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  • 1
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    Analysis of intracranial hemorrhage grade in preterm singleton pregnancies delivered vaginally or by cesarean section
    National Library of Serbia ; 2013
    In:  Military Medical and Pharmaceutical Journal of Serbia Vol. 70, No. 3 ( 2013), p. 255-258
    Details
    In: Military Medical and Pharmaceutical Journal of Serbia, National Library of Serbia, Vol. 70, No. 3 ( 2013), p. 255-258
    Abstract: Uvod/Cilj. Preterminski porodjaj je vodeci uzrok neonatalnog mortaliteta. Kod prerano rodjenog deteta periventrikularna - intraventrikularna hemoragija (PVH-IVH) je znacajan uzrok morbiditeta i mortaliteta. Cilj rada bio je da se analizira perinatalni ishod preterminske novorodjencadi u pogledu nastanka IVH u odnosu na nacin zavrsavanja porodjaja. Metode. Ovom studijom bilo je obuhvaceno 126 bolesnica u preterminskoj monofetalnoj trudnoci, sa prezentacijom glavom i 126 neonatusa telesne tezine izmedju 750 g i 1 500 g. Poredjeni su perinatalni ishodi 64 neonatusa rodjeni vaginalnim putem i 62 neonatusa rodjena carskim rezom. Rezultati. Nije bilo statisticki znacajne razlike u incidenciji IVH izmedju grupa vaginalno rodjenih i grupe prematurusa rodjenih carskim rezom. Zakljucak. Rezultati dobijeni i u ovoj studiji u saglasnosti su sa hipotezom da nacin porodjaja nema uticaja na IVH i, posledicno, na perinatalni ishod preterminskih neonatusa.
    Type of Medium: Online Resource
    ISSN: 0042-8450 , 2406-0720
    URL: Article
    DOI: 10.2298/VSP1303255L
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2013
    detail.hit.zdb_id: 2169819-3
    SSG: 15,3
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  • 2
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    Acute intermittent porphyria in the puerperium
    National Library of Serbia ; 2010
    In:  Srpski arhiv za celokupno lekarstvo Vol. 138, No. 7-8 ( 2010), p. 506-509
    Details
    In: Srpski arhiv za celokupno lekarstvo, National Library of Serbia, Vol. 138, No. 7-8 ( 2010), p. 506-509
    Abstract: Uvod. Akutna intermitentna porfirija nastaje usled delimicnog ostecenja porfobilinogen-deaminaze, a ispoljava se ponavljanjem somatskih, psihijatrijskih i neuroloskih poremecaja. Bolest se prenosi autozomno dominantno genom razlicite penetrantnosti, te vecina nosilaca nikada ne dobija napade. Pravovremeno postavljanje dijagnoze, skrining krvnih srodnika obolele osobe i edukacija bolesnika o izbegavanju faktora rizika kljucni su za odgovarajuce lecenje. Prikaz bolesnika. Trecerotka stara 23 godine primljena je na bolnicko lecenje zbog bolova u trbuhu i konvulzivnih napada devet dana nakon vaginalnog porodjaja. Na prijemu je doslo do generalizovanog konvulzivnog napada tipa klonicko-tonickih grceva. Odmah je podvrgnuta klinickom, laboratorijskom, bakterioloskom i ultrazvucnom pregledu. Kako je i nakon prepisane neuroloske terapije u nekoliko navrata imala konvulzivne napade, u lecenje je uveden hem-arginat tokom cetiri dana. Nakon toga krvni pritisak, puls i funkcija creva su se normalizovali. Bolesnica je timski lecena u jedinici intenzivne nege, a primala je lekove koji su dozvoljeni kod akutne porfirije. Sesnaestog dana od prijema ona je normalnog neuroloskog stanja i ginekoloskog i ultrazvucnog nalaza upucena na ambulantno lecenje. Zakljucak. Prikazani slucaj pokazuje tezinu postavljanja dijagnoze akutne intermitentne porfirije u puerperijumu i neophodnost multidisciplinarnog pristupa u lecenju osoba s ovim oboljenjem. Na njega treba misliti u slucajevima nejasnog i bola u trbuhu pracenog neuropsihijatrijskim poremecajima.
