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Barišić T, Jerković Raguž M, Šušak I, Babić E, Grgić S, Mandić I. Do elevated thyrotropin levels increase the risk of miscarriages: yes or no? EUR J CONTRACEP REPR 2024; 29:32-36. [PMID: 37965691 DOI: 10.1080/13625187.2023.2276031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Accepted: 10/19/2023] [Indexed: 11/16/2023]
Abstract
BACKGROUND To examine correlation between elevated levels of thyrotropin with the frequency of miscarriages. METHODS A cross-sectional study was conducted on the 380 respondents and it investigated TSH (thyrotropin), thyroid peroxidase antibody(anti-TPO) and free thyroxine (FT4) in pregnant women who had a miscarriage (N = 179) and pregnant women with normal pregnancies (N = 201). RESULTS The incidence of subclinical hypothyroidism in the miscarriages group was higher than in control group (61.4% vrs 15.79% (p < 0.001). In the miscarriages group with hypothyroidism (first trimester) mean value of TSH was significantly higher 4.31 ± 2.55 mIU/L compared to the control group 1.95 ± 0.86mIU/L (p < 0.001). Logistic multivariate regression revealed that TSH and body mass index (BMI) have a significant influence on the miscarriage; TSH level has a higher odds ratio (OR) 1.47 CI (95% 1.22-1.78) than BMI (OR) 1.14 CI (95% 1.06-1.23)) (p < 0.001). The combination of thyroid autoimmunity and TSH > 2.5mIU/L increase the risk of miscarriage (65.75%) compared to positive anti-TPO antibodies and TSH < 2.5mIU/L(14.15%)(p < 0.001). CONCLUSIONS Higher TSH levels correspond with obesity during early pregnancy and may be a sign of maternal thyroid dysfunction. Physiological thyroid function in the first trimester of pregnancy is important for perinatal outcome.
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Affiliation(s)
- Tatjana Barišić
- Department of Obstetrics and Gynecology, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
| | - Marjana Jerković Raguž
- Department of Neonatology, Clinic for Children's Diseases, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
| | - Ivona Šušak
- Department of Obstetrics and Gynecology, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
| | - Emil Babić
- Internal Medicine Clinic of University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
| | - Svjetlana Grgić
- Clinic for Infectious Diseases, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
| | - Iva Mandić
- Clinic for Children's Diseases, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
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Pervan P, Mikšić Trontl V, Figueroa IA, Valla T, Pletikosić I, Babić E. Compositionally Complex Alloys: Some Insights from Photoemission Spectroscopy. Materials (Basel) 2023; 16:1486. [PMID: 36837116 PMCID: PMC9958590 DOI: 10.3390/ma16041486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 02/01/2023] [Accepted: 02/07/2023] [Indexed: 06/18/2023]
Abstract
Photoemission spectroscopy (PES) is an underrepresented part of current and past studies of compositionally complex alloys (CCA) such as high-entropy alloys (HEA) and their derivatives. PES studies are very important for understanding the electronic structure of materials, and are therefore essential in some cases for a correct description of the intrinsic properties of CCAs. Here, we present several examples showing the importance of PES. First, we show how the difference between the split-band structure and the common-band structure of the valence band (VB), observed by PES, can explain a range of properties of CCAs and alloys in general. A simple description of the band crossing in CCAs composed from the early and late transition metals showing a split band is discussed. We also demonstrate how a high-accuracy PES study can determine the variation in the density of states at the Fermi level as a function of Cu content in Ti-Zr-Nb-Ni-Cu metallic glasses. Finally, the first results of an attempt to single out the contributions of particular constituents in Cantor-type alloys to their VBs are presented. The basic principles of PES, the techniques employed in studies presented, and some issues associated with PES measurements are also described.
