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Peptenatu D, Băloi AM, Andronic O, Bolocan A, Cioran N, Gruia AK, Grecu A, Panciu TC, Georgescu L, Munteanu I, Pistol A, Furtunescu F, Strâmbu IR, Ibrahim E, Băiceanu D, Popescu GG, Păduraru D, Jinga V, Mahler B. Spatio-Temporal Pattern of Tuberculosis Distribution in Romania and Particulate Matter Pollution Associated With Risk of Infection. Geohealth 2024; 8:e2023GH000972. [PMID: 38638801 PMCID: PMC11025721 DOI: 10.1029/2023gh000972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Revised: 12/05/2023] [Accepted: 12/05/2023] [Indexed: 04/20/2024]
Abstract
The study proposes a dynamic spatio-temporal profile of the distribution of tuberculosis incidence and air pollution in Romania, where this infectious disease induces more than 8,000 new cases annually. The descriptive analysis for the years 2012-2021 assumes an identification of the structuring patterns of mycobacterium tuberculosis risk in the Romanian population, according to gender and age, exploiting spatial modeling techniques of time series data. Through spatial autocorrelation, the degree of similarity between the analyzed territorial systems was highlighted and the relationships that are built between the analysis units in spatial proximity were investigated. By modeling the geographical distribution of tuberculosis, the spatial correlation with particulate matter (PM2.5) pollution was revealed. The identification of clusters of infected persons is an indispensable step in the construction of efficient tuberculosis management systems. The results highlight the link between the distribution of tuberculosis, air pollution and socio-economic development, which requires a detailed analysis of the epidemiological data obtained in the national tuberculosis surveillance and control program from the perspective of geographical distribution.
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Affiliation(s)
- D. Peptenatu
- Faculty of GeographyResearch Center for Integrated Analysis and Territorial Management (CAIMT)University of BucharestBucharestRomania
- Graphit Innovation FactoryStr.Constantin BrancoveanuDrobeta Turnu SeverinRomâniaRomânia
| | - A. M. Băloi
- Faculty of GeographyResearch Center for Integrated Analysis and Territorial Management (CAIMT)University of BucharestBucharestRomania
- Graphit Innovation FactoryStr.Constantin BrancoveanuDrobeta Turnu SeverinRomâniaRomânia
- Faculty of Administration and BusinessUniversity of BucharestBucharestRomania
| | - O. Andronic
- Carol Davila University of Medicine and PharmacyBucharestRomania
| | - A. Bolocan
- Carol Davila University of Medicine and PharmacyBucharestRomania
| | - N. Cioran
- Carol Davila University of Medicine and PharmacyBucharestRomania
| | - A. K. Gruia
- Faculty of Administration and BusinessUniversity of BucharestBucharestRomania
| | - A. Grecu
- Faculty of Administration and BusinessUniversity of BucharestBucharestRomania
| | - T. C. Panciu
- Marius Nasta Institute of PneumologyBucharestRomania
| | - L. Georgescu
- Marius Nasta Institute of PneumologyBucharestRomania
| | - I. Munteanu
- Marius Nasta Institute of PneumologyBucharestRomania
| | - A. Pistol
- Carol Davila University of Medicine and PharmacyBucharestRomania
| | - F. Furtunescu
- Carol Davila University of Medicine and PharmacyBucharestRomania
| | - I. R. Strâmbu
- Carol Davila University of Medicine and PharmacyBucharestRomania
| | - E. Ibrahim
- Marius Nasta Institute of PneumologyBucharestRomania
| | - D. Băiceanu
- Marius Nasta Institute of PneumologyBucharestRomania
| | - G. G. Popescu
- Marius Nasta Institute of PneumologyBucharestRomania
| | - D. Păduraru
- Carol Davila University of Medicine and PharmacyBucharestRomania
| | - V. Jinga
- Carol Davila University of Medicine and PharmacyBucharestRomania
| | - B. Mahler
- Carol Davila University of Medicine and PharmacyBucharestRomania
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2
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Peptenatu D, Nedelcu ID, Pop CS, Simion AG, Furtunescu F, Burcea M, Andronache I, Radulovic M, Jelinek HF, Ahammer H, Gruia AK, Grecu A, Popa MC, Militaru V, Drăghici CC, Pintilii RD. The Spatial-Temporal Dimension of Oncological Prevalence and Mortality in Romania. Geohealth 2023; 7:e2023GH000901. [PMID: 37799773 PMCID: PMC10549965 DOI: 10.1029/2023gh000901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Revised: 08/18/2023] [Accepted: 08/27/2023] [Indexed: 10/07/2023]
Abstract
