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Deacu L, Niculescu D, Terzea D, Cristea C, Ioachim D, Poiana C. THE LEARNING CURVE AND PERFORMANCE OF A NEWLY ESTABLISHED THYROID FINE-NEEDLE ASPIRATION CENTER. Acta Endocrinol (Buchar) 2022; 18:343-349. [PMID: 36699171 PMCID: PMC9867803 DOI: 10.4183/aeb.2022.343] [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] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
Context Thyroid fine-needle aspiration (FNA) cytology is the best tool for preoperative diagnosis of thyroid carcinoma; however, its learning curve is poorly described. Our aim was to assess the learning curve of a new thyroid FNA center involving unexperienced operator and pathologist. Methods We retrieved from our tertiary endocrinology center database all thyroid FNA procedures done by a single operator (endocrinologist with no experience in FNA) between 2018 and 2021. Cytology was assessed by two pathologists with limited or no experience in thyroid cytology. We also got the corresponding sex, age, nodule diameter, EU-TIRADS score, Bethesda category and final pathology report. Results There were 1872 FNA in 1618 patients. Proportion of Bethesda 1 nodules decreased significantly (p for trend=0.003) from 17% in the first 100 FNA procedures to 4% in the 401-500 group of procedures, and remained constant between 9% and 4% (p for trend=NS) for the rest of the study. Proportion of Bethesda 2 rose steady from 26% in the first 100 nodules to 80.1% in the last 241 nodules (p for trend<0.001). Indeterminate lesions (Bethesda 3 and 4) decreased significantly (p for trend=0.001) from 16% and 35% in the first 100 nodules to 2.5% and 5.8% in the last 241 lesions. Proportions of Bethesda 5+6 categories varied non-significantly over time. There were no time trends in the malignancy rate of surgically removed nodules. Conclusions At least 300 procedures are needed to reach the standard performance. A steadily state for the whole center is obtained after about 500 procedures.
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Affiliation(s)
- L.G. Deacu
- Pituitary and Neuroendocrine Disorders, “C.I. Parhon” National Institute of Endocrinology, Romania
| | - D.A. Niculescu
- Pituitary and Neuroendocrine Disorders, “C.I. Parhon” National Institute of Endocrinology, Romania
- “Carol Davila” University of Medicine and Pharmacy, Endocrinology Bucharest, Romania
| | - D. Terzea
- Pathology, “C.I. Parhon” National Institute of Endocrinology, Endocrinology Bucharest, Romania
| | - C. Cristea
- Pathology, “C.I. Parhon” National Institute of Endocrinology, Endocrinology Bucharest, Romania
| | - D. Ioachim
- Pathology, “C.I. Parhon” National Institute of Endocrinology, Endocrinology Bucharest, Romania
| | - C. Poiana
- Pituitary and Neuroendocrine Disorders, “C.I. Parhon” National Institute of Endocrinology, Romania
- “Carol Davila” University of Medicine and Pharmacy, Endocrinology Bucharest, Romania
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Cristea C, Rotariu D, Leustean L, Ungureanu M. PITUITARY BRIGHT STALK - THE DAMMING-UP EFFECT. Acta Endocrinol (Buchar) 2022; 18:125-126. [PMID: 35975266 PMCID: PMC9365412 DOI: 10.4183/aeb.2022.125] [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] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Affiliation(s)
- C. Cristea
- “Sf. Spiridon” Clinical Emergency Hospital - Endocrinology, Iasi, Romania
| | - D.I. Rotariu
- “Gr T Popa” University of Medicine and Pharmacy - Neurosurgery, Iasi, Romania
- “N. Oblu” Clinical Emergency Hospital, Iasi, Romania
| | - L. Leustean
- “Sf. Spiridon” Clinical Emergency Hospital - Endocrinology, Iasi, Romania
- “Gr T Popa” University of Medicine and Pharmacy - Neurosurgery, Iasi, Romania
| | - M.C. Ungureanu
- “Sf. Spiridon” Clinical Emergency Hospital - Endocrinology, Iasi, Romania
- “Gr T Popa” University of Medicine and Pharmacy - Neurosurgery, Iasi, Romania
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Fathallah N, Cristea C, Beaussier H, Khirani S, de Parades V. Infliximab for Anoperineal Lesions in Crohn's Disease: Remission Appears to be Based on Rapid Combination Therapy at High Doses. Journal of Coloproctology 2021. [DOI: 10.1055/s-0041-1739549] [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] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Abstract
Study Aim The aim of the present study was to compare in real life the characteristics of treatment with infliximab according to the presence or absence of anoperineal involvement in Crohn's disease.
