The study aims at complementing the historical knowledge regarding the participation of Dr. Bucur (Hilarius) Mitrea and Dr. Ioan Arsenie within the Austrian volunteer corps in Mexico, using as sources the copies of their conduct lists preserved in the military archives of Vienna. The new data concern the battles they took part in, together with characterizations of their behavior and personality. The latter consolidate the image built by former biographers in the case of Dr. Mitrea and help to sketch a less known portrait in the case of Dr. Arsenie.
Copper is essential to all living beings, as a food mineral, being an essential component of the cytochromoxidase enzymes complex. It is also an essential component of several systems involved in the production of hemoglobin, of sugar metabolism, of catecholamines’ synthesis and in the formation of cross-links between collagen, elastin and keratin fibers within the hair. The dysregulation of copper through impaired absorption or excretion, either genetically based or in acute or chronic poisoning, results in deficiency or toxicity. For this reason, the measurement of copper levels in various biological samples: urine, blood, or hair, provides the physician with information regarding contamination, poisoning, or a metabolic disease. Due to low concentrations in most heavy metals’ and metalloids’ cases, finding traces in biological samples is a difficult problem. Classical methods (staining, flame photometry, reagent kits, electrochemical methods) can only be used for a limited number of elements, such as sodium, potassium, calcium, magnesium, copper, iron and zinc. The analysis of biological samples is the most important use of graphite furnace atomization. The advantages of using this technique are its great sensitivity and the very low quantity of sample necessary for performing the measurement. In modern medicine, determining microelements is very important in diagnosing diseases and/or in treating them. The GF- AAS method is quick, reproductible and has very good sensitivity.
During the COVID outbreak, many hospitals were nominated as a support hospital for the treatment of positive tested patients infected with SARS CoV-2 virus. “Dr. Nicolae Ruşdea” Pneumophtiziology Hospital Baia Mare carried out an exceptional activity compared to the previous year considering the current epidemiological context. Major changes were made in strategies, procedures and protocols. The staff had to adapt to the new epidemiological situation through dedication and devotion. In 2020, there were no COVID outbreaks within the unit, as separate compartments were made, intended to protect the medical personnel, but also to ensure the health of the patients.
The communication in the field of health can be defined as a communication strategy used to inform and influence individual and community decisions with the aim of improving and enriching personal and community behaviors and public health practices. It includes studying public health attitudes and behaviours to determine the type, frequency and format of the messages.
Uteroplacental apoplexy or Couvelaire uterus is a rare complication in the spectrum of the life-threatening placental abruption. We report a 29-year-old pregnant woman who had a placental abruption complicated with the rare condition of Couvelaire uterus, with an delivery per uterus-sparring cesarean section. The early diagnosis and proper medical management of placental abruption through uterus-sparring cesarean section present the best outcome for mother and child.
Background: Although locoregional anesthesia techniques in total knee arthroplasty (TKA) have progressed steadily, the emergence of the adductor canal block representing a step forward for postoperative evolution in preservation of the quadriceps muscle strength, analgesia of the posterior territory of the knee still remains a challenge. The emergence of IPACK, in association with earlier techniques, offers promising preliminary results in terms of its contribution to a favourable evolution and to the satisfaction of TKA patients. Materials and methods: Prospective trial performed on a group of 28 patients undergoing a total knee arthroplasty intervention; analgesia control in the postoperative period was performed either with opioid and nonopioid systemic analgesics, or by associating the continuous adductor canal block with IPACK and systemic analgesics. The primary objective is pain control at rest/on mobilization, while the secondary purpose is analysis of opioid use, their side effects and recovery of joint mobility. Results: There is a significantly better pain control in the group of patients with locoregional anesthesia, both at rest and on mobilization (p<0.005), accompanied by a decrease in opioid use (p<0.00001) and the related adverse reactions; at the same time, there is an improvement in the functional recovery of the knee joint, quantified by the flexion degree at 24 and 48 hours after surgery ( 61.5/71.12 degrees for continuous adductor canal block with IPACK versus 45.14/55.42 degrees for general anaesthesia) Conclusions: The introduction of peripheral nerve blocks in the multimodal analgesia regimen after TKA results in better control of postoperative pain, both at rest and on mobilization, in a decrease in opioid use and their related adverse reactions and in an improved recovery of joint range of motion, as well.
