Institution
Clinical Emergency Hospital Bucharest
Healthcare•Bucharest, Romania•
About: Clinical Emergency Hospital Bucharest is a healthcare organization based out in Bucharest, Romania. It is known for research contribution in the topics: Population & Medicine. The organization has 381 authors who have published 276 publications receiving 2188 citations. The organization is also known as: Floreasca Hospital & Spitalul Floreasca.
Topics: Population, Medicine, Cancer, Type 2 diabetes, Cirrhosis
Papers published on a yearly basis
Papers
More filters
••
01 Jan 2020TL;DR: An interesting case of facial reconstruction after the excision of a giant basal cell carcinoma located in the orbitofrontal region, where the postoperative result was favorable, the 12 months assessment showing that the patient was satisfied with the aesthetic aspect is presented.
Abstract: Objective. The current paper presents an interesting case of facial reconstruction after the excision of a giant basal cell carcinoma located in the orbitofrontal region. Methods. Performing the excision while securing the appropriate oncologic safety margin has determined the appearance of a soft tissue defect that required a complex reconstruction using three regional flaps: frontal, temporal fascial and temporal muscle flaps. Results. After the excision and reconstruction in a single surgical stage, the postoperative result was favorable, the 12 months assessment showing that the patient was satisfied with the aesthetic aspect. Conclusion. Including the orbital exenterations in the excisional treatment of giant neoplasms located in the facial region requires a complex reconstructive plan. The surgical team has to consider the relief of the anatomical structures that are targeted, as well as the necessity of achieving satisfactory aesthetic results while ensuring oncological radicality.
4 citations
•
TL;DR: A 52-year-old woman with systemic sclerosis and CREST syndrome who was admitted in the authors' Department with multiple painful and disabling tumoral masses is described, with complete resection possible with an adequate reconstruction; the postoperative result being acceptable.
Abstract: Calcinosis consists of abnormal calcium deposition in soft tissues, which appears often in patients with limited systemic sclerosis, being one of the criteria of CREST (calcinosis cutis, Raynaud phenomenon, esophageal dysfunction, sclerodactyly, and telangiectasia) syndrome. With a long evolution, the aim of the treatment is to control the symptoms and prevent complications. In this article, we present the challenging management of a profuse lesion of calcinosis in a patient with systemic sclerosis. We describe the case of a 52-year-old woman with systemic sclerosis and CREST syndrome who was admitted in our Department with multiple painful and disabling tumoral masses, situated in nearly all joints. The interscapular vertebral tumoral mass was excised and the defect was closed. Histopathological examination revealed cutaneous calcinosis, probably associated with CREST syndrome, a type of scleroderma. Postoperative results were favorable and no local complications were encountered. Six months follow-up revealed no evidence of recurrence. Despite the size and the invasion of the tumor in the muscle, complete resection was possible with an adequate reconstruction; the postoperative result being acceptable. With a lower response to medication, surgical treatment is considered the only option for treating symptomatic lesions of calcinosis in order to improve quality of life.
4 citations
•
TL;DR: The ability to manage the altered thyroid homeostasis may represent a new stage of prevention at a population level for the reduction of the cardiac risk, a stage which implies a risk factor that may remain clinically mute for a long period of time if left undiagnosed, however influencing the development of the acute coronary syndromes.
Abstract: The subclinical modification of thyroid function represents an important risk factor for the development of acute coronary syndromes, neglected up to this day. Knowledge of the physiopathological processes implicated in the alteration of thyroid function that induces cardiovascular dysfunction is a necessity for the understanding of the phenomena and for the finding of the adequate therapeutic solutions. While recognizing the thyroid dysfunction as a modifiable risk factor for the acute coronary syndrome, we encountered a new challenge for the clinical research regarding its implications. The ability to manage the altered thyroid homeostasis may represent a new stage of prevention at a population level for the reduction of the cardiac risk, a stage which implies a risk factor that may remain clinically mute for a long period of time if left undiagnosed, however influencing the development of the acute coronary syndromes. Keywords : subclinical thyroid dysfunction, acute coronary syndrome, cardiac risk factor
4 citations
••
01 Dec 2018TL;DR: This review tries to present a nondissociative sedation classification, follow ing ASA guidelines as well as pre-procedural assessment and preparation, in order to choose the appropriate type and level of sedation, patient monitoring and agents.
Abstract: Abstract Sedation and analgesia may be needed for many interventional or diagnostic procedures, whose number has grown exponentially lately. The American Society of Anesthesiologists introduced the term “procedural sedation and analgesia” (PSA) and clarified the terminology, moderate sedation and Monitored Anesthesia Care. This review tries to present a nondissociative sedation classification, follow ing ASA guidelines as well as pre-procedural assessment and preparation, in order to choose the appropriate type and level of sedation, patient monitoring and agents, which are most commonly used for sedation and/or analgesia, along with their possible side effects. The paper also lists the possible complications associated with PSA and a few specific particularities of procedural sedation.
4 citations
•
TL;DR: A case of grade IV traumatic spleen rupture (AAST-OIS) and an Injury Severity Score of 21 and a Revised Trauma Score RTS=7.841 is presented, which was managed without surgery, but with proximal splenic angioembolization (SAE), with a positive outcome.
Abstract: The authors present a case of grade IV traumatic spleen rupture (AAST-OIS) and an Injury Severity Score of 21 and a Revised Trauma Score RTS=7.841, which was managed without surgery, but with proximal splenic angioembolization (SAE), with a positive outcome. Indications, types and side-effects of SAE are also discussed with regard to blunt spleen trauma and the benefits of SAE as non-operative treatment approach. It is the first case of a grade IV splenic laceration non-operatively managed to be published in Romania.
4 citations
Authors
Showing all 397 results
Name | H-index | Papers | Citations |
---|---|---|---|
Bogdan A. Popescu | 65 | 284 | 69502 |
Ionut Negoi | 43 | 168 | 29046 |
Mihaela Hostiuc | 21 | 45 | 11644 |
Maria Dorobantu | 15 | 57 | 634 |
Camelia Cristina Diaconu | 15 | 185 | 990 |
Ioan Lascar | 14 | 83 | 484 |
Razvan Multescu | 13 | 68 | 674 |
Daniela Bartos | 12 | 57 | 1755 |
Cristian Balalau | 12 | 86 | 405 |
Bogdan Socea | 11 | 138 | 557 |
Gelu Onose | 11 | 61 | 706 |
Valentin Titus Grigorean | 10 | 40 | 467 |
Elisabeta Badila | 10 | 38 | 432 |
Octav Ginghina | 10 | 27 | 252 |
O. Tautu | 9 | 13 | 3109 |