The objective of this study was to identify spatial disparities in the distribution of cancer hotspots within Romania. Additionally, the research aimed to track prevailing trends in cancer prevalence and mortality according to a cancer type. The study covered the timeframe between 2008 and 2017, examining all 3,181 territorial administrative units. The analysis of spatial distribution relied on two key parameters. The first parameter, persistence, measured the duration for which cancer prevalence exceeded the 75th percentile threshold. Cancer prevalence refers to the total number of individuals in a population who have been diagnosed with cancer at a specific time point, including both newly diagnosed cases (occurrence) and existing cases. The second parameter, the time continuity of persistence, calculated the consecutive months during which cancer prevalence consistently surpassed the 75th percentile threshold. Notably, persistence of elevated values was also evident in lowland regions, devoid of any discernible direct connection to environmental conditions. In conclusion, this work bears substantial relevance to regional health policies, by aiding in the formulation of prevention strategies, while also fostering a deeper comprehension of the socioeconomic and environmental factors contributing to cancer.
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Affiliation(s)
- D. Peptenatu
- Research Center for Integrated Analysis and Territorial Management—CAIMTFaculty of GeographyUniversity of BucharestBucharestRomania
| | - I. D. Nedelcu
- Research Center for Integrated Analysis and Territorial Management—CAIMTFaculty of GeographyUniversity of BucharestBucharestRomania
| | - C. S. Pop
- Carol Davila University of Medicine and PharmacyBucharestRomania
| | - A. G. Simion
- Research Center for Integrated Analysis and Territorial Management—CAIMTFaculty of GeographyUniversity of BucharestBucharestRomania
| | - F. Furtunescu
- Carol Davila University of Medicine and PharmacyBucharestRomania
| | - M. Burcea
- Faculty of Administration and BusinessUniversity of BucharestBucharestRomania
| | - I. Andronache
- Research Center for Integrated Analysis and Territorial Management—CAIMTFaculty of GeographyUniversity of BucharestBucharestRomania
| | - M. Radulovic
- Department of Experimental OncologyInstitute of Oncology and Radiology of SerbiaBelgradeSerbia
| | - H. F. Jelinek
- Department of Biomedical Engineering and Healthcare Engineering Innovation CenterKhalifa UniversityAbu DhabiUnited Arab Emirates
| | - H. Ahammer
- Division of Medical Physics and BiophysicsGSRCMedical University of GrazGrazAustria
| | - A. K. Gruia
- Faculty of Administration and BusinessUniversity of BucharestBucharestRomania
| | - A. Grecu
- Faculty of Administration and BusinessUniversity of BucharestBucharestRomania
| | - M. C. Popa
- Research Center for Integrated Analysis and Territorial Management—CAIMTFaculty of GeographyUniversity of BucharestBucharestRomania
| | - V. Militaru
- Faculty of MedicineIuliu Haţieganu University of Medicine and Pharmacy Cluj‐NapocaCluj‐NapocaRomania
| | - C. C. Drăghici
- Research Center for Integrated Analysis and Territorial Management—CAIMTFaculty of GeographyUniversity of BucharestBucharestRomania
| | - R. D. Pintilii
- Research Center for Integrated Analysis and Territorial Management—CAIMTFaculty of GeographyUniversity of BucharestBucharestRomania
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3
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Furtunescu F, Serban A, Mahler B, Munteanu I. Policy framework for building integrated care for TB patients in Romania: setting up the scene. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.1280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Problem
Romania put many efforts for TB control, but despite a constant decreasing trend since almost two decades, TB remained a public health concern, due to the notification rate (highest in EU), the number of resistant cases and the mortality. A national strategy for TB control has been issues for 2015-2020, but its implementation was fragmentary.
Description of the Problem
Benefiting for a series of programs financed by the Global Fund to Fight AIDS, Tuberculosis and Malaria, Romania performed a detailed analysis of the national context, on four pillars (governance and accountability, service delivery, organizational capacity, resources). Quantitative data collected through routine systems were combined to interviews with key informers and focus groups with medical staff, patients and NGOs active in supporting key vulnerable population.