    Type of Medium: Online Resource
    ISSN: 0370-8179 , 2406-0895
    URL: Article
    DOI: 10.2298/SARH1008506S
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2010
    detail.hit.zdb_id: 2577665-4
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  • 3
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    Hysterectomy throughout history
    National Library of Serbia ; 2011
    In:  Acta chirurgica Iugoslavica Vol. 58, No. 4 ( 2011), p. 9-14
    Details
    In: Acta chirurgica Iugoslavica, National Library of Serbia, Vol. 58, No. 4 ( 2011), p. 9-14
    Abstract: Histerektomija, koja predstavlja jednu od najcescih operacija kod zena, datira od davnina. Istorija histerektomije sadrzi biografije mnogih skromnih ljudi i njihovih znacajnih pojedinacnih napora koje su ulozili u borbi protiv skepse medicinskih udruzenja svog vremena. Mnoge pionire ove struke su ignorisali. Iako postoje brojne alternative histerektomiji, ona je i dalje najcesce primenjivana ginekoloska operacija. Uvodjenje antisepse, anestezije, antibiotika i transfuzija krvi ucinila je histerektomiju bezbednom procedurom. Danas razlikujemo tri razlicita hirurska pristupa histerektomiji: vaginalni, abdominalni i laparoskopski. Ogranicenja konvencionalne laparoskopije dovela su do razvoja robotske hirurgije koja se u poslednjoj deceniji razvila od jednostavnih podesivih nosaca kamere u laparoskopskoj hirurgiji do sofisticiranijih cetvororucnih masina koje se sada koriste sirom sveta.
    Type of Medium: Online Resource
    ISSN: 0354-950X , 2406-0887
    URL: Article
    DOI: 10.2298/ACI1104009S
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2011
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  • 4
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    Guillain‐Barré syndrome in the elderly
    Wiley ; 2016
    In:  Journal of the Peripheral Nervous System Vol. 21, No. 2 ( 2016-06), p. 105-110
    Details
    In: Journal of the Peripheral Nervous System, Wiley, Vol. 21, No. 2 ( 2016-06), p. 105-110
    Abstract: The aim of the study was to analyze specific features of Guillain‐Barré syndrome ( GBS ) in old people. The study included 403 GBS patients (62% young [ 〈 60 years], 35% young‐old [60–80 years] , and 3% old‐old [ 〉 80 years]). Diagnosis of GBS was made according to the National Institute of Neurological Disorders and Stroke (NINDS criteria). Severe disability ( GBS disability score of 〉 3) at nadir was more common in old compared with young patients (p = 0.0001) as was mortality (9% vs. 2%, respectively). Acute motor and sensory axonal neuropathy and hyponatremia were more common in old compared with young patients (12% vs. 6% and 27% vs. 18%, respectively, p = 0.04). A positive history for malignancy was more than three times more common in old than young patients (11% vs. 3%, respectively, p = 0.01). Disability on nadir was similar in young‐old and old‐old subjects with disability on discharge being more severe in old‐old (p = 0.04) suggesting slower recovery in this subgroup. Bulbar symptoms were more common in old‐old compared with young‐old (50% vs. 19%, respectively, p = 0.01). Comorbidities were present in virtually all old‐old patients compared with 66% of young‐old patients (p = 0.04). In conclusion, Elderly patients, and especially old‐old patients, with GBS have more severe disease with slower recovery than do younger patients.
    Type of Medium: Online Resource
    ISSN: 1085-9489 , 1529-8027
    URL: Issue
    URL: Article
    DOI: 10.1111/jns.2016.21.issue-2
    DOI: 10.1111/jns.12163
    Language: English
    Publisher: Wiley
    Publication Date: 2016
    detail.hit.zdb_id: 2030613-1
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  • 5
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    Transvaginal mesh in repair of pelvic organs prolapse as a minimally invasive surgical procedure
    National Library of Serbia ; 2011
    In:  Military Medical and Pharmaceutical Journal of Serbia Vol. 68, No. 7 ( 2011), p. 583-588
    Details
    In: Military Medical and Pharmaceutical Journal of Serbia, National Library of Serbia, Vol. 68, No. 7 ( 2011), p. 583-588
    Abstract: Uvod/Cilj. Prolaps genitalnih organa sa ili bez urinarne stres inkontinencije najcesci je zdravstveni problem starije zenske populacije i povecava se sa godinama starosti. Cilj rada bio je prikaz retrospektivne studije, koja analizira perioperativne i kasne postoperativne komplikacije kod upotrebe transvaginalne neresorptivne mrezice u rekontrukciji karlicnog dna zbog prolapsa pelvicnih organa. Metode. Podaci su dobijeni retrospektivnom analizom 96 bolesnica koje su operisane u periodu septembar 2006 - januar 2010. Za korekciju spada koriscen je Prolift komplet proizvodjaca Gynecare, Ethicon, USA. Rezultati. Sve bolesnice imale su prolaps u stadijumu III ili IV. Prednji prolift ugradjen je kod 52 (54%) bolesnice, zadnji kod 32 (33%), a totalni kod 12 (13%) bolesnica. Imali smo samo jednu ozbiljnu intraoperativnu komplikaciju, povredu mokracne besike, koja je odmah prepoznata i sanirana. Drugih ozbiljnih intraoperativnih komplikacija nije bilo. Kasni nezeljeni efekti, koji su se manifestovali tri meseca nakon operacije, bili su: erozija vagine kod devet (9,3%) bolesnica, retrakcija mrezice kod sest (6,2%) bolesnica, de novo inkontinencija kod pet (5,2%) bolesnica. Sve bolesnice bile su dostupne pracenju. Prosecno vreme pracenja iznosilo je 18,2 meseca (3-35). Uspesan ishod tretmana postignut je kod 93,75% bolesnica, a kod sest bolesnica (6,25%) pojavili su se recidivi. Zakljucak. Upotreba neresorptivne polipropilenske mrezice predstavlja minimalno invazivnu i prilicno sigurnu metodu za rekontrukciju karlicnog dna. Iako ukupan morbiditet nije mali, napominjemo da je 69% bolesnica u studiji operisano zbog recidiva prethodne klasicne operacije. Pored toga, ovo su prvi rezultati nove operativne tehnike bez prethodnog iskustva.
