Jurnal Medical Brasovean

1

Authors: Liliana Rogozea

Dezvoltarea educației în domeniul asistenților medicali reprezintă, cel puțin pentru România, o provocare permanentă pentru generații de profesori și elevi/studenți din ultimii ani. E ușor de remarcat faptul că evoluția de la pregătirea în cadrul liceelor sanitare (înainte de 1989), până la pregătirea în cadrul universităților unde există inclusiv posibilitatea de a urma un masterat este – nu numai una firească – dar și una care poate ridica probleme majore referitor la persoanele capabile să îi instruiască pe viitorii asistenți medicali. Dacă din punct de vedere al calității pregătirii teoretice evoluția pentru disciplinele de specialitate este – fără îndoială una favorabilă, în cazul pregătirii de strictă specialitate în domeniul îngrijirii pacienților, cooptarea asistenților medicali în echipa de educatori a suferit în permanență de problema nivelului de pregătire a asistenților medicali educatori, astfel încât aceștia să poată să fie cooptați în structurile educaționale.

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Authors: Cristian-Adrian Constantinescu, Elena-Mihaela Constantinescu

Since 1983, with the discovery of H. pylori, gastrointestinal pathology has evolved through many concepts: epidemiological, clinical, etiologic and therapeutic, even culminating with the transfer of this pathology from the category of non-communicable diseases in the communicable diseases. Aim: This study aims to compare the risk factors involved in the development of H. pylori infection in three groups of people: the first including healthy patients, uninfected with the bacterium Helicobacter pylori and without any digestive disorder, the second group consists of patients with digestive disorders but not infected with Helicobacter pylori, and the third group consists of patients with digestive diseases in which the bacterium Helicobacter pylori was detected. The determinant and favouring risk factors were: alcohol, coffee, smoking, as well as the provenience (urban, rural) of the respondents.

4

Authors: NicoletaTaus, Main Farraj, Stefania Tanase, Aurel Mironescu, Monica Boicu, Valentin Necula, Laurian Taus

This article is a summary of clinical and experimental studies conducted in the detection of aluminium toxicity. Aluminium is the most abundant metal on earth neurotoxic effect, and in many works already demonstrated its involvement in the onset of Alzheimer's disease. In this study we investigated the effects of aluminium toxicity in the respiratory system, the osteo-articular system, cutaneous and haematological level.

4

Authors: Maria-Elena Cocuz

Scarlet fever is an acute infectious disease caused by toxin-producing group A beta-haemolytic streptococci, with favourable evolution with proper and precocious treatment, but with risk for serious complications; the incidence is highest in children; antibiotics prophylaxis of the contacts is necessary to prevent the spread of the disease. The aim of the study was to evaluate some epidemiological and clinical aspects in scarlet fever with a view to improve precocious diagnosis and to emphasize the necessity of a constantly epidemiological monitoring in children communities. It is a retrospective study, achieved on 1314 patients admitted for scarlet fever in Infectious Diseases Hospital of Brasov between 2007-2013. The conclusions showed that scarlet fever has a persistent morbidity, prevails in children (97.10% cases), to persons from urban environment (81.2% cases), attending a school community – kindergarten (86.52% cases). Throat culture was positive in 56% cases.

4

Authors: Theodora Mathe, Daniela Moșoiu

When a child has a life-threatening and limiting illness, health care professionals who provide the care may develop burn-out syndrome, meaning ”extinction of motivation or stimulus, especially when commitment to a cause doesn’t bring the expected results”. Aim: identification of burnout syndrome for staff from onco-paediatrics departments, ICU and paediatric palliative care units. Method: Maslach Burnout Inventory (MBI) was done in 5 medical units from Brasov and Bucharest. MBI shows 3 domain: emotional exhaustion, depersonalization, low level of personal achievements. SPSS 11 was used for analysing the data. Results: 170 health care professionals received the questionnaire, response rate 75.8%. The domain most influenced was personal achievements (83.75% high and moderate burn-out), followed by depersonalization (75.97%) and emotional exhaustion (39.54%). Most of the respondents (73.64%) don’t recognize theirs need of specialized support.

