In this work we have examined echocardiographic characteristics of left ventricle in patients with acute myocardial infarction (AMI). We used prospective study, during 12 months, and we followed 55 patients with diagnosed non Q AMI. All patients were hospitalized in the Coronary unit. Results: 55 consecutive (40 males middle age 55,4±8,7 and 15 females middle age 57,4±10,3) had non Q AMI. Value of ejection fraction: after 4.day - 50,4±6,2% ,2.weeks - 54,6±5,8%, 4. weeks - 59,3±5,4%. Value of ejection fraction in patients with thrombolytic therapy: 61,6±6,8% vs. 57,3±6,6% p> 0,05;Value of left ventricle fractional shortening: 28,8±2,5% (in patients with thrombolytic therapy 30,3±4,8% vs.27,2±5,9%) Value of end2 2 2 - diastolic volume: after 4.day- 62,5±5,3 ml/m , 2.weeks - 63,1±5,4 ml/m , 4. weeks - 64,4±5,8 ml/m (in patients with throm 2 2 2 bolytic therapy 60,5±9,2 ml/m vs. 67,4±8,4 ml/m ) Value of endsistolic volume: after 4. day - 26,2±2,1 ml/m , 2.weeks2 2 26,8±2,3 ml/m , 4. weeks - 27,6±2,2 ml/m (in patients with thrombolytic therapy 25,6±2,8 ml/m2 vs. 31,7±3,1 ml/m2 p> 0,05). During the in-hospital follow up period, 2(3,6%) patients and during the post-hospital follow up period, 1 (1,9%) patients with non Q AMI had lethal outcome.

Bone tissue infections caused by non-specific agents (non-specific osteomyelitis) occur most frequently among children and young individuals demanding surgical and antibiotic therapy, although with unpredictable clinical outcome. While mobilization of cellular response to infectious agents takes place, a bulk of oxygen-derived free radicals emerge with concomitant participation of various elements of endogenous antioxidative defense. Vitamin C is an endogenous antioxidant active in the aqueous phase. It is very likely that ostoemyelitic patients already have some kind of disorder in specific antioxidant system due to hematogenic origin of non-specific osteomyelitis. Our results show that serum total vitamin C concentrations among patients with non specific osteomyelitis are not significantly different from those obtained among control subjects. However, we found significantly different concentrations of ascorbate, dehyroascorbate and their concentration ratio in serum within osteomyelitic patients that points to enlarged consumption of ascorbate even before the bone localization of infection took place

We tested the performance of telecolposcopy in the diagnosis of various squamous intraepithelial lesions. There were three groups of physicians: Group 1 consisted of 15 gynaecologists who were not trained in colposcopy; Group 2 consisted of six experienced colposcopists (specialists); Group 3 was a supervising team constisting of three experts (colposcopists with more than 15 years of colposcopy experience). The first group took colpophotographs during gynaecological examinations and used a Web browser to compare them with examples from a database of colposcopy findings. Group 2 made their own diagnoses independently. Then the supervising team examined the findings from all 250 patients and made diagnoses that could be considered the ''gold standard''. The findings were identical for Groups 1 and 2 in 219 cases, i.e. an inter- observer agreement of 88%; Cohen's kappa was 0.81. The findings were identical for Groups 1 and 3 in 208 cases, i.e. an inter- observer agreement of 83%; Cohen's kappa was 0.74. The findings were identical for Groups 2 and 3 in 239 cases, i.e. an inter- observer agreement of 96%; Cohen's kappa was 0.93. There was high inter- observer agreement between all participants. However, there were also significant differences in some cases. In the cases of suspected invasive carcinoma, 2 the results showed a significant difference (x =4.8, p < 0,005) because gynaecologists from Group 1 were not sure of their diagnosis and they wanted to obtain a second opinion by referring the decision to a higher level.

