Introduction: Obesity is one of the seven leading risk factors for the occurrence of the most common non infectious diseases. An epidemic model of the obesity prevalence increase is also present in the student population. To identify an overweight person, who has an increased relative risk status and who did not develope clinically manifested cardiometabolic disorders is a critical moment for the effective obesity prevention and treatment program. Objective: To determine the prevalence and status of relative risk of developing overweight related diseases among students at the University of Pristina-Kosovska Mitrovica. AUTORI SAŽETAK ENGLISH ORIGINALNI RADOVI Uvod: Gojaznost je svrstana među sedam vodećih faktora rizika za nastanak najčešćih nezaraznih bolesti. Epidemijski model povećanja prevalencije gojaznosti prisutan je i kod studentske populacije. Prepoznavanje osobe sa prekomernom težinom koja je u statusu povećanog relativnog rizika a kod koje se još uvek nisu razvili klinički manifestni kardiometabolički poremećaji je poslednji trenutak za efikasan program prevencije i lečenja gojaznosti. Cilj rada: Odrediti prevalenciju i status relativnog rizika od razvoja bolesti povezanih sa prekomernom uhranjenosti među studentima Univerziteta u Prištini-Kosovska Mitrovica. Metode rada: Procena stepena relativnog rizika od razvoja bolesti povezanih sa prekomernom uhranjenosti rađena je na osnovu izmerenog indeksa telesne mase (BMI-Body mass index), obima struka (WC-Waist circumference) i kombinovano BMI sa WC. Rezultati: U ispitivanju je učestvovalo ukupno 1686 studenta (44,4% muškog pola i 55,6% ženskog pola). Srednje vrednosti telesne težine, BMI i WC bile su ispod vrednosti korišćenih tačaka preseka. Status povećanog relativnog rizika od pridruženih bolesti je imalo: prema BMI-20,2% studenata (27,8% muškaraca i 14,1% žena); prema WC-12,6% (12,2% muškaraca i 12,9% žena) i prema BMI sa WC-20,2% (27,8% muškaraca i 14,1% žena). Postoji značajna razlika u stopi prevalencije koji su u statusu visokog i veoma visokog nivoa rizika u zavisnosti od metode procene (samo prema BMI i prema BMI sa WC). Zaključak: Utvrđena je visoka stopa prevalencije predgojaznosti i gojaznosti, opšte i abdominalne među studentima Univerziteta u Prištini-Kosovska Mitrovica. Oni se mogu svrstati u grupu studenata sa statusom povećanog relativnog rizika od nastanka i razvoja bolesti povezanih sa prekomernom uhranjenosti. Savetovalište za ishranu i dijetetiku u okviru Studentskog centra prema njima mora intenzivirati mere prevencije i eventualnog lečenja gojaznosti.

Introduction: Thyroid nodules are defined as limited changes in the thyroid structure. A smaller number of thyroid nodules are palpable, only 10% in women and 2% in males. The prevalence of non-imperfect nodules visualized by ultrasound exploration of the structure of the neck (thyroid incidents) is 50%. Not malignant nodes can be found in people with thyroid hyperplasia, inflammatory and autoimmune thyroid diseases, granulomas, hemorrhagic or colloid cysts. Follicular carcinomas include follicular (papillary, follicular, anaplastic and insular carcinoma) and parafollicular carcinoma (medullary carcinoma). Case report:Apatient born in 1965 appears in a family medicine clinic for heart palpitations, malaise, and mood swings. Due to right-sided vetriculomegaly, diffuse reductive changes of the brain parenchyma, sensorimotor neuropathy of the right median nerve, sensory neuropathy of the right ulnaris and radial nerve, depression and arterial hypertension, it is under the supervision of a neurologist, physiatrist, psychiatrist and cardiologist. Physical examination reveals an enlarged, squamous thyroid gland, an ultrasonographically heterogeneous calcified malignantly suspected nodule in the lower poleleft lobe, 18x15 mm in size. The patient is referred to the Department of Nuclear Medicine where an FNAB is done indicating the presence of malignant cells. At the decision of the Oncology Consulium, a total thyroidectomy is performed at the Thoracic Surgery Clinic, followed by radioiodine therapy (131-I). The histopathological findings are: carcinoma papillare lobblateralis sinistri glandulae thyreoideae gradus II-classic type, T1N0. After 24 months, the patient without signs of relapse of malignancy. Conclusion: Educating family medicine physicians in the field of thyroid ultrasound diagnostics and incorporating it into everyday practice would allow significant advances in the diagnostic evaluation of thyroid nodules at the primary care level.

