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

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Left Atrial Function in Patients with Reentrant Paroxysmal Supraventricular Tachycardia with Narrow QRS Complex - The Role of..

2014-02

Left Atrial Function in Patients with Reentrant Paroxysmal Supraventricular Tachycardia with Narrow QRS Complex - The Role of Speckle Tracking Echocardiography

Adriana Alexandrescu, S. Onciul, Ioana Petre, Oana Tautu, A. Scafa, Maria Dorobanțu

The reentrant paroxysmal supraventricular tachycardias with narrow QRS complex are in a large majority represented by atrioventricular reentrant tachycardia (AVRT) and atrioventricular nodal reentrant tachycardia (AVNRT). From an electrophysiological (EP) point of view the difference between the two forms is made by the type of the reentry circuit. That means that the former requires an accessory pathway with retrograde conduction while the latter implies the existence of perinodal pathways.

The left atrium (LA) is a part of the circuit in both types of arrhythmias. In sinus rhythm the left atrium has several functions: it acts as a conduit during protodiastole, it has a contractile function raising the filling pressure during atrial systole but it also has a reservoir function during ventricular systole. (1)

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The Academy of Medical Sciences - a Short History; National Missions in an International Context

2014-02

M. Ifrim

The Romanian Academy of Medical Sciences, a forum of consecration and lucrative activity, bearing an institutional counterpart in every country on the planet, came into being in 1935 by a Royal Decree issued based on the decision of the bicameral Parliament of the country, upon the initiative of Prof. Dr. Daniel Danielopolu. The Professor held from the very beginning the position of Permanent Executive Secretary of the forum, its Presidents coming from the ranks of personalities such as the Minister of Education at the time, Ion Angelescu, and many others that followed.

By the existent law, the Academy of Medical Sciences bore the responsibility, as a subordinate to the Ministry of Health, of conducting medical research and strategizing health policies. Following the French model, which is in fact a model for most, if not all, Academies spread around the globe, it was composed of Academicians from different specialties of medical activity.

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Hypopharyngeal defect reconstruction, following extended total laryngectomy, using a myocutaneous sternocleidomastoid flap

2014-01

O. Ceachir, R. Hainăroșie, V. Zainea

Hypopharyngeal cancer represents approximately 7% of all head and neck malignancies, occurring more frequently in men (male / female ratio 3:1) with a maximum incidence in the 6th and 7th decades (1, 2).

The lack of specific symptoms causes late presentation with advanced T-stage disease (T3-T4) which restricts surgical options to total laryngectomy with partial pharyngectomy or total laryngectomy with circular pharyngectomy, associated, in most cases, with bilateral neck dissection (1, 3). Submucosal extension of the tumor is what compels the surgeon to practice an extended resection in order to meet the criteria of oncological resection (4, 5). In order to achieve a primary suture of the pharynx is imperative that the width of the remaining mucosa is at least 2.5-3 cm (2, 6). If this goal is not achieved then the resectional stage is mandatory followed by a reconstructive one, in order to prevent pharyngocutaneous fistula occurrence, pharyngeal stenosis or poor vocal rehabilitation. For lateral pharyngeal wall defects, reconstruction can be performed using regional flaps (myocutaneous pectoralis major flap, lateral island trapezius, deltopectoral flap, latissimus myocutaneous flap, submental island flap) or free flaps (radial forearm fasciocutaneous free flap, lateral arm free flap) (1,2,3,5,6). If a circumferential resection has been performed the optimal reconstruction is the one that re-creates a lumen that can allow normal deglutition so, jejunal free flaps, ileocolic free flaps, radial arm free flaps, anterolateral tigh flap, peroneal flap, gastro-omental free flap, gastric transposition and many other methods were successfully used (3, 5, 6, 7, 8, 9). The reconstructive procedure performed by us used a pediculated, myocutaneous sternocleidomastoid flap harvested from the same side as the lesion and it was addressed to a lateral hypopharyngeal wall defect.

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Revascularization - A Key Element for Obtaining Granulation Tissue in a Patient with Diabetes and Arteriopathy

2014-01

Mihaela Vīlcu, Z. Filipovski, I. Brezean, T. Pătrașcu

The morbidity of the patients with diabetes is generated - besides the renal, occular, cerebral, cardiac impairment - to a great extent by the diabetic foot infections. The infection develops due to the ulcerations whose etiology (neuropathy or arteriopathy) is particularly important for the approach of the therapeutic algorhythm, which often involves an interdisciplinary collaboration. Diabetes mellitus is the risk factor associated with the highest rate of critical ischemia of the lower limbs. [1]

The association of peripheral arterial disease with infection represents the determining binomial of major amputations in the patient with diabetes and, in 80% of the cases, the gateway is an ulceration of the foot. [1].

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A Retrospective Clinical Study of 640 Scoliosis Treated by Posterior Segmental Rachisynthesis

2014-01

M. Jianu, A. Thiery, Beatrice Frumușeanu, Raluca Damean, Violeta Oriță

Although the scoliosis has in Romania relatively the same incidence as in most of the European countries, it is usually late diagnosed, when the Cobb angle has significant values.

Since 2010, Romania has a program of screening and early treatment of spine deformities funded by The Ministry of Health.

In a 14 years period in Pediatric Orthopedic Department of Central Emergengy Hospital for Children "Grigore Alexandrescu" Bucharest and also in the private hospitals "Regina Maria" and "Sanador" were examined and diagnosed 14.853 patients with scoliosis.

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