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Affiliation(s)
| | | | | | - Tonica Valla
- Condensed Matter Physics and Materials Science Department, Brookhaven National Lab, Upton, NY 11973, USA
- Donostia International Physics Center, 20018 Donostia-San Sebastian, Spain
| | - Ivo Pletikosić
- Condensed Matter Physics and Materials Science Department, Brookhaven National Lab, Upton, NY 11973, USA
- Department of Physics, Princeton University, Princeton, NJ 08544, USA
| | - Emil Babić
- Department of Physics, Faculty of Science, University of Zagreb, 10000 Zagreb, Croatia
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Bogut A, Martinac M, Pravdić D, Karin M, Volarić M, Bevanda Glibo D, Babić E, Babić D, Bevanda M. Personality Traits and Health Related Quality of Life in Patients with Irritable Bowel Sindrome and Inflammatory Bowel Disease. Psychiatr Danub 2022; 34:53-62. [PMID: 36752243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
BACKGROUND Personality traits as alexithymia and type D personality may impair health related quality of life (HRQoL) in patients with irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD). Aim of this study was to evaluate personality traits in patients with IBS and IBD and their impact on HRQoL. MATERIALS AND METHODS The subjects (40 patients with IBS, 40 with IBD and 40 health control subjects) completed SF-36 questionnaire, TAS-20 and DS14 scale. RESULTS Patients with IBS and IBD had higher results on TAS-20 and DS14 scale when compared with healthy controls. Also IBS patients had higher scores than IBD patients. Higher scores on TAS-20 and DS14 scales in IBS and IBD patients correlate with lower HRQoL. HRQoL was poorer in IBS and IBD patients than in healthy control subjects. CONCLUSIONS Alexithymia and type D personality in IBS and IBD patients are associated with lower HRQoL and psychological interventions should be considered.
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Affiliation(s)
- Ante Bogut
- University Clinical Hospital Mostar, Internal Medicine Clinic with Dialysis Center, Bijeli brijeg b.b., 80000 Mostar, Bosnia and Herzegovina,
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Babić E, Drobac Đ, Figueroa IA, Laurent-Brocq M, Marohnić Ž, Mikšić Trontl V, Pajić D, Perrière L, Pervan P, Remenyi G, Ristić R, Salčinović Fetić A, Starešinić D, Zadro K. Transition from High-Entropy to Conventional Alloys: Which Are Better? Materials (Basel) 2021; 14:5824. [PMID: 34640219 PMCID: PMC8510487 DOI: 10.3390/ma14195824] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Revised: 09/25/2021] [Accepted: 09/29/2021] [Indexed: 12/04/2022]
Abstract
The study of the transition from high-entropy alloys (HEAs) to conventional alloys (CAs) composed of the same alloying components is apparently important, both for understanding the formation of HEAs and for proper evaluation of their potential with respect to that of the corresponding CAs. However, this transition has thus far been studied in only two types of alloy systems: crystalline alloys of iron group metals (such as the Cantor alloy and its derivatives) and both amorphous (a-) and crystalline alloys, TE-TL, of early (TE = Ti, Zr, Nb, Hf) and late (TL = Co, Ni, Cu) transition metals. Here, we briefly overview the main results for the transition from HEAs to CAs in these alloy systems and then present new results for the electronic structure (ES), studied with photoemission spectroscopy and specific heat, atomic structure, thermal, magnetic and mechanical properties of a-TE-TL and Cantor-type alloys. A change in the properties of the alloys studied on crossing from the HEA to the CA concentration range mirrors that in the ES. The compositions of the alloys having the best properties depend on the alloy system and the property selected. This emphasizes the importance of knowing the ES for the design of new compositional complex alloys with the desired properties.
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Affiliation(s)
- Emil Babić
- Department of Physics, Faculty of Science, University of Zagreb, 10000 Zagreb, Croatia; (D.P.); (K.Z.)
| | - Đuro Drobac
- Institute of Physics, 10000 Zagreb, Croatia; (Đ.D.); (Ž.M.); (V.M.T.); (P.P.); (D.S.)
| | | | | | - Željko Marohnić
- Institute of Physics, 10000 Zagreb, Croatia; (Đ.D.); (Ž.M.); (V.M.T.); (P.P.); (D.S.)
| | - Vesna Mikšić Trontl
- Institute of Physics, 10000 Zagreb, Croatia; (Đ.D.); (Ž.M.); (V.M.T.); (P.P.); (D.S.)
