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Article ; Online: A complication during endoscopic removal of a long esophageal foreign body in an eight-month-old girl

Đurić Zlatko / Živanović Dragoljub

Srpski Arhiv za Celokupno Lekarstvo, Vol 146, Iss 7-8, Pp 433-

2018 Volume 435

Abstract: Introduction. Esophageal foreign bodies can cause a wide array of acute and delayed complications. The aim of this paper was to report a complication during endoscopic removal of a long esophageal foreign body. Case outline. An eight-month-old girl was ... ...

Abstract	Introduction. Esophageal foreign bodies can cause a wide array of acute and delayed complications. The aim of this paper was to report a complication during endoscopic removal of a long esophageal foreign body. Case outline. An eight-month-old girl was admitted to our hospital due to an acute onset of dysphagia, drooling, and vomiting. From the result of a plain anteroposterior X-ray, the patient was found to have a long hairpin retained in her esophagus. During endoscopic removal using a polypectomy snare, the hairpin was found to be stuck in the hypopharynx. It could not be removed by moving the scope and placing the patient in different positions. Finally, the hairpin was pulled out using a pair of Magill forceps under the control of a laryngoscope. Conclusion. The Magill forceps can be a very useful tool if a foreign body is stuck in the hypopharynx during an endoscopic removal and should be readily available in any setting where this kind of endoscopic procedure is being performed.
Keywords	complication ; esophageal ; foreign body ; endoscopy ; removal ; Magill forceps ; Medicine ; R
Language	English
Publishing date	2018-01-01T00:00:00Z
Publisher	Serbian Medical Society
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Comparison of Negative Pressure Wound Therapy (NPWT) and Classical Wet to Moist Dressing (WtM) in the Treatment of Complicated Extremity Wounds in Children.

Slavkovic, Milan / Zivanovic, Dragoljub / Dučić, Siniša / Lasić, Valentina / Bukvić, Nado / Nikolić, Harry / Martinović, Vlatka

Children (Basel, Switzerland)

2023 Volume 10, Issue 2

Abstract: Treating complicated wounds in the pediatric population using traditional wet to moist wound dressing methods is not always appropriate due to the frequent need to change dressings daily or even a number of times a day, causing distress to the patient. ... ...

Abstract	Treating complicated wounds in the pediatric population using traditional wet to moist wound dressing methods is not always appropriate due to the frequent need to change dressings daily or even a number of times a day, causing distress to the patient. Topical negative pressure is a method that allows for fewer dressings and provides localized benefits, thus accelerating wound healing. The merits of this therapy have been proven in studies on adults, but research on the pediatric population is scarce. Here we intend to present the results of negative pressure wound therapy (NPWT) on 34 pediatric patients (study group) and compare them with 24 patients (control group) treated with the traditional wet to moist dressing for complicated wounds. The results show that topical negative pressure wound therapy is a safe method that downgrades a wound from a complicated to a simple one and allows definitive coverage using a simpler technique with fewer wound dressings. The scars of the patients in the study group exhibited a better result on a visual scar scale. The patients in the control group had a shorter hospital stay. Based on the recorded results, we were able to make treatment recommendations.
Language	English
Publishing date	2023-02-03
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2732685-8
ISSN	2227-9067
ISSN	2227-9067
DOI	10.3390/children10020298
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Hand injuries in children and adolescents

Marjanović Zoran / Raičević Maja / Živanović Dragoljub / Đerić Danijela / Bojović Nikola

Srpski Arhiv za Celokupno Lekarstvo, Vol 149, Iss 5-6, Pp 311-

2021 Volume 315

Abstract: Introduction/Objective. The objective of the study was to determinate which groups in the population of children are most prone to hand injuries and to identify the causes of the injuries with the aim of further developing better means of severe injuries ...

Abstract	Introduction/Objective. The objective of the study was to determinate which groups in the population of children are most prone to hand injuries and to identify the causes of the injuries with the aim of further developing better means of severe injuries prevention that can lead to invalidity. Methods. A retrospective epidemiological study was carried out, and included all children with hand injuries admitted to our hospital between January 1, 2010 and December 31, 2017; The data were collected and analyzed statistically using SPSSR. Significance was defined as p < 0.05. Results. The total number of patients was 254, 202 boys and 52 girls, with a mean age for both sexes 10.13 years (range1–17). The majority of patients were from an urban population 56.7% and 43.3% were from a rural area. Regarding the month in the year when the injury occurred, there were two peaks, in January and in May. The right hand was more affected, 53.2%, than the left, 45.6%, and both hands were affected in 1.8% of cases. Isolated soft tissue injuries (skin, muscles, tendons) were present in 59% of cases, isolated bone injuries (phalangeal and metacarpal bone fractures) in 15.3%, and both soft tissue and bone injuries in 25.7% of cases. The little finger was the most affected, followed by the long finger and thumb, index and ring finger, respectively. The most serious injuries were from explosive wounds caused by firecrackers and handling agricultural tools and engines. Conclusion. Hand injuries in childhood are common and can have devastating consequences. Developing prevention program by raising awareness about this issue is of vital importance.
Keywords	hand injuries ; children ; adolescents ; prevention ; Medicine ; R
Subject code	360
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	Serbian Medical Society
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Importance of a Follow-Up Ultrasound Protocol in Monitoring Posttraumatic Spleen Complications in Children Treated with a Non-Operative Management.

