Romanian Medical Journal最新文献_第5页

The impact of socio-demographic factors on depression and anxiety in the context of quality of life 社会人口因素对生活质量背景下抑郁和焦虑的影响

Romanian Medical Journal Pub Date : 2022-06-30 DOI: 10.37897/rmj.2022.2.6

Andreea-Laura Ionescu, I. Grăjdeanu, M. Baltă, A. Stănescu

引用次数: 0

Risks and complications in rhinoplasty. A comparative study in structural vs preservation rhinoplasty 鼻整形术的风险和并发症。结构鼻与保存鼻成形术的比较研究

Romanian Medical Journal Pub Date : 2022-06-30 DOI: 10.37897/rmj.2022.2.7

Rodica Urs, I. Anghel, Adriana Oana Rajput Anghel, A. Anghel

{"title":"Risks and complications in rhinoplasty. A comparative study in structural vs preservation rhinoplasty","authors":"Rodica Urs, I. Anghel, Adriana Oana Rajput Anghel, A. Anghel","doi":"10.37897/rmj.2022.2.7","DOIUrl":"https://doi.org/10.37897/rmj.2022.2.7","url":null,"abstract":"Introduction. Rhinoseptoplasty is considered the most challenging operation because many techniques have to be taken into consideration to achieve an optimal aesthetic and functional results. Rhinoseptoplasty techniques have been perfected over time, following two main surgical approaches: structural rhinoplasty (resection/ reconstruction) and conservative (preservation rhinoplasty). Methods. The authors present the risks and complications in a comparative study of 100 cases with patients in primary rhinoseptoplasty performed between 2019-2021: 50 cases in Structural Rhinoplasty and 50 cases in Preservation Rhinoplasty. The study presents two surgical concepts of rhinoplasty regarding the main advantages, disadvantages and indications of each type of rhinoseptoplasty surgery. Results and conclusions. Complications post-rhinoseptoplasty can be considered as perioperative, functional, anatomic (aesthetic) and psyhological. In this study 10 cases (10%) of primary rhinoplasty required revision surgery. The most frequent postoperative deformity is the “pollybeak” when a deep naso-frontal angle, cartilaginous hump and reduced tip projection are present preoperatively. The pollybeak was the indication in 4 cases (40%) of all revision rhinoplasties. Other frequent postoperative deformities are: wide nasal tip, retractions of the columella base and irregularities of the nasal dorsum. These deformities are very often combined and caused by a loss of septal support. Septorhinoplasty is a difficult procedure and the surgeon must have accurate anatomical knowledge and rich clinical experience. The risks for rhinoplasty-complications can be reduced with increasing experience. It is very important to make distinction between complication and mistake.","PeriodicalId":21278,"journal":{"name":"Romanian Medical Journal","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78716164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Correlation between the presence of metals with intoxication potential, omega 3 deficiency, increased omega 6:omega 3 ratio and their associated symptoms 金属中毒、欧米茄3缺乏症、欧米茄6:欧米茄3比值升高及其相关症状之间的关系

Romanian Medical Journal Pub Date : 2022-06-30 DOI: 10.37897/rmj.2022.2.5

Alina Epure, Veronica Anastasoi, D. Cheța

{"title":"Correlation between the presence of metals with intoxication potential, omega 3 deficiency, increased omega 6:omega 3 ratio and their associated symptoms","authors":"Alina Epure, Veronica Anastasoi, D. Cheța","doi":"10.37897/rmj.2022.2.5","DOIUrl":"https://doi.org/10.37897/rmj.2022.2.5","url":null,"abstract":"Objectives. The study aims to determine the correlation between the presence of heavy metals with intoxication potential (mercury, aluminum, arsenic), increasing the values for the omega 6: omega 3 ratio, decreasing the concentration of omega 3 and it’s impact on health. Another objective of this study is the use of an integrated protocol, developed by an interdisciplinary team, based on a customized alignment program and a treatment plan. Materials and methods. We evaluated in a retrospective observational study, 77 patients who came to the Nutribalance Clinic between September 2017 and December 2019, with specific symptoms of intoxication with toxic metals, especially mercury, aluminum, arsenic and omega 3 deficiencies. The manifested symptoms required a complete set of blood tests for each subject in the study group, tests that showed the presence of one, two and three toxic metals in the case of all 77 subjects. The interdisciplinary team developed a personalized treatment and diet plan, monitoring the evolution on the symptoms initially manifested by each subject. Outcomes. The results of this study shows the beneficial impact of the personalized diet plan and supplements used on the decrease in omega 6:omega 3 ratio, the significant increases in omega 3 which support the detoxification process of heavy metals and a significant improvement in the symptoms of each patient. Conclusions. This study reveals that the process of chelating or detoxifying heavy metals is a complex one and that implies the presence of a complementarity between food and nutritional supplement therapy, avoiding one single direction, as results can be obtained for a short or insignificant period of time.","PeriodicalId":21278,"journal":{"name":"Romanian Medical Journal","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73524851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hemolytic disease of the newborn, beyond the Rhesus disease 新生儿溶血病，超越恒河猴病

Romanian Medical Journal Pub Date : 2022-06-30 DOI: 10.37897/rmj.2022.2.1

Ana Maria Huszti, N. Gică, R. Botezatu, G. Peltecu, A. Panaitescu

引用次数: 0

Prognostic impact of Lymph node resection in stage II colon cancer: a prospective study from a tertiary hospital center 淋巴结切除术对II期结肠癌预后的影响:一项来自三级医院中心的前瞻性研究

