Chemical injuries of the eye i.e. causoma means 4% up to 10% of all ocular trauma cases. Purpose: to determinate basic socio-epidemiologic characteristics of patients who has been hospitalized due to causoma. Method: prospective case control study carried on 54 patients who havå been treated at Department of Ophthalmology Health Center K.Mitrovica and Clinic of Eye Disease in Nis. Results: in total, 40 male and 14 women were injured (mean age 41.8 years). The bricklayers, painters and construction-workers are the most frequent injured. Injuries caused by alkalis were significant prevailing in relation to those caused by acids (64.8% vs. 35.2). Monocular causoma were almost twice more frequent. Accident as a manner of injury was in 96.3% of all cases. Men were injured by caustic lime and sulphuric acid while women were injured by sodium hydroxide, hydrochloric acid and acetate acid. More serious clinical appearance had a patients with injuries caused by explosion of accumulator because of associated mechanical injuries of the eye.

NAION is a stroke of the optic nerve. It is acute ischemic disorder of the optic nerve head, which it runs, irreversible loss of vision. Loss of vision in NAION happens suddenly and without pain, usually in morning hours, after waking up.The existence of normal visual acuity does not exclude NAION. The other eye may be affected in a very wide time interval. Results of this stady indicate the importance of a detailed ophthalmologic examination of persons older population, as well as the importance of early intensive therapy during the first weeks of illness. 

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.

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. 

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). 

Without a knowledge of how drugs are being prescribed and used, it is difficult to suggest measures that would support rational use of drugs and improve prescribing habits in hospitals. In our work we analyzed utilization of antibiotics for systemic use at the Surgical Clinic of the Clinical Hospital Centre - Pristina in Gracanica in 2007. and 2008. on the basis of dispensing records of drugs issued from the Central Pharmacy to the Surgical Clinic for those two years. Antibiotics were distributed according to ATC classification, and antibiotics' utilisation was expressed in number of defined daily doses used per 100 patient-days (DDDs/100 PD). We analized qualitative and quantitative participation of different groups of antibacterials for systemic use. Òhe results of our study were in accordance with available results of similar studies in our country and in the neighbouring environment

Introduction/Aim. +Gz acceleration is unique dynamic stress to organism. Development of this occurrence depends not only to magnitude of acceleration but to onset rate and duration too (1). The most of former researches pointed to +Gz stress as significant stress to basic physiological mechanisms like cardiovascular and respiratory system. The aim of our study was to examine responses of neuroendocrine and immune system to +Gz stress. Method. Examination was performed in two inbred strains of rats Albino Oxford (AO) and Dark Agouti (DA). AO, n=45 and DA, n=60, male, 9-11 weeks old. Experimental animals were subjected to the Test of linear increase of +Gz acceleration (peak 7G, onset rate 0.1 g/s) at the Institute of aviation medicine of Military Medical Academy. Before examination, animals fasted 24 hours. Control group were rats which did not subjected to +Gz acceleration. After the animals were sacrificed we punctured blood from abdominal aorta to examine plasma and serum and extirpated thymus and spleen to be examined, too. In wish to examine effects of +Gz stress to polarization of Th immune response we determined concentrations of cytokines (IFN-ã and IL-4) in the culture of spleen cells. Results. The level of cytokines in the culture of spleen cells stimulated with Con A, isolated from animals (experimental and control group) 3 and 24 hour after +Gz exposure and level of cytokines determined in supernatants, showed statistical significance as it presented on the graphics. Conclusion. According to our research obtained on animals we can conclude that +Gz acceleration in the early period (after 3 hours) decreased IFN-ã in the culture of spleen cells. AO rats showed difference compared to DA rats in reaction to +Gz stress. AO rats had increase in IL-4 in the culture of spleen cells and higher decrease of IFN-ã and emphasized polarization of Th1/Th2 in course to Th2. After 24 hours of exposure to +Gz stress we observed increase of IFN-ã (DA) and increase of IL-4 (AO).

