311 results match your criteria: "Clinical Center Kragujevac[Affiliation]"

Article Synopsis
  • - The study compared the effects of storing six different healthy tissue types (brain, heart, lung, liver, spleen, and kidney) at two different temperatures (-20 °C and -150 °C) for three months on tissue histomorphology and DNA quality.
  • - Results showed that tissue stored at -150 °C experienced higher levels of histomorphological damage, while tissues at -20 °C maintained better structure and had higher DNA concentration, particularly in liver samples.
  • - The findings suggest that storing tissues at -20 °C is just as effective, if not better, for preserving DNA quality and histomorphology compared to the ultra-cold -150 °C storage method.
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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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Since the end of 2019, the global spread of COVID-19 has represented a historic event that changed our way of treating patients globally. The use of long-acting injections (LAI) antipsychotics was emphasized. Our goal was to investigate the impact of COVID-19 on the frequency of prescribing LAI and compare it with a period before.

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  • * A study analyzed various volumes of VH from 66 cadavers collected 24-48 hours after death to assess DNA yield and purity using phenol‒chloroform‒isoamyl alcohol (PCI).
  • * Results indicated that DNA extracted from VH is reliable for analysis, with concentrations ranging from 6.20 to 609.5 ng/µl and can be stored for up to 6 months without significant degradation.
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Cancer patients represent a growing population with drastically difficult care and a lowered quality of life, especially due to the heightened risk of vast complications. Thus, it is well established so far that one of the most prominent complications in individuals with cancer is venous thromboembolism. Since there are various improved methods for screening and diagnosing cancer and its complications, the incidence of cancer-associated thrombosis has been on the rise in recent years.

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Intensive care units (ICUs) are expert hospital areas that provide treatment and 24 h care for people who are very sick. Sepsis represents a serious, severe condition and it can lead to septic shock and multiple organ dysfunction syndromes and is one of the most common reasons for patients' hospitalization in ICUs. We wanted to explore the prognostic values of interleukin (IL) 33, soluble suppression of tumorigenicity 2 (sST2), IL 27, and galectin 3 in critically-ill patients.

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Association of Periodontal Disease with Activity of Crohn's Disease.

Medicina (Kaunas)

December 2023

Department of Internal Medicine, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.

Article Synopsis
  • Crohn's disease (CD) is a chronic condition affecting the gastrointestinal tract, which can also lead to oral health issues like periodontal disease (PD).
  • The study assessed the relationship between the severity of CD and PD in 38 patients, using various clinical and endoscopic methods to evaluate their conditions.
  • Results showed that patients with active CD had more severe periodontal issues, emphasizing the need for regular dental check-ups for those with CD to manage oral health effectively.
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The relationship between depression and chronic obstructive pulmonary disease (COPD) is not fully understood. The comorbidity rate ranges from 18 to 84%, and depression is closely related to chronic inflammation, which affects how patients and the people around them perceive their condition. This study aims to examine the relationship between the psychophysical and social functioning of COPD patients who have been diagnosed with depression and the therapeutic benefits of selective serotonin reuptake inhibitors (SSRIs).

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Platinum-based drugs are widely recognized efficient anti-tumor agents, but faced with multiple undesirable effects. Here, four dinuclear platinum(II) complexes, [{Pt(1,2-pn)Cl}(μ-pydz)]Cl (C1), [{Pt(ibn)Cl}(μ-pydz)]Cl (C2), [{Pt(1,3-pn)Cl}(μ-pydz)]Cl (C3) and [{Pt(1,3-pnd)Cl}(μ-pydz)]Cl (C4), were designed (pydz is pyridazine, 1,2-pn is ( ±)-1,2-propylenediamine, ibn is 1,2-diamino-2-methylpropane, 1,3-pn is 1,3-propylenediamine, and 1,3-pnd is 1,3-pentanediamine). Interactions and binding ability of C1-C4 complexes with calf thymus DNA (CT-DNA) has been monitored by viscosity measurements, UV-Vis, fluorescence emission spectroscopy and molecular docking.

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Background: Recently, case reports of priapism associated with the use of some anti-seizure medications began to emerge in the literature. We aimed to investigate if there is a potential safety signal of priapism among individual anti-seizure medications and to search the literature for relevant published cases.

Research Design And Methods: We conducted a disproportionality analysis using OpenVigil 2.

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The Influence of Treatment Modalities on the Quality of Life of Psoriasis Patients.

Iran J Public Health

September 2023

Department of Dermatovenereology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.

Background: We aimed to identify the quality of life (QoL) of patients with psoriasis, to determine the possible differences depending on the therapeutic modalities (biologic, conventional treatment and phototherapy), and to examine other variables that could affect the success of the treatment.

Methods: This research was a non-experimental, quantitative, observational study that included 183 psoriasis patients. The study was conducted from November 2021 to December 2022 at the University Clinical Center Kragujevac, Serbia.

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Purpose: The Phenotypes of COPD in Central and Eastern Europe (POPE) study assessed the prevalence and clinical characteristics of four clinical COPD phenotypes, but not mortality. This retrospective analysis of the POPE study (RETRO-POPE) investigated the relationship between all-cause mortality and patient characteristics using two grouping methods: clinical phenotyping (as in POPE) and Burgel clustering, to better identify high-risk patients.

Patients And Methods: The two largest POPE study patient cohorts (Czech Republic and Serbia) were categorized into one of four clinical phenotypes (acute exacerbators [with/without chronic bronchitis], non-exacerbators, asthma-COPD overlap), and one of five Burgel clusters based on comorbidities, lung function, age, body mass index (BMI) and dyspnea (very severe comorbid, very severe respiratory, moderate-to-severe respiratory, moderate-to-severe comorbid/obese, and mild respiratory).

