N. Girlescu, R. P. Iași, M. Diac, I. Hunea, S. Damian, A. Knieling, D. Iliescu
{"title":"COMPLEX MECHANISMS IN ROAD TRAFFIC ACCIDENTS CONCERNING PEDESTRIANS. A CASE STUDY","authors":"N. Girlescu, R. P. Iași, M. Diac, I. Hunea, S. Damian, A. Knieling, D. Iliescu","doi":"10.36868/medmater.2021.01.01.011","DOIUrl":"https://doi.org/10.36868/medmater.2021.01.01.011","url":null,"abstract":"Pedestrian injuries vary according to vehicle type, position during the accident, and pedestrian’s age, thus determining complex aspects by associating multiple types of traumas. In forensic practice, it should be noted that the lesion-producing mechanisms recorded among pedestrians are most frequently mixed, reason for which a correct and careful examination of the victim must be supported by the characteristics of the vehicle involved in the accident, as well as by other elements at the crime scene. It is necessary to thoroughly examine the injuries, an analysis that should always be characterized by a dynamic interpretation, directly related to the mechanism of accident occurrence, with case-by-case individualization, to result in the clarification of conditions difficult to grasp at a superficial interpretation. This article aims to briefly review the main lesion mechanisms in case of pedestrians, to emphasize on the importance of understanding the complexity of these injuries, in order to elucidate – as accurately as possible – the circumstances of such an ill-fated event.","PeriodicalId":353170,"journal":{"name":"Medicine and Materials","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131499369","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":"STUDY ON THE RHINOPHARYNX NEOPLASMS","authors":"A. Călin, Anamaria Zaharescu, M. Pălivan","doi":"10.36868/medmater.2021.01.01.003","DOIUrl":"https://doi.org/10.36868/medmater.2021.01.01.003","url":null,"abstract":"In order to receive the food bolus, the muscular-fibrous walls of the pharynx contract by reflex, first widening the pharynx, and the palatine veil rises, closing the passage to the rhinopharynx. Then the base of the tongue rises, the piers approach, closing the bucco-pharyngeal passage in the isthmus. The airway is simultaneously interrupted by the posterior displacement of the base of the tongue, the folding of the mucosa of the posterior pharynx, and the lifting and closing of the larynx. The food bolus is thus forced to follow the hypopharyngeal-esophageal pathway, the only one that remains open. In case of paralysis of the nerves that coordinate the swallowing process, the laryngeal sphincter remains open, favoring the false pathway and aspiration bronchopneumonias. The paralysis of the palatine veil prevents its horizontalization during swallowing, which favors the discharge of fluids into the nose, which is significant when the paralysis is bilateral and more discrete when it is unilateral. The clinical prospective and retrospective study material was represented by a number of 190 individuals aged 0 to 80 years, who were hospitalized between 01.01.2011 and 31.12.2019 in the ENT Department of the Teaching Hospital in Galați for follow-up of malignant rhinopharyngeal tumors. Most of these patients subsequently underwent sequential examination to determine their treatment response. Due to its deep location and limited clinical accessibility, onset symptoms are often absent or inconclusive for both the physician and the patient. CT scan is superior to clinical examination in primary tumor evaluation, especially in advanced T3 and T4 cases, which are largely clinically under-rated. Performing the coronal rhinopharynx sections and double-window recording greatly increase the accuracy of examination and they should be considered at least for the initial assessment procedure.","PeriodicalId":353170,"journal":{"name":"Medicine and Materials","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124296537","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}