Search Results (62)

Mercury (Hg) poses a significant threat to human health and ecosystems, garnering increased attention in environmental studies. This paper evaluates the dynamics of Hg accumulation in various common tree leaves, specifically white poplar, linden, and cherry plum, throughout their growing season. The findings offer valuable insights into air quality and the ability of urban vegetation to mitigate mercury pollution in urban areas. A case study was conducted in Turda, a town in northwestern Romania, where a former chlor-alkali plant operated throughout the last century. Although the plant ceased its electrolysis activities over 25 years ago, the surrounding soil remains contaminated with mercury (Hg) due to the significant amounts released during its operation. The results indicated that the Hg concentration varied between 2.4 and 7.3 mg kg⁻¹ dry weight (dw), exceeding the intervention threshold for soil of 2.0 mg kg⁻¹. Additionally, the Hg content in the leaf samples consistently increased over time, influenced by leaf age and tree species. The Hg content increased in the following order: cherry plum < white poplar < linden. On average, white poplar leaves accumulated 72 ng Hg g⁻¹ dw, linden leaves 128 ng Hg g⁻¹ dw, and cherry plum leaves 47 ng Hg g⁻¹ dw during the six-month monitored period from April to September. The results obtained can be used to evaluate the potential of different tree species for mitigating atmospheric Hg contamination and to elaborate on the suitable management of fallen leaves in the autumn. Full article

Background/Objectives: Pediatric inflammatory bowel disease (pIBD), including Crohn’s disease (CD), ulcerative colitis (UC), and IBD-unclassified (IBD-U), exhibits unique clinical features compared to adult-onset disease. This study aimed to describe phenotypic characteristics of pIBD in the north-west region of Romania over a 21-year period and to compare our findings with those of other studies worldwide. Methods: We conducted a retrospective study of children under 18 years of age, from the north-west region of Romania, diagnosed with pIBD between 2000 and 2020 at the Emergency Clinical Hospital for Children, Cluj-Napoca. Disease phenotype at diagnosis was established according to the Paris classification. Data were collected from the hospital records and analyzed using descriptive statistics and univariate analysis of categorical variables. A p-value < 0.05 was considered statistically significant. Results: Ninety-four patients were included (CD: 51.0%; UC: 43.6%; IBD-U: 5.4%), with a median age at diagnosis of 14 years (11–15.7). Very early-onset IBD accounted for 5.3% of cases. The likelihood of being diagnosed with CD after 10 years of age was significantly higher compared to UC (OR = 4.75, 95% CI: 1.10–29.07, p = 0.03). UC most frequently presented as pancolitis (51.2%), while CD most often involved the ileocolonic region (56.3%). Inflammatory behavior was the most common CD phenotype (69%). Upper gastrointestinal involvement was documented in 18.7% of CD cases, with detection rates increasing after 2014. Perianal disease and growth impairment were significantly associated with complicated CD behavior (p = 0.03, and p = 0.007 respectively). Our findings are broadly consistent with other published reports. Conclusions: This study provides the first detailed phenotypic characterization of pIBD in this region. Our findings reflect trends observed in other populations and underscore the importance of standardized diagnostic evaluation. Full article

Encephalitozoon cuniculi is a microsporidian widely spread in rabbits (Oryctolagus cuniculus) and other species, including humans, causative of neurological disorders or remaining in a latent state in the host organism. The aim of this study was to estimate the prevalence of E. cuniculi in rabbits located in the North-Western region of Romania, and to run a comparative diagnosis for E. cuniculi by multiple methods. A total of 381 rabbits were included, originating from households, family farms and wildlife, which were subjected to serological and/or molecular genetics diagnostic methods for E. cuniculi identification. Seropositivity of 43.02% (151/351) was obtained by ELISA, together with a 45.45% (110/242) prevalence from urine, feces and organs by nested PCR. Additionally, a prevalence of 48.39% (15/31) was identified by a comparative real-time PCR (qPCR). The urinary bladder is firstly reported for molecular E. cuniculi diagnosis, with a positivity of 30.56% (11/36) by nested PCR. Despite the disagreement between the diagnostic methods, the present results highlight the level of pathogen dissemination among rabbits in North-Western Romania that represents a risk for not only rabbits and other animals, but also for the general public by its zoonotic character. Full article

