S Janković

University of Belgrade, Beograd, Central Serbia, Serbia

Are you S Janković?

Claim your profile

Publications (42)88.44 Total impact

  • Burazeri G · Jankovic S · Laaser U · Martin-Moreno JM
    [Show abstract] [Hide abstract]
    ABSTRACT: See at www.seejph.eu
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Reliable and comparable analysis of health risks is an important component of evidence-based and preventive programs. The aim of this study was to analyze the impact of the most relevant avoidable risk factors on the burden of the selected conditions in Serbia. Attributable fractions were calculated from the survey information on the prevalence of a risk factor and the relative risk of dying if exposed to a risk factor. The population-attributable risks were applied to deaths, years of life lost due to premature mortality (YLL), years of life with disability (YLD) and disability adjusted life years (DALY). More than 40% of all deaths and of the total YLL are attributable to cigarette smoking, overweight, physical inactivity, inadequate intake of fruit and vegetables, hypertension and high blood cholesterol. Alcohol consumption has in total a beneficial effect. According to the percent of DALY for the selected conditions attributable to the observed risk factors, their most harmful effects are as follows: alcohol consumption on road traffic accidents; cigarette smoking on lung cancer; physical inactivity on cerebrovascular disease (CVD), ischemic heart disease (IHD) and colorectal cancer; overweight on type 2 diabetes; hypertension on renal failure and CVD; inadequate intake of fruit and vegetables on IHD and CVD, and high blood cholesterol on IHD. This study shows that a high percentage of disease and injury burden in Serbia is attributable to avoidable risk factors, which emphasizes the need for improvement of relevant preventive strategies and programs at both individual and population levels. Social preferences should be determined for a comprehensive set of conditions and cost effectiveness analyses of potential interventions should be carried out. Furthermore, positive measures, derived from health, disability and quality of life surveys, should be included.
    Vojnosanitetski pregled. Military-medical and pharmaceutical review 05/2013; 70(5):445-51. · 0.29 Impact Factor
  • Jankovic S · Laaser U · Bjegovic V · et al
    Public Health Policy andManagement – Competences, Education and Training in Serbia, Edited by S. Jankovic, Ch. Hillger, W. Kirch, 01/2010: chapter Development of the Master of Health Policy and Management Programme within the Framework of the Tempus Project “Postgraduate Studies in Public Health Sciences": pages 7-34; Thieme Publishing Company, Stuttgart and New York.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Background: In the last decade of the 20th century, a considerable effort has been put into the development of summary measures of population health that combine information on mortality and non-fatal health outcomes. We used the DALYs (Disability adjusted life years) method to assess the burden of disease and injury in the population of Serbia. Methods: Our study, largely based on the methods developed for the Global burden of disease study, was conducted between October 2002 and September 2003. DALYs, stratified by gender and age, were calculated for 18 selected health conditions for the population of Serbia, Serbia and Montenegro for 2000. Years of life lost (YLL) were calculated using country mortality statistics, while years lived with disability (YLD) were calculated using different sources of information. Also, the YLD/YYL ratio and age-adjusted rates of DALYs were calculated. Results: Ischaemic heart disease, cerebrovascular diseases, lung cancer, unipolar depressive disorders, and diabetes mellitus were responsible for almost two-thirds (70%) of the total burden of 18 selected disorders in Serbia 2000. The leading five causes for males were ischaemic heart disease (26.DALY per 1000), stroke (17.9), lung cancer (12.7), road traffic accidents (6.5), and self-inflicted injuries (5.5). For females, the leading five causes were stroke (18.DALY per 1000), ischaemic heart disease (14.1), depression (8.7), breast cancer (6.1), and diabetes mellitus (5.2). Conclusions: The final results of the study have shown that the national health priority areas should cover cardiovascular diseases, cancers, and mental health.
    The European Journal of Public Health 02/2007; 17(1):80-85. DOI:10.1093/eurpub/ckl072 · 2.59 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Aim: To investigate the factors associated with atopic asthma in the adult Serbian population. Method: A case-control study of 134 atopic asthmatics and 134 non-asthmatics was carried out, during the period from March 2002 June 2003. The cases and controls were matched by sex, age (± 5 years) and place of residence (urban, rural). A detailed questionnaire based on the latest research results in the field was used to obtain information on the known risk factors. Stressful life events were recorded using Paykels Interview for Recent Life Events. Results: According to multivariate conditional logistic regression, the following factors were independently significantly associated with the occurrence of atopic asthma: allergic rhinitis (OR = 30.74, 95% CI = 7.62 - 123.98, p < 0.001), sinusitis (OR= 5.06, 95% CI = 1.27 - 20.17, p = 0.022), and lower respiratory tract infections in childhood (OR = 5.72, 95% CI = 1.65 - 19.87, p = 0.006). Conclusion: Our study indicates potentially important roles of allergic rhinitis, sinusitis and infections of the lower airways in childhood as factors increasing the risk of atopic asthma. Recognizing of the risk factors is important for the diagnosis and prevention of the disease.
