0000000000462346
AUTHOR
Ciprian Băcilă
Exploring Inflammatory Status in Febrile Seizures Associated with Urinary Tract Infections: A Two-Step Cluster Approach
Background: Urinary tract infections (UTIs) are considered common facilitating factors, along with other infections, in triggering febrile seizures (FS). The main purpose of our study was to identify specific inflammatory patterns of UTI cases from other infections in a specific cluster, using a combination of inflammatory biomarkers to differentiate UTIs from other bacterial diseases triggering FS. Method: This prospective study included a number of 136 patients with 197 distinct FS events, from patients hospitalized in the Pediatric Clinical Hospital Sibiu, among which 10.2% were diagnosed with UTIs. Results: In one-third of the patients with UTIs (20 cases), the symptoms were limited to …
Individual alpha peak frequency, an important biomarker for live Z-Score training neurofeedback in adolescents with learning disabilities
Learning disabilities (LDs) have an estimated prevalence between 5% and 9% in the pediatric population and are associated with difficulties in reading, arithmetic, and writing. Previous electroencephalography (EEG) research has reported a lag in alpha-band development in specific LD phenotypes, which seems to offer a possible explanation for differences in EEG maturation. In this study, 40 adolescents aged 10–15 years with LDs underwent 10 sessions of Live Z-Score Training Neurofeedback (LZT-NF) Training to improve their cognition and behavior. Based on the individual alpha peak frequency (i-APF) values from the spectrogram, a group with normal i-APF (ni-APF) and a group with low i-APF (li-…
Telepsychiatry in the Romanian Health System During COVID-19 Pandemic
Abstract With the covid-19 pandemic and the related restrictions to reduce the spread of the virus, the interaction between doctor and patient has changed, especially in the outpatients department. Thus, the need for remote consultations also appeared in the Romanian health system, especially in the psychiatric one. Although in other countries psychiatrists were familiar with this form of consultation, for Romanian psychiatrists, who were not trained either in residency or during medical school, it was a great challenge. If until March 2020 the patient’s consultation had to be performed only in the physical presence of a doctor, once the COVID-19 pandemic appeared, the Romanian government a…
Particularities of Nursing in Electroconvulsive Therapy
Abstract Electroconvulsive therapy (ECT) has been a controversial topic, both in the general population and in the medical community since its initial implementation in 1938. Despite clinical applications and proven efficacy in psychiatric and neurological pathologies, such as schizophrenia, catatonia, psychotic disorders, depressive episodes, Parkinson’s disease and psychiatric pathological conditions that occurr during pregnancy or childbed, reluctance to apply ECT persists due to the low degree of information and professional training. The purpose of this article is to emphasize the importance of informing the medical team of the specific training in the provision of adequate nursing wit…
“Challenges and controversies regarding involuntary hospitalization in a psychiatric hospital. Ethical aspects”
Abstract It is crucial to inform the public about the procedures in psychiatric practice, meant to ensure complex and adequate medical care for the mentally ill patient, in respect of the dignity and rights of the patient, but also according to legal regulations. The occurrence of twisted considerations about psychiatry and patients with mental illness is due to the lack of information about mental illness, the beneficial effects of drug therapy, the need for hospitalization and patient protection in a psychiatric hospital, as part of treatment. When a psychiatric patient is brought in the guard room of a psychiatric hospital by the public services (EMT, police, public guardians, etc.), by …
Current Trends in Advanced Alginate-Based Wound Dressings for Chronic Wounds
Chronic wounds represent a major public health issue, with an extremely high cost worldwide. In healthy individuals, the wound healing process takes place in different stages: inflammation, cell proliferation (fibroblasts and keratinocytes of the dermis), and finally remodeling of the extracellular matrix (equilibrium between metalloproteinases and their inhibitors). In chronic wounds, the chronic inflammation favors exudate persistence and bacterial film has a special importance in the dynamics of chronic inflammation in wounds that do not heal. Recent advances in biopolymer-based materials for wound healing highlight the performance of specific alginate forms. An ideal wound dressing shou…
Setting up an electroconvulsive therapy (ECT) Department in the Psychiatric Hospital “Dr. GH. Preda” of Sibiu
Abstract Electroconvulsive therapy has a long history, with periods of approval and of contradiction. The electroconvulsive therapy department in our hospital has a long tradition: it was initiated in 1940 and used for a period of five decades, after which it was abandoned due to several reasons. Starting with the year 2019, it was desired to create a new ECT department that corresponds to the new modern requirements of ECT’s application (under anesthesia). This department was built according to the Portuguese model of the ECT department with the main purpose to increase the accessibility of psychiatric patients to this type of treatment, to decrease the number of hospitalization days for t…
Quality of Occupational Therapy Services in the Ergotherapy Department of the “Dr. Gh. Preda” Psychiatric Hospital of Sibiu
Abstract The patients with psychiatric pathology, during the hospitalization in the “Dr.Gh.Preda” Psychiatric Hospital of Sibiu attend to the activities carried out in the ergotherapy department. The complementary therapies are designed to help the patient to integrate socially and professionally easier. To make this possible, the quality of the services provided to the patients is important. We conducted this study in order to evaluate the quality of these services and to find solutions for possible problems. Occupational therapy has had an important place in the history of our hospital, being a department with tradition in which the quality of the services offered has always been emphasiz…
A Decision-Tree Approach to Assist in Forecasting the Outcomes of the Neonatal Brain Injury
Neonatal brain injury or neonatal encephalopathy (NE) is a significant morbidity and mortality factor in preterm and full-term newborns. NE has an incidence in the range of 2.5 to 3.5 per 1000 live births carrying a considerable burden for neurological outcomes such as epilepsy, cerebral palsy, cognitive impairments, and hydrocephaly. Many scoring systems based on different risk factor combinations in regression models have been proposed to predict abnormal outcomes. Birthweight, gestational age, Apgar scores, pH, ultrasound and MRI biomarkers, seizures onset, EEG pattern, and seizure duration were the most referred predictors in the literature. Our study proposes a decision-tree approach b…