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Mihaicuta S, Udrescu L, Militaru A, Nadasan V, Tiotiu A, Bikov A, Ursoniu S, Birza R, Popa AM, Frent S. Multivariate analysis and data mining help predict asthma exacerbations. J Asthma 2023:1-11. [PMID: 38112563 DOI: 10.1080/02770903.2023.2297366] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Accepted: 12/16/2023] [Indexed: 12/21/2023]
Abstract
BACKGROUND Work-related asthma has become a highly prevalent occupational lung disorder. OBJECTIVE Our study aims to evaluate occupational exposure as a predictor for asthma exacerbation. METHOD We performed a retrospective evaluation of 584 consecutive patients diagnosed and treated for asthma between October 2017 and December 2019 in four clinics from Western Romania. We evaluated the enrolled patients for their asthma control level by employing the Asthma Control Test (ACT < 20 represents uncontrolled asthma), the medical record of asthma exacerbations, occupational exposure, and lung function (i.e. spirometry). Then, we used statistical and data mining methods to explore the most important predictors for asthma exacerbations. RESULTS We identified essential predictors by calculating the odds ratios (OR) for the exacerbation in a logistic regression model. The average age was 45.42 ± 11.74 years (19-85 years), and 422 (72.26%) participants were females. 42.97% of participants had exacerbations in the past year, and 31.16% had a history of occupational exposure. In a multivariate model analysis adjusted for age and gender, the most important predictors for exacerbation were uncontrolled asthma (OR 4.79, p < .001), occupational exposure (OR 4.65, p < .001), and lung function impairment (FEV1 < 80%) (OR 1.15, p = .011). The ensemble machine learning experiments on combined patient features harnessed by our data mining approach reveal that the best predictor is professional exposure, followed by ACT. CONCLUSIONS Machine learning ensemble methods and statistical analysis concordantly indicate that occupational exposure and ACT < 20 are strong predictors for asthma exacerbation.
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Affiliation(s)
- Stefan Mihaicuta
- Center for Research and Innovation in Precision Medicine of Respiratory Diseases, Department of Pulmonology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Timisoara, Romania
| | - Lucretia Udrescu
- Department I-Drug Analysis, Faculty of Pharmacy, "Victor Babes" University of Medicine and Pharmacy Timisoara, Timisoara, Romania
| | - Adrian Militaru
- Department of Computer and Information Technology, Politehnica University Timisoara, Timisoara, Romania
| | - Valentin Nadasan
- Department of Hygiene, "G.E. Palade" University of Medicine, Pharmacy, Science and Technology of Targu Mures, Targu Mures, Romania
| | - Angelica Tiotiu
- Department of Pulmonology, Nancy University Hospital, Nancy, France
| | - Andras Bikov
- Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom
- Division of Infection, Immunity & Respiratory Medicine, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, United Kingdom
| | - Sorin Ursoniu
- Department of Public Health and Health Management, "Victor Babes" University of Medicine and Pharmacy Timisoara, Timisoara, Romania
- Center for Translational Research and Systems Medicine, Timisoara, Romania
| | - Romina Birza
- Center for Research and Innovation in Precision Medicine of Respiratory Diseases, Department of Pulmonology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Timisoara, Romania
| | - Alina Mirela Popa
- Center for Research and Innovation in Precision Medicine of Respiratory Diseases, Department of Pulmonology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Timisoara, Romania
| | - Stefan Frent
- Center for Research and Innovation in Precision Medicine of Respiratory Diseases, Department of Pulmonology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Timisoara, Romania
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Balint L, Socaciu C, Socaciu AI, Vlad A, Gadalean F, Bob F, Milas O, Cretu OM, Suteanu-Simulescu A, Glavan M, Ienciu S, Mogos M, Jianu DC, Ursoniu S, Dumitrascu V, Vlad D, Popescu R, Petrica L. Metabolites Potentially Derived from Gut Microbiota Associated with Podocyte, Proximal Tubule, and Renal and Cerebrovascular Endothelial Damage in Early Diabetic Kidney Disease in T2DM Patients. Metabolites 2023; 13:893. [PMID: 37623837 PMCID: PMC10456401 DOI: 10.3390/metabo13080893] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 07/26/2023] [Accepted: 07/26/2023] [Indexed: 08/26/2023] Open
Abstract
Complications due to type 2 diabetes mellitus (T2DM) such as diabetic kidney disease (DKD) and cerebral small vessel disease (CSVD) have a powerful impact on mortality and morbidity. Our current diagnostic markers have become outdated as T2DM-related complications continue to develop. The aim of the investigation was to point out the relationship between previously selected metabolites which are potentially derived from gut microbiota and indicators of endothelial, proximal tubule (PT), and podocyte dysfunction, and neurosonological indices. The study participants were 20 healthy controls and 90 T2DM patients divided into three stages: normoalbuminuria, microalbuminuria, and macroalbuminuria. Serum and urine metabolites were determined by untargeted and targeted metabolomic techniques. The markers of endothelial, PT and podocyte dysfunction were assessed by ELISA technique, and the neurosonological indices were provided by an ultrasound device with high resolution (MYLAB 8-ESAOTE Italy). The descriptive statistical analysis was followed by univariable and multivariable linear regression analyses. In conclusion, in serum, arginine (sArg), butenoylcarnitine (sBCA), and indoxyl sulfate (sIS) expressed a biomarker potential in terms of renal endothelial dysfunction and carotid atherosclerosis, whereas sorbitol (sSorb) may be a potential biomarker of blood-brain barrier (BBB) dysfunction. In urine, BCA and IS were associated with markers of podocyte damage, whereas PCS correlated with markers of PT dysfunction.
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Affiliation(s)
- Lavinia Balint
- Department of Internal Medicine II—Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, County Emergency Hospital Timisoara, 300041 Timisoara, Romania; (L.B.); (F.B.); (O.M.); (A.S.-S.); (M.G.); (S.I.); (M.M.); (L.P.)
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania; (C.S.); (A.V.); (D.C.J.); (S.U.); (V.D.); (D.V.); (R.P.)
| | - Carmen Socaciu
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania; (C.S.); (A.V.); (D.C.J.); (S.U.); (V.D.); (D.V.); (R.P.)
- Research Center for Applied Biotechnology and Molecular Therapy Biodiatech, SC Proplanta, Trifoiului 12G, 400478 Cluj-Napoca, Romania
| | - Andreea Iulia Socaciu
- Department of Occupational Health, University of Medicine and Pharmacy “Iuliu Haţieganu”, Victor Babes 8, 400347 Cluj-Napoca, Romania;
| | - Adrian Vlad
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania; (C.S.); (A.V.); (D.C.J.); (S.U.); (V.D.); (D.V.); (R.P.)
- Department of Internal Medicine II—Division of Diabetes and Metabolic Diseases, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, County Emergency Hospital Timisoara, 300041 Timisoara, Romania
| | - Florica Gadalean
- Department of Internal Medicine II—Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, County Emergency Hospital Timisoara, 300041 Timisoara, Romania; (L.B.); (F.B.); (O.M.); (A.S.-S.); (M.G.); (S.I.); (M.M.); (L.P.)
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania; (C.S.); (A.V.); (D.C.J.); (S.U.); (V.D.); (D.V.); (R.P.)
| | - Flaviu Bob
- Department of Internal Medicine II—Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, County Emergency Hospital Timisoara, 300041 Timisoara, Romania; (L.B.); (F.B.); (O.M.); (A.S.-S.); (M.G.); (S.I.); (M.M.); (L.P.)
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania; (C.S.); (A.V.); (D.C.J.); (S.U.); (V.D.); (D.V.); (R.P.)
| | - Oana Milas
- Department of Internal Medicine II—Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, County Emergency Hospital Timisoara, 300041 Timisoara, Romania; (L.B.); (F.B.); (O.M.); (A.S.-S.); (M.G.); (S.I.); (M.M.); (L.P.)
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania; (C.S.); (A.V.); (D.C.J.); (S.U.); (V.D.); (D.V.); (R.P.)
| | - Octavian Marius Cretu
- Department of Surgery I—Division of Surgical Semiology I, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, Emergency Clinical Municipal Hospital Timisoara, 300041 Timisoara, Romania;
| | - Anca Suteanu-Simulescu
- Department of Internal Medicine II—Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, County Emergency Hospital Timisoara, 300041 Timisoara, Romania; (L.B.); (F.B.); (O.M.); (A.S.-S.); (M.G.); (S.I.); (M.M.); (L.P.)
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania; (C.S.); (A.V.); (D.C.J.); (S.U.); (V.D.); (D.V.); (R.P.)
| | - Mihaela Glavan
- Department of Internal Medicine II—Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, County Emergency Hospital Timisoara, 300041 Timisoara, Romania; (L.B.); (F.B.); (O.M.); (A.S.-S.); (M.G.); (S.I.); (M.M.); (L.P.)
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania; (C.S.); (A.V.); (D.C.J.); (S.U.); (V.D.); (D.V.); (R.P.)
| | - Silvia Ienciu
- Department of Internal Medicine II—Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, County Emergency Hospital Timisoara, 300041 Timisoara, Romania; (L.B.); (F.B.); (O.M.); (A.S.-S.); (M.G.); (S.I.); (M.M.); (L.P.)
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania; (C.S.); (A.V.); (D.C.J.); (S.U.); (V.D.); (D.V.); (R.P.)
| | - Maria Mogos
- Department of Internal Medicine II—Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, County Emergency Hospital Timisoara, 300041 Timisoara, Romania; (L.B.); (F.B.); (O.M.); (A.S.-S.); (M.G.); (S.I.); (M.M.); (L.P.)
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania; (C.S.); (A.V.); (D.C.J.); (S.U.); (V.D.); (D.V.); (R.P.)
| | - Dragos Catalin Jianu
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania; (C.S.); (A.V.); (D.C.J.); (S.U.); (V.D.); (D.V.); (R.P.)
- Department of Neurosciences—Division of Neurology, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, County Emergency Hospital Timisoara, 300041 Timisoara, Romania
- Centre for Cognitive Research in Neuropsychiatric Pathology (Neuropsy-Cog), Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania
| | - Sorin Ursoniu
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania; (C.S.); (A.V.); (D.C.J.); (S.U.); (V.D.); (D.V.); (R.P.)
- Centre for Cognitive Research in Neuropsychiatric Pathology (Neuropsy-Cog), Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania
- Department of Functional Sciences III, Division of Public Health and History of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania
- Centre for Translational Research and Systems Medicine, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie, Murgu Sq. No. 2, 300041 Timisoara, Romania
| | - Victor Dumitrascu
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania; (C.S.); (A.V.); (D.C.J.); (S.U.); (V.D.); (D.V.); (R.P.)
- Department of Biochemistry and Pharmacology IV, Division of Pharmacology, “Victor Babes” University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
| | - Daliborca Vlad
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania; (C.S.); (A.V.); (D.C.J.); (S.U.); (V.D.); (D.V.); (R.P.)
- Department of Biochemistry and Pharmacology IV, Division of Pharmacology, “Victor Babes” University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
| | - Roxana Popescu
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania; (C.S.); (A.V.); (D.C.J.); (S.U.); (V.D.); (D.V.); (R.P.)
- Department of Microscopic Morphology II, Division of Cell and Molecular Biology II, “Victor Babes” University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
| | - Ligia Petrica
- Department of Internal Medicine II—Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, County Emergency Hospital Timisoara, 300041 Timisoara, Romania; (L.B.); (F.B.); (O.M.); (A.S.-S.); (M.G.); (S.I.); (M.M.); (L.P.)
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania; (C.S.); (A.V.); (D.C.J.); (S.U.); (V.D.); (D.V.); (R.P.)
- Centre for Cognitive Research in Neuropsychiatric Pathology (Neuropsy-Cog), Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Sq. No. 2, 300041 Timisoara, Romania
- Centre for Translational Research and Systems Medicine, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie, Murgu Sq. No. 2, 300041 Timisoara, Romania
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Petrica L, Vlad A, Gadalean F, Muntean DM, Vlad D, Dumitrascu V, Bob F, Milas O, Suteanu-Simulescu A, Glavan M, Jianu DC, Ursoniu S, Balint L, Mogos-Stefan M, Ienciu S, Cretu OM, Popescu R. Mitochondrial DNA Changes in Blood and Urine Display a Specific Signature in Relation to Inflammation in Normoalbuminuric Diabetic Kidney Disease in Type 2 Diabetes Mellitus Patients. Int J Mol Sci 2023; 24:9803. [PMID: 37372951 DOI: 10.3390/ijms24129803] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Revised: 06/05/2023] [Accepted: 06/05/2023] [Indexed: 06/29/2023] Open
Abstract
Mitochondrial dysfunction is an important mechanism contributing to the development and progression of diabetic kidney disease (DKD). Mitochondrial DNA (mtDNA) levels in blood and urine were evaluated in relation to podocyte injury and proximal tubule (PT) dysfunction, as well as to a specific inflammatory response in normoalbuminuric DKD. A total of 150 type 2 diabetes mellitus (DM) patients (52 normoalbuminuric, 48 microalbuminuric, and 50 macroalbuminuric ones, respectively) and 30 healthy controls were assessed concerning the urinary albumin/creatinine ratio (UACR), biomarkers of podocyte damage (synaptopodin and podocalyxin), PT dysfunction (kidney injury molecule-1 (KIM-1) and N-acetyl-β-(D)-glucosaminidase (NAG)), and inflammation (serum and urinary interleukins (IL-17A, IL-18, and IL-10)). MtDNA-CN and nuclear DNA (nDNA) were quantified in peripheral blood and urine via qRT-PCR. MtDNA-CN was defined as the ratio of the number of mtDNA/nDNA copies via analysis of the CYTB/B2M and ND2/B2M ratio. Multivariable regression analysis provided models in which serum mtDNA directly correlated with IL-10 and indirectly correlated with UACR, IL-17A, and KIM-1 (R2 = 0.626; p < 0.0001). Urinary mtDNA directly correlated with UACR, podocalyxin, IL-18, and NAG, and negatively correlated with eGFR and IL-10 (R2 = 0.631; p < 0.0001). Mitochondrial DNA changes in serum and urine display a specific signature in relation to inflammation both at the podocyte and tubular levels in normoalbuminuric type 2 DM patients.
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Affiliation(s)
- Ligia Petrica
- Department of Internal Medicine II, Division of Nephrology, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- Centre for Cognitive Research in Neuropsychiatric Pathology (Neuropsy-Cog), Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- Center for Translational Research and Systems Medicine, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- County Emergency Hospital Timisoara, 300723 Timisoara, Romania
| | - Adrian Vlad
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- County Emergency Hospital Timisoara, 300723 Timisoara, Romania
- Department of Internal Medicine II, Division of Diabetes and Metabolic Diseases, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
| | - Florica Gadalean
- Department of Internal Medicine II, Division of Nephrology, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- County Emergency Hospital Timisoara, 300723 Timisoara, Romania
| | - Danina Mirela Muntean
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- Center for Translational Research and Systems Medicine, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- Department of Functional Sciences III, Division of Pathophysiology, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
| | - Daliborca Vlad
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- County Emergency Hospital Timisoara, 300723 Timisoara, Romania
- Department of Biochemistry and Pharmacology IV, Division of Pharmacology, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
| | - Victor Dumitrascu
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- County Emergency Hospital Timisoara, 300723 Timisoara, Romania
- Department of Biochemistry and Pharmacology IV, Division of Pharmacology, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
| | - Flaviu Bob
- Department of Internal Medicine II, Division of Nephrology, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- County Emergency Hospital Timisoara, 300723 Timisoara, Romania
| | - Oana Milas
- Department of Internal Medicine II, Division of Nephrology, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- County Emergency Hospital Timisoara, 300723 Timisoara, Romania
| | - Anca Suteanu-Simulescu
- Department of Internal Medicine II, Division of Nephrology, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- County Emergency Hospital Timisoara, 300723 Timisoara, Romania
| | - Mihaela Glavan
- Department of Internal Medicine II, Division of Nephrology, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- County Emergency Hospital Timisoara, 300723 Timisoara, Romania
| | - Dragos Catalin Jianu
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- Centre for Cognitive Research in Neuropsychiatric Pathology (Neuropsy-Cog), Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- County Emergency Hospital Timisoara, 300723 Timisoara, Romania
- Department of Neurosciences VIII, Division of Neurology I, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
| | - Sorin Ursoniu
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- Centre for Cognitive Research in Neuropsychiatric Pathology (Neuropsy-Cog), Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- Center for Translational Research and Systems Medicine, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- County Emergency Hospital Timisoara, 300723 Timisoara, Romania
- Department of Functional Sciences III, Division of Public Health and Health and History of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
| | - Lavinia Balint
- Department of Internal Medicine II, Division of Nephrology, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- County Emergency Hospital Timisoara, 300723 Timisoara, Romania
| | - Maria Mogos-Stefan
- Department of Internal Medicine II, Division of Nephrology, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- County Emergency Hospital Timisoara, 300723 Timisoara, Romania
| | - Silvia Ienciu
- Department of Internal Medicine II, Division of Nephrology, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- County Emergency Hospital Timisoara, 300723 Timisoara, Romania
| | - Octavian Marius Cretu
- Department of Surgery I, Division of Surgical Semiology I, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- Emergency Clinical Municipal Hospital Timisoara, 300041 Timisoara, Romania
| | - Roxana Popescu
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
- County Emergency Hospital Timisoara, 300723 Timisoara, Romania
- Department of Microscopic Morphology II, Division of Cell and Molecular Biology II, "Victor Babes" University of Medicine and Pharmacy, No. 2, Eftimie Murgu Sq., 300041 Timisoara, Romania
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Popovici M, Ursoniu S, Feier H, Mocan M, Tomulescu OMG, Kundnani NR, Valcovici M, Dragan SR. Benefits of Using Smartphones and Other Digital Methods in Achieving Better Cardiac Rehabilitation Goals: A Systematic Review and Meta-Analysis. Med Sci Monit 2023; 29:e939132. [PMID: 37143317 PMCID: PMC10167866 DOI: 10.12659/msm.939132] [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: 05/06/2023] Open
Abstract
BACKGROUND The importance of introducing digital technology as an alternative to classical cardiac rehabilitation has been discussed in several reviews. The purpose of this systematic review and meta-analysis was to analyze the effectiveness of digital technology use in cardiac rehabilitation to determine whether digital methods like use of smartphones, compared to traditional rehabilitation methods, can improve the overall quality of life and exercise capacity of cardiac patients. MATERIAL AND METHODS PubMed, EMBASE, and ScienceDirect were systematically searched in a randomized manner, resulting in 11 randomized controlled trials (RCTs) that met all the inclusion criteria. The inclusion criteria were patients with coronary heart disease, valvular surgery, or post- myocardial revascularization that were in a technology-assisted cardiac rehabilitation program vs traditional standard physical follow-up protocol. RESULTS Seven eligible trials including a total of 802 participants examined the effect of interventions on VO2 peak. One of the studies comprised 2-stage analysis for this parameter. We found that VO₂ peak was significantly higher in the intervention group. Three studies analyzed the 6-minute walk test (6MWT) results; significant differences were reported, with better results in the interventional group. CONCLUSIONS The results of our meta-analysis support conducting further randomized trials, considering that the development of technology is on the rise. In the past decade there has been an immense increase in the use of smartphones, which can widely be used in healthcare, with promising benefits in having efficient home-based monitoring of the patients and in reducing financial burden.
