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HEMATURIA - ALGORITHM FOR DIAGNOSIS
C. Costache
Jurnalul de Chirurgie , 2005,
Abstract: One of the most challenging issues in Urology is the differential diagnosis of hematuria. Before proceeding to more complicated investigations, the urinary dipstick result should be confirmed with a microscopic examination of the urinary sediment. Hematuria of nephrologic origin is frequently associated with casts in the urine and almost always associated with significant proteinuria; it is secondary to either glomerular, tubulointerstitial, renovascular or systemic disorders. Common causes of hematuria of urologic origin, suggested by the absence of significant proteinuria, include urothelial tumors, renal parenchymal tumours, urinary stones, urinary tract infections, prostatic tumours and trauma of the urinary tract. The mainstays of evaluation are urinary cytology, cystoscopy, intravenous urography, retrograde pyelography and ureteroscopy, ultrasonography and CT. Conclusion: Hematuria of any degree should never be ignored and, in adults, should be regarded as a symptom of urologic malignancy until proved otherwise and demands immediate urologic examination.
Price rebate in the business relations and the consequences on the company outcome
Anton, C.,Costache, A
Bulletin of the Transilvania University of Brasov. Series V : Economic Sciences , 2012,
Abstract: The development of the company’s activity in a competition economic environment, featured by continuous dynamics generates more and more complex problems and for solving these problems, the manager searches solutions meant to lead to the attainment of the set goals. Thus, the most important strategy to attain higher financial performances is the efficient management of the relation with the clients. Moreover, studies and analyses are required concerning the volume of the commercial transactions with strategic partners, developing a price rebate policy meant to make clients loyal. This paper aims at identifying the most appropriate communication and collaboration methods between the client and the company and at setting the type of granted commercial facilities, so that the outcome of the carried out activity attains the proposed level.
PERCUTANEOUS APPROACH IN OBSTRUCTIVE RENAL FAILURE – INDICATIONS, POSTOPERATIVE SURVEILLANCE
C. Ristescu,C. Costache,N. Suditu,C. Novac
Jurnalul de Chirurgie , 2011,
Abstract: Objective: The study aimed to identify the variation of biological parameters recorded at the patients with obstructive renal failure treated with percutaneous nephrostomy. Material and method: The retrospective study investigated the data of 244 patients admitted in our department and treated with percutaneous nephrostomy for obstructive renal failure during January 2005 – December 2007. Demographical data, investigation, operation notes, indication, biological parameters trends (creatinine, haematocrit, haemoglobin, kaliemia, alkaline reserve), complications and hospital stay were recorded. The biological parameter trends (creatinine, haematocrit, haemoglobin, kaliemia, alkaline reserve) was analysed. The median preoperative and postoperative values of those parameters was compared. Statistical analysis was performed.Results: The median preoperative/discharge values of creatinine were 8.29mg%(1.6-26.3 mg%) comparing to 3.63mg% (0.64-13 mg%). A return to normal renal function at the discharge time was noted in 23 patients (9.7%). Hyperpotasemia (K>5.1mEq/l) on admission was found in 134 patients (54.9%). The median preoperative/discharge values of potassium were 5.71mEq/l comparing to 4.8 mEq/l.The median hospitalization time was 8.7 days with a median ICU stay of 3.3 days. The recorded mortality was 3.2% (8 patients) with an average time of 5.8 days between the operatory time and exitus time. Conclusions: The most frequent causes of obstructive renal failure necessiting percutaneous nephrostomy are malignancies. After renal percutaneous drainage the renal function improvement is fast and significant. In the postoperative period the onset of severe hypokalemia call for aggressive treatment in the same time with volume repletion.
A Case of Ciliate Protozoa Colpoda Spp. (Ciliata: Colpodidae) Detected in Human Urine
C Costache,S Bursa?iu,C Filipa?,I Colosi
Iranian Journal of Parasitology , 2011,
Abstract: In the urine of a patient with chronic prostatitis, renal microlithiasis and acute cystitis we found the ciliate protozoa Colpoda spp., both in vegetative and cystic form. The entry point was most likely the urinary tract. Keeping in mind that only four more cases of Colpoda spp. existent in human urine have already been described, and that in the case of our patient the ciliate was present at repeated examinations of his urine, we presumed that it is not only a spurious infection of the urogenital tract. It still remains to be analyzed whether this ciliate belongs to a species of Colpoda adapted to parasitism in homeothermae and whether it can be pathogenic for humans.
