Medicina Moderna - Modern Medicine最新文献

The Assessment of the Vascular Risk for Facial Procedures using Thermal Scanning Imaging and Doppler Ultrasonography 使用热扫描成像和多普勒超声波检查评估面部手术的血管风险

Medicina Moderna - Modern Medicine Pub Date : 2023-12-12 DOI: 10.31689/rmm.2023.30.4.293

D. Mutu, L. Răducu, A. Avino, F. Bobircă, C. Pantu, Iulian-Alexandru Dogaru, I. Slavu, Abdalah ABU BAKER, Florin Mihail Filipoiu, Cornelia Nitipir

{"title":"The Assessment of the Vascular Risk for Facial Procedures using Thermal Scanning Imaging and Doppler Ultrasonography","authors":"D. Mutu, L. Răducu, A. Avino, F. Bobircă, C. Pantu, Iulian-Alexandru Dogaru, I. Slavu, Abdalah ABU BAKER, Florin Mihail Filipoiu, Cornelia Nitipir","doi":"10.31689/rmm.2023.30.4.293","DOIUrl":"https://doi.org/10.31689/rmm.2023.30.4.293","url":null,"abstract":"Introduction: Surgical and non-surgical facial procedures have gained immense popularity thanks to their aesthetic benefits. Understanding the vascularization of the face and assessing potential risks is crucial to ensure patient safety and optimal outcomes. This study aims to evaluate the utility of thermal scanning and Doppler ultrasonography in evaluating the vascular risk for facial procedures. Material and Methods: A cohort of 60 patients were included in this prospective study. Preoperative thermal scanning and Doppler ultrasonography were performed in order to visualize the facial vasculature and identify potential areas of risk. Results: For 30 patients, we performed preprocedural Doppler ultrasound imaging and thermal scanning at the injection site. Only 6.66% of them suffered vascular complications, whilst 23.33% among those who didn’t undergo ultrasound and thermoscanning suffered vascular injuries. The combined use of these tools proved to be valuable in assessing the vascular risk for facial procedures. The findings emphasize the importance of preoperative assessment to identify patients at risk for vascular complications. Conclusions: Thermal scanning and Doppler ultrasonography offer a comprehensive approach to assessing the vascular risk for facial procedures. By ensuring the identification of abnormal vascular patterns and altered blood flow dynamics, these techniques enhance patient safety and procedure planning.","PeriodicalId":380281,"journal":{"name":"Medicina Moderna - Modern Medicine","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139008614","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

Contemporary Management Approaches for Spinal Subdural Hematoma in the Pediatric Population: Scoping Review 儿科脊柱硬膜下血肿的当代治疗方法：范围审查

Medicina Moderna - Modern Medicine Pub Date : 2023-12-12 DOI: 10.31689/rmm.2023.30.4.283

Farhad Balafif, D. W. Wardhana, T. A. Nazwar, Mustofa

引用次数: 0

Monocyte to HDL Cholesterol Ratio (MHR) and Monocyte to Lymphocyte Ratio (MLR) in Overweight and Obese Women 超重和肥胖妇女的单核细胞与高密度脂蛋白胆固醇比率 (MHR) 和单核细胞与淋巴细胞比率 (MLR)

Medicina Moderna - Modern Medicine Pub Date : 2023-12-12 DOI: 10.31689/rmm.2023.30.4.335

