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Screening programs using Papanicolaou smear along with human papillomavirus (HPV) testing led to a significantly decrease of cervical cancer rates. Nevertheless, both assessments have limited specificity for revealing cervical high-grade lesions. The main problem is how to identify the real precursor of cervical squamous cell carcinomas (SCC), namely high-grade squamous intraepithelial lesions (HSIL).The aim of our study was to conclude if ProEx C might be used as a marker for high-grade cervical intraepithelial neoplasia (CIN).In this study, we detected the immunochemical expression of anti-ProEx C antibody in liquid-based cytology (LBC) samples. We analyzed a total number of 125 cervical cytology specimens.In 48% of all cases, ProEx C was found to be positive. The percentage increased from 0% in negative for intraepithelial lesion or malignancy (NILM) cases to 100% in SCC cases.ProEx C may be utilized to improve the accuracy of cytological diagnosis on cervical smears, according to the findings of this study. This marker is also useful in detecting unrevealed high-grade lesions on atypical squamous cells of undetermined significance (ASC-US), low-grade squamous intraepithelial lesions (LSIL) smears, being very useful in establishing the conduct of these cases.

Hemophilia is a hereditary coagulopathy caused by factor VIII (hemophilia type A) or by coagulation factor IX (hemophilia type B) dysfunction, characterized by an increased bleeding predisposition, which is either spontaneous or secondary to minimal trauma. Currently, hemophilia may also be considered an 'orthopedic' condition, due to the fact that it affects the musculoskeletal system of most hemophilic patients. In recent years, constant prophylaxis using coagulation factors has led to a significant improvement in the hemophilic patient's quality of life, by reducing both life-threatening hemorrhagic phenomena, as well as the occurrence of chronic complications. Nevertheless, progressive joint bleeding remains unavoidable in this category of patients, and the onset of chronic arthropathy with secondary motor deficiency remains the main complication with an invalidating character. In such cases, orthopedic management is imperative; osteoarticular complications being managed most often with the help of conservative or surgical techniques. The purpose of this review is to provide an overview of modern orthopedic practices which are useful in the management of hemophilic patients suffering from osteoarticular disorders.

Background and Objectives: Considering atherosclerosis as one of the more challenging threats to healthcare worldwide, any novel therapy that counteracts the risks for developing it, provides new opportunities for the management of this process. Material and methods: We performed an experimental research in which we induced a hypercholesterolemia via a cholesterol-rich diet. Our aim was to demonstrate the antiatherogenic potential of two essential amino acids (valine and leucine). The experimental study was carried out over a period of 60 days. Male Wistar rats weighing between 250–280 g were used and divided into 4 groups, each group including 8 animals. Group I—control was fed with a standard diet. Group II received cholesterol, group III cholesterol and valine and group IV cholesterol and leucine. Blood samples were collected from the retro-orbital plexus, under anesthesia with 75 mg/kg of intraperitoneal ketamine, in three different moments (R0—1st day, R1—the 30th day, R2—the 60th day) in order to measure the levels of triglycerides. Results: In R0, there were no significant differences between the average levels of triglycerides across all the groups (p &lt, 0.05). Compared to the group I, in R1 and R2, the average levels of triglycerides were significantly higher in all groups (p &lt, 0.001). Also, in R1 and R2, the average triglycerides in group II receiving cholesterol (C) were significantly higher than those in group III receiving valine (C + V) as well as in group IV receiving leucine (C + L) (p &lt, 0.001, p &lt, 0.05). In R2, the average triglycerides in group III were significantly lower than in group IV (p &lt, 0.001). Conclusions: Our data provides evidence that valine and leucine have a direct impact on the lipid metabolism parameters by lowering the level of triglycerides. The comparison of the two essential amino acids indicates that valine acts more promptly and rapidly than leucine.

Costal osteocartilaginous exostoses, also known as osteochondromas, are the most common neoplasms of the long bones but are rare tumors of the ribs. Osteochondroma is often asymptomatic and incidentally observed. Tumors typically begin to grow before puberty and continue until bone maturation is reached. Our paper presents the case of a 16-year-old young male who was admitted to the hospital with nonspecific symptoms and having a family history of exostosis. Chest X-ray and computed tomography imaging revealed multiple costosternal exostoses, manifested as mediastinal masses, with protrusion into the thoracic cavity, exerting compressive effects on the ascending aorta and pulmonary parenchyma. Surgery is required in childhood if lesions are painful. But if tumor formation occurs in adulthood, such pathological bony outgrowths should always be resected for avoiding further complications. In this patient, surgical intervention removed the tumoral masses and improved the symptoms. Subsequently, histological exam confirmed the diagnosis of osteocartilaginous exostoses and showed the lack of dysplastic changes.

The amounts of flammable gases formed in some transformer oils during the long-term storage (1000 hours) at 110 � 3�C in closed containers (limited access to atmospheric oxygen) were determined qualitatively and quantitatively by gas chromatography technique. The comparative experimental results showed that when two types of mineral oils, one synthetic oil and two types of vegetable oils are in simultaneously contact with copper and insulating paper, the total amount of flammable gases formed by thermal aging is about 40 times higher in the mineral oils than in the ester based oils. It has also been established that the electrical-use copper foil catalyses the formation processes of the flammable gases, the maximum effect being for the mineral oils (an increase of 8 times of ethane and 25 times for methane gases). It has further been observed that the contact with the insulating paper during the thermal treatment of the ester based oils does not influence the formation of flammable gases, compared with the mineral oils where the amount of the formed gases is doubled.