Results
A national framework for strengthening the implementation of the strategy was set up under a Tailored to Transition Global Fund Grant. This framework put together the policy and the technical levels and the civil society sector. Main interventions aimed to strengthen the governance, to improve the procurement and supply mechanism, to develop the ambulatory patient-centered model of care and to create tools for improving the access of key vulnerable population to basic integrated medical and social services.
Lessons
Translating the good practice models developed by the NGO sector to permanent (governmental) structures was difficult due to more rigorous legislative framework for public systems.
Key messages
Multisectoral approach is essential for building integrated care for TB patients. Integration of services should focus not only to complex medical needs, but also to the social ones.
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Affiliation(s)
- F Furtunescu
- Department of Public Health, University of Medicine and Pharmacy Carol Davila, Bucharest, Romania
- Romanian Association of Public Health and Health Management, Bucharest, Romania
- Department of Planning, Monitoring and Risk Communication, National Institute of Public Health, Bucharest, Romania
| | - A Serban
- Department of Medical Assistance and Public Health, Ministry of Health, Bucharest, Romania
| | - B Mahler
- Department of Pneumology, Marius Nasta Institute of Pneumology, Bucharest, Romania
| | - I Munteanu
- Department of Pneumology, Marius Nasta Institute of Pneumology, Bucharest, Romania
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4
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Mangaloiu D, Bratu E, Furtunescu F, Minca D. Are Roma people exposed to NCD? Modifiable risk factors in a rural Roma community from Romania. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz186.669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Knowing the prevalence of modifiable risk factors for noncommunicable diseases is the first step to plan effective public health interventions. The study aims to identify the prevalence and distribution of risk factors of non-communicable diseases (NCD) among adult Roma population in a rural community.
Methods
Using a tool based on the WHO stepwise approach, a cross-sectional study was carried out among a sample 116 adults aged 18-85 years (52 male and 64 female), from a rural community with 800 Roma members. The study instrument included questions to record behavioral risk factors (smoking behavior, alcohol drinking, diet and physical activity and also data on anthropometry and value of blood pressure). Descriptive statistics methods were used to analyze the data.
Results
The smoking prevalence was 35,3% (95%CI, 27.0 to 44.3,) higher for men (49,9%, 95%CI, 36,6-63,4%) than for women (23,4%, 95%CI, 14.2-34,9), higher than the smoking prevalence recorded for Romanian population in 2017 Eurobarometer study. Prevalence of obesity (body mass index ≥30 kg/m[2]) was observed to be high among Roma respondents 34,48% (95% CI, 26,26 to 43,47) compared with self-reported obesity rates among adults in Romania (9%, Eurostat, EHIS 2014). The observed proportion of obesity is similar for both genders, but central obesity was lower for men compared to women (57,4% to 79.6%). There was observed a higher proportion of people declaring they eat fruits less than once on a week (25%, 95% CI, 17,7 to 37,4) and adding salt before tasting the dishes (58,6%). Most of interviewed people have a sedentary lifestyle with less than 30 minutes of physical activity per day.
Conclusions
The high prevalence of risk factors for NCD in this rural Roma community indicates the likelihood of a high future burden of illness.
Key messages
There is a need for both further research into the health of Roma people regarding NCD and prevention interventions to address behavioral risk factors for NCD. Knowing the prevalence of modifiable risk factors for noncommunicable diseases is the first step to plan effective public health interventions.
