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AFMN Biomedicine is an international, peer-reviewed, open-access journal dedicated to publishing high-quality original research and review articles in basic, translational, and clinical biomedicine, emphasizing discoveries of broad significance for the health sciences.

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Vol. 43, No. 2 (2026):

Published: 13.07.2026.

AFMN BIOMEDICINE

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INTRA-ABDOMINAL PRESSURE AS A MODULATOR OF BIOCHEMICAL INDICATORS OF HEPATIC FUNCTION AFTER LAPAROSCOPIC CHOLECYSTECTOMY

By Mladen Kasalović, Gojko Igrutinović, Saša Dimić, Nikola Miljković, Aleksandar Jakovljević, Zlatan Elek, Marija Milanović

Laparoscopic cholecystectomy is the standard treatment for gallbladder disease; the carbon dioxide pneumoperitoneum required for the procedure may transiently affect liver function. The aim is to examine the evaluation of the impact of different levels of intra-abdominal pressure (IAP) and ASA score on postoperative liver biochemical parameters. A prospective study included 90 patients divided into three groups according to IAP (13, 14, and 15 mmHg; 30 subjects each), with analysis of preoperative and postoperative parameters of liver function. The groups were comparable in terms of age, sex, and body weight, while differences were observed in the type of inflammation and total protein values. After surgery, changes in several biochemical parameters of liver function were recorded, including an increase in the values ​​of direct bilirubin, AST, ALT, and ALP, as well as a decrease in LDH values. The values ​​of total bilirubin, albumin, and total protein did not show significant postoperative changes. Comparison of the groups according to different values ​​of intra-abdominal pressure did not show significant differences in most of the parameters examined, while a statistically significant difference was observed for LDH between the groups. ASA score was associated with postoperative changes in some biochemical parameters of liver function. Laparoscopic cholecystectomy leads to transient changes in liver biochemical parameters without clinically significant damage, whereby intra-abdominal pressure in the usual range has no significant effect, while the general condition of the patient has a greater role in the postoperative response.

 

Original article Online first
EFFECT OF HALOGENATED BOROXINE ON HEMATOLOGICAL PARAMETERS IN RATS AND ON CREATINE KINASE ACTIVITY IN VITRO RETROSPECTIVE REAL-WORLD ANALYSIS

By Safija Herenda, Elma Hasković, Muhamed Fočak, Alem Bekan, Sabina Prevljak, Nenad Vanis, Mirza Halimić, Alen Džubur, Edhem Hasković

Halogenated boroxine is an important enzyme inhibitor with potential applications in cancer therapy. This study aimed to evaluate its effects on hematological parameters in rats in vivo and creatine kinase activity in vitro. Halogenated boroxine, administered either intraperitoneally (IP) or orally, induced route-dependent changes in hematological parameters compared with controls. IP administration significantly increased neutrophils, mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC), while decreasing hematocrit (HCT). In contrast, oral administration significantly decreased lymphocytes and increased basophils, while other hematological parameters remained unchanged. These effects were more pronounced following IP administration. In vitro, halogenated boroxine exhibited competitive inhibition of creatine kinase without pre-incubation, whereas after a 30-minute pre-incubation, the inhibition pattern indicated a non-competitive mechanism. Further analysis showed a time-dependent shift in creatine kinase inhibition mechanism following pre-incubation, characterized by a decrease in maximum reaction velocity (Vmax), while the Michaelis constant (Km) remained unaltered. These findings show that halogenated boroxine modulates specific hematological parameters and inhibits creatine kinase activity, with effects depending on the route of administration and experimental conditions.

Original article Online first
ENDOTHELIUM-MEDIATED VASORELAXANT EFFECTS OF CHOKEBERRY (ARONIA MELANOCARPA) EXTRACT, JUICE, AND WASTE: AN EXPERIMENTAL STUDY IN ISOLATED RAT AORTA

By Milica Milutinović, Suzana Branković, Nada Ćujić Nikolić, Katarina Šavikin, Milica Randjelović, Bojana Miladinović, Dušanka Kitić

Aronia melanocarpa (chokeberry, aronia) is rich in polyphenols and associated with vascular protective effects; however, comparative data on different aronia-derived products and their mechanisms remain limited. This study aimed to compare the vasorelaxant effects of aronia berry extract (AE), aronia waste extract (AWE), and aronia juice (AJ), and to investigate their underlying mechanisms. Preparations from organically grown berries (western Serbia) were chemically characterized using spectrophotometric methods and HPLC. Vasorelaxant activity was assessed in isolated thoracic aorta rings from Wistar rats precontracted with potassium chloride (KCl) or phenylephrine (PE). All preparations induced concentration-dependent relaxation. In KCl-precontracted rings, AE showed the greatest potency (EC₅₀ = 0.97 ± 0.02 mg/mL), followed by AJ (1.74 ± 0.08 mg/mL) and AWE (1.95 ± 0.12 mg/mL). In contrast, under PE-induced contraction, AWE exhibited the highest activity (EC₅₀ = 0.58 ± 0.07 mg/mL), followed by AJ (0.96 ± 0.06 mg/mL) and AE (1.27 ± 0.11 mg/mL). Pre-incubation with the nitric oxide synthase inhibitor L-NAME significantly attenuated relaxation responses, increasing EC₅₀ values for AWE (0.59 ± 0.03 to 2.37 ± 0.01 mg/mL), AE (0.92 ± 0.01 to 4.38 ± 0.05 mg/mL), and AJ (0.95 ± 0.02 to 2.78 ± 0.03 mg/mL) (p < 0.01), indicating a key role of endothelium-derived nitric oxide. These findings demonstrate that aronia-derived products, including processing waste, exert potent NO-mediated vasorelaxant effects and may represent promising functional ingredients for improving vascular function. Further clinical studies are warranted to confirm these effects in humans.

