Northwestern Region Of Romania Research Articles

The Prevalence of Encephalitozoon cuniculi in Domestic Rabbits (Oryctolagus cuniculus) in the North-Western Region of Romania Using Serological Diagnosis: A Preliminary Study.

Encephalitozoon cuniculi is a microsporidian, domestic rabbits being the main host. The disease can be acute or subclinical, but treatment options are limited and usually with unrewarding results; therefore, diagnosis and prevention of encephalitozoonosis in rabbits are of the utmost importance. This study aims to obtain the first preliminary information of the prevalence of E. cuniculi in the north-western region of Romania. A total of 176 rabbits were clinically examined and 2 mL of blood was sampled from each. An enzyme-linked immunosorbent assay (ELISA) kit by Medicago (Medicago, Uppsala, Sweden) on the resulted blood serum was utilized. Statistical analysis of the results was conducted using the EpiInfo 2000 software (CDC, Atlanta, GA, USA). A total prevalence of 39.2% (69/176) was identified, with statistically significant differences in relation to the rabbits' clinical status, age, season of sampling, breeding system, body condition score and county of origin; the different family farms tested also had a statistically significant difference. This study gives the first preliminary information on this pathogen distribution on Romania's territory, but further studies need to be performed on larger regions to declare the prevalence in the country.

Exploring the Impact of Sociodemographic Characteristics and Health Literacy on Adherence to Dietary Recommendations and Food Literacy.

This study investigates food literacy-related abilities and adherence to dietary recommendations in relation to sociodemographic characteristics and health-related features (health literacy, self-rated health and morbidity) in the North-Western region of Romania. This is a secondary analysis of cross-sectional data collected in 2019 from a representative and randomised sample of 1572 individuals. A questionnaire was employed to record participants' sociodemographic characteristics, food-related and health-related features. Most participants were non-adherent to dietary recommendations for fruit and vegetables (83.5%), fish and seafood (61.3%), and water intake (67.9%). However, most participants reported an adequate ability to understand the connection between nutrition and health (89.1%), to distinguish between healthy and less healthy options (84.4%), and to acquire nutrition information (75.6%). Non-adherence to dietary recommendations and low food literacy abilities were more prevalent in disadvantaged groups (older age, rural settings, retirement or social welfare, low educational attainment, formerly married). Health literacy was negatively associated with not adhering to dietary recommendations and poor self-rated food literacy abilities. The study suggests that low socioeconomic status negatively impacts food literacy and adherence to dietary recommendations among Romanian adults. Identifying target populations to improve food-related abilities and health literacy can aid public health services in improving health outcomes.

Impact of the COVID-19 Pandemic on Melanoma Diagnosis in Romania-Data from Two University Centers.

The COVID-19 pandemic affected the healthcare system in our country and led non-COVID patients to postpone medical visits that were not urgent. The purpose of this study was to investigate the impact of the first year of the COVID-19 pandemic on the trends in melanoma diagnosis and to compare the pathological characteristics of melanoma patients before and during the pandemic. The number of primary cutaneous melanomas diagnosed each month between 1 March 2019 and 29 February 2020 (pre-COVID-19) and between 1 March 2020 and 28 February 2021 (COVID-19) in the North-Western Region of Romania (Cluj and Bihor counties) was determined. The pathological characteristics of melanomas diagnosed in the two intervals were compared. The number of melanoma diagnoses substantially decreased during the pandemic, with 66 (-19.3%) fewer cutaneous melanomas being diagnosed in the first year of the pandemic when compared with the previous year. The tumor thickness and mitotic rate were significantly higher in cases found during the COVID-19 pandemic. Our study suggests that COVID-19 has delayed diagnosis in patients with melanoma, leading to the detection of thicker melanomas that may increase morbidity and mortality. Further studies are needed to determine the consequences of this delay on outcomes.

Seroprevalence Rates against West Nile, Usutu, and Tick-Borne Encephalitis Viruses in Blood-Donors from North-Western Romania.

