Publications by authors named "Barbulescu A"

Article Synopsis
  • The study aimed to assess the potential of vitamin D, the neutrophil to lymphocyte ratio (NLR), and the systemic inflammation index (SII) as biomarkers for identifying flares in systemic lupus erythematosus (SLE).
  • Researchers conducted a thorough examination and analyzed blood samples from individuals with SLE to evaluate their disease activity using established criteria (EULAR/ACR 2019).
  • Results indicated that both NLR and SII are strong predictors of severe disease flares, while vitamin D levels showed a weaker connection to disease severity, suggesting a need for more research on its role.
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Background: Systemic sclerosis (SSc) is a complex connective tissue disease characterized by microangiopathy, immune dysregulation, and fibrosis. Early detection of microvascular abnormalities using nailfold videocapillaroscopy (NVC) is crucial in assessing disease progression and associated disease's involvement such as interstitial lung disease (ILD) and pulmonary arterial hypertension (PAH).

Objective: This study aims to explore the relationships correlation between NVC patterns, clinical manifestations, and systemic complications in SSc.

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  • A study involving 65 gout patients and 40 healthy individuals investigated the presence of subclinical carotid atherosclerosis, which is a risk factor for cardiovascular disease, through ultrasound examinations.
  • The findings showed a significantly higher prevalence of increased carotid intima-media thickness (CCAIMT) and carotid plaques in gout patients compared to the controls, indicating a potential connection between gout and cardiovascular risks.
  • Various factors, such as serum uric acid levels, age, disease duration, and low-density lipoprotein cholesterol, were found to independently contribute to the increased carotid thickness and plaque formation in gout patients, emphasizing the usefulness of carotid ultrasound as a diagnostic tool.
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  • The study involved 54 psoriasis (PsO) patients and 40 control subjects to investigate the prevalence of metabolic syndrome (MetS) and its link to subclinical atherosclerosis, assessed through carotid ultrasound.
  • Results showed that 64.81% of PsO patients had MetS compared to only 27.5% of control patients, indicating a significant difference in metabolic health between the two groups.
  • The findings also revealed a higher incidence of carotid plaque and increased intima-media thickness (IMT) in PsO patients with MetS, suggesting a strong correlation between MetS, psoriasis, and an elevated risk of cardiovascular issues.
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  • Phase Change Materials (PCMs) are being explored for improving energy storage efficiency, while graphene oxide (GO) materials are recognized for their antibacterial and pollutant-removing properties.
  • The integration of nanoparticles to form Nano-Enhanced Phase Change Materials (NEPCMs) allows for optimized performance in sustainable energy applications, particularly in solar energy storage systems.
  • In the study, paraffin RT31 mixed with Cu nanoparticles and GO showed significant improvements in latent heat and thermal conductivity, with the most effective formulations exhibiting a 12.07% increase in latent heat and a 12.5% increase in thermal conductivity at specific concentrations.
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The present study is aimed at assessing the presence and prevalence of subclinical entheseal changes in Psoriasis (PsO) patients using musculoskeletal ultrasonography (US), conjoined with the analysis of possible differences in terms of demographic, clinical, or biological features. We carried out an observational study on 54 patients with PsO and 40 controls. Subclinical enthesopathy, according to OMERACT definitions, was identified in 20 of the psoriasis patients (37.

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The accurate diagnosis of gout frequently constitutes a challenge in clinical practice, as it bears a close resemblance to other rheumatologic conditions. An undelayed diagnosis and an early therapeutic intervention using uric acid lowering therapy (ULT) is of the utmost importance for preventing bone destruction, the main point of managing gout patients. Advanced and less invasive imaging techniques are employed to diagnose the pathology and ultrasonography (US) stands out as a non-invasive, widely accessible and easily reproducible method with high patient acceptability, enabling the evaluation of the full clinical spectrum in gout.

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This study aims to analyze the changes in dermal thickness in patients with systemic scleroderma (SSc) in comparison with normal skin and also compare clinical forms with diffuse and limited cutaneous involvement. The study group consisted of female patients diagnosed with SSc with a disease history not exceeding 5 years. The areas of interest for ultrasound examination included the proximal phalanx of the third finger, the second intermetacarpal space, and the extension surface of the lower third of the forearm.

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Vascular hamartomas represent a focal proliferation of disorganized vascular tissue, which is usually present at birth. An 8-month-old Scottish fold female cat presented with abdominal distention, mild dyspnea, pale mucous membranes, and lethargy. Ultrasound examination revealed a hepatic mass resembling multiple cysts affecting the right medial lobe.

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Psoriasis is a chronic recurrent inflammatory autoimmune pathology with a significant genetic component and several interferences of immunological cells and their cytokines. The complex orchestration of psoriasis pathogenesis is related to the synergic effect of immune cells, polygenic alterations, autoantigens, and several other external factors. The major act of the IL-23/IL-17 axis, strongly influencing the inflammatory pattern established during the disease activity, is visible as a continuous perpetuation of the pro-inflammatory response and keratinocyte activation and proliferation, leading to the development of psoriatic lesions.

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Global pollution demands continuous attention and concerted efforts to reduce its effects [...

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The article aims to analyze the pollution with Volatile Organic Compounds (VOC) emitted from the biggest refinery in Romania, using the daily and monthly series registered for two years in two sites on the industrial platform, and the carcinogenic and noncarcinogenic risks for workers at the industrial plant. Since the values of the basic statistics (minimum, maximum, and average) and outliers indicate that most recorded values exceed the maximum admissible limits established by law, the Peaks Over Threshold (POT) method was utilized to model the maximum values of the series and determine the return levels for benzene and total VOC (TVOC). Given the high values obtained for relatively short return periods, indicating potential danger for the workers, we assessed the noncarcinogenic and carcinogenic risks to benzene and TVOC exposure by computing the hazard index (HI) and lifetime cancer risk (LCR).

