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Transcranial magnetic stimulation TMS is a non-invasive brain modulation procedure. Magnetic field pulses created in the electromagnetic coil produce electrical activity in the brain. TMS is effective treatment for depression which is the leading cause of disability worldwide and it is a major contributor to the overall global burden of disease. More than 30% of patients treated for depression are resistant to pharmacological treatments. Hereby we present the new insights into transcranial magnetic stimulation (TMS) treatment of depression. Worldwide, the number of centers using TMS to treat depression is increasing. [ABSTRACT FROM AUTHOR]

Introduction. Lyme disease is an infectious disease transmitted by the Ixodes ticks and is manifested by damaging various organs and systems (most often - migrating erythema, damage to the nervous system, musculoskeletal system, heart, liver and eyes). According to various authors, heart damage in Lyme borreliosis ranges from 4% to 10% and is an understudied pathology. Case report. The article describes a clinical case of infectious myocarditis associated with Lyme disease in a 51-year-old patient. The course of the disease and the results of treatment of the patient were analyzed. The severe rhythm and conduction disorders were revealed: antrioventricular (AV) block of the first degree, transient AV block of the II degree (Mobitz 2) and III degree, polytopic extrasystoles. Due to timely diagnosis, including serological, prescribed etiotropic antibacterial treatment, the patient achieved a significant improvement in both clinical condition and positive serological and electrocardiogram (ECG) dynamics with improved AV conduction. Conclusions. The most frequent ECG changes in Lyme carditis (LC) are conduction disorders with the development of blockades of various stages. For patients with myocarditis, which is accompanied by complex arrhythmias, and conduction disorders estimated as intermediate and high risk by Suspicious Index in Lyme Carditis (SILC) scale, serological examination should be recommended in order to verify the borreliosis etiology of myocarditis. In this particular case, early diagnostics and prescribed etiotropic treatment, in addition to treatment of heart failure, contributed to a significant improvement in both the clinical condition and positive serological and ECG dynamics. [ABSTRACT FROM AUTHOR]

Copyright of Acta Stomatologica Naissi is the property of Clinic of Stomatology Nis and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Veterinarska Stanica is the property of Croatian Veterinary Institute and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Poremećaj pažnje s hiperaktivnošću (attention deficit hyperactivity disorder, u daljem nastavku teksta - ADHD) je najrasprostranjeniji neurorazvojni poremećaj kod dece i adolescenata, s procenjenom globalnom učestalošću između 5% i 12%. Učestalost ADHD-a zajedno s tikovima je značajno veća nego što bi se očekivalo. Deca koja su dijagnostikovana s ADHD-om znatno češće imaju i hronične tikove (chronic tic disoreder, u daljem nastavku teksta - CTD) u poređenju s onima koji nemaju ADHD. Kada se ADHD javlja zajedno s poremećajem tikova, lečenje može biti izazovno. Kroz ovaj prikaz, nadamo se osvetljavanju jedinstvenih izazova i potencijalnih strategija lečenja ove komorbidnosti. Devetogodišnji dečak primljen na Kliniku za psihijatariju zbog hiperaktivnosti, slabe koncentracije i pažnje, kao i motornih tikova u vidu izraženog treptanja, plaženja i klimanja glavom. Primljen radi dopunskih dijagnostičkih procedura i eventualnog uvođenja diferentne psihofarmakoterapije. Psihološkim testiranjem dobijeno da je globalno intelektualno postignuće u kategoriji proseka, međutim registrovan nesklad između verbalnih i manipulativnih sposobnosti. Tokom hospitalizacije na osnovu opservacije i psihološkog celokupnog testiranja, kao i korišćenjem testova (SNAP – IV granične vrednosti) nije semoglo direktno ukazati na postojanje hiperkinetskog poremećaja, te preporučeno šestomesečno praćenje i nastavak logopedsko-defektološkog tretmana. U međuvremenu praćen od strane nadležnog psihijatra tokom kojeg se na osnovu psihodijagnostičkih procena zaključuje da postoji deficit pažnje sa hiperaktivnošću. Po isključenju kontraindikacija, uvedena psihostimulativna terapija metilfenidatom u dozi od 18mg. Doza titrirana nakon dva meseca do 36mg kada se postiže zadovoljavajući terapijski odgovor. Uvođenje metilfenidata nije imalo značajnijeg uticaja na tikove, ali nije dolazilo ni do pogoršanja te vrste tegoba. Poremećaj ponašanja i funkcionalni poremećaji povezani s ADHD-om imaju negativne uticaje na akademske, socijalne i porodične aspekte. Za razliku od osoba koje se samo suočavaju sa Turetovim sindromom (TS), oni koji imaju i TS i ADHD imaju izraženije teškoće u oblastima poput planiranja, radne memorije, inhibicione funkcije i vizualne pažnje. Kliničari koji leče pacijente sa tikovima i ADHD-om mogu razmotriti korišćenje metilfenidata za rešavanje simptoma ADHD-a. Međutim, važno je da kliničari razgovaraju o ovom pitanju sa starateljima prilikom propisivanja leka i pažljivo prate pacijente zbog opreza navedenog u informacijama o leku. [ABSTRACT FROM AUTHOR]

