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Biomedical subjects

P Pavlović

Publications and source records attributed to P Pavlović.

At least 19 recordsLinked to original sources

Phenolic acids as bioindicators of fly ash deposit revegetation.

The floristic composition, the abundance, and the cover of pioneer plant species of spontaneously formed plant communities and the content of total phenolics and phenolic acids, as humus constituents, of an ash deposit after 7 years of recultivation were studied. The restoration of both the soil and the vegetation on the ash deposits of the "Nikola Tesla-A" thermoelectric power plant in Obrenovac (Serbia) is an extremely slow process. Unfavorable physical and chemical characteristics, the toxicity of fly ash, and extreme microclimatic conditions prevented the development of compact plant cover. The abundance and cover of plants increased from the central part of the deposit towards its edges (ranging from 1-80%). Festuca rubra L., Crepis setosa Hall., Erigeron canadensis L., Cirsium arvense (L.) Scop., Calamagrostis epigeios (L.) Roth., and Tamarix gallica L. were the most abundant species, thus giving the highest cover. Humus generated during the decomposition process of plant remains represents a completely new product absent in the ash as the starting material. The amount of total phenolics and phenolic acids (38.07-185.16 microg/g of total phenolics and 4.12-27.28 microg/g of phenolic acids) in fly ash increased from the center of the deposit towards its edges in correlation with the increase in plant abundance and cover. Ash samples contained high amounts of ferulic, vanillic, and p-coumaric acid, while the content of both p-hydroxybenzoic and syringic acid was relatively low. The presence of phenolic acids indicates the ongoing process of humus formation in the ash, in which the most abundant pioneer plants of spontaneously formed plant communities play the main role. Phenolic compounds can serve as reliable bioindicators in an assessment of the success of the recultivation process of thermoelectric power plants' ash deposits.

Carbon↗

New concept in external fixation.

A new concept in external skeletal fixation is presented. A 3D unilateral system developed by Mitkovic has widely been investigated biomechanically in AO institute in Davos (Switzerland). Consists of three components only providing extremely simple application and dynamic fixation of bones and different joints. This simple external fixator functions as an accurate reduction device at the same time, minimizing need for fluoroscopy. Clinically this system has been applied to mere then 13 thousand patients in 43 clinics. This paper presents the results of its application for treatment of open fractures, war wounds with fractures and for comminuted and intraarticular closed fractures in the series of 597 patients. Overall average time for union time was 3.2 months. Overall success of fracture healing was 96.8% including open and closed fractures. Our study suggests that the use of this 3D unilateral system is suitable for routine use.

Adult↗

Reconstructive procedures on lower extremities using Mitkovic external fixation system.

The results of limb lengthening, correction of limb deformities and solving of bone loss, by the use of Mitkovic external fixation system and minimally invasive technique on the series of 96 operations in 89 patients are shown. Only lower extremities were included in this series. The advantages of this external fixation system in comparison to other systems are pointed out. The main advantages are the optimal biomechanical conditions including unilateral but 3-dimensional frame, which provides conditions very similar to natural biomechanical features of the human long bones, simplicity of application and low cost. The received result was excellent or very good in 98.4%. Maximal limb lengthening was 18 cm (at the same time in the femur and the tibia). Angular deformity correction is extremely simplified with minimized possibility of complications. The frame for bone transport is very simple. It can be concluded that presented methods are suitable for routine use.

Bone Lengthening↗

[Biochemical characteristics of concentrated and rinsed erythrocytes].

The biochemical characteristics of concentrated and rinsed out erythrocytes in time function have been analysed. It has been concluded that five days after conservation and during the same day of preparing there was no evidence of significant differences between complete blood erythrocytes and concentrated and rinsed out erythrocytes. In course of preparing concentrated erythrocytes the number of leucocytes declined rapidly, but not completely. By triple rinsing of erythrocytes the number of leucocytes is somewhat less than in the samples of concentrated erythrocytes, but some leucocytes are left.

Antibody Formation↗

[Case of Rh E and Kell antigen sensitization by blood transfusion].

The case of a woman patient has been described. The patient suffered from trombocytopenia and hemorrhagic diathesis and was treated, apart of other therapy, with fresh blood transfusion. As the compatibility tests with some blood samples have shown positive results, a detailed immunohaematic analysis of the patient's blood and blood samples ready for transfusion has been carried out. It has been concluded that the patient was immunized with E Rh and Kell antigen that resulted in a positive compatibility test.

ABO Blood-Group System↗

Bidirectional shunt flow across a ventricular septal defect: pulsed Doppler echocardiographic analysis.

Pulsed Doppler echocardiographic and hemodynamic examinations were performed in 31 patients (mean age 17.8 years) with isolated ventricular septal defect (VSD). Three groups were studied: group I (n = 6) patients had severe pulmonary vascular obstructive disease (PVOD); group II (n = 12) patients had pulmonary hypertension (PH) without severe PVOD; group III (n = 13) patients had no PH. Bidirectional shunting was detected in 9 VSD patients (6 in group I and 3 in group II). Patients with low to moderately elevated right ventricular pressures demonstrated left-to-right shunting across the defect throughout the cardiac cycle. When systolic pressure in the right ventricle reached approximately 60% of the left ventricular pressure, right-to-left shunting occurred across the defect during early and mid diastole. However, in patients with Eisenmenger syndrome (group I) the right-to-left shunting occurred during late systole with continuation during the early and mid diastolic period. The earlier occurrence of right-to-left shunting (index < 0.5 second) signifies the presence of severe PVOD.

