Srpski medicinski časopis Lekarske komore https://aseestant.ceon.rs/index.php/smclk <div class="uk-width-2-3@m"> <p>The Serbian Medical Journal of the Medical Chamber is a journal published by the Medical Chamber of Serbia as a publisher with the Institute for Medical Research of the University of Belgrade as co-publisher. The Journal publishes previously unpublished original professional and scientific papers, reviews, short communications, editorials, letters to the editor, meta-analyses, case reviews, current topics, book reviews, papers on the history of medicine and more, from all fields of medicine, pharmacy and dentistry, therefore contributing to the promotion and development of the profession and science.</p> <p>The Journal is published in print and electronic form four times per year.</p> </div> Lekarska komora Srbije en-US Srpski medicinski časopis Lekarske komore 2737-971X THE IMPORTANCE OF TEAMWORK FOR QUALITY IMPROVEMENT IN MEDICAL REHABILITATION https://aseestant.ceon.rs/index.php/smclk/article/view/52025 <p class="MsoNormal" style="text-align: justify; text-indent: 0in;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman','serif';">Introduction: </span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman','serif';">Teamwork is an important instrument of organizational development and quality management. In medical rehabilitation, multidisciplinary teams are a necessity. The results of the analysis of the composition and functioning of a team made up of professionals from different disciplines, as well as of teamwork itself, contribute to the understanding of complex work processes, the integration of roles and activities of team members, and the optimization of team performance, as the ultimate goal.</span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 0in;"><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman','serif';">The study aims to determine the level of satisfaction within the team and the factors that contribute to building teamwork and better team performance, in terms of greater effectiveness and a decline in absenteeism.</span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 0in;"><strong><span lang="SR-LATN-RS" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman','serif'; mso-ansi-language: SR-LATN-RS;">Materials and methods:</span></strong><span lang="SR-LATN-RS" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman','serif'; mso-ansi-language: SR-LATN-RS;"> This cross-sectional study was conducted at the Special Hospital for Cerebral Palsy and Developmental Neurology in Belgrade, in January 2021. It analyzed the characteristics and performance of multidisciplinary teams of health workers and other professionals, functionally distributed in four organizational units. The teams anonymously filled out a specially designed questionnaire. The analyzed characteristics of the teams related to the average number of members in the team, gender structure, length of service, and 11 dimensions of teamwork (purpose, satisfaction, interactions, training, communication, processes, etc.). Performance indicators such as effectiveness (number of patients per team) and absenteeism (number of days of absence from work) were taken from the annual operation report for 2020. </span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 0in;"><strong><span lang="SR-LATN-RS" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman','serif'; mso-ansi-language: SR-LATN-RS;">Results: </span></strong><span lang="SR-LATN-RS" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman','serif'; mso-ansi-language: SR-LATN-RS;">The level of satisfaction in terms of belonging to the organizational unit, according to the total scale and all four subscales, was highest among employees in the "B" Infirmary Unit. A statistically predominant number of respondents showed high satisfaction with teamwork, which was the result of satisfaction with team management (91.7%), the functioning of the team (88.1%), the organizational culture (79.8%), and team culture (60.5%). It has been confirmed that a better-structured team achieves better performance, in terms of higher productivity and a decline in absenteeism.</span></p> <p class="MsoNormal" style="text-align: justify; text-indent: 0in;"><strong><span lang="SR-LATN-RS" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman','serif'; mso-ansi-language: SR-LATN-RS;">Conclusion:&nbsp;</span></strong><span style="font-family: Times New Roman, serif;"><span style="font-size: 16px;">The study results indicate the necessary improvements that management should implement in organizing teamwork in order to achieve a higher level of satisfaction with teamwork in all respondents and better performance.</span></span></p> Danijela Baščarević Slaviša Baščarević Sanja Dimitrijević Jovana Marković Stanislava Milošević Copyright (c) 2024-12-04 2024-12-04 5 4 10.5937/smclk5-52025 POSITIVE TRENDS IN THE NUMBER OF NURSES AND TECHNICIANS IN MONTENEGRO: AN OVERVIEW OF 2014–2023 https://aseestant.ceon.rs/index.php/smclk/article/view/53578 <p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;">Introduction:</span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;"> Achieving universal health coverage is a major challenge for all countries, and progress largely depends on the resources they possess and their availability. The aim of the paper is to review the provision and dynamics of the number of nurses/technicians and their structure in the ten-year period 2014&ndash;2023, as well as to examine whether there was a change in the equity of their distribution in relation to the number of inhabitants across municipalities.