Journal Description
Romanian Journal of Preventive Medicine
Romanian Journal of Preventive Medicine(RJPM) is an international,peer-reviewed, open access journal on preventive medicine, and is published quarterly online. It is the official journal of theRomanian Society of Preventive Medicine (SRMP).
- Open Access— free for readers and authors (diamond open access), witharticle processing charges (APC) paid by the Romanian Society of Preventive Medicine.
- Rapid Publication: first decisions in 19 days; acceptance to publication in 4 days (median values for MDPI journals in the first half of 2025).
- Recognition of Reviewers: APC discount vouchers, optional signed peer review, and reviewer names published annually in the journal.
subject Imprint Information Open Access ISSN: 3091-101X
Latest Articles
Open AccessReview
Biomarkers and Early Detection Strategies for Ovarian Tumors byRoxana-Elena Bohîlțea,Robert Daniel Ciortan,Cristina Vaida,Cristiana-Elena Durdu andMadalina-Nicoleta Mitroiu
Rom. J. Prev. Med.2025,3(1), 4; https://doi.org/10.3390/rjpm3010004 (registering DOI) - 28 Nov 2025
Abstract
Ovarian cancer is a highly aggressive disease with a poor prognosis, largely due to challenges in early detection. Traditional screening methods, including transvaginal ultrasound (TVS) and CA125 testing, have notable limitations in detecting early-stage disease and are not advised for widespread use. This [...] Read more.
Ovarian cancer is a highly aggressive disease with a poor prognosis, largely due to challenges in early detection. Traditional screening methods, including transvaginal ultrasound (TVS) and CA125 testing, have notable limitations in detecting early-stage disease and are not advised for widespread use. This article examines emerging early detection technologies, such as novel biomarkers, circulating DNA, PCR assays from Pap swabs, autoantibodies, microRNAs, and advanced imaging techniques. Future advancements in therapeutic methods may enhance survival outcomes linked to early detection. While general population screening remains unendorsed, targeted screening might be valuable for high-risk groups, such as those with Lynch syndrome, but should not replace risk-reducing surgeries. Developing comprehensive screening guidelines for high-risk individuals is essential for improving early detection and survival rates in ovarian cancer.Full article
Open AccessConference Report
Advancing Preventive Medicine: Highlights from the First International Congress of Preventive Medicine byRoxana-Elena Bohîlțea,Bianca Tache,Lavinia Găină,Mădălina Mitroiu,Bianca Margareta Salmen,Ducu Ioniță andCristiana-Elena Durdu
Rom. J. Prev. Med.2025,3(1), 3;https://doi.org/10.3390/rjpm3010003 - 21 Oct 2025
Abstract
This article presents the report of the First International Congress of Preventive Medicine, organized by the Romanian Society of Preventive Medicine (SRMP) in March 2025, in Bucharest, Romania. The congress featured 11 discussion panels and workshops, bringing together over 85 experts from a [...] Read more.
This article presents the report of the First International Congress of Preventive Medicine, organized by the Romanian Society of Preventive Medicine (SRMP) in March 2025, in Bucharest, Romania. The congress featured 11 discussion panels and workshops, bringing together over 85 experts from a wide range of medical disciplines, including oncology, vaccination, cardiology, endocrinology, gynecology, gastroenterology, surgery, family medicine, physical therapy, pulmonology, epidemiology, pediatrics, dentistry, pathology, ENT, genetics, pediatric cardiology, psychiatry, dermatology, plastic surgery, urology, infectious diseases, regenerative medicine, and other key stakeholders in preventive healthcare. The event served as a comprehensive platform for addressing critical public health challenges, with a focus on cancer prevention, anti-aging, oral health, genetics in preventive medicine, preventive cardiology and neurology, the correlation between craniofacial dysfunctions and posture, vaccination strategies, management of congenital malformations, neonatal screening, and the prevention of lifestyle-related diseases such as obesity and tobacco addiction. Furthermore, the congress highlighted the importance of interdisciplinary collaboration and evidence-based interventions in improving population health outcomes. It emphasized the urgent need for coordinated actions to address preventable diseases both at the national and international levels.Full article
Open AccessEditorial
Publisher’s Note: Romanian Journal of Preventive Medicine—Continued Publication by MDPI byMaria Fotiou
Rom. J. Prev. Med.2025,3(1), 2;https://doi.org/10.3390/rjpm3010002 - 19 Aug 2025
Abstract
TheRomanian Journal of Preventive Medicine (RJPM) was launched in 2022 as the official publication of the Romanian Society of Preventive Medicine (Societatea Română de Medicină Preventivă), with the aim of serving as a platform for the dissemination of research and best practices [...] Read more.
