Vlad Dima
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View article: Predicting Neonatal Morbidity and Correlations with Maternal and Neonatal Biomarkers in Connection with Fetal Inflammatory Response Syndrome in Premature Births
Predicting Neonatal Morbidity and Correlations with Maternal and Neonatal Biomarkers in Connection with Fetal Inflammatory Response Syndrome in Premature Births Open
Introduction: Fetal Inflammatory Response Syndrome (FIRS) is widely acknowledged for its contribution to neonatal morbidity in premature infants. Being a systemic inflammatory process triggered by intrauterine infections or other stimuli, …
View article: Leziuni pigmentare borderline în sarcină
Leziuni pigmentare borderline în sarcină Open
Skin cancer melanoma or non-melanoma has an increasing incidence, without excluding the group of women of fertile age. In addition, skin cancer also bears a great burden on the quality of life of the patients and potentially also of their …
View article: Healthcare-associated infections in neonatology: a universal problem
Healthcare-associated infections in neonatology: a universal problem Open
Healthcare-associated infections (HAIs) are a substantial and pervasive issue in neonatal intensive care units (NICUs) globally. Infections arising from exposure to pathogens in healthcare environments are especially detrimental to newborn…
View article: Cranial Ultrasound in the Management of Hydrocephalus in Newborns: A Case Series
Cranial Ultrasound in the Management of Hydrocephalus in Newborns: A Case Series Open
Background: Hydrocephalus in preterm and term newborns is a condition with an important impact on medical care and the neurological development of patients, with high expenditures regarding daily care. Imaging nowadays provides valuable in…
View article: Current Knowledge of Neonatal Birth Asphyxia – a Review of Recent Literature and Novel Approach
Current Knowledge of Neonatal Birth Asphyxia – a Review of Recent Literature and Novel Approach Open
As neonatal intensive care has developed, there has been a growing focus on reducing mortality and morbidity. Hypoxic-ischemic injury remains the primary cause of neonatal brain dysfunction. Recently, notable advancements have been made in…
View article: Assessment of Culture-Negative Neonatal Early-Onset Sepsis: Risk Factors and Utility of Currently Used Serum Biomarkers
Assessment of Culture-Negative Neonatal Early-Onset Sepsis: Risk Factors and Utility of Currently Used Serum Biomarkers Open
Introduction: Neonatal sepsis is a severe and life-threatening condition caused by pathogens in the systemic circulation within the first 28 days of life. The classical definition of neonatal sepsis implies positive central cultures, but r…
View article: Adherence to Palivizumab for Respiratory Syncytial Virus Prophylaxis in Romanian Infants
Adherence to Palivizumab for Respiratory Syncytial Virus Prophylaxis in Romanian Infants Open
Background: In 2022, Romania started an RSV immunoprophylaxis program with Palivizumab for infants at high risk: preterm infants born before 35 weeks of pregnancy, infants born with congenital heart defects, and infants with chronic lung d…
View article: Cerebral Ultrasound at Term-Equivalent Age: Correlations with Neuro-Motor Outcomes at 12–24 Months Corrected Age
Cerebral Ultrasound at Term-Equivalent Age: Correlations with Neuro-Motor Outcomes at 12–24 Months Corrected Age Open
Background/Objectives: Our research aimed to assess if correlations could be found between items evaluated at the cerebral ultrasound performed at term-equivalent age (TEA) and neuro-motor outcomes evaluated at 12 and 24 months of correcte…
View article: Placental lesions in birth asphyxia and hypoxic ischemic syndrome
Placental lesions in birth asphyxia and hypoxic ischemic syndrome Open
Birth asphyxia is a severe condition that includes a number of potential pathways of occurrence both in utero and during childbirth. The present study aimed to identify and describe specific macroscopic and microscopic placental inj…
View article: Asymptomatic Maternal Diseases Presenting with Symptomatic Neonatal Manifestations: A Short Case Series
Asymptomatic Maternal Diseases Presenting with Symptomatic Neonatal Manifestations: A Short Case Series Open
It is documented that maternal diseases or treatments influence a newborn’s clinical status at birth. If a prenatal medical history is not available, or if signs or symptoms of a mother’s disease are revealed for the first time during preg…