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This study offers a detailed analysis of the fine particulate matter (PM) series in the Arabian Gulf zone, employing three interpolation models, Inverse Distance Weighting (IDW), Bicubic Spline Smoothing (BSS) and Spatio-Temporal Kriging (STK). Unique advancements include the use of complete temporal records in IDW, the management of edge effects in S with synthetic buffer points, and the application of STK to detrended data residuals. The results indicated that the BBS, particularly adept at handling boundary conditions, significantly outperformed the other methods.

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  • The study analyzed mortality rates in patients with acromegaly over the past few decades, finding an overall improvement and identifying factors related to mortality before and after the implementation of treatment protocols.
  • A total of 399 patients were reviewed, with 31.07% cured and a significant but low mortality rate (0.017%) during an average follow-up of 13 years, indicating that factors like hormone levels and surgical treatment are crucial to survival.
  • Sex differences were observed, showing higher mortality risks for females (SMR = 1.63) compared to males (SMR = 0.99), with females diagnosed earlier having the highest ratios.
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  • Hyperuricemia is identified by serum uric acid levels over 6.8 mg/dL, but only 15-20% of hyperuricemic individuals develop gout; this study explores the "snowstorm" ultrasound feature for identifying hyperuricemia.
  • A study with 108 patients revealed a significant relationship (p=0.005) between the presence of hyperechogenic spots on ultrasound and serum uric acid levels, indicating a medium association with gout or asymptomatic hyperuricemia.
  • The research determined that urate begins to precipitate in synovial fluid at lower serum uric acid levels than previously thought, with a cut-off identified at 4.815 mg/dL, and
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This study presents the efficiency of a drinking water treatment plant from Constanța, Romania. Individual and aggregated indices are proposed and built using nine water parameters for this aim. The analysis of individual indices permits the detection of the period of malfunctioning of the water treatment plant with respect to various parameters at various sampling points.

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The microbiota-gut-brain axis has garnered increasing attention in recent years for its role in various health conditions, including neuroinflammatory disorders like complex regional pain syndrome (CRPS). CRPS is a debilitating condition characterized by chronic neuropathic pain, and its etiology and pathophysiology remain elusive. Emerging research suggests that alterations in the gut microbiota composition and function could play a significant role in CRPS development and progression.

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Nowadays, people spend most of their time indoors. Despite constantly cleaning these spaces, dust apparition cannot be avoided. Since dust can contain chemical elements that negatively impact people's health, we propose the analysis of the metals from the indoor dust component collected in different locations in Dubai, UAE.

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  • Complex Regional Pain Syndrome (CRPS) is a condition marked by chronic pain and a range of sensory, motor, and autonomic symptoms, influenced by factors like neuroinflammation and nervous system dysfunction.
  • Antioxidants may help mitigate CRPS by reducing oxidative stress, which is linked to inflammation and tissue damage that increase harmful reactive oxygen species (ROS) in the body.
  • A preliminary study is exploring the effectiveness of natural-based products with antioxidant properties, such as vitamins C and E and various botanical extracts, in potentially alleviating pain and inflammation in CRPS.
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Nowadays, climate change and atmospheric pollution are two of humanity's most significant challenges. Greenhouse gases (GHGs) are responsible for climate change, and they create effects that are mostly irreversible. Therefore, monitoring and reducing such emissions are compulsory for the preservation of the environment for future generations.

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Ensuring good drinking water quality, which does not damage the population's health, should be a priority of decision factors. Therefore, water treatment must be carried out to remove the contaminants. Chlorination is one of the most used treatment procedures.

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This study presents the impact on human health by consuming medicinal herbs with high melliferous potential (HMPs) from botanical areas with different pollution levels. First, the bioaccumulation of the plants' parts has been determined. The study assessed the potential health risks associated with the ingestion of various mineral species (macroelements-K, Ca, Mg, Na; microelements-Fe, Mn, Cu, Zn, and one trace element Cd) from three types of HMPs ( (), (), and ()).

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The fractal approach is one of the nondestructive techniques for analyzing corrosion's effects on different materials. This article utilizes it to analyze the erosion-corrosion produced by cavitation on two types of bronze introduced into an ultrasonic cavitation field to investigate the differences between their behavior in saline water. The aim is to check the hypothesis that the fractal/multifractal measures significantly differ for the studied materials that belong to the same class (bronze) as a step in applying fractal techniques to distinguish between two materials.

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Identifying certain serum biomarkers associated with the degree of rheumatoid arthritis (RA) activity can provide us with a more accurate view of the evolution, prognosis, and future quality of life for these patients. Our aim was to analyze the presence and clinical use of matrix metalloproteinase-13 (MMP-13), along with vascular endothelial growth factor (VEGF) and well-known cytokines such as tumor necrosis factor-alpha (TNF-α) and interleukin 6 (IL-6) for patients with RA. We also wanted to identify the possible correlations between MMP-13 and these serological markers, as well as their relationship with disease activity indices, quality of life, and ultrasonographic evaluation.

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Objective: Observational studies have reported an increased risk of infections associated with glucocorticoids in RA, not supported by evidence from randomized controlled trials. Inappropriately accommodating time-varying exposure and confounding in observational studies might explain the conflicting results. Therefore, we compared the incidence of serious infections between different oral glucocorticoid dose patterns over three years in a prospective inception cohort, adjusting for time-varying confounders in marginal structural models.

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