</span></p> <p class="MsoNormal" style="margin-bottom: .0001pt; text-align: justify; line-height: 150%;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;">Methodology:</span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;"> A retrospective analysis of data on nurses employed in public health institutions in Montenegro for the period 2014&ndash;2023 was conducted, focusing on the following outcomes: the longitudinal increase in the number of nurses, the nurse-to-doctor ratio, the distribution of nurses by sex, age, and education, and the Gini coefficient as a measure of inequality in the distribution of nurses in relation to the population across municipalities.</span></p> <p class="MsoNormal" style="margin-bottom: .0001pt; text-align: justify; line-height: 150%;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;">Results:</span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;"> The density of nursing personnel increased by 24% between 2014 and 2023, reaching 5.84 per 1,000 inhabitants in 2023, while the nurse-to-doctor ratio in the system reached 2.04:1. Nurses are predominantly female, aged 35&ndash;44, and the share of male nurses is increasing (12.91 in 2014 compared to 18.68 in 2023). One-fifth of the nurses have completed a college or university education. The Gini coefficient of inequality of distribution of nurses/technicians decreased from 0.195 in 2014. to 0.191 in 2023.</span></p> <p class="MsoNormal" style="margin-bottom: .0001pt; text-align: justify; line-height: 150%;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;">Conclusion:</span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;"> In the last ten years, there have been significant positive changes in the density and structure of nurses which have probably been influenced by the health policy measures implemented during the COVID-19 pandemic.</span></p> Lidija Šćepanović Zoran Vujošević Copyright (c) 2024-12-11 2024-12-11 5 4 10.5937/smclk5-53578 EXPLORING THE ASSOCIATION BETWEEN NARCISSISTIC PERSONALITY DISORDER AND SOCIAL MEDIA USE https://aseestant.ceon.rs/index.php/smclk/article/view/51815 <p class="MsoNormal"><strong>Introduction/Aim:&nbsp;</strong>Narcissistic personality disorder has become more and more noticeable in modern times. For an increasing number of people, their ego has become a springboard in society or an obstacle to their progress. The question is whether and to what extent narcissistic personality disorder is related to the use of social media networks. For young and older people alike, social media networks have become a part of everyday life. Social media networks are used in an attempt to show a reflection of everyday life that often represents a non-existent illusion. Therefore, social media networks present a false image, a fake splendor, in an attempt to show what is not there, so as to impress other people and induce them to think that the author of the content is somehow better or more important, i.e., more successful than them. This study attempts to link narcissistic personality disorder and the use of social media networks, in order to determine whether these two variables are related.</p> <p class="MsoNormal"><strong>Materials and methods: </strong>The basic research methods applied in this study are the method of analysis and synthesis, the method of induction and deduction, and the statistical and comparative methods. A total of 58 university students participated in the data collection process. The Narcissistic Personality Inventory and the <span class="hwtze">Statements of Social Networking Usage Questionnaire (i.e., an </span>inventory of social media presence and its purpose &ndash; academic, socialization, entertainment, information, compulsive use) were used in the study. Questions of a general nature (for collecting socio-demographic data) were also included. The study was conducted in Slovenia and Bosnia and Herzegovina, from January to June 2024.</p> <p class="MsoNormal"><strong>Results:&nbsp;</strong>A very low degree of correlation was found between narcissism and the academic purpose of using social media networks (0.20). A moderately strong correlation was found between narcissism and socialization as the purpose of using social media networks (0.663). A very weak correlation was found between narcissism and the informative purpose of using social media networks, more precisely, the correlation coefficient was 0.280. Finally, a high level of correlation was found between narcissism and entertainment as the purpose of using social media networks &ndash; the degree of correlation between these two variables was 88.8%.</p> <p class="MsoNormal"><strong>Conclusion: </strong>The research results indicate the existence of a significant relationship between narcissistic personality disorder and presence on social media networks.