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Affiliation(s)
- Miruna Popovici
- Department VI Cardiology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Sorin Ursoniu
- Department of Functional Sciences, Discipline of Public Health, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
- Center for Translational Research and Systems Medicine, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Horea Feier
- Department VI Cardiology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
- Department of Cardiology, Institute of Cardiovascular Diseases, Timisoara, Romania
| | - Mihaela Mocan
- Department of Internal Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | | | - Nilima Rajpal Kundnani
- Department VI Cardiology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
- Department of Cardiology, Institute of Cardiovascular Diseases, Timisoara, Romania
| | - Mihaela Valcovici
- Department VI Cardiology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
- Department of Cardiology, Institute of Cardiovascular Diseases, Timisoara, Romania
| | - Simona Ruxanda Dragan
- Department VI Cardiology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
- Department of Cardiology, Institute of Cardiovascular Diseases, Timisoara, Romania
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Pavel R, Ursoniu S, Lupu MA, Olariu TR. Trichinellosis in Hospitalized Children and Adults from Western Romania: A 11-Year Retrospective Study. Life (Basel) 2023; 13:life13040969. [PMID: 37109498 PMCID: PMC10146625 DOI: 10.3390/life13040969] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2023] [Revised: 03/20/2023] [Accepted: 04/06/2023] [Indexed: 04/29/2023] Open
Abstract
Trichinellosis, a serious and sometimes fatal human disease, is a consequence of consuming raw or improperly cooked meat containing the infective larvae of Trichinella spp. The aim of this observational cohort retrospective study is to compare the epidemiological, laboratory, clinical and therapeutic aspects of trichinellosis in children and adults from Western Romania. We investigated the medical records of patients who were diagnosed with trichinellosis and hospitalized between 17 January 2010 and 31 December 2020. One hundred thirty-three patients were identified according to the electronic databases of infectious disease hospitals, located in four counties from Western Romania. A total of 19 patients (14.28%) were children and 114 patients (85.71%) were adults. In children, the most frequent symptoms were digestive in 78.94%, followed by fever in 57.89%, eyelid or facial edema in 57.89% and myalgia in 52.63% of cases, while adults presented mainly myalgia in 87.71%, followed by fever in 77.19%, digestive symptoms in 68.42% and eyelid or facial edema in 66.66% of cases. The source of infection was pork meat products in the majority of patients (89.47%). Our results revealed a general declining trend in infection rates for both children and adults during the studied period. The vast majority of cases were severe and all required hospitalization. Education of the population along with public health strategies should be improved and maintained to fully prevent trichinellosis in Western Romania.
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Affiliation(s)
- Radu Pavel
- Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Center for Diagnosis and Study of Parasitic Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Discipline of Epidemiology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | - Sorin Ursoniu
- Discipline of Public Health, Department of Functional Sciences, Center for Translational Research and Systems Medicine, Victor Babes University of Medicine and Pharmacy, 300173 Timisoara, Romania
| | - Maria Alina Lupu
- Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Center for Diagnosis and Study of Parasitic Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Clinical Laboratory, Institute of Cardiovascular Diseases, 300310 Timisoara, Romania
- Patogen Preventia, 300124 Timisoara, Romania
| | - Tudor Rares Olariu
- Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Center for Diagnosis and Study of Parasitic Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Patogen Preventia, 300124 Timisoara, Romania
- Clinical Laboratory, Municipal Clinical Emergency Hospital, 300079 Timisoara, Romania
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Rosca O, Bumbu BA, Ancusa O, Talpos S, Urechescu H, Ursoniu S, Bloanca V, Pricop M. The Role of C-Reactive Protein and Neutrophil to Lymphocyte Ratio in Predicting the Severity of Odontogenic Infections in Adult Patients. Medicina (Kaunas) 2022; 59:medicina59010020. [PMID: 36676644 PMCID: PMC9866968 DOI: 10.3390/medicina59010020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Revised: 12/11/2022] [Accepted: 12/20/2022] [Indexed: 12/24/2022]
Abstract
Background and Objectives: Odontogenic infections (OI) represent a frequent cause of dental and maxillo-facial interventions, mostly due to late presentations or misdiagnosed complications. It is believed that the intensity of the immunoinflammatory response in OI is the main prognostic factor. Therefore, in this research, it was pursued to determine if the combination of C-reactive protein (CRP) and Neutrophil to Lymphocyte Ratio (NLR) (CRP-NLR) may serve as potential severity predictors in patients with odontogenic infections. Materials and Methods: A retrospective analysis on 108 patients hospitalized for odontogenic infections was conducted at the Department of Maxillofacial Surgery. Depending on the symptom severity scale, patients hospitalized with OI were divided into two equal groups based on infection severity (SS). Results: Patients with severe OI from Group B were associated more frequently with diabetes mellitus and smoking more often than those with a lower severity from Group A. In Group A, abscesses of odontogenic origin accounted for 70.4% of hospitalizations, while in Group B, abscesses and cellulitis were associated in 55.6% of cases (p-value < 0.001). The disease outcomes were more severe in Group B patients, where 22.2% of them developed sepsis, compared to 7.4% of Group A patients (p-value = 0.030). However, there was no significant difference in mortality rates. The SS and systemic immune inflammation index (SII) scores of Group B patients were substantially higher than Group A patients (13.6 vs. 6.1 for the SS score, p-value < 0.001), respectively, 2312.4 vs. 696.3 for the SII score (p-value < 0.001). All biomarker scores, including the CRP-NLR relationship, were considerably higher in Group B patients, with a median score of 341.4 vs. 79.0 in Group B (p-value < 0.001). The CRP-NLR association determined a 7.28-fold increased risk of severe OI. The receiver operating curve (ROC) analysis of CRP-NLR yielded an area under curve (AUC) value of 0.889, with high sensitivity (79.6%) and high specificity (85.1%), for predicting a severe odontogenic infection using biomarkers measured at hospital admission (p-value < 0.001). Conclusions: Therefore, it can be concluded that CRP-NLR is a reliable and affordable biomarker for determining the severity of odontogenic infections that may be included in other prognostic models for dental infections.
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Affiliation(s)
- Ovidiu Rosca
- Department XIII, Discipline of Infectious Diseases, “Victor Babes” University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Bogdan Andrei Bumbu
- Department of Dental Medicine, Faculty of Medicine and Pharmacy, University of Oradea, University Street 1, 410087 Oradea, Romania
- Correspondence:
| | - Oana Ancusa
- Department V, Discipline of Medical Semiology I, Faculty of General Medicine, “Victor Babes” University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Serban Talpos
- Discipline of Oral and Maxillo-Facial Surgery, Faculty of Dental Medicine, “Victor Babes” University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Horatiu Urechescu
- Discipline of Oral and Maxillo-Facial Surgery, Faculty of Dental Medicine, “Victor Babes” University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Sorin Ursoniu
- Department of Functional Sciences, Center for Translational Research and Systems Medicine, “Victor Babes” University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Vlad Bloanca
- Department of Plastic Surgery, “Victor Babes” University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Marius Pricop
- Discipline of Oral and Maxillo-Facial Surgery, Faculty of Dental Medicine, “Victor Babes” University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
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Putnoky S, Serban DM, Banu AM, Ursoniu S, Serban CL. Reliability and Validity of the Emotional Eater Questionnaire in Romanian Adults. Nutrients 2022; 15:nu15010026. [PMID: 36615682 PMCID: PMC9823580 DOI: 10.3390/nu15010026] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 12/16/2022] [Accepted: 12/19/2022] [Indexed: 12/24/2022] Open
Abstract
Negative emotions and chronic stress trigger abnormal compensatory behaviors known as emotional eating (EE). EE is a well-known mediator for increased body mass index and weight gain. Our aim was to analyze the factor structure and validity and reliability of the Emotional Eater Questionnaire (EEQ) in a sample of 200 Romanian adults with excess weight. Principal component analysis (PCA) was used to assess the construct validity. The mindful eating questionnaire (MEQ) was used to test concurrent validity. Cronbach’s alpha and Spearman correlations were used to analyze internal and external reliability. The socio-demographic characteristics were used as factors for convergent validity. PCA revealed the existence of three major factors, disinhibition, type of food, and guilt, which accounted for 64.9% of the variance. Concurrent validity showed medium to large associations with MEQ (r = 0.650; p < 0.001) and a large association with the emotional subscale of MEQ (r = 0.732; p < 0.001). Reliability was adequate with Cronbach’s alfa = 0.841 and ICC = 0.775. In a multivariate model, the highest contribution to the EE score was the age (beta = −0.327), followed by feminine gender (beta = 0.321), high levels of perceived stress (beta = 0.215), BMI (beta = 0.184) and lower perceived health status (beta = 0.184). The Romanian version of the EEQ is a reliable and valid tool for measuring emotional eating in adults with excess weight.
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Affiliation(s)
- Salomeia Putnoky
- Department of Microbiology, Discipline of Hygiene, Centre for Studies in Preventive Medicine, “Victor Babes” University of Medicine and Pharmacy, 2 Eftimie Murgu Square, 300041 Timisoara, Romania
| | - Denis Mihai Serban
- Department of Obstetrics-Gynaecology, Discipline of Obstetrics-Gynaecology II, “Victor Babes” University of Medicine and Pharmacy, 2 Eftimie Murgu Square, 300041 Timisoara, Romania
- Correspondence: ; Tel.: +40256-204400
| | - Ancuta Mioara Banu
- Department 2, Discipline of Maxillo-Facial Surgery, Faculty of Dental Medicine, “Victor Babes” University of Medicine and Pharmacy, 2 Eftimie Murgu Square, 300041 Timisoara, Romania
| | - Sorin Ursoniu
- Department of Functional Sciences, Discipline of Public Health, Center for Translational Research and Systems Medicine, “Victor Babes” University of Medicine and Pharmacy, 2 Eftimie Murgu Square, 300041 Timisoara, Romania
| | - Costela Lacrimioara Serban
- Department of Functional Sciences, Discipline of Public Health, Center for Translational Research and Systems Medicine, “Victor Babes” University of Medicine and Pharmacy, 2 Eftimie Murgu Square, 300041 Timisoara, Romania
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Serban DM, Serban CL, Ursoniu S, Putnoky S, Moleriu RD, Putnoky S. Mindful Eating Questionnaire: Validation and Reliability in Romanian Adults. Int J Environ Res Public Health 2022; 19:10517. [PMID: 36078231 PMCID: PMC9518582 DOI: 10.3390/ijerph191710517] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 08/17/2022] [Accepted: 08/22/2022] [Indexed: 06/15/2023]
Abstract
Mindful eating may play an important role in long-term weight maintenance. In interventions aiming at weight reduction, increasing the levels of mindful eating was associated with higher levels of success and lower levels of weight rebound in the long run. This study aimed to determine the validity and reliability of a mindful eating questionnaire for Romanian adults using Framson's Mindful Eating Questionnaire (MEQ). To calculate the internal (n = 495) and external (n = 45) reliability, a general population sample was taken. Construct validity was assessed using the "known groups" method: dietitians (n = 70), sports professionals (n = 52), and individuals with overweight and obesity (n = 200). Convergent validity tested the association between the MEQ score and demographic characteristics of the total sample (n = 617). The internal (0.72) and external (0.83) reliability were adequate. Dietitians and sports professionals had overall lower scores, meaning more mindful eating compared to the group of individuals with overweight and obesity. The lower mindful eating practice was associated with the presence of excess weight, suboptimal health status perception, higher levels of stress and younger age. The Romanian version of the MEQ is a reliable and valid tool for measuring mindfulness of eating in adults.
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Affiliation(s)
- Denis Mihai Serban
- Department of Obstetrics-Gynecology, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | - Costela Lacrimioara Serban
- Department of Functional Sciences, Center for Translational Research and Systems Medicine, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | - Sorin Ursoniu
- Department of Functional Sciences, Center for Translational Research and Systems Medicine, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | - Sandra Putnoky
- Psychiatric Clinic, Emergency Clinical County Hospital, 300425 Timisoara, Romania
| | - Radu Dumitru Moleriu
- Department of Mathematics and Computer Science, West University of Timisoara, 300223 Timisoara, Romania
| | - Salomeia Putnoky
- Department of Microbiology, Centre for Studies in Preventive Medicine, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania
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Cuzic C, Pricop MO, Jivanescu A, Ursoniu S, Negru RM, Romînu M. Assessment of Different Techniques for Adhesive Cementation of All-Ceramic Systems. Medicina (B Aires) 2022; 58:medicina58081006. [PMID: 36013473 PMCID: PMC9416329 DOI: 10.3390/medicina58081006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Revised: 07/24/2022] [Accepted: 07/26/2022] [Indexed: 11/30/2022] Open
Abstract
Background and Objectives: Modern esthetic dentistry is based on all-ceramic restorations. Dentists still have reservations about using these restorations due to a lack of understanding of the cementation technique, which depends on the type of ceramic used. The aim of the study is to evaluate the approaches and practices of clinicians regarding the adhesive cementation of all-ceramic restorations. Materials and Methods: An online questionnaire regarding the use of all-ceramic restorations and their bonding methods was designed by distinguishing the cementation of oxide and silica-based ceramics. The survey included dentists practicing in Timiș County, Romania. The questionnaire and the evaluation of the answers were designed based on the techniques and evidence from the literature. Results: Considering the work experience, we obtained two groups: group 1—1 to 6 years and group 2—6 to 9+ years. The results revealed significant values when comparing the two groups in the surface protocol and decontamination (p = 0.005), type of cement used (p = 0.002), and isolation techniques (p = 0.002). Conclusions: The results show that many clinicians need additional training to improve their cementing technique and avoid the confusion caused by insufficient information about the interrelationship between the type of ceramic and the cementation procedure.
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Affiliation(s)
- Cristiana Cuzic
- Department of Prosthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy “Victor Babes”, 300041 Timisoara, Romania;
- Research Center of Digital and Advanced Technique for Endodontic, Restorative and Prosthetic Treatment (TADERP), 300041 Timisoara, Romania
| | - Marius Octavian Pricop
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Medicine and Pharmacy “Victor Babes”, 300041 Timisoara, Romania
- Research Center in Dental Medicine Using Conventional and Alternative Technologies, School of Dental Medicine, University of Medicine and Pharmacy “Victor Babes”, 300070 Timisoara, Romania; (R.M.N.); (M.R.)
- Correspondence: (M.O.P.); (A.J.)
| | - Anca Jivanescu
- Department of Prosthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy “Victor Babes”, 300041 Timisoara, Romania;
- Research Center of Digital and Advanced Technique for Endodontic, Restorative and Prosthetic Treatment (TADERP), 300041 Timisoara, Romania
- Correspondence: (M.O.P.); (A.J.)
| | - Sorin Ursoniu
- Department of Functional Sciences, Discipline of Public Health, Faculty of Medicine, University of Medicine and Pharmacy “Victor Babes”, 300041 Timisoara, Romania;
- Research Center for Translational Research and Systems Medicine, University of Medicine and Pharmacy “Victor Babes”, 300041 Timisoara, Romania
| | - Radu Marcel Negru
- Research Center in Dental Medicine Using Conventional and Alternative Technologies, School of Dental Medicine, University of Medicine and Pharmacy “Victor Babes”, 300070 Timisoara, Romania; (R.M.N.); (M.R.)
- Department of Mechanics and Strength of Materials, Politehnica University, 300222 Timisoara, Romania
| | - Mihai Romînu
- Research Center in Dental Medicine Using Conventional and Alternative Technologies, School of Dental Medicine, University of Medicine and Pharmacy “Victor Babes”, 300070 Timisoara, Romania; (R.M.N.); (M.R.)
- Department of Prosthesis Technology and Dental Materials, Faculty of Dentistry, University of Medicine and Pharmacy “Victor Babes”, 300041 Timisoara, Romania
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Ursoniu S, Bredicean C, Giurgi-Oncu C, Bucur A, Rivis IA, Serban C, Papava I. Particularities of the Theory of Mind in the Academic environment during the Covid 19 pandemic. Eur Psychiatry 2022. [PMCID: PMC9567604 DOI: 10.1192/j.eurpsy.2022.1519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction The current period is marked by several negative aspects of the COVID 19 pandemic, which have led to a series of emotional and cognitive changes that affect our functioning. The ability to “read” the minds of others is the key aspect of social behavior, helping us understand our context. Objectives To identify the level of emotion recognition in Medicine students during the Covid 19 pandemic. Methods
Throughout 2021, we evaluated 649 Romanian General Medicine students in years 4, 5 and 6, by using a Google Play application (android and iOS). We analyzed socio-demographic parameters and the affective component of Theory of Mind (The Reading the Mind in the Eyes Test). The mean scores between groups were compared with the Student’s t and the ANOVA tests. Results The mean score was 25.83 ± 3.36 (min 11, max 33) out of a possible maximum of 36. We noted that women have a higher capacity for recognizing emotions than men (26.04 ± 3.22 vs. 25.01 ± 3.78, P = 0.0016) without differences in terms of the study year. Also, women showed a greater ability to recognize negative emotions compared to men (16.57 ± 2.44 vs. 15.49 ± 2.75, P <0.001). No statistically significant differences were found between the two genders in terms of positive emotions’ recognition. Conclusions The ability to recognize emotions seems to be more developed in women, especially when it entails recognizing negative emotions. Theory of Mind abilities are important for empathy and the therapeutic relationship required in Medicine. Disclosure No significant relationships.
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Marin I, Iurciuc M, Popescu FG, Iurciuc S, Popoiu CM, Marin CN, Ursoniu S, Fira-Mladinescu C. Pulse Wave Velocity, a Predictor of Major Adverse Cardiovascular Events, and Its Correlation with the General Stress Level of Health Care Workers during the COVID-19 Pandemic. Medicina (Kaunas) 2022; 58:704. [PMID: 35743968 PMCID: PMC9230369 DOI: 10.3390/medicina58060704] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Revised: 05/23/2022] [Accepted: 05/24/2022] [Indexed: 01/03/2023]
Abstract
Background and Objectives: In the COVID-19 epidemiological context, the health care workers who were treating patients with COVID-19 were exposed daily to additional stress. Pulse wave velocity (PWV) is a predictive parameter for possible major adverse cardiovascular events. The present study aimed to evaluate the correlation between the general stress levels and PWVs of medical workers during the COVID-19 pandemic. Materials and Methods: The study group was heterogeneous in terms of the medical profession. PWV was measured using a TendioMed arteriograph. Assessment of stress level was performed using a general stress questionnaire with questions grouped on the areas that contribute to stress: lifestyle, environment, symptoms, job, relationships and personality. PWV measurements and stress assessment were performed both during the period with many patients with COVID-19 and during the period with few patients with COVID-19. Results: The stress levels and PWVs of subjects were higher in the period when they cared for patients with COVID-19 than in the period when they did not have patients with COVID-19. Conclusions: The study shows a positive correlation between the PWV of each subject and his/her stress score (the higher the stress score, the higher the PWV).
