medical students in choosing their medical specialty in relation to their personal profile. We analysed the options of 3424 students from three cohorts the biggest public medical university of Romania. We found that most of the medical student are very career oriented, with low interest in having a family or children during their student life, most are income-dependent by others, and driven by passion/interest in choosing their future specialty, but with low interest for family medicine. Our data could be relevant for the policy makers for tailoring the long-term human resources polices adapted to the students’ values, with the aim to assure an equitable coverage with medical services all over the country.
{"title":"Motivation and Preferences of Human Resources in the Medical Field – Premises for Further Policies in the Medical Sector in Romania","authors":"M. Georgescu, F. Furtunescu, Otilia Frumusachi, Lavinia Lopatica, D. Mincă","doi":"10.2478/amtsb-2021-0021","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0021","url":null,"abstract":"Abstract The health professionals might be driven by different reasons in choosing their future medical specialty like passion, personal interest, balance with the family life, financial expectation, prestige etc. Our study aimed to explore the dominant preferences of the medical students in choosing their medical specialty in relation to their personal profile. We analysed the options of 3424 students from three cohorts the biggest public medical university of Romania. We found that most of the medical student are very career oriented, with low interest in having a family or children during their student life, most are income-dependent by others, and driven by passion/interest in choosing their future specialty, but with low interest for family medicine. Our data could be relevant for the policy makers for tailoring the long-term human resources polices adapted to the students’ values, with the aim to assure an equitable coverage with medical services all over the country.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47605685","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 There is a growing use of trans-radial catheterisation for angiography and percutaneous interventions. The advantages of trans-radial over traditional femoral access include a decrease in the incidence of access site bleeding complications and improved patient comfort and recovery. Ensuring short haemostasis, which controls arterial bleeding after transracial interventions, but at the same time maintains radial arterial flow, appears to be the most important factor in reducing peri-procedural complications, especially radial artery occlusion (RAO). We evaluated the technical feasibility of our gradual deflation haemostasis method in a population of patients treated by both conventional and distal trans-radial approach, within 1 month period. A feasibility assessment was performed for 101 patients to assess whether our hemostasis technique could be performed safely. We concluded that our technique is feasible after trans-radial approach, in both categories of access, conventional or distal. The rate of peri-procedural complications was low and related to the type of approach used, with more positive results on the distal trans-radial approach.
{"title":"Minimal Individual Haemostasis (Mih) - Feasibility in Conventional and Distal Trans-Radial Approach","authors":"M. Mokbel, N. Florescu, C. Sinescu","doi":"10.2478/amtsb-2021-0029","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0029","url":null,"abstract":"Abstract There is a growing use of trans-radial catheterisation for angiography and percutaneous interventions. The advantages of trans-radial over traditional femoral access include a decrease in the incidence of access site bleeding complications and improved patient comfort and recovery. Ensuring short haemostasis, which controls arterial bleeding after transracial interventions, but at the same time maintains radial arterial flow, appears to be the most important factor in reducing peri-procedural complications, especially radial artery occlusion (RAO). We evaluated the technical feasibility of our gradual deflation haemostasis method in a population of patients treated by both conventional and distal trans-radial approach, within 1 month period. A feasibility assessment was performed for 101 patients to assess whether our hemostasis technique could be performed safely. We concluded that our technique is feasible after trans-radial approach, in both categories of access, conventional or distal. The rate of peri-procedural complications was low and related to the type of approach used, with more positive results on the distal trans-radial approach.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47922996","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}
E. Bud, Anamaria Bud, C. Bică, O. Stoica, A. Oltean, A. Vlasa, M. Pacurar, D. Eşian
Abstract Demirjian’s method is the most frequently used method of dental maturity estimation. The aim of this study was to assess the accuracy of the method in a sample of Romanian children. The study was conducted on X-rays of 126 children with ages ranging from 5 to 15 years old. Dental age was determined and t-tests were used to assess the difference between dental age and chronological age within each age category. The boys in our study have advanced dental age in all age groups, while the girls have only in the age categories 7 to 8 years, 9 to 10 years and 11 to 12 years. The results of our study show that the method is appropriate for Romanian children and that these standards are applicable only in certain age groups. Further research is required on a larger sample.
