Publications by authors named "Laurentiu Mihai Dȋra"

Unlabelled: Premature rupture of membranes (PROM) and cervical incompetence (CI) are major contributors to preterm birth, a leading cause of neonatal morbidity and mortality.

Background/objectives: Disorders of the vaginal microbiota, such as bacterial vaginosis, have been associated with an increased risk of PROM, CI, and subsequent preterm birth. Probiotics, particularly Lactobacillus strains, have been proposed as a preventive strategy to restore and maintain a healthy vaginal microbiome.

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The oral mycobiome plays a critical role in maintaining oral and systemic health, with its composition and function influenced by various physiological and environmental factors. This descriptive review explores the changes in the oral mycobiome among postmenopausal women, examining how aging and associated inflammatory processes contribute to these alterations. These changes are linked to an increased prevalence of xerostomia, oral dysbiosis, and inflammation, which can negatively impact both oral and systemic health.

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Article Synopsis
  • Cleft lip and palate are common congenital defects, and early diagnosis is crucial for effective management.
  • This study examined 17 pregnancies with prenatally diagnosed cleft lip and palate, using methods like ultrasound and amniocentesis to analyze genetic factors.
  • Out of 17 cases, 52.94% were associated with genetic syndromes, including Patau and Edwards syndromes, highlighting the importance of a comprehensive assessment for accurate diagnosis and treatment.
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Background: We aimed to evaluate the usefulness of three-dimensional (3D) reconstruction of histology slides to confirm congenital heart disease (CHD) detected by first-trimester fetal cardiac ultrasonography. Conventional autopsy is hindered by the small size of the first-trimester fetal heart, and current CHD confirmation studies employ the use of highly specialized and expensive methods.

Technique: An extended first-trimester ultrasound examination protocol was used to diagnose fetal heart anomalies.

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Objective: Our objective was to demonstrate the role of the clinical determination of fetal head station (FHS) at term to predict the delivery mode in primiparous women before the onset of labor.

Methods: This prospective study included unselected primiparous women at term who presented at our tertiary maternity. We excluded multiparous patients, pregnancies with a planned Cesarean section, non-cephalic presentations, and multiple pregnancies.

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Ectopic endometrial epithelium associates a wide spectrum of symptomatology. Their evolution can be influenced by inflammatory and vascular changes, that affect not only the structure and cell proliferation rate, but also symptoms. This prospective study involved tissue samples from surgically treated patients, stained using classical histotechniques and immunohistochemistry.

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To evaluate the prenatal diagnosis of agenesis of ductus venosus (ADV) and portal venous system (PVS) anomalies and describe the outcome of these cases, either isolated or associated. We evaluated the intrahepatic vascular system regarding the presence of normal umbilical drainage and PVS characteristics in the second and third trimester of pregnancy. The associated anomalies and umbilical venous drainage were noted.

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. The risk of developing invasive cancer increased during the COVID-19 pandemic, especially in Romania, where the incidence of this disease is high due to limited medical education and broad screening. This study's objective is to analyze the number of patients admitted with different types of cervical dysplasia and the treatment applied for the lesions during the SARS-CoV-2 pandemic compared to the same period for the year before the pandemic.

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Article Synopsis
  • The study aims to develop sonopartograms using ultrasound to provide a more accurate evaluation of labor progression compared to traditional pelvic estimations, enhancing decision-making for delivery methods.
  • It's a prospective observational study conducted at three university hospitals involving both clinical and ultrasound assessments of fetal head positioning, descent, and rotation among women in labor.
  • The research also intends to explore differences in delivery outcomes based on fetal head position, compare findings with existing partogram models, and ensure ethical standards are met throughout the study's implementation and reporting.
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