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  1. Article ; Online: Regarding "Lichtenberg figures-morphological findings".

    Leković, Aleksa / Nikolić, Slobodan

    Forensic science, medicine, and pathology

    2024  

    Language English
    Publishing date 2024-02-09
    Publishing country United States
    Document type Letter
    ZDB-ID 2195904-3
    ISSN 1556-2891 ; 1547-769X
    ISSN (online) 1556-2891
    ISSN 1547-769X
    DOI 10.1007/s12024-024-00794-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Commentary on "The integration and implications of artificial intelligence in forensic science".

    Leković, Aleksa / Nikolić, Slobodan

    Forensic science, medicine, and pathology

    2024  

    Language English
    Publishing date 2024-01-22
    Publishing country United States
    Document type Letter
    ZDB-ID 2195904-3
    ISSN 1556-2891 ; 1547-769X
    ISSN (online) 1556-2891
    ISSN 1547-769X
    DOI 10.1007/s12024-024-00781-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Commentary on: Lee N, Chan S. Isolated injury of the caudate lobe of the liver due to cardiopulmonary resuscitation. J Forensic Sci. https://doi.org/10.1111/1556-4029.15459. Epub 2024 Jan 17.

    Leković, Aleksa / Nikolić, Slobodan

    Journal of forensic sciences

    2024  Volume 69, Issue 3, Page(s) 1114–1115

    MeSH term(s) Humans ; Liver/injuries ; Liver/pathology ; Cardiopulmonary Resuscitation/adverse effects
    Language English
    Publishing date 2024-02-09
    Publishing country United States
    Document type Letter
    ZDB-ID 219216-0
    ISSN 1556-4029 ; 0022-1198
    ISSN (online) 1556-4029
    ISSN 0022-1198
    DOI 10.1111/1556-4029.15486
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Commentary on: Ali Z, Troncoso JC, Redding-Ochoa J. Fat embolism syndrome associated with atraumatic compartment syndrome of the bilateral upper extremities: An unreported etiology. J Forensic Sci. 2024;69(2):718-24.

    Leković, Aleksa / Nikolić, Slobodan

    Journal of forensic sciences

    2024  Volume 69, Issue 3, Page(s) 1117–1119

    MeSH term(s) Humans ; Embolism, Fat/pathology ; Compartment Syndromes/etiology ; Upper Extremity
    Language English
    Publishing date 2024-04-01
    Publishing country United States
    Document type Letter
    ZDB-ID 219216-0
    ISSN 1556-4029 ; 0022-1198
    ISSN (online) 1556-4029
    ISSN 0022-1198
    DOI 10.1111/1556-4029.15515
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 24: Show issues Location:
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  5. Article ; Online: Atheroprotective effect of myocardial bridge sustains in aging: Autopsy study on subjects with dual left anterior descending coronary artery type 3.

    Leković, Aleksa / Nikolić, Slobodan

    Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology

    2023  Volume 66, Page(s) 107553

    Abstract: Background: The atheroprotective role of the myocardial bridge (MB) on a tunneled segment is already demonstrated in subjects with dual left anterior descending coronary artery (dual LAD) type 3 anomaly, but the dynamics of changes and whether this ... ...

    Abstract Background: The atheroprotective role of the myocardial bridge (MB) on a tunneled segment is already demonstrated in subjects with dual left anterior descending coronary artery (dual LAD) type 3 anomaly, but the dynamics of changes and whether this protective effect sustains during aging is unknown.
    Methods: The retrospective autopsy study included cases of dual LAD type 3 anomaly identified over 18 years. The severity grade of atherosclerosis in branches of dual LAD was estimated by microscopy. The Spearman's correlation test and Receiver operator characteristics (ROC) curve analyses were performed to determine the relation of subjects' age with a degree of the protective role of the myocardial bridge.
    Results: A total of 32 dual LAD type 3 cases were identified. The systematic heart examination revealed an anomaly prevalence of 2.1%. The age significantly positively correlated with the severity of atherosclerosis in the subepicardial dual LAD branch but not with the severity of atherosclerosis in the intramyocardial dual LAD branch. Subjects aged ≥38 years were likely to have a more severe degree of atherosclerosis in subepicardial than in intramyocardial LAD arteries (AUC 0.81 95% CI 0.59-1; sensitivity 100%, specificity 66.7%). In subjects aged ≥58 years, this difference was likely to be more pronounced (≥2 degree difference; AUC 0.75 95% CI 0.58-0.93; sensitivity 92.9%, specificity 66.7%).
    Conclusion: The atheroprotective effect of the myocardial bridge on tunneled segments usually becomes evident throughout the second half of the fourth decade of life and is most pronounced after about 60 years and ceases only in some.
    MeSH term(s) Humans ; Coronary Vessels ; Autopsy ; Retrospective Studies ; Atherosclerosis ; Aging ; Coronary Angiography
    Language English
    Publishing date 2023-06-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1134600-0
    ISSN 1879-1336 ; 1054-8807
    ISSN (online) 1879-1336
    ISSN 1054-8807
    DOI 10.1016/j.carpath.2023.107553
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 3572: Show issues Location:
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  6. Article ; Online: Corrigendum to "Assessing the knot in a noose position by thyrohyoid and cervical spine fracture patterns in suicidal hangings using machine learning algorithms: A new insight into old dilemmas", [vol. 357, April 2024, 111973].

