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Volume 53, Issue 4, 2025
Online ISSN: 2560-3310
ISSN: 0350-8773
Volume 53 , Issue 4, (2025)
Published: 30.06.2025.
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Contents
30.06.2025.
Professional paper
ISPITIVANJE UTICAJA ŽIVOTNOG STILA NA PRIMARNU DISMENOREJU
Uvod: Dismenoreja predstavlja često ginekološko stanje koje pogađa oko 45-90% žena. Prema podacima Svetske Zdravstvene Organizacije i do 90%
mladih devojaka starosti 10-20 godina ima neki oblik dismenoreje. Danas se pod dismenorejom podrazumeva širi pojam koji se može manifestovati od
nelagodnosti pa do jakog bola po tipu spazma u maloj karlici (porekla uterusa) sa radijacijom u donji deo leđa koji je često praćen drugim
simptomima, kao što su znojenje, glavobolja, mučnina, povraćanje, dijareja i drhtavica. Kod nekih žena dismenoreja izaziva relativan diskomfor dok
kod nekih dovodi do ozbiljnog narušavanja kvaliteta života, odsustva sa posla, iz škole, socijalno povlačenje i dr. I pored jako visokog procenta žena
koje se suočavaju sa ovim problemom, velika većina ne posećuje lekara, nedovoljno je ispitana i samim tim neadekvatno lečena.
Cilj: Cilj ove studije bio da se utvrdi povezanost različitih elemenata stila života, ponašanja i navika na pojavu i težinu primarne dismenoreje.
Materijal i metode: Ova prospektivna studija sprovedena je na Medicinskom fakultetu Univerziteta u Prištini sa sedištem u Kosovskoj Mitrovici u
šestomesečnom periodu. Studija je podrazumevala anketiranje studentinja svih smerova Medicinskog fakulteta. Kriterijumi za uključivanje u studiju
su bili: starost ≥18 godina i srpski kao maternji jezik. Kriterijumi za isključivanje iz studije su bili: dokazana ginekološka oboljenja, psihička i
hronična oboljenja koja mogu biti uzrok tegoba sličnih dismenoreji, odbijanje učestvovanja ili popunjavanje manje od 90 % upitnika. Opštim
upitnikom su prikupljeni socioepidemiološki podaci, lična, porodična i ginekološka anamneza kao i životne navike u smislu ishrane, fizičke aktivnosti,
konzumacije cigareta i alkohola kao i navika vezanih za san. Ispitaice su takođe popunjavale Skalu simptoma dismenoreje (Dysmenorrhea Symptom
Interference Scale) – DSI kojom se ispituje uticaj simptoma dismenoreje na svakodnevno funkcionisanje i kvalitet života. DSI skor varira od 1 (blage
tegobe) do 9 (izražene tegobe i oštećen kvalitet života).
Rezultati: U studiju je bilo uključeno 350 studentkinja koje su u proseku imale 20,58 +/- 1,97 godina života. Najveći broj ispitanica je imao regularne
menstrualne cikluse, bez prethodnih trudnoća, dok je hormonsku kontracepciju koristio mali procenat ispitanica. Naše ispitanice nisu imale veoma
izražene simptome dismenoreje (prosečni DSI skor 2,45 +/- 0,96 dok je 7,44% ispitanica imalo DSI≥4). Regresiona analiza je pokazala da je viši DSI
skor povezan sa pušenjem, kratkim snom i lošim kvalitetom sna, neredovnom ishranom sa samo jednim do dva obroka na dan naročito ako je doručak
više od dva sata nakon buđenja kao i činjenicom da isitanica jede više kada je sama i u miru, konzumacijom crvenog mesa i slatkiša kao i gubitkom
više od 10kg u poslednjih 5 godina. S druge strane, DSI skor je bio niži kod ispitanica koje više jedu kada su u društvu i kod onih koje konzumiraju
sveže povrće.
Zaključak: Rezultati studije su pokazali da stil života, ponašanja i navike mogu uticati na pojavu i intenzitet dismenoreje.
Ključne reči: dismenoreja, životni stil, pušenje, fizička aktivnost, ishrana
Dejan Mihajlović, Jelena Dotilić, Momir Dunjić
01.12.2020.
Professional paper
Examination of early adaptation of newborns small for gestational age
Introduction: Children with low body weight for gestational age are five times more likely to die in the neonatal period and 4.7 times more likely to die in the first years of life compared to children born at term. The aim To analyze early adaptation to extrauterine life of low body weight for gestational age. Material and methods: Retrospective study with the observation period January-September 2018. The data were obtained by reviewing the medical histories of newborns. As parameters of early adaptation, we observed the Apgar score in the 1st and 5th minute as well as the presence of polycythemia at birth. Results: Out of a total of 405 newborns, 52 had low body weight for gestational age. Apgar score in the 1st and 5th minute was statistically significantly lower in children small for gestational age compared to children with normal body weight for gestational age (p <0.05). Polycythemia is a mechanism of adaptation statistically significantly more often present in children of small body weight for gestational age (p <0.05). Conclusion: Children of low body weight for gestational age have a lower Apgar score in the first and fifth minutes as well as more frequent polycythemia compared to children with normal body weight and we can take them as good indicators of adaptation to early extrauterine life.
Zlatko Noveski, Dejan Mihajlović, Tatjana Nikolić, Zoran Petrović
01.12.2019.
Professional paper
Frequency and histological-cytological correlation of premalignant and malignant changes in the cervix in women of different ages
Introduction: Cervical cancer is the fourth most common and accounts for about 6.6% of all cancers in women. Aim: The aim was to determine the frequency of premalignant and malignant changes in the cervix, to examine the histological-cytological correlation of premalignant and malignant changes in the cervix and the correlation of the women's age with the stage of cervical disease. Material and Methods: A retrospective study analyzed 186 cervical biopsy specimens and cervical smears (Papanicolau test) at the Institute of Pathology of the Faculty of Medicine in Pristina, based in Kosovska Mitrovica, over a three-year period from 2016 to 2018. Results: Of the 186 subjects, 62 had mild premalignant changes of type LSIL, 22 HSIL, and as many as 20 (10.75%) cervical cancer. There was a statistically significant positive association between histological and cytological findings (r = 0.854; p <0.001). There was a statistically significant difference in the age of the subjects with regard to histological findings (F = 11,327; p <0.001). Subjects with HSIL were significantly older than those diagnosed with cervicitis chronica (p = 0.029). Subjects diagnosed with planocellular carcinoma were significantly older than women with cervicitis chronica (p <0.001) and LSIL (p <0.001). Conclusion: There is an increasing trend of cervical cancer in Northern Kosovo and in the Serbian enclaves in central Kosovo and Metohija. Subjects with cervical cancer were significantly older than subjects with mild premalignant cervical changes. There is a significant histologic-cytological correlation of cervical findings, so we believe that more massive cervical screening, especially in younger women, could reduce the incidence of premalignant and malignant diseases of the cervix.
Dejan Mihajlović, Zoran Bukumirić, Nenad Šulović, Goran Relić, Slaviša Stanišić, Saša Cvetković, Momir Dunjić, Tanja Mirković, Milica Milentijević, Novica Đoković, Mirjana Stojanović-Tasić