188 results match your criteria: "Clinical Centre Nis[Affiliation]"

Article Synopsis
  • The report analyzes data on the treatment of peripheral artery disease (PAD) in Serbia, focusing on factors like sex differences, types of revascularization, and associated health outcomes.
  • A total of 1681 PAD patients from 27 hospitals were evaluated, revealing that men represented a larger portion of the patient group and had a higher likelihood of undergoing surgical treatments compared to women.
  • The findings underscore the significance of diabetes and smoking in PAD progression, highlighting increased risks for complications and mortality, especially in diabetic patients, while suggesting that certain treatments may lower the need for more invasive procedures like major amputations.
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Methods for Human Reliability Analysis in Dentistry.

Qual Manag Health Care

October 2024

Author Affiliations: Faculty of Occupational Safety, University of Nis (Mr Bijelic, Mr Grozdanovic, and Dr Jovanovic); and Clinical Centre Nis (Mr Grozdanovic), Nis, Serbia.

Human error (HE) is one of the main causes of accidents in different organizations and industries. Dentistry is a medical branch with a high risk of error since it involves complex manual tasks that must be performed with a high degree of accuracy. To understand the various aspects of HE in dentistry, which is crucial for developing strategies to mitigate its impact on patients' safety, it is necessary to perform a human reliability analysis (HRA).

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Article Synopsis
  • - The text discusses Non-alcoholic fatty liver disease (NAFLD), recently called metabolic dysfunction-associated steatotic liver disease (MASLD), which affects about 30% of the global population and currently lacks optimal treatment options.
  • - The objective is to assess the effects of vitamin E, both alone and in combination with other vitamins or minerals, compared to placebo on individuals with NAFLD, using rigorous guidelines for selecting clinical trials.
  • - The study evaluates various outcomes, focusing on mortality rates and serious health impacts while also assessing the risk of bias and the quality of evidence through established Cochrane research methods.
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Endometriosis and hyperprolactinaemia are conditions that might lead to infertility as a consequence. The aim of this article was to present the current knowledge about possible relationships between prolactin/hyperprolactinaemia and endometriosis-related infertility. Experimental studies on local prolactin acting as cytokine and relationship of prolactin and endometriotic tissue, as well as clinical studies on hyperprolactinaemia and endometriosis-related infertility suggest the possible role of prolactin in endometriosis-related infertility, but final proof is still missing and the exact pathogenesis of infertility in such cases is still under investigation.

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Oncofertility is an extremely significant topic that is increasingly being discussed owing to increased evidence indicating that fertility preservation does not affect the treatment outcomes of patients with cancer but significantly contributes to preserving life quality. The effect of chemotherapy can range from minimal effects to complete ovarian atrophy. Limited data are available on the effects of monoclonal antibodies and targeted therapies on the ovaries and fertility.

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Context: There are evidences that excessive production of reactive oxygen species is one of important abnormalities that contribute to development of chronic diabetic complications.

Objective: To test the effect of intensive insulin therapy with analogues through the examining the level of oxidative stress parameters.

Subjects And Methods: Comparison of data obtained by prospective analysis in 49 patients with T1DM was used, before and after six months of intensive insulin analog therapy.

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Background: Recent evidence brought by novel anti-human epidermal growth factor receptor 2 (HER2) antibody-drug conjugates is leading to significant changes in HER2-negative breast cancer (BC) best practices. A new targetable category termed 'HER2-low' has been identified in tumors previously classified as 'HER2-negative'. Daily practice in pathology and medical oncology is expected to align to current recommendations, but patient access to novel anticancer drugs across geographies might be impeded due to local challenges.

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Choosing a COVID-19 vaccination site might be driven by anxiety and body vigilance.

Open Med (Wars)

May 2024

Center for Mental Health Protection, Department for Diagnose and Treatment, University Clinical Center, 18000 Niš, Serbia.

Background: The occurrence of COVID-19 led to the rapid development of several vaccines which were distributed around the world. Even though there had been a vast amount of information about both virus and vaccination, this process was potentially related to increased anxiety and thus affected the vaccination process.

Objective: The present study examined anxiety levels and body vigilance in subjects reporting for COVID-19 vaccination at different vaccination sites.

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Microglia are key players in the brain's innate immune response, contributing to homeostatic and reparative functions but also to inflammatory and underlying mechanisms of neurodegeneration. Targeting microglia and modulating their function may have therapeutic potential for mitigating neuroinflammation and neurodegeneration. The anti-inflammatory properties of essential oils suggest that some of their components may be useful in regulating microglial function and microglial-associated neuroinflammation.

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Introduction: Burnout syndrome develops as a consequence of chronic stress among employees. The study objective was to examine what socio-descriptive characteristics of employees might be associated with the appearance of the occupational burnout and to evaluate the relationship between job burnout and the quality of life among security employees of the professional private security sector in Central Serbia.

Methods: A multicenter cross-sectional questionnaire-based study was performed.

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Introduction: The polymorphism of the gene coding mu-opioid receptor () is one of the factors contributing to the variability in the response to opioid analgesics in children. The goal of this study is to investigate its role in association with postoperative acute pain in children of various ages.

Methods: This prospective study analyzed 110 pediatric patients, after plastic or orthopedic surgery, who were genotyped and randomly assigned to receive fentanyl or alfentanil.

