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
All issues
Contents
01.01.2011.
Original scientific paper
EARLY DIAGNOSIS OF MALIGNANT MELANOMA
Cutaneus melanoma is the most malignant tumor of the skin. Melanoma arises from the malignant transformation of melanocytes at the dermal-epidermal junction or from the nevomelanocytes of atypical melanocytic nevi, that become invasive and metastasize after various time intervals. Dermoscopy is a noninvasive diagnostic technique in dermato- venereology that includes the inspection of the lesion with a handheld dermoscope. Dermoscopy enables the evaluation of the specific morphological structures of the skin that are not visible to the naked eye.therefore, it links clinical dermatology and dermatopathology. The major goal is to differentiate pigmented lesions into melanocytic and nonmelanocytic lesions, and make further differentiations within each group. Furthermore, it is essential to distinguish melanoma from other me- lanocytic and nonmelanocytic skin lesions, and to diagnose melanoma and amelanotic melanoma in their early stages. Der- moscopic follow up includes long-term and short-term monitoring, and is an essential diagnostic technique in the manage- ment of pigmented skin lesions.
N. Krstic, M. Relic, T. Radevic, N. Popovic-Katanic, R. Stolic
01.01.2011.
Original scientific paper
BONE AND JOINT TUBERCULOSIS IN OUR STUDY - EPIDEMIOLOGICAL, DIAGNOSTIC AND THERAPEUTIC SPECIFICS
Bone and joints tuberculosis is a secondary infection of locomotor system, caused by a Mycobacterium Tuberculo- sis. Low incidence of tuberculosis has been maintained for a long period of time due to use of efficient chemotherapy. Howe- ver, in recent years increasing number of newly registered cases is seen, due to wide use of immunosuppressive therapy, spread of HIV, aging population. Those factors influence mycobacterium more likely to become drug resistant. The objecti- ve of the study is to review epidemiological, clinical,radiology and laboratory findings of bone and joints tuberculosis in our patients, and treatment efficiency. In 15 years of prospective study, 107 different ages male and female adult patients, were treated. In most cases spinal tuberculosis was registered (24%), then hip tuberculosis (17%), knee tuberculosis (16%) and tu- berculosis of sacroiliac joint (7%). Non operative treatment with antitubercular drugs was performed in all patients, while in 41% we used operative treatment. Early diagnosis of bone and joints tuberculosis, while treated with non operative (anti tu- berculosis drugs) and operative methods are preconditions to achieve high percentages of long term remission.
R. Grbic, M. Grbic, D. Tabaković, A. Bozovic
01.01.2011.
Original scientific paper
MORPHOMETRIC ANALYSIS GANGLIONIC STRUCTURES OF MYENTERIC NERVOUS PLEXUS FORE WALL OF HUMAN STOMACH DURING PROCESS OF AGING
Aging as continous biological process, affect all organic systems. Aging is believed to affect the structure and function of the enteric nervous system. Prymary aim these studies is to verify changes in number of neurons in myenteric nervous plexus of human stomach within relation to process of aging. In the course of research played is analysis number of neurons in myenteric nervous plexus of anterior wall stomach. Analysis was performed within 30 tissue samples which are classified into three age groups: (from 20 to 44 years, from 45 to 64 years and over 65 to 84 year old). Played is histological processing and stained with HE, Cresyl-violet, AgNO3 and AChE methods. The morphometric measures operated by morphometric multipurpose test system M42. Finding results are statistically processed by Student-t-test and analysis of variance. Discernible is very heavy loss of neurons of myenteric plexus within the oldest group in relation to younger groups. Applied test show are having statistically notable variance between age groups. In percentage, the loss of neurons in the oldest group in relation to others was from 13,81% to 15,44%.
P. Mandić, T. Filipović, N. Đukić, V. Nedeljković
01.01.2011.
