It is obvious that outcome of the cerebral ischemia depends on many of the metabolic reactions that accompany circulatory disturbance, and forcaming neurochemical changes on the cellular level. Cerebral ischemia accompany changes in the neurotransmitters from the group of the biogenic amines, that influence a great deal whole chain of reactions that lead 66 cell to ultimate death. This processes ease up an enables distribution of the cascade reaction in ischemia leisure. To this should be added the fact, that cerebral infarct is followed with selective disturbance on hematoencephal level for 64. monoamines. It is obvious that cerebral infarct involves changes in metabolism of the central neurotransmitters. This changes could have either short or long term consequences on the ischemic process outcome. Therefore our aim in this study was to investigate the influence of the biogenic amines, serotonin and epinephrine as possible markers in estimation of the neural damage, outcome of the ischemic cerebral stroke and clinical presentation throughout correlation in changes of their concentration in liquor. Investigation included 40 patients on hospital treatment on Neurology Clinic of the CHC Pristina. During the follow up study, we estimated changes in concentration levels of the serotonin and epinephrine in liquor throughout different time intervals, correlating to the neurology status, encountering neuroradiology methods CT and MRof the brain, as a criteria in diagnosing acute ischemic cerebral stroke.

Periodontal diseases appear at the earliest age, they are progressive, long-lasting and if not treated lead to the loss of teeth in adults. By examining and identifying the frequency, range and severity of periodontium diseases, it is possible to evaluate the need for prevention and treatment of those affected with gingivitis and periodontophaty.The aim of the study is to determine the oral hygiene and periodontium status of the examined children in urban and rural areas. A total of 240 schoolchildren was examined. Significant presence of soft deposits was found in the examined children aged 12 and 15 years, disregarding the place of residence (IMN- 1.53 in town and IMN- 1.40 in the village). Calculus index values are significantly lower in the rural compared to the urban area for about 40% (0.26 in rural compared to 0.44 in urban area In relation to the place of residence (town-village), the status of the periodontium evaluated by CPTIN Index, shows that only 14.6% of the examined children need no treatment. Within the necessary treatment, 32.9% of the examinees need training in oral hygiene and 40.8% of them need removal of soft and hard deposits. Considering the recorded values from these two typical areas, it can be concluded that dental protection in these two regions has no significant influence on oral health. Thus, it is necessary to plan and conduct permanent prevention, early diagnosis and timely therapy.

Patients with epilepsy more often than healthy individual have cognitive disorders, what may be the result of different factors, among which significant place occupy the treatment with antiepileptic drugs. Topiramate is the new antiepileptic drug, which is related with high efficiency in the reduction seazures, and also whit high prevalention of cognitive adverse events. Purpose of our study is to clarify the role of depression in developing cognitive adverse events during therapy with topiramate in patients with refractory epilepsy. In the prospective stady we followed 40 adult patients with refractory epilepsy, which treatement took place on the Institute of neurology Clinical center of Serbia. All patients are neuropsychological tested twice. First time before the start of therapy with topiramate on basic antiepileptic therapy, and next time two months after the achieving of stable dose of 200mg/day. We used neuropsychological tests for evaluation attention, concentration, visual and verbal memory, speech, executive functions, divergent opinion and visual construction abilities. For estimate degree of depression we used Hamilton's scale of depression. Patients with the depressive manifestation had lower scores on cognitive tests in comparition to patients without the depression, before and after introductions topiramate. More the score of depression was larger, the scores of neuropsychological tests have been worse. Depression has bad influence on the cognitive functioning and her presence in the patients with epilepsy increases the risk from development of cognitive adverse events of topiramate.

In neurophysiology the concept of lateralization of brain hemisphere functions is related to the existence of differences in their functioning. The aim of the research was to determine for the right-handed females whether there is a connection between the degree of lateralization of brain hemispheres and the variables of cognitive potential P300 (latency and amplitude). In 30 study participated 70 girls, age 20-23 years. In the first group where 29 strong expressed right-hand girls, in the second group 30 moderately expressed right hand girls, and in the third group 11 right-hand learned girls. The reserch workers were using the "oddball" paradigm with two tones: "standard" (90dB 1000Hz) and "expected-target" (90dB 2000Hz) for the registration of the P300 potential. The tones were binauraly presented in irregular intervals and irregular order. P300 evoked potentials were registered above Fz and Cz area. Results showed the cognitive P300 wave latency to be significantly shorter when responding with dominant hand in first group. P300 wave latency in girls from second group was a shorter with engagement of the right hand. Cognitive P300 potentials above the FZ and Cz regions àt the first group have a significantly shorter latency compared to the average latency of potentials registered in girls from second group. Cognitive P300 amplitude waves are higher above central regions independently of the hand used.

