No abstract

Trauma continues to be a major problem in the young, working-age population, so many societies have tried to improve polytrauma care methods. Over the last two decades, various systems have been published to facilitate the identification of treatment strategies for patients with multiple trauma. Safe and prompt individualized management (Prompt individualized safe management (PRISM)) is a new concept that includes the approach of each patient separately.The main objectives of this study were to highlight the socio-demographic characteristics, clinical and paraclinical characteristics, and various risk factors of young adults with polytrauma. The study presented in this article was of a descriptive, retrospective type, including 1294 patients who presented themselves in the Emercency-department of the " Saint Andrei" County Emergency Hospital, Galaţi.The data obtained from the statistical reports of the hospital and the presentation sheets of the patients, have been statistically analyzed using SPSS and MS Excell. There for, we have been able to analyze and to obtain statistically relevant results for the distribution of polytrauma cases, seasonality and evolution aspects regarding the toracoabdominal traumas (87.5%) and craniofacial traumas (76.8%), which have been the most frequent forms.

Cardiac arrhythmias in children and young are presented in a broad spectrum, given the large and varied number of known arrhythmias. The incidence of pre-excitation syndromes in children ranges from 1:250 to 1:1000 [11].Our understanding of ventricular preexcitation began in 1921 when Wedd described an “intraventricular block and a PR interval of 0.08 ms.” [1] Wolff-Parkinson-White (WPW) was first described in 1930 as a bundle-Branch Block with Short P-R Interval. Moreover, the delta wave Wolff et al. described the presence of the delta wave on the EKG for the first time [2].Clinical manifestations in WPW are broad, ranging from recurring PSVT to SCD. The risk of developing the last condition in people with WPW syndrome is still unknown. However, multiple studies reveal that asymptomatic WPW has a low chance of SCD and a favorable prognosis [3-6]. Moreover, multiple studies present reasonable life expectancy in patients with WPW syndrome, even if they may present multiple episodes of PSVT [7-10].

This article aim to identify the main agents and biologicals within the pediatric population hospitalized in the Emergency Clinical Hospital for children, "Sfântul Ioan", Galati. In order to achieve this goal, we conducted a retrospective study on a group of 102 pediatric patients admitted into our clinic, between January 2018 and November 2020, being a cohort type.Respiratory infections, especially opportunistic infections, are often seasonal. Especially increased in the cold months due to seasonal immune depression. The influenza virus H. influenzae is a pathogen with a higher prevalence in the winter months.In order to assess the susceptibility to infections, according to season and age the cross-frequency table and the chi-square test have been performed, and there is no statistically relevant dependence relationship between these variables.Of the 102 patients, 74.51% had a history of respiratory ailments. The most frequent conditions encountered in the antecedents, within this group, were an acute respiratory failure (29.4%) and pneumonia (33.3%).For our study group, in the case of the type of therapy used, a quasi-symmetrical distribution could be observed, where 49.02% of the subjects benefited from double or triple antibiotic therapy, while 50.98% benefited from mono antibiotic therapy.

Globally, there are many efforts to reduce the incidence of road accidents. However, the number of patients hospitalized with polytrauma is still high, with approximately 5.8 million deaths associated with traumatic injuries annually. Among the young, active age population, trauma is the current domain and timing a major cause of severe illness.Therefore we aimed by this study to evaluate comparatively the incidence of polytraumas among young adult patients presented in the Emergency - department (information obtained from the archive of the Emergency Clinical Hospital Sfântul Apostol Andrei Galați – 129 young patients) and pediatric subjects from a group of 710 children.The data obtained following the anamnesis, the clinical and paraclinical examination of the patients, were entered into the IBM SPSS Statistics 24 and Excel 2019, then sorted and filtered according to different criteria. In both groups, the incidence of male patients is statistically noticeable and also aspects regarding high frequency according to definite spring seasonality, and paraclinical, clinical, and sociodemographic elements.