Iris-Iuliana Adam

Dr. Iris-Iuliana Adam

Lucian Blaga University of Sibiu, Sibiu, Romania

Research Focus & Metrics

Academic Career Length

3Years (2024-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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28 October 2024 in Diagnostics
Verified
Journal Article
Open access
PDF file
BMBogdan Moldovan
Bogdan Moldovan
Iris-Iuliana AdamIris-Iuliana Adam
Iris-Iuliana Adam
RPRadu-Mihai Pisică
Radu-Mihai Pisică
VUVlad Untaru
Vlad Untaru
DSDoly Stoica
Doly Stoica
Liliana VecerzanLiliana Vecerzan
Liliana Vecerzan
(1) Background: Takotsubo cardiomyopathy, or stress cardiomyopathy, is an acute heart failure condition with transient left ventricular (LV) motion abnormalities but no significant coronary artery obstruction. It mimics acute coronary syndrome (ACS), with symptoms like chest pain, dyspnea, and ECG changes. (2) Case Report: We present the case of a 44-year-old female with relapsed colon cancer and peritoneal carcinomatosis. After undergoing cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC), she experienced cardiac arrest from ventricular fibrillation 18 h postoperatively. Echocardiography revealed a reduced LV ejection fraction (20%) and apical akinesia, suggesting a Takotsubo Cardiomyopathy. Intensive resuscitation and inotropic support led to gradual recovery. Coronary angiography confirmed no coronary artery obstruction. (3) Discussion: This case highlights TTS as a rare but severe complication following major oncological surgeries, possibly triggered by both physical and emotional stressors. TTS should be considered in the differential diagnosis of perioperative cardiac events in cancer patients. (4) Conclusions: Prompt recognition and management of TTS in the perioperative period are crucial to improving outcomes, especially in high-risk oncological patients undergoing extensive surgeries.

20 February 2024 in Diagnostics
Verified
Journal Article
Open access
PDF file
BMBogdan Moldovan
Bogdan Moldovan
CSCodin Theodor Saon
Codin Theodor Saon
Iris-Iuliana AdamIris-Iuliana Adam
Iris-Iuliana Adam
RPRadu-Mihai Pisica
Radu-Mihai Pisica
VSVlad Teodor Silaghi
Vlad Teodor Silaghi
Liliana VecerzanLiliana Vecerzan
Liliana Vecerzan
This case report details the application and outcomes of a novel therapeutic approach involving hyperthermic intraperitoneal chemotherapy (HIPEC) and hyperthermic intrathoracic chemotherapy (HITOC) in a single patient diagnosed with advanced ovarian neoplasm. The treatment protocol included pleural cytoreductive surgery (CRS) and HITOC followed by a second surgical intervention consisting of peritoneal CRS and HIPEC. HIPEC targeted the intraperitoneal space with heated chemotherapy, while HITOC extended the thermal perfusion to the thoracic cavity. The patient has shown significant progression in disease-free survival over one year and eight months of observation, demonstrating lower recurrence rates and an overall survival outcome exceeding expectations based on conventional therapy outcomes. The combined modality demonstrated a manageable toxicity profile, with no significant increase in peri- or postoperative complications observed.

12 September 2026 in Diagnostics
Verified
Journal Article
Open access
PDF file
Iris-Iuliana AdamIris-Iuliana Adam
Iris-Iuliana Adam
RMRuxandra-Cristina Marin
Ruxandra-Cristina Marin
MCMihnea Costescu
Mihnea Costescu
Liliana VecerzanLiliana Vecerzan
Liliana Vecerzan
BMBogdan Moldovan
Bogdan Moldovan
AOAlina Ormenișan
Alina Ormenișan
Background/Objectives: This exploratory meta-research study evaluated study design, reconstructive modalities, and outcome documentation within a non-systematically assembled corpus of facial basal cell carcinoma (BCC) reconstruction studies. The corpus was curated for a parent project, coding relied on narrative matrix fields, and no duplicate full-text extraction was available; frequencies should therefore be interpreted as minimum documentation estimates within this corpus. Methods: We analyzed a frozen matrix of 72 clinical studies with final issue years from 2015 through 2026 (analytic cutoff, 31 July 2026). Prespecified coding distinguished BCC-only from mixed-histology studies and separated any patient-reported endpoint, validated patient-reported outcome measures (PROMs), nonvalidated satisfaction assessments, observer-rated measures, and mixed patient/observer instruments. Associations with prospective design were exploratory. Results: Fifty-nine studies (81.9%) were retrospective, seven (9.7%) comparative, and three (4.2%) multicenter; forty (55.6%) were coded BCC-only. Local or locoregional flaps appeared in 48 matrix records (66.7%). Aesthetic outcomes were documented in 47 (65.3%), complications in 45 (62.5%), function in 27 (37.5%), and any patient-reported endpoint in 9 (12.5%). Four records (5.6%) documented a validated PROM; five (6.9%) named any standardized instrument, including one observer-only VSS assessment. Prospective studies more often documented patient-reported endpoints (4/9 vs. 5/63; OR 9.28, 95% CI 1.87–46.01; p = 0.011) and validated PROMs (3/9 vs. 1/63; OR 31.00, 95% CI 2.77–346.32; p = 0.005), but event counts were sparse and estimates were unadjusted. No matrix record documented all five prespecified outcome domains. Conclusions: Within this curated corpus, retrospective and noncomparative designs predominated and validated patient-centered measurement was uncommon. These findings are hypothesis-generating, do not estimate comparative effectiveness, and should not be generalized to the complete facial BCC reconstruction literature. A reproducible systematic review with duplicate full-text extraction remains necessary.