Original article Online first
ALTERATIONS IN LIVER FUNCTION BIOMARKERS AMONG MODERATELY SEVERE COVID‑19 PATIENTS IN SOUTHEASTERN SERBIA: A RETROSPECTIVE SINGLE‑CENTER STUDY

By Aleksandar Rankovic, Vladimir Petrovic, Maja Cvetanovic, Milica Cosic Petkovic, Lidija Popovic Dragonjic, Jelena Spasic, Goran Radenković, Braca Kundalić, Nikola Milenkovic

Original article Online first
BODY COMPOSITION IN PHYSICALLY ACTIVE MALE STUDENTS ASSESSED USING MULTI-FREQUENCY BIOELECTRICAL IMPEDANCE ANALYSIS

By Valentin Leuciuc Florin, Elena Vizitiu Lakhdari, Dragoș Paul Florian, Vlad Teodor Grosu, Tatiana Dobrescu, Dalila Preljević, Saša Bubanj

Original article Online first
THE IMPACT OF SOCIO-ECONOMIC FACTORS ON THE QUALITY OF LIFE OF EDENTULOUS ELDERLY PATIENTS IN SERBIA

By Anika Ćuković, Danimir Jevremović, Maja Pavlović, Michal Potran, Ana Jevremović

Original article Online first
TEMPOROMANDIBULAR DISORDERS IN YOUNG SERBIAN POPULATION AN EPIDEMIOLOGIC STUDY

By Slobodan Dodić, Vladimir Sinobad, Srdjan D. Poštić

Original article Online first
ATTITUDES AND PRACTICES TOWARDS COVID-19 AND SEASONAL FLU VACCINES AND VACCINATION IN THE GENERAL POPULATION AND AMONG MEDICAL PROFESSIONALS

By Katarina Petković, Dušanka Krajnović, Andijana Milošević-Georgijev, Brankica Filipić, Andjela Marinković, Valentina Marinković

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Effect of zinc supplement on sleep quality in older adults: A randomized clinical trial study

By Abolfazl Afzali, Mojarrad Mohandes, Shahrbanoo Goli, Hossein Bagheri, Seyedmohammad Mirhosseini, Hossein Ebrahimi

The use of macronutrient and micronutrient foods is associated with the duration of sleep. This study aimed to determine the effect of zinc supplements on the sleep quality of older adults. The current parallel randomized clinical trial study was performed using a convenience sampling method. One hundred and fifty older adults who met the inclusion criteria were assigned to intervention and control group. The participants in the intervention group received a daily dose of 30 mg zinc supplementation pill for 70 days and the control group did not receive any supplement. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Serum zinc level in both groups was measured through the auto-analysis method. The questionnaire was completed and the serum level of zinc was measured twice, before the intervention and 70 days after the intervention. Both groups were homogeneous in terms of demographic variables, sleep quality, and serum zinc level before the intervention. Of all, 73.3% of older adults in the intervention group and 74.7% of older adults in the control group had poor sleep quality. Sleep quality in the intervention group, as compared with the control group, significantly improved after the intervention. Furthermore, serum zinc levels in older adults in the intervention group, as compared with the control group, significantly increased after the intervention. Based on the results of this study, it is recommended to utilize zinc supplementation as a new therapeutic approach for improving sleep quality in older adults.

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Salicylic acid is a phytochemical with beneficial effects on human well-being. Salicylic acid is a phenolic compound and is present in various plants where it has a vital role in protection against pathogenic agents. Natural sources include fruits, vegetables and spices. The most famous and defined effect of salicylic acid is prostaglandin synthesis inhibition. Salicylic acid has antiinflammatory effects through suppression of transcription of genes for cyclooxygenase. Most of the pharmacological properties of salicylic acid can be contributed to the inhibition of prostaglandin synthesis. Also, it was discovered that salicylic acid has other in vivo cyclooxygenase-independent pathways. Since salicylic acid does not inhibit cyclooxygenase considerably, the anti-inflammatory effect is not a consequence of direct inhibition of cyclooxygenase activity. Because of its fundamental role, it was suggested that inhibition of nuclear factor kappa B by salicylic acid is one of the key anti-inflammatory mechanisms of action for salicylates. One of the most studied properties of salicylic acid is its antioxidative activity. Salicylic acid is a confirmed inhibitor of oxidative stress. Salicylic acid is capable of binding iron. This fact is significant for antioxidative effect of salicylic acid because iron has an important function in the course of lipid peroxidation.

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By Jelena Todorović, Mirna Zelić, Lana Jerkić

Cleft lip and palate are complex congenital anomalies of the orofacial system of children. Feeding and swallowing problems occur with varying degrees in children with cleft lip and/or palate. The aim of this paper was to review the literature and available evidence regarding the types of eating and swallowing disorders that can be identified in children with cleft lip and/or palate, as well as a description and types of compensatory strategies and interventions to alleviate difficulties. Insight into the relevant literature was performed by specialized search engines on the internet and insight into the electronic database. The extent of the cleft is related to the severity of eating and swallowing disorders, so the most common problems are decreased oral sensitivity, cough, choking, nasal regurgitation, difficulty in sucking, laryngotracheal aspiration due to inadequate airway protection during swallowing, which may result in pneumonia and lung damage. Feeding and swallowing difficulty is also a source of stress for parents. Choking, coughing, nasal regurgitation, laryngotracheal aspiration, excessive air intake can lead to dehydration, malnutrition, but also the need for alternative feeding methods Therefore, it is of great importance to identify the problems of feeding and swallowing in a timely manner, along with modifications of the feeding method.