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Ivaniš S, Jovanović M, Dunđerović D, Zorić G, Odalović B, Slijepčević N, Taušanović K, Rovčanin B, Buzejić M, Vučen D, Stepanović B, Ilić J, Parezanović M, Marinković M, Stojanović M, Tošković A, Mojsić I, Živaljević V. Case presentation of the smallest non-functional parathyroid carcinoma and review of the literature. Eur Arch Otorhinolaryngol 2023; 280:5637-5647. [PMID: 37493843 DOI: 10.1007/s00405-023-08137-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Accepted: 07/17/2023] [Indexed: 07/27/2023]
Abstract
INTRODUCTION Non functional parathyroid carcinoma (PC) is one of the rarest malignant neoplasms. Due to the lack of symptoms and laboratory findings, it is mostly diagnosed in late AQ2 stages, when local invasion and dissemination are already present. However, our case is an exception, because it was detected in early stage, with no local invasion present. We present a case of the smallest non-functional PC yet reported and review of the literature. CASE PRESENTATION A 47-year-old woman was admitted to outpatient Clinic where fine-needle aspiration biopsy (FNAB) of bilateral thyroid nodules (slide 1) and central neck mass (slide 2), which was suspected to be an enlarged lymphatic nodule or parathyroid gland was performed. Results came back as Bethesda I-colloid (slide 1), and Bethesda IV (slide 2), stating that it is hard to distinguish thyroid gland oxyphil lesions from parathyroid cells. Total thyroidectomy was performed as well as excision of the left central neck mass, without any involvement of surrounding structures. Pathological examination revealed bilateral thyroid follicular nodular disease, papillary microcarcinoma, and parathyroid carcinoma with vascular and capsular invasion, measuring 10 × 8 × 7 mm. The immunohistochemical profile included positive PTH, Chromogranin A, and negative TTF1. CONCLUSION Non-functional PC is usually diagnosed in advanced stages, already involving adjacent structures; however, this case presents a rare example. It is important not to exclude PC as a differential diagnosis in the absence of elevated Ca and PTH serum levels. Follow-up will be difficult, since there are no prognostic parameters to rely on.
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Affiliation(s)
- S Ivaniš
- Clinic for Endocrine Surgery, Clinical Centre of Serbia, Belgrade, Serbia.
| | - M Jovanović
- Clinic for Endocrine Surgery, Clinical Centre of Serbia, Belgrade, Serbia
| | - D Dunđerović
- Clinic for Endocrine Surgery, Clinical Centre of Serbia, Belgrade, Serbia
| | - G Zorić
- Clinic for Endocrine Surgery, Clinical Centre of Serbia, Belgrade, Serbia
| | - B Odalović
- Clinic for Endocrine Surgery, Clinical Centre of Serbia, Belgrade, Serbia
| | - N Slijepčević
- Clinic for Endocrine Surgery, Clinical Centre of Serbia, Belgrade, Serbia
| | - K Taušanović
- Clinic for Endocrine Surgery, Clinical Centre of Serbia, Belgrade, Serbia
| | - B Rovčanin
- Clinic for Endocrine Surgery, Clinical Centre of Serbia, Belgrade, Serbia
| | - M Buzejić
- Clinic for Endocrine Surgery, Clinical Centre of Serbia, Belgrade, Serbia
| | - D Vučen
- Clinic for Endocrine Surgery, Clinical Centre of Serbia, Belgrade, Serbia
| | - B Stepanović
- Clinic for Endocrine Surgery, Clinical Centre of Serbia, Belgrade, Serbia
| | - J Ilić
- Clinic for Endocrine Surgery, Clinical Centre of Serbia, Belgrade, Serbia
| | - M Parezanović
- Clinic for Endocrine Surgery, Clinical Centre of Serbia, Belgrade, Serbia
| | - M Marinković
- Clinic for Endocrine Surgery, Clinical Centre of Serbia, Belgrade, Serbia
| | - M Stojanović
- Clinic for Endocrine Surgery, Clinical Centre of Serbia, Belgrade, Serbia
| | - A Tošković
- Clinic for Endocrine Surgery, Clinical Centre of Serbia, Belgrade, Serbia
| | - I Mojsić
- Clinic for Endocrine Surgery, Clinical Centre of Serbia, Belgrade, Serbia
| | - V Živaljević
- Clinic for Endocrine Surgery, Clinical Centre of Serbia, Belgrade, Serbia
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Riccardi M, Pettinicchio V, Di Pumpo M, Altamura G, Nurchis MC, Markovic R, Šagrić Č, Stojanović M, Rosi L, Damiani G. Community-based participatory research to engage disadvantaged communities: Levels of engagement reached and how to increase it. A systematic review. Health Policy 2023; 137:104905. [PMID: 37716190 DOI: 10.1016/j.healthpol.2023.104905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 05/12/2023] [Accepted: 09/02/2023] [Indexed: 09/18/2023]
Abstract
Community-based participatory research (CBPR) is one of the most used community engagement frameworks to promote health changes in vulnerable populations. The more a community is engaged, the more a program can impact the social determinants of health. The present study aims to measure the level of engagement reached in randomized controlled trials (RCTs) using CBPR in disadvantaged populations, and to find out the CBPR components that better correlate with a higher level of engagement. A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Embase, Web of Science, MEDLINE, Cochrane and Scopus databases were queried. Engagement level was assessed using the revised version of IAP2 spectrum, ranging from "inform" to "shared leadership" . Fifty-one RCTs were included, belonging to 36 engagement programs. Fourteen CBPR reached the highest level of engagement. According to the multivariate logistic regression, a pre-existing community intervention was associated with a higher engagement level (OR = 10.08; p<0.05). The variable "institutional funding" was perfectly correlated with a higher level of engagement. No correlation was found with income status or type of preventive programs. A history of collaboration seems to influence the effectiveness in involving communities burdened with social inequities, so starting new partnerships remains a public health priority to invest on. A strong potentiality of CBPR was described in engaging disadvantaged communities, addressing social determinants of health. The key findings described above should be taken into account when planning a community engagement intervention, to build up an effective collaborative field between researchers and population.
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Affiliation(s)
- MariaTeresa Riccardi
- Department of Health Sciences and Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | | | - Marcello Di Pumpo
- Department of Health Sciences and Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Gerardo Altamura
- Department of Health Sciences and Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Mario Cesare Nurchis
- Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy
| | - Roberta Markovic
- University of Niš, Faculty of Medicine, Niš, Serbia; Public Health Institute Niš, Niš, Serbia
| | | | - Miodrag Stojanović
- University of Niš, Faculty of Medicine, Niš, Serbia; Public Health Institute Niš, Niš, Serbia
| | - Luca Rosi
- Department of Infectious Diseases, National Institute of Health (Istituto Superiore di Sanità, ISS), Rome, Italy
| | - Gianfranco Damiani
- Department of Health Sciences and Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo A. Gemelli 8, 00168 Rome, Italy
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Žarković M, Perros P, Ćirić J, Beleslin B, Stojanović M, Stojković M, Miletić M, Janić T. Health care access of thyroid disease patients in Serbia during the COVID-19 pandemic. J Endocrinol Invest 2022; 45:1521-1526. [PMID: 35325447 PMCID: PMC8944403 DOI: 10.1007/s40618-022-01787-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Accepted: 03/14/2022] [Indexed: 10/25/2022]
Abstract
PURPOSE The aim of this study was to assess the impact of repurposing health care facilities in response to COVID-19 on the access of patients with thyroid disease to health care. METHODS This study consisted of a web-based survey. The survey was anonymous and consisted of forty questions. RESULTS This survey included 206 respondents. 91.3% of the respondents had health insurance through the Republic Fund of Health Insurance, 9.7% had private or both health insurances, and 3.4% did not have any health insurance. A significant proportion of respondents (60.4%) had to switch from public to private health care to reach a physician and 73.8% had to switch from public to private laboratories. For the 91.9%, this was perceived as a financial burden. Before the pandemic, 83.1% of respondents reported regular follow-up by physicians, which decreased to 44.9% during the pandemic (p < 0.01). 76.3% of the respondents regarded that their thyroid disease was managed optimally before the pandemic, while this figure declined to only 48% during the pandemic (p < 0.01). CONCLUSIONS The COVID-19 pandemic disrupted the medical care of thyroid patients in Serbia. For the patients treated in the public health care system, access to general practice was hindered, while access to specialist care was disrupted. It led to a switch from public to private health care, which was perceived as a financial burden for almost all the respondents. However, private health care proved to be an important safety net when the public system was overwhelmed.
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Affiliation(s)
- M Žarković
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
- Clinic of Endocrinology, Diabetes and Diseases of Metabolism, University Clinical Centre, Dr Subotića starijeg 13, 11000, Belgrade, Serbia.