The aim of this paper is to point out the meaning that Social Pedagogy assigns to family. The discussion about family led within social sciences is permeated by the discoveries of the systems theory, which places family at the level of a complex system functioning which is nuanced by the action of internal subsystems and external mechanisms of other systems. In this sense, the socio-pedagogical perspective of family is here presented through socio-pedagogical prevention, treatment and post-treatment efforts. The paper presents the place of family in the prevention and conceptual construct of risk and protective factors, resilience, developmental advantages and positive development. Moreover, it emphasizes the essential role of family as a source and factor in socio-pedagogical comprehensive assessment, planning and implementation of socio-pedagogical treatment and post-treatment. [ABSTRACT FROM AUTHOR]

Copyright of Acta Facultatis Medicae Naissensis is the property of Nis University, Faculty of Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Knowledge: International Journal is the property of Institute for Knowledge Management and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

People face various evaluative situations in which their abilities, skills, traits, knowledge and the like are tested throughout their lives. Since school success, employment opportunities, and career advancement are almost always dependent on success in various test types, many of those evaluations have serious consequences for people’s lives and future. Most people have a specific type of anxiety present in evaluative situations, also known as test anxiety. The aim of this review article is to provide an overview of knowledge about test anxiety, its structure, many causes and risk factors, various symptoms and consequences, and preventive measures and interventions that are commonly applied in practice. Since test anxiety is most prevalent in pupils and students, the last part of the article provides guidelines for pupils, students, and teachers on how to lower the test anxiety level. [ABSTRACT FROM AUTHOR]

Copyright of Veterinarski Glasnik is the property of Veterinarski Glasnik and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Pedagogical Reality / Pedagoška Stvarnost is the property of University of Novi Sad, Faculty of Philosophy and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This research investigates the adsorption potential of pine cone powder (PCP) for the removal of copper ions (Cu(ii)) from aqueous solutions. The process of adsorption was reasonably fast, completed within a time of 60 min. The pseudo-second order kinetic model describes properly the Cu(ii) adsorption by PCP. The adsorbent was characterised by various instrumental techniques and batch experiments were conducted to investigate the effect of PCP dose, solution pH, particle size and initial Cu(ii) concentration on adsorption efficiency. Optimum Cu(ii) removal occurred at a slightly acidic pH, with a particle size less than 100 pm. The effective PCP dose was estimated to be 36 g L1. The increase in the initial concentration of Cu (II) was accompanied by a reduction in the rate of its reduction by almost half. The Langmuir model was the best fitting isotherm with a maximum adsorption capacity of 9.08 mg g-. The thermodynamic parameters values showed that the Cu(ii) adsorption was a spontaneous and endothermic process. The results of this research suggest that Cu(ii) could be removed through an environmentally friendly process using PCP as low-cost natural waste. [ABSTRACT FROM AUTHOR]

Copyright of Acta Facultatis Medicae Naissensis is the property of Nis University, Faculty of Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Annals of the Faculty of Law in Belgrade is the property of University of Belgrade, Faculty of Law and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Contact dermatitis (CD) is an acute or chronic skin inflammation induced by exogenous exposition and direct contact with chemical, biologic, or physical agents. Classic types of CD are irritative CD (acute and cumulative with various subtypes), allergic (acute, subacute and chronic, with specific subtypes and noneczematous variants) and photoreactive CD (phototoxic and photoallergic). A specific form of CD is connubial CD which is caused by indirect exposure to substances via physical contact with marital partner or some other person with whom he or she lives. The agent which causes dermatitis is not used by the patient himself. As CD is frequently encountered in everyday practice, with polymorph clinical picture and various etiology, it is very important to discover the cause of the disease and its elimination, if possible, is of greatest importance. Connubial dermatitis is frequently unrecognized, which creates difficulties in treatment. [ABSTRACT FROM AUTHOR]

