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

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Wednesday, September 26 2018 @ 10:11 EEST

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Complicated Primary Spontaneous Pneumothorax - Challenges to Overcome: Case Report and Literature Review

2017-03

Catalin Ion Chiriac-Babei, Andra Rusalim, Ciprian Bolca

The studies concerning spontaneous pneumothorax in children offer a limited amount of information about the best approach with regard to the patients who require surgical treatment of this condition. The less severe forms respond to conservative treatment which consists of oxygen therapy and pain medication. If medical treatment does not alleviate the symptoms or if the pneumothorax persists, the patient requires chest tube drainage[4,5,6]. Surgical treatment is indicated when the pneumothorax reoccurs or if effective pleural drainage does not improve the condition of the patient[5,7]. [...]

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A Rare Cause of Recurrent Syncope in the Pediatric Patient

2017-03

Ioana Adriana Ghiorghiu, Cristina Ramona Radulescu, Doina Anca Plesca

Syncope is type of transient, complete loss of consciousness with an abrupt onset, short duration and complete, spontaneous recovery[1]. It is a frequent symptom in the general population, most patients having a first occurrence between the ages of 10 and 30[2,3]. Strictly considering the pediatric population (under 18 years of age) the reported incidence may be as high as 15%[4]. [...]

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Versatility of the Cross-Finger Flap for Reconstruction of the Thumb

2017-03

Tiberiu Paul Neagu, Sabina Ionita, Iulia Gabriela Marcu, Razvan Nicolae Teodoreanu, Cristina Iulia Filip, Cristian Radu Jecan, Ioan Lascar

It is well known that the thumb is responsible for 40% of the hand function. Th erefore, preserving its length and mobility represents the main objective of the plastic surgeon while choosing the most appropriate reconstruction technique[1]. When resurfacing of the fingers is needed after hand injuries, cross-finger flaps have proved themselves very useful[2]. Since its premier many years ago[3], this type of flap remains an elegant method in order to cover exposed bones or tendons of the fi n-ger, in order to ensure length preservation and function recovery. [...]

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Complex Treatment of a High-Energy Proximal Femur Fracture in a Young Adult - a Case Presentation

2017-03

Fabian Klein, Florin Safta, Daniel Vilcioiu, Ioan Cristescu

Highly comminutive proximal femur fractures in yo-ung healthy adults often occur after high energy trau-ma, such as traffic accidents[1].

The classification of fracture type poses a difficulty, as highly comminuted fractures donít necessarily respect the anatomical regions of the proximal femur, but rather affect the area as a whole[2,3]. [...]

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How Complicated a Complicated Case Can Become?

2017-03

Mirela Tiglis, Liliana Elena Mirea, Raluca Ungureanu, Ioana Cristina Grintescu, Tiberiu Paul Neagu, Ioana Marina Grintescu

The incidence of work related injuries is high worldwide. More than 300 million accidents happen during work and are responsible for almost 2 millions of deaths. The incidence of crush syndrome is 2-15% in all trauma patients and frequently can determine trauma-related amputations, especially if the lower limb is involved and the main mechanism is crushing. Crush syndrome is the systemic manifestation of rhabdomyolysis due to muscles reperfusion injury that happened when the compressive forces on the tissues are released, being of-ten related with occupational accidents[1]. [...]

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