The MODERN MEDICINE - MEDICINA MODERNA is Indexed by EBSCO and Index Copernicus
CNCS B+ Category Journal
CME Credits: 10 (Romanian College of Physicians)
Author register Login
Str. Avram Iancu Nr. 1, Sect. 2
Bucuresti, Romania

Current issue

Nr. 4/2014, Vol. 21

A New Step

in Sharing Medical Experience

Medicina Modernã

New Series

Chronic Lymphocytic Leukemia

From Diagnosis to Treatment Decision

Lentigo Maligna

A Scientometric Analysis of Mainstream Scientific Knowledge

Ontogenesis – Complementarity or Opposition between Materialism and Idealism, between Science and Religion

M. Ifrim

The “Albert Schweitzer ” International Academy, founded and directed by the academician Kazimierz lmielinski, scientific personality of worldwide renoun, nominalized for the award of the Nobel prize, represents by its restigious members an international saientific authority in the framework which are debated: medical problems of a fundamental and functional character, as well as philosophical conceptual aspects regarding the materiality and the
ideality of the Universe in which we live.
In this context, I present some aspects refering to ontogenesis, which may open interesting perspectives for the medical science.
Ontogenesis is the proc…[more...]

Full Text Sources: Download pdf

Intrahepatic Cholangiocarcinoma – the Impact of Pathological Characteristics on the Long-Term Outcome after Resection

Zenaida Emilia Ionel, T. Dumitraşcu, V. Braşoveanu, I. Lupescu, R. Anghel, V. Herlea, M. Ionescu, I. Popescu

Background: The purpose of this retrospective study is to identify prognostic factors relevant for survival in a group of resected patients with intrahepatic cholangiocarcinoma (ICC).

Methods: A number of 104 patients diagnosed with ICC underwent hepatic resection with curative purpose within the Center of General Surgery and Liver Transplantation, Dan Setlacecâ, Fundeni Clinical Institute,
between 1995 and 2012. Surgical procedures, postoperative evolution, histopathological results have been analyzed and groups of patients with long time survival were identified. The tumors have been macroscopically
classified accord…[more...]

Full Text Sources: Download pdf
Abstract:
Abstract RO   Abstract EN

Acute Myocardial Infarction in Youngs: Presentation, Treatment and Outcome

Anna-Maria Andronescu, A. Nechita, Eugenia Panaitescu, M. Vintilă, Maria Dorobanţu

Objectives: Few data regarding acute myocardial infarction (AMI) in young Romanian adults are published. The present study aims to identify the clinical, biological, imagistic, therapeutic profile and the inhospital and mid-term outcomes of the myocardial infarction in a Romanian population younger than 45 years.

Methods: The studied population consisted of 173 Romanian adults (mean age 39 +- 5 years, range 19 to 45 years) admitted for AMI in two acute cardiac care units between January 2009 and December 2011. The baseline characteristics, procedures and treatment were collected at the time of the index event. The patients w…[more...]

Full Text Sources: Download pdf
Abstract:
Abstract RO   Abstract EN

Total Lower Lip Reconstruction – What Techniques Should We Choose

N. Calcaianu, S.A. Popescu, Daniela Diveica, I. Lascăr

Background: While the incidence of lip cancers incidence in the central Europe is low 0.7% of all malignant tumors compared to the 1-2% generally considered, they are extremely important from a clinical and surgical point of view because of the morphological and functional changes involved.

Materials and methods: We reviewed the possibilities of surgical reconstruction for the total lower lip defects and after assessment of the advantages and disadvantages we have chosen the Camille-Bernard modified technique to treat a series of 11 patients with lower lip tumors.

Results:We had for complications a fistula above the chin for 3 patient…[more...]

Full Text Sources: Download pdf
Abstract:
Abstract RO   Abstract EN

Bacterial Pneumonia in Children – Epidemiological Study on Nine Years

Mirela Luminiţa Chiru, Daniela Pacurar, D. Oraseanu

Pneumonia is defined as inflammation of the lung parenchyma, affecting the alveolar space. WHO estimated a median incidence of 0.28 episodes of pneumonia worldwide child year. This leads to an annual incidence of 150.7 million new cases, of which 11-20000000 (7-13%) are severe requiring hospitalization. In developing countries appear 95% of episodes of pneumonia in young children. The study was conducted based on a descriptive epidemiological surveys, retrospective in the Emergency Hospital for Children “Grigore Alexandrescu ” 9 years (2004-2012). We analyzed 6637 cases of both sexes aged 0-18 years. The average pediatric clinic admissio…[more...]

