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

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Monday, December 10 2018 @ 06:39 EET

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Renal Artery Thromboembolism in Paroxysmal Nonvalvular Atrial Fibrillation

2018-02

Alice Balaceanu, Raluca Stirban, Beatrice Balaceanu, Dorin Cristian Gurau, Adriana Stanica

https://doi.org/10.31689/rmm.2018.25.2.107

Renal thromboembolism is a rare, but severe condition in non-valvular paroxysmal atrial fibrillation, that could remain underdiagnosed. Due to atrial fibrillation the embolus is organized in left atrium and auricle then reach the renal artery with subsequently ischemia. Renal colic could mimic multiple pathologies as nephrolithiasis, pyelonephritis, kidney ischemia, diverticulitis, sub-occlusive intestinal syndrome, ruptured abdominal aortic aneurysm. [...]

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Intravascular Papillary Endothelial Hyperplasia - Case Report

2018-02

Liliana Gabriela Popa, Manuela Simtea, Irina Ahmed Salem, Mara Madalina Mihai, Cornelia Nitipir, Calin Giurcaneanu

https://doi.org/10.31689/rmm.2018.25.2.103

Intravascular papillary endothelial hyperplasia (IPEH), first described by Pierre Masson in 1923 is an uncommon benign vascular lesion that involves the skin or the soft tissue[1]. IPEH represents 2-4% of vascular tumors arising in the skin and soft tissue[2]. It usually occurs in the fourth decade of life and has a slight predilection for the female gender[3]. [...]

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Adrenal Suppression and Exogenous Cushing Syndrome After Inhaled and Topical Corticosteroids - Two Clinical Cases and Review...

2018-02

Adrenal Suppression and Exogenous Cushing Syndrome After Inhaled and Topical Corticosteroids - Two Clinical Cases and Review of the Subject

Gheorghe Serpoi, Constantin Cucu

https://doi.org/10.31689/rmm.2018.25.2.95

Corticosteroid (CS) therapy is used by 1% of world population, especially for non-endocrinological indications. Compartmental administration of CS (i.e. topical, inhaled or intraarticular) was developed to prevent undesired effects. Still even these therapies could generate major endocrine syndromes, as our two cases tend to illustrate - Table 1 and Table 2. [...]

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Negative Prognostic Factors in Severe Burns - Implication for Clinical Outcome

2018-02

Mihaela-Cristina Andrei, Andreea Grosu-Bularda, Oana Vermesan, Serban Arghir Popescu, Alexandra Chivu, Khalid Al-Falah, Luana Lazarescu, Tiberiu Paul Neagu, Ioan Lascar

https://doi.org/10.31689/rmm.2018.25.2.83

Burn injuries are a major public health problem all over the world and despite significant improvements in critical care and surgical treatment, major burns are associated with high morbidity and mortality and poor recovery outcome. Patients with severe burns need immediate intervention and rapid initiation of speci-alized treatment in a dedicated critical care burn unit in order to minimize morbidity and mortality. The complex nature of burn injuries requires an integrative approach, by a multidisciplinary team in order to obta-in an optimal care. [...]

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The Effect of Timolol on the Iris Vascular Tone in Rats

2018-02

Dragos-Constantin Lunca, Horia Paunescu, Mihnea Costescu, Laurentiu Coman, Ion Fulga

https://doi.org/10.31689/rmm.2018.25.2.77

Vascular tone is generally controlled by both the humoral component and the neuro-vegetative component. Regarding the second one, catecholaminergic sympathetic innervation of blood vessels is almost a rule in the body[1,2].

It is known that the iris is sympathetically inner-vated, both at the level of the iris dilator muscle[1,2] and at the level of iris blood vessels[3]. Cathecolamines are responsible for vasoconstriction and, in some vascular beds, vasodilation. [...]

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Alcohol Withdrawal Syndrome: a Review

2018-02

Iustin Moroi, Mihaela Adela Iancu, Alexandra Ana Maria Stanescu, Anca Pantea Stoian, Razvan Hainarosie, Bogdan Socea, Dragos Marcu, Dan Arsenie Spinu, Ovidiu Gabriel Bratu, Camelia Diaconu

https://doi.org/10.31689/rmm.2018.25.2.69

Alcoholism is a common condition and frequently clinicians are forced to confront its complications in general hospital settings. Within each country, there is an excellent correlation between the level of alcohol consumption and the prevalence of alcohol-related harm. In fact, the consumption in Europe is 10.9 liters of pure alcohol per person per year[1]. There are an estimated 3 million alcohol-dependent people in Romania alone, with episodes of withdrawal severe enough to require pharmacologic treatment[1]. [...]

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Urological Malpractice

2018-02

Dan Arsenie Spinu, Ioana Oprea, Oana Bodean, Bogdan Socea, Camelia Diaconu, Dan Mischianu, Dragos Marcu, Ovidiu Gabriel Bratu

https://doi.org/10.31689/rmm.2018.25.2.65

Nowadays, doctors face a challenging medico-legal environment. This is also the case of urologists with many legal claims against them. The fact that urology is a surgical specialty is not encouraging, surgical specialties being situated on top of the chain. One of the most important problems is the lack of information from the specialized editorials. This kind of data is hard to find especially since it is often regarded as confidential information. [...]

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