| | - Damir Pajić
- Department of Physics, Faculty of Science, University of Zagreb, 10000 Zagreb, Croatia; (D.P.); (K.Z.)
| | - Loїc Perrière
- ICMPE, Universite Paris Est, 94320 Thiais, France; (M.L.-B.); (L.P.)
| | - Petar Pervan
- Institute of Physics, 10000 Zagreb, Croatia; (Đ.D.); (Ž.M.); (V.M.T.); (P.P.); (D.S.)
| | | | - Ramir Ristić
- Physics Department, Josip Juraj Strossmayer University, 31000 Osijek, Croatia;
| | - Amra Salčinović Fetić
- Department of Physics, Faculty of Science, University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina;
| | - Damir Starešinić
- Institute of Physics, 10000 Zagreb, Croatia; (Đ.D.); (Ž.M.); (V.M.T.); (P.P.); (D.S.)
| | - Krešo Zadro
- Department of Physics, Faculty of Science, University of Zagreb, 10000 Zagreb, Croatia; (D.P.); (K.Z.)
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Babić E, Bevanda M, Karin M, Volarić M, Bogut A, Bevanda Glibo D, Bevanda D, Šutalo N. Anxiety, Depression and Personality Types in Patients with Inflammatory Bowel Disease: Comparisons with Peptic Ulcer and the General Population. Psychiatr Danub 2021; 33:48-56. [PMID: 33857039 DOI: 10.24869/psyd.2021.48] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
BACKGROUND To explore corellation of anxiety, depression ant type of personality in inflammatory bowel disease (IBD) and compare with peptic ulcer (PU). SUBJECTS AND METHODS In this study, prevalence of anxiety, depression and type of personality was investigated in 362 cases divided into three groups: 112 of IBD patients, 122 of peptic ulcer patients and 128 of control group who didn't have any gastrointestinal or psychic complaints. IBD and peptic ulcer diagnosis were established by standard diagnostic procedures (anamnesis, clinical manifestations, laboratory, endoscopy and biopsy in IBD and upper endoscopy in peptic ulcer). Anxiety and depression were established by Hamilton anxiety rating scale (HAM-A) and Hamilton rating test for depression (HAM-D). Type of A/B personality was established by Bortner scale and D type of personality by Denollet scale (DS14). RESULTS Anxiety was found in 47 (41.9%) and depression in 44 (38.3%) of a total of 112 IBD cases. In group with peptic ulcer anxiety was found in 40 (32.8%) and depression aalso in 40 (32.8%) of total 122 cases. In control group anxiety was diagnosed in 21 (16.4%) and depression in 20 (15.6%) of total 128 cases. Anxiety and depresson were significantly higher in both groups than in control group but anxiety and depression were significantly higher in IBD group than peptic ulcer group. D type of personality was statistically significant in peptic ulcer group. CONCLUSION Anxiety and depression in IBD and peptic ulcer cases have a greater prevalence compared to the normal population and surprisingly are higher in IBD than peptic ulcer group. D type of personality is associated with peptic ulcer.
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Affiliation(s)
- Emil Babić
- University of Mostar Clinical Hospital, Department of Gastroenterology and Hepatology, Bijeli Brijeg bb, 88000 Mostar, Bosnia and Herzegovina,
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Karin M, Bogut A, Hojsak I, Babić E, Volarić M, Bevanda M. Nutritional status and its effect on complications in patients with colorectal cancer. Wien Klin Wochenschr 2020; 132:431-437. [PMID: 32451819 DOI: 10.1007/s00508-020-01671-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2020] [Accepted: 04/29/2020] [Indexed: 12/20/2022]
Abstract
BACKGROUND Nutritional status is an important factor for predicting the risk of developing complications after a surgical procedure. Many nutritional assessments are used in clinical practice, but their role in predicting postoperative outcomes is unknown. Therefore, the aim of this study was to assess the utility of nutritional risk factors at the diagnosis of colorectal cancer (CRC) for predicting early postsurgical complications. METHODS This was a prospective observational study including 127 patients with CRC at diagnosis. Their preoperative nutritional status was analyzed by body mass index (BMI), triceps and subscapular skinfolds and two nutritional scales: the Patient-Generated Subjective Global Assessment (PG-SGA) and the Malnutrition Universal Screening Tool (MUST). The outcome variables, including postoperative complications, length of hospital stay and mortality, were analyzed. RESULTS Patients identified as malnourished by PG-SGA score had prolonged hospital stays (p = 0.01). The risk of infection was increased in older patients (hazard ratio, HR 1.12; 95% confidence interval, CI 1.04-1.21) but was not associated with nutritional status. Early wound dehiscence was increased in patients with higher BMI (HR 1.15; 95% CI 1.01-1.29), with higher subscapular skinfold thickness and increased age (HR 1.05; 95% CI 1.05-1.10). Postoperative mortality was not significantly associated with nutritional status. CONCLUSION Malnourished patients, as identified by the PG-SGA score, stayed longer in hospital than patients who were not malnourished, while increased BMI was recognized as a risk factor for wound dehiscence.
