M. Buzatu, Georgeta Dinculescu, F. Furtunescu, D. Mincă
Abstract On 24th of February 2020, the Ministry of Health in Romania announced the operationalization of the Green Line, known as Telverde, within the National Institute of Public Health, in order to provide citizens with information related to the prevention of Sars-Cov-2 infection. The number of registered calls increased considerably at the time of the declaration of the pandemic, the beginning and the cessation of the state of emergency and during the issuance of military ordinances. Different key periods were studied and compared so that we could determine if the major administrative and legislative events have influenced the number of registered calls. Our findings sustained the supposition that the major events that took place during this period have indeed influenced the number of telephone calls made to TelVerde helpline.
{"title":"The Impact of Legislative Changes on the Number of Calls to the Romanian Covid 19 Telverde Helpline","authors":"M. Buzatu, Georgeta Dinculescu, F. Furtunescu, D. Mincă","doi":"10.2478/amtsb-2021-0002","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0002","url":null,"abstract":"Abstract On 24th of February 2020, the Ministry of Health in Romania announced the operationalization of the Green Line, known as Telverde, within the National Institute of Public Health, in order to provide citizens with information related to the prevention of Sars-Cov-2 infection. The number of registered calls increased considerably at the time of the declaration of the pandemic, the beginning and the cessation of the state of emergency and during the issuance of military ordinances. Different key periods were studied and compared so that we could determine if the major administrative and legislative events have influenced the number of registered calls. Our findings sustained the supposition that the major events that took place during this period have indeed influenced the number of telephone calls made to TelVerde helpline.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43148058","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 Laparoscopic appendicitis surgery is accepted in more and more centers around the world. Studies and meta-analyses of studies have shown that laparoscopic appendicitis is a feasible and safe procedure with numerous clinical benefits, such as shorter postoperative ileus, lower incidence of wound infection, lower postoperative pain and duration, recurrence faster to activities. Because laparoscopic appendectomy has been associated with a reduced risk of surgical complications, it may provide a better alternative versus open surgery. A review of data relevant to the evaluation of laparoscopic appendectomy versus open appendectomy as reflected in the literature of the last 2 decades would be relevant for the growing progressive interest of laparoscopic surgery for acute appendicitis and for its comparative evaluation with classical open appendicitis intervention.
{"title":"Laparoscopic Appendectomy Versus Open Appendectomy in Children: Evolution over Time","authors":"Laura Dumitrică, L. Dobrotă, B. Neamțu","doi":"10.2478/amtsb-2021-0013","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0013","url":null,"abstract":"Abstract Laparoscopic appendicitis surgery is accepted in more and more centers around the world. Studies and meta-analyses of studies have shown that laparoscopic appendicitis is a feasible and safe procedure with numerous clinical benefits, such as shorter postoperative ileus, lower incidence of wound infection, lower postoperative pain and duration, recurrence faster to activities. Because laparoscopic appendectomy has been associated with a reduced risk of surgical complications, it may provide a better alternative versus open surgery. A review of data relevant to the evaluation of laparoscopic appendectomy versus open appendectomy as reflected in the literature of the last 2 decades would be relevant for the growing progressive interest of laparoscopic surgery for acute appendicitis and for its comparative evaluation with classical open appendicitis intervention.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44870607","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 Right distal transracial approach in the anatomical snuff box could reduce the probability of radial artery occlusion. Also, that approach allows a more comfortable hand position, especially in obese patients. We prospectively evaluated right distal transracial approach (DTRA) in patients treated trans-radially. Materials and methods: Prospective, observational, single centre study. Various relevant objectives were assessed, for example radial artery occlusion in the evaluated patients at discharge by ultrasonography, procedural success, time of scopy and time required for haemostasis. 57 eligible patients were included in the study. The mean age was 63 years, 63% men, and PCI was performed in 37% of patients. In all patients we used 6Fr radial sheaths, standard catheters and TR-band with verification after one hour, then within 30-minute intervals. Results: Procedural success was 89.5%, no patients had radial artery occlusion, two patients had a local hematoma remitted later, the medium time required for hemostasis was 83.5 minutes, no patients suffered ischaemia or any effect in right hand’s functions. Conclusion: Distal radial puncture seems feasible, safe and can be considered routinely.
