241 results match your criteria: "Mureş County Clinical Hospital[Affiliation]"

Venous thromboembolism (VTE), encompassing deep vein thrombosis and pulmonary embolism, is a significant burden on health and economic systems worldwide. Improved VTE management calls for the integration of biomarkers into diagnostic algorithms and scoring systems for risk assessment, possible complications, and mortality. This literature review discusses novel biomarkers with potential diagnostic and prognostic value in personalized VTE management.

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Metabolic Dysfunction-Associated Steatotic Liver Disease in Type 2 Diabetes Patients-The Relationship with Platelets Indicators.

Medicina (Kaunas)

December 2024

Department M3, Internal Medicine I, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureş, 540142 Târgu Mureş, Romania.

: Metabolic dysfunction-associated steatotic liver disease (MASLD) is an important chronic liver disease with major health risks, especially in the presence of T2DM, but the pathophysiology of this condition is not fully understood. This study aimed to investigate the platelet hematometric indices in patients with T2DM and MASLD. : Demographic and medical (including anthropometric) data were collected from 271 participants, from whom blood samples were also drawn in fasting conditions for complete blood count, liver and metabolic panel, ferritin, haptoglobin, creatinine, and fibrosis markers.

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Epidemiology of kidney biopsy from regional referral center in Romania: 10-year review.

Rom J Intern Med

December 2024

Department of Nephrology, University of Medicine, and Pharmacy "Iuliu Hatieganu" Cluj-Napoca, 8 Victor Babeș Street, 400012 Cluj-Napoca, Romania.

Purpose: To provide epidemiologic data on kidney biopsy from Romania.

Methods: Retrospective observational study of kidney biopsy records for adult patients from a referral center in the north-western part of Romania, reported for 2014-2023.

Results: 556 biopsies were performed, corresponding to an incidence of 12 biopsies/m person-year with over 50% increase over the last reported year.

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Atrial fibrillation (AF) remains the most common cardiac arrhythmia worldwide and is associated with significant morbidity and mortality. The European Society of Cardiology (ESC)/European Association for Cardio-Thoracic Surgery (EACTS) have recently released the 2024 guidelines for the management of AF. This review highlights 10 novel aspects of the ESC/EACTS 2024 Guidelines.

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Article Synopsis
  • A study on COVID-19 patients revealed that changes in lymphocyte subsets correlate with disease severity and outcomes, indicating that immune response variations could impact recovery.
  • Analyzed data from 53 patients categorized as mild, moderate, or severe showed significant decreases in certain T-lymphocyte populations (CD3+CD4+ and CD3+CD8+) in severe cases.
  • The findings suggest that measuring CD3+ lymphocyte levels can help predict fatal outcomes in COVID-19 patients, with higher accuracy when considering additional factors like age and inflammation markers.
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Background: Medullary thyroid carcinoma (MTC), the third most frequent histological type of thyroid malignancy, may be found isolated or as part of multiple endocrine neoplasia type 2 (MEN2). One particular subtype of this autosomal dominant-transmitted syndrome includes an association with cutaneous lichen amyloidosis, although, generally, a tide genotype-phenotype correlation is described in patients who carry proto-oncogene pathogenic variants.

Methods: Our objective was to provide an endocrine perspective of a case series diagnosed with -positive familial MTC associated with cutaneous primary lichen amyloidosis amid the confirmation of MEN2.

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Introduction: The aging population is associated with increased osteoporosis and risk of hip fractures. Cognitive decline has recorded exponential increases in the last decades, with the rise in life expectancy.

Material And Methods: We conducted a prospective study on 65 patients over 65 years old associated with dementia and hip fractures.

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Severe uncontrolled asthma (SUA) affects approximately 5% of asthma patients, leading to frequent exacerbations, reduced lung function, and lower quality of life. Recent biologic therapies target specific inflammatory pathways, offering new options for SUA. : This study aimed to evaluate clinical characteristics, treatment outcomes, and biomarkers in patients with SUA treated with biologics (Omalizumab, Benralizumab, and Dupilumab) at our clinic.

