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Sitarević A, Nešić Tomašević A, Sofić A, Banjac N, Novaković N. The Psychosocial Model of Absenteeism: Transition from 4.0 to 5.0. Behav Sci (Basel) 2023; 13:bs13040332. [PMID: 37102846 PMCID: PMC10136245 DOI: 10.3390/bs13040332] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 03/21/2023] [Accepted: 03/29/2023] [Indexed: 04/28/2023] Open
Abstract
The research provides insight into the factors that determine absenteeism in different types of organizations, in order to facilitate the adjustment of employees and organizations in the transition process from Industry 4.0 to Industry 5.0. The aim of the study is to predict the absenteeism of employees in the context of job characteristics and mental health. Additionally, the research investigated the effect of size, ownership, and sector of the companies on absenteeism, job characteristics, and mental health. The sample included responses from 502 employees of different sociodemographic characteristics that work in various types of organizations, performing white-collar and blue-collar jobs. A short mental health questionnaire-Mental Health Inventory, MHI-5-was used in order to measure mental health. The Job Characteristics Questionnaire was used to measure the employees' perceptions of their job characteristics-job variety, autonomy, feedback, dealing with others, task identity, and friendship. The absenteeism is operationalized with the question: "During the past 12 months, how many days were you absent from work for any reason?". The findings suggest that mental health and job characteristics significantly reduce absenteeism among different sectors. The result showed that the size, ownership, and sector of the organization significantly affect the absenteeism, job characteristics, and the mental health of the employees. The results support the premises of Industry 5.0 and offer a new human-centric approach to absenteeism through the promotion of mental health through long-term organizational strategies and a more inclusive approach to employees' preferences in relation to job characteristics. The study offers a new, double-sided model of absenteeism, determining causal factors from the perspective of personal and organizational factors.
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Affiliation(s)
- Aleksandra Sitarević
- Faculty of Technical Sciences, University of Novi Sad, Trg Dositeja Obradovića 6, 21000 Novi Sad, Serbia
| | - Ana Nešić Tomašević
- Faculty of Technical Sciences, University of Novi Sad, Trg Dositeja Obradovića 6, 21000 Novi Sad, Serbia
| | - Aleksandar Sofić
- Faculty of Technical Sciences, University of Novi Sad, Trg Dositeja Obradovića 6, 21000 Novi Sad, Serbia
| | - Nikola Banjac
- Faculty of Technical Sciences, University of Novi Sad, Trg Dositeja Obradovića 6, 21000 Novi Sad, Serbia
| | - Nenad Novaković
- Faculty of Technical Sciences, University of Novi Sad, Trg Dositeja Obradovića 6, 21000 Novi Sad, Serbia
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Rasulić L, Lepić M, Savić A, Novaković N, Kovačević V, Vitošević F, Samardžić M. Managing Complications Related to Peripheral Nerve Surgery: Selected Illustrative Cases. Acta Neurochir Suppl 2023; 130:191-196. [PMID: 37548739 DOI: 10.1007/978-3-030-12887-6_23] [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] [Subscribe] [Scholar Register] [Indexed: 08/08/2023]
Abstract
Peripheral nerve surgery mostly involves elective procedures; thus, the associated complications are of great clinical, social, and medicolegal importance. Apart from the general perioperative morbidity, complications during interventions on peripheral nerves are extremely rare. However, iatrogenic peripheral nerve injuries during unrelated surgical procedures performed by those not specialised in peripheral nerve surgery remain the most significant group of complications, accounting for up to approximately 17% of all cases. The aims of this review are to provide better insight into the multifaceted nature of complications related to peripheral nerve surgery-from the perspective of their causes, treatment, and outcome-and to raise surgeons' awareness of the risks of such morbidity. It should be emphasized that intraoperative complications in peripheral nerve surgery are largely "surgeon-related" rather than "surgery-related"; therefore, they have great potential to be avoided.
