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Cluj Napoca, India

Fufezan O.,3rd Pediatric Hospital | Asavoaie C.,Emergency County Hospital Cluj | Blag C.,2nd Pediatric Hospital | Popa G.,2nd Pediatric Hospital
Medical Ultrasonography | Year: 2011

In children abdominal masses usually arises from the kidney and urinary tract. The reasons for patient's presentation may be abdominal pain, palpable abdominal mass (usually discovered during the physical exam) and hematuria. Ultrasonography should be the first imaging investigation performed in children with an abdominal mass. It can be performed safely regardless of the clinical status of the patient, it is noninvasive and painless, requires no radiological contrast media and it is a relatively inexpensive. Ultrasonography is usually able to give an accurate localization of the lesion to a specific area or organ of the abdomen and provides good differentiation of solid from fluid or blood-filled masses. The purpose of this pictorial essay is to demonstrate the ultrasonographic features of the most frequently encountered reno-urinary masses in children. Source

Lung T.,Emergency County Hospital Cluj | Juncar M.,Emergency County Hospital Cluj
Chirurgia (Romania) | Year: 2013

Pleomorphic adenoma is one of the most frequent tumors that involve the parotid gland. The tumor constantly increases in dimension if not cured in due time and may become malignant. A case of a patient suffering from a carcinoma ex-pleomorphic adenoma that had a 20-yearevolution and reached impressive dimensions is presented. The tumor holds the second place worldwide among the largest carcinoma ex-pleomorphic adenoma in terms of size and the ninth place worldwide among the most voluminous parotid tumors ever surgically excised, as far as we know. Nevertheless, the regional invading character of the tumor in this particular case has been limited, without generating local lymph node invasion or metastases. Copyright © Celsius. Source

Bosca I.D.,Emergency County Hospital Cluj | Berar C.,Emergency County Hospital Cluj | Anton F.,Emergency County Hospital Cluj | Marincean A.-M.,Emergency County Hospital Cluj | And 3 more authors.
Pneumologia | Year: 2013

Aims: To determine the effect of Chlorhexidine (CHX) 0.5% oral decontamination on the incidence of colonization/infection of lower respiratory tract in critically ill mechanically ventilated patients. Methods: The study was conducted in the multidisciplinary ICU. 30 patients, mechanically ventilated for at least 48 hours, were included. The oral care was performed every 6 hours (6 h CHX group) or 12 hours (12 h CHX group). Tracheal samples were collected every day and the mucosal plaque score (MPS) was also assessed. Results: The MPS score averages were between 3.8 and 6 in the 6 hours CHX group and between 3.6 and 5 in the 12 hours CHX group. There was no positive association between MPS score and frequency of CHX decontamination (p= 0.898). For 60% of patients in 6 h CHX group and for 40% of patients in 12 h CHX group, colonization did not develop until leaving the study. No significant difference were found between groups with respect to frequency of colonization based on its time of onset (p= 0.523). There is a relationship between the isolation of MRSA and CHX oral decontamination at 12 hours (öc =0.392, p=0.032). Conclusions: In our preliminary study, no signifficant differences were found between 6 or 12 hour CHX oral decontamination with respect to MPS score and colonization. However, MRSA is vulnerable to 6 hours CHX decontamination. Larger sample size studies are required to determine the efficacy of CHX in the prevention of colonization or respiratory tract infections in mechanically ventilated patients. Source

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