The pseudoarthrosis is a pathological state of the bone when the refracted bone fragments are not connected by bone callus. The causes for the occurrence of the pseudoarthrosis may be general and lokal.In treatment we were using two methods: the bone plastic and osteosynthesis and compression osteosynthesis by Ilizarov. The aim of this work is the analysis of patients with pseudoarthrosis and results of treatment. The study included 29 patients treated for the past ten years the Department of Orthopedics Health Center Z.C.Kosovska Mitrovica.The most frequently pseudoarthrosis were in humerusu 6 (21%), ulna 6 (21%) and skafoidne bone 6 (21%). The pseudoarthrosis in tibia was treated in 4 (14%) patients, in the femur 3 (10%) patients. 2 (7%) of the patients were operated with diagnosis the medial-maleolus pseudoarthrosis of the tibia fractures and 1 (3%) patient were operated with diagnosis the maleolus pseudoarthrosis of the fibula and of the radius.We were using the treatment methods osteoplastic and osteosynthesis for 28 (97%) patients and one patient was treated with the device by Ilizarov method. Patients were monitored by the clinical way, by the radiographic way ,by laboratory way and by the functional way The average time of the monitoring was ten months .The average time of the healing was the five months. We noticed the one complications only, a lesion of the radius, which is repaired. The pseudoarthrosis is not common, in our material it is 4% of the total number of the operated patients.The most frequently pseudoarthrosis was on humerous 21% (6 patients). By applying the compressive osteosynthesis methods and osteoplastic method we have achieved the completely curring in 89% (26 operated patients). 

Introduction: Delivery with foetus in breech presentation carries a dilemma for obstetrician concerning the method of choice which would be the best for the foetus and the mother. Goal: The aim of this study was to analyse the frequency of breech presentation, mode of delivery and the methods of manual assistance concerning the Apgar score of the children at delivery. Method: Study involved all women with a child in breech position who gave birth in the Institute for Gynaecology and Obstetrics of the Clinical Centre of Serbia in Belgrade during the period of six years. Results: Frequency of the breech presentation in the investigated period was 4.5%. In the last three years children in breech presentation are delivered more often by caesarean section (2.7-3.1%) than vaginally (1.6-1.7%). In vaginal deliveries manual assistance by Bracht/Lowset was performed most often- in 70.5%. At the second place is manual assistance by Bracht- in 18, 2%. Feet extraction of the foetus is performed in 4.4% of deliveries. The frequency of Smeli-Veit assistance is 6.7%, while the Forceps was used in 0.3% of cases. High Apgar score from 8-10 have foetuses born using the methods of assistance by Bracht/Lowset and Bracht (83 85%) with high statistical significance in comparison with other three methods of manual assistance (p<0.001). There is no statistical significance concerning Apgar score between the methods of Bracht/Lowset and Bracht (p=0.59). Conclusion: By using the adequate manual assistance which is the least traumatic for the foetus we achieve better postnatal prognosis. 

Helicobacter pylori infection is the largest number of infected people in the world. It is believed that 50 - 60% of world population infected, but with uneven schedule. Helicobacter pylori is the most important cause of duodenal and gastric ulcer. The prevalence of infection in different communities vary depending on geographic, racial and socioeconomic factors, and the last 10-20 years in some areas can be observed a significant reduction in the frequency of infection in both the general population and among patients with peptic ulcer. In our country, except in the territory of Vojvodina, there was no serious investigation of frequency of Helicobacter pylori infection in the general population.

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. 

Dermatoglyphs are epidermal ridges on the volar surfaces of fingers, toes, palms and soles.Their development begins between 6th and 7th gestational week, so that critical stage of ridge differentiation occurs in the first trimester, coinciding with critical phase of embryonal development. The inheritance of epidermal ridge patterns is polygenic, often markedly affected by some environmental factors causing them to be reffered as multifactorial traits. Genetic determination, time of occurrence, stability and high individuality enable dermatoglyphic analysis to give an insight in critical stage of embryogenesis. Unusual dermatoglyphic variables are found to be significant markers in many numerical and structural chromosomal aberrations .Many investigations have proved epidermal ridges configuration analysis as a powerful additional screening method in identification of congenital anomalies, detection and prevention of different genetically caused disturbances.

