Journal of Interdisciplinary Medicine最新文献_第9页

Trends in Oncology: an Updated Review of Minimally Invasive Surgery vs. Traditional Open Surgery 肿瘤学趋势:微创手术与传统开放手术的最新回顾

Journal of Interdisciplinary Medicine Pub Date : 2020-12-01 DOI: 10.2478/jim-2020-0032

K. Lee, Ahromi Wang

引用次数: 0

Allergies in Dental Practice – Questionnaire-Based Study 牙科治疗中的过敏-基于问卷的研究

Journal of Interdisciplinary Medicine Pub Date : 2020-09-01 DOI: 10.2478/jim-2020-0021

H. Lőrincz, Henrietta Zsófia Kovács, Bernadette Kerekes-Máthé

引用次数: 0

Myocardial Injury and Myocarditis in SARS-CoV-2 Patients SARS-CoV-2患者心肌损伤和心肌炎

Journal of Interdisciplinary Medicine Pub Date : 2020-09-01 DOI: 10.2478/jim-2020-0019

Camelia Libenciuc, Răzvan-Andrei Licu, R. Hodaș, M. Chițu, I. Benedek

{"title":"Myocardial Injury and Myocarditis in SARS-CoV-2 Patients","authors":"Camelia Libenciuc, Răzvan-Andrei Licu, R. Hodaș, M. Chițu, I. Benedek","doi":"10.2478/jim-2020-0019","DOIUrl":"https://doi.org/10.2478/jim-2020-0019","url":null,"abstract":"Abstract Myocarditis is one of the relatively common complications of respiratory infection with SARSCoV-2. As several patients confirmed with the new SARS-CoV-2 are known with cardiovascular disease (CVD) and data from the literature show negative prognosis and a higher risk of complications, this subgroup of subjects represents a particular situation. Therefore, an adequate understanding of the mechanisms involved in myocardial injury and interaction between COVID-19 and CVD is essential for optimal further management. Studies have proved that in COVID-19 patient myocarditis is determined via three pathological mechanisms of cardiomyocyte injury: direct viral cell entry and binding to ACE2, vasculitis-mediated injury, and systemic inflammatory response leading to pro-inflammatory cytokine discharge. Studies show that the incidence of myocarditis in patients with SARS-CoV-2 is relatively low, 4.8%, but myocardial damage occurs in more than 25% of critical cases in the form of acute fulminant myocarditis with severe hemodynamic degradation, or develops when the severity of SARS-CoV-2 infection intensifies. The mortality rate in myocarditis from COVID-19 infection ranges between 50–70%, with poorer prognosis and a higher risk of complications in CVD patients. As in all of these cases increased troponin and natriuretic peptide levels proved to be a negative prognostic factor, for risk stratification and prompt treatment, cardiac biomarkers should be evaluated in all patients with COVID-19.","PeriodicalId":234618,"journal":{"name":"Journal of Interdisciplinary Medicine","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133372182","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

Cessation of Renin-Angiotensin System Antagonists During the SARS-CoV-2 Pandemic – Do We Have the Evidence? 在SARS-CoV-2大流行期间停止肾素-血管紧张素系统拮抗剂-我们有证据吗?

Journal of Interdisciplinary Medicine Pub Date : 2020-09-01 DOI: 10.2478/jim-2020-0022

E. Blîndu, R. Gerculy, D. Opincariu, D. Cernica, I. Benedek

{"title":"Cessation of Renin-Angiotensin System Antagonists During the SARS-CoV-2 Pandemic – Do We Have the Evidence?","authors":"E. Blîndu, R. Gerculy, D. Opincariu, D. Cernica, I. Benedek","doi":"10.2478/jim-2020-0022","DOIUrl":"https://doi.org/10.2478/jim-2020-0022","url":null,"abstract":"Abstract The aim of this review is to provide a short update on whether treatment with angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARBs) has beneficial or harmful effects in patients infected with SARS-CoV-2. Epidemiological studies have shown that SARS-CoV-2 infects all age groups, presenting a higher incidence in elderly patients with various comorbidities such as hypertension, diabetes mellitus, and cardiovascular diseases. A large proportion of these patients are treated with ACEIs and ARBs. Since it has been demonstrated that SARS-CoV-2 uses angiotensin converting enzyme type 2 (ACE2) as an entry point into host cells, it is important to know whether ACEIs and ARBs could modify the expression of this enzyme, and thus promote the viral infection. Animal studies and a few studies in humans have shown that renin angiotensin system (RAS) inhibitors increase tissue expression of ACE2, but with potentially beneficial effects. In this context, it is imperative to provide appropriate guidance for clinicians and patients. The major cardiology associations across the world have released statements in which they recommend healthcare providers and patients to continue their treatments for hyper-tension and heart failure as prescribed.","PeriodicalId":234618,"journal":{"name":"Journal of Interdisciplinary Medicine","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128327314","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

