Archive issue


Current Health Sciences Journal

vol. 42 no. 1, 2016

1. Toxocariasis, Intestinal Parasitoses and Eosinophilia in Schoolchildren from Argentina

MARIA LAURA CIARMELA, BETINA CECILIA PEZZANI, MARTA CECILIA MINVIELLE

The purpose was to analyze the relationship between toxocariasis, intestinal parasitosis, eosinophilia, pet ownership and signs and symptoms present in 370 schoolchildren (3-12 years old) of Argentina. The positive serology for toxocariasis was 19.5%, associated with eosinophilia and possession of cats as pets. The stool testing revealed 70.0% of parasitized children. Its frequency was 44.9% helminthes and 53.5% protozoan resulting single significant presence of protozoa in children aged 10-12 years. The species were: Blastocystis hominis (45.7%), Enterobius vermicularis (43.2%), Giardia intestinalis (16.2%), Hymenolepis nana (2.4%), Ascaris lumbridoides (1.6%) and Trichuris trichiura (0.3%). The survey showed 13.0% of children with sporadic abdominal pain and 13.5% with pruritus ani. The results indicate relationship between positive serology and eosinophilia compatible with a clinical aspect of covert toxocariasis self-limiting, associated with cats ownership; in school children from

View online - Abstract - Download PDF

2. Determination of Rational Drug Use Behaviors of Adult Individuals - A Cross-Sectional Study from Turkey

DILEK YILMAZ, NILGUN ALTUN, MINES KILIC

Purpose: The aim of this study was to determine rational drug usage behaviour of adults. Material/Methods: The study was descriptive and cross-sectional. The study was conducted between January-March 2014 in Mustafa Kemal Pasa Cevizli Family Health Center in the province of Bursa, Turkey. The sample of study was composed 129 individuals who 18 years and over, had not the communication problem with place, and time orientation and accepted a voluntary basis in the study. In the collection of study data, individual identification questionnaire and questionnaire for rational drug use which by researchers in the direction of literature was used. Results: It was found that 30.2% (n: 39) of the individuals enrolled in the study were in the 18-30 age range, 57.4% (n: 74) were male, 42.6% (n: 55) were graduated from primary school, 34.9% (n: 45) were housewife, and 32.6% (n: 42) have chronic disease. 52.7% (n: 68) of the individuals, found that they used irregular their drugs, 70.6% (n: 48) did

View online - Abstract - Download PDF

3. Fetal Kidneys Ultrasound Appearance in the First Trimester - Clinical Significance and Limits of Counseling

STEFANIA TUDORACHE, MONICA-LAURA CARA, D.G. ILIESCU, A. STOICA, CRISTIANA SIMIONESCU, LILIANA NOVAC, DANIELA CERNEA

Objective. The objective of this study was to determine the visualizing rate of fetal kidneys at various gestational ages in late first trimester (FT) and to establish the clinical significance of their two-dimensional ultrasound (2DUS) appearance in the FT. Methods. In a prospective cross-sectional study, 1456 women from an unselected population underwent a detailed assessment of fetal anatomy at 11+0 -13+4 weeks of gestation with the use of transabdominal sonography. Information on the ultrasound findings, antenatal course and perinatal outcome was obtained in 1331 cases. Results. 44 cases in which a congenital kidney disease was detected by ultrasound in the prenatal period were identified. The renal pathology was suspected in the FT in 8 cases, and confirmed by a standard test (postmortem autopsy or second-trimester scan) in 4 cases. The standard detailed second-trimester scan at 18-22 weeks diagnosed another 23 cases but refuted suspicion in 4 FT positive cases. The third trimeste