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Affiliation(s)
| | - E Bratu
- University of Medicine and Pharmacy “Carol Davila”, Faculty of Medicine, Preclinical Department III - Complementary Sciences, Discipline of Public Health and Management, Bucharest, Romania
| | - F Furtunescu
- University of Medicine and Pharmacy “Carol Davila”, Faculty of Medicine, Preclinical Department III - Complementary Sciences, Discipline of Public Health and Management, Bucharest, Romania
| | - D Minca
- University of Medicine and Pharmacy “Carol Davila”, Faculty of Medicine, Preclinical Department III - Complementary Sciences, Discipline of Public Health and Management, Bucharest, Romania
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5
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Grigore M, Furtunescu F, Minca D, Costache M, Garbe C, Simionescu O. The iris signal: blue periphery, tan collaret and freckles pattern - strong indicators for epidermal skin cancer in South-Eastern Europe. J Eur Acad Dermatol Venereol 2018. [PMID: 29524265 DOI: 10.1111/jdv.14929] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
BACKGROUND Eye and skin share the embryological origin. Both are established risk factors in epidermal skin cancer. There are few reports using iris colour classification scales, most of them analyse colour in general or are too complex to use in daily practice. OBJECTIVES To investigate which iris colour pattern is associated with epidermal skin cancer in a S-E European Caucasian population. METHODS A case-control study was conducted on 480 patients: 229 skin cancers patients and 251 controls (dermatological patients free of skin cancers) admitted in two medical clinics of Dermatology in Bucharest, between October 2011 and May 2014. High-resolution iris photographs were taken for each patient. Three parameters of the iris were analysed individually and in association patterns for each patient: periphery, collaret and freckles. RESULTS The most frequent iris colour pattern associated with epidermal skin cancer was blue periphery with light brown collaret and freckles present. In terms of individual parameters, the strongest indicators for skin cancer patients were blue periphery and blue collaret. CONCLUSIONS The results of this study sustain the hypothesis that blue periphery with light brown collaret and freckles iris pattern is a reliable phenotypic marker for epidermal skin cancer. The results of this study differ from previous reports in which skin cancer risk was associated with a homogeneous blue iris. We account these differences in the characteristics of the recruited patients (S-E European, skin type II and III). The assessment of iris colour patterns is an easy and inexpensive detection tool in skin cancer risk assessment.
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Affiliation(s)
- M Grigore
- Department of Dermatology, 'Carol Davila' University of Medicine and Pharmacy, Colentina Hospital, Bucharest, Romania
| | - F Furtunescu
- Department of Public Health, 'Carol Davila' University of Medicine and Pharmacy, Institute of National Health, Bucharest, Romania
| | - D Minca
- Department of Public Health, 'Carol Davila' University of Medicine and Pharmacy, Institute of National Health, Bucharest, Romania
| | - M Costache
- Department of Pathology, 'Carol Davila' University of Medicine and Pharmacy, University Hospital, Bucharest, Romania
| | - C Garbe
- Division of Dermatooncology, Department of Dermatology, University of Tübingen, Tübingen, Germany
| | - O Simionescu
- Department of Dermatology, 'Carol Davila' University of Medicine and Pharmacy, Colentina Hospital, Bucharest, Romania
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Bohîlțea RE, Ancăr V, Cirstoiu MM, Rădoi V, Bohîlțea LC, Furtunescu F. Project for the National Program of Early Diagnosis of Endometrial Cancer Part I. J Med Life 2015; 8:305-14. [PMID: 26351531 PMCID: PMC4556910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2015] [Accepted: 05/25/2015] [Indexed: 11/30/2022] Open
Abstract
RATIONALE Endometrial cancer recorded a peak incidence in ages 60-64 years in Romania, reaching in 2013 the average value of 8.06/ 100,000 women, and 15.97/ 100,000 women within the highest risk age range, having in recent years an increasing trend, being higher in urban than in rural population. Annually, approximately 800 new cases are registered in our country. The estimated lifetime risk of a woman to develop endometrial cancer is of about 1,03%. Based on an abnormal uterine bleeding, 35% of the endometrial cancers are diagnosed in an advanced stage of the disease, with significantly diminished lifetime expectancy. OBJECTIVE Drafting a national program for the early diagnosis of endometrial cancer. METHODS AND RESULTS We proposed a standardization of the diagnostic steps and focused on 4 key elements for the early diagnosis of endometrial cancer: investigation of abnormal uterine bleeding occurring in pre/ post-menopausal women, investigating features/ anomalies of cervical cytology examination, diagnosis, treatment and proper monitoring of precursor endometrial lesions or cancer associated endometrial lesions and screening high risk populations (Lynch syndrome, Cowden syndrome). DISCUSSION Improving medical practice based on diagnostic algorithms addresses the four risk groups, by improving information system reporting and record keeping. Improving addressability cases by increasing the health education of the population will increase the rate of diagnosis of endometrial cancer in the early stages of the disease. ABBREVIATIONS ACOG = American Society of Obstetricians and Gynecologists, ASCCP = American Society for Colposcopy and Cervical Pathology, PATT = Partial Activated Thromboplastin Time, BRCA = Breast Cancer Gene, CT = Computerized Tomography, IFGO = International Federation of Gynecology and Obstetrics, HLG = Hemoleucogram, HNPCC = Hereditary Nonpolyposis Colorectal Cancer (Lynch syndrome), IHC = Immunohistochemistry, BMI = Body Mass Index, INR = International Normalized Ratio, MSI = Microsatellites instability, MSI-H/ MSI-L = high (positive test)/ low (negative test) microsatellites instability, WHO = World Health Organization, PCR = Polymerase chain reaction, MRI = Magnetic Resonance Imaging, SGO = Society of Gynecologic Oncologists, SHG = Sonohysterography, SRU = Society of Radiologists in Ultrasound, TQ = Time Quick, BT = Bleeding Time, TVUS = Transvaginal ultrasound, USPIO = Ultrasmall superparamagnetic iron oxide.
