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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
01.12.2008.
Case Reports
OBSTRUCTIVE JAUNDICE AS THE CONSEQUENCE OF ECHINOCOCCUS CYST OF LIVER
Obstructive jaundice presents partial or complete blockade in the gall way towards intestinal tract. This blockade is caused by mechanical obstruction in the extrahepatitic bilioductule system. Etiologic factors which cause obstruction of the extrahepatitic gall ways are numerous. One of the reasons of appearing obstructive jaundice is penetration of the cyst parts or cyst sprout into the gall ways. Echinococcus is zoonosis, parasitic disease, caused by echinococcus granulosus, E. multilocolaris, E. vogeli i E. oligarthus. At humans, cystic form of disease caused by E. granulosus appears most frequently, while the alveolar one caused by E. multilocolaris seu alveolaris appears rarely. Aim of the work is to show the importance of the echinococcus cyst of the liver at the appearing of the obstructive jaundice , penetrating the cyst parts or cyst sprout in the gall ways. The patient presented in the work is E.C., male, register number of the disease history 404/05.06.2007, 20 years old, hospitalized at Surgical Clinic because of the surgery of echinococcus cyst on the left liver lobe. Diagnosis was set by abdomen USG, CT of the abdomen, and laboratory analyses. Echinococcus cyst got complicated by its penetration into the gall ways, and manifested by jaundice, the signs of purulent cholangiitis, and bad general state of the patient, so the surgical treatment is absolutely indicated. During the surgery, after the done pericystectomia, cholendochotomia is done because of the enlarged cholangiitis, where the signs of purulent cholangiitis and 5 cyst sprouts are found and removed. Postoperative flow passed normally. Findings of done secondary cholangiography showed normal structure and transience of gall ways, so the T-drain was removed and the patient sent to further home care in a generally and locally good state.
J. Mladenović, N. Videnović, S. Mladenović, R. Mladenović, P. Lukić, S. Aranđelović
01.01.2007.
Original scientific paper
FROM THE OLD ONE TOWARDS THE NEW WITH VLADAN DJORDJEVIC, M. D.
Every time, even ours, has its own «driving forces, starters and breakers». Dr Vladan Djordjevic resided during the very noisy time during the second half of the nineteenth century, known for intensive changes in biology and medicine. Contemporaries noticed peculiar nature of Dr Vladan Djordjevic: clairvoyant, cleverness - «gave more, than many other simple professionals together». If even nowadays the way of how a man thinks is not known, that is logical structuralism and logical functionality of thinking, scholastic is wrong that such a «natural thinking», certainly, enters into cliché. The author applied nine-valence logic and systematic approach. The measures in eradication of diseases which, used to be applied nowadays would be called "general hygienic measures". They didn't have to be sufficiently effective, so the possibility of appearance for some sick stayed, because it would appear in natural system of appendage, few «causative connection», but noticeable less that earlier. The helth ones exposed can be used for prooving cause, which contemporary statistic doesn't use for this purpose. By this, even when we have not existing of statistic importance it points out at the cause; that is, the existence of this one can direct someone to wrong road. The difference in the value of the result of the same event points out at the researches not being orientated and by that cosmopolitan community. Palliative measures made the doctors confused, as it was perfectly noticed by V. Djordjevic - "...he wouldn't make a mistake to prove, how people get sick and die because they are better dressed, better feed, because all their life is better organised than it used to be", although the group progressed by its better working. Multy valence »logic of allowance” as a natural and objective one, used to exist before its observation by logic and science. The result is «clairvoyant and restless spirit» of the future academic Vladan Djordjevic D. M. what is even nowadays desirable. The author concludes that there is one road to discover something (anticipate) by adding importance to «statistic importance»; and the other one, chosen by Dr Vladan Djordjevic by your own ratio (intuition). Although the disease appeared even when the progress is made - he didn't allow: «not to see the whole forest because of one wood», and to underestimate the applied measures. He didn't allow to be deceived by appearing of disease, because the palliative of measurements covers the system: а. When you are not successful, but and b. Even when you are successful - and those have to be separated by contemplation and by no means unifies!
G. Čukić
01.01.2007.