Among the Vojvodinian children aged between 3-16, 27,69% have recurrent headaches, 18,83% have nonmigraine and 8,63% migraine headaches. Children aged between 3-7 suffer recurrent headaches in 18,64%, 14,77% nonmigraine and 3,87% migraine. The presence of migraine headaches rises proportionally to aging, more significantly than the presence of non-migraine ones from 2,65% to 11,72% with boys, and from 2,71% to 15,86% with girls. The presence of nonmigraine headaches with children aged 3-16, grows proportionally to age, from 14,0% to 21,15% for boys, and from 14,36% to 24,84% for girls. Migraine with aura makes 25,55%, migraine without aura 67,21% and other migraine headaches 7,23% of the migraine syndromes

Medical abortion (i.e. abortion induced by pharmaceutical agents) is a method of pregnancy termination administered most often in the second trimester in case of either fetal malformations or absence of fetal heart tones (missed abortion. Aim of the study was to compare effects of two regimens of drug adminstration for pregnancy termination in case of fetal anomalies registered in the second trimester of pregnancy. The investigation was performed in 52 patients of the Universitasklinik fur frauenheilkunde, Allgemaines krankenhaus (AKH), Klinische Abteilung fur Gynakologie und Geburtshilfe, Abteilung fur pranatale diagnostic und therapie and comprised two groups of patients in whom pregnancy termination was performed in the second trimester because of the presence of fetal malformations. Comparison analysis of the effect of the two regimens for pregnancy termination has been conducted in two groups of patients: Group A, who received R R R Cergem (Gemeprost) and Group B, who received a combination of Myfegine (Myfepriston) and Cyprostol (Misoprostol). Complete medical abortion occurred approximately at the same rate in both investigated groups (Group A - 10 (35.7%); Group B - 9 (37.5%). Curettage (Vacum aspiration) following the incomplete medical abortion was required in the group R R with Gemeprost in 18 (64.3%), and in the group with Myfegine /Cyprostol in 15 (62.5%) patients. A regimen of mifepristone pre-treatment followed by misoprostol applied in the Group B presented with financial benefits according to the present time prices of drugs in Austria relative to the regimen administered in the Group A, in which the cost of a single or a two-day treatment by gemeprost was significantly more expensive.

The aim of the paper was to investigate whether nutrition based on animal fats in the group of patients who used them as dominant-group S ( the patients of Greek Orthodox creed), is a more signifikant risk factor in the development of stroke than nutrition based on vegetable fats-group A( the patients of Muslim creed). At the same time, the aim of the article was to find the parameters of lipid status which would define in a better way the connection between hypercholesterolemia and apoplexy. The research was done on 230 patients with ischemic CVI who underwent hospital treatment at the Neurological Clinic of the Clinical-Hospital Centre in Pristine. The patients at the Neurological Clinic of the Clinical-Hospital Centre in Pristine were divided into two groups: Group A (n=130)- the patients who based their nutrition mailnly on vegetable fats (the patients of Muslim creed) and Group S (n=100)- the patients who based their nutrition mainly on saturated fats ( the patients of Geek Orthodoc creed). It was stated that the intake of both vegetable and animal fats in larger quantities bears a risk of the development of the cerebra-vascular insult. The intake of saturated fats is a higher risk factor leading to the increased values of cholesterol, triglycerides and LDL-cholesterol in the group of patiebts of Greek Orthodox creed (group S) in comparison to the group of patients of Muslim creed (groupA).

Gonarthrosis is degenarative knee disease as well as the commonest chronic knee arthropaty. Nowadays more attention is given to modern pathogenesis of arthrosis in two levels: 1. immunological; 2. some ferments disbalance phenomenon. In the second level of pathogenesis, a special atention is given to metalloprotheasis. The importance of doxycyclin on the reduction of metalloprotheasis in synovia has a great therapy importance not only theoretically but pratically as well 78 patients with primary and secundary gonarthrosis has been examined (19 men and 59 women) the appliance of doxycyclin in clinic elements common for gonarthrosis caused the improvemnt of all clinic parameters especially muscular strenght and pain, but the largest improvement was noticed in knee - joint circumference

Seronegative arthropathy represents group of rheumatic diseases which affects younger patients, more often male. Ocular findings are numerous such as conjunctivitis, iridocyclitis, and they are a part of extraarticular clinical manifestations. Acute anterior uveitis, as most common ocular manifestation, could be a sole or associated morbidity condition at the forme of systemic diseases

In average 2% cases cause of blindness are mechanical injuries of the eye. This retrospective study was conducted in a 6 years period (from 1990 to 1995). Regarding to demographic data (74% were male with domination of children up to 6 years old of among age structure 151 patients, or 23%;The most numerous were pupils and students (247 or 37%).1% of patient were injured both eyes in the same time. The most common cause of eye trauma was wood (28%) and during the playing time (48%) and at home (27%). At 25 patients evisceration and enucleation were performed. Visual acuity was satisfied or good at 52% patients at the reception but on admission result was better: 68%