Djordjevic, Ivona / Zivanovic, Dragoljub / Budic, Ivana / Kostic, Ana / Djeric, Danijela

Medicina (Kaunas, Lithuania)

2021 Volume 57, Issue 8

Abstract: Background and ... ...

Abstract	Background and objectives
MeSH term(s)	Adolescent ; Child ; Child, Preschool ; Female ; Follow-Up Studies ; Humans ; Infant ; Injury Severity Score ; Male ; Retrospective Studies ; Splenic Diseases/diagnostic imaging ; Splenic Diseases/epidemiology ; Splenic Diseases/etiology ; Wounds, Nonpenetrating/complications ; Wounds, Nonpenetrating/diagnostic imaging ; Wounds, Nonpenetrating/therapy
Language	English
Publishing date	2021-07-21
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2188113-3
ISSN	1648-9144 ; 1010-660X
ISSN (online)	1648-9144
ISSN	1010-660X
DOI	10.3390/medicina57080734
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Profile of Children With Child Abuse From Serbia.

Zecevic, Maja / Zivanovic, Dragoljub / Adamovic, Tamara / Lazarevic, Dragana / Marjanovic, Vesna / Jovanovic, Zorica / Lilic, Jelena

Indian pediatrics

2022 Volume 59, Issue 9, Page(s) 707–709

Abstract: Objective: To study the demographic and clinical profile of children with suspected physical or sexual abuse.: Methods: Retrospective records of children who were admitted to hospital between January, 2015 to December, 2020 with suspected physical or ...

Abstract	Objective: To study the demographic and clinical profile of children with suspected physical or sexual abuse. Methods: Retrospective records of children who were admitted to hospital between January, 2015 to December, 2020 with suspected physical or sexual abuse were evaluated. Results: The records of 52 children [mean (SD) age 12.24 (5.32) y, 39 boys] were retrieved. Contusions were the most common injury in 53.8% of boys and 69.2% of girls. The majority (70%) of 8-18 year-old-children were abused by peers, and parents/caregivers were the main perpetrators in 72.7% of younger children. Conclusion: Child abuse is often underreported, and requires a high index of suspicion and multidisciplinary approach of management.
MeSH term(s)	Adolescent ; Child ; Child Abuse ; Child Abuse, Sexual ; Female ; Humans ; Male ; Physical Examination ; Retrospective Studies ; Serbia/epidemiology
Language	English
Publishing date	2022-09-13
Publishing country	India
Document type	Journal Article
ZDB-ID	402594-5
ISSN	0974-7559 ; 0019-6061
ISSN (online)	0974-7559
ISSN	0019-6061
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Neglected Monteggia Fractures in Children-A Retrospective Study.

Zivanovic, Dragoljub / Marjanovic, Zoran / Bojovic, Nikola / Djordjevic, Ivona / Zecevic, Maja / Budic, Ivana

Children (Basel, Switzerland)

2022 Volume 9, Issue 8

Abstract: 1) Background: A Monteggia fracture is an infrequent injury in children. It can be missed during an initial consultation in 20-50% of patients. Chronic radial head dislocation may lead to several complications. Thus, surgical reconstruction of chronic ... ...

