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Editorial

TA Aleksandra Radovanović Spurnić, MD, PhD
Secretary of the Serbian Journal of the Medical Chamber

Dear colleagues,

On my own behalf and on behalf of the editorial staff, I have the great honor and even greater pleasure of addressing all of the supporters of our Journal and presenting another issue of the Serbian Journal of the Medical Chamber.

It will soon be two full years since the publishing of the first issue of the Journal. The first steps in any under- taking are always difficult, and ours were additionally complicated by the exceptional social and health context created by the COVID-19 pandemic. The conditions in such a context influenced the motivation of researchers to write professional and scientific papers, which are the steppingstone of the development and improvement of our profession’s doctrine. The impression is, however, that the numerous obstacles in producing the Journal have been overcome, and that each new issue of the Journal surpasses the previous one, in quality, content, and form, which provides the foundation for our faith that we are on the right course towards creating a reputable professional and scientific publication. We hope that, with your help, our Journal will soon be categorized, which would be the pin- nacle of our meticulous and hard work.

As was the case in previous issues, in this issue the Journal again offers interesting topics which will undoubte- dly be very useful to all of us in our future work.

We would like to highlight the review paper A stem cell overview – from evolving hemobiological concepts to (auto)grafting in clinical practice, written by Bela Balint et al., which provides an overview of the key development possibilities in the field of stem cell application in ‘conventional’ transplantations or in regenerative medicine, as well as a short critical assessment of the research performed in this area by the authors themselves.

The COVID-19 pandemic led to great changes in healthcare systems all over the world, and it seems that the organization of primary health care was of crucial importance for the outcome and course of the disease, in many patients. The changes in primary health care, which happened in response to the COVID-19 pandemic, are pre- sented in this original research paper written by Lidija Šćepanović et al. Undoubtedly, this experience will find its application in any future epidemics that may occur.

The original research paper Diagnosis related group migration as an indicator of a potentially inefficient medical inter- vention, written by Marina Topalović et al., investigates the occurrence of diagnosis related group migration (DRG mi- gration), hospital expenses, and the length of hospital stay in colectomy. In the retrospective secondary analysis of data on DRG migration, for a series of in-hospital patient episodes, over a three-year follow-up period, it was shown that, in the Republic of Serbia, colectomies with complications prolong the duration of hospital stay and require a greater con- sumption of resources. Cost analysis of DRG-related treatment, per patient and per day of hospital stay (patient day), is very useful, as it can indicate inefficiency of medical interventions, but also the necessity of certain changes in treatment.

The paper Antibiotic prophylaxis in abdominal surgery – compliance with international guidelines, written by Jelena Veličković et al., shows that the compliance of clinical practice with the guidelines is low, while full compliance with the recommendations for antibiotic prophylaxis has been recorded only with regards to the route of antibiotic ad- ministration. This original research paper confirms the need for constant education of clinicians on the application of antibiotic therapy, with the aim of reducing antibiotic resistance and implementing the proper use of these drugs.

The importance of multidetector computed tomography (MDCT) in detecting, monitoring, and choosing the treatment of acute stroke is described in the paper written by Aleksandra Obreški. The advantages and disadvanta- ges of early MDCT examinations in the diagnostics of acute stroke, based on the monitoring of all patients who re- ported to the Emergency Department during a certain period of time, due to the occurrence of acute neurological deficit, are presented in this paper.

Functioning, disability and exercise in the elderly is a paper written by Milena Kostadinović, which shows that the maintenance of physical and mental health, together with the reduction of disability in the elderly, should be one of the important aspects of successful aging. The authors point out that in planning and implementing a physical activity, especially in the older population, the important factors that need to be considered include duration, fre- quency, intensity and mode.

The review article written by Uroš Dabetić et al. Principles of pelvic fracture treatment in polytrauma patients, describes one of the greatest challenges in orthopedic surgery and traumatology, with the aim of evaluating the current standards of treating pelvic fractures, as well as pointing out the possible strategy in improving the final outcome of treatment.

In her paper, Katarina Vukosavljević theoretically analyzes the importance of a multidisciplinary diagnostic and therapeutic approach to painful symphysis syndrome in athletes. Although more than 70 causes of pubalgia have been described in literature, establishing a diagnosis is difficult, due to the complex anatomy and the overlapping of symptoms among different groin injuries. The therapeutic approach depends on the complexity of the injuries and the dynamics of the patient's recovery. Bearing in mind that the occurrence of pubalgia prevents the patients from engaging in sports activities over a prolonged period, attention should be directed towards the prevention of this painful syndrome.

The always interesting, instructive, and informative case reports of rare cases can be found in this issue of the Journal, as well.

Dejan Lazović et al. present a rare and interesting case of coronary-cameral fistula (which is an anomalous con- nection between a coronary artery and a cardiac chamber) in a patient with angina pectoris. In the paper, the authors analyze and offer recommendations for clinical follow-up and the therapeutic approach in such abnormal findings.

Milan Dokić et al. describe the case of an extremely obese female patient, in whom total hysterectomy with laparoscopic surgery was performed, due to prolonged vaginal bleeding and anemia. This paper stresses the im- portance and the more and more frequent use of laparoscopic surgery in clinical practice, even in the most difficult clinical cases and emergency situations, emphasizing the importance of a well-trained professional team and the availability of appropriate equipment.

The application of corticosteroid therapy, especially high-dose therapy, is the treatment of choice in some he- matological patients, for the purpose of stabilizing the disease. Milica Apostolović Stojanović et al. present the case of a patient with chronic lymphocytic leukemia, in whom cardiotoxicity occurred and manifested in the form of atrial fibrillation, after the administration of a high dose of intravenous methylprednisolone. In addition to different adverse effects which can be caused by high doses of corticosteroids, cardiotoxicity must be considered in each patient individually, as it can lead to acute and severe conditions, which may require urgent and sometimes life-su- staining treatment.

Acquired hemophilia in patients on oral anticoagulant therapy, written by Jelena Ljubičić, is another in the series of case reports in this issue of the Journal. This paper aims to alert clinicians to the fact that, in patients on oral anticoagulant therapy, hemorrhagic syndrome can vary in its etiology, which is of great importance in further tre- atment and care for the patient.

In their paper, Željko Garabinović et al. present the treatment of bilateral pneumothorax in pregnancy, caused by lymphangioleiomyomatosis, with minimally invasive thoracoscopic surgery. At the same time, the authors emp- hasize that, when treating pneumothorax in pregnancy, the appropriate therapeutic procedure should be applied, taking into account the safety of the pregnancy and of the delivery.

With the help of our esteemed colleagues, the current issue of the Serbian Journal of the Medical Chamber has, yet again, met all of our expectations. With the same enthusiasm and on the same course, we continue our work convinced that, with your help, we will continue to promote the highest professional standards.

Sincerely


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