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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.

Professional paper

SATISFACTION OF THE EMPLOYEES IN THE GENERAL PRACTICE SERVICE OF THE HEALTH CENTRE NOVI SAD

A survey was made among the employees of the Health Centre Novi Sad. It included 237 people, of which 99.6% were health workers and 0.4% administrative workers. Among the respondents 8.4% occupied a managing post. The questionnaire included the issues relating to the satisfaction of the employees with working conditions, work-associated fatigue, comparison of the job satisfaction five years ago and now, plans for the next five years, and overall job satisfaction. Based on the answers of the respondents it comes out that only 36.3% of the health workers are satisfied and very satisfied with their jobs, which is a very small percentage regarding the nature of the work they do. However, 42.2% of health workers plan to remain in the public sector in the next five years, and 41.8% do not even think about changing the job. This was logical to expect bearing in mind the material position of the health care and overall economic situation in the society. 

M. Vojnović, R. Doder, M. Ban, J. Kolarović

01.12.2009.

Case Reports

INFLUENCE OF ARTERIOVENOUS FISTULAE FOR HAEMODIALYSIS ON THE OCCURRENCE HEART FAILURE - CASE REPORT

It is known that arteriovenous fistula for hemodialysis has an unfavorable impact of dialysis patients but their exact role in the development of heart failure was not clear enough. The paper presents a patient who is on chronic hemodialysis program is nine years, in which there was a clear clinical symptoms and signs of heart weakness, probably aided by a pronounced flow through arteriovenous fistula. Left ventricular hypertrophy due to volume of arteriovenous fistula, is not the only reason for the emergence of global heart failure.

R. Stolić

01.12.2009.

Professional reviews

APPLICATION THE PERSONAL COMPUTERS IN RADIOLOGY

In this paper the role of personal computers (PC) in radiology was emphasised. PC have important role in medial image generation, in digital RTG, ultrasonography, endoscopy, tomography (CT, MR, PET). We emphasised the importance of PC in DICOM (Digital Imaging and Communications in Medicine) and image postprocessing, control and managing of radiology systems and PACS-a (Picture Archiving and Communication System) based on PC for transfer and archiving of medical images.

A. Todorović

01.12.2009.

Professional reviews

ADRENERGIC β2 AGONISTS IN THERAPY OF PATIENTS 2 WITH BRONCHIAL ASTHMA

Bronchial asthma is the syndrome, characterized with chronic inflammation, hyperreactivity and obstruction of the respiratory pathways, accompanied with consequential symptoms and remodeling of the respiratory pathways. Application of inhaled corticosteroids accompanied with appropriate education of patients, significantly improve therapeutic treatment and outcome of the asthma. But, improvement of the lung function and patients subjective state is remarkable better yif inhaled corticosteroids are combined with adrenergic â2 agonists, than if the dose of inhaled corticosteroids is increased. So, according to Global initiative for asthma and clinical results long acting adrenergic â2 agonists in combination with inhaled corticosteroids are most efficient in asthma treatment and establishment and conservation of bronchial asthma control. 

D. Popović, M. Đurić, N. Naumović, V. Ivetić, N. Sečen, Z. Lazić, Z. Lazić

01.12.2009.

Professional reviews

ADIPOKINES AS FOR RUNNERS OF INFLAMMATORY CITOKINE SUPERFAMILY AND ITS INVOLVEMENT IN INFLAMMATORY AND IMMUNE DISEASES

Leptin was discovered in 1994, finding, that marked the beginning of a new understanding about white adipose tissue. Up to end of 20th century this tissue was viewed as an inert tissue, devoted to body protection from heat loss and to passively store energy. This static vision, changed with identification of the product of the gene obese (ob) wich accentuated the role of adipose tissue in the physiopathology of obesity-linked diseases, and led to the discovery of various adipokines, many of a pro-inflammatory nature. With emerged knowledge of (WAT)-derived adipokines, it is obvious that they can be now considered as the bond between obesity-related environmental causes, such as nutrition and lifestyle, and the biochemical shifts that lead to metabolic syndrome, inflammatory and/or autoimmune conditions, and rheumatic diseases. This paper deals with reviews of recent adipokine research, with particular emphasis to the role of leptin, adiponectin, resistin, and visfatin in chondrocyte function and skeleton, as well as in inflammatory and degenerative cartilage joint diseases.

Lj. Smiljić, M. Radunović, M. Muratović, T. Smilić

01.12.2009.

