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Article ; Online: Quality of Life in People with Diabetes Mellitus and Unilateral Transtibial Amputation - Aspects of Using the Berg Balance Scale.

Bokan, Vesna / Muzurović, Emir / Nejkov, Sonja / Rizzo, Manfredi / Papanas, Nikolaos

The international journal of lower extremity wounds

2023 , Page(s) 15347346231200768

Abstract: Approximately 40%-60% of all amputations are lower limb amputations (LLAs) related to diabetes mellitus (DM). The importance of quality of life (QoL) is increasingly recognized as after amputation. The objective of this cross-sectional study was to ... ...

Abstract	Approximately 40%-60% of all amputations are lower limb amputations (LLAs) related to diabetes mellitus (DM). The importance of quality of life (QoL) is increasingly recognized as after amputation. The objective of this cross-sectional study was to compare QoL (evaluated by Berg Balance Scale, BBS) in DM patients with unilateral transtibial amputation (TTA) using prosthesis (group A) with that of patients amputated due to other causes (group B). Overall, 32 patients completed two questionnaires: the 36-Item Health Survey (SF - 36) for QoL assessment and the Trinity Amputation and Prosthesis Experience Scale-Revised (TAPES-R). In group A, patients were significantly older (
Language	English
Publishing date	2023-09-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	2171119-7
ISSN	1552-6941 ; 1534-7346
ISSN (online)	1552-6941
ISSN	1534-7346
DOI	10.1177/15347346231200768
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Article ; Online: Experience of a small country (Montenegro) in the COVID-19 epidemic and its impact on rehabilitation.

Bokan, Vesna / Obradovic, Marija

European journal of physical and rehabilitation medicine

2020 Volume 56, Issue 3, Page(s) 367–368

MeSH term(s)	Betacoronavirus ; COVID-19 ; Communicable Disease Control/organization & administration ; Coronavirus Infections/complications ; Coronavirus Infections/epidemiology ; Coronavirus Infections/therapy ; Humans ; Montenegro/epidemiology ; Pandemics ; Pneumonia, Viral/complications ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/therapy ; Rehabilitation/organization & administration ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-05-08
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2426908-6
ISSN	1973-9095 ; 1973-9087
ISSN (online)	1973-9095
ISSN	1973-9087
DOI	10.23736/S1973-9087.20.06352-2
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Article: Herb-Induced Liver Injury by Ayurvedic Ashwagandha as Assessed for Causality by the Updated RUCAM: An Emerging Cause.

Bokan, Goran / Glamočanin, Tanja / Mavija, Zoran / Vidović, Bojana / Stojanović, Ana / Björnsson, Einar S / Vučić, Vesna

Pharmaceuticals (Basel, Switzerland)

2023 Volume 16, Issue 8

Abstract: Herb-induced liver injury (HILI) caused by herbal supplements, natural products, and products used in traditional medicine are important for differential diagnoses in patients with acute liver injury without an obvious etiology. The root ... ...

Abstract	Herb-induced liver injury (HILI) caused by herbal supplements, natural products, and products used in traditional medicine are important for differential diagnoses in patients with acute liver injury without an obvious etiology. The root of
Language	English
Publishing date	2023-08-10
Publishing country	Switzerland
Document type	Case Reports
ZDB-ID	2193542-7
ISSN	1424-8247
ISSN	1424-8247
DOI	10.3390/ph16081129
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Article: Experience of a small country (Montenegro) in the COVID-19 epidemic and its impact on rehabilitation

Bokan, Vesna / Obradovic, Marija

Eur J Phys Rehabil Med

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #209832
Database	COVID19

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Article ; Online: EFFECT OF PREOPERATIVE RESPIRATORY REHABILITATION IN PATIENTS UNDERGOING CARDIAC SURGERY.

Nejkov, Sonja / Bokan-Mirković, Vesna / Đukić-Macut, Nataša / Vuković, Marina

Acta clinica Croatica

2021 Volume 59, Issue 4, Page(s) 597–604

Abstract: The aim of the study was to evaluate the effects of preoperative respiratory rehabilitation on functional capacity, length of stay in intensive care unit (ICU), duration of mechanical ventilation (MV) and total hospitalization, as well as to estimate ... ...

