Practica Medicala最新文献

Role of nurses' electrocardiography competency in emergent situations 护士心电图能力在紧急情况中的作用

Practica Medicala Pub Date : 2023-09-30 DOI: 10.37897/rjmp.2023.3.5

Radu-Alexandru Iacobescu, Luiza-Elena Corneanu, Alina-Mihaela Dimache, Bogdan-Danut Florescu, Adorata-Elena Coman

引用次数: 0

Prognostic significance of mesenteric lymph node involvement in advanced stage ovarian cancer 晚期卵巢癌肠系膜淋巴结受累的预后意义

Practica Medicala Pub Date : 2023-09-30 DOI: 10.37897/rjmp.2023.3.3

Irina Balescu, Nicolae Bacalbasa, Mihaela Vilcu, Claudia Stoica, Tarig Massawi, Sorin Petrea, Cristina Martac, Adriana Ciuvica, Andrei Voichitoiu, Victor Cauni, Bogdan Gaspar Gaspar, Iulian Brezean

引用次数: 0

New technique in the literature for recto-vaginal fistula: Gebrel-Mostafa technique 文献中关于直肠阴道瘘的新技术:Gebrel-Mostafa技术

Practica Medicala Pub Date : 2023-09-30 DOI: 10.37897/rjmp.2023.3.1

Gebrel Omar Gebrel, Ali Mostafa Maged

{"title":"New technique in the literature for recto-vaginal fistula: Gebrel-Mostafa technique","authors":"Gebrel Omar Gebrel, Ali Mostafa Maged","doi":"10.37897/rjmp.2023.3.1","DOIUrl":"https://doi.org/10.37897/rjmp.2023.3.1","url":null,"abstract":"Aim. In this study, we present a new method for treating cases of rectovaginal fistula that will be added to the medical literature. In this study, we examine two patients with low vaginal fistula from their initial clinic visit until the end of their follow-up period. Methods and materials. Two patients who had undergone a normal vaginal delivery one year prior presented to our clinic with complaints of offensive vaginal discharge and distressing symptoms, including stool leakage and vaginal flatulence. They consented to experience this new technique for the treatment of their low vaginal fistula. Results. Gebrel-Mostafa technique has numerous beneficial effects, including the elimination of the need for a second operation to remove the plastic Avis, which functions as a seton. In addition, it is characterized by a short duration of operation, the inability to form an abscess or hematoma, and a rapid return to normal life. Avis plastic acts as an auto-tightening and auto-cutting material, and the patient or doctor can tighten it. Finally, it is less expensive, and there is no requirement to use the labial Martius flap. Conclusion. This (Gebrel-Mostafa) technique yields positive outcomes with no significant morbidity and is feasible to perform. The absence of incontinence, abscess formation, and sepsis in the wound may be attributable to the wide range of antibiotics administered to the patients.","PeriodicalId":55841,"journal":{"name":"Practica Medicala","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135081418","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

Burning mouth syndrome (BMS) - possible pathogenesis related to pain pathways 灼口综合征(BMS) -可能的发病机制与疼痛途径有关

Practica Medicala Pub Date : 2023-09-30 DOI: 10.37897/rjmp.2023.3.2

Elena Claudia Coculescu, Gheorghe Manole, Bogdan-Ioan Coculescu

{"title":"Burning mouth syndrome (BMS) - possible pathogenesis related to pain pathways","authors":"Elena Claudia Coculescu, Gheorghe Manole, Bogdan-Ioan Coculescu","doi":"10.37897/rjmp.2023.3.2","DOIUrl":"https://doi.org/10.37897/rjmp.2023.3.2","url":null,"abstract":"Burning mouth syndrome (BMS) has been admitted relatively recently as a condition/syndrome within oral pathology, bordering various other medical specialities, which may collaborate to determine the diagnosis and especially to achieve therapeutic success. From a clinical point of view, BMS can present itself in 2 forms: the primary/essential form, whose etiopathogenesis is unexplained, justifying the permanent concern as a topic of research at the international level, and the secondary form, in which the causes of the syndrome can be identified and treated/ removed, allowing healing. Particular to the primary form of BMS is the discrepancy between the extent of subjective pain felt by the patient as “burning” and the lack of any objective (clinical) signs in the oral mucosa. In this form of BMS, the pathogenesis of pain can be explained by invoking the role and importance of the field and some favourable factors. In recent years it has been noticed that changes in taste perception and pain tolerance could be possible causes of the “burning” sensation. Thus, the involvement of the field allowed the following hypothesis to be issued, namely that taste is generated mainly at the level of the fungiform lingual papillae.","PeriodicalId":55841,"journal":{"name":"Practica Medicala","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135132085","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

