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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.

Original scientific paper

THE ROLE OF STUFF IN TRANSPORT OF CRITICALY ILL OR INJURED PATIENTS IN OUR CONDITIONS

Quick, proper and efficient transport is an integral part of all measures taken in treatment and effective care of polytraumatized patients. Before or during the transport, without regard to the transportation means, such patients often need their airways to be protected, connection to mechanical ventilation, applying of oxygen, infusion solution, painkillers or some other drugs. Continual monitoring of vital functions is required part of treatment during transport of critically ill or injured patients. Their transport, beside adequate equipment, demands theoretically and practically well trained stuff. In most European countries anesthesiologists have primary role especially in interhospital transport (for example in transport of neurosurgical patient from local to university hospital). Unfotunatelly, in our conditions transport is often carried out by unsufficiently skilled medical stuff without adequate equipment and experience what may have an effect on treatment success and surviva.

A. Pavlović, A. Jovanović, S. Trpković, G. Trajković

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

01.12.2009.

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

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.

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.

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

01.01.2008.

Original scientific paper

PATHOLOGICAL CHANGES OF VAGINAACCOMPAINED WITH HUMAN PAPILLOMA VIRUS INFECTION (HPV)

Apart from great frequency of epithelian, especially preinvasive changes, some very rear diseases common for other lower parts of genital tract (cervix and vulva), are vaginal epithelian changes and especially vaginal intraepithelial neoplasia (VAIN). That's the reason why we don't usually think about this disease, which can have very serious consequences, especially in late discovering of changes in the stadium of invasive malign disease.The aim of this work was to diagnose all pathological changes on vagina: benign, premalign and malign, according to the age of female patients. Biopsy and operative material taken from 1331 female patients treated in Ginecology and Obstetrics Clinic “Narodni front” in Belgrade, were used in this study. The most diagnosed benign changes was condylomata acuminate (42%). Out of 20 cases of premalign changes, VAIN I was diagnosed in 5 cases (25%) as a slight degree of premalign changes, while VAIN II and VAIN III were diagnosed in 5 cases as a severe degree of premalign lesions. Out of 11 cases, there were 3 cases (27.27%) of invasive planocellar vagina carcinoma with histological degree G1N1. 8 cases (72.72%) were with histological degree G2N2, while there were not a single case with histological degree G3N3. Planocellar vagina carcinoma is the most common in the age of 41-50.

D. Vukićević, Ž. Perišić, V. Plešinac-Karapandžić, M. Vančentović-Mijović, B. Đerković, L. Vitković, N. Mitić

01.01.2008.

Original scientific paper

EXHUMATION OFMASSIVE GRAVES AND SINGLE GRAVES ON THE TERRITORYOFKOSOVO AND METOHIJA(2001-2004)

Identification of victims during war and post war conflicts means for The Republic of Serbia the most important professional, scientific and ethical investigation. Before the process of identification forensics do the exhumation, very important part of process of which depends successful identification. On the Kosovo and Metohija, from 2001 till 2004. forensics did exhumation in some massive graves and in many single graves. Experiences of experts proove that the process of exhumation is very important becouse in that first phase collecting of evidence through forensic investigations have made “disappeared” victims “visible”, empowered survivors, corrected the historical records, and exposed cover-ups. Through forensic investigations including the identification of all injuries on the dead bodies, we faced with the marks and circumstances which followed the death under existing conditions on Kosovo and Metohija. Forensics promotes democratization and rule of law.

S. Matejić, M. Todorović, T. Filipović, M. Milošević, V. Jakšiċ

01.01.2008.

Professional reviews

INHIBINS INHIBINS - QUALITIES, QUALITIES, SIGNIFICANCE SIGNIFICANCE AND HIS ROLE IN PREGNANCY PREGNANCY

Inhibins are glycoprotein hormones of which there are two molecular forms, inhibin A and inhibin B. Classically, inhibin is known to have a negative feedback effect on pituitary follicle-stimulating hormone secretion. The fetoplacental unit produced inhibin throughout pregnancy. Inhibin Ais the predominant molecular form of inhibin in maternal circulation from 4 week of gestation. Although the precise biological function of inhibin Ain pregnancy is unclear, it is evident from recent studies that inhibin A could be a better marker of placental function than human chorionic gonadotropin because of its shorter half-life. The possible clinical application for the measurement of inhibin Ain early pregnancy could be in predicting miscarriage , Down's syndrome, preeclampsia and fetal growth restriction in the first and/or second trimester before the onset of yhe clinical symptoms. Inaddition, several evidences underline the potential role and the clinical usefulness of their measurements in the diagnosis, prevention,prognosis and follow-up of different gestational pathologies such as:threatened abortion, placental tumors, hypertensive disorders of pregnancy,intrautherine growth restriction,fetal hypoxia.The measurement of inhibin Aand activin Ainto the biological fluids of pregnancy will offer in the future further possibilities in early diagnosis,prediction and monitoring pregnancy diseases.

M. Vukotić, G. Trajković, M. Parlić, A. Ćorac, M. Mirković, N. Milošević

01.12.2008.

Professional paper

EPIDEMIOLOGICAL FEATURES OF LEPTOSPIROSIS IN SERBIA

The aim of this study was to identify main epidemiological risk factors for the Leptospirosis at territory of Serbia. The cross sectional study was used as epidemiological method during investigation. During period of 2000-2006. Leptospirosis affected 211 people, while 14 of them died as a consequence of this illness in Serbia. Number of patients with Leptospirosis was almost equal at the territory of Central Serbia and Vojvodina region, while at Serbian enclaves in Kosovo and Metohija there was no single case of sickness. Most of the affected patients were working people, males between 20 and 60 years old (97%) with higher risk factor for contamination with disease determined by their profession (farmers, fishermen, veterinarians. Seasonal character of illness (most of the affected in August) was caused by increased exposition to Leptospirosis in summer time (swallowing of contaminated water during swimming and diving, small wounds on skin etc)

M. Parlić, N. Milinić, Z. Vukadinović, J. Stevanović, D. Marinković, A. Milić, S. Samardžić

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