| | - P Perros
- Department of Endocrinology, Royal Victoria Infirmary, Newcastle upon Tyne, UK
| | - J Ćirić
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Clinic of Endocrinology, Diabetes and Diseases of Metabolism, University Clinical Centre, Dr Subotića starijeg 13, 11000, Belgrade, Serbia
| | - B Beleslin
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Clinic of Endocrinology, Diabetes and Diseases of Metabolism, University Clinical Centre, Dr Subotića starijeg 13, 11000, Belgrade, Serbia
| | - M Stojanović
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Clinic of Endocrinology, Diabetes and Diseases of Metabolism, University Clinical Centre, Dr Subotića starijeg 13, 11000, Belgrade, Serbia
| | - M Stojković
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Clinic of Endocrinology, Diabetes and Diseases of Metabolism, University Clinical Centre, Dr Subotića starijeg 13, 11000, Belgrade, Serbia
| | - M Miletić
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Clinic of Endocrinology, Diabetes and Diseases of Metabolism, University Clinical Centre, Dr Subotića starijeg 13, 11000, Belgrade, Serbia
| | - T Janić
- Clinic of Endocrinology, Diabetes and Diseases of Metabolism, University Clinical Centre, Dr Subotića starijeg 13, 11000, Belgrade, Serbia
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Ignjatović A, Stojanović M, Milošević Z, Anđelković Apostolović M, Filipović T, Rančić N, Marković R, Topalović M, Stojanović D, Otašević S. Cancer of unknown primary - incidence, mortality trend, and mortality-to-incidence ratio is associated with human development index in Central Serbia, 1999-2018: Evidence from the national cancer registry. Eur J Cancer Care (Engl) 2021; 31:e13526. [PMID: 34672038 DOI: 10.1111/ecc.13526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Revised: 09/17/2021] [Accepted: 10/04/2021] [Indexed: 12/09/2022]
Abstract
OBJECTIVES The aim was to estimate the trend of incidence, mortality and mortality-to-incidence ratio (MIR) in Central Serbia in 1999-2018 and its possible association with the human development index (HDI). METHODS In this study, cancer of unknown primary (CUP) was included as C77-C80 codes. Trend analysis was performed in the Joinpoint Regression Programme version 4.8.0.1. HDI combines life expectancy, educational attainment and gross national income. HDI values for Serbia are extracted from the global bank site. RESULTS Joinpoint regression analysis of the age-standardised incidence rate of CUP showed a significantly increasing trend with annual percent change (APC) of 8.5% (95% confidence interval [CI] 3.0-14.3%) in males and 7.8% (95%CI 2.7-13.2) in females. The age-standardised mortality rate of CUP showed a significantly decreasing trend with APC of -1.7% (95%CI -2.8 to -0.5%) in males and -1.4% (95%CI -2.7 to -0.1%) in females. MIR showed a significantly decreasing trend with APC of -9.3% (95%CI -14.6 - -3.6%) in males and -7.1% (95%CI -10.5% to -4.2%) in females. The linear regression showed significant inverse association among HDI and the MIR of CUP in males (r2 = 0.464, p = 0.002) and in females (r2 = 0.612, p < 0.001). CONCLUSIONS Decline of MIR was associated with HDI, suggesting that CUP prognosis follows socio-economic status.
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Affiliation(s)
- Aleksandra Ignjatović
- Department of Medical Statistics and Informatics, Faculty of Medicine, The University of Niš, Niš, Serbia.,The Institute of Public Health Niš, Niš, Serbia
| | - Miodrag Stojanović
- Department of Medical Statistics and Informatics, Faculty of Medicine, The University of Niš, Niš, Serbia.,The Institute of Public Health Niš, Niš, Serbia
| | - Zoran Milošević
- Department of Medical Statistics and Informatics, Faculty of Medicine, The University of Niš, Niš, Serbia.,The Institute of Public Health Niš, Niš, Serbia
| | - Marija Anđelković Apostolović
- Department of Medical Statistics and Informatics, Faculty of Medicine, The University of Niš, Niš, Serbia.,The Institute of Public Health Niš, Niš, Serbia
| | - Tamara Filipović
- School of Medicine, Institute for Rehabilitation, University of Belgrade, Belgrade, Serbia
| | - Nataša Rančić
- Department of Epidemiology, Faculty of Medicine, The University of Niš, Niš, Serbia.,The Institute of Public Health Niš, Niš, Serbia
| | - Roberta Marković
- Department of Social Medicine, Faculty of Medicine, The University of Niš, Niš, Serbia.,The Institute of Public Health Niš, Niš, Serbia
| | - Marija Topalović
- Pulmonary Diseases Clinic, University Clinical Centre Niš, Niš, Serbia
| | - Dijana Stojanović
- Department of Pathophysiology, Faculty of Medicine, The University of Niš, Niš, Serbia
| | - Suzana Otašević
- Department of Microbiology and Immunology,Faculty of Medicine, The University of Niš, Niš, Serbia.,The Institute of Public Health Niš, Niš, Serbia
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Koracevic G, Mićić S, Stojanović M, Zdravković M, Kostić T, Koraćević M, Kutlešić M, Pavlović M, Dakić S. High likelihood for atrial fibrillation in Cushing's syndrome. Eur Rev Med Pharmacol Sci 2021; 24:1391-1397. [PMID: 32096188 DOI: 10.26355/eurrev_202002_20196] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE This review analyzes the prevalence of the most important comorbidities associated with atrial fibrillation (AF) in the growing population of patients with Cushing's syndrome (CS). MATERIALS AND METHODS The review is arranged in a way to list important risk factors for AF and the references, which suggest the significant prevalence of these particular risk factors in CS. The search is conducted on PubMed, Science Direct, Springer, Wiley, SAGE, Oxford Press, and Google Scholar. PubMed search for "Cushing's syndrome atrial fibrillation" on 8/7/2019 revealed 4 papers only. None of them either analyzed or implicated high risk for AF in CS. RESULTS Arterial hypertension (AHT) can be found in approximately 80% of adult individuals with endogenous CS and in 20% of patients with exogenous CS. The reported prevalence of diabetes mellitus (DM) is from 13% to 47% in CS patients and the risk for de novo DM is approximately two-fold higher in individuals treated with glucocorticoids. High risk for myocardial infarction (MI) with hazard ratio (HR) 3.7 (95% confidence intervals, CI 2.4-5) in patients with endogenous CS was found. In CS patients the obesity can be detected in up to 41% and overweight in 21-48%. Left ventricular hypertrophy (LVH), pulmonary thromboembolism (PTE), infections, and hypokalemia are also more prevalent in CS as compared to healthy population. All cited comorbidities have been associated with AF. Therefore, clustering of the important factors associated with AF is confirmed repeatedly in CS. CONCLUSIONS The prevalence of AF in CS should be studied more precisely, both in a scientific way and at the individual patient's level.
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Affiliation(s)
- G Koracevic
- Department for Cardiovascular Diseases, Clinical Center Nis, Serbia.
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Marković R, Šagrić Č, Višnjić A, Stojanović M, Ignjatović A, Deljanin Z. COVID-19 outbreak: How the public health network could function better in disseminating information and instruction for action: Lessons learned. Acta fac medic Naissensis 2021. [DOI: 10.5937/afmnai38-31387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
Abstract
The priority for the period of COVID-19 outbreak was to provide fast, well-timed dissemination of information to the general population (especially vulnerable groups) as well to health professionals and professionals from other areas of public life (police, army, local governments, education, and the business sector) on behavior change and prevention measures, in terms of guidance for the current epidemiological situation. At the Public Health Institute Niš, Serbia, we directed activities relying primarily on formal intervention approaches, WHO guidance and on information and knowledge gained at the April 2019 WHO "Emergency Risk Communication training and plan-writing workshop" in Belgrade/Serbia. To define the advantages and disadvantages of the applied method for dissemination of information, we followed the reporting guidance contained in Duncan E and colleagues', Guidance for reporting intervention development studies in health research (GUIDED). Guidelines for treatment and recommendations were disseminated through standard communication channels. A local public health network with a large number of partners from the governmental and non-governmental sector, established in recent years, was a kind of channel for dissemination of materials. We realized that formal intervention approaches should be rapidly improved by better mapping of all population groups, by modern ways of communication, by urgent introduction of digital communication channels such as telemedicine, smart phone engagement and internet applications, in order to educate and exchange information more efficiently and quickly, especially in crisis situations such as COVID-19 epidemics/pandemics.
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Koraćević G, Stojanović M, Petrović S, Simić D, Sakač D, Vlajković M, Stevic M, Kocić M, Đorđević M, Koraćević M. CUSHING'S SYNDROME, A RISK FACTOR FOR VENOUS THROMBOEMBOLISM IS A CANDIDATE FOR GUIDELINES. Acta Endocrinol (Buchar) 2020; 16:123-128. [PMID: 33029226 DOI: 10.4183/aeb.2020.123] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Objectives The present paper aims to review important contemporary information about VTE risk in endogenous and exogenous CS, as a substantial discrepancy exists between the results of a recent meta-analysis confirming the increased risk for VTE and the absence of CS in VTE guidelines. Methods An extensive search of relevant databases (e.g. PubMed, Google Scholar, and Scopus) was performed in order to establish the interconnectedness of the following terms: Cushing's syndrome, venous thromboembolism, deep vein thrombosis, pulmonary embolism. Results The analysis demonstrated that patients with CS have about ten times the risk for VTE, particularly during the first year following the diagnosis of CS. Oral glucocorticoid users (with iatrogenic CS) have a 3-fold increase in risk of VTE in comparison with non-users. The most recent 2019 meta-analysis encompassed 7142 patients with endogenous CS (including Cushing's disease) undergoing transsphenoidal surgery or adrenalectomy, and their risk of unprovoked VTE was almost 18 times higher in comparison with a healthy population. Conclusion Over the past 50 years considerable evidence of increased VTE risk in CS has been accumulated. It pertains to both endogenous and exogenous type of CS and has been confirmed in the vast majority, if not all the available studies, including meta-analyses. Nevertheless, official CS guidelines make no mention of CS as a VTE risk factor, even though it is important that not only physicians who treat CS, but also physicians who manage patients with suspected VTE be aware of increased VTE risk.
