Journal of Interdisciplinary Medicine最新文献

{"title":"The Characteristics, Manifestations and Cardiopulmonary Imaging (CT/MRI) of COVID-19 in SARS-CoV-2 Infection","authors":"A. Rus, N. Raț, M. Chițu, I. Benedek","doi":"10.2478/jim-2020-0035","DOIUrl":"https://doi.org/10.2478/jim-2020-0035","url":null,"abstract":"Abstract The World Health Organization (WHO) declared the transmission of SARS-CoV-2 a Public Health Emergency of International Concern. The novel coronavirus has diverse manifestations, usually similar to a common cold or influenza. The majority of patients with coronavirus disease have typical imaging features. The typical CT characteristics of patients with COVID-19 pneumonia are ground-glass opacities and consolidative lesions with a peripheral and posterior distribution. Noninvasive imaging methods are precise and rapid means of diagnosing pneumonia and cardiovascular complications caused by COVID-19 infection. Therefore, it is important for clinicians to understand the implications of this pandemic and to be familiar with the different imaging aspects of the novel coronavirus disease. This review focuses on the most commonly reported imaging findings of COVID-19 infection in different patients from different countries, the expert recommendations, and the cardiac manifestations of SARS-CoV-2 infection.","PeriodicalId":234618,"journal":{"name":"Journal of Interdisciplinary Medicine","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131267699","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}

{"title":"Smoking Habit and Correlation with Hand Eczema in Healthcare Workers in the Time of COVID-19","authors":"A. Chiriac, D. Azoicǎi, U. Wollina, A. Chiriac, C. Podoleanu, S. Stolnicu","doi":"10.2478/jim-2020-0030","DOIUrl":"https://doi.org/10.2478/jim-2020-0030","url":null,"abstract":"Abstract Background: Hand eczema, in time of COVID-19, is one of the most frequently diagnosed skin disorders in nurses. In this study, we sought to investigate whether smoking could be an additional risk factor for hand eczema in nurses during the COVID-19 pandemic. Method: Using a questionnaire about smoking details and hand eczema, we conducted a study among nurses involved in the frontline management of COVID-19 patients. A total of 1,000 questionnaires were sent out. The questionnaires were anonymous and based on self-reported answers, with no clinical examination or medical data evaluation. All nurses enrolled in the study were women, working in shifts for the last three months since the start of the COVID-19 pandemic. Results: Two-hundred forty-seven questionnaires were accepted for the study, after eliminating non-responders and nurses without hand eczema. The majority of nurses denied smoking (87.85%) in the past and at the moment of the study. Statistics related to years of smoking and occurrence of hand eczema showed no increase in the number of cases in correlation with the number of years of smoking. Similarly, a random distribution of cases of hand eczema was observed when compared to the number of cigarettes per day. Conclusion: Our data does not support the hypothesis that smoking is an independent risk factor for the development of occupational hand eczema during the COVID-19 pandemic.","PeriodicalId":234618,"journal":{"name":"Journal of Interdisciplinary Medicine","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115362394","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}