Introduction: West Nile virus (WNV), Usutu virus (USUV), and the tick-borne encephalitis virus (TBEV) are all arboviruses belonging to Flaviviridae family. All are characterized by vectorial transmission and sometimes associated with neuroinvasive infections. The circulation of these viruses is considered endemic in parts of Europe, with human cases reported in many countries. Among hosts, the viruses are vectored by hematophagous arthropods, such as mosquitoes (WNV, USUV) and ticks (TBEV). Considering the currently outdated knowledge regarding the epidemiology of these viruses in Romania, the aim of our study was to assess the seroprevalence rates of WNV, USUV, and TBEV among healthy blood donors in north-western Romania. Methods: Human blood samples from healthy donors were collected between November 2019 and February 2020 in six counties from the north-western region of Romania. The samples were serologically tested by ELISA and serum neutralization test. Results: Overall, we obtained a seroprevalence of 3.17% for WNV, 0.08% for TBEV, and 0% for USUV. Conclusion: Despite the low seroprevalence of WNV, USUV, and TBEV in our study, we highlight the need for continuous nationwide vector and disease surveillance and implementation of control measures. Further research is required for an optimal overview of the epidemiological status of the Romanian population regarding these flaviviruses together with countrywide awareness campaigns.

Measuring Health Literacy in Romania: Validation of the HLS-EU-Q16 Survey Questionnaire.

Objective: Empirical data on health literacy (HL) for Romania is almost inexistent. The present study aimed to validate the HLS-EU-Q16 questionnaire for the Romanian population and explore the predictors of HL in the North-West Region of the country. Methods: A non-experimental, cross-sectional study was conducted between March and November 2019 on a representative, stratified random sample of 1,622 participants from the North-Western Region of Romania. Exploratory Factor Analysis (EFA), Principal component analysis (PCA), Pearson correlations, and Chronbach’s Alpha were used to validate the scale. Linear regressions were conducted to assess the determinants of health literacy. Results: Results obtained for the HL scale support its factorial component and reliability, with a Cronbach’s alpha of α = 0.84. Age, gender, education and self-reported health status were identified as determinants of HL. Conclusion: Study findings indicate that the Romanian version of HLS-EU-Q16 is psychometrically sound and comparable to the original version. These results provide the first validated tool to measure HL in Romanian and the first population level data for Romania.

Physical, Psychological and Sexual Abuse of the Minor in the Families from the Northwestern Region of Romania- Social and Medical Forensics.

Background:In Romania, the abuse within the family of the minor child is a widespread phenomenon, its extent is insufficiently known because of ignorance/not reporting all the existing cases.Methods:The participants of the research are represented by two independent groups from the NW Romania 2007–2011, one for sociological study (1544 parents and 1283 children) and another for forensic statistical study (2761 cases of abused children). The sociological study was carried out by analyzing questionnaires applied in schools located in Bihor County, both to children and parents. The statistical analysis was carried out by studying the cases of the physically, sexually, and psychologically abused minors, recorded at Bihor County Forensic Service.Results:Physical neglect and physical abuse are the most common forms of child abuse. The forensic analysis highlight that most of the victims are male from urban areas. Physical abuse is more common in the 16–18 age group, psychological abuse in children aged between 6–10 yr, and sexual abuse in children under the age of 14 years. Girls were subject to sexual abuse, neglect, and emotional abuse, more frequently in rural areas; boys were most often victims of exploitation, physical, and emotional abuse in both urban and rural areas.Conclusion:The results of the study led to the formulation of general guidelines on this phenomenon and highlight the need for proposals to improve the current situation of child abuse within the family.

065 - Primary cutaneous lymphoma patterns in the north-western region of Romania

065 - Primary cutaneous lymphoma patterns in the north-western region of Romania

Are Investments in Basic Infrastructure the Magic Wand to Boost the Local Economy of Rural Communities from Romania?

This article investigates if public investments in rural basic infrastructure represent the best strategy for boosting the local economy of rural communities from Romania. The article focuses on one specific program implemented under the Cohesion policy in the framework of the National Plan for Rural Development, called Measure 322. Geographically, the research included a sample of rural communities from the North-Western Region of Romania. Moreover, the study also looks at other determinants of local economic development (LED), rather than infrastructure investments, with a focus on certain features characterizing Romanian rural communities such as population size, isolation from urban centers, connection with European and national roads networks, educational stock, etc. The research included three steps, namely the construction of the LED Index, a cvasi-experimental research, and a regression model. Our main findings seem to suggest that, while investments in infrastructure do help, the development gap between beneficiaries and non-beneficiaries remains relatively the same. In terms of determinants of LED level, percentage of population with a university degree and connection to a European road are the most significant in the Romanian rural context.