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Affiliation(s)
- Ioana Marin
- Discipline of Occupational Medicine, Department of Internal Medicine V, University of Medicine and Pharmacy “Victor Babeş”, Eftimie Murgu Square, No.2, 300041 Timisoara, Romania; (I.M.); (F.G.P.)
| | - Mircea Iurciuc
- Discipline of Internal Medicine and Ambulatory Care, Prevention and Cardiovascular Recovery, Department of Cardiology, University of Medicine and Pharmacy “Victor Babes”, Eftimie Murgu Square, No.2, 300041 Timisoara, Romania; (M.I.); (S.I.)
| | - Florina Georgeta Popescu
- Discipline of Occupational Medicine, Department of Internal Medicine V, University of Medicine and Pharmacy “Victor Babeş”, Eftimie Murgu Square, No.2, 300041 Timisoara, Romania; (I.M.); (F.G.P.)
| | - Stela Iurciuc
- Discipline of Internal Medicine and Ambulatory Care, Prevention and Cardiovascular Recovery, Department of Cardiology, University of Medicine and Pharmacy “Victor Babes”, Eftimie Murgu Square, No.2, 300041 Timisoara, Romania; (M.I.); (S.I.)
| | - Calin Marius Popoiu
- Department of Pediatrics, University of Medicine and Pharmacy “Victor Babes”, Dr. Iosif Nemoianu Street, No.2, 300011 Timisoara, Romania;
| | - Catalin Nicolae Marin
- Department of Physics, Faculty of Physics, West University of Timisoara, V. Parvan Ave., No.4, 300223 Timisoara, Romania;
| | - Sorin Ursoniu
- Discipline of Public Health, Department of Functional Sciences, Center for Translational Research and Systems Medicine, University of Medicine and Pharmacy “Victor Babes”, Eftimie Murgu Square, No.2, 300041 Timisoara, Romania
| | - Corneluta Fira-Mladinescu
- Discipline of Hygiene, Department of Microbiology, Preventive Health Education Center, University of Medicine and Pharmacy “Victor Babes”, Eftimie Murgu Square, No.2, 300041 Timisoara, Romania;
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Lupu MA, Lighezan R, Paduraru AA, Dragomir A, Pavel R, Grada S, Mihu AG, Ursoniu S, Olariu TR. Seroepidemiology of Toxoplasma gondii Infection in Blood Donors from Western Romania. Microorganisms 2022; 10:973. [PMID: 35630416 PMCID: PMC9143041 DOI: 10.3390/microorganisms10050973] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Revised: 05/02/2022] [Accepted: 05/02/2022] [Indexed: 02/01/2023] Open
Abstract
Background: Toxoplasma gondii is estimated to infect 33% of blood donors worldwide, and seroprevalence varies widely between countries. We aimed to evaluate, for the first time, the seroprevalence and risk factors associated with T. gondii in blood donors from Western Romania. Methods: Serologic testing to demonstrate the presence of T. gondii antibodies was conducted in 1347 healthy blood donors. Risk factors for T. gondii infection were assessed through an epidemiological questionnaire. Results: The overall prevalence of T. gondii antibodies was 45.9%, with a significant age-associated increase (p < 0.001) from 32.6% in age group 18−25 years to 67.6% in age group 56−63 years. T. gondii seroprevalence decreased with increasing level of education, from 64.3% in individuals who graduated from elementary/middle school to 40.4% in those who graduated from University (p < 0.001). The multiple logistic regression analysis revealed that age, level of education and having pets (cats and/or dogs) were significantly associated with T. gondii infection. Conclusions: This study brings new and valuable data regarding the seroepidemiology of T. gondii infection in Romania. Our findings indicate a high prevalence of T. gondii antibodies in blood donors and may serve as a starting point for further epidemiological studies that should lead to implementation of prevention programs for toxoplasmosis.
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Affiliation(s)
- Maria Alina Lupu
- Discipline of Parasitology, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania; (R.L.); (A.A.P.); (A.D.); (R.P.); (S.G.); (A.G.M.)
- Center for Diagnosis and Study of Parasitic Diseases, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Clinical Laboratory, Institute of Cardiovascular Diseases, 300310 Timisoara, Romania
| | - Rodica Lighezan
- Discipline of Parasitology, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania; (R.L.); (A.A.P.); (A.D.); (R.P.); (S.G.); (A.G.M.)
- Center for Diagnosis and Study of Parasitic Diseases, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Regional Blood Transfusion Center, 300737 Timisoara, Romania
| | - Ana Alexandra Paduraru
- Discipline of Parasitology, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania; (R.L.); (A.A.P.); (A.D.); (R.P.); (S.G.); (A.G.M.)
- Center for Diagnosis and Study of Parasitic Diseases, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | - Angela Dragomir
- Discipline of Parasitology, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania; (R.L.); (A.A.P.); (A.D.); (R.P.); (S.G.); (A.G.M.)
- Center for Diagnosis and Study of Parasitic Diseases, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Clinical Laboratory, Institute of Cardiovascular Diseases, 300310 Timisoara, Romania
| | - Radu Pavel
- Discipline of Parasitology, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania; (R.L.); (A.A.P.); (A.D.); (R.P.); (S.G.); (A.G.M.)
- Center for Diagnosis and Study of Parasitic Diseases, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Discipline of Epidemiology, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | - Sebastian Grada
- Discipline of Parasitology, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania; (R.L.); (A.A.P.); (A.D.); (R.P.); (S.G.); (A.G.M.)
- Center for Diagnosis and Study of Parasitic Diseases, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | - Alin Gabriel Mihu
- Discipline of Parasitology, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania; (R.L.); (A.A.P.); (A.D.); (R.P.); (S.G.); (A.G.M.)
- Center for Diagnosis and Study of Parasitic Diseases, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | - Sorin Ursoniu
- Department of Functional Sciences, Center for Translational Research and Systems Medicine, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania;
| | - Tudor Rares Olariu
- Discipline of Parasitology, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania; (R.L.); (A.A.P.); (A.D.); (R.P.); (S.G.); (A.G.M.)
- Center for Diagnosis and Study of Parasitic Diseases, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Clinical Laboratory, Municipal Clinical Emergency Teaching Hospital, 300254 Timisoara, Romania
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Olariu TR, Lighezan R, Ursoniu S, Craciun AC, Mihu AG, Lupu MA. High SARS-CoV-2 seroprevalence in blood donors from Romania after the third COVID-19 pandemic wave. Infect Dis (Lond) 2022; 54:534-537. [PMID: 35147060 DOI: 10.1080/23744235.2022.2036811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Affiliation(s)
- Tudor Rares Olariu
- Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy Timisoara, Romania.,Clinical Laboratory, Municipal Clinical Emergency Hospital, Timisoara, Romania.,Center for Diagnosis and Study of Parasitic Diseases, Victor Babes University of Medicine and Pharmacy, Eftimie Murgu Square #1, Timisoara, Romania
| | - Rodica Lighezan
- Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy Timisoara, Romania.,Center for Diagnosis and Study of Parasitic Diseases, Victor Babes University of Medicine and Pharmacy, Eftimie Murgu Square #1, Timisoara, Romania
| | - Sorin Ursoniu
- Department of Functional Sciences, Center for Translational Research and Systems Medicine, Victor Babes University of Medicine and Pharmacy Timisoara, Romania
| | | | - Alin Gabriel Mihu
- Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy Timisoara, Romania.,Center for Diagnosis and Study of Parasitic Diseases, Victor Babes University of Medicine and Pharmacy, Eftimie Murgu Square #1, Timisoara, Romania.,Department of Biology and Life Sciences, Vasile Goldis Western University, Arad, Romania
| | - Maria Alina Lupu
- Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy Timisoara, Romania.,Center for Diagnosis and Study of Parasitic Diseases, Victor Babes University of Medicine and Pharmacy, Eftimie Murgu Square #1, Timisoara, Romania.,Clinical Laboratory, Institute of Cardiovascular Diseases, Timisoara, Romania
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Pavel R, Ursoniu S, Paduraru AA, Lighezan R, Lupu MA, Olariu TR. Seroprevalence and Risk Factors of Trichinella spiralis Infection in Blood Donors from Western Romania. Medicina (Kaunas) 2022; 58:medicina58010128. [PMID: 35056436 PMCID: PMC8780118 DOI: 10.3390/medicina58010128] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Revised: 01/05/2022] [Accepted: 01/11/2022] [Indexed: 11/16/2022]
Abstract
Background and Objectives: Trichinellosis, a serious and sometimes fatal human disease, is a foodborne zoonotic disease with worldwide distribution caused by parasitic nematodes of the genus Trichinella. Humans are infected with Trichinella larvae through the ingestion of meat that has not been properly cooked. Romania reported most of the confirmed cases of trichinellosis among the EU countries. The aim of this cross-sectional study was to evaluate, for the first time, the seroprevalence and risk factors of Trichinella infection in blood donors from Western Romania. Materials and Methods: Serum samples of 1347 consecutive blood donors were investigated using an immunoenzymaticassay (ELISA) for the determination of specific IgG class antibodies against T.spiralis. A questionnaire interview was used to obtain information regarding the potential risk factors associated with T. spiralis infection. Mantel–Haenszel chi-squared test or the Fisher exact two-tailed test, as appropriate, were used for comparison between T. spiralis positive and T. spiralis negative blood donors. Student’s t-test was used to evaluate differences between means in studied groups and body mass index was calculated by dividing weight in kilograms by height in meters squared. Statistical analysis was performed using Epi Info Version 7.2 and Stata 16.1. Results: T. spiralis IgG antibodies were detected in 2.00% (27) of 1347 consecutive blood donors. Eating raw and/or undercooked meat, from pigs or wild boars, was found to be the main risk factor (p < 0.001). Strong alcoholic drink consumption was highly associated with T. spiralis infection (p = 0.009). Trichinella seroprevalence was higher among rural residents and males. Subjects identified as Trichinella seropositive were not previously diagnosed and have not been treated for Trichinella infection with any specific therapy. Conclusions: The demonstration of T. spiralis antibodies in healthy blood donors suggests that Trichinella infection may be detected in asymptomatic individuals that were not previously diagnosed with this zoonosis.
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Affiliation(s)
- Radu Pavel
- Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania; (A.A.P.); (R.L.); (M.A.L.)
- Center for Diagnosis and Study of Parasitic Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Discipline of Epidemiology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Correspondence: (R.P.); (T.R.O.)
| | - Sorin Ursoniu
- Discipline of Public Health, Department of Functional Sciences, Center for Translational Research and Systems Medicine, Victor Babes University of Medicine and Pharmacy, 300173 Timisoara, Romania;
| | - Ana Alexandra Paduraru
- Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania; (A.A.P.); (R.L.); (M.A.L.)
- Center for Diagnosis and Study of Parasitic Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Clinical Laboratory, Municipal Clinical Emergency Hospital, 300079 Timisoara, Romania
| | - Rodica Lighezan
- Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania; (A.A.P.); (R.L.); (M.A.L.)
- Center for Diagnosis and Study of Parasitic Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Regional Blood Transfusion Centre, 300737 Timisoara, Romania
| | - Maria Alina Lupu
- Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania; (A.A.P.); (R.L.); (M.A.L.)
- Center for Diagnosis and Study of Parasitic Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Clinical Laboratory, Institute of Cardiovascular Diseases, 300310 Timisoara, Romania
| | - Tudor Rares Olariu
- Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania; (A.A.P.); (R.L.); (M.A.L.)
- Center for Diagnosis and Study of Parasitic Diseases, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Clinical Laboratory, Municipal Clinical Emergency Hospital, 300079 Timisoara, Romania
- Correspondence: (R.P.); (T.R.O.)
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Ursoniu S, Serban CL, Giurgi-Oncu C, Rivis IA, Bucur A, Papava I, Bredicean AC. Validation of the Romanian Version of the Social Media Addiction Scale-Student Form (SMAS-SF) Among Undergraduate Medical Students. Neuropsychiatr Dis Treat 2022; 18:1195-1205. [PMID: 35734548 PMCID: PMC9207124 DOI: 10.2147/ndt.s368476] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Accepted: 05/10/2022] [Indexed: 11/23/2022] Open
Abstract
PURPOSE Internet addiction is a recently recognized condition that has been linked to decreased academic performance, clinical symptoms of depression or anxiety, alongside decreased empathy levels. This study examined the validity and reliability of "the Social Media Addiction Scale - Student Form (SMAS-SF)". PATIENTS AND METHODS The final Romanian version of the questionnaire was tested in a focus group for the understandability of each question. For confirmatory factor analysis and structural equation modeling, a sample of 649 students was recruited. A subsample of 67 undergraduate students was used to measure reliability by Cronbach's alpha and intraclass correlation coefficient (ICC). RESULTS A 2-step confirmatory factor analysis was used and 4 factors emerged, similar to the original questionnaire: virtual tolerance, virtual problems, virtual information, and virtual communication, showing acceptable levels of fit. The structural equation modeling measured the structural relationship between measured variables and latent constructs and acknowledged that the 4-factor model had satisfactory levels for comparative fit index (0.916) and Tucker-Lewis index (0.897), root mean square error of approximation (0.062, with 95% CI between 0.055-0.069), and standardized root mean square residual (0.053). Values of Cronbach's alpha = 0.817 and ICC = 0.829 for the overall 16 item questionnaire were acceptable. CONCLUSION The Romanian version of the SMAS-SF is a reliable and valid tool to measure social media addiction among undergraduate medical students that may be further used in subsequent research.
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Affiliation(s)
- Sorin Ursoniu
- Department of Functional Sciences, Discipline of Public Health, Center for Translational Research and Systems Medicine, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Costela Lacrimioara Serban
- Department of Functional Sciences, Discipline of Public Health, Center for Translational Research and Systems Medicine, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Catalina Giurgi-Oncu
- Department of Neuroscience, Discipline of Psychiatry, Center for Cognitive Research in Neuropsychiatric Pathology (NeuroPsy-Cog), "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Ioana-Alexandra Rivis
- Department of Neuroscience, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - Adina Bucur
- Department of Functional Sciences, Discipline of Public Health, Center for Translational Research and Systems Medicine, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Ion Papava
- Department of Neuroscience, Discipline of Psychiatry, Center for Cognitive Research in Neuropsychiatric Pathology (NeuroPsy-Cog), "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Ana-Cristina Bredicean
- Department of Neuroscience, Discipline of Psychiatry, Center for Cognitive Research in Neuropsychiatric Pathology (NeuroPsy-Cog), "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania.,Psychiatry Compartment, "Dr. Victor Popescu" Emergency Military Clinical Hospital, Timisoara, Romania
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Ursoniu S, Serban CL, Giurgi-Oncu C, Rivis IA, Bucur A, Bredicean AC, Papava I. Validation of the Romanian Version of the Toronto Empathy Questionnaire (TEQ) among Undergraduate Medical Students. IJERPH 2021; 18:ijerph182412871. [PMID: 34948481 PMCID: PMC8701033 DOI: 10.3390/ijerph182412871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Revised: 12/01/2021] [Accepted: 12/05/2021] [Indexed: 11/16/2022]
Abstract
Medical professionals require adequate abilities to identify others’ emotions and express personal emotions. We aimed to determine the validity and reliability of an empathy measuring tool in medical students for this study. We employed Spreng’s Toronto Empathy Questionnaire (TEQ) as a starting point for this validation. The process was performed in several steps, including an English-Romanian-English translation and a focus group meeting to establish each question’s degree of understandability and usability, with minor improvements of wording in each step. We checked internal and external consistency in a pilot group (n = 67). For construct and convergent validity, we used a sample of 649 students. The overall internal and external reliability performed well, with Cronbach’s alpha = 0.727 and respective ICC = 0.776. The principal component analysis resulted in 3 components: prosocial helping behavior, inappropriate sensitivity, dismissive attitude. Component 1 includes positively worded questions, and components 2 and 3 include negatively worded questions. Women had significantly higher scores than men in convergent validity, but we did not highlight any differences for other demographic factors. The Romanian version of the TEQ is a reliable and valid tool to measure empathy among undergraduate medical students that may be further used in subsequent research.
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Affiliation(s)
- Sorin Ursoniu
- Department of Functional Sciences, Discipline of Public Health, Center for Translational Research and Systems Medicine, “Victor Babeș” University of Medicine and Pharmacy, 300041 Timișoara, Romania; (S.U.); (C.L.S.)
| | - Costela Lacrimioara Serban
- Department of Functional Sciences, Discipline of Public Health, Center for Translational Research and Systems Medicine, “Victor Babeș” University of Medicine and Pharmacy, 300041 Timișoara, Romania; (S.U.); (C.L.S.)
| | - Catalina Giurgi-Oncu
- Department of Neuroscience, Discipline of Psychiatry, Center for Cognitive Research in Neuropsychiatric Pathology (NeuroPsy-Cog), “Victor Babeș” University of Medicine and Pharmacy, 300041 Timișoara, Romania; (C.G.-O.); (A.-C.B.); (I.P.)
| | - Ioana Alexandra Rivis
- Department of Neuroscience, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania;
| | - Adina Bucur
- Department of Functional Sciences, Discipline of Public Health, Center for Translational Research and Systems Medicine, “Victor Babeș” University of Medicine and Pharmacy, 300041 Timișoara, Romania; (S.U.); (C.L.S.)
- Correspondence: ; Tel.: +40-723-786442
| | - Ana-Cristina Bredicean
- Department of Neuroscience, Discipline of Psychiatry, Center for Cognitive Research in Neuropsychiatric Pathology (NeuroPsy-Cog), “Victor Babeș” University of Medicine and Pharmacy, 300041 Timișoara, Romania; (C.G.-O.); (A.-C.B.); (I.P.)
- Psychiatry Compartment, “Dr. Victor Popescu” Emergency Military Clinical Hospital, 300080 Timișoara, Romania
| | - Ion Papava
- Department of Neuroscience, Discipline of Psychiatry, Center for Cognitive Research in Neuropsychiatric Pathology (NeuroPsy-Cog), “Victor Babeș” University of Medicine and Pharmacy, 300041 Timișoara, Romania; (C.G.-O.); (A.-C.B.); (I.P.)
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Olariu TR, Ursoniu S, Marincu I, Lupu MA. Dynamics of Antibody Response to BNT162b2 mRNA COVID-19 Vaccine: A 7-Month Follow-Up Study. Medicina (Kaunas) 2021; 57:1330. [PMID: 34946275 PMCID: PMC8708569 DOI: 10.3390/medicina57121330] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Revised: 11/27/2021] [Accepted: 12/01/2021] [Indexed: 01/24/2023]
Abstract
Background and Objectives: Comprehension regarding immunity to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is limited, and the durability of immune responses after vaccination is currently unknown. Several studies have reported on the antibody response in fully vaccinated individuals with a limited follow-up of the participants, i.e., below 7 months. Materials and Methods: The antibody response to complete vaccination with the BNT162b2 mRNA COVID-19 vaccine was assessed monthly, for 7 months, in 92 healthcare workers, between February 26 and September 26, 2021. The SARS-CoV-2 anti-spike protein IgG (IgGS) antibody was detected using the SARS-CoV-2 IgG II Quant assay (Abbott, Diagnostics Division, Sligo, Ireland), a chemiluminescent microparticle immunoassay (CMIA) with a sensitivity of 98.1% and specificity of 99.6%. Participants were divided into two groups, one for individuals previously infected with SARS-CoV-2 and the other for individuals without previous infection. Results: The median IgGS titers decreased monthly both in previously infected individuals and in the uninfected group. Previously infected individuals had significantly higher median titers of IgGS compared with previously uninfected subjects at all seven time points after complete vaccination (p < 0.001). Conclusions: Seven months after vaccination, the median IgGS titer had decreased by more than 92% both in individuals previously infected with SARS-CoV-2 and in uninfected individuals. However, IgGS antibodies were still detected in all study participants and persisted throughout the 7 months after the second dose of the vaccine. Further studies should be conducted to monitor the antibody response to the BNT162b2 mRNA vaccine beyond 7 months, to assess the need for a new booster dose in order to extend the duration and amplitude of the specific immune response.
