Marko Milanov - Academia.edu (original) (raw)

Papers by Marko Milanov

Research paper thumbnail of Change of students interest in psychiatry over the years at school of medicine, University of Belgrade, Serbia

The Israel Journal of Psychiatry and Related Sciences, 2011

The present study examines how, during the course of medical education, students in Serbia change... more The present study examines how, during the course of medical education, students in Serbia change their attitude and affinity towards choosing psychiatry as their future residency. Medical students (MS) in the 2nd year (sophomores, n=105), and in the 5th year (seniors, n=75) of the medical school participated in the survey. A 23-item questionnaire was administered to evaluate their attitude towards psychiatry and was compared to their attitude towards other medical specialties (internal medicine, surgery, pediatrics, gynecology, general medicine). Attitude towards psychiatric residency changed during the course of medical studies. The 5th year students exhibited lower attitude scores regarding psychiatry when compared to their junior colleagues and when weighted on their socio-demographic background and attitude towards other residencies. Positive attitude was evident in 15% sophomores and 16% seniors, while negative attitude was 25% in sophomores and 47% in seniors, markedly differing in their statement that they would never consider psychiatry as the choice residency Attitude toward psychiatry was not predictable from the socio-demographic parameters. The data from Serbia show increase in negative attitude towards psychiatry over the course of medical studies, although level of interested students is one of the highest in the world as reported in recent literature.

Research paper thumbnail of How medical students in their pre-clinical year perceive psychiatry as a career: the study from Belgrade

Psychiatria Danubina

Taking the Initiative to evaluate students' affinity toward psychiatry seems to be a global i... more Taking the Initiative to evaluate students' affinity toward psychiatry seems to be a global issue and is an essential part of programs to improve the status of the profession. The aim of this study is to explore medical students' attitudes toward psychiatry in comparison to other residencies (internal medicine, surgery, pediatrics, gynecology and general medicine) in the pre-clinical year and to observe which factors influence the creation of these attitudes. The survey included 114 students of the second year, School of Medicine in Belgrade (academic year 2007/08). The data was collected trough a 23-item questionnaire. Fifteen percent of students stated that psychiatry was their career of choice, while 25% expressed a strong aversion. Psychiatry was ranked less attractive than internal medicine, surgery and pediatrics, but more attractive than general medicine or gynecology. Those who like psychiatry attributed more importance to an interesting and challenging job than to p...

Research paper thumbnail of How medical students in their pre-clinical year perceive psychiatry as a career: the study from Belgrade

Psychiatria Danubina, 2009

Taking the Initiative to evaluate students' affinity toward psychiatry seems to be a global i... more Taking the Initiative to evaluate students' affinity toward psychiatry seems to be a global issue and is an essential part of programs to improve the status of the profession. The aim of this study is to explore medical students' attitudes toward psychiatry in comparison to other residencies (internal medicine, surgery, pediatrics, gynecology and general medicine) in the pre-clinical year and to observe which factors influence the creation of these attitudes. The survey included 114 students of the second year, School of Medicine in Belgrade (academic year 2007/08). The data was collected trough a 23-item questionnaire. Fifteen percent of students stated that psychiatry was their career of choice, while 25% expressed a strong aversion. Psychiatry was ranked less attractive than internal medicine, surgery and pediatrics, but more attractive than general medicine or gynecology. Those who like psychiatry attributed more importance to an interesting and challenging job than to p...

Research paper thumbnail of Change of students interest in psychiatry over the years at school of medicine, University of Belgrade, Serbia

The Israel journal of psychiatry and related sciences, 2011

The present study examines how, during the course of medical education, students in Serbia change... more The present study examines how, during the course of medical education, students in Serbia change their attitude and affinity towards choosing psychiatry as their future residency. Medical students (MS) in the 2nd year (sophomores, n=105), and in the 5th year (seniors, n=75) of the medical school participated in the survey. A 23-item questionnaire was administered to evaluate their attitude towards psychiatry and was compared to their attitude towards other medical specialties (internal medicine, surgery, pediatrics, gynecology, general medicine). Attitude towards psychiatric residency changed during the course of medical studies. The 5th year students exhibited lower attitude scores regarding psychiatry when compared to their junior colleagues and when weighted on their socio-demographic background and attitude towards other residencies. Positive attitude was evident in 15% sophomores and 16% seniors, while negative attitude was 25% in sophomores and 47% in seniors, markedly differ...