Full Text Sources: Download pdf
Abstract:
Abstract RO   Abstract EN

All the articles…

Year 2014 No. 4

1. Ontogenesis – Complementarity or Opposition between Materialism and Idealism, between Science and Religion

Authors: M. Ifrim

The “Albert Schweitzer ” International Academy, founded and directed by the academician Kazimierz lmielinski, scientific personality of worldwide renoun, nominalized for the award of the Nobel prize, represents by its restigious members an international saientific authority in the framework which are debated: medical problems of a fundamental and functional character, as well as philosophical conceptual aspects regarding the materiality and the
ideality of the Universe in which we live.
In this context, I present some aspects refering to ontogenesis, which may open interesting perspectives for the medical science.
Ontogenesis is the proc…[more...]
rezumat (RO) | abstract (EN)

2. Intrahepatic Cholangiocarcinoma – the Impact of Pathological Characteristics on the Long-Term Outcome after Resection

Authors: Zenaida Emilia Ionel, T. Dumitraşcu, V. Braşoveanu, I. Lupescu, R. Anghel, V. Herlea, M. Ionescu, I. Popescu

Background: The purpose of this retrospective study is to identify prognostic factors relevant for survival in a group of resected patients with intrahepatic cholangiocarcinoma (ICC).

Methods: A number of 104 patients diagnosed with ICC underwent hepatic resection with curative purpose within the Center of General Surgery and Liver Transplantation, Dan Setlacecâ, Fundeni Clinical Institute,
between 1995 and 2012. Surgical procedures, postoperative evolution, histopathological results have been analyzed and groups of patients with long time survival were identified. The tumors have been macroscopically
classified accord…[more...]
rezumat (RO) | abstract (EN)

3. Acute Myocardial Infarction in Youngs: Presentation, Treatment and Outcome

Authors: Anna-Maria Andronescu, A. Nechita, Eugenia Panaitescu, M. Vintilă, Maria Dorobanţu

Objectives: Few data regarding acute myocardial infarction (AMI) in young Romanian adults are published. The present study aims to identify the clinical, biological, imagistic, therapeutic profile and the inhospital and mid-term outcomes of the myocardial infarction in a Romanian population younger than 45 years.

Methods: The studied population consisted of 173 Romanian adults (mean age 39 +- 5 years, range 19 to 45 years) admitted for AMI in two acute cardiac care units between January 2009 and December 2011. The baseline characteristics, procedures and treatment were collected at the time of the index event. The patients w…[more...]
rezumat (RO) | abstract (EN)

4. Total Lower Lip Reconstruction – What Techniques Should We Choose

Authors: N. Calcaianu, S.A. Popescu, Daniela Diveica, I. Lascăr

Background: While the incidence of lip cancers incidence in the central Europe is low 0.7% of all malignant tumors compared to the 1-2% generally considered, they are extremely important from a clinical and surgical point of view because of the morphological and functional changes involved.

Materials and methods: We reviewed the possibilities of surgical reconstruction for the total lower lip defects and after assessment of the advantages and disadvantages we have chosen the Camille-Bernard modified technique to treat a series of 11 patients with lower lip tumors.

Results:We had for complications a fistula above the chin for 3 patient…[more...]
rezumat (RO) | abstract (EN)

5. Bacterial Pneumonia in Children – Epidemiological Study on Nine Years

Authors: Mirela Luminiţa Chiru, Daniela Pacurar, D. Oraseanu

Pneumonia is defined as inflammation of the lung parenchyma, affecting the alveolar space. WHO estimated a median incidence of 0.28 episodes of pneumonia worldwide child year. This leads to an annual incidence of 150.7 million new cases, of which 11-20000000 (7-13%) are severe requiring hospitalization. In developing countries appear 95% of episodes of pneumonia in young children. The study was conducted based on a descriptive epidemiological surveys, retrospective in the Emergency Hospital for Children “Grigore Alexandrescu ” 9 years (2004-2012). We analyzed 6637 cases of both sexes aged 0-18 years. The average pediatric clinic admissio…[more...]
rezumat (RO) | abstract (EN)