    Leković, Aleksa / Vukićević, Arso / Nikolić, Slobodan

    Forensic science international

    2024  Volume 357, Page(s) 111989

    Language English
    Publishing date 2024-03-18
    Publishing country Ireland
    Document type Published Erratum
    ZDB-ID 424042-x
    ISSN 1872-6283 ; 0379-0738
    ISSN (online) 1872-6283
    ISSN 0379-0738
    DOI 10.1016/j.forsciint.2024.111989
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 1104: Show issues Location:
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  7. Article: Adrenal Cysts: To Operate or Not to Operate?

    Bozic Antic, Ivana / Djurisic, Igor / Nikolic, Srdjan

    Journal of clinical medicine

    2024  Volume 13, Issue 3

    Abstract: Adrenal cysts are uncommon and usually asymptomatic, and therefore are usually incidentally discovered adrenal lesions. They have a broad pathohistological spectrum that includes pseudocysts and endothelial (vascular), parasitic, and epithelial ( ... ...

    Abstract Adrenal cysts are uncommon and usually asymptomatic, and therefore are usually incidentally discovered adrenal lesions. They have a broad pathohistological spectrum that includes pseudocysts and endothelial (vascular), parasitic, and epithelial (mesothelial) cysts. Although most adrenal cysts are benign and hormonally non-functional lesions, some can have ambiguous imaging appearances and mimic malignant adrenal neoplasms. On the other hand, the actual malignant neoplasms could undergo cystic transformation. Additionally, immune cell infiltrations, thrombosis, or haemorrhage seen in sepsis can frequently cause adrenal cyst development, raising a question about the possible connection between severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) and adrenal cystic lesions. Due to the disease's rarity, the likelihood of malignancy, and the lack of specific guidelines, the management of adrenal cysts is always challenging especially in a young person. This review discusses the important diagnostic and the current treatment possibilities for adrenal cystic lesions. Aiming to emphasize clinical dilemmas and help clinicians navigate the challenges when encountering a patient with an adrenal cyst in everyday practice, we based our review on a practical question-answer framework centred around the case of a young woman with an incidentally discovered large adrenal cyst.
    Language English
    Publishing date 2024-02-01
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm13030846
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Penile Pearls and Pearling: Characteristics and Social Identity from the Perspective of Forensic Pathologists.

    Leković, Aleksa / Živković, Vladimir / Nikolić, Slobodan

    Archives of sexual behavior

    2024  Volume 53, Issue 4, Page(s) 1395–1401

    Abstract: Penile pearls are artificial implants placed beneath the skin of a penis to provide enhanced sexual experience for the partner or present a stigma of a particular social subgroup (e.g., prisoner, member of a gang). This genital modification is usually ... ...

    Abstract Penile pearls are artificial implants placed beneath the skin of a penis to provide enhanced sexual experience for the partner or present a stigma of a particular social subgroup (e.g., prisoner, member of a gang). This genital modification is usually encountered in men of low socioeconomic status and prisoners who might (self) implant improvised pearls under poor sanitary conditions. We have only recently started to encounter penile pearls on autopsy, incidentally. The aim of this study was to analyze our autopsy cases with penile pearls to assess the characteristics of these subjects regarding their socioeconomic status, history of imprisonment, substance abuse, as well as the characteristics of implants. Nineteen men were included. Most were born in the 1970s and 1980s, with only elementary/vocational school education (n = 10). Only five men graduated from high school. At least 14 were in prison at some point in life and 13 were unemployed. Ten men were unmarried. In 11 men, regular alcohol consumption was reported. 12 used illicit substances, most with a history of heroin injection. Penile pearls were improvised and made of rigid plastic in 10 men, eight were of soft silicone-like material, and one was of metal. A distinct characteristic was a ribbed contour of some implants. Although this genital modification seems to gain more attention outside of described vulnerable groups, it mostly remains limited to them in our region. It is most likely performed in improvised, non-professional, unsanitary conditions, probably in prisons.
    MeSH term(s) Male ; Humans ; Social Identification ; Pathologists ; Penis ; Sexual Behavior ; Prisons ; Prisoners
    Language English
    Publishing date 2024-01-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 184221-3
    ISSN 1573-2800 ; 0004-0002
    ISSN (online) 1573-2800
    ISSN 0004-0002
    DOI 10.1007/s10508-023-02791-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1106: Show issues Location:
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  9. Article ; Online: Assessing the knot in a noose position by thyrohyoid and cervical spine fracture patterns in suicidal hangings using machine learning algorithms: A new insight into old dilemmas.