{"title":"Assessment of Eating Behavior During the COVID-19 Pandemic Period. A Pilot Study","authors":"I. Niţu, V. Rus, R. Şipoş, Tiberiu Nyulas, Maria Paula Cherhat, F. Ruţa, Constanta Corina Nitu Tita","doi":"10.2478/jim-2021-0024","DOIUrl":"https://doi.org/10.2478/jim-2021-0024","url":null,"abstract":"Abstract Background: In order to counter and control the spread of the new COVID-19 pandemic, at the beginning of March 2020, the Romanian government decided to apply strict isolation and quarantine measures. Objective: In the present study, we aimed to analyze the impact of the COVID-19 pandemic and isolation/quarantine at home on lifestyle and daily diet, and to identify changes caused by the pandemic related to the nutritional status and food preferences of the Romanian population. Material and Method: We conducted a prospective observational study based on a structured questionnaire that included 30 items for investigating multiple aspects regarding the dietary habits in the context of the pandemic, quarantine and social isolation imposed by the new SARS-CoV-2 coronavirus. The questionnaire was disseminated on various online platforms accessible from any device with an internet connection in Romania, on social media groups between January and March 2021. The questionnaire was made online, using the Google Forms platform, this method being very useful for carrying out the proposed evaluation, as it facilitated the national dissemination of the evaluation questionnaire. The final study group consisted of 620 respondents from 35 counties of Romania. Results: Regarding weight status, we found that the respondents showed significantly more frequent weight fluctuations during the pandemic than before (p <0.0001). The results showed an increase in the mean weight of the respondents during the pandemic vs. their mean weight before (p = 0.04). In contrast, there were no statistically significant differences between the BMI calculated before and during the pandemic (p = 0.3). Respondents, who had a chaotic diet (40.64%) before the pandemic, became significantly more organized in this regard during the pandemic (35.96%) (p = 0.008). Conclusions: We can state that the pandemic period and isolation at home analyzed in terms of eating habits had positive consequences for about half of the study participants which adopted an organized, diversified eating behavior and balanced lifestyle.","PeriodicalId":234618,"journal":{"name":"Journal of Interdisciplinary Medicine","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133951586","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}

{"title":"General Approach to Physical Examination of the Shoulder Based on the O’Brien, MOB, and Porcellini Tests","authors":"János Székely, David Maior, E. Élthes, D. Márton","doi":"10.2478/jim-2021-0026","DOIUrl":"https://doi.org/10.2478/jim-2021-0026","url":null,"abstract":"The physical examination of the shoulder provides valuable information to the physician and in some cases may even take the place of imaging studies in the diagnostic process. Some tests, however, have altering sensitivity and specificity. Therefore, they be performed accurately and in combination with other diagnostic methods in order to provide the examiner with a thorough and exhaustive result. The O’Brien test and its variants are a perfect example, with common de-nominators being the position of the patient, subjective perception of pain deep in the joint, and forward flexion of the arm. The present manuscript presents a brief description of the O’Brien test and other clinical examination techniques for shoulder examination used in general orthopedics and sports medicine. 90° and 10° of horizontal adduction, the elbow in extension, and arm in internal rotation (empty can position). The applies a downward force to the forearm or wrist. The test is considered positive when the patient cannot hold their arm in the above mentioned position. According to Owen et al ., the test has a 25% sensitivity and an 83% specificity. As a complementary test, together with","PeriodicalId":234618,"journal":{"name":"Journal of Interdisciplinary Medicine","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123448816","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}

{"title":"Unresponsive Severe Aplastic Anemia in a Young Patient: Case Report and Short Review of the Literature","authors":"O. Badulescu, D. Popescu, Minerva Codruța Bădescu, N. Dima, Ana-Roxana Gănceanu-Rusu, C. Rezus","doi":"10.2478/jim-2021-0013","DOIUrl":"https://doi.org/10.2478/jim-2021-0013","url":null,"abstract":"Abstract Aplastic anemia or medullary aplasia is a medical condition characterized by pancytopenia and is associated with a high prevalence of morbidity and mortality. In patients in whom bone marrow transplantation cannot be attempted, an immunosuppressive regimen is considered to be the first-line therapy. Also, the addition of eltrombopag from the first day of immunosuppressive treatment seems to significantly increase response rate. Unfortunately, there are a small number of patients who remain unresponsive to all these therapies. Here we present the case of a young woman who was referred by the family doctor complaining of marked physical asthenia, new onset dyspnea, and dizziness. Apart from a severe pancytopenia, no further changes have been brought to light by paraclinical investigations. After multiple secondary causes were excluded, the patient was diagnosed with idiopathic aplastic anemia. Even if bone marrow transplant was the first-line therapy in this case, because of the severe leukopenia, it was not possible to determine the HLA type. Therefore, the patient was prescribed immunosuppressive treatment. Despite the three drug-associated therapy (horse anti-thymocyte globulin, cyclosporin A, and eltrombopag), the response was unsatisfactory, with the persistence of severe pancytopenia.","PeriodicalId":234618,"journal":{"name":"Journal of Interdisciplinary Medicine","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117169683","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}

