MINISTRY OF HEALTH

NATIONAL PUBLIC HEALTH INSTITUTE

Regional Public Health Centre Sibiu

LUCIAN BLAGA UNIVERSITY OF

SIBIU
VICTOR PAPILIAN
FACULTY OF MEDICINE

COLLEGE OF PHYSICIANS OF THE

COUNTY OF SIBIU

PUBLIC HEALTH AND MANAGEMENT

CLINICAL ASPECTS
ESSAYS

ACTA MEDICA TRANSILVANICA ISSN-1453-1968

The journal is registered in the Nomenclature of the Medical Journals

accredited by the ROMANIAN COLLEGE OF PHYSICIANS, indexed in the
international databases INDEX COPERNICUS, EBSCOhost, ULRICHS,
OPEN J-GATE, DIRECTORY OF RESEARCH JOURNAL INDEXING
(DRJI), DIRECTORY OF OPEN ACCESS JOURNALS (DOAJ),
GENAMICS
Classified by the National Council for Scientific Research in Higher
Education (CNCSIS) in the B+ category between 2010 and 2011

ACTA MEDICA TRANSILVANICA

FOUNDED IN 1996 BY PROFESSOR DR LIVIU VULCU

Editor-in-Chief:
Professor Dr Carmen Domnariu
Lucian Blaga University of Sibiu
Director of the Regional Public Health Centre of Sibiu

Scientific Board:
Petru Armean, Bucureti, Romania
Dorin Bardac, Sibiu, Romania
Minerva Boitan, Sibiu, Romania
Cristina Maria Borzan, Cluj-Napoca, Romania
Adela Cojan, Sibiu, Romania
Doncho Donev, Skopje, Macedonia
tefan I. Drgulescu, Timioara, Romania
Sorin Leucua, Cluj-Napoca, Romania
Lorant Kiss, Sibiu, Romnia
Ioan Maniiu, Sibiu, Romania
Dusanka Micetic-Turc, Maribor, Slovenia
Manuela Mihalache, Sibiu, Romania
Cosmin Mihalache, Sibiu, Romania
Dana Galieta Minc, Bucureti, Romania
Mircea Miaru, Sibiu, Romania
Peter Nawroth, Heidelberg, Germany
Mihai Leonida Neamu, Sibiu, Romania
Constantin Oprean, Sibiu, Romania
Sorin Tudor Pop, Trgu-Mure, Romania
Paul J. Porr, Sibiu, Romania
Elena Maria Planelles des Pozo, Granada, Spain
Adrian Restian, Bucureti, Romania
Liliana Rogozea, Braov, Romania
Enver Roshi, Tirana, Albania
Dan Sabu, Sibiu, Romania
Arvydas Seskevicius, Kaunas, Lithuania
Ronald Smetana, Vienna, Austria
Adriana Stnil, Sibiu, Romania
Elisaveta Jasna Stikova, Skopje, Macedonia
Adrian Stretean, Sibiu, Romania
Elzbieta Walewska, Cracovia, Poland
Linguistic/Reviser Expert/Secretary Editor: tefania Duca
Secretary Editor: Lidia Iuliana Bugle

TABLE OF CONTENTS
PUBLIC HEALTH AND MANAGEMENT
1.

MORBIDITY
ASSESSMENT
THROUGH
EPIDEMIOLOGICAL
TRIAGE
IN
THE
CHILDREN OF SIBIU COUNTY
Carmen Daniela Domnariu........1
2. THE DEMOGRAPHIC FUTURE TREND AND
THE SUSTAINABILITY OF SOCIAL HEALTH
INSURANCE SYSTEM IN ROMANIA
Eugenia Claudia Bratu, Dana Galieta Minc, Jose Ramon
Repullo Labrador, Florentina Ligia Furtunescu, Radu
Virgil Costea......................................................................4
3. LEGAL ELEMENTS OF CONTINUITY OF
THE MEDICAL AND SOCIAL SERVICES FOR
THE ELDERLY POPULATION
Antoaneta Drgoescu, Dana Galieta Minc, Gheorghe
Peltecu ..................................7
4. HEALTH PROFESSIONALS MOBILITY AND
ITS IMPACT ON POPULATIONS HEALTH
STATUS
Violeta Frncu.......9
5. ROLE OF SMOKING IN
CERVICAL
ONCOGENESIS
Georgeta Gnflean .12
6. THE 1938 SANITARY CAMPAIGN IN BRAOV
COUNTY
Florin Leau, Oana Andreescu, Daniela Drugu, Liliana
Rogozea...............................................................15
7. INTERACTIVE INFORMED CONSENT IN
CLINICAL RESEARCH: DEVELOPING A
MULTIMEDIA EDUCATIONAL TOOL
Daniel Purcaru, Florin Leau, Ioana Nicolae, Anca
Purcaru, Liliana Rogozea ...18

CLINICAL ASPECTS
1.

