Search Results (65)

Valvular hemangiomas are uncommon vascular anomalies that appear on the surface of heart valves. They can cause an array of non-specific symptoms and are consequently rarely diagnosed, with only 31 such cases (including the present one) reported to date in the literature; the present case is the first report of an arteriovenous hemangioma with a tricuspid localization. During the preoperative echocardiographic examination for a ventricular septal defect, a mass was incidentally discovered on the tricuspid valve of a 9-month-old infant. The involved leaflet was surgically removed and sent to the pathology department for analysis and subsequently diagnosed as an arteriovenous hemangioma. The patient recovered well, with no local tumor recurrence or other complications. The microscopic examination showed multiple blood vessels which stained positive for the endothelial markers CD31 and CD34 and which did not express D2-40, normally found in lymphatic endothelia. Surprisingly, endothelial cells lining the vessels also showed positivity for SMA, a mesenchymal cell marker, indicating a possible involvement of endothelial-to-mesenchymal transition and its opposite process, mesenchymal-to-endothelial transition, in the pathogenesis of these vascular anomalies. Full article

Background and Objectives: Cardiac transplantation is currently the elective treatment choice in end-stage heart failure, and cellular rejection is a predictive factor for morbidity and mortality after surgery. We proposed an evaluation of the clinicopathologic factors involved in the mechanism of rejection. Materials and Methods: This study included 146 patients who underwent transplantation at the Institute of Cardiovascular Diseases and Transplantation in Targu Mures between 2010 and 2023, and we evaluated the function and structure of the myocardium after surgery by using endomyocardial biopsy. Results: Overall, 120 men and 26 women underwent transplantation, with an approximately equal proportion under and over 40 years old (48.6% and 51.4%). Evaluating the degree of acute cellular rejection according to the International Society for Heart and Lung Transplantation classification showed that most of the patients presented with acute cellular rejection (ACR) and antibody-mediated rejection (AMR) grade 0, and most cases of ACR and AMR were reported with mild changes (13% or 10.3% patients). Therefore, the most frequent histopathologic diagnoses were similar to lesions unrelated to rejection (45.2% of patients) and ischemia–reperfusion lesions (25.3% patients), respectively. Conclusions: Although 82.2% of the transplanted cases showed no rejection (ISHLT score 0), non-rejection-related lesion-like changes were present in 45.2% of cases, and because more of the non-rejection-related criteria could be detected, it may be necessary to adjust the grading of the rejection criteria. The histopathologic changes that characterize rejection are primarily represented by the mononuclear inflammatory infiltrate; in our study, inflammatory changes were mostly mild (71.9%), with myocyte involvement in all cases. These changes are associated with and contribute to the maintenance of the rejection phenomenon. Full article

The study presented in this paper investigates the influence of coating polymers on the acoustic properties of resonant spruce wood. It evaluates absorption, acoustic reflection, and resonance frequency spectrum characteristics in both unvarnished and varnished samples, with the interface between the coating polymer and the wood modifying the acoustic response. The novelty of the research consists in evaluating the acoustic and dynamic parameters of resonant spruce wood boards, varnished with varnishes with different chemical properties (oil-based varnish, spirit varnish, nitrocellulose varnish). The study focuses on the influence of the type of varnish and the thickness of the varnish film on the frequency spectrum, damping coefficient, quality factor, acoustic absorption coefficient, and sound reflection. The sound absorption coefficient increases with the number of varnish layers and is influenced by the sound’s frequency range, the type of varnish, and the quality of the wood—factors that collectively enhance acoustic performance. For instance, oil-based varnish applied in 5 or 10 layers contributes to a fuller sound at a frequency of 1.5 kHz. In contrast, spirit varnish, which has a lower acoustic absorption coefficient at this frequency, and a reduced damping coefficient, can lead to a nasal tone, although the frequency spectrum turns out to have the richest. Applying more than 10 layers of varnish softens the sound when using oil-based varnish but sharpens it with spirit varnish on resonant wood. Thus, the acoustic performance of a soundboard can be tailored by selecting the appropriate varnishing system and number of layers applied. However, a detailed analysis of the timbre of musical instruments finished with these varnishes is necessary to confirm their influence on the acoustic quality of the instruments. Full article