{"title":"Factors Associated with Pain Intensity in Patients Undergoing Orthodontic Treatment Based on Mini-Implants","authors":"E. Bud, A. Vlasa, Manuela Chibelean, Krisztina Mártha, M. Pacurar, Anamaria Bud, D. Eşian","doi":"10.2478/jim-2021-0015","DOIUrl":"https://doi.org/10.2478/jim-2021-0015","url":null,"abstract":"Abstract Introduction: Pain is currently reported as the most common side effect associated with orthodontic treatment. The aim of this study was to evaluate the factors associated with the intensity of pain perception during orthodontic procedures consisting in anesthesia, orthodontic mini-implant placement and removal, as well as during the postoperative period following these procedures. Material and Methods: The study included 50 young adults with a permanent dentition in need of orthodontic treatment. The pain assessment was based on visual analogue scale (VAS), using self-report questions from approved questionnaires. Pain severity was analyzed in relation to: anesthesia, implant placement, implant removal, implant movement, elastic traction and gingiva/bone pain around the implant. The study lot was divided into Group 1 – patients experiencing a pain degree of 1 or 2, and Group 2 – patients experiencing a pain degree of 3 or 4 during implant placement. Results: The maximum pain intensity (PI) was recorded during implant placement, which has been associated with a PI of 2.4 ± 0.8 (95% CI: 2.17–2.63), followed by implant removal (PI = 2.36 ± 0.66, 95% CI: 2.17–2.54), gingiva/bone pain around the implant (PI = 2.32 ± 2.58, 95% CI: 2.15–2.48), and elastic traction (PI = 2.26 ± 0.63, 95% CI: 2.08–2.44). Male gender was present in a significantly higher extent in the group of patients presenting a high intensity pain during implant placement (86.3% in Group 2 vs. 3.5% in Group 1, p <0.0001). The age group most sensitive to pain was 18 to 21 years. Conclusions: In our study, pain perception was significantly higher in males and in the 18–21 years age group. The most painful procedure during surgery was the initial moment of implant placement, followed by the moment of implant removal, gingival/bone pain around the implant, and the elastic tractions placed on the implant during anchorage.","PeriodicalId":234618,"journal":{"name":"Journal of Interdisciplinary Medicine","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117317267","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}

{"title":"Congenital Absence of Left Main Trunk – CCTA Evaluation of a Patient with Ischemic Heart Disease","authors":"C. Țolescu, A. Rus, M. Chițu, M. Rațiu, I. Benedek","doi":"10.2478/jim-2020-0028","DOIUrl":"https://doi.org/10.2478/jim-2020-0028","url":null,"abstract":"Abstract Coronary artery anomalies represent a heterogeneous group of congenital diseases with various clinical presentations. Over time, the subject of coronary anomalies has been constantly changing in terms of definition, morphology, clinical manifestations, prognosis, and treatment. We present the case of a male patient, aged 53, with coronary artery disease and a medical history of high blood pressure and diabetes mellitus, who had undergone a coronary computed tomography angiography during the one-year follow-up after a percutaneous coronary intervention with drug-eluting stent implantation for a critical stenosis in the middle segment of the left anterior descending artery. Axial images revealed a separate origin of the left anterior descending and circumflex arteries from the left aortic coronary sinus, with the absence of the left main coronary artery.","PeriodicalId":234618,"journal":{"name":"Journal of Interdisciplinary Medicine","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115131409","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}

