Nenad Cetković - Academia.edu (original) (raw)
Papers by Nenad Cetković
Foods
Kefir is a fermented dairy product claimed to confer many health-promoting effects, but its acidi... more Kefir is a fermented dairy product claimed to confer many health-promoting effects, but its acidic taste is not appealing to some consumers. Therefore, the aim of this study was to enhance the functional and sensorial quality attributes of kefir through fortification with encapsulated blackberry juice (EBJ). The blackberry juice was successfully encapsulated via freeze-drying using lentil protein isolate (LPI) as the carrier. The encapsulated blackberry juice showed good physicochemical, functional, and morphological properties, as well as microbiological safety for use as a food additive. The kefir was fortified with EBJ in concentrations of 1, 2.5, 5, and 7.5% (w/w), stored for up to 28 days under refrigeration, and periodically evaluated. Parameters such as the viscosity, titrable acidity, and pH indicate that the kefir fortification did not affect its stability during storage. EBJ significantly increased the antioxidant properties of the kefir, depending on the fortification lev...
PubMed, Mar 1, 1997
This study is a retrospective analysis of data on deliveries which ended up in vacuum extraction ... more This study is a retrospective analysis of data on deliveries which ended up in vacuum extraction at the Clinic of Gynecology and Obstetrics in Novi Sad during two periods: 1983-85, and 1993-95. The aim of this study was to analyze indications, technique and complications of deliveries which ended up in vacuum extraction. Out of the total number of deliveries-17,110 in the period 1983-85, 4.86% ended up in vacuum extraction. The perinatal morbidity was 10.82%, the perinatal mortality 15.13/1000. In the period 1993-95, there were 18,599 deliveries, whereas 2.65% ended up in vacuum extraction. The perinatal morbidity was 8.93%, while perinatal mortality 11.12/1000. The risk of morbidity occurring in surgical procedures can be decreased if prompt vacuum extraction is performed.
PubMed, 1993
The authors analyzed results of 295 labors induced with endocervical application of dinoprostin (... more The authors analyzed results of 295 labors induced with endocervical application of dinoprostin (152 term- and 143 postterm labors) in relation to 242 (125 term- and 117 postterm-) spontaneous labors. Delayed labor increases the occurrence of meconial amniotic fluid (21.96%:9.03% p < 0.01), and pathological and prepathological CTG records (23.85%: 11.97% p < 0.005). In addition, children show lower Apgar score (p < 0.001), and among them there are more hypertrophic (6.54%:2.53% p < 0.05), postterm (6.92%:0.0% p < 0.005), and dysmature children (11.92%:3.12% p < 0.01) when compared to children born between the days 274 and 287 of the gestational age. Perinatal morbidity of children born after 287 gestational days in rather high-32.31%. Induction of labor with endocervical application of prostine shortens the duration of the labor (p < 0.001). Large numbers of labors are finished with vacuum extraction-3.73% (3.29% of term- and 4.19% of postterm labors) and cesarear section-12.88% (10.53% of term- and 15.38% of postterm labors) usually due to dystocia of the uterus and hypoxion of the neonate. Labor trauma is the most usual trauma among perinatal problems of new born infants delivered by the induction with prostaglandins and high perinatal morbidity rate is due not only to the induction method but also to the incorrect assessment of the gestational age.
PubMed, Apr 9, 1998
This is a case report of a female patient with placenta percreta in whom pregnancy was terminated... more This is a case report of a female patient with placenta percreta in whom pregnancy was terminated in the XXVII gestational week. The disease was not diagnosed during pregnancy which had a normal course; the suspicion appeared during the third stage of the delivery period and it was confirmed during the operation and subsequent histopathological finding. As profuse bleeding occurred, urgent laparotomy with hysterectomy and unilateral adnexectomy were performed. Thirteen hours after the delivery the infant died.
