Revista medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti din Iaş̧i
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Rev Med Chir Soc Med Nat Iasi · Oct 2006
Comparative Study[Soliciting a model of a child emergency care unit in road accidents in the year 2005].
This paper describes the specific model of burden due to child road traffic injuries upon the emergency care unit from a university paediatric hospital during 2005 year. A total number of 193 road trauma cases required emergency care to this hospital. Distribution by seasons pointed out the highest number in summer (31.1%) and comparing the observed repartition by seasons with an expected symmetrical repartition there have been obtained significant differences between seasons (p < 0.02). ⋯ The leading non-fatal injuries requiring emergency care as a result of road traffic collisions have been: multiple trauma--166, intracranial injury--128, fractured lower limbs--31, fractured upper limbs--20 cases. Approximately one third of these cases required admission in hospital for complex care, one third have been referred to another hospital (neurosurgery and maxillo-facial clinic) and one third have been discharged after 24 hours of hospitalized monitoring. In conclusion, more road traffic injuries arrived in the emergency care unit of the studied university paediatric hospital during summer without a specific distribution by weekdays, but with a higher probability of being a boy aged 5-9 years, presenting multiple trauma especially intracranial injury and requiring specialised hospital care.
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Mechanical ventilation, a life saving procedure in ARDS aims to optimally ventilate the patient and to avoid at the same time the ventilator induced lung injury (VILI). In ARDS the lung contains a variable portion of collapsed alveoli witch impair the normal oxygenation. ⋯ Multiple recruiting maneuvers are reported in the literature but there is no consensus regarding the optimal one(s), as each maneuver is only partially efficient and has several down falls. While in animal studies theses maneuvers have proved their efficiency and safety, there are not enough humans studies to guide the decision on how, when and which technique should be used.
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Rev Med Chir Soc Med Nat Iasi · Oct 2006
Case Reports[Prenatal diagnostic of congenital unilateral hydronephrosis with megaureter--a case presentation].
Unilateral mild hydronephrosis with ureteral dilatation is a condition that can be detected by careful prenatal ultrasound examination. We present such a case, in a 26 year pregnant woman with hereditary antecedents (mother with Ombredan disease). The fetal ultrasound at 34 weeks indicated a left anechogenic sinuous image, identified as dilated ureter, and connected to a grade 2 hydronephrotic kidney. ⋯ After birth, reassessment was favourable, and at 1 year follow-up the child was in good condition, and the kidney functional. We conclude that this case is a unilateral congenital megaureter, of probably obstructive origins, with a mild hydronephrosis. A good outcome was suggested by the late diagnostic, unilateral condition, and normal fetal ultrasound description regarding morphology, biometry and amniotic fluid.