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Search Results: 1 - 10 of 402940 matches for " Stojiljkovi? Danilo M. "
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Large defect of abdominal wall repair by dermal and sinthetic graft
StojiljkoviDanilo M.,Vi?nji? Milan M.,Trenki? Srbobran,Ran?i? Zoran S.
Acta Chirurgica Iugoslavica , 2003, DOI: 10.2298/aci0302019s
Abstract: Large defects of abdominal wall (greater than 8 cm in diameter) related to different cause, are still difficult problem of modern surgery. The best results in order to obtain safe and permanent anatomical and functional abdominal wall integrity are reached by autogenous dermal and synthetic grafts. Controversies concerning quality of these procedures are still presents. Our work is based on two equal experimental groups of 20 Vister rats each, with large artificial abdominal wall defects: one treated with autogenous dermal graft, another with synthetic Mersilene mesh graft. The animals from both groups were sacrificed in previous planned time intervals (3rd, 7th, 14th and 48th days). Afterwards detailed microscopic and gross examination of abdominal wall reparation and quality of reconstructed abdominal wall defects had been performed. According to our results both methods are easy to be performed and safety surgical procedures. Overestimated usage of synthetic grafts should be diminished because of advantages of autologous dermal graft - availability, substitution of firmly fibrosis tissue and endurance against infection.
Coagulation disorders in the patients with deep vein thrombosis of lower extremity
Mili? Dragan J.,Peji? Miljko A.,StojiljkoviDanilo M.,Karanikoli? Aleksandar D.
Srpski Arhiv za Celokupno Lekarstvo , 2003, DOI: 10.2298/sarh0306201m
Abstract: PURPOSE Venous thromboembolism is a relevant social and health care problem for its high incidence, pulmonary embolism-related mortality and long-term sequelae which may be disabling (post-thrombotic syndrome and ulceration). PROCEDURES The aim of our work was to establish the presence of coagulation disorders (hypercoagulable states) in the patients with deep vein thrombosis (DVT) of the leg. Prospectively we have analyzed a group of 30 patients with echosono-graphicaly verified DVT of the leg who were admitted to the department of vascular surgery from August 1st 2000 to July 31st 2001.The following parameters were monitored: prothrombin time (PT) partial thromboplastin time (PTT), fibrinogen (Fib), alpha 2 antiplasmin (A-2 AP), D-dimer (DD), antithrombin III (AT III) and factor VII. FINDINGS Activation of the coagulation process was registered. The values of monitored coagulation parameters are shown in table 1. Plasma levels of monitored parameters in the patients with DVT of the leg were significantly higher than in the control subjects. CONCLUSION In patients with a DVT a hypercoagulable state is common finding. Some parameters of coagulation activity such as D-dimer might be of great interest in the diagnostic strategy of DVT.
Comparative analysis of autodermal graft and polypropylene mesh use in large incisional hernia defects reconstruction
StojiljkoviDanilo,Kova?evi? Predrag,Vi?nji? Milan,Jankovi? Irena
Vojnosanitetski Pregled , 2013, DOI: 10.2298/vsp1302182s
Abstract: Background. Large defects of the abdominal wall caused by incisional hernia still represent a challenging problem in plastic, reconstructive, and abdominal surgery. For their successful tension-free repair a proper selection of reconstructive material is essential. In the last decades, the use of synthetic meshes was dominant while biological autodermal grafts were rarely used. The aim of the study was to comparatively analyse efficacy and safety of autodermal graft and polypropylene mesh in surgical treatment of large abdominal wall defects. Methods. This prospective comparative clinical study enroled 40 patients surgically treated for large incisional hernia repair in a 10-year period. The patients were divided into two equal groups consisting of 20 subjects and treated either by biological autodermal graft or by synthetic polypropylene mesh. The surgical techniques of reconstruction, duration of surgery, the occurrence of early, minor, and major (severe) and delyed complications and hospital stay were analyzed. The average follow-up took 2 years. Results. Statistically significant differences in demographic characteristics of patients and in size of defects were not found. The surgical technique of reconstruction with an autodermal graft was more complicated. The duration of surgery in patients treated with autodermal grafts was significantly longer. There was no statistically significant difference regarding occurrence of early, minor postoperative complications and hospital stay in our study. Two severe complications were registered in the synthetic mesh group: intestinal obstruction and enterocutaneous fistula. The recurrence rate was 10% in the autodermal graft group and 15% in the group with a synthetic mesh. Conclusion. Tension-free repair of large incisional hernia with autodermal grafts was unjustly neglected despite the fact that it is safe and effective. It can be applied in all cases where synthetic mesh are not indicated (presence of infection, immunodeficient patients, after radiotherapy). They are especially important in war surgery and in lack of funds when commercial grafts cannot be purchased.