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Affiliation(s)
- G Koraćević
- Clinical Centre Niš - Department for Cardiovascular Diseases, Novi Sad Serbia.,Clinical Centre Niš - University of Niš, Faculty of Medicine, Novi Sad Serbia
| | - M Stojanović
- Clinical Centre Niš - Institute for Treatment and Rehabilitation, Niška Banja, Novi Sad Serbia
| | - S Petrović
- Clinical Centre Niš - Department of Radiology, Novi Sad Serbia.,Clinical Centre Niš - University of Niš, Faculty of Medicine, Novi Sad Serbia
| | - D Simić
- Clinical Centre Niš - Clinical Center of Serbia - Division of Cardiology, Novi Sad Serbia.,Clinical Centre Niš - University of Belgrade Faculty of Medicine, Beograd, Novi Sad Serbia
| | - D Sakač
- Clinical Centre Niš - Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica, Vojvodina, Novi Sad Serbia.,Clinical Centre Niš - University of Novi Sad Medical Faculty, Novi Sad Serbia
| | - M Vlajković
- Clinical Centre Niš - Department of Nuclear Medicine, Novi Sad Serbia.,Clinical Centre Niš - University of Niš, Faculty of Medicine, Novi Sad Serbia
| | - M Stevic
- Clinical Centre Niš - Center of Nuclear Medicine, Novi Sad Serbia.,Clinical Centre Niš - University of Niš, Faculty of Medicine, Novi Sad Serbia
| | - M Kocić
- Clinical Centre Niš - Department of Rehabilitation, Novi Sad Serbia.,Clinical Centre Niš - University of Niš, Faculty of Medicine, Novi Sad Serbia
| | - M Đorđević
- Clinical Centre Niš - Health Centre Jagodina - Emergency Medical Service, Novi Sad Serbia
| | - M Koraćević
- Clinical Centre Niš - University of Niš, Faculty of Medicine, Novi Sad Serbia.,Clinical Centre Niš - University of Nis - Innovation Centre, Niš, Novi Sad Serbia
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Višnjić A, Jović Vraneš A, Šantrić Milićević M, Stojanović M, Stanković M, Jovanović T. The Association between Depression and Anxiety with Online Social Networking. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
It would seem that today, for many individuals the most important thing is to have a good profile picture on online social networks. Accordingly, there is a serious possibility that addiction to social networking sites (SNS) can lead to psychosocial and behavioral disorders, and other negative consequences on health-related issues. So, the aim of this study was to determine the association between the use of social networking sites and its dependence on symptoms of depression and anxiety. This cross-sectional study was carried out at the University of Niš, Faculty of Medicine from February to May, 2019. All of the respondents were assessed by using an appropriate questionnaire. The study included 1405 randomly selected respondents (411 males and 994 females). The strongest predictor of whether one has high levels of depression symptoms was state of conflict, where the odds ratio was 10.28. This indicates that the respondents with higher scores of the conflict component have symptoms of depression 10.28 times more often than others. It has been observed that depression symptoms are also more common in those respondents with expressed withdrawal symptoms (OR = 4.27), and with mood modification (OR = 1.82). Anxiety symptoms, similar to those of depression, are most present in individuals with conflict state (OR = 10.31), in those with withdrawal symptoms (OR = 6.83), and then with mood modification (OR = 2.55). The number of active accounts/profiles and number of devices, as well as state of salience and tolerance played no part in any of the cases. There is no doubt that there is a direct link between SNS and depression and anxiety. While these links may not be causal, it is quite certain that overuse of social networks exacerbates these symptoms.
Key messages
There is no doubt that there is a direct link between SNS and depression and anxiety. Strategies for self-control and limited SNS use should be developed by mental health professionals.
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Affiliation(s)
- A Višnjić
- Department of Social Medicine and Public Health, Faculty of Medicine of University in Niš, Niš, Serbia
| | - A Jović Vraneš
- Department of Social Medicine and Public Health, Faculty of Medicine of University in Belgrade, Belgrade, Serbia
| | - M Šantrić Milićević
- Department of Social Medicine and Public Health, Faculty of Medicine of University in Belgrade, Belgrade, Serbia
| | - M Stojanović
- Department of Social Medicine and Public Health, Faculty of Medicine of University in Niš, Niš, Serbia
| | - M Stanković
- Department of Social Medicine and Public Health, Faculty of Medicine of University in Niš, Niš, Serbia
| | - Tamara Jovanović
- Department of Social Medicine and Public Health, Faculty of Medicine of University in Niš, Niš, Serbia
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Živković V, Mitić B, Stamenković B, Stojanović S, Dinić BR, Stojanović M, Jurišić V. Analysis on the risk factors for organ damage in patients with systemic lupus erythematosus: a cross-sectional single-center experience. SAO PAULO MED J 2019; 137:155-161. [PMID: 31314876 PMCID: PMC9721237 DOI: 10.1590/1516-3180.2018.0258060219] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/01/2019] [Accepted: 02/06/2019] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Organ damage in patients with systemic lupus erythematosus (SLE) occurs as a consequence of the disease itself, the therapy applied and the accompanying conditions and complications. Organ damage predicts further organ damage and is associated with an increased risk of death. OBJECTIVE This study aimed to assess the degree of irreversible organ changes in SLE patients, using the Systemic Lupus International Collaborating Clinics/American College of Rheumatology (SLICC/ACR) damage index (SDI); to establish correlations between organ damage and disease activity, quality of life, intensity of fatigue and serological factors; and to ascertain the risk factors for organ damage. DESIGN AND SETTING Cross-sectional single-center study conducted at the Institute for Treatment and Rehabilitation "Niška Banja", Niš, Serbia. METHODS 83 patients with SLE were enrolled: 58 patients formed the group with organ damage (SDI ≥ 1), and 25 patients without organ damage served as controls (SDI = 0). RESULTS Organ damage correlated with age (P = 0.002), disease duration (P = 0.015), disease activity (grade 1, P = 0.014; and grade 2, P = 0.007), poor quality of life, severe fatigue (P = 0.047) and treatment with azathioprine (P = 0.037). The following factors were protective: use of hydroxychloroquine (P = 0.048) and higher scores obtained for the physical (P = 0.011), mental (P = 0.022) and general health (P = 0.008) domains. CONCLUSION It is very important to evaluate risk factors for organ damage in the body, including physicians' overall assessment, to try to positively influence better treatment outcomes.
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Affiliation(s)
- Valentina Živković
- MD, PhD. Assistant Professor, Faculty of Medicine, University of Niš, and Institute for Treatment and Rehabilitation "Niška Banja", Niš, Serbia
| | - Branka Mitić
- MD, PhD. Assistant Professor, Faculty of Medicine, University of Niš, and Clinic of Nephrology, Clinical Centre, Niš, Serbia
| | - Bojana Stamenković
- MD, PhD. Assistant Professor, Faculty of Medicine, University of Niš, andInstitute for Treatment and Rehabilitation "Niška Banja", Niš, Serbia
| | - Sonja Stojanović
- MD, PhD. Assistant Professor, Faculty of Medicine, University of Niš, and Institute for Treatment and Rehabilitation "Niška Banja", Niš, Serbia
| | - Biljana Radovanović Dinić
- MD, PhD. Associate Professor,Faculty of Medicine, University of Niš, and Clinic for Gastroenterology and Hepatology, Clinical Centre, Niš, Serbia
| | - Miodrag Stojanović
- MD, PhD. Associate Professor, Faculty of Medicine, University of Niš, and Public Health Institute, Niš, Serbia
| | - Vladimir Jurišić
- MD, PhD. Professor,Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
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Stojanović M, Deljanin-Ilić M, Ilić S, Krstić I, Mitić V, Simonovic D. Prevalence and echocardiographic characteristics of arterial hypertension in patients with atrial fibrillation: a single center study. J BIOL REG HOMEOS AG 2019; 33:1167-1170. [PMID: 31328494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Affiliation(s)
- M Stojanović
- Institute for Treatment and Rehabilitation Niska Banja, Nis, Serbia
| | - M Deljanin-Ilić
- Institute for Treatment and Rehabilitation Niska Banja, Nis, Serbia
- Faculty of Medicine, Nis University, Nis, Serbia
| | - S Ilić
- Clinic for Cardiology CardioPoint, Nis, Serbia
| | - I Krstić
- Institute for Treatment and Rehabilitation Niska Banja, Nis, Serbia
| | - V Mitić
- Institute for Treatment and Rehabilitation Niska Banja, Nis, Serbia
| | - D Simonovic
- Institute for Treatment and Rehabilitation Niska Banja, Nis, Serbia
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Andjelković-Apostolović M, Ignjatović A, Stojanović M, Milošević Z, Apostolović B, Topalović M, Simić D. A JOINPOINT REGRESSION ANALYSIS OF LONG-TERM TRENDS IN LEUKEMIA INCIDENCE AND MORTALITY IN CENTRAL SERBIA AND NIŠAVA DISTRICT (1999-2014). AMM 2019. [DOI: 10.5633/amm.2019.0103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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12
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Koracević LG, Stojanović M, Lović D. Is there an unrecognized type of masked hypertension - "weekend masked hypertension"? J BIOL REG HOMEOS AG 2019; 33:187-189. [PMID: 30701846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- L G Koracević
- Clinic for Cardiovascular Diseases, Clinical Center Nis, Serbia
- Faculty of Medicine, Niš University, Serbia
| | - M Stojanović
- Institute for Treatment and Rehabilitation Niška Banja, Serbia
| | - D Lović
- Clinic for Internal Diseases Inter Medica, Niš, Serbia
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Stojanović M, Cvetanović G, Anđelković Apostolović M, Stojanović D, Rančić N. Impact of socio-demographic characteristics and long-term complications on quality of life in patients with diabetes mellitus. Cent Eur J Public Health 2018; 26:104-110. [PMID: 30102498 DOI: 10.21101/cejph.a5022] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2016] [Accepted: 05/14/2018] [Indexed: 11/15/2022]
Abstract
OBJECTIVE Diabetes mellitus (DM) has been one of the leading chronic diseases worldwide over past decades. The objective of the study was to identify predictors associated with health-related quality of life (HRQOL) in diabetic patients. METHODS A cross-sectional questionnaire-based study was conducted at the General Hospital of the city of Leskovac, between June and November 2015. The Short Form-36 (SF-36) questionnaire, EuroQol-5D (EQ-5D) and EuroQol-VAS (EQ-VAS) questionnaires were used. Univariate and multivariate linear regression analyses were performed. RESULTS The total number of patients was 285, 112 men (39.3%) and 173 women (60.7%), average age 63.92 ± 1.07 years. The results of multiple linear regression of socio-demographic characteristics in relation to dimensions of the quality of life measured by SF-36 and EQ-VAS showed that age, country (rural) life, low level of education, retirement, and poor economic status are predictors of lower quality of life. Our results showed that employment has a significant association with higher Physical Component Score (PCS), Mental Component Score (MCS) and EQ-VAS score, which can be explained with higher incomes, improved economic status and less possibility for the occurrence of depressive mood. Patients without formal education have lower QOL. Univariate multiple regression analysis of the presence of micro- and macrovascular complications of DM showed that angina pectoris, heart failure, diabetic retinopathy, and diabetic nephropathy are the most important factors affecting the quality of life in our population. After including the multivariate model, all tested complications remained statistically significant. CONCLUSION Our results showed that both socioeconomic and chronic complications are relevant factors of HRQOL in type 1 and 2 diabetes mellitus patients. Age, rural lifestyle, retirement, lower level of education and low socioeconomic status, as well as DM complications (angina pectoris, hearth failure, diabetes nephropathy, and diabetes retinopathy) were found to be independent risk factors for the component scores of SF-36 and EQ-VAS score. Taking into consideration the results obtained, health practitioners should be aware not only of the clinical parameters of patients with DM, but also of their educational level and working status.
