TY  - JOUR
AU  - Pavlićević, Goran
AU  - Lepić, Milan
AU  - Lepić, Toplica
AU  - Jaćimović, Nemanja
AU  - Radenović, Ksenija
AU  - Novaković, Nenad
AU  - Rasulić, Lukas
AU  - Mandić-Rajčević, Stefan
PY  - 2019
UR  - http://TechnoRep.tmf.bg.ac.rs/handle/123456789/5882
AB  - Background: A spontaneous cervical epidural hematoma (SCEH) is a rare occurrence, with < 500 cases reported to date. Clinically, it usually presents with quadriparesis, but in extremely rare cases it can present with hemiparesis or hemiplegia, and can easily be misdiagnosed as stroke. The cervical epidural hematoma by itself is an urgent condition that requires a quick and accurate diagnosis and a prompt surgical treatment. Case Report: We present a case where an SCEH mimicked the much more frequent condition of a stroke, and discuss the importance of diagnostics procedures that help differentiate SCEH from acute cerebral infarction. The patient's history of neck pain and spondylosis render this case more challenging. Why Should an Emergency Physician Be Aware of This?: Considering that the emergency tissue plasminogen activator treatment for acute cerebral infarction can worsen the state of an SCEH patient, or even lead to permanent damage or death, it is of great importance to rapidly and accurately differentiate these two conditions.
PB  - Elsevier USA
T2  - Journal of Emergency Medicine
T1  - A Spontaneous Cervical Epidural Hematoma Mimicking a Stroke: A Challenging Case
EP  - 73
IS  - 1
SP  - 70
VL  - 57
DO  - 10.1016/j.jemermed.2019.03.035
ER  - 

@article{
author = "Pavlićević, Goran and Lepić, Milan and Lepić, Toplica and Jaćimović, Nemanja and Radenović, Ksenija and Novaković, Nenad and Rasulić, Lukas and Mandić-Rajčević, Stefan",
year = "2019",
abstract = "Background: A spontaneous cervical epidural hematoma (SCEH) is a rare occurrence, with < 500 cases reported to date. Clinically, it usually presents with quadriparesis, but in extremely rare cases it can present with hemiparesis or hemiplegia, and can easily be misdiagnosed as stroke. The cervical epidural hematoma by itself is an urgent condition that requires a quick and accurate diagnosis and a prompt surgical treatment. Case Report: We present a case where an SCEH mimicked the much more frequent condition of a stroke, and discuss the importance of diagnostics procedures that help differentiate SCEH from acute cerebral infarction. The patient's history of neck pain and spondylosis render this case more challenging. Why Should an Emergency Physician Be Aware of This?: Considering that the emergency tissue plasminogen activator treatment for acute cerebral infarction can worsen the state of an SCEH patient, or even lead to permanent damage or death, it is of great importance to rapidly and accurately differentiate these two conditions.",
publisher = "Elsevier USA",
journal = "Journal of Emergency Medicine",
title = "A Spontaneous Cervical Epidural Hematoma Mimicking a Stroke: A Challenging Case",
pages = "73-70",
number = "1",
volume = "57",
doi = "10.1016/j.jemermed.2019.03.035"
}

Pavlićević, G., Lepić, M., Lepić, T., Jaćimović, N., Radenović, K., Novaković, N., Rasulić, L.,& Mandić-Rajčević, S.. (2019). A Spontaneous Cervical Epidural Hematoma Mimicking a Stroke: A Challenging Case. in Journal of Emergency Medicine
Elsevier USA., 57(1), 70-73.
https://doi.org/10.1016/j.jemermed.2019.03.035

Pavlićević G, Lepić M, Lepić T, Jaćimović N, Radenović K, Novaković N, Rasulić L, Mandić-Rajčević S. A Spontaneous Cervical Epidural Hematoma Mimicking a Stroke: A Challenging Case. in Journal of Emergency Medicine. 2019;57(1):70-73.
doi:10.1016/j.jemermed.2019.03.035 .

Pavlićević, Goran, Lepić, Milan, Lepić, Toplica, Jaćimović, Nemanja, Radenović, Ksenija, Novaković, Nenad, Rasulić, Lukas, Mandić-Rajčević, Stefan, "A Spontaneous Cervical Epidural Hematoma Mimicking a Stroke: A Challenging Case" in Journal of Emergency Medicine, 57, no. 1 (2019):70-73,
https://doi.org/10.1016/j.jemermed.2019.03.035 . .