</p> Lejla Imamović Lerić Indira Husić Copyright (c) 2024-12-21 2024-12-21 5 4 10.5937/smclk5-51815 AVAILABILITY OF PREVENTIVE DENTAL SERVICES TO PRESCHOOL AND SCHOOL CHILDREN WITHIN THE PUBLIC HEALTH SECTOR IN THE CANTON OF SARAJEVO https://aseestant.ceon.rs/index.php/smclk/article/view/51982 <p class="MsoNormal" style="margin-bottom: 0cm; text-align: justify; line-height: 150%;"><span style="font-family: Times New Roman, serif;"><span style="font-size: 16px;"><strong>Introduction:&nbsp;</strong></span></span><span style="font-family: Times New Roman, serif;"><span style="font-size: 16px;">Oral health is a segment of general human health reflected in the condition of oral tissues, which contributes to overall physical, psychological and social well-being, enabling people to eat, communicate and participate in social life without discomfort, inconvenience or stress. This study aims to determine the frequency of conducting regular oral and dental examinations in early childhood, the practice of parents/guardians in the process of preserving children's oral health, as well as the satisfaction with the services provided.</span></span></p> <p class="MsoNormal" style="margin-bottom: 0cm; text-align: justify; line-height: 150%;"><span style="font-family: Times New Roman, serif;"><span style="font-size: 16px;"><strong>Materials and methods: </strong></span></span><span style="font-family: Times New Roman, serif;"><span style="font-size: 16px;">The study was conducted as a cross-sectional, descriptive and comparative study at the Primary Healthcare Center of the Canton of Sarajevo. Heads of dental services and service users were the respondents of the study. The study included five heads of dental services and 209 parents who participated via an online Google forms survey that was based on an original questionnaire designed by the study authors.</span></span></p> <p class="MsoNormal" style="margin-bottom: 0cm; text-align: justify; line-height: 150%;"><span style="font-family: Times New Roman, serif;"><span style="font-size: 16px;"><strong>Results:&nbsp;</strong></span></span><span style="font-family: Times New Roman, serif;"><span style="font-size: 16px;">The availability of dental health care is at a high level according to parents, and it is was determined to be available in 139 or 66.5% of cases. Only 24 or 11.7% of respondents stated that they do not have access to dental health care. Most parents stated that they did not have to wait for a dental examination for their children and that they were satisfied with the accessibility of the staff, giving a high score of 4.14&plusmn;1.21 on a scale of 1 to 5.</span></span></p> <p class="MsoNormal" style="margin-bottom: 0cm; text-align: justify; line-height: 150%;"><span style="font-family: Times New Roman, serif;"><span style="font-size: 16px;"><strong>Conclusion:&nbsp;</strong></span></span><span style="font-family: Times New Roman, serif;"><span style="font-size: 16px;">Based on the results of the study, we were able to prove that quality and safe preventive dental care for preschool and school children in the public health sector is provided in the Canton of Sarajevo. Most parents stated that they were satisfied with the professionalism, work and accessibility of the staff.</span></span></p> Amela Brčkalija Amer Ovčina Aida Ramić-Čatak Zarema Obradović Šeila Cilović-Lagarija Adis Hrvačić Maja Pločo Copyright (c) 2024-12-27 2024-12-27 5 4 10.5937/smclk5-51982 THE LEFT VENTRICULAR EJECTION FRACTION AND THE LEFT ATRIAL ANTEROPOSTERIOR DIAMETER AS PREDICTORS OF ACUTE ISCHEMIC STROKE OUTCOME https://aseestant.ceon.rs/index.php/smclk/article/view/55038 <p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%; tab-stops: 45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt;"><strong style="mso-bidi-font-weight: normal;"><span lang="SR-LATN-RS" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: SR-LATN-RS; mso-fareast-language: SR-LATN-RS;">Introduction:</span></strong><span lang="SR-LATN-RS" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: SR-LATN-RS; mso-fareast-language: SR-LATN-RS;"> Acute stroke represents a significant health burden. Since the variables obtained by transthoracic echocardiography are proven predictors of the outcome of cardiac diseases, we tried to determine their importance in predicting the outcome of this group of patients. </span></p> <p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%; tab-stops: 45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt;"><span lang="SR-LATN-RS" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: SR-LATN-RS; mso-fareast-language: SR-LATN-RS;">The aim of the work is to prove the hypothesis that the enlargement of the left atrium, expressed by the increase in the anteroposterior diameter and the decrease in the systolic function of the left ventricle, as observed by the value of the ejection fraction, predict a bad outcome in these patients.</span></p> <p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%; tab-stops: 45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt;"><strong style="mso-bidi-font-weight: normal;"><span lang="SR-LATN-RS" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: SR-LATN-RS; mso-fareast-language: SR-LATN-RS;">Material and methods:</span></strong><span lang="SR-LATN-RS" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: SR-LATN-RS; mso-fareast-language: SR-LATN-RS;"> The methodology is based on the data analysis of 106 patients with acute ischemic stroke, including data on the modified Rankin score at discharge, which indicates the disease's functional outcome.