Jurnal Medical Brasovean

1

Authors: Liliana Rogozea

Dincolo de medicină, studenții mediciniști se remarcă tot mai mult și în alte domenii, iar medicii își dovedesc ulterior și alte abilități decât de a îngriji pacienți. Medici scriitori, medici muzicieni, medici politicieni, medici comentatori politici și de ce nu, medici bloggeri – iată direcții interesante ale activității acestora și care își au adesea originea în perioada studenției. Vă propun astăzi o scurtă incursiune în timpul liber al unui student la medicină, plecând de la faptul că, a rămas încă încetățenită ideea că medicina îți acaparează în totalitate toate momentele pe care le ai în afara celor petrecute la patul pacientului. Medicii cu înclinație spre literatură și recunoscuți pentru talentul lor nu sunt puțini, atât în România, cât și în străinătate; putem aminti doar câțiva din cei mai cunoscuți: Vasile Voiculescu, Augustin Buzura, C.D. Zeletin sau Friedrich Schiler, Mikhail Bulgacov, A.P. Cehov și William Somerset Maugham. Unii au reușit să își continue activitatea ca medici, pentru alții însă pasiunea pentru scris s-a dovedit mult mai puternică, dar și pentru unii și pentru alții influența medicinii a rămas hotărâtoare de-a lungul anilor. Și toate astea pentru că, așa cum spunea Petroniu în Satyricon: „Medicul nu e nimic altceva decât o mângâiere sufletească”.

3

Authors: Petre Vlah-Horea Boțianu, Anca Bacârea, Radu Chirteș, Paul Ionescu, Gabriela Boțianu

We report a rare case of aneurysmal dilatation developed at the level of a Brescia-Cimino arteriovenous fistula performed for dialysis. In the particular clinical situation of our patient (significant clinical complaints and a functional renal transplantation) we performed an excision of the fistula with reconstruction of the radial artery by an autologous venous graft interposition, with good postoperative outcome. Although this solution was more technically demanding, it has allowed both a complete excision of the fistula and aneurysmal dilatation and the preservation of the hand blood supply.

4

Authors: Liliana Rogozea

In 1946, under the auspices of the British mission in Romania, medical professionals receive an important gift: a publication made at Romanian Society of Statistics Publishing House. The book: Penicillin - Compendium of English medical publications with annual additions, structured in the following chapter: The discovery of penicillin Preparation of penicillin, Preliminary studies, laboratory methods and the chemical properties of penicillin, Pharmacology and experimental therapeutics, Clinical uses of penicillin, Penicillin surgical applications, Medical applications and Penicillin applications in different diseases. Volume has emerged as "the result of numerous requests of information on various aspects of penicillin by many of my Romanian Colleagues" as mentioned in the Introduction I G.B. Shirlaw, major British medical doctor at Mission Romania, and is proof of the good relations between the two nations

5

Authors: Popa Daniela

As medical knowledge grows exponentially, it is important that medicine graduates be prepared to continuously engage in new forms of learning in the future. This article provide evidences from recent research studies for designing teaching framework to facilitate active learning for medicine students. Active learning is a key element in knowledge retention, deep learning and academic performance. Current research shows that new approaches to teaching healthcare are: self-regulated learning, computer assisted learning, simulation and problem solving.

6

Authors: Oana Dimienescu, Alina Jegan Bichis, Marius Alexandru Moga, Cristian Arvatescu, Nicusor Bigiu, Laura Dracea

Intrauterine growth restriction of the fetus (RCIU) is so far one of the most complex issue of obstetrics, representing a common complication of pregnancy where the fetus can be defined as the failure to reach the genetically programmed size. Genetic polymorphisms, maternal, placental and fetal are responsible for encoding proteins and hormones, being shown to influence the fetal growth. Among the best known genetic causes of intrauterine growth retardation are found placental, maternal and fetal genes. This paper presents a review of genetic changes found in intrauterine growth retardation, especially those related to placental genes , with predilection IGF, placental growth factor and other genetic mutations.

