Anca Cristina Perpelea

Dr. Anca Cristina Perpelea

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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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2 April 2024 in Healthcare
Verified
Journal Article
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ACAna Cernega
Ana Cernega
DNDragoș Nicolae Nicolescu
Dragoș Nicolae Nicolescu
MIMarina Imre
Marina Imre
ARALEXANDRA RIPSZKY
ALEXANDRA RIPSZKY
Andreea Letitia ArseneAndreea Letitia Arsene
Andreea Letitia Arsene
SPSilviu Mirel Pițuru
Silviu Mirel Pițuru
Our professional activity is constantly under pressure from a multitude of elements and factors that can be classified into the four components of the VUCA phenomenon—volatility, uncertainty, complexity, and ambiguity—components that define the turbulence and challenges of the external environment. Considering the general elements of this phenomenon, we designed a new VUCA dimension specific to the healthcare field within which we have identified and analyzed all the factors that can influence the main actors of the doctor–patient relationship and the effects that can occur within the healthcare system in which this relationship is born. In this context, we generated the VUCA treatment in healthcare capable of mitigating the impact of this phenomenon; this treatment involves essential elements in overcoming possible crises and vulnerabilities of the medical profession. The VUCA treatment in healthcare requires combating volatility, uncertainty, complexity, and ambiguity through vision, understanding, clarity, and agility, which are grounded in the doctor’s need to acquire cross-functional competencies (soft skills). These competencies are applicable by using functional mechanisms and techniques that support the doctor in developing adaptability and anticipation skills, understanding the patient’s needs and addressing them, and ensuring the functionality and efficiency of the healthcare system by transferring these elements from micro-management to macro-management levels.

14 January 2024 in Healthcare
Verified
Journal Article
Open access
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Anca Cristina PerpeleaAnca Cristina Perpelea
Anca Cristina Perpelea
Ionela Ruxandra SfeatcuIonela Ruxandra Sfeatcu
Ionela Ruxandra Sfeatcu
MTMihaela Tanase
Mihaela Tanase
MIMarina Imre
Marina Imre
ARALEXANDRA RIPSZKY
ALEXANDRA RIPSZKY
SPSilviu Mirel Pițuru
Silviu Mirel Pițuru
This research analyzes the dental hygiene habits of schoolchildren from parents’ perspectives, using the STEPS approach recommended by the World Health Organization. The key points of oral health care in children include the role of the family in encouraging and maintaining proper oral hygiene practices. This study aimed to assess the oral hygiene practices of schoolchildren with on-site dentists in Romania. Additionally, it sought to establish correlations between these behaviors and the educational levels of the adults with whom they live with. The participants were selected from the zero grade to the eighth grade, totaling 3843students. Statistical analysis involved the application of Fisher’s Exact Test and Z-tests with Bonferroni correction. Multinominal and binominal logistic regression models were employed to predict the impact of parents’ education on children’s oral health status and behavior. The oral health status of children evaluated by parents as poor was more frequent in children whose parents had a primary or gymnasium education (p < 0.001). Female adults with a university education evaluated the gum health of their children as very good to a much greater extent (41.7%, p < 0.001). Regarding the use of auxiliary means, the majority of parents with a university education mentioned that their children use dental floss (26.4% females/27.4% males) (p < 0.001), compared to those with primary education, where the percentage was only (1.2% males/3.5% females) (p < 0.001). The results of this study highlight that the education level of the adults with whom the children live with influences the perception of the teeth and gums health status, the frequency of oral hygiene, the use of fluoride toothpaste, and auxiliary brushing aids.

28 June 2024 in Healthcare
Verified
Journal Article
Open access
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CFCristian Funieru
Cristian Funieru
Mihnea Ioan NicolescuMihnea Ioan Nicolescu
Mihnea Ioan Nicolescu
Cristian BaicusCristian Baicus
Cristian Baicus
OSOana Slusanschi
Oana Slusanschi
CBClara Ilinca Bica
Clara Ilinca Bica
ATAdrian Teodor Tandara
Adrian Teodor Tandara
Background: Oral hygiene is essential for low caries or gingivitis prevalence in children. This study aimed to determine the oral hygiene profile of children from secondary schools (10–17 years) in Bucharest, Romania, and to explore options for preventing their future oral diseases. Methods: The study was cross-sectional, with a sample of n = 1595 pupils. The sample was stratified by clusters in city areas, grades, and the criterion of the presence/absence of in-school dental service. Dental check-ups were performed by using a commune dental examination kit. The oral hygiene simplified index (OHI; Silness and Löe) was used to assess the children’s oral hygiene status. Five questions were used to determine oral hygiene habits. Results: The mean value of the OHI was 1.04. Some differences in oral hygiene scores were found for different socioeconomic variables, such as parents’ education (p < 0.05): parents with vs. without a university degree—0.95/0.94 (male/female) vs. 1.06. Most of the children used manual toothbrushes (88%). Conclusions: The analysis of objective data (OHI) revealed a good level of oral hygiene, with many socioeconomic disparities.

