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  1. Article: A Three-Year Cross-Sectional Analysis of Depression, Anxiety, and Quality of Life in Patients with Post-COVID-19 Syndrome.

    Bota, Adrian Vasile / Bogdan, Iulia / Razvan, David Vladut / Ilie, Adrian Cosmin / Tudor, Raluca / Indries, Mirela Florica / Csep, Andrei Nicolae / Marincu, Iosif

    International journal of general medicine

    2024  Volume 17, Page(s) 751–762

    Abstract: Background: This study explores the longitudinal psychosocial impact of Long-COVID syndrome, also known as Post-COVID-19 syndrome, characterized by enduring symptoms after coronavirus disease (COVID-19) infection, over the years 2020, 2021, and 2022. It ...

    Abstract Background: This study explores the longitudinal psychosocial impact of Long-COVID syndrome, also known as Post-COVID-19 syndrome, characterized by enduring symptoms after coronavirus disease (COVID-19) infection, over the years 2020, 2021, and 2022. It aimed to examine the variations in depression, anxiety, and quality of life among Post-COVID-19 patients during these years, hypothesizing significant inter-year differences reflecting the pandemic's evolving influence.
    Methods: Conducted at Victor Babes Hospital for Infectious Diseases and Pulmonology, Romania, this cross-sectional research involved 324 patients diagnosed with mild to moderate COVID-19, assessed six months post-hospitalization. Standardized instruments, namely Short Form (SF-36) for quality of life, Generalised Anxiety Disorder Assessment (GAD-7) for anxiety, and Patient Health Questionnaire (PHQ-9) for depression, were utilized.
    Results: The study observed a consistent average patient age of around 55 years across the years. A notable increase in COVID-19 vaccination rates was recorded, rising from 20.9% in 2020 to over 70% in 2022 (p<0.001). Trends in key post-COVID symptoms like fatigue and cognitive issues varied over the years. Importantly, there was a consistent decrease in feelings of sadness or depression, with scores declining from 7.3 in 2020 to 4.8 in 2022 (p<0.001). The SF-36 survey indicated a steady improvement in overall health, reaching 55.8±7.1 in 2022 (p=0.035). Both GAD-7 and PHQ-9 scores showed significant reductions in anxiety and depression over the years, with p-values of 0.030 and 0.031, respectively. Factors such as smoking status, substance use, and the initial severity of COVID-19 infection were significantly associated with depression levels.
    Conclusion: The findings suggest that despite persistent physical symptoms, Long-COVID patients experienced enhancements in mental well-being and quality of life over the studied period. The increasing vaccination rates might have contributed to this improvement. Addressing modifiable risk factors like smoking and substance use could further optimize post-COVID care and mental health outcomes.
    Language English
    Publishing date 2024-03-05
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 2452220-X
    ISSN 1178-7074
    ISSN 1178-7074
    DOI 10.2147/IJGM.S453247
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Assessing the Quality of Life, Coping Strategies, Anxiety and Depression Levels in Patients with Long-COVID-19 Syndrome: A Six-Month Follow-Up Study.

    Bota, Adrian Vasile / Bratosin, Felix / Bogdan, Iulia / Septimiu-Radu, Susa / Ilie, Adrian Cosmin / Burtic, Sonia-Roxana / Razvan, David Vladut / Tudor, Raluca / Indries, Mirela Florica / Csep, Andrei Nicolae / Fildan, Ariadna Petronela / Budea, Camelia Melania / Marincu, Iosif

    Diseases (Basel, Switzerland)

    2024  Volume 12, Issue 1

    Abstract: This longitudinal study investigates the psychosocial effects of long-COVID Syndrome, a domain still not extensively researched. It specifically evaluates the quality of life, coping mechanisms, anxiety and depression levels in COVID-19 survivors, ... ...

