Founded 1897 • New Series Romanian Journal of Vol. CXIX • Suppl. 1/2016 • June Military Medicine REVISTA DE MEDICINĂ MILITARĂ of 21st Balkan Congress Military Medical Committee May 31 – June 3, 2016, Bucharest Journal included in Ide Coperius Iteratioal, Natioal Lirar of Mediie Catalog, Ulrih’s Periodials Diretor database, OCLC WorldCat, Directory of Open Access Journals, Directory of Research Journals Index, Eurasian Scientific Journal Index, Scientific World Index, Science Library Index and Open Academic Journals Index. www.revistamedicinamilitara.ro Editorial Board of Romanian Journal of Military Medicine Under the patronage Romanian Association of Military Physicians and Pharmacists Carol Davila University of Medicine and Pharmacy, Bucharest, Romania Honorary Editor Victor Voicu Editors-in-Chief Floetia Ioiță Radu Buhaest Dan Mischianu (Bucharest) Executive Editors Daniel O. Costache (Bucharest) Vito L. Puăea Buhaest Associate Editor Mariana Jinga (Bucharest) Redactors Ciprian Constantin (Bucharest) Bogdan Marinescu (Bucharest) Costati Ștefai Buhaest Editorial Assistants Dan Dobre Cristina Solea Technical Secretary Oana Ciobanu Publisher Carol Davila University of Medicine and Pharmacy Publishing House International Editorial Board Natan Børnstein MD, PhD (Israel) Gerard Roul MD, PhD (France) C. Ioesu Tâgoişte MD, PhD Roaia Cris S. Constantinescu MD, PhD, FRCP (UK) Erwin Santo MD, PhD (Israel) Radu uuia MD, PhD Sitzelad Daiel Dăilă MD, PhD USA Adia Săftoiu MD, PhD Deak Shyam Varadarajulu MD, PhD (USA) Mihai Moldovan MD, PhD (Denmark) Ioanel Sinescu MD, PhD (Romania) Peter Vilmann MD, PhD (Denmark) Ioa Opiș BS, PhD USA Victor Voicu MD, PhD (Romania) Scientific Publishing Committee Adrian Barbilian (Bucharest) Dan Corneci (Bucharest) Viorel Jinga (Bucharest) Ada Băiuş Buhaest Raluca S. Costache (Bucharest) Ruada Juu Buhaest Cistia Băiuş Buhaest Dagoș Cuzio Buhaest Ovidiu Nicodin (Bucharest) Ada Bălăesu Buhaest Mircea Diculescu (Bucharest) Tudor Nicolaie (Bucharest) Mircea Beuran (Bucharest) Cosmin Dobrin (Bucharest) Bogdan A. Popescu (Bucharest) Daiaa Băișteau Iași Gabriela Droc (Bucharest) Emilian A. Ranetti (Bucharest) Dagoș Buăea Buhaest Silviu Dumitrescu (Bucharest) Corneliu Roaița (Bucharest) Marian Burcea (Bucharest) Cae G. Fieițeau Buhaest Carmen A. Sîrbu (Bucharest) Sofia Colesca (Bucharest) Cristian Gheorghe (Bucharest) Soi G. Țiplia (Bucharest) Gabriel Constantinescu (Bucharest) Liana S. Gheorghe (Bucharest) Dagoş Vieeau (Bucharest) Mihai E. Hinescu (Bucharest) REDACTION B-dul Eoii saitai, N., Seto , Buuești, Tel/fax 021/318.07.59, tel. 021/318.08.62/Int. 199; Email [email protected] Romanian Journal of Military Medicine (RJMM) is included in Romanian College of Physicians Medical Publications Index. www.revistamedicinamilitara.ro Romanian Journal of Military Medicine, New Series, vol. CXIX, Suppl. 1/2016, June ISSN-L 1222-5126; eISSN 2501-2312; pISSN 1222-5126 Vol. CXIX • Suppl. 1/2016 • June • Romanian Journal of Military Medicine RJMM Founded 1897 • New Series Romanian Journal of Military Medicine Vol. CXIX • Suppl. 1/2016 • June Edited by the Romanian Association of Military Physicians and Pharmacists. Contents WELCOME ADDRESS Costati Ștefai 21st Congress of Balkan Military Medical Committee 3 ORAL PRESENTATIONS Oral presentations session 1 – Military medicine 5 Oral presentations session 1 – Microbiology, clinical research and studies 9 Oral presentations session 1 – Students session 13 Oral presentations session 1 – Nurses session 16 Oral presentations session 2 – Aerospatial and diving medicine 19 Oral presentations session 2 – Emergency medicine and trauma management 22 Oral presentations session 2 – Neurology and toxicology 25 Oral presentations session 3 General surgery – 28 Oral presentations session 3 Thoracic surgery and surgical oncology – 32 Oral presentations session 3 – Orthopedic surgery 36 Oral presentations session 4 – Mental health and psychology 38 Oral presentations session 4 – General surgery, urology and gynaecology 42 Oral presentations session 4 – Oral and maxillofacial surgery, ophthalmology 46 Oral presentations session 5 – Gastroenterology, diabetes and nutrition 49 Oral presentations session 5 – Oncology and dermatology 53 Oral presentations session 5 – Pneumology 57 Oral presentations session 6 – Cardiology 59 Oral presentations session 6 – Best papers presentation 62 Oral presentations session 6 – Varia 64 POSTER PRESENTATIONS Poster presentations 69 1 ADMINISTRATIVE ISSUES Guidelines for authors 141 2 Vol. CXIX • Suppl. 