Pathogens
The food industry has recognized a pressing need for highly effective disinfection protocols to d... more The food industry has recognized a pressing need for highly effective disinfection protocols to decrease the risk of pathogen emergence and proliferation in food products. The integration of antimicrobial treatments in food production has occurred as a potential strategy to attain food items of superior quality with respect to microbiological safety and sensory attributes. This study aims to investigate the individual and synergistic effects of heat and peroxyacetic acid on the inactivation of bacterial cells, considering various contact times and environmental conditions. Four Salmonella serotypes, isolated from industrial meat production surfaces, were employed as model organisms. By systematically assessing the impacts of individual factors and synergistic outcomes, the effectiveness of bacterial cell inactivation and the efficiency of heat and peroxyacetic acid could be predicted. To better approximate real-world food processing conditions, this study also incorporated a bovine ...
Ginekologia Polska, Feb 28, 2018
Pregnancy is a very specific and complex period in a woman's life. The accompanying changes are o... more Pregnancy is a very specific and complex period in a woman's life. The accompanying changes are observed not only on the biological/physiological plane but also in her psychological and social functioning. Altered psychological functioning can occur from the very beginning to the end of pregnancy, including the postpartum period. During pregnancy, visible changes occur in the body's appearance, as well as in femininity, affections, and sexuality, whereas the woman's position and role are gaining new qualities. To a greater or lesser degree, every expectant mother experiences psychological ambivalence, frequent mood changes from exhaustion to exaltation, emotional disturbances, and/or mixed anxiety-depressive disorder. In addition, pregnancy causes a number of specific apprehensions concerning the course and outcome, which makes the woman particularly vulnerable and requires adequate treatment, depending on the adaptive capacities of her personality. Furthermore, from a psychosocial aspect, pregnancy could be considered a specific highly emotional state, which may be a potent stressor. Perinatal maternal stress can lead to different complications that may have far-reaching consequences for both somatic and psychic functioning of the newborn. This review considers pregnancy as a complex psychological phenomenon and explores multiple changes in the woman's psychological functioning in both normal and psychologically complicated courses of pregnancy.
Vojnosanitetski Pregled, 2016
Natural Product Communications, Dec 1, 2017
Minerva Endocrinologica, Dec 1, 2018
This discrepancy could be due to variation in study design, including differences in case definit... more This discrepancy could be due to variation in study design, including differences in case definition, control selection, type of serum vitamin d analyses, and analytical methods. To clarify this pathogenetic aspect, recently davis et al. reported a case-control study, on the relationship between vdd and PcoS in infertile patients undergoing intrauterine insemination (iUi). 11 The aim of the authors was to compare serum 25-oHd concentrations in women with COPYRIGHT
Natural Product Communications, 2017
Treating inflammatory conditions such as vaginosis, vaginitis, and vulvovaginitis in pregnancy is... more Treating inflammatory conditions such as vaginosis, vaginitis, and vulvovaginitis in pregnancy is a special problem due to limitations of available drugs. However, possible treatment options can be found also in naturally originated products, such as essential oils (EOs) of different plants. The aim of this study was to evaluate in vitro antimicrobial and toxic activities of the commercial EO of Rosmarinus officinalis L. ( Lamiaceae) against five Gram-positive and Gram-negative bacterial strains and two Candida strains obtained from pregnant women with vaginal infection. Gas chromatography-mass spectrometry of the tested EO revealed oxygenated monoterpenes to be the major ingredients, while microdilution assay showed the highest activity on Staphylococcus aureus II strain at 6.2 mg/mL. After 24 hours, toxicity was determined at 19.4 mg/mL on Artemia salina nauplii. The obtained results show this EO to be a promising alternative therapy for vaginal infections, although further toxici...
