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Volume 53, Issue 4, 2025

Online ISSN: 2560-3310

ISSN: 0350-8773

Volume 53 , Issue 4, (2025)

Published: 30.06.2025.

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01.01.2009.

Professional paper

FREQUENCY OF CAESAREAN SECTION ON THE MATERIALAT KOSOVSKA MITROVICA HEALTH CENTER DEPARTMENT OF OBSTETRICS IN THE PERIOD OF 1992-2001

20.161 women were delivered at Kosovska Mitrovica maternity ward in the period of 1992-2001. Out of this, in 1.648 cases Caesarean section had been performed, which means that the frequency of this surgical process was 8.17%. The percent of the Caesarean section is in growth every year starting from 1997, but it has reached its maximum of 20 % in this year. In the year of 2000, 44.90% of pregnant women who had Caesarean section done were from serbian enclaves. In the year of 2001 that percent is even bigger and it reaches 58%. Every second pregnant woman who had surgical operation was from serbian enclaves in the last two years. It can be pointed out that more than a half of pregnant women who had surgical operation were in the age of 19-25. As a conclusion, we can say that 8.17% of Caesarean section is absolutely well in the period of ten years, but we were not satisfied with the great number of Caesarean section in the last two years.

D. Cvetnić, S. Zakić, G. Relić, M. Džeković, Z. Jakšiċ, R. Vlašković, M. Milenković, M. Savić

01.01.2009.

Professional paper

RESULTS OF THE POLL RESEARCH AMONG PHARMACISTS EMPLOYED IN STATE AND PRIVATE PHARMACIES OF SOUTH BACKA DISTRICT

An anonimous poll was conducted, which included pharmacists employed in state and private pharmacies from Novi Sad, Backa Palanka, Bac, Temerin and Odžaci (South Backa district). The group polled was a representative sample compared to the overall pharmacists number. The poll was conducted due to the fact that routine health statistics does not provide enough representative data on drug accessibility to patients and to try to answer how administrative limits interfere with the choice of medicaments. Obtained results suggest that the biggest problem is the lack of A list medicaments, so the patients are forced to buy medicaments in private pharmacies or even in the neighboring countries. The majority of the pharmacists polled are of the opinion that the participation in state pharmacies is low. There are no significant differences in the opinion of the pharmacists from both state and private pharmacies concerning the medicament consumption, both groups are of the opinion that we are facing excessive medicament consumption, above the real need.

M. Vojnović, M. Stanulović, V. Jakovljević, I. Samojlik

01.01.2009.

Professional paper

CONGNITIVE AND MOTORICAL COMPONENT OF FEAR IN ADOLESCENTS FROM STOMATOLOGICAL TREATMENT

By the investigation it was attempted to explain the fear in adolescents from stomatological treatment, by appraisement of fear through its two components (congnitive and motorical). Congnitive component was followed by means of question mark before first stomatologican intervention (by the standard scale of general anxiety). In the research participated 100 adolescents. On the basis of analysis of question-marks, examinees were distributed into three groups: normal, pathological and increasingly anxious. On the occasion of third stomatological intervention, the patients obtained placebo (vitamine C, half tablet, orally, 30 minutes before the initiation of stomatological interventions which were identical, i.e. the sanation of deep caries has been carried out). The motorical component (entering the dentist's office, sitting down in a dentis chair and tonning of muscles) were appraised by the method of clinical observations. All parameters were measured before all three stomatological interventions. In this study, in parameters measured by clinical observation the number of questioned people who enter and sit down voluntarily, has increased and the number of people who are showing the signs of tension and who shiver has decreased, at using of placebo therapy.

D. Popović-Babić, V. Ivetić, B. Biskupljanin, M. Apostolović

01.01.2009.

Professional paper

HISTOPATOLOGICALAND CLINICOMORPHOLOGICAL CHARACTERISTICS OF MALIGNANT TUMORS OF THE SKIN

Malignant tumors of the skin (MTS) are between the most common malignant tumors at human population. Because of their similarities, and more important, their dissimilarities, it is very important to determinate histophologycal type, grading and staging, because they are the most important factors of therapy choise and prognosis. The aim of our work was to examine those parameters, and also to define sex, age and locations distribution, as well as the value of surgical treatment. We analysed biopsy material of Institute of pathology, Medical faculty Priština from 2004-2007. year. We found that squamocellular carcinoma (SCC) and basal cell carcinoma (BCC), and malignant melanoma (MM) were more common at older persons, about 2x more common at male, little bit younger at persons with BCC and MM than SCC. The most common location was skin face; at persons with SCC and BCC significant more common than on all other skin locations. SCC was more common below, and BCC was more common on skin face above imagine line from tragus to the same side lips corner. Average size was about 1,5 cm, and macroscopic they were ulcerous, verrucous and infitrative. Invasive SCC was diagnosed in 2/3 cases in the most early stadium. In opposite MM was diagnosed in late stadium in majority cases. Moderate inflammatory infiltrate was found in most cases of all MTS. MTS was adequate removed in the most part cases.

M. Vančentović-Mijović, N. Mitić, D. Vukićević, Z. Dolićanin, B. Đerković

01.01.2009.

Professional reviews

ALPHA LIPOIC LIPOIC ACID IN CLINICAL ACID IN CLINICAL APPLICA APPLICATION

Alpha lipoic acid is the most efficient of all known antioxidants for its lipo and hydrosolubility which enable easy penetrability in cytoplasm making its protection of free reactive radicals, energetic metabolism, regulation of genetic expresion etc. It has wide application in prevention and in therapy of diabetic angiopathy, neuropathy, cardiovascular, cerebrovascular, neurodegenerative disease, lesion, (insufficiency) of liver, HIV, intoxication with hard metals, mycotoxins etc. An important proprety of lipoic acid is its possibility to prevent or remove lesions which are caused by application aminogycosides and haloperidol (ototoxicity, nephrotoxicity) according to its wide application. R isomer of lipoic acid is physiological substance presented in organism which synthesize in in liver enabling its its application in relatively high dose for a longer period of time.

