Livia Mihaela Apostol

Dr. Livia Mihaela Apostol


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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16 June 2024 in Audiology Research
Verified
Journal Article
Open access
PDF file
Nicoleta GanaNicoleta Gana
Nicoleta Gana
Iulia HulutaIulia Huluta
Iulia Huluta
MCMihai-Stefan Catanescu
Mihai-Stefan Catanescu
LALivia Mihaela Apostol
Livia Mihaela Apostol
FNFlorina Mihaela Nedelea
Florina Mihaela Nedelea
Nicolae GicaNicolae Gica
Nicolae Gica
Congenital hearing loss is a significant global health concern that affects millions of newborns and infants worldwide, posing substantial challenges for affected individuals, their families, and healthcare systems. This condition, present at birth, can stem from genetic factors, in utero exposures, infections, or complications during pregnancy or childbirth. The spectrum of congenital hearing loss ranges from mild to profound, impacting the development of speech, language, and cognitive skills, thereby influencing educational achievements, social integration, and future employment opportunities. Early detection and intervention strategies, such as newborn hearing screenings, genetic counseling, and the use of hearing aids or cochlear implants, are crucial for mitigating these impacts. This review article aims to explore the diagnostic approaches and management strategies for congenital cytomegalovirus-related hearing loss, emphasizing the importance of interdisciplinary care and the potential for technological advances to improve outcomes for affected individuals.

29 February 2024 in Diagnostics
Verified
Journal Article
Open access
PDF file
Nicolae GicaNicolae Gica
Nicolae Gica
LALivia Mihaela Apostol
Livia Mihaela Apostol
Iulia HulutaIulia Huluta
Iulia Huluta
Ana-Maria ZagreanAna-Maria Zagrean
Ana-Maria Zagrean
AVAna Maria Vayna
Ana Maria Vayna
Nicoleta GanaNicoleta Gana
Nicoleta Gana
Abdominal wall defects encompass three primary classifications: gastroschisis, omphalocele and anomalies resembling body stalk. Potential causative factors include early amnion rupture, amniotic bands, vascular disruptions or abnormal folding of the embryo. The prevalence of these defects stands at 1 in 14,000 live births. Body stalk anomaly is characterized by a substantial abdominal defect coupled with spine and limb anomalies, along with a very short or absent umbilical cord. We present a case of a rare abdominal defect known as body stalk anomaly, the most severe form of this spectrum of diseases. The diagnosis of this anomaly was established during the first trimester of pregnancy. Subsequently, the patient opted for pregnancy termination and chose not to undergo genetic testing. The anatomo-pathological results confirmed the findings. Body stalk anomaly is not compatible with life; therefore, early identification and understanding the clinical implications of this rare anomaly for informed decision-making in prenatal care are very important.

15 April 2024 in Medicina
Verified
Journal Article
Open access
PDF file
Iulia HulutaIulia Huluta
Iulia Huluta
LALivia Mihaela Apostol
Livia Mihaela Apostol
Radu BotezatuRadu Botezatu
Radu Botezatu
Ana-Maria ZagreanAna-Maria Zagrean
Ana-Maria Zagrean
CGCorina Gică
Corina Gică
FNFlorina Mihaela Nedelea
Florina Mihaela Nedelea
The increasing prevalence of bariatric surgery among women of childbearing age raises critical questions about the correct management of pregnancy following these procedures. This literature review delves into the multifaceted considerations surrounding pregnancy after bariatric surgery, with a particular focus on the importance of preconception counselling, appropriate nutrition assessment, and the necessity of correct folic acid supplementation. Key areas of investigation include nutrient absorption challenges, weight gain during pregnancy, and potential micronutrient deficiencies. Examining the relationship between bariatric surgery and birth defects, particularly heart and musculoskeletal issues, uncovers a twofold increase in risk for women who underwent surgery before pregnancy, with the risk emphasized before folic acid fortification. In contrast, a nationwide study suggests that infants born to mothers with bariatric surgery exhibit a reduced risk of major birth defects, potentially associated with improved glucose metabolism. In addition, this review outlines strategies for managing gestational diabetes and other pregnancy-related complications in individuals with a history of bariatric surgery. By synthesizing existing literature, this paper aims to provide healthcare providers with a comprehensive framework for the correct management of pregnancy in this unique patient population, promoting the health and well-being of both mother and child.

