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  1. Article: Evaluation of Clinical and Genetic Determinants of Treatment OutCome In EGFR Mutation Positive Advanced Lung Adenocarcinoma.

    Jokic, Vera / Savic-Vujovic, Katarina / Spasic, Jelena / Bukumiric, Zoran / Marinkovic, Mladen / Radosavljevic, Davorin / Cavic, Milena

    Dose-response : a publication of International Hormesis Society

    2022  Volume 20, Issue 3, Page(s) 15593258221117354

    Abstract: Background: The aim of this research was to evaluate clinical and low-cost genetic determinants of treatment outcome in : Material and methods: EGFR: Results: Patients were treated with EGFR-TKIs for a period of 1-39months (median 9), with a ... ...

    Abstract Background: The aim of this research was to evaluate clinical and low-cost genetic determinants of treatment outcome in
    Material and methods: EGFR
    Results: Patients were treated with EGFR-TKIs for a period of 1-39months (median 9), with a median PFS of 12.0 months (10.4-13.6, CI 95%), and a median OS of 19.0 months (15.1-22.7, CI 95%). The presence of pain was significantly correlated with the existence of bone (
    Conclusions: EGFR
    Language English
    Publishing date 2022-08-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2440820-7
    ISSN 1559-3258
    ISSN 1559-3258
    DOI 10.1177/15593258221117354
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: An update on atrial fibrillation: focus on stroke risk reduction strategies.

    Potpara, T / Jokic, V / Medic, B / Prostran, M / Lip, G

    Minerva medica

    2015  Volume 106, Issue 5, Page(s) 259–273

    Abstract: Atrial fibrillation (AF) currently affects approximately 2% of the general adult population, and the number of patients suffering from AF constantly increases. Although the occurrence of AF rarely poses an immediate threat to patient's survival, the ... ...

    Abstract Atrial fibrillation (AF) currently affects approximately 2% of the general adult population, and the number of patients suffering from AF constantly increases. Although the occurrence of AF rarely poses an immediate threat to patient's survival, the arrhythmia is associated with significant cardiovascular morbidity and mortality mostly resulting from ischemic stroke or systemic thromboembolism, or heart failure. Overall, patients with AF have a 5-fold greater risk of stroke compared to individuals in sinus rhythm, but individual stroke risk depends on the presence of various stroke risk factors, and optimal stroke prevention is essential for AF patients. Several major advances in AF-related stroke prevention have been achieved recently, including the refinements in stroke and bleeding risk assessment with an essential shift in the recognition of AF patients who should be offered oral anticoagulant (OAC) therapy, the advent of non-vitamin K antagonist oral anticoagulants (NOACs) which are increasingly used in the "real-world" setting, as well as the development of non-pharmacological means of thromboprophylaxis in AF patients (e.g., left atrial appendage [LAA] occluding devices). In this review article, we summarize these recent developments in stroke risk reduction strategies and discuss the main principles of decision-making regarding OAC therapy in AF patients.
    Language English
    Publishing date 2015-10
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 123586-2
    ISSN 1827-1669 ; 0026-4806
    ISSN (online) 1827-1669
    ISSN 0026-4806
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Hematological parameters in EGFR-mutated advanced NSCLC patients treated with TKIs: predicting survival and toxicity.

    Jokic, Vera / Savic-Vujovic, Katarina / Spasic, Jelena / Stanic, Nemanja / Marinkovic, Mladen / Radosavljevic, Davorin / Cavic, Milena

    Expert review of anticancer therapy

    2021  Volume 21, Issue 6, Page(s) 673–679

    Abstract: ... ...

    Abstract Background
    MeSH term(s) Carcinoma, Non-Small-Cell Lung/drug therapy ; Carcinoma, Non-Small-Cell Lung/genetics ; ErbB Receptors/genetics ; Humans ; Lung Neoplasms/drug therapy ; Lung Neoplasms/genetics ; Mutation ; Protein Kinase Inhibitors/adverse effects ; Retrospective Studies
    Chemical Substances Protein Kinase Inhibitors ; EGFR protein, human (EC 2.7.10.1) ; ErbB Receptors (EC 2.7.10.1)
    Language English
    Publishing date 2021-03-01
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2112544-2
    ISSN 1744-8328 ; 1473-7140
    ISSN (online) 1744-8328
    ISSN 1473-7140
    DOI 10.1080/14737140.2021.1893694
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Measurement uncertainty estimation of health risk from exposure to natural radionuclides in soil

    Spasic Jokic, Vesna / Zupunski, Ljubica / Zupunski, Ivan

    Measurement. 2013 Oct., v. 46, no. 8

    2013  

    Abstract: Cancer mortality risk were estimated due to external exposure to ⁴⁰K in soil. Uncertainty estimation was performed for the risk considered as a measurand. It was presented uncertainty estimation using two methods. One method is based on the Guide to the ... ...