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Affiliation(s)
- Miodrag Stojanović
- University of Niš, Faculty of Medicine Niš, Niš, Serbia.,Department of Biostatistics, Institute for Public Health, Niš, Serbia
| | | | - Marija Anđelković Apostolović
- University of Niš, Faculty of Medicine Niš, Niš, Serbia.,Department of Biostatistics, Institute for Public Health, Niš, Serbia
| | | | - Nataša Rančić
- University of Niš, Faculty of Medicine Niš, Niš, Serbia.,Centre for Control and Prevention of Diseases, Institute of Public Health, Niš, Serbia
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Šćepanović V, Tasić G, Repac N, Nikolić I, Janićijević A, Todorović D, Stojanović M, Šćepanović R, Mitrović D, Šćepanović T, Borozan S, Šćepanović L. The role of oxidative stress as a risk factor for rupture of posterior inferior cerebellar artery aneurysms. Mol Biol Rep 2018; 45:2157-2165. [DOI: 10.1007/s11033-018-4374-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2018] [Accepted: 09/07/2018] [Indexed: 01/01/2023]
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15
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Višnjić A, Veličković V, Sokolović D, Stanković M, Mijatović K, Stojanović M, Milošević Z, Radulović O. Relationship between the Manner of Mobile Phone Use and Depression, Anxiety, and Stress in University Students. Int J Environ Res Public Health 2018; 15:ijerph15040697. [PMID: 29642471 PMCID: PMC5923739 DOI: 10.3390/ijerph15040697] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/23/2018] [Revised: 03/24/2018] [Accepted: 04/04/2018] [Indexed: 12/23/2022]
Abstract
Objectives: There is insufficient evidence regarding the potential risk of mobile phone use on mental health. Therefore, the aim of this research was to examine the relationship between mobile phone use and mental health by measuring the levels of depression, anxiety, and stress among university students in Serbia and Italy. Methods: This cross-sectional study was carried out at two distinguished universities in Serbia and Italy from March to May of the 2015/2016 academic year and included 785 students of both genders. The questionnaire was compiled and developed from different published sources regarding the manner and intensity of mobile phone use, along with the Depression Anxiety Stress Scale (DASS 42) for measuring psychological health. The statistical analysis of the data included the application of binary logistic regression and correlation tests. Results: Statistical analysis indicates that anxiety symptoms are somewhat more present in younger students (odds ratio (OR) = 0.86, 95% confidence interval (CI): 0.76–0.96), in those who send more text messages (SMSs) (OR = 1.15, 95% CI: 1.11–1.31), and in those who browse the internet less frequently (OR = 0.84, 95% CI: 0.73–0.95). Stress is more common in students who make fewer calls a day (OR = 0.79, 95% CI: 0.64–0.97), as well in those who spend more time talking on the mobile phone per day (OR = 1.28, 95% CI: 1.12–1.56). The strongest predictor of high stress levels was keeping the mobile phone less than 1 m away during sleeping (OR = 1.48, 95% CI: 1.12–2.08). Conclusions: The results indicated that the intensity and modality of mobile phone use could be a factor that can influence causal pathways leading to mental health problems in the university student population.
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Affiliation(s)
- Aleksandar Višnjić
- Department of Social Medicine, Faculty of Medicine, University of Niš, 18000 Niš, Serbia.
- Institute of Public Health of Niš, 18000 Niš, Serbia.
| | - Vladica Veličković
- Department of Social Medicine, Faculty of Medicine, University of Niš, 18000 Niš, Serbia.
| | - Dušan Sokolović
- Department of Biochemistry, Faculty of Medicine, University of Niš, 18000 Niš, Serbia.
| | - Miodrag Stanković
- Department of Psychiatry and Medical Psychology, Faculty of Medicine, University of Niš, 18000 Niš, Serbia.
- Clinic for Mental Health Protection, Clinical Centre of Niš, 18000 Niš, Serbia.
| | - Kristijan Mijatović
- Department of Public Health, Faculty of Medicine, Catholic University of Sacred Heart, 00168 Rome, Italy.
| | - Miodrag Stojanović
- Institute of Public Health of Niš, 18000 Niš, Serbia.
- Department of Medical Statistics and Informatics, Medical Faculty of University, 18000 Niš, Serbia.
| | - Zoran Milošević
- Institute of Public Health of Niš, 18000 Niš, Serbia.
- Department of Medical Statistics and Informatics, Medical Faculty of University, 18000 Niš, Serbia.
| | - Olivera Radulović
- Department of Social Medicine, Faculty of Medicine, University of Niš, 18000 Niš, Serbia.
- Institute of Public Health of Niš, 18000 Niš, Serbia.
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Stojanović M, Andjelković - Apostolović M, Milošević Z, Ignjatović A. PARAMETRIC VERSUS NONPARAMETRIC TESTS IN BIOMEDICAL RESEARCH. AMM 2018. [DOI: 10.5633/amm.2018.0212] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Stefanović V, Stojanović M, Djordjević V. Effect of Adequacy of Dialysis and Nutrition on Morbidity and Working Rehabilitation of Patients Treated by Maintenance Hemodialysis. Int J Artif Organs 2018. [DOI: 10.1177/039139880002300204] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Numerous studies have demonstrated a correlation between adequacy of hemodialysis (HD) and patient mortality. In this study we evaluated the effect of adequacy of dialysis and nutrition on morbidity and working rehabilitation. Single center experience carried out in 1998 in an outpatient university-affiliated dialysis facility was presented. A total of 181 patients, on HD over 3 months, was included in the study; mean age 54.5 years, mean duration of HD 5.4 years. Thirthy-two patients were hospitalized in 1998. Patients with an eKt/V < 0.8 had significantly more frequent and extended hospitalizations than patients with eKt/V > 1.2. In the regression model eKt/V had a significant effect on hospital days. Serum albumin, as an index of nutrition, was also found to significantly influence hospitalizations. Patients with a BMI < 20.0 kg/m2 were found to have significantly more frequent hospitalizations, more hospital days/patient, and hospital days/hospitalized patient/year than those with a BMI > 25.0 kg/m2. BMI < 20.0 kg/m2 was associated with a significantly lower dialysis adequacy (eKt/V and URR) and more severe anemia. However, regression model failed to confirm a statistically significant association of BMI with hospital days. The best working rehabilitation (stage 1), according to the EDTA criteria, was obtained in patients with significantly (p<0.05) higher eKt/V, URR, albumin, nPNA, and body fat than in patients at stage 6 (not able to work, and not able to take care of themselves). This study has established that dialysis adequacy and nutrition have an effect on morbidity (estimated through hospitalizations) and patient rehabilitation. (Int J Artif Organs 2000; 23: 83–9)
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Affiliation(s)
- V. Stefanović
- Institute of Nephrology and Hemodialysis, Clinical Center, Niš - Yugoslavia
| | - M. Stojanović
- Institute of Nephrology and Hemodialysis, Clinical Center, Niš - Yugoslavia
| | - V. Djordjević
- Institute of Nephrology and Hemodialysis, Clinical Center, Niš - Yugoslavia
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Affiliation(s)
- V. Djordjević
- Institute of Nephrology and Hemodialysis, Clinical Center, Niš, and Institute of Nephrology, Clinical Center “Zvezdara”, Belgrade - Yugoslavia
| | - M. Stojanović
- Institute of Nephrology and Hemodialysis, Clinical Center, Niš, and Institute of Nephrology, Clinical Center “Zvezdara”, Belgrade - Yugoslavia
| | - N. Dimković
- Institute of Nephrology and Hemodialysis, Clinical Center, Niš, and Institute of Nephrology, Clinical Center “Zvezdara”, Belgrade - Yugoslavia
| | - V. Stefanović
- Institute of Nephrology and Hemodialysis, Clinical Center, Niš, and Institute of Nephrology, Clinical Center “Zvezdara”, Belgrade - Yugoslavia
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Djordjević V, Stojanović K, Stojanović M, Stefanović V. Prevention of Nosocomial Transmission of Hepatitis C Infection in a Hemodialysis Unit. A Prospective Study. Int J Artif Organs 2018. [DOI: 10.1177/039139880002300307] [Citation(s) in RCA: 41] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Hepatitis C virus (HCV) infection in hemodialysis patients can be transmitted by transfusions and nosocomially. A high prevalence of HCV infection, over 50%, was demonstrated in our hemodialysis (HD) unit. In order to prevent the nosocomial spread of HCV infection in the HD unit a prospective study was begun separating anti-HCV positive patients from the negative ones. A total of 170 patients (83 anti-HCV positive) started this study in September 1994 and were followed for 4 years. A separate room and dedicated equipment were assigned to anti-HCV positive and anti-HCV negative patients. Of those 170 patients there were 15 hepatitis B virus (HBV) positive patients, 5 of whom were anti-HCV positive, who were treated in a separate room on dialysis equipment for anti-HCV positive or negative patients. Application of general precautions, as recommended by the Center for Disease Control and Prevention (CDC), was reinforced. During the first 12 weeks after implementing the precautions seven more anti-HCV positive patients were detected, and by December 1995 another two HCV infected patients were found. The follow-up included all changes in HD population treated until the end of 1998. The incidence of seroconversion to HCV was 12.9% in 1995, 7.1% in 1996, 5.0% in 1997, and 6.6% in 1998. The higher incidence of seroconversion in September to November 1994 was probably due to the nosocomial infection being in the incubation period at the time of isolation. This prospective study in a large HD unit with a high prevalence of HCV infection demonstrates a relatively successful prevention of HCV spread. Procedure-related transmission of HCV in hemodialysis could be prevented by rigorous application of universal precautions as recommended by the CDC. As a second line of prevention, in highly burdened dialysis centers, segregation of HCV positive patients can help control nosocomial transmission.