Nowadays, hysterosalpingography and laparoscopy are routine methods of exploration of the oviduct passability.The tests were made at department of infertility at the Gynecology and Obstretics Institute of Clinical Center of Serbia in the period from 01.01. untill 31.12.1998. The three hundred patients, on which hysterosalpingography (HSG) was made, and patients, on which chromolaparoscopy was made, were involved by prospectus studies. The analysis shows, that between hysterosalpingographical and laparoscopical investigation of the passability of the oviducts there exists an extremely high statistical difference in the distributions of findings of particular modalities of the passability of the oviduct. Two-way passability of the oviducts with growths of tissue has been established in a higher percentage in the patients who were examined laparoscopically, while the other alternations have been diagnosed hysterographically i a higher percentage. A statistical processing of data resulted in a significantly high statistical difference in the patients with two-way occlusion of the oviducts, whereas for other modalities no statistically significant difference has been established. The most researchers describe high perccentages of growths of tissue, from 64,0% to 72,0%, which have not been established by HSG. Growths of tissue have been confirmed by this investigation in a high percentage (70,0%). Establishing the passability of the oviducts is particularly important for further treatment of the patients.

Pruritus is one of the commonest symptoms of dermatologic appearances in uraemic syndrome and it occurs in 90% of patients on dialysis with different etiology and pathophysiology. The aim of the study was to estimate the frequency of uraemic pruritus and the comparison with clinical and biochemical parameters in 124 patients treated by chronicle haemodialysis at Department of Haemodialysis, Urology and Nephrology Clinic, Clinical Center “Kragujevac”. The routine laboratory analyzes were carried out in examined patients and the concentration of parathyroid hormone was determined. The study was based on data from history of disease and  questionnaire carried out in all patients. Of 124 patients, 65,3% were male and 34,7% were female, mean age of 55,98±12,94 years; the mean time on HD was 55,5 ±50,4 months. 46,8% of examined patients had symptoms of uraemic pruritus. Uraemic syndrome and uraemic complications, manifested by the concentration of urea, 21,57±7,56 vs. 22,93±5,754; p=0,05 and time on dialysis, 67,27±60,07 vs. 43,64±36,84; p=0,02, are the significant parameters of uraemic pruritus. Serum concentration of iron 15,16±8,03 vs. 11,73±6,21; p=0,05 and UIBC 25,12±10,6 vs. 30,45±9,86; p=0,04, as well as hyperglycemia 6,16±2,516 vs. 6,82±2,872; p=0,02 are significantly correlated with uraemic pruritus. There was a statistically significant difference in albumin concentration 35,84±9,09 vs. 37,72± 3,105; p=0,05 but our results were reverse to the data in literature where the reported albumin level was higher in patients with uraemic pruritus. 27,6% of examined patients had itching of all the body what is in correlation with literature. Between the patients with localized itching and patients with generalized itching, there are statistical significance in following: number of erythrocytes 2,4±0,96 vs. 2,7±0,6; p=0,02, concentration of hemoglobin 78,53±31,44 vs. 89,36±19,81; p=0,05, hematocrit 0,23±0,089 vs. 0,26±0,057; p=0,02 and TIBC 29,45±12,01 vs. 34±4,86; p=0,02, as well as concentration of glycemia 5,38±2,52 vs. 6,42±2,12; p=0,01.

In period of ten years from o1.01.1990- till the 30.06.1999 on the University clinic of Gynecology and Obstetric in Pristina there were 2474 repeted cesarean section. With two S.C. were 2041, with three S.C. were 343, with the four S.C. 74 and with the five S.C. were 16 women. Intraoperation risck in repeated S.C. was defined with preasants of the erly intraoperation complicatios such as (hysterectomia caesarea, lesio vesicae urinariae and laesio intestini). We separate the early intraoperations in the women with the second and third S.C., and early intraoperation complications in the women with the fourth and fifth S.C. Results of the study showes that there were no statistical important differences. 

