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Diabetes mellitus is a new morbidity in children and adolescents. For pediatric patients, it announces the earlier onset of cardiovascular disease, retinopathy, nephropathy, and neuropathy, with the risk of impaired quality of life and premature death. The emergence of diabetes mellitus in young people is believed to be associated with changes in the level of physical activity and nutrition that are ubiquitous in modern society. The authors present a prospective study of 26 children with diabetes mellitus. The average age was 9.1 +/- 2.8 for boys and 12.6 +/- 3.7 for girls. The ophthalmologic disorders founded were: lens modifications in 7.7%, refractive errors in 34.6% and diabetic retinopathy in 11.5%. The study estimated the necessity of ophthalmologic screening for children with diabetes mellitus.

The authors analyse the invalidity (new retreated cases) for pulmonary tuberculosis, in a period of 9 years (1986-1994), comparing the time before and after the December 1989 Revolution, by making a screening in 2 districts of Bucharest which, by number of population and incidence of tuberculosis, are representative for Bucharest. In the analyzed time, in Romania was noticed a three times increase of tuberculosis invalidity, especially due to pulmonary tuberculosis. In the two districts of Bucharest, in the 1991-1994 period compared to the 1986-1990 period, an increase in tuberculosis invalidity was noticed in men and women, the most affected age group being the one with the greatest work involvement (age 41 to 50). A great percentage of cavitary tuberculosis was registered (89%), with an increase of bilateral cavitary lesions frequency from 28% to 36% in the last 4 years. In the same time, the amount of deaths among the retreated patients increased, with a reduction of number of patients returning to work. All the data show a worsening in the last period (1991-1994) of the tuberculosis endemic and invalidity by this disease, probably due to the social and economical factors.

Investigations were carried out in a group of patients serving as a rehabilitation model, considered the best and the most worth being adopted. The group was made up of 100 patients with pulmonary tuberculosis, recorded during the last 5 years, recently stabilized and included in the group II of dispensary care and in the card index "surveillance", who are re-employed and work in various enterprises in the Capital; as regards the solving of these cases, they are at the opposite pole with respect to chronic patients (100 cases), with whom they are continuously put in contrast. The elements with a positive value regarding the most rapid health restoration, as well as the ways of re-employment were studied. The results of medical rehabilitation depend on the early detection of the disease, on a treatment correctly applied, on the patients' cooperation, on the chemoresistance and drug intolerance, on the presence or absence of associated non-invalidating diseases, on age (results are better in young patients), on sex, on the professional activities a.s.o. The most important causes of an unsatisfying socio-professional rehabilitation and of a partial maladjustment were related to the performance of activities in departments with various bronchopulmonary irritants, to weight lifting and carrying, to a prolonged upright posture to additional professional efforts, to the insufficient granting of the initially shorter programme a.s.o.(ABSTRACT TRUNCATED AT 250 WORDS)

A study was performed of 31 late hemorrhages following traumatic rupture of the spleen. The authors make some considerations in connection with problems of diagnosis and treatment. The difficulty is stressed, encountered in the diagnosis of splenic rupture immediately after the causative trauma, and the high death-rate that ensues. In view of impriving the present results by early surgical treatment, the utility is stressed of clinical observation, as well as of hematologic, radiologic and angiographic explorations of these patients.

The present paper reports on 37 primary tumours of the jejunoileum, of which 19 malignant and 18 benign. The authors emphasize the difficulty of establishing a diagnosis before the onset of one of the dramatic complications in the evolution of tumours of the small intestine. The patients were admitted for the following complications: occlusive syndrome -- 28 cases (72.9%), peritoneal syndrome -- 6 cases (16.2%) and hemorrhagic syndrome -- 3 cases (8.1%). All the patients with a peritoneal and hemorrhagic syndrome had malignant tumours.

Authors describe an appraisal method in economic effects of the consequences of work accidents, in order to establish the efficiency of the labour protection activity, starting from the expression of work time losses under the form of losses of net and respectively national income. Three operative cards are shown which synthesize, by means of a calculation algorithm, the influence exerted by the modification of labour productivity upon the main economic-financial indicators of the activity of industrial enterprises. Concluding authors emphasize the importance of introducing the calculation of the economic consequences of work accidents into the research and reporting system of the latter, for the achievement of labour protection and the increase of the national income.

The authors present 83 cases of associated ulcer and cirrhosis, evaluating the frequency of this complication in relation with the total number of ulcers hospitalized over a determined time. The percentage of this association was of 1,6 of the total number of patients with ulcers, and of 10,2 of the total number of patients with cirrhosis. The major complications of this association were hemorrhage and perforation, both in an identical percentage (38). In the case of hemorrhage the authors recommend extirpation of the ulcer. In situ hemostasis should be avoided, when possible because the risk of continued hemorrhage is greater than that of gastric resection. When hemorrhage is due to ruptured oesophageal varicosities endocardial transgastric ligature is recommended by the abdominal route, according to the Skinner-Suteu procedure. In perforated ulcers excision is recommended, associated with pyloroplastia and vagotomy.