Diagnostic tools in diagnosing acute appendicitis - Alvarado Score, CRP, USG, and CT (Abdomen) 诊断急性阑尾炎的诊断工具——Alvarado评分、CRP、USG和CT(腹部)

Practica Medicala Pub Date : 2023-09-30 DOI: 10.37897/rjmp.2023.3.6

V. Karthik Narayanan, S Jagadeesan, TV Ramakrishnan, Shiv Ranjith PD, J. Janifer Jasmine

{"title":"Diagnostic tools in diagnosing acute appendicitis - Alvarado Score, CRP, USG, and CT (Abdomen)","authors":"V. Karthik Narayanan, S Jagadeesan, TV Ramakrishnan, Shiv Ranjith PD, J. Janifer Jasmine","doi":"10.37897/rjmp.2023.3.6","DOIUrl":"https://doi.org/10.37897/rjmp.2023.3.6","url":null,"abstract":"Aims. To evaluate scope of diagnosing tools-Alvarado score, CRP, USG, and CT in acute appendicitis. Method. Conducted observational study of 152 patients in Department of Emergency Medicine, Sri Ramachandra Medical College and Research Institute, Chennai, India between January to December 2022. The diagnostic tool’s (Alvarado score, CRP, USG, CT (abdomen), sensitivity, specificity, accuracy, and ROC were analyzed to diagnose acute appendicitis. Results. Among 152 study patients, males - 86, females - 66, higher number of age group was <30 years, abnormal variables in study patients are BP - 79%, HR - 80%, RFP pain - 57%, anoxia - 78%, nausea/vomiting - 68%, RIF tenderness - 69%, rebound tenderness - 63.8%, elevated temperature - 62%, pain - 44.7%, leukocytosis - 70.7%, and left shift - 38.2%. In comparison, Alvarado scores-identified 98% patients, (<5 score - 8.2%, 5-6 score - 30.6%, >7-61.2%) (0.0271), CRP - identified 95.1% (<0.001), USG identified (group 1-33%, group 2-12.2%, group 3-11.3%, and group 4-43.5%, and CT identified 152/152 (100%) patients with acute appendicitis. The odds ratio/95% CI of diagnostic tools (USG - 0.878, 0.66, CRP - 7.337, 2.623, Alvarado score - 0.81, 0.687). Sensitivity (Alvarado's score - 84.74%, USG - 83.33%, CRP - 76.43%), and specificity was (Alvarado's score - 84.32, USG - 72.97%, CRP-83.86%. The PPV (Alvarado's score - 74.56%, USG - 75.5%, CRP - 33.16%), NPV (Alvarado's score - 32.5%, USG - 79.1%, CRP - 81.03%), and diagnostic accuracy (Alvarado's score - 72.01%, USG - 73.05%, CRP - 68.81%). ROC in individual tools-Alvarado score was specific than USG, and CRP. ROC in combination tools-Alvarado score and USG was specific than USG, and CRP. Conclusion. Among the diagnostic tools tested, as individual tool-Alvarado score was specific, in combination, and Alvarado score and USG were accurate, specific, sensitive, hence combination of tools will identify acute appendicitis early to reduce mortality by undiagnosed or late diagnosed.","PeriodicalId":55841,"journal":{"name":"Practica Medicala","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135132059","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

