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Cluj-Napoca, Romania

Coman H.,II Surgical Clinic Cluj Napoca | Andercou A.,II Surgical Clinic Cluj Napoca | Popa C.,UMF | Nagy A.,USAMV
Annals of the Romanian Society for Cell Biology | Year: 2012

The restoration of the bile circulation in obstructive jaundice is a problem for today's surgery, even though there are many ways of doing it. Besides the bilio-digestive anastomosis (BDA), that are so frequently used, a less experimented and used technique is the using of a vascular graft as a mean to establish the communication between the bile ducts and the small intestine. To obtain an OJ and to perform a biliary-digestive bypass (BDB) as an alternative to the classical BDA, using a 4 mm Gore-Tex vascular graft. We studied 15 rabbits, randomly divided in 3 groups: A, B, C. We imagined 5 phases(F1-F5): F1-the determination of white, red and platelets blood cells, serum bilirubin, alkaline phosphatase, gamma GT, ASAT, ALAT, serum amylase, urea, creatinine and glucose.; ligation of distal bile duct. F2-7 days from F1-blood samples for the same determinations; performing the by-pass using 4mm Gore-Tex vascular graft; liver biopsy. F3, F4, F5 at 14, 21 and 28 days from F1-blood samples for the same determinations; liver biopsy at 21 days. We obtained distal bile duct dilatation and increasing of the blood parameters investigated; at 7 days after the bile-duct ligation we performed the bypass between the hepatic duct and jejunum and between distal bile duct and duodenum; at 21-28 days the blood parameters were between normal values. The liver's microscopic pathological aspect was of bile stasis and showed a minimal improvement after 21 days. The performing of the bypass reestablishes the bile flow and thus the improvement of the blood parameters.

Ciocoiu M.S.,UMF | Cojocaru M.,Ovidius University | Ciocoiu S.V.,Occupational health specialty Science Oil Terminal S.A
Romanian Biotechnological Letters | Year: 2010

It has been performed a study concerning the stress factors of the magistrates, in order to be informed on their contribution over the health risks. It was studied a sample of 176 people, representative for the magistrates in Constanta County, including 92 judges and 84 prosecutors, 70 men and 106 women, with ages between 20-60 years old and seniority in magistracy work of 1-25 years. The method consisted in visiting their workplaces, conversations with magistrates and the application of a questionnaire containing 77 potential stress factors, classified in 5 categories from which 56 were declared as stressing. All the magistrates mentioned the existence of certain stressors relating to their work. In different proportions were mentioned various physical-chemical factors, relating to the organizational structure and the professional climate, of the magistrate's role in the professional activity and individual factors relating to the interaction between the professional and the socio-family environments. There were analyzed the types and the frequency of stressors in each category and the ways of preventing and fighting against them. © 2010 University of Bucharest.

Ciocoiu M.S.,UMF | Cojocaru M.,Ovidius University | Ciocoiu S.V.,Occupational health specialty Science Oil Terminal S.A
Romanian Biotechnological Letters | Year: 2010

A survey has been performed focusing on stress related manifestations regarding magistrates for the purpose of knowing the reactions and their consequences over the state of health. In the survey a sample of 176 magistrates has been taken, representative for Constanţa County, out of whom 92 judges and 84 prosecutors, 70 men and 106 women, with ages ranging between 20-60 years and a length of service in magistracy between 1-25 years. As a supplement to a previous survey by which stress factors regarding magistrates have been evaluated, a questionnaire validated by a pre-test has been used, comprising 126 manifestations that may be related to stress, classified into 6 categories regarding: personality, conduct, cognitive area, physiological and physio-pathological reactions, the state of health and work capacity. The most frequent have proven to be the manifestations in the field of personality, conduct and state of health. The categories, types o manifestations and their relation to various factors, useful for the orientation of occupational health actions and of labor medicine services have been analyzed. © 2010 University of Bucharest.

AbstractIntroduction Iron administered in anemia and chronic kidney disease (CKD) an estimated 500-600 mg/month, the determination of iron kinetics (CH), transferrin saturation index (IST) and ferritin are necessary. Objetive Evaluate adherence to guidelines for use of iron in anemia and CKD in hemodialysis (HD). Methods A total of 117 patients with CKD, HD and iron supplementation: Group A, 2 HD session, Group B 3 sessions HD. CH, IST, ferritin, Hb, reticulocyte and PFH were determined. Results Men: 58%, age 37 + 16 SD, Hb 118 c/dl and reticulocyte 0,9%. Doses of 200 mg/week/3 iron years. Group A: IST 100%; Group B: 90%. Both greater IST, transferrin group to 122 mg/dl; group B 137 mg/dl. Normal PFH. Conclusion Iron not be calculated, monitored or supervised in the medium term. And not attached to recommended guidelines. © 2013 SEDYT.

Tiotiu A.,Nancy University Hospital Center | Mairesse O.,Vrije Universiteit Brussel | Hoffmann G.,Sleep Unit | Todea D.,UMF | Noseda A.,C.H.U. Brugmann
Pneumologia | Year: 2011

Background: Until now, studies about body position and nocturnal breathing abnormalities have been restricted to comparing supine versus lateral positions. Objectives: In this retrospective study, we systematically evaluated the effect of body position on nocturnal breathing in 105 patients with a sleep apnea hypopnea syndrome (SAHS). Methods: All the patients had an apnea hypopnea index > 10/h, as judged from polysomnography performed in the sleep laboratory. A thoracic sensor allowed to detect nine distinct body positions: supine (S), supine right (SR), right (R), prone right (PR), prone (P), prone left (PL), left (L), supine left (SL) and sitting upward (UP). Respiratory variables (number of obstructive, central and mixed apneas, of hypopneas and of desaturations, all expressed as an index per hour of total sleep time) were evaluated versus the body positions, using the non-parametric Kruskal-Wallis H method. Pairwise comparisons were performed using Mann-Whitney U tests. Results: Most of the total sleep time (45%) was spent supine. A significant effect of body position was found for all the respiratory variables. Breathing was better in the intermediate SR and SL positions than S, and also better in PR and PL positions than, respectively, R and L. All the respiratory variables gradually improved when gradualling moving from the S to the P position. Conclusions: A nine position sensor, able to define intermediate positions in addition to the basic cardinal positions, is useful in the sleep laboratory. Using such a sensor, we found in SAHS patients that nocturnal breathing improves as a continuum from the S to the P position.

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