Adolescent↗

[The effect of cell phones on pacemaker function].

UNLABELLED: The aim of the study was to examine if there existed a risk from interference of cellular phones on patients with implanted permanent pacemakers. The study comprised 144 patients (134 VVI/VVIR and 10 DDD/DDDR) with permanent pacemakers of different manufactures. METHODS: During the routine pacemaker check, cellular phone aerial (Nokia 1610; GSM Standard) was placed against the skin of patients above the spot of pacemaker implantation, while the phone calls were repeated and ECG was continuously monitored. The effect of cellular phone on pacemaker was established upon: a) preexisting parameters of electric pacemaker stimulation; b) minimal ventricular rate of 90 beats/min, while electric stimulation parameters were set to their most sensitive values (MSV). RESULTS: Only in 9 (6.25%) patients was observed intermittent pacemaker inhibition, when pacemaker settings were on preexisting values of electric stimulation, while in 17 patients (11.8%) inhibition was noticed, when pacemaker settings were changed to their MSV. Besides, programmed values of electric stimulation in our patients remained unchanged. CONCLUSION: Although the electromagnetic interference interactions of cellular phones on pacemaker function were observed in relatively small number of our patients, we were of the opinion that pacemaker-dependent patients should avoid the use of cellular phones.

Adult↗

[Significance of QT dispersion in the onset of ventricular arrhythmia in patients with heart failure].

UNLABELLED: Prolonged QT dispersion which has been proposed as a marker of repolarisation inhomogeneity, may predispose to ventricular arrhythmias in a variety of cardiac disorders. The aim of this study was to compare some indices of QT dispersion in patients with heart failure compared to normal subjects. We have also tested the hypothesis that QT dispersion is a useful method for identifying the patients at high risk for ventricular arrhythmias. METHODS: There were 84 patients, divided into two groups. In the first group there were 62 patients with heart failure, in the sinus rhythm, while in second group there were 22 sex- and age-matched healthy subjects. Simultaneous 12-channel ECGs were recorded at a paper speed 50 mm/sec. Ventricular arrhythmias were quantified by 24-h Holter ECG and classified according to the Lown classification system. Only those patients with a class IVa, IVb, and V arrhythmia were considered to have complex ventricular premature contractions (PVCs). Measurements of QT, JT, and RR intervals were performed manually. Heart rate corrected QT and JT intervals (QTc and JTc) were calculated by Bazett's formula. RESULTS: RR intervals were similar in both groups (862 +/- 120 vs 840 +/- 86; ns). QT dispersion and rate corrected QT dispersion were significantly greater in heart failure patients than in controls (76 +/- 13 ms vs 37 +/- 11 ms and 89 +/- 21 ms vs 40 +/- 17 ms; p < 0.05). When, on the basis of the existing complex PVCs, heart failure patients were divided into two subgroups, QT dispersion and rate corrected QT dispersion were significantly greater in the subgroup with complex PVCs compared to patients without complex PVCs (84 +/- 14 ms vs 61 +/- 18 ms and 98 +/- 26 ms vs 66 +/- 21 ms; p < 0.05). CONCLUSION: All indices of QT dispersion were significantly higher in heart failure patients. QT dispersion is useful, noninvasive method for identifying heart failure patients at high risk for ventricular arrhythmia.

Electrocardiography↗

The significance of determination of the fraction of creatinine-phosphokinase in patients with acute ischemic brain disease.

Heart and brain vascular diseases are the leading causes of mortality in the world. Cardiac complications can frequently occur during the development of cerebral ischemia. The aim of this study was to establish the possible changes in fractions of creatinine-phosphokinase as the sensitive laboratory index of parenchymal lesion of brain parenchyma and the presence/absence of risk factors for ischemic brain and heart disease. The study comprised 80 patients with acute ischemic brain disease (AIBD), without the history of previous coronary disease. Blood samples were taken in all patients within the first 48 hours from AIBD onset aiming to determine a total (muscular MM) and heart fraction of creatinine-phosphokinase (MB), and brain parenchyma ischemia was confirmed by CT or MR scan of the head. A detailed history of the risk factors for ischemic brain disease (IBD) and ischemic heart disease was taken from all patients with AIBD, and the profile of glycemia and lipid status were determined, and blood pressure was measured 6 times a day. Independent variables in statistical analysis were: age, degree of severity and the side of neurologic event, size of ischemic lesion and maximal values of systolic and dyastolic pressure. Dependent variables were the values of fractions of creatinine-phosphokinase (CPK). Control group (n = 40) comprised patients with neurologic diseases of non-vascular origin. All parameters as well as their interrelations were statistically analyzed. The results revealed significant correlation of the increased levels of CPK of MM and MB fraction with the size and place of ischemic lesion in the right cerebral hemisphere, which was highly significant for MB fraction in the total group of patients with AIBD, and for MM fraction, only for cases of more severe IBD. Highly significant increased values of those fractions were also observed compared to the control group of patients.

Acute Disease↗