Event-related potential which represents a large positive wave which varies in amplitude and depends on subject's capability as well as on stimulus modality on which subject needs to react and appears around 300 ms after stimulation is called event related potential P300. In 1965. Sutton and the assistants were the first to suggest division of evocated potentials, according to the stimulus that provoke them, on "exogenous" (under the influence of exogenous stimulus) and "endogenous" or "cognitive" provoked by endogenous stimulus, which depends on the state of consciousness (vigilance), attention, concentration and especially, the type of the task a subject needs to perform during the recording. One of the most studied responses of the event-related potentials is so called "P300", the late positive wave complex which appears around 300 500ms after the stimulus. It is gained when the subjects' attention is focused on the signal which rarely appears, especially if the signal has some emotional or motivational meaning. The aim of this work was to determine whether there was a difference in latency and amplitude of the event related potential P300 when the button is pushed with dominant hand compared with nondominant hand in both males and females. The experiment included 30 subjects (15 males and 15 females). P300 potential was provoked with the auditive "oddball" paradigm. Event-related potencial P300 is recorded with 10-20 system. Cz electrode is set in the middle of nazion-inion line, while Fz electrode is set on the third of nazion-inion line above frontal lobe. In classical "oddball" paradigm, when a subject reacted on the signal by pushing the button with dominant hand, the value of Fz end Cz latency was significantly shorter in comparison to the values of Fz end Cz latency gained by pushing the button with non-dominant hand (left hand) in males, while such differences were not found in females. 

Background: In hernia inguinal regions that are usually on the front wall of the belly may appear epigastric, umbilical and postoperative (incision-ventrale) hernia. Incision (postoperative-ventral) hernia is the kind of hernia that occurs in the area before surgical incision made through the entire thickness of the abdominal wall. Purpose: The aim of this paper is to indicate the frequency incision, epigastric and umbilical hernia, and the validity of some methods used in surgical treatment. Materials and methods: The making of the material used Surgical Clinic KBC Pristina in Gracanica. This prospective study we included 107 (3.43%) patients with hernia abdominal front wall, which were operated in the Surgical Clinic from 2003- 2009th year. Results and discussion: the anterior abdominal wall hernia, are recorded in 48 (44.86%) male patients and in 59 (55.14%) female patients. Age is of great influence on the frequency of anterior abdominal wall hernia, because we have the largest number of hernia 45 (43.14%) recorded in patients older than 61 years. Free hernia we found in 68 (63.55%) and hernia incarcerate of 39 (36.45%) patients. Incision (postoperative) we found a hernia in 44 (41.12%), umbilical in 36 (33.65%) and epigastric of 27 (25.23%) patients. Postoperative hernia is most often occurring after longitudinal laparotomia. We have them registered in 19 (43.18%) patients with infraumbilical, in 10 (22.72%) with supraumbilical, in five (11.36%) with subcostal, with four (9.09%) with transrectal, at two (4.55%) with pararectal laparotomia, in two (4,55%) patients after lumbotomia made with two (4,55%) after Phanensthil incision. The treatment of the anterior abdominal wall hernia in 72 (67.21%) patients, we used prolen net, while in 35 (32.79%) patients made plastic abdominal wall. Drainage was used in 62 (57.94%) operated patients. In 78 (72.90%) patients applied the prophylactic dose of antibiotics, while in 29 (27.10%) patients applied therapeutic dose. The length of treatment of patients who applied prophylactic dose of antibiotics was 2.48 days and length of treatment of patients with therapeutic dose applied was 4.82 days. Prospective studies of patients in the postoperative complications are recorded in four (3.74%) patients. We had wound infection in two (1.87%) and recidive hernia in two (1.87%) patients. Conclusion: This surgical method, when it comes to herniotomia, a direct comparison with the number of postoperative recurrence. Implantation of mesh has found its place and it is a revelation in the resolution of abdominal wall hernia.

Vital extirpation is microsurgical intervention.Wellknowing of internal morpfology of pulp cavity and with patience, carefull and precise work is possible to extirpate, dilatate and fil in both distal and mesial root of down molars,even if in mesial root exists two canal (buccal and lingual) what is the ruosh aften finding. Vital extirpation is very frequenthy used method in the treatment of multi-root teeth.It is more requested intervention tlak usnal once,but patients mane less visits at the dentist and the results one good enongh. So, one session method isacceptable as from medical point of view but endodontic too.