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The contribution of certain occupational and personal factors to the development of carpal tunnel syndrome (CTS) is still uncertain. We investigated which specific occupational and non-occupational factors correlate with the level of clinical manifestations and work disability related to CTS. The study included 190 workers who work with a computer and have diagnosed CTS (100 men, 90 women, aged 20-65 years).

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Summary Of Background: Dementia is among the leading causes of death and disability worldwide, having a major impact not only on the affected person but also on all of society. The Internet is a popular and growing source of health-related information for patients, family members, carriers, and physicians. TikTok, one of the most popular social media platforms, is an important source for knowledge access and adoption.

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Long-term exposure to amiodarone, an antiarrhythmic drug, can induce different organ damage, including liver. Cell damage included by amiodarone is a consequence of mitochondrial damage, reactive oxygen species production, and cell energy depletion leading to programmed cell death. In the present study, hepatoprotective potential of neurohormone melatonin (50 mg/kg/day) was evaluated in a chronic experimental model of liver damage induced by a 4-week application of amiodarone (70 mg/kg/day).

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Seizure or syncope: Is the history-based scale feasible to use in an emergency department setting?

Australas Emerg Care

June 2024

Clinic of Neurology, University Clinical Centre Niš, Serbia; Faculty of Medicine, University of Niš, Serbia.

Background: This study aimed to assess the efficacy of a screening questionnaire, based on historical criteria, in distinguishing between seizures and syncope in patients experiencing their first episode of transient loss of consciousness (TLOC) in a neurology emergency department.

Methods: A prospective cohort of 159 patients with initial TLOC episodes underwent clinical observation and answered a nine-question screening questionnaire. The questionnaire's predictive ability was compared to final diagnoses determined through detailed neurology, electrophysiology, and cardiology assessments during a minimum 12-month follow-up.

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Galectin-3 as a Prognostic Biomarker in Patients with First Acute Myocardial Infarction without Heart Failure.

Diagnostics (Basel)

October 2023

Department of Internal Medicine-Cardiology, Medical Faculty, University of Nis, Bulevar dr Zorana Djindjica 81, 18000 Nis, Serbia.

Article Synopsis
  • - Galectin-3 (Gal-3) is a biomarker linked to various diseases, particularly for assessing risks after acute myocardial infarction (AMI), which is a type of heart attack, helping doctors improve patient survival and quality of life.
  • - In a study of 59 AMI patients, Gal-3 levels were measured within 24 hours of symptom onset, and results showed that higher levels of Gal-3 from the aortic root and femoral/radial artery predicted bad outcomes (major adverse cardiovascular events) at a six-month follow-up.
  • - The research found that Gal-3 measurements from the aortic root were more effective in predicting risks than those from other sites, making it a crucial prognostic biomarker
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Background: Chronic heart failure (CHF) is a severe condition, often co-occurring with depression and anxiety, that strongly affects the quality of life (QoL) in some patients. Conversely, depressive and anxiety symptoms are associated with a 2-3 fold increase in mortality risk and were shown to act independently of typical risk factors in CHF progression. The aim of this study was to examine the impact of depression, anxiety, and QoL on the occurrence of rehospitalization within one year after discharge in CHF patients.

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Background: Some variations of the cerebral arterial circle (CAC) are associated with an increased risk for the development of various pathological conditions. This paper aimed to determine the prevalence of hypoplastic arteries of CAC and to emphasize the limited possibility of their visualization by computed tomography angiography (CTA).

Materials And Methods: The research was performed on 400 adult cadavers by macro- and microdissection of the cerebral arteries.

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Rationale: Monomelic amyotrophy is a rare form of motor neuron disease in which the neurogenic atrophy is restricted to 1 limb, mostly the distal part of the arm. The disease most often occurs in Asia, especially in Japan and India, while in European countries, this disease is rarely recognized. Registration and publication of new cases of this disease aims to increase the awareness of clinicians about the existence of this disease in European countries, and with the aim of easier recognition and faster diagnosis of this essentially benign disorder.

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Previous research has shown different effects of hematological malignancies on the outcome of patients with COVID-19 infection depending on the type of disease and the treatment received. This research was aimed at examining the clinical outcome of COVID-19 infection in positive patients with chronic myeloid leukemia treated with tyrosine kinase inhibitors. We collected retrospective information on chronic myeloid leukemia patients who were treated and monitored in our institution during the pandemic period.

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Background: Lentigo maligna/lentigo maligna melanoma (LM/LMM) is usually diagnosed in older patients, when lesions are larger. However, it is important to detect it at an earlier stage to minimize the area for surgical procedure.

Objectives: To determine and define clinical, dermoscopic and reflectance confocal microscopy (RCM) features of LM/LMM in patients < 50 years old.

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Background: Peripheral arterial disease (PAD) and diabetes are the major causes of lower extremity amputations (LEAs) worldwide. Morbidity and mortality in patients with LEAs are high with an associated significant burden on the global health system. The aim of this article is to report the overall morbidity and mortality rates after major and minor LEAs from the Serbian Vascular Registry (SerbVasc), with an analysis of predictive factors that influenced adverse outcomes.

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Background Neurocysticercosis is significant due to its high prevalence and considerable morbidity and mortality. The intraventricular form of NCC is less common than parenchymal, may have a rapidly progressive course and it requires a corresponding therapeutic response. Despite the extensive literature dealing with NCC and intraventricular cystic lesions, no systematic reviews have addressed similar work related to the clinical course and treatment of the infestation.

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