Formation of vascular access in elderly and diabetic patients is burdened with many difficulties. The aim of this study was to determine the factors that older people and patients with diabetes mellitus defined as the population risk for the formation of arteriovenous fistula for hemodialysis. The study was organized as a retrospective study, a subject of interest in people older than 65 years of age and diabetes, which in four years because of the need for further treatment performed arteriovenous fistula. Analyzed the demographic structure of the patient, type of anastomosis, the use of central-venous catheters for hemodialysis, arterial blood pressure and size of the lumen of blood vessels used for anastomosis, intraoperative measured. From the laboratory analysis determined the routine hematological and biochemical parameters. In relation to the positioning of arteriovenous fistula (p=0.033), the placement of catheters for hemodialysis (p=0.0009), preventive form of vascular access (p=0.04) and values of systolic (p=0.0001) and diastolic (p=0.0001) arterial blood pressure, achieved a statistically significant difference. Patients with diabetic nephropathy, compared to the population of elderly, have a significantly higher number of leukocytes (7.5±2.61 vs. 8.5±3.24, p=0.03), fibrinogen level (5.57±2.39 vs. 6.8±1.71, p=0.036), glycemia (5.35±1.24 vs. 7.1±2.28, p<0.0001), cholesterol (3.77±1 , 03 vs. 4.5±1.71, p=0.001), triglycerides (1.59 ±0.62 vs. 1.86±0.76, p=0.009) and LDL-cholesterol (2.13±0.76 vs. 2.42±2.04, p=0.02). Total proteins (64±9.98 vs. 62 ±7.4, p=0.027) and albumin (36±34 vs. 9.55±5.49, p=0.037) were significantly lower values in diabetics. Characteristics of older diabetics and is characterized as a risk population of patients for the creation of arterio-fistula were timely creation and position of arterio fistula, the need for placement of central-venous catheters for hemodialysis and arterial blood pressure.

The authors analysed the importance and results of tympanometric examination by children in preschool institutions of Kosovska Mitrovica, Zvecan, Zerovnica, Socanica, Leposavic, Lesak and Zubin Potok. Children underwent ENT examination, which included clinical ENT examination and accessory diagnostics methods: tympanometric exami-nation and bacteriological analyses of the nose and throat secret. Totally, it have examined 870 children. The most frequent cause of the middle ear impairment was Eustachian tube dysfunction or "willingness of the middle ear for disease" (50,5% cases). Rarely, it was transient effusion in the middle ear and serous otitis media (19,02%). The authors underline a great importance of tympanometric examination by preschool children in detection of middle ear diseases. 

The discovery of Helicobacter pylori (Hp) and the causal relationship between Helicobacter pylori infection with chronic gastritis, gastric and duodenal ulcers and gastric cancer is an epochal event in recent times. The aim of this study was to examine the prevalence of Hp infection and prove the connection between Helicobacter pylori infection and gastric and duodenal diseases in different age and gender categories. Study included 250 subjects of both sexes, different age groups selected random sample. All respondents were subjected to Hp urease test from biopsy specimens of the antrum and corpus of the stomach obtained by upper gastrointestinal endoscopy with standard forceps. The data were analyzed using descriptive statistical methods (CF, SD, Min, Max) and analytical statistical methods. (t test, Chi square test, Kruskal-Wallis test, MannWhitney U test, Wilcoxon test, analysis of variance, ANOVA, Spearman correlation and Persona). Non ulcer gastropathy was the dominant finding that the Hp urease negative (92.2%) and the Hp urease positive (77%)respondents .Duodenalni ulcer was common in the male sex (24.6%) and gastric cancer (2.9%), and stomach ulcer was common in women (4.5%). The most common representation non ulcer gastropathy in the fifth and sixth decades of life while duodenal ulcer was most common in the fifth decade (37.5%). Gastric ulcer was noted in the second, third and fourth decade of life. Gastric cancer is 100% of cases was recorded in the sixth decade of life. Hp Urease test that requires upper digestive endoscopy and biopsy specimens of gastric mucosa is the minimum invasive diagnosis of Helicobacter pylori infection. Upper gastrointestinal endoscopy and HP verification changes the standard in the diagnosis of associated diseases of the stomach and duodenum. (non ulcer gastropathy, gastric and duodenal ulcers and gastric cancer).

Arrhythmogenic right ventricular dysplasia (ARVD) is a myocardial disease, often familial, that is characterised pathologically by fibrofatty replacement of the right ventricular myocardium, and clinically by ventricular arrhythmias of right ventricular origin which may lead to sudden death, mostly in young people and athletes. The term "dysplasia" was originally used to describe an entity that was considered to be the result of a developmental defect of the right ventricular myocardium.

Degenerative diseases are no inflammatory diseases intervertebrales discus, joints and ligaments vertebrae with subsequent changes in the bony spine structures. Degenerative diseases are very common and lumbar syndrome is most of them common. Because large disability that gives not only a medical but also social and economic problem. Starting of these facts here, work is set purpose,to the overall context of the diagnosis,differential diagnosis of degenerative lumbar sindrom. This is a complex problem that requires a great effort, expertise and modern diagnostic procedures in clinical rheumatology, which is outstanding problem in practice. We hove processed 55 patients with chronic low back pain and 20 patients with chronic low back pain and other etiology. With history, clinical examination, laboratory analysis, Rtg recordings,and other additional analysis (EMG,CT,MRI) that dodge tried to make the diagnosis and successful treatment.