TY  - JOUR
AU  - Lepić, Toplica
AU  - Lepić, Milan
AU  - Mandić-Rajčević, Stefan
PY  - 2019
UR  - http://TechnoRep.tmf.bg.ac.rs/handle/123456789/5914
AB  - Purpose: To investigate with Doppler ultrasonography the maxillary and middle meningeal arteries in the infratemporal fossa, and describe their hemodynamic characteristics. Methods: We included 24 female and 11 male volunteers without vascular diseases, with a median age of 43 years. We used the acoustic window, enlarged by subjects half-opening their mouth, located below the zygomatic arch, in front of temporo-mandibular joint, to reach the maxillary and middle meningeal arteries. Results: In the 35 subjects, 112 arteries were visualized successfully: 60 maxillary (85.7%), and 52 middle meningeal arteries (74.3%), at a depth of 2.40 and 2.50 cm, respectively. Their blood flow was directed anteriorly and away from the probe. While all the measured hemodynamic characteristics differed significantly between the maxillary and the middle meningeal artery (P < 0.001), there was no significant difference between male and female subjects, nor between the left or the right side. Conclusions: The maxillary and middle meningeal arteries can be insonated in the infratemporal fossa through the easily accessible acoustic window below the zygomatic arch, when the patient holds his mouth half open. They can be differentiated by their ultrasonographic characteristics and blood flow features.
PB  - John Wiley and Sons Inc
T2  - Journal of Clinical Ultrasound
T1  - Ultrasonographic assessment of the maxillary artery and middle meningeal artery in the infratemporal fossa
EP  - 411
IS  - 7
SP  - 405
VL  - 47
DO  - 10.1002/jcu.22712
ER  - 

@article{
author = "Lepić, Toplica and Lepić, Milan and Mandić-Rajčević, Stefan",
year = "2019",
abstract = "Purpose: To investigate with Doppler ultrasonography the maxillary and middle meningeal arteries in the infratemporal fossa, and describe their hemodynamic characteristics. Methods: We included 24 female and 11 male volunteers without vascular diseases, with a median age of 43 years. We used the acoustic window, enlarged by subjects half-opening their mouth, located below the zygomatic arch, in front of temporo-mandibular joint, to reach the maxillary and middle meningeal arteries. Results: In the 35 subjects, 112 arteries were visualized successfully: 60 maxillary (85.7%), and 52 middle meningeal arteries (74.3%), at a depth of 2.40 and 2.50 cm, respectively. Their blood flow was directed anteriorly and away from the probe. While all the measured hemodynamic characteristics differed significantly between the maxillary and the middle meningeal artery (P < 0.001), there was no significant difference between male and female subjects, nor between the left or the right side. Conclusions: The maxillary and middle meningeal arteries can be insonated in the infratemporal fossa through the easily accessible acoustic window below the zygomatic arch, when the patient holds his mouth half open. They can be differentiated by their ultrasonographic characteristics and blood flow features.",
publisher = "John Wiley and Sons Inc",
journal = "Journal of Clinical Ultrasound",
title = "Ultrasonographic assessment of the maxillary artery and middle meningeal artery in the infratemporal fossa",
pages = "411-405",
number = "7",
volume = "47",
doi = "10.1002/jcu.22712"
}

Lepić, T., Lepić, M.,& Mandić-Rajčević, S.. (2019). Ultrasonographic assessment of the maxillary artery and middle meningeal artery in the infratemporal fossa. in Journal of Clinical Ultrasound
John Wiley and Sons Inc., 47(7), 405-411.
https://doi.org/10.1002/jcu.22712

Lepić T, Lepić M, Mandić-Rajčević S. Ultrasonographic assessment of the maxillary artery and middle meningeal artery in the infratemporal fossa. in Journal of Clinical Ultrasound. 2019;47(7):405-411.
doi:10.1002/jcu.22712 .

Lepić, Toplica, Lepić, Milan, Mandić-Rajčević, Stefan, "Ultrasonographic assessment of the maxillary artery and middle meningeal artery in the infratemporal fossa" in Journal of Clinical Ultrasound, 47, no. 7 (2019):405-411,
https://doi.org/10.1002/jcu.22712 . .