    Abstract This longitudinal study investigates the psychosocial effects of long-COVID Syndrome, a domain still not extensively researched. It specifically evaluates the quality of life, coping mechanisms, anxiety and depression levels in COVID-19 survivors, differentiating between those with and without long-COVID Syndrome. Conducted at the Victor Babes Hospital for Infectious Diseases and Pulmonology in Timisoara, Romania, the study utilized a cohort of patients diagnosed with mild to moderate COVID-19. The following standardized tools: WHOQOL-BREF for quality of life, COPE-60 for coping strategies, and the Hospital Anxiety and Depression Scale (HADS), were employed for the assessment. The sample consisted of 86 patients displaying persistent post-acute symptoms and 432 asymptomatic patients at the 6-month post-discharge mark. Patients with frequent post-acute symptoms reported significantly higher levels of fatigue (8.2 ± 1.4), cognitive difficulties (7.5 ± 1.6), and respiratory challenges (7.8 ± 1.3), along with a markedly lower overall quality of life (7.0 ± 1.5) compared to their asymptomatic counterparts. HADS scores revealed elevated depression (6.8 ± 1.9) and anxiety (7.1 ± 2.3) in the symptomatic group. Quality of life, as evaluated through the use of WHOQOL-BREF, showed lower scores in the symptomatic cohort across physical (58.8 ± 15.8), mental (56.3 ± 16.4), and social domains (50.2 ± 17.5). COPE-60 findings indicated a higher prevalence of disengagement (56.4%) and emotion-focused coping strategies (61.8%) in the symptomatic group, in contrast to 30.1% and 37.0%, respectively, in the asymptomatic group. The study highlights that long-COVID Syndrome significantly deteriorates the quality of life and is associated with increased depression and anxiety levels. The prevalent use of disengagement and emotion-focused coping strategies among patients with persistent symptoms suggests a need for enhanced psychosocial support tailored to this subgroup.
    Language English
    Publishing date 2024-01-11
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2720869-2
    ISSN 2079-9721
    ISSN 2079-9721
    DOI 10.3390/diseases12010021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: A Comparative Analysis of Liver Injury Markers in Post-COVID Syndrome among Elderly Patients: A Prospective Study.

    Bota, Adrian Vasile / Bratosin, Felix / Bandi, Satya Sai Sri / Bogdan, Iulia / Razvan, David Vladut / Toma, Ana-Olivia / Indries, Mirela Florica / Csep, Andrei Nicolae / Cotoraci, Coralia / Prodan, Mihaela / Marc, Felicia / Ignuta, Flavia / Marincu, Iosif

    Journal of clinical medicine

    2024  Volume 13, Issue 4

    Abstract: Background: In the wake of the global COVID-19 pandemic, understanding its prolonged impact on vulnerable populations has become a critical area of investigation. This study aimed to elucidate the distinctive post-acute sequelae of SARS-CoV-2 infection ( ...

    Abstract Background: In the wake of the global COVID-19 pandemic, understanding its prolonged impact on vulnerable populations has become a critical area of investigation. This study aimed to elucidate the distinctive post-acute sequelae of SARS-CoV-2 infection (PASC) and liver injury in Romania's elderly population, hypothesizing unique demographic, clinical, and healthcare factors influencing the manifestation.
    Methods: A longitudinal design was employed, enrolling COVID-19 patients from the Victor Babes Hospital for Infectious Diseases and Pulmonology in Timisoara, Romania. Participants were stratified into three groups based on age and Long COVID status. The study focused on a variety of demographic, clinical, and biological parameters, including liver function tests, to assess the trajectory and severity of liver injury over six months post discharge.
    Results: Involving 238 participants, the study revealed a significant increase in the duration of hospitalization for those over 65 (15.8 ± 8.2 days) compared to younger groups (
    Conclusion: This study confirms the hypothesis of more severe PASC and liver injury among the elderly Romanian population. Significant improvements post discharge suggest a degree of recovery, yet the persistent alterations in liver enzymes, glucose metabolism, and fibrosis risk scores call for continued monitoring and tailored management strategies.
    Language English
    Publishing date 2024-02-18
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm13041149
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Clinical Characteristics and Outcomes of COVID-19 Hospitalized Patients: A Comparison between Complete mRNA Vaccination Profile and Natural Immunity.

    Marincu, Iosif / Citu, Cosmin / Bratosin, Felix / Bogdan, Iulia / Timircan, Madalina / Gurban, Camelia Vidita / Bota, Adrian Vasile / Braescu, Laurentiu / Grigoras, Mirela Loredana

    Journal of personalized medicine

    2022  Volume 12, Issue 2

    Abstract: Although laboratory data show that antibody responses to COVID-19 immunization give superior neutralization of certain circulating variations to spontaneous infection, few real-world epidemiological studies demonstrate the advantage of vaccination for ... ...