TheRomanian Journal of Preventive Medicine (RJPM) was launched in 2022 as the official publication of the Romanian Society of Preventive Medicine (Societatea Română de Medicină Preventivă), with the aim of serving as a platform for the dissemination of research and best practices in preventive medicine [...]Full article
Open AccessEditorial
The Medicine of the Future Is Preventive Medicine byRoxana Bohîlțea
Rom. J. Prev. Med.2025,3(1), 1;https://doi.org/10.3390/rjpm3010001 - 19 Aug 2025
Abstract
The publication of theRomanian Journal of Preventive Medicine, in collaboration with MDPI, marks a pivotal moment for our professional community, bringing together specialists from all fields who can contribute to the development of preventive medicine—the medicine of the future [...]Full article
Open AccessOpinion
Screening and Diagnosis of Polycystic Ovary Syndrome Corelated with Evidence-Based International Guidelines 2023 Recommendations bySilvia-Elena Cîrstoiu andClaudia Mehedințu
Rom. J. Prev. Med.2023,2(3), 37-43;https://doi.org/10.3390/rjpm2030037 - 1 Sep 2023
Abstract
The etiology of PCOS is complex, and clinical features are heterogeneous, involving metabolic, cardiovascular, dermatological, psychological, and reproductive changes. The diagnosis is applied using the evidence-based International Guidelines 2018, following the Rotterdam Criteria 2003. Evidence-based guidelines 2023 have additionally provided clear evidence of [...] Read more.
The etiology of PCOS is complex, and clinical features are heterogeneous, involving metabolic, cardiovascular, dermatological, psychological, and reproductive changes. The diagnosis is applied using the evidence-based International Guidelines 2018, following the Rotterdam Criteria 2003. Evidence-based guidelines 2023 have additionally provided clear evidence of PCOS characteristics, which now include cardiovascular disease, with more solid information regarding the prevalence of sleep apnea and endometrial cancer. They have also included features such as the increased prevalence and severity of mood disorders as significant traits of this syndrome. Developing a lifestyle modification plan associated with individual needs is essential in managing Polycystic Ovary Syndrome.Full article
Open AccessArticle
The Aging Process byMãdãlina-Nicoleta Mitroiu andRoxana Elena Bohîlțea
Rom. J. Prev. Med.2023,2(3), 31-36;https://doi.org/10.3390/rjpm2030031 - 1 Sep 2023
Abstract
Aging represents the progressive deterioration of physiological integrity. This natural process leads to atrophy, decreased elasticity, and impaired metabolic and reparative responses in the skin. There is an increasing emphasis on “healthy aging.” Chronic sun exposure leads to recurrent damage caused by the [...] Read more.
Aging represents the progressive deterioration of physiological integrity. This natural process leads to atrophy, decreased elasticity, and impaired metabolic and reparative responses in the skin. There is an increasing emphasis on “healthy aging.” Chronic sun exposure leads to recurrent damage caused by the sun’s ultraviolet light, known as photoaging. Environmental factors, in addition to sun exposure, also play a role in photoaging. Numerous studies have confirmed the role of cigarette smoke in accelerating skin aging. There are treatment options available for both types of aging.Full article
Open AccessOpinion
Iron Supplementation in Pregnancy byBianca-Margareta Salmen andRoxana-Elena Bohîlțea
Rom. J. Prev. Med.2023,2(3), 26-30;https://doi.org/10.3390/rjpm2030026 - 1 Sep 2023
Abstract
►▼ Show Figures Gestational anemia, characterized by a decrease in red blood cell mass during pregnancy, remains a pervasive global health concern, affecting maternal well-being and fetal development. We have described the physiological changes inherent in pregnancy that predispose women to iron deficiency, emphasizing the increased [...] Read more.
Gestational anemia, characterized by a decrease in red blood cell mass during pregnancy, remains a pervasive global health concern, affecting maternal well-being and fetal development. We have described the physiological changes inherent in pregnancy that predispose women to iron deficiency, emphasizing the increased demand for iron to support the growing fetus and the expansion of maternal blood volume. We explored the challenges in diagnosing and managing gestational anemia, considering the nuanced interplay of genetic, dietary, and socioeconomic factors that influence iron status, based on the national guideline recommendations. By enhancing our understanding of these complex dynamics, we aim to provide a comprehensive schematization of the national guideline for improved preventive strategies, early detection, and targeted interventions to optimize maternal and neonatal health outcomes.Full article
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Open AccessOpinion
Current Status of Folic Acid Fortification in Romania byBianca-Margareta Salmen andRoxana-Elena Bohîlțea
Rom. J. Prev. Med.2023,2(3), 22-25;https://doi.org/10.3390/rjpm2030022 - 1 Sep 2023
Abstract
Among other benefits, folic acid has proven its role in preventing neural tube defects in the fertile female population. The neural tube defect prevalence is 21.9 in 10.000 births in the Eastern Mediterranean, while in the United States of America, the majority is [...] Read more.