The paper presents the basic characteristics of children with CARGE syndrome, which in recent times has been one of the most common causes of congenital blindness and deafness. Clinical picture and variations related to vision and hearing status are described. Multiple congenital anomalies cause severe clinical picture in these children, so health care often takes priority over education. Socially unacceptable behavior are often a barrier to learning, establishing communication, building friendships with peers and functioning in daily life. The most effective approaches used in working with blind and deaf children, structured teaching, and establishing a routine are considered to be the most effective approaches to working with these children. [ABSTRACT FROM AUTHOR]

Somatization is common in pediatric population and its diagnosis and treatment are often challenging for the clinicians since they are confronted with (often) diverse physical symptoms without clear organic and pathological origin. The aim of this review is to summarize the research related to the presentation of somatization in pediatric clinics, to describe its predisposing and maintaining factors, as well as to outline the diagnostic process and display a model of treatment. Special emphasis has been placed on the clinicians' approach and interventions that can enhance the acceptance of the diagnosis by the child and family and consequently increase their cooperation and improve health and psychosocial outcomes. [ABSTRACT FROM AUTHOR]

Introduction: myocardial infarction with non-obstructive coronary arteries (MINOCA) is a syndrome with several causes, characterized by clinical evidence of myocardial infarction and without significant coronary disease (stenosis =50%). Aim: to present a patient with verified myocardial infarction with non - obstructive coronary arteries (MINOCA), and complexity of diagnostic and therapeutic modality. Case report: the article presents a 33-year-old male patient admitted due to chest pain with elevated high-sensitive cardiac troponin-T (hs-TnT) and electrocardiographic (ECG) signs of anterior myocardial infarction. Coronary angiography verified normal findings but intracoronary acetylcholine provocation testing confirmed diagnosis of MINOCA. The patient was discharged with calcium channel blockers, trimetazidine and antiaggregant in therapy. Conclusion: MINOCA has complex diagnostic and therapeutic modalities. Individual approach to the patient is an imperative, with the aim of finding an etiological cause, with obligatory review of anamnestic data, physical examination, ECG, elevated enzymes of cardiac necrosis, echocardiography, along with coronary and left ventricular angiography, that can lead to a clearer picture of the onset and prognosis. [ABSTRACT FROM AUTHOR]

Introduction: an intracranial cerebral aneurysm is a focal enlargement of the cerebral blood vessel wall caused by a locally morphologically alteration. According to globally available epidemiological data, cerebral circulation aneurysms are relatively common, with a prevalence ranging from 0.4% to 3.6%. Most studies indicate a significantly higher incidence in women. They most often occur between the ages of 40 and 60. Aim: evaluation of basic epidemiological characteristics of intracranial aneurysms in the population of patients treated at Clinic of Neurosurgery of the Clinical Center University of Sarajevo (CCUS) in a five-year period. Materials and methods: the research was conducted retrospectively for a five-year period from the beginning of 2014 to the end of 2018. The study included 415 patients. The obtained data were processed by methods of descriptive statistical analysis, and the frequency of intracranial aneurysms, sex and age distribution of patients, frequency of aneurysms according to localization and methods and the treatment's final outcomes were analysed. Results: in the mentioned five-year period, 415 patients with intracranial aneurysms were admitted to the Clinic for Neurosurgery. According to gender structure, women made 68,7% (285) and men 31,3% (130) with a ratio of 2.2:1 in favour of women. According to the localization, the middle cerebral artery - MCA was present in 105 (25.3%) patients. Anterior communicating artery aneurysms - ACoA were verified in 96 (23.1%) while internal carotid artery aneurysms - ICA were found in 83 (20.0%) patients. There were 48 (11.6%) patients with multiple intracranial aneurysms. Regarding the modified Rankin score as a unit of outcome, we had an excellent outcome in 185 (44.6%) patients, while a good outcome was recorded in 76 (18.3%) patients. A poor outcome was recorded in 22 (5.3%) with a total lethal outcome in 132 (31.8%) patients, predominantly of Hunt Hess scores of IV and V. Conclusion: the female sex is a predisposing factor for the development of intracranial aneurysms, and aneurysms are most often detected between the ages of 50 and 70 in a ruptured form. Contrary to global literature, the most common localization of intracranial aneurysms in the population of our patients is the middle cerebral artery (MCA) followed by aneurysms of the anterior communicating artery (ACoA) and then aneurysms of the internal carotid artery (ICA). [ABSTRACT FROM AUTHOR]