TY  - JOUR
AU  - Lapčević, Zoran
AU  - Mandić-Rajčević, Stefan
AU  - Lepić, Milan
AU  - Jovanović, Mića
PY  - 2019
UR  - http://TechnoRep.tmf.bg.ac.rs/handle/123456789/5889
AB  - Various organizations have endeavored to develop assessment methods for the identification and management of weaknesses in hospital disaster preparedness. Although the largest number of patients receive their regular care at the primary level, there is no internationally validated tool for the rapid safety assessment of primary health care centers (PHC). Flooding accounts for almost 50% of all disasters related to weather, and climate models consider these events as highly probable in the future. In May 2014, heavy rain caused floods affecting around 1.6 million people in Serbia, leaving the municipality of Obrenovac most severely impacted. This paper aims at assessing the safety of PHC Obrenovac using the Hospital Safety Index (HSI), evaluating the usefulness of HSI for safety assessment of PHCs, and drawing lessons from the 2014 floods. PHC Obrenovac had an overall safety index of 0.82, with structural, nonstructural safety, and disaster management indices of 0.95, 0.74, and 0.75, respectively, implying it is likely to function in disasters. A detailed analysis of individual HSI items underlined the necessary improvements in the field of emergency power and water supply, telecommunication, and emergency medical supplies, which rendered the PHC non-functional during the 2014 floods. Most items were considered of same relevance for primary healthcare centers as for hospitals, excluding some items in the medical equipment, patient care, and support services. Fine-tuning the HSI to primary healthcare settings, officially translating it into different languages, facilitating scoring and analysis could result in a valid safety evaluation tool of primary healthcare facilities.
PB  - Elsevier Ltd
T2  - International Journal of Disaster Risk Reduction
T1  - Evaluating a primary healthcare centre's preparedness for disasters using the hospital safety index: Lessons learned from the 2014 floods in Obrenovac, Serbia
EP  - 442
SP  - 436
VL  - 34
DO  - 10.1016/j.ijdrr.2018.12.014
ER  - 

@article{
author = "Lapčević, Zoran and Mandić-Rajčević, Stefan and Lepić, Milan and Jovanović, Mića",
year = "2019",
abstract = "Various organizations have endeavored to develop assessment methods for the identification and management of weaknesses in hospital disaster preparedness. Although the largest number of patients receive their regular care at the primary level, there is no internationally validated tool for the rapid safety assessment of primary health care centers (PHC). Flooding accounts for almost 50% of all disasters related to weather, and climate models consider these events as highly probable in the future. In May 2014, heavy rain caused floods affecting around 1.6 million people in Serbia, leaving the municipality of Obrenovac most severely impacted. This paper aims at assessing the safety of PHC Obrenovac using the Hospital Safety Index (HSI), evaluating the usefulness of HSI for safety assessment of PHCs, and drawing lessons from the 2014 floods. PHC Obrenovac had an overall safety index of 0.82, with structural, nonstructural safety, and disaster management indices of 0.95, 0.74, and 0.75, respectively, implying it is likely to function in disasters. A detailed analysis of individual HSI items underlined the necessary improvements in the field of emergency power and water supply, telecommunication, and emergency medical supplies, which rendered the PHC non-functional during the 2014 floods. Most items were considered of same relevance for primary healthcare centers as for hospitals, excluding some items in the medical equipment, patient care, and support services. Fine-tuning the HSI to primary healthcare settings, officially translating it into different languages, facilitating scoring and analysis could result in a valid safety evaluation tool of primary healthcare facilities.",
publisher = "Elsevier Ltd",
journal = "International Journal of Disaster Risk Reduction",
title = "Evaluating a primary healthcare centre's preparedness for disasters using the hospital safety index: Lessons learned from the 2014 floods in Obrenovac, Serbia",
pages = "442-436",
volume = "34",
doi = "10.1016/j.ijdrr.2018.12.014"
}

Lapčević, Z., Mandić-Rajčević, S., Lepić, M.,& Jovanović, M.. (2019). Evaluating a primary healthcare centre's preparedness for disasters using the hospital safety index: Lessons learned from the 2014 floods in Obrenovac, Serbia. in International Journal of Disaster Risk Reduction
Elsevier Ltd., 34, 436-442.
https://doi.org/10.1016/j.ijdrr.2018.12.014

Lapčević Z, Mandić-Rajčević S, Lepić M, Jovanović M. Evaluating a primary healthcare centre's preparedness for disasters using the hospital safety index: Lessons learned from the 2014 floods in Obrenovac, Serbia. in International Journal of Disaster Risk Reduction. 2019;34:436-442.
doi:10.1016/j.ijdrr.2018.12.014 .