Abstract	(1) Background: A Monteggia fracture is an infrequent injury in children. It can be missed during an initial consultation in 20-50% of patients. Chronic radial head dislocation may lead to several complications. Thus, surgical reconstruction of chronic Monteggia injuries is justified. The aim of this study is to analyze the single tertiary center experience in the treatment of neglected Monteggia fractures. (2) Methods: A retrospective study of patients treated for missed Monteggia fractures was conducted. Hospital records, operative charts, follow-up records and a set of X-rays were analyzed for each patient. Radiographic results were graded as good, moderate or poor. The functional status of elbows was estimated using the Mayo Elbow Performance Index. (3) Results: A total of 13 patients (8 boys and 5 girls) aged 4-12 years (mean 7.15) were treated during the study period. An angulation osteotomy of the ulna was performed in ten patients and a radial shortening osteotomy in three patients. A Bell-Tawse annular ligament reconstruction was performed in five patients, and a direct repair was performed in two patients. Eight patients had radiocapitellar trans-fixation. There were nine good radiographic results, three moderate and one poor. The functional result was excellent in nine patients, good in three and poor in one. (4) Conclusions: Our work has many limitations (only 13 patients and different types of operations), and conclusions should be drawn very carefully from such a small and diverse group. The surgical reconstruction of neglected Monteggia fractures in children should be attempted in all patients. Angulation and elongation osteotomies of the ulna are suitable for most patients. If there is a marked overgrowth of the radius, gradual ulnar lengthening and radial head reduction using the Ilizarov method may be a better option. Annular ligament reconstruction is not mandatory.
Language	English
Publishing date	2022-07-22
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2732685-8
ISSN	2227-9067
ISSN	2227-9067
DOI	10.3390/children9081100
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Burkitt lymphoma as a cause of intussusceptions

Radovanović Zoran / Slavković Anđelka / Marjanović Zoran / Živanović Dragoljub / Đorđević Ivona

Vojnosanitetski Pregled, Vol 74, Iss 3, Pp 294-

The significance of positron emission tomography scan in the follow-up

2017 Volume 297

Abstract: Introduction. Burkitt lymphoma (BL) is a high-grade, highrisk type of non-Hodgkin lymphoma characterized by a very rapid cell progression. Although BL is a rare cause of intussusceptions, it must arouse suspicion if the intussusception occurs outside the ...

Abstract	Introduction. Burkitt lymphoma (BL) is a high-grade, highrisk type of non-Hodgkin lymphoma characterized by a very rapid cell progression. Although BL is a rare cause of intussusceptions, it must arouse suspicion if the intussusception occurs outside the characteristic peak. Case report. A previously healthy 7-year-old boy was hospitalized for recurrent abdominal pain, loss of appetite and body weight, a fever of up to 38°C, persistent vomiting and with soft tumefaction ileocecally. Nuclear magnetic resonance (NMR) revealed intussusceptions due to a tumor mass, which was followed by a surgical procedure (right hemicolectomy and terminoterminal anastomosis). Histopathological examination confirmed the diagnosis of primary abdominal Burkitt lymphoma. In spite of the subsequent oncologic treatment lasting for four months, an undifferentiated mass was detected in the retroperitoneal space below the lower pole of the right kidney. Positron emission tomography (PET) scan was performed in order to detect the metabolic activity of the deposit in the retroperitoneal space. A high metabolic activity of Burkitt lymphoma confirmed its presence, as well as the need for additional surgical intervention for tumor extirpation. PET scan undoubtedly contributed to distinguishing the visibility of tumor cells and to the detection of the subcentimeter tumor mass. Conclusion. The timely diagnosis, high tumor sensitivity to chemotherapy as well as the great importance of PET scan in the early detection of tumor recurrence, significantly increase the survival rate in patients with BL.
Keywords	Burkitt lymphoma ; diagnosis ; differential ; intussusceptions ; child ; positron-emission tomography ; digestive system surgical procedures ; antineoplastic combined chemotherapy protocols ; Medicine (General) ; R5-920
Subject code	610
Language	English
Publishing date	2017-01-01T00:00:00Z
Publisher	Military Health Department, Ministry of Defance, Serbia
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Internal fixator "Mitkovic" in the treatment of fractures of femoral shaft

Živanović Dragoljub / Radovanović Zoran / Slavković Anđelka / Marjanović Zoran

Acta Chirurgica Iugoslavica, Vol 62, Iss 1, Pp 45-

A possible solution for fractures in heavier children and adolescents

2015 Volume 47

Abstract: Background: Management of femoral shaft fractures in older and heavier children and adolescents is still challenging and controversial and includes several modalities of fixation. Aim of this study was to analyze single center experience in application ... ...