Original scientific paper
OUR EXPERIENCE WITH "CHEMET" MEDICATION, FIRST TIME USED IN EUROPE IN KOSOVSKA MITROVICA
In two refugee camps, near K.Mitrovica (in little colliery city), gipsys refugees dislodge by Albanians were temporary located. In their blood, lead contamination is discovered. All together 310 children, 1-14 years old, were contaminated by lead. Examination and treatment is implement by the SZO patronage, which took capillar blood samples from 298 children and vein blood samples from 190 children. Level of lead, in 47 cases was more then 45 microgram./dl. All the children with high level of lead had physical and laboratory tests. Also, they were under special food diet, with a lot of calcium. In 45 cases, per os treatment is used with “Chemet” medication, produced by McNeil-USA.Only in 9 cases, week bad reaction was notice using this medication. In some isolated cases, headache, pain in stomach, sickness and sleepiness. This difficulties didn't required therapy cancelation. Treatment was fully successful except in two cases, where therapy was repeated.
J. Živković, Z. Savić
01.01.2007.
Original scientific paper
RESULTS OF HEROIN HEROIN ADDICTS ON ADDICTS ON TRAIL MAKING MAKING TEST
As a result of long-term heroin abuse we can see impairment of cerebral structures, that leads to specific deficits in cognitive and conative area. There is a positive correlation between intensity of mentioned deficits and duration of heroin abuse. Attention is a cognitive function highly sensitive to toxic effects of opioids. Attention disorders and concentration disorders in opiate addicts are frequently described as a part of frontal syndrome, in consideration of high neurons sensitivity of frontal and prefrontal cortex to heroin. The aim of this study was to evaluate results of heroin addicts on Trail making test, in order to estimate the effect of heroin abuse on attention and specific relation between attention deficit with the duration of abuse. Ninty heroin addicts, divided in tree groups, regarding to abuse duration, were included in study. Results showed that heroin abuse longer than one year is connected with attention disorders, like low flexibility of attention and low selectivity of attention. The intensity of mentioned effects is higher in addicts who use higher daily dosage of heroin
S. Martinović Mitrović, A. Dickov, N. Vučković, V. Ivetić, D. Mitrović, D. Vasić
01.01.2007.
Original scientific paper
CARDIAC DYSRRHYTHMIAS IN HYPERTENSIVE PATIENTS WITH LEFT VENTRICULE HYPERTROPHY
Cardiac dysrrhythmias can be found in patient with no signs of ischemic cardiac disease but supraventricular and ventricular arrhythmias can be developed in cardiac hypertrophy. In this work we have examined frequency of cardiac dysrrhythmias in patients with hypertension and with or without hypertrophy of left ventricule (LVH). Investigation was accomplished on 80 patients with high blood pressure. In all 80 patients, basic on ECHO signs we define LVH, and by using of Holter monitoring we analised dysrrhythmias. Basic on ECHO signs we have 2 groups of patients: I.group ECHO (+) LV, and II group ECHO (-) LVH, in each 40 patients. Holter monitoring have 37 patients [22 mans (59,45%) and 15 women (40,54%)]. Hypertensive patients with LVH, who hade dysrrhythmia, have middle value IMLV 155,3 ± 27,21; аgе 56,42 ± 6,04; duration of hypertension 11,73 ±10,05; and EF% 55,2 ± 3,77. In patients with Holter monitoring 16 ( 43,32%) have dysrrhythmias type II, IIIa, IIIb and IV Lowny degree, (12) 34,43% from 43,32% have LVH. Salves VES are registrated only in group hypertension patients with ECHO(+) 5,4%. By using Mann Whitney statistic test for presents of dysrrhythmias in 2 groups of patients (ECHO LVH and ECHO without LVH), we found statistics significants (p = 0,049). In IMLV 60-110 g/m² 8,82% patients have dysrrhythmia, IMLV 151-200 g/m² dysrrhythmias are registrated in 40%; and 50% patients have dysrrhythmias in IMLV> 200g/m². In group hypertensive patients with LVH dysrrhythmias are registrated in group with ecscentric LVH 35,1%
M. Šipić, D. Čelić, B. Krdžić, V. Perić, J. Krdžić
01.01.2007.