An Anatomical Variation of Terminal Branches of the Thoracoacromial Artery – Case Report 胸肩峰动脉末端分支的解剖变异- 1例报告

Journal of Interdisciplinary Medicine Pub Date : 2020-09-01 DOI: 10.2478/jim-2020-0018

Lóránd Kocsis, Mihai-Iuliu Harșa, L. Dénes, Z. Pap

{"title":"An Anatomical Variation of Terminal Branches of the Thoracoacromial Artery – Case Report","authors":"Lóránd Kocsis, Mihai-Iuliu Harșa, L. Dénes, Z. Pap","doi":"10.2478/jim-2020-0018","DOIUrl":"https://doi.org/10.2478/jim-2020-0018","url":null,"abstract":"Abstract Introduction: Mapping the branching patterns of the thoracoacromial artery has a particular practical importance. Familiarity with the different anatomical variations is essential for successful surgical procedures in the anterior shoulder region. Case presentation: We present an unusual anatomical variant observed during the dissection of a cadaver at the Department of Anatomy and Embryology of the “George Emil Palade” University of Medicine, Pharmacy, Science and Technology of Târgu Mureş, Romania. According to the classical description, the thoracoacromial artery originates from the second part of the axillary artery, but we observed an unusual branching variation: the thoracoacromial artery provided a subscapular branch right after its origin, then it split into a pectoral branch, the lateral thoracic artery, and a common trunk that gave a second pectoral branch and a deltoid-acromial branch. The clavicular branch was missing. Conclusions: The case we presented demonstrates that there are anatomical variations of the axillary artery system that are partially or entirely different from the classical descriptions. Our study describes a variation of the thoracoacromial artery that has not been reported so far.","PeriodicalId":234618,"journal":{"name":"Journal of Interdisciplinary Medicine","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127095550","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

COVID-19 and Thrombosis Predisposition COVID-19和血栓易感性

Journal of Interdisciplinary Medicine Pub Date : 2020-09-01 DOI: 10.2478/jim-2020-0023

R. Gerculy, Camelia Libenciuc, N. Raț, M. Chițu, I. Benedek

引用次数: 1

A Case of Acute Myocardial Injury – MINOCA or Myocarditis? 1例急性心肌损伤——MINOCA还是心肌炎?

Journal of Interdisciplinary Medicine Pub Date : 2020-09-01 DOI: 10.2478/jim-2020-0024

Camelia Libenciuc, Răzvan-Andrei Licu, I. Kovács, M. Chițu, I. Benedek

引用次数: 0

Pre- and Postoperative Evaluation of Patients with End-Stage Heart Failure Undergoing Cardiac Transplant – a Descriptive Study 接受心脏移植的终末期心力衰竭患者的术前和术后评价-一项描述性研究

Journal of Interdisciplinary Medicine Pub Date : 2020-09-01 DOI: 10.2478/jim-2020-0016

Costel Dumitru, D. Ghiga, S. Voidăzan, Alexandra Groșan, Dan Ş. Sîmpălean, A. Sin