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Affiliation(s)
- Maja Karin
- Department of Gastroenterology and Hepatology, University Clinical Hospital Mostar, Bijeli Brijeg bb, Mostar, Bosnia and Herzegovina.
| | - Ante Bogut
- Department of Gastroenterology and Hepatology, University Clinical Hospital Mostar, Bijeli Brijeg bb, Mostar, Bosnia and Herzegovina
| | - Iva Hojsak
- Referral center for pediatric gastroenetrology and nutrition, Children's Hospital Zagreb, Klaićeva 16, Zagreb, Croatia
| | - Emil Babić
- Department of Gastroenterology and Hepatology, University Clinical Hospital Mostar, Bijeli Brijeg bb, Mostar, Bosnia and Herzegovina
| | - Mile Volarić
- Department of Gastroenterology and Hepatology, University Clinical Hospital Mostar, Bijeli Brijeg bb, Mostar, Bosnia and Herzegovina
| | - Milenko Bevanda
- Department of Gastroenterology and Hepatology, University Clinical Hospital Mostar, Bijeli Brijeg bb, Mostar, Bosnia and Herzegovina
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Turkalj M, Erceg D, Martinuš M, Babić E, Karin M, Bevanda M. Diagnosis of perioperative anaphylaxis. Psychiatr Danub 2019; 31:50-59. [PMID: 30946718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Every agent used during the perioperative period may be involved and have the potential to trigger both allergic, IgE and non-IgE reaction as well as non-specific (non-allergic) reactions. In many cases, an allergic mechanism cannot be ruled out and systematic investigations should be tested of all drugs and agents the patient was exposed to prior to the reaction. The complexity of agents used for anaesthesia and surgery present challenges when attempting to identify the culprit drugs and select proper testing to better recognition of trigger. The diagnosis of preoperative anaphylactic or anaphylactoid reaction is clinical and based upon the presence of characteristic symptom and signs that begin suddenly and developed rapidly in most cases. Elevations of mast cell mediators such as tryptase and histamine in the blood can help to distinguish anaphylaxis from other disorders that present with similar clinical picture. The secondary investigations of adverse perioperative drug reactions are highly specialised and include skin testing, in vitro testing and in some cases challenge tests. Any suspected reaction during anaesthesia must be extensively investigated and these diagnostic tests should be done in specialised centres. The cooperation between anaesthesiologists and allergists is necessary to provide the necessary diagnostic tests to identify the responsible drug, to carry out prevention and to provide recommendations for future anesthetic procedures.