</span></p> <p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%; tab-stops: 45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt;"><strong style="mso-bidi-font-weight: normal;"><span lang="SR-LATN-RS" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: SR-LATN-RS; mso-fareast-language: SR-LATN-RS;">Results:</span></strong><span lang="SR-LATN-RS" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: SR-LATN-RS; mso-fareast-language: SR-LATN-RS;"> A correlation was shown between the functional outcome of the disease in relation to the ejection fraction of the left ventricle. As the ejection fraction of the left ventricle decreases, the possibility of a worse disease outcome increases. The size of the left atrium was also tested as a predictor of a worse outcome in terms of a larger left atrium associated with a worse outcome of the disease, and the hypothesis proved to be correct here as well, given that there is a correlation between the size of its diameter and the outcome of the disease.</span></p> <p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%; tab-stops: 45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt;"><span class="y2iqfc"><strong style="mso-bidi-font-weight: normal;"><span lang="SR-LATN-RS" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-ansi-language: SR-LATN-RS;">Conclusion:</span></strong></span><span class="y2iqfc"><span lang="SR-LATN-RS" style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-ansi-language: SR-LATN-RS;"> The monitored parameters, the left ventricular ejection fraction and the left atrium size, show predictive value for the disease's functional outcome.</span></span></p> Dejan Munjiza Biljana Georgievski-Brkić Filip Vitošević Marjana Vukićević Copyright (c) 2024-12-26 2024-12-26 5 4 10.5937/smclk5-55038 ASSESSING PSYCHOMETRIC PROPERTIES OF THE SERBIAN VERSION OF THE METACOGNITIVE AWARENESS INVENTORY (MAI) https://aseestant.ceon.rs/index.php/smclk/article/view/55246 <!-- [if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:RelyOnVML/> <o:AllowPNG/> </o:OfficeDocumentSettings> </xml><![endif]--><!-- [if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> 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Name="Closing"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Signature"/> <w:LsdException Locked="false" Priority="1" SemiHidden="true" UnhideWhenUsed="true" Name="Default Paragraph Font"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text Indent"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Continue"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Continue 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Continue 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Continue 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Continue 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Message Header"/> <w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Salutation"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Date"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text First Indent"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text First Indent 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Note Heading"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text Indent 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text Indent 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Block Text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Hyperlink"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="FollowedHyperlink"/> <w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/> <w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Document Map"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Plain Text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="E-mail Signature"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Top of Form"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Bottom of Form"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Normal (Web)"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Acronym"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Address"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Cite"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Code"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Definition"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Keyboard"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Preformatted"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Sample"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Typewriter"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Variable"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Normal Table"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="annotation subject"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="No List"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Outline List 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Outline List 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Outline List 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Simple 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Simple 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Simple 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Classic 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Classic 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Classic 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Classic 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Colorful 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Colorful 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Colorful 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 