Gender Particularities and Prevalence of Atypical Clinical Presentation in Non-ST Elevation Acute Coronary Syndrome

Clinical presentation is one of the factors that can influence how quickly a patient with an acute coronary syndrome is treated, particularly if it is atypical. The purposes of this study are to explore gender-related differences in patients presenting with non-ST elevation acute coronary syndromes (NSTEACS) from the perspective of a series of common risk factors as well as treatment strategies and to evaluate the prevalence of atypical clinical presentation of NSTEACS in the study group. In addition, we explored the differences between the two entities that define NSTEACS: unstable angina (UA) and non-ST elevation myocardial infarction (NSTEMI). We conducted a retrospective study by reviewing discharge documents of patients admitted in the cardiology department of the Clinical Rehabilitation Hospital in Cluj-Napoca with NSTEACS between January 2014 and December 2015. We retrieved demographic data, clinical presentation and history, laboratory tests, and coronary angiography records as well as the implemented treatment strategies. Women in the study group were more frequently hypertensive than men (89.5% vs. 75.4%; p = 0.043), had a higher mean serum HDL cholesterol value (43 vs. 38 mg/dL p = 0.022), were more frequently diagnosed with microvascular coronary heart disease (32% vs. 9.8%, p = 0.036), and were more often treated conservatively (49.1% vs. 30.8%, p = 0.038), while men were significantly more prone to smoking than women (30.8% vs. 14%, p = 0.028) and had higher mean serum creatinine (1.2 vs. 0.8 mg/dL; p = 0.022) and uric acid values (6.9 vs. 6.2 mg/dL; p = 0.048). Out of the 122 included patients, 109 had documented information regarding symptoms. The prevalence of atypical presentation was 4.6% (95% CI 0.7–8.5%). In our study group, patients with UA had a more frequent history of cardiovascular ischemic diseases (77.4% vs. 56.7%, p = 0.015), the mean value for BUN was higher in NSTEMI patients compared to patients with UA (47 vs. 39 mg/dL, p = 0.038) and NSTEMI patients more frequently received interventional treatment compared to patients with UA (60% vs. 41.9%; p = 0.046)

Expansion of the Invasive Plant Species <i>Reynoutria japonica</i> Houtt in the Upper Bistrița Mountain River Basin with a Calculus on the Productive Potential of a Mountain Meadow

Many invasive plant species use interactions with their anthropic environment as a propagation factor and benefit from climate changes, which have become accentuated in the last decade. The way such species interact with climate changes, as well as their high specific ecological plasticity, gives them a consistent advantage over native plant species. This work aims to demonstrate through a simple calculation the quantification of the productive potential of a wet meadow on which populations of an invasive plant species grew. The loss of productive potential induced by Reynoutria japonica Houtt on a mountain meadow in Ciocănești village, Romania, was the main objective. In the case of the productive potential of the meadows, a method for the general calculation of such losses was shown. The degree of anthropization of the studied area was also evaluated, correlating the degree of anthropization with the invasive species’ potential for spreading and affecting the mountain area

Expansion of the Invasive Plant Species Reynoutria japonica Houtt in the Upper Bistri&#539;a Mountain River Basin with a Calculus on the Productive Potential of a Mountain Meadow

Many invasive plant species use interactions with their anthropic environment as a propagation factor and benefit from climate changes, which have become accentuated in the last decade. The way such species interact with climate changes, as well as their high specific ecological plasticity, gives them a consistent advantage over native plant species. This work aims to demonstrate through a simple calculation the quantification of the productive potential of a wet meadow on which populations of an invasive plant species grew. The loss of productive potential induced by Reynoutria japonica Houtt on a mountain meadow in Cioc&#259;ne&#537;ti village, Romania, was the main objective. In the case of the productive potential of the meadows, a method for the general calculation of such losses was shown. The degree of anthropization of the studied area was also evaluated, correlating the degree of anthropization with the invasive species&rsquo; potential for spreading and affecting the mountain area

Are There Any Land Use Dynamics in the Upper Bistrița Basin, Eastern Carpathians, Romania, in the Period 1990–2021?

This paper aims to assess land use and land use change (LULC). For this purpose, supervised mapping on satellite imagery, using the European Space Agency (ESA) SNAP programme from LANDSAT databases, publicly accessible through the European Copernicus portal, was used. At the same time, an analysis of the degree of landscape fragmentation in the study area was carried out, which revealed that, because of the particular fragmentation of small polygons, the best results were obtained via analysis/supervised mapping on satellite images. This method, once validated in the field, reflects the most accurate land use pattern in the analysed area, with wide applications in studies of agriculture, biodiversity, geography, etc. Between 2000 and 2010, significant changes were registered. Artificial surfaces decreased by approximately 400 ha, showing a negative trend in the last period of the interval. Coniferous forests reached their maximum threshold in 2000 (with 114,400 ha) in conjunction with the “Grassland” class, which exceeded 16,700 ha. In 2010, a drastic decrease in “Grassland” was recorded, reaching half of the values of 1990 and 2000, now having only 15,684 ha. Land cover changes were significant when comparing the period before 1989 with 2021. This fact was due to socio-economic changes in society, in large part caused by changes in professions and the way of life of the population

