Publications by authors named "Radojcic M"

Article Synopsis
  • There are various surgical options for treating degenerative lumbar spinal stenosis (LSS), but current guidelines don't specify which should be prioritized due to past studies lacking in convincing evidence.
  • A systematic review included 43 randomized controlled trials (RCTs) with over 5,000 participants, evaluating different surgical interventions, focusing on their impacts on physical function and adverse events.
  • Results showed that endoscopic-assisted laminotomy and laminectomy with Coflex had small effects on physical function in the short term, while longer-term outcomes were varied, with some surgeries linked to fewer adverse effects compared to traditional laminectomy.
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  • Researchers analyzed data from 24,405 patients and found that the prevalence of lifetime depression varied significantly, being 45.7% in those with widespread pain and 30.2% in those with regional pain.
  • Two clinical prediction models were developed to estimate the likelihood of depression based on factors like age, gender, BMI, and smoking status, which clinicians can easily gather during routine checkups to better tailor treatment.
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Background: To address if the long-standing association between maternal infection, depression/anxiety in pregnancy, and offspring neurodevelopmental disorder (NDD) is causal, we conducted two negative-control studies.

Methods: Four primary care cohorts of UK children (pregnancy, 1 and 2 years prior to pregnancy, and siblings) born between 1 January 1990 and 31 December 2017 were constructed. NDD included autism/autism spectrum disorder, attention-deficit/hyperactivity disorder, intellectual disability, cerebral palsy, and epilepsy.

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Background: Studies have reported an increase in the prevalence of depression during the COVID-19 pandemic. The accuracy of screening tools may change with the prevalence and distribution of a disease in a population or sample: the "Spectrum Effect".

Methods: First, we selected commonly used screening tools and developed search strategies for the inclusion of original studies during the pandemic.

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Background: There are increasing concerns that participants in health research in the UK are not representative of the UK population, risking widening health inequities. However, detailed information on the magnitude of the problem is limited. Therefore, we evaluated if the health research conducted in the Greater Manchester region was broadly representative of its diverse population.

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  • There is a lack of recent national data on fractures in the U.S., especially among adults aged 50 and older, which led to this study analyzing data from the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2020.
  • The study found significant increases in the prevalence of wrist (from 8.7% to 12.8%) and vertebral fractures (from 2.2% to 4.6%) during that period for the target age group, with certain demographic variations noted.
  • However, no significant trend changes were observed for hip fractures in the same age group during the same years.
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  • The study investigates the burden of musculoskeletal pain among UK individuals aged 50 and older, focusing on prevalence, incidence rates, and re-occurrence risks for various pain types, specifically back, hand, hip, knee, and foot pain.
  • Data was gathered from two UK studies with follow-ups over eight years, allowing for a comparison of responses related to pain episodes and pain when walking.
  • Results showed significant rates of musculoskeletal pain, with women experiencing higher prevalence than men, though men had a greater risk of re-occurrence; they also projected that many individuals will still be affected by pain in the UK by 2030.
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  • - Antipsychotic prescriptions for children and adolescents have been on the rise globally, prompting a study on prescribing trends and reasons for prescriptions in a large English cohort from 2000 to 2019.
  • - Using a primary care database (CPRD Aurum), researchers tracked 7,216,791 children and adolescents, identifying 19,496 individuals who received 243,529 antipsychotic prescriptions while analyzing trends by age, gender, and socio-economic status.
  • - The study employed an algorithm to determine likely reasons for initial prescriptions due to a lack of direct indication data, highlighting clinical preferences for different types of antipsychotics across varying deprivation levels.
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Background: Study determines differences in calculated dose distributions for non-small cell lung carcinoma (NSC LC) patients. NSC LC cases were investigated, being the most common lung cancer treated by radiotherapy in our clinical practice.

Materials And Methods: A retrospective study of 15 NSCLC patient dose distributions originally calculated using standard superposition (SS) and recalculated using collapsed cone (CC ) and Monte Carlo (MC) based algorithm expressed as dose to medium in medium (MCD) and dose to water in medium (MCD) was performed so that prescribed dose covers at least 99% of the gross target volume (GTV).

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Objectives: We aimed to investigate age- and sex-specific effects of obesity, metabolic syndrome (MetS) and its components on back pain in middle-aged and older English individuals.

Methods: We used data from the English Longitudinal Study of Ageing, wave 2 (2004-2005). Body mass index (BMI) expressed the obesity, while MetS was defined according to revised Adult Treatment Panel (ATP) III criteria.

