Publications by authors named "Razvan Mircea Chereches"

6 Publications

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Prospects of COVID-19 Vaccination in Romania: Challenges and Potential Solutions.

Front Public Health 2021 10;9:644538. Epub 2021 Feb 10.

Department of Epidemiology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.

The rapid advancement in vaccine development represents a critical milestone that will help humanity tackle the COVID-19 pandemic. However, the success of these efforts is not guaranteed, as it relies on the outcomes of national and international vaccination strategies. In this article, we highlight some of the challenges that Romania will face and propose a set of solutions to overcome them. With this in mind, we discuss issues such as the infrastructure of vaccine storage and delivery, the deployment and administration of immunisations, and the public acceptance of vaccines. The ways in which Romanian society will respond to a national COVID-19 vaccination campaign will be contingent on appropriate and timely actions. As many of the problems encountered in Romania are not unique, the proposed recommendations could be adapted and implemented in other countries that face similar issues, thereby informing better practices in the management of the COVID-19 pandemic.
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http://dx.doi.org/10.3389/fpubh.2021.644538DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7902778PMC
March 2021

Educational Interventions to Improve Safety and Health Literacy Among Agricultural Workers: A Systematic Review.

Int J Environ Res Public Health 2020 02 10;17(3). Epub 2020 Feb 10.

Psychological Sciences Research Institute, Université catholique de Louvain, 1348 Ottignies-Louvain-la-Neuve, Belgium.

Health and safety education for farmers has the potential to increase the level of health, safety literacy, and thereby improve farmers' health and quality of life. The aim of this paper is to provide a systematic review of the published literature documenting different educational interventions for agricultural workers that have the improvement of health and/or safety literacy as an outcome. A systematic search was conducted in PubMed, Embase, Scopus and PsycINFO databases for articles focusing on educational interventions for farmers' health and safety. From the 3357 initial hits, 36 unduplicated records met the inclusion criteria. The articles included in the review used educational interventions for farmers with the purpose of preventing farm-induced diseases and injuries, increasing the health and well-being of farmers, and promoting good manufacturing practices. The educational approaches considered varied from lectures, videos, newsletters, games, and community fairs, to involving the community in designing the intervention and training farmers to deliver the intervention to the community. Interventions that used evidence-based theories, which took into account cultural aspects and individual factors, used biomarkers as a behavior change measurement, and involved the community in the development of the intervention had the best results in terms of behavior change. The strategies of educational interventions identified in this review that produced good results have the potential to inform future researchers and policy makers in the design and implementation of public health interventions, programs and policies to improve the health of farmers and their families.
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http://dx.doi.org/10.3390/ijerph17031114DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7037762PMC
February 2020

Gender differences in the magnitude of the associations between eating disorders symptoms and depression and anxiety symptoms. Results from a community sample of adolescents.

J Ment Health 2015 24;24(5):294-8. Epub 2015 Aug 24.

a Cluj School of Public Health, College of Political, Administrative and Communication Science, Babes-Bolyai University , Cluj-Napoca , Romania.

Background: Studies reporting comorbidities of eating disorders (EDs) with depression and anxiety disorders during adolescence used clinical samples of female adolescents with few attempts to present the magnitude of these associations in population-based samples and to assess gender differences in the strength of these associations.

Aims: This study assesses significant gender differences in the association of anorexia nervosa (AN) and bulimia nervosa (BN) symptoms with depression and generalized anxiety symptoms in a community sample of adolescents.

Method: We collected anonymous self-reported data from 235 adolescent boys and 471 adolescent girls, through an online platform. To identify correlations between symptoms of AN and BN, and symptoms of depression and generalized anxiety, we used the Mann-Whitney U test. To identify differences between independent correlation coefficients, we converted each correlation coefficient into a z-score using Fisher's r-to-z transformation and, making use of the sample size employed to obtain each coefficient, we compared the z-scores.

Results: The magnitude of the associations between EDs symptomatology and depression and anxiety symptomatology was similar in adolescent boys and girls.

Conclusion: Our results show an urgent need to address EDs prevention in adolescent girls and boys from the community.
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http://dx.doi.org/10.3109/09638237.2015.1022250DOI Listing
July 2016

Epidemiology of Road Traffic Injuries Treated in a Large Romanian Emergency Department in Tîrgu-Mureş Between 2009 and 2010.

Traffic Inj Prev 2015 1;16(8):835-41. Epub 2015 Apr 1.

a Department of Public Health and Health Management, University of Medicine and Pharmacy Iuliu Hatieganu , Cluj-Napoca , Romania.

Objective: Road traffic injuries are one of the leading causes of preventable unintentional injury. The European Injury Database estimated that in European Union (EU)-27 countries, road traffic injuries account for 10% of all injuries treated in the emergency department or admitted to the hospital, accounting for 4.2 million victims each year. We examined the characteristics and outcomes of road traffic injuries treated in a large emergency department in Romania by different types of road users.