Abstract	The aim of the study was to evaluate the effects of preoperative respiratory rehabilitation on functional capacity, length of stay in intensive care unit (ICU), duration of mechanical ventilation (MV) and total hospitalization, as well as to estimate arterial blood gas (ABG) values in patients undergoing cardiac surgery. Nineteen patients were included in the randomized observational study, divided into two groups: group A (intervention) and B (control). Preoperative and postoperative rehabilitation was performed in group A, and only postoperative rehabilitation in group B. Rehabilitation was carried out according to a predefined protocol. We used ABG to evaluate respiratory function, two-minute walk test (2MWT) and sit-to-stand test to assess functional capacity. The following data were obtained from medical documentation: duration of MV, length of stay at ICU, occurrence of postoperative pulmonary complications, and length of total hospitalization in both groups. Significant between-group difference was found for the length of total hospitalization and duration of MV (p<0.05 both). Analysis of the mean values of 2MWT on the last day of hospitalization (p=0.005), sit-to-stand test before surgery (p=0.022) and on the last day of hospitalization (p=0.008) showed statistically significant differences. The length of hospital stay significantly correlated with preoperative rehabilitation in group A (r=0.885; p<0.0001). There was no difference in ABG parameters between the groups. The study showed that preoperative respiratory rehabilitation had an effect on reducing duration of MV and length of total hospitalization, and improved functional capacity.
MeSH term(s)	Cardiac Surgical Procedures ; Humans ; Intensive Care Units ; Length of Stay ; Postoperative Complications ; Postoperative Period ; Respiration, Artificial
Language	English
Publishing date	2021-07-20
Publishing country	Croatia
Document type	Journal Article ; Observational Study ; Randomized Controlled Trial
ZDB-ID	1478635-7
ISSN	1333-9451 ; 0353-9466
ISSN (online)	1333-9451
ISSN	0353-9466
DOI	10.20471/acc.2020.59.04.05
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Article: Muscle weakness and other late complications of diabetic polyneuropathy.

Bokan, Vesna

Acta clinica Croatica

2011 Volume 50, Issue 3, Page(s) 351–355

Abstract: Diabetic polyneuropathy is a progressive and irreversible disease, which leads to disability, changes in functioning in daily activities, and frequent falls and injuries in diabetes patients. It is one of the major reasons for the occurrence of foot ... ...

Abstract	Diabetic polyneuropathy is a progressive and irreversible disease, which leads to disability, changes in functioning in daily activities, and frequent falls and injuries in diabetes patients. It is one of the major reasons for the occurrence of foot ulceration and amputation of lower extremities. The aim of the study was to assess the relationship between muscle weakness and other complications of diabetic polyneuropathy. The study included 71 patients with electrophysiologically confirmed diabetic polyneuropathy. Through programmed questionnaires, our methodology encompassed examination of demographic, history (duration of diabetes), clinical (neuropathic score and examination) and functional characteristics (muscle strength, foot deformity, joint mobility). Muscle weakness was assessed using a semi-quantitative score. For the purpose of analysis, patients were divided into two groups: MS 1 (muscle strength)--patients with muscle strength score 0 (normal muscle strength) and 1 (moderate muscle strength), and MS 2--patients with score 2 (severe weakness) and 3 (complete loss of strength). MS 1 group consisted of 44 patients and MS 2 group of 27 patients. Significant differences were found in the duration of diabetes between groups MS 1 and MS 2. The Neuropathy Disability Score was higher in group MS 2 (P = 0.001). Heel stand testing differed statistically significantly between MS 1 and MS 2 groups (P < 0.001). High arch was observed in 80% of MS 2 patients. Duration of diabetes of more than 10 years and muscle weakness were found to be the factors influencing the degree of severe diabetic neuropathy.
MeSH term(s)	Aged ; Ankle Joint/physiopathology ; Diabetic Neuropathies/complications ; Female ; Foot Deformities, Acquired/etiology ; Humans ; Male ; Metacarpophalangeal Joint/physiopathology ; Middle Aged ; Muscle Weakness/etiology ; Muscle Weakness/physiopathology ; Range of Motion, Articular
Language	English
Publishing date	2011-09
Publishing country	Croatia
Document type	Journal Article
ZDB-ID	1478635-7
ISSN	0353-9466
ISSN	0353-9466
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Article ; Online: Benefit of the first phase of the cardiac rehabilitation after cardiac surgery

