rss_2.0Acta Marisiensis - Seria Medica FeedSciendo RSS Feed for Acta Marisiensis - Seria Medicahttps://sciendo.com/journal/AMMAhttps://www.sciendo.comActa Marisiensis - Seria Medica Feedhttps://sciendo-parsed-data-feed.s3.eu-central-1.amazonaws.com/63b9d9aa41cb135c175ea7e3/cover-image.jpghttps://sciendo.com/journal/AMMA140216Nano-scale surface modification of dental implants – An emerging boon for osseointegration and biofilm controlhttps://sciendo.com/article/10.2478/amma-2022-0029<abstract> <title style='display:none'>Abstract</title> <p>Implant therapy is a commonly based method of replacing missing teeth. A range of physical, chemical, and biological modifications have been applied to the surface of titanium implants to improve their biological performance and osseointegration outcomes. Implant surface characteristics play an important function in several peri-implant cellular and molecular mechanisms. Clinicians are commonly placing dental implants with various surface roughness and modifications including plasma-sprayed, acid-etched, blasted, oxidized, hydroxyapatite-coated, or combinations of these procedures. Surface modifications are to facilitate early osseointegration and to ensure a long-term bone-to-implant contact without substantial marginal bone loss can be accomplished. It is apparent that different modifications have a range of beneficial effects, it is essential to consider at what time point and in what conditions these effects occur. This article reviews existing surface modification technologies of mainstream dental implants and the correlation between implant surface coatings and their performance of osseointegration or anti-bacterial ability it needs to be evaluated.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00292023-01-07T00:00:00.000+00:00Post maxillectomy definitive rehabilitation in post-covid mucormycosis patients using conventional and 3D printed obturator: A twin case reporthttps://sciendo.com/article/10.2478/amma-2022-0032<abstract> <title style='display:none'>Abstract</title> <p>Maxillectomy is the surgical removal or resection of the maxilla or upper jaw bone. Maxillectomy may be total or partial. It is performed during surgical treatment of cancer and infections (bacterial. fungal) of the oral cavity, nasal cavity and maxillary sinuses. Patient affected from post-Covid mucormycosis require local debridement or surgical resection resulting in maxillectomy. After surgery, patient has difficulty in mastication, speech, and swallowing because of communication between oral and nasal cavity. This may also give rise to psychological challenges and social exclusion. The prosthodontic rehabilitation of such patient using obturator provide a separation between oral and nasal cavity and improve the quality of life of the patient. There are various techniques and materials used for fabrication of definitive obturator. This article discusses the prosthodontic rehabilitation after maxillectomy in post-covid mucormycosis patients using obturator by conventional and 3D printed techniques.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00322023-01-07T00:00:00.000+00:00Digitally designed fixed dental prosthesis with stress breaking effect using non-rigid connector for pier abutment: A case reporthttps://sciendo.com/article/10.2478/amma-2022-0033<abstract> <title style='display:none'>Abstract</title> <p>Rigid connectors between pontic and retainer are preferred way of fabricating fixed partial dentures for many decades as they provide desirable strength, retention and stability to the prosthesis. However, it is not ideal for cases such as lone-standing abutments (pier abutment), maligned teeth where occlusal stress can extrude the restoration. This may lead to marginal leakage and secondary caries on the abutment teeth. Conversely, it is recommended to use non-rigid connectors which act as a stress breaker, where the tensile stresses are concentrated on the surrounding bone and not on the connectors. With advancement in digital technology in dentistry, the non-rigid connectors can be fabricated using additive manufacturing technology. The present case report discusses the Direct Metal Laser Sintering (DMLS) designed fixed dental prosthesis with key and keyway (Tenon and Mortise) non-rigid connector for rehabilitation of pier abutment in maxillary posterior region.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00332023-01-07T00:00:00.000+00:00Hereditary hemochromatosis: Retrospective study on clinical data from Emergency County Hospital Mureshttps://sciendo.com/article/10.2478/amma-2022-0031<abstract> <title style='display:none'>Abstract</title> <p><bold>Objective</bold>: Hereditary hemochromatosis, or primary hemochromatosis, is a recessive genetic liver disorder caused by iron accumulation in tissues. This study evaluates patients with hereditary hemochromatosis to determine correlations between clinical and laboratory data.