24 April 2024 in Healthcare
Verified
Journal Article
Open access
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Anca Cristina PerpeleaAnca Cristina Perpelea
Anca Cristina Perpelea
Ionela Ruxandra SfeatcuIonela Ruxandra Sfeatcu
Ionela Ruxandra Sfeatcu
MTMihail Tusaliu
Mihail Tusaliu
MTMihaela Tanase
Mihaela Tanase
MIMarina Imre
Marina Imre
SPSilviu Mirel Pițuru
Silviu Mirel Pițuru
Oral health is situated within the framework of the global health agenda, addressing facets pertaining to well-being and quality of life. The research is based on the need to address variables at the community level to improve schoolchildren’s oral health and promote healthy behaviors and aims to carry out an in-depth analysis from the perspective of the factors that influence children’s oral health. Step 1, designed by the World Health Organization, was utilized. An easy-to-use web interface was created for data collection. The statistical analysis consisted of using multinomial and binominal logistic regression models. The level of education of the adult has a high probability of influencing the consumption of unhealthy or healthy foods, it has a significant probability of exerting influence on social or medical problems and a correlation was found between the level of academic education and the pattern of dental visits. The development of health-promoting behaviors begins in childhood and involves parents, who have an essential role in the education of their children. Oral health promotion programs in schools need to target the child–adult–teacher–dentist relationships. Taking into consideration the aforementioned, a threefold viewpoint is necessary for the development of a national program aimed at promoting the oral health of schoolchildren in Romania.

6 February 2026 in Healthcare
Verified
Journal Article
Open access
PDF file
Anca Cristina PerpeleaAnca Cristina Perpelea
Anca Cristina Perpelea
Ionela Ruxandra SfeatcuIonela Ruxandra Sfeatcu
Ionela Ruxandra Sfeatcu
SPSilviu Mirel Pițuru
Silviu Mirel Pițuru
FFFlorentina Ligia Furtunescu
Florentina Ligia Furtunescu
Background/Objectives: In Romania, the oral health status of schoolchildren is insufficiently documented at the national level. This is due to the lack of systematic oral health reporting and fragmented access to dental care services. Methods: In this context, the main factors influencing schoolchildren’s access to dental services were identified through a triangulation approach that integrated documentary research, routine data on health service coverage, and oral health indicators collected through a survey conducted on 3843 schoolchildren. Results: The results highlight a multitude of interdependent factors that shape children’s access to dental care, namely policy-level constraints, dental workforce distribution and individual-level determinants—and provide insight into how public health policies can be adapted to more effectively meet the needs of this group. Conclusions: Despite legislative provisions on children’s oral health care in Romania, territorial disparities persist, and the use of preventive services remains low. These findings underscore the need for national- and county-level public health policies to improve access, promote preventive dental check-ups, strengthen health literacy, and develop targeted programs specifically dedicated to school-age children.

13 February 2025 in Romanian Journal of Morphology and Embryology
Verified
Journal Article
Open access
MTMihail Tuşaliu
Mihail Tuşaliu
CMCarmen Aurelia Mogoantă
Carmen Aurelia Mogoantă
CICamelia Iancu
Camelia Iancu
DIDan Iovănescu
Dan Iovănescu
MNMaria Niţescu
Maria Niţescu
OPOctavian Dragoş Palade
Octavian Dragoş Palade
Inverted papilloma (IP) is a non-cancerous tumor that develops from the paranasal sinuses. Identifying and diagnosing an IP is vital for an ear, nose and throat specialist, due to its high recurrence rate and ability to transform into malignant carcinoma. Diagnosis is based on endonasal flexible endoscopy, preoperative biopsy, and imaging methods. Treatment is exclusively surgical, and its aim is the complete resection of the tumor to prevent further recurrences. The success of surgery depends on employing the most appropriate surgical technique. The choice should be tailored to the tumor’s location, size, and the patient’s specific anatomy. Endoscopic, open, or even combined approaches may be considered. Notably, attachment-oriented surgery is the cornerstone in endoscopic endonasal approaches. Regardless of the chosen approach, long-term surveillance is vital, as early detection provides the benefit of easier re-resection.