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Affiliation(s)
- Lukas Rasulić
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
- Department for Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, University Clinical Center of Serbia, Belgrade, Serbia.
| | - Milan Lepić
- Clinic for Neurosurgery, Military Medical Academy, Belgrade, Serbia
| | - Andrija Savić
- Department for Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, University Clinical Center of Serbia, Belgrade, Serbia
| | - Nenad Novaković
- Clinic for Neurosurgery, Military Medical Academy, Belgrade, Serbia
| | - Vojin Kovačević
- Department of Neurosurgery, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
| | - Filip Vitošević
- Neuroradiology Department, Center for Radiology and MRI, University Clinical Center of Serbia, Belgrade, Serbia
| | - Miroslav Samardžić
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Department for Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, University Clinical Center of Serbia, Belgrade, Serbia
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Rasulić L, Nikolić Ž, Lepić M, Savić A, Vitošević F, Novaković N, Radojević S, Mićić A, Lepić S, Mandić-Rajčević S. Useful functional recovery and quality of life after surgical treatment of peroneal nerve injuries. Front Surg 2022; 9:1005483. [PMID: 36451682 PMCID: PMC9702062 DOI: 10.3389/fsurg.2022.1005483] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Accepted: 10/03/2022] [Indexed: 08/30/2023] Open
Abstract
Closed injuries to the peroneal nerve recover spontaneously in about a third of patients, but surgery may be needed in the remaining 2/3. The recovery after surgery is not always satisfactory and the patients may need an orthosis or a walking aid to cope with regular daily activities. This study aimed to evaluate the useful functional recovery and quality of life (QoL) in surgically treated patients with peroneal nerve (PN) injuries. The study involved 51 patients who have undergone surgical treatment due to PN injury in our department, within a 15-year period (2006-2020). Thirty patients (59%) were treated with neurolysis, 12 (23%) with nerve repair techniques, and 9 (18%) with tendon transfer (TT). Neurolysis is employed in the least extensive nerve injuries when nerve continuity is preserved and yields a motor recovery ratio of almost 80%. Nerve repairs were followed by 58.33% of patients achieving M3+ recovery, while 41.66% recovered to the useful functional state (M4 or M5) With the use of TTs, all patients recovered to the M3+, while 66.7% recovered to M4. All our results correspond to the results of previous studies. No statistically significant differences were found regarding the QoL of the groups. There is an apparent advantage of neurolysis, over nerve repair, over TT procedure, both in terms of useful functional recovery, and foot-drop-related QoL. However, when involving all aspects of QoL, these advantages diminish. The individual approach leads to optimal results in all groups of patients.
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Affiliation(s)
- Lukas Rasulić
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
| | - Živan Nikolić
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Clinic for Plastic Surgery and Burns, Military Medical Academy, Belgrade, Serbia
| | - Milan Lepić
- Clinic for Neurosurgery, Military Medical Academy, Belgrade, Serbia
| | - Andrija Savić
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
| | - Filip Vitošević
- Center for Radiology and MRI, Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
| | - Nenad Novaković
- Clinic for Neurosurgery, Military Medical Academy, Belgrade, Serbia
- Medical Faculty of the Military Medical Academy, University of Defence, Belgrade, Serbia
| | | | - Aleksa Mićić
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Sanja Lepić
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Institute of Hygiene, Military Medical Academy, Belgrade, Serbia
| | - Stefan Mandić-Rajčević
- School of Public Health and Health Management and Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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Lepić M, Mandić-Rajčević S, Pavlićević G, Benović R, Novaković N, Rasulić L. Fatal Acute Pneumocephalus after Bilateral Drainage for Chronic Subdural Hematomas: Case Report. J Neurol Surg A Cent Eur Neurosurg 2021; 83:206-209. [PMID: 34261139 DOI: 10.1055/s-0041-1730963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND Pneumocephalus is a well-known complication in the surgical treatment of chronic subdural hematomas; however, its influence remains controversial. The amount of subdural air may vary, and it may cause worsening of symptoms, increase reoccurrence rates, and worsen the outcomes. Lethal outcome following acute onset of massive pneumocephalus was not previously reported. CASE REPORT An 81-year-old man with bilateral hematomas underwent surgery under local anesthesia. Both hematomas were approached in the same surgery, and the drains were placed subdurally. After initial improvement, severe hypertension developed, followed by vital function and neurologic deterioration. Massive pneumocephalus with subarachnoid and contralateral intracerebral hemorrhage was revealed, causing a severe midsagittal shift. Emergency irrigation to evacuate subdural air was performed. However, there was no improvement. Further computed tomography confirmed subdural air collection, but it also revealed hemorrhage progression and intraventricular propagation. No further surgery was indicated. CONCLUSION Pneumocephalus is an underestimated but potentially devastating complication. Both intraoperative avoidance and postoperative prevention should be utilized to avoid subdural air ingress, and thus evade potentially fatal complications.