Among other benefits, folic acid has proven its role in preventing neural tube defects in the fertile female population. The neural tube defect prevalence is 21.9 in 10.000 births in the Eastern Mediterranean, while in the United States of America, the majority is from 5.5 to 6.5 in 10.000 births. This difference, in favor of the United States, is probably due to the folic acid food fortification program. In Romania, the importance of periconceptional care is still underestimated; women from disadvantaged areas do not seek medical advice before pregnancy, during pregnancy, or even postpartum, and an obstetrician does not monitor most pregnancies. Folic acid supplementation periconceptionally remains a neglected subject in the Romanian population, which could benefit from folic acid food fortification.Full article
Open AccessReview
Toxoplasmosis and Pregnancy: Current Approaches for Favourable Fetal Outcome byCristiana-Elena Durdu andRoxana-Elena Bohîlțea
Rom. J. Prev. Med.2023,2(3), 12-21;https://doi.org/10.3390/rjpm2030012 - 1 Sep 2023
Abstract
Toxoplasma gondii is one of the most widespread parasites worldwide. Although it causes asymptomatic infections in most cases, it can lead to severe disease in immunocompromised individuals. When acquired during pregnancy, it can negatively impact fetal development, resulting in unfavorable outcomes in neonates. [...] Read more.
Toxoplasma gondii is one of the most widespread parasites worldwide. Although it causes asymptomatic infections in most cases, it can lead to severe disease in immunocompromised individuals. When acquired during pregnancy, it can negatively impact fetal development, resulting in unfavorable outcomes in neonates. The epidemiology of this parasite varies from country to country, leading to a lack of international consensus on screening, diagnosis, and management of congenital toxoplasmosis. This article aims to review aspects related to the modes of transmission, screening, fetal prognosis, management, and prevention of this infection to increase the chances of a favorable fetal outcome.Full article
Open AccessReview
Screening for Congenital Hip Dislocation—An Overview byRodica-Iulia Chirilă,Andreea Calomfirescu-Avramescu andVlad Dima
Rom. J. Prev. Med.2023,2(3), 7-11;https://doi.org/10.3390/rjpm2030007 - 1 Sep 2023
Abstract
►▼ Show Figures Developmental dysplasia of the hip, previously known as congenital dislocation of the hip, is the most common congenital disease of the musculoskeletal system in newborns. It corresponds to a complete or partial displacement of the femoral head out of the acetabulum. The incidence [...] Read more.
Developmental dysplasia of the hip, previously known as congenital dislocation of the hip, is the most common congenital disease of the musculoskeletal system in newborns. It corresponds to a complete or partial displacement of the femoral head out of the acetabulum. The incidence is around 1:1000 births and it depends on multiple factors (region, family history, gender, mechanical factors, or some specific neonatal conditions). Screening may be by universal neonatal clinical examination (Ortolani or Barlow maneuvers) with the addition of sonographic imaging of the hip (selecting the patients who present abnormalities detected by physical examination or risk factors, and universal screening in the neonate). This screening is recommended at the discharge of newborns in most maternity hospitals in Romania.Full article
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Open AccessEditorial
The National Screening Program for Colorectal Cancer byCristian Gheorghe
Rom. J. Prev. Med.2023,2(3), 3-6;https://doi.org/10.3390/rjpm2030003 - 1 Sep 2023
Abstract
As acting president of the Romanian Society of Coloproctology, what can you tell us about the particularities of this Society [...]Full article
Open AccessOpinion
Orthodontic Treatment byAlexandru Ioan Cucu andMădălina-Nicoleta Mitroiu
Rom. J. Prev. Med.2023,2(2), 41-43;https://doi.org/10.3390/rjpm2020041 - 1 Aug 2023
Abstract
Orthodontics is a branch of medicine that aims to achieve aesthetic and functional improvements through mechanical therapy by moving teeth into an ideal position. Orthodontic treatment can correct a variety of dental problems, including dental crowding and occlusion issues. Many people choose to [...] Read more.