6. Correlations between Hypercalcemia and Endoscopic Findings in HD Patients – A Prospective Study

Authors: D. Baboi, Cristiana David, Ileana Peride, A. Niculae, I.A. Checheriţă, I. Dina

Digestive hemorrhages are fierce complications, with high death risk in deficient patients with multiple risk factors, such as chronic hemodialyzed patients. In group of individuals, the pathophysiological basis of the hemorrhagic lesions on a mucosa quasi-permanently affected by uremia and hypervolemia consists of hydrochloric acid oversecretion not only through the known classical paths (gastrin, histamine and acetylcholine), but also induced by interdialytic metabolic acidosis and stimulation of certain calcium-dependent receptors of the parietal cells. Objective: to determine the relation between serum calcium level in chronic dialyzed pa…[more...]
rezumat (RO) | abstract (EN)

7. Current Issues in Acute Diarrheal Disease

Authors: Ruxandra Laza, A. Crişan, Luminiţa Bădiţoiu, Emilia Nicoară, Narcisa Nicolescu, Voichiţa Lăzureanu, Ruxandra Jurac

Objectives: the relatively high number of patients with Clostridium difficile (CD) acute diarrheal disease admitted in the 2nd Infectious Diseases Department of the Hospital for Infectious Diseases and Pneumophtisiology Timisoara in 2013 determined us to evaluate which of the following factors could be invoked in triggering this endemic diarrheal episode: particular pathologic conditions or therapeutic context; deficiencies in the personal or hygiene measures; a metamorphosis of the infectious disease.

Methods: This paper contains a retrospective study, cross-observational, conducted on a number of 72 adults hospitalized in our Department…[more...]
rezumat (RO) | abstract (EN)

8. Psychological Aspects of Pain at Patients with Critical Limb Ischemia

Authors: Liliana Veronica Diaconescu, I. Diaconescu

Peripheral arterial disease is one of the major conditions that affect middle and old aged persons. Critical limb ischemia (CLI) is characterized by ischemic rest pain and painful ulceration. The pain is invalidating, predominantly nocturnal and needs medical control. Our study aimed to describe psychological aspects of pain at patients with CLI.

Method: 46 patients with CLI (37 men and 9 women, mean age 58,6 years) were administrated West Haven- Yale Multidimensional Pain Inventory (WHYMPI) and Hospital Anxiety and Depression Scale (HADS).

Results: Patients showed high scores at pain severity, affective distress and low scores at lif…[more...]
rezumat (RO) | abstract (EN)

9. Innovative Techniques for the Endoscopic Diagnosis in Inflammatory Bowel Diseases

Authors: Adriana-Corina Andrei, L.S. Andrei, Larisa-Elena Fulger

Inflammatory bowel diseases are diagnosed based on a combination of endoscopical, radiological and pathological criteria. Endoscopy plays a central role in the diagnosis and management of patients with inflammatory bowel disease, because of its ability to directly view the lining mucosa and due to the possibility of taking biopsies for the histological confirmation of the diagnosis. Lesions localized in the esophagus, stomach or duodenum are accessible for diagnostic upper gastrointestinal endoscopy, and the colonic lesions can be diagnosed by lower gastrointestinal endoscopy; more difficult to assess endoscopically is the small bowel, lesion…[more...]
rezumat (RO) | abstract (EN)

10. HPV Implications in Benign Prostatic Impairments – A Literature Review

Authors: D. Spinu, D. Mischianu, O. Bratu, A. Aungurenci, Ș. Manache, Agnes Ciucă

Objectives: Benign prostatic hyperplasia (BPH) is associated with the presence of local inflammatory infiltrate. In addition to many microbial factors involved in benign prostatic pathology, there are allot of studies, which certifies the presence of prostate viral genomes, including the Human Papilloma Virus (HPV). HPVâ??s oncogenicity has been demonstrated in cervical cancer using in situ hybridization, and also was subsequently demonstrated in other malignancies. A large number of studies have stated the hypothesis of HPV involvement in benign prostatic pathology. The objective of this article is to review key publications in the literatu…[more...]
rezumat (RO) | abstract (EN)

