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.

Oxidative stress plays an important role in development of ulcer lessions of the rats exposed to indomethacin induced stress. It has been suggested that endogenous opioids releassed during the stress may attenuate gastric ulcer lesions. The aim of this study was to investigate effects of morpine on development of ulcer lessions, pathohistological alterations and antioxidative status in stomach of the rats exposed to indomethacin induced stress. Research was performed on adult, male Wistar rats weighting 200-230 g. Indomethacin stress was induced by intragastric administration of indomethacin at a dose of 20 mg/kg b.w. 6 hours before sacrificing. Morphine was applied intraperitoneally, in the doses of 10 mg/kg b.w. 15 minutes before indomethacin induced stress. The size of lesions in the form of petechiae and erosion, is expressed as the total surface of changes (mm2), i.e. ulcer index (UI). The pathohistological samples were analyzed by Leica DML S2 light microscope, and specific changes were photodocumented with Canon Power Shot S70 digital camera. In the homogenate of the stomach, the activity of catalase (CAT), glutathione peroxidase (GSHPx), glutathione reductase (GR) and xanthine oxidase (XOD) were measured, as well as the reduced glutathione content (GSH) and the lipid peroxidation intensity (Lpx). Morphine significantly reduced the ulcer index (UI) in animals exposed to indomethacin stress and the presence of large amounts of mucus in the stomach mucosal was established histopathologically. The use of morphine in the pretreatmant of indomethacin induced stress statistically significantly reduced the activity of all enzymes in the stomach compared to the control group, and this activity of catalase (CAT), glutathione peroxidase (GSHPx) and glutathione reductase (GR ), xanthine oxidase (XOD),as well as the lipid peroxidation intensity (Lpx), while the reduced glutathione content remained unchanged. Gastroprotective morphine activity in animals exposed to indomethacin induced stress is most likely a consequence of the strengthening of cytoprotective mechanisms rather than antioxidant action.

Quality of sleep is one of the prerequisites of health and life and work performance. During the anonymous testing by applying Pittsburgh scale, it was analyzed quality of sleep of the students of the University of Novi Sad. A total of 576 people. Results show that the quality of sleep is the best with the students of the Faculty of Sport. Students of the Faculty of Medicine have the shortest sleep, but quality of sleep is rated good. The duration of sleep is the longest with the students of the Faculty of Philosophy, and the quality is lower than in the other study groups.

Introduction: Direct and indirect pulp capping is a therapeutic procedure to preserve the tooth's vitality. The aim was to scan electron and polarization microscopy: analyze changes in cellular and extracellular components of dental pulp after direct and indirect overlay with glass-ionomer cement (GIC), determine the appearance of the dentine surface after direct and indirect pulping overlap with GIC and forms a proposal for a clinical application of preparations if it provides good and effective dentingenesis. Methods: The experiment was performed on experimental animals (domestic swine). For this research, alkaline cement was used ALFAGAL* bejz. On the teeth of the experimental group, preparations of the V class were made from the vestibular side. Twenty-two teeth were made indirectly, and twenty –two teeth directly covered with pulp. After completion of the preparation, dentin is directly covered with glass-ionomer cement (GIC) Alfagal* bejz. Through the ALFAGAL material for definitively closing cavities (amalgam) is laid. On the teeth where the perforation of the pulp chamber was made, ALFAGAL bejz was loaded directly into the pulp chamber, and through this the cavity was definitely sealed with GIC FUJI IX (GC Japan). Suitably prepared teeth and pulp were observed by SEM and a polarization microscope. Results: By observing and analyzing the obtained results, on a polarization and scanning electron microscope compared to the control group, results were obtained which can have a significant clinical implication in the biological treatment of the pulp. Alfagalbejz is directly applied in the pulp chamber: the boundary between newly developed reparative dentine is detected in the normal dentine structure, amorphous dentine, reproduction of connective tissue cells without pro inflammatory reactions and initial dedifferentiation in odontoblast, young blood vessels and cells (fibrocytes, histiocytes and fibroblasts) are observed. Indirectly applied Alfagal* bejz indicates the presence of different maturation stages of dentin, dentinal canals are clearly visible with a normal dentin structure, zero amorphous dentine and immature dentine structure are observed as well. The presence of an amorphous calcite of the dentine structure indicates the initial creation of a solid tissue barrier, which is the goal of the experiment. Conclusion: The results obtained by experimental research suggest ALFAGAL bejz as a good material for the direct and indirect overlap of the pulp.

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.