7 research outputs found
An Approach to Improve Romanian Geological Repository Planning
International standards recommend typical phases to be included within any national program for the development of a geological repository dedicated to disposal of the high level radioactive wastes generated in countries using nuclear power. However, these are not universally applicable and the content of each of these phases may need to be adapted for each national situation and regulatory and institutional framework. Several national geological repository programs have faced failures in schedules and have revised their programs to consider an adapted phased management approach. The authors have observed that in the case of those countries in the early phases of a geological repository program where boundary conditions have not been fully defined, international recommendations for handling delays/failures in the national program might not immediately help. This paper considers a case study of the influences of the national context risks on the current planning schedule of the Romanian national geological repository. It proposes an optimum solution for an integrated response to any significant adverse impact arising from these risks, enabling sustainable program planning
Autologous Fat Grafting for Craniofacial Reconstruction in Oncologic Patients
Due to the anatomical and functional complexity of the region, craniofacial tumor removal requires some of the most challenging surgical approaches, often complemented with advanced chemo-radiotherapy techniques. However, these modern therapies often lead to sequelae that can drastically reduce the quality of life for the surviving patients. Recent advances in the field of regenerative medicine opened new avenues for craniofacial reconstruction following head and neck cancer treatment. One of the most promising recent strategies relies on the use of autologous fat transplant. In this mini review, we briefly present some of the fat’s biological properties that make it an ideal tissue for craniofacial reconstruction following cancer treatment. We then outline the recent advances that led to a better understanding of the detailed anatomy of the craniofacial fat depots. Furthermore, we provide a succinct review of the methods used for fat harvesting, processing and engrafting in the craniofacial area after head and neck tumor removal, discussing their main applications, advantages and limitations
Incidence of polytraumatized patients died with traumatism associated with long tubular bone fractures
Catedra de urgenţe medicale, Universitatea de Stat de Medicină şi Farmacie
„Nicolae Testemitanu”, Chişinău, Republica Moldova,
Catedra de morfopatologie, Universitatea de Stat de Medicină şi Farmacie
„Nicolae Testemiţanu”, Chişinău, Republica Moldova,
Catedra de medicină legală, Universitatea de Stat de Medicină şi Farmacie
„Nicolae Testemiţanu”, Chişinău, Republica Moldova,
Catedra de histologie, citologie şi embriologie, Universitatea de Stat de
Medicină şi Farmacie „Nicolae Testemiţanu”, Chişinău, Republica Moldova,
Secţia de morfopatologie, Institutul de Medicină Urgentă, Chişinău, Republica
Moldova, IMSP Asociaţia Teritorială RâşcaniIntroducere. Politraumatismele reprezintă aproximativ
16% din totalul traumatismelor și sunt grevate de o mortalitate
încă ridicată (15-50%), fiind principala cauză de deces la
populaţia sub 40 ani și a treia cauză de deces la toate vârstele.
Material și metode. Studiul retrospectiv derulat pe analiza
fiselor medicale in perioada 2010-2020 a pacienţilor politraumatizaţi
trataţi în secţiile de Traumatologie si Ortopedie
al Institutului de Medicină de Urgenţă (IMU). S-a realizat analiza
structurală, evolutivă și chirurgicală retrospectivă a pacienţilor
grav traumatizaţi cu dominanta leziunilor aparatului
locomotor.
Rezultate. Pe parcursul a 10 ani au fost analizate retrospectiv
148 fișe medicale și acte ale expertizei legale a decedatilor
politraumatizati trataţi în secţiile specializate ale IMU. Au fost
monitorizati 27 bolnavi politraumatizati spitalizaţi repetat în
secţiile de ortopedie și traumatologie pentru asistenţă chirurgicală
(îndepartarea materialului de sinteză). Evaluarea și
tratamentul chirurgical al pacienţilor politraumatizaţi pe parcursul
anilor a determinat un final satisfăcător la 18 pacienţi.
Din numărul total de pacienţi politraumatizaţi, din Centrele
Raionale ale RM au fost transferaţi prin intermediul serviciului
AviaSan 24 persoane, care au constituit 29,2%.
Concluzii. Tratamentul politraumatismelor cu dominanta
locomotorului necesită o evaluare strictă cu determinarea
traumatismelor asociate, aprecierea gravităţii traumatizatului
conform scalelor de evaluare. Intervenţiile chirurgicale au fost
efectuate după principiile osteosintezei stabile.Introduction. Polytraumas represent approximately 16%
of all traumas and are burdened by a still high mortality (15-
50%), being the main cause of death in the population under
40 years and the third cause of death at all ages.
Material and methods. Retrospective study carried out
on the analysis of medical records in the period 2010-2020
of polytraumatized patients treated in the Traumatology and
Orthopedics departments of Institute of Emergency Medicine
(IEM).
Results. During 10 years, 148 medical files and documents
of the legal expertise of the polytraumatized deceased
treated in the specialized sections of IMSP IMU were analyzed
retrospectively. 27 polytraumatized patients hospitalized repeatedly
in the orthopedics and traumatology departments
for surgical care (removal of synthetic material) were monitored.
The evaluation and surgical treatment of patients with
polytrauma over the years led to a satisfactory outcome in 18
patients. Out of the total number of polytraumatized patients,
24 people were transferred from the District Centers of the
Republic of Moldova through the AviaSan service, which constituted
29.2%.
Conclusions. The treatment of polytraumas with dominance
of the locomotor requires a strict evaluation with the
determination of the associated traumas, the assessment of
the severity according to the evaluation scales. The surgeries
were performed according to the principles of stable osteosynthesis