Timocki medicinski glasnik, 2016
Neželjena trudnoća je trudnoća koja je začeta u pogrešno vreme, neplanirana je i neželjena u mome... more Neželjena trudnoća je trudnoća koja je začeta u pogrešno vreme, neplanirana je i neželjena u momentu koncepcije. Smatra se da su oko polovine svih trudnoća u momentu nastanka neplanirane. Obično nastaju kao posledica nekorišćenja kontracepcije ili neadekvatne primene kontracepcije, dok se vrlo retko beleži pri redovnoj i pravilnoj upotrebi kontracepcije. Konsekvence neplanirane trudnoće mogu biti veoma ozbiljne i mogu predstavljati ozbiljno breme za decu, žene, muškarce i porodice. Neplanirana trudnoća može predstavljati uzrok maternalnog i perinatalnog morbiditeta i mortaliteta, kao i osnov za dalekosežne posledice po zdravlje dece rođene iz takvih trudnoća. S druge strane, tu su i moguće posledice artficijelnog prekida trudnoće kao metode rešavanja neželjene trudnoće-kako fizičke, tako i psihološke. Ključne reči: trudnoća, neželjena trudnoća, psihologija, mentalno zdravlje Summary: Unintended pregnancy is the pregnancy that has occurred in a wrong time, unplanned, and unwanted at the moment of the conception. It is thought that about one half of all pregnancies are not planned. Usually, it occurs as a consequence of not using contraception or using it in an inappropriate way, whereas it is very rare in regular and correct use of contraception. The consequences of unplanned pregnancy can be very serious and may represent a real burden to children, women, men, and families. Unplanned pregnacy may be a cause of maternal and perinatal morbidity and mortality, as well as the basis for far-reaching consequencies to the health of the born from such pregnancies. On the other hand, there are also possible consequencies-both physical and psychological-of artificial termination as a method of dealing with undesired pregnancies.
Minerva endocrinologica, Jan 10, 2018
This discrepancy could be due to variation in study design, including differences in case definit... more This discrepancy could be due to variation in study design, including differences in case definition, control selection, type of serum vitamin d analyses, and analytical methods. To clarify this pathogenetic aspect, recently davis et al. reported a case-control study, on the relationship between vdd and PcoS in infertile patients undergoing intrauterine insemination (iUi). 11 The aim of the authors was to compare serum 25-oHd concentrations in women with COPYRIGHT
Medicinski pregled, 2005
Introduction. Adolescent pregnancy is considered to be risky, with potential psychosocial and hea... more Introduction. Adolescent pregnancy is considered to be risky, with potential psychosocial and health risks. From a medical point of view, adolescent pregnancy and delivery are risky and mortality of mothers and newborns is higher than in women aged 20-30. Material and methods. The analysis included all adolescent deliveries at the Department of Gynecology and Obstetrics in Novi Sad in 1992 and 2002. These data were compared with those observed in women aged 19 and older, for the same years. Results In respect to the number of adolescent deliveries, a decreasing tendency is observed. Also, there is an increasing trend in the number of cesarean sections in adolescents, which follows the trend of higher rates of cesarean deliveries in general. Episiotomy is more often performed in adolescents than in older women, but a decreasing trend is also observed in this population, which was also the case in women over 19. Vacuum extraction is less frequent in cases of adolescent deliveries. A v...
Medicinski pregled, 1996
Even today infection is the most important cause of morbidity and mortality after cesarean sectio... more Even today infection is the most important cause of morbidity and mortality after cesarean section. The aim of this paper is to point to the significance of hysterectomy in treatment of puerperal infection in the contemporary obstetrics. During a 15- year period (1981 - 1995) 85231 deliveries were performed at the Clinic for Gynecology and Obstetrics in Novi Sad (Yugoslavia). There were 8609 (10.10%) cesarean sections. Hysterectomy was performed in 16 cases (0.186%) of women undergoing cesarean section due to dehiscence of uterine suture, endometritis, diffuse peritonitis or sepsis. Infection during delivery was diagnosed in 3 (18.75%) cases, the delivery itself began by amnion rupture in 5 (31.25%) cases, it lasted more than 12 hours in 6 (37.50%) cases. Elective cesarean section was performed in 3 (18.75%) cases, cesarean section during delivery in 13 (81.25%) and iterative cesarean section in 5 (31.25%) cases. Total hysterectomy was performed in 9 (56.25%) cases and subtotal in 7...
Srpski arhiv za celokupno lekarstvo, 2016
Introduction. Polycystic ovary syndrome is the most common endocrinopathy in women of reproductiv... more Introduction. Polycystic ovary syndrome is the most common endocrinopathy in women of reproductiveage. Therapy for those who want to get pregnant involves ovulation induction using clomiphene citrate, metformin, letrozole and gonadotropins. Objective. The aim of the study was to compare the efficacy of combinations of clomiphene citrate-metformin and letrozole-metformin in obese patients who are resistant to clomiphene citrate alone. Methods. The investigation was conducted as a retrospective study involving 60 moderately obese patients with polycystic ovary syndrome. Thirty-one of them received the clomiphene citrate-metformin, and 29 letrozole-metformin therapy. Stimulation was carried out for the procedures of intrauterine insemination (IUI). Results. The age of patients, duration of infertility, and body mass index in both groups were similar. There was statistically significant difference in the thickness of the endometrium in favor of the group having the letrozole-metformin t...
