Diana Bulgaru-Iliescu

Grigore T. Popa University of Medicine and Pharmacy

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Tatiana Iov

Grigore T. Popa University of Medicine and Pharmacy

Anton Knieling

Grigore T. Popa University of Medicine and Pharmacy

Simona Irina Damian

Hai phong University Of Medicine and Pharmacy

Mădălina Diac

Grigore T. Popa University of Medicine and Pharmacy

Sofia David

"Dunarea de Jos" University of Galati

Daniel Tabian

Transylvania University of Brașov

ȘP

Ștefan Popa

Grigore T. Popa University of Medicine and Pharmacy

Carmen Iulia Ciongradi

Grigore T. Popa University of Medicine and Pharmacy

Irene Paula Popa

Grigore T. Popa University of Medicine and Pharmacy

Ioan Sârbu

Grigore T. Popa University of Medicine and Pharmacy

Cooperative Institutions

Grigore T. Popa University of Medicine and Pharmacy

Spitalul Clinic Judeţean de Urgenţe "Sf. Spiridon" Iaşi

"Dunarea de Jos" University of Galati

Clinical Emergency Hospital Bucharest

Alexandru Ioan Cuza University

Carol Davila University of Medicine and Pharmacy

Spitalul Clinic de Recuperare

Romanian Academy

University of Bucharest

Hai phong University Of Medicine and Pharmacy

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An european perspective on forensic psychiatry

Bulletin of Integrative Psychiatry (2020)

Anton Knieling Gina Madalina Toma Irina Dobrin Ana-Caterina Cristofor Tatiana Iov

The European Union has 27 member states, and the Council of Europe comprises 47 member states; in the context of population migration and differences between cultures, it is necessary to standardize the forensic psychiatric practices, methods of evaluation and treatment.Also, the legal and social framework of forensic psychiatry is influenced by society and it`s wider tendencies so it undergoes a constant evolution.The laws are rules created by people and they guide human behavior.Responsibility or psychic competence are normative issues rather than clinical problems, and are different from country to country, sometimes in a significant manner.Ethical problems of forensic psychiatry are similar in all cultures and depend on certain legal problems and the provision of medical services in each country.In the present paper we want to gather unitary aspects of European forensic psychiatric practice, as well as the differences in approach of a patient with psychiatric condition witch commits an anti-social act.

Forensic psychiatry

10.36219/bpi.2020.1.03

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Medico-legal implications of C1 vertebral fractures

DOAJ (DOAJ: Directory of Open Access Journals) (2018)

Tatiana Iov Diana Bulgaru-Iliescu Simona Irina Damian Anton Knieling Mădălina Diac

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Shaken Baby Syndrome. Case Report

Romanian Neurosurgery (2018)

Tatiana Iov Sofia David Simona Irina Damian Anton Knieling Mădălina Diac

Abstract Recognition of abuse and the treatment of child victims are recent concepts in the history of mankind. Increasing the awareness of the need to treat and prevent such abuse is a characteristic of modern society. The beaten child syndrome was described by Ambroise Tardieu in 1860, and Shaken Baby Syndrome (SBS) was clearly illustrated in medical literature a century later by Caffey in 1972. The definition of SBS is based on the association of major intracranial lesions with minimal external lesions and the diagnosis is still difficult to establish. The authors describe a reduced number of 7 cases of pediatric patients addressed for forensic expertise and where suspicion of SBS has arisen. The lesion mechanisms involved in the production of this syndrome are still controversial and are sources of frequent debates in legal medicine. These uncertainties can make legal punishment inoperable. The therapeutic management of these children in neurosurgery is not subject to international consensus, and discrepancies between different clinics impede a comparative cohort assessment. However, SBS is a major public health problem due to severe neurological injuries caused to child victims during brain development.

Medical literature

Shaken Baby Syndrome

10.2478/romneu-2018-0052

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Romanian Journal of Legal Medicine (2019)

Vlad Pieptu Alexandru Mihai Răzvan Grecu Diana Bulgaru-Iliescu Doina Azoicăi

Burn center

Center (category theory)

10.4323/rjlm.2019.28

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Determinant Factors of Cardiovascular Mortality in Type 2 Diabetic Patients: literature review

Romanian Journal of Legal Medicine (2010)

Gina Botnariu Diana Bulgaru-Iliescu

Abstract: Diabetes mellitus represents a very important cardio-vascular risk factor which produces severe myocardial and vascular lesions with lethal effect. Due to extended lesions, diabetes mellitus represents the 6 th cause of death in the world. Diabetes mellitus induces injuries in all kind of vessels and cardiac nervous fibers. The cardio-vascular prognosis in diabetics without coronary artery disease is the same with a non-diabetic person with a previous myocardial infarction. Risk of death due to cardiovascular events is increased in diabetics with associated comorbidities: arterial hypertension, obesity, dyslipidemia, smoking, cardiac autonomic neuropathy. Good metabolic control may prevent the appearance of vascular complications, but medical treatment should be adapted to avoid lethal hypoglycaemia. Diabetes mellitus has a continuously increasing incidence, justifying a leading cause of death, peripheral and cerebral artery disease. Key words: cardio-vascular risk, cardio-vascular mortality, diabetes mellitus