Novitasari Soesilo, M. Hendrianingtyas, Devi Elvina Rachma, E. K. S. Limijadi

{"title":"Monocyte to HDL Cholesterol Ratio (MHR) and Monocyte to Lymphocyte Ratio (MLR) in Overweight and Obese Women","authors":"Novitasari Soesilo, M. Hendrianingtyas, Devi Elvina Rachma, E. K. S. Limijadi","doi":"10.31689/rmm.2023.30.4.335","DOIUrl":"https://doi.org/10.31689/rmm.2023.30.4.335","url":null,"abstract":"Background: The prevalence of obesity and overweight in Indonesian women will continue to increase. Obesity and overweight conditions are often associated with low-grade inflammatory conditions and metabolic syndrome. The ratio of monocytes to HDL cholesterol (RMH) and the ratio of monocytes to lymphocytes (RML) are easy tests to monitor inflammation associated with increased body mass index and cardiovascular disorders due to metabolic syndrome. Objective: To analyze the differences in RMH and RML in obese and overweight women. Methods: The cross-sectional study was conducted in the outpatient laboratory at the Diponegoro National Hospital (RSND). This study included 55 overweight women (BMI 25.00 – 29.99 kg/m2) and 55 obese women (BMI ≥ 30 kg/m2), healthy, aged 25-45 years. Research subjects were excluded with the criteria of not having hypertension, liver disorders, and diabetes mellitus. RMH is obtained by dividing the absolute monocyte count by HDL cholesterol. RML is obtained by dividing the absolute monocyte and lymphocyte counts. Monocyte and lymphocyte numbers were obtained by examining a Complete Blood Count (CBC) using an automatic hematology analyzer. HDL cholesterol levels were measured by enzymatic methods using a clinical chemistry analyzer. Statistical analysis with the Mann-Whitney test. Results: There is a difference in RMH between obese and overweight women (p = 0.003). There was no difference in RML (p = 0.342) between the two groups. Conclusion: Obese women have a significantly higher RMH than overweight. RMH can be used as an assessment of inflammatory conditions and is used as a clinical alert for various health problems in obese and overweight women","PeriodicalId":380281,"journal":{"name":"Medicina Moderna - Modern Medicine","volume":"16 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139009717","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

Extrapulmonary Tuberculosis – a Rare Cause of Difficult Evolution in a Case Of Extensive Anoperianal Suppuration 肺外结核--一例广泛肛门化脓病例中难以演变的罕见病因

Medicina Moderna - Modern Medicine Pub Date : 2023-12-12 DOI: 10.31689/rmm.2023.30.4.353

L. S. Andrei, Adriana Corina Andrei, Alexandru Micu, Stefania Marghescu

引用次数: 0

Attitudes Towards Aging - an Explanatory Mechanism for the Relationship Between Perceived Age Discrimination and Successful Aging 对老龄化的态度--感知到的年龄歧视与成功老龄化之间关系的解释机制

Medicina Moderna - Modern Medicine Pub Date : 2023-12-12 DOI: 10.31689/rmm.2023.30.4.315

Adrian Trica, Adriana Cotel, F. Golu, Ioana David, Monica Licu

{"title":"Attitudes Towards Aging - an Explanatory Mechanism for the Relationship Between Perceived Age Discrimination and Successful Aging","authors":"Adrian Trica, Adriana Cotel, F. Golu, Ioana David, Monica Licu","doi":"10.31689/rmm.2023.30.4.315","DOIUrl":"https://doi.org/10.31689/rmm.2023.30.4.315","url":null,"abstract":"Purpose: The aim of the present study is to investigate how age discrimination affects successful aging, but also whether internalizing negative attitudes towards old age explains the relationship between the two variables. Materials and Methods: The study involved 391 people aged between 35 and 90, 315 women and 76 men. The tools used were The Fraboni Scale of Ageism, Attitudes to Aging Questionnaire, and Successful Aging Inventory. Outcomes: According to the results, there was no statistically significant correlation between perceptions of age discrimination and successful aging. Also, there was a statistically significant negative correlation between negative attitudes towards aging and successful aging. Finally, there was a statistically significant positive correlation between the perception of age discrimination and negative attitudes towards aging. Conclusions: The approach in the present study allows for a deeper understanding of subjective perceptions of one’s own aging. The study investigated two variables that may have relevance in understanding subjective successful aging - perceived age discrimination and negative attitudes toward aging. The results allow us to better understand the antecedents of successful aging and their importance.","PeriodicalId":380281,"journal":{"name":"Medicina Moderna - Modern Medicine","volume":"35 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139007570","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

Prevalence and Antibiotic Resistance of Bacteria Isolated from Cerebrospinal Fluid of Neurosurgical Patients in Malang, Indonesia 印度尼西亚玛琅神经外科患者脑脊液中分离细菌的流行率和抗生素耐药性

Medicina Moderna - Modern Medicine Pub Date : 2023-12-12 DOI: 10.31689/rmm.2023.30.4.341

