Mircea Ifrim

Mircea Ifrim

Role of Tobacco Consumption Habits in the Causation of Precancerous Lesions: A Cross Sectional Study

Oral carcinoma is quite common and increasing trend in India and worldwide. Smoking and smokeless tobacco both are increasing worldwide. The common oral precancerous lesions are oral leukoplakia, erythroplakia, nicotina palati and oral sub mucous fibrosis (OSMF). Screening is best tool to find out such lesions. The current study is conducted to know the prevalence of tobacco consumption and also to examine oral cavity of tobacco consumer to detect precancerous lesions among the staff.
Method: The present study was cross sectional study carried out tertiary care hospital staff. The study was conducted over a period of 6 month from May 2017 to October 2017. Ethical clearance for study was obtained from Institutional Ethical Committee. The staff members of class 3 and class 4 of hospital were taken as a study participants involving both of sex and who provided written informed consent. Sample of 120 staff members were enrolled for the study from provided sampling frame with the use of random sampling method. Study participants with previous history of hospital admission for any systemic illness, immunodeficiency or immunosuppressive patients, and participants who already diagnosed to have malignant cancer lesions in any part of body were excluded.
Result: Of 120 study participants, 40% were belongs to 31 – 40 years of age group and majority were male (80%) and belonged to Hindu (90.83%) religion. The prevalence of tobacco consumption in any of form is 85%; of them 43.33% used smokeless tobacco and 10.83% used to with smoking and 30.83% had both forms of tobacco. Oral Sub Mucosal Fibrosis (OSMF) was the most common (70.58%) precancerous lesion found in the present study, followed by leukoplakia (16.67%).
Conclusion: Current study revealed the high prevalence. There is urgent need to plan de-addiction at various level. Also those having the precancerous lesion need to warn and treat accordingly.

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

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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The Value of Computed Tomography in Establishing the Proper Surgical Treatment of a Complex Proximal Humerus Fracture

Proximal humerus fractures result from indirect trauma, are associated with osteoporosis, and are classified into: humeral head fractures, anatomical cervical fractures, trochiter, trochin, surgical neck, or proximal diaphysis. Types of fracture and displacement are determined by the position of the humerus at the time of trauma, bone quality and the direction of muscle forces on fractured fragments[1,2].
Fractures with two, three or four shifted parts require surgical treatment. The dislocation fractures, except for the simple trohiter fractures, should be analyzed by the orthopedic surgeon, the reduction of the dislocation will precede the treatment of the fracture. It should be emphasized that powerful damping maneuvers can move fractured fragments, so it will be preferable to reduce it under radiological control[14]. [...]

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Protocol for Fat Tissue Manipulation in Regenerative Treatment for Bilateral Coxarthrosis in Dogs

Hip dysplasia commonly leads to osteoarthrosis of the hip joint (coxarthrosis) and these two diseases are two of the most frequently encountered problems in veterinary practice. The available treatment modalities are varied and range from drugs to alleviate pain and inflammation to surgical techniques, such as hip replacement, and various physical therapy measures. The research regarding therapy using adipose derived stem cells (ADSC) in veterinary medicine, started in 2002. Advances in understanding of the biology of adult stem cells have attracted the attention of the biomedical research community, including those studying osteoarthritis. (1) Autologous adult stem cells are immunologically compatible, can be harvested from a variety of sources, including bone marrow and adipse tissue (1), and have no ethical issues related to their use [...]

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Problems with the Monitoring of Patients with Colonic Polyps

Colorectal neoplasm ranks third in incidence and 4th among the most common causes of cancer death worldwide. In Romania, Arad, of all digestive cancers, colorectal cancer is the No. 3, both in incidence - in both men and women - and mortality. Colorectal cancer incidence is estimated to be 10.1 / 100,000 inhabitants in men and 7.3 / 100,000 inhabitants in women.
This paper is a retrospective statistical study, carried out over a period of 5 years. This study includes the monitoring of patients recorded with colonic polyps, within the area of 4 family physician practices. This study was conducted because there was a decrease of addressability (adherence) of patients recorded with having colonic adenomatous polyps. (1)

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Histopathology and Forensic Diagnostics Difficulties in a Patient with Multiple Affections and Double Cranio-Cerebral Injuries

This paper is a case presentation. This case was chosen because it presented several problems with indicating, with certainty, the cause of death and therefore establishing the tanato-generating mechanism. The patient is a female from the rural environment who dies after a hospitalization (03 March 2013) in the Clinical Emergency Hospital in Arad, Department of Neurology. The patient is admitted through the emergency unit due to a cranio-cerebral trauma in the left parietal-temporal region, assisted respiratory failure and second degree coma.

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Ontogenesis - Complementarity or Opposition between Materialism and Idealism, between Science and Religion

The "Albert Schweitzer" International Academy, founded and directed by the academician Kazimierz lmielinski, scientific personality of worldwide renoun, nominalized for the award of the Nobel prize, represents by its prestigious members an international saientific authority in the framework which are debated: medical problems of a fundamental and functional character, as well as philosophical conceptual aspects regarding the materiality and the ideality of the Universe in which we live.
In this context, I present some aspects refering to ontogenesis, which may open interesting perspectives for the medical science.

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Study Regarding the Distribution and Degree of Dysplasia of Colonic Polyps

There are worldwide standardization attempts, through therapeutic guidelines of colon cancer screenings. For a screening to be effective, it must involve a more complex understanding of risk factors, finding effective methods and most importantly to applied en masse at an acceptable cost.
In this study I tried to present the situation regarding colon cancer screening in at risk patients in Arad county.

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The Academy of Medical Sciences - a Short History; National Missions in an International Context

The Romanian Academy of Medical Sciences, a forum of consecration and lucrative activity, bearing an institutional counterpart in every country on the planet, came into being in 1935 by a Royal Decree issued based on the decision of the bicameral Parliament of the country, upon the initiative of Prof. Dr. Daniel Danielopolu. The Professor held from the very beginning the position of Permanent Executive Secretary of the forum, its Presidents coming from the ranks of personalities such as the Minister of Education at the time, Ion Angelescu, and many others that followed.
By the existent law, the Academy of Medical Sciences bore the responsibility, as a subordinate to the Ministry of Health, of conducting medical research and strategizing health policies. Following the French model, which is in fact a model for most, if not all, Academies spread around the globe, it was composed of Academicians from different specialties of medical activity.

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