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Affiliation(s)
- V. Djordjević
- Institute of Nephrology and Hemodialysis, Clinical Center, Niš - Yugoslavia
| | - K. Stojanović
- Institute of Nephrology and Hemodialysis, Clinical Center, Niš - Yugoslavia
| | - M. Stojanović
- Institute of Nephrology and Hemodialysis, Clinical Center, Niš - Yugoslavia
| | - V. Stefanović
- Institute of Nephrology and Hemodialysis, Clinical Center, Niš - Yugoslavia
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Stojanović D, Radenković S, Radović J, Stojanović M, Tasić D, Šarić S, Mitić V. COMPARISON BETWEEN AGE AND LEFT VENTRICULAR EJECTION FRACTION IN PREDICTION OF RENAL DYSFUNCTION IN CARDIORENAL SYNDROME TYPE 1 AND 2. amm 2017. [DOI: 10.5633/amm.2017.0419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Ignjatović A, Stojanović M, Milošević Z, Anđelković Apostolović M. Progress of statistical analysis in biomedical research through the historical review of the development of the Framingham score. Ir J Med Sci 2017; 187:639-645. [PMID: 29197965 DOI: 10.1007/s11845-017-1718-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2017] [Accepted: 11/14/2017] [Indexed: 12/01/2022]
Abstract
BACKGROUND The interest in developing risk models in medicine not only is appealing, but also associated with many obstacles in different aspects of predictive model development. Initially, the association of biomarkers or the association of more markers with the specific outcome was proven by statistical significance, but novel and demanding questions required the development of new and more complex statistical techniques. METHODS Progress of statistical analysis in biomedical research can be observed the best through the history of the Framingham study and development of the Framingham score. RESULTS Evaluation of predictive models comes from a combination of the facts which are results of several metrics. Using logistic regression and Cox proportional hazards regression analysis, the calibration test, and the ROC curve analysis should be mandatory and eliminatory, and the central place should be taken by some new statistical techniques. In order to obtain complete information related to the new marker in the model, recently, there is a recommendation to use the reclassification tables by calculating the net reclassification index and the integrated discrimination improvement. Decision curve analysis is a novel method for evaluating the clinical usefulness of a predictive model. It may be noted that customizing and fine-tuning of the Framingham risk score initiated the development of statistical analysis. CONCLUSION Clinically applicable predictive model should be a trade-off between all abovementioned statistical metrics, a trade-off between calibration and discrimination, accuracy and decision-making, costs and benefits, and quality and quantity of patient's life.
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Affiliation(s)
- Aleksandra Ignjatović
- Department of Medical Statistics and Informatics, School of Medicine, University of Niš, Bulvd Zorana Đinđića 81, Niš, 18000, Serbia.
| | - Miodrag Stojanović
- Department of Medical Statistics and Informatics, School of Medicine, University of Niš, Bulvd Zorana Đinđića 81, Niš, 18000, Serbia
| | - Zoran Milošević
- Department of Medical Statistics and Informatics, School of Medicine, University of Niš, Bulvd Zorana Đinđića 81, Niš, 18000, Serbia
| | - Marija Anđelković Apostolović
- Department of Medical Statistics and Informatics, School of Medicine, University of Niš, Bulvd Zorana Đinđića 81, Niš, 18000, Serbia
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Višnjić A, Veličković V, Sokolović D, Stanković M, Stojanović M, Mijatović K, Milošević Z, Radulović O. The influence of the manner and intensity of use of mobile phones in some aspects of mental health. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx186.261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- A Višnjić
- Medical Faculty of University in Niš, Niš, Serbia
| | - V Veličković
- Medical Faculty of University in Niš, Niš, Serbia
| | - D Sokolović
- Medical Faculty of University in Niš, Niš, Serbia
| | - M Stanković
- Medical Faculty of University in Niš; Clinic for Mental Health Protection, Clinical Centre Niš, Niš, Serbia
| | - M Stojanović
- Medical Faculty of University in Niš, Niš, Serbia
| | - K Mijatović
- Catholic University of Sacred Heart in Rome, Rome, Italy
| | - Z Milošević
- Medical Faculty of University in Niš, Niš, Serbia
| | - O Radulović
- Medical Faculty of University in Niš, Niš, Serbia
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Stojanović M, Stojanović D, Rančić N, Ignjatović A, Antic Z, Miljkovic S, Rajovic T. Trends in thyroid cancer incidence and mortality in Central Serbia, 1999-2014. Ann Ist Super Sanita 2017; 53:299-304. [PMID: 29297859 DOI: 10.4415/ann_17_04_05] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
INTRODUCTION Thyroid cancer (TC) is the most common malignant disease of the endocrine system. The incidence of the TC has been increasing worldwide, especially in female population. However, mortality from TC is low in both males and females. The objective of the paper was to determine and to analyze incidence and mortality trends of TC in males and females in the central Serbia in the period 1999-2014. METHOD In this descriptive study data from the Serbian Cancer Registry were used. Crude and age-standardized rates (ASRs) of incidence and mortality were calculated. Trend and annual percentage change (APC) of the incidence and mortality rate with corresponding 95% confidence intervals (CI) were calculated by performing Joinpoint regression analyses. RESULTS A total number of new cases of TC was 3113. TC was diagnosed in 2343 females and 770 males (female-to-male ratio, 3:1). A total number of fatal cases was 770 (while 504 female and 266 male died from TC, female-to-male ratio, 1.9:1). TC was not common before 30 years of age. The highest incidence was recorded both in males and females aged 50-59. Joinpoint regression analysis showed the statistically significant increase of ASRs of TC incidence in males in 1999-2014 period with APC 6.2% (95% CI: 4.2-8.3, p < 0.001) and there was also significant increase of ASRs of TC incidence in females in the same study period with a APC 6.1% (95% CI: 4.2-8.0, p < 0.001). Joinpoint regression analysis showed an insignificant increase of ASRs of TC mortality in males with APC 2.4% (95% CI: -0.5-5.5, p = 0.1). There was an insignificant decrease of ASRs of TC mortality in females with APC -1.3% (95% CI: -4.4-1.9, p = 0.4). CONCLUSION The increasing trend of age-standardized incidence rates of TC both in males and females and decreasing trend of age-standardized mortality rates during the observed period were registered. Females had higher age-standardized incidence and mortality rates than males. Female to male ratio of incidence was 3:1 and for mortality 1.9:1. Measures of primary and secondary prevention are needed.
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Affiliation(s)
- Miodrag Stojanović
- Faculty of Medicine, University of Niš, Niš, Serbia - Institute for Public Health, Niš, Serbia
| | | | - Nataša Rančić
- Faculty of Medicine, University of Niš, Niš, Serbia - Institute for Public Health, Niš, Serbia
| | - Aleksandra Ignjatović
- Faculty of Medicine, University of Niš, Niš, Serbia - Institute for Public Health, Niš, Serbia
| | - Zorica Antic
- Faculty of Medicine, University of Niš, Niš, Serbia
| | | | - Tatjana Rajovic
- Specialised Hospital for Rehabilitation of Vrdnik, Vrdnik, Serbia
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Ignjatović A, Stojanović M, Milošević Z, Anđelković-Apostolović M, Stojković B, Topalović M, Otašević S. Trend of the incidence and mortality rate of lip cancer in Central Serbia from 1999-2014. Acta stomatologica Naissi 2017. [DOI: 10.5937/asn1776741i] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
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Doknić M, Pekić S, Miljić D, Soldatović I, Popović V, Stojanović M, Petakov M. Etiology of Hypopituitarism in Adult Patients: The Experience of a Single Center Database in the Serbian Population. Int J Endocrinol 2017; 2017:6969286. [PMID: 28702053 PMCID: PMC5494080 DOI: 10.1155/2017/6969286] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2017] [Accepted: 03/27/2017] [Indexed: 11/26/2022] Open
Abstract
There are only a few published studies related to the population-based etiology of hypopituitarism. New risks for developing hypopituitarism have been recognized in the last 10 years. Aim. To present data regarding the etiology of hypopituitarism collected in a tertiary center over the last decade. This is a cross-sectional database study. Patients and Methods. We included 512 patients (pts) with hypopituitarism, with a mean age of 45.9 ± 1.7 yrs (range: 18-82; male: 57.9%). Results. Nonfunctional pituitary adenomas were presented in 205 pts (40.5%), congenital causes in 74 pts (14.6%), while acromegaly and prolactinomas were presented in 37 (7.2%) and 36 (7.0%) patients, respectively. Craniopharyngiomas were detected in 30 pts (5.9%), and head trauma due to trauma brain injury-TBI and subarachnoid hemorrhage-SAH in 27 pts (5.4%). Survivors of hemorrhagic fever with renal syndrome (HFRS) and those with previous cranial irradiation were presented in the same frequency (18 pts, 3.5% each). Conclusion. The most common causes of hypopituitarism in our database are pituitary adenomas. Increased awareness of the other causes of pituitary dysfunction, such as congenital, head trauma, extrapituitary cranial irradiation, and infections, is the reason for a higher frequency of these etiologies of hypopituitarism in the presented database.