    Abstract Cancer mortality risk were estimated due to external exposure to ⁴⁰K in soil. Uncertainty estimation was performed for the risk considered as a measurand. It was presented uncertainty estimation using two methods. One method is based on the Guide to the Expression of Uncertainty in Measurement Framework (GUF) and other represents Monte Carlo method. For the Monte Carlo method, the mean of the obtained distribution that represents mortality cancer risk estimation, due to one year exposure to ⁴⁰K with mean activity concentration of 708Bq/kg in soil, is 12.9×10⁻⁶ with 90% confidential interval (k≈1.64) of (4.7–25.5)×10⁻⁶. According to GUF the mean value is estimated as 10.9×10⁻⁶, with 90% confidential interval of (0.9–20.8)×10⁻⁶. Uncertainty of assessed risk obtained by numerical simulation is slightly different with asymmetrical boundaries related to the mean value, comparing to the uncertainty estimated using GUF.
    Keywords Monte Carlo method ; mathematical models ; mortality ; radionuclides ; risk ; risk estimate ; soil ; uncertainty
    Language English
    Dates of publication 2013-10
    Size p. 2376-2383.
    Publishing place Elsevier Ltd
    Document type Article
    ZDB-ID 2000550-7
    ISSN 0263-2241
    ISSN 0263-2241
    DOI 10.1016/j.measurement.2013.04.019
    Database NAL-Catalogue (AGRICOLA)

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  5. Article: [Consequences of the Chernobyl disaster in the region of the Republic of Serbia].

    Popović, Dragana / Spasić-Jokić, Vesna

    Vojnosanitetski pregled

    2006  Volume 63, Issue 5, Page(s) 481–487

    MeSH term(s) Cesium Radioisotopes/analysis ; Chernobyl Nuclear Accident ; Humans ; Radiation Dosage ; Radioactive Fallout ; Yugoslavia
    Chemical Substances Cesium Radioisotopes ; Radioactive Fallout
    Language Serbian
    Publishing date 2006-05-15
    Publishing country Serbia
    Document type Journal Article
    ZDB-ID 123795-0
    ISSN 0042-8450
    ISSN 0042-8450
    DOI 10.2298/vsp0605481p
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Hyperthermic intrathoracic chemotherapy (HITHOC) in ovarian carcinoma - a propos of a case.

    Stojiljkovic, Dejan / Nikolic, Srdjan / Cvetkovic, Ana / Jokic, Vladimir / Spurnic, Igor / Jokic, Stevan / Goran, Merima / Kocic, Milan / Miletic, Nebojsa / Filipovic, Jovan / Stojiljkovic, Tanja / Lukac, Branislav

    Journal of B.U.ON. : official journal of the Balkan Union of Oncology

    2019  Volume 23, Issue 7, Page(s) 153–155

    Abstract: A female patient aged 42, started chemotherapy for advanced ovarian carcinoma in June 2016. Considering intraoperative findings, cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC) were performed, followed by adjuvant ... ...

    Abstract A female patient aged 42, started chemotherapy for advanced ovarian carcinoma in June 2016. Considering intraoperative findings, cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC) were performed, followed by adjuvant chemotherapy. In March 2018, computed tomography (CT) examination showed disease progression in the form of pleural carcinomatosis with increased levels of tumor markers. In April 2018, total parietal pleurectomy, partial visceral pleurectomy, and then hyperthermic intrathoracic chemotherapy (HITHOC) with cisplatin were performed. The procedure was uneventful, as was the postoperative course. The patient was discharged on the 13th postoperative day with no major postoperative complications. Three months after surgery, CT showed no signs of disease relapse. Since this is a relatively new method of treating pleural carcinomatosis, real results are to be expected with larger series of patients and longer postoperative follow-up.
    MeSH term(s) Adult ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Chemotherapy, Cancer, Regional Perfusion/methods ; Combined Modality Therapy ; Female ; Humans ; Hyperthermia, Induced/methods ; Ovarian Neoplasms/pathology ; Ovarian Neoplasms/therapy ; Peritoneal Neoplasms/secondary ; Peritoneal Neoplasms/therapy ; Prognosis
    Language English
    Publishing date 2019-02-02
    Publishing country Greece
    Document type Case Reports ; Journal Article
    ZDB-ID 2040386-0
    ISSN 2241-6293 ; 1107-0625
    ISSN (online) 2241-6293
    ISSN 1107-0625
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Evaluation of diagnostic parameters from parotid and submandibular dynamic salivary glands scintigraphy and unstimulated sialometry in Sjögren's syndrome.