Doxorubicin is the most frequently used anthracycline antibiotic that expresses significant toxicity. Among all side  effects, hematological are the most common, while cardiac side effects are the most serious and the most important. The aim of this study was to investigate whether doxorubicin containing combined chemotherapy used in treatment of childhood acute lymphoblastic leukemia (ALL), influences electrical activity of the myocardium and left ventricular function in affected children. Experimental group consisted of 20 children with newly diagnosed ALL treated according to protocol YU ALL 95, while the control group consisted of 20 healthy children. Electrocardiograms (ECG) at rest were taken and analyzed, and corrected QT intervals (QTc) calculated. All children had echocardiograms (ECHO) including fractional shortening (FS) and ejection fraction (EF). Electrocardiograms, FS and EF were normal in all subjects, and were similar in both groups.

Myenteric nervous plexus is from rare importance for function of gastrointestinal tract. It perform one regulatory level autonomic nervous system which is situated within wall of digestive tract wherefore is directly exposed effect pathogenetic factors from extern ambiance. Aim of these study is that itself within terminal part of large intestine (sigmoid colon and rectum) particulary inquest myentric nervous plexus as part of autonomic nervous system. That itself describe shape and arrangement of ganglion structures, as well as, shape and arrangement of ganglion cells of myenteric nervous plexus. Within our researches we use totally 60 tissue samples of human sigmoid colon and rectum. From anterior wall those part of large intestine was taken 30 samples, also and same number of samples towards parts of posterior wall. Proximately past getting samples was determine their volume by using picnometre. Afterwards are made preparations coloured by He, Cresyl - violet and AgNO methods. Tissue samples are sliced within step - shared series of incisions with thickness slice by 7µm and 3 thickness grade by 50µm. Stereologycal analysis was perform by test system M42 which is calibrated on enlarge objective 40x. During analysis was determined absolute volume of ganglion structures of myenteric plexus and absolute number of ganglion cells inside of ganglion structures. Structures of myenteric nervous plexus being shown on longitudinal cross - section of tissues as flat, irregular ramify structure explicitly limited from surrounding smooth muscles. Immanent is upward trend absolute volume of ganglion structures and absolute number of ganglion cells goes from sigmoid colon according to ampullar part of rectum. Variance on level of significance by p<0,05 are present only if itself compare absolute volume of ganglion structures and absolute number of ganglion cells of myenteric plexus ampullar part of rectum and uppermost part of sigmoid colon. Test correlation shows of being presence high statistic significant (p<0,001) correlation between absolute volume of ganglions and absolute number of ganglion cells of myenteric nervous plexus.

Total happening «en masse» is important to epidemiologist - and so it is «massive manifestation of natural system of the sickness» (PSB). Manifestation "en masse" of the natural system of parotitis N makes quantities of qualities N , N , B b N , N , N etc. a) «Causative connection» (UV) is the reason of sickness appearance. UV has its own causes of appearance, Z neB z and so the hierarchy of cause in the complex happening from subsystem. Nongenotopic or/and entropic causes of appearance of causative bonds (connections) as equilibrium connects and/or separates binary elements of causative bond  (connection). Pathogenic of contagium exists virtually in happening «en masse» in pre pathogenesis, prior to forming «immanent UV». b) Realising conjunction between the subsystems makes appearance of «immanent causative connection». That is a moment from which comes to obligatory demonstration of pathogenic as inner cause of contagium and consequent getting sick. The author concludes that «natural work» is the cause by which UV appears. Natural work is outer cause of massiveness. Just by appearance of "immanent UV" the showing of contagium pathogenic in the subsystem of sickness. The pathogenic of contagium can be proved by artificial experiment and that way the Henle-Koch postulates can be satisfied, It happens that way that input disturbance unable to be shown. Finally, anyway natural happening should pass judgement on authenticity of the theory on natural happening. 