6"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 7"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 8"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 6"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 7"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 8"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table 3D effects 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table 3D effects 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table 3D effects 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Contemporary"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Elegant"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Professional"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Subtle 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Subtle 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Web 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Web 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Web 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Balloon Text"/> <w:LsdException Locked="false" Priority="39" Name="Table Grid"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Theme"/> <w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/> <w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading"/> <w:LsdException Locked="false" Priority="61" Name="Light List"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/> <w:LsdException Locked="false" Priority="70" Name="Dark List"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/> <w:LsdException Locked="false" SemiHidden="true" Name="Revision"/> <w:LsdException Locked="false" Priority="34" QFormat="true" Name="List Paragraph"/> <w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/> <w:LsdException Locked="false" Priority="30" QFormat="true" Name="Intense Quote"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/> <w:LsdException Locked="false" Priority="19" QFormat="true" Name="Subtle Emphasis"/> <w:LsdException Locked="false" Priority="21" QFormat="true" Name="Intense Emphasis"/> <w:LsdException Locked="false" Priority="31" QFormat="true" Name="Subtle Reference"/> <w:LsdException Locked="false" Priority="32" QFormat="true" Name="Intense Reference"/> <w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/> <w:LsdException Locked="false" Priority="37" SemiHidden="true" UnhideWhenUsed="true" Name="Bibliography"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true" UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/> <w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/> <w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/> <w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/> <w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/> <w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/> <w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/> <w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/> <w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/> <w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/> <w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light Accent 1"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/> <w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful Accent 1"/> <w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful Accent 1"/> <w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light Accent 2"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/> <w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful Accent 2"/> <w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful Accent 2"/> <w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light Accent 3"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/> <w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful Accent 3"/> <w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful Accent 3"/> <w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light Accent 4"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/> <w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful Accent 4"/> <w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful Accent 4"/> <w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light Accent 5"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/> <w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful Accent 5"/> <w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful Accent 5"/> <w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light Accent 6"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/> <w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful Accent 6"/> <w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful Accent 6"/> <w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/> <w:LsdException Locked="false" Priority="47" Name="List Table 2"/> <w:LsdException Locked="false" Priority="48" Name="List Table 3"/> <w:LsdException Locked="false" Priority="49" Name="List Table 4"/> <w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/> <w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/> 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table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:8.0pt; mso-para-margin-left:0cm; line-height:107%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-font-kerning:1.0pt; mso-ligatures:standardcontextual;} </style> <![endif]--> <p class="MsoNormal" style="margin-bottom: 0cm; text-align: justify; line-height: 150%;"><strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;">Introduction:&nbsp;</span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;">Metacognition, which refers to the ability to monitor and regulate one&rsquo;s cognitive processes, plays a crucial role in medical education. Evaluating metacognitive awareness is particularly important for university students, as it impacts their learning strategies and academic performance. The study aimed to examine the psychometric characteristics of the Serbian adaptation of the Metacognitive Awareness Inventory (MAI), emphasizing its construct validity and internal consistency.