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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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01.12.2015.

Professional paper

Mechanisms of injury of pedestrians in road traffic accidents

Determination of direction of car impact on pedestrian is complex interdisciplinary biomechanical analysis, which sintetize the work of legal medicine and traffic engineering professions. Injury characteristics depends on constitution and position of pedestrian, and type of passenger car. There are different mechanisms of injury arising from sum of effect of complex mechanical forces, from motion and impact on human body. Results are showing that new generation car, with aerodinamic wedge front, favorize occurrence of hyperextensive injuries, while speed presents dominant factor of intensity of injuries. In modern traffic conditions, we found multiple reduction of number of deaths of pedestrians in road traffic accidents.

Miroslav Milosevic, S. Savic, S. Matejic, Z. Mihailovic, V. Jaksic

01.12.2015.

Professional paper

Effects of the toluene and methanol extract of Senna (Cassia angustifolia Vahl) on viability and proliferation HeLa cells

Senna (Cassia angustifolia Vahl.) is used in food and pharmaceutical technologies as officinal drugs and natural laxative. The aim of the study was to investigate the effect of toluene and methanol Senna extracts on the viability and proliferation of HeLa cells. The senna leaves were extracted in Soxhlet's extractor and obtained toluene and methanolic extracts were used for determination of effects on viability and proliferation. Cytotoxic effect of different concentrations (0.1%, 0.01%, 0.001% and 0.0001%) extracts was investigated in HeLa cells in vitro. MTT test showed significant cytotoxic activity for toluene extract, especially the concentration of 0.1%, while the tested concentrations metanolic extract did not show cytotoxic activity.

A. Rančić, J. Tomović, P. Vasiljević, M. Aleksić, M. Jušković, S. Najman, Nedeljko Manojlović

01.12.2015.

Professional paper

Risk factors for Toxoplasma gondii infection in women of reproductive age in northern Kosovska Mitrovica

Introduction: Toxoplasma gondii is one of the causative agents from the groups of TORCH infections, which are commonly associated with congenital anomalies. Objective: Defining risk factors for infection byToxoplasma gondii of women in reproductive ages in the territory of Kosovska Mitrovica, as well as determination of seroprevalence of infection by Toxoplasma gondii in prenatal screening of pregnant women and women of childbearing age. Materials and Methods: Across sectional study that included 49, pregnant women and women of childbearing age has been conducted. The pregnant women have been monitored on regularly base, or some women have been treated in the Gynecology and Obstetrics Department of the Health Center in Kosovska Mitrovica. Ages, place of residence, education, gynecological history and exposure to the potential risk factors associated with Toxoplasma have been collected by questionnaires. Sera have been tested on the presence of IgM and IgG antibodies to Toxoplasma gondi by ELISA standard manufacturer's protocol (Euroimmun, Luebeck, Germany). Results: Our study shows that 32 (65.3%) women were seronegative, while 17 women (34.7%) were seropositive. Significant seropositivity has been recorded for the women who were in contact with the ground (42.9%), compared to the women who did not have this contact (23.8%). Uses of undercooked meat in the diet did not show any effect to the seropositive status of the respondents, i.e. greater percentage of analyzed patients (75.5%) used inadequately cooked meat. Even 93.3% of respondents deny contact with a cat. It is observed that seropositivity increased with the age. Conclusion: Seroprevalence to Toxoplasma gondii infection of women of childbearing in the territory of northern Kosovska Mitrovica is not high, which implied that there is a higher possibility for acquiring primary toxoplasmosis infection during pregnancy especially for women who come in contact with the ground

Jelena Aritonovic-Pribakovic, N. Katanic, R. Katanic, A. Ilic, V. Minic, M. Relic, A. Milic, B. Stolic

01.12.2015.

Professional paper

Psychogenic non-epileptic seizures as a frequent diagnostic problem

Introduction: Psychogenic non-epileptic seizures represent a paroxysmal event followed by a sudden change of behavior, cognition or consciousness, mostly of short duration, which resemble or can be understood as epileptic seizures. They occur in persons without epilepsy and in patients with epilepsy. They are not associated with abnormal EEG discharges because their cause is a psychic disorder. Case report: A 20-year-old patient has been suffering of occasional “morning short-lasting jerking hand movements, staring and fainting” since the age of 14 years. Beside a symptomatic anamnesis for epilepsy and non-specifically changed standard EEG, antiepileptic therapy (valproate and lamotrigine) was introduced. Because of non-response to antiepileptic therapy, the patient was forwarded for further clinical examination involving video EEG telemetry, which indicated that this was a case of psychogenic non-epileptic seizures. A successive withdrawal of antiepileptic drugs was initiated, and also, a psychologist and psychiatrist were included into treatment, which resulted in the reduction of seizures and improvement of the patient's general condition. Conclusion: Psychogenic non-epileptic seizures represent a frequent diagnostic problem requiring team's work, while the video EEG telemetry is the method of choice for diagnosis.

