Biomedical subjects
Publications and source records attributed to M Munteanu.
In the onset, persistence or aggravation of psoriasis numerous factors are involved. This paper is the result of the investigations carried out on 446 cases of psoriasis admitted to the Dermatological Clinic of Iaşi and 1455 cases admitted to the Dermatological Clinic of Algeria.
Our previous experiments (14) (15) dealt with the dynamic of the fluid-coagulant equilibrium in rats after exposure to confinement hypokinesia (CHK) at different time intervals, 1, 3, 7, 21, 28 and 35 days. We found a decreased Quiq and Howell time (QT and HT) in some relation with the time of exposure, with a tendency to normalization after 21 days. The same evolution was shown by the number of thrombocytes and of the euglobulin lysis time (ELT). In this work we prolonged the exposure to CHK for 60 days, an interval after which a series of other functional parameters significantly approached initial control values (16). We found an important approach to normal values also with the QT, HT, Elt and with the number of thrombocytes. Concomitantly, the plasma concentration of corticosterone (the principal glucocorticoid of rats), that increased over shorter intervals, approached also control values after 60 days of exposure to CHK. Nevertheless, it can not explain the changes of coagulability, because it decreases after adrenalectomy but the QT, HT and thrombocytes are already decreased. For these and other reasons it results that the relation of adrenal hormones to coagulation needs be further clarified.
In the inflammatory mycoses the author recommends an oral treatment consisting in griseofulvin, and, in case of severe inflammation, prednisone per os at the same time with a local treatment (painting with alcohol iodate 1%, followed by the application of a cream with cortisone associated with an antimicrobial antibiotic and pincer epilation). This way the evaluation is 3-4 weeks shorter and the scars and alopecia are avoided. In the allergic manifestations due to Candida (urticaria, eczema, itching), after discussing their peculiarities the author recommends the desensitization with an extract of Candida cultivated right from patient's primitive focus. This type of desensitization is twice specific: specific anti-Candida and at the same time specific to patient's own strain, even in the case of saprophyte Candida. The very good results obtained after 2-3 months of treatment are presented.
The patients entering this study were divided into 3 series according to the administered drug treatment, being then followed up for at least 28 days for the main symptoms (pain, tumefaction, vasomotor disturbances, limited movements). The more satisfactory results were obtained in the patients receiving prednisone, indomethacin, propranolol, sympatholytics, vasodilators, calcium anabolisants, tranquilizers to which, at the right time, massage and kinesitherapy were associated.
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The varus femoral osteotomy type Pauwels I is indicated in early arthrosis (stages I-III) on a hip dysplasia or in stages I and II of femoral neck aseptic necrosis. After 6 weeks - 4 months postoperative immobilization the rehabilitation is initiated. Its main purposes are to obtain and to maintain a good joint mobility, a muscular balance and gait rehabilitation. This program was applied to 12 patients with good evolution, the followed up parameters being pain, hip mobility and stability. The benefits of sending these patients in time to orthopedic units and the need of their subsequent professional reorientation are underlined.
The author discusses some problems of antivenereal education, such as its relation with sexual education (between them existing a close relation), age at which the antivenereal education should be initiated (with the development of sexual instinct, at 14-15 years or earlier in girls). A distinction should be made between the medical information of the population (by conferences, booklets, books, films, mass media etc.) and the antivenereal education, compulsory for all society members. This is done by parents and especially at school by teachers instructed by specialized health personnel.
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