Introduction: Primary mediastinal large B cell lymphoma is a rare highly aggressive form of non-Hodgkin lymphoma and occurs in 5-7% of all diffuse large B lymphoma and 2% of all non-Hodgkin lymphomas. Originates from thymic medullary cells and has its own histogenesis. Typically affects young women in the third and fourth decade of life. Superior vena cava syndrome is present in more than 50% of cases, with swelling of face, hands, deep venous thrombosis, dyspnea, dysphagia, chest pain, headache and cough. Diagnosis is made by histopathological analysis and immunohistochemical surgical biopsy specimens obtained mediastinoscopy. Timely treatment with cycles of monoclonal antibody and chemotherapy is requirement to relapse and stable state.

Case outline: Patient, 37 years old, came for the first time for review at General practice because she has been repeatedly visited emergency service due to coughing, feeling that something is strangling, the lack of air pressure and pain in the head and swelling of face and neck. Started detailed diagnostics. Radiologically determined mediastinal tumor, computed tomography confirmed it and sent to the referral Institute where video-assisted thoracic surgery and patho histology diagnosed PMBCL CSII AM +. Administered six cycles of rituximab, cyclophosphamide, doxorubicin, vincristine and prednisolone therapy protocols submitted by the expected side effects. Control positron emission tomography found that the tumor mass completely withdrawn. In remission for two years, have a good feeling and occurs at regular checkups.

Conclusion: General practice has a big responsibility in recognizing early symptoms of malignant disease that accelerates
the diagnosis and timely start of treatment.

Hypoglycemia is defined asplasma glucose level sufficiently low to result in neurological damage. In the new-born age, the incidence of hypoglycemia ranges from 0.4-11.4%. Etiologically, low levels of plasma glucose can result from the hormonal or metabolic disorders; high doses of insulin, drug poisoning, liver disease or systemic disorders. The most common cause of severe and permanent hypoglycemia in the neonatal age group is congenital hyperinsulinism - the result of pancreatic cells hyperplasia and/or adenoma. Between two and five years of age, the most common form of hypoglycemic state is ketotic hypoglycemia of childhood, caused by limited amount of substrate. Diagnostic criteria include biochemical confirmation of low of glucose and/or high insulin levels, blood hormone testing (epinephrine, cortisol, growth hormone, glucagon levels), as well as metabolic screeningfor gluconeogenesis, glycogenolysis, and lipolysis disorders and disarrangements of fatty acid oxidation. Therapy is directed towards the substrate supplementation and the application of medications and fuels aiming atrapid attainment of normoglycemia (fruit juices, parenterally applied glucose and dextrose, glucagone, corticosteroid therapy); diazoxide and somatostatin therapy is indicated for patients with hyperinsulinemia.

Correlation of fillings on the tooth and changes in the tissues having direct contact with the tooth aroused keen interest amongst many professionals. Irregularly shaped fillings can damage the periodontal tissues. The primary indicator of the validity of the dental work is its ability to ensure the preservation of normal physiological status of the tissue, primarily gingival, alveolus and periodontum. The main purpose of this paper is to make histological assessments of the tissue of the interdental region before and after correction of irregular filling in experimental animals. The research was conseived as a histiological study with experimental animals ( rabbits). The tested teeth were divided into two groups: a) the experimental group consisted of teeth with irregular fills, and b)the control group consisted of teeth with regular fillings and healthy teeth. The experiment carried out under general anesthesia. The experiment was being monitored over 12-month period. Having been expired the first part of the experiment , after 6-month period, in experimental animals, it was carried out the second part of the one consisting of the correction of irregular fillings. The second part of thhe experiment was closely monitored a month, three and six months after the correction of irregular filings. After sacrificing the animals, tissue was prepared for histological analysis. Histological analysis showed changes in the periodontal tissues prior to correction of irregular fillings and significant improvementof the tissue of the interdental region after correction of the same ones. The pathological changes occuring in the periodontal tissues are not irreversible since after correction of irregular filligs are being lost mainly.

Introduction: One of the basic tasks of the orthodontist is to establish a proper dental array, to provide a favorable mastication function and an adequate appearance of the maxillofacial complex.Aim: The aim of this paper was to determine whether the values obtained from Moyers' tablets within the 75% probability correspond to the values the width of the side segment measured on our population. Subjects and method: The study included 60 people with a constant dentition of age from 15 to 18 years (30 men and 30 women). Results: The total tooth width of the side segment in the upper and lower jaw obtained from Moyers's analysis is significantly higher than Our findings, regardless of gender, with an average of about 1mm. Conclusion: We have defined the new regression equations for calculating the size of the C-P2 segment for the upper and lower jaws especially for men and especially for females.