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Affiliation(s)
- R E Bohîlțea
- "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - V Ancăr
- "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - M M Cirstoiu
- "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - V Rădoi
- "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - L C Bohîlțea
- "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - F Furtunescu
- "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
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Bohîlțea RE, Ancăr V, Rădoi V, Furtunescu F, Bohîlțea LC. Project for the National Program of Early Diagnosis of Endometrial Cancer Part II. J Med Life 2015; 8:423-31. [PMID: 26664463 PMCID: PMC4656945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Abstract
RATIONALE Endometrial cancer recorded a peak incidence in ages 60-64 years in Romania. Since 2013, an increased trend of endometrial cancer occurrence has been registered in urban areas as compared with rural ones. Unfortunately, most of the cancer cases are diagnosed too late, in an advanced stage of the disease, resulting into diminished lifetime expectancy. The first part of the article concentrated on issues such as: the description of the study, results, and discussions regarding the study, definitions and terms, risk factors specific for endometrial carcinomas, presentation of the activities of the Program, etc. OBJECTIVE Drafting a national program that will serve as an early diagnosis method of endometrial cancer. This second part of the study continues with the presentation of the activities of the Program, analyzes the human resources and materials needed to implement the Program, presents the strategies and the indicators specific for the implementation of the project. METHODS AND RESULTS A standardization of the diagnostic steps was proposed and the focus was on 4 key elements for the early diagnosis of endometrial cancer: The first steps were approached in the first part of the study and the second part of the study investigated the proper monitoring of precursor endometrial lesions or cancer associated endometrial lesions and screening high risk populations (Lynch syndrome, Cowden syndrome). DISCUSSION Improving medical practice based on diagnostic algorithms and programs improves and increases the lifetime expectancy, due to the fact that endometrial cancer is early diagnosed and treated before it causes serious health problems or even death.
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Affiliation(s)
- RE Bohîlțea
- “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
| | - V Ancăr
- “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
| | - V Rădoi
- “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
| | - F Furtunescu
- “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
| | - LC Bohîlțea
- “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
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8
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Bohîlțea RE, Furtunescu F, Dosius M, Cîrstoiu M, Radoi V, Baroș A, Bohîlțea LC. Evaluation of endometrial cancer epidemiology in Romania. J Med Life 2015; 8:218-25. [PMID: 25866582 PMCID: PMC4392100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Endometrial cancer represents the most frequent gynecological malignant affection in the developed countries, in which the incidence of cervical cancer has significantly decreased due to the rigorous application of screening methods and prophylaxis. According to its frequency, endometrial cancer is situated on the fourth place in the category of women's genital-mammary malignant diseases, after breast, cervical and ovarian cancer in Romania. The incidence and mortality rates due to endometrial cancer have registered an increasing trend worldwide and also in Romania, a significant decrease of the age of appearance for the entire endometrial pathology sphere being noticed. At the national level, the maximum incidence is situated between 60 and 64 years old, the mortality rate of the women under 65 years old being high in Romania. The study evaluates endometrial cancer, from an epidemiologic point of view, at the national level compared to the international statistic data.