THE FACTORS UNDERLYING ACQUIRED

APLASTIC ANAEMIA
Cosmina-Ioana Gavrilu (Tomescu), Laura Urian,
Ljubomir
Petrov...............................................................23
2. ASTHMA:
AN
IMMUNOLOGICAL
PERSPECTIVE
Ioana Mtcu-Bogdan, Mihai-Leonida Neamu ..26
3. PSYCHOSOCIAL
FACTORS
IN
THE
PREVENTION
AND
RECOVERY
OF
CARDIOVASCULAR DISEASES
Paul-Nicolae Suceveanu, Ioan Maniiu, Mihaela-Carmen
Suceveanu, Cristina Mihaela Chircu.......................29
4. THE IMPORTANCE OF BIOMARKERS IN
THE MANAGEMENT OF PATIENTS WITH
HEART
FAILURE
AND
PRESERVED
EJECTION FRACTION
Cristina Mihaela Chircu, Ioan Maniiu, Minodora
Teodoru, Nicoleta Cluiu, Paul Nicolae Suceveanu..34
5. MEDICAL CONSIDERATIONS REGARDING
HEART FAILURE
Tim Sandle, Gellert Attila Gyurka, Antonella Chec....39
6. NEWS IN NEUROMYELITIS OPTICA
Marcel Pereanu............................................................42

7.

POSTPARTUM POSTERIOR REVERSIBLE

ENCEPHALOPATHY SYNDROME (PRES)
Corina Roman-Filip, Liiana Prodan .......44
8. NEUROLOGICAL
COMPLICATIONS
IN
PATIENTS
WITH
MULTIPLE
SEPTIC
DETERMINATIONS - CASE REPORT
Cristina Plea, Carmen Srbu, Cristian Plea, Magdalena
Diaconu, Monica nu ..46
9. SPATIAL MEMORY FUNCTIONING AND
NEGATIVE SYMPTOMS IN SCHIZOPHRENIA
Camelia Deac, Codrua Alina Popescu, Sebastian Mihai
Armean,
Rodica
Macrea,
Ioana
Valentina
Micluia....4
9
10. A CASE OF YERSINIA ENTEROCOLITICA
DIVERTICULITIS
MIMICKING
INFLAMMATORY BOWEL DISEASE: THE
IMPORTANCE
OF
DIFFERENTIAL
DIAGNOSIS
Ana-Maria Boianu, Petre Boianu .................52
11. DEMOGRAPHIC
DATA
CONCERNING
SPINAL CORD INJURY INCIDENCE THAT
ARE UNDERTAKING TREATMENT AT THE
MEDICAL REHABILITATION HOSPITAL
BILE FELIX
Alina Carmen Matica, Felicia Cioar, Carmen Nistor
Cseppento, Liviu Lazr ..55
12. ADULT OSTEOPETROSIS CASE REPORT
Cosmina Diaconu, Cristinel Gabriel Diaconu, Florina
Ligia Popa ...58
13. CORRELATIONS OF THE FUNCTIONAL
DEFICIT, OF THE PAIN, OF THE QUALITY
OF
LIFE
WITH
PSYCHO-AFFECTIVE
DISORDERS SEEN IN PATIENTS WITH
SPINAL CORD INJURY (SCI)
Alina Carmen Matica, Felicia Cioar, Carmen Nistor
Cseppento, Liviu Lazr ..60
14. CHRONIC
KIDNEY
DISEASE
AND
OXIDATIVE STRESS
Carmen Beatrice Dogaru, Carmen Du .............64
15. IRON THERAPY FOR CHRONIC RENAL
DISEASE:
ADVANTAGES
AND
DISADVANTAGES
Carmen Beatrice Dogaru, Carmen Du .67
16. TRANSIENT APLASTIC CRISIS IN THE
EVOLUTION OF ACUTE PARVOVIRUS B19
INFECTION IN A PATIENT WITH IRONDEFICIENCY ANEMIA: A CASE REPORT
Victoria Brluiu, Rare Mircea Brluiu .................70
17. UPDATES ON ADJUVANT TREATMENT OF
CHRONIC LEG ULCERS USING OXYGEN
THERAPY
Maria Rotaru, Alina Bereanu, tefan Beckert.72
18. PSORIASIS AND ASSOCIATED CARDIOMETABOLIC COMORBIDITIES
Maria Rotaru .......76
19. AURICULAR RECONSTRUCTION USING
EXPANDER FOLLOWED BY MEDPOR

