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Treatments’ Complexity in Dental Care Assistance, Urban Versus Rural Environment - Preliminary Study 治疗的复杂性在牙科护理援助，城市与农村环境-初步研究
Acta Medica Transilvanica Pub Date : 2021-03-01 DOI: 10.2478/amtsb-2021-0020
C. Ionescu, M. Malița, V. Perieanu, M. Burlibașa, M. Dina, R. Costea, M. Perieanu, Raluca Costea, Iuliana Babiuc, I. Beuran, G. Tanase, M. Chirilă, I. Voinescu, M. David, L. Moraru
{"title":"Treatments’ Complexity in Dental Care Assistance, Urban Versus Rural Environment - Preliminary Study","authors":"C. Ionescu, M. Malița, V. Perieanu, M. Burlibașa, M. Dina, R. Costea, M. Perieanu, Raluca Costea, Iuliana Babiuc, I. Beuran, G. Tanase, M. Chirilă, I. Voinescu, M. David, L. Moraru","doi":"10.2478/amtsb-2021-0020","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0020","url":null,"abstract":"Abstract When talking about dental assistance we actually refer to the prevention, detection and treatment of diseases of the oral and maxillo-facial region which, in most cases, have as a starting point or interest the dento-maxillary system. In this material, we tried to present a comparative study on the typology and complexity of different stages of dental treatments that can be performed in urban areas, compared to various stages of dental treatments that are performed and / or could be made in rural dental offices from in Romania.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"26 1","pages":"75 - 78"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42876524","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
Considerations Regarding the Professional Practicing Choice of the Students from the Medical Faculties in Romania 关于罗马尼亚医学院学生专业执业选择的思考
Acta Medica Transilvanica Pub Date : 2021-03-01 DOI: 10.2478/amtsb-2021-0001
Simona Pârvu Beu
{"title":"Considerations Regarding the Professional Practicing Choice of the Students from the Medical Faculties in Romania","authors":"Simona Pârvu Beu","doi":"10.2478/amtsb-2021-0001","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0001","url":null,"abstract":"Abstract Analysing students’ options regarding the specialty and the country in which they want to practice, provides useful information in judicious planning of human resources in the health system, the factors that motivate the choice, being both personal, difficult to change, but also economic or social that can be influenced by legislation, so that the number of deficient specialties decreases, and the disparity of the ensuring the medical services in urban to rural areas is reduced. This paper is a qualitative study, with voluntary response, applied to students of public and private medical schools in Romania, that investigates the intention to the professional practicing choice after graduation and the reasons of their decisions. The results show the orientation towards the urban environment in a percentage of 100% or for migration - between 2.2% and 50%. Regarding the chosen specialties, the results show that the most frequently chosen specialties were as follows: cardiology, surgery, internal medicine, specialties considered deficient in 2020.(1)","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"26 1","pages":"1 - 5"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45408107","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
The Damage of Ocular Surface Due to Uncontrolled Intraocular Pressure in Neovascular Glaucoma 新生血管性青光眼眼压失控对眼表的损害
Acta Medica Transilvanica Pub Date : 2021-03-01 DOI: 10.2478/amtsb-2021-0008
A. Panga, D. Stănilă, A. Stănilă, A. Jurca
{"title":"The Damage of Ocular Surface Due to Uncontrolled Intraocular Pressure in Neovascular Glaucoma","authors":"A. Panga, D. Stănilă, A. Stănilă, A. Jurca","doi":"10.2478/amtsb-2021-0008","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0008","url":null,"abstract":"Abstract Neovascular Glaucoma (NVG) is a severe form of glaucoma characterized by neovascularization and the proliferation of fibrovascular tissue in the anterior chamber angle. Patients with NVG generally present with elevated intraocular pressure (IOP) and may experience severe pain. Ocular surface is affected by high IOP and can lead from moderated to marked conjunctival congestion that is frequently associated with edematous cornea. The aim of the study is to show how the high IOP can affect the ocular surface of the NVG patients and how we can treat and prevent the suffering. Materials and methods: We took in the study a number of 38 eyes from 35 patients with NVG in stage 3 with angle closure glaucoma, that presented high IOP and impaired ocular surface. Results and discussions: The ocular surface was damaged in patients that presented IOP between a minimum of 38 mmHg and maximum of 89 mmHg. The symptoms that patients presented were: conjunctival congestion in particular perikeratic, epithelial and stromal corneal edema, epithelial bubble, corneal ulcerations. Treatment followed rapid drop in IOP and the restoration and protection of ocular surface. The management of neovascular eye with high IOP was medical, laser and surgical. The restoration of ocular surface was made with lubricating hyperosmotic ophthalmic solutions, regenerative and protective agents. In all cases after the treatment was performed the ocular surface was restored. Conclusions: NVG is a very difficult pathology and is very hard to manage. The uncontrolled IOP in NVG patients affect the ocular surface and leads to complications. Long-term maintenance of normal intraocular pressure is important in NVG management but also in protecting the ocular surface.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"26 1","pages":"28 - 30"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44492714","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