Methods We performed a single-center, prospective, non-interventional study, on patients with Crohn's disease in remission who had been treated with infliximab for at least 1 year. Patients with poor treatment compliance, on antibiotics, or those with a stoma were excluded.
Results We included 52 patients in this study: 34 with anoperineal lesions with or without luminal lesions, and 18 with luminal lesions only. Patients with anoperineal lesions were more likely to have undergone surgery (70.6% versus 38.9%, p = 0.027), had a shorter median time to infliximab treatment initiation (0.5 versus 5.5 years, p = 0.005), a higher mean dose of infliximab (6.6 versus 5.1 mg/kg, p = 0.015), and were more likely to receive combination treatments including infliximab (52.9% versus 11.1%, p = 0.008) than patients with luminal involvement only.
Conclusions In our study, infliximab treatment was initiated more quickly, at higher doses, and more in combination therapy for anoperineal Crohn's disease than for luminal damage alone. Additional studies are required to confirm this finding and to assess the tolerance of this treatment throughout patient management.
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Affiliation(s)
- Nadia Fathallah
- Groupe Hospitalier Paris Saint-Joseph, MedicoSurgical Proctology Department, Paris, France
| | - Cosmin Cristea
- Groupe Hospitalier Paris Saint-Joseph, MedicoSurgical Proctology Department, Paris, France
| | - Hélène Beaussier
- Groupe Hospitalier Paris Saint-Joseph, Clinical Research Center, Paris, France
| | - Sonia Khirani
- Assistance Publique-Hôpitaux de Paris, Hôpital Necker, Clinical Investigation Center, Paris, France
| | - Vincent de Parades
- Groupe Hospitalier Paris Saint-Joseph, MedicoSurgical Proctology Department, Paris, France
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Abstract
Successful penicillin detection on a boron-doped diamond electrode from real environmental, biomedical and pharmaceutical samples by DPV and flow analysis.
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Affiliation(s)
- B. Feier
- Analytical Chemistry Department
- Faculty of Pharmacy
- Iuliu Haţieganu University of Medicine and Pharmacy
- 400349 Cluj-Napoca
- Romania
| | - I. Ionel
- Analytical Chemistry Department
- Faculty of Pharmacy
- Iuliu Haţieganu University of Medicine and Pharmacy
- 400349 Cluj-Napoca
- Romania
| | - C. Cristea
- Analytical Chemistry Department
- Faculty of Pharmacy
- Iuliu Haţieganu University of Medicine and Pharmacy
- 400349 Cluj-Napoca
- Romania
| | - R. Săndulescu
- Analytical Chemistry Department
- Faculty of Pharmacy
- Iuliu Haţieganu University of Medicine and Pharmacy
- 400349 Cluj-Napoca
- Romania
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Nica M, Biolan T, Turcu E, Dascălu A, Oprişan C, Erscoiu S, Simion V, Florescu S, Cristea C, Oprea C, Popescu C, Vancea G, Rusu R, Lazăr S, Duiculescu D, Calistru P, Ceauşu E. Dinamic of resistance to antibiotics for the most frequent potential pathogen bacterial isolates in “Dr. V. Babes” Clinical Hospital of Infectious and Tropical Diseases (2000-2015). Ro J Infect Dis 2016. [DOI: 10.37897/rjid.2016.2.6] [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: 11/22/2022] Open
Abstract
Objective. Analyzing the dynamycs of global antibiotic resistance of some bacterial species isolated from patients admitted to the „Dr. V. Babes” Hospital for Infectious and Tropical Diseases, between the years 2000 to 2015. Material and methods. Antibiotic resistance profiles of bacteria isolated from inpatients, were identified by the standard diffusion method and MIC values by VITEK2C and E-test methods. (CLSI and EUCAST standards). Screening of carbapenemases – producing isolates were performed by phenotipic methods, and the confirmation by RealTimePCR: “MasterPure™ Complete DNA and RNA Purification Kit” (Epicentre), „Primer Design™ Kit” (blaOXA48; blaKPC, blaNDM, blaVIM)/ LightScanner 32 Instrument/LS32 (Idaho Technology), and GeneXpert. Internal quality control: Staphylococcus aureus ATCC29213, Streptococcus pneumoniae ATCC49619, E. coli ATCC25922, Pseudomonas aeruginosa ATCC27853. Results. The incidence of St. aureus