Current issue
Volume 53, Issue 4, 2025
Online ISSN: 2560-3310
ISSN: 0350-8773
Volume 53 , Issue 4, (2025)
Published: 30.06.2025.
Open Access
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Contents
01.06.2015.
Professional paper
Syndroma Stevens-Johnson - toxic epidermal necrolysis overlap associated with carbamazepine in patient with secondary epilepsy caused by brain tumor (Glioblastoma multiforme)
Stevens-Johnson syndrome (SJS) is a severe, episodic, acute mucocutaneous reaction that is most often elicited by drugs and occasionally by infections. The drugs commonly implicated as the cause of SJS are anticonvulsants, sulfonamides, non-steroidal anti-inflammatory drugs and antibiotics. Carbamazepine has been commonly implicated in SJS. We report a case of SJS-TEN overlap syndrome developing in patient who was prescribed carbamazeine after epileptic attack during radiotherapy for the purpose of treatment Glioblastoma multiforme, patients underlying disease, whose symptomatology deteriorated patients condition.
A. Vojvodic, M. Dinic, K. Kostic
01.06.2015.
Professional paper
Iside effects of salicylates (ACK), corticosteroids and imunomodulators on the gastroduodenal mucosa - medication used in rheumatoid arthritis treatment
The aim is to determine pathological -ulcero-erosive changes in the gastroduodenal mucosa (erosions, ulcers, ulcers, ulcer complications, subepithelial hemorrhage, etc.) resulting from the adverse effects of salicylates /ACK/ corticosteroid, imunoodulatora which was prescribed in the treatment of rheumatoid arthritis (RA). The test was performed on 50 patients diagnosed with RA who were on the two-year continuous therapy. When respondents were done gastroscopy and pathological macroscopic changes resulting from the gastroduodenal mucosa as a result of adverse effects of administered drugs verified. After two years of preparations ACK controlled therapy, corticosteroids, imunomodula- sector on mucosa gastroduodenal erosions were found in 81.5% of patients, gastric ulcer in 33%, duodenal ulcer with 18.5% of patients and bleeding in 44.4%.
M. Popovic, R. Dani, Lj. Stalevic
01.12.2014.
Professional paper
RECIDIVANTNA DEZMOIDNA FIBROMATOZA PREDNJEG TRBUŠNOG ZIDA I DEZMOIDNA FIBROMATOZA RETROPERITONEUMA
Dezmoidne ili agresivne fibromatoze pripadaju grupi benignih tumora koje karakteriše lokalno infiltrativan rast i sklonost recidiviranju, a koje ne metastaziraju. Prikazana je žena starosti 46 godina, koja dolazi na pregled zbog recidivantnog tumora prednjeg trbušnog zida, ranije PH verifikovanog kao dezmoidna fibromatoza. Uz tumor prednjeg trbušnog zida dimenzija 14.7x7.0x12.5 cm, CT dijagnostikom otkriven je i tumor veličine 5.8x6.2x8.8 cm u loži ranije odstranjenog desnog bubrega, koji je u bliskoj komunikaciji sa donjom šupljom venom (VCI) i desnom zajedničkom ilijačnom aretrijom (AIC dex.). Kompresija na iste je rezultirala otokom desne noge u cjelosti, koji se povukao nakon ekscizije tumora. Postoperativni tok je protekao uredno.
G. Marijanovic, Z. Terzic, M. Cmiljanic, M. Paunovic, N. Vucetic, S. Sofranac, D. Mikulic, Lj. Radunovic
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
Medicine poisoning in suicidal pathology
Introduction:Istraživanja pokazuju da svako realizovano samoubistvo prati od 8 do 25 neuspelih pokušaja. Osobe koje su pokušale samoubistvo samotrovanjem najčešće navode da su bile preplavljene osećanjima i mislima koje su im bile nepodnošljive. Želele su da pobegnu iz, za njih u tom trenutku, nepodnošljive situacije, ili su izgubili kontrolu nad sobom. Kod osoba koje su pokušale samoubistvo, trovanje lekovima, želja da zaista umru, da nestanu, javlja se retko. Češće je prisutna potreba da „samo“ odspavaju, odmore se, naprave pauzu. Cilj rada: identifikovati najčešći način pokušaja samoubistva kod oba pola ispitanika i sredstva koja su upotrebljena u cilju izvršenja samoubistva. U našem istraživanju najčešći način pokušaja samoubistva kod oba pola je trovanje lekovima - 91,1%, sečenje vena - 5,4%, skok sa visine – 3,6% ispitanika. Najčešće korišćeni lekovi su anksiolitici - 55,4%, kombinacije različitih lekova - 25,0%, antidepresivi - 8,9% , neuroleptici - 7,1%, lekovi i alkohol - 3,6%. Zaključak: najzastupljeniji način pokušaja samoubistva kod oba pola ispitanika je trovanje lekovima. Od lekova u najvećem procentu korišćeni su anksiolitici a u najmanjem procentu kombinacija alkohola i lekova. Nakon pokušaja samoubistva 90% ispitanika su osećali olakšanje što im pokušaj samoubistva nije uspeo.Kod 86% ispitanika na izbor sredstva u cilju samoubistva uticala je laka dostupnost lekova. Kod 3% ispitanika je bio ponovljeni pokušaj samoubistva i to na isti način, trovanje lekovima.
