4 research outputs found
Changes occured in the psychological behavior in children with a surgically corrected congenital heart disease
University of Medicine and Pharmacy Targu Mures, Romania, The 6th International Medical Congress for Students and Young Doctors, May 12-14, 2016Introduction: Congenital heart disease is a malformation of the heart, aorta or other large blood
vessels, thatis the most frequent form of major birth defect in newborns.The objective of the study is to
analyze the psychological changes that occur in patients after corrective surgery for congenital heart
disease and the relation between the type of congenital heart disease and the psychological symptoms.
Material and Metods: This is a retrospective study on a number of 43 patients admitted in the
section Pediatric Cardiology III of Institute of Cardiovascular Disease and Transplant Targu Mures,
between 01.01.2008-31.12.2015, diagnosed with congenital heart disease who undergo surgery and
psychological evaluation.
Discussion results: 86% of the studied patiens had complex congenital heart disease and only
14% presented simple congenital heart disease.67% of them are males, 33% females and 60% were from
an urban background and 40% from a rural background.In 88% of the patients occured changes in their
psychological behavior and the results show a correlation between emotional lability, hipersensitivity
and female genders.No correlation were found between the type of the congenital heart disease the the
psychologial symptoms.
Conclusion: The type of the congenital heart disease has no effect on the psychological
symptoms that occur in patients after corrective surgery for congenital heart disease
A rare case of multiple myeloma in a patient with an unresponsive to chemo-and radiotherapy frontoparietal gygantic plasmacytoma
University of Medicine and Pharmacy, Targu Mures, Romania, The 6th International Medical Congress for Students and Young Doctors, May 12-14, 2016Introduction: Multiple myeloma is a cancer of plasma cells, a type of white blood cell normally
responsible for producing antibodies.
In multiple myeloma, collections of abnormal plasma cells accumulate in the bone marrow,
where they interfere with the production of normal blood cells. Most cases of multiple myeloma also
feature the production of a paraprotein - an abnormal antibody which can cause bone lesions
and hypercalcemia. Plasmacytoma refers to a tumour consisting of abnormal plasma cells that grows
within the soft tissue or bony skeleton in the context of multiple myeloma disease.
Objective: We will present the case of a 56 years old female patient admitted in the Medical Clinic I -
Department of Hematology of Targu Mures, suffering from a rare hematological cancer - multiple
myeloma of which onset was the appearance of a solitary extramedullary gigantic frontoparietal
plasmacytoma which also did not responded at all to chemo-and radiotherapy treatment still increasing
its size.
Clinical case: We monitored the patient over a period of 13 months and we will display the
evolution chronologically.Conclusions: Usually radiotherapy provides excellent local and regional control of
plasmacytomas, but in our case it had no positive effect. The patient is having an evolution which leads
to an continue worsening without obtaining remission, therefore the long-term prognosis is reserved
while the medium one is favorable
Acromioclavicular disjunctions: surgical treatment options
University of Medicine and Pharmacy, Targu Mures, Romania, The 6th International Medical Congress for Students and Young Doctors, May 12-14, 2016Introduction: Acromioclavicular disjunctions occur most commonly in active or athletic young
adults and it is one of the most common shoulder problem, accounting 9% of all shoulder injuries. The
aim of our paper is to present several surgical techniques.
Material and methods: We conducted a retrospective analysis of the cases of acromioclvicular
disjunction from the orthopedic department. It was found that from a total of 42 cases, 15 had surgical
indication and the rest were either treated conservatively or refused treatment.
Discussion: The two most used surgical techniques were Weaver - Dunn and Dewar –
Barrington. Weaver - Dunn is a technique whereby the coracoid tip is fixed to the collarbone with a
screw. Dewar - Barrington is a technique that consists in transferring the end coracoacromial external
ligament of clavicle.
Conclusion: Treatment of acromioclavicular disjunctions has been a subject of debate. In
general, surgical management should be offered acutely only to those who require high-level upper
extremity function and late to those with significant shoulder pain and/or dysfunction refractory to
nonoperative treatment. The orthopedic surgeon has the freedom to choose from a variety of tehniques