Dana Teodora Anton Păduraru

Latest posts by Dana Teodora Anton Păduraru (see all)

OSTEOPENIA LA COPIII CU SINDROAME DE MALABSORBTIE - 22/02/2017
OSTEOPENIA IN CHILDREN WITH MALABSORPTION SYNDROM - 22/02/2017
Factors influencing calcium deficit in children and adolescents - 23/07/2015

Articole semnate de acelasi autor in Revista Romana de Pediatrie:

OSTEOPENIA LA COPIII CU SINDROAME DE MALABSORBTIE

Revista Romana de PEDIATRIE | Volumul LXV, Nr. 4, An 2016

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

Tania Elena Rusu, Evelina Moraru, Laura Bozomitu, Dana Teodora Anton Păduraru, Lucretia Anghel and Aurica Rugina

REZUMAT

Introducere. Sindroamele de malabsorbţie au drept consecinţă perturbarea dezvoltării şi funcţiei normale a sistemului osos.
Obiective. Aprecierea densităţii osoase la copiii cu sindroame de malabsorbţie. Analiza factorilor de risc pentru osteopenie. Evaluarea corelaţiilor între osteopenie, markerii nutriţionali şi markerii metabolismului osos.
Material şi metodă. 118 copii cu sindrom de malabsorbţie de diverse etiologii, în principal boală celiacă (41 cazuri) şi fibroză chistică (14 cazuri). Densitatea osoasă a fost evaluată prin Ultrasonografie cantitativă (QUS) utilizând un Osteodensitometru Sunlight Omnisense Ultrasonometer 7000P. QUS a fost efectuată la radius (86 de cazuri) şi tibie (78 de cazuri). 25 hidroxivitamina D a fost evaluată la 10 cazuri prin metoda RIA. Analiza statistică a fost realizată utilizând SPSS for Windows.
Rezultate. Osteopenia a fost prezentă la 32% dintre cazuri. Scăderea densităţii osoase la radius a fost asociată cu sindromul celiachiform. Osteopenia la tibie s-a asociat cu fibroza chistică. Osteopenia a fost mai frecventă la fete. Osteopenia s-a asociat cu durata bolii. Osteopenia nu s-a corelat cu BMI. Scorul Z la radius s-a corelat pozitiv cu nivelele fosfatazei alcaline, iar scorul Z la tibie cu colesterolemia. Scorul Z la tibie şi radius s-a corelat negativ cu valorile markerilor inflamatori. La copiii cu boală celiacă, valoarea anticorpilor anti-transglutaminază s-a corelat negativ cu scorul Z la radius şi tibie. Nivelele 25(OH) vitaminei D au fost deficiente la 8 copii şi insuficiente la 2, dar valorile sale nu s-au corelat cu scorul Z la radius şi tibie. Semne clinice, biologice şi radiologice de rahitism au fost prezente la 35% dintre bolnavii cu osteopenie.
Concluzii. Osteopenia a fost prezentă la 1/3 din bolnavii cu sindrom de malabsorbţie din lotul studiat. 30% dintre bolnavi au avut semne clinice, biologice şi radiologice de rahitism. Valorile 25(OH) vitaminei D nu s-au corelat cu scorul Z. S-a observat o corelaţie negativă între parametrii osoşi şi markerii inflamaţiei şi anticorpii anti-transglutaminază.

Cuvinte cheie: osteopenie, sindroame de malabsorbţie, boală celiacă

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Tania Elena Rusu

OSTEOPENIA IN CHILDREN WITH MALABSORPTION SYNDROM

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

Tania Elena Rusu, Evelina Moraru, Laura Bozomitu, Dana Teodora Anton Păduraru, Lucretia Anghel and Aurica Rugina

ABSTRACT

Introduction. Malabsorption syndromes result in the disturbance of bone normal development and function.
Objective. The assessment of bone density in children with malabsorption syndromes. The analysis of risk factors for osteopenia. The correlation between osteopenia, nutritional markers and bone metabolism markers.
Material and method. 118 children with malabsorbtion syndromes of different etiologies, mainly Celiac disease (41 cases) and Cystic fibrosis (14 cases). Bone density was assessed by Quantitative Ultrasonography (QUS) with a Sunlight Omnisense Ultrasonometer 7000P. QUS was performed at two sites – radius (86 cases) and tibia (78 cases). 25hydroxivitamin D was measured in 10 cases by RIA method. Statistical analysis was made using SPSS for Windows.
Results. Osteopenia was present in 32% cases. Decreased bone density at the radius was associated with the celiac syndrome. Osteopenia at the tibia was associated with cystic fibrosis. Osteopenia was more frequent in girls. Osteopenia was related to the duration of the disease. Osteopenia wasn’t related to BMI. Radius Z-score positively correlated to alkaline phosphatase levels and tibia Z-score to serum cholesterol levels. Radius and tibia Z-score negatively correlated with inflammatory marker levels. In children with celiac disease, the value of anti-transglutaminase antibodies was negatively correlated to radius and tibia Z-score values. 25(OH) vitamin D values were deficient in 8 patient and insufficient in 2, but its values didn’t correlate to radius/tibia Z-score. Clinical, biological and radiological signs of rickets were found in 35% of patients with osteopenia.
Conclusions. Osteopenia was found in 1/3 of patients with malabsorption syndromes of the studied group. In 30% of patients, clinical, biological and radiologic rickets signs were present. 25(OH) vitamin D values didn’t correlate with the Z-score. A negative correlation between bone parameters and inflammation markers and anti-transglutaminase antibodies values was observed.