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Introduction: This study aimed to determine the prevalence of multidrug-resistant Gram-negative bacteria (GNB) from blood cultures in a tertiary-care hospital and the multiplex PCR assay's ability to detect resistance genes.

Methods: A total of 388 GNB isolates obtained from hospitalized patients between November 2019 and November 2021 were included in the study. Antimicrobial susceptibility testing was done by VITEK 2 system and broth microdilution method.

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Article Synopsis
  • Vaccination is essential for controlling COVID-19, but hesitancy is a challenge, especially among patients with severe asthma; this study explores their vaccination experiences.
  • A questionnaire was distributed to patients with severe asthma across 12 European countries, revealing that 88% of participants had been or planned to be vaccinated, while 9.5% hesitated and 3% refused; beliefs about vaccines influenced these decisions.
  • Most patients reported mild or no side effects and noted minimal impact on asthma symptoms post-vaccination, with nearly all vaccinated individuals recommending the vaccine to others in their situation.
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Comprehensive dissection of prevalence rates, sex differences, and blood level-dependencies of clozapine-associated adverse drug reactions.

Psychiatry Res

December 2023

Department of Psychiatry, University Medical Center Utrecht, Utrecht, the Netherlands; Department of Translational Neuroscience, University Medical Center Utrecht, Utrecht, the Netherlands,; GGNet, Warnsveld, the Netherlands; Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Centre, Maastricht, the Netherlands.

Clozapine is often underused due to concerns about adverse drug reactions (ADRs) but studies into their prevalences are inconclusive. We therefore comprehensively examined prevalences of clozapine-associated ADRs in individuals with schizophrenia and demographic and clinical factors associated with their occurrence. Data from a multi-center study (n = 698 participants) were collected.

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Pancreatic Ductal Adenocarcinoma (PDAC) remains one of the most challenging malignancies to treat, with a complex interplay of molecular pathways contributing to its aggressive nature. Galectin-1 (Gal-1), a member of the galectin family, has emerged as a pivotal player in the PDAC microenvironment, influencing various aspects from tumor growth and angiogenesis to immune modulation. This review provides a comprehensive overview of the multifaceted role of Galectin-1 in PDAC.

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We present a case of a 42-year-old man who suffered an iatrogenic injury to his left circumflex (Cx) coronary artery after mitral valve (MV) repair surgery. After the patient suffered from myocardial infarction without ST-segment elevation following minimally invasive MV surgery, we performed repeated coronary angiography and optical coherence tomography (OCT), which revealed severe coronary stenosis of the dominant Cx caused by intramural hematoma. In addition, we proceeded with percutaneous coronary intervention and stent implantation.

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Inflammatory diseases are a group of debilitating disorders with varying degrees of long-lasting functional impairment of targeted system. New therapeutic agents that will attenuate on-going inflammation and, at the same time, promote regeneration of injured organ are urgently needed for the treatment of autoimmune and inflammatory disorders. During the last decade numerous studies have demonstrated that crucial therapeutic benefits of mesenchymal stem cells (MSCs) in inflammatory diseases are based on the effects of MSC-produced paracrine mediators and not on the activity of engrafted cells themselves.

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Breast cancer is characterized by the uncontrolled proliferation of breast cells, with a high incidence reported in 2020 to have affected over 2 million women. In recent years, the conventional methods of treating breast cancer have involved radiotherapy and chemotherapy. However, the emergence of CDK4/6 inhibitors has shown potential as a promising cancer therapy.

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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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Factors associated with gastrointestinal dysmotility in critically ill patients.

Open Med (Wars)

October 2023

Department of Pharmacology and Toxicology, Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovića 69, 34000 Kragujevac, Serbia.

Article Synopsis
  • Critical illness can impair the gastrointestinal tract's functions, potentially leading to gastrointestinal dysmotility in seriously ill patients.
  • A study of 185 ICU patients identified significant risk factors for dysmotility, including acute kidney injury, recent abdominal surgery, mechanical ventilation, age, and certain medications like opioids and antidepressants.
  • Understanding these risk factors is essential for implementing preventative measures to improve recovery outcomes in critically ill patients.
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Treatment of Ulcerative Colitis: Impact on Platelet Aggregation.

Medicina (Kaunas)

September 2023

Department of Internal Medicine, Faculty of Medical Sciences, University of Kragujevac, Svetozar Markovic Street 69, 34000 Kragujevac, Serbia.

Article Synopsis
  • Ulcerative colitis (UC) is a chronic inflammation of the colon that can lead to increased risks of blood clots due to platelet activation.
  • A study with 94 newly diagnosed UC patients explored how different treatments (infliximab, adalimumab, vedolizumab, and azathioprine) affect platelet aggregation.
  • Results showed all treatments reduced platelet aggregation, with infliximab being the most effective, suggesting that managing UC could also lower cardiovascular risks by decreasing blood clot formation.
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Epidemiology of Hip Fractures Due to Falls.

Medicina (Kaunas)

August 2023

Department of Epidemiology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.

The epidemiological pattern of the hip fracture burden attributable to falls in Central European countries is still insufficiently known. The aim of this study was to assess the regional and national trends of hip fractures due to falls in Central Europe from 1990 to 2019. : Using the Global Burden of Disease (GBD) 2019 study, this descriptive epidemiological study presents trends in incidence of and Years Lived with Disability (YLDs) from hip fractures due to falls in the region of Central Europe.

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Background: Atopic dermatitis is a major public health issue worldwide, but data on trends in prevalence in children in European countries are sparse. The aim of this study was to assess the trends in the prevalence of atopic dermatitis in children under 5 in the Central, Eastern, and Western European sub-regions from 1990 to 2019.

Methods: In this study, a descriptive, observational epidemiological method was applied.

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