Romanian Medical Journal Pub Date : 2022-06-30 DOI: 10.37897/rmj.2022.2.3

D. Chetroiu, M. Beuran, P. Filip, S. Diaconu, C. Orban, C. Pop, A. Chiotoroiu

{"title":"Prognostic impact of Lymph node resection in stage II colon cancer: a prospective study from a tertiary hospital center","authors":"D. Chetroiu, M. Beuran, P. Filip, S. Diaconu, C. Orban, C. Pop, A. Chiotoroiu","doi":"10.37897/rmj.2022.2.3","DOIUrl":"https://doi.org/10.37897/rmj.2022.2.3","url":null,"abstract":"Background. The treatment of stage II colon cancer has been a subject of debate for a long time. In the last years, a few risk factors have been proposed in order to guide any treatment decision more accurately. One of these risk factors is the number of resected lymph nodes, and according to the latest guidelines, it is recommended that at least 12 lymph nodes should be resected for optimal staging. The aim of this study is to evaluate the role of lymph node resection, in stage II colon cancer and the implication of suboptimal lymph node resection on disease free survival and overall survival. Patients and methods. This was a prospective study that included 130 patients with stage II colon cancer who were monitored between October 2014 and October 2016. The relation between patients’ tumour characteristics that include number of lymph node resection and the use of adjuvant chemotherapy using Chi test and multiple logistic regression was analyzed. The disease-free survival and overall survival were estimated with the Kaplan-Meier method and compared with the log-rank test. Results. 130 patients with stage II colon cancer were recruited. 56 patients were treated with surgery alone and 74 patients received fluorouracil- based chemotherapy after surgery. Patients' age varied from 37 years to 81 years. According to the number of resected lymph nodes, patients were divided into two groups - with less than 12 lymph nodes resected and at least 12 lymph nodes resected. The number of resected lymph nodes varied from 2 to 32 lymph nodes. Median follow up was 36 months. Suboptimal resections of lymph nodes confirmed to be a negative prognostic factor for survival without disease recurrence. Conclusion. Data results confirmed the importance of lymph node resection as a prognostic factor for stage II colon cancer and the role of chemotherapy for patients with suboptimal lymph node resection.","PeriodicalId":21278,"journal":{"name":"Romanian Medical Journal","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81041872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CHEK2 gene in breast cancer 乳腺癌中的CHEK2基因

Romanian Medical Journal Pub Date : 2022-06-20 DOI: 10.37897/rmj.2022.s3.4

O. Maioru, L. Pop, V. Rădoi, R. Ursu, N. Bacalbaşa, I. Bălescu, Ioan Dumitru Suciu

引用次数: 0

K3326* mutation in breast cancer K3326*突变在乳腺癌中的作用

Romanian Medical Journal Pub Date : 2022-06-20 DOI: 10.37897/rmj.2022.s3.5

M. Novac, L. Pop, V. Rădoi, R. Ursu, N. Bacalbaşa, I. Bălescu, Ioan Dumitru Suciu

引用次数: 0

PALB2 gene in breast cancer PALB2基因与乳腺癌的关系

Romanian Medical Journal Pub Date : 2022-06-20 DOI: 10.37897/rmj.2022.s3.6

O. Maioru, L. Pop, V. Rădoi, R. Ursu, N. Bacalbaşa, I. Bălescu, Ioan Dumitru Suciu

引用次数: 0

Total pelvic exenteration for pelvic recurrence with complex recto-vaginal and vesicovaginal fistula after surgically treated endometrial cancer 子宫内膜癌术后盆腔复发伴直肠阴道瘘及膀胱阴道瘘的全盆腔切除治疗

Romanian Medical Journal Pub Date : 2022-06-20 DOI: 10.37897/rmj.2022.s3.20

N. Bacalbaşa, I. Bălescu, C. Stoica, Cristina Martac, V. Varlas, Andrei Voichitoiu, L. Pop, S. Petrea, Mihaela Vîlcu, I. Brezean

{"title":"Total pelvic exenteration for pelvic recurrence with complex recto-vaginal and vesicovaginal fistula after surgically treated endometrial cancer","authors":"N. Bacalbaşa, I. Bălescu, C. Stoica, Cristina Martac, V. Varlas, Andrei Voichitoiu, L. Pop, S. Petrea, Mihaela Vîlcu, I. Brezean","doi":"10.37897/rmj.2022.s3.20","DOIUrl":"https://doi.org/10.37897/rmj.2022.s3.20","url":null,"abstract":"Local recurrences after surgically treated endometrial cancer with associated vesical and rectal fistula represent a particular eventuality in which the only chance for cure is represented by extended pelvic resections. The aim of the current paper is to present the case of a 62 year old patient diagnosed with a local recurrence invading the urinary bladder and the rectum leading to the development of a complex fistula involving both the urinary and digestive tract after surgically treated endometrial cancer. Although initially the patient was not submitted to pelvic radiation therapy, at the time of relapse the presence of this fistula contraindicated any kind of radiation therapy. Therefore the patient was submitted to a total pelvic exenteration with cutaneous ureterostomy and terminal left colostomy. Another particularity of the patient was the fact that she had an ureteral duplication on the right side, both ureters being functional and exteriorized in right ureterostomy. In conclusion, pelvic exenteration might be a good therapeutic alternative for pelvic recurrences with complex fistulas after surgically treated endometrial cancer.","PeriodicalId":21278,"journal":{"name":"Romanian Medical Journal","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88665250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bariatric surgery: a tool for pregnancy 减肥手术:怀孕的工具

Romanian Medical Journal Pub Date : 2022-06-20 DOI: 10.37897/rmj.2022.s3.8

L. Pop, Madalina Piron, V. Rădoi, R. Ursu, B. Danciu, N. Bacalbaşa, I. Bălescu, Ioan Dumitru Suciu

引用次数: 0