{"title":"Distal Trans-Radial Approach for Coronary Angiography and Percutaneous Coronary Interventions - Single-Centre Experience","authors":"M. Mokbel, N. Florescu, C. Sinescu","doi":"10.2478/amtsb-2021-0004","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0004","url":null,"abstract":"Abstract Right distal transracial approach in the anatomical snuff box could reduce the probability of radial artery occlusion. Also, that approach allows a more comfortable hand position, especially in obese patients. We prospectively evaluated right distal transracial approach (DTRA) in patients treated trans-radially. Materials and methods: Prospective, observational, single centre study. Various relevant objectives were assessed, for example radial artery occlusion in the evaluated patients at discharge by ultrasonography, procedural success, time of scopy and time required for haemostasis. 57 eligible patients were included in the study. The mean age was 63 years, 63% men, and PCI was performed in 37% of patients. In all patients we used 6Fr radial sheaths, standard catheters and TR-band with verification after one hour, then within 30-minute intervals. Results: Procedural success was 89.5%, no patients had radial artery occlusion, two patients had a local hematoma remitted later, the medium time required for hemostasis was 83.5 minutes, no patients suffered ischaemia or any effect in right hand’s functions. Conclusion: Distal radial puncture seems feasible, safe and can be considered routinely.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48420979","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 Coronary artery disease (CAD) is an important determinant of long-term outcome in patients with lower extremity artery disease (LEAD). In this study we evaluated the CAD prevalence among LEAD patients and the association of LEAD lesions location with the CAD presence and severity. 203 patients with LEAD, referred for peripheral and simultaneous coronary angiography, were evaluated. LEAD and CAD were considered angiographically significant for stenosis higher than 50% of arterial lumen. More than two-thirds of LEAD patients had significant CAD, half of them having multi-vessel CAD and a quarter single CAD. Infrapoplitheal arterial lesions seemed to be the strongest predictor of CAD being associated with significant and multi-vessel CAD and also with the presence of left main (LM) lesions. Femoral artery lesions were highly associated with multi-vessel CAD, but there was no association with significant CAD and LM lesions. No association was found between iliac artery lesions and CAD.
{"title":"Lower Extremity Artery Disease as a Predictor of Coronary Artery Disease","authors":"Cornel Ioan Bitea, I. Manițiu, Georgiana Bălțat","doi":"10.2478/amtsb-2021-0006","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0006","url":null,"abstract":"Abstract Coronary artery disease (CAD) is an important determinant of long-term outcome in patients with lower extremity artery disease (LEAD). In this study we evaluated the CAD prevalence among LEAD patients and the association of LEAD lesions location with the CAD presence and severity. 203 patients with LEAD, referred for peripheral and simultaneous coronary angiography, were evaluated. LEAD and CAD were considered angiographically significant for stenosis higher than 50% of arterial lumen. More than two-thirds of LEAD patients had significant CAD, half of them having multi-vessel CAD and a quarter single CAD. Infrapoplitheal arterial lesions seemed to be the strongest predictor of CAD being associated with significant and multi-vessel CAD and also with the presence of left main (LM) lesions. Femoral artery lesions were highly associated with multi-vessel CAD, but there was no association with significant CAD and LM lesions. No association was found between iliac artery lesions and CAD.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43731986","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. Malița, C. Ionescu, V. Perieanu, M. Burlibașa, M. Dina, R. Costea, M. Perieanu, Raluca Costea, Iuliana Babiuc, I. Beuran, G. Tanase, M. Chirilă, M. David, I. Voinescu, L. Moraru
Abstract Flexible dentures are an increasingly interesting prosthetic alternative both for dental practitioners (dentists and dental technicians), but also for patients. This type of prosthetic restoration can rehabilitate a wide range of edentulous, but the financial effort that patients have to make is more consistent than in the case of a partial acrylic dentures. In this study, we will try to present some essential aspects in the technology of creating flexible partial dentures.
