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

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Thursday, May 24 2018 @ 06:52 EEST

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Hypospadias - the Surgical Treatment Performed in "Grigore Alexandrescu" Emergency Clinical Hospital for Children

2017-04

Laura Niculescu, Catalin-Ion Chiriac-Babei, Andra Rusalim

Hypospadias represents one of the most frequent con-genital anomalies, in 1 out of 300 male newborns, involving significant biological and socioeconomical implications. Furthermore, recent studies show an increase in its incidence, even after ajusting it according to race, geographic region or socioeconomical status[3]. The same pattern was recorded by the EUROCAT study group, which was monitoring the statistical and epidemiological data regarding the congenital anomalies in Europe. One prospective study, which evaluated the incidence of the hypospadias in Holland (0.7%), demonstrated that it is more frequent than congenital heart anomalies (0.5%), which are considered to be the most frequent ones by the EUROCAT study group[5]. [...]

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Essential Aspects in Ensuring the Efficient Management of Ovarian Tumors in Children in Case of an Acute or Chronic Setting

2017-04

Catalin Ion Chiriac-Babei, Andra Rusalim, Adham Charkaoui, Razvan Constantin Datu

Considering the unspecific signs and symptoms asso-ciated to ovarian tumors, a proper diagnostic procedure must be followed in order to establish the most suitable therapeutic approach. Furthermore, there is no correlation between the clinical presentation of the patient and the type of ovarian tumor which is causing it. Consequently, the imagistic examination of the patient is crucial in the diagnostic process, but it is not infallible. This study is attempting to emphasize the main differences between the imagistic features of the ovarian tumors compared to the ones discovered intraoperatively, as well as the associated conditions which could prevent getting a proper preoperative diagnosis. [...]

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Radionuclide Imaging. An Update on the Use of Dynamic Renal Scintigraphy

2017-04

Raluca Mititelu, Ovidiu Bratu

Renal scintigraphy is a nuclear medicine technique that uses medical radioactive isotopes for the evaluation of the renal function. Functional data complete clinical and anatomical data obtained through other imaging techniques and can assist the clinician in the diagnostic and management of various renal disorders.

The most widely used radioactive isotope for me-dical imaging is Technetium-99m. In renal scintigraphy 99m-Tc is coupled to a substance that is eliminated predominantely by glomerular filtration (DTPA) or tubular excretion (MAG3) or which is attached to tubular proteins (DMSA). DTPA and MAG3 allow a dynamic study which result in the generation of a nephrographic curve for each kidney and the calculation of clearance parameters - ie glomerular filtration rate (GFR) or the effective renal plasma flow (ERPF), respectively. [...]

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The Impact of Testicular Cancer on Fertility - Literature Review

2017-04

Vasilica Minciuna, Octavian Cretu, Dan Spinu, Dragos Marcu, Ovidiu Bratu

Testicular cancer has an increased incidence among young males (15-35 years old)[1].

The incidence in testicular cancer for this category of patients is quite high, 7.52 new cases for 100000 people. The predominant histopathological subtypes among fertile-aged young males are embryonal carci-noma and teratocarcinoma[1]. [...]

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The Diagnosis of Urological Neoplasm in Dialysis Patients - a Brief Review

2017-04

Mircea Merticariu, Andrei Niculae, Corina-Ioana Merticariu, Ileana Adela Vacaroiu, Flavia Liliana Turcu, Viorel Jinga

The ideea of this review arised from a small lot of patients recently evaluated by a joint team of urologists and nephrologists in one of the largest dialysis departments in Bucharest, Romania. We decided to review the existing medical literature in order to have a better grasp of the peculiarities regarding the incidence, symptoms, tumor markers and imaging studies for urological cancers in end stage renal disease (ESRD) patients undergoing dialysis. [...]

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