meticilino-rezistent (MRSA) highlights an increase from 12.2% (2002) to 40.4% (2015). In the past 3 years SVB microbiology lab found a sharp increase in the incidence of erytromycin resistant strains of Streptococcus pyogenes. In 2015 we registered 20.3% of macrolide resistant strains. Global resistance to penicillin G for Str. pneumoniae (non-meningeal infections) was 45.3%- 54.5% until 2009, and 2.7% in 2013. Enterococcus faecium strains showed 0% resistance to vancomycin between 2000 and 2012. A significant growth was recorded in 2015 of 11%. Isolation rate of Klebsiella pneumoniae ESBL producing strains has increasewd progressively from 17.6 in 2000 to 57% in 2015. Carbapenems – resistant K. pneumoniae isolated strains were 18,8% in 2015. Carbapenemases types identified by phenotypic and genetic methods where: 35/ Oxa48, 8 KPC and 21/MBL (NDM-1). Resistance to carbapenems recorded an upward trend: 23.9% in 2004 to 37.9% in 2015, and for Acinetobacter baumannii 69%. Conclusions. Antibiotic resistance of bacteria is a major challenge for public healts. Therapeutic solutions are extremely limited.
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Feier B, Floner D, Cristea C, Sandulescu R, Geneste F. Development of a novel flow sensor for copper trace analysis by electrochemical reduction of 4-methoxybenzene diazonium salt. Electrochem commun 2013. [DOI: 10.1016/j.elecom.2013.02.025] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Feier B, Floner D, Cristea C, Bodoki E, Sandulescu R, Geneste F. Flow electrochemical analyses of zinc by stripping voltammetry on graphite felt electrode. Talanta 2012; 98:152-6. [DOI: 10.1016/j.talanta.2012.06.063] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2012] [Revised: 06/20/2012] [Accepted: 06/25/2012] [Indexed: 11/28/2022]
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Buzduga C, Mogoş V, Găleşanu C, Vulpoi C, Ungureanu M, Cristea C, Preda C, Ciobanu D, Ferariu D, Florea N, Zbranca E. Epidemiology and histology of malignant thyroid nodules in North East Region of Romania (Moldavia) before and after alimentary salt universal iodination. Rev Med Chir Soc Med Nat Iasi 2011; 115:45-48. [PMID: 21682184] [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: 05/30/2023]
Abstract
UNLABELLED Research on the relationship between iodine exposure and thyroid cancer risk is limited and the findings are inconclusive. OBJECTIVES Given this molecular data on iodine we decided to evaluate the changes of incidence and histology of thyroid cancer in the North-Eastern region of Romania (Moldavia) after the government decision from 2004 that introduced the universal iodination of alimentary salt. After this decision values of urinary iodine increased from 50 microg/L (2001-2002) to 117 microg/L (2006 -2008). MATERIAL AND METHODS We compared the incidence and the histology of thyroid cancer in residents living in an area known as a mild endemic goiter region (Moldavia-Romania) between 2001-2004 with the incidence and the histology of thyroid cancer between 2005-2008 in the same region after the introduction of universal iodization of alimentary salt. RESULTS The number of papillary cancers increased from 125 cases (2001-2004) to 276 cases (2005-2008). The number of follicular cancer decreased from 52 cases (2001-2004) to 27 cases (2005-2008). The ratio between papillary and follicular cancers increased from 4.80 / 1 (2001-2004) at 10.61 / 1 (2005-2008). The number of medullar thyroid carcinoma increased from six cases (2001-2004) to 24 cases (2005-2008). Thyroid anaplastic carcinomas number increased from 7 cases (2001-2004) to 12 cases (2005-2008). The total number of thyroid cancer has increased dramatically after the introduction of universal iodination of alimentary salt with 178% compared to 2001-2004 (from 190 cases in 2001-2004 to 339 cases in 2005-2008), despite the fact that the number thyroidectomies decreased from 1734 (2001-2004) to 1449 (2005-2008). CONCLUSION After the introduction the universal iodination of alimentary salt starting from 2004 the total number of thyroid cancers increased comparative with the period before universal iodination of alimentary salt.