Original scientific paper
CLINICAL MANIFESTATION OF SUPRATENTORIAL BRANE INFARCT COMPARED TO INFARCT ZONE LOCALIZATION
Epidemiological characteristics of acute stroke certify the great importance of such disease, which takes the measures of a mass incontagious illness, because it represents one of leading causes of death and invalidity in the world. Contemporary knowledge about the complexity of cerebral infarct has been significantly increased thanks to new imaging methods, which allows correction of clinicaly stated diagnose. The aim of our research was to determine clinical manifestation signs of supratentorial infarcts and their presence compared to anatomic localisations of lesions. 60 patients were clinicaly tested, and a computerised tomografy of brain followed, which disclosed anatomic localisation of lesions. Results have shown that the maniestation of supratentorial infarct in the AMC zone has the most neurological signs, from conscious state disorders, graver pyramid deficit, speaking disorder to hemihypesthesia and hemianopsys. Lighter neurological deficit is found in infarcts which affect AAC and APC zones, which brings to a conclusion that knowing the clinical state and without applying neuroradiological methods can imply to localisation of supratentorial infarcts.
S. Filipović, V. Mitrović, N. Petrović, D. Ljuši
01.01.2011.
Original scientific paper
CORRELATION BETWEEN DURATION AND DIAMETER OF DIFFERENT HISTOPATHOLOGICAL TYPES OF SKIN CANCER
The two most common types of skin cancer are basal cell and squamous cell carcinoma, well known as nonmelanoma skin cancers. These cancers are the most common malignant tumors in white population and its incidence is increasing
dramatically. Information about the time of occurrence and cancer growth rate is a significant segment in establishing the primary skin cancer diagnosis. The aim of this prospective study is to determine the correlation between the size of basocellular and squamous cell carcinoma, represented through the function of cancer diameter and time period elapsed from their occurrence up to the surgical intervention. Apart from general anamnestic data, it was also insisted on as precise as possible datum referring to the cancer occurrence time. All cancers have been hystopathologically confirmed. Linear regressive analysis was used for establishing the interdependence between the diameters of tumors and their duration. The average growth of basocellular carcinoma in our patients was 4.3 mm on annual basis, i.e. 6.1 mm annually for squamous cell carcinoma. Tumor duration is a significant anamnestic datum for establishing diagnosis which can indicate a biological aggressiveness or skin cancer type.
G. Videnović, D. Vukićević, I. Tripković
01.01.2011.
Original scientific paper
THE INFLUENCE OF BAD METABOLIC CONTROL ON PROGRESSION AND DEVELOPMENT OF DIABETIC RETINOPATHIA IN DIABETES MELITUS TYPE 2 (INDM)
Diabetic retinopathy is the microangiopathy which procedures pre capillary arterioles, capillaries and post capillary venules. The length of disease and poor metabolic control, have the biggest impact on development and progression of DR. By the prospective study in Gracanica Health House, for the period time of six months, there were matched 50 patients with DM tip 2.Along of internal review, there were made ophthalmological review, and anthropometric and laboratory researches.
I. Kostić-Inić, Lj. Božanić, T. Novaković, N. Đokić, A. Đokić, S. Trajković, Z. Nedeljković, S. Samardžić
01.01.2010.
Original scientific paper
VERBAL DISORDERS IN PATIENTS SUFFERING FROM HEART ATTACK IN BORDER SUPRATENTORIAL ARTERY DISTRIBUTION
In the group of 30 patients with infarction in the border areas has found a total of 11 patients with anterior watershed infarcts between the artery cerebri anterior and artery cerebri media, 15 patients with posterior watershed infarcts between the artery cerebri media and artery cerebri posterior, and 4 patients with subcortical watershed infarcts between surface and deep branch artery cerebri media. Supratentorial watershed infarcts in the dominant hemisfere were seen in 21 patients, while in subdominant in 9 patients. Each type of watershed infarcts was characteristic neurologic picture. Results of this study depict to high incidence of aphasic disturbances, which is consistent with the anatomical presentation of the speech affected both the anterior ares cortical stroke in transcortical motor aphasia, and the posterior of transcortical sensory aphasia.
V. Mitrović
01.01.2010.
