Fibroepithelial polyps of the vulva are specific mesenchymal lesions that are commonly found in the vulvovaginal region in reproductive period and in premenopausal females. We present a case of a 36 year old female, who came for examination because of interruption of unwanted pregnancy. During the examination we revealed a large flank mass on the stalk, which started from the right labia. Tumor formation was measuring 165x120x10mm, soft consistency, painfully insensitive to palpation. The tumor was removed by excision, cutting the stem at the base and the material was sent for histopathological examination. Histopathological findings confirmed that this is a fibroepithelial polyp of the vulva.

It is known in the literature that the incidence and prevalence of suicide and attempted suicide in psychiatric patients is significantly higher than in the general population. The paper examined risk factors for suicidal behavior in the category of admitted patients hospitalized with the diagnosis of sleep disorders and affective (Unipolar resp. Bipolar depression). Study activated by 80 patients, 40 in both diagnostic groups received treatment at the Special Psychiatric Hospital in Gornja Toponica near Nis. The work methodology used are: psychiatric interview, Hamilton Depression Rating Scale (HAMD), and the C-SSRS (Columbia-Suicide Severity Rating Scale)- assessment tool that assesses suicidal ideation and behavior. The study results show that there is a relationship between suicidal behavior (suicide attempts and suicidal ideation) and the diagnosis of bipolar affective disorder, positive history of previous suicide attempts, so that these factors are stronger, to the degree of suicidality higher. On this sample, clearly suicidal behavior, with the same purpose, intensity of suicidal thoughts and medical impairment after suicide attempts were significantly more frequent in patients with Bipolar Affective Disorder in the depressive phase of the illness. Patients with a previous suicide attempt, and poor personal and social circumstances had a higher rate of attempted suicide.

Often the only available way of checking the adequacy of HD reaching dry weight after completion of dialysis treatment or monitoring arterial blood pressure. The goal of this paper is to show whether echocardiographic index measuring inspiratory collapse VCI can further assist in assessing the state of hydration of patients on HD. Method: In a study that we conducted on the UDK in Belgrade Centre for HD at 20 toro children on HD (before and after HD) and 20 healthy children, the control group. The M mode echocardiography we measured the diameter of the inferior vena cava (VCI) and calculated the index VCI inspiratory collapse. Also, accompanied by the correlation of these parameters with the dimensions of the left atrium, left ventricular in diastolic and body weight. Results: Children were before HD was significantly higher static diameter VCI and LA diameter compared to the control group (p <0.05). Index is collapsed before the HD was be substantially lower than in the control group (p <0.05). After HD LA diameter was still significantly higher than in the control group (p <0.05). while the other parameters were not statistically be substantially different. Index collapsing VCI differed significantly before and after HD (p <0.05), examining the correlation between VCI and diameter dimensions of the left ventricle during diastole (LVD) found a statistically significant positive correlation between these two parameters in all three groups of measurements (p <0.01). A statistically significant positive linear correlation was found between the VCI diameter and diameter of the left atrium (LA) in all three of measurements (p <0.01). A statistically significant positive linear correlation was found between the diameter of VCI and body weight in children after HD and control groups (p <0.01). CONCLUSION: Index collapsing and VCI in combination with other parameters can further improve the monitoring of the state of hydration and improve the quality of life of patients on hemodialysis.