This study integrates systematic laboratory testing with advanced machine learning techniques to predict the unconfined compressive strength (UCS) of cement-treated clayey silt from northwestern Iași, Romania. Laboratory experiments generated 185 UCS measurements, examining the effects of cement content, curing period, and compaction velocity on strength development. Fourteen regression algorithms were initially screened, with the top three performers subsequently evaluated using nested cross-validation and Bayesian hyperparameter optimization via the Optuna framework. Correlation analysis identified cement content as the primary factor, with curing period as moderately influential and compaction rate having minimal impact when target density was achieved. Random Forest emerged as the optimal algorithm, providing robust and accurate UCS predictions. Beyond standard predictions, a two-stage uncertainty quantification system was implemented, allowing for both central estimates and reliable confidence intervals. SHAP analysis confirmed the dominant roles of cement content and curing period and enabled mechanistic interpretation of parameter contributions. The complete predictive system is available as a public web application, enabling geotechnical engineers to obtain rapid UCS predictions with quantified uncertainty, supporting efficient ground improvement design and risk assessment. Full article

Background/Objectives: The widespread use of antibiotics in animal husbandry has led to an increase in antimicrobial-resistant Escherichia coli, particularly strains producing extended-spectrum β-lactamases (ESBL) and AmpC β-lactamases. This study aimed to isolate and characterize such strains from fecal samples of broiler chickens (n = 71) and slaughtered turkeys (n = 31) in northwestern Romania. Methods: Antimicrobial susceptibility testing and PCR were used to evaluate phenotypic resistance patterns and detect the presence of resistance genes (AmpC, blaZ, and blaTEM). Results: The results showed that 55% of turkey and 61% of broiler isolates were presumptive ESBL/AmpC producers. Among all isolates, 50% were classified as extensively drug-resistant (XDR), 44% as multidrug-resistant (MDR), and only 6% were fully susceptible. Gene detection revealed an overall prevalence of 44.2% for AmpC, 72.7% for blaZ, and 58.1% for blaTEM, yielding a total penetrance of 51.09%. The diagnostic odds ratio (DOR) values, ranging from 0.67 to 81, suggest the efficacy of the antibiotic susceptibility testing method used in detecting the presence of these resistance genes. Conclusion: Overall, these findings highlight a significant burden of antimicrobial-resistant, poultry-associated E. coli strains, warranting stricter antimicrobial stewardship. Full article

Babesia odocoilei is an emerging zoonotic protozoan parasite primarily associated with cervids, with growing recognition among non-cervid hosts and in terms of potential public health implications. While this species has been documented in North America and parts of Europe, data on its presence in Romania remain scarce. This study aimed to investigate the presence of Babesia spp. in ticks collected from Romania, providing new information on the existing species and their distribution, as well as their potential epidemiologic significance. A total of 41 Ixodidae ticks were collected from 184 wild boars across six counties from Western and Central Romania. Ticks were identified using morphological assessments, and DNA was extracted from the samples using a standardized protocol. The presence of Babesia spp. was assessed using real-time PCR with primers and a Taq Man probe targeting 116 bp fragments of 18S rRNA genes. Molecular analysis was used to detect Babesia spp. DNA from a single tick sample (1/41, 2.43%), identified as Dermacentor marginatus, from Timiș County. The resulting amplicons were sequenced and compared with reference sequences in GenBank for species confirmation. This finding represents the first molecular identification of B. odocoilei in questing ticks from Romania. The expanding host range and geographic distribution of B. odocoilei raise concerns regarding its zoonotic potential. The presence of this pathogen in Dermacentor marginatus ticks suggests a broader vector competence than previously recognized, and future research should focus on host reservoirs, vector competence, and potential zoonotic transmission, with an emphasis on public health implications, including potential implications for veterinary diagnostics, vector control policies, and public health awareness regarding emerging tick-borne pathogens. Full article