Fadil Škrijelj, Z. Doličanin, J. Nurković

01.08.2015.

Professional paper

Quality of life and dermatovenerology

Quality of life (QoL) is used in the natural and social sciences as a relatively new category which deserves more attention in research. Quality of life related to health is a term commonly used when QoL on health. An increasing number of research studies that are based on an examination of the QoL. This paper analyzes the concept of the QoL, the possibilities of measuring the QoL, a special emphasis is placed on measuring QoL in dermatovenereology. Given that the skin disease are of particular significance for the patient, the said indices are dermatologically quality of life, especially the quality of life of patients dermatological (DLQI).

M. Relic, Z. Timotijevic-Sojevic, T. Radevic, L. Dejanovic, N. Relic

01.12.2015.

Professional paper

Distribution of high-risk types of human papillomavirus compared to histopathological findings in cervical biopsies in women

Introduction: In over of 99% cases of cervical cancer its appearing is preceded by persistent cervical epithelium infection caused by high-risk oncogenic types of human papillomavirus (HPV). The aim of the study was to examine the distribution of high-risk oncogenic HPV types compared to patohistological diagnoses of cervical diseases in women. Materials and methods: The study included 56 women with suspected premalignant and malignant cervical lesions, due to suspected colposcopic and cytological findings (Papanicolaou test). The HPV typing by "in situ" hybridization method on high-risk HPV types 16, 18, 31 and 33 was performed in all patients from cervical smear as well as cervical biopsy. Histological findings of cervical biopsy was a "gold standard" in the analysis of materials. Results: Histologically detected premalignant or malignant changes of the cervix were found at 34 (60.7%) of all 56 examined women: 17 of them had LSIL, 13 of them had HSIL, while 4 had squamous cell carcinoma. A positive HPV test had a 47 (84%) of them with a prove of the presence of one or more types of HPV. The most common type of virus was HPV 16 and it was detected in 27 (48.2%) women, followed by HPV 31 that was detected in 26 (46.4%) women, HPV 18 in 18 (32.1%) of women and HPV 33 in 4 (7.1%) women. The infection caused by oncogenic type HPV16 was significantly more frequent in patients with HSIL and cervical cancer (p<0,001), while the infection caused by oncogenic type HPV 31 was significantly more frequent in patients with LSIL and cervicitis (p=0,003). The distribution of HPV 18 and HPV 33 types was not statistically significantly different in patients with different histological findings (HPV 18, p = 0.41; HPV 33, p = 1.0). Conclusion: Based on our results we can conclude that there is a good correlation of HPV infection with pre-malignant cervical lesions and cervical cancer. The incidence of HPV type 16 infection increased with severity of cervical lesions and it is usually detected high-risk oncogenic type virus in women with severe cervical lesions type like HSIL and cancer are. HPV 31 is the most common high-risk type of HPV of mild type lesions, like LSIL and cervicitis are. We believe that women infected by high-risk oncogenic HPV types, although without histologically diagnose of cervical lesion, should be more frequent controle by colposcopy and cytology (Papanicolaou) test, because of possible disease progression to a more advanced level.

Leonida Vitković, Ž. Perišić, G. Trajković, M. Mijović, S. Savić, S. Leštarević, B. Đerković

01.12.2015.

Professional paper

Chemical risk factors responsible for the formation of wedge-shaped lesions

Introduction: Non-carious tooth substances loss pose a major health problem of a modern man. The literature often collectively describes all non-carious lesions and is therefore difficult to compare results obtained by different authors. Chemical factors are one of the predisposing factors responsible for the formation of wedge-shaped erosions. Aim: Examination of chemical risk factors as one of the predisposing causes responsible for the formation of wedge-shaped lesions. Method: We examined 62 patients with wedge-shaped erosions (mean age 45.52 ± 12.03 years, 58.1% of men) and 60 patients without erosions in the control group (mean age 34.40 ± 9.28 years, 60% men) . The entire examination was completed by using a questionnaire at the Dental Clinic of the University of Pristina - Kosovska Mitrovica. salivary pH was measured by the pH meter. Results: The results show that the wedge-shaped lesions often occur equally in both men and women. Considerably often it might appear in older people but can also occur in teenagers. Patients with wedge-shaped erosion have increased acidity of saliva, a heightened sense of acid in the mouth and consume a lot more carbonated drinks compared to patients without erosions. Conclusion: Wedge-shaped lesions are more common in people older than 40 years. Taking into account the results obtained in this study it can be concluded that the chemical risk factors truly fall within the predisposing factors that may be responsible for the creation of wedge-shaped erosions.

Dejan Peric, M. Zivkovic, V. Matvijenko, Lj. Subaric, D. Zivkovic, D. Jovanovic

01.12.2015.