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Affiliation(s)
- M. Doknić
- Neuroendocrine Department, Clinic of Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia, Belgrade, Serbia
- School of Medicine, University of Belgrade, Belgrade, Serbia
- *M. Doknić:
| | - S. Pekić
- Neuroendocrine Department, Clinic of Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia, Belgrade, Serbia
- School of Medicine, University of Belgrade, Belgrade, Serbia
| | - D. Miljić
- Neuroendocrine Department, Clinic of Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia, Belgrade, Serbia
- School of Medicine, University of Belgrade, Belgrade, Serbia
| | - I. Soldatović
- School of Medicine, University of Belgrade, Belgrade, Serbia
- Institute of Medical Statistics and Informatics, Belgrade, Serbia
| | - V. Popović
- School of Medicine, University of Belgrade, Belgrade, Serbia
| | - M. Stojanović
- Neuroendocrine Department, Clinic of Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia, Belgrade, Serbia
- School of Medicine, University of Belgrade, Belgrade, Serbia
| | - M. Petakov
- Neuroendocrine Department, Clinic of Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia, Belgrade, Serbia
- School of Medicine, University of Belgrade, Belgrade, Serbia
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Mitić-Lakušić V, Stojanović M, Karanikolić A, Filipović A, Stojanović D, Milojković B, Milošević Z. ULTRASONOGRAPHIC AND SCINTIGRAPHIC PARAMETERS OF MALIGNANCY OF THE DOMINANT THYROID NODULE. AMM 2016. [DOI: 10.5633/amm.2016.0102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Milošević Z, Anđelković-Apostolović M, Rangelov T, Kostić M, Bogdanović D, Stojanović M, Marković R, Milošević S, Mitić-Lakušić V. MONITORING OF COMMUNICABLE DISEASES IN THE NIŠAVA AND TOPLICA DISTRICTS DURING THE PERIOD FROM 2009 TO 2013. AMM 2015. [DOI: 10.5633/amm.2015.0402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Višnjić A, Veličković V, Stojanović M, Milošević Z, Rangelov T, Bulatović K, Stanković M, Miljković S. THE FREQUENCY OF USING SCREEN-BASED MEDIA AMONG CHILDREN AND ADOLESCENTS AND ITS IMPACT ON HEALTH-RELATED BEHAVIORS. AMM 2015. [DOI: 10.5633/amm.2015.0311] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Cvetinov M, Stojanović M, Obadović D, Rakić S, Vajda A, Fodor-Csorba K, Éber N. Powder diffraction data and mesomorphic properties of 4-butyloxyphenyl 4′-decyloxybenzoate. Russ J Phys Chem 2014. [DOI: 10.1134/s0036024414070115] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Milutinović T, Avramović S, Pešić S, Blesić B, Stojanović M, Bogdanović AM. Contribution to the Knowledge of Pedofauna in Šumadija (Central Part of Serbia). BIOTECHNOL BIOTEC EQ 2014. [DOI: 10.1080/13102818.2010.10817911] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Stojanović M, Mihajlović M, Lopičić Z, Milojković J, Šoštarić T, Petrović M. The influence of soil type on maize and wheat uranium uptake. Quality Assurance and Safety of Crops & Foods 2013. [DOI: 10.3920/qas2012.0229] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- M. Stojanović
- Institute for Technology of Nuclear and Other Mineral Raw Materials, 86 Franchet d'Esperey St., 11000 Belgrade, Republic of Serbia
| | - M. Mihajlović
- Institute for Technology of Nuclear and Other Mineral Raw Materials, 86 Franchet d'Esperey St., 11000 Belgrade, Republic of Serbia
| | - Z. Lopičić
- Institute for Technology of Nuclear and Other Mineral Raw Materials, 86 Franchet d'Esperey St., 11000 Belgrade, Republic of Serbia
| | - J. Milojković
- Institute for Technology of Nuclear and Other Mineral Raw Materials, 86 Franchet d'Esperey St., 11000 Belgrade, Republic of Serbia
| | - T. Šoštarić
- Institute for Technology of Nuclear and Other Mineral Raw Materials, 86 Franchet d'Esperey St., 11000 Belgrade, Republic of Serbia
| | - M. Petrović
- Institute for Technology of Nuclear and Other Mineral Raw Materials, 86 Franchet d'Esperey St., 11000 Belgrade, Republic of Serbia
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Damnjanović Z, Jovanović M, Stojanović M, Radojković M, Bogdanović D, Potić M, Bogičević A, Cvetanović V. Age dependent influence of external temperature on the pathogenesis of idiopathic lower extremity deep vein thrombosis. Chirurgia (Bucur) 2013; 108:530-534. [PMID: 23958097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/01/2013] [Indexed: 06/02/2023]
Abstract
AIM The aim of the present study was to investigate the relationship between the incidence of idiopathic lower extremity deep vein thrombosis (DVT), age, location of the thrombus, and changes of temperature. MATERIAL AND METHOD During the two year period between May 2009 and April 2011, inclusive, 124 consecutive patients were diagnosed as having idiopathic lower extremity DVT at the Vascular Surgery Clinic, Clinical Center of Nis, Serbia. RESULTS In patients younger than 45 years, the increase in average daily temperature with 1 degree C 7 days before the event took place was associated (p 0.05) with a decrease of the risk of occurrence of idiopathic DVT of the lower limbs of 3.6% (0.4 6.7%) as well as DVT above the knees (p 0.01) of 4.7 % (1.3 8.0%). In patients of the age of 45 years and over the age of 45 years the increase of average daily temperature with 1 degree C 7 days before the event took place was associated (p 0.01) with the increase of the risk of occurrence of DVT below the knees of 9.4% (3.3 15.9%). CONCLUSION According to the results of this study, one can conclude that the influence of external temperature change on DVT incidence and location is based on age.
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Affiliation(s)
- Z Damnjanović
- Vascular Surgery Department, Clinical Center of Nis, Serbia.
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Damnjanović Z, Jovanović M, Stojanović M. Correlation between the climatic factors and the pathogenesis of deep vein thrombosis. Hippokratia 2013; 17:203-206. [PMID: 24470728 PMCID: PMC3872454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
There are numerous researches dealing with the correlation between the seasons and climatic factors and the pathogenesis of deep vein thrombosis (DVT). The presented researches show an undoubted correlation between the climatic factors and the pathogenesis of DVT. In the majority of researches, retrospection is noted as a disadvantage. Further prospective researches could aim on testing the correlation between both climatic and thrombotics factors and the pathogenesis of DVT. This may additionally clarify the pathophysiological mechanism of the DVT incidence and contribute to the prevention and treatment of risk groups of patients in certain periods of the year.
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Affiliation(s)
| | - M Jovanović
- Vascular Surgery Department, Clinical Centre of Niš ; Medical Faculty of Niš, Niš, Serbia
| | - M Stojanović
- Medical Faculty of Niš, Niš, Serbia ; General Surgery Department, Clinical Centre of Niš, Niš, Serbia
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Miljić D, Stojanović M, Ješić R, Bogadnović G, Popović V. Role of plasma exchange in autoimmune hyperthyroidism complicated by severe tiamazol-induced cholestatic jaundice. Transfus Apher Sci 2013; 49:354-6. [PMID: 23756266 DOI: 10.1016/j.transci.2013.05.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2013] [Accepted: 05/17/2013] [Indexed: 11/27/2022]
Abstract
Therapeutic plasma exchange (TPE) is an alternative treatment for hyperthyroidism, resulting in a rapid decline in plasma thyroid hormones and anti-thyroid antibodies. TPE has also been used both in primary liver disease and in drug-induced cholestasis. Data on thyrotoxic patients with severe hepatic complications are scarce. Cholestasis induced by imidazol-derived anti-thyroid drugs is extremely rare. The use of TPE for treating this complication was not previously reported. We report the experience of one such patient with a favorable response to TPE. A 45-year-old male patient with Graves' disease, presented with severe jaundice and extremely high serum bilirubin levels due to hepatotoxicity induced by tiamazol. Through extensive investigation primary liver disease, including viral, metabolic, neoplastic and autoimmune disease, as a cause of cholestasis were all ruled out. The patient underwent total of 6 TPEs which in combination with low dose of glucocorticoids and standard supportive measures, resulted in normalization of thyroid hormones and normal liver function tests. TPE provided a safe, rapid and effective treatment of severe drug-induced cholestasis and auto immune hyperthyroidism. From this case we conclude that TPE should be considered as a valuable alternative therapeutic option in thyrotoxic patients with severe complications. Guidelines and indication criteria for TPE treatment in patients with hyperthyroidism are still lacking.
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Affiliation(s)
- D Miljić
- Clinic of Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
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Tančić-Gajić M, Vujović S, Vukčević M, Ivović M, Drezgić M, Marina L, Stojanović M, Arizanović Z, Nenezić A, Micić D. Effects of alternate fasting or very low calorie diet and low calorie diet on metabolic syndrome in severely obese patients. Hippokratia 2012; 16:335-341. [PMID: 23935313 PMCID: PMC3738608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
BACKGROUND AND AIM Weight loss improves the metabolic syndrome (MetS) features and related clinical abnormalities in obese subjects. The aim of this study was to assess the effects of a non-surgical therapeutic program on the MetS in severely obese patients. PATIENTS AND METHODS Sixty-four extremely obese patients were involved in the therapeutic program, which consisted of two alternating phases: the three-week therapeutic fasting or semi-fasting in hospital conditions and the low calorie diet with dosed physical activity in outpatient conditions. At the baseline we measured: anthropometric parameters, blood pressure and lipid profile. Subjects underwent an oral glucose tolerance test and insulin resistance/sensitivity was evaluated by the homeostasis model assessment and the oral glucose insulin sensitivity. After weight reduction by at least 10%, all mentioned assessments were repeated. RESULTS None of the patients had significant adverse effects. Forty-one patients aged 43.0±11.5 years completed the study. The mean weight loss was 27 kg or 18% of the initial weight (p<0.01), which was followed by a significant decrease of the insulin resistance, the overall prevalence of MetS (32%) and all MetS parameters, without the significant change in high-density lipoprotein. This weight loss pogram substantially improves the MetS in extremely obese patients. CONCLUSION The tailored alternating either fasting or semi- fasting should be considered as an optional approach to manage extreme obesity and related metabolic abnormality.