Medicinski pregled, 2004
Introduction The study pointed to the significance and most frequent causes of development of fis... more Introduction The study pointed to the significance and most frequent causes of development of fistula following gynecologic and obstetric surgical procedures. Prevention and management of fistulas Some possibilities of prevention, i.e. the necessity of correct administration of surgical procedures have been described. The authors pointed to the imperative of knowing the structure of vesicovaginal region and administration of adequate surgical technique. They described surgical procedures in most frequent gynecologic operations in prevention of ureteral injuries. They have presented 25-year result of operative treatment of these patients and treatment of postoperative fistulas at the Department of Obstetrics and Gynecology in Novi Sad. In regard to the number of gynecologic operations in that period (23067), the incidence of fistulas was not high (43). Conclusion During the last years, the incidence is constantly decreasing, due to application of appropriate surgical techniques, care...
Medicinski pregled
Adolescent pregnancy is considered to be risky, with potential psychosocial and health risks. Fro... more Adolescent pregnancy is considered to be risky, with potential psychosocial and health risks. From a medical point of view, adolescent pregnancy and delivery are risky and mortality of mothers and newborns is higher than in women aged 20-30. The analysis included all adolescent deliveries at the Department of Gynecology and Obstetrics in Novi Sad in 1992 and 2002. These data were compared with those observed in women aged 19 and older, for the same years. In respect to the number of adolescent deliveries, a decreasing tendency is observed. Also, there is an increasing trend in the number of cesarean sections in adolescents, which follows the trend of higher rates of cesarean deliveries in general. Episiotomy is more often performed in adolescents than in older women, but a decreasing trend is also observed in this population, which was also the case in women over 19. Vacuum extraction is less frequent in cases of adolescent deliveries. A very small percentage of malformed and stillb...
Foods
Kefir is a fermented dairy product claimed to confer many health-promoting effects, but its acidi... more Kefir is a fermented dairy product claimed to confer many health-promoting effects, but its acidic taste is not appealing to some consumers. Therefore, the aim of this study was to enhance the functional and sensorial quality attributes of kefir through fortification with encapsulated blackberry juice (EBJ). The blackberry juice was successfully encapsulated via freeze-drying using lentil protein isolate (LPI) as the carrier. The encapsulated blackberry juice showed good physicochemical, functional, and morphological properties, as well as microbiological safety for use as a food additive. The kefir was fortified with EBJ in concentrations of 1, 2.5, 5, and 7.5% (w/w), stored for up to 28 days under refrigeration, and periodically evaluated. Parameters such as the viscosity, titrable acidity, and pH indicate that the kefir fortification did not affect its stability during storage. EBJ significantly increased the antioxidant properties of the kefir, depending on the fortification lev...
PubMed, Mar 1, 1997
This study is a retrospective analysis of data on deliveries which ended up in vacuum extraction ... more This study is a retrospective analysis of data on deliveries which ended up in vacuum extraction at the Clinic of Gynecology and Obstetrics in Novi Sad during two periods: 1983-85, and 1993-95. The aim of this study was to analyze indications, technique and complications of deliveries which ended up in vacuum extraction. Out of the total number of deliveries-17,110 in the period 1983-85, 4.86% ended up in vacuum extraction. The perinatal morbidity was 10.82%, the perinatal mortality 15.13/1000. In the period 1993-95, there were 18,599 deliveries, whereas 2.65% ended up in vacuum extraction. The perinatal morbidity was 8.93%, while perinatal mortality 11.12/1000. The risk of morbidity occurring in surgical procedures can be decreased if prompt vacuum extraction is performed.
