Aurel Nirestean

Mr. Aurel Nirestean

University of Medicine and Pharmacy of Târgu Mureş, Târgu Mureş, Romania
orcid

Research Focus & Metrics

Academic Career Length

5Years (2022-Present)

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

Representative Publications

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LGLorena Mihaela Grebenisan
Lorena Mihaela Grebenisan
ANAurel Nirestean
Aurel Nirestean
ASAndreea Sima-Comaniciu
Andreea Sima-Comaniciu
MMMarius Mărușteri
Marius Mărușteri
CZCătălin Andrei Zăgan
Cătălin Andrei Zăgan
ELEmese Lukacs
Emese Lukacs
The academic and health system requirements are constantly growing due to the continuous development of this sector. Therefore, it is important to investigate the structural factors that improve performance in the medical system. The aim of our pilot study is to analyze if there are associations or correlations between personality and motivation and the results obtained for the National Residency Exam of Romanian medical graduates. We conducted a prospective pilot study on 179 medical students from George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania between February 2021 and December 2021, who were evaluated by the DECAS, IM, and SPM scale. Our results showed that all the dimensions of personality according to the Big Five Model, which include openness (OR = 0.392, p = 0.01), extraversion (OR = 0.512, p = 0.03), conscientiousness (OR = 3.671, p = 0.004), agreeableness (OR = 2.791, p = 0.07), and emotional stability (OR = 4.863, p = 0.0003), are statistically associated with the result obtained. Motivation also plays an important role in academic achievements, through motivational persistence and motivational involvement which correlates with the conscientiousness dimension and the result obtained. This study confirms that both personality structure and motivation are associated or correlated with the academic results of medical students and represent a starting point for future research.

7 June 2024 in Children
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CBCristina Raluca Bodo
Cristina Raluca Bodo
ASAndreea Sălcudean
Andreea Sălcudean
ANAurel Nirestean
Aurel Nirestean
ELEmese Lukacs
Emese Lukacs
MLMaria Melania Lica
Maria Melania Lica
ESElena Gabriela Strete
Elena Gabriela Strete
Misophonia is a neurophysiological disorder with behavioral implications, is complex and multifactorial in origin, and is characterized by an atypical and disproportionate emotional response to specific sounds or associated visual stimuli. Triggers include human-generated sounds, mainly sounds related to feeding and breathing processes, and repetitive mechanical sounds. In response to the triggering stimulus, the patient experiences immediate, high-intensity, disproportionate physical and emotional reactions that affect their quality of life and social functioning. The symptoms of misophonia can occur at any age, but onset in childhood or adolescence is most common. Affected children live in a constant state of anxiety, suffer continuous physical and emotional discomfort, and are thus exposed to significant chronic stress. Chronic stress, especially during childhood, has consequences on the main biological systems through the dysregulation of the hypothalamic–pituitary–adrenal axis, including the gastrointestinal tract. Here, we provide arguments for a positive correlation between misophonic pathology and gastrointestinal symptoms, and this hypothesis may be the starting point for further longitudinal studies that could investigate the correlations between these childhood vulnerabilities caused by misophonia and their effect on the gastrointestinal system. Further research to study this hypothesis is essential to ensure correct and timely diagnosis and optimal psychological and pharmacological support.

LGLorena Mihaela Grebenisan
Lorena Mihaela Grebenisan
ANAurel Nirestean
Aurel Nirestean
Cosmin PopaCosmin Popa
Cosmin Popa
ESElena Gabriela Strete
Elena Gabriela Strete
DGDana Ghiga
Dana Ghiga
ELEmese Lukacs
Emese Lukacs
Due to the COVID-19 pandemic, as well as the fast progression of modern society, occupational stress has recently reached alarming levels with consequences for doctors’ psychological well-being. The aim of this study was to analyze the relationship among emotional stability, psychological well-being, and life satisfaction of medical doctors. We conducted a cross-sectional study on 280 medical doctors from Romania between February 2021 and September 2021, in the period between the third and fourth pandemic waves, who were evaluated by the DECAS, ASSET, and Satisfaction with Life scales. Our results showed that emotional stability is negatively correlated with psychological well-being (r = −0.526, p < 0.000) and positively correlated with life satisfaction (r = 0.319, p < 0.0001). Between psychological well-being and life satisfaction, we found a negative correlation (r = −0.046, p < 0.001). This study shows that there is a correlation among emotional stability, psychological well-being, and life satisfaction, which is why it can be considered that Romanian doctors have generated coping mechanisms during the COVID-19 pandemic.