ACTUALITIES IN THYROID CANCER
Al. Grigorovici,M. Costache,C. Velicescu,L. Radu
Jurnalul de Chirurgie , 2008,
Abstract: Between January, 2000 and August, 2007 in the 3rd Surgical Unit of the St. Spiridon” Hospital of Ia i 1300 operations were performed for thyroid disorders, 240 of which were performed for the thyroid cancer and 1300 for benign disorders. The diagnosis was confirmed by hystopathological examination (including frozen section exam). The patients had a median age of 51.48 years old (range 19-81 years). The thzroid cancer was more frequent at the women (sex ratio F:M = 2.15:1). Total thyroidectomy with radical or modified radical neck dissection was performed in 21 cases. The postoperative morbidity was 2.4%: postoperative haemorrhagies with reoperations for haemostasis in 7 cases and unilateral recurrent laryngeal nerve injury in 3 patients. We also reported reccurency in the first two years in 5 patients. Total thyroidectomy with frozen section exam and radical neck dissection when is necessary became the ellective method for thyroid cancer, and the best results were for females patients over 55 years old, with papillary cancer
PROBLèMES SPéCIFIQUES CONCERNANT LES RELATIONS ENTRE LES INSTITUTIONS COMMUNAUTAIRES
Mirela COSTACHE
Acta Universitatis Danubius : Juridica , 2007,
Abstract: The theme discussed in the article in question debates the institutional European edifice. Seen more than a confederation of states, but less than a federal state, the European Union represents a new edifice, which is always evolving. The relationship between the five fundamental institutions and governments Member States are in a continuous change, as the balance of forces shall be adjusted and modified. In conclusion, none of the European Community institutions can be completely autonomous. They are all interdependent, connected, both at the national and super national level.
The Modern Theory of Objective Substantiation of Parental Responsibility for the Illicit Acts Committed by Their Minor Children
Mirela COSTACHE
Acta Universitatis Danubius : Juridica , 2009,
Abstract: Generically speaking, the responsibility exceeds the law domain, but its most relevant forms usually take legal forms. The current coordinates of parental liability for the acts committed by their children know objectifying tendencies of this type of liability. The current tendency in the literature and legal practice is that of extending parental liability, to the extent in which the guilt (through its defining features) faces a serious identity crisis. Facing these realities the legal doctrine and jurisprudence had the no easy task of renovating the traditional legal institutions, by the deep transformation and adaptation of the new social needs.
Bouteloua curtipendula in Herbarium University of Craiova, Romania
Iulian COSTACHE
Analele Universitatii din Oradea, Fascicula Biologie , 2009,
Abstract: The paper presented in full material with the interesting presence of the Bouteloua curtipendula in Herbarium University of Craiova. This species has been collected by Marin Paun in June, 26th, 1962, but the species has not been identified. The species presence as new for Romania, has been presentation in summary in the 7th International Symposium Prospects for the 3rd Millennium Agriculture” October 2-4, 2008, USAMV Cluj-Napoca.
New Data about the Trifolium hirtum in Romania
Iulian COSTACHE
Notulae Botanicae Horti Agrobotanici Cluj-Napoca , 2009,
Abstract: In “The Romanian Flora” the Trifolium hirtum species was mentioned by Janca (1979) in Banat, in the Almajului Mountains, Mt. Trescovat, but it was considered dubious in our country (Nyárády, 1957), being mistaken for T. diffusum. After about 138 years the presence of the Trifolium hirtum species has been confirmed in Oltenia (Ciocarlan and Costache, 2004). The method of research used was the observation and the collected material was examined in detail, both rough and preserved, using the binocular magnifying glass. The detailed images were taken with a digital camera provided with a magnifying device. The discovery of this species is of major importance for the flora of our country and that is the reason for its detailed description below. We present the new data about the Trifolium hirtum species in Romania, which consist in some additions to its description and in the proposal of a dichotomy key for its determination and a chorology map with its distribution in Romania. The identification of the species can be made easily by using the key of determination proposed by us, especially as we have not found one in the relevant research literature. On the other hand there are certainly other locations where the species exist and this could be the object of our future research.
Fat, fire and fluids: a research note on the objects in the everyday life of a beauty salon
Monica Costache
Journal of Comparative Research in Anthropology and Sociology , 2012,
Abstract: This research note brings together two “lost and found” items in social theory: “the body” and the “the object”. The goal is to explain how body objectification is being produced in the hybrid social space of a beauty centre.
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