{"title":"Pre- and Postoperative Evaluation of Patients with End-Stage Heart Failure Undergoing Cardiac Transplant – a Descriptive Study","authors":"Costel Dumitru, D. Ghiga, S. Voidăzan, Alexandra Groșan, Dan Ş. Sîmpălean, A. Sin","doi":"10.2478/jim-2020-0016","DOIUrl":"https://doi.org/10.2478/jim-2020-0016","url":null,"abstract":"Abstract Background: Heart transplantation is still the treatment of choice in patients with end-stage heart failure, refractory to medical treatment, in NYHA class III and IV, with dilated cardiomyopathy of various etiologies, including post-myocardial infarction. Objective: The aim of the study was to provide a descriptive analysis of the clinical, laboratory, and imaging parameters of patients undergoing heart transplantation during the pre- and postoperative period, as well as postoperative complications (including infections) and death rates. Material and methods: The variables collected from 53 patients who underwent a heart transplant were: age at heart transplant, gender, diagnosis at hospitalization, comorbidities, pre- and postoperative virology, pre- and postoperative laboratory analyses, pre- and postoperative echocardiography, post-transplant infections, complications, and treatment before and after the surgery. Results: Mean age at the time of transplant was 40.72 ± 14.07 years, and the majority (84.91%) of patients were males. The mean age of the donors was 31.92 ± 10.59 years. A proportion of 60.40% of patients were included in functional class NYHA IV, and 98.1% presented dilative cardiomyopathy of which 49.06% was due to previous myocardial infarction. No significant differences were observed between preand postoperative viral and bacterial serology. Left ventricular ejection fraction was significantly higher in the transplanted heart, and cardiac chamber diameters were significantly smaller after the transplant. Postoperative complications included 7 confirmed infections and 16 deaths, of which 5 had occurred during the surgical procedure. Conclusions: The present study brings important information in regard to the pre- and postoperative evaluation of patients with end-stage heart failure undergoing cardiac transplantation, from a clinical, laboratory, and imaging point of view, as well as in regard to postoperative complications and death.","PeriodicalId":234618,"journal":{"name":"Journal of Interdisciplinary Medicine","volume":"185 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126787882","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

Successful Pregnancy in a Patient with Long-Standing Acromegaly – a Case Report 长期肢端肥大症患者妊娠成功1例报告

Journal of Interdisciplinary Medicine Pub Date : 2020-09-01 DOI: 10.2478/jim-2020-0020

M. Gliga, M. Pașcanu, Camelia Gliga, Z. Réti

{"title":"Successful Pregnancy in a Patient with Long-Standing Acromegaly – a Case Report","authors":"M. Gliga, M. Pașcanu, Camelia Gliga, Z. Réti","doi":"10.2478/jim-2020-0020","DOIUrl":"https://doi.org/10.2478/jim-2020-0020","url":null,"abstract":"Abstract Introduction: Acromegaly is a rare endocrine disorder of the growth hormone (GH)-insulin-like growth factor 1 (IGF1) metabolism that can affect women of fertile age. Although uncommon, pregnancies in acromegalic women can occur, with data regarding the management of these cases being very limited, mostly consisting of case reports. Case Presentation: We present the case of an acromegalic woman, first diagnosed at the age of 22, after the surgical resection of a pituitary mass. Throughout the evolution, she received conventional radiotherapy and has been treated with somatostatin receptor ligands (SRLs), dopamine agonists (DAs), and GH-blockers. At the age of 37, the patient decided to become pregnant while she was on Pegvisomant and DA therapy. The treatment was stopped, and the patient became pregnant at the age of 38. Tumor size and IGF-1 values have remained stable throughout the pregnancy, and no complications occurred. A healthy child with normal birth weight was delivered on term through Cesarean section. Conclusions: Managing pregnant women with acromegaly is challenging because of the little available data regarding the safety of medical treatment and a high interindividual variability of GH-IGF-1 evolution during this period. The particularity of our case was a patient with a long history of acromegaly, who had an uneventful pregnancy despite stopping all medical treatment.","PeriodicalId":234618,"journal":{"name":"Journal of Interdisciplinary Medicine","volume":"282 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116401277","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: 2

Multidisciplinary Approach in the Management of a Small, Non-Palpable Breast Tumor 多学科方法治疗乳腺小而不可触及的肿瘤

Journal of Interdisciplinary Medicine Pub Date : 2020-09-01 DOI: 10.2478/jim-2020-0017

K. Lőrincz, Z. Pap, B. Baróti

引用次数: 0