    Dugonjić, Sanja / Stefanović, Dušan / Ethurović, Branka / Spasić-Jokić, Vesna / Ajdinović, Boris

    Hellenic journal of nuclear medicine

    2014  Volume 17, Issue 2, Page(s) 116–122

    Abstract: Our aim was to validate eight scintigraphic salivary gland (SG) parameters, as diagnostic parameters in patients with Sjögren's syndrome (SS). We used the standardized stimulated dynamic salivary gland scintigraphy (DSGS) protocol and correlated this ... ...

    Abstract Our aim was to validate eight scintigraphic salivary gland (SG) parameters, as diagnostic parameters in patients with Sjögren's syndrome (SS). We used the standardized stimulated dynamic salivary gland scintigraphy (DSGS) protocol and correlated this with the unstimulated whole sialometry (UWS) functions. The DSGS and UWS tests meeting the European and the USA diagnostic classification criteria for SS were applied in twenty patients and in ten normal controls. The DSGS tests were performed 60min after the intravenous (i.v.) injection of 370MBq of technetium-99m-pertechnetate ((99m)TcO(-)4) and after per os stimulation with a 0.5g tablet of ascorbic acid administered 40min after the injection. Using time-activity curves, eight different parameters were calculated for each parotid gland (PG) and each submandibular salivary gland (SMG): a) time at maximum counts (Tmax), b) time at minimum counts (Tmin), c) maximum accumulation (MA), d) accumulation velocity (AV), e) maximum secretion (MS), f) maximum stimulated secretion (MSS), g) stimulated secretion velocity (SSV), and h) uptake ratio (UR). Values of UWS below 2.5mL/15min, were considered abnormal. All these parameters, as for the PG, showed significant abnormality in SS patients (P<0.001), especially of the secretion function. All SMG parameters also showed a significant abnormality (P<0.001), but especially of the accumulation function. There was a greater impairment of the above parameters in SMG than in PG in the SS patients. Sensitivity of the standardized DSGS was 100%, specificity 80%, negative prognostic value 100%, and positive prognostic value 91%. Sensitivity of UWS was 75%. In conclusion, this paper suggested that the best diagnostic parameters for the SS patients were those of: a) the maximum secretion, b) the maximum stimulated secretion for both the parotid and the submandibular glands, c) maximum accumulation and d) accumulation velocity of submandibular glands. The times at maximum and at minimum counts were non diagnostic.
    MeSH term(s) Adult ; Aged ; Early Diagnosis ; Female ; Humans ; Male ; Middle Aged ; Parotid Gland/diagnostic imaging ; Radionuclide Imaging ; Sensitivity and Specificity ; Sjogren's Syndrome/diagnostic imaging ; Submandibular Gland/diagnostic imaging ; Young Adult
    Language English
    Publishing date 2014-05
    Publishing country Greece
    Document type Journal Article
    ZDB-ID 2186026-9
    ISSN 1790-5427 ; 1108-1430
    ISSN 1790-5427 ; 1108-1430
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Effective dose estimation and lifetime cancer mortality risk assessment from exposure to Chernobyl 137Cs on the territory of Belgrade City and the region of Vojvodina, Serbia.

    Spasić-Jokić, Vesna / Zupunski, Ljubica / Janković, Ljiljana / Gordanić, Vojin

    Environmental science and pollution research international

    2011  Volume 18, Issue 5, Page(s) 708–715

    Abstract: Purpose: The purpose of this paper is to determine the activity concentrations of radionuclide (137)Cs in soil samples on the territory of Belgrade and the province of Vojvodina. Also, the lifetime cancer mortality risk from external exposure during 1 ... ...