6

Authors: Maria-Elena Cocuz

Measles, acute viral infectious disease, highly contagious, affects especially children of all ages but can be seen at any age. Measles morbidity is low if vaccination coverage rate is increased more than 95%. Prevention is achieved through measles vaccination, with two doses of vaccine. This is a retrospective study, performed on 550 patients hospitalized with measles in the Clinical Infectious Diseases Hospital of Brasov during 1 Jan. 2012-1 Nov. 2016. The objective was to analyse some epidemiological and clinical aspects. In 2012, 436 patients were hospitalized, then the number of patients has decreased to 0 in 2014 and 2015; in 2016 there were again reported cases of measles – 48. Most cases were in children – 94.18%; in infants frequency was high – 31% cases. Most patients had complications, of which the most common were pneumonia – 88.36% cases. The evolution was favourable in all cases. Education of the population in favor of measles vaccination is imperative for effective prevention of the disease.

7

Authors: Kamile Öner, Hülya Arslantaş

This study is conducted as a cross sectional research in order to investigate the depression, internet addiction and loneliness relationship in adolescents of high school students. It is targeted to reach 690 students. In the study, Personal Information Form, Beck Depression Scale, Internet Addiction Scale and UCLA Loneliness Scale are used. In the evaluation of the data, descriptive statistics (frequency and percentage values, minimum, maximum, average and standard deviation), and Pearson correlation coefficients are used. When the characteristics of adolescents of high school students participated the survey are examined, it is found that 46.0% of the adolescents are women, 30.6% of them study in 9th grade, 30.9% of them are 17 years old, and 74.3% of them have internet connections in their homes. It is determined that the level of internet addiction in the adolescents with depression tendency (=19.40±18.61) is significantly higher than the adolescents without depression tendency (=9.81±11.77) and the level of loneliness in the adolescents with depression tendency (=52.61±6.57) is significantly higher than the adolescents without depression tendency (=50.75±6.74). It is determined that there is no significant relation between the levels of loneliness and internet addiction in the adolescents (r=0.011; p>0.05). Besides, it is determined that there is a positive and high level relation between the depression level and internet addiction of the adolescents (r=0.384; p<0.05) and there is a positive and low level relation between the loneliness level and internet addiction of the adolescents (r=0.090; p<0.05)

8

Authors: Teodora Mathe, Liliana Rogozea

Professional activities very demanding in terms of emotional and interpersonal networking, specific to the profession as a physician, nurse, psychologist, social worker may have negative consequences described in the literature as the burnout syndrome: a three dimensional construct composed of emotional exhaustion, depersonalization and low personal achievements. Aim: analysis of the characteristics of people with low and medium burn-out syndrome in departments where staff come into contact with patients aged below 18 years. Method: The study was conducted on a group of 129 medical employees from health care, whom had applied Maslach Burnout Inventory (MBI); The analysis covered three domains: emotional exhaustion, depersonalization, low level of personal achievements. Results and Conclusions: People with medium and low level of burnout do not recognize the need for professional help in a significant proportion: regarding the depersonalization (54.26% and 16.28%) and regarding the personal achievements (19.38% and 12.38%)

10

Authors: Veronica Cristea, Codruța Nemet, Ana-Maria Tibrea, Liliana Rogozea

Background: The variables of temperatures (sudden temperature drop) and humidity (high values) express a high risk of upper respiratory tract infections. Material and methods: Starting from this we gathered the necessary data to see the meteorological modifications correlated to the appearance of the upper respiratory tract infections (URTI) in Brasov County we performed a retrospective study in Brasov, analysing a period of 3 years, between 2011 and 2013. Conclusions and discussions: Low temperatures together with a high value of humidity revealed an increase in the Upper Respiratory Tract Infection. Low temperatures also showed a decrease in the body defence mechanism against the infections which resulted in a higher rate of reported cases. Brasov County has a unique meteorological characteristic with lower temperatures and high humidity compared to other parts of Romania. The results showed an increase in the upper respiratory tract infections at medium temperatures from the years included in the study.