Oana Stoia, I. Manițiu, Ioan Bitea, Gabriela Eminovici, M. Teodoru
Abstract Peripheral arterial disease (PAD) is characterized by obstruction in the lower limbs, mainly due to atherosclerosis. The prevalence of the pathology in people under 40 years of age is 6% and 15-20% in the population over 65 years old.(1,2) Approximately 50% of the affected persons are, at the time of examination, asymptomatic.(3) The most important risk factors associated with this condition are smoking, diabetes mellitus (DM), high cholesterol and high blood pressure (HBP). The current study shows that, regardless of the association of risk factors or pre-hospital treatment, these patients do not benefit from a certain type of treatment (drug or interventional), which corresponds to the existing data in the literature, which do not document the choice of type of treatment depending on the patient’s age or comorbidities.
{"title":"The Influence of Risk Factors on the Choice of Therapeutic Method in Peripheral Arterial Disease","authors":"Oana Stoia, I. Manițiu, Ioan Bitea, Gabriela Eminovici, M. Teodoru","doi":"10.2478/amtsb-2020-0066","DOIUrl":"https://doi.org/10.2478/amtsb-2020-0066","url":null,"abstract":"Abstract Peripheral arterial disease (PAD) is characterized by obstruction in the lower limbs, mainly due to atherosclerosis. The prevalence of the pathology in people under 40 years of age is 6% and 15-20% in the population over 65 years old.(1,2) Approximately 50% of the affected persons are, at the time of examination, asymptomatic.(3) The most important risk factors associated with this condition are smoking, diabetes mellitus (DM), high cholesterol and high blood pressure (HBP). The current study shows that, regardless of the association of risk factors or pre-hospital treatment, these patients do not benefit from a certain type of treatment (drug or interventional), which corresponds to the existing data in the literature, which do not document the choice of type of treatment depending on the patient’s age or comorbidities.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"25 1","pages":"31 - 34"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45617466","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 A haemorrhagic cerebrovascular accident refers to a spontaneous bleeding in the cerebral parenchyma, located either supratentorial or infratentorial, that occurs in the absence of a surgical or traumatic cause. The incidence is estimated at 12-15 new cases per 100.000 inhabitants per year. Intracranial haemorrhage is the third most frequent cause of stroke, the vast majority being represented by primary/hypertensive (spontaneous) intracerebral haemorrhage, ruptured saccular aneurysm, a vascular malformation or haemorrhage associated with the use of anticoagulants or thrombolytic agents. A cerebral tomography computer examination is the examination of choice in diagnosis of haemorrhagic CVAs. The treatment can be either therapeutic or surgical, depending on the case, with the consideration that an immediate medical treatment is mandatory for the best odds of recovery.(1)
{"title":"Haemorrhagic Cerebrovascular Accident (CVA) Etiology and Case Report","authors":"M. Luchian, A. Saceleanu","doi":"10.2478/amtsb-2020-0061","DOIUrl":"https://doi.org/10.2478/amtsb-2020-0061","url":null,"abstract":"Abstract A haemorrhagic cerebrovascular accident refers to a spontaneous bleeding in the cerebral parenchyma, located either supratentorial or infratentorial, that occurs in the absence of a surgical or traumatic cause. The incidence is estimated at 12-15 new cases per 100.000 inhabitants per year. Intracranial haemorrhage is the third most frequent cause of stroke, the vast majority being represented by primary/hypertensive (spontaneous) intracerebral haemorrhage, ruptured saccular aneurysm, a vascular malformation or haemorrhage associated with the use of anticoagulants or thrombolytic agents. A cerebral tomography computer examination is the examination of choice in diagnosis of haemorrhagic CVAs. The treatment can be either therapeutic or surgical, depending on the case, with the consideration that an immediate medical treatment is mandatory for the best odds of recovery.(1)","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"25 1","pages":"16 - 18"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47270204","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 Platelet indices have been linked to the severity and prognosis of coronary artery disease, but a very small number of studies assessed them under dual antiplatelet therapy after percutaneous coronary intervention (PCI). The aim of this study was to evaluate changes in mean platelet volume (MPV), platelet distribution width (PDW) and platelet-large cell ratio (P-LCR) in these patients. A number of 437 patients with stable coronary artery disease, 131 patients with non ST segment elevation acute coronary syndrome and 151 patients with ST segment elevation myocardial infarction were included in the study. There was no difference between the three groups regarding platelet indices prior to PCI. Follow-up data was available for 181 patients, at a mean follow-up time of 69 (46-98) days. MPV, PDW and PLC-R were similar to those prior to PCI in all three groups. Regarding the P2Y12 inhibitor, clopidogrel or ticagrelor, there was no difference at follow-up between platelet indices irrespective of the indication for PCI.