Dyslipidemia

10.4323/rjlm.2010.309

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Ethical Implications of Bio-Psycho-Social Transformations Entailed by the Aging Process

Revista de Cercetare si Interventie Sociala (2015)

Anamaria Ciubară Diana Bulgaru-Iliescu Roxana Chiriță Ştefan Lucian Burlea Ilinca Untu

This paper aims at making a review of the latest works concerning the topic of aging, particularizing the specificities of the aging process of the neuropsychological functions and their causes, with a view on the social and ethical implications of the psycho-cognitive deterioration entailed by aging and the possible means of intervention for primary, secondary and tertiary prevention of pathological mental aging. Our goal is to lay the groundwork for future studies that are to elaborate well-defined guides of the aging phenomenon under all its forms and at all levels it affects.

Phenomenon

Cognitive aging

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Trauma Outcomes in Pediatric Nonfatal Road Traffic Accidents

Ștefan Popa Diana Bulgaru-Iliescu Carmen Iulia Ciongradi Adrian Surd Iuliana-Laura Candussi

Background: By 2025, road traffic injuries are projected to rank third in the global burden of disease, posing a significant challenge that affects health, social well-being, and economic aspects. According to data from the Romanian Police National Statistics Center, there has been an average of 342 traffic accidents per year involving pediatric patients over the past 10 years. Materials and Methods: A retrospective research study was conducted, encompassing 358 cases of road traffic accidents identified for the study. Data collection was conducted at "St. Mary’s" Emergency Hospital for Children in Iasi, Romania, from January 2015 to December 2022. To facilitate statistical analyses, participants were categorized into three specific age groups, correlating between the anatomical region affected and different types of accidents was examined, and the classification of injury types was determined based on the characteristics of the harm inflicted. Results: An oscillating trend is observed from 2015 to 2020, with its lowest value recorded in 2017 at around 6.8% and its peak in 2019 at 20.1%. Notably, post-pandemic (Covid-19), the cases underwent a substantial decline of approximately 50%. At least 78.7% of those who did not undergo orthopedic reduction required surgery, whereas among those who underwent orthopedic reduction, only 23.4% needed surgery. Regarding the frequency of complications 7,9% of the total cases experienced complications. Conclusion: The increased frequency of pediatric traffic accidents is attributed to the extensive services provided by "St. Mary’s" Emergency Hospital for Children, Iasi, to a significant number of patients from both rural and urban areas across the seven counties of the Moldova, Romania.

10.20944/preprints202402.0839.v1

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Biochemical Markers of Sudden Cardiac Death

Revista de Chimie (2020)

Marius Neagu Ana Fulga Anca‐Iulia Neagu Diana Bulgaru-Iliescu Monica Moraru

The possible use of biochemical markers in the postmortem diagnosis of sudden cardiac deaths is well known in the forensic setting, though several issues have limited its widespread adoption. The aim of the present study was to describe the discovery of cardiac troponin I (cTnI), myoglobin (MYO) and creatinine kinase MB (CK-MB) in femoral whole blood (FWB), pericardial fluid (PF) and vitreous humor (VH) samples, that were collected post-mortem, in various cases of death related to ischemic heart disease, using the rapid diagnostic test 'Cardiac Markers Combo Rapid Test Device'. The authors conducted a prospective study in which they analyzed a total of 100 autopsies performed at the Legal Medicine Clinical Service of Galați County. The results of the present study showed that cardiac markers can be determined using rapid diagnostic tests for blood from the femoral vein and pericardial fluid, but not for the vitreous humor. Using postmortem biochemical markers of myocardial ischaemia requires caution and flexibility, so that the forensic pathologist has to take into consideration, when interpreting the results, both the postmortem interval, and the type of biological sample. Keywords: sudden death, cardiac, markers, troponin, forensic pathology

Pericardial fluid

Cardiac marker

Forensic Pathology

Femoral vein

Creatine kinase

Troponin complex

10.37358/rc.19.12.7746

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THE SPECIFICS AND PECULIARITIES OF MEDICAL LIABILITY

European Journal of Law and Public Administration (2015)

Călin Scripcaru Diana Bulgaru-Iliescu Anton Knieling Andrei SCRIPCARU

This article aims to analyze an exception to the principle of indirect applicability of the directive, as secondary source of law, except in a case underlined the courts across Suceava Court of Appeal. The issue that has generated substantive dispute relating to extrapolate the definition of the concept of unity from a European directive so that the concept of unit to cover premises of a company, although national law does not provide this distinction.

10.18662/eljpa/2015.0202.05

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A critical review of the practice of recommended forensic medical examiner in Romania for the last three years

Romanian Journal of Legal Medicine (2017)

Dan Perju-Dumbravă Diana Bulgaru-Iliescu Călin Scripcaru Costel Vasile Siserman Viorel Hadareanu

Medical examiner

Medical practice

10.4323/rjlm.2017.169

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