PubMed, 1993
The authors analyzed results of 295 labors induced with endocervical application of dinoprostin (... more The authors analyzed results of 295 labors induced with endocervical application of dinoprostin (152 term- and 143 postterm labors) in relation to 242 (125 term- and 117 postterm-) spontaneous labors. Delayed labor increases the occurrence of meconial amniotic fluid (21.96%:9.03% p < 0.01), and pathological and prepathological CTG records (23.85%: 11.97% p < 0.005). In addition, children show lower Apgar score (p < 0.001), and among them there are more hypertrophic (6.54%:2.53% p < 0.05), postterm (6.92%:0.0% p < 0.005), and dysmature children (11.92%:3.12% p < 0.01) when compared to children born between the days 274 and 287 of the gestational age. Perinatal morbidity of children born after 287 gestational days in rather high-32.31%. Induction of labor with endocervical application of prostine shortens the duration of the labor (p < 0.001). Large numbers of labors are finished with vacuum extraction-3.73% (3.29% of term- and 4.19% of postterm labors) and cesarear section-12.88% (10.53% of term- and 15.38% of postterm labors) usually due to dystocia of the uterus and hypoxion of the neonate. Labor trauma is the most usual trauma among perinatal problems of new born infants delivered by the induction with prostaglandins and high perinatal morbidity rate is due not only to the induction method but also to the incorrect assessment of the gestational age.
PubMed, Apr 9, 1998
This is a case report of a female patient with placenta percreta in whom pregnancy was terminated... more This is a case report of a female patient with placenta percreta in whom pregnancy was terminated in the XXVII gestational week. The disease was not diagnosed during pregnancy which had a normal course; the suspicion appeared during the third stage of the delivery period and it was confirmed during the operation and subsequent histopathological finding. As profuse bleeding occurred, urgent laparotomy with hysterectomy and unilateral adnexectomy were performed. Thirteen hours after the delivery the infant died.
Pathogens
The food industry has recognized a pressing need for highly effective disinfection protocols to d... more The food industry has recognized a pressing need for highly effective disinfection protocols to decrease the risk of pathogen emergence and proliferation in food products. The integration of antimicrobial treatments in food production has occurred as a potential strategy to attain food items of superior quality with respect to microbiological safety and sensory attributes. This study aims to investigate the individual and synergistic effects of heat and peroxyacetic acid on the inactivation of bacterial cells, considering various contact times and environmental conditions. Four Salmonella serotypes, isolated from industrial meat production surfaces, were employed as model organisms. By systematically assessing the impacts of individual factors and synergistic outcomes, the effectiveness of bacterial cell inactivation and the efficiency of heat and peroxyacetic acid could be predicted. To better approximate real-world food processing conditions, this study also incorporated a bovine ...
Ginekologia Polska, Feb 28, 2018
Pregnancy is a very specific and complex period in a woman's life. The accompanying changes are o... more Pregnancy is a very specific and complex period in a woman's life. The accompanying changes are observed not only on the biological/physiological plane but also in her psychological and social functioning. Altered psychological functioning can occur from the very beginning to the end of pregnancy, including the postpartum period. During pregnancy, visible changes occur in the body's appearance, as well as in femininity, affections, and sexuality, whereas the woman's position and role are gaining new qualities. To a greater or lesser degree, every expectant mother experiences psychological ambivalence, frequent mood changes from exhaustion to exaltation, emotional disturbances, and/or mixed anxiety-depressive disorder. In addition, pregnancy causes a number of specific apprehensions concerning the course and outcome, which makes the woman particularly vulnerable and requires adequate treatment, depending on the adaptive capacities of her personality. Furthermore, from a psychosocial aspect, pregnancy could be considered a specific highly emotional state, which may be a potent stressor. Perinatal maternal stress can lead to different complications that may have far-reaching consequences for both somatic and psychic functioning of the newborn. This review considers pregnancy as a complex psychological phenomenon and explores multiple changes in the woman's psychological functioning in both normal and psychologically complicated courses of pregnancy.
