Publications by authors named "Alina D Nicoara"

Recent advances have highlighted the gut microbiota as a significant contributor to the development and progression of atherosclerosis, which is an inflammatory cardiovascular disease (CVD) characterized by plaque buildup within arterial walls. The gut microbiota, consisting of a diverse collection of microorganisms, impacts the host's metabolism, immune responses, and lipid processing, all of which contribute to atherosclerosis. This review explores the complex mechanisms through which gut dysbiosis promotes atherogenesis.

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  • Intestinal endometriosis is a rare but significant cause of intestinal obstruction, and this case report emphasizes the challenges in diagnosis and management associated with the condition.
  • A 50-year-old woman experiencing severe abdominal pain and symptoms of blockage underwent diagnostic imaging, which revealed small bowel dilation and an ileal volvulus, ultimately leading to surgical intervention.
  • Post-surgery, the patient's recovery was gradual, with a later successful reversal of an ileostomy, highlighting the need for awareness of intestinal endometriosis in women with gastrointestinal symptoms and the importance of prompt surgical management.
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  • Hepatic cirrhosis is increasingly common worldwide, but its development mechanisms are not fully understood; this study aimed to link thyroid hormone levels (T3, fT4, and TSH) with survival in chronic liver disease patients.
  • The study involved 419 patients with liver cirrhosis, using the MELD score and ELISA procedures to analyze thyroid hormone levels and confirm diagnoses through clinical symptoms and tests.
  • Results showed a positive correlation between MELD scores and TSH levels; patients who did not survive had higher TSH levels, while T3 and fT4 changes were not significant, suggesting TSH could be an important marker for monitoring liver cirrhosis progression.
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Recent research indicates that the microbiome has a significant impact on the progression of inflammatory bowel disease (IBD) and that creating therapies that change its composition could positively impact the outcomes of IBD treatment. This review summarizes the results of extensive studies that examined IBD patients undergoing several therapies, including anti-TNF medication, vedolizumab, ustekinumab, probiotics, and fecal microbiota transplantation (FMT), and the alterations in their gut microbiota's composition and function. The objective was to investigate the variety and effectiveness of microbial species in order to discover new biomarkers or therapeutic targets that could improve the outcome of treatment for these patients.

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It is well known that rheumatoid arthritis (RA) patients are at an increased risk of developing non-infectious pulmonary complications, especially interstitial lung disease (ILD); however, the clinician must keep in mind that lung disease could not only be a manifestation of the underlying condition, but also a consequence of using disease-modifying therapies. New-onset ILD or ILD worsening has also been reported as a possible consequence of both conventional disease-modifying antirheumatic drugs (DMARDs) and biologic agents. This study is a narrative review of the current literature regarding the potential risk of developing interstitial lung disease along with the administration of specific drugs used in controlling rheumatoid arthritis.

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Autosomal dominant polycystic kidney disease (ADPKD) is the most common genetic kidney disease, and it leads to end-stage renal disease (ESRD). The clinical manifestations of ADPKD are variable, with extreme differences observable in its progression, even among members of the same family with the same genetic mutation. In an age of new therapeutic options, it is important to identify patients with rapidly progressive evolution and the risk factors involved in the disease's poor prognosis.

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Bardet-Biedl syndrome (BBS) represents a rare ciliopathy recessive autosomal inherited. The main clinical features are retinal dystrophy, postaxial polydactyly, obesity, different degrees of cognitive deficit, renal impairment, hypogonadism and genital malformations. The genetic explanation consists in BBS genes mutations, which encode modified proteins, altering the function of the immotile cilia.

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