Axillary metastases from ovarian cancer 卵巢癌腋窝转移

Practica Medicala Pub Date : 2023-09-30 DOI: 10.37897/rjmp.2023.3.4

Nicolae Bacalbasa, Irina Balescu, Mihaela Vilcu, Claudia Stoica, Tarig Massawi, Sorin Petrea, Cristina Martac, Adriana Ciuvica, Andrei Voichitoiu, Iulian Brezean, Victor Cauni, Bogdan Gaspar

引用次数: 0

Role of various antiepileptic drugs in electrical status epilepticus during sleep and its complications 各种抗癫痫药物在睡眠期间癫痫持续电状态及其并发症中的作用

Practica Medicala Pub Date : 2023-06-30 DOI: 10.37897/rjmp.2023.2.7

Karina Lidia Gheorghita, Alexandru Vlad Ciurea, Gelu Onose, Catalin Nicolae, Radu Eugen Rizea

引用次数: 0

The prognostic role of preoperative platelet count in gallbladder cancer 胆囊癌术前血小板计数对预后的影响

Practica Medicala Pub Date : 2023-06-30 DOI: 10.37897/rjmp.2023.2.6

Irina Balescu, Nicolae Bacalbasa, Mihaela Vilcu, Claudia Stoica, Tarig Massawi, Sorin Petrea, Cristina Martac, Adriana Ciuvica, Andrei Voichitoiu, Victor Cauni, Bogdan Gaspar, Iulian Brezean

引用次数: 0

Gender differences in the epidemiology and clinical presentation of acute pancreatitis 急性胰腺炎流行病学和临床表现的性别差异

Practica Medicala Pub Date : 2023-06-30 DOI: 10.37897/rjmp.2023.2.4

Magdalena Bianca Tone, G. Gorecki, V. Dincă, Alexandra-Ligia Dincă, C. Marica, D. Ciuc, R. Bîrlă, E. Coculescu, C. Teodorescu, Bogdan Ioan Coculescu, A. Teodorescu, D. Cochior

{"title":"Gender differences in the epidemiology and clinical presentation of acute pancreatitis","authors":"Magdalena Bianca Tone, G. Gorecki, V. Dincă, Alexandra-Ligia Dincă, C. Marica, D. Ciuc, R. Bîrlă, E. Coculescu, C. Teodorescu, Bogdan Ioan Coculescu, A. Teodorescu, D. Cochior","doi":"10.37897/rjmp.2023.2.4","DOIUrl":"https://doi.org/10.37897/rjmp.2023.2.4","url":null,"abstract":"Background: Patients with chronic pancreatitis can suffer from a range of intense pain, as well as problems related to the functioning of the digestive organs, the evaluation of the quality of life can provide valuable information about the level of physical and emotional discomfort felt by the patients after the surgical intervention. Methods: A prospective study was carried out in the period 2014-2020 in which 113 patients with benign pancreatic pathology treated surgically admitted to the CF2 Clinical Hospital in Bucharest were included. For this study, the statistical method of simple linear regression was applied. Results: Patients' quality of life can also be influenced by the level of social support and medical care they receive. A strong support network, which can provide emotional and practical support, as well as access to appropriate and specialist medical care, can play an important role in managing symptoms and improving patients' quality of life. Conclusions: Although patients in this study experienced significant improvement in symptoms and ability to perform daily activities, it is important to pay attention to and manage persistent symptoms and postoperative complications to ensure the best possible quality of life.","PeriodicalId":55841,"journal":{"name":"Practica Medicala","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45777957","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

Supraclavicular metastases from ovarian cancer 卵巢癌锁骨上转移

Practica Medicala Pub Date : 2023-06-30 DOI: 10.37897/rjmp.2023.2.5

Nicolae Bacalbasa, Irina Balescu, Mihaela Vilcu, Claudia Stoica, Tarig Massawi, Sorin Petrea, Cristina Martac, Adriana Ciuvica, Andrei Voichitoiu, Iulian Brezean, Victor Cauni, Bogdan Gaspar

引用次数: 0