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M. Novaković, J. Marić, Z. Maksimović, G. Račetović, M. Trifković, R. Novaković

M. Novaković, J. Marić, Z. Maksimović, G. Račetović, V. Despotovic, N. Maksimović, R. Novaković

S. Stefanović, S. Novokmet, N. Milivojevic, S. Janković

Objective. The aim of this study is to determine and analyze the trend of consumption of NSAIDs on the Department of General and Endocrine Surgery, Clinical Center 'Kragujevac' for the five-year period (2005-2009.). Method. The utilization study was conducted for determining and monitoring the drug consumption in inpatient medical institution according to the adopted methodology of the World Health Organization based on the expression of drug consumption in accordance with the number of defined daily doses/1000 patients/day (DDD/1000 pat/day). Results. The results of this study indicated a relatively high rate of NSAIDs consumption in surgical department of the institution which performs health practice at the secondary and tertiary levels. According to the number of DDD/1000 pat/day, the following NSAIDs were within the DU 90% (drug utilization 90%): diclofenac and ketorolac. Ibuprofen was the least applied NSAIDs for the entire period of observation. The results are in accordance with the global trend of increased consumption of NSAIDs. Conclusion. Studies on inpatients utilization of NSAIDs in our country are necessary to establish their safety and quality of drug prescription.

T. Peric, V. Jakovljevic, V. Zivkovic, Jelena Krkeljic, Z. Petrović, Dušica M Simijonović, S. Novokmet, D. Djuric et al.

Taken into consideration limited data about effects of palladium on cardiovascular system, the aim of our study was to compare toxicity of inorganic and organic palladium compounds on the isolated rat heart. The hearts (total number n=30, 6 for each experimental group) excised from Wistar albino rats, male sex, age 8 weeks, and body mass 180-200 g, were retrogradely perfused according to the Langendorff technique at constant perfusion pressure (70 cm H2O). After the insertion of sensor in the left ventricle, the parameters of heart function: maximum rate of left ventricular pressure development (dP/dt max), systolic left ventricular pressure (SLVP), diastolic left ventricular pressure (DLVP), mean blood pressure (MBP) and heart rate (HR)), were continuously registered. The experiments were performed during control conditions, and in the presence of perfusion with incresing concentration of the following: (triethanolamine (TEA), triethanolamine acetate (TEAA), palladium(II)chloride (PdCl2), and trans-dichlorobis(triethanolamine-N)palladium(II) complex (trans-[PdCl2(TEA)2])) started every 30 minutes (30, 60, 90, 120 minute). dP/dt max was not affected significantly by either TEAA, TEA, PdCl2 or Pd complex. SLVP was, also, not affected significantly by either TEAA, TEA, PdCl2, or Pd complex. DLVP was significantly decreased by both TEAA and PdCl2, while TEA and Pd complex did not show significant effect. MBP was significantly decreased only by PdCl2, while TEAA, TEA and Pd complex did not show significant effect. HR was significantly decreased by all compounds- PdCl2, TEAA, TEA and Pd complex. In our study, inorganic palladium compound (PdCl2) induced clear depression of the isolated rat heart contractility, manifested as drop in diastolic and mean blood pressure , and as decrease of the heart rate. On the other hand, it seems that palladium, when bound in an organic compound (linked to TEA in Pd complex), does not contribute significantly to cardio-toxicity in our experimental conditions.

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