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Affiliation(s)
- M Tančić-Gajić
- Clinic for Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Serbia
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Dimitrijević L, Živković I, Stojanović M, Petrušić V, Živančević-Simonović S. Vaccine model of antiphospholipid syndrome induced by tetanus vaccine. Lupus 2012; 21:195-202. [DOI: 10.1177/0961203311429816] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Successful induction of antiphospholipid syndrome (APS) in two different non-autoimmune prone mouse strains, BALB/c and C57BL/6, was achieved by tetanus toxoid (TTd) hyperimmunization using different adjuvants (glycerol or aluminium hydroxide), and different adjuvant pretreatments (glycerol or Complete Freund’s Adjuvant (CFA)). APS had different manifestations of reproductive pathology in BALB/c and C57BL/6 mice: fetal resorption (as a consequence of extreme T-cell activation obtained in the course of pretreatment), and lowering of fecundity (as a consequence of polyclonal B-cell stimulation), respectively. In BALB/c mice fetal resorption coincided with glycerol and CFA pretreatments, while in C57BL/6 mice lowering of fecundity was most obvious in CFA-pretreated mice immunized with TTd in aluminium hydroxide. Both molecular mimicry and polyclonal B-cell activation occur in APS induction, with molecular mimicry effects being dominant in BALB/c mice, and polyclonal cell activation being dominant in C57BL/6 mice. Confirmation of molecular mimicry effects, which in the condition of T-cell stimulation generated fetal resorptions in the BALB/c strain, was achieved by passive infusion of monoclonal antibody (MoAb) T-26 specific for TTd and anti-β2-glycoprotein I obtained after TTd hyperimunization. High polyclonal B-cell activation in C57BL/6 mice prevented fetal resorption but induced fecundity lowering, as was the case in passive administration of MoAb T-26 in this mouse strain. Passive infusion of anti-idiotypic MoAb Y7 into C57BL/6 mice induced fetal resorptions and confirmed the above suggestion on the protective role of polyclonal B-cell stimulation in fetal resorptions.
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Affiliation(s)
- L Dimitrijević
- Institute of Virology, Vaccines and Sera – Torlak, Department of Research and Development, Belgrade, Serbia
| | - I Živković
- Institute of Virology, Vaccines and Sera – Torlak, Department of Research and Development, Belgrade, Serbia
| | - M Stojanović
- Institute of Virology, Vaccines and Sera – Torlak, Department of Research and Development, Belgrade, Serbia
| | - V Petrušić
- Institute of Virology, Vaccines and Sera – Torlak, Department of Research and Development, Belgrade, Serbia
| | - S Živančević-Simonović
- Medical Faculty, University of Kragujevac, Institute of Pathophysiology, Kragujevac, Serbia
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Veličković V, Višnjić A, Jović S, Stojanović M, Radulović O, Đinđić N. GYNECOLOGICAL HEALTHCARE SERVICE UTILIZATION IN RESPECT TO HABITS AND LIFESTYLES OF THE FEMALE UNIVERSITY STUDENTS IN SERBIA. amm 2011. [DOI: 10.5633/amm.2011.0403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Obadović DŽ, Stojanović M, Cvetinov M, Vajda A, Éber N, Lazar D. The study of phase transition in some irradiated cholesteric liquid crystalline mixtures. Russ J Phys Chem 2011. [DOI: 10.1134/s0036024411130206] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Popović I, Ravanić D, Popović V, Vladejić S, Stanojević A, Stojanović M. First generation antipsychotics switch with Risperidone in the treatment of chronic schizophrenic patients. Psychiatr Danub 2011; 23:384-388. [PMID: 22075740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
BACKGROUND Schizophrenia is a severe chronic psychiatric disorder for which treatment compliance is important in the prevention of relapse. Second generation antipsychotics (SGA), such as Risperidone, have been found to be more effective in the treatment of such patients than the high potency first generation antipsychotics (FGA). This is an open study where the same group of patients was first treated with FGA and then were switched to Risperidone, in controlled hospital conditions, after a wash- out period. The aim of the study was to examine whether patients with schizophrenia who were judged to be stable on long-term treatment with FGA would further benefit from a switch to an atypical antipsychotic drug. SUBJECTS AND METHODS Eighty hospitalized patients suffering from Schizophrenia or Schizoaffective disorder (male 54, female 26) were first treated with Haloperidol (N=60) or Fluphenazine (N=20), and then were switched to Risperidone. Their clinical state was monitored using the PANSS scale for Schizophrenia, measuring the Total PANSS score. The KLAWANS scale for assessment of extrapyramidal syndrome (EPS) was also used. Administration and dosage of Trihexiphenidil (THF) was recorded. The study lasted for 8 weeks, with 4 screenings (Visit 0-baseline- FGA, Visits 1-3 Risperidone on Day 14, 28 and 56, respectively). RESULTS The average age was 38. Patients usually suffered the paranoid form of Schizophrenia (55%). The duration of illness was more than 5 years (38.8%). During the eight- week trial on Risperidone, using the PANSS total scores, we observed clinical improvement where the therapy switch had caused an initial worsening (p<0.05). Also, the compared baseline (FGA) and last visit showed a low, but statistically significant benefit in favor of Risperidone (t=5.45, df=79, p<0.005). Intensity of EPS measured by KLAWANS scores significantly decreased during time (F=4.115; p=0.016; Partial Eta Square=0.058). Average Trihexiphenidil doses followed Risperidone in a dose dependent manner (r=0.748, r=0.661, respectively, p<0.01) with the consequent decrease of patients needing THF corrective therapy (68.8% at the baseline toward 22.5% on last visit). CONCLUSION Switch to Risperidone medication provided significant additional improvement in symptom severity, extrapyramidal side effects and need for anticholinergic medication. This suggests that one might expect better compliance in future treatment in this population of chronic schizophrenic patients.
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Affiliation(s)
- Irena Popović
- Specialized Hospital for Psychiatric Disorders Gornja Toponica, 18202 Gornja Toponica, Niš, Serbia.
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Dimitrijević R, Stojanović M, Zivković I, Petersen A, Jankov RM, Dimitrijević L, Gavrović-Jankulović M. The identification of a low molecular mass bacteriocin, rhamnosin A, produced by Lactobacillus rhamnosus strain 68. J Appl Microbiol 2009; 107:2108-15. [PMID: 19796123 DOI: 10.1111/j.1365-2672.2009.04539.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
AIMS This study focuses on the isolation and characterization of a peptide with bacteriocin-like properties isolated from Lactobacillus rhamnosus strain 68, previously identified by 16S rRNA gene sequencing and originating from human gastrointestinal flora. METHODS AND RESULTS The peptide was isolated from a supernatant of bacteria maintained under restrictive conditions by a combination of ethanol precipitation and reversed-phase chromatography. The molecular mass of the peptide as assessed by mass spectrometry was 6433.8 Da. An isoelectric point of 9.8 was determined by 2D-PAGE. The peptide designated rhamnosin A inhibited Micrococcus lysodeikticus ATCC 4698 but did not inhibit Lactobacillus plantarum 8014 or Lact. plantarum 39268. Inhibitory activity against M. lysodeikticus at concentrations used in this study was shown to be bacteriostatic rather than bacteriolytic or bactericidal. Rhamnosin A retained biological activity after heat treatment (95 degrees C, 30 min) but was sensitive to proteolytic activity of pepsin and trypsin. CONCLUSIONS The N-terminal sequence of rhamnosin A, as determined by Edman degradation and in more detail by blast analysis, did not show identity with any currently available Lact. rhamnosus HN001-translated protein sequences, nor any significant similarity with other sequences in the nonredundant protein sequence database. Being a small, heat-stable, nonlanthionine-containing peptide, rhamnosin A should be categorized as a class II bacteriocin. SIGNIFICANCE AND IMPACT OF THE STUDY This study describes a partial bacteriocin sequence isolated from Lact. rhamnosus 68 and broadens our understanding of bacteriocins.
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Affiliation(s)
- R Dimitrijević
- Department of Biochemistry, Faculty of Chemistry, University of Belgrade, Belgrade, Serbia.
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Stojanović M, Musović D, Milosević Z, Nikić D, Vucić M, Visnjić A, Vidanović M. [Developing of preventive medicine in the town of Nis and the south Serbia with the specific role of Royal Military Pasteur Institute, the first in Balkan]. VOJNOSANIT PREGL 2009; 66:675-678. [PMID: 19780426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023] Open
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Aleksić A, Aleksić Z, Stojanović M. TSH receptor antibodies for confirming the diagnosis and prediction of remission duration, in newly diagnosed Graves' disease patients. Hell J Nucl Med 2009; 12:146-150. [PMID: 19675869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 04/02/2009] [Accepted: 06/08/2009] [Indexed: 05/28/2023]
Abstract
Antibodies to TSH receptors (TRAb) have great pathogenetic importance in the development and maintenance of hyperthyroidism in Graves' disease (GD). Measurement of their serum level could be of diagnostic and prognostic importance in autoimmune hyperthyroidism and in monitoring the efficiency of thyrosuppressive drug (TSD) treatment in GD. The aim of our study was to assess the sensitivity (SN), specificity (SP), positive predictive value (PPV) and negative predictive value (NPV) of the TRAb assay in confirming the diagnosis and to define its prognostic value for remission duration in GD patients at the end of TSD treatment with thionamide derivatives, propylthiouracil or methimazole. We studied 99 patients, 65 female, 34 male, 18-76 years old; 52 GD patients and 47 as control group. We have studied frequency of relapses and remission duration in GD patients by a 2nd generation serum TRAb commercial kit. Our results showed that, the SN, SP, PPV and NPV of the TRAb test were 100%, 97%, 98% and 100%, respectively. Remission duration after TSD treatment was longer and relapses were fewer in GD patients with lower levels of TRAb before (P<0.01) and at the end of TSD treatment (P<0.05). In conclusion, our results suggest that serum TRAb is very sensitive and specific for confirming the diagnosis of GD. TRAb levels at the beginning of TSD treatment, above 5 IU/L gives 18% greater chance, and above 15 IU/L, 36% greater chance for remission, shorter than 6 months.