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Affiliation(s)
- Mirjana Turkalj
- Srebrnjak Children's Hospital, Srebrnjak 100, 10000 Zagreb, Croatia,
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Šutalo N, Marijanović I, Buhovac T, Čuljak V, Trninić Z, Glibo DB, Babić E. Adenocarcinoma of the Small Intestine as the Cause of an Acute Abdomen - Two Case Reports with a Review of the Literature. Psychiatr Danub 2016; 28 Suppl 2:253-255. [PMID: 28035131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- Nikica Šutalo
- Department of Surgery, University Clinical Hospital Mostar, Kralja Tvrtka bb, 88000 Mostar, Bosnia & Hercegovina,
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Babić E, Bevanda M, Karin M, Volarić M, Bevanda D, Glibo DB, Bogut A. Correlation of clinical and endoscopic indices in IBD patients in University Clinical Hospital Mostar. Psychiatr Danub 2016; 28 Suppl 2:242-246. [PMID: 28035129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
BACKGROUND To explore correlation between clinical and endoscopic indices in inflammatory bowel disease (IBD) patients. SUBJECTS AND METHODS There were 112 patients with inflammatory bowel disease. All patients with diagnosed IBD was established a degree of clinical and endoscopic disease activity. CDAI (Crohn's disease activity index) was used as clinical and SES-CD (Simplified Endoscopic Crohn Disease Index) as endoscopic index for Crohn's disease. For ulcerative colitis Truelov & Witts index was used as clinical and Baron as endoscopic activity index. Correlation of clinical and endoscopic indices were compared in Crohn disease (CD) and ulcerative colitis (UC). Patients were analyzed by clinical entities - CD and UC, according to sex, age, parameters of anemia, duration of disease and education. RESULTS In the total of 112 IBD patients there were 69 patients diagnosed as ulcerative colitis (61.6%) and 43 as Crohn's disease (38.4%). There were 58 (51.8%) women and 54 (48.2%) men. Comparison between endoscopic and clinical indices in CD and UC demonstrated no significant differences in ilnness activity. Endoscopic and clinical disease activity was associated with a higher inflammatory parameters (CRP and leucocytes, L) and lower parameters of hemoglobin (Hb) and MCV. CONCLUSION Our research has established a good correlation between clinical and endoscopic index of disease activity in the CB and UC in inflammation. Clinical indices can be used for monitoring inflammation.
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Affiliation(s)
- Emil Babić
- University of Mostar Clinical Hospital, Department of Gastroenterology and Hepatology, Bijeli Brijeg bb, 88000 Mostar, Bosnia and Herzegovina,
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Babić E, Bevanda M, Mimica M, Karin M, Volarić M, Bogut A, Barišić T, Pravdić D, Šutalo N. Prevalence of amebiasis in inflammatory bowel disease in University Clinical Hospital Mostar. Springerplus 2016; 5:1586. [PMID: 27652159 PMCID: PMC5025403 DOI: 10.1186/s40064-016-3261-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/14/2016] [Accepted: 09/07/2016] [Indexed: 12/02/2022]
Abstract
Aim To explore the prevalence of amebiasis in inflammatory bowel disease (IBD), Crohn’s disease and ulcerative colitis, in patients in Clinical hospital Mostar (Bosnia and Herzegovina, region of Herzegovina). Methods In this study, Entamoeba histolytica/dispar prevalence was investigated in fresh faeces by native microscopy and immunochromatographic rapid assay “RIDA®QUICK Entamoeba test”, in 119 cases of new found IBD patients, 84 of ulcerative colitis and 35 of Crohn’s disease and in control group who had also 119 patients who didn’t have any gastrointestinal complaints. IBD diagnosis was established by standard diagnostic procedures (anamnesis, clinical manifestations, laboratory, endoscopy and biopsy). Results Entamoeba histolytica/dispar were found in 19 (16.0 %) of a total of 119 cases, 12 (14.3 %) of the 84 patients with ulcerative colitis and 7 (20.0 %) of the 35 patients with Crohn’s disease. As for the 119 patients in the control group who had not any gastrointestinal complaints, 2 (1.7 %) patients were found to have E. histolytica/dispar in their faeces. Amoeba prevalence in the patient group was determined to be significantly higher in group with Crohn’s disease, ulcerative colitis and IBD total than in the control group (p < 0.001). Conclusion Ameba infections in patients with Crohn’s disease and ulcerative colitis, have a greater prevalence compared to the normal population.
