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  1. Article ; Online: The importance of assessing the cognitive status of patients in the general medicine practice

    Kostić Milena Lj. / Radosavljević Olga D. / Vučković Maja S.

    Opšta Medicina, Vol 24, Iss 1-2, Pp 33-

    2018  Volume 42

    Abstract: Introduction: The rising trend of population aging and dementia, on the one hand, and the lack of recommendation on the application of non-selective dementia screening in the general population of elderly patients, on the other hand, led us to our ... ...

    Abstract Introduction: The rising trend of population aging and dementia, on the one hand, and the lack of recommendation on the application of non-selective dementia screening in the general population of elderly patients, on the other hand, led us to our research. Objective: Examine the possibilities and significance of assessing and mon­itoring the cognitive status of patients older than 50 years of age in the practice of general practitioners. Method: A Mini Mental State Examination (MMSE) was used to assess the cognitive status of patients. Initial testing was performed in 120 patients older than 50 years of age. Patients with borderline and lower scores on MMSE were included in further testing (laboratory, ultrasound, radiological) and were referred to a psychiatrist and/or neurologist, with the follow-up of MMSE over the next two years. The values of the MMSE initial inspection, and testing scores were compared after one year. Results: Borderline and lower values at the MMSE were present in 34.2% of all respondents. At the end of the study, depression, dementia and mild cognitive impairment (MCI) were diagnosed in 24.4% of patients. In 14.6% of patients, a second subclinical disorder was found, whose treatment led to the normalization of MMSE. The Mann-Whitney U-test showed a statistically significant difference (Z = -1.986; p = 0.048) in the MMSE scores a year after initiating therapy between two groups of patients suffering from somatic illness or depression and those with MCI or dementia. Conclusion: Our research proves the multiple importance of assessing the cognitive status of elderly patients. It is possible to apply MMSE in the practice of general practitioners for initial assessment and monitoring of the cognitive status of patients with various medical disorders, as well as monitoring of the effects of somatic illness and depression treatment.
    Keywords cognition ; aging ; general practitioners ; Medicine (General) ; R5-920
    Subject code 616
    Language English
    Publishing date 2018-01-01T00:00:00Z
    Publisher Serbian Medical Society, Belgrade
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Unexpected Extremely High Level of Creatinine in Non-dialysed Female Patient

    Vuckovic Maja / Prkacin Ingrid / Cavric Gordana / Zeljko Martina

    BANTAO Journal, Vol 14, Iss 1, Pp 51-

    2016  Volume 52

    Keywords Internal medicine ; RC31-1245
    Language English
    Publishing date 2016-06-01T00:00:00Z
    Publisher Sciendo
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Trace element geochemistry of carbonates in the Jurassic Lusitanian Basin records mineral-fluid interactions

    Gonçalves Mário A. / Vuckovic Maja / Fiorelli Alfonso / Barrulas Pedro / Mirão José

    E3S Web of Conferences, Vol 98, p

    2019  Volume 01017

    Abstract: Carbonate rocks in sedimentary basins are reactive and can record complex histories of events associated with fluid flow in these basins. These include processes of dolomitization and dedolomitization. In this work we provide some preliminary data where ... ...

    Abstract Carbonate rocks in sedimentary basins are reactive and can record complex histories of events associated with fluid flow in these basins. These include processes of dolomitization and dedolomitization. In this work we provide some preliminary data where distinct calcite and dolomite generations in the Jurassic Lusitanian Basin were analysed by LA-ICP-MS for trace elements in order to characterize chemical signatures of fluid-mineral interaction. It was observed that different carbonate generations can preserve the range of certain trace metal concentrations, but later calcites have distinctly higher contents in REE, Th and U, and Ba. Dolomites also show distinct chemical signatures but lack of analytical and spatial resolution does not allow quantification of the precursor calcite relicts. However, these processes point to the action of basinal fluids triggered by distinct tectonic episodes and associated volcanic activity.
    Keywords Environmental sciences ; GE1-350
    Subject code 550
    Language English
    Publishing date 2019-01-01T00:00:00Z
    Publisher EDP Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article: Major Aortic Reconstruction with the Replacement of Supra-Aortic Branches: Successful Surgical Treatment of Takayasu Arteritis Initially Presented as Congestive Heart Failure.

    Stojanovic, Maja / Raskovic, Sanvila / Boricic-Kostic, Marija / Bozic, Vesna / Vuckovic, Maja / Peric-Popadic, Aleksandra / Bilbija, Ilija

    Diagnostics (Basel, Switzerland)

    2021  Volume 11, Issue 2

    Abstract: Takayasu arteritis (TA) is a rare, large vessel vasculitis that affects aorta, its major branches, and occasionally pulmonary arteries. Patients with TA can present with constitutional features and/or various symptoms and signs caused by morphological ... ...