    Type of Medium: Online Resource
    ISSN: 0042-8450 , 2406-0720
    URL: Article
    DOI: 10.2298/VSP1107583A
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2011
    detail.hit.zdb_id: 2169819-3
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  • 6
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    Metastatic malignant ovarian melanoma: A case report
    National Library of Serbia ; 2013
    In:  Military Medical and Pharmaceutical Journal of Serbia Vol. 70, No. 2 ( 2013), p. 229-232
    Details
    In: Military Medical and Pharmaceutical Journal of Serbia, National Library of Serbia, Vol. 70, No. 2 ( 2013), p. 229-232
    Abstract: nema
    Type of Medium: Online Resource
    ISSN: 0042-8450 , 2406-0720
    URL: Article
    DOI: 10.2298/VSP110719030B
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2013
    detail.hit.zdb_id: 2169819-3
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  • 7
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    Paravesical haematoma following placement of an isolated anterior mesh for cystocele repair
    National Library of Serbia ; 2013
    In:  Military Medical and Pharmaceutical Journal of Serbia Vol. 70, No. 7 ( 2013), p. 697-699
    Details
    In: Military Medical and Pharmaceutical Journal of Serbia, National Library of Serbia, Vol. 70, No. 7 ( 2013), p. 697-699
    Abstract: Uvod. Prolaps pelvicnih organa predstavlja znacajan zdravstveni problem zena sirom sveta. Imajuci u vidu ogranicenja tradicionalne hirurgije u rekonstrukciji normalnog anatomskog izgleda vagine i njene funkcije kod prolapsa genitalnih i urinarnih organa, razvijeni su razliciti sintetski implantati koji se koriste pri hirurskom lecenju. Postupci s mrezicom se sve cesce primenjuju, a preliminarni podaci su ohrabrujuci. Iako su ovi postupci minimalno invazivni i relativno bezbedni, opisane su i teske komplikacije nakon njih. Prikaz bolesnika. Prikazana je 71-godisnja zena kojoj je ugradjena izolovana prednja mrezica, posle cega je doslo do nastanka postoperativnog hematoma koji je bilo potrebno hirurski zbrinuti. Zakljucak. Ovaj slucaj ukazuje na cinjenicu da minimalno invazivne uroginekoloske procedure mogu biti pracene znacajnim komplikacijama. Vazno je da hirurzi, koji vrse ove operacije, budu obuceni za intervencije kojima se uspesno zbrinjavaju nastale komplikacije.
    Type of Medium: Online Resource
    ISSN: 0042-8450 , 2406-0720
    URL: Article
    DOI: 10.2298/VSP1307699S
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2013
    detail.hit.zdb_id: 2169819-3
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  • 8
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    Novel surgical procedure for the treatment of female stress urinary incontinence by using transobturator vaginal tape
    National Library of Serbia ; 2006
    In:  Military Medical and Pharmaceutical Journal of Serbia Vol. 63, No. 8 ( 2006), p. 721-724
    Details
    In: Military Medical and Pharmaceutical Journal of Serbia, National Library of Serbia, Vol. 63, No. 8 ( 2006), p. 721-724
    Abstract: Uvod/cilj: Savremena metoda za resavanje problema urinarne stres inkontinencije je plasiranje bestenzione suburetralne trake, bilo retropubicno ili transobturatorno. Kako je retropubicni pristup vezan sa brojnim komplikacijama, mi smo u nasoj prospektivnoj studiji pokazali rezultate koriscenja transobturatornog puta. Metode. Koriscena je neresorptivna monofilamentna polipropilenska traka. Zavisno od proizvodjaca, traka moze da se plasira od spolja put unutra (Herniamesh) ili od unutra put spolja (Johnnson & Johnnson). Rezultati. Za period od oktobra 2004. do septembra 2005. kod 10 bolesnica plasirali smo transobturatornu traku u cilju korekcije urinarne stres inkontinencije. U samo 2 slucaja stres inkontinencija se pojavljivala kao izolovan problem, a kod ostalih osam bolesnica, ovaj postupak bio je pridruzen drugim ginekoloskim operativnim postupcima. Perioperativnih komplikacija nije bilo. Kod 80% bolesnica postigli smo zadovoljavajuci rezultat, kod jedne bolesnice tracica nije dovela ni do kakvog poboljsanja, a kod jedne se pojavio problem urgentne inkontinencije. Zakljucak. Transobturatorna bestenziona traka predstavlja vrlo jednostavan, ali bezbedan i, u velikom procentu, uspesan postupak za resavanje stres inkontinencije, sa vrlo retkim perioperativnim komplikacijama.
