Revista medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti din Iaş̧i
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Inflammation is a fundamental biologic process evolutionally preserved by a germ line code. The interplay of the epigenetic with the environment directs the code to temporally distinct inflammatory responses, which can be acute or chronic. The aim of this study is to present new aspects regarding the resolution of inflammation. ⋯ Granulocytes promote the switch of arachidonic acid-derived prostaglandins and leukotrienes to lipoxins, active antiinflammatory and pro-resolution mediators. The apoptosis of the neutrophils coincides with the biosynthesis of resolvins and protectins from omega-3 polyunsaturated fatty acids and releases anti-inflammatory and reparative cytokines. This information could lead to new treatments for inflammatory diseases.
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Rev Med Chir Soc Med Nat Iasi · Apr 2011
[Sensitization to ascaris lumbricoides and asthma severity in children].
There is little information concerning asthma severity and sensitization to Ascaris lumbricoides in pediatric patients. ⋯ Sensitization to Ascaris lumbricoides is associated with increased severity of asthma among Romanian children. This association is mediated by a high degree of atopy among the asthma children sensitized to Ascaris lumbricoides and belonging to a population with a low prevalence of helminthiasis.
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This article presents the results of a study on 20 children diagnosed with acute renal failure and treated with renal substitution methods at the Iasi IVth Clinic of Pediatric Nephrology in the interval 2003-2008. Treatment by intermittent hemodialysis IHD), peritoneal dialysis (DP), and continuous replacement--hemofiltering (HF) depends on the patient's features and unit resources. The advantages and limitations of every method of treatment are discussed. Future therapies for acute renal failure may find strategies for eliminating the inflammatory response.
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Rev Med Chir Soc Med Nat Iasi · Jan 2011
[Total parathyroidectomy without autotransplantation in the management of "refractory" renal hyperparathyroidism].
The optimal surgical treatment in patients with refractory renal hyperparathyroidism (RHP) on hemodialysis for end stage renal disease is still a point of controversy. The high percentage of recurrences after standard surgical procedures i.e. subtotal parathyroidectomy (SPTx) and total parathyroidectomy with autotransplantation (TPTx + At) reactualised the practice of total parathyroidectomy (TPTx). ⋯ TPTx alone proves to be an equally safe and successful as another techniques currently used in management of RHP eliminating the hyperparathyroid status but being superior with regard to aparition of recurrences. The procedure is indicated especially in cases with aggressive, refractory forms of RHP without the prospect of renal transplantation.
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Rev Med Chir Soc Med Nat Iasi · Oct 2010
[MecA and pvl genes detection in Staphylococcus aureus strains isolated from lower respiratory tract infections].
Although community-acquired Staphylococcus aureus pneumonia with highly virulent Panton-Valentine leukocidin (PVL)-positive strains, a severe disease with significant lethality, is rare, especially in adult and adolescent patients, recent reports highlight that these infections are on the rise. On the other hand, methicillin-resistant S. aureus (MRSA) is one of the high-risk and potential multi-drug resistant microorganisms. ⋯ Glicopeptides and linezolid are therapeutic options indicated in the treatment of staphylococcal pneumonia produced either by MRSA strains or pvl positive S. aureus strains.