Urological Malpractice

Spinu, Dan Arsenie; Oprea, Ioana; Bodean, Oana; Socea, Bogdan; Diaconu, Camelia Cristina; Mischianu, Dan; Marcu, Dragoș; Bratu, Ovidiu Gabriel

doi:10.31689/rmm.2018.25.2.65

Cited by 13 publications

(13 citation statements)

References 10 publications

(10 reference statements)

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“…Kidney stones that are associated with infections are in most of the cases metabolic stones, composed of calcium phosphate or calcium oxalate, being reported with a prevalence of 35% of the cases [42]. Bacteria can produce modifications of the pH, stimulate the production of proteins into the matrix or struvite crystal precipitation that can influence the stone formation process [43][44][45].…”

Section: Resultsmentioning

confidence: 99%

Does the Composition of the Stones Counts in Patients Who Underwent Percutaneous Nephrolithotomy?

Todea-Moga¹,

Martha²,

Scârneciu³

et al. 2019

Rev. Chim.

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The aim of this study is to highlight the importance of percutaneous nephrolithotomy (PCNL) in the treatment of kidney stones with different chemical composition. We included in this study 200 patients with kidney stones who underwent PCNL. In most of the cases the stones were composed by calcium, usually calcium oxalate followed by struvite and uric acid component. The stones were mostly localized in the renal pelvis (142), inferior calyx (46) and ureteropelvic junction (4) and 28 cases with staghorn stones. Intraoperative complications were: migrating fragments (22%), hemorrhage (12%), lesions of the renal pelvis and difficulties of percutaneous access or dilatation (6%). The postoperative complications were: bleeding (20%), obstruction caused by stone fragments (22.5%), hydronephrosis (18%), fistula (13%). The average length of hospitalization after PCNL was 5.58 +/- 2.69 days SD. Stone-free rate was: 77.5%. PCNL is a safe and effective method of treatment for large and complex stones. Intra and postoperative complications after PCNL are not influenced directly by the chemical composition of the stones. It is important to evaluate the chemical composition of the stones in order to establish the treatment management and to recommend a proper conservative treatment in order to prevent the recurrence of the disease.

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Section: Resultsmentioning

confidence: 99%

Does the Composition of the Stones Counts in Patients Who Underwent Percutaneous Nephrolithotomy?

Todea-Moga¹,

Martha²,

Scârneciu³

et al. 2019

Rev. Chim.

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“…Malignant tumors, antibiotic resistance are presently a global health problem urging the development of novel antitumor and antimicrobial agents . Most of the medicines used in medical practice are organic substances.…”

Section: Introductionmentioning

confidence: 99%

Novel 2‐formylpyridine 4‐allyl‐S‐methylisothiosemicarbazone and Zn(II), Cu(II), Ni(II) and Co(III) complexes: Synthesis, characterization, crystal structure, antioxidant, antimicrobial and antiproliferative activity

Bălan

Burduniuc

Usataia

et al. 2019

Applied Organom Chemis

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New zinc (II), copper (II), nickel (II) and cobalt (III) complexes, [Zn (HL)2]I2 (1), [Cu (HL)Cl2] (2), [Cu (HL)Br2] (3), [Cu (HL)(H2O)2](ClO4)2 (4), [Ni (HL)2]I2·H2O (5), [Co(L)2]Cl (6), [Co(L)2]NO3 (7), [Co(L)2]I·[Co(L)2](I3) (8) were obtained with 2‐formylpyridine 4‐allyl‐S‐methylisothiosemicarbazone (HL). The isothiosemicarbazone ligand was characterized by NMR (1H and 13C), IR spectroscopy and X‐ray diffraction. All the complexes were characterized by elemental analysis, IR, UV–Vis, ESI‐MS spectroscopy, molar conductivity, magnetic susceptibility measurements. X‐ray diffraction analysis on the monocrystal and powder elucidated the structure of the complexes 1, 5, 7 and 8. The ligand and the complexes were tested for their antioxidant and antimicrobial activity against Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae and Candida albicans. Also, the antiproliferative properties of these compounds on human leukemia HL‐60, human cervical epithelial HeLa, human epithelial pancreatic adenocarcinoma BxPC‐3, human muscle rhabdomyosarcoma spindle, large multinucleated RD cells and normal MDCK cells have been investigated. The nickel complex 5 and cobalt complexes 6, 7 showed promising antiproliferative activity and low toxicity.

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“…Th e relationship between the number of medical disputes and the defensive behavior seems to be directly proportional. Specialties and surgical procedures are more prone to risks, the surgeon being considered totally and often solely responsible for the evolution of the patient 3 .…”

Section: Introductionmentioning

confidence: 99%

Defensive Surgery - a New Under-Recognized Reality among Surgeons?

Socea¹,

Bratu²,

CARAP³

et al. 2019

Rev. Med. Mod.

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In recent years, the number of medical litigations is increasing and defensive medicine becomes a widespread approach among physicians all over the world. Defensive behavior of physicians is more common in scheduled, elective, compared to emergency medical services. The immediate direct consequences of this defensive behavior are found in the increase of costs (additional investigations) and the increase of waiting time for certain procedures and interventions (repeated postponements). Diffi cult and uncomfortable to admit that it exists, but defensive behavior is a reality. It raises numerous and complex ethical issues, and the goal of health policies should be to reduce this phenomenon.

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Urological Malpractice

Cited by 13 publications

References 10 publications

Does the Composition of the Stones Counts in Patients Who Underwent Percutaneous Nephrolithotomy?

Does the Composition of the Stones Counts in Patients Who Underwent Percutaneous Nephrolithotomy?

Novel 2‐formylpyridine 4‐allyl‐S‐methylisothiosemicarbazone and Zn(II), Cu(II), Ni(II) and Co(III) complexes: Synthesis, characterization, crystal structure, antioxidant, antimicrobial and antiproliferative activity

Defensive Surgery - a New Under-Recognized Reality among Surgeons?

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