    Type of Medium: Online Resource
    ISSN: 0042-8450 , 2406-0720
    URL: Article
    DOI: 10.2298/VSP0608721A
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2006
    detail.hit.zdb_id: 2169819-3
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  • 9
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    Clinical and epidemiological features of Guillain‐Barré syndrome in the Western Balkans
    Wiley ; 2014
    In:  Journal of the Peripheral Nervous System Vol. 19, No. 4 ( 2014-12), p. 317-321
    Details
    In: Journal of the Peripheral Nervous System, Wiley, Vol. 19, No. 4 ( 2014-12), p. 317-321
    Abstract: The aim of this study was to define features of Guillain‐Barré syndrome in a large cohort of patients from three Western Balkans countries. Data from adult Guillain‐Barré syndrome ( GBS ) cases from 2009 to 2013 were retrospectively obtained from all tertiary health care centers. During the 5‐year period, 327 new cases of GBS were identified with a male to female ratio of 1.7 : 1. The most common GBS variants were demyelinating (65%) and axonal (12%). At nadir 45% of patients were chair‐bound, confined to bed, or required assisted ventilation, while 5% died. The crude incidence of GBS in Serbia and Montenegro was 0.93 per 100,000 population, and age‐adjusted incidence according to the world standard population was 0.86 per 100,000. Incidence was particularly high in 50‐ to 80‐year‐old men. Statistically significant seasonal variations of GBS were not observed. This study of patients with GBS in the Western Balkans allows us to prepare the health system better and to improve the management of patients. This study also opens opportunities for international collaboration and for taking part in the multinational studies on GBS .
    Type of Medium: Online Resource
    ISSN: 1085-9489 , 1529-8027
    URL: Issue
    URL: Article
    DOI: 10.1111/jns.2014.19.issue-4
    DOI: 10.1111/jns.12096
    Language: English
    Publisher: Wiley
    Publication Date: 2014
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  • 10
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    Appendicitis in puerpeium: Case report
    National Library of Serbia ; 2011
    In:  Acta chirurgica Iugoslavica Vol. 58, No. 4 ( 2011), p. 111-112
    Details
    In: Acta chirurgica Iugoslavica, National Library of Serbia, Vol. 58, No. 4 ( 2011), p. 111-112
    Abstract: Akutni apendicitis u pureperijumu cesto se kasno dijagnostikuje, jer klinicki znaci mogu biti neubedljivi. Rigidnost abdomena se retko uocava u puerperijumu zbog smanjenog misicnog tonusa trbusnog zida, laboratorijski parametri nisu dovoljno ubedljivi, a postavljanje dijagnoze dodatno otezava cesto atipicna prezentacija apendiksa3,4. Tipicni abdominalni znaci cesto izostaju, sto moze dovesti do odlozene hirurske intervencije. Poznavanje znakova i simptoma apendicitisa, mogucih komplikacija i njihovo rano otkrivanje, povecava sansu dobrog ishoda hirurskog lecenja. Merenje rektalne i aksilarne temperature moze uneti zabunu i time produziti vremenski interval do eventualne hirurske intervencije. Leukocitoza, narocito u puerperijumu, ne mora biti od znacaja za postavljanje dijagnoze. Prikazan je slucaj zene u pureperijumu sa visokim laboratorijskim parametrima za infekciju, aksilarnom temperaturom 37,5 i rektalnom 37,2. Na osnovu klinicke slike postavljena je dijagnoza apendicitisa, sto je intraoperativno i histoloski potvrdjeno. Koliko god dijagnostikovanje akutnog apendicitisa bilo tesko, narocito u trudnoci, apendektomija bez nastale perforacije nosi znatno manji rizik i za majku i za plod.
    Type of Medium: Online Resource
    ISSN: 0354-950X , 2406-0887
    URL: Article
    DOI: 10.2298/ACI1104111B
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2011
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