4

Authors: Oana Andreescu

Tuberculosis is a classic example of a social disease. In the first half of the twentieth century in Romania, tuberculosis morbidity recorded in official statistics tens of thousands of patients, number far exceeded by the values assumed to be real. Tuberculosis mortality reached 10% of overall mortality. These data justifies the fight held against this social scourge, struggling in which were involved medical and political figures of the time. Although theoretical initiatives have been remarkable, the material possibilities were unable to keep pace.

4

Authors: Daniela Voda, Comsa Mirela

We present a case of boy 2 years old, diagnosed initially with left orbital pseudotumor and lymphocytosis. After tumor removal, its histopathology and immunophenotyping of bone marrow aspirate sample was diagnosed with B-cell acute lymphoblastic leukemia . Ocular damage is a rare manifestation of acute lymphoblastic leukemia onset in child.

5

Authors: Mihaela Badea, Laura Floroian, Ligia Chelmea, Claudia Faraian, Marius Moga, Liliana Rogozea, Jean Louis Marty, Patrizia Restani

Identification of quick and cheap methods in order to analyse specific heavy metal ions has wide applications in analytical toxicology. Enzyme biosensors meet these requirements, and optimization of these detection methods is an area of actual interest for electrochemical research. We optimized the methods for detection of metal ions (cadmium and lead), which could be tested in future for real samples of water, food or biological fluids.

5

Authors: Petru Ifteni, conf.univ.dr. Victoria Burtea, A. Teodorescu

BACKGROUND. Metabolic syndrome associates central obesity, hypertension, dyslipidaemia and glucose intolerance is highly prevalent in individuals with schizophrenia. The prevalence of MS varies across countries and psychiatric treatments. AIMS. The study has proposed the creation of a prospective study of the prevalence of metabolic syndrome in a group of patients with schizophrenia diagnosed according to DSM IV criteria, hospitalized in Psychiatry and Neurology - Brasov in January - December 2012. METHODS. Each hospitalized patient with schizophrenia was evaluated in terms of the presence or absence of metabolic syndrome components after signing informed consent. This resulted in a group of 50 patients who were analyzed in terms of socio-demographic variables (gender, age, residence, marital status, educational status, professional status, use of nicotine, alcohol), psychopathological variables (type of schizophrenia period of development of disease onset, age at onset, current antipsychotic medication), history family history (diabetes, obesity, hypertension, dyslipidemia) and treatment history. RESULTS. The prevalence of metabolic syndrome was higher in women (60%), aged between 22 and 60 years (mean age 43.8 years). History-Side are significant in 30% of patients with metabolic syndrome group was highly significant (p <0.05) when associated at least 2 metabolic risk factors in first degree relatives 1. CONCLUSIONS. Prevalence of metabolic syndrome in patients with schizophrenia in the general group studied was relatively high. Among patients with metabolic syndrome was the most common triad association between elevated BP, the waist circumference and increased serum triglycerides. The most common combination of two risk factors for metabolic syndrome was increased waist circumference with increased serum triglycerides.

5

Authors: Delia Todiras, Andra Tomescu, Nicusor Bigiu, Marius Moga, Liliana Rogozea

The abortion phenomena remains one of the most complex issues of our present society. It’s complexity consists not only in the ongoing debate on legal, medical, religious and moral terms but also in the involvement of numerous social groups such as: the pregnant women, the fetus seen both as a human and a non-human entity, the medical staff, the Church and the state itself. This debate is carried among two different groups, the pro-life supporters, who consider the act of abortion as being ‘a crime’ and the pro-choice ones who support the women’s right to decide whether they want to bring a fetus to term or not. A common ground between these groups is still difficult to set

6

Authors: Monica Florescu, Andreea Valceanu, Gh.Coman

Combination of microscale or nanoscale materials with biomolecules presents a great interest in medicine, environment, biotechnology and food industries. This paper presents two oxidoreductases (tyrosinase and laccase) and their applications as enzymatic biosensors for specific biomolecules detection. Electrochemical biosensors with laccase and tyrosinase, are a promising technology for in-situ monitoring of phenolic compounds, because of their advantages such as high selectivity, low production costs, high-speed response, the potential of miniaturization and simple instrumentation.