{"title":"Clopidogrel and Ticagrelor Do Not Influence Platelet Indices After Percutaneous Coronary Intervention","authors":"I. Sus, L. Hadadi, C. Somkereki, D. Dobreanu","doi":"10.2478/amtsb-2020-0067","DOIUrl":"https://doi.org/10.2478/amtsb-2020-0067","url":null,"abstract":"Abstract Platelet indices have been linked to the severity and prognosis of coronary artery disease, but a very small number of studies assessed them under dual antiplatelet therapy after percutaneous coronary intervention (PCI). The aim of this study was to evaluate changes in mean platelet volume (MPV), platelet distribution width (PDW) and platelet-large cell ratio (P-LCR) in these patients. A number of 437 patients with stable coronary artery disease, 131 patients with non ST segment elevation acute coronary syndrome and 151 patients with ST segment elevation myocardial infarction were included in the study. There was no difference between the three groups regarding platelet indices prior to PCI. Follow-up data was available for 181 patients, at a mean follow-up time of 69 (46-98) days. MPV, PDW and PLC-R were similar to those prior to PCI in all three groups. Regarding the P2Y12 inhibitor, clopidogrel or ticagrelor, there was no difference at follow-up between platelet indices irrespective of the indication for PCI.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"25 1","pages":"35 - 37"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45610894","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 Hand pain is a common complaint in the hemodialysis patient on arteriovenous fistula. The problem is related to its etiology: nervous or vascular, which requires different therapeutic solutions. Ischaemic etiology involves a deviation of the distal flow in the anastomosed vein, with the decrease of the distal flow and the installation of distal ischaemia. Nerve etiology involves compression of the median nerve in the carpal tunnel. The purpose of the paper is to present a case study of diagnosis and treatment of median nerve compression in hemodialysis patient.
{"title":"Carpal Tunnel Syndrome Versus Vascular Access Induced Hand Ischaemia","authors":"Alina Helgiu","doi":"10.2478/amtsb-2020-0065","DOIUrl":"https://doi.org/10.2478/amtsb-2020-0065","url":null,"abstract":"Abstract Hand pain is a common complaint in the hemodialysis patient on arteriovenous fistula. The problem is related to its etiology: nervous or vascular, which requires different therapeutic solutions. Ischaemic etiology involves a deviation of the distal flow in the anastomosed vein, with the decrease of the distal flow and the installation of distal ischaemia. Nerve etiology involves compression of the median nerve in the carpal tunnel. The purpose of the paper is to present a case study of diagnosis and treatment of median nerve compression in hemodialysis patient.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"25 1","pages":"28 - 30"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43721136","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 use of psychostimulants is more and more common lately, especially in the medical guild. The term “burn-out” is an occupational phenomenon, not a disease, and 25-60% of doctors in different specialties have the burn-out syndrome. The method was to complete a questionnaire-type test by 204 medical residents. The results shows us that 72.1% (147) of the respondents drinks coffee, 25.9% of them smokes cigarettes during hospital hours and 13.7% consumes energy drinks. Furthemore 5.9% drinks alcohol during shifts. Among of all, those who are consumers of at least one psychostimulant substance, the risk of them having at least one of the symptoms of burnout is 1.3 times higher than those who do not consume anything at work (RR-1.3453, p = 0.0152). Psychostimulant substances are consumed to improve the efficiency and resistance at work. It’s important to manage the time in order to avoid extreme fatigue and distress.