Introduction: Burn is a tissue injury and affects social functioning and relationships. Complications of burns lead to disruption of social relationships and consequently social dysfunction. Objective: Aim of this study was to determine the effect of multimedia training on social functioning of burn patients in Shahid Motahhari hospital in Tehran. Methods: This clinical trial study was performed on 100 burned patients. The intervention group received a multi-media self-care discharge training on a CD in addition to the common education. Social function of quality of life was examined in both groups before intervention, 3 months and 6 months after intervention. Conclusion: Results showed that before intervention the mean score of social function of quality of life in intervention and control group was 1/55± 0/46, 1/92± 0/6 respectively which was statistically significant (p <0.001). Mean and standard deviation of social function of quality of life in the intervention and control groups three and six months after intervention were 2/47± 0/56, 4/05± 0/77, 2/15±0/39, 3/29 ± 0/95 respectively which was statistically significant (p <0.001).
Introduction: Sepsis is a life-threatening organ dysfunction due to a dysregulated host response to an infection1 and also an important worldwide health problem. Recent progresses in understanding pathogenesis are reflected in increasing emphasis put on time (Sepsis Update 2018 decreased the time for diagnosis and treatment from 3- 6 hs Sepsis- 2 to 1 hour). The aim of the study was to combine an early warning score (increased sensitivity- NEWS2) and a biomarker (increased specificity- presepsin) in order to detect earlier an acute illness (infection) before becoming life-threatening. Materials and methods: It was a retrospective, single-center observational cohort study of 125 consecutive patients who were diagnosed with systemic inflammatory response syndrome between July 2016 and July 2018 at Emergency Department of “Dr. Carol Davila” Central Military Emergency University Hospital, Bucharest, Romania in order to determine sooner, which patient will further develop a sepsis. We used the area under receiver–operator characteristic curves (AUC) to assess the overall discriminatory power of NEWS2, MEDS and presepsin in detecting sepsis, septic shock and the probability of death on admission and compared them with combined scores between NEWS2 and presepsin. Results: Using a combined score and a simple algorithm, the NEWS2 score had changed (12,8%) for 16 patients. For 10 out of 95 (10,52%) without sepsis and 6 out of 30 (20%) of septic patients, more points were added to NEWS2 meaning that more septic patients were diagnosed before an infection become life-threatening Conclusions: In the present study, we have tried to assess the impact of a monitoring score and a rapid POCT biomarker, in a condition when time is of critical importance. Using a verified early warning score, NEWS2, with increased sensibility and low specificity and presepsin, POCT biomarker with increased specificity, we diagnosed sepsis earlier in a number of cases.
Background and Aim: Efficient manpower is the most important capital and studies have shown the relationship between health and performance.Understanding the factors leading to disability has preventive importance.Our aim is determine the causes and diseases leading to early permanent medical disqualification of the Islamic Republic of Iran Air Force pilots based on their service categories. Methods: This is a descriptive, cross-sectional, retrospective study with target population of the Islamic Republic of Iran Air Force pilots with early and permanent medical disqualification from 1986 to 2016. Results: Out of 508 cases of early medical discharges, 239 items were considered medical disqualification, 17 war captives, 34 service exchange and the remaining 218 was for on service killed or missed persons.The main medical causes were neurosurgery, cardiovascular and psychiatric, while common diseases include lumbar discopathy, myocardial infarction and cardiac arrhythmia.The lost service years was 3233 person year and the average was 12.63 person year per individual. Conclusions: Based on the previous similar studies, it was expected that the common cause include neurosurgery, cardivascular and psychiatric with more prevalence in fighter, transportation, and helicopter service categories.At the end, we found that our results were in line with initial expectations.
Commentary, VARIA
The use of Laser Doppler vibrometry (Doppler principle) for middle ear research and diagnosis
Adela I. Mocanu, Iulia Alecu, Alexandru Bonciu