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Affiliation(s)
- Milan Lepić
- Medical Faculty of the Military Medical Academy, University of Defence, Belgrade, Serbia.,Clinic for Neurosurgery, Military Medical Academy, Belgrade, Serbia.,Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Stefan Mandić-Rajčević
- School of Public Health and Health Management and Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Goran Pavlićević
- Medical Faculty of the Military Medical Academy, University of Defence, Belgrade, Serbia.,Clinic for Neurosurgery, Military Medical Academy, Belgrade, Serbia
| | - Radomir Benović
- Clinic for Neurosurgery, Military Medical Academy, Belgrade, Serbia
| | - Nenad Novaković
- Medical Faculty of the Military Medical Academy, University of Defence, Belgrade, Serbia.,Clinic for Neurosurgery, Military Medical Academy, Belgrade, Serbia
| | - Lukas Rasulić
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia.,Department for Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
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Rasulić L, Savić A, Lepić M, Kovačević V, Vitošević F, Novaković N, Mandić-Rajčević S, Samardžić M. Viable C5 and C6 Proximal Stump Use in Reconstructive Surgery of the Adult Brachial Plexus Traction Injuries. Neurosurgery 2020; 86:400-409. [PMID: 31173135 DOI: 10.1093/neuros/nyz179] [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: 06/14/2018] [Accepted: 01/27/2019] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND In patients with only upper (C5, C6) brachial plexus palsy (BPP), the pooled international data strongly favor nerve transfers over nerve grafts. In patients with complete BPP, some authors favor nerve grafts for the restoration of priority functions whenever there is a viable proximal stump. OBJECTIVE To evaluate functional recovery in cases of upper and complete BPP where only direct graft repair from viable proximal stumps was performed. METHODS The study included 36 patients (24 with complete BPP and 12 with only upper BPP) operated on over a 15-yr period. In all cases, direct graft repair from C5 to the musculocutaneous and the axillary nerve was performed. In cases with complete BPP, additional procedures included either direct graft repair from C6 to the radial nerve and the medial pectoral nerve or the dorsal scapular nerve transfer to the branch for the long head of the triceps. RESULTS The use of C5 proximal stump grafts (in both complete and upper BPP) resulted in satisfactory elbow flexion in 26 patients (72.2%) and satisfactory shoulder abduction in 22 patients (61.1%). The use of C6 proximal stump grafts in patients with complete BPP resulted in satisfactory elbow extension in 5 (50%) and satisfactory shoulder adduction in another 5 (50%) patients. CONCLUSION Although nerve transfers generally enable better restoration of priority functions, in cases of infraganglionary injuries, especially in shorter defects, it is also necessary to consider direct graft repair, or at least its combination with nerve transfers, as a potentially beneficial treatment modality.