    Abstract Takayasu arteritis (TA) is a rare, large vessel vasculitis that affects aorta, its major branches, and occasionally pulmonary arteries. Patients with TA can present with constitutional features and/or various symptoms and signs caused by morphological changes in the blood vessels affected by the inflammatory process. Corticosteroids (CS) and immunosuppressives (IS) are the first line treatment for active TA. Open surgery remains a treatment of choice for TA patients with moderate-to-severe aortic regurgitation (AR) and ascending aortic aneurysm (AAA). We present a 26-year-old female diagnosed with an advanced stage of TA, initially presented as congestive heart failure. Due to a progressive course of the disease (AR 3+, AAA 5.5 cm), surgery of the Aortic valve and root (Bentall procedure), with total arch reconstruction and replacement of supra-aortic branches was performed. The patient has had an uneventful recovery during the postoperative course with no complications at one year follow-up. Normal left ventricle (LV) diameter, LV ejection fraction 67%, and a trace of AR were seen on the last echocardiography.
    Language English
    Publishing date 2021-02-02
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662336-5
    ISSN 2075-4418
    ISSN 2075-4418
    DOI 10.3390/diagnostics11020216
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Right atrial myeloid sarcoma causing superior vena cava syndrome.

    Antic, Darko / Vuckovic, Maja / Elezovic, Ivo

    British journal of haematology

    2008  Volume 141, Issue 2, Page(s) 134

    MeSH term(s) Adult ; Heart Atria ; Heart Neoplasms/complications ; Heart Neoplasms/diagnostic imaging ; Humans ; Male ; Sarcoma, Myeloid/complications ; Sarcoma, Myeloid/diagnostic imaging ; Superior Vena Cava Syndrome/diagnostic imaging ; Superior Vena Cava Syndrome/etiology ; Tomography, X-Ray Computed
    Language English
    Publishing date 2008-04
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 80077-6
    ISSN 1365-2141 ; 0007-1048
    ISSN (online) 1365-2141
    ISSN 0007-1048
    DOI 10.1111/j.1365-2141.2008.07032.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Transobturatory tension-free composite sling for urethral support in patients with stress urinary incontinence: favorable experience after 1 year follow up.

    Ignjatovic, Ivan / Vuckovic, Maja / Srzentic, Zoran

    International journal of urology : official journal of the Japanese Urological Association

    2006  Volume 13, Issue 6, Page(s) 728–732

    Abstract: Objective: Symptomatic, anatomic and urodynamic results of a composite transobturatory tension-free sling with an absorbable middle part, in patients with stress urinary incontinence (SUI), were studied.: Methods: A prospective study in 40 women with ...

    Abstract Objective: Symptomatic, anatomic and urodynamic results of a composite transobturatory tension-free sling with an absorbable middle part, in patients with stress urinary incontinence (SUI), were studied.
    Methods: A prospective study in 40 women with SUI was performed. Symptoms, urodynamics and anatomical improvements were evaluated separately. Surgery was performed with the transobturatory approach.
    Results: All patients had both clinically and urodynamically confirmed SUI. Clinical outcome was favorable in 36/40 (90%) patients, after 1 year. Operation improved the position of the bladder neck (2.8 cm and 1.4 cm below the pubic bone, respectively) and significantly decreased mobility of the bladder neck during abdominal straining (3.3 cm and 1.7 cm, respectively). Both symptoms and quality of life were significantly improved 1 month after the surgery. Postoperative maximum flow was lower than the preoperative one but with borderline significance (25.8 and 23.7 mL/s; P = 0.05). Pressure flow study showed unobstructed voiding both preoperatively and postoperatively. Detrusor pressure at the maximum flow was increased (20, 4 and 22, 8 cmH(2)O, respectively) but not significantly.
    Conclusion: Our results confirmed a high objective cure rate, improvement of symptoms and quality of life, and at the same time, corrected position of the bladder neck and unobstructed voiding.
    MeSH term(s) Female ; Follow-Up Studies ; Humans ; Middle Aged ; Prospective Studies ; Prostheses and Implants ; Urinary Incontinence, Stress/surgery ; Urodynamics ; Urologic Surgical Procedures/methods
    Language English
    Publishing date 2006-06
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1328401-0
    ISSN 0919-8172
    ISSN 0919-8172
    DOI 10.1111/j.1442-2042.2006.01394.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Undiagnosed AIDS in patients with progressive dyspnoea: an occupational risk for healthcare workers in Croatia.