Parodontopathy is a complex disease of periodontal tissues. The patological changes that occure here are destructive and lead to gradual or progressive periodontium disease and its anatomical and functional desintegration. The aim of the research was to use the PCR method (Polimerase Chain Reaction) to identify the presence and spreading of the oral pathogen Actinobacillus actinomycetemcomitans in subgingival plaque in patients suffering from the agressive parodontopathy and then compare it to qualitative-quantitaive structure of dental plaque in patients suffering from chronic parodontopathy. The study included 70 patients, average age of 45. The identification of microorganisms in subgingival plaque was determined by PCR method. In order to comfirm the diagnosis and determine the extent of destruction of periodontal tissue the standar epidemiological criteria were used: plaque index (Silness-Lӧe), gingival index (Lӧe-Silness), SBI index (Mühleman-Son) and DPP. Extremely high statictical significance of presence of A. actinomycetemcomitans was obtained in patients with agressive parodontopathy. The presence of A. actinomycetemcomitans and P. gingivalis showed the difference in distribution in patients with chronic as well as in patients with agressive pardontopathy. In our sample A.a was detected in a high percentage of younger patients with the diagnosis of agressive parodontopathy. Higher rate of A. actinomycetemcomitans in subgingival plaque has a direct impact on the course of parodontopathy. Its detection may be a useful marker for identifying the icreased risk for developing agressive parodontopathy in patients of younger population.

Introduction: Vitamin D Deficiency (VDD) is defined as the level of 25(OH)D in the serum < 30 ng/ml. According to the contemporary research, even the slight vitamin D deficiency can adversely affect our body in many ways. Numerous studies indicate that vitamin D deficiency is very common in children. The study aimed to research the frequency of vitamin D deficiency in infants and toddlers, the connection between VDD and iron deficiency anemia (IDA), as well as the correlation between 25-hydroxycholecalciferol (25(OH)D) and haemoglobin (Hb) in the examinees. Method: The study includes 150 children, 73 (49%) newborns and 77 (51%) infants. Vitamin D status was determined through the amount of 25(OH)D in blood, using the electrochemiluminescence. Results: Vitamin D Deficiency was found in 58% of infants and toddlers (severe vitamin D deficiency was found in 16% of examinees, vitamin D deficiency was found in 23% of examinees, while vitamin D insufficiency was found in 19% of examinees). Vitamin D deficiency (VDD) and anaemia were found in 80% of examined infants and toddlers. VDD was found in 49% of newborns that were not anaemic. We have observed the substantial difference between the examinees suffering from both anaemia and VDD and the examinees suffering from VDD only. Conclusion: The highest level on anaemia was found in the children with severe vitamin D deficiency, while in the examined infants and toddlers, there was a connection between the level of 25(OH)D and Hb in the serum.

Anatomy of the female pelvic viscera was investigated before and after the Tension free Vaginal tape (TVT-O). Forty patients were included in the study. Surgery was performed between 2009 and 2012 in Clinic of Urology (Clinical Center Nis) and Department of Urology (Municipal Hospital Prokuplje). Stress Urinary Incontinence (SUI) and anterior vaginal wall prolapse was confirmed in all patients. In all patients with anterior vaginal wall prolapse (grade≥2) both tension free vaginal tape (TVT-O) and anterior vaginal wall repair were performed. Pelvic Organ Prolapse Quantification (POPQ) system was used for the evaluation of prolapse before and after the surgery. Mean age of patients was 61 years. Spinal anesthesia was performed in thirty patients and general anesthesia in 10 patients. Intraoperative blood loss was under 50 ml. There were no bladder, nerve and blood vessels injuries . Thirty eight out of forty patients (95%) were satisfied with the outcome of the surgery. There was a significant correction of prolapse after the surgery. Recurrence of prolapse was found in patients with the high grade prolapse before the surgery, as well as, in patients with the history of previous anterior vaginal repair. Pelvic organ prolapse, congenital or acquired, is supported by the congenital weakness of the pelvic floor.

In care of minimal partial edentulism, ie the lack of a tooth, as an alternative method can be used inlay retained adhesive restorations. The aim of this paper is to present possibilities for the application ceramic systems used for adhesive prosthetic restorations. In the making inlay restorations in the region of the posterior teeth can be applied ceramic system of higher strength which can be veneered with translucent ceramics. With the development of adhesive dentistry, it is possible to establish a strong link between restoration and teeth by means of composite cements and thus ensure sustainability of recovery. The clinical procedure is simple, minimally invasive, and provides a glimpse into a way of making inlay retained fixed restorations.