Nejkov Sonja / Đukić-Macut Nataša / Bokan-Mirković Vesna

Praxis Medica, Vol 49, Iss 3-4, Pp 13-

2020 Volume 17

Abstract: Introduction: Cardiovascular diseases (CVD) are leading factor in global mortality and morbidity. It is the cause of 1/3 of total annual mortality, while coronary heart disease (CHD), as one of the CVD entities, is responsible for 85% of deaths worldwide. ...

Abstract	Introduction: Cardiovascular diseases (CVD) are leading factor in global mortality and morbidity. It is the cause of 1/3 of total annual mortality, while coronary heart disease (CHD), as one of the CVD entities, is responsible for 85% of deaths worldwide. The aim of the study is to show the importance of the first phase of cardiac rehabilitation (CR) in patients who are going on cardiac surgery, as well as the impact on respiratory function, the occurrence of pulmonary complications and the length of hospitalization. Methods: A sample of 18 patients was included in the randomized observer study. First phase of CR was carried out according to a predefined protocol. We used arterial blood gases (ABG) to evaluate the respiratory function, "two-minute walk test" (2MWT) to assess the functional capacity Data taken from medical documentation are the duration of mechanical ventilation (MV), the length of stay in the ICU, occurrence of the postoperative pulmonary complications and duration of total hospitalization. Results: The test sample consisted of 12 men (60.58 ± 8.33) and 6 women (66.00 ± 6.51). The mean value of CR was 6.15 ± 3.98 days and MV 19,67±11,23 hours. There were no pulmonary complications in 61,11% patients. Using ABG, a statistically significant difference was found in PO2 after extubating and at the last day in ICU (p = 0.01). 2MWT preoperatively significantly correlated with the examined on the last day of hospitalization (r = 0.648 p-value <0.001) well as the length of postoperative hospitalization and duration of mechanical ventilation (r = 0.708 p-value <0.001). Conclusion: The study showed that first phase of cardiac rehabilitation may positively affect the improvement of functional capacity.
Keywords	first phase of cardiac rehabilitation ; cardiac surgery ; functional capacity ; Medicine ; R
Subject code	610
Language	English
Publishing date	2020-01-01T00:00:00Z
Publisher	Medicinski fakultet Priština, Društvo lekara Kosova i Metohije Srpskog lekarskog društva
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: RISK FACTORS FOR DIABETIC FOOT ULCERATION-FOOT DEFORMITY AND NEUROPATHY

Vesna Bokan

Acta Medica Medianae, Vol 49, Iss 4, Pp 19-

2010 Volume 22

Abstract: Interaction of the sequels of neuropathy in the foot leads to ulcers and leg amputations in individuals with diabetes mellitus. The purpose of this study was to explore the relationship between neuropathy, foot deformity, plantar pressure and limited ... ...

Abstract	Interaction of the sequels of neuropathy in the foot leads to ulcers and leg amputations in individuals with diabetes mellitus. The purpose of this study was to explore the relationship between neuropathy, foot deformity, plantar pressure and limited joint mobility for predicting the occurrence of ulcers. A total of 20 patients, with mean age of 61 years and duration of diabetes type 2 of 12,5 (SD 6,54) years, participated in the prospective study. Inclusion factors were neuropathy, which was defined by electrophysiological examinations, and foot deformity. At follow-up, the patients were examined by performing: neuropathy disability score (NDS), measurement of the first metatarsophalangeal joint and ankle joint range of motion, estimation of foot deformity and application of 10-g monofilaments. Plantar foot pressure was measured using Rothbaler Scan System. We noted the NDS score 7,7 and SD 1,66.A significant association was found between limited mobility of the first metatarsophalangeal joint ( MTPH 1) and claw great toe deformity (75%). The loss of protective sensation is defined as insensitivity in the great toe, the first, the second and the third metatarsal heads (MTH 1, MTH 2, MTH 3). There was a significant interaction between peak plantar pressure and insensitivity in the region of the great toe and MTH 1 and MTH 3 (87%: 100%), p< 0,05.Neuropathy, foot deformity, plantar pressure and limited joint mobility are significant risk factors for development of foot ulceration.
Keywords	diabetes ; plantar pressure ; peripheral neuropathy ; Medicine ; R
Subject code	796
Language	English
Publishing date	2010-12-01T00:00:00Z
Publisher	University in Nis, Faculty of Medicine
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Effect of Preoperative Respiratory Rehabilitation in Patients Undergoing Cardiac Surgery

