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Volume 53, Issue 4, 2025

Online ISSN: 2560-3310

ISSN: 0350-8773

Volume 53 , Issue 4, (2025)

Published: 30.06.2025.

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01.08.2015.

Professional paper

Comparative analysis of biochemical parameters of atherosclerosis adiponectin and resistin in patients with diabetes mellitus and coronary heart disease

The most important adipocytokines affecting the formation and the regression of atheromas plaque in the coronary blood vessels are adiponectin and resistin. The essence of this test is to determine the correlation of the leading biochemical parameters of atherosclerosis, adiponectin and resistin and determine their interdependence with other biochemical parameters in patients with diabetes mellitus and coronary heart disease. Our study group consisted of 140 patients and 40 control group (healthy), 50 with diabetes mellitus and 50 with coronary heart disease (myocardial infarction and angina pectoris). We find that the average value of adiponectin in the group with type 2 diabetes mellitus were significantly lower than in the control group (4.38 to 6.74, p = 0.001, p <0.05). In the same study group average value of resistin was significantly higher than in the control group (15.8 to 7.88, p <0.001). The average value of adiponectin and resistin in patients with myocardial infarction and angina pectoris are no different from the value obtained in diabetes mellitus (4.94 to 4.38 and p = 0.397, p> 0.05). In the same study group average value of resistin was significantly higher than in the control group (15.73 to 7.88, p = 0.001, p <0.01) and not different than in the group with diabetes mellitus. Values Pearsonovg correlation coefficient shows that the biggest falls inversely proportional dependence of adiponectin with a simultaneous increase in resistin is expressed in patients with myocardial infarction, which is expressed very good correlation coefficient (-0.36). In all the groups, shows that there is a negative correlation between resistin and adiponectin, with increasing values of resistin values of adiponectin are reduced.

D. Rasic, V. Peric, J. Rasic, S. Lazic, G. Nikolic, B. Dejanovic

01.06.2015.

Professional paper

Impact of adipose specific peptides on the course and prognosis of myocardial heart attacks

Tests have shown that adipose tissue is very important in the production of chemical substances that have a major impact on atherosclerosis. The basic fat cells adiposity is very active in bio secretion hormones and other substances. Adiposities secrete chemical substances such as leptin, resistin, adiponectin, and others who participate in metabolic processes. One of the most important adipocytokine affecting the formation and the regression of atheromas plaque in the coronary blood vessels are adiponectin and resistin. So our aim was to determine the value of the concentration of adiponectin and resistin on patient with myocardial heart attack and determine their correlation with the control group of healthy subjects. In this study were included 68 subjects, 40 with myocardial heart attacks and 28 control groups of normal healthy. In the group with myocardial 78.6% of respondents were male and 21.4% female. Tests have shown that the concentration of adiponectin in the group with myocardial heart attack was significantly lower than the control group (4.94 to 6.74, p=0.043, p<0.05. In the same study group average value of resistin was significantly higher than in the control group (15.73 to 7.88, p=0.001, p<0.01) (Student's t-test, p = 0.581, p> 0.05). All this indicates that in patients with myocardial heart attack there is a decline in the concentration of adiponectin, which has cardio protective effect. The increase in resistin in myocardial heart attack in directly related to the appearance of athermanous plaques in the coronary blood vessels and has a bad prognostic significance.

D. Rasic, V. Peric, J. Rasic, S. Lazic, G. Nikolic, B. Dejanovic, M. Sipic

15.01.2014.

Original paper

Uticaj karotenoida na mineralnu gustinu kostiju

Ishrana je jedan od bitnih faktora koji može da dovede do ranijeg gubitka koštane gustine. Unos dovoljne količine voća i povrća, koje sadrže različite karotenoide (karoten, uključujući beta (ß)-kriptoksantin, lutein, likopen, ß-arotin, astakantin i rutin), ima podsticajnu ulogu u osteogenezi. Eksperimenti in vitro ukazuju da jedan od karotenoida, ß-kriptoksantin, ima dvostuku ulogu u homeostazi koštanog tkiva : inhibiše osteoklaste i na taj način smanjuje reapsorpciju koštanog tkiva, a sa druge strane stimulativno deluje na osteoblaste i uvećava koštanu gustinu. Cilj našega rada je bio da utvrdimo da li postoji korelacija između nivoa koštane gustine i nivoa karotenoida. Uradili smo ostodenzitometriju kod 52 žene, izmerili smo ukupni skor karotenoida u ljudskoj koži in vivo pomoću Ramanove spektroskopije. Nakon obrade dobijenih podataka našli smo značajnu negativnu korelaciju između stepena gubitka koštane gustine i nivoa karotenoida (p<0,05). nivoa karotenoida u koži (Skin carotenoid scor) je posledica oksidativnog stresa koja ima reperkusije i na koštano tkivo jer dolazi do povećanja reapsorpcije koštanog tkiva i do povećanja stepena gubitka koštane gustine.

