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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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Contents

01.01.2009.

Original scientific paper

THE MOST OFTEN PATHOLOGICAL CHANGES OF VULVA CAUSED WITH HUMAN PAPILLOMA VIRUSES (HPV)

Vulva can easily be examined, therefore it could be expected that any changes that may emerge at it would be easy
to notice and treat quickly and efficiently. Despite that, the incidence of pre-malignant and malignant changes is increasing.
Many risk factors connected to the emerging of these changes have been discovered, but many explanations have become
available only when the theory of the participation of HPVin oncogenesis has been set. The goal of the study is to identify all
the pathological changes at vulva - benignant, pre-malignant and malignant, according to the age of the patients, and
therefore, both biopsy and operational material collected from 1331 patients treated at GAK “Narodni Front” Belgrade, has been used. There have been 46 diagnoses of benignant changes, of which 20 (43,48%) had been diagnosed as condylomata acuminata, a change including a HPV infection. Most of these changes have occurred at patients aged 31-40. In 17 cases of pre-malignant changes, VIN I has occurred in 2 cases (11,76%), and VIN II and VIN III as more serious pre-malignant lesions were noticed in 8 samples. In 7 cases (41,18%), VIN III was discovered to be moving into a starting invasion phase. It can be concluded that VIN is most often at patients aged over 60. Malignant vulva tumors occurred in 14 cases, 13 of those where diagnosed as invading planocellular carcinoma, and one of them was metastatic. Vulva carcinomas seem to occur most often at patients aged over 60.

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

01.01.2009.

Original scientific paper

CYTOLOGICAL FINDINGS BEFORE AND AFTER PROBIOTICS (LACTOGYN)

Probiotics help to provde optimum balance in the intestines probiotics species competitive blocks toxics substances and growth of unwanted species in their struggle for space and food. Lactogyn is the first oral probiotics wich protects vaginal flora. The most researced probiotic is the Lactobacillus rhamnosssus. The goal of this study is to exam influence of probiotics to cytological smear test including: reliability for easier detection of atypical cells; false positive and false negative test; faster cytodiagnostic; incidence of invasive diagnostic procedures and incidence of intraepithelial and invasive changes of the lower genital tract. This study involved two groups of patient: the first one included 50 patients who has been taken specific probiotic therapy after taking cytological cervical smear test. The second one included 50 patients who has taken specific probiotic therapy before taking cytological cervical smear test. In the second group we discovered: statistically lover number od invasive diagnostic and therapeutic methods and statistically higher number of patients without invasive methods. It was statistical higher incidence of cytological smears with inflammations and ASCUS (atypical squamous cells undetermined significance) in the second group of patients. Lactogyn treatment with other medicament therapy provides: faster and better cytological diagnostic, decreases the number of cytological tests and invasive diagnostics methods per women, decreases the number of false positive and false negative tests and the percent of unsatisfactory tests and borderline satisfactory tests

Ž. Perišić, D. Vukićević, N. Perišić, S. Janković Ražnatović, L. Tasić, Lj. Dimitrijević Lesendrić, M. Perišić, M. Perišić

01.01.2009.

Case Reports

BACTERIAL ENDOCARDITIS IN PATIENTS WITH ALCAPTONURIC OCHRONOSIS

Alkaptonuria is one of 4 disorders originally defined as an inborn error of metabolism. The hallmark of the disease is passage of urine that becomes black when left standing. There is a familial pattern of inheritance. The defect lies in the catabolic pathway of tyrosine. The product, homogentisic acid, in deficiency of the hepatic enzyme homogentisate 1,2- dioxygenase (HGO) accumulates in the blood, but is rapidly cleared in the kidney and excreted. Upon contact with air, homogentisic acid is oxidized to form a pigmentlike polymeric material responsible for the black color of standing urine. Although homogentisic acid blood levels are kept very low through rapid kidney clearance, over time homogentisic acid is deposited in cartilage throughout the body and is converted to the pigmentlike polymer through an enzyme-mediated reaction that occurs chiefly in collagenous tissues. As the polymer accumulates within cartilage, a process that takes many years, the normally transparent tissues become slate blue, an effect ordinarily not seen until adulthood. The earliest sign of the disorder is the tendency for diapers to stain black.. but in most cases desease is hardly diagnosed before the fourth decade of life, external signs of pigment deposition, called ochronosis, begin to appear. The slate blue, gray, or black discoloration of sclerae and ear cartilage is indicative of widespread staining of the body tissues, particularly cartilage. The hips, knees, and intervertebral joints are affected most commonly and show clinical symptoms resembling rheumatoid arthritis. Because of calcifications that occur in these sites, however, the radiologic picture is more consistent with osteoarthritis.

Lj. Smiljić, S. Ristić, M. Antić

01.12.2009.

Original scientific paper

FUNCTIONAL ASYMMETRY OF BRAIN AND POTENTIALS P300

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.

O. Ivetić, V. Vasić, N. Naumović, M. Dejanović

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.

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

01.01.2008.

