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

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Advances in Peripheral Nerve Regeneration: Materials, Methods, Techniques

2016-04

Victor Ioan Popa, Otilia Florentina Racasan, Arina Cristiana Margina, Silviu Cortan, Paul Neagu, Ioana Teona Sebe

Peripheral nerve injuries have a high incidence in limb trauma and have a devastating impact on the quality of life of the patient. Results after surgical treatment are unsatisfactory especially in cases with complete tran-section of the nerve (neurotmesis) associated with late repair. Thus, the necessity to implement into current practice new techniques, materials and methods for nerve repair. [...]

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Vertebral Synovial Sarcoma - Onset with Spinal Cord Compression Syndrome. Case Report

2016-03

Laura Rebegea, Dumitra Miron, Mihaela Dumitru, Dorel Firescu, Mary Lupu, Rodica Anghel

Synovial sarcomas (SS) are rare. Less than 5% occur in spine, mediastinum, head and neck and at the retroperitoneal level and in approximately 85% of the cases occur at the level of the soft tissues and extremities. SS metastases are not rare, they occur predominantly at the level of lungs, bones and liver. Standard treatment consists in surgery, ideal, in large excision with negative margins, R0 (when is possible). For unresectable tumors, the therapeutic options include CMT and/or RTE [2]. [...]

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Adenocarcinoma of Duodenum - Case Report

2016-03

Amelia Genunche-Dumitrescu, Daniela Badea, Mihail Badea, Paul Mitruț, Vlad Pădureanu, Aurelian Adrian Badea

Primary duodenal carcinoma represent 35-45% of all tumors in the small bowel but he has a small share in all gastro-intestinal tumors (0.35%) [1,2]. The most frequent type of tumor in the duodenum is the adenocarcinoma, but can observed other types of tumours such as lymphomas, carcinoid tumors, gastrinomas, leiomyo-sarcomas and stromal tumors [3]. The localization of the primary duodenal adenocarcinomas is in the first and second level of the duodenum, and 20% and 10% remain in the next two levels. [...]

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Serum Troponin - a Sensitive Indicator of the Cardiac Involvement in Septic States

2016-03

Andrei Seri, Adrian Madalan, Isabela Tiglea, Daciana Marta

Troponins (Tn) are protein associations located on the filaments of the movement-generating apparatus in the striate (both cardiac, and skeletal) musculature. There are three distinct proteins coded by separate genes: TnC, TnI, TnT. Th ey are important regulatory components of the myocardial contraction machine. Their nomenclature reflects the role each of them plays in contraction [1]. [...]

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Crohn’s Disease or Intestinal Tuberculosis. A Diagnostic Challenge

2016-03

Alina Constantin, Madalina Ilie, Daniela Tabacelia, Bogdan Popa, Gabriel Constantinescu, Radu Tincu, Radu Alexandru Macovei

TB usually affects the lungs but many other organs may be involved. Intestinal tuberculosis primarily involves the distal ileum and cecum, followed by the jejuno-ileum, colon and rectum. The development of strictures and fistulas mimic Crohn’s disease, and generalized colonic involvement mimics ulcerative colitis. A 42 year old patient was admitted to the Gastroenterology Department of Emergency Clinical Hospital Bucharest with a 3 months history of unintentional weight loss (15 kg), diarrhea (7-8 unformed stools per day), right iliac fossa pain, night sweats. He had a history of recent fungal esophagitis and antral gastritis. He denied prior contact with patients with tuberculosis and has no pets. [...]

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