David Ioan Dumitrascu

Dr. David Ioan Dumitrascu

Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Bucureşti, Romania
orcid

Research Focus & Metrics

Academic Career Length

4Years (2023-Present)

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

Representative Publications

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23 September 2023 in Biomedicines
Verified
Journal Article
Open access
PDF file
VSVicentiu Mircea Saceleanu
Vicentiu Mircea Saceleanu
CTCorneliu Toader
Corneliu Toader
HPHoria Ples
Horia Ples
RCRazvan Adrian Covache-Busuioc
Razvan Adrian Covache-Busuioc
HCHoria Petre Costin
Horia Petre Costin
ACAlexandru Vladimir Ciurea
Alexandru Vladimir Ciurea
Among the high prevalence of cerebrovascular diseases nowadays, acute ischemic stroke stands out, representing a significant worldwide health issue with important socio-economic implications. Prompt diagnosis and intervention are important milestones for the management of this multifaceted pathology, making understanding the various stroke-onset symptoms crucial. A key role in acute ischemic stroke management is emphasizing the essential role of a multi-disciplinary team, therefore, increasing the efficiency of recognition and treatment. Neuroimaging and neuroradiology have evolved dramatically over the years, with multiple approaches that provide a higher understanding of the morphological aspects as well as timely recognition of cerebral artery occlusions for effective therapy planning. Regarding the treatment matter, the pharmacological approach, particularly fibrinolytic therapy, has its merits and challenges. Endovascular thrombectomy, a game-changer in stroke management, has witnessed significant advances, with technologies like stent retrievers and aspiration catheters playing pivotal roles. For select patients, combining pharmacological and endovascular strategies offers evidence-backed benefits. The aim of our comprehensive study on acute ischemic stroke is to efficiently compare the current therapies, recognize novel possibilities from the literature, and describe the state of the art in the interdisciplinary approach to acute ischemic stroke. As we aspire for holistic patient management, the emphasis is not just on medical intervention but also on physical therapy, mental health, and community engagement. The future holds promising innovations, with artificial intelligence poised to reshape stroke diagnostics and treatments. Bridging the gap between groundbreaking research and clinical practice remains a challenge, urging continuous collaboration and research.

Verified
Journal Article
Open access
PDF file
CTCorneliu Toader
Corneliu Toader
DNDOBRIN N Nicolaie
DOBRIN N Nicolaie
DCDaniel Costea
Daniel Costea
LGLuca Andrei Glavan
Luca Andrei Glavan
RCRazvan Adrian Covache-Busuioc
Razvan Adrian Covache-Busuioc
ACAlexandru Vladimir Ciurea
Alexandru Vladimir Ciurea
Psychiatric disorders represent a primary source of disability worldwide, manifesting as disturbances in individuals’ cognitive processes, emotional regulation, and behavioral patterns. In the quest to discover novel therapies and expand the boundaries of neuropharmacology, studies from the field have highlighted the gut microbiota’s role in modulating these disorders. These alterations may influence the brain’s processes through the brain–gut axis, a multifaceted bidirectional system that establishes a connection between the enteric and central nervous systems. Thus, probiotic and prebiotic supplements that are meant to influence overall gut health may play an insightful role in alleviating psychiatric symptoms, such as the cognitive templates of major depressive disorder, anxiety, or schizophrenia. Moreover, the administration of psychotropic drugs has been revealed to induce specific changes in a microbiome’s diversity, suggesting their potential utility in combating bacterial infections. This review emphasizes the intricate correlations between psychiatric disorders and the gut microbiota, mentioning the promising approaches in regard to the modulation of probiotic and prebiotic treatments, as well as the antimicrobial effects of psychotropic medication.

29 September 2023 in Brain Sciences
Verified
Journal Article
Open access
PDF file
CTCorneliu Toader
Corneliu Toader
CTCalin Petru Tataru
Calin Petru Tataru
IAIoan Alexandru
Ioan Alexandru
RCRazvan Adrian Covache-Busuioc
Razvan Adrian Covache-Busuioc
BBBogdan Gabriel Bratu
Bogdan Gabriel Bratu
ACAlexandru Vladimir Ciurea
Alexandru Vladimir Ciurea
Music is a complex phenomenon with multiple brain areas and neural connections being implicated. Centuries ago, music was discovered as an efficient modality for psychological status enrichment and even for the treatment of multiple pathologies. Modern research investigations give a new avenue for music perception and the understanding of the underlying neurological mechanisms, using neuroimaging, especially magnetic resonance imaging. Multiple brain areas were depicted in the last decades as being of high value for music processing, and further analyses in the neuropsychology field uncover the implications in emotional and cognitive activities. Music listening improves cognitive functions such as memory, attention span, and behavioral augmentation. In rehabilitation, music-based therapies have a high rate of success for the treatment of depression and anxiety and even in neurological disorders such as regaining the body integrity after a stroke episode. Our review focused on the neurological and psychological implications of music, as well as presenting the significant clinical relevance of therapies using music.

