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Romanian Children

Domnita O Badarau, Eva De Clercq, Tenzin Wangmo, Monica Dragomir, Ingrid Miron, Thomas Kühne, Bernice S Elger
Communication about diagnosis and medical treatment for children suffering from life-threatening illnesses is complex. It is a primary step in involving underage patients and families in care and lays the foundation for obtaining parental permission and patient assent for treatment. In practice child participation in care is often difficult to obtain due to patients' different and sometimes fluctuating preferences, but also parents' protective strategies. Physicians may be susceptible to parental wishes to limit information and feel uncomfortable discussing issues related to uncertainty of cure with patients...
October 3, 2016: Journal of Medical Ethics
Silvia Avram, Eva Militaru
We investigate the impact of the Romanian and Czech family policy systems on the poverty risk of families with children. We focus on separating out the effects of policy design itself and size of benefits from the interaction between policies and population characteristics. We find that interactions between population characteristics, the wider tax benefit system and child related policies are pervasive and large. Both population characteristics and the wider tax-benefit environment can dramatically alter the antipoverty effect of a given set of policies...
2016: Social Indicators Research
Ramona Stroescu, Teofana Bizerea, Gabriela Doroş, Monica Marazan, Maria Lesovici, Otilia Mãrginean
Objective: To investigate the relationship between markers of adiposity and common carotid artery (CIMT) in obese children born small for gestational age (SGA) versus appropriate for gestational age (AGA), to establish cut-off values for CIMT in obese pediatric populations. Subjects and methods: A cross-sectional study was carried out over a 1-year period (Jul 2013 - June 2014). We analyzed 122 obese patients aged 4-20 (mean age 14.9 ± 2.28). Twenty-six patients were born SGA...
September 5, 2016: Archives of Endocrinology and Metabolism
Costina R Păsărelu, Anca Dobrean, Robert Balazsi, Elena Predescu, Roxana Şipos, Viorel Lupu
The Penn State Worry Questionnaire for Children (PSWQ-C) is one of the most frequently used instruments to assess worry in children. The current study examines the measurement invariance of the PSWQ-C in a Romanian sample. Participants (n = 759) were recruited from both community and clinical populations. Our findings have replicated the good psychometric properties of the PSWQ-C and of the short PSWQ-C (the original scale with the negative items deleted). Multigroup confirmatory factor analysis has supported measurement invariance (configural, metric, scalar) across gender, age and clinical diagnosis...
June 22, 2016: Child Psychiatry and Human Development
Adela Chirita-Emandi, Carmen Gabriela Barbu, Elena Eliza Cinteza, Bianca Ioana Chesaru, Mihai Gafencu, Veronica Mocanu, Ionela M Pascanu, Simona Alexandra Tatar, Mihaela Balgradean, Michaela Dobre, Simona Vasilica Fica, Gabriela Edita Ichim, Raluca Pop, Maria Puiu
AIM: High-quality national representative data on obesity in Romanian children are needed to shape public health policies. To provide a unified data landscape on national prevalence, trends and other factors associated with underweight, overweight, and obesity in Romanian children aged 6-19 years, across the last decade (2006-2015). METHODS: Using a common protocol, we selected published and unpublished studies that measured Romanian children in schools between 2006 and 2015...
2016: Obesity Facts
Mark Kennedy, Jana Kreppner, Nicky Knights, Robert Kumsta, Barbara Maughan, Dennis Golm, Michael Rutter, Wolff Schlotz, Edmund J S Sonuga-Barke
BACKGROUND: Early-life institutional deprivation is associated with attention-deficit/hyperactivity disorder (ADHD) later in childhood and adolescence. In this article, we examine, for the first time, the persistence of deprivation-related ADHD into young adulthood in a sample of individuals adopted as young children by UK families after periods in extremely depriving Romanian orphanages. METHODS: We estimated rates of ADHD at age 15 years and in young adulthood (ages 22-25 years) in individuals at low (LoDep; nondeprived UK adoptees and Romanian adoptees with less than 6-month institutional exposure) and high deprivation-related risk (HiDep; Romanian adoptees with more than 6-month exposure)...