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Affiliation(s)
- Emil Babić
- Department of Gastroenterology and Hepatology, University of Mostar Clinical Hospital, Bijeli Brijeg bb, 88000 Mostar, Bosnia and Herzegovina
| | - Milenko Bevanda
- Department of Gastroenterology and Hepatology, University of Mostar Clinical Hospital, Bijeli Brijeg bb, 88000 Mostar, Bosnia and Herzegovina
| | - Mladen Mimica
- Department of Gastroenterology and Hepatology, University of Mostar Clinical Hospital, Bijeli Brijeg bb, 88000 Mostar, Bosnia and Herzegovina
| | - Maja Karin
- Department of Gastroenterology and Hepatology, University of Mostar Clinical Hospital, Bijeli Brijeg bb, 88000 Mostar, Bosnia and Herzegovina
| | - Mile Volarić
- Department of Gastroenterology and Hepatology, University of Mostar Clinical Hospital, Bijeli Brijeg bb, 88000 Mostar, Bosnia and Herzegovina
| | - Ante Bogut
- Department of Gastroenterology and Hepatology, University of Mostar Clinical Hospital, Bijeli Brijeg bb, 88000 Mostar, Bosnia and Herzegovina
| | - Tatjana Barišić
- Department of Ginecology, University of Mostar Clinical Hospital, Bijeli Brijeg bb, 88000 Mostar, Bosnia and Herzegovina
| | - Danijel Pravdić
- Department of Gastroenterology and Hepatology, University of Mostar Clinical Hospital, Bijeli Brijeg bb, 88000 Mostar, Bosnia and Herzegovina
| | - Nikica Šutalo
- Department of Abdominal Surgery, University of Mostar Clinical Hospital, Bijeli Brijeg bb, 88000 Mostar, Bosnia and Herzegovina
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Mimica M, Tomić M, Babić E, Karin M, Bevanda M, Alfirević D, Godler Ğ, Karan D. Gastric cancer with bone marrow invasion presenting as severe thrombocytopenia. Turk J Gastroenterol 2015; 25 Suppl 1:229-30. [PMID: 25910314 DOI: 10.5152/tjg.2014.4660] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- Mladen Mimica
- Department of Internal medicine, University Clinic, Mostar, Bosnia and Herzegowina.
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Karin M, Bevanda M, Babić E, Mimica M, Bevanda-Glibo D, Volarić M, Bogut A, Pravdić D. Correlation between biochemical and histopathological parameters in patients with chronic hepatitis C treated with pegylated interferon and ribavirin. Psychiatr Danub 2014; 26 Suppl 2:364-369. [PMID: 25433316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
AIM The main goal of this study was to compare the biochemical and histopathological findings in patients with sustained virological response (SVR) before and two years after the therapy with pegylated interferon α-2a and ribavirin in chronic hepatitis C. SUBJECTS AND METHODS The study was conducted at the Department of Internal Medicine and the Clinic for Infectious Diseases of the Clinical Hospital Mostar. The study included 48 patients whose treatment for chronic hepatitis C with pegylated interferon α-2a and ribavirin was finished two years prior to the achieved SVR at the end of the treatment. The main criterion for inclusion was a negative result of HCV RNA, determined by the RealTime HCV assay. After taking a history, physical examination, laboratory tests: AST, ALT, GGT, a liver biopsy were performed with the help of the ultrasound. The assessment of necroinflamatory score was determined by histologic activity index (HAI) score, and the stage of fibrosis according to Knodell's numerical score. RESULTS The values of AST and ALT levels were statistically significantly decreased after the successful treatment (p<0.001), as well as the value of HAI score (p=0.001) and the stage of fibrosis (p=0.010), in contrast to GGT (p=0.054). For the components of HAI score like focal necrosis (0.001) and portal inflammation (0.042) the result showed that they were significantly higher before the therapy, which was not true for the piecemeal (p=0.054) and confluated necrosis (p=0.078). The improvement of HAI score after therapy was found in 36 patients (75.0%), and 27 patients (56.2%) showed an improvement in the degree of fibrosis with the most common improvement of 1 degree (85.7%). One third of patients (31.3%) had the same result in the degree of fibrosis before and after the therapy. Before the treatment, a positive correlation was observed between ALT (p=0.039) and AST (p=0.04) with HAI, AST and the stage of fibrosis (p=0.04). In contrast, after the treatment the only correlation was observed between AST and the stage of fibrosis (p=0.042). CONCLUSION Virological and biochemical responses in patients with SVR may not reflect the histopathological effects of the treatment and therefore these patients should be monitored for the possible development of the liver cirrhosis and hepatocellular carcinoma.