Keywords: osteopenia, malabsorption syndromes, celiac disease

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Tania Elena Rusu

Factors influencing calcium deficit in children and adolescents

Revista Romana de PEDIATRIE | Volumul LXII, Nr. 1, An 2013

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

E. Cîrdeiu and Dana Teodora Anton Păduraru

ABSTRACT

Calciu, the most abundant mineral in the body, is a real nutriment. Its homeostasis involvesthe parathyroid hormone, serum vitamin D level, calcium sensing receptos and vitamin D receptors. The authors present data on calcium and vitamin D intake in infants, children and adolescents, as well as nutritional factors leading to fecal and urinary calcium loss: excess fat, salt, oxalate, phytate, meat, cocoa, coffee. The genetic factor, represented by vitamin D receptors in bone, influences the number of polymorphisms and phenotypic polymorphism 70-80% of the individual bone density, even if dietary intake of calcium is adequate.

Key words: calcium deficiency, involoved factors, child

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E. Cîrdeiu

FACTORI CARE INFLUENTEAZA DEFICITUL DE CALCIU LA COPIL SI ADOLESCENT

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

E. Cîrdeiu and Dana Teodora Anton Păduraru

REZUMAT

Calciul, cel mai important mineral al organismului, este un adevărat nutriment. Homeostazia acestuia este asigurată în principal de parathormon, nivelul seric al vitaminei D, de receptorii de calciu membranari şi de receptorii osoşi pentru vitamina D. Autorii prezintă date legate de aportul de calciu şi vitamina D la sugar, copil şi adolescent, precum şi factorii nutriţionali care conduc la pierderi fecale şi urinare de calciu: excesul de grăsimi, sare, oxalaţi, fitaţi, carne, cacao, cafea. Factorul genetic reprezentat prin receptorii de vitamina D de la nivel osos influenţează prin polimorfismul numeric şi fenotipic în procent de 70-80% densitatea osoasă a individului, chiar sub un aport dietetic de calciu normal.

Cuvinte cheie: deficit de calciu, factori implicaţi, copil

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E. Cîrdeiu

SEMNIFICATIA SINDROMULUI DE CITOLIZA LA COPIL – STUDIU CAZUISTIC

Revista Romana de PEDIATRIE | Volumul LXII, Nr. 4, An 2013

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

Laura Mihaela Trandafir, Georgeta Diaconu, Iulia Carmen Straticiuc Ciongradi, Eugen Cirdeiu and Dana Teodora Anton Păduraru

REZUMAT

Determinarea valorilor transaminazelor face parte din protocolul de investigaţii biochimice de rutină care se efectuează la copil, indiferent de simptomatologia clinică. Transaminazele (TGP, TGO) sunt markeri ai leziunilor tisulare care se modifică atât în afecţiuni hepatice, cât şi extrahepatice. Scopul acestui studiu a fost de a stabili etiologia şi semnificaţia clinică a sindromului de citoliză hepatică fără colestază la copiii internaţi pentru diverse afecţiuni pediatrice. Lotul de studiu a cuprins 394 de copiii (cu vârsta cuprinsă între 1,5 luni şi 16 ani) la care au fost decelate valori crescute ale transaminazelor. Protocolul de investigaţii a cuprins anamneza, examenul fizic, investigaţiile biologice complete, markerii virali şi ecografia hepatică.În funcţie de valoarea transaminazelor faţă de valoarea normală (VN), pacienţii au fost incluşi în trei loturi de studiu: 222 pacienţi cu creşteri uşoare ale TGP, TGO (< 2xVN) (lotul I), 164 pacienţi cu TGP, TGO între 2-3xVN (lotul II) şi 8 pacienţi cu TGP, TGO > 3xVN (lotul III). Valoarea transaminazelor a fost determinată lunar în primele 3 luni, iar ulterior, la interval de 2 până la 6 luni din momentul identificării hepatocitolizei. În toate loturile etiologia sindromului de citoliză a fost dominate de afecţiunile acute bacteriene (respiratorii, urinare, digestive) şi virale (infecţia cu virus Epstein Barr, Cito megalovirus). Alte cauze ale sindromului de citoliză au fost bolile nutriţionale şi de metabolism (obezitatea, diabetul zaharat, fenilcetonuria, fibroza chistică, hipotiroidismul congenital). În 20,31% dintre cazuri etiologia nu a fost elucidată, dar valoarea transaminazelor la 6 luni s-a normalizat ca urmare a dietei şi hepatoprotectoarelor. Creşterile uşoare ale valorii TGP, TGO nu necesită învestigaţii laborioase, ele normalizându-se în primele trei luni. Creşterile medii şi severe, persistente după trei luni de tratament, impun continuarea investigaţiilor pentru stabilirea etiologiei (infecţii virale, boli autoimune, nutriţionale şi de metabolism).