    Leković, Aleksa / Vukićević, Arso / Nikolić, Slobodan

    Forensic science international

    2024  Volume 357, Page(s) 111973

    Abstract: Hanging is one of the most common suicide methods worldwide. Neck injuries that occur upon such neck compression - fractures of the thyrohyoid complex and cervical spine, occupy forensic pathologists for a long time. However, research failed to identify ... ...

    Abstract Hanging is one of the most common suicide methods worldwide. Neck injuries that occur upon such neck compression - fractures of the thyrohyoid complex and cervical spine, occupy forensic pathologists for a long time. However, research failed to identify particular patterns of these injuries corresponding to the force distribution a ligature applies to the neck: the issue of reconstructing the knot in a noose position persists. So far, machine learning (ML) models were not utilized to classify knot positions and reconstruct this event. We conducted a single-institutional, retrospective study on 1235 autopsy cases of suicidal hanging, developed several ML models, and assessed their classification performance in a stepwise manner to discriminate between: 1. typical ('posterior) and atypical ('anterior' and 'lateral') hangings, 2. anterior and lateral hangings, and 3. left and right lateral hangings. The variable coding was based on the presence/absence of fractures of greater hyoid bone horns (GHH), superior thyroid cartilage horns (STH), and cervical spine. Subject age was considered. The models' parameters were optimized by the Genetic Algorithm. The accuracy of ML models in the first step was very modest (c. 60%) but increased subsequently: Multilayer Perceptron - Artificial Neural Network and k-Nearest Neighbors performed excellently discriminating between left and right lateral hangings (accuracy 91.8% and 90.6%, respectively). The latter is of great importance for clarifying probable hanging fracture biomechanics. Alongside the conventional inferential statistical analysis we performed, our results further indicate the association of the knot position with ipsilateral GHH and contralateral STH fractures in lateral hangings. Moreover, odds for unilateral GHH fracture, simultaneous GHH and STH fractures, and cervical spine fracture were significantly higher in atypical ('anterior' and 'lateral') hangings, compared to typical ('posterior') hangings.
    MeSH term(s) Humans ; Retrospective Studies ; Suicidal Ideation ; Forensic Pathology ; Asphyxia ; Fractures, Cartilage ; Suicide ; Spinal Fractures ; Fractures, Bone ; Neck Injuries ; Cervical Vertebrae ; Algorithms
    Language English
    Publishing date 2024-03-02
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 424042-x
    ISSN 1872-6283 ; 0379-0738
    ISSN (online) 1872-6283
    ISSN 0379-0738
    DOI 10.1016/j.forsciint.2024.111973
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 1104: Show issues Location:
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  10. Article ; Online: Subendocardial hemorrhages in a case of complete avulsion of the heart.

    Nikolić, Slobodan / Živković, Vladimir

    Forensic science, medicine, and pathology

    2022  Volume 18, Issue 2, Page(s) 214–218

    Abstract: We present a case of a 66-year-old man who died on the scene in a traffic accident. He was a car driver involved in a head-on collision with a bus. Autopsy performed 4 days after death showed multiple head, torso, and limb injuries, including complete ... ...

    Abstract We present a case of a 66-year-old man who died on the scene in a traffic accident. He was a car driver involved in a head-on collision with a bus. Autopsy performed 4 days after death showed multiple head, torso, and limb injuries, including complete avulsion of the heart from the great vessels and avulsion of both lungs from the tracheobronchial tree due to rapid deceleration. Gross examination of the heart was remarkable for patchy hemorrhages beneath the endocardium involving the left side of the interventricular septum and papillary muscles. Histological examination identified streaky subendocardial hemorrhages and perivascular hemorrhages in the subendocardial myocardium. Since the death, in this case, was instantaneous, the most likely mechanism of subendocardial hemorrhages involved a precipitous decrease in left ventricle pressure, as it is improbable that the timeline of events allowed for a catecholamine surge to occur and take effect. Findings in this case also suggest that subendocardial hemorrhages are an indicator of intravital trauma and that the time required for them to develop is very short.
    MeSH term(s) Accidents, Traffic ; Aged ; Autopsy ; Endocardium/pathology ; Heart Diseases ; Hemorrhage/etiology ; Hemorrhage/pathology ; Humans ; Male
    Language English
    Publishing date 2022-03-17
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2195904-3
    ISSN 1556-2891 ; 1547-769X
    ISSN (online) 1556-2891
    ISSN 1547-769X
    DOI 10.1007/s12024-022-00467-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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