23 August 2026 in Reports
Verified
Journal Article
Open access
PDF file
Iris-Iuliana AdamIris-Iuliana Adam
Iris-Iuliana Adam
Liliana VecerzanLiliana Vecerzan
Liliana Vecerzan
BMBogdan Moldovan
Bogdan Moldovan
RMRaluca-Gabriela Miulescu
Raluca-Gabriela Miulescu
ACAlexandru-Petru Ciucu
Alexandru-Petru Ciucu
AOAlina Ormenișan
Alina Ormenișan
Background: Head and neck cutaneous squamous cell carcinoma (HNcSCC) presents intersecting oncologic, functional, and reconstructive challenges. Although numerous clinicopathologic factors have been associated with recurrence, metastasis, and survival, their relationship with reconstructive complexity and patient-centered outcomes remains insufficiently studied. This review aimed to examine how established oncologic risk factors might inform reconstructive planning while distinguishing measured reconstructive evidence from hypothesis-generating clinical inferences. Methods: A structured PubMed/MEDLINE search conducted through 15 July 2026 was used to identify the literature addressing clinicopathologic prognostic factors in HNcSCC. Twenty-nine prognostic publications were retained for structured charting. Additional reconstructive, functional, aesthetic, and patient-reported outcome sources were identified through reference-list screening and were used solely for narrative contextualization. Because no dedicated multi-database systematic search of reconstructive outcomes was performed, the article is presented as a structured narrative review and hypothesis-generating research framework rather than a systematic review of reconstructive evidence. Results: The prognostic literature reported associations between adverse oncologic outcomes and factors including tumor size and depth, perineural invasion, lymphovascular invasion, poor differentiation, immunosuppression, recurrent disease, positive margins, nodal involvement, and extranodal extension. However, most of these studies did not measure post-excision defect characteristics, reconstructive technique, wound complications, functional recovery, scar quality, aesthetic outcomes, or patient-reported outcomes. Direct reconstructive evidence was limited and predominantly derived from site-specific, mixed-histology, technical, or methodological publications. Consequently, clinicopathologic factors should be regarded as potential upstream variables for future investigation rather than validated predictors of reconstructive outcomes. Conclusions: Current evidence supports oncologic risk stratification more strongly than prediction of reconstructive difficulty or patient-centered outcomes in HNcSCC. Prospective studies should jointly measure patient, tumor, treatment-field, defect, reconstructive, functional, aesthetic, and patient-reported variables. The proposed framework is intended to guide such research and is not a validated clinical prediction model.

23 September 2026 in Nutrients
Verified
Journal Article
Open access
PDF file
RMRaluca-Gabriela Miulescu
Raluca-Gabriela Miulescu
MCMihnea Costescu
Mihnea Costescu
RMRuxandra-Cristina Marin
Ruxandra-Cristina Marin
AMAlina Mușetescu
Alina Mușetescu
Muntean CalinMuntean Calin
Muntean Calin
Oana Andreia ComanOana Andreia Coman
Oana Andreia Coman
Background/Objectives: Pediatric atopic dermatitis (AD) is a barrier-driven inflammatory skin disease with systemic immune and microbial correlates. The gut–skin axis offers a biologically plausible framework through which early-life nutrition, gut microbial metabolism, intestinal barrier function, and immune maturation may influence disease risk and expression, but much of the supporting evidence remains associative. This narrative review asks which nutritional strategies are supported by clinical evidence in children with AD, which remain investigational, and how far the field is from precision nutrition. Methods: PubMed/MEDLINE, Scopus, and Web of Science were searched up to 31 July 2026; guidelines, systematic reviews, randomized trials, birth cohorts, and mechanistic studies with pediatric relevance were prioritized and appraised narratively. Results: Breastfeeding when possible, dietary diversity during complementary feeding, avoidance of unnecessary elimination diets, correction of documented nutritional deficiencies, and management of confirmed food allergy are supported by current guidance. Probiotics and synbiotics lower SCORAD in meta-analyses, but the pooled effect is small, heterogeneous, and below the minimal clinically important difference, so they are best described as an optional adjunct rather than a recommended treatment; Mediterranean-style or high-fiber dietary patterns are backed mainly by observational data. Microbiome profiling, metabolomics, multi-omics endotyping, and artificial intelligence remain research tools without validated predictive value for dietary responses. Conclusions: Nutrition is an adjunct to, not a substitute for, established topical and systemic therapy in pediatric AD. Precision nutrition is a promising research direction rather than an established component of routine care, and its clinical value will depend on standardized biomarkers and well-designed longitudinal and interventional studies.