Eye disease in dogs is a common problem that can affect both the health and well-being of the animals. The aim of the study was to investigate the prevalence and incidence of the most common eye diseases in a large population of dogs from two stray dog centers in northwestern Romania over a two-year period.We conducted a retrospective observational study of 208 eye diseases in two dog shelters in northwestern Romania: the “Ham Ham” Association and the “Free Life” Association in Satu Mare County. The study spanned from January 2022 to December 2023. We collected data on eye disease status from a total of 2293 dogs. The dogs were categorized into three age groups: young dogs (under 2 years), adult dogs (2 to 7 years), and senior dogs (over 7 years). Additionally, the dogs were grouped by sterilization status and gender. The statistical analysis was performed using Pearson’s chi-squared test, Student’s t-test, and binary logistic regression. The prevalence of ocular diseases in this study was 9.07%, with 208 out of 2293 dogs diagnosed with eye problems. The most common ocular diseases observed were conjunctivitis (58/208 or 27.9%), eyelid issues (50/208 or 24%), cataracts (40/208 or 19.2%), glaucoma (13/208 or 6.3%), keratopathies (10/208 or 4.8%), traumatic eye injuries (10/208 or 4.8%), foreign bodies (7/208 or 3.4%), blepharitis (5/208 or 2.4%), proptosis (3/208 or 1.4%), progressive retinal atrophy ((3/208 or 1.4%), retinal detachment ((3/208 or 1.4%), and dry eye (2/208 or 1%). Among the three age groups, puppies and young dogs (under 2 years) were the most affected, with a punctual prevalence of 50.96% at the “Free Life” center and 65.51% at the “Ham Ham” center. Compared with older dogs, the younger dogs were 4.91 times more likely to develop conjunctivitis (OR = 4.91, p = 0.001), 9.38 times more likely to develop eyelid problems (OR = 9.38, p < 0.000), and 0.31 times less likely to develop cataracts (OR = 0.31, p = 0.019).Our epidemiological study found that eye diseases are common among shelter dogs, with incidence rates (new cases over a specific period) varying by age. The youngest and oldest dogs were the most affected, with the highest prevalence observed in the youngest group. The study also highlighted the significant impact of factors such as the shelter center (p < 0.000), age (p < 0.000), and sterilization status (p < 0.000) on the prevalence of eye disorders. These findings underscore the need for enhanced awareness about eye diseases and their risk factors to facilitate early diagnosis and treatment. Full article

Background and Objectives: Sepsis is a leading cause of morbidity and mortality worldwide, yet data from Central and Eastern Europe remain scarce. Our study aims to address the scarcity of information regarding the characteristics and mortality rates of patients with sepsis by reporting recent data from one of the largest emergency centers in Romania over an 18-year period (2007–2024). Materials and Methods: A retrospective analysis was conducted on 12,089 adult patients diagnosed with sepsis at the University Emergency Hospital of Bucharest. Patients were identified using International Classification of Diseases (ICD-10) codes and free-text diagnosis. Demographic and clinical data were extracted, including comorbidities, interventions, and mortality outcomes. Associations between comorbidities and in-hospital mortality were assessed using odds ratios (ORs) and 95% confidence intervals (CIs). Results: The study population had a mean age of 68.7 years, with a slight predominance of males (50.9%). In-hospital mortality was 53.9%, and 30-day mortality reached 85.1%. The most common comorbidities were diabetes (27.2%), chronic kidney disease (14.0%), and cancer (12.9%). Pneumonia (OR = 2.08, 95% CI: 1.89–2.28), cirrhosis (OR = 1.69, 95% CI: 1.40–2.03), and chronic obstructive pulmonary disease (OR = 1.50, 95% CI: 1.27–1.77) were strong predictors of mortality, while diabetes was associated with a slightly lower risk (OR = 0.90, 95% CI: 0.83–0.97). Conclusions: Sepsis-related mortality in Romania is higher than reported in Western Europe and North America, resembling trends in resource-limited settings. Targeted early recognition, antimicrobial stewardship, and improved intensive care units (ICU) resource allocation are crucial for reducing mortality. Multicenter studies and microbiological analyses are needed to further understand sepsis outcomes in this region. Full article

Douglas fir (Pseudotsuga menziesii [Mirb.] Franco) is a valuable timber species native to western North America that was introduced to Europe in the 19th century. The objective of this study was to select the most valuable and stable Douglas fir provenances in Romania by combining growth and quality traits, using two indices recently used in forest tree species: the multi-trait genotype–ideotype distance index (MGIDI) and the multi-trait stability index (MTSI). The study was conducted across three common garden experiments in Romania, established in 1977, evaluating 61 provenances from the United States, Canada, Germany, France, and Romania. The analyzed traits were diameter at breast height (DBH), total height (TH), and pruned height (PH). Significant genotype–environment interactions were observed, with the Douglas fir showing superior growth performance in one of the testing sites in western Romania (Aleșd). The MGIDI and MTSI identified high-performing provenances from diverse geographic origins, including the Pacific Northwest, Europe, and Canada. Selection differentials ranged from 2.8% to 10.9% for individual traits, highlighting the potential for genetic improvement. The selected provenances represent valuable genetic resources of Douglas fir that are adapted to environmental conditions in the Carpathian region, contributing to the development of climate-adaptive breeding strategies and sustainable forest management. Full article

