Objectives: This study compares the utilization of osteoporosis and osteoporosis complication hea... more Objectives: This study compares the utilization of osteoporosis and osteoporosis complication healthcare services before and during the COVID-19 pandemic in Romania. Methods:The descriptive nationwide population study has used secondary data collected from the national health information system. We have calculated and compared the procedures performed for osteoporosis diagnosis and screening, standardized incidence and hospitalization rate for osteoporosis and osteoporosis fractures before and during the COVID-19 pandemic. Results:A 37.84% reduction in the number of DXA scans performed in 2020 have been observed, decreasing from 30,698 in 2019 to 12,064 in 2020. The standardized incidence for osteoporosis was 212.97 cases/100.000 person-years in 2018, 234 cases/100,000 person-years in 2019, and 185.97 cases/100,000 person-years in 2020. The hospitalization rates for osteoporosis have decreased by 68% compared with 2019 and the continuous hospitalization rate for osteoporotic fracture by 48% compared with 2019. Conclusions:The COVID-19 pandemic affected the utilization of healthcare services for osteoporosis management, posing a threat due to a magnified effect on osteoporotic fracture burden. More efforts are further needed to progress and re-engage with osteoporotic fracture prevention in our country and to develop and shape an optimal implementation of prevention and management strategies for all level of health care in Romania.
From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesit... more From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory ...
The aim of the study was to assess the profile of nosocomial infections and antibiotic resistance... more The aim of the study was to assess the profile of nosocomial infections and antibiotic resistance in the Intensive Care Unit (ICU) department versus other departments of the „Dr Victor Babeș” Infectious Diseases Hospital, Bucharest, Romania. The descriptive and documentary study in transversal approach based on analysis information provided by the national and international data bases was completed with the active surveillance results of the Microbiology Laboratory. There was described and identified the profile of nosocomial infections and antibiotic resistance in the intensive care unit (ICU) department in comparison to the global resistance of other departments of the hospital, during December 2011- May 2012. Microorganisms included in the assesment were: Staphylococcus aureus MRSA, Enterobacteriaceae (E. coli, Klebsiella pneumoniae, Enterobacter cloacae), Pseudomonas aeruginosa and Acinetobacter baumannii. For all these microorganisms the resistance was higher in the ICU than the antibioresistance in other compartiments of the hospital, fact that highlights this particular department as a critic point in the control of nosocomial infections. Rezumat Scopul studiului a fost acela de a evalua profilul etiologic al infecțiilor nosocomiale și rezistența la antibiotice in Secția de Anestezie și Terapie Intensivă (ATI) in raport cu rezistența globală in celelalte secții ale Spitalului Clinic de Boli Infecțioase și Tropicale „Dr Victor Babeș”- București, in vederea identificării direcțiilor de intervenție viitoare. Studiul descriptiv și documentar in abordare transversală a fost realizat pe baza informațiilor furnizate de analiza datelor naționale și internaționale, completate cu rezultatele supravegherii active derulate de Laboratorul de Microbiologie al Spitalului. A fost analizată comparativ rezistența la antibiotice in ATI și antibiorezistența globală in celelalte secții ale spitalului, in perioada decembrie 2011 - mai 2012. Microorganismele țintă pentru această analiză au fost: Staphylococcus aureus MRSA, Enterobacteriaceae (E. coli, Klebsiella pneumoniae, Enterobacter cloacae), Pseudomonas aeruginosa și Acinetobacter baumannii. Rezultatele testelor de laborator au evidențiat faptul că pentru toate aceste microorganisme rezistența a fost mai mare in Secția de ATI decât cea de la nivelul celorlalte secții ale spitalului. Concluziile studiului identifică secția de ATI ca un punct critic in controlul infecțiilor nosocomiale.
Background Physical activity is key for preventing obesity and development of noncommunicable dis... more Background Physical activity is key for preventing obesity and development of noncommunicable diseases later in life. Previous research suggests that socioeconomic factors, such as parental education or income, may influence a child’s risk of obesity. However, previous research on this has provided heterogeneity in results. Our aim was to investigate the socioeconomic disparities between physical activity, sedentary behaviour and sleep patterns in school-aged children aged 6 to 9 years in 24 European countries, using a large nationally-representative sample of children from 24 countries (Albania, Bulgaria, Croatia, Czechia, Denmark, France, Georgia, Ireland, Italy, Kazakhstan, Kyrgyzstan, Lithuania, Latvia, Malta, Montenegro, Poland, Portugal, Romania, Russian Federation – only Moscow, San Marino Republic, Spain, Tajikistan, Türkiye and Turkmenistan). Methods COSI collected information on physical activity patterns of children, sedentary behaviour and sleep duration through a questi...