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Affiliation(s)
- Tudor Rares Olariu
- Discipline of Parasitology, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania;
- Clinical Laboratory, Municipal Clinical Emergency Teaching Hospital, 300041 Timisoara, Romania
- Center for Diagnosis and Study of Parasitic Diseases, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | - Sorin Ursoniu
- Center for Translational Research and Systems Medicine, Department of Functional Sciences, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania;
| | - Iosif Marincu
- Discipline of Parasitology, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania;
| | - Maria Alina Lupu
- Discipline of Parasitology, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania;
- Center for Diagnosis and Study of Parasitic Diseases, Department of Infectious Disease, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Clinical Laboratory, Institute of Cardiovascular Diseases, 300041 Timisoara, Romania
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Bredicean C, Tamasan SC, Lungeanu D, Giurgi-Oncu C, Stoica IP, Panfil AL, Vasilian C, Secosan I, Ursoniu S, Patrascu R. Burnout Toll on Empathy Would Mediate the Missing Professional Support in the COVID-19 Outbreak. Risk Manag Healthc Policy 2021; 14:2231-2244. [PMID: 34104014 PMCID: PMC8180265 DOI: 10.2147/rmhp.s300578] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Accepted: 04/26/2021] [Indexed: 12/18/2022] Open
Abstract
Purpose The year 2020 was marked by the COVID-19 pandemic, massively disruptive at the general population level and for healthcare systems. We aimed to evaluate the psychological distress associated with work-related experiences among medical professionals and supporting staff during the pandemic outbreak. Patients and Methods A cross-sectional survey was conducted between April and May 2020, employing a self-administered on-line questionnaire that included the collection of socio-demographic and professional status information, Hamilton Anxiety Rating Scale, nine-item Patient Health Questionnaire (PHQ-9), Maslach Burnout Inventory - General Survey, Connor-Davidson Resilience Scale, and a subscale of the International Personality Item Pool (IPIP) for empathy. A total of 364 professionals of the county-coordinated area responded. Descriptive statistics summarized the findings and a mediation model was analyzed, applying the causal step strategy. The specific direct and causal mediation effects were estimated with the bias-corrected and accelerated bootstrap sampling method. Results Anxiety, burnout, stress, resilience, and empathy proved to be significantly associated with both the professional category (ie, consultant, specialty doctor, trainee doctor, senior nurse, trainee nurse or other) and the perceived professional support (the nonparametric multivariate permutation test resulted in p=0.048 and p<0.001, respectively). When controlling for the marital and professional status, the female gender had an OR=2.26, 95% CI (1.21; 4.22) toward a high level of empathy compared to males. The causal mediation effect of the perceived lack of professional support on empathy through burnout-depersonalization was highly significant (p<0.001) with an average of 0.0599, 95% CI (0.0238; 0.10), while the direct effect was non-significant (p=0.536) with an average of 0.0295, 95% CI (-0.0774; 0.15). Conclusion We highlighted the impact of the lack of professional support on healthcare workers' empathy through burnout-depersonalization in a context of a high workload, time pressure, job stress beyond previous training, and inherently limited organizational support, which are potentially modifiable factors in the mid-term.
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Affiliation(s)
- Cristina Bredicean
- NEUROPSY-COG Center for Cognitive Research in Neuropsychiatric Pathology, Department of Neuroscience, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania.,Psychiatry Compartment, "Dr. Victor Popescu" Emergency Military Clinical Hospital, Timisoara, Romania
| | | | - Diana Lungeanu
- Center for Modeling Biological Systems and Data Analysis, Department of Functional Sciences, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Catalina Giurgi-Oncu
- NEUROPSY-COG Center for Cognitive Research in Neuropsychiatric Pathology, Department of Neuroscience, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania.,"Pius Branzeu" County Emergency Hospital, Timisoara, Romania
| | - Ileana-Pepita Stoica
- Mental Health Center, "Pius Branzeu" County Emergency Hospital, Timisoara, Romania
| | - Anca-Livia Panfil
- Liaison Psychiatry, "Pius Branzeu" County Emergency Hospital, Timisoara, Romania
| | - Claudia Vasilian
- Liaison Psychiatry, "Pius Branzeu" County Emergency Hospital, Timisoara, Romania
| | - Ica Secosan
- Department of Plastic and Reconstructive Surgery, "Pius Branzeu" County Emergency Hospital, Timisoara, Romania
| | - Sorin Ursoniu
- "Pius Branzeu" County Emergency Hospital, Timisoara, Romania.,Discipline of Public Health and Health Management, Center for Translational Research and Systems Medicine, Department of Functional Sciences, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Raul Patrascu
- "Pius Branzeu" County Emergency Hospital, Timisoara, Romania.,Department of Functional Sciences, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
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Alina-Emanuela G, Gadalean F, Vlad A, Vlad M, Victor D, Vlad D, Velciov S, Cristina G, Bob F, Ursoniu S, Jianu C, Matusz P, Pusztai A, Andrei M, Cretu O, Milas LO, Simulescu A, Maria MS, Patruica M, Lavinia B, Silvia I, Popescu R, Petrica L. MO635PRO-INFLAMMATORY CYTOKINES IL-6 AND IL-17 DISPLAY A PARTICULAR MOLECULAR PATTERN IN ASSOCIATION WITH DYSREGULATED MIRNAS IN PATIENTS WITH TYPE 2 DIABETES MELLITUS IN THE EARLY STAGES OF DIABETIC KIDNEY DISEASE. Nephrol Dial Transplant 2021. [DOI: 10.1093/ndt/gfab094.003] [Citation(s) in RCA: 1] [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: 11/14/2022] Open
Abstract
Abstract
Background and Aims
Glomerular injury and proximal tubule (PT) dysfunction have intricate mechanisms in diabetic kidney disease (DKD). Pro-inflammatory cytokines are involved in the initiation and progression of DKD through mediating the inflammatory response, both at glomerular and proximal tubular level. miRNAs are able to modulate cellular and biochemical functions, thus intervening in the pathogenesis of DKD.
The aim of the study, performed on patients with type 2 diabetes mellitus (DM), was to evaluate selective pro-inflammatory cytokines in relation to biomarkers of podocyte lesion and of PT dysfunction. Particular molecular pathways, such as specific miRNA profiles operating in this relation, have also been studied.
Method
A number of 126 patients with type 2 DM, staged by albuminuria [39 normoalbuminuric – urinary albumin/creatinine ratio UACR)<30mg/g; 45 microalbuminuric–UACR-30–300mg/g; 42 macroalbuminuric–UACR>300mg/g], and 23 healthy control subjects were included in a cross-sectional study. All patients were evaluated concerning biomarkers of podocyte injury (nephrin, podocalyxin, synaptopodin) and of PT dysfunction [Kidney injury molecule-1(KIM-1), N-acetyl-beta-D-glucuronidase (NAG), alpha 1- microglobulin]. Also, serum and urinary levels of specific interleukins (IL-6, IL-17), serum cystatin C, and eGFR were determined. Serum and urinary miRNAs (miRNA-21, miRNA-124, miRNA-146a, miRNA-192) were assessed by RT-PCR.
Results
The biomarkers of podocyte lesion and of PT dysfunction were increased, even in normoalbuminuric type 2 DM patients. Serum and urinary IL-6 and IL-17 showed increased levels in type 2 DM patients, across all groups studied. The model provided by univariable regression analysis showed that IL-6 and IL-17 correlated directly with biomarkers of podocyte injury (nephrin, podocalyxin, synaptopodin), of PT dysfunction (KIM-1, NAG, alpha 1-microglobulin), as well as with UACR. Negative correlations have been identified regarding eGFR.
In multivariable regression analysis, serum IL-6 correlated directly with synaptopodin, NAG, and negatively with eGFR (p<0.00001, R2=0.805); serum IL-17 correlated directly with synaptopodin, NAG, KIM-1, UACR, and negatively with eGFR (p<0.00001, R2=0.941); urinary IL-6 correlated directly with synaptopodin, NAG, and negatively with eGFR (p<0.00001, R2=0.889); urinary IL-17 correlated directly with synaptopodin, nephrin, NAG, and negatively with eGFR (p<0.00001, R2=0.905).
Also, important associations were found between specific interleukins and miRNAs. In univariable regression analysis, IL-6 and IL-17 correlated directly with miRNA-21 and miRNA-124, and negatively with miRNA-146a and miRNA-192. The models provided by multivariable regression analysis showed that urinary IL-6 correlated directly with urinary miRNA-21, and negatively with urinary miRNA-192 (p<0.00001, R2=0.886). Urinary IL-17 displayed direct correlations with urinary miRNA-21, and negative correlations with urinary miRNA-192 (p<0.00001, R2=0.860). Serum IL-6 correlated directly with serum miRNA-21, miRNA-124, and indirectly with serum miRNA-146a, miRNA-192 (p<0.00001, R2=0.862). Serum IL-17 showed direct correlations with serum miRNA-21, miRNA-124, and negative correlations with serum miRNA-192 (p<0.00001, R2=0.745).
Conclusion
In the early stages of DKD, there is an association of pro-inflammatory cytokines with specific miRNAs, and with biomarkers of podocyte injury and of PT dysfunction. IL-6 and IL-17, as well as dysregulated miRNA-21, miRNA-124, miRNA-146a, and miRNA-192 display a particular molecular pattern, in relation to complex mechanisms that can initiate and maintain the chronic inflammatory response in DKD. Routine detection of these interleukins may provide biomarkers to refine the diagnosis of early renal involvement in the course of type 2 DM, independently of albuminuria and level of renal function.
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Affiliation(s)
- Golea Alina-Emanuela
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- County Emergency Hospital, Nephrology, Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease
| | - Florica Gadalean
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- County Emergency Hospital, Nephrology, Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease
| | - Adrian Vlad
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease
- County Emergency Hospital, Diabetes and Metabolic Diseases, Timisoara, Romania
- Center for Cognitive Research in Neurologic and Psyhiatric Disease
| | - Mihaela Vlad
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease
- County Emergency Hospital, Endocrinology, Timisoara, Romania
| | - Dumitrascu Victor
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease
- Pharmacology
| | - Daliborca Vlad
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease
- Pharmacology
| | - Silvia Velciov
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- County Emergency Hospital, Nephrology, Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease
| | - Gluhovschi Cristina
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- County Emergency Hospital, Nephrology, Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease
| | - Flaviu Bob
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- County Emergency Hospital, Nephrology, Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease
| | - Sorin Ursoniu
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease
- Center for Cognitive Research in Neurologic and Psyhiatric Disease
- Public Health Medicine
- Victor Babeş University of Medicine and Pharmacy, Center for Translational Research and Systems Medicine, Timisoara, Romania
| | - Catalin Jianu
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease
- Center for Cognitive Research in Neurologic and Psyhiatric Disease
- County Emergency Hospital, Neurology, Timisoara, Romania
| | - Petru Matusz
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- Anatomy and Embriology
| | - Agneta Pusztai
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- Anatomy and Embriology
| | - Motoc Andrei
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- Anatomy and Embriology
| | - Octavian Cretu
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- Municipal Emergency Hospital, Surgery I, Timisoara, Romania
| | - Livia Oana Milas
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- County Emergency Hospital, Nephrology, Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease
| | - Anca Simulescu
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- County Emergency Hospital, Nephrology, Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease
| | - Mogos-Stefan Maria
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- County Emergency Hospital, Nephrology, Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease
| | - Mihaela Patruica
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- County Emergency Hospital, Nephrology, Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease
| | - Balint Lavinia
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- County Emergency Hospital, Nephrology, Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease
| | - Ienciu Silvia
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- County Emergency Hospital, Nephrology, Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease
| | - Roxana Popescu
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease
- Cellular and Molecular Biology
| | - Ligia Petrica
- Victor Babeş University of Medicine and Pharmacy, Timișoara, Romania
- County Emergency Hospital, Nephrology, Timisoara, Romania
- Centre for Molecular Research in Nephrology and Vascular Disease
- Center for Cognitive Research in Neurologic and Psyhiatric Disease
- Victor Babeş University of Medicine and Pharmacy, Center for Translational Research and Systems Medicine, Timisoara, Romania
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Rivis I, Papavă I, Minciună M, Bredicean A, Ursoniu S. The emotional schemas of psychiatric patients- a case-control study. Eur Psychiatry 2021. [PMCID: PMC9475564 DOI: 10.1192/j.eurpsy.2021.1251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
IntroductionOur Emotional Schemas dictate how we deal with our own emotions, therefore, how we interpret and face different events that occur in our everyday life. Maladaptive schemas have been proven to be at fault for the inability to face different challenges.ObjectivesThis study aims to find the differences in emotional schemas between subjects with history of psychiatric disorder and subjects without a psychiatric disorder.MethodsWe realized a case-control study matched for age and gender, and analyzed the answers of 28 subjects (14 women and 14 men) to Leahy Emotional Schema Scale (LESS); 14 of which have a personal history of psychiatric disorders, while the remaining 14 had no such history. The LESS evaluation was part of a bigger study and was addressed to the general population, over 18 years old. The test was applied online, with the informed consent of the subjects.ResultsThe mean age of the participants was 40.28±13.98. Out of the 14 subjects with a psychiatric diagnosis, 71,43% have a job, 21,43% are retired and 1% are still studying. There was a significant difference between the two groups regarding the Higher Values dimension of the Emotional Schemas (p=0.0419). Also, the question regarding the feeling of shame when it comes to their own feeling, showed significant difference between the two groups (p=0.0211).ConclusionsAs opposed to the subjects without a history of psychiatric disorder, those who do have a psychiatric diagnosis, feel more often devalued and ashamed, therefore having a lower self-esteem.
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21
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Petrica L, Hogea E, Gadalean F, Vlad A, Vlad M, Dumitrascu V, Velciov S, Gluhovschi C, Bob F, Ursoniu S, Jianu DC, Matusz P, Pusztai AM, Motoc A, Cretu OM, Radu D, Milas O, Golea-Secara A, Simulescu A, Mogos-Stefan M, Patruica M, Balint L, Ienciu S, Vlad D, Popescu R. Long noncoding RNAs may impact podocytes and proximal tubule function through modulating miRNAs expression in Early Diabetic Kidney Disease of Type 2 Diabetes Mellitus patients. Int J Med Sci 2021; 18:2093-2101. [PMID: 33859515 PMCID: PMC8040425 DOI: 10.7150/ijms.56551] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2020] [Accepted: 02/07/2021] [Indexed: 11/18/2022] Open
Abstract
Aims: Long noncoding RNAs (lncRNAs) play key roles in the pathophysiology of DKD involving actions of microRNAs (miRNAs). The aims of the study were to establish the involvement of selected lncRNAs in the epigenetic mechanisms of podocyte damage and tubular injury in DKD of type 2 diabetes mellitus (DM) patients in relation to a particular miRNAs profile. Methods: A total of 136 patients with type 2 DM and 25 healthy subjects were assessed in a cross-sectional study concerning urinary albumin: creatinine ratio (UACR), eGFR, biomarkers of podocyte damage (synaptopodin, podocalyxin) and of proximal tubule (PT) dysfunction (Kidney injury molecule-1-KIM-1, N-acetyl-D-glucosaminidase-NAG), urinary lncRNA metastasis-associated lung adenocarcinoma transcript 1 (MALAT1), nuclear-enriched abundant transcript 1 (NEAT1), myocardial infarction-associated transcript (MIAT), taurine-upregulated gene 1 (TUG1), urinary miRNA21, 124, 93, 29a. Results: Multivariable regression analysis showed that urinary lncMALAT1 correlated directly with urinary synaptopodin, podocalyxin, KIM-1, NAG, miRNA21, 124, UACR, and negatively with eGFR, miRNA93, 29a (p<0.0001; R2=0.727); urinary lncNEAT1 correlated directly with synaptopodin, KIM-1, NAG, miRNA21, 124, and negatively with eGFR, miRNA93, 29a (p<0.0001; R2=0.702); urinary lncMIAT correlated directly with miRNA93 and 29a, eGFR (p<0.0001; R2=0.671) and negatively with synaptopodin, KIM-1, NAG, UACR, miRNA21, 124 (p<0.0001; R2=0.654); urinary lncTUG1 correlated directly with eGFR, miRNA93, 29a, and negatively with synaptopodin, podocalyxin, NAG, miRNA21, 124 (p<0.0001; R2=0.748). Conclusions: In patients with type 2 DM lncRNAs exert either deleterious or protective functions within glomeruli and PT. LncRNAs may contribute to DKD through modulating miRNAs expression and activities. This observation holds true independently of albuminuria and DKD stage.