Background: Smoking during pregnancy continues to be a prevalent behavior in many countries, which requires smoking cessation intervention programs. The aim of this study was to investigate individual, family, and primary healthcare aspects that may influence continued smoking during pregnancy. Methods: This cross-sectional study involved 413 pregnant women registered with 50 General Practitioners (GPs) in Târgu Mureş County. Women voluntarily provided data to complete a questionnaire about socio-demographic, tobacco consumption, level of understanding of the risk of smoking during pregnancy, smoking in the family environment, and their own perception of the approach to smoking in primary healthcare. GPs facilitated the participation of patients in the study and offered logistical support for the data collection sessions held in their offices. Results: revealed that 49.39% of participants smoked before pregnancy, and 39.22% continued smoking during pregnancy. Continued smoking was significantly associated with having family members who smoked (OR = 8.83; 95% CI: 2.89–26.91) and a lack of anti-smoking informational materials at GP offices (OR = 5.68; 95% CI: 1.45–22.19). Conclusion: The findings highlight the critical role of family and primary healthcare interventions in smoking cessation during pregnancy. Therefore, tailored educational interventions at primary care settings are recommended. Full article

Background: Cardiac rhythm disorders in children and adolescents have a high incidence. In certain conditions, sudden death may occur. Materials and Methods: We conducted a prospective study including 199 patients divided into two subgroups: one subgroup of 80 practicing different sports and another one of 119 non-sportive, symptomatic patients. We studied all socio-demographic data, medical histories, and the elements revealed by the clinical and paraclinical examinations. Results: Only 39 (19.60%) participants did not practice any kind of sport; 46 participants had cases of sudden cardiac death in their families; 60.80% of children and adolescents were exposed to smoking; among the symptomatic group, symptoms like vertigo, chest pain, lipothymia, and palpitations predominated. Conclusions: A significant percentage of participants with heart rhythm disorders at risk for sudden death was identified. It is extremely important to identify and restrict them from intense physical exertion and to reassess them periodically in order to reduce the risk of sudden cardiac death. Full article

Cutaneous squamous scell carcinoma (cSCC) is a frequent non-melanoma skin cancer that originates from keratinocytes with increased prevalence. cSCC can be either in situ, as in Bowen’s disease, or extended. Advanced age, accumulated sun exposure, light pigmentation, and prior skin cancer diagnosis are all significant risk factors for cSCC. Although most cSCCs can be treated surgically, some recur and metastasize, resulting in death. The role of immune status is not yet determined in the prognosis of these patients. Objective. Immunosuppressed patients are more likely to develop cSCC, which is often characterized by more aggressive, multifocal lesions. This study aimed to determine the risks of mortality in patients with cSCC and immunosuppression versus non immunosuppression and to compare variations in overall survival based on different clinical features. Method. We evaluated clinical cases of patients at “Sfantul Apostol Andrei” Emergency Hospital of Galati, Romania, from 1 March 2018 to 1 April 2024. Subjects in the trial had to be at least 18 years old and have a pathologically confirmed diagnosis of cutaneous head and neck squamous cell carcinoma (cHNSCC). We divided the patients into two different categories based on whether they had immunosuppression. Results. In this cohort of 68 subjects with cSCC, patients with immunosuppression had significantly lower overall survival, as well as lower three- and five-year survival rates compared with those without immunosuppression, even after adjustment for age, sex, stage, and previous surgical treatment. The median survival time for immunosuppressed individuals ranged from 11 to 21 months, varying based on their particular characteristics, and most critically, on the presence of other malignancies, while that of immunocompetent patients ranged from 18 to 51 months. In addition, immune-deficient patients with early-stage disease had a 21-month median survival rate that changed to11 months for advanced-stage cases. In a similar manner, immunocompetent patients with early-stage cancer had a significantly better median survival than those withadvancedstages,43 versus 18months. Our results indicate that immunosuppression is a distinct risk factors associated with a less favorable outcome in patients with cHNSCC. Full article