    Miše, Kornelija / Vučković, Maja / Jurčev-Savičević, Anamarija / Gudelj, Ivan / Perić, Irena / Miše, Joško

    Arhiv za higijenu rada i toksikologiju

    2011  Volume 62, Issue 1, Page(s) 57–64

    Abstract: Pulmonary diseases are well documented and diverse in many patients with HIV in clinical stages 3 and 4. It is not unusual that these patients, most of whom do not know that they are already HIV-infected, are first examined and hospitalised by ... ...

    Abstract Pulmonary diseases are well documented and diverse in many patients with HIV in clinical stages 3 and 4. It is not unusual that these patients, most of whom do not know that they are already HIV-infected, are first examined and hospitalised by respiratory medicine specialists. While HIV-infection is relatively simple to diagnose if accompanied by advanced clinical manifestations and is regularly checked in patients with increased risk, this is not the case in low-risk patients, particularly in countries with low-level HIV epidemic and therefore low index of suspicion. Regular examination involves a series of tests, often including bronchoscopy with transbronchal lung biopsy in order to identify an interstitial lung disease and/or progressive dyspnoea. It is not uncommon that patients provide false or incomplete information about their lifestyle, which can mislead the clinician. At this point, HIV-infection is usually not suspected and healthcare workers may not strictly be following the safety principles which are otherwise applied when HIV-infection is known or suspect, although universal precautions are routine practice. At this point, the risk of exposure is the highest and HIV-transmission to healthcare workers is the most likely to occur. The cases presented here indicate that patients with progressive dyspnoea, which is typical of interstitial lung diseases, should undergo HIV-testing as a part of good clinical practice, even in a country with low-level HIV epidemic.
    MeSH term(s) AIDS Serodiagnosis ; Acquired Immunodeficiency Syndrome/complications ; Acquired Immunodeficiency Syndrome/diagnosis ; Acquired Immunodeficiency Syndrome/pathology ; Acquired Immunodeficiency Syndrome/transmission ; Adult ; Croatia ; Diagnosis, Differential ; Dyspnea/etiology ; Humans ; Infectious Disease Transmission, Patient-to-Professional ; Lung/pathology ; Male ; Middle Aged
    Language English
    Publishing date 2011-03
    Publishing country Croatia
    Document type Case Reports ; Journal Article
    ZDB-ID 127289-5
    ISSN 1848-6312 ; 0004-1254
    ISSN (online) 1848-6312
    ISSN 0004-1254
    DOI 10.2478/10004-1254-62-2011-2071
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Ultrasound diagnosis of gallbladder polyps

    Tomić Dragan V. / Pavlović-Marković Aleksandra R. / Alempijević Tamara M. / Davidović Dragana B. / Pršić Daliborka R. / Vučković Maja S.

    Acta Chirurgica Iugoslavica, Vol 58, Iss 4, Pp 31-

    2011  Volume 35

    Abstract: The most frequent benign gallbladder polyps are cholesterol polyps. Next in frequency were adenomas, which may have malignant potential. The aim of this study was to assess the possibility of ultrasonography in the diagnosis and differential diagnosis of ...

    Abstract The most frequent benign gallbladder polyps are cholesterol polyps. Next in frequency were adenomas, which may have malignant potential. The aim of this study was to assess the possibility of ultrasonography in the diagnosis and differential diagnosis of cholesterol polyps compared to adenomas. Patients were examined during the period from October 2006. to December 2008. In Department of Ultrasound, Clinic for Gastroenterology and Hepatology, Belgrade. The group of 54 patients analyzed consisted of 30 women (56%) and 24 men (44%). Most (59%) had solitary polyps. In 92.6% of patients the size of polyps was below 10 mm. 74% of respondents were over 50 years. Ultrasonography is the method of choice and gold standard in diagnosis of gallbladder polyps. Based on echoic properties cholesterol polyps can not be distinguished from adenomas. Malignant alteration of polyps also could not be detected. Appropriate ultrasonographic characteristics such as size of polyps, appearance of a broad base that sits on the wall, concomitant lithiasis findings and patient age may be indicative for malignancy.
    Keywords ultrasonography ; cholesterol polyp ; adenoma ; malignant alteration ; Surgery ; RD1-811 ; Medicine ; R ; DOAJ:Surgery ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Subject code 571
    Language Serbian
    Publishing date 2011-01-01T00:00:00Z
    Publisher Klinički centar Srbije, Institut za bolesti digestivnog sistema
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Interobserver variations in diagnosing asbestosis according to the ILO classification.

