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

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Tuesday, July 17 2018 @ 04:18 EEST

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The Use of Mineral Therapeutic Waters in Metabolic Disorders - a Review of the Literature

2018-01

Adriana Sarah Nica, Gavril Lucian Gheorghievici, Brindusa Ilinca Mitoiu, Delia Clantau, Gabriela Radulian

https://doi.org/10.31689/rmm.2018.25.1.1

Metabolic Syndrome (MetS) represents a group of clinical and biological criteria that when combined can become a potential threat for the development of severe pathologies -diabetes mellitus, cardiovascular disease, obesity. The International Diabetes Federation(IDF) defines the presence of MetS when 3 or more of the following criteria are detected: 1.raised triglycerides ≥150 mg/dL (1.7 mmol/L) or specific treatment for this lipid abnormality; 2.reduced HDL cholesterol <40 mg/dL (1.03 mmol/L) in males <50 mg/dL (1.29 mmol/L) in females or specific treatment for this lipid abnormality; 3.raised blood pressure systolic BP ≥130 or diastolic BP ≥85 mm Hg or treatment of previously diagnosed hypertension; 4.raised fasting plasma glucose, (FPG) ≥100 mg/dL (5.6 mmol/L), or previously diagnosed type 2 diabetes; 5.central obesity (defined as waist circumference* with ethnicity specific values) (IDF guidelines)[1-3].

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Another Onset Mode for Rheumatoid Arthritis: Emergency Lab, Ultrasound or Both? Case Report and Literature Review

2017-04

Alice Balaceanu, Adriana Diaconu, Adriana Stanica, Camelia Diaconu

Rheumatoid arthritis is a systemic autoimmune disease, with complex etiology and multiple genetic, immunologic, hormonal factors[1]. The onset could be insidious, like in the most patients or acute, with synovitis and extra-articular manifestations, encountered in 10% of patients[1].

We report a case of a 41 years old woman, non-smoker, without medical history, who complains about inter-mittent leg pain for 2 months, initially left calf, than bilateral, with edema in the both ankle and calf. The patient denied trauma. She is referred to emergency department for deep vein thrombosis suspicion [...]

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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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