Papers by Anamaria CIUBARA
Romanian Journal of Pediatrics
Consimţământul informat a devenit o componentă majoră, dar şi obligatorie în practica medicală co... more Consimţământul informat a devenit o componentă majoră, dar şi obligatorie în practica medicală contemporană, numeroase foruri şi publicaţii subliniind comandamentele sale etice şi psihologice, ca şi modalităţile de obţinere şi mai ales implicaţiile de ordin legal. Implicaţiile acestei proceduri în cazul pediatriei sunt complexe, câteodată confuze sau insuficient intelese. Astfel dacă în cazul consultului clinic sau al actelor medicale simple, consimţământul poate fi considerat implicit, în situaţia unor manevre provocatoare de disconfort psihic sau fizic, investigaţii invazive – în care este inclusă şi endoscopia sau acte terapeutice presupunând posibilitatea unor riscuri sau complicaţii, obţinerea unui consimtământ informat din partea parinţilor sau aparţinătorilor legali şi respectiv a unui acord (accept) din partea unui copil evoluat din punct de vedere intelectual, psihologic şi social devine mandatorie. Trebuie totuşi clarificate nuanţele nu numai semantice între consimţământ ş...
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Romanian Journal of Pediatrics
Introducere. Deşi liposarcomul de ţesuturi moi este o tumoră frecventă, liposarcomul primar osos ... more Introducere. Deşi liposarcomul de ţesuturi moi este o tumoră frecventă, liposarcomul primar osos este foarte rar, fiind localizat în special în oasele lungi. Material şi metodă. Prezentăm cazul unei paciente în vârstă de 14 ani, spitalizată în Spitalul Clinic de Urgenţă pentru Copii „Sfânta Maria“ din Iaşi pentru durere, impotenţă funcţională şi tumefacţia bratului drept, simptome ce au debutat cu 24 de ore anterior internării, ca urmare a unui traumatism prin cădere al braţului drept. Radiografia osoasă a evidenţiat o masă tumorală în porţiunea proximală a humerusului, asociată cu o fractură patologică. Rezultate. S-a realizat o biopsie la nivelul tumorii, iar analiza anatomopatologică (histologică şi imunochimică) a documentat proliferare liposarcomatoasă malignă. Concluzie. Diagnosticul anatomopatologic final, corelat cu examenul fizic, care a exclus posibilitatea unei metastaze osoase liposarcomatoase, a fost aceea de liposarcom primar osos. Particularitatea cazului: tumoră foar...
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Romanian Journal of Pediatrics, 2015
Endoscopia digestivă, una dintre cele mai frecvente investigaţii invazive în gastroenterologia pe... more Endoscopia digestivă, una dintre cele mai frecvente investigaţii invazive în gastroenterologia pediatrică, nu este lipsită de riscuri. Complexul de măsuri necesare acestei manevre cuprinde: evaluarea corectă a bolnavului ţinând seama de indicaţiile şi contraindicaţiile endoscopiei, obţinerea consimţământului informat, pregătirea psihologică a părinţilor/copilului, aplicarea unor restricţii dietetice, profilaxia infecţiilor. De asemenea, trebuie ales tipul de anestezie, monitorizarea continuă intra şi post-procedurală pentru evitarea complicaţiilor legate de procedură sau de reacţii adverse medicamentoase.
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Romanian Journal of Infectious Diseases, 2015
Helicobacter pylori (HP) infection is a very important pathogenic link in children with gastroduo... more Helicobacter pylori (HP) infection is a very important pathogenic link in children with gastroduodenal pathologies. The bacterial implication, in the pathogeny of the digestive diseases and in the development of some extradigestive diseases, is very well known nowadays. The prevalence of the infection differs between geografic areas, it is declining in the developed countries and it is high in the population of the countries in development. It is a fact that there are bacteria which affect specifically an organ, but in the same time, can lead to systemic alterations throughout the entire body. The chronic infection with H. Pylori is associated with anaemia, weight and height loss. The increase of the quality and accuracy inidentifying the H. Pylori infection leads to a low rate of complications of the infection by applying the correct and early treatment.
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Revista română de pediatrie, Dec 31, 2015
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Romanian Journal of Pediatrics, 2015
Agenţii antiinflamatori nesteroidieni (AINS) produc leziuni gastrice prin intermediul a două meca... more Agenţii antiinflamatori nesteroidieni (AINS) produc leziuni gastrice prin intermediul a două mecanisme: iritaţia locală şi acţiunea sistemică. Un copil în vârstă de 2 ani şi 10 luni, sex feminin, a primit AINS timp de 2 zile pentru o infecţie acută a tractului respirator superior şi a prezentat vărsături în "zaţ de cafea" o zi mai târziu. Endoscopia digestivă superioară a evidenţiat o leziune de ulcer gastric. Biopsia gastrică a fost negativă pentru infecţia cu H. pylori, iar pacienta a fost diagnosticată cu ulcer gastric acut indus de consumul de AINS în absenţa altor cauze de ulcer gastric. Ulcerele gastrice se dezvoltă foarte rar după o administrare pe termen scurt de AINS, fapt ce a determinat raportarea acestui caz. Luând în considerare atât riscurile cât şi beneficiile terapiei cu AINS, este indicat ca în cazul fiecărui pacient care trebuie să urmeze un tratament cronic cu medicamente antiinflamatorii să fie căutaţi posibilii factori de risc asociaţi.
