ABSTRACT EVALUATION CRITERIA Not evident 0 Insufficient 1 Borderline 2 Good 3 Very good 4 Excellent 5

INTRODUCTION Well described background Clear objective Suitable design for achieving the stated objective Techniques and materials concisely mentioned /5 /5 /5 /5

MATERIALS AND METHODS

RESULTS Relevant and valid findings The question posed has been answered Conclusions consistent with the results /5 /5 /5 /5 CONCLUSIONS

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FOREIGN BODIES OF GLOBAL EYE AND OCULAR FIXTURE

Ocular trauma remains a major cause of blindness, particularly in the working-age population . Intraocular foreign body represents an ophthalmic emergency. Both management and prognosis depend on the composition and location of the foreign body. Metallic and glass objects are most common, organic foreign organism can also lead to inflammatory reaction and severe complication. BACKGROUND/AIM: The purpose of this study was to evaluate the clinic features and also to locate prognosis factors after removing the foreign body. Methods: The clinic retrospective observational study has been accomplished on a sample of 190 subjects at Ophthalmology Clinic in Cluj-Napoca between 2006-2010. There have been correlated facts regarding age,background source,occupation,type of affectation, type of foreign bodies, AV pre/post operatory,diagnosis. Results : Almost all patients (96.8 %) were male with a mean age of 32.29 years, 13.38 SD (SD = standard deviation ). Hammering and chiselling were the most common activities at the time of injury. 93.5% of patients had single IOFB. Metallic foreign body comprised 85.5% of all cases. 83.9% of IOFBs were located inside the globe, among them: 46.1% in the anterior segment; 44.2% in the vitreous and the rest in the posterior part of globe. The most frequent entrance wound site was cornea (59.7%). Initial visual acuity was worse or equal 5/50 in 50% of the cases. Patients with greater size of IOFB had worse initial visual acuity. The most common clinical features, presenting at the time of injury, were corneal wound (64.5%), lens lesion (33.9%), endophthalmitis (29%) and vitreous hemorrhage (25.8%). Conclusion:

A reliable classification of ocular injuries may provide significant information about the prognosis of injuries with intraocular foreign body . Improved safety features equipment eye protection , may reduce the incidence of severe ocular injuries . Key Words : eye , intraocular foreign body , visual acuity

ABSTRACT EVALUATION CRITERIA Not evident 0 Insufficient 1 Borderline 2 Good 3 Very good 4 Excellent 5

INTRODUCTION Well described background Clear objective Suitable design for achieving the stated objective Techniques and materials concisely mentioned /5 /5 /5 /5

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RESULTS Relevant and valid findings The question posed has been answered Conclusions consistent with the results /5 /5 /5 /5 CONCLUSIONS

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A NOVEL SCHEME FOR OSTEOGENESIS DIVERSION

Objectives: The aim of this study is to show Vertical alveolar bone growth using diversion apparatus, without settle a disagreement by making mutual concessions aesthetics. Materials and methods: Osteogenesis distraction using integrated implants associated with a distractor apparatus in the format of dental prosthesis. Patient with severe aesthetics deficiency, with an osseointegrated implant in an unfavorable position in the region of upper Left Central incisor. It has produced a distractor apparatus in the format of dental prosthesis, wit support in the left upper lateral Incisor teeth and right incisors. Osteotomy was performed around the implant, covering the interest area. Installation distractor apparatus was in the dental format. The bone has distracted for 35 days and Six days latency and containment about 80 days. Results: Getting vertical growth of alveolar bone about 100 mm in 35 days. Conclusion: Significant vertical bone growth has obtained applying osteogenesis distraction with an osseointegrated implant distractor with a prosthetic aesthetic apparatus, without compromising social life during treatment. Keywords: Osteogenesis, Prosthetic aesthetic apparatus, alveolar bone, central incisor.