</p> <p><bold>Methods</bold>: The data analyzed in this study was gathered from the discharge records from 2019 to 2021 of the Gastroenterology Department of the Mures Country Emergency Clinical Hospital. 15 patients with hemochromatosis were sampled during the studied period.</p> <p><bold>Results</bold>: Hepatic cirrhosis is present in 67% of the studied group of patients, 40% of patients presented hypertension and 20% of patients showed diabetes mellitus and portal hypertension. Positive correlations were obtained between serum iron and alkaline phosphatase (r=0.8536), between serum iron and lactate dehydrogenase (r=0.7381), and between serum iron and urea (r = 0.79). Positive, strong correlation between ferritin and serum iron (r=0.7719), GOT (r=0.778) and GPT (r=0.6108). total bilirubin and direct bilirubin (r = 0.85), between total bilirubin and GOT (r = 0.68) and GPT (r = 0.82).</p> <p><bold>Conclusions</bold>: Excess iron stored is influencing organ function trough reactive oxygen species, the hepatic signs being a main participant in the clinical presentation, while serum iron cause damage to other tissues such as myocardium, pancreas and kidneys. Treatment for hemochromatosis includes phlebotomies, and iron chelation with Deferoxamine.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00312023-01-07T00:00:00.000+00:00Alpha adrenergic receptors in clinical practice – Present and futurehttps://sciendo.com/article/10.2478/amma-2022-0030<abstract> <title style='display:none'>Abstract</title> <p>In this review we discuss the adrenergic pathways for alpha 1 and alpha 2 receptors and the current as well as potential future medication targeting these receptors. Overall, there is ongoing research into a multitude of directions with a promising outlook for alpha 1 and alpha 2 adrenergic receptors. The alpha 1-adrenergic receptor subfamily is currently modulating only a modest number of nervous system functions due the fact, that only a relatively small number of selective commercial products are available. Chronic stress can affect the long-term depression of alpha 1 receptors. Recent studies are searching for new molecular targets which might act on these receptors. Presynaptic alpha 2 receptors play an important role in modulating release of several neurotransmitters in the central nervous system. The future of alpha 2 adrenergic receptors in clinical practice looks even more promising and versatile than that of alpha 1 adrenergic receptors. Alpha 2 adrenergic receptors show different responses, especially regarding hypertension and heart failure treatment, and current research suggests a genetic component as a cause, which is being explored further.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00302023-01-07T00:00:00.000+00:00Cannabidiol in the context of sleeping disorders-induced oxidative stresshttps://sciendo.com/article/10.2478/amma-2022-0023<abstract> <title style='display:none'>Abstract</title> <p>Sleep disorders can be the result of psychiatric or neurological conditions, such as post-traumatic stress disorders, depression, anxiety, Alzheimer’s disease, Parkinson’s disease. At the same time, changes in sleep, known as sleep disorders, are closely related to various metabolic dysfunctions, which in turn are the result of the generation of reactive oxygen species, or otherwise known as oxidative stress. For this reason, cannabinoid derivatives are increasingly used for this purpose. Among the most used are delta-9 tetrahydrocannabinol (THC) and cannabidiol (CBD). These agents interact with the endogenous endocannabinoid system, either by direct action on specific receptors, or by increasing the availability of endocannabinoids, modifying particular mental states (anxiety, depression). The results of the studies specified in this article provide promising evidence regarding the positive effects of CBD, which extend beyond the scope of sleep disorders, with possible applications also in the case of the accumulation of reactive oxygen species.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00232023-01-07T00:00:00.000+00:00An evaluation of concordance between linear measurements obtained from conventional, digital and reconstructed three-dimensional printed orthodontic models: An in vitro studyhttps://sciendo.com/article/10.2478/amma-2022-0028<abstract> <title style='display:none'>Abstract</title> <p><bold>Objective</bold>: To evaluate the potential use of digital and reconstructed three-dimensional printed models as an alternative to conventional plaster models by assessing the accuracy of their linear measurements.