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Affiliation(s)
- Lukas Rasulić
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia.,Department of Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
| | - Andrija Savić
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia.,Department of Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
| | - Milan Lepić
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia.,Clinic for Neurosurgery, Military Medical Academy, Belgrade, Serbia
| | - Vojin Kovačević
- Clinic for Neurosurgery, Clinical Center Kragujevac, Kragujevac, Serbia.,Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
| | - Filip Vitošević
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia.,Neuroradiology Department, Center for Radiology and MRI, Clinical Center of Serbia, Belgrade, Serbia
| | - Nenad Novaković
- Clinic for Neurosurgery, Military Medical Academy, Belgrade, Serbia.,Medical Faculty of the Military Medical Academy, University of Defense, Belgrade, Serbia
| | - Stefan Mandić-Rajčević
- Innovation Centre of the Faculty for Technology and Metallurgy, University of Belgrade, Belgrade, Serbia
| | - Miroslav Samardžić
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia.,Department of Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
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Pavlićević G, Lepić M, Lepić T, Jaćimović N, Radenović K, Novaković N, Rasulić L, Mandić-Rajčević S. A Spontaneous Cervical Epidural Hematoma Mimicking a Stroke: A Challenging Case. J Emerg Med 2019; 57:70-73. [PMID: 31060847 DOI: 10.1016/j.jemermed.2019.03.035] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [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: 06/08/2018] [Revised: 03/18/2019] [Accepted: 03/27/2019] [Indexed: 12/21/2022]
Abstract
BACKGROUND A spontaneous cervical epidural hematoma (SCEH) is a rare occurrence, with < 500 cases reported to date. Clinically, it usually presents with quadriparesis, but in extremely rare cases it can present with hemiparesis or hemiplegia, and can easily be misdiagnosed as stroke. The cervical epidural hematoma by itself is an urgent condition that requires a quick and accurate diagnosis and a prompt surgical treatment. CASE REPORT We present a case where an SCEH mimicked the much more frequent condition of a stroke, and discuss the importance of diagnostics procedures that help differentiate SCEH from acute cerebral infarction. The patient's history of neck pain and spondylosis render this case more challenging. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Considering that the emergency tissue plasminogen activator treatment for acute cerebral infarction can worsen the state of an SCEH patient, or even lead to permanent damage or death, it is of great importance to rapidly and accurately differentiate these two conditions.
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Affiliation(s)
- Goran Pavlićević
- Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defense, Belgrade, Serbia
| | - Milan Lepić
- Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia; School of Medicine, University of Belgrade, Belgrade, Serbia
| | - Toplica Lepić
- Faculty of Medicine of the Military Medical Academy, University of Defense, Belgrade, Serbia; Department of Neurology, Military Medical Academy, Belgrade, Serbia
| | - Nemanja Jaćimović
- Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia
| | - Ksenija Radenović
- Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia
| | - Nenad Novaković
- Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia
| | - Lukas Rasulić
- School of Medicine, University of Belgrade, Belgrade, Serbia; Department of Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
| | - Stefan Mandić-Rajčević
- Innovation Centre of the Faculty of Technology and Metallurgy, University of Belgrade, Belgrade, Serbia
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Rasulić L, Simić V, Savić A, Lepić M, Kovačević V, Puzović V, Vitošević F, Novaković N, Samardžić M, Rotim K. MANAGEMENT OF BRACHIAL PLEXUS MISSILE INJURIES. Acta Clin Croat 2018; 57:487-496. [PMID: 31168182 PMCID: PMC6536276 DOI: 10.20471/acc.2018.57.03.12] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
SUMMARY – Missile injuries are among the most devastating injuries in general traumatology. Traumatic brachial plexus injuries are the most difficult injuries in peripheral nerve surgery, and most complicated to be surgically treated. Nevertheless, missile wounding is the second most common mechanism of brachial plexus injury. The aim was to evaluate functional recovery after surgical treatment of these injuries. Our series included 68 patients with 202 nerve lesions treated with 207 surgical procedures. Decision on the treatment modality (exploration, neurolysis, graft repair, or combination) was made upon intraoperative finding. Results were analyzed in 60 (88.2%) patients with 173 (85.6%) nerve lesions followed-up for two years. Functional recovery was evaluated according to functional priorities. Satisfactory functional recovery was achieved in 90.4% of cases with neurolysis and 85.7% of cases with nerve grafting. Insufficient functional recovery was verified in ulnar and radial nerve lesions after neurolysis, and in median and radial nerve lesions when graft repair was done. We conclude that the best time for surgery is between two and four months after injury, except for the gunshot wound associated with injury to the surrounding structures, which requires immediate surgical treatment. The results of neurolysis and nerve grafting were similar.