Behavioural Etiological Factors that Contribute to the Occurrence of Severe Early Childhood Caries 导致幼儿严重龋病发生的行为病因学因素
Acta Medica Transilvanica Pub Date : 2021-03-01 DOI: 10.2478/amtsb-2021-0019
D. Eşian, C. Bică, Anamaria Bud, O. Stoica, E. Bud
{"title":"Behavioural Etiological Factors that Contribute to the Occurrence of Severe Early Childhood Caries","authors":"D. Eşian, C. Bică, Anamaria Bud, O. Stoica, E. Bud","doi":"10.2478/amtsb-2021-0019","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0019","url":null,"abstract":"Abstract Severe early childhood caries (S-ECC) is one of the most common pathologies affecting primary dentition. The complex etiology is the result of the interaction of microbial factors and also of dietary factors. For this study a group of 40 children diagnosed with S-ECC was compared with a control group of 35 children without caries. The study data was obtained through clinical examination of both children and mothers, and on the basis of a questionnaire completed by the mothers of the subjects. The odontal status of the mothers was evaluated by determining the DMFT index. The results of the study showed that the mothers of the subjects with S-ECC had a significantly higher DMF-T caries index than the ones in the control group and that there is a close link between the birth of the child, newborn feeding method, mother’s habits, cariogenic diet and the occurrence of severe early childhood caries.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"26 1","pages":"70 - 74"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42695127","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
Predictive Biological Markers for Anastomotic Leakage after Curative Surgery for Colorectal Cancer 癌症大肠癌术后吻合口瘘的预测生物学标志物
Acta Medica Transilvanica Pub Date : 2021-03-01 DOI: 10.2478/amtsb-2021-0014
Erika Bimbo-Szuhai, A. Maghiar, A. Huniadi, M. Șandor, M. Botea, Codruța Macovei, Corina Beiușan, Claudia Teodora Judea Pusta
{"title":"Predictive Biological Markers for Anastomotic Leakage after Curative Surgery for Colorectal Cancer","authors":"Erika Bimbo-Szuhai, A. Maghiar, A. Huniadi, M. Șandor, M. Botea, Codruța Macovei, Corina Beiușan, Claudia Teodora Judea Pusta","doi":"10.2478/amtsb-2021-0014","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0014","url":null,"abstract":"Abstract anastomotic leakage is one of the most important postoperative complications for colorectal cancer patients undergoing curative surgery. Early recognition of patients in risk would be essential for preventing the high mortality rates associated with these complications. C reactive protein (PCR), tumour necrosis factor (TNF-alpha), cortisol levels and granulocyte/lymphocyte ratio (G/L) were compared in this period in patients who developed leakage vs patients without this complication. Material and methods: 52 colorectal cancer patients who underwent elective surgery in a private clinical hospital were evaluated preoperatively and postoperatively for the patients. Results: 14 patients (26,9%) developed clinically significant anastomotic leakage. The best cut-off value for preoperative G/L ratio of 5,8 had sensitivity of 71,43% and specificity of 73,68%. Conclusions: Preoperative G/L ratio can be used as a largely available tool for identifying the colorectal cancer patients at high risk for anastomotic leakage.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"26 1","pages":"47 - 50"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46123857","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
Intramuscular Abdominal Wall Endometriosis, an Unusual Finding for General Surgeon 肌内腹壁子宫内膜异位症，普通外科医生的不寻常发现
Acta Medica Transilvanica Pub Date : 2021-03-01 DOI: 10.2478/amtsb-2021-0012
A. Mihețiu, D. Bratu, O. Popescu
{"title":"Intramuscular Abdominal Wall Endometriosis, an Unusual Finding for General Surgeon","authors":"A. Mihețiu, D. Bratu, O. Popescu","doi":"10.2478/amtsb-2021-0012","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0012","url":null,"abstract":"Abstract Defined as the ectopic development of uterine tissue outside the uterine cavity, endometriosis is an increasingly common condition that can lead to various complications from chronic pain syndrome, infertility, obstruction due extrinsic compression to malignancy of endometriosis foci. Extrapelvic positioning of endometriosis is rare, diagnosis can be difficult both clinically and imaging, and treatment does not always ensure the absence of recurrences.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"26 1","pages":"41 - 43"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45980778","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
Dril Procedure: Treatment for Vascular Access Induced Hand Ischemia. Case Report 钻孔程序:治疗血管通路引起的手部缺血。病例报告
Acta Medica Transilvanica Pub Date : 2021-03-01 DOI: 10.2478/amtsb-2021-0007
Claudiu Helgiu
{"title":"Dril Procedure: Treatment for Vascular Access Induced Hand Ischemia. Case Report","authors":"Claudiu Helgiu","doi":"10.2478/amtsb-2021-0007","DOIUrl":"https://doi.org/10.2478/amtsb-2021-0007","url":null,"abstract":"Abstract Native vascular access (AVF arteriovenous fistula) for chronic hemodialysis (CH) performed proximally to the diabetic patient, between the brachial artery and the basilic vein or cephalic vein, determines the risk of distal (hand) ischemia. The correction of the ischemia can be done differently depending on its severity, starting from the vasodilator medication, reaching the cancellation of the vascular access with the accomplishment of the chronic hemodialysis on the central venous catheter. DRIL procedure (Distal Revascularization and Interval Ligation) corrects distal ischemia while maintaining functional vascular access, an important aspect in diabetic patients in whom vascular capital is deficient. We further describe a case of a diabetic patient with right L-T brachiocephalic arteriovenous fistula, with important ischemic phenomena in which the DRIL procedure resolved the ischemia, the patient using vascular access as usual, the second postoperative day.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"26 1","pages":"25 - 27"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45184187","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
