{"title":"Evaluation of the Incidence of Different Types of Malocclusions in Patients with Early Loss of Temporary Teeth.","authors":"Raluca Uleanu Biciușcă, Doriana Agop-Forna, Daniel Cioloca, Alina Adumitroaie, Vasilica Toma","doi":"10.12865/CHSJ.51.01.13","DOIUrl":"10.12865/CHSJ.51.01.13","url":null,"abstract":"<p><p>The aim of the study is to identify the dental somato-facial anomalies in young patients with early loss of temporary teeth, with the identification of crowding and other present clinical entities. The study was carried out on a working batch of 635 subjects who referred to the Pediatric Dentistry Clinic in Iasi and the private dental practice for various dental treatments, without any obvious dysfunctional subjective symptomatology. Out of 635 subjects,254 were female (40%) and 381 male patients (60%), distributed in the rural area (n=157; 24.7%) and urban area (n=478; 75.3%). By applying the selection criteria, the aim was to avoid issues of differential diagnosis with other disorders of the orofacial system. The mean age of the girls in the group was 8.26±1.840 years and the mean age of the boys was 8.77±1.856 years; the mean age of the rural children was 8.88±1.962 years, with an average of 8.46±1.823 years for the urban children. Dental malocclusions represent complex clinical entity, capable of producing functional, aesthetic and psychological disharmonies. Malocclusions can be caused by a combination of factors, in which the early loss of temporary teeth, the frequency of vicious habits, without excluding genetic determinism, are particularly important. The disorders that occur in the case of malocclusion may be aesthetic, masticatory, speech impairments, temporomandibular joint dysfunctions and social integration disorders.</p>","PeriodicalId":93963,"journal":{"name":"Current health sciences journal","volume":"51 1","pages":"121-129"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniel Marchi Kieling, Amanda Hedel Koerich, Romildo Antonio Dos Santos Júnior, Paulo Moacir Mesquita Filho
{"title":"Pineal Cyst Associated with Apoplexy and Hydrocephalus: A Case Report.","authors":"Daniel Marchi Kieling, Amanda Hedel Koerich, Romildo Antonio Dos Santos Júnior, Paulo Moacir Mesquita Filho","doi":"10.12865/CHSJ.51.01.19","DOIUrl":"10.12865/CHSJ.51.01.19","url":null,"abstract":"<p><p>Pineal cysts (PCs) are common findings on (Magnetic resonance Imaging) MRI, often incidental in females and asymptomatic throughout life. Rare complications, like pineal apoplexy with acute hydrocephalus, require differential diagnosis and urgent intervention. We report a 19-year-old male with a progressive headache and visual decline. MRI showed a 2.3 cm pineal cyst with hemorrhagic features (apoplexy) causing hydrocephalus. He underwent endoscopic third ventriculostomy and microsurgical resection, both successful. Postoperatively, symptoms resolved completely. Though often benign, complicated PCs can be life-threatening. This case highlights their management, aiding understanding of etiologies, differential diagnoses, and treatments, enhancing medical knowledge.</p>","PeriodicalId":93963,"journal":{"name":"Current health sciences journal","volume":"51 1","pages":"164-169"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acute Pancreatitis after Major Spine Surgery: A Case Study.","authors":"Konstantinos Zygogiannis, Petros Christoforos Christakakis, Ioannis Chatzikomninos, Dimitrios Koulalis, Anastasios Kalampokis","doi":"10.12865/CHSJ.51.01.17","DOIUrl":"10.12865/CHSJ.51.01.17","url":null,"abstract":"<p><p>Postoperative acute pancreatitis can be a relatively common complication regarding abdominal surgery, especially for general surgeons who have a high suspicion and expertise in the specific field. After spine surgery, on the other hand, it is considered rare, and when it settles, it is non-negligible as it may progress to a life-threatening condition. Although there is a plethora of reports regarding postoperative acute pancreatitis after spine surgery, especially scoliosis correction surgery or extended fusion surgery, many spine surgeons do not acknowledge this rare complication. Factors that may favor the apparition of acute pancreatitis include intraoperative hypoperfusion, hemodynamic instability, correction techniques in spinal deformity conditions, and mechanical abdominal pressure due to the patient's position. We report a case of acute pancreatitis after posterior lumbar fixation and decompression for spinal canal stenosis.</p>","PeriodicalId":93963,"journal":{"name":"Current health sciences journal","volume":"51 1","pages":"155-160"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria-Tzeni Athanasaki, Panagiotis Volkos, Manolis Linardakis, Emmanouil K Symvoulakis