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Affiliation(s)
| | - Vesna Simić
- 1Faculty of Medicine, University of Belgrade, Belgrade, Serbia; 2Department of Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia; 3Section for Neurosurgery, Department of Surgery, Ćuprija General Hospital, Ćuprija, Serbia; 4Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia; 5Department of Neurosurgery, Kragujevac Clinical Center, Kragujevac, Serbia; 6Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia; 7Neuroradiology Department, Center for Radiology and MRI, Clinical Center of Serbia, Belgrade, Serbia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 9University of Applied Health Sciences
| | - Andrija Savić
- 1Faculty of Medicine, University of Belgrade, Belgrade, Serbia; 2Department of Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia; 3Section for Neurosurgery, Department of Surgery, Ćuprija General Hospital, Ćuprija, Serbia; 4Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia; 5Department of Neurosurgery, Kragujevac Clinical Center, Kragujevac, Serbia; 6Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia; 7Neuroradiology Department, Center for Radiology and MRI, Clinical Center of Serbia, Belgrade, Serbia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 9University of Applied Health Sciences
| | - Milan Lepić
- 1Faculty of Medicine, University of Belgrade, Belgrade, Serbia; 2Department of Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia; 3Section for Neurosurgery, Department of Surgery, Ćuprija General Hospital, Ćuprija, Serbia; 4Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia; 5Department of Neurosurgery, Kragujevac Clinical Center, Kragujevac, Serbia; 6Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia; 7Neuroradiology Department, Center for Radiology and MRI, Clinical Center of Serbia, Belgrade, Serbia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 9University of Applied Health Sciences
| | - Vojin Kovačević
- 1Faculty of Medicine, University of Belgrade, Belgrade, Serbia; 2Department of Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia; 3Section for Neurosurgery, Department of Surgery, Ćuprija General Hospital, Ćuprija, Serbia; 4Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia; 5Department of Neurosurgery, Kragujevac Clinical Center, Kragujevac, Serbia; 6Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia; 7Neuroradiology Department, Center for Radiology and MRI, Clinical Center of Serbia, Belgrade, Serbia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 9University of Applied Health Sciences
| | - Vladimir Puzović
- 1Faculty of Medicine, University of Belgrade, Belgrade, Serbia; 2Department of Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia; 3Section for Neurosurgery, Department of Surgery, Ćuprija General Hospital, Ćuprija, Serbia; 4Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia; 5Department of Neurosurgery, Kragujevac Clinical Center, Kragujevac, Serbia; 6Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia; 7Neuroradiology Department, Center for Radiology and MRI, Clinical Center of Serbia, Belgrade, Serbia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 9University of Applied Health Sciences
| | - Filip Vitošević
- 1Faculty of Medicine, University of Belgrade, Belgrade, Serbia; 2Department of Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia; 3Section for Neurosurgery, Department of Surgery, Ćuprija General Hospital, Ćuprija, Serbia; 4Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia; 5Department of Neurosurgery, Kragujevac Clinical Center, Kragujevac, Serbia; 6Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia; 7Neuroradiology Department, Center for Radiology and MRI, Clinical Center of Serbia, Belgrade, Serbia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 9University of Applied Health Sciences