Vojnosanitetski Pregled, 2016
Natural Product Communications, Dec 1, 2017
Minerva Endocrinologica, Dec 1, 2018
This discrepancy could be due to variation in study design, including differences in case definit... more This discrepancy could be due to variation in study design, including differences in case definition, control selection, type of serum vitamin d analyses, and analytical methods. To clarify this pathogenetic aspect, recently davis et al. reported a case-control study, on the relationship between vdd and PcoS in infertile patients undergoing intrauterine insemination (iUi). 11 The aim of the authors was to compare serum 25-oHd concentrations in women with COPYRIGHT
Natural Product Communications, 2017
Treating inflammatory conditions such as vaginosis, vaginitis, and vulvovaginitis in pregnancy is... more Treating inflammatory conditions such as vaginosis, vaginitis, and vulvovaginitis in pregnancy is a special problem due to limitations of available drugs. However, possible treatment options can be found also in naturally originated products, such as essential oils (EOs) of different plants. The aim of this study was to evaluate in vitro antimicrobial and toxic activities of the commercial EO of Rosmarinus officinalis L. ( Lamiaceae) against five Gram-positive and Gram-negative bacterial strains and two Candida strains obtained from pregnant women with vaginal infection. Gas chromatography-mass spectrometry of the tested EO revealed oxygenated monoterpenes to be the major ingredients, while microdilution assay showed the highest activity on Staphylococcus aureus II strain at 6.2 mg/mL. After 24 hours, toxicity was determined at 19.4 mg/mL on Artemia salina nauplii. The obtained results show this EO to be a promising alternative therapy for vaginal infections, although further toxici...
Timocki medicinski glasnik, 2016
Neželjena trudnoća je trudnoća koja je začeta u pogrešno vreme, neplanirana je i neželjena u mome... more Neželjena trudnoća je trudnoća koja je začeta u pogrešno vreme, neplanirana je i neželjena u momentu koncepcije. Smatra se da su oko polovine svih trudnoća u momentu nastanka neplanirane. Obično nastaju kao posledica nekorišćenja kontracepcije ili neadekvatne primene kontracepcije, dok se vrlo retko beleži pri redovnoj i pravilnoj upotrebi kontracepcije. Konsekvence neplanirane trudnoće mogu biti veoma ozbiljne i mogu predstavljati ozbiljno breme za decu, žene, muškarce i porodice. Neplanirana trudnoća može predstavljati uzrok maternalnog i perinatalnog morbiditeta i mortaliteta, kao i osnov za dalekosežne posledice po zdravlje dece rođene iz takvih trudnoća. S druge strane, tu su i moguće posledice artficijelnog prekida trudnoće kao metode rešavanja neželjene trudnoće-kako fizičke, tako i psihološke. Ključne reči: trudnoća, neželjena trudnoća, psihologija, mentalno zdravlje Summary: Unintended pregnancy is the pregnancy that has occurred in a wrong time, unplanned, and unwanted at the moment of the conception. It is thought that about one half of all pregnancies are not planned. Usually, it occurs as a consequence of not using contraception or using it in an inappropriate way, whereas it is very rare in regular and correct use of contraception. The consequences of unplanned pregnancy can be very serious and may represent a real burden to children, women, men, and families. Unplanned pregnacy may be a cause of maternal and perinatal morbidity and mortality, as well as the basis for far-reaching consequencies to the health of the born from such pregnancies. On the other hand, there are also possible consequencies-both physical and psychological-of artificial termination as a method of dealing with undesired pregnancies.
Minerva endocrinologica, Jan 10, 2018
This discrepancy could be due to variation in study design, including differences in case definit... more This discrepancy could be due to variation in study design, including differences in case definition, control selection, type of serum vitamin d analyses, and analytical methods. To clarify this pathogenetic aspect, recently davis et al. reported a case-control study, on the relationship between vdd and PcoS in infertile patients undergoing intrauterine insemination (iUi). 11 The aim of the authors was to compare serum 25-oHd concentrations in women with COPYRIGHT
Medicinski pregled, 2005
Introduction. Adolescent pregnancy is considered to be risky, with potential psychosocial and hea... more Introduction. Adolescent pregnancy is considered to be risky, with potential psychosocial and health risks. From a medical point of view, adolescent pregnancy and delivery are risky and mortality of mothers and newborns is higher than in women aged 20-30. Material and methods. The analysis included all adolescent deliveries at the Department of Gynecology and Obstetrics in Novi Sad in 1992 and 2002. These data were compared with those observed in women aged 19 and older, for the same years. Results In respect to the number of adolescent deliveries, a decreasing tendency is observed. Also, there is an increasing trend in the number of cesarean sections in adolescents, which follows the trend of higher rates of cesarean deliveries in general. Episiotomy is more often performed in adolescents than in older women, but a decreasing trend is also observed in this population, which was also the case in women over 19. Vacuum extraction is less frequent in cases of adolescent deliveries. A v...