Attendance to cervical cancer screening among Roma and non-Roma women living in North-Western region of Romania.

Romania has Europe's highest incidence and mortality rates of cervical cancer. Participation in the national cervical cancer-screening programme is low, especially among minority Roma women. We conducted a cross-sectional study, using a structured questionnaire aiming to quantify reasons for screening attendance among women in North-Western region of Romania. 980 women were enrolled in this study. Data were analysed using logistic regression, estimating odds ratios (OR) and 95% confidence intervals (CI). This study revealed that Roma women (46%) attended screening less frequently that non-Roma women (63%),; however, ethnicity in itself was not associated with screening attendance. Instead we found that attendance to the cervical cancer screening programme was determined by having ever heard about a screening opportunity(OR 5.90, 95% CI 3.76-9.27) andhaving three or more sex partners (OR 5.99, 95% CI 1.71-21.04). We concluded that information about the screening programme's existence and its rationale does not reach the women targeted for screening sufficiently and argue that a process of user involvement aiming to build contact, interaction and cooperation between the programme and its potential participants is warranted.

Non‐Hodgkin lymphoma in Romania: a single‐centre experience

Epidemiologic studies of non-Hodgkin lymphoma (NHL) in Eastern Europe are scarce in the literature. We report the experience of the "Ion Chiricuta" Institute of Oncology in Cluj-Napoca (IOCN), Romania, in the diagnosis and outcome of patients with NHL. We studied 184 consecutive NHL patients diagnosed in the Pathology Department of IOCN during the years 2004-2006. We also obtained epidemiological data from the Northwestern (NW) Cancer Registry. In the IOCN series, the most common lymphoma subtype was diffuse large B-cell lymphoma (43.5%), followed by the chronic lymphocytic leukaemia/small lymphocytic lymphoma (21.2%). T-cell lymphomas represented a small proportion (8.2%). The median age of the patients was 57 years, with a male-to-female ratio of 0.94. Patients with indolent B-cell lymphomas had the best overall survival, whereas those with mantle cell lymphoma had the worst survival. The NW Cancer Registry data showed that the occurrence of NHL in the NW region of Romania was higher in men [world age-standardized incidence rate/100 000 (ASR)-5.9; 95% CI 5.1-6.6] than in women (ASR-4.1; 95% CI 3.5-4.7) with age-standardized male-to-female ratio of 1.44 (p = 0.038). Chronic lymphocytic leukaemia/small lymphocytic lymphoma was the most common NHL in the NW region of Romania, accounting for 43% of all cases, followed by diffuse large B-cell lymphoma (36%). The 5-year, age-standardized cumulative relative survival for NHL in the County of Cluj in NW Romania, for the period of 2006-2010, was 51.4%, with 58.4% survival for men and 43.2% for women. Additional studies of NHL in Eastern Europe are needed. Copyright © 2015 John Wiley & Sons, Ltd.

Organic Food Perception: Fad, or Healthy and Environmentally Friendly? A Case on Romanian Consumers

The main purpose of this paper is to explore consumers’ perceptions of organic food and examine whether organic food products are perceived in the North-West Region of Romania as offering health and environmental benefits or as simply another sine qua non condition to be integrated into the luxurious yuppie lifestyle. The inspiration for our study came from witnessing the stereotypical image of organic food consumers as “stylish, trendy, fancy consumers” in the last three to five years. Scientific evidence on the perceptions of organic food is based on a probabilistic survey. The results indicate an environmental consciousness of organic food consumers in North-Western Region of Romania in terms of organic food: a high percentage of consumers believe that organic food is healthier than conventional food (87%) and that it contributes to environmental protection more than conventional food (75%). A statistically significant difference (p < 0.05) was observed between people with higher education and those without higher education concerning the following beliefs: belief that most people consume organic products because they are in fashion, and belief that organic food contributes to environmental protection.

