Rituximab is a human/mouse chimeric IgG1 monoclonal antibody that specifically targets the CD20 surface antigen expressed on the cell surface of all preplasma cell stages of B-cell differentiation. By binding to CD20, rituximab causes selective B-cell depletion through antibody-dependent and complement-dependent cell lysis and apoptosis. B-cell depletion is believed to disrupt the many B-cell functions that contribute to the pathogenesis of RA. The purpose of this study was to examine the efficacy and safety of RTX an anti-CD20 B cell depleting monoclonal antibody in combination with methotrexate (MTX),in patients with rheumatoid arthritis who experienced an inadequate response to one or more TNF antagonists and had active disease despite ongoing treatment with MTX and a TNF inhibitor. ACR responses in RTX treated patients were superior to placebo. The primary end point was the proportion of patients in each group that achieved an ACR20 response at Week 24. Secondary endpoints included ACR50 and ACR70 responses, changes in Disease Activity Score (DAS28), and EULAR response

Nitric oxide (NO) is a major messenger molecule that plays key roles in many physiological processes. NO is produced by nitric oxide synthase (NOS), which catalyzes the conversion of L-arginine to L-citruline and NO. At least three isoforms of NOS have been identified and characterized, namely, neuronal NOS (nNOS), endothelial NOS (eNOS) and inducible NOS (iNOS). Recent evidence indicates that most of the cytotoxicity attributed to NO is rather due to peroxynytrite, produced from the diffusion controlled reaction betwen NO and another free radical, the suproxide anion. Peroxynitrite interacts with protein, DNAand lipids via direct oxidative reactions or via indirect radical mediated mechanisms

Search for objective indicators of health state of the population is essential public health issue. First serious attempt of health evaluation of the population were observed in the end of 18. and beginning of the 19. century. In this period of time, description of health population was mostly based on indicators which were based on data of numbers of death. Later, because of significant decrease of infectious disease and improvement of life and work conditions comes to an extension of average life span. Also, comes to a change of conceptualization of health. As a result of all this changes it has been noticed need for consideration of other aspects of health. As a outcome, indicators of disease, disability and non-biological indicators of health (as a approach to health service, quality of health protection, condition of living, life style factors and environment factors) are more and more necessary for documentation of human capacity for physical, mental and social functioning as a objective analysis of health state. To get all the information of all aspects of health which can not be get from health statistics routine data, was started with examination of population health trough interview, respectively polling out representative population sample. Aim of this studies is to get basic information about population health, in manner to supplement the picture of population states, identify health problems and health needs, to get the picture of representations of risk factors among population; to get the picture of health service utility; to find out health disparity among different countries and inside the country, among different population groups; to follow the change of health states during the time; to follow achievement in health strategy; to insure data for people which are creating health politics, in manner to coordinate theirs politics, strategy and programs. This kind of study is taking place every year in many countries and in others periodically. In our country this kind of studies were done during the year of 2000. and 2006

Arteriovenous graft are the most frequent alternative to the arteriovenous fistula. Although arteriovenous grafts 'mature' fasterthan endogenous fistulas, at least 3 weeks are needed before the first puncture to allow endothelialization of the internal wall. Implantation of arteriovenous graft is foreign material, are subjected to a high risk of thrombotic and infectious complications.

Important facts about recombinant human factor VIIa have been mentioned, also about the renal cell carcinoma. Case report: Male, aged 69, with infiltrative renal cell carcinoma, underwent radical nephrectomy using Hasagawa`s approach. Extirpated tumor had 35 cm in diameter. During the surgery, patient suffered a cardiac arrest with 3500 ml blood loss. After operation, he lost 2100 ml more blood. Despite of active blood supstitutions with intensive surgical attempts in order of haemostasis, bleeding did not stop untill the application of rFVIIa (300 I. U.). Patient survives and recovers completelly. Conclusion: RFVIIa is very succesful in controling of massive surgical bleeding, possibly associated with paraneoplastic syndrome.