    Abstract Although laboratory data show that antibody responses to COVID-19 immunization give superior neutralization of certain circulating variations to spontaneous infection, few real-world epidemiological studies demonstrate the advantage of vaccination for previously infected individuals. This paper summarizes the outcomes of a case-control study conducted in Romania between March 2020 and October 2021 on patients previously infected with SARS-CoV-2. A case-control study was implemented after identification of 62 breakthrough cases. These cases were matched by age and gender to a 1:1 ratio with a control group of unvaccinated patients with SARS-CoV-2 reinfection status. There were no significant differences in the severity of cases and mortality between the study groups. However, unvaccinated patients had a shorter protection from natural immunity than patients with full vaccination status (58 days versus 89 days). The unvaccinated cases with SARS-CoV-2 reinfection were also statistically more likely to have a longer hospital admission duration (12.4 days versus 9.8 days), and required more non-invasive oxygen supplementation during their stay than breakthrough cases (37.1% versus 19.4%). Individuals with prior SARS-CoV-2 infection who were not vaccinated are not at a higher risk of severe COVID-19 infection or mortality compared to those who were completely vaccinated with the mRNA vaccine Comirnaty
    Language English
    Publishing date 2022-02-10
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662248-8
    ISSN 2075-4426
    ISSN 2075-4426
    DOI 10.3390/jpm12020259
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Concurrent

    Marincu, Iosif / Bratosin, Felix / Bogdan, Iulia / Dumitru, Catalin / Stoica, Carmen Nicoleta / Csep, Andrei Nicolae / Mederle, Narcisa / Fericean, Roxana Manuela / Mederle, Alexandru Ovidiu / Prathipati, Reshmanth / Chicin, Gratiana Nicoleta / Mavrea, Adelina / Barata, Paula Irina / Bota, Adrian Vasile

    Medicina (Kaunas, Lithuania)

    2023  Volume 59, Issue 4

    Abstract: Sphingomonas ... ...

    Abstract Sphingomonas paucimobilis
    MeSH term(s) Male ; Humans ; Middle Aged ; Infant ; Mycobacterium tuberculosis ; Ceftriaxone/therapeutic use ; Anti-Bacterial Agents/therapeutic use ; Meningitis, Bacterial/complications ; Meningitis, Bacterial/diagnosis ; Meningitis, Bacterial/drug therapy ; Immunocompromised Host
    Chemical Substances Ceftriaxone (75J73V1629) ; Anti-Bacterial Agents
    Language English
    Publishing date 2023-03-30
    Publishing country Switzerland
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 2188113-3
    ISSN 1648-9144 ; 1010-660X
    ISSN (online) 1648-9144
    ISSN 1010-660X
    DOI 10.3390/medicina59040687
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Coping Strategies and Health-Related Quality of Life in Pregnant Women with SARS-CoV-2 Infection.

    Timircan, Madalina / Bratosin, Felix / Vidican, Iulia / Suciu, Oana / Turaiche, Mirela / Bota, Adrian Vasile / Mitrescu, Sorina / Marincu, Iosif

    Medicina (Kaunas, Lithuania)

    2021  Volume 57, Issue 10

    Abstract: Background and Objectives: ...

    Abstract Background and Objectives:
    MeSH term(s) Adaptation, Psychological ; Anxiety/epidemiology ; COVID-19 ; Cross-Sectional Studies ; Depression/epidemiology ; Female ; Humans ; Pregnancy ; Pregnant Women ; Quality of Life ; SARS-CoV-2 ; Stress, Psychological/epidemiology
    Language English
    Publishing date 2021-10-16
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2188113-3
    ISSN 1648-9144 ; 1010-660X
    ISSN (online) 1648-9144
    ISSN 1010-660X
    DOI 10.3390/medicina57101113
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Biological Profile and Clinical Features as Determinants for Prolonged Hospitalization in Adult Patients with Measles: A Monocentric Study in Western Romania

