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

Ovidiu Stefanescu

Ovidiu Stefanescu

Bacterial Resistance in Ophthalmology – Resistance Profile, Influencing Factors and Prevention Methods. A Review

Ocular infections vary greatly in severity. Studies have tried to identify certain patterns related to the ocular microbiome
in the studied populations in order to identify risk populations, new treatments and prophylaxis guidelines. However, it is critical to determine which antibiotics should be used in various situations and where alternatives to antibiotics are appropriate. Results of many studies show that high levels of antibiotic resistance in ophthalmology and multidrug resistance continue to be a reality and a challenge today.
Iodine-povidone and chlorhexidine are two major antiseptics used in ophthalmology. It is hoped that future reports show good results without the use of antibiotics will encourage ophthalmologists to limit the use of topical antibiotics, reducing the rate of antimicrobial resistance.

Read More »

Wartenberg Syndrome - an Unusual Neuropathy - Case Report and Literature Review

Almost known in the literature and underdiagnosed even in the obvious cases, Wartenberg syndrome is most often treated, superficially and as a result, with direct consequences on its evolution. These elements ultimately lead to loss of cases and reporting in the literature as a rarity or other condition of the radial nerve, superficial branch. It must be understood at first that the radial nerve is susceptible to compression in different ways along the anatomical path. Causes are all common in the upper limb, compression and trauma. The two elements (compression and trauma) affect the superficial branch of the radial nerve at the time of its passage between the brachioradial muscle and the supinator muscle, as a result the patients complain of ‘’hand pain‘’. They describe only sensitive disorders but not motor disorders. The pain is described distally by the radial foramen and is accompanied by paresthesia on the dorsal side of the hand. The present case shows a female person working in a car parts factory where they have to pick up considerable parts to inspect them. The pieces are positioned on different side, as a result he must use the muscles of the forearm to turn them.

Read More »

Nervous Regeneration Allograph Type of Periferic Nerv

This article completes the problem of nerve regeneration on the allograft model harvested from the same type of individual (in this case the Wistar laboratory mouse).The approach to major trauma produced by various mechanisms and the development of a well-established algorithm, applied in a multidisciplinary team, results in a distinctly different result, both sensory and motor recovery, depending on the operative technique, the operative logistics and the type of graft. The article explains the experimental model, the subjects that were previously prepared for the operating time, the type of anesthesia that was administered, explaining why dosages and administered substances were used, the techniques used in the two batches that are totally different anatomic approach path, different as a bed of nerve regeneration but with operating technicians that do not differ in the two batches. The results are visibly different and are compared by the fi ngerprint sample. The regeneration times are different, the sensitive recurrence, the resumption of motor activity differs very little in the variables of each lot but are appreciable and different as the dynamics and value from one batch to the other.

Read More »

Results in Breast Reconstruction - Retrospective Study

In the last century, the breast reconstruction after mastectomy has become an important element of the multicentric treatment of the patients suffering from breast cancer. Breast reconstruction was initially developed to reduce the complications of mastectomy and the deformations of the thoracic wall. Currently, it is known the fact that reconstruction can improve the psychosocial state and the quality of life of the patients with breast cancer[1]. [...]

Read More »

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

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]. [...]

Read More »

Breast Reconstruction Particularities after Radiotherapy - Case Report

Postmastectomy radiation therapy decreases the incidence of locoregional disease recurrence in patients with invasive breast cancer and has been proven to reflect a survival advantage for patients with node positive disease[1,2]. The optimal timing and technique of breast reconstruction procedures in patients requiring post-mastectomy radiation therapy are controversial[1] . Patients undergoing postmastectomy breast reconstruction, with a history of prior radiation therapy, present a particular clinical scenario. This is because of their well-documented higher complication rates, secondary to deleterious effects of irradiation on the soft tissue envelope of the remaining breast. [...]

Read More »