Dragan Ljusic, Filipovic Danic
01.06.2015.
Professional paper
Analysis of premature births for the period from 2009. to 2013. in Health Center Kosovska Mitrovica
Delivery before 37th week of gestation is defined as preterm, independently of body mass of babies, according to the World Health Organization. Premature birth is the current problem in the world due to the high risk of neonatal morbidity and mortality and incompletely clear etiology. In our country the frequency of preterm delivery is 6%. We have retrospectively analyzed early deliveries in Health Center Kosovska Mitrovica in the period from 2009 to 2013. In this five-year period, there were totaly 3398 deliveries, of which 148 or 4.35 % were preterm delivery. The aim of this study was to investigate the incidence of premature birth in the five-year period in relation to: the total number of births in a given period, the age of the patients, the manner of completion of delivery, gestational week of pregnancy, parity and the most common causes that led to the PTP. In the analysis we have included the body weight and Apgar score of premature infants. We have used protocols of births, maternal history of disease, neonatal protocols and lists of newborns. Most of them were multiparas (41.2 %),56.7 % of pregnant women were aged of 21-30 years and pregnancy in 79.9 % of cases ended with 33 to 37 ng. Vaginal deliveries were completed in 84.4% of premature births, and caesarean in 15.6%. Twin pregnancies with preterm deliveries were represented in 10.2%. The most common weight of premature infants ranged from 2000 to 2500 grams (48.6 %). The most common causes that led to the PTP were PPROM (22.9 %), unknown causes (27. 1 %), multiple pregnancy (18.2 %), genital infection (8.7 %), cervical incompetence (6.7 %), IUGR (5.4%), PIH (4.2%), placental abruption and placenta previa (2.1 %) and other (4.7%) .
V. Adzic, S. Galjak, G. Radojevic, G. Relic
01.06.2015.
Professional paper
Research on presence of chosen risk factors for hypertension in medical students
Hypertension represents one of the most significant preventable causes of death worldwide, and accordingly the target group for its prevention and early detection primarily refers to young population. Assessment of prevalence of selected risk factors for the development of hypertension among students, and determination of the existence of differences between genders, defined age groups and included faculties. A cross-sectional study was carried out during 2013., at Faculties of Medical Sciences, University of Belgrade. Respondents completed an questionnaire specially designed for the purpose of this study. Categorical data were analyzed using statistical chi-square test of independence. The study included 600 respondents, mainly female (61.2%), with the mean age of 53.1 ± 17.4 years. More than third of the participants (38,6%) reported the genetic predisposition to development of hypertension. Recorded modifiable risk factors were overweight (22,33%), regular extra salt intake (86,3%) and smoking (32,8%). The results of the study indicate presence of reversible risk factors in the observed population. Designing educational programs on chronic diseases during graduate studies is necessary to keep hypertension from developing at older age and mitigate the number of existing risk factors development.
M. Zeković, T. Stojković, A. Milosević-Georgiev, D. Krajnović
01.12.2013.
Professional paper
APERT SYNDROME (ACROCEPHALOSYNDACTYLY)
Apert syndrome is named for the French physician, Eugen Apert who was, in 1906. described anomalous shape of the skull with coronary suture synostosis and hypoplasia sphenoethmoidmaxillary part of the face and fingers syndactyly of hands and feet. Apert syndrome accounts for about 4,5% of all craniosynostosis. With the prevalence of 1:160 000-200 000, inherited in an autosomal dominant, and in 25% of cases are fresh mutations in the gene. This syndrome has no predilection by gender and race, varies in severity form in witch it is manifested. Anomality of internal organs are very rare, but half of the patients with this syndrome have mental retardation. Apert syndrome has no cure, but surgery can help to correct some of the problems.