The “Gutâi-Maramureș” UNESCO Global Geopark project is to be realized in the Gutâi Volcanic Zone in the northwestern part of the East Carpathians (Romania), an area with long-lasting and complex Miocene volcanic activity and a centuries-long mining history. In order to identify the volcanism and mining-related patrimonial values, in combination with other natural and cultural assets able to support the establishment of a UNESCO geopark, and to develop a sustainable tourism in the area, this paper presents the main objectives of the adopted research methodology, namely to realize (1) a geological synthesis of the area, (2) an inventory and assessment of geological and mining heritage sites, (3) a synthesis of local biodiversity, and (4) documentation of the cultural, historical and archaeological values. Furthermore, we conducted a SWOT analysis to help define the optimal territory for the geopark, to establish the core values for a strong brand identity, and to develop educational and sustainable tourism activities. This paper presents all the significant heritage values located within the future geopark area: geosites of international scientific significance, sites related to centuries-long mining of precious metals, natural protected areas, including European Natura 2000 sites, important cultural heritage sites such as old wooden churches (five of them included in the UNESCO World Heritage List) and museums. The promotion of sustainable tourism in the area by harnessing all these patrimonial values could be realized by the implementation of the geoeducation and geotourism concepts during the project development based on previous experiences/activities in the area involving local people, NGOs and institutions. Full article

Drought raises significant challenges and consequences in the socioeconomic environment in Dobrogea, Romania. This research aimed to assess the spatiotemporal dynamics of agrometeorological droughts from 2001 to 2021 using a multi-index approach that includes the Vegetation Health Index (VHI) and Standardized Precipitation Evapotranspiration Index (SPEI). Severe-to-extreme drought events were detected in 2001, 2007, 2012, 2015, 2016, 2019, and 2020, when temperatures in the area reached as high as 40.91 °C. Regarding area coverage, 2012 and 2020 were the worst drought years, with 66% and 71% of the region affected. Mild and moderate droughts were consistently identified across almost the entire period, while normal wet conditions were indicated in 2004–2006. The spatial analysis and the drought frequency maps revealed that the central, southern, and northwestern areas were particularly vulnerable, underlining the need for targeted drought mitigation measures. The trend analysis results indicated a nonuniform spatial feature of the negative (drying)/positive (wetting) trends at the regional level, with statistically significant trends identified only over small areas. Further results showed a robust relationship among the VHI and SPEI, particularly on 1-month and seasonal timescales. The extended correlation analysis results showed very strong positive relationships among all the vegetation indices, positive relations with rainfall, and strong negative ties with land surface temperature. Moreover, the seasonal VHI proved to be effective for drought monitoring across areas with diverse crop types. The results we obtained are consistent with previous studies on the incidence of drought in the area and hold practical significance for decision-makers responsible for drought management planning within Dobrogea, including setting up an early warning system using the VHI. Full article

The Maramures region, located in North-Western Romania, was a renowned center of mining and smelting in the last century. Nowadays, all the mines have been decommissioned or are under conservation and greening works, but the acidic waters from some closed or abandoned mine galleries negatively affect the nearby streams and, in some cases, the entire river system. In this study, 46 elements and 6 anion concentrations were used to assess the pollution in 12 mine water discharge samples collected in two mining areas in Maramures. The results showed high concentrations of sulfate (average 1264 mg/L) and toxic elements, namely Mn (average 25.1 mg/L), Fe (average 23.0 mg/L), and Zn (average 12.5 mg/L). The sum of the REEs concentration ranged from 1.24 µg/L to 2917 µg/L, with an average of 363 µg/L, with La, Ce, and Nd being the most abundant. High correlations were found between REEs and Li, Be, Al, Sc, V, Mn, Fe, Co, Ni, Y, SO₄²⁻, and NO₂⁻. According to the pollution index, the discharge of mine water poses different degrees of ecological risk. The health hazard index calculated for 37 elements revealed an extremely high non-cancer risk and, in addition, an increased carcinogenic risk for Cd, As, and Cr. Full article

