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CNCS B+ Category Journal
CME Credits: 10 (Romanian College of Physicians)
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Str. Avram Iancu Nr. 1, Sect. 2
Bucuresti, Romania

Current issue

Nr. 3/2015, Vol. 22

A New Step

in Sharing Medical Experience

Medicina Modernã

New Series

Mesenchymal Stem Cells – What is in the Name?

Alt Eckhard

Since more than 40 years ago Friedenstein first described cells derived from bone marrow stroma that were plastic adherent and had the ability to differentiate into other lineages, our knowledge about stem cells has constantly been growing over the last decades.
Nearly 10 years ago a definition was given by Dominici et al describing Mesenchymal Stem Cells as being plastic adherent, expressing CD73, CD90, CD105 and having the ability to differentiate into osteoblasts, adipocytes and chondrocytes. Since this time the expression “Mesenchymal Stem Cells” has been used to describe what we believe are multipotent cells.
However, many questions h…[more...]

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Predictive Factors for Native AVF Complications in Dialysis Patients – A Prospective Study in a Public Hemodialysis Center

Mazen Elfarra, Cristiana David, Ileana Peride, Andrei Niculae, Alexandru Ciocâlteu, Ruxandra Diana Sinescu, Ionel Alexandru Checheriţă

Introduction: The improvements in dialysis techniques determined increasing quality and lifetime of dialysis patients and the need for a reliable vascular access that allows the procedure for long periods of time.

Aims: To evaluate the prevalence of arteriovenous fistula (AVF) complications in hospitalized patients on maintenance dialysis admitted for other reasons than vascular access problems and to assess the impact of known predisposing factors for each complication.

Materials and methods: In this prospective longitudinal, hospital-based, observational study we enrolled 218 dialysis patients with native AVF as vas…[more...]

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The Evolution of Electrocardiographic Changes after Revascularization Therapy in Patients with ST Segment Elevation Myocardial Infarction

Magda Ruxandra Zaharia, Oliviana Geavlete, Alice Brinzea, Oana Tăutu, Gheorghiţa Aron, Ioan Tiberiu Nanea

Objectives: The purpose of the study resides in estimating initial myocardial necrosis as well as reperfusion quality in ST segment elevation myocardial infarction(STEMI) patients involving electrocardiographic (ECG) changes.

Methodology: The dynamics of both ST segment elevation and R wave amplitude was followed in 146 STEMI cases upon admission and after reperfusion therapy, in 3 different moments. Demographics, the symptom onset to presentation interval, co-morbidities, traditional risk factors, echocardiography findings, cardiovascular events and mortality during hospitalization were assessed.

Results: The changes…[more...]

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The Distally Based Superficial Sural Artery Angiosome Flap Concept: Anatomy, Indications, Surgical Technique, Results, Complications and Technical Aspects to Minimize Complications

Cristian Radu Jecan, Viorel Goleanu, Laura Răducu, Luminiţa Tomescu, Daniel Hernic, Ioan Lascăr

Background: Over the past two decades, the distally based neurocutaneous sural flap has become the best known neurocutaneous flap of the leg. When microsurgical expertise is not available or feasible, the sural flap has become the mainstay of reconstruction for lower leg, ankle and foot defects.

Matherial and method: The large series of cases published in the medical literature, innovations, technique modifications along with risk factors identification has been followed by this flap rise in popularity. 64 publications on the sural flap subject, in the international literature, were summarized in this study.
The relevant anat…[more...]

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Particularities and Surgical Treatment of Constriction Band Syndrome Syndactyly, in Children

Doina-Iulia Nacea, Dan Mircea Enescu, Simona Ioana Stoicescu, Raluca Teodora Tataru

Introduction: Constriction band syndrom syndactyly is a sporadic condition, that may be present in association with other congenital anomalies such as musculoskeletal, craniofacial and thoraco-abdominal disorders, neural tube defects, scholiosis and hemangiomas. There is a significant predilection for the upper extremities and an increased frequency in distal limbs, and longer digits are significantly more involved than shorter ones. The hands are affected in almost 90% of cases. Associated hand anomalies include syndactyly, acrosyndactyly, digital hypoplasia, symbrachydactyly, campodactyly and lymphedema.

Materials and methods: We r…[more...]

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