{"title":"Blood Donation Attitudes and Knowledge of Medical School Students at the University of Crete, Greece: An Intra-Institutional Exploration.","authors":"Maria-Tzeni Athanasaki, Panagiotis Volkos, Manolis Linardakis, Emmanouil K Symvoulakis","doi":"10.12865/CHSJ.51.01.05","DOIUrl":"10.12865/CHSJ.51.01.05","url":null,"abstract":"<p><p>In the last decade, demand for blood has been increased internationally, while there is a consistent shortage of regular blood donors. Medical students are a potential pool of regular blood donors. The present study investigated the attitudes and knowledge of undergraduate medical students, regarding blood donation. During the May of 2023 data from 320 medical students of the University of Crete, Greece who were studying from the first to the sixth year were analyzed. It was a cross-sectional observational study and data collection was performed by completing an anonymous questionnaire with socio-demographic items and the Blood Donation Attitudes and Knowledge Scale. Three hundred twenty undergraduate students participated in this study. Sophomores accounted for 20.3& (n=65). Only 25.9& of the participants donated blood repeatedly. Most students (99.4&; p<0.001) believed that donating blood was a good act and 87.5& reported that religious beliefs should not influence blood donation (both p<0.001). The frequency of students in the 4th-6th year who achieved a high score in Attitudes and Knowledge scale was higher compared to the 1st-3rd year students (23.6% vs. 10.6%, p=0.002). Higher score on Attitudes and Knowledge about Donation was significantly associated with increased year of study (r=0.196, p<0.001). Moderate levels of Attitudes and Knowledge Scale about Blood Donation were reported with a significant tendency to increase along the years of study. Perhaps, medical students may mature their perception towards blood donation alongside with their training advancement in Medicine.</p>","PeriodicalId":93963,"journal":{"name":"Current health sciences journal","volume":"51 1","pages":"53-61"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elena Alexandra Marinescu, Alina Andreea Negrilă, Răzvan Alexandru Marinescu, Oliviu Nica, Alexandru Tălăban, Marius Eugen Ciurea, Ana Maria Ciurea
{"title":"Burn Debridment - Approach and Review.","authors":"Elena Alexandra Marinescu, Alina Andreea Negrilă, Răzvan Alexandru Marinescu, Oliviu Nica, Alexandru Tălăban, Marius Eugen Ciurea, Ana Maria Ciurea","doi":"10.12865/CHSJ.51.01.01","DOIUrl":"10.12865/CHSJ.51.01.01","url":null,"abstract":"<p><p>Between January 2020 and December 2024, a significant number of burn patients were admitted to the Plastic Surgery Clinic of the Craiova Emergency Clinical Hospital. Due to the high incidence of burns requiring hospitalization and the limited number of beds available for such patients, it became essential to identify optimal treatment methods that could reduce hospital stay while ensuring favorable functional and aesthetic outcomes. Early debridement is considered a vital first step in the treatment of burn patients, ideally performed within the first few days post-injury. Burn treatment involves both surgical and systemic approaches. Surgical management includes debridement, skin grafting, and reconstruction. Tangential surgical debridement remains the gold standard for deep burns, allowing precise removal of necrotic tissue while preserving viable skin. However, it may be associated with disadvantages such as intraoperative blood loss and incomplete excision. Alternative methods have evolved, such as hydrodissection, which uses a high-pressure saline jet for selective debridement, particularly useful in partial thickness burns. Larval therapy (using sterile Lucilia sericata maggots) is another option, especially effective in infected or necrotic wounds, offering antimicrobial benefits as well. Enzymatic debridement, particularly with bromelain-based products, is a modern, selective, and less invasive method that promotes healing with minimal bleeding and often reduces the need for grafting. A clinical case from Craiova highlights the success of enzymatic debridement: a 75-year-old patient with extensive burns showed significant improvement and near-complete epithelialization after 24 days, without requiring grafts. These outcomes support the growing use of enzymatic agents as a valuable tool in modern burn management, offering rapid, effective treatment and better patient recovery.</p>","PeriodicalId":93963,"journal":{"name":"Current health sciences journal","volume":"51 1","pages":"5-13"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Laura Manda, Sanda Amelia Dracea, Ana Laura Dima, Dragos Virgil Davitoiu, Danut Vasile, Daniel Iulian Voiculescu
