Jurnal Medical Brasovean

1

Authors: Liliana Rogozea

În urmă cu câțiva ani scriam câteva rânduri despre e-comunicare, abordând doar aspectele pe care aceasta le implica din punct de vedere al informațiilor pe care le primim prin intermediul internetului. Transmiterea informației științifice se face astăzi mult mai rapid și în cantitate mult mai mare, datorită internetului, iar folosirea mijloacelor virtuale de comunicare are atât efecte pozitive (a dispărut perioada de latență între realizarea unei documentări și posibilitatea de a fi pusă la dispoziția comunității medicale, a crescut volumul de informație care poate fi accesat într-o perioadă de timp) cât și efecte negative legate mai ales de neexsitența unui sistem de valori care să controleze informația disponibilă. Cu toate acestea astăzi vă propun un alt subiect: vecinul de pe net: dacă în trecut auzeam adesea pacienți care se sfătuiau cu aparținători, astăzi vecinul de pe scara blocului s-a mutat pe internet, adesea pe un blog pe care fiecare își poate da cu părerea, indiferent de pregătirea și competențele pe care le are. Tot mai mulți oameni se dovedesc a fi dispuși să urmeze tratamente sugerate de alți oameni pe forumuri, fiind convinși că e vorba de folosirea experienței proprii, mult mai valoroasă decât studiile personalului medical.

4

Authors: Elena Mihaela Constantinescu, Cristian - Adrian Constantinescu

The overall annual incidence of acute HCV infection is difficult to estimate, especially when most of the patients are asymptomatic. Hepatitis C is estimated to infect 71 million people worldwide, with approximately 55-85% of them evolving into a chronic infection with a 15-30% risk of developing cirrhosis within two decades. Specific prophylaxis against hepatitis C would lead to a better management of the financial resources currently used to treat the infection. The delay in developing a vaccine, despite the efforts of researchers around the world, is due to both the unique viral structure and the difficulty of enrolling people at risk in vaccination trials but also to the lack of a specific marker that offers protection.

5

Authors: Daniela Nuță, Michaela Nanu , Florentina Moldovanu, Delia Corina Elena, Geanina Mirela Toma, Angelica Chirică, Eugen Bărbulescu, Nicolae Nuță, Alexandra Cucu, Andra Neamțu

Sustainable prevention of iodine deficiency and achievement of optimal iodine nutrition in Romania is done for a long time. Thus, this pilot study proposes to evaluate the iodine nutrition state of 241 school children aged 6-7 years from one school located in each sector of Bucharest in 2015, after more than 10 years of compulsory universal salt iodization. The results of the study showed that the number of children with iodine deficiency decreased, while those with normal urine iodine increased, compared to the study performed before the compulsory universal salt iodization and median urinary iodine concentration was 203.2 that falls within the recommended values of World Health Organization. In conclusion, the iodine deficiency was not totally eradicated in Romania, but the situation has improved considerably over the previous 10 years

6

Authors: Diana Panait, Lavinia Dima, Gheorghe Coman, Liliana Rogozea, Mihaela Badea

Ascorbic acid is known in the medical field for its many uses in different pathologies. Knowledge about vitamin C is used since ancient time in order to prevent or cure some diseases. We consider important for the medical students to understand and to use vitamin C, showing thus their knowledge on this compound. The aim of this study is to identify the level of information of students from Faculty of Medicine Brasov possess in order to fill in the gaps in their knowledge. Results of this study show satisfactory level of information on the role, side effects and sources of vitamin C, according to the year of study of the students questioned, making thus necessary in further investigation to reassure that the implementation of this information is being realized.

7

Authors: Marius Irimie

Despite the advances that have occurred in the diagnosis and treatment of sexually transmitted diseases (STDs), they remain a public health problem worldwide. Of all etiologic agents of treatable STDs, Neisseria gonorrhoeae has the highest versatility to acquire antimicrobial resistance and high antigenically variability by circumventing the host defense. Currently, it is estimated a high prevalence of N. gonorrhoeae strains with resistance to most antimicrobial agents previously and currently available (sulfonamides, penicillins, cephalosporins, tetracyclines, macrolides and fluoroquinolones) which causes a great concern. This review analyzes the history and evolution of gonorrhea treatment regimens and acquired resistance to these therapies over time, and gonococcal antimicrobial resistance phenotypes to previously and currently recommended therapy.