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Affiliation(s)
- Ligia Petrica
- Dept. of Internal Medicine II - Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; County Emergency Hospital Timisoara, RO
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
- Center for Translational Research and Systems Medicine, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
- Centre for Cognitive Research in Neuropsychiatric Pathology (Neuropsy-Cog), Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
| | - Elena Hogea
- Department of Microbiology XIV- Division of Microbiology-Virusology, ”Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
| | - Florica Gadalean
- Dept. of Internal Medicine II - Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; County Emergency Hospital Timisoara, RO
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
| | - Adrian Vlad
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
- Dept. of Internal Medicine II - Division of Diabetes and Metabolic Diseases, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; County Emergency Hospital Timisoara, RO
| | - Mihaela Vlad
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
- Dept. of Internal Medicine II - Division of Endocrinology, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; County Emergency Hospital Timisoara, RO
| | - Victor Dumitrascu
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
- Dept. of Biochemistry and Pharmacology - Division of Pharmacology, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; County Emergency Hospital Timisoara, RO
| | - Silvia Velciov
- Dept. of Internal Medicine II - Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; County Emergency Hospital Timisoara, RO
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
| | - Cristina Gluhovschi
- Dept. of Internal Medicine II - Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; County Emergency Hospital Timisoara, RO
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
| | - Flaviu Bob
- Dept. of Internal Medicine II - Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; County Emergency Hospital Timisoara, RO
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
| | - Sorin Ursoniu
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
- Dept. of Functional Sciences - Division of Public Health Medicine, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; County Emergency Hospital Timisoara, RO
- Center for Translational Research and Systems Medicine, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
- Centre for Cognitive Research in Neuropsychiatric Pathology (Neuropsy-Cog), Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
| | - Dragos Catalin Jianu
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
- Dept. of Neurosciences - Division of Neurology, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania; Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; County Emergency Hospital Timisoara, RO
- Centre for Cognitive Research in Neuropsychiatric Pathology (Neuropsy-Cog), Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
| | - Petru Matusz
- Dept. of Anatomy and Embryology- Division of Anatomy and Embryology; “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania; Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
| | - Agneta-Maria Pusztai
- Dept. of Anatomy and Embryology- Division of Anatomy and Embryology; “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania; Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
| | - Andrei Motoc
- Dept. of Anatomy and Embryology- Division of Anatomy and Embryology; “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania; Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
| | - Octavian M Cretu
- Dept. of Surgery I- Division of Surgical Semiology I, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania; Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; Emergency Clinical Municipal Hospital Timisoara, RO
| | - Dana Radu
- Dept. of Surgery II- Division of Surgery I, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania; Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; County Emergency Hospital Timisoara, RO
| | - Oana Milas
- Dept. of Internal Medicine II - Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; County Emergency Hospital Timisoara, RO
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
| | - Alina Golea-Secara
- Dept. of Internal Medicine II - Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; County Emergency Hospital Timisoara, RO
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
| | - Anca Simulescu
- Dept. of Internal Medicine II - Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; County Emergency Hospital Timisoara, RO
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
| | - Maria Mogos-Stefan
- Dept. of Internal Medicine II - Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; County Emergency Hospital Timisoara, RO
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
| | - Mihaela Patruica
- Dept. of Internal Medicine II - Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; County Emergency Hospital Timisoara, RO
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
| | - Lavinia Balint
- Dept. of Internal Medicine II - Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; County Emergency Hospital Timisoara, RO
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
| | - Silvia Ienciu
- Dept. of Internal Medicine II - Division of Nephrology, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; County Emergency Hospital Timisoara, RO
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
| | - Daliborca Vlad
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
- Dept. of Biochemistry and Pharmacology - Division of Pharmacology, “Victor Babes” University of Medicine and Pharmacy Timisoara, Romania, Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO; County Emergency Hospital Timisoara, RO
| | - Roxana Popescu
- Centre for Molecular Research in Nephrology and Vascular Disease, Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Eftimie Murgu Sq. no. 2, 300041 Timisoara, RO
- Dept. of Morphologic Microscopy - Division of Cellular and Molecular Biology; "Victor Babeș" University of Medicine and Pharmacy Timișoara, Romania; Eftimie Murgu Sq. no. 2, 300041 Timișoara, RO; County Emergency Hospital Timisoara, RO
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Olariu TR, Lighezan R, Ursoniu S, Craciun AC, Paduraru AA, Lupu MA. Seroprevalence of SARS-CoV-2 antibodies in 2115 blood donors from Romania. Clin Microbiol Infect 2021; 27:S1198-743X(20)30787-4. [PMID: 33421577 PMCID: PMC8084417 DOI: 10.1016/j.cmi.2020.12.027] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2020] [Revised: 12/12/2020] [Accepted: 12/21/2020] [Indexed: 01/19/2023]
Affiliation(s)
- Tudor Rares Olariu
- Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania; Clinical Laboratory, Municipal Clinical Emergency Hospital, Timisoara, Romania; Center for Diagnosis and Study of Parasitic Diseases, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.
| | - Rodica Lighezan
- Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania; Center for Diagnosis and Study of Parasitic Diseases, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania; Regional Blood Transfusion Centre, Timisoara, Romania
| | - Sorin Ursoniu
- Discipline of Public Health, Department of Functional Sciences, Center for Translational Research and Systems Medicine, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania
| | | | - Ana Alexandra Paduraru
- Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania; Clinical Laboratory, Municipal Clinical Emergency Hospital, Timisoara, Romania; Center for Diagnosis and Study of Parasitic Diseases, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania
| | - Maria Alina Lupu
- Discipline of Parasitology, Department of Infectious Diseases, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania; Center for Diagnosis and Study of Parasitic Diseases, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania; Clinical Laboratory, Institute of Cardiovascular Diseases, Timisoara, Romania
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23
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Giurgi-Oncu C, Bredicean C, Frandeș M, Enătescu V, Papavă I, Riviș I, Ursoniu S. Social Inferences as Mediators of Wellbeing in Depression. Neuropsychiatr Dis Treat 2021; 17:1679-1687. [PMID: 34079265 PMCID: PMC8166309 DOI: 10.2147/ndt.s309009] [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] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Accepted: 04/29/2021] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Depression is an increasingly prevalent chronic mental health condition that involves a range of potentially negative implications, in the long term. Theory of Mind (ToM) serves to form and maintain social relationships, by accurately identifying thoughts and emotions in others. Defective ToM abilities have been noted in people with a history of clinical depression. PURPOSE To identify whether impairments of emotion recognition are correlated with a lower subjective feeling of wellbeing in people diagnosed with a chronic depressive illness. PATIENTS AND METHODS In a cross-sectional analysis of a recurrent depressive disorder (RDD, as per WHO ICD-10 nosology) cohort (n=57), the BECK depression scale and the "Reading the mind in the eyes" test were employed for the diagnosis of clinical symptoms, and for the evaluation of individual ToM skills, respectively. Wellbeing was quantified using the FANLCT scale. RESULTS The wellbeing of service-users decreased significantly, in correlation with their defective emotion recognition abilities. Additionally, a low capacity for the correct perception of emotions in other people appears to significantly influence the social relationships status, with scores of 14.00 (10.00-18.50) at low capacity vs 23.00 (17.58-24.75) at normal capacity (Mann-Whitney U-test, p < 0.001). Our study findings indicate that a normal ability for a correct recognition of emotions in others is significantly and strongly correlated with adequate social relationships (Spearman r = 0.757, p < 0.05). CONCLUSION Wellbeing is significantly correlated with the individual ability for a correct recognition of emotions in others.
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Affiliation(s)
- Cătălina Giurgi-Oncu
- Department of Neuroscience, Discipline of Psychiatry, "Victor Babeș" University of Medicine and Pharmacy, Timișoara, Romania.,"Pius Brînzeu" County Emergency Clinical Hospital, Timișoara, Romania
| | - Cristina Bredicean
- Department of Neuroscience, Discipline of Psychiatry, "Victor Babeș" University of Medicine and Pharmacy, Timișoara, Romania.,"Dr. Victor Popescu" Military Clinical Emergency Hospital, Timișoara, Romania
| | - Mirela Frandeș
- Department of Functional Sciences, Discipline of Medical Informatics and Biostatistics, "Victor Babeș" University of Medicine and Pharmacy, Timișoara, Romania
| | - Virgil Enătescu
- Department of Neuroscience, Discipline of Psychiatry, "Victor Babeș" University of Medicine and Pharmacy, Timișoara, Romania.,"Pius Brînzeu" County Emergency Clinical Hospital, Timișoara, Romania
| | - Ion Papavă
- Department of Neuroscience, Discipline of Psychiatry, "Victor Babeș" University of Medicine and Pharmacy, Timișoara, Romania.,"Pius Brînzeu" County Emergency Clinical Hospital, Timișoara, Romania
| | - Ioana Riviș
- "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - Sorin Ursoniu
- Department of Functional Sciences, Discipline of Public Health, Center for Translational Research and Systems Medicine, "Victor Babeș" University of Medicine and Pharmacy, Timișoara, Romania
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Olariu TR, Ursoniu S, Hotea I, Dumitrascu V, Anastasiu D, Lupu MA. Seroprevalence and Risk Factors of Toxoplasma gondii Infection in Pregnant Women from Western Romania. Vector Borne Zoonotic Dis 2020; 20:763-767. [PMID: 32589521 DOI: 10.1089/vbz.2019.2599] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Seroprevalence and risk factors of Toxoplasma gondii infection were assessed among pregnant women in Western Romania. T. gondii seroprevalence was evaluated in 208 pregnant women by demonstration of serum antibodies using the commercial Vitros anti-Toxoplasma immunoglobulin G (IgG) and IgM assays. A questionnaire was administered to obtain information regarding the risk factors associated with T. gondii seropositivity. Chi-squared tests, Fisher exact test, and Stata 9.2 (Statacorp, Texas) were used to evaluate differences between T. gondii positive and negative women. T. gondii antibodies were demonstrated in 116 (55.8%) of 208 pregnant women. Lower level of education and working with meat were found to be risk factors for T. gondii seropositivity. Pet owners (cats and/or dogs) had a higher T. gondii seroprevalence than those who did not report having any pet (p = 0.032). Women with ≥4 live births were more frequently T. gondii seropositive than those without previous births (p < 0.002). Women with histories of spontaneous abortions were more frequently T. gondii seropositive than those without such a history (p = 0.036). Our results indicate a high prevalence of T. gondii antibodies in pregnant women in Romania. Risk factors for T. gondii past infection were being in the older age group, working with meat, having pets, a lower level of education, higher gravidity, and history of spontaneous abortions. This survey provided the first data regarding risk factors for T. gondii infection in pregnant women from Western Romania.
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Affiliation(s)
- Tudor Rares Olariu
- Discipline of Parasitology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.,Clinical Laboratory, Municipal Clinical Emergency Hospital, Timisoara, Romania
| | - Sorin Ursoniu
- Discipline of Public Health, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania
| | - Ionela Hotea
- Discipline of Nutrition, Faculty of Veterinary Medicine, Timisoara, Romania
| | - Victor Dumitrascu
- Discipline of Pharmacology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.,Clinical Laboratory, County Clinical Emergency Hospital, Timisoara, Romania
| | - Doru Anastasiu
- Discipline of Obstetrics and Gynecology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.,Obstetrics and Gynecology Clinic, County Clinical Emergency Hospital, Timisoara, Romania
| | - Maria Alina Lupu
- Discipline of Parasitology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.,Clinical Laboratory, Institute of Cardiovascular Diseases, Timisoara, Romania
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25
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Bucur A, Ursoniu S, Caraion-Buzdea C, Ciobanu V, Florescu S, Vladescu C. Aggressive Behaviors among 15-16-Year-Old Romanian High School Students: Results from Two Consecutive Surveys Related to Alcohol and Other Drug Use at the European Level. Int J Environ Res Public Health 2020; 17:ijerph17103670. [PMID: 32456095 PMCID: PMC7277901 DOI: 10.3390/ijerph17103670] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Revised: 05/14/2020] [Accepted: 05/19/2020] [Indexed: 01/25/2023]
Abstract
The aim of this paper is to examine aggressive behaviors among Romanian high school students between 15 and 16 years old, to compare data in two national representative samples and to identify factors associated with physical fighting. This study investigates the association of selected factors (social, school performance and substance use) with physical fighting. A total of 2289 Romanian students were included in the 2007 database and 2770 in the 2011 database. This study revealed that 35.87% of the teenagers have taken part in a physical fight during the previous 12 months, as compared with the European average of 31.5%. Romania has the highest prevalence of violent behavior by participating in a group bruising of an individual in both surveys, 2007 and 2011. A logistic regression analysis performed for the 2011 study revealed the following factors associated with physical fighting: binge drinking during the previous 30 days, male gender, serious problems with friends, parent(s) who do not know where and with whom the adolescents spend their evenings, poor parental caring, low school grades, and high truancy. A decrease in almost all aggressive behaviors was noticed in 2011, compared to 2007. These findings may be useful to support and guide policy makers regarding improvement and implementation of strategies to further prevent aggressive behaviors in teenagers.
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Affiliation(s)
- Adina Bucur
- Department of Public Health, Victor Babes University of Medicine and Pharmacy, 300172 Timisoara, Romania; (A.B.); (S.U.); (C.C.-B.); (V.C.)
| | - Sorin Ursoniu
- Department of Public Health, Victor Babes University of Medicine and Pharmacy, 300172 Timisoara, Romania; (A.B.); (S.U.); (C.C.-B.); (V.C.)
| | - Constantin Caraion-Buzdea
- Department of Public Health, Victor Babes University of Medicine and Pharmacy, 300172 Timisoara, Romania; (A.B.); (S.U.); (C.C.-B.); (V.C.)
| | - Virgil Ciobanu
- Department of Public Health, Victor Babes University of Medicine and Pharmacy, 300172 Timisoara, Romania; (A.B.); (S.U.); (C.C.-B.); (V.C.)
| | - Silvia Florescu
- Management and Professional Development, The National School of Public Health, 021253 Bucharest, Romania;
| | - Cristian Vladescu
- Department of Public Health, Victor Babes University of Medicine and Pharmacy, 300172 Timisoara, Romania; (A.B.); (S.U.); (C.C.-B.); (V.C.)
- Management and Professional Development, The National School of Public Health, 021253 Bucharest, Romania;
- Correspondence: ; Tel.: +40-722-627036
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26
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Dehelean L, Romosan AM, Papava I, Bredicean CA, Dumitrascu V, Ursoniu S, Romosan RS. Prolactin response to antipsychotics: An inpatient study. PLoS One 2020; 15:e0228648. [PMID: 32017792 PMCID: PMC6999917 DOI: 10.1371/journal.pone.0228648] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Accepted: 01/20/2020] [Indexed: 11/25/2022] Open
Abstract
Background Antipsychotic medication, stress, gender, and age are factors that influence prolactin levels in patients with psychosis. The aim of the study was to investigate the level of prolactin response to antipsychotic treatment in acute patients, taking into account the total duration of psychosis. Methods and findings The study was conducted on 170 acute patients with schizophrenia spectrum disorders and bipolar disorder. Subjects were divided into three subgroups according to the duration of the psychosis (less than 5 years, between 5 and 10 years and more than 10 years of disorder duration). The initial prolactin response under antipsychotic treatment was measured, while the severity of the psychiatric symptoms was assessed with the BPRS (Brief Psychiatric Rating Scale). Hyperprolactinemia was found in 120 (70.6%) patients, amongst which 80 (66.7%) were females and 40 (33.3%) were males. The average increase in prolactinemia was 2.46 times the maximum value in women, and 1.59 times in men. Gender (β = 0.27, p<0.0001), type of antipsychotic medication according to potency of inducing hyperprolactinemia (β = -0.23, p<0.003), and the duration of psychosis over 10 years (β = -0.15, p = 0.04) significantly predicted prolactin levels, when age, diagnosis, antipsychotic category (conventional/atypical/combinations of antipsychotics), and BPRS total scores were controlled for. Conclusions and relevance Prolactin levels in patients treated with antipsychotic medication appeared to depend on patients’ gender, on the type of antipsychotic medication according to potency of inducing hyperprolactinemia, and on the duration of the psychosis. An increase in prolactin levels was associated with female gender, while the use of prolactin sparing antipsychotics and a duration of psychosis over 10 years were associated with lower prolactin levels.
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Affiliation(s)
- Liana Dehelean
- Neurosciences Department, Psychiatry Discipline, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Ana-Maria Romosan
- Neurosciences Department, Psychiatry Discipline, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
- * E-mail:
| | - Ion Papava
- Neurosciences Department, Psychiatry Discipline, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Cristina Ana Bredicean
- Neurosciences Department, Psychiatry Discipline, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Victor Dumitrascu
- Biochemistry and Pharmacology Department, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Sorin Ursoniu
- Functional Sciences Department, Public Health Discipline, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Radu-Stefan Romosan
- Neurosciences Department, Psychiatry Discipline, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
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Petrica L, Pusztai AM, Vlad M, Vlad A, Gadalean F, Dumitrascu V, Vlad D, Velciov S, Gluhovschi C, Bob F, Ursoniu S, Petrica M, Matusz P, Cretu O, Radu D, Milas O, Secara A, Simulescu A, Popescu R, Jianu DC. MiRNA Expression is Associated with Clinical Variables Related to Vascular Remodeling in the Kidney and the Brain in Type 2 Diabetes Mellitus Patients. Endocr Res 2020; 45:119-130. [PMID: 31724439 DOI: 10.1080/07435800.2019.1690505] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Background: The association of vascular remodeling in the kidney and the brain with a particular microRNAs (miRNA) profile is not well studied.Methods: Seventy-six patients with Type 2 diabetes and 11 healthy subjects were assessed concerning urine albumin: creatinine ratio (UACR), biomarkers of podocyte injury and of proximal tubule (PT) dysfunction. MiRNA were quantified in blood and urine by a real-time PCR System. Cerebrovascular ultrasound measurements were performed in the carotid and middle cerebral arteries.Results: MiRNA21 and miRNA124 correlated positively with nephrin, podocalyxin, synaptopodin, urinary N-acetyl-D-glucosaminidase (NAG), urinary kidney-injury molecule-1 (KIM-1), UACR, and negatively with eGFR; miRNA125a, 126, 146a, 192 correlated negatively with nephrin, podocalyxin, synaptopodin, urinary NAG, urinary KIM-1, UACR, and directly with eGFR. Plasma miRNA-21 and miRNA192 correlated directly with cerebral hemodynamics parameters of atherosclerosis and arteriosclerosis. MiRNA-124, 125a, 126, 146a showed negative correlations with the same parameters.Conclusions: In Type 2 diabetes patients there is an association of vascular remodeling in the brain and the kidney with a specific miRNAs pattern. Cerebrovascular changes occur even in normoalbuminuric patients, with 'high-to-normal' levels of podocyte injury and PT dysfunction biomarkers. These phenomena may be explained by the variability of miRNA expression within the two organs in early DKD.
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Affiliation(s)
- Ligia Petrica
- Dept. of Nephrology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
- "Victor Babes" University of Medicine and Pharmacy, Centre of Translational and Systems Medicine, Timisoara, Romania
| | - Agneta-Maria Pusztai
- Dept. of Anatomy and Embryology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Mihaela Vlad
- Dept. of Endocrinology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Adrian Vlad
- Dept. of Diabetes and Metabolic Diseases, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Florica Gadalean
- Dept. of Nephrology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Victor Dumitrascu
- Dept. of Pharmacology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Daliborca Vlad
- Dept. of Pharmacology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Silvia Velciov
- Dept. of Nephrology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Cristina Gluhovschi
- Dept. of Nephrology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Flaviu Bob
- Dept. of Nephrology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Sorin Ursoniu
- Dept. of Public Health Medicine, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Maxim Petrica
- Dept. of Neurology, "Pius Brinzeu" County Emergency Hospital, Timisoara, Romania
| | - Petru Matusz
- Dept. of Anatomy and Embryology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Octavian Cretu
- Dept. of Surgery I, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Daniela Radu
- Dept. of Surgery II, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Oana Milas
- Dept. of Nephrology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Alina Secara
- Dept. of Nephrology, "Pius Brinzeu" County Emergency Hospital, Timisoara, Romania
| | - Anca Simulescu
- Dept. of Nephrology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Roxana Popescu
- Dept. of Cellular and Molecular Biology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Dragos Catalin Jianu
- Dept. of Neurology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
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28
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Milas O, Gadalean F, Vlad A, Dumitrascu V, Velciov S, Gluhovschi C, Bob F, Popescu R, Ursoniu S, Jianu DC, Matusz P, Pusztai AM, Secara A, Simulescu A, Stefan M, Patruica M, Petrica F, Vlad D, Petrica L. Pro-inflammatory cytokines are associated with podocyte damage and proximal tubular dysfunction in the early stage of diabetic kidney disease in type 2 diabetes mellitus patients. J Diabetes Complications 2020; 34:107479. [PMID: 31806428 DOI: 10.1016/j.jdiacomp.2019.107479] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2019] [Revised: 10/30/2019] [Accepted: 11/03/2019] [Indexed: 01/18/2023]
Abstract
AIMS To evaluate if there is a link between inflammation (expressed by inflammatory cytokines) and the early stage of diabetic kidney disease (DKD), as shown by markers of podocyte damage and proximal tubular (PT) dysfunction. METHODS In this study were enrolled 117 type 2 DM patients (36-normoalbuminuria, 42-microalbuminuria, 39- macroalbuminuria), and 11 healthy subjects. Serum and urinary IL-1 alpha, IL-8, IL-18, urinary albumin:creatinine ratio (UACR), eGFR, biomarkers of podocyte damage (podocalyxin, synaptopodin, nephrin) and of PT dysfunction (KIM-1, NAG) were assessed. RESULTS In multivariable regression urinary Il-1 alpha correlated positively with podocalyxin and NAG (p < 0.0001, R2= 0.57); urinary IL-8 correlated directly with synaptopodin, NAG, nephrin, and KIM-1 (p < 0.0001, R2 = 0.67); urinary IL-18 correlated directly with synaptopodin, NAG, and nephrin (p < 0.0001, R2 = 0.59). Serum IL-1 alpha correlated positively with nephrin, synaptopodin, NAG (P < 0.0001, R2 = 0.68); serum IL-8 correlated directly with synaptopodin and NAG (p < 0.0001, R2 = 0.66); serum IL-18 correlated directly with NAG, KIM-1, and podocalyxin (p < 0.0001, R2=0.647). CONCLUSIONS Pro-inflammatory interleukins are associated with podocyte injury and PT dysfunction in early DKD. These could exert a key role in the pathogenesis of early DKD, before the development of albuminuria.