</p> <p><bold>Methodology</bold>: Pre-treatment plaster models of 45 patients were selected from the archives of the Department of Orthodontics. Each physical plaster model was scanned and digitized using a three-dimensional (3D) laser surface scanning system (inEOS X5, Dentsply Sirona, Bensheim, Germany). The scanned STL files were later used to reconstruct models by 3D printing using Figure4® standalone 3D printer (3D systems, Rock Hill, South Carolina). Measurements of teeth 11 and 16, the transverse width of the upper jaw between the first molars (MM - intermolar width) and canines (CC - intercanine width) were done manually using a digital vernier caliper (Mitutoyo, Kawasaki, Japan), and the CAD Assistant software (Open cascade, Guyancourt, France). Intra examiner data, Intraobserver variability, and measurement accuracy were evaluated using Intraclass Correlation Coefficient (ICC) analysis was done using SPSS 20.0.</p> <p><bold>Results</bold>: The intraclass correlation coefficients were &gt;0.8 indicating high reproducibility and reliability. Significant differences were found between the physical and the digital models but to a small proportion which were deemed not clinically relevant.</p> <p><bold>Conclusion</bold>: Both the digital models and reconstructed three-dimensional printed models using Figure4® technology were clinically permissible in terms of accuracy and reproducibility. The digital storage, transmission, and treatment planning in an environmentally friendly manner should promote digital over conventional records.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00282023-01-07T00:00:00.000+00:00Non-surgical approach to a paediatric pilocytic astrocytoma with MRI follow-up. Case report and brief literature reviewhttps://sciendo.com/article/10.2478/amma-2022-0022<abstract> <title style='display:none'>Abstract</title> <p><bold>Introduction</bold>: Pilocytic astrocytoma is a common tumour in paediatric patients. A low-grade glioma, it is most commonly treated by surgery, with various post-surgical side effects. New methods of treatment and follow-up are constantly evolving to offer alternative options to paediatric patients whose nerve structures are developing.</p> <p><bold>Case presentation</bold>: A 9-year-old patient diagnosed with a pilocytic astrocytoma by MRI and histopathological examination underwent a biopsy and evacuation procedure of the cystic component after which the patient’s condition improved significantly. The ‘wait-and-see’ approach using MRI instead of total surgical excision of the tumour was preferred, and the patient had favourable results on control imaging.</p> <p><bold>Conclusions</bold>: Paediatric patients suffering from pilocytic astrocytoma with favourable imaging and histopathological features may consider MRI follow-up instead of surgical excision until the character of the tumour changes or until the brain has reached full development.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00222023-01-07T00:00:00.000+00:00The effect of postprandial in vivo and experimental hyperlipidemia on human peripheral blood monocyteshttps://sciendo.com/article/10.2478/amma-2022-0026<abstract> <title style='display:none'>Abstract</title> <p><bold>Objective</bold>: In this study, we aimed to investigate the effect of transient postprandial in vivo and prolonged experimental in vitro hyperlipidemia on human peripheral blood monocytes. Methods: Peripheral blood was collected from seven healthy subjects after an overnight fast and three hours after a standardized high-fat meal. Both fasting and postprandial samples were stained for surface markers CD14/CD11b and intracellular lipids using BODIPY493/503. Postprandial samples only were used for isolation of peripheral blood mononuclear cells that were further incubated overnight with postprandial hyperlipidemic autologous plasma, then stained as described above. All samples were analyzed on a FACSAria III flow cytometer.</p> <p><bold>Results</bold>: Flow cytometric analysis revealed two monocyte populations (CD14+): CD14low and CD14high. In fasting, these populations show similar morphology (FSC/SSC), but different expressions of CD14, CD11b, and BODIPY493/503. At three hours postprandially, a moment of maximum hyperlipidemia, neither population suffered significant changes. After the 24-hour incubation, cell activation was observed in both populations: similar fold change increase in SSC, increase in FSC for CD14high cells only, similar foldchange increase in CD14, slightly higher foldchange increase in CD11b for CD14low monocytes, and significantly higher foldchange increase in lipid content for CD14high monocytes. CD14high monocytes appear to undergo a more intense activation than CD14low monocytes.