Professional paper
LIFE EVENTS AS PREDISPOSING FACTORS FOR THE ONSET, DEVELOPMENT, AND MAINTENANCE OF PANIC DISORDER
Clinical praxis shows that patients with panic disorder have experienced different stressful life events which could be linked with the onset, development, and maintenance of the disorder. The aim of the study was to analyze the life events occurring one year before the onset of the panic attacks. The research has been conducted on the Psychiatry and Neurology Clinic, Clinical-Hospital Center Pristina, Gracanica. The sample consists of 84 patients with panic disorder. The data were obtained using the Questionary NIMH PQ consisting of 11 stressful life situations and a possibility for the participants to add a life event that was not included in the questionary. The standard descriptive and analytic statistic methods have been applied. The results revealed that a majority of patients (88%) have experienced some stressful life event in the period of one year before the first panic attack. The most common life event was change of life space. The second frequency has loss of job, following with death of a family member, disease, traffic accident, and continuing education moving to a different town. It can be concluded that stressful life events can be significant factors for the onset, development and maintenance of panic disorder.
D. Ljušić, T. Uskoković
01.12.2010.
Original scientific paper
IMPORTANCE OF SELF-RATED HEALTH AS A HEALTH INDICATOR
Because of significance of self-rated health as a valid measure of health status it is important to research what influence on individuals when they assess own health.. The aims of the study were to investigate how north Kosovska Mitrovica adults describe their health and to compare results with results from Serbia without Kosovo and Metohija; and to determine which variables are connected with self-rated health status among this population. The research was conducted as crosssectional study, done on the representative sample of adult citizens in northern Kosovska Mitrovica in the year 2006. 318 examinees were examine. The instrument of research was a questionnaire which contained questions about self-rated health and demographic and socio-economic characteristics, mental health, social interaction, capability of daily activities, health behaviour and habits, diseases and injuries, utilization of health care service. Independent variables are defined through fac2 tor analysis taken from these groups of question. For statistic analysis were used X -test and multivariate stepwise linear regression. More than half of the respondents (54,7%) their health assessed as good or very good. Inhabitants of northern Kosovska Mitrovica were significantly often their health assessed as good or verz good than inhabitants of Serbia without Kosovo and Metohija (p<0,05). Self-rated health were connected with foreword variables: gender, mood problems, myocardial infarction, chronic bronchitis, psychic and neurotic disorders, rheumatic arthritis, high blood sugar, utilization of private gynecologist service and paying for diagnostic service. Results from this study correspond with findings from literature. Most of the respondents in north Kosovska Mitrovica assessed their own health as good or very good. Bad and very bad health was significantly associated with females, problems with mood, myocardial infarction, chronic bronchitis, psychic or neurotic disorders, rheumatic arthritis and high blood sugar. Good and very good health was significantly associated with utilization of private gynecologist service and paying for diagnostic service.
M. Mirković, S. Simić, J. Marinković, M. Parlić, M. Parlić, A. Ćorac, S. Ðurić
01.12.2010.
Professional paper
CLINICAL ASPECT OF POLYTRAUMA AND ABDOMINAL TREATMENT IN CENTRAL REGION OF KOSOVO
Objective: To study the clinical profile of patients admitted with polytrauma over a five year period in a general hospital and review the management of abdominal trauma in them. Material and Methods: Medical records of 92 patients were studied retrospectively. The clinical presentation with details of injuries, relevant investigations done and the operative findings were analyzed. Results: Polytrauma was significantnly more common in males than females (P<0.001) and more so in the young age, between 20 and 29 years of age ( P<0.01). Road Traffic Accidents were the predominant cause followed by falls. Surgical operative management was necessary in 38 patients (41%) with abdominal trauma. Overall mortalitety was 4%, that for admitted patients 1% and post-operative mortality 3%. Conclusion: The clinical profile of polytrauma and the management of abdominal trauma in a general hospital are presented. The need for updating the national trauma registry with uniformity in reporting polytrauma in Serbia.
S. Aranđelović