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Copyright of ORL.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of ORL.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of ORL.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of ORL.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of ORL.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of ORL.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Practica Veterinara.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of ORL.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Transient visual loss decrease of vascular cause is monocular and secondary to a brutal and temporary deficit in ocular perfusion by reducing blood flow in the retinal artery, ophthalmic artery or ciliary artery with transient retinal ischemia. It may be followed by permanent decline of view after a major ischemic attack (stroke). The urgent diagnostic evaluation is always required with the rapid establishment of the appropriate treatment. [ABSTRACT FROM AUTHOR]

The electrolyte homeostasis function is affected from the early stages of chronic kidney disease (CKD). As renal impairment progresses, the diuresis decreases and permanent hypervolemia and hypertension develop. In these CKD stages, patients present volume expansion under excessive water and/or salt intake or under drugs that lower the glomerular filtration rate. Hyperparathyroidism that develops from the early CKD stages is the main promoter of vascular changes. [ABSTRACT FROM AUTHOR]

Copyright of ORL.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of ORL.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of ORL.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The authors present their experience in transnasal endoscopic approach for chronic dacryocystitis, at children. The paper underline the advantages of using intraoperative angled scopes (700 or EndoCameleon - endoscope with variable angulation 100-900), with HD viewing of the lacrimal sac cavity after removing of the medial wall. Operating team has achieved similar results (success rate over 90%) when using silicone stents or without stent surgeries. [ABSTRACT FROM AUTHOR]

Considering the increasing widespread chronic kidney disease (CKD) prevalence, no matter of the primer etiology, various recent studies revealed the possibility of CKD regression applying different forms of therapies or early diagnosis of acute kidney injury (AKI). CKD, independent of other factors, represents a mortality risk and a renal impairment predictor after AKI. Nowadays, the high incidence of stage 5 CKD is considered to be mainly caused by episodes of AKI. [ABSTRACT FROM AUTHOR]

Incidence of chronic kidney disease have considerably increased in the last decade mainly in the elderly age groups. Infectious complications, the second cause of mortality in uremics after cardiovascular diseases, are more severe in elderly as a result of a complex interaction between immune dysfunctions related to uremia with those secondary to aging, in the presence of multiple comorbid conditions associated. The aim of the present article is to present the risk factors of infections in elderly with chronic kidney diseases, dialysed or not. [ABSTRACT FROM AUTHOR]

Purpose: The prevalence of depression in chronic hemodialysis, prevalence of insomnia, correlations of depression with sex, age, number of years of hemodialysis, quality of life-SF 36. Methods: We used Pi sburgh questionnaire, Beck questionnaire two times, one at the beginning of the year, and one at the end for 102 patients who were undergoing chronic hemodialysis in "St Joan" Emergency Hospital, Bucharest and SF 36 questionnaire. Results: The prevalence of insomnia was 65%, of mild depression 42% at the evaluation. We've noticed lack of positive linear correlation between depression, age, sex, years of hemodialysis, or quality of life. From the medical point of view there is an in? uence of depression on quality of life, but without a linear correlation. Conclusion: A high prevalence of insomnia, or mild depression, lack of positive correlation between the variables studied. It is not clear if depression has a direct causal role in the negative evolution of patients or depression represents a marker of comorbidities or indicator of severity. [ABSTRACT FROM AUTHOR]

Hepatorenal syndrome, a yet unsufficiently explored entity with an uncertain physiopathological mechanism, is characterized by functional renal failure in patients with hepatic failure, especially those with cirrhosis. In spite of thorough researches, any really efficient treatment besides hepatic transplant has been demonstrated yet. In patients with cirrhosis who exhibit hepatic hypotrophy, serum albumin under 3mg%, prothrombin level under 75%, viral etiology cirrhosis, Child C score affiliation, all necessary measures must be taken in order to prevent the development of this syndrome. [ABSTRACT FROM AUTHOR]

Chronic renal failure, with a natural evolution influenced by its own compensatory mechanisms to restore renal function to normal values, may exhibit a fulminent development in association with other diseases. Gastrointestinal disorders represent a pathology which can determine irreversible renal lesions, even death, because of different favouring factors and certain adopted therapy. [ABSTRACT FROM AUTHOR]

Arterial hypertension in old age is an important cause of morbidity and mortality throughout the world, its frequency being on the rise due to the aging of the population and modern means of treatment. The kidney's intervention as a central pivot in the ethiopathogenesis of arterial hypertension through the secretion of renin, pressure natriuresis and volemic shock, as well as the intervention of the cardiovascular system through increased vascular resistance, endothelial disfunctions and myocardic hypertrophy allow the condition to be addressed by general physicians, cardiologists and nephrologists. Given the associated comorbidities, arterial hypertension in old age remains a poorly defined entity, open to speculations regarding both the pathogenic mechanisms involved and the possibilities of treatment. [ABSTRACT FROM AUTHOR]

Many factors correlated with the uremic syndrome contribute to the predisposition for cardiovascular disorders of renal chronically patient, in predialytic phases as well as after the initiation of renal suppletion therapy. Hypervolemia, arterial hypertension, anemia, hipoalbuminemia, hyperhomocisteinemia, hidroelectrolytic disorder, oxidative stress, ureic toxins -- are the factors that accelerate cardiovascular lesions of patient with chronic renal insufficiency. Knowing and highlighting in detail these factors help the specialists who take care of him -- nephrologists, cardiologist, family practitioner -- to action in order to minimize their negative effect and guide them so they may be able to adjust the therapeutic schemes based on physiopathologic particularities of chronically renal. [ABSTRACT FROM AUTHOR]

The hepatorenal syndrome diagnosis is usually suspected in patients with acute or chronic hepatic failure, vascular decompensation, and high values of seric creatinine. The differentiation between other types of acute or chronic renal failure beeing extremely difficult and the therapeutical options limited, the profilactic approach is the most appropriate in patients with severe hepatic failure and risk factors for the developing of hepatorenal syndrome. Highlighting all precipitating factors of acute renal failure onset and the therapeutical ways by which their pathological effect can be avoided, represent a very important step in improving the medical observation of patients with hepatic cirrhosis. [ABSTRACT FROM AUTHOR]

Peritoneal dialysis (PD) is an effective mode of renal replacement therapy for patients with end stage renal failure. The changes that allows uremic toxins removal take place between the intravascular compartment and the dialysis solution in peritoneal cavity trough the peritoneal membrane. The success of PD depends on maintaining the structural and functional integrity of the peritoneal membrane, wich acts as a selective permeability barrier, regulating the passage of water and solutes between compartments. Duration of PD is often limited by peritoneal membrane failure, associated with increased solute transport, ultrafiltration dysfunction and with characteristic degenerative changes in the peritoneal membrane, including mesothelial cell loss, accumulation of sub-mesothelial extracellular matrix and vasculopathy. Factors that contributes to UF failure are: uremia, PD solutions (more aggressive as the concentration augments), peritoneal infections. Our 15 years experience in peritoneal dialysis induced clinical observations of other favorisant factors for peritoneal sclerosis: primary renal disease and comorbidities, systemic atherosclerosis, residual renal function -- hipervolemia. We conducted a 3 year prospective study on 26 new-initiated peritoneal dialised patients and we pointed out the implication of hipervolemia as a predictive factor for peritoneal sclerosis. [ABSTRACT FROM AUTHOR]