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Article Synopsis
  • The study investigates the link between obesity and back pain in middle-aged women, focusing on weight and its components while considering both direct mechanical effects and indirect effects through inflammation and metabolism.
  • Data from the Chingford 1000 Women Study was analyzed, involving 826 women at the first follow-up and 645 in a later follow-up, using statistical methods to assess associations.
  • Results revealed that higher weight, BMI, and total fat mass directly increase the likelihood of experiencing back pain, while indirect effects through inflammation or metabolic factors were not consistently observed.
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Objective: We aimed to study 19-year body mass index (BMI) patterns and their (1) bidirectional relationship with musculoskeletal pain and (2) mortality risk.

Study Design And Setting: We used data from the Chingford study and group-based trajectory modelling to define 19-year BMI patterns. We investigated whether baseline back, hand, hip, and knee pain (as single- and multi-site) predicted 19-year BMI trajectory, and whether 19-year BMI patterns predicted pain in year 20.

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Importance: Previous studies, using mostly cross-sectional data, provide conflicting evidence of an association between lumbar spine radiographic changes and the severity of back pain-related disability. Such conflicting evidence may be associated with widely unnecessary diagnostic imaging of the lumbar spine.

Objective: To examine both cross-sectional and longitudinal associations between lumbar spine radiographic changes and the severity of back pain-related disability among middle-aged, community-dwelling women.

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Introduction: Rugby football (Union and League) provides physical activity (PA) with related physical and mental health benefits. However, as a collision sport, rugby research and media coverage predominantly focus on injuries in elite players while the overall impact on health and well-being remains unclear. This study aims to provide a greater understanding of the risks and benefits of rugby participation in a diverse sample of men and women, current and former rugby Union and League players from recreational to the elite level of play.

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Objectives: High-quality research has a tangible impact on patient care and should inform all medical decision-makings. Appraising and benchmarking of research is necessary in evidence-based medicine and allocation of funding. The aim of this review is to demonstrate how evidence may be gathered by quantifying the amount and type of research by a group of surgeons over a 20-year period.

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Objectives: To characterize the expression profiles of two nuclear-encoded mitochondrial genes previously associated with chronic pain, the translocator protein (TSPO) and family with sequence similarity 173B (FAM173B), in different knee compartments from patients with painful knee OA. Also, to examine their association with the joint expression of inflammatory cytokines/chemokines and clinical symptoms.

Methods: The study was performed on 40 knee OA patients and 19 postmortem (PM) controls from which we collected the knee tissues: articular cartilage (AC), synovial membrane (SM) and subchondral bone (SB).

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Knee osteoarthritis (OA) is a heterogeneous disease, and identification of its subgroups/phenotypes can improve patient treatment and drug development. We aimed to identify homogeneous OA subgroups/phenotypes using pain development over time; to understand the interplay between pain and functional limitation in time course; and to investigate subgroups' responses to available pharmacological and surgical treatments. We used group-based trajectory modelling to identify pain trajectories in the phase-3 VIDEO trial (n = 474, 3-year follow-up) and also in the Osteoarthritis Initiative cohort study (n = 4796, 9-year follow-up).

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Objectives: High-quality research is fundamental to the advancement of surgical practice. Currently, there is no quantitative assessment of the research output of vascular surgeons in Australia and New Zealand. By conducting this bibliometric analysis, we aim to provide an objective representation of the trends in vascular surgery and guide future research.

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Introduction: Penile cancer is a disease with high morbidity and mortality and is rare in developed countries. In the developing world, the incidence is significantly higher, and accounts for 1-2% of malignant disease in men. Penile cancer is associated with delayed diagnosis, often due to psychological factors.

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Carotid endarterectomy is a commonly performed vascular surgical procedure with well-known complications, such as stroke and nerve injury. Neovascular glaucoma (NVG) is an exceedingly rare complication after carotid endarterectomy that can result in loss of vision. All previous reports of NVG after carotid endarterectomy have occurred on the same side as the carotid surgery; in this report, we present a case of left-sided NVG after right carotid endarterectomy for contralateral ocular ischemic syndrome.

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Advanced dose calculation algorithms for radiation therapy treatment planning can report external beam photon dose 2-sided, in terms of dose-to-medium (D) and dose-to-water (D). The purpose of our study was to determinate the effect of D and D reporting modes built in Elekta Monaco treatment planning system on intensity-modulated radiotherapy dose distributions for patients with nasopharyngeal cancer. For 13 patients involved in this retrospective study, 2 plans were created: 1 using D and another according to D reporting mode.

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Depression is a disease of an abnormal brain energy metabolism also marked with increased apoptosis in specific brain regions. Mounting evidence indicates that the mitochondrial oxidative phosphorylation and apoptosis are novel targets for the actions of estrogen receptors (ERs). In this study, we examined the effects of antidepressant (AD) fluoxetine (FLU) treatment on the mitochondrial ER alpha (ERα), ER beta (total and phospho-pERβ) and their association with cytochrome c (cyt c) oxidase activity and apoptotic Bcl2/Bax-molecules in the hippocampal mitochondria of chronically isolated (CPSI) female and male rats depicting depression.

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