ABSTRACT EVALUATION CRITERIA Not evident 0 Insufficient 1 Borderline 2 Good 3 Very good 4 Excellent 5

INTRODUCTION Well described background Clear objective Suitable design for achieving the stated objective Techniques and materials concisely mentioned /5 /5 /5 /5

MATERIALS AND METHODS

RESULTS Relevant and valid findings The question posed has been answered Conclusions consistent with the results /5 /5 /5 /5 CONCLUSIONS

ORIGINALITY TOTAL /40 ACCEPTED/REJECTED

SPONDYLODISCITIS AND DISC ABSCESS COMPLICATED WITH SEPSIS IN A POST-SURGICAL 70-YEAR-OLD PATIENT WITH A RECURRENT LUMBAR DISC HERNIA
Introduction: Chronic back pain is one of the most frequent motives for which patients address the doctor. One of its commonest causes is disc hernia, which treated surgically can have several complications, amongst which, on short term as well as on long term, surgical site infections. We present a case report of a patient who developed spondylodiscitis complicated with a disc abscess upon recurrent surgical treatment for a lumbar disc hernia. Materials and methods: The patient is a 70-year-old male who presented with febrile syndrome, lumbar pain irradiated downwards on both legs and decreased motility in both legs. He had 5 weeks earlier suffered a surgical intervention for the correction of a recurrent L4-L5 disc hernia. Clinical examination of the surgical wound showed no signs of inflammation/infection. The MRI examination revealed an image suggestive of L5-S1 osteodiscitis and a small disc abscess in the L4-L5 intervertebral space. MRI- guided puncture of the vertebral mass was performed for the use of the obtained material in cultures. However, the results were inconclusive. On admission, he also presented with a documented leukopenia and was diagnosed with a right paracardiac pneumonia. The general evolution was significantly altered by acute renal failure and pancytopenia. In addition, the patient also developed diarrhea and an urinary tract infection. Results: The patient has had a long and slow recovery associated with an anxietydepression syndrome. The remission of the vertebral infectious process was documented by means of several MRI scans. The laboratory findings were

conclusive for inflammatory syndrome and alterations of various organ functions, which led to the diagnosis of sepsis. Conclusion: In this case, the recent surgical intervention and the immune depression aggravated by the stress of surgery facilitated the spread of the infection and its complication with sepsis. Key Words: spondylodiscitis, disc hernia, sepsis

ABSTRACT EVALUATION CRITERIA Not evident 0 Insufficient 1 Borderline 2 Good 3 Very good 4 Excellent 5

INTRODUCTION Well described background Clear objective Suitable design for achieving the stated objective Techniques and materials concisely mentioned /5 /5 /5 /5

MATERIALS AND METHODS

RESULTS Relevant and valid findings The question posed has been answered Conclusions consistent with the results /5 /5 /5 /5 CONCLUSIONS

ORIGINALITY TOTAL /40 ACCEPTED/REJECTED

ROUTINE ULTRASONOGRAPHIC SCREENING OF DEVELOPMENTAL DYSPLASIA OF HIP: IS IT RELEVANT IN A DEVELOPING COUNTRY LIKE OURS
Objective: To assess the burden of different Graf subtypes of developmental dyplasia of hip (DDH) in high risk babies and to determine the feasibility of routine ultrasonographic screening of infants for DDH. Materials and Methods: The present study was conducted on 174 infants who were born with the risk factors of DDH (n=142) or those who presented to the orthopedic OPD with the clinical suspicion of DDH or with limb anomalies like CTEV/arthrogryposis (n=32). Ultrasonography of bilateral hips was performed using Toshiba i-style aplio XG Color Doppler machines with the help of linear array high frequency probe of 6-12 MHz. Mid- coronal images of bilateral hips of all the infants were taken and Alpha and Beta angles were measured as proposed by Graf et al. Diagnosed cases were classified in different Graf subtypes. Results: On initial screening, angles were out of range in 58 hips out of 348 hips scanned, including 2 cases in which angles were not measurable technically. Before labeling cases as DDH, repeat scans were performed in all the infants after 3 months, which showed deranged angles only in 19 hips implying that a significant number of cases (~67%) get spontaneously corrected. Among the affected cases, left hip was involved in 14 cases including 2 cases with bilateral disease, and 12 were girls. 15 cases fell in Graf class IIb, IIc or III and needed conservative management (Pavliks harness) only. 4 cases had to be managed operatively. Conclusion:

Rarity of the disease makes it impractical to screen every child for DDH in India.A large proportion of cases have physiologically altered Grafs angles due to immaturity. The disease is more common in girls and on left side. Clinical Relevance: Since clinical examination is highly insensitive to detect the subtle cases of DDH, ultrasonography is a low cost radiation free diagnostic test that allows. 3D evaluation making the diagnosis possible at the earliest,thus preventing surgical intervation.

ABSTRACT EVALUATION CRITERIA

Not evident 0

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INTRODUCTION Well described background Clear objective Suitable design for achieving the stated objective Techniques and materials concisely mentioned /5 /5 /5 /5

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RESULTS Relevant and valid findings The question posed has been answered Conclusions consistent with the results /5 /5 /5 /5 CONCLUSIONS

ORIGINALITY TOTAL /40 ACCEPTED/REJECTED

THE VALUE OF ACHILLES ULTRASONOGRAPHY IN PATIENTS WITH SERONEGATIVE SPONDYLARTHROPHATIES (SASN)

Objective: To assess the relation between Achilles enthesiopathy demonstrated by ultrasonography (US) with the characteristics of the disease in patients with SASN. Materials and Methods: We performed a descriptive transversal study of a cohort of patients diagnosed with SASN at Cluj- Napoca Rheumatology Outpatient department in 2010. The including criteria in this study were: patients with inflammatory low back pain for more that 3 months, with insidious onset, with radiographic sacroiliitis grade 1 or 2.The patients had been divided into two groups depending on the presence or absence of Achilles enthesitis at US.The statistical analysis of the two groups was performed with SPSS. Results: 26 patients fulfilled the inclusion criteria: 14 men (53.8%) and 12 women (46.2%) with median age 37.35-10.63 years and disease evolution 8.54-9.043 years. Out of the patients, 65% (17 patients) presented Achilles enthesitis at clinical examination and the rest of 35% (9 patients) didnt. All US examinations were performed by two rheumatologists and they observed that only 11 patients (42.3%) had enthesopathy. We found that between the two groups there were no differences in the frequency of peripheral arthritis, anterior uveitis, dactylitis, response to treatment, coxitis. Furthermore we did not find significant differences between disease activity measured by BASDAI and BASFI. Hight significant statistical differences were obtained in time of

disease evolution (patients with enthesitis 8.73 years versus 11.17 years,p=0.006) and in the disease duration (patients with enthesitis 4.45 years versus 9.5 years, p=0.001). Conclusion: Achilles enthesiopathy in patients with SASN is useful in the early diagnosis of the disease, reducing the number of false positive at clinical examination. There is no correlation between clinical signs of the disease and the level of activity or or functionality in patients with or without Achilles enthesitis. Key words: SASN,achilles ultrasonography,enthesiopathy

ABSTRACT EVALUATION CRITERIA Not evident 0 Insufficient 1 Borderline 2 Good 3 Very good 4 Excellent 5

INTRODUCTION Well described background Clear objective Suitable design for achieving the stated objective Techniques and materials concisely mentioned /5 /5 /5 /5

MATERIALS AND METHODS

RESULTS Relevant and valid findings The question posed has been answered Conclusions consistent with the results /5 /5 /5 CONCLUSIONS