Orthodontics is a branch of medicine that aims to achieve aesthetic and functional improvements through mechanical therapy by moving teeth into an ideal position. Orthodontic treatment can correct a variety of dental problems, including dental crowding and occlusion issues. Many people choose to undergo orthodontic treatment to improve the appearance of their teeth and boost their self-confidence. The braces are chosen according to pathology, following a specialized consultation with an orthodontist. Orthodontic treatment is an important step in achieving a healthy and beautiful smile and can help improve oral health and self-confidence.Full article
Open AccessOpinion
A Systematic Approach in Neonatal Screening byAndreea-Ioana Necula,Roxana Stoiciu,Alexandra Floriana Nemeș andAdrian Ioan Toma
Rom. J. Prev. Med.2023,2(2), 37-40;https://doi.org/10.3390/rjpm2020037 - 1 Aug 2023
Abstract
In numerous countries, newborns are screened for diseases whose early detection can avoid permanent damage. There tends to be global agreement that the only conditions included in national newborn screening programs are a reliable test and a proven therapy with clear benefits for [...] Read more.
In numerous countries, newborns are screened for diseases whose early detection can avoid permanent damage. There tends to be global agreement that the only conditions included in national newborn screening programs are a reliable test and a proven therapy with clear benefits for the child's well-being. Through the National Health Programmes, newborns in Romania are examined for deafness, signs of retinopathy of prematurity and two metabolic disorders (phenylketonuria (PKU) and congenital hypothyroidism).Full article
Open AccessOpinion
Neonatal Hearing Screening—Short Review byAndreea Calomfirescu-Avramescu andVlad Dima
Rom. J. Prev. Med.2023,2(2), 31-36;https://doi.org/10.3390/rjpm2020031 - 1 Aug 2023
Abstract
►▼ Show Figures Newborn hearing screening is the best strategy to identify congenital deafness and hearing loss. The incidence of sensorineural hearing loss is 3 per 1000 for term newborns and up to 4 per 100 for newborns hospitalized in the NICU, therefore identification up to [...] Read more.
Newborn hearing screening is the best strategy to identify congenital deafness and hearing loss. The incidence of sensorineural hearing loss is 3 per 1000 for term newborns and up to 4 per 100 for newborns hospitalized in the NICU, therefore identification up to a maximum of 6 months has an optimal effect on neurocognitive development. Auditory testing techniques have evolved since the 1800s and currently include transient evoked otoacoustic emissions (TEOAE), distortion product otoacoustic emissions (DPOAE), the automated auditory brainstem response (ABR) or a combination of them. In our country we use auditory brainstem response (ABR) and otoacoustic emissions (OAE), thus we can identify up to 85% of hearing loss in the first 6 months of life.Full article
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Open AccessOpinion
The Diet and Lifestyle of Medical Students byRazvan-Marius Ciobanu,Roxana Elena Bohiltea andCatalin-Constantin Coca
Rom. J. Prev. Med.2023,2(2), 25-30;https://doi.org/10.3390/rjpm2020025 - 1 Aug 2023
Abstract
►▼ Show Figures In the current era, dietary patterns have evolved, impacting vulnerable age groups such as adolescents. Obesity, a pressing health concern, associated with severe conditions is found more and more these days as global data indicates a worrisome escalation in obesity rates among children [...] Read more.
In the current era, dietary patterns have evolved, impacting vulnerable age groups such as adolescents. Obesity, a pressing health concern, associated with severe conditions is found more and more these days as global data indicates a worrisome escalation in obesity rates among children and adolescents through the last decades. Romania, while boasting relatively lower adult obesity rates in the EU, faces an increasing trend in overweight and obesity among young people. This research article underscores the multifaceted nature of obesity challenges faced by adolescents, necessitating targeted interventions to ensure their health and well-being in this fast-paced age.Full article
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Open AccessOpinion
Bariatric Surgery in Adolescents—Should We Do it? byBianca-Margareta Salmen andRoxana-Elena Bohiltea
Rom. J. Prev. Med.2023,2(2), 17-23;https://doi.org/10.3390/rjpm2020017 - 1 Aug 2023
Abstract
►▼ Show Figures The rising prevalence of adolescent obesity poses significant health challenges, necessitating effective interventions. When nutritional management and lifestyle changes are insufficient, bariatric surgery has emerged as a potential therapeutic option to address severe obesity in this vulnerable population, at risk of developing various [...] Read more.