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Abstract
Anal canal melanoma is a rare disease comprising 1% of all colorectal ie. anal malignant tumours with very poor long term prognosis. Its significant biologic aggressivity is the consequence of the tendency towards lymphatic, local and hematogenous spread. At the moment of diagnosis even 30% of the patients have distant metastases. Surgical intervention represents the only possibility for cure. Modern approach to the anal canal melanoma treatment implies two types of intervention: wide local excision preserving the sphincter mechanism and abdominoperineal resection of the rectum. There are numerous dillemas about the choice of surgery in particular disease stages. The authors report on a 61 years old women in which anal canal melanoma with left inguinal lymphatic metastases was detected during the inspection of "haemorrhoids". After the diagnosis was established, abdominoperineal resection of the rectum was performed with dissection of both inguinal regions.
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Stojanović M, Zivanović D, Madić J, Karadzić D, Stanojević G, Jovanović M, Jeremić L, Stojanović M. [An acute pancreatitis in a child caused by Na-valproate]. ACTA ACUST UNITED AC 2005; 51:125-7. [PMID: 16018380 DOI: 10.2298/aci0403125s] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Na-valproat (Apilepsin, Eftil), is is a commonly prescribed medication approved for treatment of epilepsy, trigeminal neuralgy, migraine, and bipolar disorder. Although the common adverse effects associated with Na-valproat are usually benign, more serious and fatal complication like liver failure and acute pancreatitis (AP) can occur. Acute pancreatitis may take place in all ages, regardless of dose and serum levels of the medicine. An acute pancreatitis is relatively common after intravenous administration. The authors presented a case of acute opancreatitis in 13-years girl caused by Na-valproat.
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Katić V, Tasić-Dimov D, Dimitrijević J, Zivković V, Gmijović D, Stojanović M, Popović D. [The role of Helicobacter pylori infection in the development of gastric neoplasms]. VOJNOSANIT PREGL 2004; 61:405-11. [PMID: 15552537 DOI: 10.2298/vsp0404405k] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Affiliation(s)
- Vuka Katić
- Klinicki centar Nis, Institut za patologiju, Nis, Srbija i Crna Gora
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Stojiljković D, Visnjić M, Trenkić S, Rancić Z, Milić D, Stanojević G, Stojiljković M, Kovacević P, Stojanović M, Stevanović G. [Reconstruction of large defects of the abdominal wall using dermal and synthetic grafts]. Acta Chir Iugosl 2004; 50:19-24. [PMID: 14994565 DOI: 10.2298/aci0302019s] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Large defects of abdominal wall (greater than 8 cm in diameter) related to different cause, are still difficult problem of modern surgery. The best results in order to obtain safe and permanent anatomical and functional abdominal wall integrity are reached by autogenous dermal and synthetic grafts. Controversies concerning quality of these procedures are still presents. Our work is based on two equal experimental groups of 20 Vister rats each, with large artificial abdominal wall defects: one treated with autogenous dermal graft, another with synthetic Mersilene mesh graft. The animals from both groups were sacrificed in previous planned time intervals (3rd, 7th, 14th and 48th days). Afterwards detailed microscopic and gross examination of abdominal wall reparation and quality of reconstructed abdominal wall defects had been performed. According to our results both methods are easy to be performed and safety surgical procedures. Overestimated usage of synthetic grafts should be diminished because of advantages of autologous dermal graft--availability, substitution of firmly fibrosis tissue and endurance against infection.
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Stojanović M, Jeremic M, Stojanović P, Stojiljković M, Gmijović D, Stanojković Z, Savić V, Djordjević V, Cvetković Z, Kostov M, Colović R. [Use of fibrin glue in the prevention of leakage in pancreatico-jejunal anastomoses]. Acta Chir Iugosl 2003; 49:39-45. [PMID: 12587482 DOI: 10.2298/aci0201039s] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The aim of this study was to test the protective effects of fibrin sealing on the pancreatico-jejunostomy (PJA), the high-risk anastomosis following pancreas head resection. Experimental study was performed on the mongrel dogs, divided in two groups (20 animals each): Experimental group-with end to end "dunking" PJA, protected by temporary occlusion of the pancreatic duct with fibrin sealant/Tissucol/Immuno Ag/, while control group was without any protective procedure. The animals were followed 5 months in order to study: protective effects of such procedure on the PJA quantified with the percent of anastomotic leakage, effects of the exocrine secretion and effects the endocrine function Results: PJA leakage occurred in 13.33% in control group. No leakage was registered in experimental group. Biochemical, histological and electron microscopic study showed slight transitory elevation of amylase levels. Fibrin glue plug was dissolved and pancreatic juice output was reestablished 12th days postoperatively. Long term follow-up showed no damages of the endocrine and exocrine pancreas. Pancreatic duct occlusion with fibrin glue appeared to be an useful method in the prevention of pancreatico-jejunostomy leakage, without negative effects on the exocrine and endocrine pancreas.
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Jovanović M, Stojanović M, Stanojević G, Stojiljković M, Jovanović J, Kostov M, Djordević N, Milić D, Djordjević P. [Experimental and clinical possibilities of transplantation of the injured and totally devascularized spleen]. Acta Chir Iugosl 2003; 49:85-91. [PMID: 12587455 DOI: 10.2298/aci0203085j] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The most severe spleen lesions with conquasation and devascularisation of entire organ, when it is practically impossible to do any preservating surgical procedure, are the true indications for the transplantation of this extremely important immunological organ. We have performed the evaluation of the surgical procedure of heterotopic auto transplantation in the 30 dogs with severe spleen lesions. Simulation of totally devascularized spleen with the lesions of V degree was performed by disrupting all segmental blood vessels with deep and long longitudinal transhilar incision. During the 3 months follow-up period, animals were subjected to numerous explorations in order to macroscopically and histologically valuate the implant. In most cases (80-85%) implants had complete vitality with the preservation of normal tissue architecture, while 15-20% of implants had partial or total fibrosis. There were no mortality and no complications after this preservation procedure. The presence of fibrosis in some implants suggests that the implant preparation should be better performed and that transplantation of larger tissue volume is needed. Enriched with this experimental experience we have performed heterotopic auto transplantation in 2 patients with spleen lesion of V degree (car accident and injury at work) with very satisfactory results.
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Stanojević G, Stojiljković M, Jovanović M, Stojiljković D, Stojanović M, Konstantinović S. [Evaluation of the value of local protective methods using latex prosthesis and fibrin glue in colonic anastomoses]. Acta Chir Iugosl 2003; 50:35-41. [PMID: 15307495 DOI: 10.2298/aci0304035s] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
Abstract
In this experimental study on small animals (Wister rats) performed evaluation of local protective methods--latex prosthesis and fibrine adhesives--on colon anastomosis healing--prevention of dehiscency. Ninety experimental animals in whom segmental left colon resection was done, were divided into three groups of 30 animals. In the control group after segmental resection termino-terminal anastomosis with single-layer continuous suture was performed. In the second and third group with the same animals, anastomosis protection was performed with endoluminal latex prosthesis and extraluminal application of fibrine adhesives. In the postoperative course where the animals were monitored for 21 days in the control group, 3 (10%) died of acute diffuse peritonitis the cause of which was anastomosis dehiscency, in the latex prosthesis 2 animals (6.6%) died, while in the extraluminally applied fibrine glue group all animals survived. The results of this experiment demonstrate that local protective measures for colon anastomoses may produce better results, with fibrine adhesive administration as the best modality.
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Djukanović L, Radović M, Baković J, Budosan I, Bukvić D, Cveticanin A, Davinić S, Dragoljić B, Djordjević V, Djurić S, Haviza-Lilić B, Ilić M, Janos B, Jelacić R, Jelić S, Kostić N, Mandić M, Ostrić V, Pljesa S, Radisić M, Radojević M, Rakić N, Rangelov V, Ratković M, Stojanović M, Stojanović R, Tintor D, Vasić V. Epidemiology of end-stage renal disease and current status of hemodialysis in Yugoslavia. Int J Artif Organs 2002; 25:852-9. [PMID: 12403401 DOI: 10.1177/039139880202500907] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Maintenance hemodialysis (HD) in Yugoslavia started in the sixties and followed the dialysis trends in the Western Europe. However, in the last decade the development of renal replacement therapy (RRT) slowed down. In this report the epidemiology of ESRD from 1997-1999 and the survey of the status of HD treatment in Yugoslavia in 1999 are presented. Epidemiological data are obtained by the annual center questionnaires (response rate: 92.6 -94.2%). The survey of HD status is based on a specific questionnaire and covered 2108 patients (65%). At the end of 1999 there were 56 RRT centers in Yugoslavia treating 3939 patients: 3232 (82%) patients by HD, 248 (6.3%) by peritoneal dialysis, and 459 (11.7%) living with transplanted kidney. In a three year period, incidence of ESRD ranged from 108-128 pmp, point prevalence from 435-463 pmp and mortality rate from 20.7-17.9. Numerous refugee patients were treated over the last 10 years. Main causes of ESRD were glomerulonephritis (30%); Balkan nephropathy represented 11% and diabetic nephropathy 7% of all primary renal diseases. Cardiovascular and cerebrovascular diseases were the most common causes of death of RRT patients. Most centers are overcrowded and HD machines are worn out. Mean Kt/V was 1.19+/-0.08, mean URR% 58.8+/-7.4. The shortage of drugs prevented adequate management: 83% of HD patients had hemoglobin level less than 100 g/L but only 10.3 -17.8% were treated with rHuEpo; 64.5% of patients had phosphate levels higher than 1.7 mmol/L but only 33.5% used phosphate binders; 47% of patients had hypertension despite the antihypertensive therapy. The prevalence of hepatitis B remained unchanged (about 14%) in HD population during the last three years, but the prevalence of anti-HCV positive patients decreased (31-23%). In conclusion, there is a well developed dialysis service in Yugoslavia but insufficient conditions for adequate treatment.
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Affiliation(s)
- L Djukanović
- Clinic of Nephrology, Clinical Center of Serbia, Beograd, Yugoslavia.
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