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Copyright of Medic.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Practica Veterinara.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal for Neurology & Psychiatry of Child & Adolescent in Romania is the property of Romanian Society of Child & Adolescent Neurology & Psychiatry and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Forest crops in greenhouses, nurseries, plantations, etc. are frequently affected by many harmful factors and the prevention or limitation of damage caused by these factors requires a correct and rapid diagnosis. However, correct diagnosis is a complicated process and Romanian literature in this field does not provide information on how to proceed so a correct diagnosis can be reached in the shortest possible time. This paper presents the steps of a systematic approach, designed to facilitate this process: obtaining the big picture or understanding the context, analyzing representative samples taken from the affected culture, detailed analysis of the damaged organs; analyzing and synthesizing the information obtained, respectively establishing the diagnosis. The general principles are supported by numerous examples from the author's experience or from the literature. To illustrate how to apply the systematic approach in diagnosing disorders, diseases or injuries caused by various factors, it is presented - as a case study - how the cause of sprouting failure in Norway spruce seedlings was determined for a greenhouse culture. Applying in this particular case the mentioned principles, information was gathered on the basis of which four of the hypotheses formulated in order to explain the mentioned phenomenon were invalidated. These hypotheses were: the seeds sown were of poor quality; seed germination did not occur due to water deficiency or excess; the seedlings did not sprout, being affected by the cold that occurred after sowing; seedlings did not sprout due to damage provoked by various organisms in the seedbed. All the information gathered confirmed the fifth hypothesis, namely the death of seeds in the process of germination due to the toxic effect of the substance used to disinfect the seedbed (Basamid, which incorporates as active substance dazomet). This is an eloquent example of the importance of knowing the context in which the phenomenon studied occurred. Without the information obtained at this stage of the investigation, a correct and relatively rapid diagnosis would not have been possible. [ABSTRACT FROM AUTHOR]

Copyright of Studia Universitatis Babes-Bolyai, Philologia is the property of Babes-Bolyai University, Cluj-Napoca, Romania and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Practica Veterinara.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Practica Veterinara.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Practica Veterinara.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Angiotensin converting enzyme (ACE) inhibitors represent a therapeutic class largely used in clinical practice for about 40 years and extensively studied globally. They are mainly recommended for treatment of hypertension and heart failure with reduced ejection fraction, but were also effective in patients with myocardial infarction, stroke and diabetes, proving significant reduction of cardiovascular morbidity and mortality. Besides their undeniable benefits, proven by clinical practice and epidemiological studies, the use of these drugs involves some side effects, the most common being persistent cough and recurrent angioedema. The mechanism of these side effects is the increase in plasma and pulmonary bradykinin levels, as consequence of blocking the angiotensin converting enzyme. ACE-induced cough occurs relatively frequently, usually within the first months of treatment, but sometimes later, leading to multiple investigations and different specialist consultations. ACE-induced angioedema has a lower frequency, is influenced by some individual factors and can occur at any time during the treatment with IECA, making difficult to confirm the diagnosis. The aim of our paper is to present the main current clinical aspects regarding the safety profile of ACE inhibitors, the peculiarities and difficulties of diagnosis, some individual risk factors and the main recommendations for therapeutic approach. [ABSTRACT FROM AUTHOR]

Copyright of Ginecologia.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Psihiatru.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper aims to address some aspects relating to the implications of certain personality dimensions for leadership. In this context, the psychosocial competences of the military leader and the dominant personality traits that influence the leadership style are presented. The profile created both descriptively and graphically, along with the qualitative interpretation of the results, provides the decision-maker, and especially the psychologist, with the opportunity to make a prognosis of the evolution of a leader having a particular leadership style, as well as recommendations to capitalise on his/her potential. [ABSTRACT FROM AUTHOR]

Hereditary spherocytosis is the most frequent type of chronic haemolytic anaemia, usually inherited in an autosomal dominant pattern. We present in this paper a case report of a child diagnosed with hereditary spherocytosis in the neonatal period. The diagnosis was made in the context of suggestive family history and typical presentation. The clinical course was outlined by numerous haemolytic crises which required repeated blood transfusions. [ABSTRACT FROM AUTHOR]