View article: Subclinical Maternal Pathologies with Clinical Manifestation in the Offspring
Subclinical Maternal Pathologies with Clinical Manifestation in the Offspring Open
It is documented that maternal diseases or treatments influence a newborn’s clinical status at birth; autoimmune diseases with circulating antibodies are often clinically expressed transiently in newborns due to the crossover of the specif…
View article: Delivery Room Lung Ultrasound—Feasibility, Normal Patterns, and Predictive Value for Respiratory Support in Term and Near-Term Neonates: A Monocentric Study
Delivery Room Lung Ultrasound—Feasibility, Normal Patterns, and Predictive Value for Respiratory Support in Term and Near-Term Neonates: A Monocentric Study Open
Aim: our study aimed to characterize the lung ultrasound (LUS) patterns noted immediately after delivery in term and near-term neonates, and to investigate whether the LUS scores or patterns observed at that point could anticipate the need…
View article: Early Intervention Guided by the General Movements Examination at Term Corrected Age—Short Term Outcomes
Early Intervention Guided by the General Movements Examination at Term Corrected Age—Short Term Outcomes Open
Background and aim: The early identification of the former premature neonates at risk of neurologic sequelae could lead to early intervention and a better prognosis. This pilot study aimed to investigate whether the General Movement patter…
View article: Placental Lesions in Birth Asphyxia and Hypoxic-Ischemic Syndrome
Placental Lesions in Birth Asphyxia and Hypoxic-Ischemic Syndrome Open
Introduction: Birth Asphyxia is a severe condition that includes many potential pathways of occurrence both in utero and during childbirth. We aimed to identify and describe specific macroscopic and microscopic placental injuries in birth …
View article: Use of Lung Ultrasound in Reducing Radiation Exposure in Neonates with Respiratory Distress: A Quality Management Project
Use of Lung Ultrasound in Reducing Radiation Exposure in Neonates with Respiratory Distress: A Quality Management Project Open
Background and Objectives: Our quality management project aims to decrease by 20% the number of neonates with respiratory distress undergoing chest radiographs as part of their diagnosis and monitoring. Materials and Methods: This quality …
View article: Immature Sacrococcygeal Teratoma: A Case Report and Extensive Review of the Literature
Immature Sacrococcygeal Teratoma: A Case Report and Extensive Review of the Literature Open
Immature sacrococcygeal teratoma represents a histological form with rapid tumor growth, a risk of premature birth, an enhanced rate of complications, an increased risk of recurrence, and a higher mortality rate than the mature type. Thus,…
View article: Correlations between Head Ultrasounds Performed at Term-Equivalent Age in Premature Neonates and General Movements Neurologic Examination Patterns
Correlations between Head Ultrasounds Performed at Term-Equivalent Age in Premature Neonates and General Movements Neurologic Examination Patterns Open
Background and aim: Our research aims to find correlations between the brain imaging performed at term-corrected age and the atypical general movement (GM) patterns noticed during the same visit a—cramped-synchronized (CS) or poor repertoi…
View article: Screening for Congenital Hip Dislocation—An Overview
Screening for Congenital Hip Dislocation—An Overview Open
Developmental dysplasia of the hip, previously known as congenital dislocation of the hip, is the most common congenital disease of the musculoskeletal system in newborns. It corresponds to a complete or partial displacement of the femoral…
View article: Neonatal Hearing Screening—Short Review
Neonatal Hearing Screening—Short Review Open
Newborn hearing screening is the best strategy to identify congenital deafness and hearing loss. The incidence of sensorineural hearing loss is 3 per 1000 for term newborns and up to 4 per 100 for newborns hospitalized in the NICU, therefo…
View article: SARS-CoV-2 Infection during Pregnancy Followed by Thalamic Neonatal Stroke—Case Report
SARS-CoV-2 Infection during Pregnancy Followed by Thalamic Neonatal Stroke—Case Report Open
