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

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Thursday, January 18 2018 @ 12:07 EET

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Advanced Genital Prolapse - Mesh Surgical Treatment

2015-04

O. Bratu, I. Oprea, D. Spīnu, B. Geavlete, C. Farcas, V. Calu, A. Niculae, D. Mischianu

Genital prolapse is a frequent pathology in women associated with different urological and gynecological complications affecting women `s normal life [1].

It is defined as pelvic organ slipped from their anatomical position through vagina. The pelvic structures which might slip are uterus, bladder, rectum, small intestine or vaginal vault. Each one of these benefits of a specific surgical procedure [1].

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Parathyroid Hormone-Related Bone Loss in End-Stage Renal Disease: Where to Measure?

2015-04

Dan Niculescu, Roxana Dusceac, Andra Caragheorgheopol, Gener Ismail, Catalina Poiana

Renal osteodystrophy is almost universally found in patients with end-stage renal disease (ESRD). Although bone biopsy is the gold standard for assessment of bone status it is infrequently used.

Guidelines (KDIGO, 2009) recommend the use of dual-energy X-ray absorptiometry (DXA), as a method for measuring bone quantity, in all dialysis patients who either have had fractures or have risk factors for osteoporosis but state against routine use of DXA for bone mineral density (BMD) measurement. This is because low BMD measured by DXA was consistently associated with an increased risk of low trauma fractures in general population but in patients with ESRD studies produced conflicting results (Inaba et al., 2005; Jamal et al., 2002; Kaji et al., 2002; Urena et al., 2003; Yamaguchi et al., 1996). There are many causes of this heterogeneity including secondary hyperparathyroidism, presence of low bone turnover disease, osteomalacia, site of BMD measurement or fracture assessment (clinical vs. radiological).

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Transoral Approach of the Parapharyngeal Tumors

2015-04

Andreea Sorică, V. Zainea, Octavian Ceachir, Irina-Gabriela Ioniță, Cătălina Pietroșanu, Carmen Drăghici, Cristina Zamfir, Răzvan Hainăroșie

Parapharyngeal space has the shape of a reversed pyramid with the base at the cranial surface delimited by temporal and sphenoid bone and and the top pointing to the large horn of the hyoid bone.[1] Styloid diaphragm divides the parapharyngeal space into two regions with different anatomy and constituents: prestyloid space, anterior, conta-ining the deep lobe of the parotid gland, internal maxillary artery, inferior alveolar nerve, lingual, auriculo-temporal, and retrostyloid space, posterior, neurovascular, that contains the internal carotid artery, internal jugular vein, cranial nerves glossopharyngeal, vagus, accessory, hypoglossal and cervical sympathetic chain. [2]

Tumors arising in parapharyngeal space are rare, representing less than 1% of all head and neck malignancies. Any of the structures contained in this space can be a starting point for developing a tumor masses at this level. Most of these tumors are benign, approximately 20% are malignant. [1] The most common tumors of the salivary gland tissue derived from space and are epithelial in nature. Others are likely neurogenic, vascular, lymphatic, etc. [3]

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The Benefit of Breast Reconstruction after Mastectomy

2015-04

Iulia Mihaela Iacob, Crenguța Coman, Ruxandra Mihai, Dragoș Zamfirescu, Șerban Dumitrache, Ioan Petre Florescu, Carmen Giuglea

Being diagnosed with breast cancer means that the involved patients are dealing with a new phase in their lives. We can say that their priorities change radically. A study from 2011 shows that the leading cause of cancer deaths, in women, in developing countries, is breast cancer, compared to the past decade where the main cause was the cervical cancer. (1)

Up to accepting the diagnosis and regaining the strength to move forward, women go through frustration, denial, guilt, feelings exacerbated by physical mutilation (mastectomy) which they have to deal with this disease. Breast cancer is the most commonly diagnosed cancer and the main cause of cancer death among females, representing 23% of total cancer cases and 14% of cancer deaths. (1)

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Age-Dependent Prevalence of Persistent Wheezing Phenotypes in Romanian Children

2015-04

Marius Cornitescu, Gabriel Mircescu, Mariana Moiceanu, Eugenia Buzoianu, Andrei Zamfirescu, Marcel Plesca, Doina Anca Plesca

Asthma is a heterogeneous group of disease entities with common characteristics such as intermittent respiratory symptoms (wheezing, tightness, cough, dyspnea), reversible airway obstruction and bronchial hyperresponsiveness [1]. Wheezing, caused by airflow restriction through narrowed airways, is the main clinical sign associated with asthma.

Two concepts related to asthma are currently in a process of disentanglement: the concept of asthma phenotypes (particular clinical characteristics, without reference to the underlying pathologic process) and endotypes (pathological mechanisms of disease) [2]. The disentangling of asthma phenotypes and endotypes is important for the prediction of disease evolution and for accurate therapeutic action.

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