V. Nestorović, J. Rašić, D. Mirić, Lj. Smilić, D. Nestorović, D. Nestorović

01.01.2009.

Professional paper

INCIDENCE OF STRESS-ULCЕR IN SEPTIC PATIENTS

Serious metabolic diseases and infections, such as sepsis, may lead to the occurrence of stress ulcers. Unfortunately, in our hospitals, the stress ulcer is often diagnosed as a separate disease, not as the manifestation of the existing stress status of the patient. Therefore, the goal of this pilot study was to establish the incidence of stress ulcers in sepsis patients treated at the Infective Disease Clinic. Patients treated at the Military Medical Academy Infective Disease Clinic during 4 month period, who experienced acute bleeding, verified gastroscopically, were subjected to retrospective analysis. Five out of 344 hospitalized patients had serious hemorrhages. Out of a total of 21 patients diagnosed with bacterial sepsis, acute gastric bleeding was verified gastroscopically in three, or 14.28 percent. To obtain more data, prospective long-term study, wich would include greater number of septic patients, should be conducted.

S. Janićijević-Hudomal, J. Rašić, D. Mikić, V. Piperski

01.12.2007.

Professional paper

EFFICACY OF PLANT KINGDOM ON STRESS - ULCER DEVELOPING

Despite progress in conventional pharmacology in producing effective drugs, the plant kingdom might provide a useful source of new anti-ulcer compounds for development pharmaceutical entities or, alternatively, as simple dietary adjuncts to existing therapies. Botanical compounds with anti-ulcer activity include flavonoids(i.e.quercetin, naringin, silymarin, anthocyanosides, sophoradin derivatives) saponins (i.e. from Panax japonicus and Kochia scoparia), tannins (i.e. from Linderae umbellatae), gums and mucilages (i.e. gum guar and myrrh). This article reviews the gastro-protective and anti-ulcer properties of the most commonly employed herbal medicines and their identified active constituents. Among herbal drugs, liquorice, aloe gel and capsicum (chilli) have been used extensively and their clinical efficacy documented, but тhe documented literature has centred primarily on pharmacological action in experimental animals.

S. Janićijević-Hudomal, D. Dekanski, J. Rašić

01.01.2006.

Professional reviews

MONITORING THE ADVERSE ADVERSE DRUG REACTIONS REACTIONS TODAY

One the of most importante charactersistics of drug is a drug safety. However, there is no absolute safety. Medicines are troughly tested in controlled clinical trials with limiting population and short duration. Experience has shown that much of our knowledge about a medicine becomes available during the subsequent prescribing practice. Therefore there is a need for continued monitoring medicines after granting of product licence for a new drug (phrmacovigilance). WHO international system for drug safety monitoring as maintained by the Upsala Monitoring Centre (UMC) in Sweden, has built up vastedatabase of reports of suspect adverse drug reactions, coming from national centres in 75 countries in all of the world. The international system products valuable information from countries around the world, to support regulatory follow-up and decision-making. Emphasis is on those signals that may remain at the national level, because of small numbers or absence of local reports. The aim of the WHO's international pharmacovigilance program is a safe and rational medicines evrywhere. In Serbia as of 2005. National Medical Devices Agency is acting on behalf of the Ministry of Health as National Centre for Adverse Drug Reactions. The form for reporting adverse effects of medicines, in both pre-marketing and post-marketing phase can be found and downloaded in Word format on the Agency`s web site www.alims.sr.gov.yu.

S. Janićijević-Hudomal, J. Rašić, R. Mitić, Z. Stanojević

01.12.2006.