Lapčević, Zoran, Mandić-Rajčević, Stefan, Lepić, Milan, Jovanović, Mića, "Evaluating a primary healthcare centre's preparedness for disasters using the hospital safety index: Lessons learned from the 2014 floods in Obrenovac, Serbia" in International Journal of Disaster Risk Reduction, 34 (2019):436-442,
https://doi.org/10.1016/j.ijdrr.2018.12.014 . .

TY  - JOUR
AU  - Mandić-Rajčević, Stefan
AU  - Bulat, Zorica
AU  - Matović, Vesna
AU  - Popević, Martin
AU  - Lepić, Milan
AU  - Mandić, Bojana
AU  - Jovanović, Mića
AU  - Haufroid, Vincent
AU  - Žarković, Miloš
AU  - Bulat, Petar
PY  - 2018
UR  - http://TechnoRep.tmf.bg.ac.rs/handle/123456789/5873
AB  - Blood lead levels (BLLs) have been falling steadily worldwide due to restricted use of lead (Pb) and its compounds. although they remain above preindustrial Pb levels. Elevated BLL can still be found in children living near secondary Pb smelters that represent around 50% of Pb production. There have been no studies on Pb exposure in children living in Serbia ever since the 1980s. The aim of this study was to evaluate the BLLs in children living in two villages in Serbia (Zajača, the location of a secondary lead smelter, and Paskovac, 5 km away), identify the primary determinants of children's BLLs, and investigate the impact of BLLs on children's health symptoms and school achievement. The study was conducted in 2011 on 127 children, aged 1–18 years, whose BLLs were measured using inductively coupled argon plasma mass spectrometry (ICP-MS). The median BLL in children was 12 μg/dl, with a significantly higher value of 17.5 μg/dl in Zajača, compared to 7.6 μg/dl in Paskovac. Only 1 out of 75 and 12 out of 52 children from Zajača and Paskovac, respectively, had BLLs below the CDC recommended 5 μg/dl level. Living near the smelter resulted in 19 times, and having a father who works in the plant 4 times higher odds of elevated BLLs. No significant effects of elevated BLLs health symptoms were seen in this study. BLLs of children living near a battery recycling plant in Serbia, an upper-middle income European country, were in the range and even higher than those of children living in developing countries. For the first time, the contribution of environmental and take-home lead exposure was quantified using mixed-effect modeling, and our results indicate a contribution of 25–40% of the take-home lead exposure to the BLLs of children living in the vicinity of a secondary lead smelter.
PB  - Academic Press Inc.
T2  - Environmental Research
T1  - Environmental and take-home lead exposure in children living in the vicinity of a lead battery smelter in Serbia
EP  - 734
SP  - 725
VL  - 167
DO  - 10.1016/j.envres.2018.08.031
ER  - 