T. A. Nazwar, Bagus Ramanto Saputra, Dewi Retnoningsih, Farhad Balafif, D. W. Wardhana

{"title":"Prevalence and Antibiotic Resistance of Bacteria Isolated from Cerebrospinal Fluid of Neurosurgical Patients in Malang, Indonesia","authors":"T. A. Nazwar, Bagus Ramanto Saputra, Dewi Retnoningsih, Farhad Balafif, D. W. Wardhana","doi":"10.31689/rmm.2023.30.4.341","DOIUrl":"https://doi.org/10.31689/rmm.2023.30.4.341","url":null,"abstract":"Background: Central nervous system infections are a critical concern in neurosurgical practice, often leading to severe complications and prolonged hospital stays. Understanding the prevalence and antibiotic resistance patterns of the bacteria causing these infections is essential for effective patient management. This study aims to investigate the prevalence and antibiotic resistance profiles of bacteria isolated from cerebrospinal fluid in neurosurgical patients in Malang, Indonesia. Materials and Methods: A retrospective analysis was conducted to investigate the positive cerebrospinal fluid (CSF) cultures in patients who underwent craniotomy within the period of January 2019 to December 2021. The gathered data encompassed the identification of etiological agents and the determination of their respective antimicrobial susceptibilities. Data analysis was performed on a total of 33 individuals, with 67 isolates out of 239 patients and 515 CSF culture samples. Results: The preponderant microorganism identified in the sample was coagulase-negative Staphylococci, with a majority exhibiting methicillin resistance, commonly referred to as methicillin-resistant coagulase-negative Staphylococci (MRCoNS). All specimens exhibited susceptibility to both vancomycin and tigecycline. Klebsiella pneumoniae, a Gram-negative bacterium, was identified as the predominant etiological agent and exhibited resistance to a substantial proportion of the antimicrobial agents tested, specifically 13 out of the 16 antimicrobials evaluated. Conclusions: The sensitivity rates of ceftriaxone and meropenem were found to be 0% and 100%, respectively. The predominant bacteria is MRCoNS, which is completely susceptible to tigecycline, vancomycin, linezolid, and nitrofurantoin. Extended-spectrum beta-lactamase-producing Klebsiella pneumoniae is difficult to treat, especially in central nervous system infections when antimicrobials are scarce.","PeriodicalId":380281,"journal":{"name":"Medicina Moderna - Modern Medicine","volume":"46 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139006989","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

Mechanisms of Resistance in Non-Small Cell Lung Cancer 非小细胞肺癌的抗药性机制

Medicina Moderna - Modern Medicine Pub Date : 2023-12-12 DOI: 10.31689/rmm.2023.30.4.269

Alexandra-Maria Hoza, Andreea-Denisa Patrascu, M. Orlov-Slavu, Ruxandra Horomnea, Cornelia Nitipir

引用次数: 0

Macromastia Surgery: a Proven Approach Perfected Over 25 Years in Plastic Aesthetic Surgery 巨乳症手术：25 年整形美容外科实践的完美方法

Medicina Moderna - Modern Medicine Pub Date : 2023-12-12 DOI: 10.31689/rmm.2023.30.4.307

Eugen Gabriel Turcu

{"title":"Macromastia Surgery: a Proven Approach Perfected Over 25 Years in Plastic Aesthetic Surgery","authors":"Eugen Gabriel Turcu","doi":"10.31689/rmm.2023.30.4.307","DOIUrl":"https://doi.org/10.31689/rmm.2023.30.4.307","url":null,"abstract":"Macromastia is a rare condition in women and is characterized by an abnormal growth of the mammary glands. Macromastia is considered breast hypertrophy in which the excess of breast glandular tissue exceeds 3% of the total body weight1. In specialized literature, the term gigantomastia is also used7. Some authors consider the term macromastia synonymous with gigantomastia, especially since the repercussions on the general state of the body are the same. Other authors consider that the two terms, macromastia or gynecomastia, are not synonymous7. Currently, there is no unanimous agreement on the definition of the two terms. The article presents my experience of 25 years in the surgical management of macromastia (gigantomastia) on a number of 364 cases. The surgical solution was based on the use of the modified McKissock technique (if the breast resection involved the excision of up to 1.5 kg of mammary gland from the level of a single breast) or the breast reduction with a free areola graft in the Pitanguy technique (if the resection involved more than 1.5 kg and the positioning of the new areola exceeds 15 cm from the level of the submammary groove. The clinical evaluation is very important for establishing the surgical management. The benefits of breast reduction in these cases are evident immediately postoperatively.","PeriodicalId":380281,"journal":{"name":"Medicina Moderna - Modern Medicine","volume":"11 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139009214","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

Optimizing Non-living Models for Effective Microsurgical Training 优化非活体模型，实现有效的显微外科培训

