The aim of our work was to inquire characteristics of myocardial infarction in diabetic patients.We questioned
prospectively 441 patients, diagnosed with acute myocardial infarction. Diabetes mellitus (DM) was found in 31,3%
patients. Atrial fibrillation was found in 16,7% patients with DM and 7,3% on patients without DM(p<0,05).Ventricular
arrhythmias gr.III was found in 18,8% patients with DM and 15,8% on patients without DM (p>0,05), gr. IV 24,6% vs.
12,9% (p<0,05) and gr.V 18,1% vs.9,9% (p<0,05). Heart failure (NYHA I) was found in 10,9% patients with DM and
10,6% on patients without DM (p>0,05), heart failure NYHA II 13,8 vs.10,6% (p>0,05), heart failure NYHA III 14,5% vs.
5,6% (p<0,05) and heart failure NYHAIV 10,1 vs. 3,3% (p<0,05).Cardiogenic shock was found in 21,7% patients with DM
and 10,2% on patients without DM (p<0,05). QRS scor was found 8,3+-2,9 in patients with DM and 4,5+-1,5 on patients
without DM (p<0,05). In-hospital mortality was found 20,3% in patients with DM and 8,2% on patients without DM
(p<0,05). Post-hospital mortality was found 10,2% in patients wuth DM and 5,1% on patients without DM (p>0,05).
Myocardial infarction in patients with DM have difficulty clinical flow and higher mortality

Very important role in the forensic investigation of mass graves takes forensic anthropology. Anthropologists take
part during the exhumation and later through the investigation and identification procedures. Forensic investigations of
mass graves in Kosovo and Metohija are going on. In this paper we observe all cases that were exhumed and identified during 2001., 2002., 2003. till the 1. 05 2004. In this time 280 dead bodies were exhumed and forensic team did autopsies, but
111 dead bodies were identified. Our aim was to analyze anthropological measurments (gender, age and stature) and compare them with the real state on identified dead bodies. Scientifics all over the world made the record of the very good results
of anthropology work. After our investigation we can say that anthropology is very valuable during the exhumation of mass
graves.

The Global Initiative for Chronic Obstructive Lung Disease (GOLD) has emerged due to joint efforts and support of the American National Heart, Lung & Blood Institute and the World health Organisation, with the objective of enlightening the major issues regarding COPD, and reducing the morbidity and mortality rates of this disease. An exacerbation of respiratory symptoms requiring hospital treatment is a common clinical manifestation of COPD. The exacerbation is usually induced by an infection of the tracheobronchial tree or air pollution, but in about one third of severe exacerbations the cause remains obscure. Acute COPD exacerbations are effectively treated by the application of inhalatory bronchodilators (particularly β-agonists and/or anticholinergics), teophylline and systemic, especially oral glucocorticoids. The patients with COPD exacerbation presented with the clinical symptoms of a respiratory infection (e.g. increased volume and altered colour of the sputum and/or fever) may benefit from antibiotic treatment. Non-invasive Positive Pressure Ventilation (NPPV) in acute exacerbations may improve blood gases and pH levels, reduce intrahospital mortality and the need for applying invasive mechanical ventilation and intubation, shortening thus the hospital treatment duration

The surface area of the small intestine is enhanced by three morphologic features that are peculiar to the gut: plicae circulares, the villi and the microvilli. The plicae circulares (circular folds) consist of mucosal/submucosal invaginations that are predominantly located in the duodenum and jejunum. These infoldings are visible on gross inspection. The intestinal villi, finger-like projections that protrude into the intestinal lumen, are approximately 0,5-1,5 mm long and cover the mucosal surface. They can be viewed by close inspection of the mucosa under low-power microscopy. Their microscopic appearance varies: duodenal villi are characteristically broad and leaf-shaped, jejunal villi are tall and thin, and ileal villi are short and broad. The length and shape of the villi also vary with geographic region. At the base of the villi, the epithelium enters the lamina propria and forms the crypts of Lieberkühn, which extend almost to the muscularis mucosae. The microvilli are sub-light microscopic tubular projections that are extensions of the apical cell membrane and compose the brush border. There are the enzymes and receptors in these structures which are required for terminal digestion and absorption

Most frequent congenital malformations in human are congenital heart disease (30%). In this article we represented basic of their etiology, pathogenesis, diagnostic and new therapeutics possibilities. Also we represented three cases of congenital heart disease. These cases we considered as very interesting. First of all, in this article we try to emphasize some aspects of this problem, which is not well known, especially in our environment. This very rare congenital heart disease shows how much diagnostic procedure can be difficult and treatment hard or impossible besides big improvement, which has be done last decades. We must learn much more about congenital heart disease!