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Affiliation(s)
- Oana Milas
- Dept. of Nephrology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania
| | - Florica Gadalean
- Dept. of Nephrology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania.
| | - Adrian Vlad
- Dept. of Diabetes and Metabolic Diseases, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania.
| | - Victor Dumitrascu
- Dept. of Pharmacology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania
| | - Silvia Velciov
- Dept. of Nephrology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania
| | - Cristina Gluhovschi
- Dept. of Nephrology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania.
| | - Flaviu Bob
- Dept. of Nephrology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania
| | - Roxana Popescu
- Dept. of Cellular and Molecular Biology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania
| | - Sorin Ursoniu
- Dept. of Public Health Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; Centre of Translational Research and Systems Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania
| | - Dragos Catalin Jianu
- Dept. of Neurology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania
| | - Petru Matusz
- Dept. of Anatomy and Embryology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania.
| | - Agneta-Maria Pusztai
- Dept. of Anatomy and Embryology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania
| | - Alina Secara
- Dept. of Nephrology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania
| | - Anca Simulescu
- Dept. of Nephrology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania
| | - Maria Stefan
- Dept. of Nephrology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania
| | - Mihaela Patruica
- Dept. of Nephrology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania
| | - Flaviu Petrica
- Nefrotim Medical Center, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania
| | - Daliborca Vlad
- Dept. of Pharmacology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania
| | - Ligia Petrica
- Dept. of Nephrology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; Centre of Translational Research and Systems Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania; "Victor Babes" University of Medicine and Pharmacy Timisoara, Romania
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Petrica L, Milas O, Vlad M, Vlad A, Gadalean F, Dumitrascu V, Velciov S, Gluhovschi C, Bob F, Ursoniu S, Jianu DC, Matusz P, Pusztai AM, Cretu O, Radu D, Secara A, Simulescu A, Stefan M, Popescu R, Vlad D. Interleukins and miRNAs intervene in the early stages of diabetic kidney disease in Type 2 diabetes mellitus patients. Biomark Med 2019; 13:1577-1588. [PMID: 31663375 DOI: 10.2217/bmm-2019-0124] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
Aim: The involvement of proinflammatory interleukins (IL) in diabetic kidney disease of Type 2 diabetes mellitus (DM) patients was studied in relation to a particular miRNA profile. Materials & methods: A total of 117 patients with Type 2 DM and 11 controls were enrolled in a case series study. Serum and urinary ILs and miRNAs were assessed. Results: IL-1α correlated with miRNA21, 124, estimated glomerular filtration rate (eGFR) and negatively with miRNA125a and 192; IL-8 with miRNA21, 124, eGFR and negatively with miRNA125a, 126 and 146a; IL-18 with miRNA21, 124 and negatively with miRNA146a, 192, eGFR. Conclusion: There is an association between specific serum and urinary ILs and serum and urinary miRNAs profiles in the inflammatory response in Type 2 DM patients with diabetic kidney disease.
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Affiliation(s)
- Ligia Petrica
- Department of Nephrology, 'Victor Babes' University of Medicine & Pharmacy, Romania.,Centre of Translational Research & Systems Medicine, 'Victor Babes' University of Medicine & Pharmacy, 300041 Timisoara, Romania
| | - Oana Milas
- Department of Nephrology, 'Victor Babes' University of Medicine & Pharmacy, Romania
| | - Mihaela Vlad
- Department of Endocrinology, 'Victor Babes' University of Medicine & Pharmacy, 300041 Timisoara, Romania
| | - Adrian Vlad
- Department of Diabetes & Metabolic Diseases, 'Victor Babes' University of Medicine & Pharmacy, 300041 Timisoara, Romania
| | - Florica Gadalean
- Department of Nephrology, 'Victor Babes' University of Medicine & Pharmacy, Romania
| | - Victor Dumitrascu
- Department of Pharmacology, 'Victor Babes' University of Medicine & Pharmacy, 300041 Timisoara, Romania
| | - Silvia Velciov
- Department of Nephrology, 'Victor Babes' University of Medicine & Pharmacy, Romania
| | - Cristina Gluhovschi
- Department of Nephrology, 'Victor Babes' University of Medicine & Pharmacy, Romania
| | - Flaviu Bob
- Department of Nephrology, 'Victor Babes' University of Medicine & Pharmacy, Romania
| | - Sorin Ursoniu
- Centre of Translational Research & Systems Medicine, 'Victor Babes' University of Medicine & Pharmacy, 300041 Timisoara, Romania.,Department of Public Health Medicine, 'Victor Babes' University of Medicine & Pharmacy, 300041 Timisoara, Romania
| | - Dragos C Jianu
- Department of Neurology, 'Victor Babes' University of Medicine & Pharmacy, 300041 Timisoara, Romania
| | - Petru Matusz
- Department of Anatomy & Embryology, 'Victor Babes' University of Medicine & Pharmacy, 300041 Timisoara, Romania
| | - Agneta-Maria Pusztai
- Department of Anatomy & Embryology, 'Victor Babes' University of Medicine & Pharmacy, 300041 Timisoara, Romania
| | - Octavian Cretu
- Department of Surgery I, 'Victor Babes' University of Medicine & Pharmacy, 300041 Timisoara, Romania
| | - Daniela Radu
- Department of Surgery II, 'Victor Babes' University of Medicine & Pharmacy, 300041 Timisoara, Romania
| | - Alina Secara
- Department of Nephrology, 'Victor Babes' University of Medicine & Pharmacy, Romania
| | - Anca Simulescu
- Department of Nephrology, 'Victor Babes' University of Medicine & Pharmacy, Romania
| | - Maria Stefan
- Department of Nephrology, 'Victor Babes' University of Medicine & Pharmacy, Romania
| | - Roxana Popescu
- Department of Cellular & Molecular Biology, 'Victor Babes' University of Medicine & Pharmacy, 300041 Timisoara, Romania
| | - Daliborca Vlad
- Department of Pharmacology, 'Victor Babes' University of Medicine & Pharmacy, 300041 Timisoara, Romania
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Lazăr DC, Ursoniu S, Goldiş A. Predictors of rebleeding and in-hospital mortality in patients with nonvariceal upper digestive bleeding. World J Clin Cases 2019; 7:2687-2703. [PMID: 31616685 PMCID: PMC6789381 DOI: 10.12998/wjcc.v7.i18.2687] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2019] [Revised: 08/16/2019] [Accepted: 08/26/2019] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Nonvariceal upper digestive bleeding (NVUDB) represents a severe emergency condition and is associated with significant morbidity and mortality. Despite a decrease in the incidence due to the widespread use of potent therapy with proton pump inhibitors as well as the implementation of modern endoscopic techniques, the mortality rate associated with NVUDB is still high.
AIM To identify the clinical, biological, and endoscopic parameters associated with a poor outcome in patients with NVUDB to allow the stratification of risk, which will lead to the implementation of the most accurate management.
METHODS We performed a retrospective study including patients who were admitted to the Gastroenterology Department of Clinical Emergency County Hospital Timisoara, Romania, with a diagnosis of NVUDB between 1 January 2008 and 31 December 2016. All the data were collected from the patient’s records, including demographic data, medication history, hemodynamic status, paraclinical tests, and endoscopic features as well as the methods of hemostasis, rate of rebleeding, need for surgery and death; we also assessed the Rockall score of the patients, length of hospitalization and associated comorbidities. All these parameters were evaluated as potential risk factors associated with rebleeding and death in patients with NVUDB.
RESULTS We included a batch of 1581 patients with NVUDB, including 523 (33%) females and 1058 (67%) males with a median age of 66 years. The main cause of NVUDB was peptic ulcer (73% of patients). More than one-third of the patients needed endoscopic treatment. Rebleeding rate was 7.72%; surgery due to failure of endoscopic hemostasis was needed in 3.22% of cases; the in-hospital mortality rate was 8.09%, and the bleeding-episode-related mortality rate was 2.97%. Although our predictive models for rebleeding and death had a low sensitivity, the specificity was very high, suggesting a better discriminative capacity for identifying patients with better outcomes. Our results showed that the Rockall score was associated with both rebleeding and death; comorbidities such as respiratory conditions, liver cirrhosis and sepsis increased significantly the risk of in-hospital mortality (OR of 3.29, 2.91 and 8.03).
CONCLUSION Our study revealed that the Rockall score, need for endoscopic therapy, necessity of transfusion and sepsis were risk factors for rebleeding. Moreover, an increased Rockall score and the presence of comorbidities were predictive factors for in-hospital mortality.
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Affiliation(s)
- Daniela Cornelia Lazăr
- Department of Internal Medicine I, University Medical Clinic, University of Medicine and Pharmacy “Victor Babeş”, Timişoara 300041, Timiş County, Romania
| | - Sorin Ursoniu
- Department of Public Health and Health Management, University of Medicine and Pharmacy “Victor Babeş”, Timişoara 300041, Timiş County, Romania
| | - Adrian Goldiş
- Department of Gastroenterology and Hepatology, University of Medicine and Pharmacy “Victor Babeş”, Timişoara 300041, Timiş County, Romania
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Ardelean CL, Pescariu S, Lighezan DF, Pleava R, Ursoniu S, Nadasan V, Mihaicuta S. Particularities of Older Patients with Obstructive Sleep Apnea and Heart Failure with Mid-Range Ejection Fraction. ACTA ACUST UNITED AC 2019; 55:medicina55080449. [PMID: 31394863 PMCID: PMC6723828 DOI: 10.3390/medicina55080449] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2019] [Revised: 07/23/2019] [Accepted: 08/05/2019] [Indexed: 12/13/2022]
Abstract
Background and objectives: Obstructive sleep apnea syndrome (OSAS) and heart failure (HF) are increasing in prevalence with a greater impact on the health system. The aim of this study was to assess the particularities of patients with OSAS and HF, focusing on the new class of HF with mid-range ejection fraction (HFmrEF, EF = 40%-49%), and comparing it with reduced EF (HFrEF, EF < 40%) and preserved EF (HFpEF, EF ≥ 50%). Materials and Methods: A total of 143 patients with OSAS and HF were evaluated in three sleep labs of "Victor Babes" Hospital and Cardiovascular Institute, Timisoara, Western Romania. We collected socio-demographic data, anthropometric sleep-related measurements, symptoms through sleep questionnaires and comorbidity-related data. We performed blood tests, cardio-respiratory polygraphy and echocardiographic measurements. Patients were divided into three groups depending on ejection fraction. Results: Patients with HFmrEF were older (p = 0.0358), with higher values of the highest systolic blood pressure (mmHg) (p = 0.0016), higher serum creatinine (p = 0.0013), a lower glomerular filtration rate (p = 0.0003), higher glycemic levels (p = 0.008) and a larger left atrial diameter (p = 0.0002). Regarding comorbidities, data were presented as percentage, HFrEF vs. HFmrEF vs. HFpEF. Higher prevalence of diabetes mellitus (52.9 vs. 72.7 vs. 40.2, p = 0.006), chronic kidney disease (17.6 vs. 57.6 vs. 21.5, p < 0.001), tricuspid insufficiency (76.5 vs. 84.8 vs.59.1, p = 0.018) and aortic insufficiency (35.3 vs.42.4 vs. 20.4, p = 0.038) were observed in patients with HFmrEF, whereas chronic obstructive pulmonary disease(COPD) (52.9 vs. 24.2 vs.18.3, p = 0.009), coronary artery disease(CAD) (82.4 vs. 6.7 vs. 49.5, p = 0.026), myocardial infarction (35.3 vs. 24.2 vs. 5.4, p < 0.001) and impaired parietal heart kinetics (70.6 vs. 68.8 vs. 15.2, p < 0.001) were more prevalent in patients with HFrEF. Conclusions: Patients with OSAS and HF with mid-range EF may represent a new group with increased risk of developing life-long chronic kidney disease, diabetes mellitus, tricuspid and aortic insufficiency. COPD, myocardial infarction, impaired parietal kinetics and CAD are most prevalent comorbidities in HFrEF patients but they are closer in prevalence to HFmrEF than HFpEF.
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Affiliation(s)
- Carmen Loredana Ardelean
- University of Medicine and Pharmacy, Dr Victor Babes, Eftimie Murgu Square 2, 300041 Timisoara, Romania.
| | - Sorin Pescariu
- Cardiology Department, University of Medicine and Pharmacy, Dr Victor Babes, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Daniel Florin Lighezan
- Cardiology Department, University of Medicine and Pharmacy, Dr Victor Babes, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Roxana Pleava
- University of Medicine and Pharmacy, Dr Victor Babes, Eftimie Murgu Square 2, 300041 Timisoara, Romania.
| | - Sorin Ursoniu
- Department of Public Health and Health Management, University of Medicine and Pharmacy, Dr Victor Babes, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Valentin Nadasan
- Department of Hygiene and Environmental Health, University of Medicine and Pharmacy, Sciences and Technology of Targu Mures, Gheorghe Marinescu 38, 540139 Targu Mures, Romania
| | - Stefan Mihaicuta
- Pneumology Department, University of Medicine and Pharmacy, Dr Victor Babes, Eftimie Murgu Square 2, 300041 Timisoara, Romania
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Serban M, Serban A, Ursoniu S, Dragan S. Systematic Review On The Potential Of Sea Buckthorn HippophaË Rhamnoides L. For A Possible Novel Enriched Bread For The Patients With Cardiovascular Diseases. Atherosclerosis 2019. [DOI: 10.1016/j.atherosclerosis.2019.06.882] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Dejica SA, Demeter I, Floroni E, Neamtu A, Gurgus D, Ursoniu S, Ciobanu V. Importance of Biochemical Investigations, Electrocardiography and Ambulatory Blood Pressure Monitoringin Primary Health in Hypertensive Elderly Patients Management. Rev Chim 2019. [DOI: 10.37358/rc.19.6.7306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
According to SEPHAR studies I, II and III conducted in Romania the prevalence of hypertension increased, decreased and again increased in more than 10 years from 44.92 to 40.1% and than to 45.1%, expecting more good results in further years. Ambulatory blood pressure monitoring (ABPM) is the main method used by family doctors in primary health carefor detectingthe variability of blood pressure (BP), and treatment response. The goals of this study were to identify the electrocardiographic presence of the left ventricular hypertrophy(LHV)in elderly hypertensive patientsand analyze the differences between those who have controlled hypertension and those who have white-coat, masked or sustained hypertension so to highlight the importance of using ABPM in the primary care service in Romania.
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Feier H, Deutsch P, Gaspar M, Ursoniu S. The Influence of Albumin/glutaraldehyde Sealant in Early Results After Acute Type A Aortic Dissection. Rev Chim 2019. [DOI: 10.37358/rc.19.6.7269] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Mortality after acute type A aortic dissection (AAAD) is some of the highest in cardiac surgery. The dissected tissues are fragile and provide a thin layer for performing the aortic anastomoses. We study the influence of a mixture of bovine serum albumin (45%, w/v) and glutaraldehyde (10%, w/v) in a 4:1 ratio on bleeding and early results ([30 days) after AAAD repair.
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Petrica L, Vlad M, Vlad A, Gadalean F, Dumitrascu V, Velciov S, Gluhovschi C, Bob F, Ursoniu S, Jianu DC, Matusz P, Pusztai AM, Cretu O, Milas O, Secara A, Simulescu A, Popescu R, Vlad D. FP509MOLECULAR PATHWAYS OF INFLAMMATION WHICH INVOLVE INTERLEUKINS PARALLEL A PARTICULAR miRNAs PROFILE IN THE EARLY STAGES OF DIABETIC KIDNEY DISEASE IN TYPE 2 DIABETES MELLITUS PATIENTS. Nephrol Dial Transplant 2019. [DOI: 10.1093/ndt/gfz106.fp509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Ligia Petrica
- 'VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Mihaela Vlad
- 'VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Adrian Vlad
- 'VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Florica Gadalean
- 'VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Victor Dumitrascu
- 'VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Silvia Velciov
- 'VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Cristina Gluhovschi
- 'VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Flaviu Bob
- 'VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Sorin Ursoniu
- 'VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Dragos Catalin Jianu
- 'VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Petru Matusz
- 'VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Agneta Maria Pusztai
- 'VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Octavian Cretu
- 'VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Oana Milas
- 'VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Alina Secara
- 'VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Anca Simulescu
- 'VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Roxana Popescu
- 'VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Daliborca Vlad
- 'VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
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Milas O, Gadalean F, Secara A, Simulescu A, Vlad A, Dumitrascu V, Popescu R, Velciov S, Bob F, Gluhovschi C, Matusz P, Pusztai AM, Cretu O, Ursoniu S, Vlad D, Petrica L. FP510PRO-INFLAMATORY CITOKINES (IL 1 ALPHA, IL 8 AND IL 18) ARE ASSOCIATED WITH PODOCYTE DAMAGE AND PROXIMAL TUBULAR DYSFUNCTION IN THE EARLY STAGE OF DIABETIC KIDNEY DISEASE IN TYPE 2 DIABETES MELLITUS PATIENTS. Nephrol Dial Transplant 2019. [DOI: 10.1093/ndt/gfz106.fp510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Oana Milas
- VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Florica Gadalean
- VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Alina Secara
- VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Anca Simulescu
- VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Adrian Vlad
- VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Victor Dumitrascu
- VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Roxana Popescu
- VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Silvia Velciov
- VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Flaviu Bob
- VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Cristina Gluhovschi
- VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Petru Matusz
- VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Agneta Maria Pusztai
- VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Octavian Cretu
- VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Sorin Ursoniu
- VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Daliborca Vlad
- VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
| | - Ligia Petrica
- VICTOR BABES UNIVERSITY OF MEDICINE AND PHARMACY TIMISOARA, ROMANIA, Timisoara, Romania
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Ursoniu S, Sahebkar A, Serban MC, Pinzaru I, Dehelean C, Noveanu L, Rysz J, Banach M. A systematic review and meta-analysis of clinical trials investigating the effects of flaxseed supplementation on plasma C-reactive protein concentrations. Arch Med Sci 2019; 15:12-22. [PMID: 30697250 PMCID: PMC6348364 DOI: 10.5114/aoms.2018.81034] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2017] [Accepted: 05/28/2017] [Indexed: 12/29/2022] Open
Abstract
INTRODUCTION Many experimental and clinical trials have suggested that flaxseed might be a potent antihypertensive, but the evidence concerning the effects of flaxseed supplements on plasma C-reactive protein (CRP) concentrations has not been fully conclusive. We assessed the impact of the effects of flaxseed supplementation on plasma CRP concentrations through a systematic review of literature and meta-analysis of available randomised controlled trials (RCTs). MATERIAL AND METHODS The literature search included EMBASE, ProQuest, CINAHL, and PUBMED databases up to 1st February 2016 to identify RCTs investigating the effect of flaxseed supplements on plasma CRP concentrations. Meta-analysis was performed using a random-effects model, and effect size was expressed as weighed mean difference (WMD) and 95% confidence interval (CI). RESULTS Meta-analysis of 17 selected RCTs with 1256 individuals did not suggest a significant change in plasma CRP concentrations following supplementation with flaxseed-containing products (WMD: -0.25 mg/l, 95% CI: -0.53, 0.02, p = 0.074). The effect size was robust in the leave-one-out sensitivity analysis. Subgroup analysis did not suggest any significant difference in terms of changing plasma CRP concentrations among different types of flaxseed supplements used in the included studies, i.e. flaxseed oil (WMD: -0.67 mg/l, 95% CI: -2.00, 0.65, p = 0.320), lignan extract (WMD: -0.32 mg/l, 95% CI: -0.71, 0.06, p = 0.103) and ground powder (WMD: -0.18 mg/l, 95% CI: -0.42, 0.06, p = 0.142). CONCLUSIONS The meta-analysis of RCTs did not show a significant change in plasma CRP concentrations following supplementation with various flaxseed products. Large, well-designed studies should be still performed to validate the current results.