The ecological context of bilateral symmetry of organ and organisms  [PDF]
Danilo M. Daloso
Natural Science (NS) , 2014, DOI: 10.4236/ns.2014.64022

A particular phenotype is generated through numerous networks of interactions from within the cell to the whole ecosystem. The level of the environmental noise and the ability of a given genotype to render different phenotypes under different environmental conditions, called phenotypic plasticity, determine survival or death at individual and/or population level. It is important to highlight that non-lethal environmental changes are important for generating genetic variability and promoting biological adaptations. However, when the level of environmental noise starts to be stressed, the developmental stability (DS) of the organism can be perturbed. The DS has been analysed through the symmetry deviations in organs or organisms with bilateral structure. The symmetry deviations occur due to inability to contain disorders from environmental or endogenous conditions during its development. This deviation is called fluctuating asymmetry (FA) when is a non-directional deviation in the symmetry of a bilateral structure normally distributed in a population. Low FA has been associated with greater DS. The analysis of FA has often been used to measure the effects of environmental perturbations. In this review, I discuss the concept of plant stress and phenotypic plasticity connecting both to the generation of an asymmetry phenotype, highlighting the usefulness of FA as an indicator of the level of stress which the organism is subjected to. Further, although this review explores mainly the connection between FA and stress in plants, the ecological context of symmetry in animals and plant-insect interaction is also discussed. Finally, I provided some methodologies used to detect symmetry variations in organs or organisms with bilateral structure.

Geothermal heat exchanger with coaxial flow of fluids
Peji? Dragan M.,Stojiljkovi? Dragan T.,Stojiljkovi? Stani?a T.,?urovi?-Petrovi? Maja
Hemijska Industrija , 2005, DOI: 10.2298/hemind0510275p
Abstract: The paper deals with a heat exchanger with coaxial flow. Two coaxial pipes of the secondary part were placed directly into a geothermal boring in such a way that geothermal water flows around the outer pipe. Starting from the energy balance of the exchanger formed in this way and the assumption of a study-state operating regime, a mathematical model was formulated. On the basis of the model, the secondary circle output temperature was determined as a function of the exchanger geometry, the coefficient of heat passing through the heat exchange areas, the average mass isobaric specific heats of fluid and mass flows. The input temperature of the exchanger secondary circle and the temperature of the geothermal water at the exit of the boring were taken as known values. Also, an analysis of changes in certain factors influencing the secondary water temperature was carried out. The parameters (flow temperature) of the deep boring B-4 in Sijarinska Spa, Serbia were used. The theoretical results obtained indicate the great potential of this boring and the possible application of such an exchanger.
Mladen M Stojiljkovi,Mirko Stojiljkovi,Bratislav D Blagojevi?,Goran Vu?kovi?
Thermal Science , 2010, DOI: tsci100415065s
Abstract: Implementation of co-generation of thermal and electrical energy in district heating systems often results with higher overall energy efficiency of the systems, primary energy savings and environmental benefits. Financial results depend on number of parameters, some of which are very difficult to predict. After introduction of feed-in tariffs for generation of electrical energy in Serbia, better conditions for implementation of co-generation are created, although in district heating systems barriers are still present. In this paper, possibilities and effects of implementation of natural gas fired co-generation engines are examined and presented for the boiler house that is a part of the district heating system owned and operated by the Faculty of Mechanical Engineering in Ni . At the moment, in this boiler house only thermal energy is produced. The boilers are natural gas fired and often operate in low part load regimes. The plant is working only during the heating season. For estimation of effects of implementation of co-generation, referent values are taken from literature or are based on the results of measurements performed on site. Results are presented in the form of primary energy savings and greenhouse gasses emission reduction potentials. Financial aspects are also considered and triangle of costs is shown.
Increse of newly - detected in situ cancers in non-palpable breast lesions
Mileti? N.,Stojiljkovi? D.,Ini? M.,Prekajski M.
Acta Chirurgica Iugoslavica , 2006, DOI: 10.2298/aci0601073m
Abstract: Great importance in detecting cancer in the phase of in situ lays in the fact that the epithelial layer is deprived of blood and lymph vessels, so metastases may develop only when basal membrane has been broken. This paper includes 46 operated women in whom it preoperatively had been verified suspect non-palpable lesion. The preoperative diagnostics included use of high- resolution mammography, aimed mammography, palpatory examination, as well as fine-needle aspiration (FNA), biopsy and cytologic analysis of the sample. The methodology of this work implies the use of stereotaxic marking, specimen mammography and ex-tempore pathohistology analysis. Out of 46 investigated patients in clinical stage T0N0M0, in whom there were no signs of malignant disease, and according to suspect lesion of initial screening mammography, malignant lesions of breast tissue were diagnosed in 19 patients (41%) intraoperatively. Three of these lesions (15,8%) were histopathologically verified as in situ. Comparing our results with data of the Institute of oncology and radiology of Serbia hospital registry (IORS) for the year 2001, from 1173 patients registered with malignant lesions, only 16 ones (1,4%) had in situ cancer, operated on the basis of the suspect mammography of clinical stage T0N0M0. Statistically significant difference was found related to the number of detected cancers in this early phase of the breast malignant disease. This limits surgical intervention to tumorectomy, with preservation of the remaining breast tissue, what brings to healing, justifying in that way, screening examinations and routine application of the most contemporary diagnostic procedures.