    Turaiche, Mirela / Feciche, Bogdan / Gluhovschi, Adrian / Bratosin, Felix / Bogdan, Iulia / Bota, Adrian Vasile / Grigoras, Mirela Loredana / Gurban, Camelia Vidita / Cerbu, Bianca / Toma, Ana-Olivia / Gurumurthy, Srivathsava / Wulandari, Prima Hapsari / Marincu, Iosif

    Pathogens. 2022 Sept. 07, v. 11, no. 9

    2022  

    Abstract: Measles is a highly infectious and sometimes deadly illness that is preventable with vaccination. The present research aims to analyze the most recent measles epidemic from Romania that occurred in a population with a falling desire to receive ... ...

    Abstract Measles is a highly infectious and sometimes deadly illness that is preventable with vaccination. The present research aims to analyze the most recent measles epidemic from Romania that occurred in a population with a falling desire to receive immunizations, by detailing the clinical picture and biological profile of hospitalized patients. A secondary goal of the present research is to identify characteristics that increase the likelihood of a longer hospitalization and the development of measles-related pneumonia. A retrospective cohort study was conducted to follow the course and effects of measles virus infection in adult hospitalized patients who were divided into two groups based on whether they had been in the hospital for more than 6 days or fewer than 6 days. A total of 114 adult patients with measles were eligible to participate in the trial if they had a positive measles-specific IgM antibody test resulting from the study. The average age in the short hospital stay group was 28.1 years, while the average age in the long hospital stay group was 31.9 years. There was a statistically significant difference in the number of Roma persons in the research groups, with 17.4 percent of them having a lengthy hospital stay compared to 5.9 percent in the group with a short hospital stay, according to the findings. It was observed that many patients had a long hospitalization associated with chronic lung disease (OR = 1.07), liver damage (OR = 1.66), Roma ethnicity (OR = 1.79), a long duration elapsed from the last MMR dose (OR = 2.02), elevated c-reactive protein (OR = 2.17), the presence of bilateral pulmonary condensations on X-ray (OR = 3.13), and elevated procalcitonin (OR = 3.49). The same significant independent risk factors were also associated with the development of pneumonia. It is of imperative need to address these risk factors in a patient with measles, moreover in association with an unknown status of vaccination. Vaccination awareness against measles must be pushed in Romania to determine a higher than 95% coverage. Significant efforts are still needed to ensure improved protection against measles epidemics within a specific region or population and, more importantly, in patients with significant risk factors for complications, as described in this study.
    Keywords C-reactive protein ; Measles morbillivirus ; X-radiation ; adults ; antibodies ; cohort studies ; hospitals ; liver ; measles ; nationalities and ethnic groups ; patients ; pneumonia ; risk ; vaccination ; Romania
    Language English
    Dates of publication 2022-0907
    Publishing place Multidisciplinary Digital Publishing Institute
    Document type Article
    ZDB-ID 2695572-6
    ISSN 2076-0817
    ISSN 2076-0817
    DOI 10.3390/pathogens11091018
    Database NAL-Catalogue (AGRICOLA)

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  8. Article: The Assessment of Multiplex PCR in Identifying Bacterial Infections in Patients Hospitalized with SARS-CoV-2 Infection: A Systematic Review.

    Bogdan, Iulia / Gadela, Tejaswi / Bratosin, Felix / Dumitru, Catalin / Popescu, Alin / Horhat, Florin George / Negrean, Rodica Anamaria / Horhat, Razvan Mihai / Mot, Ion Cristian / Bota, Adrian Vasile / Stoica, Carmen Nicoleta / Feciche, Bogdan / Csep, Andrei Nicolae / Fericean, Roxana Manuela / Chicin, Gratiana Nicoleta / Marincu, Iosif

    Antibiotics (Basel, Switzerland)

    2023  Volume 12, Issue 3

    Abstract: Bacterial infection can occur in patients hospitalized with SARS-CoV-2 in various conditions, resulting in poorer outcomes, such as a higher death rate. This current systematic review was conducted in order to assess the efficiency of multiplex PCR in ... ...

