Decrease in birth rate  as an important factor  of demographic aging  in Romania

Ţarcă, Elena; Roşu, Tamara Solange; Luca, Alina Costina; Ciomagă, Irina-Mihaela; Murgu, Alina; Ţarcă, Viorel

doi:10.26416/pedi.61.1.2021.4718

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…There is a wide variation in multiple birth rates and trends over time in Europe and around the globe, with no straightforward pattern between geographical areas [13,14]. Socio-demographic and policy factors differ between countries and can impact birth rates.…”

Section: Discussionmentioning

confidence: 99%

The Impact of the Main Negative Socio-Economic Factors on Female Fertility

Ţarcă

Luca

2022

Healthcare

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The negative relationship between fertility and income is well known to economists and demographers. Developed countries have experienced a remarkable decline in their fertility rate as they have become richer. Lifestyle choices can affect a woman’s ability to conceive. Tobacco use and heavy drinking is associated with an increased risk of ovulation disorders, and being overweight or significantly underweight can inhibit normal ovulation. Our research is focused on evaluating the main risk factors that influence female fertility. We assembled a country-specific dataset on birth rate and socio-economic factors for 171 countries, using data integrated from publicly available data sources. The regression model shows that the negative factor with the greatest impact on female fertility is represented by the level of income per capita. The negative effects of smoking, alcohol consumption, and body weight on female fertility are also demonstrated, but with a lower impact compared to the average income per capita.

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Section: Discussionmentioning

confidence: 99%

The Impact of the Main Negative Socio-Economic Factors on Female Fertility

Ţarcă

Luca

2022

Healthcare

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“…1 , 3 As fertility-sparing procedures are a priority in a constantly aging society, with more and more women being infertile, every attempt to improve our knowledge concerning this topic is of great importance. 12 , 13 However, ovarian preservation rates decrease with the size of the tumor and many studies indicate that oncologic treatment, including chemotherapy and radiotherapy, increases infertility. 14 This is why it is crucial to diagnose these lesions in their early stages.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis Difficulties and Minimally Invasive Treatment for Ovarian Masses in Adolescents

Ţarcă¹,

Trandafir²,

Cojocaru³

et al. 2022

IJWH

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About 1% of childhood tumors can be malignant ovarian tumors and differential diagnosis with benign ones is sometimes difficult before surgery. Concerning the management of such tumors in adolescents for which future fertility is a concern, there is specific interest in their malignant potential and the possible use of ovarian-sparing operative techniques, as well the suitability of chemotherapy. To exemplify the difficulties of preoperative differential diagnosis, personalized approach and the difficulties of deciding to preserve the affected ovary, we report a rare case of a 14-year-old female adolescent with a growing abdominal painless mass and without any other chronic diseases. After physical examination and imaging investigations, laparoscopic surgical procedure is performed, the peritoneal cavity is explored and the well-delimited gigantic tumor is removed. Considering the normally looking pelvis and absence of adenopathy, as well as the patient’s age and wish to have children, both ovaries are preserved. Laparoscopy has become the gold standard in the management of this condition, although there are few studies that report this approach in children; the differential diagnosis between a benign and a malignant tumor cannot be established exactly until after the histological examination, which revealed in our case a cystic teratoma with mature tissues. A better understanding of clinical features and evolution of giant ovarian masses in adolescents could help clinicians better diagnose and treat such lesions.

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Decrease in birth rate as an important factor of demographic aging in Romania

Cited by 2 publications

References 5 publications

The Impact of the Main Negative Socio-Economic Factors on Female Fertility

The Impact of the Main Negative Socio-Economic Factors on Female Fertility

Diagnosis Difficulties and Minimally Invasive Treatment for Ovarian Masses in Adolescents

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