  • V. Tomic Spiric · S. Jankovic · M. Bogic · N. Maksimovic
    Allergologie 01/2007; 30(02):41-49. DOI:10.5414/ALP30041 · 0.23 Impact Factor
  • Allergologie 12/2006; 29(12):491-499. DOI:10.5414/ALP29491 · 0.23 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The science and practice of the New Public Health have a key role in the promotion of people’s health and in the reform of the health system. Serbia experienced many social and economic threats to public health during the 1990s when the health infrastructure both for curative and preventive services gradually deteriorated. Existing skills and knowledge of public health professionals are insufficient in virtually all fields of public health activities. The foundation of the Centre – School of Public Health, within the Medical School of Belgrade University has been a precondition for the improvement of professional training in public health. The objectives are described as (1) education of capable experts in the field of public health, (2) improvement of knowledge in the health sciences, (3) health promotion in cooperation with local communities, (4) training of competent researchers in the field of public health and (5) improvement of the process of decision making and policy formulation. The training programme covers five key areas of education in the domain of public health: (1) public health in Europe, (2) epidemiology and biostatistics, (3) health policy and management, (4) health promotion, health education and social sciences and (5) environment and health. In the first year, 27 students were admitted for the Master of Public Health programme and more than 350 participants attended various short courses for continuing education in public health and health management based on applied learning approach. The next developmental steps focus on sustainability of the programmes for continuing education and research and a wider national and international partnership.
    Journal of Public Health 01/2006; 14(4):208-216. DOI:10.1007/s10389-006-0050-8 · 2.06 Impact Factor
  • Source
    V Radosavljević · M Ilić · S Janković · M Djokić
    [Show abstract] [Hide abstract]
    ABSTRACT: The aim of this paper is to show influence of different foods on bladder cancer appearance, as well as possible consequent ways of prevention. Consuption of food rich in animal fat and cholesterol, fried foods, especially several times used cookin oil for frying, processed meat with additives (nitrates, nitrites, azo-colourrs) can influence bladder cancer occurrence. Regularly, continous consumption of fermented milk products, which contains come types of milky--acids bacterias, is considered as protective factor in developing bladder cancer. Reports that fruit and vegetable are protective food items are pretty consistent. Data about mineral intake and bladder cancer are obscure.
    Acta chirurgica iugoslavica 02/2005; 52(3):77-82. DOI:10.2298/ACI0503077R
  • Source
    V Radosavljević · S Janković · J Marinković · M Dokić
    [Show abstract] [Hide abstract]
    ABSTRACT: To investigate possible relationships between diet and risk for bladder cancer in Serbia, the hospital-based case-control study was carried out. This study included 130 newly diagnosed bladder cancer patients and the same number of controls matched by sex, age (%+/-%2 years) and type of residence (rural or urban). Dietary information was obtained by using a food frequency questionnaire. Initial case-control comparisons were based on tertiles of average daily intake of control group. The odds ratios (ORs) were computed for each tertile, with the lowest tertile defined as the referent category. All variables (food items) significantly related to bladder cancer were included in multivariable logistic regression analysis. According to this analysis, risk factors for bladder cancer appeared to be consumption of liver (OR=6.60, 95%CI=1.89-23.03), eggs (OR=3.12, 95%CI=1.10-8.80), pork (OR=2.99, 95%CI=1.16-7.72), and pickled vegetable (OR=3.25, 95%CI=1.36-7.71). A protective effect was found for dietary intake of kale (OR=0.21, 95%CI=0.06-0.73), cereals (OR=0.19, 95%CI=0.06-0.62), tangerines (OR=0.21, 95%CI=0.07-0.68), cabbage (OR=0.27, 95% CI=0.11-0.68), and carrots (OR=0.15, 95%CI=0.05-0.41). The study indicated a potentially important role for dietary fat and pickled vegetables in bladder carcinogenesis. An inverse association was recorded between consumption of fruits, vegetables and cereals, and the development of bladder cancer.