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Affiliation(s)
- C Buzduga
- Department of Endocrinology, "Gr.T. Popa" University of Medicine and Pharmacy, Iaşi
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Buzduga C, Mogoş V, Găleşanu C, Vulpoi C, Ungureanu MC, Cristea C, Preda C, Zbranca E. [Clinical profile of thyroid nodules in Iaşi, Department of Endocrinology, St. Spiridon Hospital, between 2005-2009]. Rev Med Chir Soc Med Nat Iasi 2010; 114:1005-1007. [PMID: 21500450] [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: 05/30/2023]
Abstract
UNLABELLED Thyroid nodules are common, with up to 50% of the adult population having palpable nodules. With the use of ultrasound, up to 10 times more nodules are likely to be detected. Given this we decided to evaluate by retrospective study the incidence of thyroid nodule in the North-Eastern Region of Romania (Moldavia) between 2005-2009. MATERIAL AND METHOD We reviewed the records of patients admitted in the Department of Endocrinology, St. Spiridon Hospital Iaşi between 1.01.2005-31.12. 2009 (4712 patients) and with selected the cases with nodular goiter. RESULTS A total of 3105 cases of nodular goiter were identified. The women were most affected and highest prevalence was noticed for the patients with ages between 51-60 years. Most of the nodules were found in the right thyroidian lobe and the majority of the patients were euthyroid . The peak of incidence of nodular hyperthyroidism was different from that of diffuse hyperthyroidism. CONCLUSIONS Thyroid nodules are the most common endocrine problem and the increasingly frequent detection of nonpalpable thyroid nodules in asymptomatic patients requires new approaches for their management.
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Affiliation(s)
- C Buzduga
- Facultatea de Medicină, Disciplina de Endocrinologie, Universitatea de Medicină si Farmacie Gr.T. Popa Iaşi
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Laschi S, Bulukin E, Palchetti I, Cristea C, Mascini M. Disposable electrodes modified with multi-wall carbon nanotubes for biosensor applications. Ing Rech Biomed 2008. [DOI: 10.1016/j.rbmret.2007.11.002] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Duliu OG, Culicov OA, Rãdulescu I, Cristea C, Vasiu T. Major, trace, and natural radioactive elements in bituminous coal from Australia, Romania, Russia, South Africa and Ukraine: A comparative study. J Radioanal Nucl Chem 2005. [DOI: 10.1007/s10967-005-0748-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Cristea C. [Endocrinology at the beginning of the millennium. The seventh congress of the Romanian endocrinologic society. Iasi, 27-30 September, 2000]. Rev Med Chir Soc Med Nat Iasi 2001; 105:179-80. [PMID: 12092150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
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Abstract
This study performed on 51 patients with autoimmune thyroiditis and 15 healthy subjects was aimed at correlating the activation of T cells and the secretion of inflammatory cytokine with echography and thyroid functional assays. A significant increase of activated T cells was observed in Hashimoto patients illustrated by an increased percentage of CD3+ CD25+ T cells (P < 0.01). Similarly, increased amounts of IL-2, TNF-alpha and IFN-gamma were in the serum of patients compared with the control group in which these cytokines are barely detectable. An in vitro study shows a significant increase of IL-2 and TNF-alpha upon the exposure to Concanavalin A. These results suggest that T(H)1 secreting inflammatory cytokines may contribute to pathogenesis of autoimmune thyroiditis.
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Affiliation(s)
- D Drugarin
- Department of Immunology, University of Medicine and Pharmacy Timisoara, Romania.