Copyright of Crimen: Journal for Criminal Justice is the property of University of Belgrade, Faculty of Law and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: melanoma mortality rates are very high among cancer patients. It is life threating disease which survival rate is correlated with many, mainly pathohistological factors, although some macroscopic forms of melanoma are associated with poorer prognosis. Aim: to evaluate the exiting correlation between melanoma thickness according to Breslow index and the degree of anatomical invasion according to Clark regarding positive sentinel biopsy and indication for radical lymphadenectomy, and the existence of distant and dermal metastases, according to pathohistological characteristics of the tumor. Materials and methods: the research included 213 melanoma patients treated at our Clinic using Microsoft Excel program and IBM statistics SPSS v 21 or 22. Results: the correlation between the degree of anatomical invasion with positive sentinel node was evaluated by 2-test = 26.9, with statistically significant difference (P<0.00001). Statistical significance was confirmed between Breslow index and results of the sentinel node biopsy (²-test = 82.5, P<0.00001). The degree of the melanoma anatomical invasion and indication for radical lymphadenectomy after positive sentinel node biopsy had statistically significant correlation according to Clark (2- test=26.9, P<0.00001). The relation between invasiveness according to Clark classification and the occurrence of metastases also showed statistical significance (²-test=9.4, p=0.0022). Statistical significance was confirmed (²-test = 47.1; p = <0.00001) by group integration (Clark I-III, Clark IV-V). The correlation between the incidence of cutaneous and distant metastases refering to Breslow index is presented by group classification of the anatomical invasion of melanoma (?²-test=19.6, P<0.00001). The results are presented in tables and figures. Conclusion: the existence of clear correlation was confirmed among the pathohistological characteristics of melanoma, resulting positive sentinel node biopsy and consequent indication for radical lymphadenectomy, as well as the existence of distant and dermal metastasis. The algorithm of melanoma treatment facilitates the surgical and oncological treatment in everyday clinical practice. [ABSTRACT FROM AUTHOR]

Copyright of Facta Universitatis: Series Physical Education & Sport is the property of Facta Universitatis, Series Physical Education & Sport and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Collected Papers of the Faculty of Law in Split / Zbornik Radova Pravnog Fakulteta u Splitu is the property of Split Faculty of Law and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: myocardial infarction with non-obstructive coronary arteries (MINOCA) is a syndrome with several causes, characterized by clinical evidence of myocardial infarction and without significant coronary disease (stenosis ≤50%). Aim: to present a patient with verified myocardial infarction with non - obstructive coronary arteries (MINOCA), and complexity of diagnostic and therapeutic modality. Case report: the article presents a 33-year-old male patient admitted due to chest pain with elevated high-sensitive cardiac troponin-T (hs-TnT) and electrocardiographic (ECG) signs of anterior myocardial infarction. Coronary angiography verified normal findings but intracoronary acetylcholine provocation testing confirmed diagnosis of MINOCA. The patient was discharged with calcium channel blockers, trimetazidine and antiaggregant in therapy. Conclusion: MINOCA has complex diagnostic and therapeutic modalities. Individual approach to the patient is an imperative, with the aim of finding an etiological cause, with obligatory review of anamnestic data, physical examination, ECG, elevated enzymes of cardiac necrosis, echocardiography, along with coronary and left ventricular angiography, that can lead to a clearer picture of the onset and prognosis. [ABSTRACT FROM AUTHOR]