Professional reviews

PHYSICAL-TECHNICAL PRINCIPLES OF COMPUTERIZED TOMOGRAPHY

Theoretical principle of computerized tomography was set by Czech mathematician J. Radon in 1917.The development of computerized tomography is connected with the name of A.M Cormack who, in 1963, started with the research directed at X-ray beam intensity measurement after passing through certain substance.First computerized tomography appartus was installed in Atkinson-Morley hospital in October in 1971 in London. Computerized tomography is based on making transverse(axial) cross-section of body parts,by X-ray beam passing through visible body part and by measurement of X-ray absorption degree using detectors. A cross-section picture of certain body part is obtained on a monitor as a final result of CT examination. A system of picture digitalisation and application of grey scale concept is particularly complex. Basic elements of CT are gentry, patient's bed, high-voltage generator, working and computer console, system for transferring picture on a film or other electronic media. Densimetric tissue values can be measured on the obtained CT picture. A change can be isodense, hypodense or hyperdense. Density change is expressed in Hounsfield units. Contrasting remedies can be applied, during CT, intracanalicular or intravenous. A better quality survey of changes increasing tissue density is obtained using them. CT application is indicated in diseases such as:neurocranium, visceral cranium, spinal column, thorax, abdomen, skeletal, joint and muscular system. X-ray side effects and precaution risks are being described in the text.

T. Jovanović

01.12.2009.

Professional paper

THE MOST COMMON PATHOGENS OF BACTERIEMIA AND THEIR RESISTANCE IN HOSPITALIZED PATIENTS

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. 

Z. Đorđević, S. Milinić, R. Stolić, N. Đonović

01.12.2009.

Professional paper

ORGANOPHOSPHOROUS INSECTICIDE POISONING - EMERGENCY TREATMENTS IN THE CLINIC HOSPITAL - BITOLA

Organophosphates are famous insecticides which are often used as suicide venoms in Bitola's surrounding. When treating such patients you should gastric washing, keep the airways clear, give Atropin until fully atropinized, give symptomatic therapy. All patients need to be hospitalized. The treatment for this kind of patients is finalized with a psichyatric observation.

V. Radivojević, S. Radivojević

01.12.2009.

Professional paper

VIRAL HEPATITIS A IN MUNICIPALITY OF PRIJEDOR

Acute viral hepatitis A (HAV) is a benign self-limited disease, which does not become chronical and does not require obligatory hospitalization. It's an intestinal infectious disease with a dominantly fecal-oral way of transmission. Endemic epidemic appearance of this disease on the municipality of Prijedor, with a very high level of incidence, from the sixties of the 20-th century, has put the viral hepatitis among the priority problems of epidemiologic practice. During the period 1965-2007. in Prijedor there were 5707 registered cases of HAV contaminated people and three death cases. From 1990 it has been noticed an epidemiologic regression of HAV followed by its complete absence during the period 1997-2007. Studies of reasons of HAV regression have been conducted by a descriptive-epidemiologic method according to sex, age, ethnic affiliation, place of residence, seasonal appearance of disease, and the way of water supply. It has been determined that there is no statistically important differences among contaminated people according to sex, differences in other treated parameters correspond to the data from literature [1,2]. Seroconversion has been proved in 53 persons or 55,2% of tested people. Percentage of sero-positive people was 93,7% among people older than 60 years of age and 79,2% among the refugee population. Based on studies, the epidemiologic regression of HAV from the 90-ties of the 20th century, is explained by the fact that this disease appears in the interepidemic period, that there is a significant collective immunity of population with the HA virus, and the most important, the basic epidemiologic factors which contribute to the spreading of disease have been removed - the majority of population live in the urban and suburban areas where a hygienic water supply has been provided for. Also the customs and habits of population have been significantly changed. 

D. Anðelković

01.12.2009.

Professional paper

ÎPERATIVE TREATMENT OF PREMALIGNANT AND MALIGNANT CHANGES ON CERVIX UTERI AT GYNECOLOGY & OBSTETRICS CLINIC OF CLINICAL CENTER OF MONTENEGRO IN THE PERIOD OF 1999-2008

Cervix cancer is the second most frequently found cancer in women, after breast cancer and represent one of the biggest problems of modern medicine. The aim of treatment is to determine the frequency of certain premalignant and malignant changes in cervix and the method of its operative treatment. By a retrospective method, 360 women have been operated due to the changes in cervix from 1999-2008 at Obstetrics &Gynecology Clinic of Clinical Center of Montenegro. Out of this number the total of 297 women with premalignant lesions of cervix was found and 63 women at an operable stage of cancer. With premalignant cervix changes the most frequent indication for operation was CIN III - 24.57% of patients. Cervix conization -80.13% is most frequently used as an operable intervention with premalignant changes in cervix. The groups of 40-49 years of age and 50-59 years of age are the ages of patients with most frequently conization done. The most frequent indication to operate malignant cervix was Ca I b. Wertheim-Meigs radical hysterectomy was performed with all patients with operable malignant changes. With an early identification, an adequate evaluation, the treatment, constant and cautious monitoring, almost any cervical intraepithelial neoplasia can be cured. Without the treatment, 30-50% of cervical dysplasia can advance into and invasive cervix cancer. 

A. Boljević, G. Globarević-Vukčević, S. Raičević, M. Jovanović, D. Kljakić

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