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Affiliation(s)
- Sorin Ursoniu
- Department of Functional Sciences, Discipline of Public Health, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Amirhossein Sahebkar
- Biotechnology Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Maria-Corina Serban
- Department of Functional Sciences, Discipline of Pathophysiology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Iulia Pinzaru
- Department 2, Discipline of Toxicology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Cristina Dehelean
- Department of Toxicology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Lavinia Noveanu
- Department of Functional Sciences, Discipline of Pathophysiology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Jacek Rysz
- Department of Hypertension, Chair of Nephrology and Hypertension, Medical University of Lodz, Lodz, Poland
| | - Maciej Banach
- Department of Hypertension, Chair of Nephrology and Hypertension, Medical University of Lodz, Lodz, Poland
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Petrica L, Pusztai AM, Vlad M, Vlad A, Gadalean F, Dumitrascu V, Vlad D, Velciov S, Gluhovschi C, Bob F, Ursoniu S, Petrica M, Matusz P, Cretu O, Milas O, Secara A, Simulescu A, Popescu R, Jianu CD. SP442THE TIME FRAME OF VASCULAR REMODELLING IS DISSOCIATED WITHIN THE BRAIN AND THE KIDNEY AND MAY BE EXPLAINED BY THE VARIABILITY OF miRNAs EXPRESSION IN TYPE 2 DIABETES MELLITUS PATIENTS. Nephrol Dial Transplant 2018. [DOI: 10.1093/ndt/gfy104.sp442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- L Petrica
- Nephrology, ''Victor Babes'' University of Medicine and Pharmacy, Timisoara, Romania
| | - A-M Pusztai
- Anatomy and Embryology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - M Vlad
- Endocrinology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - A Vlad
- Diabetes and Metabolic Diseases, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - F Gadalean
- Nephrology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - V Dumitrascu
- Pharmacology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - D Vlad
- Pharmacology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - S Velciov
- Nephrology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - C Gluhovschi
- Nephrology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - F Bob
- Nephrology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - S Ursoniu
- Public Health Medicine, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - M Petrica
- Neurology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - P Matusz
- Anatomy and Embryology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - O Cretu
- Surgery I, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - O Milas
- Nephrology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - A Secara
- Nephrology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - A Simulescu
- Nephrology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - R Popescu
- Cellular and Molecular Biology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - C D Jianu
- Neurology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
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Boia S, Stratul ŞI, Boariu M, Ursoniu S, Goţia SL, Boia ER, Borza C. Evaluation of antioxidant capacity and clinical assessment of patients with chronic periodontitis treated with non-surgical periodontal therapy and adjunctive systemic antibiotherapy. Rom J Morphol Embryol 2018; 59:1107-1113. [PMID: 30845291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
This study aims to evaluate the oxidative stress changes in patients with chronic periodontitis (CP) undergoing non-surgical periodontal therapy alone, compared with non-surgical periodontal therapy with adjunctive systemic antibiotic therapy. Sixteen patients with CP, randomly assigned into two equal groups, were treated either with scaling and root planing (SRP) + Amoxicillin + Metronidazole, each 500 mg, three times daily, for seven days (test group), or with SRP + placebo for seven days (control group). Venous blood and unstimulated saliva samples were collected. Non-surgical periodontal therapy was performed simultaneously with antibiotics administration. Oxidative stress balance was evaluated by measuring derivatives of reactive oxygen metabolites (d-ROMs) and the biological antioxidant potential (BAP) in plasma. After the microscopic evaluation of the pathological aspect of the epithelial cells (ECs), their number, viability and the presence of C-reactive protein (CRP) were reevaluated from saliva at seven days, while reduced glutathione (GSH) level, d-ROMs and BAP at three months. Wilcoxon and Kruskal-Wallis rank-tests were used for statistics. At three months, statistical significant reductions of mean periodontal pocket depth (PPD) and clinical attachment level (CAL) gains (both p=0.01) were found in test group. Full-mouth plaque score (FMPS) decreased statistically significant in control group (p=0.02), d-ROMs decreased statistically significant in test group (mean difference 116.24±107.6 U CARR, p=0.01). Mean GSH, BAP level, number of ECs, their viability and CRP were statistically non-significant. In test group patients, oxidative stress status changed from a very high level to a medium one, suggesting that adjunctive use of antibiotics could have contributed to the reduction of reactive oxygen metabolites, along with significant clinical improvements.
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Affiliation(s)
- Simina Boia
- Department of Endodontics, Faculty of Dental Medicine, "Victor Babeş" University of Medicine and Pharmacy, Timişoara, Romania;
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Milas O, Gadalean F, Vlad A, Dumitrascu V, Gluhovschi C, Gluhovschi G, Velciov S, Popescu R, Bob F, Matusz P, Pusztai AM, Cretu OM, Secara A, Simulescu A, Ursoniu S, Vlad D, Petrica L. Deregulated profiles of urinary microRNAs may explain podocyte injury and proximal tubule dysfunction in normoalbuminuric patients with type 2 diabetes mellitus. J Investig Med 2017; 66:747-754. [PMID: 29279420 DOI: 10.1136/jim-2017-000556] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/18/2017] [Indexed: 12/14/2022]
Abstract
MicroRNAs (miRNAs) are short non-coding RNA species that are important post-transcriptional regulators of gene expression. The aim of the study was to establish a potential explanation of podocyte damage and proximal tubule (PT) dysfunction induced by deregulated miRNAs expression in the course of type 2 diabetes mellitus (DM). A total of 68 patients with type 2 DM and 11 healthy subjects were enrolled in a cross-sectional study and assessed concerning urinary albumin:creatinine ratio (UACR), urinary N-acetyl-β-D-glucosamininidase (NAG), urinary kidney injury molecule-1, urinary nephrin, podocalyxin, synaptopodin, estimated glomerular filtration rate (eGFR), urinary miRNA21, miRNA124, and miRNA192. In univariable regression analysis, miRNA21, miRNA124, and miRNA192 correlated with urinary nephrin, synaptopodin, podocalyxin, NAG, KIM-1, UACR, and eGFR. Multivariable regression analysis yielded models in which miRNA192 correlated with synaptopodin, uNAG, and eGFR (R2=0.902; P<0.0001), miRNA124 correlated with synaptopodin, uNAG, UACR, and eGFR (R2=0.881; P<0.0001), whereas miRNA21 correlated with podocalyxin, uNAG, UACR, and eGFR (R2=0.882; P<0.0001). Urinary miRNA192 expression was downregulated, while urinary miRNA21 and miRNA124 expressions were upregulated. In patients with type 2 DM, there is an association between podocyte injury and PT dysfunction, and miRNA excretion, even in the normoalbuminuria stage. This observation documents a potential role of the urinary profiles of miRNA21, miRNA124, and miRNA192 in early DN. Despite their variability across the segments of the nephron, urinary miRNAs may be considered as a reliable tool for the identification of novel biomarkers in order to characterize the genetic pattern of podocyte damage and PT dysfunction in early DN of type 2 DM.
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Affiliation(s)
- Oana Milas
- Department of Nephrology, County Emergency Hospital Timisoara, Timisoara, Romania.,'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania
| | - Florica Gadalean
- Department of Nephrology, County Emergency Hospital Timisoara, Timisoara, Romania.,'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania
| | - Adrian Vlad
- 'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania.,Department of Diabetes and Metabolic Diseases, County Emergency Hospital Timisoara, Timisoara, Romania
| | - Victor Dumitrascu
- 'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania.,Department of Pharmacology, Timisoara, Romania
| | - Cristina Gluhovschi
- Department of Nephrology, County Emergency Hospital Timisoara, Timisoara, Romania.,'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania
| | - Gheorghe Gluhovschi
- Department of Nephrology, County Emergency Hospital Timisoara, Timisoara, Romania.,'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania
| | - Silvia Velciov
- Department of Nephrology, County Emergency Hospital Timisoara, Timisoara, Romania.,'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania
| | - Roxana Popescu
- 'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania.,Department of Cellular and Molecular Biology, Timisoara, Romania
| | - Flaviu Bob
- Department of Nephrology, County Emergency Hospital Timisoara, Timisoara, Romania.,'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania
| | - Petru Matusz
- 'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania.,Department of Anatomy and Embryology, Timisoara, Romania
| | - Agneta-Maria Pusztai
- 'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania.,Department of Anatomy and Embryology, Timisoara, Romania
| | - Octavian M Cretu
- 'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania.,Department of Surgery I, Timisoara, Romania
| | - Alina Secara
- Department of Nephrology, County Emergency Hospital Timisoara, Timisoara, Romania.,'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania
| | - Anca Simulescu
- Department of Nephrology, County Emergency Hospital Timisoara, Timisoara, Romania.,'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania
| | - Sorin Ursoniu
- 'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania.,Department of Public Health Medicine, Timisoara, Romania.,Centre of Translational Research and Systems Medicine, Timisoara, Romania
| | - Daliborca Vlad
- 'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania.,Department of Pharmacology, Timisoara, Romania
| | - Ligia Petrica
- Department of Nephrology, County Emergency Hospital Timisoara, Timisoara, Romania.,'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania.,Centre of Translational Research and Systems Medicine, Timisoara, Romania
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Ursoniu S, Sahebkar A, Serban MC, Banach M. The impact of argan oil on plasma lipids in humans: Systematic review and meta-analysis of randomized controlled trials. Phytother Res 2017; 32:377-383. [DOI: 10.1002/ptr.5959] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2017] [Revised: 10/01/2017] [Accepted: 10/02/2017] [Indexed: 12/20/2022]
Affiliation(s)
- Sorin Ursoniu
- Department of Functional Sciences, Discipline of Public Health; Victor Babes University of Medicine and Pharmacy; Timisoara Romania
| | - Amirhossein Sahebkar
- Biotechnology Research Center, Pharmaceutical Technology Institute; Mashhad University of Medical Sciences; Mashhad Iran
- Neurogenic Inflammation Research Center; Mashhad University of Medical Sciences; Mashhad Iran
- School of Pharmacy; Mashhad University of Medical Sciences; Mashhad Iran
| | - Maria-Corina Serban
- Department of Functional Sciences, Discipline of Pathophysiology; Victor Babes University of Medicine and Pharmacy; Timisoara Romania
| | - Maciej Banach
- Department of Hypertension, Chair of Nephrology and Hypertension; Medical University of Lodz; Poland
- Polish Mother's Memorial Hospital Research Institute (PMMHRI); Lodz Poland
- Cardiovascular Research Centre; University of Zielona Gora; Zielona Gora Poland
- Lipid and Blood Pressure Meta-Analysis Collaboration (LBPMC) Group; Poland
- Polish Lipid Association (PoLA); Poland
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Ursoniu S, Sahebkar A, Serban MC, Antal D, Mikhailidis DP, Cicero A, Athyros V, Rizzo M, Rysz J, Banach M. Lipid-modifying effects of krill oil in humans: systematic review and meta-analysis of randomized controlled trials. Nutr Rev 2017; 75:361-373. [PMID: 28371906 DOI: 10.1093/nutrit/nuw063] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
Context Some experimental and clinical trials have shown that krill oil, extracted from small red crustaceans, might be an effective lipid-modifying agent, but the evidence is not conclusive. Objective The effect of krill oil supplements on plasma lipid concentrations was assessed through a systematic review of the literature and a meta-analysis of available randomized controlled trials. Data sources PubMed and Scopus were searched up to March 25, 2016, to identify RCTs investigating the effect of krill oil supplements on plasma lipids. Study selection Randomized controlled trials that investigated the impact of at least 2 weeks of supplementation with krill oil on plasma/serum concentrations of at least one of the main lipid parameters (ie, total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, or triglycerides) and that reported sufficient information on plasma/serum lipid levels at baseline and at the end of study in both krill oil and control groups were eligible for inclusion. Data extraction Two reviewers independently extracted the following data: first author's name, year of publication, study location, study design, number of participants in the krill oil and control groups, dosage of krill oil, type of control allocation, treatment duration, demographic characteristics of study participants, and baseline and follow-up plasma concentrations of lipids. Effect size was expressed as the weighted mean difference (WMD) and 95% confidence interval (95%CI). Results Meta-analysis of data from 7 eligible trials (14 treatment arms) with 662 participants showed a significant reduction in plasma concentrations of low-density lipoprotein cholesterol (WMD, -15.52 mg/dL; 95%CI, -28.43 to -2.61; P = 0.018) and triglycerides (WMD, -14.03 mg/dL; 95%CI, -21.38 to -6.67; P < 0.001) following supplementation with krill oil. A significant elevation in plasma concentrations of high-density lipoprotein cholesterol was also observed (WMD, 6.65 mg/dL; 95%CI, 2.30 to 10.99; P = 0.003), while a reduction in plasma concentrations of total cholesterol did not reach statistical significance (WMD, -7.50 mg/dL; 95%CI, -17.94 to 2.93; P = 0.159). Conclusion Krill oil supplementation can reduce low-density lipoprotein cholesterol and triglycerides. Additional clinical studies with more participants are needed to assess the impact of krill oil supplementation on other indices of cardiometabolic risk and on the risk of cardiovascular outcomes.
