http://repository.usmf.md:80/handle/20.500.12710/25110 Sun, 12 Apr 2026 12:11:49 GMT 2026-04-12T12:11:49Z http://repository.usmf.md:80/handle/20.500.12710/25148 Title: Revista de Științe ale Sănătății din Moldova = Moldovan Journal of Health Sciences. 2023, Vol. 10(2) Abstract: Revista de Științe ale Sănătății din Moldova (Moldovan Journal of Health Sciences) a fost lansată în octombrie 2014. Aceasta este editată în limbile română și engleză, conform standardelor și ghidurilor internaționale actuale în domeniul științelor medicale, și are o apariție trimestrială. Revista este înregistrată în Instrumentul Bibliometric Național IBN/IDSI (nr.1 din 16.11.2015), iar din 21 decembrie 2017, prin Hotărârea Consiliului Suprem pentru Știință și Dezvoltare Tehnologică nr. 169, a fost inclusă în lista revistelor științifice de Tip B. Revista este înregistrată în 2 baze de date internaționale. Sun, 01 Jan 2023 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/25148 2023-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/25121 Title: Idiopathic hypertrophic osteoarthropathy misdiagnosed as juvenile idiopathic arthritis. Case study Authors: Homițchi, Marinela; Popa, Serghei; Dutca, Lucia; Agachi, Svetlana; Corotaș, Valeriu Abstract: Background. Pachydermoperiostosis (or primary hypertrophic osteoarthropathy) is a rare genetic disease that usually begins in childhood or adolescence, is characterized by certain clinical signs (pachydermia, periostosis, drum sticks) that gradually progress over many years until the disease stabilizes. Currently, there are 2 genes in which mutations are associated with the development of pachydermoperiostosis - HPGD and SLCO2A1. The functions of these genes are not fully understood, but their influence on the metabolism of prostaglandin E2 is known. Case presentation. We present a case of a 20-year-old patient mistakenly diagnosed as juvenile idiopathic arthritis. Symptoms on admission to the hospital: pain accompanied by swelling in the hands and feet, arthralgias in the talocrural joints, knees with slight swelling, paresthesia in the extremities, hyperhidrosis, fatigue. Clinical and paraclinical examinations confirmed the diagnosis of pachydermoperiostosis. Conclusions. Pachydermoperiostosis should be considered as a differential diagnosis when a patient presents with hypertrophic osteoarthropathy and acromegalic features. Sun, 01 Jan 2023 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/25121 2023-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/25120 Title: Delayed successful interbody fusion after initially failed midline lumbar interbody fusion spinal arthrodesis in a patient with degenerative lumbar spondylolisthesis and severe osteoporosis Authors: Borodin, Serghei Abstract: Introduction. Dual x-ray absorptiometry (DEXA) scan has been the gold standard for assessing bone mineral density prior to spinal instrumentation surgery. DEXA scans, on the other hand, can produce falsely elevated measurements in patients with severe degenerative changes, compression fractures, and aortic calcification, which can lead to incorrect patient selection and failed interbody fusion. Materials and methods. Detailed anamnesis of disease development, thorough clinical examination, patient-reported outcome measures (pain VAS, ODI, SF-12), preoperative and postoperative bone-window CT of the spine (interbody fusion status assessment), vertebral bone mineral density assessment by DEXA scan, vertebral bone density measurement in Hounsfield units by computer tomography, and the review of published literature were analysed. Results. A 67-year-old woman was diagnosed with L4-L5 degenerative spondylolisthesis. DEXA scan revealed normal bone mineral density in the lumbar vertebrae. The patient underwent midline lumbar interbody fusion (MIDLIF). The postoperative course was complicated by the occurrence of clinical and radiographic signs of pseudarthrosis. She refused revision surgery and was lost to follow-up. Three years postoperatively, she presented in good physical condition, with significant improvement in pain and functional disability. A CT scan showed delayed successful interbody fusion with complete resolution of radiolucency around implants. Conclusions. This case report summarizes some of the possible errors in diagnosis and surgical treatment in patients with degenerative pathology associated with severe vertebral osteoporosis. Sun, 01 Jan 2023 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/25120 2023-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/25119 Title: Prolonged sinus pauses after the paroxysms of atrial tachycardia in children, to pace or to ablate? Case report Authors: Boiciuc, Irina; Darciuc, Radu; Amasyali, Basri; Diker, Erdem Abstract: Background. The presence of prolonged sinus pauses is quite rare in children and adolescents with structural normal heart. The decision of the optimal therapeutic tactics is always challenging. Case report. The 16-years-old girl addressed with complains of palpitations and dizziness after the palpitations end. A Holter ECG monitoring was performed with the detection of prolonged sinus pauses after the paroxysm of atrial tachycardia. We decided to perform an electrophysiological study to diagnose the tachycardia type. The presence of atrial tachycardia originating from the ostium of the coronary sinus was demonstrated. We decided to manage the tachyarrhythmia with catheter ablation. During the application of the radiofrequency currents, the tachycardia stopped, and the sinus rhythm was restored. The ablation was preferred over medication taking into consideration the potential risk of worsening of the bradycardia by antiarrhythmic therapy. Conclusions. The optimal therapeutic solution in similar pediatric cases should be directed towards the supraventricular tachycardia treatment and not to the bradyarrhythmia. The majority of supraventricular tachycardias could be cured by catheter ablation. Sun, 01 Jan 2023 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/25119 2023-01-01T00:00:00Z