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