TABLE OF CONTENTS
IMPLANT
IN
POST-TRAUMATIC
AMPUTATIONS
Khalid Al-Falah, erban Arghir Popescu, Mihaela
Corla........80
20. SURGICAL PRACTICE AND RISK FACTORS
IN THE TREATMENT OF PATIENTS WITH
BENIGN THYROID DISEASES
Lorant Kiss, Mihai Faur, Roland Kiss ............83
21. DUCTAL ADENOCARCINOMA OF THE
PROSTATE:
CASE
REPORT
AND
DIFFERENTIAL
DIAGNOSTIC
CONSIDERATIONS
Manuela Enciu 87
22. DAMAGE
CONTROL
SURGERY
FOR
FEMORAL FRACTURES IN POLYTRAUMA
PATIENTS
Olivera Lupescu, Gheorghe Ion Popescu, Mihail Nagea,
Paul Niculescu, Doriana Lupescu, Dan Sucoveschi,
Alexandru Dimitriu.........................................................90
23. COMPARATIVE STUDY REGARDING THE
EFFECTIVENESS OF KINESIOTHERAPY IN
THE
TREATMENT
OF
KNEE
OSTEOARTHRITIS
Margit Hidi, Istvn Gergely, Sndor Zuh, Tudor Sorin
Pop.......................................................................94
24. DECOMPRESSION TREATMENT OF ARM
LYMPHEDEMA IN PATIENTS WITH BREAST
CANCER DEPENDING ON THE DOMINANCE
OF THE AFFECTED ARM
Liliana-Antoaneta Viu, Mihai Popescu, Valentin Titus
Grigorean,
Oana
Ilona
David,
Alexandru
Blidaru.............................................................................97
25. BILATERAL OSTEONECROSIS OF THE
HUMERAL HEAD AND FEMORAL HEAD A
CASE REPORT
Florin Marinescu, David Dmboiu .......100
26. POSTOPERATIVE PULMONARY INFECTION.
PECULIARITIES
IN
PATIENTS
UNDERGOING
MAJOR
ABDOMINAL
SURGERY
Silvius Negoi, Corina Soare, Mihai Popescu, Dan
Corneci .102
27. THE
LEVEL
OF
MATRIX
METALLOPROTEINASE-8
IN
THE
GINGIVAL
CREVICULAR
FLUID

DIAGNOSTIC
AND
PROGNOSTIC
IMPLICATIONS IN PERIODONTAL DISEASE
Lia Maria Yero Eremie, Luminia Lazr, Eld Ern Nagy
...................................104
28. SYSTEMIC ANTIMICROBIAL THERAPY AS
AN ADJUNCT TO SCALING AND ROOT
PLANING
Luminia Lazr, Eugen Bud, Ana Petra Lazr, Adriana
Ciurb, Lia Maria Yero Eremie.....................................107
29. CLINICAL AND STATISTICAL ANALYSIS ON
GINGIVAL
INTEGRATION
OF
ORAL
IMPLANTS

Mihaela Niescu, Dana Cristina Bodnar, Ileana Ionescu,

Radu Costea, Gabriela Tnase, Ion Alexandru Popovici,
Traian Bodnar, Anca Temelcea 110
30. MODERN TECHNIQUES OF OBTAINING
INDIRECT RESTORATIONS
Adrian Buc, Anca Fril.............................................113
31. GOLDEN
PROPORTION
USED
IN
SELECTION AND ARRANGEMENT OF
ARTIFICIAL
TEETH
IN
COMPLETE
DENTURES - CASE REPORT
Viorel tefan Perieanu, Mdlina Violeta Perieanu, Anca
Temelcea, Dana Cristina Bodnar, Traian Bodnar, Ion
Alexandru Popovici, Ion Ptracu.................................116
32. COMPLEX
ORAL
REHABILITATION
THROUGH FIXED IMPLANT SUPPORTED
PROSTHODONTIC RESTORATION. CASE
REPORT
Andreea Oana Rou, Mona Iona, Doina Lucia Ghergic
.......118
33. RESTORING FACIAL AESTHETICS WITH
COMPLETE DENTURES - CASE REPORT
Viorel tefan Perieanu, Mdlina Violeta Perieanu, Anca
Temelcea, Dana Cristina Bodnar, Traian Bodnar, Ion
Alexandru Popovici, Ion Ptracu ....120