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Ciobanu M, Iosif I, Calomfirescu C, Brinduse L, Stuckler D, Reeves A, Snell A, Mauer-Stender K, Mikkelsen B, Cucu A. Variation across Romania in the health impact of increasing tobacco taxation. Eur J Public Health 2018; 28:10-13. [PMID: 30371834 PMCID: PMC6204550 DOI: 10.1093/eurpub/cky180] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Background Tobacco is the leading preventable cause of death globally and tobacco taxation is a cost-effective method of reducing tobacco use in countries and increasing revenue. However, without adequate enforcement some argue the risk of increasing illicit trade in cheap tobacco makes taxation ineffective. We explore this by testing sub-national variations in the impact of tobacco tax increases from 2009 to 2011, on seven smoking-related diseases in adults in Romania, to see if regions that are prone to cigarette smuggling due to bordering other countries see less benefit. Method We use a pragmatic natural experiment study approach to analyse the study period 2009-15. Findings from hospital episodes data relating to smoking-attributable diseases are analysed for six regional subgroups which are compared according to border characteristics with other countries. Results At a national level smoking-attributable diseases reduced over the study period especially around the tax increase years, with asthma showing the most significant decline. Sub-nationally there was no statistically significant correlation in variations between central regions and those bordering other countries. Conclusion There is a reassuring decline in hospitalizations for smoking-related diseases associated with the tax increases, and no sub-national association with smuggling risk measured by variation in the size of this effect and regions that border other countries. More comprehensive and progressive tobacco control in Romania should be implemented in line with the WHO Framework Convention for Tobacco Control.
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Affiliation(s)
- Magdalena Ciobanu
- Institutul National de Pneumoftiziologie “Marius Nasta” Bucuresti, Romania
| | - Ionel Iosif
- Institutul National de Sanatate Publica, Bucuresti, Romania
| | | | | | - David Stuckler
- Department of Social and Political Sciences, Università Bocconi, Milan, Italy
| | - Aaron Reeves
- Department of Social Policy and Intervention, University of Oxford, Oxford, England
| | - Andrew Snell
- World Health Organisation Regional Office for Europe, Copenhagen, Denmark
| | | | - Bente Mikkelsen
- World Health Organisation Regional Office for Europe, Copenhagen, Denmark
| | - Alexandra Cucu
- Institutul National de Sanatate Publica, Bucuresti, Romania
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Ionescu NI, Iosif I, Bozeşanu M, Pop G. Temperature Variation of Reaction Orders in Homogeneous Pyrolysis of n-Heptane. Z PHYS CHEM 2017. [DOI: 10.1515/zpch-1983-264143] [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: 11/15/2022]
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Benea OE, Streinu-Cercel A, Dorobăţ C, Rugină S, Negruţiu L, Cupşa A, Duiculescu D, Chiriac C, Itu C, Prisăcariu LJ, Iosif I. Efficacy and safety of darunavir (Prezista(®)) with low-dose ritonavir and other antiretroviral medications in subtype F HIV-1 infected, treatment-experienced subjects in Romania: a post-authorization, open-label, one-cohort, non-interventional, prospective study. Germs 2014; 4:59-69. [PMID: 25276665 DOI: 10.11599/germs.2014.1057] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2014] [Revised: 06/20/2014] [Accepted: 07/14/2014] [Indexed: 01/11/2023]
Abstract
INTRODUCTION The aim of the study was to assess the safety and efficacy of darunavir (Prezista(®)) used in subtype F human immunodeficiency virus - type 1 (HIV-1) infected, antiretroviral therapy (ART)-experienced patients in Romania in routine clinical practice. METHODS This was a post-authorization, open-label, one-cohort, non-interventional, prospective study conducted at multiple sites in Romania to assess efficacy (CD4 cell count, viral load, and treatment compliance) and safety ([serious] adverse events, clinical laboratory evaluation, and vital signs) of darunavir in combination with low-dose ritonavir (DRV/r) and other antiretroviral (ARV) medications in subtype F HIV-1 infected subjects in naturalistic settings. Seventy-eight subjects were recruited by 9 investigational sites and received 600/100 mg DRV/r twice daily. RESULTS Treatment with DRV/r administered with other ARV medications resulted in the expected, statistically relevant improvement of CD4 cell count and viral load in subjects eligible for such treatment. In addition, adherence to treatment was high and the treatment-emergent safety profile observed during this study was consistent with the established safety profile of darunavir. CONCLUSION DRV/r administered in combination with other ARV medications in subtype F HIV-1 infected subjects in naturalistic settings proved to be an effective and safe treatment in Romania. TRIAL REGISTRATION NCT01253967.
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Affiliation(s)
- Otilia Elisabeta Benea
- MD, PhD, Associate Professor, Department of Infectious Diseases, Carol Davila University of Medicine and Pharmacy; National Institute for Infectious Diseases "Prof. Dr. Matei Balş", Bucharest, Romania
| | - Adrian Streinu-Cercel
- MD, PhD, Professor, Department of Infectious Diseases, Carol Davila University of Medicine and Pharmacy; National Institute for Infectious Diseases "Prof.Dr. Matei Balş", Bucharest, Romania
| | - Carmen Dorobăţ
- MD, PhD, Professor, Clinic of Infectious Diseases, "Gr.T.Popa" University of Medicine and Pharmacy, Iaşi, Romania
| | - Sorin Rugină
- MD, PhD, Professor, Ovidius University of Constanţa; Clinical Hospital of Infectious Diseases, Constanţa, Romania
| | - Lucian Negruţiu
- MD, PhD, Professor, Head of I-st Clinic of Infectious Diseases, Timişoara, Romania
| | - Augustin Cupşa
- MD, PhD, Professor, Clinical Hospital of Infectious Diseases "Victor Babeş" Craiova, Romania
| | - Dan Duiculescu
- MD, PhD, "Dr. Victor Babeş" Hospital for Infectious and Tropical Diseases, Bucharest, Romania
| | - Carmen Chiriac
- MD, PhD, Senior Lecturer, University of Medicine and Pharmacy Tîrgu-Mureş, Department of Infectious Diseases, Tîrgu-Mureş, Romania
| | - Corina Itu
- MD, PhD, Clinical Hospital of Infectious Diseases, Cluj-Napoca, Romania
| | - Liviu Jany Prisăcariu
- MD, Clinic of Infectious Diseases, "Gr.T.Popa" University of Medicine and Pharmacy, Iaşi, Romania
| | - Ionel Iosif
- MD, Epidemiology, Drug Trial Design, Bioequivalence and Biodistribution Studies, Bucharest, Romania
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Popescu GA, Șerban R, Iosif I, Codiță I, Dorobăț O, Tălăpan D, Buzea M, Szekely E, Dorneanu O, Bota K, Nica M, Papageorghe R, Ghiță C, Nistor I, Indrared M, Pistol A, Rafila A. Antimicrobial resistance of germs isolated from invasive infections – Romania 2012. BMC Infect Dis 2013. [PMCID: PMC3879486 DOI: 10.1186/1471-2334-13-s1-o16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Ionescu NI, Iosif I, Bozeşanu M, Pop G. Temperature Variation of Reaction Orders in Homogeneous Pyrolysis of n-Heptane. Z PHYS CHEM 1983. [DOI: 10.1515/zpch-1983-01143] [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: 11/15/2022]
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