Miniimplant recently became a way of orthodontic treatment. Compared to the other implants, miniimplants are relatively small, allowing them to be placed between the dental roots in various areas of the jaws and serve as skeletal anchorage for orthodontic tooth movements. The use of miniimplants for orthodontic skeletal anchorage may be an predictable and accurate alternative without requiring patient compliance, compared with conventional versions of anchorage. The paper presents a series of clinical cases seen and treated within the dental office of S.C. RANDI SRL and in the Department of Orthodontics at New York University College of Dentistry. [ABSTRACT FROM AUTHOR]

Depression at elderly patients can involve many diagnosis problems so the aim of this paper is to evaluate the results of GDS applying as screening tools for this disorder at patients admitted in a geriatric department. Materials and methods. The study lot includes 199 elderly patients, 65 years old or more, with multiple pathology, random selectionated and who give their informed consent. We excluded patients who decline to participate, without studies, with severe sensorial trouble and severe neurological or rheumatic disorders that affect their communication or walking to the research office. Results. Only 6,5% of outpatients received an antidepressive drug but after discharge the 31,2% of subjects had a diagnosis of depression (after psychometric and clinical evaluation). Using GDS scale the sensitivity was 69,4% and the specificity 54,7%. The risk factors for depression was the age, sex (women are more vulnerable), lower educational level, the loss of spouse and from the pathology the anemia and impairment of kidney function. Depression is associated with decline of cognitive function at elderly patients because the mean of GDS was significantly higher at subgroups with cognitive impairment at MMSE and clock drawing test. Conclusion. The elderly patients' mood is an area that must be systematically evaluated together with the cognitive domain and these results must to be integrated in the individual clinical context for each patient. Applying screening scale as GDS is an useful instrument that can reduce the underdiagnosis of this pathology at elderly patients. [ABSTRACT FROM AUTHOR]

Copyright of Romanian Journal of Urology is the property of Romanian Journal of Urology and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Cardiovascular disease is a major health problem worldwide, as a result of the atherosclerotic process (ATS) that occurs in childhood. Certain types of hypercholesterolemia observed in children, such as familial hypercholesterolemia caused by an abnormality of the low density lipoprotein receptor gene, involve an increased risk of early ATS and premature cardiovascular complications. The aim of this paper is to present the practical aspects of running familial HC screening, as well as the principles and methods of diet and drug treatment. [ABSTRACT FROM AUTHOR]

Atrial fibrillation (AF) is the most common arrhythmia in patients with heart failure (HF); despite its negative hemodynamic consequences, the prognostic influence of AF in patients with HF remains controversial. Th e aims of the paper - To evaluate the atrial fibrillation prevalence in a population of patients hospitalized for heart failure with reduced ejection fraction (HFREF) who were in NYHA III and IV functional classes. To emphasize the clinical, epidemiological and treatment characteristics of patients with heart failure and reduced ejection fraction and AF and to compare them to those in sinus rhythm (SR); To evaluate the association between AF and general mortality in this group of patients. Materials and methods - It is a retrospective study that enrolled 882 consecutive hospitalized patients between 1.01.2004 and 31.10.2007 in the Cardiology I Department from "C.C. Iliescu" Institute of Emergency of Cardiovascular Diseases, having as main diagnosis HFREF in III and IV NYHA functional classes. Depending on the AF presence, the entire group has been divided in the subgroup with AF and in the subgroup with SR. Th e data analysis used descriptive statistics methods, Kaplan-Meier survival analysis, death rates comparison. Th e statistical significance of the p value threshold was below 0.05. Th e independent contribution of each of the associated factors with the out of hospital mortality when using the unvaried analysis was later appreciated through multivariate analysis using the regression model of the proportional risk (Cox). Th e mean follow-up period was approximately 30 months. Results - Th e AF was present in 31.5% of the patients at enrolment stage. Patients with HFREF were mostly men not only within the general group of patients (71.2% M vs 28.8% F), but also within the AF subgroup (77% M vs 23% F) and within SR subgroup respectively (68.5% M vs 31.5% F). Th e patients in AF, compared to those in SR, were older (65.6 years vs 62.8 years; p=0.002), had a higher percentage of alcohol consumers (15.1% vs 6.6%; p=0.002), had higher cardiac frequency (81.47 bpm vs 75.15 bpm; p<0.001), more dilated LA (55.04 mm vs 50.7 mm; p<0.001), higher levels of blood creatinine (1.85 mg/dl vs 1.20 mg/dl; p=0.004), the HF etiology was most frequent non-ischemic (62.9% vs 49.8%; p<0.001), and also had multiple co-morbidities. Th e general death rate of patients with HFREF at the end of the follow-up period was 41.5%. Th e specific death rate in patients with AF was significantly higher compared with those in SR (47.5% vs. 38.7%; p<0.05). Th e multivariate analysis emphasized the AF contribution to the increase of all-cause mortality (HR 1.257; 95% CI 1.012-1.560; p=0.03). In patients with left ventricle ejection fraction below 25%, the AF loses its function of prognostic independent factor for all-cause mortality. Conclusions - AF was proven to be an independent prognostic factor for the excess of mortality in patients with HF and moderate / severe systolic dysfunction. [ABSTRACT FROM AUTHOR]