| | - Nenad Novaković
- 1Faculty of Medicine, University of Belgrade, Belgrade, Serbia; 2Department of Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia; 3Section for Neurosurgery, Department of Surgery, Ćuprija General Hospital, Ćuprija, Serbia; 4Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia; 5Department of Neurosurgery, Kragujevac Clinical Center, Kragujevac, Serbia; 6Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia; 7Neuroradiology Department, Center for Radiology and MRI, Clinical Center of Serbia, Belgrade, Serbia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 9University of Applied Health Sciences
| | - Miroslav Samardžić
- 1Faculty of Medicine, University of Belgrade, Belgrade, Serbia; 2Department of Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia; 3Section for Neurosurgery, Department of Surgery, Ćuprija General Hospital, Ćuprija, Serbia; 4Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia; 5Department of Neurosurgery, Kragujevac Clinical Center, Kragujevac, Serbia; 6Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia; 7Neuroradiology Department, Center for Radiology and MRI, Clinical Center of Serbia, Belgrade, Serbia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 9University of Applied Health Sciences
| | - Krešimir Rotim
- 1Faculty of Medicine, University of Belgrade, Belgrade, Serbia; 2Department of Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia; 3Section for Neurosurgery, Department of Surgery, Ćuprija General Hospital, Ćuprija, Serbia; 4Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia; 5Department of Neurosurgery, Kragujevac Clinical Center, Kragujevac, Serbia; 6Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia; 7Neuroradiology Department, Center for Radiology and MRI, Clinical Center of Serbia, Belgrade, Serbia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 9University of Applied Health Sciences
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Novaković N, Lepić M, Minić L, Radenović K, Rotim A, Rasulić L. Combined Treatment of Ruptured Middle Cerebral Artery Aneurysm Followed by Subarachnoid Hemorrhage and Acute Subdural Hematoma in Multiple Aneurysm Disease of Cerebral Blood Vessels: Case Report. Acta Clin Croat 2017; 55:659-662. [PMID: 29117659 DOI: 10.20471/acc.2016.55.04.19] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Aneurysms of blood vessels at the base of the brain are pathological focal out-pouchings,
usually found at the branching points of the arteries. Aneurysm can remain silent for life.
Clinical presentation is due to rupture and bleeding. In only 1.3% of cases it results in subdural hematoma,
which is associated with direct interaction of the aneurysm with the basal arachnoid membrane.
Multiple aneurysms are present in 15% to 33% of cases with subarachnoid hemorrhage. Assessment
of these patients is more complicated, as there are no specific signs to pinpoint/detect the aneurysm
that has ruptured. This report presents a 44-year-old female patient suffering from multiple cerebral
aneurysm disease, who was urgently treated after rupture by both endovascular (for multiple aneurysms)
and surgical (for acute subdural hematoma) approach in the same act under general anesthesia,
which resulted in complete recovery of the patient.