31 August 2023 in Neurology International
Verified
Journal Article
Open access
PDF file
HPHoria Ples
Horia Ples
IAIoan Alexandru
Ioan Alexandru
TTTeodora Larisa Timis
Teodora Larisa Timis
RCRazvan Adrian Covache-Busuioc
Razvan Adrian Covache-Busuioc
LGLuca Andrei Glavan
Luca Andrei Glavan
ACAlexandru Vladimir Ciurea
Alexandru Vladimir Ciurea
This article presents a comprehensive review on migraine, a prevalent neurological disorder characterized by chronic headaches, by focusing on their pathogenesis and treatment advances. By examining molecular markers and leveraging imaging techniques, the research identifies key mechanisms and triggers in migraine pathology, thereby improving our understanding of its pathophysiology. Special emphasis is given to the role of calcitonin gene-related peptide (CGRP) in migraine development. CGRP not only contributes to symptoms but also represents a promising therapeutic target, with inhibitors showing effectiveness in migraine management. The article further explores traditional medical treatments, scrutinizing the mechanisms, benefits, and limitations of commonly prescribed medications. This provides a segue into an analysis of emerging therapeutic strategies and their potential to enhance migraine management. Finally, the paper delves into neuromodulation as an innovative treatment modality. Clinical studies indicating its effectiveness in migraine management are reviewed, and the advantages and limitations of this technique are discussed. In summary, the article aims to enhance the understanding of migraine pathogenesis and present novel therapeutic possibilities that could revolutionize patient care.

8 September 2023 in Biomedicines
Verified
Journal Article
Open access
PDF file
LELucian Eva
Lucian Eva
HPHoria Ples
Horia Ples
RCRazvan Adrian Covache-Busuioc
Razvan Adrian Covache-Busuioc
LGLuca Andrei Glavan
Luca Andrei Glavan
BBBogdan Gabriel Bratu
Bogdan Gabriel Bratu
ACAlexandru Vladimir Ciurea
Alexandru Vladimir Ciurea
This review delves into neuroimmunology, focusing on its relevance to multiple sclerosis (MS) and potential treatment advancements. Neuroimmunology explores the intricate relationship between the immune system and the central nervous system (CNS). Understanding these mechanisms is vital for grasping the pathophysiology of diseases like MS and for devising innovative treatments. This review introduces foundational neuroimmunology concepts, emphasizing the role of immune cells, cytokines, and blood–brain barrier in CNS stability. It highlights how their dysregulation can contribute to MS and discusses genetic and environmental factors influencing MS susceptibility. Cutting-edge research methods, from omics techniques to advanced imaging, have revolutionized our understanding of MS, offering valuable diagnostic and prognostic tools. This review also touches on the intriguing gut–brain axis, examining how gut microbiota impacts neuroimmunological processes and its potential therapeutic implications. Current MS treatments, from immunomodulatory drugs to disease-modifying therapies, are discussed alongside promising experimental approaches. The potential of personalized medicine, cell-based treatments, and gene therapy in MS management is also explored. In conclusion, this review underscores neuroimmunology’s significance in MS research, suggesting that a deeper understanding could pave the way for more tailored and effective treatments for MS and similar conditions. Continued research and collaboration in neuroimmunology are essential for enhancing patient outcomes.

21 September 2023 in Journal of Clinical Medicine
Verified
Journal Article
Open access
PDF file
LELucian Eva
Lucian Eva
FBFelix-Mircea Brehar
Felix-Mircea Brehar
IAIoan Alexandru
Ioan Alexandru
RCRazvan Adrian Covache-Busuioc
Razvan Adrian Covache-Busuioc
HCHoria Petre Costin
Horia Petre Costin
ACAlexandru Vladimir Ciurea
Alexandru Vladimir Ciurea
Alcohol-related cognitive disorders have long been an area of study, yet they continue to pose challenges in the diagnosis, treatment, and understanding of underlying neuropsychiatric mechanisms. The present article offers a comprehensive review of Wernicke’s Encephalopathy and Korsakoff’s Syndrome, two conditions often seen on a continuum of alcohol-related brain damage. Drawing on current medical literature, neuroimaging studies, and clinical case reports, we explore the neuropsychiatric and neuropsychological profiles, symptomatology, and differential diagnoses of these disorders. We delve into the biochemical pathways implicated in the development of WE and KS, notably thiamine deficiency and its impact on neurotransmitter systems and neural networks. The article also addresses the challenges in early diagnosis, often complicated by non-specific symptoms and co-occurring psychiatric conditions. Furthermore, we review the current state of treatment protocols, including pharmacological and non-pharmacological interventions. Finally, the article highlights gaps in current knowledge and suggests directions for future research to improve diagnosis, treatment, and patient outcomes. Understanding the nuanced interplay between the neuropsychiatric and neuropsychological aspects of WE and KS is crucial for both clinicians and researchers alike, in order to provide effective treatment and to advance our understanding of these complex conditions.