Research paper thumbnail of PM099 Clinical presentation and prognosis of patients with acute aortic intramural hematoma

Global Heart, 2014

conflicting results around whether AF is associated with adverse outcomes after aortic valve repl... more conflicting results around whether AF is associated with adverse outcomes after aortic valve replacement (AVR) amongst the few studies that have investigated this. Objectives: We compared the characteristics and outcomes of patients undergoing AVR by history of AF. Methods: Isolated AVR patients at Auckland City Hospital 2005-2012 were divided into those with and without pre-operative AF for comparative analyses. Results: Amongst 620 patients, 19.2% (119) had permanent or paroxysmal AF preoperatively. Patients with AF were significantly older (70.5 vs 63.4 years, p<0.001), had higher proportion of New Zealand European (82.4% vs 68.1%, p¼0.004), urgent or emergency operation (62.1% vs 48.3%, p¼0.016), NYHA class III-IV (55.4% vs 37.4%,p¼0.004), history of stroke (10.9% vs 5.0%, p¼0.031), pulmonary hypertension (27.8% vs 16.2%, p¼0.002), lower creatinine clearance (73 vs 82, p¼0.001) and higher EuroSCORE II (5.2% vs 3.4%, p<0.001). Operative mortality (6.7% vs 2.0%, p¼0.012) and composite morbidity (27.7% vs 16.5%, p¼0.006) were also higher in AF. After adjusting for significant variables, pre-operative AF remained an independent predictor of operative mortality odds ratio 3.38 (95% confidence interval 1.18-9.69), mortality during follow-up 2.36 (1.44-3.87) and prolonged ventilation>24 hours 2.48 (1.32-4.69). Conclusion: AF was associated with a number of cardiovascular and cardiac surgery risk factors, but remained independently associated with short and long-term mortality. AF should be incorporated into cardiac surgery risk models and AF ablation be considered when AVR is performed.

Research paper thumbnail of Change of students interest in psychiatry over the years at school of medicine, University of Belgrade, Serbia

The Israel Journal of Psychiatry and Related Sciences, 2011

The present study examines how, during the course of medical education, students in Serbia change... more The present study examines how, during the course of medical education, students in Serbia change their attitude and affinity towards choosing psychiatry as their future residency. Medical students (MS) in the 2nd year (sophomores, n=105), and in the 5th year (seniors, n=75) of the medical school participated in the survey. A 23-item questionnaire was administered to evaluate their attitude towards psychiatry and was compared to their attitude towards other medical specialties (internal medicine, surgery, pediatrics, gynecology, general medicine). Attitude towards psychiatric residency changed during the course of medical studies. The 5th year students exhibited lower attitude scores regarding psychiatry when compared to their junior colleagues and when weighted on their socio-demographic background and attitude towards other residencies. Positive attitude was evident in 15% sophomores and 16% seniors, while negative attitude was 25% in sophomores and 47% in seniors, markedly differing in their statement that they would never consider psychiatry as the choice residency Attitude toward psychiatry was not predictable from the socio-demographic parameters. The data from Serbia show increase in negative attitude towards psychiatry over the course of medical studies, although level of interested students is one of the highest in the world as reported in recent literature.

Research paper thumbnail of How medical students in their pre-clinical year perceive psychiatry as a career: the study from Belgrade

Psychiatria Danubina

Taking the Initiative to evaluate students' affinity toward psychiatry seems to be a global i... more Taking the Initiative to evaluate students' affinity toward psychiatry seems to be a global issue and is an essential part of programs to improve the status of the profession. The aim of this study is to explore medical students' attitudes toward psychiatry in comparison to other residencies (internal medicine, surgery, pediatrics, gynecology and general medicine) in the pre-clinical year and to observe which factors influence the creation of these attitudes. The survey included 114 students of the second year, School of Medicine in Belgrade (academic year 2007/08). The data was collected trough a 23-item questionnaire. Fifteen percent of students stated that psychiatry was their career of choice, while 25% expressed a strong aversion. Psychiatry was ranked less attractive than internal medicine, surgery and pediatrics, but more attractive than general medicine or gynecology. Those who like psychiatry attributed more importance to an interesting and challenging job than to p...