Introduction: Hypersensitivity pneumonitis is a complex pulmonary syndrome mediated by the immune system and caused by inhalation of antigens to which the patient has been previously sensitized. From the clinical point of view hypersensitivity pneumonitis can be divided into acute/subacute, and chronic phenotypes. It is characterized by an insidious onset of cough, dyspnea, fatigue, and weight loss that develop over several weeks to a few months. Case report: A 52-year-old patient came in February 2017 with high temperature, chest tightness, dyspnea, persistent cough, hemoptysis and weight loss of more than 6 kilograms. Radiography and computerized tomography showed poorly defined small diffuse centrilobular bilateral nodules. Inspiratory crackles were detected by physical examination. Routine laboratory tests were regular. Bronchoalveolar lavage fluid analysis and lung biopsies by video-assisted thoracoscopic surgery indicated the presence of diffuse lymphocytic infiltrates and giant cells with non-necrotizing granulomas and cellular bronchiolitis. Hypersensitivity pneumonitis diagnosed. She was given 35 mg deflazacort, bronchodilators to widen the airways and etamsilat pills. We did not identify the causative agents, including home, workplace and recreational environmental factors.Conclusion: Making the correct diagnosis has critical therapeutic and prognostic implications. Patients with hypersensitivity pneumonitis should be referred to expert centers, as the overlap with other forms of interstitial lung disease may be deceiving. The mainstay in managing this illness is to avoid the causative antigen, though complete removal is not always possible.

Melanoma is the most aggressive skin cancer that has a tendency of early lymphatic and hematogenous metastasis. Surgical excision constitutes as a methods of treatment. Early diagnosis is the key to successful treatment of melanoma, which is primarily associated with Breslow and Clark grading. The aim of this study was to investigate these and other prognostic parameters such as the age, the gender and the anatomical distribution of melanoma, macroscopic and histological type of melanoma, the size and the remains of the tumor tissue at the surgical margins. We analysed biopsy material of Institute of Pathology, Faculty of Medicine in Pristina from 2004 to 2017. year. We found that melanoma were more common at older men (average age of 68.5 ± 14.6 years), most common location was back, head and neck, upper and lower extremities, where were frequent occurrence of metastasis (Clark IV). Larger tumors require a wider excision. The greatest incidence was nodular type melanoma and predominant histological were epitheloid type melanoma. Between the size of the tumor masses and the depth of invasion there were no statistically significant positive correlation, which leads to the conclusion that the Clark and Breslow can be used as prognostic factors because they are mutually comparable.

Introduction: Some psychosociodemographic and characteristics of pregnancy and childbirth have been associated with
the onset of postpartum depression in the literature.

Aim: To examine certain psychosociodemographic and characteristics of pregnancy and childbirth as potential risk factors
for the onset of postpartum depression in the early postpartum period. Material and Methods: The study involved 120 subjects, which included the use of the Edinburgh Postpartum Depression Scale and a sociodemographic questionnaire constructed for the purposes of this study, in the early postpartum period.

Results: Of the total 92 (76.7%) subjects were not depressed, while 28 (23.3%) had depression. The high risk of postpartum depression correlates with: postpartum weight gain, subjective experience of lack of freedom, fear that she would be abandoned (p <0.05), as well as having frequent quarrels, mentioning a divorce or divorce, and a temporary separation, poor relationship with the parents on both sides and poor general family atmosphere (p <0.001). A statistically significant risk of depression was also found in the group with complications during childbirth, unplanned pregnancy (p <0.001), as well as alcohol and cigarette consumption during pregnancy (p <0.05).