The article deals with the diagnosis of acute chest pain, which is based primarily in family medicine on historical data, particulary important when these are typical for coronary heart disease. We present abnormal aspects of rest ECG, which are suggestive for myocardial ischemia. The importance of the exercise test for the diagnosis of coronary artery disease is outlined, also the indications, contraindications, and the results and utility of this investigation for the diagnosis and quantification of the severty of coronary heart disease. In the paper are presented two clinical cases. [ABSTRACT FROM AUTHOR]

The sinovial sarcoma is extremely rare; seven cases have been described in the literature of specialty. The majority of synovial sarcomas are localized in the right heart. Dispnoea, palpitations and syncopa are the major symptoms of the heart tumors. Th e echocardiography allows the detection of masses and of the pericardial liquid. The heart synovial sarcoma has a bad prognosis, in general, the medium survival being about 6 month. In this paper we will present a case of synovial heart sarcoma, localized in the left ventricle in which the echocardiography allowed the visualization of pericardial liquid and the cardiac masses. The pericardiocentesis shows the hemoragycal nature of pericardial liquid. Th e case presented, evolutes to death in 10 month from the surgery, the survival being above the medium survival described in literature, probably due to the low grade of the mitotic activity. [ABSTRACT FROM AUTHOR]

Pro domo: The originality of the present paper consists in the effort to define a presumptive psychological profile of the patients with structural biliary disorders (SBD). This attempt might prove useful as psychological interventions aiming this psychological profile may hopefully prevent or at least improve the outcome of SBD. Objective: Defining a psychological profile of the patients with SBD, as no references on this subject are to be found in literature. Method: The subjects have been patients with various diseases (including SBD). An approximately one-hour talk was conducted with each of them in order to identify their psychological features (PFs) (among 143 possible ones). There after we examined each PF in turn, with the aim of finding out if and to what degree is it associated with any among the various areas of pathology. Results: The PF most statistically significantly associated with SBD have been: „endures, bears (unacceptable situations)" and „desires/eager to work". PFs associated with SBD with a poorer statistical significance have been: „discontented", „suspicious, doesn't trust others", „irascible, choleric, impulsive", „desires/eager to make good (the best possible) use of his time", „punctual", „considers profession / job demanding / stressful". The PFs: „weeps at trifles", „difficulty in taking decisions" and „has intelectual pursuits" have had a marginally significant statistical association with SBD. Conclusions: A possible psychological profile of patients with SBD might have three main coordinates: 1. suspicion and discontent, sometimes leading to irascibility; 2. the desire to make good use of one's time, by working, but sometimes overdoing it; 3. difficulties in taking decisions. [ABSTRACT FROM AUTHOR]