Assessing consumer preferences and attitudes towards sea buckthorn products: A case study in Romania

The aim of the paper is to reveal consumer preferences for sea buckthorn products in Romania to serve as valuable information to provide assistance to new producers in the sea buckthorn field. The research was conducted in the North-Western region of Romania. Data were collected using an in-person survey, which was carefully designed to capture decision information for management marketing purpose. The most familiar sea buckthorn products are: syrup (75%), tea (65%) and oil (57.50%). The majority of respondents buy for medicinal use. Only 12.50% showed no interest at all in buying such products. Although the internet commerce is highly used in other types of markets, the ‘bio customers’ prefer to purchase mostly from specialty stores (77%), the most appreciated characteristic of the product being its quality (85%). Most of the people are familiar with at least 3 types of sea buckthorn products and are open to the idea of new products and producers.Â

Planning Practices of SMEs in North-Western Region of ROMANIA – An Empirical Investigation

In a developing economy such as Romanian economy, SMEs’ sector is considered to be a source of innovation, flexibility and economic development. Due to insufficient resources and strong competition that characterizes today's economic environment, SMEs are characterized by strong volatility. Strategic planning process is considered to be vital for the survival of any company as it helps them adapt to changing environment. It can be applied to all management levels and all types of organizations.The purpose of this paper is to identify the characteristics of planning activities of 200 SMEs in the North-Western Region of Romania within trade, services and manufacturing sectors. The main aspects considered refer to: formality of planning activities, planning horizons, frequency of plans’ revision, strategic planning tools used. The paper also examines the factors influencing strategic planning.

PRELIMINARY INVESTIGATION AND RISK ASSESSMENT OF CONTAMINATION ON AN INDUSTRIAL SITE IN MARAMURES COUNTY

Sites contaminated with hazardous material are a topical and urgent problem all over the world. Risk based remediation is used to develop maximum safety cost effective sanitation methods for future land users. The analyzed site lays within the North Western region of Romania, in the vicinity of Baia Mare, the main city in Maramures County. Taking into account the former activities conducted on the site, as well as future demolishing works and future developments, analyses to certain contaminants in soil, groundwater and building materials were performed. The level of pollution based on Romanian regulations was established. The paper further presents a human health risk assessment and determines the contaminated area on the site. Two most suitable risk-based remediation actions for the site were proposed.

Controlling And The Clusterization Of The Competitive Generating Activity

The complexity and dynamic of the organizations, which are in a permanentcompetition for resources and for the life quota in a turbulent economic environment, imposes thecontrolling as a functional concept of management having the role of coordinating the planning,control and information in the direction of obtaining the planned results. During 2008-2011, theNational Council of Private Small and Medium Businesses in Romania is developing the NETIMMproject, financed by European Social Fund through Human Resources Development OperationalProgramme 2007-2013. Starting from the technical, human resources and financial analysis of 15companies from the construction sector located in the north-western region of Romania was soughtto identify internal measures on which can be realized the generalization of the managementtechniques, by promoting controlling methods with external character regarding the development ofassociative cluster forms.

Pemphigus vulgaris is the most common autoimmune bullous disease in Northwestern Romania

Autoimmune bullous diseases are organ-specific diseases characterized by autoreactive T and B cells specific for structural proteins of the skin. The incidence and prevalence of autoimmune blistering diseases vary in different countries and their epidemiology has not yet been addressed in Romania. In this study between 2001 and 2007, we prospectively investigated a total of 116 patients with autoimmune blistering diseases from the Northwestern region of Romania. The diagnosis was based on the clinical, histo- and immunohistological as well as serological findings. Pemphigus was the most common disease representing 58.6% of the case (68 cases); 40 cases (34.5%) were diagnosed with bullous pemphigoid (BP) and eight cases (6.9%) with other autoimmune sub-epidermal diseases. The incidence and prevalence of pemphigus diseases were four patients/1,000,000 inhabitants/year and 0.00248%, respectively. BP occurred in 2.5/1,000,000 inhabitants/year and its prevalence was 0.00146%. While the average onset age for pemphigus vulgaris was 53 years, BP patients were first diagnosed at a mean age of 73.6 years. The genetic background of the local population may explain why pemphigus occurs more commonly than BP in Northwestern Romania compared with the population of Western Europe. In addition, the shorter life expectancy in Romania (71.3 years) compared with Western Europe (>80 years) may contribute to this phenomenon.