</p> <p><bold>Conclusions</bold>: We conclude that all monocytes react after prolonged in vitro exposure to plasma lipids, each subset having its own activation pattern. All monocyte types may play a role in inflammation and the development of plaques. Monocyte assays are a valuable tool for the investigation of atherosclerosis at the cellular level.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00262023-01-07T00:00:00.000+00:00Artificial intelligence based model for establishing the histopathological diagnostic of the cutaneous basal cell carcinomahttps://sciendo.com/article/10.2478/amma-2022-0020<abstract> <title style='display:none'>Abstract</title> <p><bold>Introduction</bold>: Artificial intelligence (AI), a component of computer science, has the ability to process the multitude of medical data existing in the medical system around the world. The goal of our study is to build an AI model, based on Machine Learning, capable of assisting pathologists around the world in the diagnosis of the basal cell carcinoma of the skin.</p> <p><bold>Material and Method</bold>: Our study is represented by the development of a Mask-RCNN (Mask Region-based Convolutional Neural Network) model, for the detection of cells with typical basal cell carcinoma tumoral changes. A number of 258 digitized histological images were used. The images emerged from Hematoxylin&amp;Eosin stained pathology slides, diagnosed with cutaneous basal cell carcinoma between January 2018 and December 2021, at the Pathology Service of the Mureș County Clinical Hospital.</p> <p><bold>Results</bold>: All the used images have the unique resolution of 2560x1920 pixels. For the learning process, we divided these images into two datasets: the learning dataset, representing 80% of the total images; and the test dataset, representing 20% of the total images. The AI model was trained using 1000 epochs with a learning rate of 0.00025 and only one classification category: basal cell carcinoma.</p> <p><bold>Conclusions</bold>: The AI model successfully identified in 85% of the cases the areas with pathological changes present in the input images.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00202023-01-07T00:00:00.000+00:00Unusual case of infrarenal pheochromocytoma developed on ectopic adrenal tissue: An autopsy case reporthttps://sciendo.com/article/10.2478/amma-2022-0025<abstract> <title style='display:none'>Abstract</title> <p><bold>Introduction</bold>: Pheochromocytomas are catecholamine-secreting tumors arising from the chromaffin cells of the adrenal medulla. We describe an unusual case of pheochromocytoma located in the infrarenal area and associated with bilateral adrenal hyperplasia.</p> <p><bold>Case presentation</bold>: A 70-year-old patient was admitted for syncope, diaphoresis, and high blood pressure. Computed tomography showed a 73×70×72 mm retroperitoneal mass of the left infrarenal area. High levels of metanephrine and noradrenaline were found in the urine. A tumor resection was performed. A few days after surgery, the blood pressure suddenly decreased and could not be restored, resulting in the death of the patient. Histopathological examination of the surgical specimen revealed a proliferation of monotonous cells, with eosinophilic cytoplasm, round nuclei with prominent nucleoli arranged in clusters, and capsular and vascular invasion. The tumor cells expressed synaptophysin and chromogranin, without positivity for inhibin A or S100 protein. At the autopsy, both adrenal glands showed hyperplasia but unrelated to the tumor mass. The histological aspect, location, and immunophenotype indicated an ectopic infrarenal pheochromocytoma.</p> <p><bold>Conclusions</bold>: In patients with pheochromocytoma developed on ectopic adrenal tissue, clinical management might be difficult, and diagnosis can be sometimes established only based on post-mortem histopathological examination. Autopsy can be extremely useful in such cases with unexplained evolution.