Publications by authors named "Vrbic M"

Article Synopsis
  • The immune-inflammatory response plays a crucial role in the severity of SARS-CoV-2 infection, leading to severe outcomes like multiorgan dysfunction (MODS), particularly in older patients.
  • A study involving 20 critically ill patients found that age and low counts of CD4 and CD8 T lymphocytes were significant predictors of death, with only two younger patients surviving past 28 days.
  • The aging immune system shows reduced ability to fight infections and is further weakened by sepsis, creating a cycle that exacerbates multiorgan dysfunction.
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Tick-borne encephalitis (TBE) is vaccine-preventable neglected zoonotic neuroinvasive disease, caused by tick-borne encephalitis virus (TBEV). Many of the Central and Eastern European countries are affected by TBE, which is often poorly perceived by tourists visiting endemic territories. Here we are reporting a fatal case of imported TBE in Serbian resident who was exposed to a tick bite during a visit to Switzerland.

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Although it is believed that measles infections are under control, there is a global reappearance, and their treatment has become more complex as the disease is followed by a relatively high incidence of complications. This study, conducted on patients during a measles outbreak from November 2017 to May 2018, aims to evaluate a rarely reported complication of measles, acute morbilous pancreatitis (AMP), which has been reported in several cases to date. A total of 207 patients admitted and treated at the Clinic for Infectious Diseases, Clinical Center Nis, for measles infection were included in the analysis.

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Purpose: The first large-scale epidemiological survey on dental caries in Slovenia was conducted in 1987 and repeated in 1993, 1998, 2003, 2008, 2013 and 2017, using the same methodology. The aim of the study was to examine the trend of caries in 12-year-olds in Slovenia during a 30-year time period. The changes over time in caries experience were compared with disease trends observed in other European countries.

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  • HIV-infected individuals have a higher risk of developing lymphomas, particularly diffuse large B-cell lymphoma (DLBCL), but the introduction of combination antiretroviral therapy (cART) has improved outcomes significantly.
  • A case study highlights a 44-year-old HIV-positive man with DLBCL in the oral cavity who achieved complete remission for two years after receiving immunochemotherapy and cART, despite not having a strong immunological response.
  • The effectiveness of cART is crucial for the prognosis of DLBCL in HIV patients, emphasizing the need for careful monitoring of treatment efficacy to guide future therapy options.
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Introduction: Streptococcus pneumoniae is one of the most common causes of respiratory infections. The aim was to study the susceptibility to antimicrobial agents of respiratory isolates ofStreptococcus pneumoniae obtained from hospitalized children.

Material And Methods: A total of 190 respiratory pneumococcal isolates obtained from children aged from 0 to 14 years were isolated and identified by using standard microbiological methods.

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Purpose: The first large-scale epidemiological survey on dental caries in the Republic of Slovenia was conducted in 1987 and repeated in 1993, 1998, 2003, 2008 and 2013, using the same methodology. The aim of the study was to describe the trend of caries in 12-year-olds in Slovenia from 1987 to 2013.

Materials And Methods: The method applied in all six surveys was the National Oral Pathfinder Survey using WHO combined oral health and treatment need assessment forms.

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Article Synopsis
  • Anaphylactic shock can occur from an unruptured hydatid cyst, a rare complication of hepatic echinococcosis.
  • The case described involves a patient experiencing anaphylactic shock, which was further complicated by appendicitis, ileus, and multiple infections acquired in the hospital.
  • Timely surgical removal of the cyst and effective antimicrobial treatment are crucial for ensuring a successful recovery.
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Introduction: Listeria monoytogenes is the third most frequent cause of bacterial meningitis in adults. It commonly affects persons with defective cell-mediated immunity or advanced age, and only a few patiens with no underlying predisposition have been reported.

Case Report: We presented an previously healthy, 18-year-old man with typical clinical features of meningitis.

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The therapeutic strategy for breast cancer with the use of targeted drugs is, at present, mainly focused on coping with HER2. Currently, lapatinib and trastuzumab are in widespread use. Virtually all completed and in progress clinical trials have demonstrated a significant enhancement in the rate of pathologic complete response (pCR), the primary endpoint in these studies, in cases of patients with HER2-positive breast cancer that received trastuzumab in the neoadjuvant setting.

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Background And Objectives: Published data on oxidative stress in children with acute hepatitis A are still very scarce. This study aims to evaluate the oxidant/antioxidant status of these patients.

Design And Setting: Prospective, case-control study, over 2.

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Hepatitis C virus (HCV) usually evades the host's immune system and persists as a chronic infection. Intravenous drug users (IVDU) represent the majority of patients infected with HCV. Combined therapy of chronic hepatitis C (CHC) with peginterferon alpha-2a and ribavirin can be successful even when patients continue the intravenous drug use.

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COLLATERAL DAMAGE: Implies negative ecological effects of antibiotic therapy, characterized by the selection of resistant microorganisms and adverse colonization or injections with their multi-resistant species. MICROBIAL RESISTANCE: Is mediated by various mechanisms, the presence of which is determined by the nature of antibiotic effects and origin of the agent. Its most important aspect is multiple resistance, most commonly conditioned by the presence of several different resistance genes localized in the form of common units on gene transport elements (integrons, transposons, plasmids).

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Background/aim: The most important ethiology factor of chronic liver disease that progresses into terminal insufficiency is hepatitis C virus (HCV) infection. Intravenous (iv) drug abuse is the main cause for spreading HCV. Thus the therapy for such patients is of extreme importance in reducing the incidence of the disease.

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Purpose: To evaluate the efficacy of radiotherapy and chemotherapy in stage IV B anaplastic thyroid carcinoma (ATC).

Patients And Methods: From 1997 to 2007, 16 inoperable patients (12 females, 4 males, median age 60 years, range 27-71) with pathologically confirmed ATC without distant metastases (UICC stage IV B) were treated with radiotherapy and chemotherapy at our Institution. Five patients had Eastern Cooperative Oncology Group (ECOG) performance status 1, and 11 ECOG 2.

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Chemotherapy of breast cancer is still an area of intensive research. Based on mathematical model of tumor cell growth kinetics, a novel concept of chemotherapy in breast cancer was launched which implies dose-densification of chemotherapy through the use of sequential non crossresistant single agents or regimens. The relative infrequency of locally advanced breast cancer (LABC) has limited the speed of clinical progress in this area.

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Purpose: To establish the sensitivity, specificity, positive (PPV) and negative predictive value (NPV) of serum S-100 beta protein (sSB) in patients with malignant melanoma (MM), based on its concentration in the peripheral blood and the likelihood ratio (LR) for the whole group of patients with MM, as well as for each separate clinical stage.

Patients And Methods: sSB was determined immunoluminometrically in 172 patients with histologically confirmed MM. Sera from 64 healthy subjects were used as controls.

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Early diagnosis of the central nervous system (CNS) infections is a precondition of their successful treatment. However, the essential standard examination of the cerebrospinal fluid (CSF) is sometimes neither specific enough to define their basic nature, nor sufficient to differentiate them from processes of non-infectious origin. Supposing that the released surface molecules of activated immunocompetent cells could better define the character of inflammatory reaction, the levels of soluble CD4 antigens (sCD4) were determined with enzyme-immunosorbent test in the CSF of the patients with various CNS diseases.

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