Original scientific paper

CRANIOMANDIBULAR DYSFUNCTION - FREQUENCY SIGNS AND SYMPTOMS

Craniomandibular dysfunction are serious problem in stomatological practise from the aspect of prevention therapy and checkup. The frequency of this defect as well as its sings and symptoms were registered within randomly selected sample of examinees consisting of 70 individuals. The examinees were submitted to Fricton-Schiffman clinical function analysis wich indicated the presence of sings and symptoms of craniomandibular dysfunction. Within examined population 128 examinees had the sings and symptoms of craniomandibular dysfunction. It was determined in demographic analysis that diseased examinees were between the ages of 17 and 35 as well as that this sickness was commoner to female individuals in the ratio of 4:1. The most frequent symptoms were the following: muscles pain sensitivity to palpation (888%) lateral deformation of the lower jaw while opening the mouth (778%) and sound signals in temporomandibular joint while moving the lower jaw (77%). The highest frequency of pain sensitivity was in: m. pterigoideus lateralis m. maseter and lower insertion of m. trapesius. The most frequent sound signal was the one registered during the lateral movements of the lower jaw

J. Todić, D. Lazić, A. Mitić, R. Radosavljević, N. Gligorijević

01.01.2008.

Original scientific paper

THE APPROACH TO THE PATIENT WITH CEREBRAL-VASCULAR INSULT (STROKE) IMMEDIATE BEFORE AND AFTER NATO BOMBING

We have been analyzing a number of patients with cerebral-vascular insult in a period of 1998-2003 year, clinical picture in the time of the reception, the development of the illness, the result and the therapy access in the Neuropsychiatric Department of Health Center in Kosovska Mitrovica. It is concluded that the number of CVI is significantly higher after the NATO bombing, the development of the illness more difficult and a detailed analyses of the causes is in progress. In a period of 01. 01. 1998 until 31. 12. 2003. year, 1829 of patients have been on hospital treatment and 252 of them have been treated from CVI, in the Neuropsychiatric Department of Health in Kosovska Mitrovica. During clinical prospective, retrospective and static research in has been concluded that:in the above mentioned period the number of CVI patients have been increasing in regard to the total number of treated patients in Neuropsychiatric Department of Health Center in Kosovska Mitrovica. The percentage of CVI relapse is increasing(the highest percentage is in 1999). It has been established that besides the well known causes for the occurrence of CVI such as:hypertension, the heart disease, disorders of heart rhythm, endocrine disease(Diabetes mellitus) end also the well known factors of risk for causing of mentioned diseases(corpulence, raised value oh cholesterol in blood, smoking, insufficient physical activity, excessive consuming of alcohol etc). Relevant factor for the occurrence of CVI is the factor of stress, social and territorial isolation of the Serbian population immediate after NATO bombing on the territory of Kosovo and Metohija.

M. Radomirović

01.12.2008.

Original scientific paper

EARLY DIAGNOSIS OF THE SMALLAIRWAYS DISEASE AT ASYMPTOMATIC SMOKERS

Many researchers and clinical doctors have realized that spirometric tests, as well as the resistance of airways, could be within the normal limits at people who have clear signs of bronchitis (coughing, expectoration and lighter disphnoe). Very often, especially among smokers, they have found discrepancy between the functional tests' results and clinical symptoms, although they could expect to find minor lungs' diseases within this group of people. Obstructive lesions in small airways are very often present at smokers older than 40 years, whose lungs are macroscopically normal, and who do not show clinical signs of the obstructive lung disease ('asymptomatic smokers'). The aim of the paper was to find which test, among the most often-used tests for the functional research of the respiratory system, represented the best indicator of the initial obstructive changes localized in small airways. The research study included 50 asymptomatic smokers (34 male and 16 female) ranging from 44 to 57 years. The results of the achieved FVC were at normal level, at all examinees. Out of 50 examinees, asymptomatic smokers, there was one examinee (2%) with the lower level of FEV , while at two examinees 1 (4%) lower levels of SRt and MEF were found. Significantly lower levels of the measured MEF were found among 50%FVC 25%FVC 16 asymptomatic smokers (32%). Such a functional result, i.e. a decrease of MEF while the levels of FVC, FEV , Rt, 25%FVC 1 SRt and MEF are normal, accompanied by a long-lasting smoking case-history with less expressed symptoms, points at 50%FVC the existence of the obstructive disorders localized in the periphery parts of the bronchial tree (small airways). The registration of the flow/volume curve and its analysis might be used as a test even more sensitive than spirometry and body pletizmografy; as a test it can be used for a diagnosis of initial obstructive difficulties in small airways, in other words, it could diagnose the small airways disease.

N. Mitić, Lj. Popović, M. Mirić, T. Đokić

01.12.2008.

Professional reviews

MODULATION OF POTASSIUM ASSIUM CHANNELS CHANNELS OF THE MYOMETRIUM MYOMETRIUM

Modulation of potassium channels is a recent modern approach to experimental and clinical investigation of potential better tocolytic medications. Assuming that potassium channels are by far the largest category of cellular ion channels, they are of crucial importance for the regulation of uterine smooth muscle tone. In the vast category of potassium channels, Maxi-K and BKCa (highly conductive, calcium-activated channels) are considered the main channels in the myometrium. It is believed that those have a key role in the modulation of uterine contractility and the homeostasis of myometrial calcium. The total number of Maxi-K channels is doubled during the onset of labor, compared to their number in pregnant and non-pregnant myometrium. We also keep getting more familiar with the characterization and control of myometrial potassium channels. Certain effects of pharmacological potassium channel modulators in isolated parts of both human and animal, both pregnant and non-pregnant myometrium will be presented in this article. Even though there have been a lot of studies on this subject, not many of them mentioned the role and modulation of potassium channels during human labor. We are still looking for the substances that will perform best in the treatment of possible miscarriages and early labor; although the use of beta sympathomimetics and calcium channel antagonists has been a major breakthrough in treatment of these pregnancy disorders. Using new tocolytic medications and a selective approach to cases of early labor, along with the use of other adequate measures, could improve the treatment of early labor in the future.

R. Mitić, D. Vukićević, G. Relić

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