{"title":"Complications of Thyroid Surgery-Can We Further Minimize the Risk?","authors":"Ana Laura Manda, Sanda Amelia Dracea, Ana Laura Dima, Dragos Virgil Davitoiu, Danut Vasile, Daniel Iulian Voiculescu","doi":"10.12865/CHSJ.51.01.08","DOIUrl":"10.12865/CHSJ.51.01.08","url":null,"abstract":"<p><p>Thyroid surgery is nowadays a mostly safe and standardized procedure, with low complication and mortality rates. The specific complications of thyroid surgery are lesion of the recurrent laryngeal nerve (RLN), hypoparathyroidism, either transient or permanent, and hemorrhage that can be in some cases life-threatening; even if not, the impact on the quality of life can be negative. The identification of risk factors for complications of thyroid surgery and development of strategies for reducing morbidity are important for the thyroid surgeon. We conducted a retrospective study on a database of 60 patients operated for a thyroid disease in a period of two years in the setting of a non-specialized general emergency hospital in both general surgery department and thoracic surgery department. The main complication was transient hypoparathyroidism (defined by lower than 8mg/dl serum calcium postoperatively)-18.33% of the group, followed by cervical minor hematoma-5.00% of cases and RLN injury in one case-1.67%. Regression analysis showed type of thyroid surgery (p-value 0.0471), histopathology type of disease (p-value 0.0566) and difficulty of surgery defined by operative time (p-value 0.0494) as the risk factors for postoperative complications, of which only the last one can be modifiable by some extent. Identifying and minimizing the risk factors of difficult surgery might improve also complication rates.</p>","PeriodicalId":93963,"journal":{"name":"Current health sciences journal","volume":"51 1","pages":"81-86"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniela Florentina Grecu, Marian Valentin Zorilă, Liliana Stanca, Alexandru Florian Grecu, Oana Iulia Crețu, Marie Badiu, Bianca Cătălina Andreiana, Mirela Marinela Florescu, Alex Emilian Stepan
{"title":"Histopathological Assessment of Non-Small Cell Lung Carcinomas.","authors":"Daniela Florentina Grecu, Marian Valentin Zorilă, Liliana Stanca, Alexandru Florian Grecu, Oana Iulia Crețu, Marie Badiu, Bianca Cătălina Andreiana, Mirela Marinela Florescu, Alex Emilian Stepan","doi":"10.12865/CHSJ.51.01.11","DOIUrl":"10.12865/CHSJ.51.01.11","url":null,"abstract":"<p><p>Non-small cell lung carcinomas (NSCLC) are common lung tumors with numerous growth patterns associated with lesion types, which are frequently diagnosed late and are associated with a reserved prognosis. In this study, we analyzed histopathologically and statistically 52 cases of NSCLC, for which the growth types/patterns were described and compared with tumor grade, the presence of vessels invasion and stage of tumor. We observed the predominance of adenocarcinomas (ADK) and acinar, cribriform, solid and papillary growth patterns, frequent mixed transitional areas, while for squamous cell carcinomas (SCC) the non-keratinized aspect was dominant. Vascular invasion was identified in 38.5% of cases, most NSCLC being in advanced stages, respectively 57.7%. ADK with cribriform, solid, and micropapillary patterns, as well as nonkeratinized SCC (NKSCC) and large cell carcinoma (LCC) were significantly associated with high grade, vessels invasion, and advanced stage of tumos. Transitional areas of ADK and focal keratinizations in SCC suggest the presence of specific lung tumor histological lesions, which in evolution acquire aggressive patterns.</p>","PeriodicalId":93963,"journal":{"name":"Current health sciences journal","volume":"51 1","pages":"105-111"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tertiary Dentin Barrier Formation: A Comparison Between the Effects of Two Calcium Silicate Based Materials.","authors":"Antoanela Magdalena Covaci, Mihai Andrei, Ioana Dinca, Lucian Toma Ciocan, Madalina Nicoleta Matei, Andreea Cristiana Didilescu","doi":"10.12865/CHSJ.51.01.10","DOIUrl":"10.12865/CHSJ.51.01.10","url":null,"abstract":"<p><p>Pulp capping is a vital pulp therapy that aims to prolong the life of a tooth by protecting it after pulp exposure occurred. Pulp capping biomaterials are intended to induce odontoblasts to deposit a natural tertiary dentin barrier to protect the pulp-dentin complex. Two pulp capping agents with calcium silicates in their composition, but with different mechanisms of the setting reaction were tested in vivo