1/2016 • June • Romanian Journal of Military Medicine WELCOME ADDRESS Costati Ștefai Dear Generals, Admirals, distinguished guests and colleagues, As the Chief of the Medical Directorate of Romanian maintain the high level of Armed Forces, as well as the Head of Romanian professionalism reached by Delegation at the 21st Balkan Military Medical military medical personnel. Committee Congress, it is a real honour, but also a The main topic of this year pleasure to welcome and host you in Bucharest, the editio Balka Military Col. CONSTANTIN ȘTEFANI Chief of the Medical Directorate capital of Romania. Medicine – Future challen- of Romanian Armed Forces For us, people destined by history to live in Balkans, ges is ot ol Food fo ideas and the Congress of BMMC, has already acquired a well thought ut a oppotuit to ehage knowledge on Military Medical topics, which is of deserved successful tradition, being an opportunity of great importance and value for all of us, considering approaching the many-sided military medical issues. the present geo-political circumstances in our area Together with our colleagues from Albania, Bulgaria, and in the world. Greece, Serbia and Turkey we have been contributing to the increase of the prestige of this reunion and of In the hope that the congress we are about to its scientific periodical. I am sure that Romanian commence will be an outstanding example of true branch of BMMC will succeed in continuing the best scientific, ethical and friendly spirit, I welcome you in achievements of the previous edition. Bucharest, a city with more than 800 years of history, In a constantly evolving international environment, oe ko as the Little Pais. Fo those ho ae for the first time in Bucharest I do hope they will we all have numerous issues and perspectives to enjoy it and for those, who have been before, to share and coordinate within the medical community experience new places the capital of our country is and many questions are raised for many nations but, willing to offer. among these, one is particularly relevant: how to Yours sincerely, Col. Assist. Pof. Costati ŞTEFANI, MD, PhD Chief of the Medical Directorate of the Romanian Armed Forces President of 21st BMMC Congress 3 4 Vol. CXIX • Suppl. 1/2016 • June • Romanian Journal of Military Medicine ORAL PRESENTATIONS OP session 1 – Military medicine EXPLOITING STRATEGIES OF IMPROVING HUMAN Doctrine for Medical Intelligence (AJMedP - 03); Doctrine PERFORMANCE FOR MILITARY OPERATIONS for medical insurance. National publication of the Armed Forces of the Republic of Bulgaria (NP-4.10); collections, Radu Hertzog manuals, lectures and publications of SRLMMI. 2. Methods – systematizing, analyzing, evaluating and During military operations, the war fighters are exposed to interpreting information. several threats. CBRN agents, blast related events, extreme RESULTS and austere environments, lack of family, stress and 1. Promotion of the mission, strategic goals and objectives emotional shock jeopardize health, protection, of SRLMMI in the short and long term. performance and even human condition. Many medical approaches or technologies have been developed or 2. Creating conditions for future sharing unclassified proposed for human performance optimization (HPO), products conducted by military medical intelligence human systems integration (HIS) and human performance structures with similar aims and purposes. enhancement (HPE) in order to support sustainability and CONCLUSIONS survivability as well as to improve combat readiness and 1. Identify hazards to health and life of soldiers during the effectiveness. The presentation covers few aspects of preparation, implementation and after implementation of animal kingdom to understanding of biological missions outside the Republic of Bulgaria is important for underpinnings of high level performance. Nature is successful implementation. providing us an unlimited source to discover bio-tech 2. The dissemination and exchange of classified military solutions to counteract the threats that could affect the life medical products conducted by intelligence structures with of our soldiers. similar aims and purposes increases the efficiency of their operations. MILITARY INFORMATION SUCH AS SPECIFIC IN NATURE AND USE INFORMATION ANALYSIS OF THE COST OF MEDICINES AT THE MILITARY MEDICAL ACADEMY Chobanov N., K. Hristova, S. Kolev, K. Paskalev Virsavia Vaseva, Ventsislav Mutafchiiski, Rumen Popov, PURPOSE Lyubomir Aleksiev, Nikolay Petrov 1. Defining the place of military medical information to the general flow of information that serves military science. Introduction: Facing conditions of market economy and 2. Determine the purpose and addressees of the financial deficits each health manger is challenged to information that is gaining SRLMMI. provide cost-effective functioning of its entrusted hospital. 3. Participation in the creation of a network for the In the structure of the treating costs, medicines take exchange of military medical information.