    Abstract Bacterial infection can occur in patients hospitalized with SARS-CoV-2 in various conditions, resulting in poorer outcomes, such as a higher death rate. This current systematic review was conducted in order to assess the efficiency of multiplex PCR in detecting bacterial infections in hospitalized COVID-19 patients, as well as to analyze the most common bacterial pathogens and other factors that interfere with this diagnosis. The research was conducted using four electronic databases (PubMed, Taylor&Francis, Web of Science, and Wiley Online Library). Out of 290 studies, nine were included in the systematic review. The results supported the use of multiplex PCR in detecting bacteria, considering its high sensitivity and specificity rates. The most common bacterial pathogens found were
    Language English
    Publishing date 2023-02-24
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2681345-2
    ISSN 2079-6382
    ISSN 2079-6382
    DOI 10.3390/antibiotics12030465
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Clinical Presentation and Risk Factors of Infective Endocarditis in the Elderly: A Systematic Review.

    Budea, Camelia Melania / Bratosin, Felix / Bogdan, Iulia / Bota, Adrian Vasile / Turaiche, Mirela / Tirnea, Livius / Stoica, Carmen Nicoleta / Csep, Andrei Nicolae / Feciche, Bogdan / Pescariu, Silvius Alexandru / Popa, Malina / Mavrea, Adelina / Bumbu, Bogdan Andrei / Bandi, Satya Sai Sri / Marincu, Iosif

    Journal of personalized medicine

    2023  Volume 13, Issue 2

    Abstract: Infective endocarditis (IE) is a bacterial infection with high morbidity and mortality rates, particularly among the elderly. This systematic review was conducted to determine the clinical characteristics of IE in older adults and the risk factors that ... ...

    Abstract Infective endocarditis (IE) is a bacterial infection with high morbidity and mortality rates, particularly among the elderly. This systematic review was conducted to determine the clinical characteristics of IE in older adults and the risk factors that could lead to adverse outcomes. The research employed three databases (PubMed, Wiley, and Web of Science), with a primary search for studies that have described cases of IE in patients older than 65 years. From a total of 555 articles, 10 were selected for inclusion in the current study, comprising a total of 2222 patients with a confirmed diagnosis of IE. The primary findings were an increased incidence of staphylococcal and streptococcal infections (33.4% and32.0%, respectively), an increased prevalence of comorbidities, namely, cardiovascular disease, diabetes, and cancer, and a significantly greater mortality risk than the younger group. Regarding mortality risks, the pooled odds ratio for cardiac disorders was OR = 3.81, septic shock OR = 8.22, renal complications OR = 3.75, and advancing age OR = 3.54 were most frequently mentioned. Taking into consideration the fact that the majority of the elderly population suffers from significant complications and is unable to undergo surgery due to an increased risk of complications after the procedure, it is imperative that effective treatment methods should be investigated.
    Language English
    Publishing date 2023-02-07
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662248-8
    ISSN 2075-4426
    ISSN 2075-4426
    DOI 10.3390/jpm13020296
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The Assessment of Antimicrobial Resistance in Gram-Negative and Gram-Positive Infective Endocarditis: A Multicentric Retrospective Analysis.

    Budea, Camelia Melania / Pricop, Marius / Mot, Ion Cristian / Horhat, Florin George / Hemaswini, Kakarla / Akshay, Raja / Negrean, Rodica Anamaria / Oprisoni, Andrada Licinia / Citu, Cosmin / Bumbu, Bogdan Andrei / Adi, Abduljabar / Khan, Ibrahim / Mavrea, Adelina / Bogdan, Iulia / Bota, Adrian Vasile / Fericean, Roxana Manuela / Marincu, Iosif

    Medicina (Kaunas, Lithuania)

    2023  Volume 59, Issue 3

    Abstract: Background and Objectives: ...

    Abstract Background and Objectives:
    MeSH term(s) Humans ; Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Staphylococcus aureus ; Retrospective Studies ; Gram-Negative Bacteria ; Drug Resistance, Bacterial ; Gram-Positive Bacteria ; Endocarditis, Bacterial/drug therapy ; Endocarditis
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2023-02-24
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2188113-3
    ISSN 1648-9144 ; 1010-660X
    ISSN (online) 1648-9144
    ISSN 1010-660X
    DOI 10.3390/medicina59030457
    Database MEDical Literature Analysis and Retrieval System OnLINE

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