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  • 1
    Online Resource
    Online Resource
    Effect of Intravenous Thrombolysis on Stroke Associated with Atrial Fibrillation
    Elsevier BV ; 2014
    In:  Journal of Stroke and Cerebrovascular Diseases Vol. 23, No. 8 ( 2014-09), p. 2199-2205
    Details
    In: Journal of Stroke and Cerebrovascular Diseases, Elsevier BV, Vol. 23, No. 8 ( 2014-09), p. 2199-2205
    Type of Medium: Online Resource
    ISSN: 1052-3057
    URL: Article
    DOI: 10.1016/j.jstrokecerebrovasdis.2014.04.035
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2014
    detail.hit.zdb_id: 2052957-0
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  • 2
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    Etiology of ischemic stroke among young adults of Serbia
    National Library of Serbia ; 2008
    In:  Military Medical and Pharmaceutical Journal of Serbia Vol. 65, No. 11 ( 2008), p. 803-809
    Details
    In: Military Medical and Pharmaceutical Journal of Serbia, National Library of Serbia, Vol. 65, No. 11 ( 2008), p. 803-809
    Abstract: Uvod/Cilj. Etiologija ishemijskog mozdanog udara (IS) kod mladih razlikuje se u razlicitim zemljama. Cilj ovog rada bio je istrazivanje faktora rizika od IS kod mladjih odraslih osoba u Srbiji. Metode. Ukupno 865 bolesnika sa IS, starosti 15-45 godina, leceno je u periodu 1989-2005. Etioloski dijagnosticki testovi izvrseni su na bazi bolesnik-po-bolesnik i prema tome koliko ih je bilo u vreme istrazivanja. Najcesci uzrok udara svrstan je prema kriterijumu Trial of ORG 10172 in Acute Stroke Treatment (TOAST). Rezultati. Bilo je ukupno 486 muskaraca i 379 zena, a od toga 19% bolesnika starosti ? 30 godina. Ateroskleroza velikih arterija i oboljenje malih arterija potvrdjeni su kod 14% bolesnika, a embolija i drugi uzroci kod 20% od ukupnog broja bolesnika. Kod 32% bolesnika nisu odredjeni uzroci, kod vecine njih (26%) zbog nepotpunosti podataka. Najcesci faktori rizika bili su pusenje (37%), poviseni krvni pritisak (35%) i hiperlipidemija (35%). Najcesci uzroci IS bili su reumatska oboljenja srca i vestacki zalisci. Kod malog broja bolesnika nadjeni su arterijska disekcija i nedostatak inhibitora koagulacije. Zakljucak. Etiologija IS kod mladjih odraslih osoba u Srbiji ima iste karakteristike kao u zapadnim i manje razvijenim zemljama.
    Type of Medium: Online Resource
    ISSN: 0042-8450 , 2406-0720
    URL: Article
    DOI: 10.2298/VSP0811803J
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2008
    detail.hit.zdb_id: 2169819-3
    SSG: 15,3
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  • 3
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    Assessment of nursing care-associated predictors of in-hospital mortality in the patients with acute ischemic stroke
    National Library of Serbia ; 2019
    In:  Military Medical and Pharmaceutical Journal of Serbia Vol. 76, No. 4 ( 2019), p. 373-378
    Details
    In: Military Medical and Pharmaceutical Journal of Serbia, National Library of Serbia, Vol. 76, No. 4 ( 2019), p. 373-378
    Abstract: Background/Aim. Stroke remains one of the leading causes of death and disability worldwide. The aim of the study was to determine the nursing care-associated predictors of in-hospital mortality in the patients with acute ischemic stroke (AIS) who were hospitalized at the Department of Emergency Neurology. Methods. Prospective cohort study included 59 consecutive patients with AIS admitted to the Department of Emergency Neurology, Neurology Clinic, Clinical Center of Serbia, Belgrade. The patients were followed until discharge or death. For exploring a relationship between the outcome of patients with AIS and different groups of factors, the univariate and multivariate Cox proportionate hazard regression models were used. Results. There were 32 male and 27 female patients with AIS. The mean age was 62.5 ? 15.2 years. The average duration of hospitalization was 11.1 ? 9.6 days (median 8 days; range 1?54 days). Almost 80% of patients (47/59; 79.7%) were admitted to the stroke unit, while 12 (20.3%) patients were admitted to the intensive care unit. In the univariate Cox regression analysis the significant variables (p 〈 0.05) were the Morse score (p = 0.030) and the type of admission unit (p = 0.029). The multivariate predictive model revealed that the type of admission unit (stroke unit vs conventional unit) [hazard ratio (HR) = 0.16; p = 0.032] was the independent predictor of in-hospital mortality in the patients with AIS. Conclusion. The results of this study showed an important role of nursing staff in the recovery of the AIS patients, as well as that admission to the stroke units versus the conventional units is the independent predictor of decreased in-hospital mortality.