{"title":"The Technology of Obtaining Flexible Dentures in Dental Practice, Theoretical and Practical Aspects","authors":"M. Malița, C. Ionescu, V. Perieanu, M. Burlibașa, M. Dina, R. Costea, M. Perieanu, Raluca Costea, Iuliana Babiuc, I. Beuran, G. Tanase, M. Chirilă, M. David, I. Voinescu, L. Moraru","doi":"10.2478/amtsb-2021-0018","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0018","url":null,"abstract":"Abstract Flexible dentures are an increasingly interesting prosthetic alternative both for dental practitioners (dentists and dental technicians), but also for patients. This type of prosthetic restoration can rehabilitate a wide range of edentulous, but the financial effort that patients have to make is more consistent than in the case of a partial acrylic dentures. In this study, we will try to present some essential aspects in the technology of creating flexible partial dentures.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45865165","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}
Lorand Vitalis, O. Russu, Sándor-György Zuh, T. S. Pop
Abstract Due to the high success of arthroplasty, patients suffering from osteoarthritis have higher expectations regarding the relief of pain, functional recovery and capacity to perform physical and sports activity. The purpose of our article is to present a literature review based on papers published during the last decades, with emphasis on the current recommendations regarding sports after total joint replacement. We conducted a search using PubMed/Medline databases, selecting the scientific articles published between 2005-2020 which discuss the association between physical activity and total hip or knee arthroplasty. The benefits of physical activity in all kinds of joint prostheses outweigh the negative effects; therefore, the recommendation for low-impact sports (hiking, swimming, cycling or golf) at a moderate intensity is considered valid and patients with total hip or knee arthroplasty who preoperatively had a high level of physical activity can return to low-impact sports performed at moderate intensity after 3-6 months.
{"title":"Recommendations for Sport and Physical Activity after total Hip and Knee Arthroplasty: A Systematic Review","authors":"Lorand Vitalis, O. Russu, Sándor-György Zuh, T. S. Pop","doi":"10.2478/amtsb-2021-0017","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0017","url":null,"abstract":"Abstract Due to the high success of arthroplasty, patients suffering from osteoarthritis have higher expectations regarding the relief of pain, functional recovery and capacity to perform physical and sports activity. The purpose of our article is to present a literature review based on papers published during the last decades, with emphasis on the current recommendations regarding sports after total joint replacement. We conducted a search using PubMed/Medline databases, selecting the scientific articles published between 2005-2020 which discuss the association between physical activity and total hip or knee arthroplasty. The benefits of physical activity in all kinds of joint prostheses outweigh the negative effects; therefore, the recommendation for low-impact sports (hiking, swimming, cycling or golf) at a moderate intensity is considered valid and patients with total hip or knee arthroplasty who preoperatively had a high level of physical activity can return to low-impact sports performed at moderate intensity after 3-6 months.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45285315","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 Breast cancer is the most common cancer in women and a major public health problem, affecting 2.1 million women each year globally and causing the highest number of cancer-related deaths among women. In 2018, an estimated 627,000 women died from breast cancer (about 15% of all cancer deaths among women). To improve survival, early detection is essential. There are two strategies for early detection of breast cancer: early diagnosis and screening.(1) In Romania, the latest statistics show a higher incidence of breast cancer compared to the European average of 7929 new cases / year with a mortality of 3101 deaths / year.(2)
{"title":"Modern Aspects in the Diagnosis and Surgical Treatment of Breast Cancer in Early Stages","authors":"A. Moisin, C. Tănăsescu","doi":"10.2478/amtsb-2021-0011","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0011","url":null,"abstract":"Abstract Breast cancer is the most common cancer in women and a major public health problem, affecting 2.1 million women each year globally and causing the highest number of cancer-related deaths among women. In 2018, an estimated 627,000 women died from breast cancer (about 15% of all cancer deaths among women). To improve survival, early detection is essential. There are two strategies for early detection of breast cancer: early diagnosis and screening.(1) In Romania, the latest statistics show a higher incidence of breast cancer compared to the European average of 7929 new cases / year with a mortality of 3101 deaths / year.(2)","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44711582","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}
Cornel Ioan Bitea, I. Manițiu, Georgiana Bălțat, Oana Stoia
Abstract Atherosclerosis is the main cause of lower extremity artery disease (LEAD) and coronary artery disease (CAD). These two arterial territories share the major cardiovascular risk factors: smoking, hypertension, dyslipidaemia and diabetes. Current guidelines draw attention to other possible risk factors: homocysteine level, inflammation markers (e.g. high-sensitive C reactive-protein (CRP), interleukin 6) and chronic kidney disease (CKD.) The objective of this study was to evaluate the cardiovascular risk factors strength association with LEAD and CAD on a study population of 203 patients. Our study concluded that smoking seems to be the most powerful risk factor for LEAD, especially for significant lesion in femoral arteries, while diabetes mellitus, hypertension and CKD were significantly associated with CAD. The highest chance of association with multivessel-CAD is for diabetes mellitus compared to hypertension and CKD respectively. Moreover, in diabetic patients the percent of multivessel-CAD was significantly higher than the percent of single-CAD and non-significant CAD.