</span></p> <p class="MsoNormal" style="margin-bottom: 0cm; text-align: justify; line-height: 150%;"><strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;">Materials and methods: </span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;">This cross-sectional study was conducted with third-year medical students of the University of Belgrade Faculty of Medicine, in October 2024.<span style="mso-spacerun: yes;">&nbsp; </span>The psychometric properties of the Serbian version of the MAI were evaluated by assessing its factorial structure and internal consistency. The MAI <span style="mso-bidi-font-style: italic;">consists of 52 items, comprising two primary components: &lsquo;Knowledge of Cognition&rsquo; and &lsquo;Regulation of Cognition&rsquo;. </span>The subcomponents of the &lsquo;Knowledge of Cognition" component were declarative knowledge, procedural knowledge, and conditional knowledge, whereas the subcomponents of the &lsquo;Regulation of Cognition&rsquo; component were: planning, information management strategies, comprehension monitoring, debugging strategies, and evaluation.</span></p> <p class="MsoNormal" style="margin-bottom: 0cm; text-align: justify; line-height: 150%;"><strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;">Results:&nbsp;</span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;">A total of 426 medical students were included in the study. The mean age of the respondents was 21.3&plusmn;1.4 years, and the majority were females (68.5%). The mean score on the scale was 199.0. The internal consistency analysis of the Serbian version of the MAI questionnaire yielded a Cronbach&rsquo;s &alpha; of 0.94, and a McDonald's &omega; of 0.95 for the entire scale, which indicates excellent scale reliability. The Serbian version of the MAI questionnaire was validated using confirmatory factor analysis, supporting both the hypothesized eight-factor and two-factor structures. The eight-factor model showed good fit indices (IFI = 0.908, CFI = 0.905, RMSEA = 0.042), with statistically significant factor loadings (p &lt; 0.05). Similarly, the two-factor model demonstrated an adequate fit (IFI = 0.921, CFI = 0.918, RMSEA = 0.039), with all loadings also being significant (p &lt; 0.05).</span></p> <p class="MsoNormal" style="margin-bottom: 0cm; text-align: justify; line-height: 150%;"><strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;">Conclusion:&nbsp;</span></strong><span style="font-size: 12.0pt; line-height: 107%; font-family: 'Times New Roman',serif; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;">The present study revealed that the Serbian version of the MAI is a reliable and valid tool for assesment medical students&rsquo; metacognitive awareness.</span></p> Zoran Bukumirić Dejana Stanisavljević Nataša Milić Anđa Ćirković Jelena Milin-Lazović Marko Savić Nina Rajović Aleksandar Ćorac Jelena Jović Aleksandra Ilić Mirjana Pajčin Snežana Mugoša Mirjana Nedović Vuković Borko Bajić Igor Sladojević Srđan Mašić Dragan Spaić Dejan Bokonjić Copyright (c) 2024-12-26 2024-12-26 5 4 10.5937/smclk5-55246 REVERSIBLE OCULAR ADVERSE EFFECTS IN MELANOMA TREATMENT WITH MEK/BRAF INHIBITORS https://aseestant.ceon.rs/index.php/smclk/article/view/53696 <p class="MsoNormal" style="line-height: 150%;"><strong><span lang="EN-US">Introduction:</span></strong><span lang="EN-US"> MEK/BRAF inhibitors, including cobimetinib and vemurafenib, are effective in managing BRAF-mutant melanoma. Despite their efficacy, these therapies may cause adverse effects, including ocular toxicities. Although uncommon, these complications can significantly impact a patient&rsquo;s quality of life and adherence to treatment. This case report highlights a 57-year-old female who developed ocular side effects during MEK/BRAF inhibitor therapy, underscoring the need for early recognition and management.</span></p> <p class="MsoNormal" style="line-height: 150%;"><strong><span lang="EN-US">Case report:</span></strong><span lang="EN-US">&nbsp;</span><span style="text-indent: 28.35pt;">A 57-year-old female received MEK/BRAF inhibitors (cobimetinib and vemurafenib) for eight months after surgery for skin melanoma. During treatment, she developed significant ocular adverse effects, including bilateral pigmented keratic precipitates, anterior chamber inflammation, and vitritis, resulting in reduced visual acuity. Ophthalmologic examination revealed signs of inflammation, prompting a three-week suspension of the therapy. After discontinuing the treatment, the patient experienced marked improvement, with her visual acuity returning to 20/20. Subsequent examinations confirmed the resolution of ocular symptoms, indicating that the adverse effects were linked to the therapy rather than metastatic disease.