We treated 15 subfertile men with varicocele with combination of subinguinal ligature of spermatic vein or plexus pampiniformis and medicaments. In a five-year period , we registered 5 pregnancies (30%) in female partners of our patients. We consider subinguinal ligature of spermatic vein as minimally invasive and cost-effective initial treatment of "infertile couples".

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. 

Bacterial meningitis is an infectious disease, with potentially fatal outcome, where the main event reflects inflammation of soft meninges and associated phenomena on the other structures of the central nervous system. Despite the use of powerful antibiotics and other drugs and therapeutical measurements, the number of diseased, as well as the mortality from this suerious disease, are not changed for years. The most common pathogens of bacterial meningitis in children age are H.influenzae, S.pneumoniae and N. meningitidis. Other significant causes are Streptococcus B, E.colli, L.monocytogenes, Salmonella, Pseudomonas and other Gram-negative bacteria. Our research included 120 children sufferin from bacterial meningitis. Out of the total number of treated children, the highest incidence was in age of infants (51,6%), and regarding to the gender structure, male were somewhat more frequent (54,6%). The most significant unfavorable factors for occurrence of sequalea were: younger age, the type of bacteria, bacterial concentration in cerebrospinal fluid, the time required for liquor sterilization, hypoglycorrhachia, focal neurological sings and convulsions. Complications could relate to the central nervous system or some other organic systems. Convulsions are the early complications of bacterial meningitis. Hearing impairment is often present with severe forms of bacterial meningitis with convulsions, prolonged febrile state and presence of hypoglycorrhachia. Epilepsy is rare, late sequelae, while hydrocephalus is more likely to occur in neonatal meningitis. Heavy neurological damage occures in 5% of the children.

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.

According to the relevant investigations during past decade there is a great increase of malignant skin tumors. By this research we tried to investigate this hypothesis in domestic population and present complicated reconstructive procedure. In this research were included 591 patients with melanomas and carcinomas of head and neck who were surgically treated at our clinic from August 2000. to October 2008. Results of this research showed that 50 patients had melanoma and 541 carcinomas of skin. We have found that men are affected by skin facial carcinomas four times as much as women. The most common location of plano cell carcinoma was the skin of the auricle and lips, while basal cell carcinoma was mostly found on the nose. 62% patients with squamous cell carcinoma who were primary surgically treated survived more than 5 yr. 85% patients with basal cell carcinomas survived more than 5 yr.

Ankylosing spondylitis is a chronic rheumatoid inflammation with characteristic synovitis of sacroiliac joints and vertebrae of spinal column and fewer coxofemoral and glenohumeral and periferal joints. The disease is of an unknown etiology and shows strong correlation with histocompatibile antigene HLA-B27 wich is found in 90% AS diseased patients. Acute anterior uveitis is the most frequent extra-articular manifestation, it can precede spondylitis and is found in at least 20% AS diseased patients. Acute anterior uveitis is mostly bilateral, with recidives and in inadequate treatments results in complicate cataract and secondary glaucoma. Out of 41 patients with ankylosing spondylitis 36 (87.8%) is of male , and 5 (12.1%) female sex (ratio 9:1). The youngest patient was 25 and the oldest 69 years of age, average age of the diseased was 38.45. Acute anterior uvetis is found in 11, that is 26.8% diseased patients. The length of uveitis is approximately 28+/- 10 days. In 7 patients (63.64%) AAU is found in both eyes. Out of 11 patients with with AAU, 3 patients (27.27%) had more than first attack,7 (63.64%) had 1-5 recidives, and only 1 patient had more than 5 recidives. The most frequent type of exudation is serofibrose (77.78%), then follows fibropurulent-hypopyon (16.67%) and serose (5.55%). Out of 18 eyes, in 14 (77.78%) back synechies were formed. However, these synechies are in most cases broken by the use adequate therapy.

The objective was to determine the type of venom poisoning causes accidental, sex, age, occupation, place where the poisoning and seasonal distribution. The work was carried out comparative analysis of accidental poisoning in Belgrade in two five-year period 1965th to 1969. and since 2000. by 2004. year. The structure accidental poisoning in the first mentioned period dominated by gas poisoning (CO) and alcohol, and in the second period, poisoning psychoactive substances. In both the five-year period were more likely to be poisoned males. In the first study period, were often poisoned persons older age groups, while in the second period there was a shift to younger age groups. Between 1965 and 1969 and were significantly more frequent poisoning among farmers compared to the period 2000-2004, when they are significantly more common poisoning in students and the unemployed. The highest percentage of poisoned in both investigated period, was found in our own home with no signs of life. Accidental poisoning occurred more frequently in the winter months in the first study period, while in the second period seasonality is not expressed.

Among all ALS procedures, effective airway management is vital in the treatment of critically ill patients. The aim of this study was to evaluate the impact of pre-hospital endotracheal intubation and early defibrillation on outcome of cardiac arrest (CA) patients. We examined 200 patients suffering from out-of-hospital cardiac arrest (OHCA) in a prospective cohort study in a two years period. We determined survival from CA to discharge from hospital and the factors associated with survival. We calculated the time intervals until shock decisions were made. Shock decisions were verified according to EKG downloads. 52% of patients were intubated in the field, survival to discharge from hospital was significantly higher among patients who were intubated in the field. Survival rates in patients with VF/VT was 9.7% compared to patients with asystole/PEA (1.6%). 66.7% of patients were given the shock after 4 minutes. Low survival to hospital discharge may be due to low number of CA patients who were intubated in the field and long "interval to shock delivery" (there are no AED). Existing literature shows that the first minutes are a critical time frame for successful resuscitation and this is an argument towards the introduction of AEDs used by bystanders.

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. 

Renal osteodystrophy is significant medical, economic and social problem. Over 90% of patients receiving chronic dialysis are facing some type of renal osteodystrophy. The objective of the study is to determine correlation between clinical and radiological findings in patients with renal osteodystrophy. Clinical study was performed in 60 adult patients, different sex and ages, receiving chronic dialysis, with developed renal osteodystrophy. All patients were having following symptoms: bone pain, muscle and joint pain. Muscle spasm were registered in 68.3% of patients, while proximal myopathy symptoms were registered in 86.6%.Dominant radiological findings were: subperiosteal resorption in 53.3% of patients, diffuse osteoporosis in 48.3%, rugger jersey in 33.3% and soft tissue calcification in 18.3%. We have registered statistically significant correlation of clinical and radiological findings. With this study we have confirmed that different types of renal osteodystrophy can be determined by comparing radiological, clinical and biochemical findings, especially in cases when bone biopsy cannot be performed.