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Kajić M, Boras M, Tipurić M, Šutalo N, Bevanda D, Mišković J. Spontaneous Urinoma Surgeon's Pitfall - Case Report. Psychiatr Danub 2021; 33:327-329. [PMID: 35150503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Affiliation(s)
- Martin Kajić
- Department of Surgery University Clinical Hospital Mostar, Bijeli Brijeg, 88000 Mostar, Bosnia and Herzegovina
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Kordić M, Kozomara D, Šutalo N, Mišković J, Dragišić V, Čuljak V. Small Bowell Metastasis of Malignant Melanoma Causing Intussusception. Psychiatr Danub 2021; 33:99-101. [PMID: 34672279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Affiliation(s)
- Marko Kordić
- Department of Surgery, University Clinical Hospital Mostar, Bijeli brijeg b.b, 88000 Mostar, Bosnia and Herzegovina,
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Kordić M, Dragišić V, Šutalo N, Mišković J, Klupke Sarić I, Bogut A, Karin M. Duodenal Metastasis of Clear Cell Renal Carcinoma Presenting with Gastrointestinal Bleeding. Psychiatr Danub 2021; 33:97-98. [PMID: 34672278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Affiliation(s)
- Marko Kordić
- Department of Surgery, University Clinical Hospital Mostar, Bijeli brijeg b.b, 88000 Mostar, Bosnia and Herzegovina,
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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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Kozomara D, Marijanović I, Šutalo N, Kraljević M, Buhovac T. Metastatic Malignant Melanoma Causing Small Bowel Intussusception: A Case Report with 4-year Follow-up. Acta Dermatovenerol Croat 2021; 291:35-38. [PMID: 34477061] [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: 06/13/2023]
Abstract
Primary mucosal malignant melanoma of the small bowel is extremely rare. The small bowel is mostly affected by metastases of the primary malignant melanoma of the skin. Bowel obstruction is a rare complication of metastatic melanoma. We present a case of small bowel obstruction in a 49-year-old man with history of skin malignant melanoma. A segmental resection of the ileum with termino-terminal anastomosis was performed. Pathohistological examination showed metastatic melanoma. After 4 years of follow-up, the patient is still free of the disease.
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Affiliation(s)
| | | | | | - Marija Kraljević
- Marija Kraljević, MD, , Department of Oncology University Clinical Hospital Mostar, , Kralja Tvrtka bb, 88000 Mostar, Bosnia and Herzegovina ;
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Šutalo N, Tomić S, Bevanda M, Dragišić V, Marijanović I, Petričević J, Mikulić I. Immunohystochemical Expression of Vitamin D Receptor in Development Stages of Colorectal Carcinoma. Psychiatr Danub 2017; 29 Suppl 4:855-858. [PMID: 29278636] [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: 06/07/2023]
Abstract
BACKGROUND Chemo preventive and antitumor role of vitamin D is manifested through genetic and non genetic ways with a powerful antproliferatory and proapopoptic effect, which is proven by numerous epidemiologic studies. The genetic activity of vitamin D is determined through vitamin D receptors (VDR), a member of stero-thyreoidal family of nuclear receptors, which with vitamin D form a cell nucleus complex responsible for the chemo preventive and antitumor effect. VDR in tissue cells is present in the cytoplasm and the nucleus and manifests its genetic activity after transfer from the cytoplasm to the nucleus. The mechanisms for the transport and genetic control of the transport of VDR from cytoplasm to the nucleus in not yet completely understood. SUBJECTS AND METHODS By using immunohystochemistry we are evaluating the correlation of cytoplasmic and nuclear expression of VDR during different stages of colorectal carcinoma: normal colorectal mucosa, hyperplasic polyp, low grade adenoma (LGD), high grade adenoma (HGD) and colorectal cancer. RESULTS Our results confirm that the nuclear VDR expression is strongest in normal colorectal mucosa and in hyper plastic polyps, is gradually weakened in low and high grade adenoma while it is extremely weak or absent in colorectal carcinoma. At the same time the expression of cytoplasm VDR is weakest in normal colorectal mucosa and hyper plastic polyps while it grows during the adenoma stage and is most expressed during colorectal carcinoma. CONCLUSION We conclude that vitamin D has a strong chemo preventive and antitumor effect in normal colorectal mucosa and hyper plastic polyps, while its antitumor and chemopreventive effect is progressively weakened and ultimately absent in colorectal carcinoma.