Introduction: A key element for a healthy lifestyle in the formative years of a young adult is a balanced, healthy, individualized diet. Aim: The aim of this study was to analyze the eating behavior and lifestyles of students at a university in Romania, as well as the extent to which the study program interferes with these factors. Methods: A retrospective study was performed, with the data being collected through an online questionnaire via the Google Forms platform; data collection for the current study was carried out in November 2024 during a student session. Results: Out of the total of 501 questionnaires collected, 416 were completed by women and 85 by men. It can be observed that 57.65% of men (49 participants) eat three meals a day compared to 53.13% of women (221 participants). The university program influenced the students’ meal schedules for 59.88% (n = 300) of participants, while 30.94% (n = 155) declared that they never have an ordered meal schedule. For 39.92% of students, the exam period has an influence on the meal schedule, including an increase the intake of sweet foods (59.88%), and some declared that they forget to eat (33.93%). Conclusions: The food and lifestyle behaviors in the studied group show health risk elements, especially an increase in tobacco consumption, a lack of regular meal schedules, and the consumption of an excess of unhealthy snacks. It was found that intensive study schedules may intensify this behavior. Full article

In this paper, an investigation was conducted to characterize the behavior of weakly cohesive soil subjected to vibratory compaction. Thus, the authors developed a model for weakly cohesive soils, defined by inter-parametric laws that consider their initial state and predict the evolution of state parameters resulting from static and vibratory compaction processes, depending on the number of equipment passes. Four types of soil were proposed for testing, with different initial characteristics such as dry density, longitudinal modulus, and moisture content. Some correlations between main parameters involved in the compaction process were established, considering soil mechanical properties, compaction equipment, and in situ technology applied. The results obtained in the computational environment were implemented to predict the performance compaction process for an overall assessment. This research contributes to database development by offering valuable insights for specialists aiming to apply Industry 4.0 digitalization practices, which stipulate the use of predictability laws in pre-assessing the degree of soil compaction (or settlement) to estimate and maximize the efficiency of road construction or foundation works. These insights help optimize design processes, enhance functional performance, improve resource utilization, and ensure long-term sustainability in large infrastructure projects built on these soils. Full article

The rheological modeling of soil–drum interaction in the vibratory compaction process is a complex process. This paper aims to describe the behavior of soil–drum interaction through lumped parameter modeling. The amplitude of the vertical motion is evaluated for dynamic conditions using the rheological models (generalized and advanced Kelvin–Voigt-based models) and compared with the experimental results obtained from weakly cohesive soil compaction. Different modeling approaches are considered, and the results reveal that the properties of the soil as input play a vital role in the accuracy of the modeling. Full article

Echinococcosis represents a major public health issue and continues to be endemic in various regions around the world. Hydatid cysts are commonly located in the liver (primary site), followed by the lungs (secondary site). However, they are also found in less typical organs such as the spleen, kidneys, peritoneum, retroperitoneum, pancreas, gallbladder, and various other organs, as well as in striate muscles. Hydatid cysts involving the psoas muscle are rare, and in the past five years, only a few articles have addressed this condition due to its low incidence. Symptoms can be quite vague, and serological testing might return negative, making imaging studies crucial for an accurate diagnosis. Treatment options involve surgery alongside antiparasitic agents. Despite having a low mortality rate, the recurrence of hydatid disease remains high. This paper aims to provide new clinical data through our case presentation, while also offering a review of the cases of hydatid cysts involving the psoas muscle that have been published over the past five years. Full article