Professional paper

Our experience with the surgical treatment of appendicitis

Acute appendicitis is the most common surgical disease in the pathology of the population. Incidence in the general population is 6%. In the period from 15.01.2002 to 08.16.2014 as any 627 appendix which je12,4% of the 5055 total patients. Prevalent patients males 55.5% compared to 44.5% female. According to the age of the children present in 393 (68.47%) and 181 adults (31.53%). The greatest incidence is in children aged age group of 15-20 years, 131 (23.06%). In the adult group the highest incidence is represented in the third decade of 21-30 years, with 77 (13.4%). The most common disease of acute appendicitis is in the second decade of the 258 cases (44.9%). Intraoperative pathomorphologically highest incidence wearing Appendicitis phlegmonosa with 317 (52.1%). Peritonitis acuta is the most common complication of severe forms of appendicitis acuta 231 (71.96%). Anterograde apendectomia was performed in 532 (87.5%) patients and retrograde in 76 (12.5%). Abdominal drainage procedures were performed in 145 (23.85%) patients. Postoperative complications 6 (4.68%). Surgical wound infection 4. Fistula appendicularis 1 (3.12%). Mortality 1 (0.16%).

Slobodan Arandjelovic

01.12.2015.

Professional paper

Significance of echotomography in the diagnostic algorithm for acute pyelonephritis and glomerulonephritis

Introduction: In adults the diagnosis of acute pyelonephritis and glomerulonephritis is primarily based on clinical and laboratory-biochemical testing. In patients where the clinical picture atypical, even if a person does not respond to therapy resorts to radiographic examination. Echotomographic examination is unavoidable in the diagnostic algorithm. Objective: The aim of this study was to establish the individual echotomographic parameters, as well as to determine their diagnostic power in patients with acute infections (pyelonephritis and glomerulonephritis), and comparing them with the appropriate reference tests. Materials and methods: We performed a cross sectional study in the period from October 2014. until May 2015. It included 50 patients with acute inflammation of the kidney which was made echotomographic examination of the abdomen and pelvis, within the Department of Radiological Diagnostics KBC "Dragisa Mišović-Dedinje" in Belgrade. The echotomographic examination of the kidneys included testing of numerous parameters that could indicate the existence of an acute inflammation of the kidney. For the gold standard, we take the findings obtained by CT (computed tomography) imaging of the abdomen and pelvis, as well as histopathological findings obtained by fine needle bio-psy. Results: At 50 patients with acute inflammation of the upper urinary tract, 41 patients (82%) had acute pyelonephritis, and 9 (18%) had acute glomerulonephritis. In 70% of patients with acute pyelonephritis (29 people) were present enlargement of the kidney where the test sensitivity was 79.3% and specificity of 91.7%. The accuracy of the method was 82.9% when the monitored parameters: loss of central echo complex and cortico-medullary differentiation. The sensitivity of the test in which the observed thickening of the pelvic and ureteric wall was 65% and specificity of 90%. The analysis of the presence of calculus in renal parenchyma leads to the values of sensitivity test of 54.8% and specificity of 80%. Hypoechoic focus in the renal parenchyma, enlargement of the kidneys and loss corticomedullar limits are parameters who with great sensitivity and specificity suggest acute glomerulonephritis. Conclusion: On the basis of high values of sensitivity and specificity of the test survey estimates that ultrasound has a required place in the following diagnostics algorithm. The use of echotomography that offer the possibility of high resolutive views, as well as the wide availability and good reproducibility of the method, the low cost of inspection, in favor of the first exploration ultrasound examination. Multidetector CT scan and fine needle biopsy remains the method of choice for the definitive diagnosis.

Ivan Bogosavljević, M. Gašić, T. Filipović, P. Mandić, N. Đukić-Macut, M. Šaranović, S. Stajić

01.12.2015.

Professional paper

The importance of forensic expertise in investigation of human rights violations

Introduction: Medico-legal expertise and identification of victims during the war and post war conflicts mean for The Republic of Serbia the most important humanitarian, scientific and ethical problem. Aim: Forensic investigations on territory of Kosovo and Metohija are currently going on. Material and methods: In this paper we observe all cases of Serbs and other nonalbanians who were exhumed and identified during first five years after armed conflict (2000-2005.), in few mass graves and in many single grave sites. Results. In the mentioned period of time, 280 dead bodies were exhumed and forensic team did autopsies, 111 dead bodies were identified. Conclusion: Well done forensic expertise is a prerequisite to the successful identification, but also the criminal processing of cases in the category of war crimes, which all together give a distinctive character. The research, published and presented in this paper at the identified human corpses, through the general data, identified violations, determining the cause and manner of death, as well as its origin, with all the available documentation of circumstances that led to the death is also the scientific and historical evidence of the tragic fate of the missing persons and victims.

Suzana Matejic

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