The Journal of Bucharest College of Physicians and the Romanian Academy of Medical Sciences

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Wednesday, December 19 2018 @ 03:50 EET

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The Versatility, Plasticity and Esthetic Aspect of Latissimus Dorsi Muscle-Cutaneous Flap in Breast Reconstruction - Case Report

2017-03

Iulia Gabriela Marcu, Ovidiu Stefanescu, Cristian Radu Jecan, Tiberiu Paul Neagu, Ioan Lascar

https://doi.org/10.31689/rmm.2017.24.3.167

In the last decades, the approach manner of the defects of the soft parts post-mastectomy developed significantly together with the innovative surgical techniques of oncoplastic surgery.

Among these techniques, the reconstruction of the breast with LD flap and implant continues to be a reliable and easy to perform method, both by the experi-enced surgeons and also for the beginners[1]. [...]

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Complicated Primary Spontaneous Pneumothorax - Challenges to Overcome: Case Report and Literature Review

2017-03

Catalin Ion Chiriac-Babei, Andra Rusalim, Ciprian Bolca

https://doi.org/10.31689/rmm.2017.24.3.163

The studies concerning spontaneous pneumothorax in children offer a limited amount of information about the best approach with regard to the patients who require surgical treatment of this condition. The less severe forms respond to conservative treatment which consists of oxygen therapy and pain medication. If medical treatment does not alleviate the symptoms or if the pneumothorax persists, the patient requires chest tube drainage[4,5,6]. Surgical treatment is indicated when the pneumothorax reoccurs or if effective pleural drainage does not improve the condition of the patient[5,7]. [...]

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A Rare Cause of Recurrent Syncope in the Pediatric Patient

2017-03

Ioana Adriana Ghiorghiu, Cristina Ramona Radulescu, Doina Anca Plesca

https://doi.org/10.31689/rmm.2017.24.3.157

Syncope is type of transient, complete loss of consciousness with an abrupt onset, short duration and complete, spontaneous recovery[1]. It is a frequent symptom in the general population, most patients having a first occurrence between the ages of 10 and 30[2,3]. Strictly considering the pediatric population (under 18 years of age) the reported incidence may be as high as 15%[4]. [...]

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Versatility of the Cross-Finger Flap for Reconstruction of the Thumb

2017-03

Tiberiu Paul Neagu, Sabina Ionita, Iulia Gabriela Marcu, Razvan Nicolae Teodoreanu, Cristina Iulia Filip, Cristian Radu Jecan, Ioan Lascar

https://doi.org/10.31689/rmm.2017.24.3.151

It is well known that the thumb is responsible for 40% of the hand function. Th erefore, preserving its length and mobility represents the main objective of the plastic surgeon while choosing the most appropriate reconstruction technique[1]. When resurfacing of the fingers is needed after hand injuries, cross-finger flaps have proved themselves very useful[2]. Since its premier many years ago[3], this type of flap remains an elegant method in order to cover exposed bones or tendons of the fi n-ger, in order to ensure length preservation and function recovery. [...]

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Complex Treatment of a High-Energy Proximal Femur Fracture in a Young Adult - a Case Presentation

2017-03

Fabian Klein, Florin Safta, Daniel Vilcioiu, Ioan Cristescu

https://doi.org/10.31689/rmm.2017.24.3.146

Highly comminutive proximal femur fractures in yo-ung healthy adults often occur after high energy trau-ma, such as traffic accidents[1].

The classification of fracture type poses a difficulty, as highly comminuted fractures donít necessarily respect the anatomical regions of the proximal femur, but rather affect the area as a whole[2,3]. [...]

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How Complicated a Complicated Case Can Become?

2017-03

Mirela Tiglis, Liliana Elena Mirea, Raluca Ungureanu, Ioana Cristina Grintescu, Tiberiu Paul Neagu, Ioana Marina Grintescu

https://doi.org/10.31689/rmm.2017.24.3.142

The incidence of work related injuries is high worldwide. More than 300 million accidents happen during work and are responsible for almost 2 millions of deaths. The incidence of crush syndrome is 2-15% in all trauma patients and frequently can determine trauma-related amputations, especially if the lower limb is involved and the main mechanism is crushing. Crush syndrome is the systemic manifestation of rhabdomyolysis due to muscles reperfusion injury that happened when the compressive forces on the tissues are released, being of-ten related with occupational accidents[1]. [...]

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Tuberculosis of Testis: a Rare Disease

2017-03

Vasilica Minciuna, Ovidiu Gabriel Bratu, Octavian Cretu

https://doi.org/10.31689/rmm.2017.24.3.138

Tuberculosis represents one of the most important pro-blems in public health. It is an intense studied infectio-us disease, in the past and also in present[2,3].

The incidence of tuberculosis is decreasing in most indistrualized countries due to the improvement of prevention and therapeutic means (BCG vaccination, antituberculostatic therapy)[3]. [...]

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Optimizing the Surgical Approach in Hypertrophic Pyloric Stenosis - the Utility of Different Types of Surgical Incisions

2017-03

Costin Datu, Olivia Stanciu, Mircea Andriescu, Catalin Chiriac-Babei

https://doi.org/10.31689/rmm.2017.24.3.134

Hypertrophic pyloric stenosis (HPS) is the most common surgical indication for children during the first six months of life[1]. In infants with HPS, the pyloric canal is elongated, its muscular walls severely thickened with an edematous mucosa. As a result, the pyloric relaxation is markedly restricted, causing upper digestive ob-struction[2]. [...]

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Predictive Factors in Compressive Neuropathies Treatment Outcome

2017-03

Roxana Maria Tomek-Enescu, Andreea Grosu-Bularda, Alexandru Stoian, Ioan Lascar

https://doi.org/10.31689/rmm.2017.24.3.125

Peripheral nerve damage may lead to substantial mor-bidity, and the costs associated with these conditions can be elevated for both the individual and society.

Nerve entrapment syndromes represent a common occurrence, but sometimes are not correctly diagnosed. They appear more frequently and are better known in upper limb. Carpal tunnel syndrome has the higher prevalence, of 3.72% in USA[1]. [...]

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How Can the Number of Diseased People Be Reduced in General by Implementing One Health Concept (ONE HEALTH WHITE BOOK)

2017-03

Nicolae Manolescu, Mircea Ifrim

https://doi.org/10.31689/rmm.2017.24.3.120

From our point of view, the living environmentrefers to the sum total of events that take place around-the-clock in a living area that includes the soil alongside air, and water, including all living creatures(plants, animals and humans), plus the invisible worldthat causes di-seases in humans and animals, consisting of both biotic factors(bacteria, viruses, fungi and parasites) and abiotic factors(toxic and oncogenic chemicals). [...]

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Penile Neoplasia Forensic Approach

2017-03

Dan Spinu, Catalin Belinski, Ioana Oprea, Dragos Marcu, Dan Mischianu, Ovidiu Bratu

Penile cancer is a relatively rare neoplasia with the overall incidence of less than 1 from 100000 patients in Europe and USA[1,2]. The majority of them are common scuamous cell carcinoma 48-65% of the cases followed by basaloid carcinoma, warty carcinoma, verrucous carcinoma, papillary carcinoma which cover for more than 30% with the rest of 5% going to rare types of neoplasia or mixed types.

As in cervix carcinoma the role of HPV has been proved, infact there is a rare type of PC which is directly linked to HPV[3]. As such, the prevalence of penile neoplasia is related to that of HPV in general population. Strains 16 and 18 are the most common findings in penile carcinoma[4]. [...]

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