{"title":"Digestive Dysbiosis in Systemic Scleroderma: a Review","authors":"I. Bratoiu, A. Burlui, P. Richter, A. Cardoneanu, C. Rezus, E. Rezus","doi":"10.2478/jim-2021-0018","DOIUrl":"https://doi.org/10.2478/jim-2021-0018","url":null,"abstract":"Abstract Systemic sclerosis (SSc) is a rare autoimmune disease characterized by widespread microvasculopathy, inflammation, and fibrosis of the skin and internal organs. The involvement of the gastrointestinal tract is associated with a wide variety of symptoms and affects circa 90% of patients during the course of the disease. The gastrointestinal microbiota contains trillions of microbial cells and has been found to contribute to both local and systemic homeostasis. In both health and disease, a dynamic interrelationship between gut microbiome activity and the host immune system has been identified. Gastrointestinal dysbiosis has been described as having an important role in obesity, diabetes mellitus, liver disease, cardiovascular and neuropsychiatric disorders, neoplasia, as well as autoimmunity. Recent scientific data indicates a notable role of dysbiosis in the pathogenesis of SSc-related digestive involvement together with various other clinical manifestations. The present review aims to summarize the recent findings regarding digestive dysbiosis as well as the relationship between gastrointestinal microbiota and certain features of SSc.","PeriodicalId":234618,"journal":{"name":"Journal of Interdisciplinary Medicine","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126170182","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}

{"title":"Curricula and Teaching Methodology in the Field of Health Education: What Do We Know so Far?","authors":"Ioannis Delimaris","doi":"10.2478/jim-2021-0022","DOIUrl":"https://doi.org/10.2478/jim-2021-0022","url":null,"abstract":"Abstract Health education is the interdisciplinary branch of pedagogy, medico-biological sciences, and health sciences, which addresses issues of prevention and the adoption of practices and strategies to reduce morbidity and mortality of the general population. Curricula are the subjects comprising a course of study in a school or college. The thematic axes of the Curricula of Health Education should include microbe transmission prevention, sexual and reproductive health, voluntary blood donation, oral health, smoking prevention, mental health promotion of children and adolescents, knowledge about sunlight, hygiene and vision protection, the value of old age, accident prevention, infection prevention (HIV, hepatitis etc.), healthy posture, healthy breathing, environmental health, healthy sleep, healthy diet, healthy exercise activities, problems involved in internet technology in adolescence, the role of play in childhood, and the prevention of addictions. Both behaviorism and constructivism are equally appropriate learning theories for teaching health education. The present paper aims to summarize all the available-to-date information on these issues.","PeriodicalId":234618,"journal":{"name":"Journal of Interdisciplinary Medicine","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131181693","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}

{"title":"Cone Beam Computed Tomography Study on the Incidence of Endodontic Filling Biomaterials Resorption in Patients With/Without Orthodontic Treatment","authors":"E. Bud, M. Pacurar, A. Vlasa, C. Bică, Krisztina Mártha, D. Eşian, Csilla Bukhari, L. Lazăr, Anamaria Bud","doi":"10.2478/jim-2021-0023","DOIUrl":"https://doi.org/10.2478/jim-2021-0023","url":null,"abstract":"Abstract Background: The differential diagnosis of endodontic and periodontal diseases can sometimes be clinically difficult, but it is vital to establish a correct diagnosis so that predictable treatment can be offered. Aim: The aim of this study was to highlight the prevalence of endo-periodontal lesions in the frontal dental group of the lower jaw depending on the degree of bone resorption as well as endodontic filling resorption in different patients, some of them with orthodontic treatment, using conical beam computed tomography (CBCT). Materials and methods: A number of 31 CBCT imaging volumes and the medical records of these patients were selected for analysis by an experienced examiner. The sites selected for analysis were divided into two subgroups, one where the endodontic treatment was performed with Endomethasone™ (Colthene, Creteil, France) (7 patients), and the other where it was performed with Adseal™ (Meta Biomed, Seoul, South Korea) (6 patients). Results: The mean age of the study population was 24.1 years, and 35.8% presented previous orthodontic treatment in their medical history. There were no statistically significant differences (p = 0.54) between groups regarding the length of the endodontic filling, the Endomethasone group showing a total length of 11.24 millimeters while the Adseal group showed a total length of 10.85 millimeters. Conclusions: The image obtained in clinical situations in which patients present combined endodontic-periodontal lesions is of real help because in many cases, with the help of CBCT, the starting point of a combined lesion can be highlighted, whether it is endodontic or periodontal.","PeriodicalId":234618,"journal":{"name":"Journal of Interdisciplinary Medicine","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121339813","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}