Monitoring and protecting flowing watercourses is a complex and challenging task that requires the collaboration and coordination of various stakeholders such as governments, industries, farmers, consumers and environmental groups. The study of the dynamics of the concentration of polluting factors and especially the concentrations of heavy metals and highlighting a seasonal variation is a necessary element from this point of view. In this article, we present the results of our analyses carried out in two measurement campaigns executed in 10 monitoring points along the Danube River, between Braila city and Isaccea city in the pre-deltaic area, during the summer season and autumn season 2022. The importance of this area is given by the fact that the Danube Delta is part of the UNESCO heritage, and the monitoring of polluting factors is a necessity in the desire to protect this area. The data measured during the July and August 2022 campaign cover a wide range of chemical species: Phosphate, CCO, CBO₅, NH₄⁺, N-NO₂, N-NO₃⁻, N-Total, P-PO₄ ³⁻, SO₄²⁻, Cl⁻, phenols, as well as metals with a harmful effect: Al, As, Cd, Cr, Fe. The study includes an evaluation based on the statistical approach of the results to highlight the significant correlations and differences identified between the two data sets. Next, to highlight the obtained results, a numerical model was considered using HEC-RAS and ESRI ArcGIS applications in a two-dimensional unsteady flow model in order to obtain the non-homogenous concentrations’ distributions in the studied area. These two-dimensional models have been less studied in the specialized literature. In this way, interesting results could be obtained, and prediction methods regarding the dynamics of metal concentrations could be structured. The data obtained were used for the terrain model from the USGS service, and the flows of the Danube and its two tributaries were simulated using the data provided by the national services. In this work, we present the results obtained for the dynamics of the concentrations of the metals Al, As, Cd, Cr and Fe and the evaluation of the specific absorption coefficients for the explanation and correlation with the results of the measurements. Except for the numerical model presented, we would like to highlight the existence of some contributions of the main tributaries of the Danube in the study area. Such a systematic study has not been carried out due to conditions imposed by the border authorities. From this point of view, this study has an element of originality. The study is part of a more complex project in which the spatio-temporal distribution of the polluting factors in the water was evaluated, and the habitats in the study area were inventoried—especially those of community interest. In this way, we were able to expose the self-purification capacity of the Danube and highlight the existence of a concentration reduction gradient along the course of the river. The aspects related to the influence of the distribution of polluting factors on the state of health will be the subject of another article. Full article

Laparoscopic cholecystectomy is characterized by reduced postoperative pain, shorter hospital stays, rapid return to preoperative physical activity, and less psychological impact on the patient. During laparoscopic cholecystectomy, the intra-abdominal insufflation of carbon dioxide with secondary increase in intra-abdominal pressure can cause important hemodynamic consequences, like decreased cardiac output and blood pressure, as well as compensatory increase in heart rate. The purpose of this study is to evaluate changes in cardiovascular parameters during general anesthesia in patients undergoing laparoscopic cholecystectomy. Retrospective data from 342 patients with cholecystectomy for cholelithiasis performed at Railway Hospital Galati, Romania, were reviewed. All patients received the same intraoperative anesthetics. Female patients were 85.7% (n = 293). More than half of the patients, 53.51% (n = 183), were 40–59 years old, and only 16.37% (n = 56) were under 40 years old. Patients with a normal body mass index (BMI) represented 45.6% (n = 156), 33.3% (n = 114) were underweight, and 12% (n = 42) had grade 1 obesity (BMI 25–29.9 kg/m²). The minimum intraoperative blood pressure correlated with patient gender (p 0.015 < 0.005), with men having a higher blood pressure than women (p 0.006 < 0.05), and for BMI, a higher BMI was associated with elevated blood pressure (p 0.025 < 0.05). Older age correlated with an increased maximum intraoperative blood pressure (p < 0.001 < 0.05) and with maximum intraoperative heart rate (p 0.015 < 0.05). Patients undergoing laparoscopic cholecystectomy experienced significant hemodynamic changes with pneumoperitoneum, but this type of surgical intervention was safe for patients regardless of their age. Full article