Professional reviews

THE USE OF THE USE OF ANTITUBERCULOSIS DRUGS (A ANTITUBERCULOSIS DRUGS (ATD) TODAY

The World Health Organization (WHO) declared tuberculosis (TB) a global emergensy in recognition of its growing importance as public health problem. In response to this situation WHO in 1990 was developed new strategy and framework for effective TB control, wich was called „DOTS“. The aims of treatment of TB are: to cure the pation of TB, to prevent death from active TB or its late effects, to prevent relapse of TB, to decrease transmission of TB to others, and to prevent
the development of acqured drug resistance. Antituberculosis drugs (ATD) are antibiotics and synthetic drugs used in the
treatment of tuberculosis and other deases caused by microorganisms of the genus Mycobacterium. The essential ATD are:
isoniazid (H), rifampicin (R), pyrazinamid (Z), streptomycin (S), ethambutol (E), and thioacetazone (T). The reserve ATD
are: amikacin (Am), kanamycin (Km), capreomycin (Cm), ciprofloxacin (Cx), ofloksacin (O), cycloserine (Cs), ethionamide (Et), protionamide (Pt), and p-aminosalycilic acid (PAS). The regimen recommended for each patient depends on the
diagnostic category for each patient. There are several possible regimens. ATB treatment regimens consists of two phases:
an initial phase and a continuation phase

J. Rašić, S. Janićijević-Hudomal, D. Radišić, Z. Bukumirić, Z. Stanojević

01.01.2004.

Original scientific paper

THE EFFECT OF ASPIRIN AND TICLOPIDINE ON LIVER FUNCTION TEST IN RATS

The purpose of this study was to evaluate the effect of aspirin and ticlopidine, administered alone and in combination, on liver function parameters. The experiment was conducted on white laboratory rats, type Wistar. Thirty-two rats were divided in four groups and they recived one of the following treatments for 4 days: group I, control, saline (1 ml/kg, i.p.); group II, aspirin (50 mg/kg/day i.p.); group III, ticlopidine (125 mg/kg/day i.p.) and group IV, aspirin+ticlopidine combination (50 mg/kg/day+125 mg/kg/day i.p.). After the treatment the animals were anaesthetised with ether and blood for further analyses was taken by cardiopunction. The total cholesterol serum level was significantly increased only in ticlopidine group in comparison to control (p<0.01).Also, the serum activity of alkaline phosphatase and total bilirubin concentration were significantly elevated only in ticlopidine treated group (p<0.001). Serum AST and ALT activities were not significantly elevated in all treating groups. On basis of the obtained results it can be noticed that the values of liver function parameters are greater in group treated with ticlopidine than in group treated with ticlopidine and aspirin combination.

Z. Stanojević, R. Mitić, Z. Bukumirić, M. Bursać, S. Baščarević, J. Rašić

01.12.2004.

Original scientific paper

THE EFFECTS OF ESOMEPRAZOLE ON ALCOHOL INDUCED STRESS ULCER LESIONS IN RATS

Stress ulcer presents acute lesion of gastric mucosa, which resulted from influence of different stressors: trauma,
shock, burns, drugs administration, various irritants etc. Since pathogenesis of stress ulcer is not completely clarified, the
most adequate therapy for the patients which suffer from it, is not defined yet. Esomeprazole is a S-isomer of omeprazole
and is the first inhibitor of proton pump synthesized as an isomer. Our aim was to test effects of esomeprazole, given during
pretreatment and posttreatment period, on progress of alcohol induced stress ulcer lesions. We had experiments on sexually
mature Wistar rats weight 200-250 g. Alcohol stress was induced by intragastric administration of 1 mL 96% alcohol.
Alcohol stress produced massive submucosal lesions in glandular part of stomach. Macroscopic lesions were verified
histologicaly. Intragastric pretreatment administration of esomeprazole (20 mg/kg BW) significantly (p<0,001) reduced gastric lesions. Intragastric post-treatment administration of esomeprazole (20 mg/kg BW) did not reduce gastric lesions. Esomeprazole (20 mg/kg BW) administrated in pretreatment period of alcohol induced stress significantly decreased dimensions of stress ulcer lesions in rats, while the same dose administrated in posttreatment period did not cause that effect.

Z. Bukumirić, J. Janićijević-Hudomal, J. Rašić, V. Piperski, R. Mitić, Z. Stanojević

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