Research paper thumbnail of How medical students in their pre-clinical year perceive psychiatry as a career: the study from Belgrade

Psychiatria Danubina, 2009

Taking the Initiative to evaluate students' affinity toward psychiatry seems to be a global i... more Taking the Initiative to evaluate students' affinity toward psychiatry seems to be a global issue and is an essential part of programs to improve the status of the profession. The aim of this study is to explore medical students' attitudes toward psychiatry in comparison to other residencies (internal medicine, surgery, pediatrics, gynecology and general medicine) in the pre-clinical year and to observe which factors influence the creation of these attitudes. The survey included 114 students of the second year, School of Medicine in Belgrade (academic year 2007/08). The data was collected trough a 23-item questionnaire. Fifteen percent of students stated that psychiatry was their career of choice, while 25% expressed a strong aversion. Psychiatry was ranked less attractive than internal medicine, surgery and pediatrics, but more attractive than general medicine or gynecology. Those who like psychiatry attributed more importance to an interesting and challenging job than to p...

Research paper thumbnail of Change of students interest in psychiatry over the years at school of medicine, University of Belgrade, Serbia

The Israel journal of psychiatry and related sciences, 2011

The present study examines how, during the course of medical education, students in Serbia change... more The present study examines how, during the course of medical education, students in Serbia change their attitude and affinity towards choosing psychiatry as their future residency. Medical students (MS) in the 2nd year (sophomores, n=105), and in the 5th year (seniors, n=75) of the medical school participated in the survey. A 23-item questionnaire was administered to evaluate their attitude towards psychiatry and was compared to their attitude towards other medical specialties (internal medicine, surgery, pediatrics, gynecology, general medicine). Attitude towards psychiatric residency changed during the course of medical studies. The 5th year students exhibited lower attitude scores regarding psychiatry when compared to their junior colleagues and when weighted on their socio-demographic background and attitude towards other residencies. Positive attitude was evident in 15% sophomores and 16% seniors, while negative attitude was 25% in sophomores and 47% in seniors, markedly differ...

Research paper thumbnail of PM099 Clinical presentation and prognosis of patients with acute aortic intramural hematoma

Global Heart, 2014

conflicting results around whether AF is associated with adverse outcomes after aortic valve repl... more conflicting results around whether AF is associated with adverse outcomes after aortic valve replacement (AVR) amongst the few studies that have investigated this. Objectives: We compared the characteristics and outcomes of patients undergoing AVR by history of AF. Methods: Isolated AVR patients at Auckland City Hospital 2005-2012 were divided into those with and without pre-operative AF for comparative analyses. Results: Amongst 620 patients, 19.2% (119) had permanent or paroxysmal AF preoperatively. Patients with AF were significantly older (70.5 vs 63.4 years, p<0.001), had higher proportion of New Zealand European (82.4% vs 68.1%, p¼0.004), urgent or emergency operation (62.1% vs 48.3%, p¼0.016), NYHA class III-IV (55.4% vs 37.4%,p¼0.004), history of stroke (10.9% vs 5.0%, p¼0.031), pulmonary hypertension (27.8% vs 16.2%, p¼0.002), lower creatinine clearance (73 vs 82, p¼0.001) and higher EuroSCORE II (5.2% vs 3.4%, p<0.001). Operative mortality (6.7% vs 2.0%, p¼0.012) and composite morbidity (27.7% vs 16.5%, p¼0.006) were also higher in AF. After adjusting for significant variables, pre-operative AF remained an independent predictor of operative mortality odds ratio 3.38 (95% confidence interval 1.18-9.69), mortality during follow-up 2.36 (1.44-3.87) and prolonged ventilation>24 hours 2.48 (1.32-4.69). Conclusion: AF was associated with a number of cardiovascular and cardiac surgery risk factors, but remained independently associated with short and long-term mortality. AF should be incorporated into cardiac surgery risk models and AF ablation be considered when AVR is performed.