@article{
author = "Mandić-Rajčević, Stefan and Bulat, Zorica and Matović, Vesna and Popević, Martin and Lepić, Milan and Mandić, Bojana and Jovanović, Mića and Haufroid, Vincent and Žarković, Miloš and Bulat, Petar",
year = "2018",
abstract = "Blood lead levels (BLLs) have been falling steadily worldwide due to restricted use of lead (Pb) and its compounds. although they remain above preindustrial Pb levels. Elevated BLL can still be found in children living near secondary Pb smelters that represent around 50% of Pb production. There have been no studies on Pb exposure in children living in Serbia ever since the 1980s. The aim of this study was to evaluate the BLLs in children living in two villages in Serbia (Zajača, the location of a secondary lead smelter, and Paskovac, 5 km away), identify the primary determinants of children's BLLs, and investigate the impact of BLLs on children's health symptoms and school achievement. The study was conducted in 2011 on 127 children, aged 1–18 years, whose BLLs were measured using inductively coupled argon plasma mass spectrometry (ICP-MS). The median BLL in children was 12 μg/dl, with a significantly higher value of 17.5 μg/dl in Zajača, compared to 7.6 μg/dl in Paskovac. Only 1 out of 75 and 12 out of 52 children from Zajača and Paskovac, respectively, had BLLs below the CDC recommended 5 μg/dl level. Living near the smelter resulted in 19 times, and having a father who works in the plant 4 times higher odds of elevated BLLs. No significant effects of elevated BLLs health symptoms were seen in this study. BLLs of children living near a battery recycling plant in Serbia, an upper-middle income European country, were in the range and even higher than those of children living in developing countries. For the first time, the contribution of environmental and take-home lead exposure was quantified using mixed-effect modeling, and our results indicate a contribution of 25–40% of the take-home lead exposure to the BLLs of children living in the vicinity of a secondary lead smelter.",
publisher = "Academic Press Inc.",
journal = "Environmental Research",
title = "Environmental and take-home lead exposure in children living in the vicinity of a lead battery smelter in Serbia",
pages = "734-725",
volume = "167",
doi = "10.1016/j.envres.2018.08.031"
}

Mandić-Rajčević, S., Bulat, Z., Matović, V., Popević, M., Lepić, M., Mandić, B., Jovanović, M., Haufroid, V., Žarković, M.,& Bulat, P.. (2018). Environmental and take-home lead exposure in children living in the vicinity of a lead battery smelter in Serbia. in Environmental Research
Academic Press Inc.., 167, 725-734.
https://doi.org/10.1016/j.envres.2018.08.031

Mandić-Rajčević S, Bulat Z, Matović V, Popević M, Lepić M, Mandić B, Jovanović M, Haufroid V, Žarković M, Bulat P. Environmental and take-home lead exposure in children living in the vicinity of a lead battery smelter in Serbia. in Environmental Research. 2018;167:725-734.
doi:10.1016/j.envres.2018.08.031 .

Mandić-Rajčević, Stefan, Bulat, Zorica, Matović, Vesna, Popević, Martin, Lepić, Milan, Mandić, Bojana, Jovanović, Mića, Haufroid, Vincent, Žarković, Miloš, Bulat, Petar, "Environmental and take-home lead exposure in children living in the vicinity of a lead battery smelter in Serbia" in Environmental Research, 167 (2018):725-734,
https://doi.org/10.1016/j.envres.2018.08.031 . .

TY  - JOUR
AU  - Rasulić, Lukas
AU  - Savić, Andrija
AU  - Vitošević, Filip
AU  - Samardžić, Miroslav
AU  - Živković, Bojana
AU  - Mićović, Mirko
AU  - Baščarević, Vladimir
AU  - Puzović, Vladimir
AU  - Joksimović, Boban
AU  - Novaković, Nenad
AU  - Lepić, Milan
AU  - Mandić-Rajčević, Stefan
PY  - 2017
UR  - http://TechnoRep.tmf.bg.ac.rs/handle/123456789/5824
AB  - Background Iatrogenic nerve injuries are nerve injuries caused by medical interventions or inflicted accidentally by a treating physician. Methods We describe and analyze iatrogenic nerve injuries in a total of 122 consecutive patients who received surgical treatment at our Institution during a period of 10 years, from January 1, 2003, to December 31, 2013. The final outcome evaluation was performed 2 years after surgical treatment. Results The most common causes of iatrogenic nerve injuries among patients in the study were the operations of bone fractures (23.9%), lymph node biopsy (19.7%), and carpal tunnel release (18%). The most affected nerves were median nerve (21.3%), accessory nerve (18%), radial nerve (15.6%), and peroneal nerve (11.5%). In 74 (60.7%) patients, surgery was performed 6 months after the injury, and in 48 (39.3%) surgery was performed within 6 months after the injury. In 80 (65.6%) patients, we found lesion in discontinuity, and in 42 (34.4%) patients lesion in continuity. The distribution of surgical procedures performed was as follows: autotransplantation (51.6%), neurolysis (23.8%), nerve transfer (13.9%), direct suture (8.2%), and resection of neuroma (2.5%). In total, we achieved satisfactory recovery in 91 (74.6%), whereas the result was dissatisfactory in 31 (25.4%) patients. Conclusions Patients with iatrogenic nerve injuries should be examined as soon as possible by experts with experience in traumatic nerve injuries, so that the correct diagnosis can be reached and the appropriate therapy planned. The timing of reconstructive surgery and the technique used are the crucial factors for functional recovery.
PB  - Elsevier Inc.
T2  - World Neurosurgery
T1  - Iatrogenic Peripheral Nerve Injuries—Surgical Treatment and Outcome: 10 Years' Experience
EP  - 851.e6
SP  - 841
VL  - 103
DO  - 10.1016/j.wneu.2017.04.099
ER  - 