Introduction: Radiological diagnostics is the dominant diagnostic discipline in medicine. The level of technical equipment of radiological departments directly affects many aspects of importance for the diagnosis of a large number of pathological conditions and, therefore, the progress in the treatment of patients. Aim: The research analyzes the existing situation in radiological cabinets on the territory of AP Kosovo and Metohija. Particularly important elements will be analyzed for the functioning of the radiology service. An analysis of the obtained results gives recommendations in order to improve radiological diagnostics. Metods: A survey was conducted to obtain relevant data. A questionnaire consisting of segments containing basic elements for determining patients' accessibility criteria, equipping the cabinet with equipment and employing professional staff was designed. This formulated questionnaire was sent to radiological departments in health institutions on the territory of AP of Kosovo and Metohija, which are part of the Ministry of Health of the Republic of Serbia. Results: The highest percentage of radiological equipment is represented in KBC Kos. Mitrovica and KBC Pristina-Gračanica, a total of 54%. The percentage of medical staff is at KBC Kos Mitrovica radiologist 50%, work technician 36%. This is followed by KBC Prishtina-Gračanica with 25% radiologists and 27% of radiological therapists. Conclusion: The basics of radiological diagnosis are conventional x-ray techniques. Tertiary health care does not adequately possess radiological high-tech modes of computerized tomography and magnetic resonance. Staff training is required in order to re-establish existing knowledge and skills development that are followed by the continuous professional development of technology applied in radiological practice.

Introduction: patients undergoing hemodialysis has numerous ophthalmological complications. Aim: To explore if the dry eye disease incidence, in patients undergoing hemodialysis, exists and if its frequency is greater compared to the healthy subjects. Methods: A total of 126 patients undergoing hemodialysis as well as 23 healthy subjects underwent complete ophthalmological examinations. The dry eye disease tests were performed in the patients undergoing hemodialysis: Schirmer test, Tears Break Up Time (TBUT) test and “Red eye syndrome”. Results: Comparing findings of dry eye disease parameters in patients undergoing hemodialysis vs. healthy subjects findings were the following: Schirmer’s test results 52,78% vs. 36,36%, (χ2 = 4,02, p=0,0448, p<0,05) and “Red eye syndrome” 38,10% vs 19,05% ( χ2 = 5,69, p=0,0170, p<0,05), while the TBUT test has shown pathological results in 38.89% of undergoing hemodialysis patients. Conclusions: Dry eye disease is significantly more frequent in patients undergoing hemodialysis than in healthy subjects.

Introduction: Dental related oral mucosal lesions are most often complications of wearing removable dentures. Painful lesions treatment beside removing ethiologyical factor is symptomatic therapy. Recent investigations of ozone have reported that ozone can induce the wound healing. Case raport: A patient with three ulcerative lesions subsequently developed as a result of wearing implant retained overdenture were included in the study. Each lesion recived conventional care whereas tested lesion recived topical gaseous ozone therapy additionaly. Ozone was applied directly on the musocal lessions for three times in 1 week (baseline-1.day-3.day). The basic result were changes in greatest dimension of every lesion from first treatment and at days 1 and 3. Conclusion: The current case report showed positive effect of gaseous ozone on accelerating the process of healing and pain reduction but future clinical studies are needed to confirm these findings.

There were 351 drug addicts examined post mortem from 2006 till 2015 at The Institute of Forensic Medicine in Belgrade. In most of the cases death was accidental, caused by the use of psychoactive substances totaling 219(62,4%), followed by suicidal deaths 35 (10,0%) and deaths from traumas caused in traffic accidents. The most common manner of suicide was death by hanging (48,6%), jump from a height (28,6%), suicide by firearm (17,8%). There were no recorded suicides by overdose. The age of post mortem drug addicts where the suicide was a cause of death, did not statistically differ from others, accidental deaths, caused by the use of psychoactive substances. However, drug addicts died from traumas in traffic accident were statistically significantly younger in comparison to previous two groups. The median blood morphine levels concentration value did not statistically differ significantly in all three examined groups. Quite often there was alcohol presence in blood of drug addicts who died in traffic accidents.

Obstructive sleep apnea (OSA) is the most common respiratory sleep disorder and present the occurrence of a minimum of five interruptions in breathing and/or the decrease in ventilation for more than 50%, minimum duration of 10 seconds, during one hour of sleeping (apnea/hypopnea index -AHI) with the existence of daytime and nighttime difficulties.The diagnosis of sleep-disordered breathing is made by polysomnography testing in specialized centers. Depending on the type and severity of the disorder different therapeutic modalities are available:hygienic-dietary regimen and lifestyle, use of oral appliances (OA), noninvasive ventilation with continuous positive airway pressure (CPAP)through a mask during sleep time and surgical approach to upper airways. CPAP is a gold standard in sleep apnea syndrome treatment, especially in severe forms of OSA.A therapy of choice for mild to moderate obstructive sleep apnea and at the same time an alternative treatment for CPAP intolerance are oral appliances.A mandibular advancement device and a tongue-retaining device are in use. Simplicity, portability, lack of noise, independence from a power source, and potentially lower cost, bring potential advantages over CPAP.By increasing the volume of upper airways, the number of obstructive breathing events is being significantly reduced, and arterial oxygen saturation is being improved. A close cooperation and surveillance by medical doctor and dentist is required, from the correct choice and drafting of oral appliance, through initial patient's accommodation to treatment, to long-term follow-up of therapeutic effect in sleep medicine laboratories.