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Palibroda N, Cristea C, Silberg IA, Chirtoc I. In the electron impact mass spectra of N,N'-diaryl-1, 3-phenylenediamines, recorded under conditions generating the molecular ion as a base peak, the most important step involve a beta-aromatic cleavage with H rearrangement, leading to the expulsion of a neutral arylamine; this fact can be used in meta isomer identification since for the corresponding 1,2- and 1, 4-isomers the expulsion of an aryl radical is a competitive process. Rapid Commun Mass Spectrom 1999; 13:2227. [PMID: 10523786 DOI: 10.1002/(sici)1097-0231(19991115)13:21<2227::aid-rcm769>3.0.co;2-r] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Affiliation(s)
- N Palibroda
- Faculty of Chemistry, 'Babes-Bolyai' University, Arany Janos 11, RO-3400 Cluj-Napoca, Romania
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Sima A, Stancu C, Starodub O, Cristea C, Simionescu M. 3.P.138 Modified lipoproteins generate autoantibodies and accumulate in the arterial lesions of athero-diabetic patients and hamsters. Atherosclerosis 1997. [DOI: 10.1016/s0021-9150(97)89210-6] [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: 11/30/2022]
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Sima A, Popov D, Starodub O, Stancu C, Cristea C, Stern D, Simionescu M. Pathobiology of the heart in experimental diabetes: immunolocalization of lipoproteins, immunoglobulin G, and advanced glycation endproducts proteins in diabetic and/or hyperlipidemic hamster. J Transl Med 1997; 77:3-18. [PMID: 9251674] [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] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Diabetes is known to be accompanied by atherosclerotic disease and general cardiovascular complications. Hamsters were previously shown to develop hyperlipemia-induced atherosclerosis, similar in many respects to the human atherosclerotic process. To study the effect of hyperglycemia on heart vessels and valves, male Golden Syrian hamsters were rendered either diabetic or hyperlipemic and diabetic; controls were age-matched normal hamsters. At time intervals ranging from 2 to 24 weeks, animals were killed; plasma glucose, cholesterol, and lipid peroxides were measured; and the aortic arch and valves, coronary arteries, and heart microvessels were examined for ultrastructural modifications and for the presence of low-density lipoproteins (LDL), immunoglobulin G (IgG), and advanced glycation endproducts (AGE) proteins. Elevation of plasma glucose, peroxides, and cholesterol were observed in both diabetic as well as hyperlipemic and diabetic animals, along with characteristic diabetic changes: microangiopathy of the myocardium (ie, capillary narrowing, hyperplasia of basal lamina, and proliferation of extracellular matrix) and macroangiopathy of the aortic arch, valves, and coronary arteries (ie, intimal proliferation, fatty-streak formation, and calcification). LDL, IgG, and AGE-proteins were immunolocalized in focal deposits, ie, in the shoulder and cap of the plaques; these antigens were distributed diffusely in the extracellular space or within macrophage-derived foam cells and smooth muscle cells. Our findings indicate that hyperglycemia alone induces atherosclerotic lesions in the coronary arteries, aortic arch, and aortic valves as well as alterations of the extracellular matrix of heart microvessels and cardiomyocytes, changes which together may lead to cardiomyopathy, a common and severe complication of diabetes. In addition, the present study suggests that when hyperglycemia is accompanied by hyperlipemia, detectable amounts of modified LDL (possibly oxidized or glycated) and AGE are present in the intima of atherosclerotic arteries; and also that modified lipoproteins can act as immunoactive components of the atheroscerotic process generated by hyperglycemia.
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Affiliation(s)
- A Sima
- Institute of Cellular Biology and Pathology Nicolae Simionescu, Bucharest, Romania
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Sima A, Stancu C, Starodub O, Cristea C, Simionescu M. Immunodetection of modified lipoproteins in plasma and arterial walls of patients with coronary heart disease. Rom J Intern Med 1997; 35:29-38. [PMID: 9562650] [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] [Grants] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Data from literature indicate that immune processes play an important role in atherogenesis. Modified lipoproteins might be immunogenic and generate autoantibodies in plasma. To determine whether the level of such circulating autoantibodies correlates with the extent of atherosclerosis expressed as cholesterol values in plasma (C), very low density (VLDL-C), low density (LDL-C), and high density lipoproteins (HDL-C), we compared the level of plasma autoantibodies of a group of coronary heart disease patients (CHD-P) with that of normal, age-matched donors, with no history of cardiac disease (N). All CHD-P (even normocholesterolemic) were characterized by an LDL-C/HDL-C ratio > 4, while all N (even hypercholesterolemic) had this ratio < 4. A double level of circulating autoantibodies against VLDL and LDL in CHD-P as compared to N group was detected. The anti-LDL antibodies level correlated well with LDL-C level and was negatively correlated with the age of patients. For tissue localization of native and modified LDL (as well as other possibly modified proteins) we used immunohistochemical techniques, employing antihuman LDL, antihydroxynonenal-lysine (HNE-Lys), and antiadvanced glycation end-products (AGE) proteins. Antibodies were applied on consecutive cryosections of the aortic arch, valves and coronary arteries of CHD-P. The immunodetected antigens were colocalized in focal deposits, in the cap and shoulders of the atheroma. Native LDL and modified proteins (AGE, HNE-Lys) were detected either diffuse-extracellularly or associated with macrophage-derived foam cells and smooth muscle cells of the intima. These data indicate the following: a) the existence of an elevated level of circulating autoantibodies against VLDL and LDL, which correlates negatively with the age of CHD patients; b) the presence of LDL (possibly glycated or oxidized) in detectable amounts in the intima of atherosclerosis-affected arteries; c) the modified lipoproteins are immunoactive components in the atherosclerotic process.