B. Vučinić, R. Mitić, S. Dimić, Z. Milanović, S. Sovtić

01.01.2009.

Professional reviews

LYMPHOPOETIC FUNCTION OF THE THYMUS

The process of multipotential lymphatic stem cell maturation and differentiation into immunocompetent T cells is accomplished by the expression and deletion of specific surface CD antigens. The CFU-Lstem cells enter the medulla of the thymus via a post capillary venule and then migrate to the periphery of the thymic lobule. The presence of CD2 and CD7 molecules on the cell surface indicates an early stage of differentiation. This is followed by expression of the CD1 molecule, indicating the midstage of Tcell differentiation. As maturation progresses, the cells express TCRs, CD3, CD4, and CD8 molecules. It seems that intensity of interreacion between TCR/co receptor molecule complex and self peptide/MHC complex determine the outcome of the thymocite selection process. If the lymphocyte recognizes self MHC and self or foreign antigen, it will survive the selection (positive selection); if not, death of the cell will occur. Cells that pass the positive selection test leave the cortex and enter the medulla. Here they undergo another selection process in which cells directed to selfantigen displayed by self MHC are eliminated (negative selection). Cells that survive that selection then become either cytotoxic CD8+ Tlymphocytes or helper CD4+ Tlymphocytes.

S. Leštarević, Z. Anðelković, N.B. Mitić, Z. Milosavljević, M. Milošević

01.01.2009.

Professional paper

ECHOCARDIOGRAPHIC DIAGNOSIS OF LEFT VENTRICULAR MYOCARDIAL HYPERTROPHY

The existence of left ventricular hypertrophy is an independent prognostic factor for cardiovascular morbidity and mortality. Heterogenous factors lead to left myocardial hypertrophy. The most frequently factors are: arterial hypertension, valvular heart disease (aortic stenosis and insufficiency, mitral insufficiency), hypertrophic myocardiopathy, left myocardial hypertrophy after myocardial infarction... For making the diagnosis of left ventricular myocardial hypertrophy used electrocardiography („voltage“ and „repolarization“ criteria) and echocardiography. Echocardiography is the gold standard for diagnosis of left ventricular myocardial hypertrophy. Left ventricular mass was estimated by the modified formula 3 3 using measurements obtained in accordance with the Penn convention: MLK = 1,04 (LDDd+PWDd+IVSDd) - (LVDd) - 13,6 Where LDDd is diastolic left ventricular internal dimension, IVSDd is diastolic ventricular septal thickness and PWDd 2 is diastolic posterior left ventricular wall thickness in diastole. LV mass indexed by body surface area (g/m ). By Penn con2 2 vention left ventricular hypertrophy criteria were ≥134 g/m for men and ≥110 g/m for women.

S. Sovtić, Z. Marčetić, R. Stolić, V. Perić, T. Novaković, A. Jovanović, S. Lazić, M. Šipić

01.01.2009.

Original scientific paper

COMPARATIVE ANALYSIS OF TOOTH SIZE PREDICTION BY TANAKAAND JOHNSTON AND MEASURED WIDTHS OF TOOTH ON OUR POPULATION

The objectiv of this study were to evaluate the applicability of the methods of Tanaka and Johnston predictions to our population.60 dental study casts(30 male and 30 female patients)were used.The measured sum of the width of the permanent canine and premolars were compare with values obtained from Tanaka-Johnston formula.The method of Tanaka-Johnston were tended to exaggerate the actual sum of the lower permanent canine and premolars for male and female samples,with statistically significant differences.

A. Vujačić, J. Pavlović, V. Vukićević

01.01.2009.

Professional paper

INCIDENCE OF STRESS-ULCЕR IN SEPTIC PATIENTS

Serious metabolic diseases and infections, such as sepsis, may lead to the occurrence of stress ulcers. Unfortunately, in our hospitals, the stress ulcer is often diagnosed as a separate disease, not as the manifestation of the existing stress status of the patient. Therefore, the goal of this pilot study was to establish the incidence of stress ulcers in sepsis patients treated at the Infective Disease Clinic. Patients treated at the Military Medical Academy Infective Disease Clinic during 4 month period, who experienced acute bleeding, verified gastroscopically, were subjected to retrospective analysis. Five out of 344 hospitalized patients had serious hemorrhages. Out of a total of 21 patients diagnosed with bacterial sepsis, acute gastric bleeding was verified gastroscopically in three, or 14.28 percent. To obtain more data, prospective long-term study, wich would include greater number of septic patients, should be conducted.

S. Janićijević-Hudomal, J. Rašić, D. Mikić, V. Piperski

01.01.2009.

Professional paper

OCULAR CHANGES OCULAR CHANGES AT SERONEGA SERONEGATIVE ARTHROPATHY

Seronegative arthropathy represents group of rheumatic diseases which affects younger patients, more often male. Ocular findings are numerous such as conjunctivitis, iridocyclitis, and they are a part of extraarticular clinical manifestations. Acute anterior uveitis, as most common ocular manifestation, could be a sole or associated morbidity condition at the forme of systemic diseases.

M. Mirković, V. Jakšiċ, L. Žorić, D. Vukša, D. Stamenković, S. Bulajić, Z. Petković

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