Tumor budding refers to an isolated cell or a cluster of up to five undifferentiated tumor cells, located in the stroma close to the invasion frontline of a carcinoma. It has been observed that tumor budding invariably precedes both an invasion into the lymphatic vessels surrounding a tumor and the development of metastases in lymphatic nodes. The aim of this paper is to determine the link between tumour budding, lymphatic vessel invasion and presence o lymph node metastasis in colorectal carcinomas. The study involved 92 cases of colon and upper rectum cancers removed at the Trebinje General Hospital and the Medical Centre in Kosovska Mitrovica. High-grade tumour budding was diagnosed in 66 (71.7%) cases, and lowgrade tumour budding in 26 (20.3%) cases. Lymphatic invasion was detected in 63 (68.5%) cases (55 (87.3%) of these cancers showed high-grade tumour budding, while on the other hand 8 (12.7%) had low-grade tumour budding). Lymphonodal metastases were found in 45 (48.9%) cases (of which 36 (80.0%) were high-grade and 9 (20.0%) low-grade incidents). Based on the ÷2-test, it may be concluded that the distribution of tumour budding in relation to lymphatic invasion (p<0.001) is statistically very significant, which was not confirmed in the case of metastases developing in lymphatic nodes (p>0.05). In conclusion, tumour budding is highly linked to lymphatic invasion, which it most probably precedes. 

The objective of this study that included 34 patients with psoriasis was to assess the reliability of the disease severity measures (i.e. Psoriasis Area and Severity Index - PASI) and the reliability of the health related quality of life measures (i.e. EuroQol EQ-5D Quality of Life Scale - EQ-5D, Dermatology Life Quality Index - DLQI and Psoriasis Disability Index -PDI). High interobserver correlation reliability and good test-retest reliability of PASI scores, as well as good test-retest reliability of EQ-5D, DLQI and PDI scores were achieved. Correlation coefficients between the test and retest scores on DLQI and PDI were higher than those on the dimensions and on EQ-VAS in EQ-5D. Disease severity scores given by PASI and the quality of lify scores given by EQ-5D, DLQI and PDI offered the reliable assessment of both the psoriasis severity and the quality of life of the people with psoriasis.

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. 

Introduction: Upon teeth are lost, morphological and functional disorders are caused on stomatognathic system. Since a longer period of time, total dentures made on conventional way were the best choice for treating toothless patients. Because of specific configuration of the toothless lower jaw, patients with total dentures mostly suffer problems with lower jaw total denture. From the time when osseointegration was applied as a successful clinical concept, implants have been used as well as for retention and stabilization of the total dentures. Case report: 66 years old male patient underwent surgery where implant-prosthetics rehabilitation of lower jaw is attained with application of four Bredent mini implants, used for retention and rehabilitation of total acrylic denture. The overall process was completed in one session within approximately one and a half hours, with the regular post surgical care and immediate load of implants. Conclusion: Taking into consideration simplicity, safety and non invasive procedure of placing mini implants, as well as their effect on improving quality of life of toothless patients, and economic aspect, we can conclude that along with classical and small implants they present future and method of choice for the rehabilitation of toothless patients.

Hydatid disease is a parasitic infestation by a tapeworm of the genus Echinococcus which represent significant healthcare problem in Montenegro as in many other regions of the earth. The incidence in Montenegro is 4.57/100.000. Communications with bile ducts is one of the most frequent complications of the hydatid disease. Wide communications can be followed with cholangitis and obstructive jaundice. We presented 51 years old patient with obstructive jaundice and hydatid cyst of the liver. Total pericystectomy is golden standard of the surgical treatment, which is, unfortunately possible only in 6-10% of the cases. The usage of the intraoperative ultrasound is standard procedure.