A chronic hyperglicemia with diabetes leads to damage, disfunction and physiology disorders in various organs and tissues so the skin changes are occuring frequently. They are serious and are early discovered. The importance of knowing the bacterial skin infection with diabetes patient is in the fact that sometimes they can be markers and be preceded of the manifestation of the diabetes during the years i.e. in the prevention of the complications even though the glucose tolerance is limited. Then, any increase of the glucose level should be considered patological. Acute and chronic bacterial skin infections can change the regulation of diabetes which may lead to worse metabolic regulation with diabetes patients. The bacterial skin infections belong to the infection group that according to the clinical experience more frequently appear
in diabetes. But a close connection with diabetes is not proved. This study aims to point out the bacterial skin infections with diabetes patients. The results of our study indicates that bacterial skin infections are more frequently represented with diabetes patients (11.0%) than with the persons without Diabetes mellitus (4.8%).

Falsely negative hysterosalpingographical (HSG) finding presents regular HSG finding, but the laparoscopical is pathological alterations. Falsely positive HSG findings presents pathological HSG finding, but the laparoscopical is regular finding. A high frequency of falsely negative results can be explained first of all by the presence of growths of tissue. It is known that by HSG peritubar adhesions can be suspected, but they can be diagnosed with absolute certainty only laparotomically and laparoscopically. In the period from 01.01. untill 31.12.1998. the falsely negative and falsely positive HSG findings were identified on 60 patients, which were tested by HSG method and laparoscopy. Obtained results are showed ta2 bular and graphically. Statistical data processing is carried out by Mc Nemar test (c MCN test). In the case of the HSG pathological finding, the same pathological finding has been proved in 28 (63,6%) persons, a different pathological finding in 9 (20,5%) and regular finding in 7 (15,9%). The frequency of falsely negative HSG findins is 25,0% and falsely positive HSG findings 15,9%. The frequency of falsely positive findings extends from 14,6%, 17%, 20% to 29,6%. The majority of authors state that the incidence of falsely negative findings ranges from 15,5%, 15,9%, 18%, 20,7%, 22% to 24,0%. The pathological HSG points out to the necessity of laparoscopy, while the regular HSG is not sufficient proof of normal oviducts and the peritoneal factor

The World Health Organization (WHO) declared tuberculosis (TB) a global emergensy in recognition of its growing importance as public health problem. In response to this situation WHO in 1990 was developed new strategy and framework for effective TB control, wich was called „DOTS“. The aims of treatment of TB are: to cure the pation of TB, to prevent death from active TB or its late effects, to prevent relapse of TB, to decrease transmission of TB to others, and to prevent
the development of acqured drug resistance. Antituberculosis drugs (ATD) are antibiotics and synthetic drugs used in the
treatment of tuberculosis and other deases caused by microorganisms of the genus Mycobacterium. The essential ATD are:
isoniazid (H), rifampicin (R), pyrazinamid (Z), streptomycin (S), ethambutol (E), and thioacetazone (T). The reserve ATD
are: amikacin (Am), kanamycin (Km), capreomycin (Cm), ciprofloxacin (Cx), ofloksacin (O), cycloserine (Cs), ethionamide (Et), protionamide (Pt), and p-aminosalycilic acid (PAS). The regimen recommended for each patient depends on the
diagnostic category for each patient. There are several possible regimens. ATB treatment regimens consists of two phases:
an initial phase and a continuation phase

Cells continuously produce free radicals and reactive oxygen species as part of metabolic processes. These free radicals are neutralized by antioxidant defense system consisting of enzymes such as catalase, superoxide dismutase, glutathione peroxidase, and numerous non-enzymatic antioxidants, including vitamins A, E and C, glutathione, ubiquinone, and flavonoids. Antioxidants include both water and lipid soluble varieties. The lipid soluble antioxidants are located in the cellular membranes and lipoproteins, whereas the water soluble antioxidants are present in the aqueous environments, such as fluids inside cells and in the blood.