Medicinski pregled, 1996
Even today infection is the most important cause of morbidity and mortality after cesarean sectio... more Even today infection is the most important cause of morbidity and mortality after cesarean section. The aim of this paper is to point to the significance of hysterectomy in treatment of puerperal infection in the contemporary obstetrics. During a 15- year period (1981 - 1995) 85231 deliveries were performed at the Clinic for Gynecology and Obstetrics in Novi Sad (Yugoslavia). There were 8609 (10.10%) cesarean sections. Hysterectomy was performed in 16 cases (0.186%) of women undergoing cesarean section due to dehiscence of uterine suture, endometritis, diffuse peritonitis or sepsis. Infection during delivery was diagnosed in 3 (18.75%) cases, the delivery itself began by amnion rupture in 5 (31.25%) cases, it lasted more than 12 hours in 6 (37.50%) cases. Elective cesarean section was performed in 3 (18.75%) cases, cesarean section during delivery in 13 (81.25%) and iterative cesarean section in 5 (31.25%) cases. Total hysterectomy was performed in 9 (56.25%) cases and subtotal in 7...
Srpski arhiv za celokupno lekarstvo, 2016
Introduction. Polycystic ovary syndrome is the most common endocrinopathy in women of reproductiv... more Introduction. Polycystic ovary syndrome is the most common endocrinopathy in women of reproductiveage. Therapy for those who want to get pregnant involves ovulation induction using clomiphene citrate, metformin, letrozole and gonadotropins. Objective. The aim of the study was to compare the efficacy of combinations of clomiphene citrate-metformin and letrozole-metformin in obese patients who are resistant to clomiphene citrate alone. Methods. The investigation was conducted as a retrospective study involving 60 moderately obese patients with polycystic ovary syndrome. Thirty-one of them received the clomiphene citrate-metformin, and 29 letrozole-metformin therapy. Stimulation was carried out for the procedures of intrauterine insemination (IUI). Results. The age of patients, duration of infertility, and body mass index in both groups were similar. There was statistically significant difference in the thickness of the endometrium in favor of the group having the letrozole-metformin t...
Medicinski pregled, 2004
Introduction The study pointed to the significance and most frequent causes of development of fis... more Introduction The study pointed to the significance and most frequent causes of development of fistula following gynecologic and obstetric surgical procedures. Prevention and management of fistulas Some possibilities of prevention, i.e. the necessity of correct administration of surgical procedures have been described. The authors pointed to the imperative of knowing the structure of vesicovaginal region and administration of adequate surgical technique. They described surgical procedures in most frequent gynecologic operations in prevention of ureteral injuries. They have presented 25-year result of operative treatment of these patients and treatment of postoperative fistulas at the Department of Obstetrics and Gynecology in Novi Sad. In regard to the number of gynecologic operations in that period (23067), the incidence of fistulas was not high (43). Conclusion During the last years, the incidence is constantly decreasing, due to application of appropriate surgical techniques, care...
Medicinski pregled
Adolescent pregnancy is considered to be risky, with potential psychosocial and health risks. Fro... more Adolescent pregnancy is considered to be risky, with potential psychosocial and health risks. From a medical point of view, adolescent pregnancy and delivery are risky and mortality of mothers and newborns is higher than in women aged 20-30. The analysis included all adolescent deliveries at the Department of Gynecology and Obstetrics in Novi Sad in 1992 and 2002. These data were compared with those observed in women aged 19 and older, for the same years. In respect to the number of adolescent deliveries, a decreasing tendency is observed. Also, there is an increasing trend in the number of cesarean sections in adolescents, which follows the trend of higher rates of cesarean deliveries in general. Episiotomy is more often performed in adolescents than in older women, but a decreasing trend is also observed in this population, which was also the case in women over 19. Vacuum extraction is less frequent in cases of adolescent deliveries. A very small percentage of malformed and stillb...