View online - Abstract - Download PDF

4. Blood Glutathione Peroxidase Activity in Patients with Osteoarthritis Treated with Oxicams

DENISA-CONSTANTINA AMZOIU, CATALINA GABRIELA PISOSCHI, ANCA-MIHAELA STOIAN, GABRIELA RAU

Purpose. The main objective of this study was the comparison of the influence for three non-steroidal anti-inflammatory drugs (NSAIDs) belonging to the oxicam class, namely piroxicam and tenoxicam, as non-selective inhibitors of cyclooxygenase (COX), and meloxicam, a selective COX-2 inhibitor, on glutathione peroxidase (GPx) activity in patients with osteoarthritis of the knee. Material/Methods. Thirty adult subjects clinically and radiographically diagnosed with knee osteoarthritis, who were not previously subjected to any treatment, were enrolled. They were divided in three groups, each with ten subjects. The serum levels of GPx were assessed at baseline and after twenty days of treatment. The first group received piroxicam at a dose of 20 mg orally daily, the second group was treated with tenoxicam at a dose of 20 mg orally daily, and in the third group meloxicam was administrated in a dose of 15 mg orally daily. Results. After the treatment, it was observed an increase of the GPx a

View online - Abstract - Download PDF

5. High Frequency Ultrasonography of the Hand in Rheumatoid Arthritis, Psoriatic Arthritis, Gout and Osteoarthritis Patients

F.A. VREJU, BEATRICE ANDREEA CHISALAU, CRISTINA DORINA PARVANESCU, ANDREEA BARBULESCU, OTILIA ROGOVEANU, SINETA FIRULESCU, ANCA ROSU, PAULINA CIUREA

Over the past decades, management of rheumatic diseases improved both due to development of new drugs and to new imaging techniques. Objective: The aim of this study was to evaluate the type and frequency of different structures involvement in the hand of patients with rheumatoid arthritis, psoriatic arthritis and gout compared to patients with osteoarthritis of the hand Methods: We designed an observational, transverse study, which included 110 consecutive patients evaluated in the Rheumatology Department, Emergency County Hospital Craiova, during one year 2014-2015, from which 50 were diagnosed with rheumatoid arthritis, 20 with psoriatic arthritis, 20 with gout and 20 with osteoarthritis. All patients uderwent clinical, biological and US examination. Results: The global prevalence showed any US abnormalities at the hand level in 47 (94%) RA patients with respect to 17 (85%) patients in PsA group, 15 (75%) patients with gout and 12 (60%) patients in OA group (p=0.01) (Table 1). In al

View online - Abstract - Download PDF

6. Minimally Invasive Video-Assisted Total Thyroidectomy (mi V.A.T.T.) - Case Series of 48 Patients

KONSTANTINOS SAPALIDIS, K.S. MYLONAS, E. KOTIDIS, N. MICHALOPOULOS, I. ANASTASIADIS, I.D. KANELLOS

Purpose: The first report of miVATT was published in 1998 by Miccoli, leading to a revolution in the field of thyroid surgery. This prospective study aims to evaluate the technique with regard to our department’s experience over a four-year period. Material-Methods: Between September 2009 and October 2013, 48 adult patients (37 females, 11 males) with a mean age of 41.3 (± 11.6) years underwent scheduled miVATT for benign thyroid lesions. Selection criteria included thyroid volume <15 ml and nodules not exceeding 3.5 cm of diameter. Thyroiditis, previous neck surgery and previous irradiation, mediastinal goiter and involvement in another clinical study constituted the exclusion criteria. The procedure we performed was miVATT as described by Miccoli with the only additions being the use of the Harmonic Scalpel and the fixation of the endoscope on a holding device. Also, no drains were applied. Results: No conversions to open surgery were needed. Operation time for total thyroidect

View online - Abstract - Download PDF

7. Blood Pressure Variability and Left Ventricular Mass in Hypertensive Patients

EDME ROXANA MUSTAFA, O. ISTRATOAIE, RODICA MUSETESCU

Objectives The purpose of the study is to evaluate 24h blood pressure values by automatic ambulatory monitoring (ABPM) in a group of hypertensive patients already on therapy and to find correlations between different blood pressure parameters and the presence of left ventricular hypertrophy (LVH). Design and method: 39 patients diagnosed with essential hypertension grades 1-3 were enrolled in the study; echocardiography was done and left ventricular mass and mass index were calculated. Based on 24 h ABPM we calculated BP variability estimated as standard deviation (SD) and average real variability (ARV), pulse pressure, dipper profile and morning BP surge. We compared these parameters in pts with and without LVH and calculated correlations with LV mass. Results: Nocturnal diastolic BP variability estimated as SD had significantly higher values in pts with LVH (13,2 vs 9,9 mmHg, p=0,015), ARV/24 hour and ARV during nighttime had higher values in pts with LVH vs those with normal LV mass

