Jurnal Medical Brasovean

3

Authors: Maria-Elena Cocuz

Introduction and aims: Chickenpox, infectious and contagious disease, characteristic to childhood, with good evolution to healthy child, may develops severe complications to special groups of patients (new-borns and pregnant women).The aim of this study was to analyse some clinical aspects of chickenpox to pregnant women and new-borns. Material and methods: Retrospective study, based on medical data from medical documents of new-borns and pregnant women hospitalized with chickenpox in Infectious Diseases Hospital of Brasov between 2010-2011. Results: There were hospitalized 6 new-borns (with good condition and without nervous or pulmonary complications to admission in hospital) and 3 pregnant women (with bad condition to admission, two patients without complications and one with viral pneumonia).With etiological treatment (Aciclovir) and against symptoms, promptly applied, the evolution was favourable to all patients, without complications of the disease and of the pregnancy. Conclusions: In period 2010-2011 in Infectious Diseases Hospital of Brasov was hospitalized a reduced number of new-borns and pregnant women with chickenpox. Evolution was favourable in all cases with specific treatment, without severe complications.

3

Authors: Alexandra Gheorghe, Maria-Mirabela Mihăilescu-Marin

We are referring to the case of a 62 year old man, who came to our service after suffering to syncope at home. The clinical examination revealed dyspnea with tachypnea, hypotension, tachycardia, right ventricular gallop and right leg (calf) edema. Given the serious condition of the patient, clinical and paraclinic hinted a pulmonary embolism, spiral CT was performed proving the presence of massive pulmonary thromboembolism. Patient received electrolyte rebalancing, anticoagulant therapy and trophic brain. During hospitalization, the patient experienced cardiac arrest, but he was successfully resuscitated.

3

Authors: Dorin Codarcea-Munteanu

We present a clinical case, particular through the severe clinical evolution of a rheumatoid polyarthritis to severe obstructive respiratory failure, requiring an intervention of tracheostomy of necessity. The obstruction of the superior airways represent an entity with a vital risk, which should be correctly recognized and evaluated, both by the ENT specialist and by doctor of other specialities.

4

Authors: Madalina Buzescu

The research presented in this paper is aiming to review the situation of complementary and alternative medicine (CAM) in Europe, regarding legal reglementations, needs of the population, situation and reliability of research methods in this field, as well as the degree in which the demands of the patients can be fulfilled by practitioners. Several European studies are focused on these research issues and the present general paper is trying to concentrate their conclusions in order to be able to adapt the efforts in the right direction, to meet the patients’ needs and requests for this kind of medical approach. As medical practitioners, we meet patients with increasing interest to complementary medical methods, especially in the last decade. It is our subsequent duty to research if these methods are effective and if the findings are positive, to do our best to become competent to fulfil the medical needs of our patients.

4

Authors: Diana Ţînţ, Călin Fleancu, Fleancu Andreea, Ovidiu Florin Orţan

Background: Acute myocardial infarction (AMI) represents a major health problem with increasing incidence among young adults. Aim: The purpose of the study was to analyse the angiocoronarographic particularities in patients with AMI and the age below 45 years admitted in ICCO Clinics in Brasov between February 1st 2009 and March 31, 2012. Results: The study population consisted of 152 patients, mean age 39.1±5.1 year, most of them male (90.9%). Most of the patients have had multiple vessel lesions (56%) and most of them have had the culprit lesion localized in the left descending artery (50.7%). The coronary artery atherosclerosis aetiology was the dominant aetiology, documented in 92% patients while in the remaining minority, other aspects were depicted. The number of affected vessels correlated well with the older age. Patients with permeable coronary arteries represented a considerable percentage of the study population (7.9%). Conclusions: The vast majority of the young patients with AMI were male. The main aetiology of the AMI in young was coronary atherosclerosis. Coronary multi-vessel disease was present in more than half of the study population and the severity was correlated with the age.

4

Authors: Nanu Andrei, Daniel Leucuţa

be discussed knowledge, attitude and behaviour change achieved through risk communication. The target population consists of 88 overweight and obese patients which are divided in two groups one which received information about risk and another with no information. Risk communication where done through one by one counselling, group discussion, support group and educational material offer. Study results shows that health risk communication increase knowledge awareness and interest among overweight persons regarding the health risk of obesity. Risk communication doesn’t have any influence on treatment components: initiation, compliance and treatment monitoring. The most effective communication method is the one to one discussion among patient and medical staff. Additional factors as age, gender and educational level may have a positive impact on treatment initiation in obese patient.

5

Authors: Jibu Carmen, Codruţa Nemet, Liliana Rogozea

Background: Everyone can get in the position of being a patient and everybody have the right to decide for him. Numerous study related with patient satisfaction are made in the world, but only few was realised in Romania, in the last years. Methods: This research is focus on the results of a response of patients from Surgical Department at Brasov County Hospital to a questionnaire with 35 questions. Results: The articles are based by the results of a questionnaire and demonstrate the quality of satisfaction of our patients. Conclusion: In this study we succeed to evaluate the satisfaction of patients related with the information and the ability of communication between doctors and patients.

6

Authors: Laura Larisa Dracea

The clinical observation that led to the writing of this article was the encounter of two genetic diseases, Cystic Fibrosis and Juvenile Myoclonic Epilepsy, two chloride channelopathies, in the same patient. This represented the reason why I considered important to briefly describe the main scientific data available at the moment regarding chloride channelopathies in correlation with the observations made in the patient with both diseases. Cystic Fibrosis was first described in 1938 and the affected gene was cloned in 1989. Since then, research and multidisciplinary care improved the life span and quality of life of patients. Myoclonic Juvenile Epilepsy was described in 1957 and since then a lot of genetic research clarified the transmission of disease. The chloride channelopathies were more intensely studied after the 1990’s after the discovery of CFTR (Cystic Fibrosis Transmembrane Conductance Regulator) and CIC-1 gene (cause of congenital myotonia).

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Authors: Foris Orsolya, Florescu Monica, Liliana Rogozea

Glaucoma is one of the leading causes of blindness worldwide [1]. It rarely has any symptoms at all. This very often results in late diagnoses and great visual loss. Because this process is irreversible, treatment can only stop the evolution of the disease, not reverse it. The patient’s lack of knowledge and negligence is an important factor in this result. Therefore, it is essential that every patient to receive a thorough examination from the eye care professional. The article will present all the necessary tests which an eye examination should include for an accurate diagnosis. A retrospective analysis of 90 patients diagnosed with different types of glaucoma in the year of 2011 shows the need for these tests and the great help these offer in the diagnostic procedure. Results showed that over 60% of the patients were diagnosed according to the results of these tests.