A neonatal stroke is a cerebrovascular process caused by interruption of cerebral blood flow that occurs with an incidence between 1 per 1600 and 1 per 2660 live births. Relative higher incidence in the neonatal period compared to later ch…
View article: Interviu - "Nou-născuții sunt viitorul – este esențial ca toată lumea să înțeleagă nevoia susținerii financiare a neonatologiei în România"
Interviu - "Nou-născuții sunt viitorul – este esențial ca toată lumea să înțeleagă nevoia susținerii financiare a neonatologiei în România" Open
Interview with Dr. Vlad DIMA Consultant in Neonatology Specialist in Pediatrics Doctor of medicine Member of medical scientific societies National Romanian Neonatology Association Romanian Society of Pediatrics Romanian Society of Preventi…
View article: Fertility issues among pediatric oncology patients – short communication
Fertility issues among pediatric oncology patients – short communication Open
Childhood cancer survival rates are constantly improving due to treatment. Fertility research has focused on adult cancer patients, but studies among childhood cancer survivors who reach reproductive age are rare and mainly based on small …
View article: Vitamin K Prophylaxis for the Hemorrhagic Disease of the Newborns—A Short Narrative Review
Vitamin K Prophylaxis for the Hemorrhagic Disease of the Newborns—A Short Narrative Review Open
Vitamin K deficiency bleeding (VKDB) affects 1 of 200 to 400 neonates who do not receive vitamin K prophylaxis. VKDB is classified by cause (idiopathic or secondary) and type (early, classic, late). The late type of VKDB is the least commo…
View article: Lung ultrasound in neonatal intensive care unit, an alternative to the Chest X Ray
Lung ultrasound in neonatal intensive care unit, an alternative to the Chest X Ray Open
Introduction. Chest X-ray (CXR) has been for decades the most practiced diagnostic tool in respiratory pathology, an available and sometimes life-saving investigation, but we must admit that it has also long-term risks. X-rays can destroy …
View article: Congenital diaphragmatic hernia with pneumothorax, a challenge for the neonatologist on call
Congenital diaphragmatic hernia with pneumothorax, a challenge for the neonatologist on call Open
Objectives. Congenital diaphragmatic hernia (CDH) represents a developmental defect of the diaphragm, which allows the protrusion of the abdominal viscera into the thoracic cavity. In view of the fact that herniation occurs during a critic…
View article: The role of spinal ultrasound in the diagnosis of spinal dysraphism – correlation with MRI examination
The role of spinal ultrasound in the diagnosis of spinal dysraphism – correlation with MRI examination Open
The paper presents the clinical, ultrasound and MRI appearances in the case of the closed spinal dysraphisms with a cutaneous/ subcutaneous mass: lypomyelomeningocele, posterior meningocele and cervical meningocele. There is mentioned firs…
View article: Oligohydramnios: A review of etiology and management options
Oligohydramnios: A review of etiology and management options Open
Oligohydramnios is both a consequence of fetal malformations and of uteroplacental insufficiency. Its existence is associated with a high rate of both antepartum and intrapartum complications. It is vital that its occurrence is detected as…
View article: Managing intrauterine growth restriction
Managing intrauterine growth restriction Open
The fetal growth normally depends on sufficient delivery of oxygen and nutrients mainly via the placenta. Inadequate fetal nutrition may result in poor development and adaptation that permanently alter the fetus' metabolism and physiology.…
View article: Facing the outcome of prematurity – opinions from the general practitioner
Facing the outcome of prematurity – opinions from the general practitioner Open
Preterm birth is a leading cause of neonatal mortality and morbidity, affecting more than 15 million babies worldwide each year. Preterm infants also have higher rates of motor, functional, and cognitive deficits. Modern imaging has contri…
View article: Diagnosis of lenticulostriate vasculopathy – past, present and the future
Diagnosis of lenticulostriate vasculopathy – past, present and the future Open
Aim. The paper represents a review of the current state of knowledge regarding lenticulostriate vasculopathy (LSV) in premature and term neonates. Material and method. There are reviewed the definition, the history of this diagnosis, the e…