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Srpski Medicinski Časopis Lekarske Komore
ISSN 2737-971X · Serbian Medical Chamber, Belgrade and University of Belgrade - Institute for Medical Research, Belgrade · 56 artikel di indeks
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Perioperative dynamics of intraocular pressure during continuous esketamine analgosedation in combined cataract and glaucoma surgery: A case report
Introduction: Perioperative management of patients with glaucoma requires a precise balance between maintaining systemic hemodynamic stability and preserving adequate ocular perfusion pressure. The effects of esketamine on intraocular pressure (IOP) during glaucoma surgery remain insufficiently…
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The predictive significance of eosinophilia in peripheral blood in patients with hodgkin lymphoma
Introduction/Objective: Hodgkin lymphoma (HL) is a rare neoplasm of the lymphatic system and is one of the most common cancers in the young adult population. Histopathologically, 95% of Hodgkin lymphoma is classic Hodgkin lymphoma (cHL). Eosinophilia, both peripherally and in tissues, is relatively…
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The Leser-Trélat sign as a paraneoplastic manifestation of malignancy: A review of the literature
Introduction/Objective: The Leser-Trélat sign is a paraneoplastic dermatosis characterized by the sudden, eruptive appearance and rapid increase in number and size of multiple seborrheic keratoses, often accompanied by intense pruritus. This clinical presentation may raise suspicion of an…
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Contemporary approaches to the prevention of gestational diabetes: Pharmacological interventions and dietary supplements: A narrative review
Introduction/Objective: Gestational diabetes mellitus (GDM) is one of the most common pregnancy complications and an important public health concern, with increasing prevalence driven by rising obesity and insulin resistance. This study aimed to review current evidence on preventive strategies for…
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Obesity, inflammation and HFpEF: Parts of the same circulus vitiosus
Introduction/Objective: Heart failure with preserved ejection fraction (HFpEF) accounts for more than half of chronic heart failure cases, and obesity is among its most common comorbidities, which has reached epidemic proportions and is associated with the progressive deterioration of HFpEF…
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Evaluation of statistical methods applied in observational studies in neurology
Introduction/Objective: Statistical methods play a key role in the planning, analysis, and interpretation of results in medical research. Due to the complexity of neurological diseases and the heterogeneity of study populations, the proper application of statistical methods in neurology is…
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Biopsychosocial and psychiatric aspects of infidelity
Introduction/Objective: Infidelity is a complex biopsychosocial phenomenon with significant implications at the individual, relational, and family levels. Although traditionally viewed within moral, cultural, or social frameworks, contemporary evidence highlights the interplay of biological…
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A rare case of primarily misdiagnosed giant malignant mixed germinative mediastinal tumor in a young male patient, surgically removed by "Coliseum" approach
Introduction: Mixed germ cell tumor (MGCT) is most common in younger patients and is localized primarily to the gonads. After reviewing the literature, we concluded that there are only a few cases of mediastinal MGCT - primary mediastinal MGCT accounts for about 10-15% of all mediastinal…
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Descemet membrane endothelial keratoplasty (DMEK): Clinical outcome of the first 52 consecutive cases performed in 2022 and 2023
Introduction/Objective: Corneal endothelial dysfunction is the most frequent indication for corneal transplantation in the developed countries. Shortly after its first appearance, Descemet membrane endothelial keratoplasty (DMEK) has been widely accepted due to its numerous advantages. Our aim is…
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Aging as a modulator of multiple sclerosis pathophysiology
The number of older patients with multiple sclerosis is rising significantly, including individuals with late-onset disease (after age 50) and very late-onset disease (after age 60). Aging affects the immune and nervous systems, contributing to a shift in the clinical course towards a progressive…
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Navigating COVID-19 in pregnancy: Care pathways and system challenges in Kazakhstan: A qualitative study
Introduction: International studies conducted during the COVID-19 pandemic have shown that pregnant women often experienced significant barriers to timely and appropriate care. However, much of the existing evidence is derived from quantitative surveillance or from settings with well-established…
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Laboratory parameters and their relations with disease outcome in patients with non-hodgkin follicular lymphoma: Single centre five-year follow-up
Introduction/Objective: Follicular lymphoma, a subtype of non-Hodgkin lymphoma, is the second most common non-Hodgkin lymphoma and the most frequent indolent lymphoma. Although rare, this disease may exhibit aggressive behavior, a tendency toward complications, as well as resistance to administered…
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Depressive symptoms among family members providing informal care for patients receiving home-based care: A PHQ-9 cross-sectional study
Introduction/Objective:: Family members providing informal care for patients receiving home-based care represent a population at increased risk of developing depressive symptoms. The aim of this study was to assess the presence and severity of depressive symptoms using the PHQ-9 questionnaire and…
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Surgical treatment of radiation-induced anterior chest wall osteosarcoma after breast carcinoma: A case report
Introduction/Objective: Radiotherapy for breast cancer can rarely lead to radiation-induced osteosarcoma (RIOS), a highly aggressive malignancy. This article aims to present the specificity of the surgical treatment applied and the level of aggressiveness of this rare malignant tumor. Case report…
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Impact of left ventricular geometry, expressed as interventricular septal and posterior wall thickness, on the outcome of acute ischemic stroke
Introduction/Objective: Acute stroke represents a significant component of the overall health burden of the population. Parameters obtained by transthoracic echocardiography are well-established predictors of outcomes in cardiovascular diseases, while increasing evidence indicates their importance…
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Prevention and management of vaccine hesitancy
Vaccine hesitancy refers to the delay in accepting or refusing vaccines despite the availability of vaccination services. Well-conducted studies and trials reviewed in this article support methods both to prevent and manage vaccine hesitancy. Clinicians should know which vaccines their patients are…
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Penile fracture associated with urethral injury: Case report
Introduction: Penile fracture is a rare urologic emergency that may occur when the erect penis is injured, most often during sexual intercourse. In 10%-21% of cases, it is associated with urethral injury. The diagnosis is most often made by clinical examination, but additional diagnostic methods…
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Peribulbar anesthesia with targeted intravenous esketamine analgosedation during enucleation: A contemporary narrative review
Introduction: Enucleation is an invasive ophthalmic procedure accompanied by pronounced nociceptive and reflex stimuli, representing a significant anesthesiological challenge, particularly in elderly and comorbid patients. Contemporary anesthesiology trends increasingly favor the use of regional…
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The prevalence of metabolic disorders and hypertension in women during perimenopause and menopause
Introduction/Objective: Cardiometabolic diseases, including type 2 diabetes (T2D) and cardiovascular disease, and their associated factors, such as hypertension, dyslipidemia, insulin resistance, and obesity, are among the leading causes of morbidity and mortality. At a young age, the prevalence of…
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Axillary brachial plexus block under procedural sedation for arteriovenous fistula formation in a child with end-stage renal disease: A case report
Introduction/Objective: Arteriovenous (AV) fistula formation has become the gold standard for hemodialysis vascular access. The use of brachial plexus blocks (BPB) for antebrachial AV fistula formation in adults provides not just adequate analgesia but a potentially positive effect on primary…