Abstract	Background: Management of femoral shaft fractures in older and heavier children and adolescents is still challenging and controversial and includes several modalities of fixation. Aim of this study was to analyze single center experience in application of selfdynamisable internal fixator Mitkovic (SIF) for the treatment of fractures of femoral shaft in children and adolescents. Methods: Retrospective analysis of data of pediatric and adolescent patients treated for diaphyseal fracture in single center has been conducted. Results: Eleven patients, with 12 femoral shaft fractures were treated in ten-year-period with internal fixator “Mitkovic“. Time to fracture healing ranged from 4-12 weeks (average 8.9 weeks). All fractures healed without complications. No rotational or angular mall-alignment was noticed. No external cast immobilization was applied in any patient. Conclusion: Selfdynamisable internal fixator Mitkovic may be considered as viable option for treatment of femoral fractures in older/heavier children and adolescents particularly with unstable fracture patterns.
Keywords	femur fractures ; children ; adolescents ; Surgery ; RD1-811 ; Medicine ; R
Subject code	370
Language	Serbian
Publishing date	2015-01-01T00:00:00Z
Publisher	Clinical Center of Serbia, Belgrade
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Congenital Posteromedial Bowing of the Tibia

Živanović Dragoljub / Slavković Andjelka / Marjanović Zoran / Djordjević Ivona / Bojović Nikola / Petrović Milan

Acta Facultatis Medicae Naissensis, Vol 34, Iss 4, Pp 293-

A Single Center Experience

2017 Volume 300

Abstract: Congenital posteromedial bowing of the tibia (CPMBT) is a rare congenital anomaly of the lower limbs. The aim of the present study was to analyze our experience in the treatment of CPMBT. ...

Abstract	Congenital posteromedial bowing of the tibia (CPMBT) is a rare congenital anomaly of the lower limbs. The aim of the present study was to analyze our experience in the treatment of CPMBT.
Keywords	posteromedial bow ; congenital anomaly ; limb lengthening ; Ilizarov ; deformity correction ; Medicine ; R
Language	English
Publishing date	2017-12-01T00:00:00Z
Publisher	Sciendo
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Comparison between the effects of selenomethionine and S-adenosylmethionine in preventing cholestasis-induced rat liver damage

Brzački, Vesna / Dimić, Dragan / Djukić, Davor / Jeremić, Ljiljana / Mladenović, Bojan / Sokolović, Dušan T / Stojanović, Nikola M / Živanović, Dragoljub

Amino acids. 2019 May, v. 51, no. 5

2019

Abstract: We aimed to evaluate whether two methionine-related compounds, S-adenosylmethionine (SAM), and selenomethionine (SM), could lessen liver damage induced by regurgitated bile in a model of rat bile duct ligation (BDL). Hepatoprotective potentials of S- ... ...

Abstract	We aimed to evaluate whether two methionine-related compounds, S-adenosylmethionine (SAM), and selenomethionine (SM), could lessen liver damage induced by regurgitated bile in a model of rat bile duct ligation (BDL). Hepatoprotective potentials of S-adenosylmethionine and selenomethionine were estimated based on the changes of serum liver damage parameters (aminotransferases, alkaline phosphatase, gamma-glutamyltranspeptidase and lactate dehydrogenase activity, and bilirubin concentration), tissue oxidative [xanthine oxidase (XO) and catalase activity, thiobarbituric acid reactive substances (TBARS) levels] and inflammatory [tumor necrosis factor-alfa (TNF-α) concentration] parameters, and morphological liver tissue alterations that follow cholestasis. The treatment regimens proved themselves able to prevent significant liver damage induced by cholestasis. Both SAM and SM decreased XO activity and TBARS levels and increased catalase activity, while only SM significantly reduced TNF-α concentration. Morphological changes related to bile-induced liver damage were also found to be partially diminished by SAM and SM. In view of the mechanisms of action of the two tested methionine-derived compounds, one might say that SM predominantly acted as an antioxidant, while SAM exerted its activity by potentially modulating different gene expression and protein structures. It is also worth mentioning that this is the first study (to the best of our knowledge) that dealt with the effects of SM on BDL-induced liver injury in rats and of the findings that speak favorably of this powerful antioxidant.
Keywords	alkaline phosphatase ; antioxidants ; bile ; bile ducts ; bilirubin ; blood serum ; catalase ; cholestasis ; enzyme activity ; gamma-glutamyltransferase ; gene expression ; lactate dehydrogenase ; liver ; mechanism of action ; models ; protein structure ; rats ; S-adenosylmethionine ; selenomethionine ; thiobarbituric acid-reactive substances ; transaminases ; tumor necrosis factor-alpha ; xanthine oxidase
Language	English
Dates of publication	2019-05
Size	p. 795-803.
Publishing place	Springer Vienna
Document type	Article
ZDB-ID	1121341-3
ISSN	1438-2199 ; 0939-4451
ISSN (online)	1438-2199
ISSN	0939-4451
DOI	10.1007/s00726-019-02716-3
Database	NAL-Catalogue (AGRICOLA)

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