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Affiliation(s)
- A Sima
- Nicolae Simionescu Institute of Cellular Biology and Pathology, Bucharest, Romania
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Ceauşu E, Erşcoiu S, Calistru P, Ispas D, Dorobăţ O, Homoş M, Bărbulescu C, Cojocaru I, Simion CV, Cristea C, Oprea C, Dumitrescu C, Duiculescu D, Marcu I, Mociorniţă C, Stoicev T, Zolotuşca I, Calomfirescu C, Rusu R, Hodrea R, Geamai S, Păun L. Clinical manifestations in the West Nile virus outbreak. Rom J Virol 1997; 48:3-11. [PMID: 9836323] [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: 04/11/2023]
Abstract
During the summer of 1996 an unusual clustering of meningoencephalitis cases was recorded in the Capital City, Bucharest, and in some areas from South-East Romania. After an initial suspicion of an enteroviral etiology was discarded, the West Nile etiology was confirmed by specific antibodies demonstration through hemagglutination-inhibition and ELISA tests. This study included 251 patients with the diagnoses of West Nile acute encephalitis (166 cases), acute meningitis (57 cases) and acute febrile disease (33 cases). The patients' age ranged from 1 to 89 years (mean 51.1 years). The most frequent clinical manifestations were: fever (95.7% of cases), cephalalgia (92.6%), stiffness of the neck (89.1%), vomiting (62.5%), marked asthenia (46.5%), myalgia (28.9%). In addition, patients with encephalitis exhibited: alteration of consciousness (89.2% of cases), tremor of extremities (40.4%), ataxia (44%), paralysis (15.1%). The fatality rate was 15.1% in acute encephalitis, 1.8% in acute meningitis and 0% in the acute febrile disease.
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Affiliation(s)
- E Ceauşu
- Dr. Victor Babeş Clinic of Infectious and Tropical Diseases, University of Medicine and Pharmacy, Bucharest
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Farcaş DD, Cristea C, Ripanu A, Oprişan M. A new approach for assessment of IT programs in health care. Stud Health Technol Inform 1996; 43 Pt B:844-8. [PMID: 10179787] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
The efficiency of health care programs, on the level of a community, results not only from reducing hospitalization or drugs costs but also from the number of days of health and life gained. This gain can be estimated in monetary terms if we accept that, at least partially, the Gross Domestic Product results from the human activity. In the Center for Health Information and Statistics, Ministry of Health Bucharest. Romania, a methodology based on these premises was developed and non-officially used in assessment of several health programs. In this paper, the core of this methodology, as well as some applications are shown.
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Affiliation(s)
- D D Farcaş
- Center for Health Information and Statistics, Ministry of Health, Bucharest, Romania
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Lascăr I, Andreescu B, Cristea C, Cojocaru L, Hariga CS, Vâlcu M. [Reconstruction of the opposition of the thumb]. Chirurgia (Bucur) 1996; 45:261-6. [PMID: 9091077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- I Lascăr
- Spitalul Clinic Floreasca, Bucureşti
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Lascăr I, Pop R, Valcu M, Hariga C, Cristea C. [Reconstruction of the esophagus with a microsurgical transfer of a free jejunal loop]. Chirurgia (Bucur) 1996; 45:77-80. [PMID: 8924797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Athanasiu P, Petrescu A, Predescu E, Anghelescu S, Popa DP, Dumitrescu AM, Macarie I, Cristea C, Mihail V. [The incidence of influenzal, para-influenzal and adenoviral antigens in keratoconjunctivitis patients during immunization with NIVGRIP vaccine]. Rev Roum Virol 1990; 41:87-91. [PMID: 2176535] [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: 12/30/2022]
Abstract
Repeated intranasal administrations of NIVGRIP, influenza inactivated vaccine, to patients with chronic recurrent keratoconjunctivitis, led to a significant reduction of respiratory virus incidence, as revealed by the immunofluorescence test in the conjunctive epithelial cells. The effect is probably due to endogenous interferon stimulation by the vaccine, at the nasopharyngeal level.