</span></p> <p class="MsoNormal" style="line-height: 150%;"><strong><span lang="EN-US">Conclusion:</span></strong><span lang="EN-US"> This case highlights the importance of identifying and managing ocular toxicities associated with MEK/BRAF inhibitors. Although rare, these complications can severely affect quality of life and treatment continuation. A multidisciplinary approach, involving both oncologists and ophthalmologists, is essential for monitoring and addressing these issues. Further research is needed to better understand the mechanisms behind these adverse effects and to improve management strategies for patients on targeted melanoma therapy.</span></p> Dolika Vasović Dejan M. Rašić Ivan Marjanović Tanja Kalezić Margita Lučić Copyright (c) 5 4 10.5937/smclk5-53696 PENOSCROTAL PAGET'S DISEASE – CASE REPORT AND LITERATURE REVIEW https://aseestant.ceon.rs/index.php/smclk/article/view/52092 <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: 0in; line-height: 150%; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" align="left"><strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: #222222; mso-fareast-language: EN-GB;">Introduction</span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: #222222; mso-fareast-language: EN-GB;">: Penoscrotal Paget's disease is very rare worldwide, with a small number of case reports, and it thus represents a major dilemma in diagnosis and treatment.</span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: 0in; line-height: 150%; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" align="left"><strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: #222222; mso-fareast-language: EN-GB;">Case</span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: #222222; mso-fareast-language: EN-GB;"> <strong>report</strong>: An 81-year-old man presents himself to the Institute of Oncology and Radiology of Serbia (IORS) for the first time due to an ulcerated and erythematous tumor change about 10 cm in diameter covered with squamous plates, which extends from the groin region on the left to the scrotum. The tumefaction is erythematous, bloody and it occasionally bleeds, and the patient complains of occasional pain in the left leg. Previously, a biopsy of the mentioned tumor change was performed in another institution, and the PH finding was in favor of extramammary Paget's disease. The patient was presented to the IORS council, which decided on operative treatment.</span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; text-indent: 0in; line-height: 150%; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" align="left"><strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: #222222; mso-fareast-language: EN-GB;">Conclusion</span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; color: #222222; mso-fareast-language: EN-GB;">: </span><span style="color: #222222; font-family: Times New Roman, serif;"><span style="font-size: 16px;">This rare disease is also found outside of clinically visible lesions, positive resection margins are common, and this represents the main risk factor for disease recurrence. Accurate preoperative diagnosis and proper surgical treatment are crucial for preventing relapses and repeat operations, making them key factors in improving survival. This case report certainly represents a significant step for oncologists in understanding this disease.</span></span></p> Luka Pejnović Igor Đurišić Ognjen Živković Ognjen Petrović Ivana Petrović Zorka Inić Ivan Marković Copyright (c) 2024-12-02 2024-12-02 5 4 10.5937/smclk5-52092 INDIVIDUALIZED TREATMENT FOR POSTHYSTERECTOMY VAGINAL EVERSION – CASE REPORT AND LITERATURE REVIEW https://aseestant.ceon.rs/index.php/smclk/article/view/51819 <p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%;"><strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;">Introduction: </span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;">Currently, there are different recommendations for obtaining optimal treatment of vaginal eversion. The presented case highlights current options for individualized treatment of complete vaginal eversion.&nbsp;&nbsp;</span></p> <p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%;"><strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;">Case report: </span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;">A 61-year-old woman presented with complete vaginal eversion stage IV seventeen years after classic abdominal hysterectomy with bilateral adnexectomy. For anterior compartment prolapse, it was decided to perform anterior colpoplasty and bladder elevation using U sutures, while Nichols bilateral sacrospinal fixation was the chosen technique for correction of the rectocele/enterocele and prolapse of the posterior vaginal wall. The postoperative course was uneventful, and the resolution of vaginal eversion was confirmed on a six-month check-up.&nbsp; </span></p> <p class="MsoNormal" style="margin-bottom: .0001pt; line-height: 150%;"><strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;">Conclusions: </span></strong><span style="font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;">The surgical repair incorporating anterior colpoplasty combined with bilateral sacrospinous ligament fixation is advised for the advanced stage of complex vaginal eversions. This treatment option is an effective and safe technique.&nbsp; </span></p> Sveto Pantović Jelena Dotlić Katarina Stefanović Branislav Milošević Kosta Pantović Ivana Likić Lađević Copyright (c) 2024-12-11 2024-12-11 5 4 10.5937/smclk5-51819