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Affiliation(s)
- Nikica Šutalo
- Department of Surgery, University Clinical Hospital Mostar, Kralja Tvrtka bb, 88 000 Mostar, Bosnia & Hercegovina,
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Trninić Z, Spahalić M, Galić G, Kozomara D, Lasić V, Bevanda D, Šutalo N. Pain Intensity Scales Comparison in Patient with Abdominal Pain. Psychiatr Danub 2017; 29 Suppl 4:845-850. [PMID: 29278634] [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: 06/07/2023]
Abstract
BACKGROUND The aim of study was to explore efficiency of the pain rating scales on patients experiencing abdominal pain, determine correlation between the scales and their applicability to general population and determine the minimal clinical important difference in mm on the VAS as discriminatory for difference in pain intensity. SUBJECTS AND METHODS The study was performed at the Emergency Department of the University Clinical Hospital of Mostar on patients with abdominal pain which started less than 24 hours before, excluding patients under 16 years old, uncooperative patients and those with altered state of consciousness. The sample data were collected from February to May 2010. Hundred patients completed the questionnaire. Two patients, admitted to the Abdominal Surgery Department, were excluded. The patients were asked to sign the informed consent form and assess the level of pain on three scales (VAS, NRS, VRS). RESULTS The NRS showed a significant difference in assessing the pain intensity in the observed time. By lapse of time, the patients were reporting lower pain intensity (P=0.017). VAS and NRS had high correlation coefficient values, indicating strong correlation and credibility. The NRS showed strong results correlation (r=0.784; P<0.001). Inter-scale correlation was growing over time. Correlation between VAS and NRS was very strong, the strongest in the last measurement (r=0.950; P<0.001). The NRS correlation with VRS (r=0.430; P<0.001) was slightly better than with VAS (r=0.402; P<0.001). The NRS proved to be the most sensitive to changes in pain intensity (SRM=0.305), whereas the VRS showed extremely low responsiveness (SRM=0.185). CONCLUSION Having proved as the most useful, reliable and efficient pain assessment instrument, the NRS is hereby recommended as method of pain objectification and determining changes in pain intensity.
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Affiliation(s)
- Zoran Trninić
- Surgery Clinic, University Clinical Hospital Mostar, Bijeli brijeg b.b. 88000 Mostar, Bosnia and Hercegovina,
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Trninić Z, Bender M, Šutalo N, Kozomara D, Lasić V, Bevanda D, Galić G. Attitudes of Students of Medicine, University of Mostar According to Induced Abortion. Psychiatr Danub 2017; 29 Suppl 4:866-871. [PMID: 29278638] [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: 06/07/2023]
Abstract
BACKGROUND Aim of this study was to establish attitudes of medical students on induced abortion and connection of those attitudes with religiousness, length of their studies, sex and various circumstances of pregnancy. SUBJECTS AND METHODS In total, 148 students of the first, second, fifth and sixth year of medical faculty participated in the research. The study was conducted at the Medical Faculty of the University in Mostar. While collecting the data, we used a survey taken over from literature. The data were tested with adequate statistical methods afterwards. RESULTS 81.1% of students would perform an abortion under certain circumstances (χ2=57.189; P<0.001). Most students answered that they would perform an abortion in case that a fetus had malformations (χ2=3.892; P=0.49) or if the mother's life were endangered (χ2=47.676; P<0.001). By comparison of students' readiness to perform an abortion under various circumstances of pregnancy depending on length of medical education, statistically significant difference was proved in the following circumstances: rape (χ2=6.097; P=0.014) and if the pregnancy would endanger mother's mental health (χ2=4.488; P=0.034). Students with shorter medical education expressed more liberal attitudes in the above stated circumstances. By comparison of students' readiness to perform an abortion under various circumstances of pregnancy depending on religiousness statistically significant difference was proved in the following circumstances: in case of 'abortion on demand', no matter the reason (χ2=11.908; P=0.012), teenage pregnancy (χ2=33.308; P<0.001) and if the pregnancy would interfere with mother's career χ2=35.897; P<0.001). Unreligious students expressed more liberal attitudes. CONCLUSION Influence of length of medical education and sex on attitudes on abortion was not proved statistically. Impact of religiousness on that attitude cannot be commented due to very small share of unreligious students in the sample.