    International Urology and Nephrology 02/2005; 37(2):283-9. DOI:10.1007/s11255-004-4710-8 · 1.52 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: To examine the relation of the total intake of fluids and the types of beverages to the risk of bladder cancer, we conducted a hospital based case-control study with 130 newly diagnosed bladder cancer patients and the same number of matched controls. Information of total fluid intake was derived from the reported frequency of consumption of the different types of beverages on the food frequency questionnaire. Univariate and multivariate logistic regression analyses were performed in statistical analysis. There was no statistically significant difference between the cases and the controls in total daily fluid intake. Multivariate logistic regression model showed consumption of: soda (OR=8.32; 95%CI=3.18-21.76), coffee (OR=1.46; 95%CI=1.05-2.01) and spirits (OR=1.15; 95%CI=1.04-1.28) as statistically significant risk factors, while mineral water (OR=0.52; 95%CI=0.34-0.79), skim milk (OR=0.38; 95%CI=0.16-0.91), yogurt (OR=0.34; 95%CI=0.12-0.97) and frequency of daily urination (OR=0.27; 95%CI=0.18-0.41) were statistically significant protective variables. In our study no statistically significant association was observed for total fluid intake. The findings suggest consumption of soda, coffee and spirits were indicated as a risk factors for bladder cancer, while mineral water, skim milk, yogurt and frequency of urination as protective factors for bladder cancer.
    Neoplasma 02/2003; 50(3):234-8. · 1.87 Impact Factor
  • Vladan Radosavljevic · Milena Ilic · Svetlana Jankovic
    Vojnosanitetski pregled. Military-medical and pharmaceutical review 01/2003; 60(2):195-202. DOI:10.2298/VSP0302195R · 0.29 Impact Factor
  • D Bukvic · S Jankovic · L Dukanovic · J Marinkovic
    [Show abstract] [Hide abstract]
    ABSTRACT: The retrospective cohort study comprised 97 Balkan endemic nephropathy (BEN) and BEN-suspected patients discovered in 1971 in the field examination in the village of Sopic, one of the regions most frequently affected by the disease, Our aim was to determine the outcome of the disease in patients and to compare the survival of BEN-suspected and BEN-manifested patients and the survival of their kidneys. The mean survival time was 16.4 years for all patients (95% CI 14.51-18.21) and 23.1 years for suspected and 13.3 years for manifested patients (log-rank = 19.46; d.f. = 1; p < 0.001), According to our results, it can be concluded that BEN is characterized by slow course and prolonged evolution and that the prognosis was consistently better for BEN-suspected than for BEN-manifested patients. Copyright (C) 2000 S. Karger AG, Basel.
    Nephron 12/2000; 86(4):463-466. DOI:10.1159/000045835 · 13.26 Impact Factor
  • D Bukvić · S Janković · L Dukanović · J Marinković
    [Show abstract] [Hide abstract]
    ABSTRACT: The retrospective cohort study comprised 97 Balkan endemic nephropathy (BEN) and BEN-suspected patients discovered in 1971 in the field examination in the village of Sopić, one of the regions most frequently affected by the disease. Our aim was to determine the outcome of the disease in patients and to compare the survival of BEN-suspected and BEN-manifested patients and the survival of their kidneys. The mean survival time was 16.4 years for all patients (95% CI 14.51-18.21) and 23.1 years for suspected and 13.3 years for manifested patients (log-rank = 19.46; d.f. = 1; p < 0.001). According to our results, it can be concluded that BEN is characterized by slow course and prolonged evolution and that the prognosis was consistently better for BEN-suspected than for BEN-manifested patients.
    Nephron 12/2000; 86(4):463-6. · 13.26 Impact Factor
  • D Bukvić · S Janković · Lj Marković-Denić
    [Show abstract] [Hide abstract]
    ABSTRACT: Although there is permanent increase in incidence of malignant upper urothelial tumours [1, 2], these malignancies are rare neoplasms in relation to both all malignant tumours and urotract tumours. Upper urothelial tumours, i.e. tumours of the renal pelvis and ureter are more frequent in the regions affected by endemic nephropathy [3-5]. The aim of this paper was to describe the main epidemiological characteristics in patients with upper urothelial tumours (UUT) in endemic nephropathic (EN) foci in Lazarevac. We analyzed 73 patients treated at the Institute of Endemic Nephropathy, Lazarevac and the Institute of Urology and Nephrology, Belgrade, from January 1, 1992 to December 31, 1994. The descriptive-epidemiological methods was used. The characteristics in patients with histopathologically confirmed upper urothelial tumours were examined. The diagnosis was made on the basis of the clinical picture, echo-sonographic and radioscopic examinations, intravenous and infusion urography and retrograde pielography. With genealogic analysis, a genealogical tree as far as the fourth degree of kinship for each patient, was made both for urothelial tumours and endemic nephropathy. The average age of the patients at the time of diagnosis was 64.2 years, and the majority of the patients (59%) was in the seventh decade of life (Figure 1). Our results are in accordance with the results of other authors who examined the patients with upper urothelial tumours in the regions with endemic nephropathy and out of them [7, 8, 12, 14]. Females were more affected than males (1.4:1). These results are in accordance with the results of other authors who studied the endemic regions [7, 11, 13]. Foreign authors found that males were more affected by upper urothelial tumours [9, 10]. In view of anatomic localization of tumours (Table 2) our results are in accordance with results of the studies carried out in endemic [11, 12, 15, 19] and non-endemic regions [8]. The majority of patients were rural population and lived in villages known as endemic foci (89%) (Table 1). Agriculture was their main or additional occupation. A large number of UUT patients (67%) had endemic nephropathy as well. The other authors from our country found that farmers were most affected [17, 18]. In foreign studies, there are no data on the fact that farming is risk for the appearance of upper urothelial tumours. The family agglomeration of UUT and EN in UUT patients has been observed in all degrees of relation, especially in the second and third generations (Table 3). The obtained results are comparable with hypotheses on a possible mutual or the same aetiological factor for both diseases, which is in accordance with the results of other authors who studied the endemic regions [6, 7, 12, 13].