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00252023-01-07T00:00:00.000+00:00Is the pulmonary microbiome involved in lung cancer pathophysiology?https://sciendo.com/article/10.2478/amma-2022-0021<abstract> <title style='display:none'>Abstract</title> <p>Bronchopulmonary cancer represents the neoplasms associated with the highest mortality rate, despite diagnostic and therapeutic advances in recent decades. Early diagnosis is often difficult due to the paucity of symptoms or superinfections. Screening subjects at risk of developing lung cancer include clinical, bacteriological, inflammatory status, and genetic profile assessment. The personal microbiome has an essential role in the physiology of the human body. The gut-lung axis plays an essential role in carcinogenesis, being involved in various pathways. The lung microbiome can contribute to the development of lung cancer either directly by acting on tumor cells or indirectly by modulating the tumor-associated immune response. The gut microbiome can directly affect the response to immunotherapy in patients with non-small cell lung cancer.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00212022-10-13T00:00:00.000+00:00Reattachment of coronal tooth fragments: Aesthetic management of a complicated anterior maxillary crown fracturehttps://sciendo.com/article/10.2478/amma-2022-0027<abstract> <title style='display:none'>Abstract</title> <p>The trauma of anterior teeth is a frequent occurrence in young patients. Reattachment of fractured fragments is one of the various treatment modalities proposed in anterior tooth coronal fractures. The reattachment of fractured fragments grants the advantage of immediate aesthetic rehabilitation and restoration of function, which is a relatively rapid and less arduous procedure. The manuscript presents a case report depicting the management of a complicated crown root fracture of anterior maxillary teeth first treated endodontically, followed by reattachment of the same fragment with a cast post-reinforcement. Reattachment of fractured coronal tooth fragments is a feasible restorative option, rapidly restoring the function and aesthetics of the tooth by a conservative and inexpensive approach.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00272022-10-13T00:00:00.000+00:00Postpartum pancreatitis in young female – a rare case in the Emergency Departmenthttps://sciendo.com/article/10.2478/amma-2022-0018<abstract> <title style='display:none'>Abstract</title> <p><bold>Introduction</bold>: Acute pancreatitis is a condition that leads to multiple organ failure syndromes if not diagnosed and treated correctly. The most frequent causes of acute pancreatitis are gallstones, alcohol consumption, and elevated triglyceride serum level.</p> <p><bold>Case Presentation:</bold> A 21-year-old female presented to the emergency department with epigastric pain, nausea, vomiting, and diaphoresis. The patient had a non-complicated vaginal birth four months prior, had no personal history of illness, reported no alcohol consumption, and had a slender body constitution. Laboratory tests outlined a white blood cell count of 22.000/µL, elevated neutrophil count, lactate dehydrogenase 294 U/L, and lipemic serum sample reported for chemistry laboratory test. In addition, the contrast-enhanced computed tomography scan revealed severe pancreatitis, with an intraabdominal fluid collection.</p> <p><bold>Conclusions</bold>: This case report highlights the importance of correct early diagnosis in the postpartum and late postpartum period and raises awareness concerning the possibility of acute pancreatitis in a postpartum woman even if she does not have the two most common risk factors: gallstones or alcohol consumption.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00182022-10-13T00:00:00.000+00:00An overview of the microflora of the patients admitted in an Ear Nose and Throat tertiary hospital from Romaniahttps://sciendo.com/article/10.2478/amma-2022-0017<abstract> <title style='display:none'>Abstract</title> <p><bold>Objective</bold>: The purpose of this retrospective study is to describe clinical, epidemiological and bacteriological findings on the Ear, Nose and Throat infections from patients admitted in a tertiary hospital from Romania, which might bring supportive data for the management of the ENT patients.</p> <p><bold>Methods</bold>: Clinical data from 146 patients admitted in a clinic from Romania, between February 2016 and April 2018 were collected from the official registries of the Microbiology Laboratory, where the collected samples were processed by classical microbiological methods.</p> <p><bold>Results</bold>: From 164 analyzed biological samples, 45.1% were suggestive for infection. Methicillin-sensitive Staphylococcus aureus was the most prevalent bacterial isolate (28.72%), followed by Pseudomonas aeruginosa (12.77%). There were 26 different species of microbes. Out of a total of 77 bacterial isolates, 62.33% were Gram positive and 37.66% Gram negative. The study showed that 11 ear discharge samples were positive in female and male patients. Upper respiratory tract exudates were positive on 3 females (21.4%) and on 17 males (28.8%). There were 7 positive pus samples from females, and from 25 males.