Conclusion: The risk of postpartum depression can be detected by applying the EPDS scale in the early postpartum period. Early detection of potential risk factors can significantly prevent the onset of postpartum depression and significantly affect the central psychological process in the postpartum period, which is related to the development of an emotional relationship between mother and child.

Introduction: Acute myocardial infarction is a common and urgent disease with potentially poor prognosis, so the examination of the quality of life of diseased and all factors that affect it are very important. Objective of the paper is to examine the impact of the characteristics of the health issues, thelength of time since the myocardial infarction as well as the comorbidity to the quality of life of diseased of myocardial infarction.

Methods: In order to assess the impact of acute myocardial infarction on the quality of life of diseased, a retrospectiveprospective study was conducted, designed as a cross sectional study. The followingwas used during the research: sociodemographic questionnaire, questionnaire for assessment of health status, comorbidity and characteristics of health issues of patients and Short Form 36 Health Survey, i.e. SF-36. Statistical analysis of data was made using the SPSS software statistical program.

Results: The study covered 175 subjects, of which 113 (64.6%) were male and 62 (35.4%) female. In relation to the time of diagnosis of AMI in 29.7% of subjects, the diagnosis was set in the last month, while in the remaining 70.3% it was diagnosed in the last year to a month. The highest number of respondents (68.6%) felt a strong pain before reporting to a healthinstitution for treatment, 63.4% of the respondents had cardiovascular comorbidity and the highest number of respondents (83.4%) has diagnosed arterial hypertension. Physical functioning (65.48: 81.42) (t = -6.841; p = 0.001), limitation due to physical health (51.44: 76.62) (t = -7.364; p = 0.001), the presence of bodily pains (35.88: 57.05) (t = - 7.943; p = 0.001), general health (59.04: 75.75) (t = -7.277; p = 0,001), vitality (52.78: 56.99) (t = -4.796; p = 0.001), social functioning (39.42: 63.31) (t = -7.099; p = 0.001), limitation due to emotional problems (33.97: 61.51) = -6.693; p = 0.001) and mental health (36.69: 53.97) (t = -7.714; p = 0.001) are domains in which there is a high statistically significant difference in mean values between groups of subjects compared to the time of diagnosis, whereby respondents which diagnosis was set in the last year to a month have statistically significantly better quality of health compared to those which diagnosis was set in the last month. When it comes to a common measure of physical health and mental health, a group of subjects diagnosed in the last year to a month also showed statistically significantly better results than respondents in whom AMI diagnosis was found in the last month (t = -4.152; p = 0.001; t = -7.147; p = 0.001).

Discussion: The quality of life related to health is significantly lower in subjects diagnosed with AMI in the last month compared to respondents who have been diagnosed in the last year to a month and between groups of subjects of different sexes there is no statistically significant difference in any of the quality life domains related to health. When it comes to the age of respondents, HRQOL is significantly higher in all domains of physical and mental health in the younger group of respondents.

Conclusion: Myocardial infarction affects the quality of life of the diseased,which is significantly better in the younger age group compared to the older respondents, and does not differ in relation to gender. The quality of life of patients with myocardial infarction differs in relation to the time since myocardial infarction and those diagnosed with AMIduring the reception to the hospital in the last month have significantly lower quality of life compared to subjects with AMI diagnosed in the last year to a month. The quality of life of patients with myocardial infarction is worse if the health issues are more expressed and there is comorbidity.

A case of a patient is shown, who was admitted for neurological exploration, with clinical manifestations of the cerebrovascular accident in the posterior circulation (TIA V-B vascularisation). In accordance with diagnostic protocol, an endocranial CT was performed. The results of the brain CT indicated an existence of an alteration in the right pontocerebellar angle area, which was subsequently diagnosed as a n. vestibularis schwannoma in an NMR examination. After a neurosurgical deliberation, the patient was treated with a gamma knife. After this surgery, which was done in a local anesthesia, the patient's condition was well and he was discharged. Control examinations have shown minor difficulties during the stimulation of the left ear auditive structures. Control examinations involving NMR showed no signs of recidivate focal findings.