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Affiliation(s)
- Nenad Novaković
- Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia
| | - Milan Lepić
- Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia
| | - Ljubodrag Minić
- Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia
| | - Ksenija Radenović
- Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia
| | - Ante Rotim
- School of Medicine, University of Rijeka, Rijeka, Croatia
| | - Lukas Rasulić
- Clinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
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Rasulić L, Savić A, Živković B, Vitošević F, Mićović M, Baščarević V, Puzović V, Novaković N, Lepić M, Samardžić M, Mandić-Rajčević S. Outcome after brachial plexus injury surgery and impact on quality of life. Acta Neurochir (Wien) 2017; 159:1257-1264. [PMID: 28540442 DOI: 10.1007/s00701-017-3205-1] [Citation(s) in RCA: 37] [Impact Index Per Article: 5.3] [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: 02/16/2017] [Accepted: 04/24/2017] [Indexed: 11/25/2022]
Abstract
BACKGROUND The aim of this study was to investigate outcomes after surgery for brachial plexus injury (BPI), not only motor outcomes but also the quality of life of the patients. METHODS We operated on 128 consecutive patients with BPI from 1992 to 2012. We documented the information on the injured nerve, level of injury, type of treatment used, timing of surgery, patient age, and preoperative and postoperative motor deficits. In 69 patients who agreed to participate in a quality of life study, additional assessments included functionality, pain, quality of life, patient satisfaction, and psychosocial health. RESULTS Of patients who underwent only exploration and neurolysis, 35.3% showed a good quality of recovery. Patients who underwent nerve reconstruction using nerve grafting showed a better rate of good quality recovery (56.7%), and the results following nerve transfer depended on the type of transfer used. After surgery, 82.6% of patients showed significant improvement, 82.6% were satisfied, and 81.2% responded positively when asked if they would undergo surgery again if they knew the current result beforehand. Overall, 69.6% patients continued working after surgery. The mean DASH disability score was high (58.7) in the study group. Patients who had early surgery showed a consistently higher DASH score. About 76% of patients reported having pain regularly, and 18.8% reported depression or anxiety. CONCLUSIONS We consider that it is important to report not only muscle recovery, but also other aspects of recovery.
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Affiliation(s)
- Lukas Rasulić
- Clinic for Neurosurgery, Clinical Center of Serbia, School of Medicine, University of Belgrade, Dr Koste Todorovica 4, Belgrade, Serbia.
- Department for Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, University of Belgrade, Dr Koste Todorovica 4, Belgrade, Serbia.
| | - Andrija Savić
- Department for Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, University of Belgrade, Dr Koste Todorovica 4, Belgrade, Serbia
| | - Bojana Živković
- Department for Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, University of Belgrade, Dr Koste Todorovica 4, Belgrade, Serbia
| | - Filip Vitošević
- Clinic for Neurosurgery, Neuroradiology Department, Center for Radiology and MRI, Clinical Center of Serbia, University of Belgrade, Dr Koste Todorovica 4, Belgrade, Serbia
| | - Mirko Mićović
- Clinic for Neurosurgery, Clinical Center of Serbia, School of Medicine, University of Belgrade, Dr Koste Todorovica 4, Belgrade, Serbia
- Department for Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, University of Belgrade, Dr Koste Todorovica 4, Belgrade, Serbia
| | - Vladimir Baščarević
- Clinic for Neurosurgery, Clinical Center of Serbia, School of Medicine, University of Belgrade, Dr Koste Todorovica 4, Belgrade, Serbia
- Department for Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, University of Belgrade, Dr Koste Todorovica 4, Belgrade, Serbia
| | - Vladimir Puzović
- Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
| | - Nenad Novaković
- Clinic for Neurosurgery, Military Medical Academy, Crnotravska 17, Belgrade, Serbia
| | - Milan Lepić
- Clinic for Neurosurgery, Military Medical Academy, Crnotravska 17, Belgrade, Serbia
| | - Miroslav Samardžić
- Clinic for Neurosurgery, Clinical Center of Serbia, School of Medicine, University of Belgrade, Dr Koste Todorovica 4, Belgrade, Serbia
- Department for Peripheral Nerve Surgery, Functional Neurosurgery and Pain Management Surgery, Clinic for Neurosurgery, Clinical Center of Serbia, University of Belgrade, Dr Koste Todorovica 4, Belgrade, Serbia
| | - Stefan Mandić-Rajčević
- Innovation Centre of the Faculty of Technology and Metallurgy, University of Belgrade, Karnegijeva 4, Belgrade, Serbia
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Minić L, Lepić M, Novaković N, Mandić-Rajčević S. Symptomatic migration of a Kirschner wire into the spinal canal without spinal cord injury: case report. J Neurosurg Spine 2016; 24:291-294. [DOI: 10.3171/2015.5.spine1596] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The migration of Kirschner wires (K-wires) is a rare but significant complication of osteosynthesis interventions, and numerous cases of wire migrations have been reported in the literature. Nevertheless, migration into the spinal canal is very rare, with only 10 cases reported thus far. The authors present a case of K-wire migration into the spinal canal, together with a review of the relevant literature.