23 December 2023 in Diagnostics
Verified
Journal Article
Open access
PDF file
Nicolae GicaNicolae Gica
Nicolae Gica
LALivia Mihaela Apostol
Livia Mihaela Apostol
CGCorina Gică
Corina Gică
Iulia HulutaIulia Huluta
Iulia Huluta
AVAna Maria Vayna
Ana Maria Vayna
Nicoleta GanaNicoleta Gana
Nicoleta Gana
This is a case of a fetus affected by an amniotic band detected at 20 weeks of gestation. A presumptive diagnosis was made based on the ultrasound features. The ultrasound showed an abnormally developed right lower limb and no other associated fetal abnormalities. The unilaterality of the defect decreases the chances of genetic abnormality or an early vascular insult. The postnatal examination of the newborn concluded that the prenatal diagnosis was right.

16 January 2026 in Medicina
Verified
Journal Article
Open access
PDF file
Nicoleta GanaNicoleta Gana
Nicoleta Gana
Ancuța Iuliana NăstacAncuța Iuliana Năstac
Ancuța Iuliana Năstac
LALivia Mihaela Apostol
Livia Mihaela Apostol
Iulia HulutaIulia Huluta
Iulia Huluta
CGCorina Gică
Corina Gică
Nicolae GicaNicolae Gica
Nicolae Gica
Background and Objectives: Preeclampsia (PE) complicates 2–8% of pregnancies globally, with a higher incidence in developing countries. This condition poses significant risks to maternal and fetal health, contributing substantially to maternal and perinatal mortality, particularly in cases of early-onset PE, which is associated with severe complications. This review aims to synthesize current evidence regarding the predictive utility of ophthalmic artery Doppler for preeclampsia. Current strategies focus on early prediction and prevention to mitigate adverse outcomes and reduce the economic burden of hypertensive disorders in pregnancy. The International Federation of Gynecology and Obstetrics (FIGO) recommends first-trimester screening combining maternal risk factors, mean arterial pressure, serum placental growth factor (PlGF), and uterine artery pulsatility index (UtA-PI). High-risk women are advised to take low-dose aspirin (150 mg daily) until 36 weeks of gestation. Materials and Methods: This review explores an innovative predictive tool for PE: ophthalmic artery (OA) Doppler. Results: As a non-invasive and easily accessible method, OA Doppler provides valuable insights into intracranial vascular resistance, offering potential advantages in early risk assessment, particularly for preterm PE, the most severe form of the disease. Conclusions: Our findings suggest that OA Doppler may serve as a promising adjunct in PE screening, enhancing the early identification of high-risk pregnancies and improving clinical outcomes. Further research is warranted to validate its role in routine prenatal care.

27 March 2024 in Reports
Verified
Journal Article
Open access
PDF file
Nicolae GicaNicolae Gica
Nicolae Gica
FNFlorina Mihaela Nedelea
Florina Mihaela Nedelea
LALivia Mihaela Apostol
Livia Mihaela Apostol
Ana-Maria ZagreanAna-Maria Zagrean
Ana-Maria Zagrean
Iulia HulutaIulia Huluta
Iulia Huluta
Nicoleta GanaNicoleta Gana
Nicoleta Gana
The amnion rupture sequence is a rare condition occurring early in pregnancy, resulting in complex fetal anomalies by disrupting normal embryonic development. The prevalence of amnion rupture sequence is reported to be 1.16 in 10,000 live births. This article explores the uncommon case of early amnion rupture leading to fetal encephalocele, suspected in the first trimester. Despite the variable and intricate nature of anomalies associated with this condition, cranio-facial and abdominal defects are frequently observed. Genetic testing was conducted, with normal results supporting our theory of amnion rupture. The patient decided to terminate the pregnancy, and the anatomopathological results confirmed the findings. This article discusses the diagnostic challenges, emphasizing the importance of timely identification through advanced imaging techniques.