63 results match your criteria: "Clinical Center Banja Luka[Affiliation]"

Background: Early mortality assessment in acute pulmonary embolism (PE) is crucial for treatment decisions. The role of natriuretic peptides in this context is debated. This study explores elevated B-type natriuretic peptide (BNP) levels, relative to the upper normal limit (UNL), predicting mortality in PE, comparing with troponin (Tn).

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Article Synopsis
  • The study analyzed mortality rates and timing of deaths in patients with acute pulmonary embolism (aPE) based on risk levels determined at hospital admission.
  • Patients were divided into four risk strata following ESC criteria, and data was collected from 1618 patients diagnosed with aPE using CT pulmonary angiography.
  • The findings revealed that high-risk patients experienced significant PE-related deaths within the first day of hospitalization, but many also had PE deaths occurring after the first six days, highlighting the need for ongoing monitoring.
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This study aimed to assess the prognostic significance of total leukocyte count (TLC) and hemoglobin (Hb) levels upon admission for patients with acute pulmonary embolism (PE), considering the European Society of Cardiology (ESC) model for mortality risk. 1622 patients from a regional PE registry were included. Decision tree statistics were employed to evaluate the prognostic value of TLC and Hb, both independently and in conjunction with the ESC model.

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Background: Patients with acute pulmonary embolism (PE) may have various types of atrial fibrillation (AF). The role of AF in hemodynamic states and outcomes may differ between men and women.

Methods: In total, 1600 patients (743 males and 857 females) with acute PE were enrolled in this study.

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Background: The incidence of the signs and symptoms of acute pulmonary embolism (PE) according to mortality risk, age and sex has been partly explored.

Patients And Methods: A total of 1242 patients diagnosed with acute PE and included in the Regional Pulmonary Embolism Registry were enrolled in the study. Patients were classified as low risk, intermediate risk or high risk according to the European Society of Cardiology mortality risk model.

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Background: Deep vein thrombosis (DVT) can be symptomatic or asymptomatic in patients with acute pulmonary embolism (PE). The prognostic value of the symptomatic DVT at the presentation regarding the prognosis of PE is unknown.

Methods: Data were extracted from the REgional Pulmonary Embolism Registry (REPER) which enrolled 1604 hospitalized patients after multidetector computed tomography (MDCT) diagnosed symptomatic acute PE.

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Position Paper on the Management of Pregnancy-Associated Superficial Venous Thrombosis. Balkan Working Group for Prevention and Treatment of Venous Thromboembolism.

Clin Appl Thromb Hemost

March 2022

Sorbonne University, INSERM, UMR_S 938, Research Group "Cancer, Biology and Therapeutics - Cancer, Haemostasis, Angiogenesis" Centre de recherche Saint-Antoine (CRSA), Institut Universitaire de Cancérologie, Paris, France.

Venous thromboembolism (VTE) is a multifactorial disease that can possibly affect any part of venous circulation. The risk of VTE increases by about 2 fold in pregnant women and VTE is one of the major causes of maternal morbidity and mortality. For decades superficial vein thrombosis (SVT) has been considered as benign, self-limiting condition, primarily local event consequently being out of scope of well conducted epidemiological and clinical studies.

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Predictive value of admission glycemia in diabetics with pulmonary embolism compared to non-diabetic patients.

Acta Diabetol

May 2022

Clinic of Cardiology and Emergency Internal Medicine, Military Medical Academy, School of Medicine, University of Defense, Belgrade, Serbia.

Article Synopsis
  • - The study aimed to explore how admission glucose levels relate to short-term in-hospital death rates and major bleeding in patients with pulmonary embolism (PE), distinguishing between those with and without type 2 diabetes mellitus (DMT2).
  • - Researchers analyzed 1165 PE patients, categorizing them based on admission glucose levels and diabetes status; they found that higher glucose levels were linked to significantly higher mortality rates in patients with DMT2.
  • - The results showed that DMT2 patients had higher overall and PE-related mortality compared to non-DMT2 patients, particularly those in the highest glucose quartile, highlighting the need for close monitoring of glucose levels in these patients.
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BACKGROUND Providing oncology services during a pandemic can contribute to mental health challenges among healthcare workers. The present study aimed to evaluate the levels of depression, anxiety, and stress in healthcare and administrative staff in 5 oncology institutions in Bosnia and Herzegovina (BiH) in 2020 during the coronavirus disease 2019 (COVID-19) pandemic using the Depression, Anxiety and Stress Scale (DASS-21) questionnaire. MATERIAL AND METHODS A cross-sectional observational study enrolled 175 healthcare and administrative workers from 5 oncology institutions in BiH during December 2020.

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Background And Aim Of The Work: The incidence of long bone non-unions has been estimated to range between 5-10%. Nonunion of fracture is a delayed complication of fracture. A large bone resection, associated with Ilizarov's osteo-distraction technique, is commonly used in these cases.

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Article Synopsis
  • The study evaluates adult congenital heart disease (ACHD) services in 19 countries within Central and South Eastern Europe (CESEE), revealing that most have established ACHD centres with a median patient follow-up of 2114.
  • Despite adequate infrastructure, there's a shortage of specialists and nurses, with 75% of centres lacking dedicated ACHD nursing staff.
  • Financial limitations, including government reimbursement caps, result in patient waiting lists and restrict the number of procedures, highlighting the need for increased advocacy and resources to improve care across the region.
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Aims: This study aimed to investigate whether the risk of short-term mortality is different in pulmonary embolism (PE) patients who have heart failure with reduced ejection fraction (HFrEF) as compared with those with heart failure with preserved ejection fraction (HFpEF).