近年来，精神兴奋剂的使用越来越普遍，特别是在医疗行业。“职业倦怠”一词是一种职业现象，而不是一种疾病，不同专业的医生中有25-60%患有“职业倦怠综合症”。方法为对204名住院医师进行问卷式测试。结果表明，72.1%(147人)的受访者喝咖啡，25.9%的人在住院时间吸烟，13.7%的人喝能量饮料。此外，5.9%的人在轮班期间饮酒。其中，至少使用一种精神兴奋剂的人出现至少一种倦怠症状的风险是在工作中不使用任何兴奋剂的人的1.3倍(rr = 1.3453, p = 0.0152)。服用精神兴奋剂是为了提高工作效率和抵抗力。为了避免极度疲劳和痛苦，合理安排时间是很重要的。
{"title":"Psychostimulant Subtances Use Among Resident Doctors","authors":"D. Iacob","doi":"10.2478/amtsb-2020-0058","DOIUrl":"https://doi.org/10.2478/amtsb-2020-0058","url":null,"abstract":"Abstract The use of psychostimulants is more and more common lately, especially in the medical guild. The term “burn-out” is an occupational phenomenon, not a disease, and 25-60% of doctors in different specialties have the burn-out syndrome. The method was to complete a questionnaire-type test by 204 medical residents. The results shows us that 72.1% (147) of the respondents drinks coffee, 25.9% of them smokes cigarettes during hospital hours and 13.7% consumes energy drinks. Furthemore 5.9% drinks alcohol during shifts. Among of all, those who are consumers of at least one psychostimulant substance, the risk of them having at least one of the symptoms of burnout is 1.3 times higher than those who do not consume anything at work (RR-1.3453, p = 0.0152). Psychostimulant substances are consumed to improve the efficiency and resistance at work. It’s important to manage the time in order to avoid extreme fatigue and distress.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"25 1","pages":"6 - 8"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44613379","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 Being considered a rare form of malignant neoplasm, stromal tumours are part of sarcomas group, they account for ~5% of all sarcomas (1), which develop from the supporting tissues of the body and have as a starting point special cells located in the wall of the gastrointestinal tract, called interstitial cells - described by Cajal. Although this type of tumour formations poses the problem of diagnosis, when it is made early and surgical and oncological treatment is prompt, the prognosis improves considerably.
{"title":"Gastro-Intestinal-Stromal Tumors (GIST) – An Unexpected Finding in Two Cases","authors":"D. Bratu, Victoria Gîra, Florin Fluture","doi":"10.2478/amtsb-2020-0070","DOIUrl":"https://doi.org/10.2478/amtsb-2020-0070","url":null,"abstract":"Abstract Being considered a rare form of malignant neoplasm, stromal tumours are part of sarcomas group, they account for ~5% of all sarcomas (1), which develop from the supporting tissues of the body and have as a starting point special cells located in the wall of the gastrointestinal tract, called interstitial cells - described by Cajal. Although this type of tumour formations poses the problem of diagnosis, when it is made early and surgical and oncological treatment is prompt, the prognosis improves considerably.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"25 1","pages":"44 - 46"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46959711","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}
Claudia-Camelia Burcea, M. Perieanu, M. Burlibașa, R. Costea, V. Perieanu, G. Tanase, C. Ionescu, Iuliana Babiuc, ioana-Cristina neagoe, Raluca Costea, A. Mihai, M. Dina, M. Malița, E. Marcov, M. Chirilă
Abstract Nowadays, at work, many people spend more than half of their entire day working in a sitting position. Maintaining this position for a long period of time is a risk factor for health. The results of various studies have shown associations between maintaining a prolonged sitting position with morbidity due to chronic diseases, such as cardiovascular disease, diabetes, metabolic syndrome, obesity, etc. And, as we have already mentioned in the first part of this study, dental technicians are part of this category of staff, who carry out most of their specific activity, in a sitting position.
{"title":"The “Sitting” Position and Its Implications in Dental Technology. General Aspects of Improving the Quality of Life - Part II","authors":"Claudia-Camelia Burcea, M. Perieanu, M. Burlibașa, R. Costea, V. Perieanu, G. Tanase, C. Ionescu, Iuliana Babiuc, ioana-Cristina neagoe, Raluca Costea, A. Mihai, M. Dina, M. Malița, E. Marcov, M. Chirilă","doi":"10.2478/amtsb-2020-0077","DOIUrl":"https://doi.org/10.2478/amtsb-2020-0077","url":null,"abstract":"Abstract Nowadays, at work, many people spend more than half of their entire day working in a sitting position. Maintaining this position for a long period of time is a risk factor for health. The results of various studies have shown associations between maintaining a prolonged sitting position with morbidity due to chronic diseases, such as cardiovascular disease, diabetes, metabolic syndrome, obesity, etc. And, as we have already mentioned in the first part of this study, dental technicians are part of this category of staff, who carry out most of their specific activity, in a sitting position.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"25 1","pages":"66 - 69"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44004303","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 most common causes of non-bilious vomiting in infants are hypertrophic pyloric stenosis and pylorospasm. Differential diagnosis between the pathologies establishes the correct treatment. The aim of our study is to present the management of the pathologies cured in our department. The longer the duration of vomiting symptoms the higher muscle thickness was shown. Dehydration and lethargy was associated with higher muscle thickness. There were no intraoperative or postoperative complications recorded in our cases. Ultrasonography is the gold standard in imaging technique but it requires an experienced radiologist. In case of negative physical examination and ultrasonography, but high suspicion of the diagnosis a fluoroscopy may be required. The correct diagnosis avoids unnecessary surgery combined with general anesthesia.