For the purpose of using three different types of painting materials for the inner protection of the transformer vats, their behavior was studied under actual conditions of operation in the transformer (thermal stress in electro-insulating fluid based on the natural ester in contact with copper for electro-technical use and electro-insulating paper). By comparing determination of the content in furans products (HPLC technique) and gases formed (by gas-chromatography) in the electro-insulating fluid (natural ester with high oleic content) thermally aged at 130 �C to 1000 hours in closed glass vessels, it have been found that the presence the investigated painting materials lead to a change in the mechanism and kinetics of the thermo-oxidation processes. These changes are supported by oxygen dissolved in oil, what leads to decrease both to gases formation CO2, CO, H2, CH4, C2H4 and C2H6) and furans products (5-HMF, 2-FOL, 2 -FAL and 2-ACF). The painting materials investigated during the heat treatment applied did not suffer any remarkable structural changes affecting their functionality in the electro-insulating fluid based on vegetable esters.

The durability and safe operation of electrical equipment and devices with mixed insulation systems (solid/fluid - electro-insulating paper/oil) is determined by the insulation aging under simultaneous and synergic actions of electrical, thermal and chemical stress factors etc. In this context, degradations of insulating paper exposed to thermal aging in 5 different types of electro-insulating fluid have been studied experimentally. Liquid chromatography determinations have shown that the total content in furan products (resulting from cellulose degradation) in mineral oils is substantially higher than in electro-insulating fluid sorts based on of synthetic ester and/or natural ester (vegetable oil). This is due to the temperature between 90 oC and 130 oC when the activation energy of the furans formation process is up to 7.5 times lower in mineral oils than in ester-based oils. Degree determinations of cellulose polymerization (viscosimetric method) before and after exposure to heat treatment indicated that mineral oils degrade the electro-insulating paper much more strongly than ester-based oils (both synthetic and natural). Obtained results by liquid chromatography and by viscosity are in accordance with the images obtained by optical microscopy (at X 100).

The behaviour of copper and insulation paper in various electrical insulating fluids (transformer oils) exposed to thermal ageing at 110�30C for 1000 hours in closed vessels (without access to atmospheric oxygen) has been studied. The processing of the comparative experimental data revealed in all cases that the concentration of dissolved oxygen in the investigated oils decreases exponentially during the heat treatment. In the presence of the copper foil, the oxygen is almost depleted (the dissolved oxygen concentration is approaching zero), indicating a higher affinity of the copper to oxygen than the affinity to oxygen of the investigated oils. In the presence of the copper foil and / or of the insulation paper, the degradation processes of the mineral oils have a pronounced character, explained by the catalytic activity of the Cu2O film that has been formed and by the paper degradation, respectively. A high thermo-oxidative stability was noticed in the case of natural triglyceride oils, particularly for the synthetic ester-based oil.

The behaviour of some insulating fluids in contact with copper foil and / or insulation paper under thermal stress (110�30C for 1000 hours), in a closed system (the access of atmospheric oxygen being limited), has been studied by determining the changes in viscosity and concentration of CO2 and CO. The experimental data revealed that, following the applied heat treatment, the change in viscosity of the esters-based insulating fluids (both synthetic and vegetable) is approximately 7 times lower than in the case of the investigated mineral oils. It has also been found that, following the thermal ageing, the gas content of the mineral oils is substantially higher than in the esters-based oils (8 times higher for CO2 and 4 times higher for CO, respectively). The experimental results indicate superior values for the thermal stability and compatibility with the insulation paper of ester-based insulating fluids.

Ovarian malignant germ cell tumors (OMGCT) represent less than 10% of all ovarian tumors. Dysgerminoma is the most common malignant primitive germ cell tumor in young women, known for its curability and low propensity to invade and metastasize when diagnosed early. Herein, we report an unusual type of ovarian dysgerminoma (OD) metastasis with a brief review of the literature, lacking similar reported cases. To our knowledge, although there are several case reports of dysgerminoma metastases with variable anatomic location and presentation, vaginal metastasis has not been previously described. The local or systemic relapse together with local and distant metastasis is considered as an independent predictor of poor survival in patients with OD. In light of the absence of mutations status, our patient successfully responded to therapy. Currently, the patient remains in clinical remission. A specific follow-up plan is ongoing knowing that ovarian dysgerminomas tend to recur most often in the first 2–3 years after treatment.

Introduction: Romania has the highest incidence and mortality rate of cervical cancer in Europe. The objective was to estimate the prevalence of high-risk human papillomavirus (hrHPV) genotypes and to evaluate the role of certain socio-behavioral factors in acquiring viral infection, in a cohort of Romanian women with negative Pap. Methodology: In a prevalence study 611 women (aged 17-58 years) with negative Pap, with no known history of atypical cytology and valid HPV test were included. Each participant completed a questionnaire containing data on socio-behavioral factors. From 344 women aged between 30-58 years, 63 were randomly selected for a second examination (conventional cytology and HPV detection and genotyping) after twelve months. Results: Of the 611 women, 19.80% were HPV positive, 14.73% infected with hrHPV. Differences in the prevalence of hrHPV (17.60% versus 12.50%) as single (13.01% vs 9.01%) and multiple infections (9.71% vs 3.49%) were noted between women under the age of 30 and above. Among socio-behavioral factors, marital status and multiple sexual partners correlate with HPV and hrHPV infection. At follow-up, from 34 HPV negative cases, 10 changed to positive (5 hrHPV), while 2 developed abnormal cytology. Out of the 29 HPV positive cases, 12 cleared the HPV infection and 17 retested positive of which 4 worsened their cytology. Conclusions: In Romania, HPV infection is common in women with negative cytology. HPV genotyping is of epidemiological importance because the distribution of hrHPV types can determine the impact of prophylactic vaccines and the necessity of HPV testing as screening method.