Original scientific paper
THE INFLUENCE OF ENVIROMENT AND EDUCATION ON INFORMATION ABOUT HORMONAL SUPSTITUTIONAL THERAPY (HST) IN MENOPAUSE
Menopause is a physiological condition arising from the end of a woman's reproductive life and is defined by the gradual decline of menstrual bleeding over a period of 12 months. Hormone Replacement Therapy (HRT) is the first choise therapy in treating this condition, and prevention of early and late problems associated with hormone deficient in menopause. This study was organized on Clinics for Gynecology and obstretics in Novi sad. We were examined women knowledge about HRT, as the number of active users of HRT. Two hundred testing women were divided into two groups, arrived from city or willage regions, and they had different education level. Our results showed that number of examined persons, who were infomed about HRT, was significantly higher in city region, but number of HRT users was nearly the same for both groups. Education degree is the significant factor associated with information about HRT. High education women were better informed according to women with lower education. Irrecpective of origin and educational degree, there was statisticaly little number of women, who use HRT, despite of their aknowlegment about this way of therapy. According to our results, we conclude that, it is very important to conduct a proffesional aproach, including continual preventive action, for resolving hesitation to HRT
D. Stajić, M. Bujas, S. Stević
01.01.2007.
Original scientific paper
TYPE OF DIABETIC MACULOPATHY IN PATIENTS WITH DIABETIC RETINOPATHY
Diabetic retinopathy, particularly diabetic maculopathy, are leading cause of visual loss in the world.Purpose: to estimate type of diabetic maculopathy in patients with diabetic retinopathy. Method: hospital based study. 118 patients with diabetic retinopathy underwent complete ophthalmologic examination ( mean age 58,1 years, male 78, female 40; 7% were diabetes type 1 patients; 46% had nonproliferative diabetic retinopathy (NPDR) and 54% had proliferative diabetic retinopathy (PDR). Results: 88 patients (74% of all) had diabetic maculopathy. The most common type of diabetic maculopathy was diffuse (60% of all patients ), afterward focal (33% patients) ischemic maculopathy (both with PDR) had two patients (3%) and five patients had mixtus (7%) . Conclusions: diffuse diabetic maculopathy is the most common type of maculopathy both in NPDR and PDR
V. Jakšiċ, S. Milenković, L. Žorić, A. Jovanović, M. Mirković, D. Stamenković, D. Vukša, M. Mavija
01.01.2007.
Original scientific paper
MACROSCOPIC VARIABILITY OF STUCTURES OF LOBULUS PARIETALIS AND PRECUNEUS
Traumas of CNS are more often and more complex than ever, also the influence of the factors of environment are more destructing, so all of them require detail knowledge of the morphology and functions of the nervous system. It is necessary for the faster and more accurate diagnosis in clinical medicine, and also it is necessary in preventing diseases of CNS. Modern neuroimaging procedures such as CT, MRI, PET, require precise knowledge of both morphologic variations of human brain , and the relation between morphology and function. In this kind of research the best solution is combination of descriptive and quantitative methods
N. Đukić-Macut, Z. Vitošević, T. Filipović, P. Mandić, M: Milisavljević, M. Šaranović
01.01.2007.
Original scientific paper
GINKGO BILOBA (Tanakan ) AND BIOELECTRIC ACTIVITY OF BRAIN IN HUMANS
Ginkgo biloba is the oldest tree on the planet. Its healing characteristics have been weel known for more than 3000 years. The aim of this investigation to establish the influence of Ginkgo biloba extract (Egb 761 Tanakan) on bioelectric activity of brain in humans. 30 subjects aged from 52 to 56 years were included in study. The bioelectric activity (EEG) was registrated before and after three month therapy with Ginkgo biloba extract. The obtained results showed that summary bioelectric activity speeds up. Frequency of alpha rhytms increases significantly, number of desinchrayitation desreases, decreases number of non specific activity
V. Ivetić, M. Hodolič, D. Babić-Popović, B. Biševac
01.01.2007.
Original scientific paper
RADIOLOGICAL RADIOLOGICAL STUDY OF OSTEOMYELITIS OF OSTEOMYELITIS OF DIFFERENT DIFFERENT ETIOLOGY
Authors analyse radiological characteristics of different forms of osteomyelitis in the period from 1990. to 1994. on Ortopedic and infective Clinic of Clinical hospital Centre in Pristina. Clinical picture of unspecific osteomyelitis of different forms, tubercular and brucellosis osteomyelitis is presented radiolography, tomography, myelography, fistulography, arteriography, scintigraphy, and computerized tomography. Radiological changes of osteomyelitis of different etiology and clinical picture are presented in detail
T. Jovanović, M. Marković, R. Grbić