Copyright of Acta Chirurgica Iugoslavica is the property of Association of Yugoslav Surgeons and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Trichotillomania is a type of traumatic alopecia and is defined as the irresistible urge to pull out the hair. It is classified as impulse control disorder. This chronic, recurrent disorder with dermatologic expression has specific symptomatology, affects daily activities and leads to social isolation. Goal: The aim of the study was to investigate mannerism between symptoms in population with trichotillomania and to determine connection with other habits and disorders as well as treatment differences and efficiency. Material and methods: This prospective research was conducted within 880 people with trichotillomania from all around the world in a period from November 5th to December 15th,2016. The data were collected by using a standardized internet questionnaire. Results: Symptoms of trichotillomania usually start between 9 and 13 years. 48,5% respondents localize their disorder on one specific body region. The most involved are scalp, eyebrows and eyelashes. 56,5% of the patients pull their hairs everyday, 61,6% even in company. Oral habits are present in 20,9%. Trichotillomania is associated with dermatillomania in 42.0%, nail biting habit in 37.0%, alcohol (21.7%) and drug abuse (12.3%), anxiety (60.6%), affective (55.3%), obsessive-compulsive (19.4%) and sleep disorders (11.3%). The most effective treatment seem to be combination of psychotherapy, antipsychotic and antidepressant. Conclusion: Trichotillomania shows diverse psychiatric appearance in most cases, so there is not specific treatment for this condition. It is necessary to treat trichotillomania with their comorbidities, especially the ones with oral habits, who present potential surgical patients. [ABSTRACT FROM AUTHOR]

Energy drinks (EDs) with substances in them (caffeine, taurine, guarana and L-carnitine) can induce the occurrence of cardiac arrhythmias, such as the supraventricular and ventricular ectopy, ventricular tachycardia and supraventricular tachyarrhythmias. The aim of this research was to present an 18-year-old patient with supraventricular tachyarrhythmia, which was pharmacologically converted to sinus rhythm, and after conversion underwent to cardiology examination. [ABSTRACT FROM AUTHOR]

Introduction: neuroendocrine carcinomas (NEC) of the gallbladder are very rare malignant tumors, accounting for less than 1% of all tumors. For advanced NEC gallbladder prognosis is usually poor, but better outcomes can be obtained with aggressive radical surgery and chemotherapy. Unfortunately, there is no standard therapeutic strategy for several reasons, including disease rarity, lack of prognostic factors, inability to recognize progression, and limited understanding of lesion biology. Aim: to report an incidental finding of NEC obtained after pathohistological analysis of the gallbladder removed for clinical and radiological signs of acute calculous cholecystitis. Case report: a 74-year-old patient was admitted to Clinic of General and Abdominal Surgery of the Clinical Center University of Sarajevo as an emergency due to clinical, radiological and laboratory signs of acute cholecystitis. An indication is given for immediate surgical treatment, which was performed on the day of admission. The operation began with a laparoscopic approach, and due to the complexity of the findings and the impossibility of displaying the elements of the Calot's triangle, a conversion was performed, and the gallbladder was removed with the classic subcostal approach. The postoperative course was as expected, and the patient was discharged from the hospital on the sixth postoperative day. Pathohistological findings supported neuroendocrine gallbladder cancer (NEC), grade III, pT1N1MxRo. The Oncology counciliatory team indicated chemotherapy, but we found out that the patient never contacted the Oncologist to begin the treatment. Conclusion: by presenting this case, we want to emphasize to physicians of all levels of health care the severity of symptoms of pain in the area of the upper right quadrant of the abdomen. Any ultrasound-verified thickenings or polypoid formations of the gallbladder deserve special supervision, especially in elderly women. [ABSTRACT FROM AUTHOR]

Extramammary Paget's disease (EMPD) is a rare intra-epithelial malignancy that is occasionally associated with an invasive adenocarcinoma component as well as other secondary cancers. The diagnosis is confirmed by the presence of Paget’s cells on histopathological examination of a tissue specimen. The standard treatment method of inguinal EMPD, as well as EMPD in other areas, is surgical resection. We present a patient with extra-mammary Paget’s disease, who developed the erythematous eruption in the right inguinal region. [ABSTRACT FROM AUTHOR]

U radu se daje pregled raznih modela institucionalnog tretmana počinitelja kaznenih djela koji su se pojavili otkako je taj model nakon II svjetskog rata zadobio mjesto dominantne znanstvene paradigme u ovom području. Uz razmatranje teorijskih postavki svakog modela navode se i kritičke primjedbe kojima su neki od tih modela bili izloženi, te rezultati istraživanja kojima su evaluirani s obzirom na uspješnost socijalne reintegracije klijenata na kojima su primjenjivani.