Chronic pulmonary heart (HPS) stands for presence of right ventricular hypertrophy with or without right ventricular failure, arising as a consequence of chronic bronchial diseases, lung, pulmonary artery, or severe deformation of the thoracic skeleton. Excludes the pulmonary hypertension as a result of heart disease of left cavities, and congenital heart disease. During the evolution of chronic pulmonary heart, distinguished three stages: a) uncomplicated pneumopathology, b) compensated chronic pulmonary heart and c) decompensated chronic pulmonary heart. Lung ventilation is the process of moving air from the external environment to the alveolar and back, and its ultimate aim is alveolar ventilation space. This process takes place through active action - inspirium and passive - expirium, which causes the lungs to the basic position of rest. The disorders of ventilation lung function can be obstructive and restrictive, and there are often mixed forms with predominantly obstructive or predominantly restrictive pulmonary function disorder. These disorders were particularly expressed in patients with chronic decompensated pulmonary heart, what indicates this work. We studied 40 patients and found low values of vital capacity (VC) and forced exspirium volume in the first second (FEV ), with normal values of 1 Tiffeneau index, which speaks to the fact that respondents with decompensated chronic pulmonary heart have mixed ventilation insufficienty, ìainly restricted type heavy degree. 

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.

Any kind of ocular lens opacification is well known as cataract. Most cataracts are age-related, so called senile cataract. Cataractogenesis as process involves either pathological and natural aging processes. Chronical oxidative stress is considered as primary factor in age-related cataractogenesis. In this study we measured concentration of lipid hydroperoxides, sulfhydril groups (SH) and entire antioxidative capacity,as well as ocular superoxide dismutase and catalase activity in 11 subjects with diabetes mellitus (DM) type 2 and cataract and in 39 nondiabetic subjects with senile cataract. All patients underwent complete ophthalmological examination before they were surgically treated by phacoemulsifications. 0 During the intervention, aqueous sample in volume 0,2 was aspirated and refrigerated in -20 C and preparated for further biochemical analysis. Parameters of antioxidative power in diabetic subjects with cataract have decreased values (sulfhydril groups and antioxidative potential - FRAP test) in aqueous while one of lipid peroxidation product has increased value (lipid hyperoxide). Aqueous catalase activity in subjects with diabetes and senile cataract is remarkably higher compared with nondiabetic subjects (p<0.0.5). Oxydative stress and antioxidative capacity are well known risk factor in cataractogenesis but in DM 2 patients, oxydative stress is more intensive than in control group.

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. 

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. 

Intussusception is a specific type of delay in the bowel passage which according to frequency, clearly takes place in children's abdominal surgical pathology. Most commonly occurs in children during the first year of life and from 6 and 9 months where the 3 diagnosed in boys than girls 2. The incidence is 1-4 per 1000 live-born children. The most common form of invagination is ileocecala (80%), ileocolic, and ileo-ileal colo-colic. Intussusception is most often idiopathic (almost 90%) cases, while in a very small percentage described the existence pathoanathomic substrate (points leaders), which areusually enlarged lymph nodes or Meckel divertikulum. Surgical therapy for these other groups is much more radical. For a period of 6 years (2003-2009), which we cover the work, the children’s surgery of the Health Center Novi Pazar was treated with 22 children diagnosed with invagination (intussusception). Of this number, there were 14 (63.63%) boys, 8 girls (36.36%), and the average number of cases was 4.44 per year. Frequently appeared ileo-cecal and ileo-ileal (90.63%), while colocolic and ileocolic appeared much less (9.09%). The most common clinical symptoms were the presence of fresh blood in the stool, painful cramps and, vomiting who did the dominant clinical presentation in the majority. Following: fever, malaise, and even convulsions. The conclusion is: triad of symptoms (pain, vomiting and blood in the stool in the form "of currant jelly") were pathognomonic diagnosis. The method of choice in the diagnosis and conservative therapy is the initial hydrostatic desinvagination controlled ultrasound.

Planocellular carcinomas grow rapidly infiltrating the surrounding tissues. Because of that approach to the treatment of the patients must be multidisciplinary. A series of 101 patients with tongue and mouth floor carcinoma were analyzed. All were surgically treated in the period 2000. through 2007. The clinically evidenced local spread (cT) is highly correlated to the intraoperatively and patohistologically evidenced spread (pT) ~84%. The degree of correlation falls with increase of the T stage. The clinically evidenced regional spread (cN) and intraoperatively and patohistologically evidenced of regional spread (pN) presented lower in ~57% correlation then corresponding T categories. The study proves that multidisciplinary approach to the patients with oral carcinomas is the base for their proper treatment. 

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.