The purpose of this paper is to highlight the important criteria in the diagnostic of minor forms of beta thalassemia. The study has been conducted on a number of 15 patients diagnosed with minor beta thalassemia at the Clinical Center for Diagnostic and Treatment and in a family clinic. The results have shown for each of the cases a significant drop in the values of mean corpuscular volume (VEM) (65,77±3,36 fl) and mean corpuscular hemoglobin (HEM) (20,69±1,2 pg), in contrast with the severity of the anaemia, all patients presenting light forms of anaemia (mean hemoglobin=11,55±1,05 g/dl). 40% of the patients had normal values of the mean corpuscular hemoglobin concentration and 46,6% of the patients had shown polyglobulie. All patients had raised values of Hb A2, this being the criteria to be included in the study. Most of the patients (53%) have undergone - previous to being diagnosed - treatments with iron. In conclusion, expressed hipocromia and microcitosis, unlike with the level of anaemia and the resistance to repeated treatment with iron, should draw our attention and make us analyse the possibility of the presence of a minor form of beta thalassemia. [ABSTRACT FROM AUTHOR]

Primary hyperparathyroidism is an uncommon disease, with late diagnosis due to insidious and various symptoms. Parathyroid adenoma is the most frequent cause of primary hyperparathyroidism. This paper presents the clinic of disease, the necessary exams to perform in order to obtain a positive diagnose also the case of young man with long evolution period prior to diagnosis and with severe complications at bones. Surgery represents the only valid option resulting complete healing. [ABSTRACT FROM AUTHOR]

The paper reviews present and principal aspects of type 1 diabetes mellitus in children. There are presented: epidemiology of type 1 diabetes mellitus, with important geographical variations that the magnitude of the problem, main etiopathogenical aspects (genetical, immunological, environmental), etiologic classification of diabetes according to ISPAD 2000 Guidelines with main disease mechanisms and clinical features in children. The authors also discuss laboratory diagnosis and complex therapy of diabetes, which lies on the therapeutic triad: insulin therapy with available products, diet and exercise along with pacient education and self-monitoring. There are also mentioned acute and chronic complications, autoimmune associated diseases, legal matters and prognosis of this disease with immune pathogenic features in focus. [ABSTRACT FROM AUTHOR]

Copyright of Paliatia: Journal of Palliative Care is the property of HOSPICE Casa Sperantei Foundation and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

For the diagnosis of HIV infection, current methods can be grouped into two categories: serological methods, identifying the immune response in antibodies, and methods that determine the presence and quantity of virus or viral products. In the category of virus detection tests and viral products, the quantitative determination of capsidar Agp24 antigen (p24 antigenemia) provides an attractive possibility as indirect marker of virions concentration. Conclusion. The present paper support that p24 Ag determination is an important technical solution in the diagnosis and surveillance of HIV / AIDS. [ABSTRACT FROM AUTHOR]

Purpose of the paper: Assessment of retinal fluorescein angiography role in the patients with diabetic retinopathy and implicitly, the role of this method in establishing the diagnosis and the optimal therapy for these patients. Methods: Prospective interventional non-comparative study. We performed fluorescein angiography in a group of patients with diabetic retinopathy in different stages of development. In all the studied patients, eye examinations were performed prior to fluorescein angiography examination, that included determination of visual acuity, biomicroscopy of the anterior and posterior pole and retinal photography. Results and discussions: Fluorescein angiography showed with certainty the stage of the diabetic retinopathy and macular leakage in the cases associating diabetic maculopathy. Retinal and/or papillary neovessels have been showed in the patients in whom fundus examination through biomicroscopy and retinal photography did not reveal these changes (fundus visibility was reduced by the presence of changes in the transparency of the lens and vitreous). In addition, this technique had a major contribution in establishing the type of maculopathy and its severity; so in many patients with a relatively good visual acuity (VA) and discrete clinical changes, infraclinical, extremely important lesions were highlighted. Conclusions: Fluorescein angiography is an essential examination for the proper monitoring of the diabetic patients, this investigation being particularly useful in the diagnosis and classification of diabetic macular edema, with the different therapeutic approach depending on the type of macular edema. [ABSTRACT FROM AUTHOR]

This paper aims to emphasize special clinical and diagnostic considerations of epidemic Kaposi sarcoma, starting from our experience, based on a retrospective study, including 25 patients with KS and HIV infection. The conclusions of the study were consistent with those of literature and revealed the presence of disseminated lesions, including visceral, occurring in patients with profoundly altered immune status, with aggressive evolution, sometimes accelerated by the associated pathology and death within a short period of time. [ABSTRACT FROM AUTHOR]

Copyright of Medic.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)