8

Authors: Cristian Arvătescu, Oana Dimienescu, Carmen Martinescu, Silvia Moga , Nicusor Bigiu

Introduction: Endometriosis is a benign condition that affects a large number of women at fertile age. The most frequent localization of this ectopic tissue is the peritoneum. Clinically, it has a progressive evolution and is usually characterized by chronic pelvic pain, dysmenorrhea, dyspareunia and infertility. Objectives: This paper aims to point out the prevalence and the general profile of the woman afflicted by endometriosis and also to evaluate the methods of diagnosis and therapeutic. Material and methods: The study was conducted during the period January 2009-december 2015, on 317 patients admitted to the Clinical Hospital of Obstetrics and Gynaecology “Dr.I.A. Sbarcea” Brasov. Results: The most common found localization for endometriosis was in the peritoneum in 56.15% of cases and ovary in 43.85%. The pathology has a higher prevalence at women at fertile age (>25 years). Chronic pelvic pain was the main symptom for presenting to the hospital, followed by dysmenorrhea. The cases were treated mainly by laparoscopy; this intervention being considered the gold standard for this pathology. Conclusions: Endometriosis has a profound impact on quality of life, and developing a therapy that also improves fertility remains a challenge for clinicians and basic scientists.

8

Authors: Roxana Miclăuş, Adriana Sarah Nica, Nadinne Roman, Silviu Caloian, Cristina Mateescu, Liliana Rogozea

The paper attempts an historical and scientific medical review of the most important aspects that have led to the evolution of Sovata resort from the salty salt status to the recognition today in the top of the most important therapy and spa resorts of Romania, as follow: from salt deposit exploited ever since the Roman era, until 1562, when documentary evidence of salt extraction by the Szeklers is documented, through the moment of Sovata's attestation as a place of worship in a letter from Mikhail Korniş in 1597 as an invitation to a balneal leisure to Báthory István from Poland, then the organization and settlements of the baths (the first half of the nineteenth century), then Certification of spa resort Sovata de Sus (today's resort) in 1901 and obtaining permission for the therapeutic use of salt water of lakes and springs in 1902. The development of infrastructure, communications and accommodation conditions takes place in parallel with the recognition of the therapeutic value of the area and particularly the Lake Ursu (the Lake of the Bears), derived from the geological particularities of the area and the therapeutic power of the lake waters, respectively the description of the Helios thermal phenomenon in Lake Ursu. The paper also points to the thriving development until the recession of 1914, the First World War, the reconstruction efforts and the maximum development in the interwar period, parallel with the beginning of medical education in the Sovata spa resorts. Also, the paper present the down of specialization in balneology for doctors inside the resort, led by Professor dr. Marius Sturza, and then continued at the Balneology and Physiotherapy Clinic set up in the Medical University of Cluj in 1939 and the contribution of Professor Iuliu Moldovan from Cluj to the knowledge development, research and scientific recognition of the bathing properties of the Sovata baths. The resort had development stagnation during World War II and then after the Nationalization of 1948, which brought to the state patrimony all the spa facilities, the therapeutic factors of water and the benefits of their exploitation, the lands and villas belonging to the private owners and the joint stock company existing at Sovata. The privatization after 1990 changed the strict therapeutic concept of balneotherapy and the conditions of approach and access to balneal treatment and after 2000 added the commercial aspect of tourism to the concept of balneotherapy or Spa

12

Authors: Kamile ÖNER, Hülya ARSLANTAŞ

In this period adolescents may have to deal with many problems. One of these problems is the feeling of loneliness and over time can create bigger problems for the adolescent. This study is cross-sectional study to determine loneliness, and associated factors in high school students. This study employed a cross-sectional design and was implemented with 657 students attending high school. Sample size in the research was calculated as 657 persons by using 99% power and 95% significance interval and multi-sampling method was used in sample selection. A Personal Information Form and UCLA Loneliness Scale were used in this study. Descriptive statistics, unrelated samples t test, one way analysis of variance, levene homogeneity of variance test and Kruskall Wallis test were used to evaluate data. When characteristics of the adolescents were investigated; 46.0% were female, 30.6% were in 9th grade, 40.9% were 17 years old and the adolescents in the study reported moderate level of loneliness. Female students (=52.33 ± 5.82) had a higher loneliness level when compared to male students (=49.74 ± 7.45). Mean loneliness scores were higher in female students (t=5.001, p=0.000), in students studying in Science High School (=15.559,p=0.004); those whose mothers worked (t=2.370,p=0.018); those whose Internet use led to anger/depression (t=2.429, p=0.015); in adolescents who have thought of self-harm in the last year (t=3.043,p=0.002). In the study, the loneliness level of adolescents were not affected by the following factors: living with parents or in dormitories (t(649)=0.378; p>0.05), family structure (t(641)=1.702; p>0.05), the area they live (F(2.654)=2.342; p>0.05), income level (F(2.654)=1.978; p>0.05), availability of sufficient pocket money/allowance (t(665)=0.033; p>0.05), number of siblings (F(2.633)=0.468; p>0.05), relationships with siblings (t(623)=1.209; p>0.05), the father's education (F(3.648)=1.596; p>0.05) and the mother's education (X2(3)=0.965; p>0.05). The study found that students had a moderate level of loneliness, and the factors including being female, having a working mother, internet use resulting in anger/depression and thoughts of self-harm in the last year led to a higher loneliness score.