11. Chronic Lymphocytic Leukemia. From Diagnosis to Treatment Decision

Authors: Ana-Maria Ivanescu, Madalina Oprea, A. Colita, A. Turbatu, Anca Roxana Lupu

Chronic lymphocytic leukemia is an indolent chronic lymphoproliferation with a highly heterogeneous evolution often burdened by difficult unmanageable relapses. Complete clinical and laboratory investigations since the debut contribute significantly to choosing the most appropriate therapeutic option and the time of initiation of specific treatment. Classical chemotherapeutic schemes have proven their effectiveness in time. Completing or changing them with new therapeutic agents, while improving investigative techniques, led to a significant increase in the percentage of achieved complete remission and survival without disease progression. A …[more...]
rezumat (RO) | abstract (EN)

12. Lentigo Maligna – A Scientometric Analysis of Mainstream Scientific Knowledge

Authors: Alice Brinzea, B. Geavlete, Magda Mirescu, Roxana Nedelcu, Oliviana Geavlete, Daniela Ion

Introduction & Objectives: A scientometric analysis of the type “Qualitative data analytics” of the main stream scientific knowledge to identify current trends of research on lentigo maligna (LM) was performed

Materials & Methods: Subsequent to the SCOPUS database analysis, 338 articles on LM published between 2004 and 2014 were selected. The selection criteria were represented by specific key words. The publications were processed into 2 files: key terms indicated by either the authors or SCOPUS based on a software specific algorithm and depending on the publication’s year; abstracts of the respective papers. Following the data processin…[more...]
rezumat (RO) | abstract (EN)

13. Atypical Evolution of Peptic Ulcer Disease in a Chronic Hemodialyzed Patient

Authors: D. Baboi, Cristiana David, Ileana Peride, A. Niculae, B. Geavlete, I.A. Checheriţă, I. Dina

Hemodialyzed patients present increased risk and susceptibility for peptic ulcer disease development; the incriminated factors are multiple and often coexist. An active medical attitude should be immediately initiated, because peptic ulcer is associated with high index of life-threatening complication, when it is clinically manifested in this group of population. We report the case of a hemodialyzed female patient diagnosed with diffuse mesangial proliferative glomerulonephritis as primary renal disease and peptic ulcer as main comorbidity. In her personal medical history, there were no data recorded regarding Helicobacter pylori infection or…[more...]
rezumat (RO) | abstract (EN)

14. The Rubens Flap – Breast Reconstruction – Anatomical Dissection on a Cadaver

Authors: S. Cortan, I. Lascar, I.P. Florescu, M. Valcu, Ioana Teona Sebe

The concealment of cutaneous and subcutaneous defects has always been a challenge in surgery. The breast is one of the most important and defining elements of feminine beauty.

Material and method: during the dissection of a fresh female cadaver, age 64, a free Rubens flap was taken from the abdominal flank, using loupe magnification. The preparations for the dissection were photographed with a high definition camera.

The result: the harvesting of the Rubens fat pad free flap, suspended and perfused by its vascular pedicle and the closure of the donor area in layers.

Conclusions: the advantages and disadvantages of using the Rubens fl…[more...]
rezumat (RO) | abstract (EN)

15. The Use of NBI in Early Detection and Follow up of the Laryngeal Malignancies

Authors: R. Hainăroşie, O. Ceachir, Irina Ioniţă, Cătălina Pietroşanu, Carmen Drăghici, Cristina Zamfir, Viorel Zainea

Early detection and follow up of the laryngeal malignancies is usually done using the fiber optic exam. The tumors below 1 mm are difficult to be identified using normal white light. Narrow Band Imaging (NBI) is a new technology that uses an optical filter in order to obtain a light with fixed wave length of 415 nm and 540 nm. The special NBI allows the surgeon to visualize the vascular network at the site of the tumor. The mucosal capillaries are displayed in brown and the veins from the submucosa are displayed in cyan. Observing the abnormal vessel patterns will guide the surgeon in performing targeted biopsies that will be used in early de…[more...]
rezumat (RO) | abstract (EN)