{"title":"A Single Institution Experience in Hypertrofic Pyloric Stenosis","authors":"T. Tóth, A. Prisca, A. Borda, H. Gozar, R. Prișcă","doi":"10.2478/amtsb-2020-0071","DOIUrl":"https://doi.org/10.2478/amtsb-2020-0071","url":null,"abstract":"Abstract The most common causes of non-bilious vomiting in infants are hypertrophic pyloric stenosis and pylorospasm. Differential diagnosis between the pathologies establishes the correct treatment. The aim of our study is to present the management of the pathologies cured in our department. The longer the duration of vomiting symptoms the higher muscle thickness was shown. Dehydration and lethargy was associated with higher muscle thickness. There were no intraoperative or postoperative complications recorded in our cases. Ultrasonography is the gold standard in imaging technique but it requires an experienced radiologist. In case of negative physical examination and ultrasonography, but high suspicion of the diagnosis a fluoroscopy may be required. The correct diagnosis avoids unnecessary surgery combined with general anesthesia.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"25 1","pages":"47 - 49"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44078045","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 Numerous studies in the last decades report a frequent association of marginal periodontal disease with some systemic metabolic disorders, such as diabetes or obesity. The prevalence of these diseases is growing alarmingly both globally and in our country. Recent data from the literature confirm that advanced forms of periodontal disease can influence the evolution of type 2 diabetes. This may provide a premise for better glycemic control.
{"title":"Periodontal Diseases in Diabetes Melitus - A Two Way Link? A Review of Literature","authors":"O. Boitor, Carmen Natea Sitterli, M. Romeo","doi":"10.2478/amtsb-2020-0080","DOIUrl":"https://doi.org/10.2478/amtsb-2020-0080","url":null,"abstract":"Abstract Numerous studies in the last decades report a frequent association of marginal periodontal disease with some systemic metabolic disorders, such as diabetes or obesity. The prevalence of these diseases is growing alarmingly both globally and in our country. Recent data from the literature confirm that advanced forms of periodontal disease can influence the evolution of type 2 diabetes. This may provide a premise for better glycemic control.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"25 1","pages":"77 - 79"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46640593","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 alarming spread of the novel Coronavirus necessitated the cessation of elective therapeutic procedures in most health-care facilities. This strategy has limited the spread of the virus, but with a huge socio-economic impact. For this reason, the resumption of elective surgery in the context of the coronavirus pandemic is a difficult, but necessary process. Addressing this delicate situation requires interdisciplinary collaboration, so as to ensure high quality medical care for all patients, with consideration to protection of the staff involved in the care of the surgical patient.
{"title":"Preoperative Considerations in Order to Resume Elective Surgery During COVID-19 Pandemic","authors":"B. Vintilă, A. Bereanu, I. Codru, M. Sava","doi":"10.2478/amtsb-2020-0069","DOIUrl":"https://doi.org/10.2478/amtsb-2020-0069","url":null,"abstract":"Abstract The alarming spread of the novel Coronavirus necessitated the cessation of elective therapeutic procedures in most health-care facilities. This strategy has limited the spread of the virus, but with a huge socio-economic impact. For this reason, the resumption of elective surgery in the context of the coronavirus pandemic is a difficult, but necessary process. Addressing this delicate situation requires interdisciplinary collaboration, so as to ensure high quality medical care for all patients, with consideration to protection of the staff involved in the care of the surgical patient.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"25 1","pages":"42 - 43"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47616565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：