ORIGINALITY TOTAL /40 ACCEPTED/REJECTED

/5

THE MANAGEMENT OF POSTMATURITY PREGNANCY

Postmaturity pregnancy still remains an actual problem in obstetrics, having an immense scientific and practical interest. The actuality of postmaturity pregnancy is due to the increased perinatal indicators and to a huge number of complications during the delivery process. The study aimed to analyze clinical particularities, the development of postmaturity pregnancies and births. Material and methods Our study was based on 174 births(26.1%)at 41-42 weeks of gestation, during the years 2005-2008 in the perinatology center SCMN1, Chisinau, Rep.of Moldova. Anamnestic facts,c linical and paraclinical evolution of gestation and birth methods were determined. Results Postmaturity pregnancy at 41 weeks was assessed in 126 cases(72.4%),at 42 weeks-48 cases(27.6%). Postmaturity pregnancy is frequently manifested among primiparous (73.3%).The decrease in the incidence of postmaturity pregnancy was determined in the patients aged 30 years old and

more(23.71%).The group was characterized by an increased level of complicated obstetric history(miscarriage and pregnancy induced hypertension)which constituted 29.3% and extragenital pathology(mainly cardiovascular and renal)-27.6% cases. In 409 cases(79.5%)children were born vaginally and 142 cases(20.5%) - by caesarean section. The most common indications were: acute fetal hypoxia(45.1%),labor dystocia(37.3%). In the second group the deliveries were mainly per vias naturalis(96.4%). An important indication regarding only postmaturity pregnancy was inefficient labor induction after misoprostol administration in 9.2% cases. There were recorded 6 cases of perinatal mortality,2 of which-intranatal and 4 cases-antenatal. The infants were evaluated with 7-8 points of Apgar Score(53.6%)and less than 7 points in 26.7% cases. Conclusion Postmaturity pregnancy is an important chapter in the obstetric practice, which evolves on the pathological background and influence perinatal indicators. Key words: postmaturity,pregnancy,misoprostol

ABSTRACT EVALUATION CRITERIA

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INTRODUCTION Well described background Clear objective Suitable design for achieving the stated objective Techniques and materials concisely mentioned /5 /5 /5 /5

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RESULTS Relevant and valid findings The question posed has been answered Conclusions consistent with the results /5 /5 /5 /5 CONCLUSIONS

ORIGINALITY TOTAL /40 ACCEPTED/REJECTED

INTRAORBITAL TUMORS-WHEN IS SURGERY AN OPTION?

Introduction: The intraorbital space can be affected by a diverse number of expansive processes that have a compressive effect on the structures contained by it. Tumors hold a leading place inside this type of pathology. Tumors that affect the orbit are diverse in etiology and treatment. They can be primary, secondary or metastatic tumors. Choosing the correct treatment, conservative or surgical, the moment to initiate one or another are still largely debated subjects. Material and methods: A study on 200 cases of patients with intraorbital tumors treated and monitored in The Neurosurgical Department of Cluj County Emergency Hospital between January 2006 and December 2010. Aspects regarding sex, age, tumor type, chosen treatment, and post treatment evolution were analyzed. Results: Patients were admitted for proptosis, pain, diplopia, tearing, visual loss. The highest incidence according to age was in the 6th decade (30%), followed by patients from the 7th decade (15%), then decades 1 and 8 (each 12%). There were no incidence differences by sex. The most frequent types of tumors were meningioma (16%), basal-cell carcinoma (13%) and hemangioma (12%). Surgery was the primary indication of treatment for 52% of our cases, oncological treatment for 10 %, while conservative treatment with regular observation was chosen for the rest. 12% of patients suffered a tumor relapse, with an average relapse time of one year. Conclusions: The risk of intraorbital tumors is highest at an old age. Sex is not an influencing factor. Meningiomas, hemangiomas and basal-cell carcinomas are the most frequent. Surgical treatment is the first option

for about half of the patients. Choosing the correct treatment depends on the type, size and symptoms of the tumor. Key words: orbit, tumors, surgery