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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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01.12.2009.

Original scientific paper

THE STATE OF HEALTH OF CHILDREN IN SERBIAN ENCLAVES IN KOSOVSKO POMORAVLJE (2008/2009 SCHOOL YEARS)

In 2008. 1402 children of 1st,3rd,5th and 7th grade of 18 elementary schools in Serbian enclave of Kosovo Pomoravlje, were examined. This are villages of municipality of Gnjilane, Vitina, Novo Brdo and Kosovska Kamenica. I general 2816 children attend the elementary school. 932 of all examined children had a deformity, every ten had kyphosis, and every 8-10 had scoliosis. Every 5th child of 1st grade and every 6th child of 3rd grade had anemia. Some kind of flat-footed (pedes pllani) had every fifth to every third child. Only every tenth child was fat. 

Z. Dimeski, J. Živković, S. Milutinović, M. Milanović

01.12.2009.

Original scientific paper

CYTOLOGIC EXAMINATION IN DIAGNOSIS OF ORAL HERPES SIMPLEX VIRUS-1 INFECOIONS

The nature of herpes simplex virus as infective agens, which can grow in number, only in live cells, and fact that many herpes virus infections of oral tissue have atypic and asymptomatic course, makes their diagnosis more difficult and complicate from infections caused by other microorganisms. The aim of this investigation were to established cytological findings oral lesions of primary and recurrent herpes infections.

M. Šehalić, M. Knežević, R. Mitić, D. Marjanović, D. Stamatović, Lj. Šubarić, D. Živković, N. Mitić

01.12.2009.

Professional paper

AN ASSESSMENT OF INCOMPLETE EXCISION OF SKIN CANCER - IMPACT OF ASSOCIATED FACTORS

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.

G. Videnović, G. Bjelogrlić, V. Stojanović-Kamberović

01.12.2009.

Professional paper

FREQUENCY AND COMPLICATIONS ANGIOEDEMA QUINCKE AMONG HOSPITALIZED PATIENTS

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.

N. Krstić, M. Relić, B. Belić, R. Stolić, S. Sovtić, T. Novaković

01.12.2009.

Original scientific paper

NEUROPHYSIOLOGIC CORRELATES OF EPILEPSY IN COMPLEX FEBRILE SEIZURES

Febrile seizures are the most common neurological disorder of early childhood. By expressing the characteristics febrile seizures are divided into simple and complex. Our aim was to determine the elektroencephalography characteristics in children who had febrile seizures, and determine the relation between types of febrile seizures correlates with the appearance of epilepsy in children aged 9-11 years. In the group of children studied, 50% had a complex febrile seizures, 42.2% had simple febrile seizures, and 7.8% children had febrile epileptic status. The analysis of EEG findings observed were statistically significant differences in specific changes in the EEG depending on the type of febrile attack that the child would have. In the group of children with simple febrile attacks 92.1% has a normal EEG, 2.6% had a specific, a 5.3% nonspecific finding. For children with complex febrile attack, 44.4% have a specific, and 13.3% of non-specific changes in EEG. Specific changes in the EEG has 28.6% of children who had febrile epileptic status.

A. Opačić, V. Ivetić

01.12.2009.

Original scientific paper

ANTHROPOMETRIC PARAMETERS IN DETERMINING THE SIZE AND DISTRIBUTION OF FAT MASS IN SUBJECTS WITH METABOLIC SYNDROME

Metabolic syndrome is a common metabolic disorder whose primary feature is abdominal obesity, which is associated with a high prevalence of dyslipidemia, hypertension and glucose tolerance disorders. The goal was, determine BMI in subjects with metabolic syndrome and people with normal body weight, take anthropometric parameters (waist and hip circumference, and calculate WHR and WSR index) to assess the average degree of nourishment and body fat distribution. The research was conducted in Gracanica Health House. The study group consisted of 130 subjects that met the criteria for metabolic syndrome. The control group consisted of 40 randomly selected subjects during medical check-ups. The study group was dominated by female with 83. 08%, followed by 16. 92% of male subjects, with the average age of subjects being 56. 32 years. The average BMI index of the study group was 32. 22 kg/m², which indicates first-degree obesity, while the average BMI index of study group subjects was 24. 67 kg/m², which is within the normal nutrition range. By comparing the average values of anthropometric parameters, we established that the study group subjects had statistically significantly higher average body weight parameters (waist-to-hip ratio p<0,001), while the control group subjects had a higher average of body height (p<0,001). In both, study and control group, male subjects had a normal WHR, which is not the case with women. Therefore, there was a statistically significantly higher number of women with pathological WHR (p<0,001) than of men in both groups. The study group had a statistically significantly higher number of subjects with pathological WHR (p<0,001). The average WSR value (waist/BH) is statistically significantly higher in the control group (p<0,001). Obese individuals had significantly higher values of measured anthropometric intraabdominal fat indicators compared to normally nourished people. 

B. Inić Kostić, T. Novaković, S. Milinić, R. Trajković, N. Đokić, S. Nikolić

01.12.2009.