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Affiliation(s)
- Maja Karin
- Departemnt of Internal Medicine, Clinical Hospital Mostar, Bijeli Brijeg b.b., Mostar, Bosnia and Herzegovina,
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Babić E, Rumboldt Z. [The incidence of metabolic syndrome in patients with acute myocardial infarction in Mostar Clinical Hospital during year 2005]. Lijec Vjesn 2007; 129:309-310. [PMID: 18198634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
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Pajić D, Zadro K, Ristić R, Zivković I, Skoko Z, Babić E. Thermal relaxation of magnetic clusters in amorphous Hf(57)Fe(43) alloy. J Phys Condens Matter 2007; 19:296207. [PMID: 21483078 DOI: 10.1088/0953-8984/19/29/296207] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
The magnetization processes in binary magnetic/non-magnetic amorphous alloy Hf(57)Fe(43) are investigated by the detailed measurement of magnetic hysteresis loops, temperature dependence of magnetization, relaxation of magnetization and magnetic ac susceptibility, including a nonlinear term. Blocking of magnetic moments at lower temperatures is accompanied by the slow relaxation of magnetization and magnetic hysteresis loops. All of the observed properties are explained by the superparamagnetic behaviour of the single domain magnetic clusters inside the non-magnetic host, their blocking by the anisotropy barriers and thermal fluctuation over the barriers accompanied by relaxation of magnetization. From magnetic viscosity analysis based on thermal relaxation over the anisotropy barriers it is found that magnetic clusters occupy the characteristic volume from 25 up to 200 nm(3). The validity of the superparamagnetic model of Hf(57)Fe(43) is based on the concentration of iron in the Hf(100-x)Fe(x) system that is just below the threshold for long range magnetic ordering. This work also throws more light on the magnetic behaviour of other amorphous alloys.
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Affiliation(s)
- Damir Pajić
- Department of Physics, Faculty of Science, University of Zagreb, Bijenička cesta 32, HR-10000 Zagreb, Croatia
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Abstract
Incidents of heart and renal failure (HF, RF) together, are increasing in our country and all over the world, so a great attention has been dedicated to this problem recently. These diseases together have shown bad results because of the process of accelerated arteriosclerosis, structural changes of myocardium, oxidative stress, inflammation, increased activities of sympathetic nervous system (SNS), increased activities of a renin-angiotensin-aldosterone system (RAAS) (1). These factors are crucial in the development of patho-physiological process and consequential development of anemia, that together with heart and renal failure through interaction, cause serious disorder that we call the cardio-renal anemia syndrome (2). We examined effects of erythropoietin (Epoetin beta) at 90 (60 men and 30 women) pre-dialysed and dialysed patients with HF signs during a period of three years in individual dozes of 2000-6000 units subcutaneous (sc) weekly. Using computer S PLUS and SAS multiple variant analysis we have got correlations by Pearson. Epoetin beta significantly develops anemia parameters: number of erythrocytes (r=0.51779; p<0.0001), hemoglobin (r=0.38811; p<0.0002), MCV (r=0.59876; p<0.0001) at patients with HF. Positive effects are seen at NYHA class (r=0.59906; p<0.0001), on quality of life before and after prescribing medicine. Parameters of renal functions are improving: more urea (r =0.45557; p<0.0001) than creatinine (r=0.26397; p<0.00119) and potassium values K(+)) are not changed significantly (r=0.02060; p<0.8471). Epoetin beta has been useful in treatment of pre-dialysed and dialysed patients with HF and anemia by improving functional ability of myocardium and quality of life.
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Affiliation(s)
- Emir Fazlibegović
- Clinical Hospital Mostar, Bijeli Brijeg, 88000 Mostar, Bosnia and Herzegovina
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Babić E, Šaub K. Classical and Quantum Contribution to Conductivity of Glassy ZrCu Alloys*. Z PHYS CHEM 1988. [DOI: 10.1524/zpch.1988.157.part_2.629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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