16. Hepatocyte Growth Factor: Cardiotrophic Roles and Potential Therapeutics for Cardiovascular Diseases

Authors: S. Mizuno, T. Nakamura

Due to prolonged lifespans, cardiovascular disease is on the increase worldwide and is now the leading cause of death, especially in developed countries. Histologically, it is characterized by coronary atherosclerosis, in which the over-proliferation of vascular smooth muscle cells (VSMC) is evident, associated with endothelial injury and foamy cell-like macrophages (i.e., local inflammation) (1,2). Such a sclerotic event triggers narrowed lumens (i.e., stenosis) and a decrease in coronary blood flow leads to local hypoxia, apoptosis, and eventually the onset of myocardial infarction (MI) (2). Thus, the major approaches proposed to prevent or…[more...]
rezumat (RO) | abstract (EN)

17. Optimal Treatment for Myocardial Revascularization: Surgery or Stenting?

Authors: S. Wan. M. J. Underwood

Since the introduction of coronary artery bypass grafting (CABG) in 1967, and percutaneous transluminal coronary angioplasty (PTCA) 10 years later, several major clinical trials have been conducted comparing the two therapeutic strategies, such as the Bypass Angioplasty Revascularization Investigation (BARI) (1) and the Coronary Angioplasty versus Bypass Revascularization Investigation (CABRI) (2) trials. The seven-year outcome data of the BARI trial (involving 1,829 patients) demonstrated that CABG carried a significant survival benefit over PTCA and this was particularly pronounced in diabetic patients (1). In addition, nearly 60% of the pa…[more...]
rezumat (RO) | abstract (EN)

Year 2014 No. 3

1. LIVER FUNCTION TESTS ANOMALIES IN PATIENTS WITH CHRONIC HEART FAILURE

Authors: Camelia C. Diaconu, Alice Bălăceanu, Daniela Bartoş

Background:
Patients with heart failure have a variety of liver abnormalities, known as cardio-hepaticsyndromes. The aim of the study was to evaluate the frequency and the importance of liver function testsabnormalities in a group of patients with chronic heart failure.
Methods
The study included 436 patients with chronic heart failure consecutively hospitalized in theInternal Medicine Clinic of the Bucharest Clinical Emergency Hospital over an 8 month period (1st ofJanuary August 31, 2012).
Results:
The mean age of the patients was 59.2 17.4 years. The distribution by gender: 233 (53,4%) men and203 (46,6%) women. Live…[more...]
rezumat (RO) | abstract (EN)

2. Dispersion of Ventricular Repolarization in Relation to Blood Pressure Values in Essential Hypertension

Authors: Ana Ciobanu, Andreea Simona Hodorogea, Mădălina Ababei, Gabriela Silvia Gheorghe, Adriana Mihaela Ilieşiu, Gabriela Uscoiu, Camelia Nicolae, I.T. Nanea

Objectives:
Analysis of classical parameters of dispersion of repolarization (QT interval, QT dispersion(QTd)) and the novel ones (T peak-end interval (Tpe), Tpe QT ratio) in relation to blood pressure (BP) profileand values in essential hypertension.
Methods:
62 consecutive patients with mild to moderate hypertension, mean age 55 11 years, were includedand evaluated simultaneously by Holter electrocardiography and ambulatory blood pressure monitoring for 24hours. The parameters of the dispersion repolarization were measured manually. According to diurnal nocturnal systolic BP (SBP) ratio, calculated as 100 x (mean diurnal BP- mean…[more...]
rezumat (RO) | abstract (EN)

3. Split-hickness Skin Grafting in the Treatment of Surgically Operated Diabetic Foot. A Retrospective 2-Year Study (2010-2011)

Authors: Mihaela Vilcu, E. Catrina, T. Pătraşcu, Z. Filipovski, I. Brezean

Split-thickness skin grafting, a method used in plastic surgery in the treatment of skin defects resulting from surgery, has lately been used more and more widely in the treatment of wounds with significant missing tissue occurring in the evolution of diabetic foot pathology; at the same time, it is a highly controversial topic as regards its long-term effectiveness in diabetic patients.
Material and method:
This is a presentation of a retrospective 2-year study (2010-2011) involving 44 diabetic patients with post-surgical skin defects in the lower limb who underwent split-thickness skin grafting.
Objectives:
The aim of the …[more...]
rezumat (RO) | abstract (EN)