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Affiliation(s)
- P Athanasiu
- Institut de Virologie Stefan S. Nicolau, Bucarest, Roumanie
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23
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Mihail S, Cristea C. [Current performance of ophthalmologic geriatric surgery]. Rev Chir Oncol Radiol O R L Oftalmol Stomatol Ser Oftalmol 1987; 31:121-2. [PMID: 2957729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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24
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Petrescu A, Athanasiu P, Anghelescu S, Isaia G, Predescu E, Macarie I, Cristea C, Popa PD, Olteanu M, Cârstocea B. Associated respiratory and herpes virus infections in patients with acute keratitis. Virologie (Montrouge) 1984; 35:169-74. [PMID: 6093348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
Viral antigens were detected by immunofluorescence in exfoliated conjunctival cells from 100 out of 110 keratitis patients investigated. The overall prevalence of respiratory virus antigens (parainfluenza, influenza, adenovirus) was twice as high as that of herpes antigens. The ratio between respiratory and herpes virus antigens was of 4:1 in the patients with acute respiratory syndromes in the past history, as against 2:1 in those who had had no respiratory illness.
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Athanasiu P, Anghelescu S, Predescu E, Peiulescu P, Stoian N, Stoian M, Isaia G, Popa DP, Macarie I, Cristea C. Rapid detection by immunofluorescence of multiple viral infections in patients with keratitis. Virologie (Montrouge) 1984; 35:83-8. [PMID: 6377681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
The presence of 12 viral (herpes 1 and 2, influenza A(H1N1), A(H3N2) and B, parainfluenza 1, 2, 3, adenovirus 5) and inframicrobial (Chlamydia, mycoplasma, Rickettsia burneti) antigens was investigated by direct or indirect immunofluorescence (IF) reactions in exfoliated conjunctival cells from 110 patients with nonbacterial keratitis and keratoconjunctivitis. A rapid etiological diagnosis could be obtained in 101 (92%) of the cases, parainfluenza and herpes antigens being the most frequently detected. In most of the cases the simultaneous presence of several antigens was made evident. Encouraging results were obtained by the application of a specific treatment based on the diagnosis provided by the IF reaction.
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26
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Tipărescu E, Basacopol A, Mărgăritescu T, Marinescu E, Cristea C, Dumitrescu V, Brand L, Conta C, Ciurdea A. [Procedures for beginning antituberculosis treatment]. Rev Ig Bacteriol Virusol Parazitol Epidemiol Pneumoftiziol Pneumoftiziol 1983; 32:369-72. [PMID: 6320344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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27
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Iofciulescu P, Cristea C, Ionescu V, Niculescu M, Purcaru N. [Ocular myopathy; apropos of 3 clinical cases]. Rev Chir Oncol Radiol O R L Oftalmol Stomatol Ser Oftalmol 1981; 25:71-74. [PMID: 6455721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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28
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Brucăr I, Cristea C, Rădulescu A. [Segmental periarteritis of the retina in the development of choroiditis with a single focus]. Rev Chir Oncol Radiol O R L Oftalmol Stomatol Ser Oftalmol 1976; 20:219-20. [PMID: 137450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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29
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Brucăr I, Macarie I, Cristea C, Petrescu V. [Postoperative detachment of the retina]. Rev Chir Oncol Radiol O R L Oftalmol Stomatol Ser Oftalmol 1975; 19:213-5. [PMID: 127276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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30
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Tipărescu E, Basacopol A, Dobrovici A, Cristea C, Lascăr C, Marinescu E, Mărgăritescu T, Apostol A, Carida A, Godeanu I, Roman A, Teodoru M, Logofătu M. [Radiological results in fibrocavitary tuberculosis treated with ethambutol]. Ftiziologia 1972; 21:401-6. [PMID: 4644565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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31
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Obreja S, Grigorescu G, Cristea C, Tănase T. [Considerations on some cases of cancer of the ear]. Otorinolaringologie 1969; 14:157-63. [PMID: 5343905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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32
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Vîţă A, Secu A, Vrabie C, Alexaenco E, Oană C, Petrovanu I, Cristea C, Pendefunda G. [Clinical considerations on 16 cases of toxinfection with the botulinic bacillus of type B]. Microbiol Parazitol Epidemiol (Bucur) 1968; 13:55-7. [PMID: 4876036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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