We want to present a boy with a several different, but benign disorders. Keratosis pilaris and strophulus infantum are very frequent, esspeciallv in children. Its association is not important. Pseudoacanthosis nigricans is especially associated with obesitas, and then this disorders is benign

The clinical and metabolic anomalies observed in patients with type 2 diabetes are associated with high risk of cardiovascular disease (particulary coronary heart disease), witch is responsible for 75% of all death in diabetic patients. Diabetic people have cardiovascular risk factors comparable to those of nondiabetics who have had myocardial infarction or stroke. To determine main risk factors for coronary heart desease (CHD) and differentes among diabetics we analyzed 86 patients.Patients in this study attended in Institute of endocrynology,diabetes and matabolic disorders in Belgrade. The diagnosis was based on typical clinical manifestation: high levels of glucose (higher than 6,1mmol/l), high cholesterol and tryglicerides, hypertension and overweight. In the control group we have had 20 adult, healty people without metabolic disorders. We found that diabetics with coronary heart disease have had the higest level of glucose (13,2mmol/l), cholesterol (6,96mmol/l),tryglicerides (2,84mmol/l). Arterial hypertension in the group of diabetic patientes with CHD have had 72,7 %, or 40 patients of 55 patients of whole group. Type 2 diabetes and hypertension share certain risk factors such as overweight, visceral obesity,and possibly insulin resistence. This study strenthgenes the hypothesis that cholesterol and the arterial hypertension have central role in develpoment of CHD, but in non-insulin depended diabetics they associated with metabolic disorders witch play an important role in increasing the risk of coronary heart disease.

Women sexuality is a complex phenomenon encompassing biological, psychological, emotional and social aspects. The menopausal changes have undoubtedly a significant influence on sexuality. There is a widespread opinion that older women show a fading interest and desire for sexual relations. However, despite of all unavoidable changes brought about by menopause and elder age, the sphere of sexuality remains still very important. The paper reviews the changes occurring in the sphere of sexuality in the older age, influence of menopausal hormaonal changes, psycho-social factors and general health state in these changes, as well as of the possibilities of treating sexual dysfunctions in the menopausal period.

The patients after the stroke besides impaired motor functions,often have cognitive and emotional disorders which
can endanger the successful carrying out of the rehabilitation treatment. The objective of this study was to estimate the
functional capability and to determine the cognitive and emotional disorders of the patients after the stroke. The research has
ecompassed 40 patients after the stroke of specified age and gender structure, treated in the Clinic for Rehabilitation, of the
Clinical Center in Novi Sad. The data have benn gathered from the anamnesis, clinical and neurological check, test of the
activity in everyday life, the findings of the psychologist on the emotinal status, as well as from the available medical
documentation about the patient. The average values of the Barthel's index are increased for 14.86% after the rehabilitation
treatment. The results show a strong presence of the emotional disorders with 57.5% of the patients. The increased values of Barthel's index and Mini Mental test at the end of the treatment show the undoubtfull importance of the rehabilitation
treatment in the recovery of the patients. The emotional disorders cause the worse recovery of the patients.

Chronic appendicitis presents inflammation of appendix with atypical clinical findings, without significant signs
and symptoms. Because of that diagnosing chronic appendicitis presumes a great problem. Indications for operative treatment based on clinical impression are followed with a great number of unnecessary appendectomies. Barium enema can show morphlogic changes of appendix during its chronic inflammation. Our aim was to show values of barium enema in diagnosing chronic appendicitis. Study went prospectively, in period 1999-2001 on Clinic for abdominal and endocrine
surgery, Institute for surgery Novi Sad. It includes 100 patients with symptoms, 50 of them were operated after barium
enema, and other 50 were operated after clinical impression of surgeon. Each appendix was patohistologicaly examined.
Incidental appendectoies were exluded. Of total 1425 appendectomies in three years period, 100 were operatde because of chronic appendicitis. Fifty of them were operated after barium enema, and other 50 were operated after clinical impression of surgeon. Range of years was 15 59 in examined group with average 35,6 years. In control group range was 15 57, with average 32,9 years. Lasting of pain episode more than 12 hours had 94% of patients in examined group, and 72% of patients in control group had painn less than 24 hourrs. During of pain episodes at 92% of patients from examined group was 3 weeks to 12 months, and 86% of patients from control group had pain standing 3-36 weeks. The most common sign on barium enema was finding of coprolites in lumen (52%), followed with unfilled appendix (18%, angulations (10%), distal amputation (8%), segmentation of contrast (8%), and fixated appendix (4%). Intraoperative macroscopic findings were as followed: 40/50 coprolites in lumen, 7/50 fibrous bounds, and 3/50 fibroses of appendix. Patohistologicaly, chronic appendicitis was confirmed at 90% of patients in examined group, and 58% in control group. After surgery, 94% of patients from examined group don't feel the preoperative pain. Barium enema significantly increases of chronic appendicitis. It is non-invasive, and reliable method for showing morphologic changes of chronic appendix. Use of barium enema dereases number of unnecessary appendectomies. Barium enema is suggested for evaluation of patients with chronic pain in right lower quadrant of abdomen, and thereby for diagnosing of chronic appendicitis.