</p> <p><bold>Conclusions</bold>: Men were more affected by Ear Nose and Throat infections, caused by bacteria mostly from the genus Staphylococcus and Pseudomonas. More attention at the samples collection and a rigorous clinical examination should reduce the load on bacteriology laboratory. In specific cases, a negative bacteriological result can prove as an exclusion diagnostic.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00172022-10-13T00:00:00.000+00:00Single-plaque psoriasis: a single-clue diagnostic challengehttps://sciendo.com/article/10.2478/amma-2022-0019<abstract> <title style='display:none'>Abstract</title> <p><bold>Introduction</bold>: Psoriasis is a chronic, common immune inflammatory condition of the skin, affecting 2-3% of the population, with regional variability. Classically, psoriasis presents as one of the following types: plaque, guttate, inverse, pustular or erythrodermic psoriasis. Typically, the patient will present with several symmetric psoriatic plaques on typical areas of the body, leading the clinician towards the diagnosis of psoriasis.</p> <p><bold>Case report</bold>: The present case report series focuses on an atypical presentation of psoriasis noted in 2 patients who presented to our office with a single large, erythematous plaque located on the lower leg. Due to poor response to previous treatment, a biopsy was performed and upon analysis, revealed a diagnosis of psoriasis. The lesions showed significant improvement under local therapy.</p> <p><bold>Conclusion</bold>: In spite of significant research on such a common and seemingly well-understood dermatosis, the present case reports plead for further study with regards to atypical presentations of psoriasis.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00192022-10-13T00:00:00.000+00:00Development of a low-grade glioma in an ischemic brain territory that evolved into a glioblastoma. A case report and brief literature reviewhttps://sciendo.com/article/10.2478/amma-2022-0015<abstract> <title style='display:none'>Abstract</title> <p><bold>Introduction</bold>: Glioblastoma is one of the most common and aggressive brain tumours with a very high mortality rate. It often evolves from a late or misdiagnosed astrocytoma. Stroke is one of the most common pathologies of the brain, affecting approximately 1.1 million Europeans each year. This article presents the sequential development of a low-grade astrocytoma in an ischemic brain territory into a high-grade glioblastoma.</p> <p><bold>Case presentation</bold>: A 59-year-old patient presented to our hospital with severe headache and transient loss of balance and vision. Clinical findings and control imaging revealed the presence of an ischemic brain area in the left temporal lobe of the brain. Monthly brain magnetic resonance imaging (MRI) follow-up revealed the development of a low-grade astrocytoma in the ischemic territory, which later evolved into a glioblastoma.</p> <p><bold>Conclusions</bold>: Patients who suffer from a stroke should be closely monitored via MRI to prevent the rare development of tumour pathology in the affected territory.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00152022-10-13T00:00:00.000+00:00Nutrition in pregnancy – impact on anaemia in pregnant womenhttps://sciendo.com/article/10.2478/amma-2022-0016<abstract> <title style='display:none'>Abstract</title> <p><bold>Aim</bold>: Most pregnant women can achieve their caloric and nutritional needs by careful food choices during pregnancy, but there are fairly common situations when pregnant women develop anaemia, which needs to be managed properly to avoid maternal-foetal complications. The main objective of the study was to identify the nutritional factors favoring the occurrence of iron deficiency anaemia in pregnant women.</p> <p><bold>Methods</bold>: Data collection for the cross-sectional study was carried out using a questionnaire that provided information on nutrition and risk factors during pregnancy in a group of patients from Suceava. The questionnaire was given to pregnant women admitted to the Emergency County Hospital „Sfântul Ioan cel Nou” Suceava, Romania, between March and May 2017.</p> <p><bold>Results</bold>: The anaemia occured in 46.3% of pregnant women. Although 22.2% of pregnant women received oral iron supplementation, effects on anaemia correction were not observed (p=0.02). We found that weight status did not influence anaemic status (p=0.51), and the presence of anaemia in pregnancy was independent of risk factors for pregnancy (smoking, p=0.05; alcohol consumption, p=0.66), iron absorption inhibitors in the diet (coffee, p=0.33; tea, p=0.53), water intake (p=0.52) or night eating (p=0.27).