{"title":"Evaluation of Dental Maturity Using the Demirjian’s Method in Romanian Children","authors":"E. Bud, Anamaria Bud, C. Bică, O. Stoica, A. Oltean, A. Vlasa, M. Pacurar, D. Eşian","doi":"10.2478/amtsb-2021-0034","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0034","url":null,"abstract":"Abstract Demirjian’s method is the most frequently used method of dental maturity estimation. The aim of this study was to assess the accuracy of the method in a sample of Romanian children. The study was conducted on X-rays of 126 children with ages ranging from 5 to 15 years old. Dental age was determined and t-tests were used to assess the difference between dental age and chronological age within each age category. The boys in our study have advanced dental age in all age groups, while the girls have only in the age categories 7 to 8 years, 9 to 10 years and 11 to 12 years. The results of our study show that the method is appropriate for Romanian children and that these standards are applicable only in certain age groups. Further research is required on a larger sample.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43594405","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 Colorectal cancer (CRC) ranks third in the top of the most common neoplasms in both women and men, with a high mortality rate. In the etiopathogenesis of colorectal cancer, genetic and environmental factors play an important role. In recent years, there has been a decrease in the incidence of new cases and mortality among patients over the age of 50. This can be explained by the application of modern multimodal treatment methods as well as by increasing the use of screening methods. Particular attention should be paid to inherited syndromes such as Lynch syndrome and Familial Adenomatous Polyposis, which together account for 5% of all colorectal cancers. It was found that an accumulation of genetic mutations over a period of 10 to 15 years, leads to changes in the normal colonic epithelium, with the eventual appearance of invasive carcinoma.(1,2)
{"title":"Rare Case of Sigmoid Colon Adenocarcinoma Invading the Vermiform Appendix","authors":"C. Tănăsescu, Mihai Faur, Ioan Bombea, A. Moisin","doi":"10.2478/amtsb-2021-0033","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0033","url":null,"abstract":"Abstract Colorectal cancer (CRC) ranks third in the top of the most common neoplasms in both women and men, with a high mortality rate. In the etiopathogenesis of colorectal cancer, genetic and environmental factors play an important role. In recent years, there has been a decrease in the incidence of new cases and mortality among patients over the age of 50. This can be explained by the application of modern multimodal treatment methods as well as by increasing the use of screening methods. Particular attention should be paid to inherited syndromes such as Lynch syndrome and Familial Adenomatous Polyposis, which together account for 5% of all colorectal cancers. It was found that an accumulation of genetic mutations over a period of 10 to 15 years, leads to changes in the normal colonic epithelium, with the eventual appearance of invasive carcinoma.(1,2)","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45210541","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 threat of contagious infectious diseases is constantly evolving as demographic explosion, travel globalization and changes in human lifestyle increase the risk of speeding pathogens, leading to accelerate changes in disease landscape.(1) Tuberculosis and Covid-19 are both infectious diseases that attack primarily the lungs. Both diseases have similar symptoms such as cough, fever and difficulty breathing. Tuberculosis has a longer incubation period with a slower reset of disease. Experience on Covid-19 infection in TB patient remains limited. 8 studies reported a total of 80 patients with this co-infection. These patients were reported from 9 different countries, with Italy reporting the largest number of cases.(2) The aim of this study is to evaluate the characteristic of TB and Covid-19 co-infection in 10 patients who were admitted in the Pulmonology Hospital of Sibiu between 01.05.2020-30.04.2021. All of these patients were with nosocomial infection Covid-19 and were previously diagnosed with TB.
{"title":"Tuberculosis and Covid-19 Co-Infection – Clinical Characteristics","authors":"A. Rădulescu","doi":"10.2478/amtsb-2021-0025","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0025","url":null,"abstract":"Abstract The threat of contagious infectious diseases is constantly evolving as demographic explosion, travel globalization and changes in human lifestyle increase the risk of speeding pathogens, leading to accelerate changes in disease landscape.(1) Tuberculosis and Covid-19 are both infectious diseases that attack primarily the lungs. Both diseases have similar symptoms such as cough, fever and difficulty breathing. Tuberculosis has a longer incubation period with a slower reset of disease. Experience on Covid-19 infection in TB patient remains limited. 8 studies reported a total of 80 patients with this co-infection. These patients were reported from 9 different countries, with Italy reporting the largest number of cases.(2) The aim of this study is to evaluate the characteristic of TB and Covid-19 co-infection in 10 patients who were admitted in the Pulmonology Hospital of Sibiu between 01.05.2020-30.04.2021. All of these patients were with nosocomial infection Covid-19 and were previously diagnosed with TB.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45460861","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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