Linda-Nicoleta Bărbulescu

Linda-Nicoleta Bărbulescu


Research Focus & Metrics

Academic Career Length

1Year (2026-Present)

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

Representative Publications

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24 October 2026 in Medical Sciences
Verified
Journal Article
Open access
PDF file
MAMaria Andrei
Maria Andrei
APAndrei Pănuș
Andrei Pănuș
Virginia Maria RadulescuVirginia Maria Radulescu
Virginia Maria Radulescu
LBLinda-Nicoleta Bărbulescu
Linda-Nicoleta Bărbulescu
AKAdina Maria Kamal
Adina Maria Kamal
CKConstantin Kamal
Constantin Kamal
Background/Objectives: Understanding vaccination intentions before health education can help identify locally relevant concerns. This study examined self-reported awareness of a combined human papillomavirus (HPV) statement, vaccination intention, and associated informational and attitudinal factors in a workplace health-education project in Dolj County, Romania. Materials and Methods: A cross-sectional analysis included 1747 questionnaires voluntarily completed by female employees before educational discussions from 28 October to December 2025. Categorical associations were examined using Pearson’s chi-square test, Cramér’s V, and false-discovery-rate adjustment. Hierarchical binary logistic regression examined favourable intention among unvaccinated respondents; a multinomial model separated favourable intention, indecision, and no intention. Results: Among valid responses, 81.02% answered ‘Yes’ to the combined Q1 awareness statement, 26.06% expressed favourable vaccination intention, 47.65% were undecided, and 5.21% reported previous vaccination. Among undecided respondents or those with no intention, fear of adverse reactions was the most frequently selected reservation (49.37%). Awareness, younger age, and trusted information source were associated with favourable intention. Adding willingness to vaccinate one’s child and to recommend vaccination to a friend was interpreted as attitudinal concordance rather than independent predictive information. Conclusions: High self-reported awareness of the combined Q1 statement coexisted with substantial indecision and low self-reported previous vaccination in this self-selected workplace sample. The findings identify topics for age-appropriate communication and prospective evaluation, not evidence that the educational sessions changed attitudes or increased vaccination. Interpretation is constrained by age-dependent access and the possible priming effect of Q1; closely related attitude measures should not be interpreted causally.

30 September 2026 in Healthcare
Verified
Journal Article
Open access
PDF file
APAndrei Pănuș
Andrei Pănuș
Virginia Maria RadulescuVirginia Maria Radulescu
Virginia Maria Radulescu
LBLinda-Nicoleta Bărbulescu
Linda-Nicoleta Bărbulescu
MZMarian Valentin Zorila
Marian Valentin Zorila
AKAdina Maria Kamal
Adina Maria Kamal
CKConstantin Kamal
Constantin Kamal
Background/Objectives: Medication-taking behaviour during pregnancy may be associated with treatment-related beliefs, emotional concerns, information sources, and clinician–patient communication. We examined these cross-sectional associations and the preliminary measurement properties of the Pregnancy Medication Adherence Model (PMAM). Methods: This cross-sectional study included 355 pregnant women with prescribed treatment recruited from nine general practices in Dolj County, Romania. Q25 was analysed on its five-category scale and using an operational threshold of ≥4. Internal consistency, principal component analysis, an ordinal exploratory factor analysis based on polychoric correlations, regression modelling, and review-stage sensitivity analyses addressing criterion overlap were performed. Results: Overall, 255 participants (71.8%) scored ≥4 on Q25. The four multi-item domains had Cronbach’s α values of 0.897–0.935. Parallel analysis and principal-axis factoring with oblique rotation supported four factors; salient loadings were 0.797–0.925 and no secondary loading reached 0.30. In the original adjusted binary model, cognitive understanding, emotional reassurance, clinician–patient communication, and lower endorsement of information-seeking and social-influence items were associated with Q25 ≥ 4. After Q23 was removed from the communication score and Q19 and Q24 were omitted, these four associations persisted (adjusted ORs 1.90–2.55). Conclusions: The findings identify concurrent associations between medication-related perceptions and a single self-reported treatment-behaviour item. PMAM remains an exploratory framework; external psychometric evaluation and prospective assessment against defined medication-specific adherence and clinical outcomes are required before clinical use.

Verified
Journal Article
Open access
PDF file
GDGheorghe Gindrovel Dumitra
Gheorghe Gindrovel Dumitra
LBLinda-Nicoleta Bărbulescu
Linda-Nicoleta Bărbulescu
RSRoxana Surugiu
Roxana Surugiu
CKConstantin Kamal
Constantin Kamal
EGElena Codruta Gheorghe
Elena Codruta Gheorghe
Virginia Maria RadulescuVirginia Maria Radulescu
Virginia Maria Radulescu
Background/Objectives: Romania faces a shortage of family physicians, particularly in rural areas. Undergraduate Family Medicine rotations may influence students’ perceptions before residency selection, but the contribution of rural versus urban training settings remains insufficiently documented. This study examined differences between post-rotation perceptions and students’ recalled pre-rotation perceptions, and explored whether these differences varied according to placement setting. Methods: This single-centre study used a single-administration retrospective pretest–posttest observational design. After completing the mandatory one-month Family Medicine rotation, 141 sixth-year medical students completed a questionnaire containing recalled pre-rotation and post-rotation ratings on 12 five-point Likert items. Paired comparisons used Wilcoxon signed-rank tests; multiple-testing corrections were applied within the defined item families. A baseline-adjusted model with robust standard errors examined rural placement. Results: The composite score increased from 3.62 ± 0.84 to 4.10 ± 0.74 (mean change 0.483; W = 602.5; Z = −7.990; p < 0.001; r = 0.673). All 12 paired item comparisons remained significant after Bonferroni correction. No rural–urban item comparison remained significant after correction. In the adjusted model, rural placement was not associated with a statistically significant difference in the post-rotation score (β = 0.197, 95% CI −0.002 to 0.397; p = 0.053). Among the 86 rurally exposed students, the mean willingness to practice rurally was 2.87/5. The apparent association with career intention was not retained when excluding the overlapping career-likelihood item (11-item composite: H = 6.695, p = 0.153). Conclusions: Students reported more favourable perceptions after the rotation than they recalled having before it, but their willingness to practice rurally remained limited. The uncontrolled, retrospective design does not permit causal attribution, and the data do not establish a rural-placement advantage or subsequent specialty choice.