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Background And Aims: The non-dipper pattern is present in about 50 percent of patients with type 2 diabetes (T2D) and hypertension, a status associated with more frequent cardiovascular complications and restrained prognosis. This study aimed to identify simple biomarkers that can be used for the classification of dipper and non-dipper individuals with type 2 diabetes and hypertension.

Method: 138 consecutive patients with type 2 diabetes mellitus (DM) and hypertension underwent 24-hour ambulatory blood pressure monitoring (ABPM), 54 (39.

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The most recent research conducted for the International Federation of Gynecology and Obstetrics indicates that, depending on the stage of cervical cancer (CC), several therapies can provide similar overall survival and progression-free survival rates. To determine the hematologic toxicities during concurrent chemotherapy for cervical cancer, we evaluated these two therapies (cisplatin or carboplatin). Hematologic markers have been studied using statistical models and descriptive statistics.

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Article Synopsis
  • - The study investigates the relationship between heart health and liver disease (MASLD) in patients with type 2 diabetes (T2DM), focusing on how liver fibrosis impacts cardiac function and structure.
  • - It analyzed medical data from 267 T2DM patients with MASLD, finding that those with advanced fibrosis had thicker heart walls, larger heart sizes, and lower heart pumping efficiency compared to those without significant fibrosis.
  • - Results indicate that advanced liver fibrosis is associated with poorer cardiac function, as evidenced by lower ejection fractions and signs of diastolic dysfunction, highlighting the need for understanding these interactions in diabetes care.
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Echinococcosis represents a major public health issue and continues to be endemic in various regions around the world. Hydatid cysts are commonly located in the liver (primary site), followed by the lungs (secondary site). However, they are also found in less typical organs such as the spleen, kidneys, peritoneum, retroperitoneum, pancreas, gallbladder, and various other organs, as well as in striate muscles.

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Background: Heart transplantation (HT) remains the ultimate treatment for end-stage heart failure. An endomyocardial biopsy (EMB) is "the gold standard" diagnostic procedure used in HT rejection surveillance. The aim of this study is to provide a detailed analysis of the histopathological characteristics of the EMB and to investigate if there is a correlation between some histopathological changes, such as fibrosis, vasculitis, Quilty effect (Q.

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Article Synopsis
  • The study explores how depression and ischemic heart disease (IHD) often coexist and affect patient treatment strategies.
  • It analyzes demographic, risk factors, symptoms, and treatment differences between patients with depression only and those with both depression and IHD, using a sample of 332 patients.
  • Key findings indicate that patients with both conditions have more severe symptoms, higher rates of hypertension and diabetes, and require more intensive treatment and cardiac care.
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One of the hallmarks of Alzheimer's disease (AD) is the deposition of amyloid-β (Aβ) within the extracellular spaces of the brain as plaques and along the blood vessels in the brain, a condition also known as cerebral amyloid angiopathy (CAA). Clusterin (CLU), or apolipoprotein J (APOJ), is a multifunctional glycoprotein that has a role in many physiological and neurological conditions, including AD. The apolipoprotein E (APOE) is a significant genetic factor in AD, and while the primary physiological role of APOE in the brain and peripheral tissues is to regulate lipid transport, it also participates in various other biological processes, having three basic human forms: APOE2, APOE3, and APOE4.

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Unlabelled: Aorto-atrial fistula (AAF) and aorto-ventricular fistula (AVF) are a rare, but potentially life-threatening condition, where an anomalous connection forms between the aortic structures and the cardiac atria or ventricles. The exact incidence of this condition is unknown, as are the major precipitating factors and best treatment options. It may be congenital, secondary to conditions such as aortic dissection, infective endocarditis, or valve replacement, or iatrogenic in nature.

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Introduction: Radioactive iodine (RAI) has been utilized for nearly 80 years in treating both hyperthyroidism and thyroid cancer, and it continues to play a central role in the management of differentiated thyroid cancer (DTC) today. Recently, the use of RAI therapy for indolent, low-risk DTC has generated considerable debate. This case-control study evaluated the therapeutic response in DTC patients, comparing outcomes between those who received RAI therapy and those who did not.