Adipose tissue secretes bioactive peptides, termed 'adipokines', which act locally and distally through autocrine, paracrine and endocrine signals. Those signals influences the answers of other tissues and organs including hypothalamus, pancreas, liver, sceletal muscles, endotel an immune system. Increased production of most adipokines impacts on multiple functions such as appetite and energy balance, immunity, insulin sensitivity, angiogenesis, blood pressure, lipid metabolism and haemostasis, all of which are linked with cardiovascular disease. Leptin is a critical mediatorof energy balance that relays information regarding the depletion or accumulation of fat stores to the brain. Althoughmany of leptin's effects result rb from a direct action ofleptin on hypothalamic neurons, the functional leptin receptor(long-form or lep ) is also found on many tissues outside the central nervous system (CNS), including immune cells. Obese individuals seem to be resistantto the hypothalamic effects of leptin (maybe because of defective blood-brain barrier transport), the catabolic pathways designed to reduce appetite and increase energy expenditure are not activated and excess body weight is maintained). Adipokines like adiponectin and leptin, at least in physiological concentrations, are insulin sparing as they stimulate beta oxidation of fatty acids in skeletal muscle. The role of resistin is less understood. It is implicated in insulin resistance in rats, but probably not in humans. Adiponectin and resistin are adipocyte-derived polypeptide hormones playing a role in metabolic homeostasis. Their plasma levels are inversely (adiponectin) or directly (resistin) correlated to obesity (and in a patients with type 2 diabetes mellitus) and they have opposite effects on insulin sensitivity. Adipocytes secretes also adipsin, factor B and factor C. In-depth understanding of the pathophysiology and molecular actions of adipokines may, in the coming years, lead to effective therapeutic strategies

Acne is a chronic inflammatory disease of the pilo sebaceous follicules. The sites involved are the seborrheic areas in sebaceous glands mainly face, upper chest, back and the shoulder areas. The usual types of acne occur puberty. Acne is rare in children and old age. Increase in the activity of sebaceous glands and occlusion of the pilosebaceous orifices are the main factors of acne pathogenesis. Androgens increase the activity of sebaceous gland in both sexes. The usual types of acne occur in some endocrine abnormality and disorders. We analyzed hormones control of the acne and its role in occurrence of acne

Cardiovascular diseases are one of the most significant social-medical problems. Having on mind their importance, the risk factors have been defined. Numerous clinical and epidemiological studies showed that deficit of magnesium in the human organism has a certain contribution in etiology, pathogenesis and evolution of cardiovascular diseases. RASKO, Rakovica's study of cardiovascular diseases, found out that these diseases are more frequent at the locations where
soft water with decreased content of magnesium is being used as drinking water. Magnesium is an integral part of about 300 enzyme systems in which catalyst's role have adenositriphospathase as Mg-ATP, a part of NaKATP-ase, exogenous and endogenous pumps for calcium, etc. A normal plasmatic concentration of magnesium is 0,8-1 mmol/l. Plasmatic level of magnesium is not directly correlated with actually content in an organism since 33% of plasmatic magnesium is connected with plasma's proteins and that's why hypoproteinemia can cause a false hypomagnesemia. The normal values of magnesemia don't exclude deficit of magnesium in an organism since PTH and calcitonin mobilize magnesium from the bones. Hypomegnesemia is caused by improper and irrational nutrition, hormone disturbances, and different conditions and diseases of an organism. Magnesium has vasodiletatoric, antianginosic, hypolipemic, antiagregatic effects. Mechanism of magnesium's effect is based on its physiological role in an organism, i.e. on correction of hypomagnesemia. In preventive and therapeutic purposes magnesium's compounds are used peroraly and parenteraly. With parenteral use the plasmatic concentrations of more than physiological 2,5-7,5 mEq/l can be attained in which case somnolentia can be appeared but not a coma nor depression of breathing. In prevention and therapy of cardiovascular diseases magnesium has a significant place in the largest number of cases as an adjuvant drug

Gout is a metabolic arthropathy caused by abnormal deposition of crystal histological they are urats (salts) of mononatrium in the joints and periatricular connective tissue. In 70% cases, decreased renal function in urats’excretion is responsible for hyperuricaemya. The other causes are mostly metabolic: increased (take in) of food wich contains mostly meat (purins) and increased synthesis of purin due to defective enzyme system (i.e. Lesch-Nyhan Sy)

With this case report we want to introduce is one rare disease, which can be spontaneonsly treat, buth it has a rare return. We present a pacient with rare febrile ulcero-necrotic variant, a possible persistent variant of PLEVA. The disease has been reprted in 20-th young adult

Diabetes mellitus is the most frequently chronical disease.In the relation on the degree of affection populations (over 150 000 000 peoples), was able speak about pandemic of this illnesses. In the orgin of insulin-indipendent diabetes mellitus, the primary role has the insuline resistence. Date from literature gives the evidence that the metformin is a drug for insuline resitence. Behaind the rest, has been proved that metformin, decrease risk factors for beginning complications this illnesses