4. Study Regarding the Distribution and Degree of Dysplasia of Colonic Polyps

Authors: M. Ifrim, C. Toth, C. Precup

This paper is a retrospective statistical study which was carried out for the period 1 January 2001 to 31 December 2013 This study includes colonoscopy investigations of patients that have addressed Gastroenterology Clinic Clinical Emergency Hospital in Arad.
Observational records of olonoscopies and the histopathological analysis have been carefully analyzed. We tried to introduce as many parameters in order to conducted a correct analysis. Thus we considered mainly the gender of the patients that have had performed a total colonoscopy,the area in which the polyps were found, and then depending on the outcome, the histopathological grad…[more...]
rezumat (RO) | abstract (EN)

5. PERFORATORS OF THE CALF ARTERIES – ANATOMICAL STUDY

Authors: Crenguţa Coman, D.M. Enescu, Iulia Iacob, S. Dumitrache, C. Bejinariu, Carmen Giuglea

The purpose of this anatomical study is to prove the existence of reliable perforator vessels arising from the three main arteries of the calf. Based on these perforators, cutaneous, fasciocutanous or complex flaps can be raised to cover different types of defects of the leg or other parts of the body.
Material and method:
An anatomical study was performed on 15 fresh cadavers, after injecting the contrastsubstance, Biodur S14 red, in the popliteal artery. The perforators of the main arteries were counted, theircaliber noted, the distance from the artery origin to the skin and also the type of perforator (musculocutaneousor septocut…[more...]
rezumat (RO) | abstract (EN)

6. HYPONATREMIA IN PREDIALYSIS HOSPITALIZED PATIENTS: AN UPDATE ON CLINICAL DATA AND MANAGEMENT

Authors: Alice Bălăceanu, I.A. Checheriţă, A. Niculae, Ileana Peride, Camelia Diaconu, Gheorghiţa Aron

Hyponatremia is frequently encountered in hospitalized patients. According to the measured plasma tonicity, hyponatremia could be hypotonic, isotonic or hypertonic.
According to the volemic status hyponatremia couldbe hypervolemic, euvolemic, or hypovolemic. In renal failure the water intake exceeds the excretion and the result is hypervolemic hyponatremia.
Hyponatremia in renal failure implies some pathophysiological, clinicaland management particularities….[more...]
rezumat (RO) | abstract (EN)

7. Multiple Benefic Effects of the Systemic Exposure to the Hydroxychloroquine Sulfate

Authors: Aida (Pancă) Geamănu, Alina Popa-Cherecheanu, B. Marinescu, D.C. Geamănu,
Liliana Voinea

Hydroxychloroquine sulfate is an effective analoque of chloroquine, widely used to treat lupus, rheumatoidarthritis and other inflammatory and dermatologic conditions. The objective of this review is a betterunderstanding of the multifaceted effects of systemic exposure to hydroxychloroquine (HCQ) and its possibletherapeutic effect for many chronic diseases. Recent reports have shown the clinical effects of HCQ in patients with non-rheumatic conditions such as : infectious diseases, hyperglycemia or diabetes mellitus,dyslipidemias, coagulopathies and malignancies.
New studies reported even the probability of age relatedmacular degenerati…[more...]
rezumat (RO) | abstract (EN)

8. Narrow Band Imaging – From Technological Progress to Superior Urothelial Cancer Diagnostic

Authors: M. Jecu, P. Geavlete, I.A. Checheriţă, C. Ene, B. Geavlete

Introduction:
Non-muscle invasive bladder cancer (NMIBC) still represents an important health careproblem in modern urology, as it is marked by the low accuracy endoscopic diagnosis and high recurrencerates characterizing the standard white light cystoscopy (WLC) assessment.
Technological development:
From astronomy to gastroenterology, narrow band imaging (NBI) wasdeveloped as a reliable optical enhancement method. The principle of narrowed bandwidths vision foundapplicability in both telescopes and gastrointestinal carcinoma detection.
Urological use:
In urological practice, NBI endoscopy was proved to provide a superior…[more...]
rezumat (RO) | abstract (EN)