Skin cancer is the most common form of human cancer. The annual rates of all forms of skin cancer are increasing each year, representing a growing public health problem. The two most common form of skin cancer are basal cell and squamous cell carcinoma, well known as nonmelanoma skin cancer. Treatment of nonmelanoma skin cancer depends on the type and location of the skin cancer as well as the age and general health of the patient. Surgical excision is the most common metod in the treatment of basal and squamous cell carcinoma. One of disadvantages of simple surgical excision is incomplete margin control. The aim of this prospective study was to assess the influence of the size of the tumor and intraoperative surgical margin on the rate of complete excisions of skin cancer. A total of 64 basal cell and squamous cell carcinomas were excised and analyzed. Data pertaining to patient age, sex, lesion size and margin of excision were collected prospectively. After excision, all tumors specimens were histopathology confirmed completeness/ incompleteness of tumor excision. Tumor size ranged from 5mm to 36mm. Surgical margins were used in the range of 5-12mm. Skvamocelularni carcinomas were incompletely removed in 4.2%, and basal cell carcinomas in 10% of cases within the histopathological groups. Basal cell carcinomas: surgical margin of 5 mm radically removed 83.3% (up to 1cm); 8mm margin- 86.7% (1-2cm): and 10mm 100% (over 3cm). Squamous cell carcinomas: 10mm surgical margin removed 100% tumors up to 3cm.

Introduction: Approximately 15-23% of the general population have had urticarial rush during their lives. Goal: Examination of the urticarial frequency and urticarial etiopathogenesis among hospitalized patients. Sources and methodology: Retrospective analysis of the data extracted from patients' medical history at the Clinical Center of Kragujevac, Department for Dermatology and Venereology. Statistical methods used include proportional relations with tabular and graphical representation of the results gathered. Results: Out of 228 hospitalized patients in 2007, total of 28 (or 12.28%) were treated for Urticaria. The disease is more frequent among the following groups of patients: female population (total of 23, or 82.1%); people between 30 and 60 years of age (total of 15, or 53.6%); urban area population (total of 24, or 85.7%); patients with Dg. Urticaria acuta diagnosis (total of 19, or 67.8%); Dg. Oedema Quincke (total of 6, or 21, 4%); et people with cardiovascular diseases (total of 9, or 32.2%). The disease is more frequent in Spring, during the period April-June (11 patients, or 39.3%) with the greatest frequency in May (7 patients, or 25%). According to etiological samples the most prominent types of Urticaria among patients were: idiopathic (13 patients, or 46.4%), due to medications (5 patients, or 17.9%), nutritional origin (4 patients, or 14.3%), psychological factors (3 patients, or 10.7%). Considering complications, 6 patients (21.4%) had Quincke's Oedema, while 7 patients (25%) had allergic reactions to penicillin. Regarding outcome of the disease, total of 23 patients (82.1%) have been successfully cured. Discussion et Conclusion: The greatest number of serious urticarias with complications has been inducted by non-physical factors, mostly of immunological nature, while physically inducted urticaria have had less severe symptoms and required shorter time to cure. Nevertheless, exact causes for most types of urticaria are unknown, so continual research of causes, as well as courses, complications and treatments of this serious disease is necessary.

To show the most common causes of bacteriemia in hospitalized patients, as well as their sensitivity to antimicrobial agents. The research data were extracted from official reports produced by Microbiological Laboratory in Clinical Centre Kragujevac. Isolation and identification of the causes were performed with standard microbiological methodology. Sensitivity to antimicrobial medication was tested using disc diffusion. Interpretation and inhibition zones of antibiogram were done in accordance with guidelines of US Clinical and Laboratory Standards Institute (CLSI). A descriptive epidemiological approach was used in the research. The collected data were processed using the appropriate software application. Amongst the processed samples, a significant presence of Staphylococcus spp. was found (coagulase-negative 35,8% and coagulase positive 11,7%). Over 60% of Staphylococcus aureus isolates were resistant to meticillin. Enterococcus spp, isolated in 11,7% of all isolates, in more than 50% of cases was sensitive to ampicillin, with approximate isolate vancomycin sensitivity of 90%. The isolated Klebsiellà spp strains produced high degrees of Extended-Spectrum â-Lactamases (ESBL) and showed resistance to third-generation cephalosporins, aminoglycosides and ciprofloxacin, with 100% sensitivity to carbapenem. Pseudomonas spp and Acinetobacter spp were less represented (5.8% and 5.4%) but these neither pathogens were exempt to antimicrobial resistance.The research indicated that causes of hospital infections should be continuously monitored.