Background: Cutaneous melanoma (CM) is a malignant tumor originating from melanocytes. Despite improvements in prevention, Central and Eastern European countries continue to report higher rates of advanced-stage melanoma and lower survival rates. This study aims to characterize CM and the associated risk factors in Northwestern Romania. Methods: This cross-sectional cohort study was conducted in Cluj and Bihor counties. Between January 2023 and May 2024, 172 patients with histopathologically confirmed melanoma completed a standardized questionnaire addressing demographics, sun exposure history, nevi count, and melanoma-specific characteristics. Results: The median age at diagnosis of participants was 44 years. The median Breslow index (BI) was 1.5 mm, and 39% of cases presented with a BI > 2 mm. Superficial spreading melanoma (SSM) was the most common subtype, predominantly affecting women, while nodular melanoma (NM) was more frequent in men. Higher BI was associated with NM and acral lentiginous melanoma (ALM). Limbs were women’s most frequent tumor site, whereas the trunk was predominant in men. Significant associations were observed between younger age at diagnosis and factors such as high nevus count, indoor activity, and smoking status. Rural residents reported a higher history of sunburns compared to urban residents. Conclusions: Our findings underscore the importance of targeted public health interventions to promote early detection and primary prevention of melanoma. Establishing a national melanoma registry is crucial to improving epidemiological surveillance and reducing the burden of melanoma in Romania. Full article

Antibiotic resistance is on the WHO’s top 10 list of global public health threats due to its rapid emergence and spread but also because of the high morbidity and mortality associated with it. Amongst the main species driving this phenomenon is A. baumannii, a member of the ESKAPE group of medical assistance-associated infections causing species famous for its extensively drug-resistant phenotypes. Our findings note a 91.52% frequency of extensively drug-resistant carbapenem-resistant A. baumannii (XDR CRAB) phenotype amongst clinical isolates from multiple hospitals in two major cities from northwestern and central Romania, harboring multiple antibiotic resistance genes such as bla_OXA-23-like in 108 (91.5%) isolates, bla_{OXA-24/40-like} in 88 (74.6%) isolates, bla_NDM in 29 (25%) isolates, ArmA in 75 (63.6%) isolates, and ant(3″)-I in 69 (58.5%) isolates and sul1 in 113 (95.76%) isolates. The isolates, although nearly identical in phenotype, displayed different genotypical profiles, with varying degrees of similarity across hospitals and cities, raising the possibility of both local outbreaks of a single clone and widespread dissemination of resistant isolates. Full article

Background/Objectives: Dental age estimation plays a critical role in pediatric dentistry, orthodontics, and forensic medicine. The Nolla method, widely applied globally, has shown variable accuracy across different populations. This study aimed to evaluate the applicability and accuracy of the Nolla method in estimating the dental age of Romanian children and to identify potential discrepancies between dental and chronological ages. Methods: A retrospective analysis was conducted on 860 panoramic radiographs from pediatric patients aged 3–15.9 years in Oradea, Romania. The Nolla method was applied to estimate dental age, and the results were compared with chronological age. Statistical analyses, including Wilcoxon signed-rank and Mann–Whitney U tests, were performed to evaluate the accuracy and consistency of the Nolla method. Results: The study analyzed 860 panoramic radiographs (356 boys and 504 girls). The average chronological age was 9.95 ± 2.48 years, while the average dental age, as estimated using the Nolla method, was 8.43 ± 2.13 years. Dental age was consistently lower than chronological age, with a median difference of 1.5 years (IQR: 0.9–2.2 years). Among the 13 age groups, the highest representation was found in the 8–8.9-year (14.7%) and 9–9.9-year (13.3%) groups. Gender differences were statistically significant (p < 0.001); girls demonstrated a larger median discrepancy of 1.7 years (IQR: 1.1–2.3 years) compared to boys at 1.15 years (IQR: 0.6–1.8 years). Notably, discrepancies increased with age, peaking at 2.6 years in the 14–14.9-year group (4.7% of the sample). The youngest group (3–3.9 years) showed the smallest difference of 0.3 years. Significant differences between chronological and dental ages were observed in 87.5% of the sample. Conclusions: The Nolla method consistently underestimated dental age in Romanian children, with greater discrepancies in older age groups and among girls. These findings highlight the need for the population-specific calibration of the method to improve its accuracy in both clinical and forensic contexts. Full article