Medicina Moderna - Modern Medicine Pub Date : 2023-12-12 DOI: 10.31689/rmm.2023.30.4.299

Andreea GROSU-BULARDA, A. Crețu, F. Hodea, Eliza Bordeanu-Diaconescu, Cristian-Vladimir Vancea, Stefan Cacior, Vlad-Alin Ratoiu, Catalina-Stefania Dumitru, C. Hariga, I. Lascar, R. Teodoreanu

{"title":"Optimizing Non-living Models for Effective Microsurgical Training","authors":"Andreea GROSU-BULARDA, A. Crețu, F. Hodea, Eliza Bordeanu-Diaconescu, Cristian-Vladimir Vancea, Stefan Cacior, Vlad-Alin Ratoiu, Catalina-Stefania Dumitru, C. Hariga, I. Lascar, R. Teodoreanu","doi":"10.31689/rmm.2023.30.4.299","DOIUrl":"https://doi.org/10.31689/rmm.2023.30.4.299","url":null,"abstract":"Microsurgery, a pivotal surgical field that changed medical perspectives in the 20th century, presents numerous technical challenges due to the precision it requires from the surgeon. To acquire the requisite skills, comprehensive training is imperative. Initiation into microsurgical training on experimental models is a prerequisite before translating these skills to clinical applications. The employment of non-living models in medical training offers a myriad of advantages, notably characterized by their accessibility and cost-effectiveness. Non-living models, such as latex gloves, leaves, flower petals, silicon tubes and chicken legs, provide aspiring microsurgeons an opportunity to train the essential technical skills required in microsurgical practice. Such models significantly alleviate ethical concerns associated with the use of live specimens and human cadaveric models. Furthermore, they exhibit a satisfactory emulation of human vascular properties, providing a realistic context for medical practice. Although the primary focus of this paper is on non-living models, it is important to highlight the transition to living models, specifically small animal models, as a mandatory and advanced phase in microsurgical training, before translating to clinical practice.","PeriodicalId":380281,"journal":{"name":"Medicina Moderna - Modern Medicine","volume":"40 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139009364","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

Study of Modifiable Risk Factors of Chronic Diseases (hypertension and diabetes type 2) in the Province of Berkane: Eastern Region of Morocco 摩洛哥东部地区贝尔坎省慢性病（高血压和 2 型糖尿病）可改变风险因素研究

Medicina Moderna - Modern Medicine Pub Date : 2023-12-12 DOI: 10.31689/rmm.2023.30.4.323

Saliha Mharchi, A. Maamri

{"title":"Study of Modifiable Risk Factors of Chronic Diseases (hypertension and diabetes type 2) in the Province of Berkane: Eastern Region of Morocco","authors":"Saliha Mharchi, A. Maamri","doi":"10.31689/rmm.2023.30.4.323","DOIUrl":"https://doi.org/10.31689/rmm.2023.30.4.323","url":null,"abstract":"Background: The prevalence of mortality due to chronic diseases is quite high in Morocco (80%), where hypertension and type 2 diabetes are the tip of the iceberg. Aims: This study aimed to estimate the prevalence of chronic disease: Type 2 Diabetes Mellitus (T2DM), hypertension, and the profile of modifiable risk factors in the eastern region of Morocco (Berkane). Methods: This was a cross-sectional study of adults (≥ 18 years) consulting at health centers in primary care facilities. It involved a total of 404 participants. The questionnaire used includes socio-demographic, clinical and biological information of the consultants, Multiple logistic regression was used to estimate the factors associated with chronic disease (CD). Results: The prevalence of T2DM was 21% and that of hypertension was 16.58%, undiagnosed T2DM constituted 12.12% and unknown hypertension 5.44%.The risk factors (RF) detected in the overall population were physical inactivity 74%, abdominal obesity 61%, sedentary lifestyle 57.42%, overweight 40%, peripheral obesity 31%, stress 47.27%, smoking 7% and alcohol use 3%. While the common RF incriminated in the pathogenesis of T2DM and hypertension were general overweight (p= 0.014) vs (p= 0.014), or visceral overweight (p= 0.016) vs (p= 0.0001). Conclusion: In the long term, diabetics and hypertensives are at risk of developing several complications that are detrimental to their health status and costly to the health system.","PeriodicalId":380281,"journal":{"name":"Medicina Moderna - Modern Medicine","volume":"22 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139007832","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