Founded 1897 • New Series Romanian Journal of Vol. CXXI • No. 3/2018 • December Military Medicine REVISTA DE MEDICINĂ MILITARĂ • The history of military medicine in the last 100 years • Complications of systemic lupus erythematosus: A review • Heart failure with preserved ejection fraction: A review • Gut microbiota – new insight in colorectal cancer pathogenesis • Diagnosis and management of cases with deep infiltrating endometriosis affecting the urinary tract • The strategic importance of vaccination for national defense and security • The role of metatarsophalangeal joint arthroscopy in hallux rigidus treatment: technique and early results • Women’s facial attractiveness nowadays – results from analysis of public figures • The semi-centenary of a prestigious medical unit: Military-Medical Research Center • Black hairy tongue due to antibiotic intake • Atypical case of achalasia Journal included in Emerging Sources Citation Index, Index Copernicus International, National Library of Medicine Catalog, Ulrich’s Periodicals Directory 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 Acad. Victor Voicu MD, PhD Editors-in-Chief Florentina Ioniță Radu MD, PhD, MBA Dan Mischianu MD, PhD Executive Editors Daniel O. Costache MD, PhD, MBA Victor L. Purcărea PhD, MBA Associate Editor Mariana Jinga MD, PhD, MBA Redactors Raluca S. Costache MD, PhD, MBA – Bucharest Mihail S. Tudosie MD, PhD – Bucharest Editorial Assistants Ioana Oprea MD Cristina Solea Technical Secretary Oana Ciobanu Ionuț Olteanu Publisher Carol Davila University of Medicine and Pharmacy Publishing House International Editorial Board Natan Børnstein (Israel) Gerard Roul (France) C. Ionescu Târgovişte (Romania) Cris S. Constantinescu (UK) Erwin Santo (Israel) Radu Ţuţuian (Switzerland) Daniel Dănilă (USA) Adrian Săftoiu (Denmark) Shyam Varadarajulu (USA) Mihai Moldovan (Denmark) Ioanel Sinescu (Romania) Peter Vilmann (Denmark) Ioan Opriș (USA) Victor Voicu (Romania) Scientific Publishing Committee Adrian Barbilian (Bucharest) Gabriel Constantinescu (Bucharest) Viorel Jinga (Bucharest) Anda Băicuş (Bucharest) Dan Corneci (Bucharest) Ovidiu Nicodin (Bucharest) Cristian Băicuş (Bucharest) Raluca S. Costache (Bucharest) Tudor Nicolaie (Bucharest) Andra Bălănescu (Bucharest) Dragoș Cuzino (Bucharest) Bogdan A. Popescu (Bucharest) Mircea Beuran (Bucharest) Mircea Diculescu (Bucharest) Emilian A. Ranetti (Bucharest) Ovidiu Bratu (Bucharest) Cosmin Dobrin (Bucharest) Corneliu Romanițan (Bucharest) Daciana Brănișteanu (Iași) Silviu Dumitrescu (Bucharest) Carmen A. Sîrbu (Bucharest) Dragoș Bumbăcea (Bucharest) Carmen G. Fierbințeanu (Bucharest) Ion Țintoiu (Bucharest) Marian Burcea (Bucharest) Cristian Gheorghe (Bucharest) Sorin G. Țiplica (Bucharest) Sofia Colesca (Bucharest) Liana S. Gheorghe (Bucharest) Daniel Vasile (Bucharest) Dumitru Constantin Dulcan (Bucharest) Mihai E. Hinescu (Bucharest) Dragoş Vinereanu (Bucharest) Ruxandra Jurcuț (Bucharest) REDACTION B-dul Eroii sanitari, Nr.8, Sector 5, București, 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. CXXI, No 3/2018, December ISSN-L 1222-5126; eISSN 2501-2312; pISSN 1222-5126 Vol. CXXI • No. 3/2018 • December • Romanian Journal of Military Medicine RJMM Founded 1897 • New Series Romanian Journal of Military Medicine Vol. CXXI • No. 3/2018 • December Edited by the Romanian Association of Military Physicians and Pharmacists. Contents EDITORIAL Paul Oprea The history of military medicine in the last 100 years 5 REVIEW ARTICLE Georgiana Iftimie, Anca Pantea Stoian, Bogdan Socea, Ion Motofei, Dragoș Marcu, Raluca S. Costache, Camelia Diaconu Complications of systemic lupus erythematosus: A review 9 Ruxandra N. Horodinschi, Anca Pantea Stoian, Dragoș Marcu, Raluca S. Costache, Camelia Diaconu Heart failure with preserved ejection fraction: A review 16 Mihăiță Pătrășescu, Petruț Nuță, Raluca S. Costache, Săndica Bucurică, Bogdan Macadon, Vasile Balaban, Andrada Popescu, Roxana Călin, Florentina Ioniță Radu, Mariana Jinga Gut microbiota – new insight in colorectal cancer pathogenesis 26 ORIGINAL ARTICLES C.B. Coroleucă, C. Berceanu, L. Brîndușe, D. Marcu, C.A. Coroleucă, Elvira Brătilă Diagnosis and management of cases with deep infiltrating endometriosis affecting the urinary tract 31 Viorel Ordeanu The strategic importance of vaccination for national defense and security 38 Ieronim O. Crișan The role of metatarsophalangeal joint arthroscopy in hallux rigidus treatment: technique and