5 research outputs found
Clinical aspects of selective grinding of the dental over-contacts in the prosthetic treament of the partial edentation
Rezumat.
Au fost selectaţi, examenaţi clinic şi paraclinic 132 pacienţi, cu vîrsta
cuprinsă între 34—58 ani, cu diferite forme clinice ale edentaţiei parţiale
în ocluzia ortognată. S-a constatat, că în evoluţia sa edentaţia parţială produce suprasolicitarea funcţională a dinţilor restanţi ulterior reflectată prin
apariţia supracontactelor dento-dentare. Obţinerea unui echilibru ocluzal
optimal în tratamentul protetic al acestei patologii necesită şlefuirea selectivă a supracontactelor dentare, cît şi individualizarea reliefului ocluzal a
lucrărilor protetice.Summary.
There were selected and examined clinically and paraclinically patiens
aged between and years, with different clinical forms of partial edentation
and with ortognatic occlusion.
It was found that in its evolution, partial edentation causes functional
overloading of the remaining teeth, reflected afterwards by the appearance
of the dento-dental over-contacts.
Achieving of an optimal occlusal balance in prosthetic treatment of this
pathology requires the selective grinding of the dental over-contacts, as well
as the individualization of the occlusal relief of the prosthetic works
Vezicare® (Solifenacin) efficiency in the treatment of urge urinary incontinence in women
Secţia Urologie, IMSP Spitalul Clinic Republican, Catedra Urologie şi Nefrologie Chirurgicală, USMF „N.Testemiţanu, Al V-lea Congres de Urologie, Dializă şi Transplant Renal din Republica Moldova cu participare internaţională (1-13 iunie 2011)Summary. The imperative incontinence of urine at women is one of the actual problems in modern uroginecology. Research objective is to define clinical efficiency of a medical product Solifenacin (Vezicare®) in conservative treatment of imperative incontinence of urine in women. The treatment full effect was observed in 12 patients (60 %), partial – at 8 patients (40 %), absence of effect from treatment has not been noted
Canephron drug in urinary lithiasis complex therapy
Catedra Urologie şi Nefrologie Chirurgicală, USMF „N. Testemiţanu”, Secţia Urologie IMSP Spitalul Clinic Republican, Al V-lea Congres de Urologie, Dializă şi Transplant Renal din Republica Moldova cu participare internaţională (1-13 iunie 2011)Summary. Conservative treatment of urinary lithiasis has a particular value in case of small, non-obstructive, uninfected reno-uretheral calculi, with short time persistence in the ureter, which are highly probable to be eliminated spontaneously. Herbal drugs play a special role in renal lithiasis treatment. This document refers to a study on a group of 237 patients with reno-ureteral lithiasis, treated in the Urology and Surgical Nephrology Clinic of SMPU „N. Testemitanu”, Republican Clinical Hospital within the period 2008 - 2009. The Canephron N drug effectiveness in the complex treatment of reno-ureteral lithiasis was assessed. The examination of these patients showed that the administration of the complex therapy with Canephron N in reno-ureteral lithiasis favors the spontaneous elimination of small calculi, significantly decreases the level of leucocyturia, especially associated with urinary infection and may be administered in prophylactic purpose in urinary lithiasis
Dynamics of exopancreatic indexes regarding the volume of radical operation in case of gastric cancer and the conservativ treatment
Catedra Hematologie şi Oncologie USMF „Nicolae Testemiţanu”
IMSP Institutul Oncologic, laboratorul gastropulmonologieIn our study we have included 11 patients with gastric cancer radicaly operated, who
manifested an acute pancreatitis in the postoperative period. The patients have been examined in
the aspect of changing the enzimatic indexes: α-amilase, lipase, C-reactive protein and pancreatic
amilase (P-amilase). The first group consisted of 4 patients with direct and large injury of
pancreas within the radical enlarged and combined operations, were treated with contrical and
sandostatin. The second group was formed of 7 patients, who ungergone radical enlarged
operations, were treated only with contrical, so being motivated the easier evolution of acute
postoperative pancreatitis, due to a minimal injury of pancreas.
The radical enlarged and combined operations in gastric cancer increase the period of
hyperfermentemia and increase the risk of severe evolution of acute postoperative pancreatitis.
Values of plasmatic amilase to grow up beginning from the operation day and during the first
two days after operation, but the period of hyper-α-amilazemia is longer in case of radical
enlarged and combined operations. Values of lipase grow too during the first days after
operations, despite the data from literature, but the period of hiperlipazemia is longer in cases of
radical enlarged and combined operations. C-reactive protein increases during the first
postoperative days and maintains until the moment when patients go home. In cases of radical
enlarged operations with minimal injury of pancreas, contrical is recommended to be
administered intraoperatively and during the first postoperative days it is enough for reglation of
exopancreatic disorders. In cases of radical enlarged and combined operation with large direct
injury of pancreas or parapancreatic tissue, the administration of sandostatine in the first days
after operations is recommended.
În studiul clinic am inclus 11 pacienți operați radical pe motiv de cancer gastric, care au
manifestat, în perioada postoperatorie, pancreatită acută. Bolnavii au fost investigați în aspectul
modificării indicilor enzimatici: α-amilaza, lipaza, proteina C-reactivă și amilaza pancreatică (Pamilaza).
Grupul I format din 4 pacienți cu traumatizarea mai profundă a pancreasului în cadrul
operațiilor lărgite (limfodisecţie D1 –D3) şi combinate, au fost tratați cu contrical și sandostatin.
Grupul II format din 7 pacienți, au suportat operații radicale lărgite, tratați doar cu contrical,
astfel fiind argumentată evoluția ușoară a PAPO, rezultată în urma unui traumatism minimal al
organului.
Operațiile radicale lărgite şi combinate pe motiv de cancer gastric majorează durata
hiperfermentemiei și crește riscul evoluției PAPO spre forme severe. Valorile amilazei
plazmatice cresc chiar din ziua operației și primele 2 zile ale perioadei postoperatorii, iar durata
hiper-α-amilazemiei este mai mare în cazul operațiilor radicale lărgite şi combinate. Valorile
lipazei sporesc la fel din primele zile după operație, spre deosebire de datele literaturii, iar durata
hiperlipazemiei este mai mare în cazul operațiilor radicale lărgite şi combinate. Proteina Creactivă
crește în primele 10 zile postoperator și se menține până la externare. În cadrul
operațiilor lărgite, unde traumatismul pancreasului este mai mic, contricalul administrat
intraoperator și în primele zile postoperatorii este suficient pentru reglarea disfuncției
exopancreasului. În cazul operațiilor radicale lărgite, în timpul cărora are loc un traumatism mai
masiv şi direct al pancreasului, sau a țesutului parapancreatic, este argumentată administrarea și a
sandostatinei, îndeosebi, din primele zile după operație