    Abstract Purpose: The purpose of this paper is to determine the activity concentrations of radionuclide (137)Cs in soil samples on the territory of Belgrade and the province of Vojvodina. Also, the lifetime cancer mortality risk from external exposure during 1 year is assessed, and the effective dose is estimated.
    Methods: Eighty eight soil samples were collected from 30 uncultivated locations in Belgrade, and 30 soil samples were collected from 10 locations in the province of Vojvodina. Activity concentrations were measured using an HPGe detector. Using dose conversion factors taken from "EPA Federal Guidance Report 12," annual effective doses from external sources were estimated. The lifetime cancer mortality risk was assessed using cancer risk coefficients taken from "EPA Federal Guidance Report 13."
    Results: Activity concentrations of (137)Cs for the territory of Belgrade are in the range of 2.07-89.1 Bq/kg with a mean value of 23.77 Bq/kg; the estimated annual effective doses are in the range of 0.41-17.5 nSv with a mean value of 4.67 nSv, and assessed lifetime cancer mortality risks, normalized on 100,000 inhabitants, are in the range 0.2-9.5 × 10(-5) with a mean value 2.5 × 10(-5). Activity concentrations of (137)Cs for the province of Vojvodina are in the range of 2.73-18.9 Bq/kg with a mean value of 8.57 Bq/kg; estimated annual effective doses are in the range of 0.54-3.71 nSv with a mean value of 1.68 nSv, and assessed lifetime cancer mortality risks, normalized on 100,000 inhabitants, are in the range of 0.3-2.0 × 10(-5) with a mean value 0.9 × 10(-5).
    Conclusion: Receiving doses are low from (137)Cs radionuclides occurring in soil, according to the linear no-threshold approach; the risk for cancer development exists but is very small.
    MeSH term(s) Cesium/toxicity ; Cesium Radioisotopes ; Chernobyl Nuclear Accident ; Environmental Exposure/analysis ; Humans ; Neoplasms/epidemiology ; Neoplasms/mortality ; Neoplasms, Radiation-Induced/mortality ; Radiation Dosage ; Radiation Monitoring ; Radioactive Fallout ; Risk Assessment ; Serbia/epidemiology ; Soil Pollutants, Radioactive/toxicity
    Chemical Substances Cesium Radioisotopes ; Radioactive Fallout ; Soil Pollutants, Radioactive ; Cesium (1KSV9V4Y4I)
    Language English
    Publishing date 2011-04-05
    Publishing country Germany
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1178791-0
    ISSN 1614-7499 ; 0944-1344
    ISSN (online) 1614-7499
    ISSN 0944-1344
    DOI 10.1007/s11356-011-0493-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Non-Vitamin K Oral Anticoagulant Drugs for Stroke Prevention in Patients with Atrial Fibrillation and Chronic Kidney Disease.

    Potpara, Tatjana S / Jokic, Vera / Dagres, Nikolaos / Larsen, Torben B / Lane, Deirdre A / Hindricks, Gerhard / Lip, Gregory Y H

    Current medicinal chemistry

    2016  Volume 23, Issue 19, Page(s) 2055–2069

    Abstract: Atrial fibrillation (AF) and chronic kidney disease (CKD) are disorders with increasing prevalence. The presence of CKD increases the risk of incident AF and vice versa, and the presence of AF may accelerate CKD progression. Nearly a third of patients ... ...

    Abstract Atrial fibrillation (AF) and chronic kidney disease (CKD) are disorders with increasing prevalence. The presence of CKD increases the risk of incident AF and vice versa, and the presence of AF may accelerate CKD progression. Nearly a third of patients with established CKD also have AF, whilst half of AF patients may have some degree of renal dysfunction. Both AF and CKD are associated with increased cardiovascular morbidity and mortality, including significantly increased risk of stroke or systemic embolism. Oral anticoagulant therapy (OAC), either with vitamin K antagonists or with non-vitamin K oral anticoagulants (NOACs) is essential to optimise prevention of stroke and systemic embolism in AF patients with one or more stroke risk factors, and NOACs are more convenient and generally safer than vitamin K antagonists mostly due to consistently reduced risk of intracranial bleeding. The use of OAC must be balanced against the risk of OAC-related bleeding, which depends on the presence of bleeding risk factors. Renal failure is a well-established bleeding risk factor and renal function should be routinely assessed in all patients presenting with AF. Since the risk of bleeding increases in parallel with CKD severity, the clinical decision to use OAC in AF patients with severe CKD may be challenging. In this review article we summarize the OAC agents currently used in clinical practice and discuss the role of NOACs for stroke prevention in patients with AF and CKD.
    MeSH term(s) Administration, Oral ; Anticoagulants/therapeutic use ; Atrial Fibrillation/complications ; Atrial Fibrillation/pathology ; Clinical Trials as Topic ; Dabigatran/therapeutic use ; Embolism/complications ; Embolism/prevention & control ; Humans ; Renal Insufficiency, Chronic/complications ; Renal Insufficiency, Chronic/pathology ; Stroke/complications ; Stroke/prevention & control ; Warfarin/therapeutic use
    Chemical Substances Anticoagulants ; Warfarin (5Q7ZVV76EI) ; Dabigatran (I0VM4M70GC)
    Language English
    Publishing date 2016-01-22
    Publishing country United Arab Emirates
    Document type Journal Article ; Review
    ZDB-ID 1319315-6
    ISSN 1875-533X ; 0929-8673
    ISSN (online) 1875-533X
    ISSN 0929-8673
    DOI 10.2174/0929867323666160210130109
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Cardiac Arrhythmias in Patients with Chronic Kidney Disease: Implications of Renal Failure for Antiarrhythmic Drug Therapy.