Statistics highlight the increasing number of medical equipments and procedures using ionizing ra... more Statistics highlight the increasing number of medical equipments and procedures using ionizing radiation in Romania. Some of these procedures involve high doses, the exposures may be repeated, and recording and saving information on patient doses are still inadequate, despite the existing legal provisions; in this context, recent studies confirm that practitioners are still reluctant to refuse unjustified examinations, and the issue of radiation protection of the patient becomes an actual public health problem. Public health specialists are confronted with the dilemma of the alternatives to solve existing problems, between a new excessive regulation or better information, assisted by control and the mechanisms of internal and external clinical audit, not as punitive means, but appealing to the professional deontology of the professionals. Cuvinte cheie: expuneri medicale la radiaţii, justificare, protecţie radiologică Rezumat: Cifrele statistice semnalează creşterea numărului de ech...
BJOG: An International Journal of Obstetrics & Gynaecology, 2021
The SARS-CoV-2 pandemic exposed multiple shortcomings in national and international capacity to r... more The SARS-CoV-2 pandemic exposed multiple shortcomings in national and international capacity to respond to an infectious disease outbreak. It is essential to learn from these deficiencies to prepare for future epidemics. One major gap is the limited availability of timely and comprehensive population-based routine data about COVID-19's impact on pregnant women and babies. As part of the Horizon 2020 PHIRI (Population Health Information Research Infrastructure) project on the use of population data for COVID-19 surveillance, the Euro-Peristat research network investigated the extent to which routine information systems could be used to assess the effects of the pandemic by constructing indicators of maternal and child health and of COVID-19 infection. The Euro-Peristat network brings together researchers and statisticians from 31 countries to monitor population indicators of perinatal health in Europe and periodically compiles data on a set of 10 core and 20 recommended indicators1.
The present study tries to provide an expressive, customized answer to the question in the title.... more The present study tries to provide an expressive, customized answer to the question in the title. The study relies on a ten-year experience (2000-2009), evaluated retrospectively on a group of 488 prosthetic repairs of incisional herniae, out of which 432 were performed in a clean environment and 56 cases in a clean-contaminated one. The two groups are superimposable based on the Apache score. The visceral surgical procedures associated to the surgery of the parietal defect were varied (cholecystectomy, appendectomy, enterectomy enterorrhaphy,colectomy colotomy-colorrhaphy, hysterectomy with adnexectomy). The assessment of postoperative suppurative complications showed no significant differences between the two groups (p 0.001). These results lead us to the idea of defining the indication for parietal prosthetic repair in a contaminated environment. The major factors of this decision are: the nature, the source and the amount of the septicinoculum, the duration of exposure, the inte...
Objectives: This study compares the utilization of osteoporosis and osteoporosis complication hea... more Objectives: This study compares the utilization of osteoporosis and osteoporosis complication healthcare services before and during the COVID-19 pandemic in Romania. Methods:The descriptive nationwide population study has used secondary data collected from the national health information system. We have calculated and compared the procedures performed for osteoporosis diagnosis and screening, standardized incidence and hospitalization rate for osteoporosis and osteoporosis fractures before and during the COVID-19 pandemic. Results:A 37.84% reduction in the number of DXA scans performed in 2020 have been observed, decreasing from 30,698 in 2019 to 12,064 in 2020. The standardized incidence for osteoporosis was 212.97 cases/100.000 person-years in 2018, 234 cases/100,000 person-years in 2019, and 185.97 cases/100,000 person-years in 2020. The hospitalization rates for osteoporosis have decreased by 68% compared with 2019 and the continuous hospitalization rate for osteoporotic fracture by 48% compared with 2019. Conclusions:The COVID-19 pandemic affected the utilization of healthcare services for osteoporosis management, posing a threat due to a magnified effect on osteoporotic fracture burden. More efforts are further needed to progress and re-engage with osteoporotic fracture prevention in our country and to develop and shape an optimal implementation of prevention and management strategies for all level of health care in Romania.
From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesit... more From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory ...