with the main objective of comparing their effect on the pulp-dentin complex. The specific aim was to evaluate the preservation of pulp vitality following in vivo direct and indirect pulp capping on eight human third molars. TheraCal LC, a light-cured calcium silicate-based material, was tested both by direct and indirect pulp capping, while the mineral trioxide aggregate (MTA) cement was tested by direct pulp capping. The molars were assessed by micro-computed tomography (micro-CT) and by light microscopy and stereo-microscopy following histological processing of the teeth. Dental pulp vitality testing was performed before tooth extraction. Inflammatory pulp status was performed on light microscopy images and it was investigated the presence of inflammatory infiltrate, edema, vascular congestion and pulp necrosis. Following pulp capping, the MTA cement showed more favorable results, generating the formation of complete or incomplete dentin bridges in all treated teeth, while TheraCal LC induced the formation of dentin bridges in only two teeth. Tooth vitality was preserved in all tested teeth. In conclusion, both materials stimulated neodentinogenesis, with the MTA cement being more effective and presenting a much more favorable biological pulpal response.</p>","PeriodicalId":93963,"journal":{"name":"Current health sciences journal","volume":"51 1","pages":"96-104"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Using Convoluted Neural Networks in Diagnosing Lung Cancer on Computed Tomography Scans.","authors":"Ovidiu Cîmpeanu, Ilona Mihaela Liliac, Mădălin Mămuleanu, Ștefan-Vlad Voinea, Mihai Olteanu, Costin-Teodor Streba","doi":"10.12865/CHSJ.51.01.09","DOIUrl":"10.12865/CHSJ.51.01.09","url":null,"abstract":"<p><strong>Introduction: </strong>Lung cancer represents a major health issue of the modern world, accounting for both most new cases and highest mortality rates worldwide. Early diagnosis and treatment remain essential in managing the disease; therefore, developing novel computer-assisted tools for processing large quantities of imaging data can prove indispensable. Our aim was to develop a novel convoluted neural network (CNN) to classify lung computed tomography (CT) images of suspect nodules.</p><p><strong>Materials and methods: </strong>After obtaining ethical clearance, we included consenting patients with a lung mass found on a chest radiography, visible lung tumor on computer tomography and positive pathology or follow-up. After data augmentation, we trained a deep learning model to classify input images into two classes, malignant or benign. We evaluated the model by calculating accuracy, recall and precision.</p><p><strong>Results: </strong>We successfully enrolled 176 patients from a total of 192 cases. Most were male (135 cases, accounting for 76.7%) and came from urban areas (111 cases, 63%). Most tumors were found on the right lung (103 cases). The model performed well on an imbalanced dataset, with recall values at 79.31%, while precision reached 62.16%, a training accuracy of 76.34% and a validation accuracy of 77.01%.</p><p><strong>Conclusions: </strong>We proved that a CNN model can easily be implemented on regular hardware to successfully classify malignant and benign lung lesions on CT images. Future CNN implementations can greatly improve the imaging diagnosis of lung lesions; however, the physicians should always decide the medical management.</p>","PeriodicalId":93963,"journal":{"name":"Current health sciences journal","volume":"51 1","pages":"87-95"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ayush Sutaria, Shamim Ejaz, Irina M Cazacu, Adrian Saftoiu, Manoop S Bhutani
{"title":"The Case of the \"Double Pylorus\".","authors":"Ayush Sutaria, Shamim Ejaz, Irina M Cazacu, Adrian Saftoiu, Manoop S Bhutani","doi":"10.12865/CHSJ.51.01.16","DOIUrl":"10.12865/CHSJ.51.01.16","url":null,"abstract":"<p><p>A 68-year-old female with a history of small cell carcinoma of the lung and peptic ulcer disease presented for evaluation of dysphagia after undergoing radiation and chemotherapy. Esophagogastroduodenoscopy (EGD) revealed a radiation-induced esophageal stricture and incidentally a \"double pylorus (DP)\" with an adjacent similar opening cephalad to the pylorus. There was no evidence of perforation or traumatic injury leading to this finding and upon intubation, both openings led to the duodenal bulb that appeared to be normal. No endoscopic and surgical intervention was offered as patient was asymptomatic.</p>","PeriodicalId":93963,"journal":{"name":"Current health sciences journal","volume":"51 1","pages":"151-154"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}