The Journal of Bucharest College of Physicians and the Romanian Academy of Medical Sciences

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Friday, August 18 2017 @ 05:26 EEST

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The Use of Tranexamic Acid for Preventing Bloodloss During Percutaneous Nephrolithotomy

2017-02

Raluca Barbilian, Victor Cauni, Bogdan Mihai, Ioana Buraga, Mihai Dragutescu, Dan Mischianu

Percutaneous nephrolithotomy (PCNL) is a minimally invasive method of treatment used for large kidney stones (>20 mm). It remains the standard procedure for large renal calculi according to EAU (European Association of Urology) guidelines. The stones are extracted from the kidney by a small puncture wound (about 1 cm) through the skin. Since its introduction this technique has replaced almost completely open surgery for renal lithiasis, who nowadays is used only rarely in selected cases. Although this procedure has much lower complications than open surgery, the complications following this procedure can be serious[1] (Table 1). Morbidity and complications following PCNL are dominated by fever (10.5%) and bleeding (7.8%)[2]. [...]

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The Value of Computed Tomography in Establishing the Proper Surgical Treatment of a Complex Proximal Humerus Fracture

2017-02

Razvan Turcu, Marius Moga, Mircea Ifrim

Proximal humerus fractures result from indirect trauma, are associated with osteoporosis, and are classified into: humeral head fractures, anatomical cervical fractures, trochiter, trochin, surgical neck, or proximal diaphysis. Types of fracture and displacement are determined by the position of the humerus at the time of trauma, bone quality and the direction of muscle forces on fractured fragments[1,2].

Fractures with two, three or four shifted parts require surgical treatment. The dislocation fractures, except for the simple trohiter fractures, should be analyzed by the orthopedic surgeon, the reduction of the dislocation will precede the treatment of the fracture. It should be emphasized that powerful damping maneuvers can move fractured fragments, so it will be preferable to reduce it under radiological control[14]. [...]

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The Role of Psoas Compartment Block in the Management of Pain During and After Total Hip Arthroplasty

2017-02

Bianca Basgan, Nicolae Iordache, Dragos Cocos

The "Psoas Compartment Block" technique was described for the first time in 1974 by the American doctor Alon P. Winnie, in a revolutionary article for that time[1], that was detailing both the anterior approach of the lumbar plexus (3 in 1 Block or femoral nerve block), and the posterior approach.

Subsequently, doctors Chayen D., Nathan H. and Chayen M. are making a series of additions and practical indications, in an article about the posterior approach, entitled "The Psoas Compartment Block"[2], and the technique presented in this article also constitutes the basis for this study. [...]

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One Healthand Advanced Biotechnology

2017-02

Nicolae Manolescu, Emilia Balint, Sabin Cinca, Calin Chirila

The merit of coagulating the various components of one-health concept and disseminating it in practice at largeis credited to the United States and especially to the two US structures, respectively ONE HEALTH COMMISSION coordinated by Mrs. Cheryl Stroud and ONE HEALTHINITIATIVE - with the excep-tional coordination of Dr. Bruce Kaplan, Dr. Laura Kahn, Dr. Lisa Conti and Prof. Gregory Gray from Duke University, Florida.

This concept has spread throughout the world, including Europe. The year 2014 represents the formalization of this concept in Europe under the coordination of the Federation of European Academies of Medicine (FEAM), with Prof. Dr. Bernard Charpentier, Prof. André Laurent Parodi and Prof. George Griffin as chairpersons. [...]

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The Cutaneous Adverse Events at the Site of Insulin Injections

2017-02

Rucsandra Danciulescu Miulescu, Georgeta Vacaru, Nicoleta Mindrescu

Cutaneous adverse events at the site of insulin injections include local allergic reactions to insulin (erythema, pruritus, and induration) and lipodystrophy The allergic reactions are usually short-lived, and resolve spontaneously within a few weeks [1]. Lipodystrophies are a group of diseases characterised by a morphological and/or functional impairment of the adipose tissue. Classification of lipodystrophy include genetic and acquired forms. Acquired forms can be generalized (Lawrence syndrome), partial (Barraguer-Simons syndrom, associated with sclerodermia or acquired immunodeficiency syndrome and antiretroviral therapy), or local (associated with drug: glucocorticoids, post-injection-insulin, somatostatin analogs, pegvisomant)[2]. Clinical forms of lipodystrophy include lipoatrophy and lipohypertrophy. [...]

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