Sonja Nejkov / Vesna Bokan-Mirković / Nataša Đukić-Macut / Marina Vuković

Acta Clinica Croatica, Vol 59., Iss 4., Pp 597-

2020 Volume 604

Abstract	The aim of the study was to evaluate the effects of preoperative respiratory rehabilitation on functional capacity, length of stay in intensive care unit (ICU), duration of mechanical ventilation (MV) and total hospitalization, as well as to estimate arterial blood gas (ABG) values in patients undergoing cardiac surgery. Nineteen patients were included in the randomized observational study, divided into two groups: group A (intervention) and B (control). Preoperative and postoperative rehabilitation was performed in group A, and only postoperative rehabilitation in group B. Rehabilitation was carried out according to a predefined protocol. We used ABG to evaluate respiratory function, two-minute walk test (2MWT) and sit-to-stand test to assess functional capacity. The following data were obtained from medical documentation: duration of MV, length of stay at ICU, occurrence of postoperative pulmonary complications, and length of total hospitalization in both groups. Significant between-group difference was found for the length of total hospitalization and duration of MV (p<0.05 both). Analysis of the mean values of 2MWT on the last day of hospitalization (p=0.005), sit-to-stand test before surgery (p=0.022) and on the last day of hospitalization (p=0.008) showed statistically significant differences. The length of hospital stay significantly correlated with preoperative rehabilitation in group A (r=0.885; p<0.0001). There was no difference in ABG parameters between the groups. The study showed that preoperative respiratory rehabilitation had an effect on reducing duration of MV and length of total hospitalization, and improved functional capacity.
Keywords	Respiratory rehabilitation ; Aorto-coronary bypass ; Mechanical ventilation ; Arterial blood gas analysis ; Medicine ; R
Subject code	796
Language	English
Publishing date	2020-01-01T00:00:00Z
Publisher	Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: RELATIONSHIP BETWEEN INSULIN-LIKE GROWTH FACTOR TYPE 1 AND INTRAUTERINE GROWTH.

Banjac, Lidija / Kotur-Stevuljević, Jelena / Gojković, Tamara / Bokan-Mirković, Vesna / Banjac, Goran / Banjac, Gorica

Acta clinica Croatica

2020 Volume 59, Issue 1, Page(s) 91–96

Abstract: Insulin-like growth factor 1 (IGF-1) is a regulator of intrauterine growth, and circulating concentrations are reduced in intrauterine growth-restricted fetuses. The aim of our study was to investigate the relationship between IGF-1 levels in newborns ... ...

Abstract	Insulin-like growth factor 1 (IGF-1) is a regulator of intrauterine growth, and circulating concentrations are reduced in intrauterine growth-restricted fetuses. The aim of our study was to investigate the relationship between IGF-1 levels in newborns and intrauterine growth, expressed as birth weight (BW). The research was designed as a cross-sectional study. The study included 71 premature newborns, gestational age (GA) ≤33 weeks. Quantitative determination of IGF-1 was performed in the 33
MeSH term(s)	Birth Weight ; Cross-Sectional Studies ; Female ; Fetal Growth Retardation ; Gestational Age ; Humans ; Infant, Newborn ; Insulin-Like Growth Factor I/physiology ; Male
Chemical Substances	Insulin-Like Growth Factor I (67763-96-6)
Language	English
Publishing date	2020-07-25
Publishing country	Croatia
Document type	Journal Article
ZDB-ID	1478635-7
ISSN	1333-9451 ; 0353-9466
ISSN (online)	1333-9451
ISSN	0353-9466
DOI	10.20471/acc.2020.59.01.11
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