View online - Abstract - Download PDF

8. Kinetic Program and Functional Status in Patients with Parkinson`s Disease

RODICA TRAISTARU, DIANA KAMAL, DANIELA MATEI, OTILIA ROGOVEANU, DIANA TRASCA

The main purpose of kinetic program integrated in complex medical assistance of PD patients is the improvement of life quality, through amelioration of self-care activities, and possibility of making various activities in stability, balance and coordination conditions. We choose the kinetics techniques according to the clinical form and the gravity of the functional deficit. Taking into consideration the locomotors dysfunctional status, almost patients were included in the second and third evolutional stages. For quantize the results and monitories the patients with assessment of the kinetic program benefits we have use different scales and questionnaires. The age of the patients was over 45 years and more patients were male then women; this aspect confirm the increase frequency of disease in the male subjects. The individual and global clinical motor aspects were been influenced by the kinetic program. The global functional impact upon the individual general state was appreciated with

View online - Abstract - Download PDF

9. Assessing Endothelial Dysfunction in Patients with Ankylosing Spondylitis

DIANA RODICA TUDORASCU, PAULINA LUCIA CIUREA, A.F. VREJU, ANDREEA BARBULESCU, R.P. TUDORASCU, D.C. PIRVU, RALUCA NICULINA CIUREA

The objectives proposed were the evaluation of the endothelial dysfunction by ultrasonographic with examination in patients with (AS), the evaluation of the lipid profile of these patients and the identification of some correlations with certain clinical and biological parameters. Material and method: The study has a prospective nature, type case-control, and took place in the Rheumatology Clinic of Emergency County Hospital Craiova and was performed on 140 patients, who were divided in two groups, patients from the population of patients suffering from ankylosing spondylitis and non-inflammatory rheumatic affections assisted in the same period of the research. Study design involved: patients with AS registration, duration of the disease, type of joint damage (axial or peripheral), progression of the disease, activity indices (BASDAI), mobility (BASFI) and severity, therapeutic protocol, complete physical examination, ESR, hs-CRP, level of the glucose in the blood, creatinine, uric aci

View online - Abstract - Download PDF

10. The Study of Uropathogenicity Factors for Escherichia Coli Strains

ANCA UNGUREANU, ALICE ELENA GAMAN, ADRIANA TURCULEANU, MIHAELA MITROI, A.I. DROCAS, MARIA DOBRITOIU, RALUCA GABRIELA ANDRONIC

Urinary tract infection (UTI) is the most common form of extraintestinal Escherichia Coli infection (E.coli), and E. coli is the most common cause of UTI.The aim of this paper is to study the uropathogenicity factors for some strains of E.coli involved in the etiology of UTI and the affiliationof urinary E.coli strains to the serogroups involved in the UTI.We studied 208 strains of E. coli from urine samples sterilely collected from patients with clinical suspicion of urinary tract infection.The study was conducted in Emergency County Hospital Craiova between 2012-2014.Out of the 208 strains of E. coli submitted to the study, 60 strains (28.84%) - MRHA with human red cells, 28 strains (13.50%) - MRHA human red cells and blood red cells MSHA with guinea pigs, and 44 strains (21.12%) - MSHA with guinea pig red blood cells; 76 strains (36.54%) - no hemagglutination. Regarding our study, 42,34% of E.coli strains presented human MRHA putting forward their potential to cause pyelonephritits.

View online - Abstract - Download PDF

11. Feasibility Study of a Novel Navigation System for Biopsy of Peripheral Lesions in the Lungs

L.G. GRUIONU, A. SAFTOIU, T. POPA, C. CIOBARCA, C.T. STREBA, ANA-MARIA IONCICA, G. GRUIONU

A novel system for electromagnetic navigation in bronchoscopy (ENB) to improve peripheral lesion targeting and diagnostic is currently under development, and preliminary tests on a complex phantom are presented in this paper. The system named Transbite is proving to be easy to use, accurate and useful for experienced and beginner users, with precision around 5-9 mm in reaching targets in sub-segmental bronchi where a conventional video-bronchoscope cannot extent. Transbite system consists of a planning and orientation software, a navigation and biopsy forceps, an active marker that is placed on patient chest and an electromagnetic tracking system from the market connected to a computer containing the software. Transbite can be used with any bronchoscopy system, has a short set-up procedure and learning curve.