    Srpski arhiv za celokupno lekarstvo 01/1999; 127(11-12):371-5. · 0.23 Impact Factor
  • Z Radovanovic · Z Vukovic · S Jankovic
    [Show abstract] [Hide abstract]
    ABSTRACT: Rhinosporidiosis occurs extremely seldom in Europe. Until recently, the disease was unknown in Serbia (Yugoslavia). An outbreak that began in January 1992, affected 21 individuals. All of them had been exposed to the same source of stagnant water. The purpose of this study was to assess which control measures would be selected by epidemiologists potentially involved in the control of the disease. Most respondents (20 of 32 or 62.5%) opted only for an information release as the most appropriate control measure. The reasons listed by the epidemiologists to justify their choice of optimal control measures showed that the political and economic hardships, including an embargo imposed upon rump Yugoslavia, did not hamper their judgment. The turmoil associated with the disintegration of Yugoslavia, however, appears to have significantly affected the information level of the participants.
    European Journal of Epidemiology 03/1997; 13(2):157-60. DOI:10.1023/A:1007329001907 · 5.34 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: A case-control study of 130 patients with chronic lymphocytic leukemia (CLL) and 130 controls matched with respect to sex, age (2 years), type of residence (urban-rural) and area of residence (according to the national per capita income) was carried out. Conditional logistic regression analysis showed that, apart of four risk factors already described in the literature (work in a hazardous industry, hair dye use, family history of leukemia and exposure to electromagnetic radiation), brick mortar exposure was also significantly related to CLL.
    Neoplasma 02/1995; 42(2):79-81. · 1.87 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: An anamnestic study encompassed 100 new patients with Graves-Basedow's disease and 100 controls matched according to sex, and age (+/-2 years) and place of living (rural/urban). The patients were treated in an out-patient clinic of the Clinical Center of the Medical Faculty, Clinical hospital center "Zvezdara" in Belgrade and in Special institution "Zlatibor" on Zlatibor in the period from May 1st, 1993 to November 1st, 1993. The aim of this study was to estimate the influence of family relationship and social support on the development of Graves-Basedow's disease. The diseased more often lived in an environment of family disharmony (McNemar's test = 3.76; relative risk (RR) = 3.25; 95% confidence limits CL = 1.01-10.68; probability (p) = 0.049) while the controls more often described themselves as nostalgic persons (McNemar's test = 4.96; RR = 0.38; CL (95%) = 0.16-0.89; p = 0.026). The possibility to discuss their personal problems with their relatives and friends (t = 2.29; DF = 99; p = 0.024), the relatives' and friends' interest for their problems and their readiness to help (t = 2.29; DF = 99; p = 0.004) and possibility of the patients to ask for help in case of financial problems (t = 2.78; DF = 99; p = 0.007) were more often present in persons from the control group.
    Vojnosanitetski pregled. Military-medical and pharmaceutical review 01/1995; 52(6):575-8. · 0.29 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: A case-control study comprised 130 cases affected by chronic lymphocytic leukemia and the same number of individually matched controls, with accidental injuries as a cause of hospitalization. Matching criteria were: sex, age, type of settlement, and area of residence. Both leukemias and all cancers were more frequent among family members of cases, as compared to controls.
    European Journal of Epidemiology 05/1994; 10(2):211-3. DOI:10.1007/BF01730372 · 5.34 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The incidence and mortality rate due to the most common malignant tumors in women in Serbia 1982-1991 were presented. Records from the Republic Institute of Statistics were used as the source of data. Descriptive method was used in epidemiological analysis. Within the period 1982-1991, women in Serbia had died most frequently due to malignant tumors of breast, lung, cervix, rectum, liver, colon, ovary, pancreas and uterine body. Tendency towards increased mortality rate due to the cancer of the breast, cervix, ovary, pancreas, rectum and colon has been registered in this period. Reduced mortality rate was observed in the cancers of uterine body, liver and stomach.
    Vojnosanitetski pregled. Military-medical and pharmaceutical review 01/1994; 51(2):114-7. · 0.29 Impact Factor