The aim of the study was to assess the profile of nosocomial infections and antibiotic resistance... more The aim of the study was to assess the profile of nosocomial infections and antibiotic resistance in the Intensive Care Unit (ICU) department versus other departments of the „Dr Victor Babeș” Infectious Diseases Hospital, Bucharest, Romania. The descriptive and documentary study in transversal approach based on analysis information provided by the national and international data bases was completed with the active surveillance results of the Microbiology Laboratory. There was described and identified the profile of nosocomial infections and antibiotic resistance in the intensive care unit (ICU) department in comparison to the global resistance of other departments of the hospital, during December 2011- May 2012. Microorganisms included in the assesment were: Staphylococcus aureus MRSA, Enterobacteriaceae (E. coli, Klebsiella pneumoniae, Enterobacter cloacae), Pseudomonas aeruginosa and Acinetobacter baumannii. For all these microorganisms the resistance was higher in the ICU than the antibioresistance in other compartiments of the hospital, fact that highlights this particular department as a critic point in the control of nosocomial infections. Rezumat Scopul studiului a fost acela de a evalua profilul etiologic al infecțiilor nosocomiale și rezistența la antibiotice in Secția de Anestezie și Terapie Intensivă (ATI) in raport cu rezistența globală in celelalte secții ale Spitalului Clinic de Boli Infecțioase și Tropicale „Dr Victor Babeș”- București, in vederea identificării direcțiilor de intervenție viitoare. Studiul descriptiv și documentar in abordare transversală a fost realizat pe baza informațiilor furnizate de analiza datelor naționale și internaționale, completate cu rezultatele supravegherii active derulate de Laboratorul de Microbiologie al Spitalului. A fost analizată comparativ rezistența la antibiotice in ATI și antibiorezistența globală in celelalte secții ale spitalului, in perioada decembrie 2011 - mai 2012. Microorganismele țintă pentru această analiză au fost: Staphylococcus aureus MRSA, Enterobacteriaceae (E. coli, Klebsiella pneumoniae, Enterobacter cloacae), Pseudomonas aeruginosa și Acinetobacter baumannii. Rezultatele testelor de laborator au evidențiat faptul că pentru toate aceste microorganisme rezistența a fost mai mare in Secția de ATI decât cea de la nivelul celorlalte secții ale spitalului. Concluziile studiului identifică secția de ATI ca un punct critic in controlul infecțiilor nosocomiale.
Background Physical activity is key for preventing obesity and development of noncommunicable dis... more Background Physical activity is key for preventing obesity and development of noncommunicable diseases later in life. Previous research suggests that socioeconomic factors, such as parental education or income, may influence a child’s risk of obesity. However, previous research on this has provided heterogeneity in results. Our aim was to investigate the socioeconomic disparities between physical activity, sedentary behaviour and sleep patterns in school-aged children aged 6 to 9 years in 24 European countries, using a large nationally-representative sample of children from 24 countries (Albania, Bulgaria, Croatia, Czechia, Denmark, France, Georgia, Ireland, Italy, Kazakhstan, Kyrgyzstan, Lithuania, Latvia, Malta, Montenegro, Poland, Portugal, Romania, Russian Federation – only Moscow, San Marino Republic, Spain, Tajikistan, Türkiye and Turkmenistan). Methods COSI collected information on physical activity patterns of children, sedentary behaviour and sleep duration through a questi...
Statistics highlight the increasing number of medical equipments and procedures using ionizing ra... more Statistics highlight the increasing number of medical equipments and procedures using ionizing radiation in Romania. Some of these procedures involve high doses, the exposures may be repeated, and recording and saving information on patient doses are still inadequate, despite the existing legal provisions; in this context, recent studies confirm that practitioners are still reluctant to refuse unjustified examinations, and the issue of radiation protection of the patient becomes an actual public health problem. Public health specialists are confronted with the dilemma of the alternatives to solve existing problems, between a new excessive regulation or better information, assisted by control and the mechanisms of internal and external clinical audit, not as punitive means, but appealing to the professional deontology of the professionals. Cuvinte cheie: expuneri medicale la radiaţii, justificare, protecţie radiologică Rezumat: Cifrele statistice semnalează creşterea numărului de ech...
BJOG: An International Journal of Obstetrics & Gynaecology, 2021
The SARS-CoV-2 pandemic exposed multiple shortcomings in national and international capacity to r... more The SARS-CoV-2 pandemic exposed multiple shortcomings in national and international capacity to respond to an infectious disease outbreak. It is essential to learn from these deficiencies to prepare for future epidemics. One major gap is the limited availability of timely and comprehensive population-based routine data about COVID-19's impact on pregnant women and babies. As part of the Horizon 2020 PHIRI (Population Health Information Research Infrastructure) project on the use of population data for COVID-19 surveillance, the Euro-Peristat research network investigated the extent to which routine information systems could be used to assess the effects of the pandemic by constructing indicators of maternal and child health and of COVID-19 infection. The Euro-Peristat network brings together researchers and statisticians from 31 countries to monitor population indicators of perinatal health in Europe and periodically compiles data on a set of 10 core and 20 recommended indicators1.
The present study tries to provide an expressive, customized answer to the question in the title.... more The present study tries to provide an expressive, customized answer to the question in the title. The study relies on a ten-year experience (2000-2009), evaluated retrospectively on a group of 488 prosthetic repairs of incisional herniae, out of which 432 were performed in a clean environment and 56 cases in a clean-contaminated one. The two groups are superimposable based on the Apache score. The visceral surgical procedures associated to the surgery of the parietal defect were varied (cholecystectomy, appendectomy, enterectomy enterorrhaphy,colectomy colotomy-colorrhaphy, hysterectomy with adnexectomy). The assessment of postoperative suppurative complications showed no significant differences between the two groups (p 0.001). These results lead us to the idea of defining the indication for parietal prosthetic repair in a contaminated environment. The major factors of this decision are: the nature, the source and the amount of the septicinoculum, the duration of exposure, the inte...
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