Determination of ventilatory threshold based on rating of perceived exertion scale
Stojiljkovi? Stanimir,Ne?i? Dejan M.,Mazi? Sanja,Popovi? Dejana
Srpski Arhiv za Celokupno Lekarstvo , 2004, DOI: 10.2298/sarh0412409s
Abstract: The objective of the study was to test the possibility of using the fixed value (12-13) of the Rating of Perceived scale (RPE scale), as a valid method for determination of ventilatory threshold (VT). The sample of the subjects included 32 physically active males (age: 22.3; TV: 180.5; TM: 75.5 kg; V02max: 57.1 mL/kg/min). During the continuous test of progressively increasing load on a treadmill, cardiorespiratory and other parameters were monitored using ECG and gas analyzer. Following the test, VT and V02max were determined. During the test, at each level, at the scale from 6 to 20, the subjects pointed the number that suited best their currently feeling of strain. The RPE threshold was defined as constant value of 12-13. Average values of ventilatory and RPE threshold were expressed by parameters that were monitored and then compared by using t-test for dependent samples. No significant difference was found between mean values of VT and RPE threshold, when they were expressed by relevant parameters: speed, load, heart rate, absolute and relative oxygen consumption. Fixed value (12-13) of RPE scale may be used to detect the exercise intensity that corresponds to ventilatory threshold.
Preoperative procedures in diagnosis of central and peripheral lung cancer
Mandari? D.,Stojiljkovi? D.,Mileti? N.,Ini? M.
Acta Chirurgica Iugoslavica , 2006, DOI: 10.2298/aci0603035m
Abstract: Background: Actual problem in diagnostics and therapy of lung cancer is early diagnostic and choice of diagnostic procedure. The aim of this work was to assess the sensitivity of various histocytologic methods in diagnosis of central and peripheral lung cancer lesions. Material and methods: During 2003-2004, 348 patients with lung infiltrates suspect for malignancy were treated in University of Kragujevac Clinical Center. For the preoperative diagnostics, their sputum, bronchoaspirate, aspirate obtained by fine needle percutaneous biopsy and specimens obtained by forceps biopsy during fiberbronchoscopy were analyzed using standard cytohistology methods. RESULTS: Lung cancer was diagnosed in 155 out of 348 patients. The malignant lesions were centrally located in 123 patients (79,4%), while peripheral localization was found in 32 patients (20,6%). In the former patients, forceps biopsy was positive in 89,4%, and when combined with bronchoaspirate analysis, positive results were obtained in 91,9% of patients. In patients with peripherally located lesions, fine needly biopsy was positive in 68,8%, while citological analysis of sputum and bronchoalveolar aspirate were positive in only three (9,4%) patients. When all three methods were combined, positive results were found in 25 (78,1%) patients. Conclusion: The central localization of tumors was four times greater than the peripheral one. In the patients with central tumour site, the best results were obtained when forceps biopsy specimens and sputum were analysed cytologically. The combination of transcutaneous fine-needle biopsy, bronchoscopy and sputum gave the best results in the group of patients whose lesions were located peripherally. .
Morphometric changes of cardiac mast cells in rats acutely poisoned by T-2 toxin
Ja?evi? Vesna,Bokonji? D.,StojiljkoviM.,Resanovi? Radmila
Acta Veterinaria , 2007, DOI: 10.2298/avb0701047j
Abstract: Wistar rats were treated with T-2 toxin (1 LD50; 0.23 mg/kg sc) and the surviving animals were sacrificed on days 1, 3, 5, 7, 14, 21 and 28 after treatment. At each time, control animals were sacrificed, too. Cardiac mast cells, previously stained by Giemsa method, were analyzed in whole visual fields, magnification x40. In the present study the following quantitative morphometric parameters of cardiac mast cells were evaluated: perimeter (P), area (A) and roundness (R). In the control groups of rats the majority of mast cells were small (P = 6.86 - 7.99 mm), hypogranular (A = 11.60 -14.30 mm2) and ovoid (R = 0.60 - 0.65 mm). Mast cells, with discrete granules, hypergranular, had significantly different quantitative parameters (P = 12.80 -14.90 mm; A = 16.70 -20.00 mm2; R = 0.35 -0.38 mm). The minority of mast cells, classified as degranulated, had a large (P=20.70-23.30 mm), irregular shape (A = 24.40 -30.90 mm2) and showed degranulation (R = 0.15 - 0.21 mm). In the heart of T-2 toxin-treated rats the quantitative parametar values of hypogranular mast cells and hypergranular mast cells were similar to the control group during the whole study. However, degranulated mast cells showed a significant increase in perimeter and area values (p<0.05), while their roundness was decreased (p<0.05) in comparison to the control groups of animals. It could be concluded that the chosen quantitative morphometric parameters of cardiac degranular mast cells are useful for the evaluation of the functional status of the rats' heart during acute T-2 poisoning. .
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