    Perić, Irena / Novak, Katarina / Barisić, Igor / Mise, Kornelija / Vucković, Maja / Janković, Stipan / Tocilj, Jadranka

    Arhiv za higijenu rada i toksikologiju

    2009  Volume 60, Issue 2, Page(s) 191–195

    Abstract: Inhalation of asbestos fibres leads to asbestosis of the pleura and the lung, with possible progression to lung cancer and malignant pleural or peritoneal mesothelioma. Asbestosis remains difficult to diagnose, especially in its early stages. The most ... ...

    Abstract Inhalation of asbestos fibres leads to asbestosis of the pleura and the lung, with possible progression to lung cancer and malignant pleural or peritoneal mesothelioma. Asbestosis remains difficult to diagnose, especially in its early stages. The most important role in its diagnosis is that of chest radiographs. The aim of this cross-sectional study was to address interobserver variations in interpreting chest radiographs in asbestos workers, which remain to be an issue, despite improvements in the International Labour Office (ILO) classification system. In our ten-year study, we investigated 318 workers occupationally exposed to asbestos, and in 210 workers with diagnosed asbestos-related changes we compared interpretations of chest radiographs according to ILO by two independent radiologists. The apparent degree of interobserver variation in classifying lung fibrosis was 26.66% for the diameter of changes and 42.2% for the profusion of the changes. In cases with diffuse pleural thickening, the interobserver variation using ILO procedures was 34.93%. This investigation raises the issue of standardisation and objectivity of interpretation of asbestosis according to the ILO classification system. This study has revealed a significant disagreement in the estimated degree of pleural and parenchymal asbestos pulmonary disease. This is why we believe high-resolution computed tomography (HRCT) should also be used as a part of international classification.
    MeSH term(s) Adult ; Aged ; Asbestosis/classification ; Asbestosis/diagnostic imaging ; Female ; Humans ; Lung/diagnostic imaging ; Male ; Middle Aged ; Observer Variation ; Radiography
    Language English
    Publishing date 2009-06
    Publishing country Croatia
    Document type Journal Article
    ZDB-ID 127289-5
    ISSN 1848-6312 ; 0004-1254
    ISSN (online) 1848-6312
    ISSN 0004-1254
    DOI 10.2478/10004-1254-60-2009-1904
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Ultrasound diagnosis of gallbladder polyps.

    Tomić, Dragan V / Marković, Aleksandra R Pavlović / Alempijević, Tamara M / Davidović, Dragana B / Prsić, Daliborka R / Vucković, Maja S

    Acta chirurgica Iugoslavica

    2011  Volume 58, Issue 4, Page(s) 31–35

    Abstract: The most frequent benign gallbladder polyps are cholesterol polyps. Next in frequency were adenomas, which may have malignant potential. The aim of this study was to assess the possibility of ultrasonography in the diagnosis and differential diagnosis of ...

    Abstract The most frequent benign gallbladder polyps are cholesterol polyps. Next in frequency were adenomas, which may have malignant potential. The aim of this study was to assess the possibility of ultrasonography in the diagnosis and differential diagnosis of cholesterol polyps compared to adenomas. Patients were examined during the period from October 2006. to December 2008. In Department of Ultrasound, Clinic for Gastroenterology and Hepatology, Belgrade. The group of 54 patients analyzed consisted of 30 women (56%) and 24 men (44%). Most (59%) had solitary polyps. In 92.6% of patients the size of polyps was below 10 mm. 74% of respondents were over 50 years. Ultrasonography is the method of choice and gold standard in diagnosis of gallbladder polyps. Based on echoic properties cholesterol polyps can not be distinguished from adenomas. Malignant alteration of polyps also could not be detected. Appropriate ultrasonographic characteristics such as size of polyps, appearance of a broad base that sits on the wall, concomitant lithiasis findings and patient age may be indicative for malignancy.
    MeSH term(s) Adenoma/diagnostic imaging ; Adult ; Aged ; Aged, 80 and over ; Diagnosis, Differential ; Female ; Gallbladder Diseases/diagnostic imaging ; Gallbladder Neoplasms/diagnostic imaging ; Humans ; Male ; Middle Aged ; Polyps/diagnostic imaging ; Ultrasonography
    Language English
    Publishing date 2011
    Publishing country Serbia
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 428721-6
    ISSN 0354-950X ; 0001-5474
    ISSN 0354-950X ; 0001-5474
    Database MEDical Literature Analysis and Retrieval System OnLINE

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