Behar Raci

Dr. Behar Raci

orcid

Research Focus & Metrics

Academic Career Length

3Years (2024-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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1 December 2024 in Forum of Clinical Oncology
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Journal Article
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BRBehar Raci
Behar Raci
SSSnezana Stojkovska
Snezana Stojkovska
MBMeleq Bahtijari
Meleq Bahtijari
GHGezim Hodolli
Gezim Hodolli
GNGazmend Nafezi
Gazmend Nafezi
DRDiellor Rizaj
Diellor Rizaj
Aim: The purpose of this research is to analyze the neutrophil-to-lymphocyte ratio (NLR) to define prognostic factors in patients with breast cancer and to analyze the NLR values among stages, grades, and fractions. Methods: The data retrieval period was from October 2018 to June 2020. The study included 56 patients who were part of the research. The mean age of patients was 53.42 years. Results: On average, NLR after radiotherapy was higher than before treatment. Moreover, the 5-year overall survival rate for breast cancer patients treated with radiotherapy was 81%. Conclusions: Based on the NLR results for patients with breast cancer, it is confirmed that the ratio of patients with poor prognosis compared to those with good prognosis is 3.3 to 1. Specifically, all stages of breast cancer showed an increase in NLR after treatment. The exception was stage III, which showed lower NLR values after treatment and, consequently, a better prognosis of the disease.

22 January 2026 in Biomedicines
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Journal Article
Open access
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DRDiellor Rizaj
Diellor Rizaj
AKAvni Kryeziu
Avni Kryeziu
AKArtidon Kelmendi
Artidon Kelmendi
BRBehar Raci
Behar Raci
SKShend Kryeziu
Shend Kryeziu
Visar BAFTIJARIVisar BAFTIJARI
Visar BAFTIJARI
Background: Inflammatory activity in rheumatoid arthritis can be determined by normal blood count ratios such as Neutrophil Lymphocyte Ratio (NLR), Platelet Lymphocyte Ratio (PLR), Systemic Immune Inflammation Index (SII), and C-reactive Protein (CRP). Objective: The aim of this research is to determine how these markers change after therapy and whether their pre- and post-treatment differences follow patterns that allow for simple parametric analyses. Methods: A prospective cohort of 52 RA patients (30 females and 22 males) was examined. The patients’ blood samples were tested at baseline and at the end of their 6-month Infliximab treatment. Hematologic markers such as NLR, PLR, and SII were calculated from the complete blood count (CBC), and CRP levels were measured. The statistical methods of Shapiro–Wilk (SW), Kolmogorov–Smirnov (KS), and Anderson–Darling (AD) were used, and later, paired t-tests were used to generate statistics where necessary. Results: Post-treatment measurements were consistently lower for all four biomarkers. QQ-plots and formal tests revealed that the differences between findings were essentially normal, allowing for paired t-tests. The mean decreases were as follows: NLR −1.10 (95% CI −1.48 to −0.71), PLR −43.0 (−55.4 to −30.7), SII −299 (−388 to −211), and CRP −11.36 (−13.18 to −9.54), all p < 0.001. CRP showed the greatest drop, with significant decreases in PLR and SII and a moderate decline in NLR, indicating therapy-related attenuation of systemic inflammation. Conclusions: The study shows that six months of infliximab therapy results in a consistent post-treatment decrease in all four biomarkers: NLR, PLR, SII, and CRP. Because the pre-post differences were roughly normal, CRP revealed the greatest decrease, with significant decreases in PLR and SII and a moderate decrease in NLR, consistent with systemic inflammation reduction. When combined, the CBC-derived indices track with CRP and can serve as practical, low-cost markers for monitoring therapy response in RA, despite the single-arm design.

Verified
Journal Article
Open access
PDF file
BRBehar Raci
Behar Raci
SSSnezana Stojkovska
Snezana Stojkovska
GHGezim Hodolli
Gezim Hodolli
VKVioleta Klisarovska
Violeta Klisarovska
GDGoran Dimitrov
Goran Dimitrov
ASArben Sinani
Arben Sinani
Background/Objectives: Cervical cancer is a prominent source of morbidity and mortality among women, particularly in low- and middle-income nations. Neutrophil Gelatinase-Associated Lipocalin (NGAL), a glycoprotein involved in cancer-related activities, has been proposed as a biomarker; however, its involvement in cervical cancer remains unknown. The study aim is to evaluate the prognostic significance of serum NGAL levels in cervical cancer patients in relation to International Federation of Gynecology and Obstetrics (FIGO) stage, operability, and HPV subtype distribution before and after treatment. Methods: The study involved 130 women, 100 with histologically proven cervical cancer and 30 healthy controls. The serum NGAL levels were determined before and after treatment using an ELISA test. HPV genotyping was carried out using real-time PCR on 21 high- and low-risk subtypes. Results: NGAL levels increased marginally during therapy (from 134 to 144 ng/mL; p = 0.28), but the rise was significant in inoperable patients (p = 0.02) and increased with advanced FIGO stage, although this did not reach statistical significance (p = 0.07). HPV 16 was the most common subtype (26.0%), while women aged 51–60 had the highest overall HPV positive rate (72.7%). There was no significant association between NGAL levels and HPV subtypes (p = 0.17). Conclusion: NGAL does not appear to be an accurate short-term indicator of therapy response. However, increased levels in advanced-stage and inoperable instances indicate prognostic significance. NGAL most likely represents tumor-associated inflammation rather than HPV subtype. These findings support its possible inclusion in future biomarker panels, subject to validation in bigger investigations. Persistent HPV infection in midlife women highlights the significance of ongoing screening.