    Type of Medium: Online Resource
    ISSN: 0042-8450 , 2406-0720
    URL: Article
    DOI: 10.2298/VSP170422156S
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2019
    detail.hit.zdb_id: 2169819-3
    SSG: 15,3
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  • 4
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    Online Resource
    First experience with intravenous thrombolysis in ischemic stroke in Serbia
    National Library of Serbia ; 2007
    In:  Srpski arhiv za celokupno lekarstvo Vol. 135, No. 11-12 ( 2007), p. 621-628
    Details
    In: Srpski arhiv za celokupno lekarstvo, National Library of Serbia, Vol. 135, No. 11-12 ( 2007), p. 621-628
    Abstract: Uvod Primena trombolize u prva tri sata od nastanka simptoma ishemijskog mozdanog udara znacajno poboljsava njegov ishod. U Sjedinjenim Americkim Drzavama ova vrsta terapije se primenjuje od 1997, a u vecini zemalja Evrope od 2002. godine. Prva tromboliza u lecenju ishemijskog mozdanog udara u Srbiji izvedena je februara 2006. godine. Cilj rada Cilj rada je bio da se prikazu prva iskustva u primeni intravenske trombolize u lecenju bolesnika s akutnim ishemijskim mozdanim udarom i da se ovi rezultati uporede s rezultatima drugih klinickih studija. Metod rada U ispitivanje su ukljuceni bolesnici s akutnim ishemijskim mozdanim udarom koji su od 24. februara do 26. oktobra 2006. godine leceni intravenskom trombolizom na Odeljenju urgentne neurologije Instituta za neurologiju Klinickog centra Srbije u Beogradu. Kod svakog bolesnika je zabelezeno vreme nastanka simptoma, prvog neuroloskog pregleda, vreme kompjuterizovane tomografije (CT) i pocetka lecenja. Rani znaci ishemije na CT nalazu glave su stepenovani prema skoru ASPECTS, stepen neuroloskog deficita je odredjivan skalom NIHSS, dok je funkcionalni ishod bolesnika procenjen modifikovanom Rankinovom (Rankin) skalom (mRS). Rezultati Tokom osam meseci lecenja tromboliza je primenjena kod 12 bolesnika starosti izmedju 18 i 66 godina, od kojih je 75% bilo mladje od 55 godina. Medijana vremena od nastanka ishemijskog mozdanog udara do dolaska u bolnicu bila je 57,5 minuta, a do primene terapije 155 minuta. Rani znaci ishemije na CT nalazu glave uoceni su kod 10 bolesnika sa medijanom skora ASPECTS od 9. Medijana prijemnog NIHSS skora bila je 16,5 bodova, ali se ona smanjila u prva 24 casa od trombolize za vise od pet bodova kod 58% bolesnika. Simptomatsko intracerebralno krvarenje je zabelezeno kod jedne bolesnice. U prvih 30 dana od nastanka ishemijskog mozdanog udara 42% bolesnika je bilo bez znacajne onesposobljenosti (mRS?1), dok je kod samo dva bolesnika zabelezena teska onesposobljenost. Jedan bolesnik je umro sa znacima insuficijencije srca. Zakljucak Iako je istrazivanje obuhvatilo mali broj bolesnika, utisak je da su efekti trombolize u saglasnosti s rezultatima objavljenim u zapadnim zemljama. Posebnost ove serije bolesnika je u tome sto je tromboliza primenjena kod veoma mladih ljudi.
    Type of Medium: Online Resource
    ISSN: 0370-8179 , 2406-0895
    URL: Article
    DOI: 10.2298/SARH0712621J
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2007
    detail.hit.zdb_id: 2577665-4
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  • 5
    Online Resource
    Online Resource
    Neurological aspects of eclampsia
    National Library of Serbia ; 2003
    In:  Srpski arhiv za celokupno lekarstvo Vol. 131, No. 1-2 ( 2003), p. 60-68
    Details
    In: Srpski arhiv za celokupno lekarstvo, National Library of Serbia, Vol. 131, No. 1-2 ( 2003), p. 60-68
    Abstract: Teski oblici preeklampsije i eklampsija su praceni razvojem neuroloskih simptoma. Iako u nastanku cerebralnog vazospazma dominantnu ulogu igra proboj mehanizma cerebralne autoregulacije, eklampsija se ne smatra obicnom hipertenzivnom encefalopatijom, jer u njenom nastanku ucestvuju i drugi patogenetski mehanizmi. Glavne neuropatoloske promene su postojanje multifokalnog vazogenog cerebralnog edema, perivaskularni multipli mikroinfarkti i petehijalne hemoragije. Klinicke manifestacije zahvacenosti mozga su konvulzije, glavobolja, vizuelne smetnje i redje drugi diskretni fokalni neuroloski simptomi. Eklampsija nosi visok rizik za nastanak autenticnog hemoragijskog ili ishemicnog mozdanog udara zbog cega je u evaluaciji najtezih oblika pracenih neuroloskim simptomima neophodna i dopunska neuroloska dijagnostika. Metoda izbora je kompjuterizovana tomografija glave koja kod eklampsija otkriva multiple hipodenzne zone u predilekcionim okcipitoparijetalnim regionima koje odgovaraju fokalnom vazogenom edemu. U cilju diferencijalne dijagnoze mogu se primeniti i drugi dijagnosticki postupci - pregled ocnog dna, magnetna rezonanca glave angiografija ili lumbalna punkcija. Terapija eklampsija je kompleksna i zahteva primenu odgovarajucih antihipertenziva, magnezijum sulfata antikonvulzivnih i antiedematoznih preparata.
    Type of Medium: Online Resource
    ISSN: 0370-8179 , 2406-0895
    URL: Article
    DOI: 10.2298/SARH0302060J
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2003
    detail.hit.zdb_id: 2577665-4
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