28 April 2022 in Medicina
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MHMarinela Hurmuz
Marinela Hurmuz
MFMirela Frandes
Mirela Frandes
APAnca Livia Panfil
Anca Livia Panfil
ISIleana-Pepita Stoica
Ileana-Pepita Stoica
ABAna Cristina Bredicean
Ana Cristina Bredicean
ANAurel Nirestean
Aurel Nirestean
Background and Objectives: Current psychiatric care is increasingly focusing on patients’ quality of life (QoL). Research is still trying to determine the main factors which influence QoL. The present study aims to assess the QoL of patients with chronic psychotic-spectrum disorders, as well as its relation to symptomatology, functionality, adaptive behavior, and perceived level of recovery. Materials and Methods: The study included a sample of 78 patients with chronic psychosis. Symptomatology and illness severity were assessed with the Positive and Negative Syndrome Scale (PANSS) and the Clinical Global Impression Scale-Severity (CGI-S) scales, respectively. The Global Assessment of Functioning Scale (GAFS) and the Adaptive Behavior Assessment System II (ABAS-II)-Adult Form were used for the assessment of patients’ functionality, and the Quality-of-Life Inventory (QOLI) scale was applied for the evaluation of QoL. Results: According to the CGI-Severity scale, 20.5% of the patients were borderline mentally ill, and 24.4% were mildly ill. The highest number of patients (34.6%) were moderately ill, while 14.1% and 2.6% were markedly ill and severely ill, respectively. Among the moderately ill patients, more than half (63%) were patients with schizophrenia, 18.5% were patients with delusional disorder, and 18.5% were patients with schizoaffective disorder. Most of the patients (43.6%) presented moderate functioning deficiency, while 38.5% of the patients presented severe deficiency, according to the GAFS score. When assessed with the ABAS, we observed that almost half of the patients (44.9%) showed an average functioning across skill areas in the conceptual, social, and practical domains. A percent of 67.9% of the patients presented an average QoL, while 15.4% and 12.8% showed a very low and low QoL. QoL was not influenced by the patients’ symptomatology, gender, and education level. Having children, family support, better social and conceptual skills, and a higher perceived level of recovery was correlated with an increased QoL, hierarchical multiple regression R2 = 0.379, F(9, 68) = 2.616, and p = 0.012. Conclusions: Psychiatric interventions in psychosis should focus not only on symptoms’ control, but also on improving social and family support, as well as adaptive skills to increase the patients’ QoL.

24 August 2022 in Healthcare
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LGLorena Mihaela Grebenisan
Lorena Mihaela Grebenisan
ANAurel Nirestean
Aurel Nirestean
MMMarius Mărușteri
Marius Mărușteri
ASAndreea Sima-Comaniciu
Andreea Sima-Comaniciu
ELEmese Lukacs
Emese Lukacs
Occupational stress amongst doctors has been intensively studied as doctors are exposed to several stress factors daily. The purpose of this study was to investigate if there are associations between personality dimensions and the factors that generate stress at work. We conducted a cross-sectional study of 280 medical doctors from Romania between February 2021 and September 2021 who were evaluated using the DECAS and ASSET Scales. Our results showed that the agreeableness and emotional stability dimensions of personality, according to the Big Five model, were statistically associated with work relationships (A p < 0.0001; ES p = 0.0005), work-life balance (A p = 0.008; ES p = 0.01), overload (A p = 0.01; ES p = 0.001), job security (A p < 0.0001; ES p = 0.002), job control (A p = 0.001; ES p = 0.009), resources and communication (A p = 0.0002; ES p < 0.0001), and job conditions (A p = 0.005; ES p = 0.03). The conscientiousness dimension was statistically associated with job control (p = 0.02). Doctors from different specialties experienced stress differently, with psychiatrists and doctors from preclinical specialties reporting the lowest levels of stress. Internists and surgeons reported higher levels of stress. This study showed that the dimensions of agreeableness and emotional stability were both associated with variables indicative of the level of stress felt at work.

16 May 2025 in Behavioral Sciences
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LGLorena Mihaela Grebenisan
Lorena Mihaela Grebenisan
ASAndreea Sima-Comaniciu
Andreea Sima-Comaniciu
ELEmese Lukacs
Emese Lukacs
ANAurel Nirestean
Aurel Nirestean
ESElena Gabriela Strete
Elena Gabriela Strete
AMAdriana Mihai
Adriana Mihai
The medical profession requires continuous knowledge acquisition, effective communication skills, an appropriate level of empathy, and a personality profile that can support high-quality patient care. (1) The purpose of this study was to research whether there are associations or correlations between personality dimensions, empathy, and the attitudes of medical students regarding the learning of communication skills. (2) We conducted a pilot study with 267 first- and sixth-year medical students from the George Emil Palade University of Medicine, Pharmacy, Sciences, and Technology of Targu Mures as the subjects. The students were evaluated using the DECAS personality inventory, the Romanian communication skills ability scale, and Toronto empathy scale. (3) Our results showed that regarding the level of empathy (p = 0.09) and positive attitudes related to communication skills (p = 0.52), there were no statistically significant differences between first- and sixth-year medical students. On the other hand, in the case of negative attitudes, it was observed that there was a statistical significance (p = 0.0003). It was also observed that there was a positive association between agreeableness and empathy (OR = 6.12, p < 0.0001) and a negative association between emotional stability and empathy (OR = 0.45, p = 0.01). Correlations were also found between positive attitudes related to communication skills with patients and the personality dimensions of conscientiousness (r = 0.21, p = 0.0004) and agreeableness (r = 0.15, p = 0.01), as well as between negative attitudes related to communication skills with patients and the agreeableness dimension (r = −0.23, p = 0.0001) and emotional stability dimension (r = −0.13, p = 0.02). Furthermore, the two proposed models confirmed the influence that personality and empathy have on attitudes towards learning communication skills. (4) The findings of this study show that both the personality structure and the empathy of a student are linked to their attitudes about communication.