    Potpara, Tatjana S / Jokic, Vera / Dagres, Nikolaos / Marin, Francisco / Prostran, Milica S / Blomstrom-Lundqvist, Carina / Lip, Gregory Y H

    Current medicinal chemistry

    2016  Volume 23, Issue 19, Page(s) 2070–2083

    Abstract: The kidney has numerous complex interactions with the heart, including shared risk factors (e.g., hypertension, dyslipidemia, etc.) and mutual amplification of morbidity and mortality. Both cardiovascular diseases and chronic kidney disease (CKD) may ... ...

    Abstract The kidney has numerous complex interactions with the heart, including shared risk factors (e.g., hypertension, dyslipidemia, etc.) and mutual amplification of morbidity and mortality. Both cardiovascular diseases and chronic kidney disease (CKD) may cause various alterations in cardiovascular system, metabolic homeostasis and autonomic nervous system that may facilitate the occurrence of cardiac arrhythmias. Also, pre-existent or incident cardiac arrhythmias such as atrial fibrillation (AF) may accelerate the progression of CKD. Patients with CKD may experience various cardiac rhythm disturbances including sudden cardiac death. Contemporary management of cardiac arrhythmias includes the use of antiarrhythmic drugs (AADs), catheter ablation and cardiac implantable electronic devices (CIEDs). Importantly, AADs are not used only as the principal treatment strategy, but also as an adjunct therapy in combination with CIEDs, to facilitate their effects or to minimize inappropriate device activation in selected patients. Along with their principal antiarrhythmic effect, AADs may also induce cardiac arrhythmias and the risk for such proarrhythmic effect(s) is particularly increased in patients with reduced left ventricular systolic function or in the setting of electrolyte imbalance. Moreover, CKD itself can induce profound alterations in the pharmacokinetics and pharmacodynamics of many drugs including AADs, thus facilitating the drug accumulation and increased exposure. Hence, the use of AADs in patients with CKD may be challenging. In this review article, we provide an overview of the characteristics of arrhythmogenesis in patients with CKD with special emphasis on the complexity of pharmacokinetics and risk for proarrhythmias when using AADs in patients with cardiac arrhythmias and CKD.
    MeSH term(s) Adrenergic beta-Antagonists/adverse effects ; Adrenergic beta-Antagonists/therapeutic use ; Anti-Arrhythmia Agents/adverse effects ; Anti-Arrhythmia Agents/therapeutic use ; Arrhythmias, Cardiac/complications ; Arrhythmias, Cardiac/drug therapy ; Atherosclerosis/complications ; Atherosclerosis/drug therapy ; Atrial Fibrillation/complications ; Atrial Fibrillation/drug therapy ; Death, Sudden, Cardiac/etiology ; Electrolytes/metabolism ; Glomerular Filtration Rate ; Renal Insufficiency, Chronic/complications ; Renal Insufficiency, Chronic/metabolism ; Renal Insufficiency, Chronic/physiopathology
    Chemical Substances Adrenergic beta-Antagonists ; Anti-Arrhythmia Agents ; Electrolytes
    Language English
    Publishing date 2016-03-04
    Publishing country United Arab Emirates
    Document type Journal Article ; Review
    ZDB-ID 1319315-6
    ISSN 1875-533X ; 0929-8673
    ISSN (online) 1875-533X
    ISSN 0929-8673
    DOI 10.2174/0929867323666160309114246
    Database MEDical Literature Analysis and Retrieval System OnLINE

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