Colonization of Candida After the Placement of a Tongue Piercing, a Case Report 舌穿孔后念珠菌定植一例报告
Acta Medica Transilvanica Pub Date : 2020-12-01 DOI: 10.2478/amtsb-2020-0076
Szende Ledan-Muntean, Bianca Tudor
{"title":"Colonization of Candida After the Placement of a Tongue Piercing, a Case Report","authors":"Szende Ledan-Muntean, Bianca Tudor","doi":"10.2478/amtsb-2020-0076","DOIUrl":"https://doi.org/10.2478/amtsb-2020-0076","url":null,"abstract":"Abstract The practice of piercing the body’s different areas is a commonly observed form of body modification. It implies puncturing the skin tissue resulted in an opening, in which specific jewellery or an intradermal implant could be inserted. The tongue piercing is a highly popular form of this practice, but can be followed by multiple acute and chronic complications, such as bacterial and fungal infections. Our case describes the clinical situation of a 25 year old immunocompetent woman, who sought medical help after observing tissue abnormalities, following a newly inserted tongue piercing. We identified a correctly and professionally placed tongue jewellery associated with all clinical hallmarks of oral Candidiasis. Our aim was to microbiologically identify and treat the present yeast colonies.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"25 1","pages":"63 - 65"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42573729","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
Immediate Postextractional Implant Insertion in Posterior Maxilla. Therapeutic Attitude 后上颌即刻拔除种植体植入术。治疗的态度
Acta Medica Transilvanica Pub Date : 2020-12-01 DOI: 10.2478/amtsb-2020-0078
D. Dumitra, V. Nicolae
{"title":"Immediate Postextractional Implant Insertion in Posterior Maxilla. Therapeutic Attitude","authors":"D. Dumitra, V. Nicolae","doi":"10.2478/amtsb-2020-0078","DOIUrl":"https://doi.org/10.2478/amtsb-2020-0078","url":null,"abstract":"Abstract The immediate postextractional implant insertion is a specific way of surgical approach to implanto-prosthetic treatment. This article addresses the indications, advantages, and surgical techniques of immediate postextraction insertion, illustrated with a clinical case. Objectives: presentation of the indications, advantages and surgical procedure of immediate postextractional implant insertion. Materials and methods: The present study considered the presentation of a case in which we opted for the insertion of implants immediately postextractionally as a therapeutic attitude. Results and discussions: The advantages and disadvantages of this therapeutic technique were represented as follows. The advantage of this technique is given by the shortening of the time necessary to complete the treatment until the prosthetic phase, the disadvantage being represented by the insertion of the implant in positions sometimes less advantageous to the prosthesis. Also, the fact that we could not preserve the alveolar ridge, keeping the bone volume necessary to insert the implant in the best position of the prosthesis by complying with the biomechanical principles, made over time, a series of complications that occurred due to vicious insertion of the implant and non-compliance with those biomechanical principles. Conclusions: The analysis of the case as a whole, represents the main premise from which any dental treatment must be started, so that the functionality of the prosthetic and aesthetic reconstruction will have to be taken into account when we choose the best treatment option.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"25 1","pages":"70 - 72"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43627026","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
The Psychological Contract for Healthcare Workers 医务工作者的心理契约
Acta Medica Transilvanica Pub Date : 2020-12-01 DOI: 10.2478/amtsb-2020-0059
B. Grama
{"title":"The Psychological Contract for Healthcare Workers","authors":"B. Grama","doi":"10.2478/amtsb-2020-0059","DOIUrl":"https://doi.org/10.2478/amtsb-2020-0059","url":null,"abstract":"Abstract Healthcare workers are more vulnerable to burnout due to the fact that they often face stressful situations that involve high levels of risk and emotional involvement, especially if they are exacerbated by patients they provide care to. The activity in the medical field is not only physically demanding, but also socio-emotional, being necessary a better understanding of the socio-emotional aspects present in the employment relationship. The health sector is facing continuous changes and reforms, periods of uncertainty when the fulfilment of the psychological contract is less probable. We propose the description of a relational model between the psychological contract with work engagement, burnout, organizational support and the intention to leave the organization for the medical staff. The results show that organizational support influences work-related outcomes and emphasizes the importance of examining organizational contexts, such as contract status, to understand the influence of support on work involvement and burnout.","PeriodicalId":7091,"journal":{"name":"Acta Medica Transilvanica","volume":"25 1","pages":"9 - 11"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46529806","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
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