Original scientific paper

THE INFLUENCE OF THE METABOLIC SYNDROME ON THE ETIOPATHOGENESIS OF BILIARY CALCULOSIS

The metabolic syndrome is characterized by a group of metabolic risk factors causing type 2 diabetes (DM2) and cardiovascular diseases. At the heart of this pathogenic disorder is insulin resistance. The metabolic syndrome is often accompanied by diseases of the gallbladder (chronic inflammations and calculosis). The goal of our study was to observe the changes made on the gallbladder with patients diagnosed with the metabolic syndrome, specifically the presence of calculosis and cholecystitis. The study involved 130 patients with the metabolic syndrome and 40 healthy subjects, all of which were subjected to abdominal ultrasonography. Gallbladder calculosis was found in 36,92% subjects of the study group and 12,50% subjects of the control group, resulting in a statistically considerable difference (p<0,001). The results of our study indicate a significant presence of biliary calculosis as one of the manifestations of the metabolic syndrome on the biliary system.

S. Milinić, B. Kostić-Inić, T. Novaković

01.12.2009.

Original scientific paper

THE EVALUATION OF FUNCTIONAL CONDITION OF PATIENTS SICK OF COXARTHROSIS

Artrosis as degenerative rheumatic discase of joints, which is the most often with older people, and if it is not cured adequotety it brings to the serious defects. The air of warr is to evaluate functional condition of people sick of hip osteoarthrosis by using two standardised questionnaires for the hip osteoarthrosis. Material and methods: The examination included 100 patients with hip osteoarthrosis (73 women and 23 men) whase diagnosis was set on the basis of ACR criteria. The result : In the group of 100 patients (73 women and 27 men) with average old of 58,87 years and average lasting of sickness 8,28 years from which 77 had bilateral representation of hip osteoarthrosis and 23 unilateral representation of hip osteoarthrosis showed these results of funcional tests: a) averagevalne of Womac score is 50,18 (min 13,00 max 77,00) that is in the medium category of funcional disableness, b) average volne of Lequesne score is 14,12 (min 4,00 max 23,40) that shows high degrece of functional of functional disableness. Both questionnaires are mutvally correlated with a higs degree of statistic importance in the whale score (r= 0,454; p< 0,0001) and so in the subsections: pain (r= 0,540; p<0,0001) and physical functional scale r= 0,728; p< 0,0001). The intensity of pain also correlated with time of step and Womac score (r= 0,454; p< 0,0001), and with the lasting of sickness, female sex, and there wasnt statisticaly important coreelation with Lequesne score (r= 0,215; p= 0,08). Radiologic findig correlated with reduction of the moveness amplitudes, the time of step, the lasting of sickness, the of the patient, Womac score (p< 0,05), and it isnt correlated with Lequesne score. The reduction of the moveness of amplitudes is the hips correlated with radiographic presentation, the time of step, Womac and Lequesne score, localization, the age of patients and using of help materials. Conculsion: The valne of both indexes correlate with the usual clinical indications of coxarthrosis progression, and Womac index shows better correlation with radiologic progression of sickness than with Lequesne index.

M. Muratović, Lj. Smilić, M. Radunović

01.12.2009.

Original scientific paper

SOCIO-PEDIATRICS ASPECTS OF CILDREN’S ACUTE ORGANOPHOSPHATE POISONING

It is argued that the easy availability and widespread use of highly hazardous organophosphate compounds (OPC) is the most important reason for this high number of poisoning. In this study socio pediatrics aspects of children¢s acute intoxications OPC were investigated.Data collected included age, gender, time, rout of åxposure, place of accident, first aid before admission. Àll were do to accidental event attempted suicide cases. Acute OP poisoning is a the important cause of morbidity and mortality and represent serious condition that needs rapid diagnosis and tretman because. Therapy should be started as early as possible beginning from primary and secondary level so undesirable consequences can be avoided.

J. Drmončić-Putica, J. Živković

01.12.2009.

Original scientific paper

ELECTROCARDIOGRAPHIC CHANGES IN PATIENTS WITH SYSTEMIC DISEASE OF CONNECTIVE TISSUE

Changes in the heart and blood vessels are one of the major complications that substantially contribute to morbidity and mortality of patients with systemic diseases of connective tissue.All anatomical structures of the heart can be affected by pathological process and noted the multiple pathogenic mechanism leading to changes in pericard (thickening of leaves, calcification, pericardial outburst), atrial and ventricular arrhythmia, disorders of implementation, changes in heart failure in terms of whiskered or stenosis, myocardial ischemia and heart failure. The aim was also to test the registration of the most common heart rhythm disorder and implementation as well as changes in the ST segment and T wave of electrocardiogram of patients with systemic diseases of connective tissue. The study involved 70 patients in two groups. The first group was 50 patients with systemic disease of connective tissue, and the second control group of 20 patients with lumbal syndrome. Electrocardiographic changes were observed in 38(54,3%) respondents. Observed by groups of patients with connective tissue diseases were registered in 35 (70%) and in the control group in 3 (15%) patients with a statistically significant difference (p<0,01). Statistically significant difference was noted in the appearance of ventricular premature complex, changes in ST segment and T wave.

E. Regić, S. Sovtić

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