Methods: Secondary data analysis was conducted on a sample of patients who suffered a transport-related injury and received care at the Emergency Department of Mures County Emergency Hospital in Romania. Data was collected by 2 trained emergency physicians between March 2009 and July 2010, as part of the European Injury Database project. Information about demographics, mechanism, nature, place of occurrence, and activity of injury; treatment and follow-up; and mode of transport were described for 5 different categories of road users: animal-drawn vehicle (operator and passenger), passenger car (driver and passenger), motorcycle (driver and passenger), bicyclist, and pedestrian.

Results: A total of 2,782 patients were treated in the emergency department, of which 718 (25.8%) were road traffic injuries. The male-to-female ratio was 2:1. The highest percentage of patients were injured in passenger cars (49%), followed by motorcycles (16.7%). For both types of road users, the majority of patients were between the ages of 18 and 29. Pedestrian injuries accounted for 14.6%, of which a third were children up to the age of 17 and 40% were adults and elderly over the age of 50. The majority of patients were injured due to contact with a moving object (48.1%), followed by contact with static object (23.5%), then falling, stumbling, jumping, or being pushed (19.6%). Contusion and bruises (54.9%) were the most common diagnosis, followed by fractures (20.1%) and open wounds (10.2%) for all road user categories. The most common part of the body injured for all road user categories was the head region (42.3%). Of the 34.9% patients treated and admitted to the hospital, 30% had a length of stay between 4 and 7 days.

Conclusions: Understanding the extent, nature, and characteristics of road traffic injuries may help to identify vulnerable road users in specific settings and implement the most effective prevention strategies targeting the most affected populations.
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http://dx.doi.org/10.1080/15389588.2015.1030501DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5485646PMC
February 2016

A couple-focused intervention to prevent postnatal smoking relapse: PRISM study design.

Contemp Clin Trials 2015 Mar 9;41:273-9. Epub 2015 Feb 9.

Center for Health Policy and Public Health, College of Political, Administrative and Communication Sciences, Babeș-Bolyai University Cluj-Napoca, 7 Pandurilor Street, 400376 Cluj-Napoca, Romania.

Background: Maternal smoking is one of the most modifiable factors with clear adverse effects for the fetus and the entire family. Addressing the dearth of pregnancy smoking interventions with partner support, PRISM (Prevent Relapse In SMoking) is a partnership between a research institution and the two largest state-owned obstetrics and gynecology clinics in Cluj-Napoca, Romania. The study will assess the efficacy of a couple-focused telephone-counseling program to prevent smoking relapse among mothers who quit smoking closely before or during pregnancy.

Methods/design: The intervention is a program for couples based on motivational interviewing delivered over the phone after birth. The study is an ongoing randomized controlled trial of 250 Romanian women recruited soon after childbirth, who quit smoking in the six months before pregnancy or no later than the end of the first pregnancy trimester and remained abstinent (which was biochemically verified) until delivery. Participants were randomized to: (1) a control arm (usual care); and (2) an intervention arm consisting of up to 4 postnatal counseling calls for mothers and their partners using motivational interviewing to encourage the woman to remain smoke-free and the partner to support her decision. The primary outcome is maternal smoking abstinence at 6 months postpartum (biochemically verified).

Discussion: PRISM has the potential to identify strategies to reduce maternal postnatal relapse and increase partner quitting. If successful, the program may be an effective method to prevent and reduce smoking, which may lead to improved child, mother, and partner health both in the short and the long term.
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http://dx.doi.org/10.1016/j.cct.2015.02.002DOI Listing
March 2015

Paediatric head injuries treated in a children's emergency department from Cluj-Napoca, Romania.

Int J Inj Contr Saf Promot 2016 30;23(2):206-13. Epub 2014 Jan 30.

a Department of Health Management and Public Health , University of Medicine and Pharmacy Iuliu Hatieganu , Cluj-Napoca , Romania.

The aim of the study was to describe paediatric head injuries and identify factors that led to advanced care. Incident cases of head injuries that sought care from December 2008 to October 2010 at Children's Emergency Hospital Cluj-Napoca were evaluated. The main outcome was transfer or admission to advanced care. From a total of 3053 children treated for an injury, 1541 (50.4%) presented with head injury. A total of 960 (62.3%) of the children with a head injury required advanced care treatment. Young children were more likely to suffer a head injury than older children, but a higher proportion of older children required advanced care (70.3%). Children who suffered a head injury as a consequence of road traffic were almost five times more likely to require advanced care (OR: 4.97; 3.09-8.06) than being released. Our results suggest that data on injuries provide evidence-based information on the nature of injuries children are prone to, and what activity, type, and mechanism of injury impact Romanian children.
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http://dx.doi.org/10.1080/17457300.2013.872671DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4320977PMC
January 2017