Publications by authors named "Muntean M"

Analyzing IoT data is an important challenge in the smart cities domain due to the complexity of network traffic generated by a large number of interconnected devices: smart cameras, light bulbs, motion sensors, voice assistants, and so on. To overcome this issue, a multi-agent system is proposed to deal with all machine learning steps, from preprocessing and labeling data to discovering the most suitable model for the analyzed dataset. This paper shows that dividing the work into different tasks, managed by specialized agents, and evaluating the discovered models by an Expert System Agent leads to better results in the learning process.

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Black chokeberry ( Elliot) represents a rich source of dietary polyphenols and other bioactive phytochemicals with pleiotropic beneficial cardiovascular effects. The present study was aimed at evaluating the ex vivo effects of two black chokeberry extracts (BChEs), obtained from either dry (DryAr) or frozen (FrozAr) berries, on oxidative stress and vascular function in mice aortic rings after incubation with angiotensin 2 (Ang 2), lipopolysaccharide (LPS) and glucose (GLUC) in order to mimic renin-angiotensin system activation, inflammation and hyperglycemia.

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Background: The vasoactive-inotropic score (VIS) predicts unfavorable outcomes after cardiac surgery in both children and adults. In our adult population, we investigated whether preoperative levels of vitamin D can predict the VIS and whether both vitamin D and the VIS can predict adverse outcomes following major heart surgery.

Methods: Between 1 October 2021 and 28 February 2022, 300 patients underwent major cardiac surgery at our institution.

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  • * It reviews pharmacological treatments for common sleep issues like REM sleep behavior disorder (RBD), excessive daytime sleepiness (EDS), insomnia, and restless legs syndrome (RLS), emphasizing the use of melatonin, clonazepam, modafinil, and caffeine.
  • * The article suggests that optimizing dopaminergic treatments at night and maintaining good sleep hygiene can improve sleep quality, but more evidence is needed to widely recommend some of the therapies mentioned.
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  • Perforator mapping is essential for planning microsurgical free flaps in breast reconstruction, with various mapping techniques available.
  • A study involving 33 patients showed that using Dynamic Infrared Thermography (DIRT) and Colour Doppler Ultrasonography (CDUS) can effectively identify perforators, potentially replacing Computed Tomography Angiography (CTA).
  • Results indicated a high confirmation rate of perforators detected by DIRT and CDUS, with DIRT being faster and equally accurate compared to CTA, suggesting that these methods could streamline preoperative assessment.
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  • The review highlights the significance of skin flap viability after mastectomy in immediate breast reconstruction and aims to compare current perfusion assessment methods.
  • Researchers analyzed data from four major scientific databases, including studies published in English over the last decade, resulting in a total of 58 relevant studies.
  • Indocyanine green angiography (ICG-A) is identified as the most preferred tool for assessing perfusion, especially in at-risk patients, while emerging technologies show potential for future use, emphasizing the importance of complementing these tools with clinical evaluation.
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This paper seeks to report and emphasize the most important aspects from the scientific literature about the diagnostic accuracy of the amniotic fluid "sludge" (AFS), its characterization, its treatment, and its association with premature birth. AFS is defined as a floating freely hyperechogenic material within the amniotic cavity in the proximity of the internal os. We conducted a search on Pubmed and Google Scholar for relevant articles on the subject of amniotic fluid "sludge" published until January 2024.

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Humans may become accidental dead-end hosts for a series of zoonotic foodborne parasites, of which , spp., spp., and are of major public health interest, due to their potential pathological implications.

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: This study aimed to investigate the serum level of adipolin and adiponectin in healthy pregnant women and pregnant women with gestational diabetes mellitus (GDM) during the second trimester, the prepartum period, and in the newborns of these patients. : A total of 55 women diagnosed with GDM and 110 healthy pregnant women were included in this study. Pearson's and Spearman's correlation coefficients were calculated to determine the association of adipolin and adiponectin with anthropometric markers of obesity (body mass index (BMI), mid-upper arm circumference (MUAC), tricipital skinfold thickness (TST)), inflammation markers (neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), C-reactive protein (CRP)), and maternal glucose homeostasis parameters (fasting glucose, insulin, C peptide, glycosylated hemoglobin A1c (HbA1c), Insulin Resistance-Homeostatic Model Assessment (IR HOMA)).

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Patient compliance in chronic illnesses is essential for disease management. This also applies to age-related macular degeneration (AMD), a chronic acquired retinal degeneration that needs constant monitoring and patient cooperation. Therefore, patients with AMD can benefit by being properly informed about their disease, regardless of the condition's stage.

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: Pyoderma gangrenosum (PG) is a rare, autoimmune skin condition characterized by painful, rapidly progressing ulcers, often associated with autoimmune dysregulation. Managing PG following breast surgery presents unique challenges due to its pathergy phenomenon, which complicates surgical interventions. This article outlines the case of PG in a 48-year-old female post-breast surgery and reviews management strategies through a systematic analysis of the literature.