The rising prevalence of adolescent obesity poses significant health challenges, necessitating effective interventions. When nutritional management and lifestyle changes are insufficient, bariatric surgery has emerged as a potential therapeutic option to address severe obesity in this vulnerable population, at risk of developing various complications such as insulin resistance, type 2 diabetes mellitus and even cardiovascular disease, with its heterogenous implications. By carefully selecting patients, metabolic and bariatric surgery in adolescents presents a maximum of benefit, reducing the obesity complications. The most frequent procedures are represented by sleeve gastrectomy and Roux-en-Y Gastric Bypass. Current evidence supports metabolic and bariatric surgery in adolescents with severe obesity when most conservative lifestyle and pharmacologic interventions fail to ensure a healthier young population. We conducted a literature review with the aim to evaluate the current results regarding bariatric surgery in adolescents, highlighting the benefits and also disadvantages of surgical techniques.Full article
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Open AccessOpinion
Promoting Active Futures: Exploring Physical Activity in Youth byCristiana-Elena Durdu andRoxana-Elena Bohiltea
Rom. J. Prev. Med.2023,2(2), 12-16;https://doi.org/10.3390/rjpm2020012 - 1 Aug 2023
Abstract
Physical activity is essential for the healthy development of youth, promoting overall well-being and reducing the risk of various health conditions. This article explores the significance of preparticipation examinations in youth engaging in strength training and the importance of identifying any potential contraindications [...] Read more.
Physical activity is essential for the healthy development of youth, promoting overall well-being and reducing the risk of various health conditions. This article explores the significance of preparticipation examinations in youth engaging in strength training and the importance of identifying any potential contraindications and precautions. The American Academy of Pediatrics (AAP) guidelines provide valuable insights, suggesting caution for certain medical conditions such as cardiomyopathy and pulmonary hypertension, where weight training may pose risks to young individuals. By conducting thorough evaluations and adhering to appropriate precautions, the risk of injury and adverse health outcomes can be minimized, enabling youth to reap the numerous benefits of physical activity.Full article
Open AccessOpinion
Psychological Factors in Obesity bySilvia-Elena Cîrstoiu andRoxana-Elena Bohîlțea
Rom. J. Prev. Med.2023,2(2), 7-11;https://doi.org/10.3390/rjpm2020007 - 1 Aug 2023
Abstract
Obesity is a widely health problem, a chronic disease characterized by a body mass index (BMI) larger than 30 kg/m2. Looking at the psychological part that can influence obesity, we put together various factors leading to this health issue. Adverse childhood [...] Read more.
Obesity is a widely health problem, a chronic disease characterized by a body mass index (BMI) larger than 30 kg/m2. Looking at the psychological part that can influence obesity, we put together various factors leading to this health issue. Adverse childhood experiences, which often persist into adulthood, can lead to psychological challenges, including self-consciousness and negative body image. Depression and obesity share a bidirectional relationship, where depression can lead to changes in appetite and activity levels, while obesity can contribute to body image issues and social stigma. Stress, cortisol, and obesity are closely related, with stress triggering physical responses that affect food intake and fat storage. Also, we aimed to emphasize the importance of therapy and its crucial role in obesity prevention.Full article
Open AccessEditorial
The Psychological Implications of Childhood Obesity byCornelia Pantazi
Rom. J. Prev. Med.2023,2(2), 44-46;https://doi.org/10.3390/rjpm2020044 - 1 Aug 2023
Abstract
According to the report published by WHO in May 2022, 58% of adults in Romania are overweight (with a body mass index between 25 and 29.9) or obese (with a body mass index over 30) [...]Full article
Open AccessOpinion
Age-Related Macular Degeneration Screening—What Is Next? byAntonia Elena Ranetti andHoria Tudor Stanca
Rom. J. Prev. Med.2023,2(1), 47-55;https://doi.org/10.3390/rjpm2010047 - 1 Mar 2023
Abstract
►▼ Show Figures Age-related macular degeneration is one of the leading causes of blindness worldwide in patients older than 60 years. Because of the aging population, it is of great importance to diagnose the disease early to help the patients get access to treatment. In its [...] Read more.
Age-related macular degeneration is one of the leading causes of blindness worldwide in patients older than 60 years. Because of the aging population, it is of great importance to diagnose the disease early to help the patients get access to treatment. In its incipient stages, patients are usually asymptomatic, but the advanced disease can progress very fast, and it severely affects visual acuity. Over time there have been proposals for screening programs for patients with AMD, but at the moment there are no programs in most countries. The disease burden is significant because there is no cure for late AMD, especially for dry AMD. The management for most of the early and intermediate patients affected consists of antioxidant supplements and risk factors reduction. Anti-VEGF injections are the mainstay treatment for patients with neovascular AMD, which can improve and stabilize vision but can’t cure the disease. In the last decade there have been some technological advancements in what concerns the diagnosis and also the management of the disease, so for patients with AMD there is now more hope than ever in every stage of the disease.Full article
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