Methods And Results: Predictive value of HFrEF or HFpEF for 7-day (intrahospital) and 30-day all-cause mortality was determined in the cohort of 1055 out of 1201 consecutive acute PE patients from the Serbian multicentre PE registry. Patients were classified into either HFrEF or HFpEF group, according to guideline-proposed criteria.

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Objective: To evaluate memory in patients with drug-resistant epilepsy.

Methods: Following an examination, 50 patients were diagnosed in accordance with the 2005 proposal of the International League Against Epilepsy and the definition of drug-resistant epilepsy from 2010. The neuropsychological examination used the Wechsler Memory Scale.

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Sex-related difference in the prognostic value of syncope for 30-day mortality among hospitalized pulmonary embolism patients.

Clin Respir J

July 2020

Clinic for Cardiology and Emergency Internal Medicine, Military Medical Academy, School of Medicine, University of Defense, Belgrade, Serbia.

Introduction: Recent studies report that syncope is not a significant predictor of 30-day mortality in pulmonary embolism (PE) patients, yet some data suggest sex-related differences may be relevant.

Objectives: To evaluate sex-specific prediction significance of syncope for 30-day mortality in PE patients.

Methods: A multicentric, retrospective, observational, registry-based study on consecutive PE patients was undertaken.

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Background: Acute pulmonary embolism (PE), due to hemodynamic disturbances, may lead to multi-organ damage, including acute renal dysfunction. The aim of our study was to investigate the predictive role of renal dysfunction at admission regarding the short-term mortality and bleeding risk in hospitalized PE patients.

Methods: The retrospective cohort study included 1330 consecutive patients with PE.

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Recurrent Guillain-Barré Syndrome - Case Series.

Neurol India

June 2020

Neurology Clinic, Clinical Center of Serbia, School of Medicine, University of Belgrade, Dr Subotica 6, Belgrade, Serbia.

Recurrent Guillain-Barré syndrome (RGBS) episodes appear in up to 6% of Guillain-Barré syndrome (GBS) patients. The purpose of this study was to identify patients with previous episodes of GBS and to assess their clinical features in a large cohort of adult GBS patients. GBS patients hospitalized at tertiary centers in three Balkan countries were included in the study (n = 404).

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Introduction: Floating knee is a flail knee joint resulting from fractures of the shafts or adjacent metaphyses of the femur and the ipsilateral tibia. It is usually associated with several complications and mortality. This study was designed to present our experience with the treatment of this injury.

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Body composition analysis in patients with myotonic dystrophy types 1 and 2.

Neurol Sci

May 2019

Neurology Clinic, Clinical Center of Serbia, School of Medicine, University of Belgrade, 6, Dr. Subotic Street, Belgrade, 11000, Serbia.

Introduction: To date, there are only several reports on body composition in myotonic dystrophy type 1 (DM1) and there are no data for myotonic dystrophy type 2 (DM2). The aim was to analyze body composition of patients with DM1 and DM2, and its association with socio-demographic and clinical features of the diseases.

Methods: There were no statistical differences in sociodemographic features between 20 DM1 patients and 12 DM2 patients.

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Biomarkers for the prediction of early pulmonary embolism related mortality in spontaneous and provoked thrombotic disease.

Clin Chim Acta

May 2019

Clinic of Cardiology and Emergency Internal Medicine, Military Medical Academy, Belgrade, Serbia; School of Medicine, University of Defense, Belgrade, Serbia. Electronic address:

Factors associated with provoked PE may influence a biomarker's predictive value for the primary outcome. The aim of this study was to investigate the value of BNP, cTnI, CRP and D-Dimer measurements taken soon after hospital admission for the prediction of 30-day PE-caused death in patients with spontaneous versus provoked PE.Data were extracted from a pool of 726 consecutive PE patients enrolled in the multicenter Serbian PE registry.

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The Publisher regrets that this article is an accidental duplication of an article that has already been published in Injury, 50(2) (2019) 453–461, https://doi.org/https://doi.org/10.

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Changing Diagnostic Category in Development Psychiatry.

Psychiatr Danub

September 2018

Department of Child and Adolescent Psychiatry, University Clinical Center Banja Luka, Mačvanska 17, Banja Luka, Bosnia and Herzegovina,

Introduction: Many children and adolescents have mental problems that undermine their normal development and functioning. It is estimated that about 10% of children and adolescents suffer from mental disorders at a sufficiently severe level to cause some degree of damage and require treatment.

Aim: The aim of this paper is to determine whether there have been changes in the diagnostic categories in developmental psychiatry in children and adolescents treated at the Department for Children and Adolescent Psychiatry for the last fifteen years.

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Unlabelled: A majority of patients with Guillain-Barré syndrome (GBS) have tendency of a good recovery. Our aim was to evaluate the outcome of the disease 1 and 3 years after GBS symptom onset.

Methods: During 2014, GBS was diagnosed in 82 patients in seven tertiary healthcare centers.

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To date, generic questionnaires have been used to investigate quality of life (QoL) in chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) patients. Although these measures are very useful, they are not usually precise enough to measure all specific characteristics of the disease. Our aim was to investigate QoL using the neuromuscular disease-specific questionnaire (individualized neuromuscular quality of life, INQoL) in a large cohort of patients with CIDP.

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Background: Dihydroergotamine or ergotamine are the most effective preparations for aborting acute attacks of migraine without aura.

Objective: The aim of our study was to compare the efficacy and safety of ergotamine based five-component drug combination and sumatriptan in the treatment of moderate to severe acute attacks of migraine without aura.

Methods: The study was designed as a randomized, double-blind, double-dummy, placebo-controlled, parallel arm, multi-center clinical trial.

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