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Affiliation(s)
- RE Bohîlțea
- “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
| | - F Furtunescu
- “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
| | - M Dosius
- National School of Public Health and Management, Bucharest, Romania
| | - M Cîrstoiu
- “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
| | - V Radoi
- “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
| | - A Baroș
- University Emergency Hospital Bucharest, Romania
| | - LC Bohîlțea
- “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
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9
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Bohîlțea RE, Sajin M, Furtunescu F, Bohîlțea LC, Mihart A, Baros A, Anca AF. Clinical and pathological correlations in endometrial pathology. J Med Life 2015; 8:552-62. [PMID: 26664489 PMCID: PMC4656971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
The incidence and mortality rate of endometrial cancer has been registering an increasing trend both in Romania and in the whole world. The paper's aim is to analyze the diagnostic approach of endometrial pathology in the University Emergency Hospital Bucharest, on a four years period. The medium age of the patients was of 50.51 ± 10.924 years, and the median age was of 48 years. The youngest patient suffering from endometrial cancer was of 30 years. Dilation and uterine curettage represent the main method used in the performance of endometrial biopsy, based on which the certitude etiologic histopathologic diagnosis was established in 68.4% of the patients with endometrial pathology. Hyperplasias represented half of the pathology (54.9%), most of them being without atypias. Endometrial carcinoma was identified in 19% of the patients. The diagnosis of the disease in IA stage represents 5.5% of the total endometrial cases and the diagnosis of the disease in the stage of its limitation to the uterus (stage IA, IB and IC) was of 64.2%. The endometrioid adenocarcinoma represents the most encountered histopathological form and the degree of tumor differentiation established for 68,15% of the cases was predominantly 1 and 2 (88%). The main symptom, which determines the patients' decision to go to the physician, is the abnormal uterine bleeding. 66% of the cases of endometrial cancer in the stage of the disease limited to the uterus are diagnosed in Romania based on the abnormal uterine bleeding. However, 34% of the cases are diagnosed in advanced stages, presenting a significantly low life expectancy.
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Affiliation(s)
- RE Bohîlțea
- “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
| | - M Sajin
- “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
| | - F Furtunescu
- “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
| | - LC Bohîlțea
- “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
| | - A Mihart
- “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
| | - A Baros
- “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
| | - AF Anca
- “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
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Saulescu I, Furtunescu F, Perna A, Mihalcea S, Tł ustochowicz W, Majdan M, Kiss E, Ionescu R. FRI0381 Association of Disease Activity and Severity with Steroid-Containing Standard-Of-Care Regimens in Sle: Interim Results from the Prospective Observational SESAME Study. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.5013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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11
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Mihaltan F, Furtunescu F, Nemes R, Farcasanu D, Daramus I. Réverbérations d’une enquête nationale roumaine sur la prévalence du BPCO. Rev Mal Respir 2014. [DOI: 10.1016/j.rmr.2013.10.187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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12
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Popovici F, Sarbu A, Nicolae O, Pistol A, Cucuiu R, Stolica B, Furtunescu F, Manuc M, Popa MI. West Nile fever in a patient in Romania, August 2008: case report. Euro Surveill 2008. [DOI: 10.2807/ese.13.39.18989-en] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Binary file ES_Abstracts_Final_ECDC.txt matches
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Affiliation(s)
- F Popovici
- Office for Alert of Public Health Events, Public Health Institute, Bucharest, Romania
| | - A Sarbu
- Center for Prevention and Control of Communicable Diseases, Bucharest, Romania
| | - O Nicolae
- Center for Prevention and Control of Communicable Diseases, Bucharest, Romania
| | - A Pistol
- Center for Prevention and Control of Communicable Diseases, Bucharest, Romania
| | - R Cucuiu
- Center for Prevention and Control of Communicable Diseases, Bucharest, Romania
| | - B Stolica
- Public Health Institute, Bucharest, Romania
| | - F Furtunescu
- "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
- Ministry of Public Health, Bucharest, Romania
| | - M Manuc
- Ministry of Public Health, Bucharest, Romania
- "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - M I Popa
- "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
- Ministry of Public Health, Bucharest, Romania
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Popovici F, Sarbu A, Nicolae O, Pistol A, Cucuiu R, Stolica B, Furtunescu F, Manuc M, Popa MI. West Nile fever in a patient in Romania, August 2008: case report. Euro Surveill 2008; 13:18989. [PMID: 18822244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
Affiliation(s)
- F Popovici
- Office for Alert of Public Health Events, Public Health Institute, Bucharest, Romania
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