@article{
author = "Rasulić, Lukas and Savić, Andrija and Vitošević, Filip and Samardžić, Miroslav and Živković, Bojana and Mićović, Mirko and Baščarević, Vladimir and Puzović, Vladimir and Joksimović, Boban and Novaković, Nenad and Lepić, Milan and Mandić-Rajčević, Stefan",
year = "2017",
abstract = "Background Iatrogenic nerve injuries are nerve injuries caused by medical interventions or inflicted accidentally by a treating physician. Methods We describe and analyze iatrogenic nerve injuries in a total of 122 consecutive patients who received surgical treatment at our Institution during a period of 10 years, from January 1, 2003, to December 31, 2013. The final outcome evaluation was performed 2 years after surgical treatment. Results The most common causes of iatrogenic nerve injuries among patients in the study were the operations of bone fractures (23.9%), lymph node biopsy (19.7%), and carpal tunnel release (18%). The most affected nerves were median nerve (21.3%), accessory nerve (18%), radial nerve (15.6%), and peroneal nerve (11.5%). In 74 (60.7%) patients, surgery was performed 6 months after the injury, and in 48 (39.3%) surgery was performed within 6 months after the injury. In 80 (65.6%) patients, we found lesion in discontinuity, and in 42 (34.4%) patients lesion in continuity. The distribution of surgical procedures performed was as follows: autotransplantation (51.6%), neurolysis (23.8%), nerve transfer (13.9%), direct suture (8.2%), and resection of neuroma (2.5%). In total, we achieved satisfactory recovery in 91 (74.6%), whereas the result was dissatisfactory in 31 (25.4%) patients. Conclusions Patients with iatrogenic nerve injuries should be examined as soon as possible by experts with experience in traumatic nerve injuries, so that the correct diagnosis can be reached and the appropriate therapy planned. The timing of reconstructive surgery and the technique used are the crucial factors for functional recovery.",
publisher = "Elsevier Inc.",
journal = "World Neurosurgery",
title = "Iatrogenic Peripheral Nerve Injuries—Surgical Treatment and Outcome: 10 Years' Experience",
pages = "851.e6-841",
volume = "103",
doi = "10.1016/j.wneu.2017.04.099"
}

Rasulić, L., Savić, A., Vitošević, F., Samardžić, M., Živković, B., Mićović, M., Baščarević, V., Puzović, V., Joksimović, B., Novaković, N., Lepić, M.,& Mandić-Rajčević, S.. (2017). Iatrogenic Peripheral Nerve Injuries—Surgical Treatment and Outcome: 10 Years' Experience. in World Neurosurgery
Elsevier Inc.., 103, 841-851.e6.
https://doi.org/10.1016/j.wneu.2017.04.099

Rasulić L, Savić A, Vitošević F, Samardžić M, Živković B, Mićović M, Baščarević V, Puzović V, Joksimović B, Novaković N, Lepić M, Mandić-Rajčević S. Iatrogenic Peripheral Nerve Injuries—Surgical Treatment and Outcome: 10 Years' Experience. in World Neurosurgery. 2017;103:841-851.e6.
doi:10.1016/j.wneu.2017.04.099 .

Rasulić, Lukas, Savić, Andrija, Vitošević, Filip, Samardžić, Miroslav, Živković, Bojana, Mićović, Mirko, Baščarević, Vladimir, Puzović, Vladimir, Joksimović, Boban, Novaković, Nenad, Lepić, Milan, Mandić-Rajčević, Stefan, "Iatrogenic Peripheral Nerve Injuries—Surgical Treatment and Outcome: 10 Years' Experience" in World Neurosurgery, 103 (2017):841-851.e6,
https://doi.org/10.1016/j.wneu.2017.04.099 . .