Materials wich use like base,and those used for direct and indirect capping should be, except certain physicalchemical and biological performance have and antibacterial effect, to act after the application on residual microorganisms. The aim of this study is that in vitro display antimicrobial activity of some selected resources that are used to protect the dentin below the permanent restoration, and some of this as medication in treating deep surface carious lesions and to directly cover any caries, either artificially open pulp. Antimicrobial activity was tested against microorganisms. On agar plates into the grooves 4 mm in diameter was inserted freshly prepared paste or base. After inserting the material into the surface of bloî od agar, was performed by incubation under aerobic conditions for 24 h in a thermostat at 37 C. Negative effect on the microorganisms, tested materials, it was estimated by the size of growth inhibition zone.

The aim of the research was to use a system of 25 variables of morphological characteristics on a sample of subjects numbering 200 top athletes, all males (50 handball players,50 volleyball players, 50 basketball players, 50 soccer players), aged 18 to 30, in order to determine their factor structure, which would be in aid of more rational procedures for the continual selection of athletes in these sports and the transformational training process. By means of the component analysis (the direct oblimin) and the GK criterion (ë≥1.00) used to obtain the common characteristic roots and the explained segments of common variance, five latent variables were isolated for the handball players (body mass and voluminosity and the subcutaneous fatty tissue of the upper body, the longitudinal dimension of the skeleton, the subcutaneous fatty tissue of the lower extremities and upper àrm, the transverse dimension of the lower extremities, the transverse dimension of the elbow and shoulder), six latent variables for the volleyball players (the transverse dimension of the wrist and body volume and mass, subcutaneous fatty tissue of trunck, longitudinal dimension of skeleton, the transverse dimension of knee and foot length, lower leg skin folds and fatty tissue of the upper arm,elbow diameter), another five latent variables for basketball players (the longitudinal dimension of the skeleton, body mass and voluminosity and subcutaneous fatty tissue of the trunck, the subcutaneous fatty tissue of the lower extremities and upper arm, transverse dimension of the lower extremities and the wrist, the transverse dimension of pelvis) and six latent variables for the soccer players (the longitudinal dimension of the skeleton, the subcutaneous fatty tissue of the lower extremities and upper arm, body mass and voluminosity, the transverse dimension of the legs, shoulder and hand, the subcutaneous fatty tissue of the trunck, transverse dimension of the arms). On the basis of the identified factor structures of the latent variables, it can be concluded that we are dealing with a case of different morphological structures of the different athletes. 

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. 

Cancer diseases of female genital system emerge as a result of continues influence of risk factors and heritage base. Commonly accepted risk factors are viruses, sexual intercourses without protection, early sexual relations- where the contact in the period under age 18 is highly risk, smoking (consumption of tobacco) and promiscuities males. Beside mentioned risk factors, we are exploring whether the life conditions and chronically stress are specific risk factors for isolated community. Serbian community in area of central Kosovo counts around 10.000 women in reproductive and menopausal stage. In the period of last 10 years, this specific community was exposed to the aftermaths of Nato aggression in 1999, meaning bombardment with uranium ammunition, poor conditions, refugee exile and return, chronically stress, period without adequate health protection and permanent feeling of life in hostile environment. The results were catastrophic : 5 invasive carcinomas of cervix in female in postmenopausal (56, 71, 50, 76, 54, years of age), 1 squamocellulare carcinoma of vagina (76 years of age) and one squamocellulare carcinoma of vulvae (57 years of age), both in postmenopausal period. In reproductive stage in 3 female H SIL was diagnosed (36, 42, 31 years of age). In three cases, as result of explorative curettage adeno cancer of endometrium was diagnosed (72, 66, 64 years of age).

Basic features of spiral scanners are described, and constructive features of multislace devices are described in detail.Basic principles of functioning and detector number of multislace scanners are described, particularly in 64 layered devices.A short survey of device construction and received X-ray dose during examination is presented. Diagnostic possibilities and multislace scanner application according to organs and organ systems, as well as their advantages in relation to sequential and spiral scanners, are presented.