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Affiliation(s)
- Sorin Ursoniu
- S. Ursoniu is with the Department of Functional Sciences, Discipline of Public Health, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. A. Sahebkar is with the Biotechnology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. M.-C. Serban is with the Department of Functional Sciences, Discipline of Pathophysiology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D. Antal is with the Discipline of Pharmaceutical Botany, Faculty of Pharmacy, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D.P. Mikhailidis is with the Department of Clinical Biochemistry, Royal Free Campus, University College London Medical School, University College London, London, United Kingdom. A. Cicero is with the Medical & Surgical Sciences Department, Alma Mater Studiorum - University of Bologna, Bologna, Italy. V. Athyros is with the Second Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Hippocration General Hospital, Thessaloniki, Greece. M. Rizzo is with the Biomedical Department of Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy. J. Rysz and M. Banach are with the Department of Hypertension, Medical University of Lodz, Lodz, Poland
| | - Amirhossein Sahebkar
- S. Ursoniu is with the Department of Functional Sciences, Discipline of Public Health, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. A. Sahebkar is with the Biotechnology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. M.-C. Serban is with the Department of Functional Sciences, Discipline of Pathophysiology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D. Antal is with the Discipline of Pharmaceutical Botany, Faculty of Pharmacy, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D.P. Mikhailidis is with the Department of Clinical Biochemistry, Royal Free Campus, University College London Medical School, University College London, London, United Kingdom. A. Cicero is with the Medical & Surgical Sciences Department, Alma Mater Studiorum - University of Bologna, Bologna, Italy. V. Athyros is with the Second Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Hippocration General Hospital, Thessaloniki, Greece. M. Rizzo is with the Biomedical Department of Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy. J. Rysz and M. Banach are with the Department of Hypertension, Medical University of Lodz, Lodz, Poland
| | - Maria-Corina Serban
- S. Ursoniu is with the Department of Functional Sciences, Discipline of Public Health, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. A. Sahebkar is with the Biotechnology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. M.-C. Serban is with the Department of Functional Sciences, Discipline of Pathophysiology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D. Antal is with the Discipline of Pharmaceutical Botany, Faculty of Pharmacy, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D.P. Mikhailidis is with the Department of Clinical Biochemistry, Royal Free Campus, University College London Medical School, University College London, London, United Kingdom. A. Cicero is with the Medical & Surgical Sciences Department, Alma Mater Studiorum - University of Bologna, Bologna, Italy. V. Athyros is with the Second Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Hippocration General Hospital, Thessaloniki, Greece. M. Rizzo is with the Biomedical Department of Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy. J. Rysz and M. Banach are with the Department of Hypertension, Medical University of Lodz, Lodz, Poland
| | - Diana Antal
- S. Ursoniu is with the Department of Functional Sciences, Discipline of Public Health, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. A. Sahebkar is with the Biotechnology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. M.-C. Serban is with the Department of Functional Sciences, Discipline of Pathophysiology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D. Antal is with the Discipline of Pharmaceutical Botany, Faculty of Pharmacy, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D.P. Mikhailidis is with the Department of Clinical Biochemistry, Royal Free Campus, University College London Medical School, University College London, London, United Kingdom. A. Cicero is with the Medical & Surgical Sciences Department, Alma Mater Studiorum - University of Bologna, Bologna, Italy. V. Athyros is with the Second Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Hippocration General Hospital, Thessaloniki, Greece. M. Rizzo is with the Biomedical Department of Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy. J. Rysz and M. Banach are with the Department of Hypertension, Medical University of Lodz, Lodz, Poland
| | - Dimitri P Mikhailidis
- S. Ursoniu is with the Department of Functional Sciences, Discipline of Public Health, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. A. Sahebkar is with the Biotechnology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. M.-C. Serban is with the Department of Functional Sciences, Discipline of Pathophysiology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D. Antal is with the Discipline of Pharmaceutical Botany, Faculty of Pharmacy, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D.P. Mikhailidis is with the Department of Clinical Biochemistry, Royal Free Campus, University College London Medical School, University College London, London, United Kingdom. A. Cicero is with the Medical & Surgical Sciences Department, Alma Mater Studiorum - University of Bologna, Bologna, Italy. V. Athyros is with the Second Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Hippocration General Hospital, Thessaloniki, Greece. M. Rizzo is with the Biomedical Department of Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy. J. Rysz and M. Banach are with the Department of Hypertension, Medical University of Lodz, Lodz, Poland
| | - Arrigo Cicero
- S. Ursoniu is with the Department of Functional Sciences, Discipline of Public Health, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. A. Sahebkar is with the Biotechnology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. M.-C. Serban is with the Department of Functional Sciences, Discipline of Pathophysiology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D. Antal is with the Discipline of Pharmaceutical Botany, Faculty of Pharmacy, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D.P. Mikhailidis is with the Department of Clinical Biochemistry, Royal Free Campus, University College London Medical School, University College London, London, United Kingdom. A. Cicero is with the Medical & Surgical Sciences Department, Alma Mater Studiorum - University of Bologna, Bologna, Italy. V. Athyros is with the Second Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Hippocration General Hospital, Thessaloniki, Greece. M. Rizzo is with the Biomedical Department of Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy. J. Rysz and M. Banach are with the Department of Hypertension, Medical University of Lodz, Lodz, Poland
| | - Vasilios Athyros
- S. Ursoniu is with the Department of Functional Sciences, Discipline of Public Health, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. A. Sahebkar is with the Biotechnology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. M.-C. Serban is with the Department of Functional Sciences, Discipline of Pathophysiology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D. Antal is with the Discipline of Pharmaceutical Botany, Faculty of Pharmacy, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D.P. Mikhailidis is with the Department of Clinical Biochemistry, Royal Free Campus, University College London Medical School, University College London, London, United Kingdom. A. Cicero is with the Medical & Surgical Sciences Department, Alma Mater Studiorum - University of Bologna, Bologna, Italy. V. Athyros is with the Second Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Hippocration General Hospital, Thessaloniki, Greece. M. Rizzo is with the Biomedical Department of Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy. J. Rysz and M. Banach are with the Department of Hypertension, Medical University of Lodz, Lodz, Poland
| | - Manfredi Rizzo
- S. Ursoniu is with the Department of Functional Sciences, Discipline of Public Health, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. A. Sahebkar is with the Biotechnology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. M.-C. Serban is with the Department of Functional Sciences, Discipline of Pathophysiology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D. Antal is with the Discipline of Pharmaceutical Botany, Faculty of Pharmacy, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D.P. Mikhailidis is with the Department of Clinical Biochemistry, Royal Free Campus, University College London Medical School, University College London, London, United Kingdom. A. Cicero is with the Medical & Surgical Sciences Department, Alma Mater Studiorum - University of Bologna, Bologna, Italy. V. Athyros is with the Second Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Hippocration General Hospital, Thessaloniki, Greece. M. Rizzo is with the Biomedical Department of Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy. J. Rysz and M. Banach are with the Department of Hypertension, Medical University of Lodz, Lodz, Poland
| | - Jacek Rysz
- S. Ursoniu is with the Department of Functional Sciences, Discipline of Public Health, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. A. Sahebkar is with the Biotechnology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. M.-C. Serban is with the Department of Functional Sciences, Discipline of Pathophysiology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D. Antal is with the Discipline of Pharmaceutical Botany, Faculty of Pharmacy, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D.P. Mikhailidis is with the Department of Clinical Biochemistry, Royal Free Campus, University College London Medical School, University College London, London, United Kingdom. A. Cicero is with the Medical & Surgical Sciences Department, Alma Mater Studiorum - University of Bologna, Bologna, Italy. V. Athyros is with the Second Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Hippocration General Hospital, Thessaloniki, Greece. M. Rizzo is with the Biomedical Department of Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy. J. Rysz and M. Banach are with the Department of Hypertension, Medical University of Lodz, Lodz, Poland
| | - Maciej Banach
- S. Ursoniu is with the Department of Functional Sciences, Discipline of Public Health, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. A. Sahebkar is with the Biotechnology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. M.-C. Serban is with the Department of Functional Sciences, Discipline of Pathophysiology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D. Antal is with the Discipline of Pharmaceutical Botany, Faculty of Pharmacy, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. D.P. Mikhailidis is with the Department of Clinical Biochemistry, Royal Free Campus, University College London Medical School, University College London, London, United Kingdom. A. Cicero is with the Medical & Surgical Sciences Department, Alma Mater Studiorum - University of Bologna, Bologna, Italy. V. Athyros is with the Second Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Hippocration General Hospital, Thessaloniki, Greece. M. Rizzo is with the Biomedical Department of Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy. J. Rysz and M. Banach are with the Department of Hypertension, Medical University of Lodz, Lodz, Poland
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Maierean SM, Serban MC, Sahebkar A, Ursoniu S, Serban A, Penson P, Banach M. The effects of cinnamon supplementation on blood lipid concentrations: A systematic review and meta-analysis. J Clin Lipidol 2017; 11:1393-1406. [DOI: 10.1016/j.jacl.2017.08.004] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2016] [Revised: 06/21/2017] [Accepted: 08/07/2017] [Indexed: 01/08/2023]
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Vlad A, Vlad M, Petrica L, Ursoniu S, Gadalean F, Popescu R, Vlad D, Dumitrascu V, Gluhovschi G, Gluhovschi C, Velciov S, Bob F, Matusz P, Secara A, Simulescu A, Jianu DC. Therapy with atorvastatin versus rosuvastatin reduces urinary podocytes, podocyte-associated molecules, and proximal tubule dysfunction biomarkers in patients with type 2 diabetes mellitus: a pilot study. Ren Fail 2017; 39:112-119. [PMID: 27841047 PMCID: PMC6014491 DOI: 10.1080/0886022x.2016.1254657] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2016] [Revised: 09/28/2016] [Accepted: 10/25/2016] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND Diabetic nephropathy is a severe complication of Type 2 diabetes. Tubular lesions may play an important role in its early stages. The aim of our study was to determine if atorvastatin protects the podocytes and the proximal tubule in patients with Type 2 diabetes. METHODS A total of 63 patients with Type 2 diabetes completed this 6-months prospective pilot study. They were randomized to continue rosuvastatin therapy (control group) or to be administered an equipotent dose of atorvastatin (intervention group), and were assessed regarding urinary podocytes, podocyte-associated molecules, and biomarkers of proximal tubule dysfunction. RESULTS The patients from the intervention group presented a significant reduction in podocyturia (from 7.0 to 4.0 cells/ml, p < .05), urinary nephrin (from 1.7 to 1.3 mg/g, p < .001), urinary vascular endothelial growth factor (from 262.8 to 256.9, p < .01), urinary alpha1-microglobulin (from 10.0 to 8.3 mg/g, p < .01), urinary kidney injury molecule-1 (from 139.5 to 136.3 ng/g, p < .001), and urinary advanced glycation end-products (from 112.6 to 101.3 pg/ml, p < .001). Podocyturia correlated directly with the podocyte damage biomarkers, proximal tubule dysfunction biomarkers, albumin to creatinine ratio, and advanced glycation end-products, and inversely with the glomerular filtration rate. CONCLUSIONS In patients with Type 2 diabetes, atorvastatin exerts favorable effects on the kidney. There is a correlation between the evolution of the podocytes and of the proximal tubule biomarkers, supporting the hypothesis that the glomerular changes parallel proximal tubule dysfunction in the early stages of diabetic nephropathy.
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Affiliation(s)
- Adrian Vlad
- Department of Diabetes and Metabolic Diseases, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Mihaela Vlad
- Department of Endocrinology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Ligia Petrica
- Department of Nephrology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Sorin Ursoniu
- Department of Public Health Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Florica Gadalean
- Department of Nephrology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Roxana Popescu
- Department of Cellular and Molecular Biology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Daliborca Vlad
- Department of Pharmacology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Victor Dumitrascu
- Department of Pharmacology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Gheorghe Gluhovschi
- Department of Nephrology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Cristina Gluhovschi
- Department of Nephrology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Silvia Velciov
- Department of Nephrology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Flaviu Bob
- Department of Nephrology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Petru Matusz
- Department of Anatomy, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Alina Secara
- Department of Nephrology, “Pius Brinzeu”, County Emergency Hospital, Timisoara, Romania
| | - Anca Simulescu
- Department of Nephrology, “Pius Brinzeu”, County Emergency Hospital, Timisoara, Romania
| | - Dragos Catalin Jianu
- Department of Neurology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
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Petrica L, Vlad M, Vlad A, Gluhovschi G, Gadalean F, Dumitrascu V, Popescu R, Gluhovschi C, Matusz P, Velciov S, Bob F, Ursoniu S, Vlad D. Podocyturia parallels proximal tubule dysfunction in type 2 diabetes mellitus patients independently of albuminuria and renal function decline: A cross-sectional study. J Diabetes Complications 2017; 31:1444-1450. [PMID: 28161386 DOI: 10.1016/j.jdiacomp.2017.01.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2016] [Revised: 12/21/2016] [Accepted: 01/03/2017] [Indexed: 01/01/2023]
Abstract
AIMS Detection of podocytes in the urine of patients with type 2 diabetes may indicate severe injury to the podocytes. In the course of type 2 diabetes the proximal tubule is involved in urinary albumin processing. We studied the significance of podocyturia in relation with proximal tubule dysfunction in type 2 diabetes. METHODS A total of 86 patients with type 2 diabetes (34-normoalbuminuria; 30-microalbuminuria; 22-macroalbuminuria) and 28 healthy subjects were enrolled in the study and assessed concerning urinary podocytes, podocyte-associated molecules, and biomarkers of proximal tubule dysfunction. Urinary podocytes were examined in cell cultures by utilizing monoclonal antibodies against podocalyxin and synaptopodin. RESULTS Podocytes were detected in the urine of 10% of the healthy controls, 24% of the normoalbuminuric, 40% of the microalbuminuric, and 82% of the macroalbuminuric patients. In multivariate logistic regression analysis, urinary podocytes correlated with urinary albumin:creatinine ratio (p=0.006), urinary nephrin/creat (p=0.001), urinary vascular endothelial growth factor/creat (p=0.001), urinary kidney injury molecule-1/creat (p=0.003), cystatin C (p=0.001), urinary advanced glycation end-products (p=0.002), eGFR (p=0.001). CONCLUSIONS In patients with type 2 diabetes podocyturia parallels proximal tubule dysfunction independently of albuminuria and renal function decline. Advanced glycation end-products may impact the podocytes and the proximal tubule.
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Affiliation(s)
- Ligia Petrica
- "Victor Babes" University of Medicine and Pharmacy, Department of Nephrology, P-ta Eftimie Murgu 2A, 300041 Timisoara, Romania
| | - Mihaela Vlad
- "Victor Babes" University of Medicine and Pharmacy, Department of Endocrinology, P-ta Eftimie Murgu 2A, 300041 Timisoara, Romania.
| | - Adrian Vlad
- "Victor Babes" University of Medicine and Pharmacy, Department of Diabetes and Metabolic Diseases, P-ta Eftimie Murgu 2A, 300041 Timisoara, Romania
| | - Gheorghe Gluhovschi
- "Victor Babes" University of Medicine and Pharmacy, Department of Nephrology, P-ta Eftimie Murgu 2A, 300041 Timisoara, Romania
| | - Florica Gadalean
- "Victor Babes" University of Medicine and Pharmacy, Department of Nephrology, P-ta Eftimie Murgu 2A, 300041 Timisoara, Romania
| | - Victor Dumitrascu
- "Victor Babes" University of Medicine and Pharmacy, Department of Pharmacology, P-ta Eftimie Murgu 2A, 300041 Timisoara, Romania
| | - Roxana Popescu
- "Victor Babes" University of Medicine and Pharmacy, Department of Cellular and Molecular Biology, P-ta Eftimie Murgu 2A, 300041 Timisoara, Romania
| | - Cristina Gluhovschi
- "Victor Babes" University of Medicine and Pharmacy, Department of Nephrology, P-ta Eftimie Murgu 2A, 300041 Timisoara, Romania
| | - Petru Matusz
- "Victor Babes" University of Medicine and Pharmacy, Department of Anatomy and Embryology, P-ta Eftimie Murgu 2A, 300041 Timisoara, Romania
| | - Silvia Velciov
- "Victor Babes" University of Medicine and Pharmacy, Department of Nephrology, P-ta Eftimie Murgu 2A, 300041 Timisoara, Romania
| | - Flaviu Bob
- "Victor Babes" University of Medicine and Pharmacy, Department of Nephrology, P-ta Eftimie Murgu 2A, 300041 Timisoara, Romania
| | - Sorin Ursoniu
- "Victor Babes" University of Medicine and Pharmacy, Department of Public Health Medicine, P-ta Eftimie Murgu 2A, 300041 Timisoara, Romania
| | - Daliborca Vlad
- "Victor Babes" University of Medicine and Pharmacy, Department of Pharmacology, P-ta Eftimie Murgu 2A, 300041 Timisoara, Romania
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Penson P, Serban MC, Ursoniu S, Banach M. Does coffee consumption alter plasma lipoprotein(a) concentrations? A systematic review. Crit Rev Food Sci Nutr 2017; 58:1706-1714. [DOI: 10.1080/10408398.2016.1272045] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Peter Penson
- School of Pharmacy and Biomolecular Sciences, Liverpool John Moores University, Liverpool, UK
| | - Maria-Corina Serban
- Department of Functional Sciences, Discipline of Pathophysiology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Sorin Ursoniu
- Department of Functional Sciences, Discipline of Public Health, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania
| | - Maciej Banach
- Department of Hypertension, Chair of Nephrology and Hypertension, Medical University of Lodz, Lodz, Poland
- Healthy Aging Research Centre (HARC), Medical University of Lodz, Lodz, Poland
- Polish Mother's Memorial Hospital Research Institute, Lodz, Poland
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Verdes G, Duta CC, Popescu R, Mituletu M, Ursoniu S, Fulger OL. Adiponectin mRNA and Metabolic Profile in Malignant Obesesity. Rev Chim 2017. [DOI: 10.37358/rc.17.7.5704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The aim of our study was to assess mRNA levels in visceral fat tissue and to correlate them with clinical-biological parameters in morbidly obese patients. 38 morbidly obese patients were selected and 8 cases of non obese subjects. The expression levels of adiponectin mRNA were determined through RT-PCR. Also we assessed biochemical parameters like seric glucose level, total cholesterol and triglicerides. The expression levels of adiponectin mRNA were correlated with demographic parameters (age, sex, BMI) and with clinical parameters (HTA, hypothyroidism and type 2 diabetes). This study showed significant correlations between adiponectin mRNA levels with obesity, age, triglicerids, total cholesterol and hypothyroidism. In conclusion, the expression level of adiponectin could be used as a molecular marker in the management of obesity.
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Ursoniu S, Mikhailidis DP, Serban MC, Penson P, Toth PP, Ridker PM, Ray KK, Kees Hovingh G, Kastelein JJ, Hernandez AV, Manson JE, Rysz J, Banach M. The effect of statins on cardiovascular outcomes by smoking status: A systematic review and meta-analysis of randomized controlled trials. Pharmacol Res 2017; 122:105-117. [PMID: 28602797 DOI: 10.1016/j.phrs.2017.06.002] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2017] [Revised: 06/05/2017] [Accepted: 06/06/2017] [Indexed: 01/03/2023]
Abstract
Smoking is an important risk factor for cardiovascular disease (CVD) morbidity and mortality. The impact of statin therapy on CVD risk by smoking status has not been fully investigated. Therefore we assessed the impact of statin therapy on CVD outcomes by smoking status through a systematic review of the literature and meta-analysis of available randomized controlled trials (RCTs). The literature search included EMBASE, ProQuest, CINAHL and PUBMED databases to 30 January 2016 to identify RCTs that investigated the effect of statin therapy on cumulative incidence of major CVD endpoints (e.g. non-fatal myocardial infarction, revascularization, unstable angina, and stroke). Relative risks (RR) ratios were calculated from the number of events in different treatment groups for both smokers and non-smokers. Finally 11 trials with 89,604 individuals were included. The number of smokers and non-smokers in the statin groups of the analyzed studies was 8826 and 36,090, respectively. The RR for major CV events was 0.73 (95% confidence interval [CI]: 0.67-0.81; p<0.001) in nonsmokers and 0.72 (95%CI: 0.64-0.81; p<0.001) in smokers. Moderate to high heterogeneity was observed both in non-smokers (I2=77.1%, p<0.001) and in smokers (I2=51.6%, p=0.024) groups. Smokers seemed to benefit slightly more from statins than non-smokers according to the number needed to treat (NNT) analysis (23.5 vs 26.8) based on RRs applied to the control event rates. The number of avoided events per 1000 individuals was 42.5 (95%CI: 28.9-54.6) in smokers and 37.3 (95%CI: 27.2-46.4) in non-smokers. In conclusion, this meta-analysis suggests that the effect of statins on CVD is similar for smokers and non-smokers, but in terms of NNTs and number of avoided events, smokers seem to benefit more although non-significantly.
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Affiliation(s)
- Sorin Ursoniu
- Department of Functional Sciences, Discipline of Public Health, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Dimitri P Mikhailidis
- Department of Clinical Biochemistry, Royal Free Campus, University College London Medical School, University College London (UCL), London, UK
| | - Maria-Corina Serban
- Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA; Department of Functional Sciences, Discipline of Pathophysiology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Peter Penson
- School of Pharmacy and Biomolecular Sciences, Liverpool John Moores University, Liverpool, UK
| | - Peter P Toth
- Preventive Cardiology, CGH Medical Center, Sterling, Illinois, USA; The Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD, USA
| | - Paul M Ridker
- Center for Cardiovascular Disease Prevention, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - Kausik K Ray
- Department of Primary Care and Public Health, School of Public Health, Imperial College London, UK
| | - G Kees Hovingh
- Department of Vascular Medicine, Academic Medical Center, Amsterdam, The Netherlands
| | - John J Kastelein
- Department of Vascular Medicine, Academic Medical Center, Amsterdam, The Netherlands
| | - Adrian V Hernandez
- Health Outcomes and Clinical Epidemiology Section, Department of Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, USA; School of Medicine, Universidad Peruana de Ciencias Aplicadas (UPC), Lima, Peru
| | - JoAnn E Manson
- Division of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Jacek Rysz
- Department of Hypertension, Chair of Nephrology and Hypertension, Medical University of Lodz, Poland
| | - Maciej Banach
- Department of Hypertension, Chair of Nephrology and Hypertension, Medical University of Lodz, Poland; Cardiovascular Research Centre, University of Zielona Gora, Zielona Gora, Poland; Polish Mother's Memorial Hospital Research Institute, Lodz, Poland.
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Petrica L, Gadalean F, Vlad A, Dumitrascu V, Gluhovschi C, Gluhovschi G, Velciov S, Popescu R, Bob F, Petrica M, Jianu C, Matusz P, Milas O, Secara A, Simulescu A, Ursoniu S, Vlad D. SP439PARTICULAR PROFILES OF URINARY MICRO-RNAs MAY EXPLAIN PODOCYTE INJURY AND PROXIMAL TUBULE DYSFUNCTION IN NORMOALBUMINURIC PATIENTS WITH TYPE 2 DIABETES MELLITUS. Nephrol Dial Transplant 2017. [DOI: 10.1093/ndt/gfx149.sp439] [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: 11/13/2022] Open
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Affiliation(s)
- C Solovan
- University of Medicine and Pharmacy "Victor Babes", Timisoara, Romania.,University Clinic of Dermato-Venereology, Timisoara, Romania
| | - A Nicula Proca
- University Clinic of Dermato-Venereology, Timisoara, Romania
| | - S Ursoniu
- University of Medicine and Pharmacy "Victor Babes", Timisoara, Romania
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