Carrageenan-Based Compounds as Wound Healing Materials

The following review is focused on carrageenan, a heteroglycan-based substance that is a very significant wound healing biomaterial. Every biomaterial has advantages and weaknesses of its own, but these drawbacks are typically outweighed by combining the material in various ways with other substances. Carrageenans’ key benefits include their water solubility, which enables them to keep the wound and periwound damp and absorb the wound exudate. They have low cytotoxicity, antimicrobial and antioxidant qualities, do not stick to the wound bed, and hence do not cause pain when removed from the wounded region. When combined with other materials, they can aid in hemostasis. This review emphasizes the advantages of using carrageenan for wound healing, including the use of several mixes that improve its properties

Assessing Obesogenic School Environments in Sibiu County, Romania: Adapting the ISCOLE School Environment Questionnaire

The impact of the school environment on childhood weight status has garnered significant attention in recent years. This study aimed to adapt and validate the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) School and Environment questionnaire in order to assess the potential obesogenic impact of school environments in Sibiu County, Romania. The ISCOLE questionnaire was chosen for its rigorous methodology. It was derived from a comprehensive study conducted across 12 countries which aimed to capture multifaceted influences on childhood weight while emphasizing educational settings in the collection of data. To guide the translation and adaptation of the questionnaire, a multidisciplinary committee was assembled which comprised experts in teaching and school administration to ensure target responder relevance, experts in clinical research to ensure methodological robustness, experts in language adaptation to preserve the original intent of the survey, and experts in public health to steer the interpretation of the results, with potential policy implications. The data were analyzed by distinguishing between urban and rural settings, and a two-step cluster analysis was implemented to identify potential intervention targets. To assess the validity of the adapted tool, the questionnaire’s construct validity and internal consistency were explored. A response rate of 71.2% of the approached schools in Sibiu County was achieved. Of the 84 responding school representatives, 37 (44%) were from a rural setting. The rural schools had significantly more limited access to gymnasiums, secured lockers, showers, and bicycle racks, and exhibited more serious problems regarding the inadequate disposal of garbage in the school vicinity. A two-step cluster analysis revealed distinct school categories, providing opportunities for public policy interventions. One of these primarily concerned rural schools with limited infrastructure but with proactive practices and policies which were termed “unable but willing”; on the opposing spectrum, the category “able but unwilling” mainly comprised urban schools which had available facilities but lacked local proactive initiatives. The findings emphasize the urgent need for targeted measures to bridge these discrepancies by investing in infrastructure in rural schools and promoting active school practices and policies in urban settings. The assessment of obesogenic school environments in Sibiu County provides a pilot model for broader applications due to the diverse school landscape and supportive local authorities. The results, which were achieved using low-cost methods, can guide future educational policies, health promotion initiatives, and preventive interventions

Fecal Microbiota Transplantation in Patients Co-Infected with SARS-CoV2 and <i>Clostridioides difficile</i>

Background: The COVID-19 pandemic has challenged the treatment of Clostridioides Difficile (CD)-infected patients given the increasing number of co-infections with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In this context, fecal microbiota transplantation (FMT) shows promise in modulating the immune system’s function and alleviating the burdens associated with this condition. Methods: To achieve this goal, we performed a comparative, retrospective, single-center study on 86 patients (admitted between January 2020 and March 2022). We based our approach on specific inclusion criteria: 1. The study group included 46 co-infected patients (COVID-19 and CD) receiving antibiotics and FMT; 2. In the control group, 40 co-infected patients received antibiotics only. Our results showed no significant group differences in terms of gender, age, risk factors such as cardiovascular and neurological diseases, type 2 diabetes, and obesity (p > 0.05), or in pre-treatment inflammatory status, evaluated by white blood cell (WBC) count and C-reactive protein (CRP) levels. We report a significant decrease in inflammatory syndrome (CRP, WBC) in coinfected patients receiving FMT in addition to antibiotics (p p < 0.05). Conclusion: Our study provides new data to support the multiple benefits of FMT in the case of COVID-19 and CD co-infection by improving patients’ quality of life and inflammatory syndrome

Telocytes&rsquo; Role in Modulating Gut Motility Function and Development: Medical Hypotheses and Literature Review

This review article explores the telocytes&rsquo; roles in inflammatory bowel diseases (IBD), presenting the mechanisms and hypotheses related to epithelial regeneration, progressive fibrosis, and dysmotility as a consequence of TCs&rsquo; reduced or absent number. Based on the presented mechanisms and hypotheses, we aim to provide a functional model to illustrate TCs&rsquo; possible roles in the normal and pathological functioning of the digestive tract. TCs are influenced by the compression of nearby blood vessels and the degree of fibrosis of the surrounding tissues and mediate these processes in response. The changes in intestinal tube vascularization induced by the movement of the food bowl, and the consequent pH changes that show an anisotropy in the thickness of the intestinal tube wall, have led to the identification of a pattern of intestinal tube development based on telocytes&rsquo; ability to communicate and modulate surrounding cell functions. In the construction of the theoretical model, given the predictable occurrence of colic in the infant, the two-layer arrangement of the nerve plexuses associated with the intestinal tube was considered to be incompletely adapted to the motility required with a diversified diet. There is resulting evidence of possible therapeutic targets for diseases associated with changes in local nerve tissue development