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Since transcription factor Forkhead Box P3 (FoxP3) was identified as a specific regulatory T cell (Treg) marker, researchers have scrutinized its value as a potential novel therapeutic target or a prognostic factor in various types of cancer with inconsistent results. The present analysis was performed to assess the influence of Treg FoxP3 expression on the prognosis of primary melanoma and to evaluate the correlations with various clinicopathological prognostic factors. We analyzed all eligible patients with stage pT3 primary malignant melanomas treated in a tertiary cancer center.

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Hepatocellular carcinoma is the most common primary malignancy of the liver, with hepatocellular differentiation. It is ranked sixth among the most common cancers worldwide and is the third leading cause of cancer-related deaths. The most important etiological factors discussed here are viral infection (HBV, HCV), exposure to aflatoxin B1, metabolic syndrome, and obesity (as an independent factor).

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Parkinson's disease is increasingly prevalent. It progresses from the pre-motor stage (characterised by non-motor symptoms like REM sleep behaviour disorder), to the disabling motor stage. We need objective biomarkers for early/pre-motor disease stages to be able to intervene and slow the underlying neurodegenerative process.

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Lysosomal and synaptic dysfunctions are hallmarks in neurodegeneration and potentially relevant as biomarkers, but data on early Parkinson's disease (PD) is lacking. We performed targeted mass spectrometry with an established protein panel, assessing autophagy and synaptic function in cerebrospinal fluid (CSF) of drug-naïve de novo PD, and sex-/age-matched healthy controls (HC) cross-sectionally (88 PD, 46 HC) and longitudinally (104 PD, 58 HC) over 10 years. Multiple markers of autophagy, synaptic plasticity, and secretory pathways were reduced in PD.

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Cardiac rehabilitation (CR) patients often do not sustain physical activity (PA) behaviour in the long run, once they progress into a self-management stage of secondary prevention. This study aimed to explore former CR patients' PA preferences, determinants (i.e.

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Article Synopsis
  • The keystone perforator island flap (KPIF) is becoming a popular choice in plastic surgery for reconstructing large and complex defects due to its simple harvesting technique and less risk of complications.
  • The study aims to investigate and document the tension-reducing effects of different types of KPIFs on wound closure, which could enhance understanding of their biomechanical benefits.
  • The experimental study used 12 porcine models to test 42 "unclosable" wounds, measuring intraoperative tissue tension during the application of various KPIF types.
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Background: C-reactive protein (CRP) represents an early clinical biomarker that indicates the presence of inflammatory or infectious conditions in the human body. Today's procedures approved by the Food and Drug Administration (FDA) imply expensive equipment and highly trained personnel to perform the test. Therefore, a new diagnostic method with high detection efficiency and less cost is urgently needed for delivering rapid and timely results in point-of-care (POC) service.

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  • The study investigates two important zoonotic protozoan pathogens that affect humans and other animals, focusing on their prevalence in Northwestern Romania, where data is limited.
  • Researchers analyzed 426 fecal samples from hospitalized patients between June 2022 and January 2024, using tests and molecular techniques to identify the parasites.
  • Findings showed that 2.82% of samples contained one parasite and 0.94% contained another; symptomatic patients reported significantly more nausea and vomiting, highlighting the need for better understanding and management of these infections.
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Antimicrobial resistance (AMR) is a worldwide healthcare problem. Multidrug-resistant organisms (MDROs) can spread quickly owing to their resistance mechanisms. Although colonized individuals are crucial for MDRO dissemination, colonizing microbes can lead to symptomatic infections in carriers.

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Background: The appearance of COVID-19 had a major impact on healthcare and the epidemiology of other diseases. Following the cessation of non-pharmacologic interventions destined to limit the spread of COVID-19, influenza reemerged. The aim of this study was to compare the pre-pandemic influenza seasons with the influenza seasons after the emergence of the COVID-19 pandemic, and to identify differences in terms of clinical characteristics, risk factors, complications, outcomes, and antiviral and antibiotic treatments.

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Cystic echinococcosis (CE) is a zoonosis caused by metacestodes, the larval stage of . Although the World Health Organization (WHO) has defined CE as a neglected disease, it is the second most important foodborne parasitic disease, and it remains an important public health issue, considering its zonal endemicity and potential morbidity. The control and prevention of CE is a relevant WHO target, especially from a One Health perspective, as the disease affects not only animals and humans but also the food chain.

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Background: The COVID-19 pandemic disrupted the healthcare system and negatively affected the diagnosis and management of melanoma worldwide. The purpose of this study is to investigate the long-term effects of the COVID-19 pandemic on the diagnosis and prognosis of melanoma.

Materials And Methods: This retrospective cohort study included histopathologically confirmed melanoma cases from March 2019 to February 2023 in Cluj and Bihor counties.

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The aim of this study was to ascertain patient characteristics, outcomes, and liver injuries in patients infected with different SARS-CoV-2 variants. Data from consecutive adult patients with severe/critical COVID-19 admitted to our hospital during the peak month of the Delta wave were compared to the ancestral, Alpha, and Omicron waves. The dataset of 551 hospitalized patients was similar in the Delta/non-Delta waves.

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