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Affiliation(s)
- Zoran Trninić
- Surgery Clinic, University Clinical Hospital Mostar, Bijeli brijeg b.b. 88000 Mostar, Bosnia and Hercegovina,
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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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Kozomara D, Šutalo N, Galić G, Jurišić S, Trninć Z. Giant Unilateral Breast Juvenile Fibroadenoma - the Aesthetic outcome of Surgical Treatment Should Be Considered. Psychiatr Danub 2016; 28 Suppl 2:256-259. [PMID: 28035132] [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)
- Davorin Kozomara
- Department for Plastic and Reconstructive Surgery, Surgery Clinic, Mostar University Hospital, Kralja Tvrtka 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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Šutalo N, Šoljić M, Kozomara D, Petričević J, Glibo DB, Bošnjak A, Čuljak V. The influence of dreinage in the treatment of chronic pilonidal sinus disease using midline closure. Psychiatr Danub 2015; 27 Suppl 2:593-595. [PMID: 26657988] [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: 06/05/2023]
Abstract
Unsatisfactory postsurgical end results in the treatment of chronic pilonidal sinus disease caused by long term healing, pain, inconvenience and recurrences of the lesion still remain problem after various surgical techniques have been described and used. This study was designed to show results of several aspects of midline closure technique with respect for surgical complications, hospitalization length and recurrence. This study included 90 patients with pilonidal sinus treated by surgery with midline closure at the department of General surgery of Clinical Hospital Mostar between January 2004 and January 2009. The patients were divided in three groups considering the type of drainage used. Data collected retrospectively included demographics, positive diagnosis of chronic pilonidal sinus, operative technique, type of drainage, complications, hospital stay and recurrence of the disease. Mean hospital stay after excision and midline closure technique was 4.68 days Complication rate was 18/90 (20%). Infection occurred in 18 patients (20%), dehiscence occurred in 10 patients (11.1%). Mean recurrence rate during follow up period was 12/90 (13.3%); range, 24-84 months. There was no statistically significant difference among three groups in hospital stay length (p>0.05), in complication rate (χ(2)=1.66, p>0.05), nor in recurrence rate (χ(2)=1.91, p>0.05). Statistically significant difference was shown between complication rate among non drained and actively drained patients (χ(2)=1.11, p<0.05). Primary midline closure is not a satisfactory method in the treatment of chronic pilonidal sinus, especially without drainage, leading to numerous complications and high rate of recurrence.
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Affiliation(s)
- Nikica Šutalo
- Department of Surgery, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
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Barišić T, Šutalo N, Letica L, Kordić AV. Rupture of splenic artery aneurysm in primipara five days after cesarean section: case report and review of the literature. Wien Klin Wochenschr 2015; 127:896-898. [PMID: 26373746 DOI: 10.1007/s00508-015-0856-x] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2014] [Accepted: 08/19/2015] [Indexed: 11/28/2022]
Abstract
Splenic artery aneurysm (SAA) is a rare and usually asymptomatic vascular anomaly which carries the risk of rupture and fatal hemorrhage. It is more common in women and is usually associated with pregnancy. We present the case of rupture of SAA, 5 days after giving birth by cesarean section, which was diagnosed with Multi-Slice Computed Tomografy (MSCT) angiography and was successfully operated in the second emergency laparotomy, with the final good outcome for the mother. This case indicates that in case of sudden bleeding in the abdomen, with the development of hypovolemic shock, especially in the peripartum period, should be suspected rupture of SAA. The paper presents a critical review of this case, with a review of the literature.
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Affiliation(s)
- Tatjana Barišić
- Department of Obstetrics and Gynecology, University Clinical Hospital Mostar, Bijeli brijeg B.B., 88000, Mostar, Bosnia and Herzegovina.
| | - Nikica Šutalo
- Department of Chirurgy, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
| | - Ludvig Letica
- Department of Chirurgy, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
| | - Andrea Vladimira Kordić
- Department of Radiology, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
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