Transtrochanteric fractures represente ekstracapsular fracture proksimal heel of femur, but sometimes is possible to stretch fracture line in intracapsular area. All this fracture represente large disability for patient, large life threatening and if is don`t have adequate treatment substantially is change quality of life. Most of patient with transtrochanteric fractures is older than 65. years with prevalence women gender in attitude 3:1. Number of patient with fracture proksimal heel of femur and with fracture trochanteric area growing up from year to year. In west country this fracture get epidemic shape. For make work it is used material from department of Orthopaedics and traumatology in Medical centre in Kosovska Mitrovica in interval at 2003. to 2006. years. In process of work we follow frequency patient with transtrochanteric fractures in attitude at gender, age, way of injury. We following time elapsed from fractures to surgery treatment, kind of anesthesia, number of day after operation. In postoperative course following is time verticalization patient, presence early and late complication. The ultimatefunctional results which we receive, were shown according to the modificated scale by Merle d'Aubigneu

Breast cancer remains one of the most common malignancies in women and is one of the leading causes of cancerrelated mortality. Despite the current emphasis on breast conservation, mastectomy rates remain at 30%. Mastectomy is often associated with significant psychological sequelae including distorted body image and sexual dysfunction. Breast restoration is assumed to allow a full emotional and physical recovery from a breast cancer crisis. Autogenous tissue gives the best results, and currently the best technique in most women is probably the free DIEPflap. there is theoretically minimal functional loss, minimal risk of hernia, less postoperative pain, and shorter hospitalization. However, there is a range of options, such as other flaps and use of implants, which can be tailored to specific situations

High frequency of appearance and use of expensive diagnostic and therapeutic methods makes lumbar radiculopathy the most expensive benign disease. The aim of the study was evaluation of types psychological reactions in surgically treated patients with chronic lumbar radiculopathy. Matherial and methods: We examined 50 surgically treated patients who had low back pain. The patients were multidisciplinary examined and treated on Medical Rehabilitation Clinic in Novi Sad. The Minnesota Multiphasic Personal Inventory (MMPI) was used to determine the personality profiles. Patients were tested after rehabilitation treatment. Results of the exploring showed the normal profile of personality in 70 % of patients and pathological profile in 30 % ( hypochondria in 8, hysteria in 5 patients and depression in 2 patients). All groups showed improvement in functional limitation during the rehabilitation treatment. Severity and length of pain after rehabilitation treatment is bigger in the group of patients with pathological profile of personality (p<0,005). Psychological factors may play an important role in the onset, severity, exacerbation, or maintenance of this type of chronic pain. Screening surgically treated patients with chronic lumbar radiculopathy with MMPI may be effective in identifying psychopathology

Introduction: In 1899. Angle introduced his own classification of malocclusions which was established anteroposterior relationship between maxilla and mandible.Later cephalometric examinations showed possible variations of the relationship between maxilla and mandible to cranial base, in all three classes. The aim work: The aim of this work was to ascertain types of the relationship between maxilla and mandible to cranial base in persons with I,II and III class by Angle. Material and method:The profile telerendgenograms were used in male and female aged aprroximately 14,5 years. On the bases of clinical examination and analysis of models,the patients were previously distributed into three groups with 50 examinees in each,according to Angle classification of malocclusions in saggital plain.SNAand SNB angle were analysed, and on the bases were individual values, the type of the relation between maxilla and mandible to cranial base was determined for every examinee. Results: In persons with Angle I class, eight types of the relationship were determined,while five types in persons with Angle II and III class of the relationship of jaw to cranial base. Conclusion: Because of large number of variationsof the relationship of jaw to cranial base diagnostic procedure should evolve, and treatment of the very similar cases should be different

Interest in the olive leaf and its chemical constituents has recently been increasing. Its benefits, however, have been known for centuries, and it has been traditionally used to prevent and treat diseases. The main constituent of the olive leaves is oleuropeine one of iridoide monoterpenes, which is thought to be responsible for pharmacological effects. Furthermore, the olive leaves contain triterpenes including oleanolic and maslinic acid, flavonoides (luteolin, apigenine, rutin...), and chalcones (olivin, olivin-diglucoside). Its chemical content makes olive leaf one of the most potent natural antioxidant. Olive leaf is used to enhance the immune system, as an antimicrobial and in heart disease. Folk medicine uses also include hypertonia, arteriosclerosis, rheumatism, gout, diabetes mellitus, and fever. Recently, experimental animal studies have demonstrated hypoglycemic, hypotensive, antiarrhythmic, and vasodilator effects, as well as spasmolytic effect on the intestinal smooth muscle. Antibacterial, antiviral and antiinflammatory activity were also confirmed. The beneficial properties of olive leaf are further enhanced by the bioavailability of its polyphenolic constituents, which are readily absorbed through the gastrointestinal tract, resulting in significant levels in the circulation. Clinical studies to confirm experimental results are needed