A 30-year-old male who had suffered a right clavicle fracture in a motorcycle accident was treated with 2 K-wires. Four months after the initial fixation, while he was lifting his child, he experienced short-term pain in his back, numbness in all 4 extremities, followed by a spontaneous decrease in numbness affecting only the ulnar nerve dermatomes bilaterally, and a persistent headache. No urinary incontinence was present.
Simple radiography studies of the cervical spine revealed a wire in the spinal canal, penetrating the T-2 foramen and reaching the contralateral foramen of the same vertebra. Computerized tomography showed the wire positioned in front of the spinal cord. Surgery for wire extraction was performed with the patient under general anesthesia, and he experienced relief of the symptoms immediately after surgery.
This case is unique because the wire caused no damage to the spinal cord but did cause compression-related symptomatology and headache, which have not been reported in osteosynthesis wire migration to the thoracic region.
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Affiliation(s)
- Ljubodrag Minić
- 1Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia; and
| | - Milan Lepić
- 1Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia; and
| | - Nenad Novaković
- 1Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia; and
| | - Stefan Mandić-Rajčević
- 2Department of Health Sciences of the University of Milan, International Centre for Rural Health of the University Hospital San Paolo, and Laboratory for Analytical Toxicology and Metabolomics, Milano, Italy
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Novaković N, Radisavljević I, Colognesi D, Ostojić S, Ivanović N. First principle calculations of alkali hydride electronic structures. J Phys Condens Matter 2007; 19:406211. [PMID: 22049110 DOI: 10.1088/0953-8984/19/40/406211] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Electronic structure, volume optimization, bulk moduli, elastic constants, and frequencies of the transversal optical vibrations in LiH, NaH, KH, RbH, and CsH are calculated using the full potential augmented plane wave method, extended with local orbitals, and the full potential linearized augmented plane wave method. The obtained results show some common features in the electronic structure of these compounds, but also clear differences, which cannot be explained using simple empirical trends. The differences are particularly prominent in the electronic distributions and interactions in various crystallographic planes. In the light of these findings we have elaborated some selected experimental results and discussed several theoretical approaches frequently used for the description of various alkali hydride properties.
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Affiliation(s)
- N Novaković
- Institute for Nuclear Sciences 'VINČA', POB 522, 11001 Belgrade, Serbia
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Ivanović N, Rodić D, Koteski V, Radisavljević I, Novaković N, Marjanović D, Manasijević M, Koicki S. Cluster approach to the Ti2Ni structure type. Acta Crystallogr B 2006; 62:1-8. [PMID: 16434787 DOI: 10.1107/s010876810503764x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2005] [Accepted: 11/15/2005] [Indexed: 11/10/2022]
Abstract
It has been established that the 16(c) first coordination clusters in the Ti2Ni structure type (space group Fd3m) follow icosahedral-face orientational ordering along regular tetrahedron edge directions. The actual crystal structure appears due to the prevalence of the face-centred cubic translational ordering over the cluster assembling. This way, the competition of the ;regular' crystal phase and its icosahedral analogue is reconstructed at the atomic level. The model accounts for the markedly different electronic characteristics at the different crystallographic positions obtained by hyperfine interaction measurements, and other curious experimental facts help to create an exact physical definition of the first coordination in the solid state and to distinguish between various structure types on fundamental principles.
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Affiliation(s)
- N Ivanović
- Laboratory for Nuclear and Plasma Physics, Institute of Nuclear Sciences VINCA, PO Box 522, 11001 Belgrade, Serbia and Montenegro.
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Novaković N. [Birth rate in SFRY (Socialist Federal Republic of Yugoslavia]. Nar Zdrav 1973; 29:332-4. [PMID: 4801958] [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: 01/12/2023]
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