</p> <p><bold>Conclusions</bold>: The results of dietary survey showed no direct link between the prevalence of anaemia and nutritional factors. Lower pre-pregnancy BMI was not associated with higher risk of iron deficiency anaemia, and daily iron supplementation during pregnancy did not meet the needs to counteract the anaemic syndrome. Nutrition education is particularly important for the prophylaxis of iron deficiency anaemia in pregnant women.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00162022-10-13T00:00:00.000+00:00Computed tomography evaluation of diaphragm alterations in 20 critically ill COVID-19 positive patientshttps://sciendo.com/article/10.2478/amma-2022-0014<abstract> <title style='display:none'>Abstract</title> <p><bold>Objective</bold>: Diaphragmatic dysfunctions are multiple and critical illnesses often lead to the muscular atrophy that affects respiratory and peripheral muscles. The primary objective was to investigate diaphragm thickness in hospitalized patients. Secondary objectives were to assess clinical evolution and outcome.</p> <p><bold>Methods</bold>: In a mean time period of 7.9 days, two different chest computed tomographies were used in order to examine diaphragm alterations of right and left diaphragm in 20 critically ill patients tested Real-Time Polymerase Chain Reaction positive to Severe Acute Respiratory Syndrome Coronavirus-2. Patients were divided in two groups (one group &lt;5% decrease in diaphragm thickness and another group ≥5% decrease in diaphragm thickness).</p> <p><bold>Results</bold>: Results showed that patients presented low 10 years predicted survival rate (Charlson Comorbidity Index &gt; 7.7±3.08), marked inflammatory status (C-Reactive Protein = 98.22±73.35, Interleukine-6 = 168.31±255.28), high physiologic stress level (Neutrophil/Lymphocyte Ratio = 31.27±30.45), respectively altered acid-base equilibrium. Half of the investigated patients had decrease in diaphragm thickness by at least 5% (right diaphragm = −7.83%±11.11%, left diaphragm = −5.57%±10.63%). There were no statistically significant differences between those with decrease of diaphragm thickness and those without diaphragm thickness, regarding length of stay in Intensive Care Unit and in hospital, inflammatory markers, and acid-base disorders.</p> <p><bold>Conclusions</bold>: Patients were admitted in Intensive Care Unit for acute respiratory failure and half of the investigated patients displayed diaphragm alterations at CT scan.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00142022-10-13T00:00:00.000+00:00Clear or White? A RT-PCR plate comparison for SARS-CoV-2 diagnosishttps://sciendo.com/article/10.2478/amma-2022-0024<abstract> <title style='display:none'>Abstract</title> <p><bold>Objective</bold>: During the COVID-19 pandemic, laboratories have used various extraction and amplification kits, associated with different auxiliary materials. This study aims to investigate how different types of plates may affect RT-PCR performance.</p> <p><bold>Methods</bold>: Data on the positive controls (PCs) of RT-PCR runs for SARS-CoV-2 detection between December 2020 and April 2022 was collected retrospectively in the Molecular biology department of the County Emergency Clinical Hospital of Târgu Mureș’s clinical laboratory. The materials used consisted in MOLgen SARS-CoV-2 (Adaltis) and EliGene COVID19 CONFIRM 500 R amplification kits, 96-well full-skirted white and clear plates, and clear films. Microsoft Excel was used for the database and it included information about Cycle threshold (Ct) and maximum fluorescence. Statistical analysis, performed in MedCalc, consisted of Grubbs test, Kolmogorov–Smirnov Test, F test, T student test, and Mann-Whitney test to compare central tendencies. The significance threshold was set at p&lt;0.05.</p> <p><bold>Results</bold>: The Ct comparison for MOLgen kit white plates vs clear plates: FAM channel- U=1052.5, Z=2.07, p=0.038, medians for white plates and clear plates were 22.80 and 23.25, respectively; ROX channel- U=784, Z=3.21, p=0.001, medians 21.93 and 21.43, respectively; Cy5 channel- U=1028.5, Z=1.95, p=0.518, medians 22.12, 21.75, respectively. For EliGene kit: U=848.5, Z=3.27, p=0.001, medians 28.26 (white plates) and 28.0 (clear plates). Comparison of the maximum fluorescence reached on both kits with white and clear plates computed p values &lt;0.0001.</p> <p><bold>Conclusions</bold>: Between white and clear plates there are statistically significant differences considering Ct values and maximum read fluorescence, but with no impact on test outcome.</p> </abstract>ARTICLEtruehttps://sciendo.com/article/10.2478/amma-2022-00242022-10-13T00:00:00.000+00:00en-us-1