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European Psychiatry
IntroductionThe paper presents the results of one international study due by our team in the peri... more IntroductionThe paper presents the results of one international study due by our team in the period of restrictions imposed by Covid-19, between March and June 2020.ObjectivesTo inform the population about the risks concerning the excessiv use of internet To prevent the effects of those behaviors which affects the global functioning of individualsMethodsQuestionnaire applied to a number of 549 subjects, 18 to 60 years old, 217 from Romania and 332 from other European and Asian countriesResultsThe results allowed us to verify the assumption that there is a change in communications needs of individuals, as well gender and age differences in terms of time spent on the internet during the covid period.ConclusionsThe issue of psycho-education regarding the awareness of dangers and the traps of the virtual era remain relevant.
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European Psychiatry
IntroductionExcessive alcohol consumption is an ever-topical issue regardless of social or medica... more IntroductionExcessive alcohol consumption is an ever-topical issue regardless of social or medical problems (pandemic). In these conditions (global medical crisis),to the problem of alcohol consumption has been added a new dimension.ObjectivesThe main purpose of this study is to analyze the impact of the COVID-19 pandemic on hospitalizations diagnosed with acute intoxication in the hospital. In Romania, the measures due to the pandemic were instituted starting with March 15 2020.MethodsThe study was performed retrospectively between 01.01.2020 - 30.09.2020 in the Psychiatric Hospital ‘Elisabeta Doamna’ Galati. ICD-10 criteria were used to establish the diagnosis of the disorder.ResultsIn total, 458 cases were admitted during the period mentioned, of which 401 were male (87.56%), female 57 cases (12.44%). The average age of patients was 45.67 years ± 0.695, with minimum age of 19 years and maximum age of 93 years. The month with the most admissions was January with 80 (17.46%) March ...
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Revista română de pediatrie, Jun 30, 2014
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Revista română de pediatrie, Jun 30, 2014
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Revista De Cercetare Si Interventie Sociala, 2017
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Broad Research in Artificial Inteligence Neuroscience, Jul 19, 2021
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Broad Research in Artificial Inteligence Neuroscience, Jun 30, 2020
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Acta Medica Transilvanica, Jun 1, 2012
Given the fact that in Romania, the chronic alcohol consumption is a matter of public health and ... more Given the fact that in Romania, the chronic alcohol consumption is a matter of public health and that the media has intensely published certain studies regarding wine consumption (the speculative, near-sensational conclusions are most of the times presented), a critical approach of these studies is necessary. All these studies have as a starting point the extremely complex composition of wine (rightfully associated with that of the blood). This extremely complex composition has become the object of thorough studies whose results have been included into various treaties of oenochemistry. But, it is from the same complexity that the trends of current researches derive. At the moment, there are two broad directions of study. The former in anchored at the level of fundamental research and approaches the effects of the metabolically active substances present in the composition of wine, their analysis including problems of molecular biology. The other line of research is represented by population oriented studies, conducted especially by nutritionists, often based on questionnaires. As a conclusion, we state that a pragmatic approach of the research regarding the influence of metabolically active compounds of wine is necessary, as well as an explicit presentation of the conclusions of these studies before their dissemination in the media, because for the moment, the results of the research, especially if they are accompanied by spectacular conclusions, are heavily publicized.
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Archiv EuroMedica, Oct 17, 2021
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DOAJ (DOAJ: Directory of Open Access Journals), Apr 1, 2013
Anorexia nervosa is an eating disorder observed with increasing frequency, especially among adole... more Anorexia nervosa is an eating disorder observed with increasing frequency, especially among adolescent females. No consensus exists concerning the causes of the disorder. Social, psychosexual, family emotional climate, biological theories, and a "regression hypothesis" (Crisp, 1986) have been advanced to explain the phenomenon. The major characteristics of the disease are 25% loss of body weight, use of various means to lose weight, weight phobia, preoccupation with food, body image disturbances, as well as numerous associated medical conditions: bradycardia, hypotension, dehydration, hypothermia, electrolyte abnormalities, amenorrhoea, metabolic changes, and abdominal distress. We present the case of a teenager girl aged 15, hospitalized in our clinic for investigations, presenting weight loss (11 kg in 3 months). Clinical examination on admission revealed paleness, fat loss, muscle atrophy, diminished tendon reflexes, bradycardia, epigastric pain and secondary amenorrhoea. An initial suspicion of abdominal tumour was invalidated by abdominal CT. Electrolyte disturbances, hypercholesterolemia, low levels of FSH and LH and prolactin in normal ranges, increased urinary and blood amylase in association with normal hypothalamic MRI and neuropsychiatric examination established the diagnosis. A favourable evolution was noticed after treatment with antidepressants and anxiolytics in association with a refuelling program and psychotherapy, resulting in weight gain and reappearance of menses.
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Revista română de pediatrie, Jun 30, 2014
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Broad Research in Artificial Inteligence Neuroscience, Mar 23, 2022
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Broad Research in Artificial Inteligence Neuroscience, Jun 30, 2020
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Papers by Anamaria CIUBARA