Browsing by Author "Mijović, Milica (57196949431)"

Background/Aim. Tuberculosis in the second decade of the 21st century is an infectious disease with the highest mortality rate. In addition, in developed countries, pneumonia is the major couse of morbidity and mortality in adults. The aim of our study was to point out the differences and similarities between symptoms, laboratory parameters and clinical indicators in patients with pulmonary tuberculosis (PTB) and patients with pneumonia in the general population and in people belonging to the high risk groups for developing tuberculosis. Methods. This prospective study included patients with PTB (n = 70) and pneumonia (n = 75) treated at the Pulmonology Department of Clinical Hospital Center in Kosovska Mitrovica. Results. PTB was more frequent in men, 30–39 years of age (OR; 6:08), mainly from rural areas (p = 0.001), and with lower levels of education (p = 0.031). Pneumonia was more frequent in women older than 60 years of age (p = 0.0012). Night sweats (p = 0.001) and weight loss (p = 0.062) were significantly more frequent in patients with PTB, while chest pain (p = 0.001) and high temperature (p = 0.036) were more common in patients with pneumonia. X-ray changes in patients with PTB were located in the upper fields (p = 0.001), or appeared to be bilateral (p = 0.004). The strongest predictor associated with an increased risk of night sweats was diagnosed PTB (OR = 30.0). The chest pain was a predictor of pneumonia, unilateral changes (OR = 4.65) in the lower lung fields (OR = 0.08). Conclusion. Night sweats, weight loss and chest X-ray abnormalities in upper fields were significant indicators of PTB. Chest pain, fever and chest X-ray abnormalities in lower fields were significant indicators of pneumonia. © 2019, Inst. Sci. inf., Univ. Defence in Belgrade. All rights reserved.

Background/Aim. The northern part of Kosovo was one of the largest lead and zinc production industries in Europe. Special attention has been paid to the landfill sites of these metals remained after past industrial activities. The inhabitants of Roma camps in this area are collecting led waste they process by crushing and melting in their shacks in primitively organized working environments. Because of all the aforementioned it was necessary to examine the concentration of blood lead level (BLL) in the children aged less than 6 years inhabiting this area, especially taking care of blood analysis of children living in Roma camps. Methods. The study was conducted in the municipality of Leposavić, Province Kosovo and Metohija, Serbia. Totally 78 subjects participated in the study. All the subjects were divided into two groups: the group I consisting of 42 children who lived in the Romas camp, and the group II with 36 children from a city kindergarten. Based on the mathematical model WRPLOT we found out that both groups of patients were in the low risk zone for industrial contamination exposure. Blood analysis was done according to the protocol provided by ESA Lead Care. Results. The average age of participants in the study was 4.60 ± 1.63 years. The mean BBL in the children from the group 1 was 19.11 μg/dL and from the group 2 4.87 μg/dL. There was a statistically significant difference in the mean values of BBL between the groups (U = 39, p < 0.001). All of the children from the group 1 had BBL greater than 5 μg/dL in comparison to 38.9% of the children from the group 2 (χ2 = 35.75, p < 0.001). Conclusion. Although both groups were located outside the zone of direct spread of pollution, the results indicate high concentrations of lead in blood of all the examined children. The concentration was higher in the children who lived in the area in which illegal processing of lead waste took place. © 2017, Institut za Vojnomedicinske Naucne Informacije/Documentaciju. All rights reserved.

Background/Aim. Tuberculosis (TB) is a major cause of mortality and morbidity worldwide, affecting different countries disproportionally. Effective diagnosis and treatment of TB saved an estimated 43 million lives between 2000 and 2014. The aim of our study was to show sociodemographic influences, risk factors for the morbidity and clinical characteristics of tuberculosis among residents of northern Kosovo, Serbia, between two decades at the beginning of the 21st century. Methods. A prospective study was conducted at the Department for Pulmonology of the Clinical-health Centre, Kosovska Mitrovica, included all tuberculosis patients treated during two three-year periods, between 2000–2002 and 2012–2014. In total, 134 patients with tuberculosis were treated, 91 in the first observed period and 43 in the second period. Results. In both observed periods, male patients suffered from tuberculosis more frequently. In the first observed period, younger and middle age (18–49) persons suffered from tuberculosis more frequently (p = 0.014). In relation to the place of residence, in the first reporting period there were more patients from urban areas, while in the second, there were significantly more patients from rural areas (p = 0.008). In the second observed period, TB was significantly more associated with chronic obstructive pulmonary disease (p = 0.001) and comorbidities with TB were significantly more frequent (p = 0.006). During the 2000–2002 period, there were more severe clinical forms, with severe radiological changes, bilateral parenchymal and cavernous forms (p = 0.08). Mild unilateral parenchymal lesions were more common in the last 3 years (p = 0.02). Conclusion. Social determinants, older age and comorbidities are the most important risk factors for the persistent number of patients, and therefore this target group needs attention during active approach in TB screening. © 2018, Inst. Sci. inf., Univ. Defence in Belgrade. All rights reserved.