{"title":"Cardiovascular Risk Factors - Association with Lower Extremity Versus Coronary Artery Disease","authors":"Cornel Ioan Bitea, I. Manițiu, Georgiana Bălțat, Oana Stoia","doi":"10.2478/amtsb-2021-0003","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0003","url":null,"abstract":"Abstract Atherosclerosis is the main cause of lower extremity artery disease (LEAD) and coronary artery disease (CAD). These two arterial territories share the major cardiovascular risk factors: smoking, hypertension, dyslipidaemia and diabetes. Current guidelines draw attention to other possible risk factors: homocysteine level, inflammation markers (e.g. high-sensitive C reactive-protein (CRP), interleukin 6) and chronic kidney disease (CKD.) The objective of this study was to evaluate the cardiovascular risk factors strength association with LEAD and CAD on a study population of 203 patients. Our study concluded that smoking seems to be the most powerful risk factor for LEAD, especially for significant lesion in femoral arteries, while diabetes mellitus, hypertension and CKD were significantly associated with CAD. The highest chance of association with multivessel-CAD is for diabetes mellitus compared to hypertension and CKD respectively. Moreover, in diabetic patients the percent of multivessel-CAD was significantly higher than the percent of single-CAD and non-significant CAD.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44050623","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 Particular case of complex cervical trauma by associating a cervical fracture with piriform sinus laceration. The trauma is located in the anatomo-topographic zone II. Delayed onset at 24 hours of digestive symptoms, swallowing disorders, sialorrhea, dysphagia, subcutaneous cervical emphysema. CT with Optiray contrast agent is performed, an investigation that reveals a gap in the left piriform sinus of 5-6 mm. The evolution is favourable under conservative treatment, nasogastric tube, broad spectrum antibiotic treatment.
{"title":"Cervical Fracture with Piriform Sinus Laceration","authors":"Mihaela Chialda","doi":"10.2478/amtsb-2021-0010","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0010","url":null,"abstract":"Abstract Particular case of complex cervical trauma by associating a cervical fracture with piriform sinus laceration. The trauma is located in the anatomo-topographic zone II. Delayed onset at 24 hours of digestive symptoms, swallowing disorders, sialorrhea, dysphagia, subcutaneous cervical emphysema. CT with Optiray contrast agent is performed, an investigation that reveals a gap in the left piriform sinus of 5-6 mm. The evolution is favourable under conservative treatment, nasogastric tube, broad spectrum antibiotic treatment.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45415866","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}
C. Ionescu, M. Malița, V. Perieanu, M. Burlibașa, M. Dina, R. Costea, M. Perieanu, Raluca Costea, Iuliana Babiuc, I. Beuran, G. Tanase, M. Chirilă, I. Voinescu, M. David, L. Moraru
Abstract When talking about dental assistance we actually refer to the prevention, detection and treatment of diseases of the oral and maxillo-facial region which, in most cases, have as a starting point or interest the dento-maxillary system. In this material, we tried to present a comparative study on the typology and complexity of different stages of dental treatments that can be performed in urban areas, compared to various stages of dental treatments that are performed and / or could be made in rural dental offices from in Romania.
{"title":"Treatments’ Complexity in Dental Care Assistance, Urban Versus Rural Environment - Preliminary Study","authors":"C. Ionescu, M. Malița, V. Perieanu, M. Burlibașa, M. Dina, R. Costea, M. Perieanu, Raluca Costea, Iuliana Babiuc, I. Beuran, G. Tanase, M. Chirilă, I. Voinescu, M. David, L. Moraru","doi":"10.2478/amtsb-2021-0020","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0020","url":null,"abstract":"Abstract When talking about dental assistance we actually refer to the prevention, detection and treatment of diseases of the oral and maxillo-facial region which, in most cases, have as a starting point or interest the dento-maxillary system. In this material, we tried to present a comparative study on the typology and complexity of different stages of dental treatments that can be performed in urban areas, compared to various stages of dental treatments that are performed and / or could be made in rural dental offices from in Romania.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42876524","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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