J. Milovanovic, M. Cukalovic, B. Krdzic, D. Odalovic, T. Milanovic
01.12.2013.
Professional paper
KOLOR DOPPLER U DIJAGNOSTICI PATOLOŠKIH PROMENA KRVNIH SUDOVA VRATA
Kolor doppler je ultrazvučna metoda koja omogućava neinvazivan prikaz protoka krvi kroz krvni sud i analizu stanja krvnog suda, što može uputiti na poremećaj protoka i prisustvo naslaga, odnosno suženje krvnog suda. Kolor Doppler ultrasonografija nam omogućava rano otkrivanje patoloških promena krvnih sudova vrata, što doprinosi preduzimanju adekvatnih preventivnih i terapeutskih procedura u sprečavanju nastanka cerebrovaskularnog insulta. Cilj rada je da pokaže na značaj kolor Doppler ultrasonografije krvnih sudova vrata u dijagnozi patoloških promena krvnih sudova vrata. Za izradu rada korišćen je material Kabineta za kolor Doppler ultrasonografiju Doma zdravlja u Donjoj Gušterici, kroz prospektivnu studiju na slučajnom uzorku od 60 pacijenata koji su pregledani januara meseca 2014. godine. Analizom pola pregledanih bolesnika, žena je bilo 32 (53,33%), a muškaraca 28 (46,67%). Posmatrajući starosno doba pregledanih pacijenata došli smo do saznanja da je najviše njih 43 (71,67%) starijih od 50 godina, dok smo ispod 50 godina imali 17 (28,33%) pacijenata. Aterosklerotični plak smo dijagnostikovali kod 36, a promene oblika karotidnih arterija kod 29 ispitanika. Aterosklerotični plak smo najčešće našli na bifurkaciji ACC i izlazištu ACI kod 23 (63,89%). Duplex sonografija prikazuje ono što angioneurologa i vaskularnog hirurga najviše interesuje: morfologiju arterijskih lezija i hemodinamske efekte.
Sasa Mladenovic
01.12.2013.
Professional paper
KARAKTERISTIKE I ISHOD REANIMACIJE PACIJENATA KOJI SU DOŽIVELI VANBOLNIČKI AKUTNI ZASTOJ SRCA: FAKTORI POVEZANI SA PREŽIVLJAVANJEM
Cilj ove studije je bio da definišemo faktore koji bi mogli da poboljšaju ishod reanimacije pacijenata koji su doživeli vanbolnički akutni zastoj srca poštujući "Utstein" model sakupljanja podataka. U dvogodišnjoj prospektivnoj studiji ispitano je 200 pacijenata koji su doživeli vanbolnički akutni zastoj srca i faktori koji su povezani sa preživljavanjem. 78% pacijenata je doživelo akutni zastoj srca kardijalne etiologije, 65% u kućnim uslovima, 3,7% je reanimirano od strane spasilaca, 36% je zatečeno u ventrikularnoj fibrilaciji (VF) ili ventrikularnoj tahikardiji (VT) bez pulsa, 64% u asistoliji/električnoj aktivnosti bez pulsa (PEA), 52% pacijenata je intubirano na mestu nastanka akutnog zastoja srca i preživljavanje do otpusta iz bolnice je bilo značajno veće u ovoj grupi pacijenata. Prosečno vreme stizanja do pacijenata bilo je 6,6 minuta. 66,7% pacijenata je defibrilirano nakon 4 i više minuta. 131 (65,5%) pacijent je proglašen mrtvim na terenu, 69 pacijenata je transportovano u bolnicu. 53 (76,8%) pacijenta iz grupe transportovanih je umrlo za vreme transporta ili na odeljenju reanimacije, 7 je umrlo nakon prijema u bolncu a 9 je preživelo do otpusta iz bolnice. Multivarijantnom logističkom regresijom je utvrđeno da su varijable značajno povezane sa preživljavanjem: starosno doba, endotrahealna intbacija na terenu i vreme stizanja do pacijenta. Uspeh reanimacije bio je značajno veći kod mlađih pacijenata, kod onih intubiranih na terenu i kod onih kod kojih je ekipa hitne medicinske pomoći stigla u kraćem vremenskom intervalu.
S. Trpkovic, A. Pavlovic, N. Videnovic, A. Sekulic, O. Marinkovic