9. The Use of Coblation in the Surgery of the Juvenile Angiofibroma

Authors: R. Hainăroşie, M. Hainăroşie, O. Ceachir, Irina G Ioniţă, Cătălina Pietroşanu, V. Zainea

Coblation is a surgical technology which consists in delivering radiofrequency energy to soft tissue. Thistechnology uses radiofrequency in a bipolar mode with a conductive solution, such as saline. It energizes theions in the saline to form localized plasma near the tissue placed in the area of surgical interest.
Juvenile angiofibromarepresents up to 1% of the head and neck tumors. This kind of tumor occurs almost exclusively in malepatients and the average age of onset is 13 to 17 years old.
This rare type of tumor is characterized byunilateral, recurrent, severe epistaxis, reluctant to conventional treatment, that can endanger the p…[more...]
rezumat (RO) | abstract (EN)

10. POSTERIOR PELVIC EXENTERATION FOR ADVANCED, UNRESPONSIVE TO RADIATION THERAPY CERVICAL CANCER – A CASE REPORT

Authors: N. Bacalbaşa, Irina Bălescu

Although cervical cancer is relatively easy to be diagnosed in early stages, there still is an important numberof patients who present with locally advanced disease. In these cases the standard protocole consists in neoadjuvantexternal radiotherapy and brachytherapy combined with Cisplatin ” based chemotherapy followed by surgery. Sometimes even after aggresive neo-adjuvant chemo-irradiation the local invasion is still presentand, in rare cases, the tumoral growth continues, the malignancy being unresponsive to neo-adjuvant treatment. In these cases surgery is the only curative option in order to remove a large and in most of the casesaggress…[more...]
rezumat (RO) | abstract (EN)

11. The Inferior Gluteal Flap – Breast Reconstruction – Anatomic Dissection on a Cadaver

Authors: S. Cortan, I. Lascar, I.P. Florescu, M. Valcu, Ioana Teona Sebe

The breast has been the expression of beauty and fertility since ancient times.
The aesthetic reconstruction of the breast is and has been a challenge for plastic surgeons.
Material and method: Microsurgical techniques of dissection and free transfer are commonly used.
During the dissection of one fresh, female cadaver, age 67, a free inferior gluteal flap was taken from glutealregion, using loupe magnification. The dissection preparations were photographed with a high definition camera….[more...]
rezumat (RO) | abstract (EN)

12. The Use of Ultrasonic Aspirator in the Surgery of the Fibrous Dysplasia Involving the Skull Base

Authors: V. Zainea, M. Hainăroşie, O. Ceachir, Irina G Ioniţă, Andreea Sorică, Cătălina Pietroşanu, R. Hainăroşie

Fibrous dysplasia is a non malignant disease characterized by the replacement of normal bone and marrow with fibrous tissue and woven bone. It can be isolated to a single bone or have multiple skeletal sites (poliostotic).The poliostotic fibrous dysplasia can develop lesions that involve the orbit, the optic nerve, ethmoidand sphenoid bone.
During the development of the lesion at the level of the sphenoid sinus the compressionand the proximity to the optic nerve may cause blindness. In these cases it is recommended to performoptical nerve decompression in order to prevent it.
The fibrous dysplasia tissue was removed using the ultrason…[more...]
rezumat (RO) | abstract (EN)

13. ENDOTHELIAL DYSFUNCTION AND INFLAMMATION

Authors: M. Slevin and G. McDowell

BACKGROUND
Conventional based methods of catheter removal of arterial blockages formed during the process ofatherosclerosis often result in production of a series of rapidly occurring events which follow the ballooncatheter-induced tearing of the existing atherosclerotic plaques and concomitant arterial damage andluminal destruction and ending with significant lumen narrowing within a period of around 6 months(between 4 10% of cases following endarterectomy and approximately 33% of cases in coronary arteries forexample;
.The more recent introduction of stents has helped to resolve reduce some of the problemsassociated with balloon angi…[more...]
rezumat (RO) | abstract (EN)

All the aticles from archive…