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Article Synopsis
  • Gallstones have become increasingly common, affecting around 6% of men and 9% of women in the U.S., with 10-20% of adults in Western countries suffering from this condition.
  • The onset of gallstone symptoms is happening at younger ages than previously observed, leading to increased pain and functional disability among younger populations.
  • A review of 28 articles assessed imaging techniques like ultrasound, CT, and MRI for gallstones, finding notable differences in sensitivity (p < 0.001) but less conclusive results regarding specificity (p = 0.474).
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Low-Density Lipoprotein Cholesterol Gymnastics: Exploring the Advantages and Limitations of the Friedewald, Martin-Hopkins, and Sampson Equations for Personalized Lipid Management.

J Pers Med

September 2024

Department of Laboratory Medicine, Faculty of Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 38 Gheorghe Marinescu, 540142 Targu Mures, Romania.

Article Synopsis
  • The study evaluates the Friedewald equation for estimating LDL cholesterol and compares it with the Martin-Hopkins and Sampson methods, highlighting their advantages and limitations.
  • A cohort of 222 individuals had their LDL-C measured directly and estimated using all three equations, revealing that Martin-Hopkins and Sampson provided more accurate estimates than Friedewald.
  • The findings suggest that while the Martin-Hopkins equation is better for precise LDL-C estimation, clinicians should be cautious of situations that might lead to underestimation, and an algorithm for personalized assessments is proposed.
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Despite the controversies regarding the appropriateness and justification of simultaneous bi- and multi-concomitant surgical procedures, this operative technique is increasingly undertaken for economic reasons. This paper discusses three cases of simultaneous interventions: two involving osteoarticular procedures and one involving a complex approach encompassing general and plastic surgery. The indications in emergency-driven cases are mandatory, life-saving, and limb-saving, and not subject to debate.

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Article Synopsis
  • Type 2 diabetes mellitus (T2DM) affects around 10% of adults worldwide and can complicate the risk of conditions like gastrointestinal bleeding and cancer.
  • In a study of 633 endoscopic patients, those with T2DM had lower instances of epigastric pain and heartburn, but showed significantly higher rates of anemia and lower hemoglobin and serum iron levels.
  • The results suggest that while T2DM is linked to increased gastritis and certain risks, it appears to have an inverse relationship with gastroesophageal reflux symptoms, and smoking further elevates the risk of infection.
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Article Synopsis
  • Familial hypercholesterolemia (FH) is a major genetic risk factor for coronary heart disease, with this study focusing on the less understood polygenic form instead of the more commonly addressed monogenic type.
  • The research involved analyzing an 8-SNP LDLC polygenic score in a Romanian cohort of 125 patients with premature coronary heart disease (PCHD) and 97 healthy controls, finding significant correlations between the polygenic score and various health metrics like low-density lipoprotein cholesterol levels (LDLC) and body mass index (BMI).
  • Results showed that individuals with higher polygenic scores were more likely to experience elevated LDLC levels and PCHD, suggesting the potential for better risk prediction and patient stratification
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A Review of the Prognostic Significance of Neutrophil-to-Lymphocyte Ratio in Nonhematologic Malignancies.

Diagnostics (Basel)

September 2024

Department of Laboratory Medicine, Faculty of Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 38 Gheorghe Marinescu, 540142 Targu Mures, Romania.

Biomarkers are crucial in cancer diagnostics, prognosis, and surveillance. Extensive research has been dedicated to identifying biomarkers that are broadly applicable across multiple cancer types and can be easily obtained from routine investigations such as blood cell counts. One such biomarker, the neutrophil-to-lymphocyte ratio (NLR), has been established as a prognostic marker in cancer.

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Introduction: Road Traffic Accidents (RTAs) are the leading cause of premature death in young people aged 5-29. Globally, 186,300 children aged 9 years and under die from RTAs each year. Romania had the highest mortality rate in children aged 0 to 14 for 2018-2020.

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Hip fractures are a serious global health concern with a substantial impact on senior patients' mobility, quality of life, and morbidity. Patients with psychiatric pathology may experience heightened levels of distress, making pain management more challenging. The presence of multiple comorbidities may complicate the therapeutic management of hip fractures.

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