The study aimed to evaluate for the first time the degree of contamination of soil and crops with major and trace elements (Cd, Co, Cr, Cu, Ni, Pb, Zn, F, Na, Mg, Si, P, Cl, Fe, Al) in agricultural lands situated in the Lower Danube Basin, Galati and Braila counties (SE Romania), impacted by the steel industry. Soil samples, as well as leaves and seeds of wheat, corn, and sunflower, were collected from two depths in 11 different sites. Along with elemental and mineralogical analyses, performed by HR-CS AAS, PIGE, SEM-EDX, and ATR-FTIR, the soil pH, texture, organic matter, electric conductivity, and CaCO₃ content were investigated. The results showed that the levels of Cr (83.27–383.10 mg kg⁻¹), Cu (17.11–68.15 mg kg⁻¹), Ni (30.16–55.66 mg kg⁻¹), and F (319–544 mg kg⁻¹) in soil exceeded the Romanian regulations for sensitive use of the land. Igeo, EF, PI, and PERI pollution indices indicate that the soil is moderate to highly contaminated with Cr, Ni, and Cu, while the CSI and mERM_Q indices suggested a relatively low risk for metal contamination. The elemental concentrations in plant tissues and bioaccumulation factors (BFs) provide valuable insights into the soil–plant relationship, health risks, and the selectivity of plant compartments for different elements. Thus, the results revealed that the wheat plants tended to exclude the bioaccumulation of particular elements in their tissues, while exhibiting a different bioaccumulation pattern for Zn and Cu. In the case of corn, most BFs were below one, indicating a limited phytoaccumulation capacity. However, exceptions were observed for Cd, Zn, and Cu with the sunflower BFs indicating higher bioconcentration of these elements in leaves and seeds compared to other elements. Chromium (Cr) contributes to non-carcinogenic dermal contact and ingestion hazards, children being more susceptible to the adverse effects of this contaminant. Full article

Cardiovascular diseases (CVDs) are the leading cause of premature death and disability globally, leading to significant increases in healthcare costs and economic strains. Artificial intelligence (AI) is emerging as a crucial technology in this context, promising to have a significant impact on the management of CVDs. A wide range of methods can be used to develop effective models for medical applications, encompassing everything from predicting and diagnosing diseases to determining the most suitable treatment for individual patients. This literature review synthesizes findings from multiple studies that apply AI technologies such as machine learning algorithms and neural networks to electrocardiograms, echocardiography, coronary angiography, computed tomography, and cardiac magnetic resonance imaging. A narrative review of 127 articles identified 31 papers that were directly relevant to the research, encompassing a broad spectrum of AI applications in cardiology. These applications included AI models for ECG, echocardiography, coronary angiography, computed tomography, and cardiac MRI aimed at diagnosing various cardiovascular diseases such as coronary artery disease, hypertrophic cardiomyopathy, arrhythmias, pulmonary embolism, and valvulopathies. The papers also explored new methods for cardiovascular risk assessment, automated measurements, and optimizing treatment strategies, demonstrating the benefits of AI technologies in cardiology. In conclusion, the integration of artificial intelligence (AI) in cardiology promises substantial advancements in diagnosing and treating cardiovascular diseases. Full article

Background: Infective endocarditis (IE) management is challenging, usually requiring multidisciplinary collaboration from cardiologists, infectious disease specialists, interventional cardiologists, and cardiovascular surgeons, as more than half of the cases will require surgical procedures. Therefore, it is essential for all healthcare providers involved in managing IE to understand the disease’s characteristics, potential complications, and treatment options. While systemic embolization is one of the most frequent complications of IE, the coronary localization of emboli causing acute myocardial infarction (AMI) is less common, with an incidence ranging from 1% to 10% of cases, but it has a much higher rate of morbidity and mortality. There are no guidelines for this type of AMI management in IE. Methods: This narrative review summarizes the current knowledge regarding septic coronary embolization in patients with IE. Additionally, this paper highlights the diagnosis and management challenges in such cases, particularly due to the lack of protocols or consensus in the field. Results: Data extracted from case reports indicate that septic coronary embolization often occurs within the first two weeks of the disease. The aortic valve is most commonly involved with vegetation, and the occluded vessel is frequently the left anterior descending artery. Broad-spectrum antibiotic therapy followed by targeted antibiotic therapy for infection control is essential, and surgical treatment offers promising results through surgical embolectomy, concomitant with valve replacement or aspiration thrombectomy, with or without subsequent stent insertion. Thrombolytics are to be avoided due to the increased risk of bleeding. Conclusions: All these aspects should constitute future lines of research, allowing the integration of all current knowledge from multidisciplinary team studies on larger patient cohorts and, subsequently, creating a consensus for assessing the risk and guiding the management of this potentially fatal complication. Full article