Cuvinte cheie: transaminaze, sindrom de citoliză, copil

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Laura Mihaela Trandafir

THE SIGNIFICANCE OF CYTOLYSIS SYNDROME IN CHILDREN

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

Laura Mihaela Trandafir, Georgeta Diaconu, Iulia Carmen Straticiuc Ciongradi, Eugen Cirdeiu and Dana Teodora Anton Păduraru

ABSTRACT

The measurement of aminotransferases levels has become part of the routine biochemical tests done in children regardless of their clinical symptoms. Aminotransferases (ALT, AST) are tissue necrosis markers which change in both hepatic and extra-hepatic conditions. The aim of this study was to establish the etiology and clinical significance of the cytolysis syndrome without cholestasis in children hospitalized for various pediatric conditions. The study group consisted of 394 children (aged between 1.5 months and 16 years)with elevated values of ALT, AST. The investigation protocol applied included history, full physical examination, complete biological investigations, viral markers and liver ultrasounds.Depending on the aminotransferases values as compared to the normal value (NV), the patients were included in 3 study subgroups: 222 patients with slightlyelevated transaminases values (< 2xNV) (subgroup I), 164 patients with ALT and AST values between 2-3xNV (subgroup II) and 8 patients with TGP, TGO values > 3 x NV (subgroup III). The ALT and AST values were determined monthly during the first 3 months, and then every 2 to 6 months. In all groups the etiology was dominated by acute bacterial (respiratory, urinary, digestive) and viral (Epstein Barr, Citomegalovirus infection) conditions. Other causes of cytolysis syndrome were nutritional and metabolic diseases (obesity, mellitus diabetes, phenylketonuria, cystic fibrosis, congenital hypotiroidism). The etiology remained unclear in 20.31% of the cases, yet the transaminase values returned to normal after 6 months with diet and hepatoprotective therapy. Slightly elevated ALT andASTvalues do not require thorough investigations, as they usually return to normal within the first three months. On the other hand, mildly and severe increases, which persist after three months therapy require further investigation to determine the etiology (viral infections, autoimmune, nutritional and metabolic diseases).

Key words: aminotransferases, cytolysis syndrome, child

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Laura Mihaela Trandafir

AFECTAREA HEPATICA LA COPIII CU FIBROZA CHISTICA

Revista Romana de PEDIATRIE | Volumul LXIII, Nr. 1, An 2014

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

Laura Mihaela Trandafir, Iulia Straticiuc Ciongradi, Ginel Baciu and Dana Teodora Anton Păduraru

REZUMAT

Afectarea hepatică reprezintă o manifestare precoce la copiii cu fibroză chistică (FC). Spectrul manifestărilor clinice în afectarea hepato-biliară din FC cuprinde colestaza neonatală, steatoza hepatică, fibroza hepatică, litiaza biliară, ciroza biliară focală şi ciroza multilobulară, cu sau fără hipertensiune portală. Modificarea testelor de evaluare a funcţiei hepatice este inconstantă şi nu se corelează cu severitatea leziunilor hepatice. Diagnosticarea bolii hepatice în FC necesită prezenţa a cel puţin două din cele patru criterii de diagnostic: manifestări clinice, modificarea testelor funcţionale hepatice, ecografice şi anatomopatologice. Screeningul anual pentru suferinţa hepatică este recomandat pentru diagnosticarea bolii asimptomatice şi iniţierea precoce a tratamentului cu acid ursodeoxicholic. Ameliorarea funcţiei hepatice influenţează calitatea vieţii şi creşte rata supravieţuirii la pacienţii cu FC.

Cuvinte cheie: fibroză chistică, afectare hepatică, acid ursodeoxicholic, copil

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Laura Mihaela Trandafir

LIVER DISEASE IN CHILDREN WITH CYSTIC FIBROSIS

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

Laura Mihaela Trandafir, Iulia Straticiuc Ciongradi, Ginel Baciu and Dana Teodora Anton Păduraru

ABSTRACT

Liver disease is an early complication in children with cystic fibrosis (CF).The clinical manifestations in hepatobiliary disease of CF include neonatal cholestasis, liver steatosis, liver fibrosis, biliary lithiasis, focal biliary cirrhosis and multilobular cirrhosis, with or without portal hypertension. Changes in the tests evaluating the liver function are inconsistent and are not correlated with the severity of the liver lesions. The diagnosis of liver disease in CF requires the presence of at least two of the following four diagnosis criteria:clinical manifestations, pathologic liver function tests, ultrasound and histologic changes.The annual follow-up to evaluate the liver function is s recommended for diagnosis of asymptomatic liver disease and early initiation of treatment with ursodeoxycholic acid. The improvement of the liver function influences life quality and increases the survival rate in patients with CF

Keywords: cystic fibrosis, liver disease, ursodeoxycholic acid, children

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Laura Mihaela Trandafir

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