early results 45 Cristina T. Preoteasa, Sabina Iordache, Marina Imre, Paula Perlea, Ana Maria C. Tancu, Elena Preoteasa Women’s facial attractiveness nowadays – results from analysis of public figures 52 Viorel Ordeanu The semi-centenary of a prestigious medical unit: Military-Medical Research Center 57 CLINICAL PRACTICE Cătălina E. Lavric, Silviu V. Dumitrescu Black hairy tongue due to antibiotic intake 61 Andreea Grigore, Bianca Săndulescu, Alexandra Lulache, Andrada Popescu, Săndica Bucurică, Mihai Șotcan, Florina Vasilescu, Petruț Nuță, Mariana Jinga, Florentina Ioniță Radu, Daniel O. Costache, Raluca S. Costache Atypical case of achalasia 63 1 ADMINISTRATIVE ISSUES Guidelines for authors 68 2 Vol. CXXI • No. 3/2018 • December • Romanian Journal of Military Medicine 3 Vol. CXXI • No. 3/2018 • December • Romanian Journal of Military Medicine EDITORIAL The history of military medicine in the last 100 years xxx Paul Oprea The begining of the medical military service in first military hospitals were Gral Brig PAUL OPREA Romania is related to the set up of the public set up in addition to those in Chief of Romanian Army institutions with military regime: gendarmerie and Bucharest, the period Medical Directorate military subunits (pedestrians and riders), military between 1880 and 1900 being a period of massive firefighters, whose purpose was to provide sanitary construction. services. In addition to the Central Military Hospital in Due to the different evolution of Romanian regions, Bucharest, hospitals were built in Craiova, Piteşti, the history of military-medical structures was Galaţi, Focsani and the hospital from Iaşi was resized. different. Fortunately for the Romanian people, the beginning of the 20th century found the Romanian Army at a good The unification of the Romanian Principalities under level of organization, endowment and with enough the ruler Alexandru Ioan Cuza - modernist and good staff. administrator - was an important leap in the development of the medical assistance structures of In the Armed Forces, the medical service has the armies, with the increase, diversification and developed to a great extent: there are specialists in specialization of the military units. It is the time when surgery, internal medicine, dermatology, laboratory, battalion infirmaries grow in size, the number of etc. Hospitalization conditions are modern, both in the stationary beds for officers and troop’s increases, medical departments and in laboratories, the latter more doctors are employed and therapeutic methods being managed by well-trained medical staff. In this are diversified. period, there is a rise of military-medical professors, some of which turned out to be excellent specialists, The arrival of King Carol I, one of the founders of role models for the next generations. modern Romania, in the country, has generated progress and development of the medical-military With the general physician Carol Davila, the first network. command (planning / administration / coordination) structure of the Army's medical service appears. He is After the conquest of Romania's state independence, the first chief in the history of the current Medical the development of the institutions of the new state Directorate. under the leadership of Carol I and of a political class of liberal and nationalist orientation recorded a Having central activity as support, medical structures - momentum not yet encountered. Consequently, the infirmaries, hospitals - are standardized as structure, 5 organization chart and endowment. as well as the therapeutic resources and the means of diagnostics diversified, the imaging (Rx) developed The period 1914-1916 until Romania's entry into war consistently. In these twenty years, hospitals in provided a partial modernization of the Army. Entry Romania (including the military ones) evolved, into World War I was an act of courage and sacrifice developed, offering diagnostic and treatment for all the services of the Army. The medical service methods similar to those available in Western Europe. was well prepared and managed to provide comprehensive health care in the operations theatres. Romanian medical education has matured through the Unfortunately, the Army's sanitary material conditions activity of the Medical Faculties in Bucharest, Cluj- were not at an appropriate level, making it possible for Napoca, Timisoara and Iasi, generating a plethora of the outbreak of typhus epidemic,