October 2016: Journal of Child Psychology and Psychiatry, and Allied Disciplines
Florina Maria Gabor-Harosa, Ovidiu Petru Stan, Lucia Daina, Floarea Mocean
BACKGROUND AND OBJECTIVES: The prevalence of chronic diseases at children is increasing due to the progress made in medicine, which radically changed the evolution and the prognostics. Disease registers became important tools to register and monitor the chronic patients in order to asses their needs and improve their care. Disease registers are also very important for adjusting to population needs the actions in the public health field. The main objective for this research is to develop a model for a chronic disease register of children in Romania, taking into account the current situation of chronic diseases' registration and reporting, the specific requirements for such medical database and the particularities of the information systems in the Romanian healthcare system...
July 2016: Computer Methods and Programs in Biomedicine
Carmen Duicu, Cristina Oana Mărginean, Septimiu Voidăzan, Florin Tripon, Claudia Bănescu
Obesity is a disorder with increasing frequency in children and adolescents, directly linked with various diseases. Variants in the FTO (fat mass and obesity-related) gene have been associated with body mass index and waist and hip circumferences in widespread populations.The aim of this case-control study was to assess if there is any association between FTO gene variants rs9939609, respectively, rs17817449 with anthropometric and metabolic biomarkers (fasting glucose, TC, HDL-cholesterol, LDL-cholesterol, triglycerides) and adipokines (adiponectin and leptin), in Romanian obese children...
May 2016: Medicine (Baltimore)
Gudrun Bauer, August Österle
BACKGROUND: Many women in mid or later life from Central and Eastern Europe commute for live-in 24-hour care work to Austria. In addition to paid care work abroad, the majority of women in this age group is confronted with informal (family) care obligations towards children, towards older relatives or towards grandchildren. OBJECTIVE: This study aims to explore the patterns of re-organising these informal care obligations (childcare, long-term care and domestic work) in the respective home country and to analyse the factors that determine the re-organisation...
April 2016: Journal of Aging Studies
Olga-Odetta Duma, Solange Tamara Roşu, F D Petrariu, M Manole, Brânduşa Constantin
AIM: To assess the efforts made in Romania towards achieving the Goal 4 from MDGs--Reduce Child Mortality. MATERIALS AND METHODS: A descriptive study about the deaths among Romanian children under five, between 2002 and 2015, from the perspective of the MDGs. To help track progress toward this commitment, following specific targets and indicators were developed: Target 1-Halve the mortality rate in children aged 1-4 years between 2002-2015; Target 2--Reduce infant mortality by 40% between 2002 and 2015; Target 3--Eliminate measles by 2007...
January 2016: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
Ferencz Iozsef Lorand, Abram Zoltan, Schmidt Lorand, Balazs Peter, Kristie L Foley
BACKGROUND: Children living in facilities under the supervision of child protection authorities are vulnerable to early smoking experimentation. This is the first study to report the prevalence and correlates of smoking behaviour among foster care home residents in Romania. METHODS: We conducted an in-person, cross-sectional survey of 914 resident children in 148 foster care homes of four Transylvanian counties. We included children <18 and those with complete tobacco use information in the analytical sample (n= 791)...
April 15, 2016: European Journal of Public Health
Cristina Oana Mărginean, Claudiu Mărginean, Septimiu Voidăzan, Lorena Meliţ, Andrei Crauciuc, Carmen Duicu, Claudia Bănescu
The aim of this study was to establish the manner in which the LEPR 223, 1019, 492, and 976 gene polymorphisms influence child obesity.We performed a prospective case-control study on 264 hospitalized children from Romania (Nutrichild study) whom we divided into 2 groups: Group I -143 controls and Group II-121 obese children.The 2 groups were evaluated regarding the anthropometry (MUAC, TST, H/L, hip, and abdominal circumference), paraclinical results (protein, leptin, adiponectin, TNF alfa, IL 6, IL 8, VEGF, protein, albumin) and LEPR 223, 1019, 492, and 976 gene polymorphisms...
March 2016: Medicine (Baltimore)
L McConnell, D Cosma, D Vasilescu, J Morcuende
OBJECTIVE: Congenital clubfoot affects 1 per 1000 live births per year in Romania. To date, no epidemiological studies have been conducted in this country to assess risk factors associated with the deformity. The aim of this study was to evaluate specific environmental and socio-demographic factors that may increase the risk of an infant to be born with clubfoot. PATIENTS AND METHODS: A descriptive clinic-based study over a twelve-week period was conducted using structured questionnaires given to biological parents of clinically confirmed clubfoot and control subjects...