View online - Abstract - Download PDF

12. Ranking the Meso Level Critical Factors of Electronic Medical Records Adoption Using Fuzzy Topsis Method

HOSSEIN AHMADI, MEHRBAKHSH NILASHI, OTHMAN IBRAHIM, KOMEIL RAISIAN

As Electronic Medical Records (EMRs) have a great possibility for rising physician’s performance in their daily work which improves quality, safety and efficiency in healthcare, they are implemented throughout the world (Boonstra and Broekhuis, 2010). In physician practices the rate of EMRs adoption has been slow and restricted (around 25%) according to Endsley, Baker, Kershner, and Curtin (2005) in spite of the cost savings through lower administrative costs and medical errors related with EMRs systems. The core objective of this research is to identify, categorize, and analyse meso-level factors introduced by Lau et al, 2012, perceived by physicians to the adoption of EMRs in order to give more knowledge in primary care setting. Finding was extracted through questionnaire which distributed to 350 physicians in primary cares in Malaysia to assess their perception towards EMRs adoption. The findings showed that Physicians had positive perception towards some features related to techn

View online - Abstract - Download PDF

13. Diastematomyelia - Imaging Findings, Case Report

DANA ALBULESCU, CARMEN ALBU, C. CONSTANTIN, ZOIA STOICA, IULIANA NICOLESCU

Diastematomyelia consists in dividing into two hemi spinal cord cords symmetric and asymmetric in the presence of a bone spur. Malformation is more common in women, and this paper presents the case of a patient with this rare spinal dysmorphism, in terms of imaging, MRI is the only method of exploration that can establish the diagnosis and also can highlight and malformations associated.

View online - Abstract - Download PDF

14. Psoriasis Vulgaris in Children - Case Presentation

CRISTINA SINGER, SIMONA COSOVEANU, LOREDANA ELENA STOICA, DIANA MONICA GEORGESCU, ILEANA PUIU, DANIELA NEAGOE, F. DRAGOMIR

A seven-year-old girl, with erythematous-squamous rash, was admitted to our clinic to decide upon the diagnosis and treatment, being transferred from a county hospital. Heredo-collateral antecedents – an aunt, related to her mother, with psoriasis. When admitted, the patient presented prominent non-pruriginous erythematous plaques, clearly marked and covered by thick, silvery-white scales, easily exfoliating, all over at the level of: scalp, earlobes, neck, torso, limbs, periungual, axillary and genital areas. The dermatological examination: psoriasis vulgaris in patches and plaques, a diagnosis also confirmed histopathologically. Using a local dermatologic treatment, the evolution was favorable, the patient initially presenting thick squamae, then, gradually, there occurred the psoriasis whitening. We presented this case since psoriasis is rarely met at this early age.

View online - Abstract - Download PDF

15. Verrucous Carcinoma - Observations on 4 Cases

V. PATRASCU, OANA ENACHE, RALUCA NICULINA CIUREA

Verrucous carcinoma (VC) is a rare well-differentiated squamous cell carcinoma with the clinical forms: oral florid papillomatosis, epithelioma cuniculatum, papilomatosis cutis and Buschke-Löwenstein tumor. We present four patients and the four clinical forms of CV. The diagnosis we held after clinical examination and histopathological examination of the balance sheet expansion. First described by Ackermanin the oral mucosal, today it has a reported incidence of 1-3 cases per million inhabitants. CV can involve both skin and mucous membranes. Etiopathogenesis is uncertain, but participation HPV is widely accepted. WHO recognizes the CV as a rare form of well-differentiated squamous cell carcinoma with slow and continues evolution, with the invasion of underlying tissues, frequent relapses and very low risk of metastasis. The elective therapy is surgical excision with safety oncological margins. Diagnosis involves corroboration of clinical data with histopathological appearance and evo

View online - Abstract - Download PDF