2016: European Review for Medical and Pharmacological Sciences
Adela Chirita-Emandi, Gabriela Doros, Iulia Jurca Simina, Mihai Gafencu, Maria Puiu
AIMS: To provide head circumference references for school-aged children in western Romania, and compare them with references from other European countries. METHODS: A total of 2742 children, aged 6-19 years, from Timis county, were examined by medical students, between February 2010-June 2011. Head circumference references were constructed by Cole's LMS method with LMSChartMaker software. The Romanian 3rd, 50th and 97th percentiles for head circumference were compared with recent references from Belgium and Germany...
October 2015: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
Ana Maria Tudor, Mariana Mărdărescu, Cristina Petre, Ruxandra Neagu Drăghicenoiu, Rodica Ungurianu, Cătălin Tilişcan, Dan Oţelea, Simona Claudia Cambrea, Doina Eugenia Tănase, Ana Maria Schweitzer, Simona Ruţă
BACKGROUND: The Romanian HIV epidemic is characterized by a high prevalence among children born in the late '80s, perinatally infected. The impact of long-term treatment on their offspring is unknown. We evaluated the influence of prenatal care on the rate of premature birth among the HIV-exposed children of heavily treated HIV-infected mothers in two Romanian centers. METHODS: We retrospectively analyzed data on all patients born by HIV-infected mothers between 2006 and 2012 followed up in two main regional centers...
December 2015: Germs
E Stativa, A V Rus, A Stanescu, J S Pennings, S R Parris, R Wenyika
BACKGROUND: Anaemia is a public health problem that can lead to a variety of detrimental effects on physical and neurodevelopment in young children. The present study explored the epidemiology of anaemia among infants in Romania, identified risk factors and created a model for predicting it. METHODS: Data from 1532 infants aged 6-24 months were selected from a larger nationally representative cross-sectional survey. Demographic predictor variables and haemoglobin concentration were extant variables in the data set...
October 22, 2015: Journal of Public Health
Smaranda Maier, Mircea Buruian, Anca Maier, Anca Moţăţăianu, Septimiu Voidăzan, Zoltán Bajkó, Rodica Bălaşa
The aim of the present study was to assess the prevalence of depression in a large multiple sclerosis (MS) patient group and to analyse the physical and psycho-socio-economic factors that influence its frequency and severity. In total, 351 consecutive patients with a diagnosis of MS were included in this study. All the patients completed a survey about their demographic characteristics, marital status, presence of children, employment status, educational level, duration of disease, disease course, duration of treatment and type of disease modifying therapies (DMT)...
June 2016: Acta Neurologica Belgica
Helge Giese, Diana Tãut, Hanna Ollila, Adriana S Baban, Pilvikki Absetz, Harald T Schupp, Britta Renner
OBJECTIVE: In schools, perceived norms of classmates facilitate but can also inhibit unhealthy food intake in children and adolescents. However, the role of actual class behaviors and attitudes is less established. Thus, the present study examined classmates' actual eating behavior and food preferences in relation to actual food intake. In addition, it tested whether these normative effects are facilitated by corresponding individual and class food preferences or a positive social self-concept...
2015: Frontiers in Psychology
Kathryn L Humphreys, Mary Margaret Gleason, Stacy S Drury, Devi Miron, Charles A Nelson, Nathan A Fox, Charles H Zeanah
BACKGROUND: Early social deprivation can negatively affect domains of functioning. We examined psychopathology at age 12 years in a cohort of Romanian children who had been abandoned at birth and placed into institutional care, then assigned either to be placed in foster care or to care as usual. METHODS: We used follow-up data from the Bucharest Early Intervention Project (BEIP), a randomised controlled trial of abandoned children in all six institutions for young children in Bucharest, Romania...
July 2015: Lancet Psychiatry
Alisa N Almas, Kathryn A Degnan, Olga L Walker, Anca Radulescu, Charles A Nelson, Charles H Zeanah, Nathan A Fox
The present study compared the social behaviors of 8-year-old previously institutionalized Romanian children from the Bucharest Early Intervention Project (BEIP) in two groups: 1) children randomized to foster care homes (FCG), and 2) children randomized to care as usual (remaining in institutions) (CAUG). Children were observed interacting with an age and gender-matched unfamiliar, non-institutionalized peer from the community (NIG) during six interactive tasks, and their behavior was coded for speech reticence, social engagement, task orientation, social withdrawal, and conversational competence...
May 2015: Social Development
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