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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

01.12.2004.

Professional paper

INFLUENCE OF EMOTIONAL DISORDERS ON THE RECOVERY OF PATIENTS AFTER THE STROKE

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.

S. Tomašević, D. Filipović, N. Naumović, M. Mišolić

01.12.2004.

Professional paper

MICROBIOLOGICALLY FINDINGS AT SERONEGATIVE SPONDILOARTHROPATIES

All formsspondyloarthropaties are uniteded with HLA-B27 antigen's in 70-100% in dependences of form illneses and so ethenic and eugenic qualifications. Consider that some Gram-negative bacteriums can have place in pathogenesis of spondyloarthropaties. Explored are 24 patients(15 men and 9 women) with seronegative spondyloarthropaties. Absence of
bacteriums which besides other factors inculpate for pathogenesis seronegative spondyloarthropaties in explored materials,
points to need for proving their antigens at synovium woof or anti-bodies in serum toward specific antigens.

M. Mekić, M. Ristić, Lj. Smilić

01.12.2004.

Professional paper

IDENTIFICATION OF THE VICTIMS KILLED IN A CIVILIAN BUS CROSSING A BRIDGE IN LUŽANE

Identification of the deceased is routine and, for experts, quite a simple forensic procedure. However, in the case of
mass accidents such as explosions, traffic accidents, natural disasters, and during the war everything is much more different.
There are a lot of differences between forensic medicine in the peace and the forensic medicine during the war. The cause of
this claim comes from special conditions for performing the forensic procedures during the war, with much more activities,
a lot of differences and special characteristics of war injuries. We have in mind mass war injuries and great number of victims, which can grow till catastrophic proportions. That includes killing a great number of people in different places, in
different military units and civilian settlements. The identification of these victims is, certainly, the most important and permanent task of forensic medicine which consider, first of all, collecting, identification and transportation of the victims. The
complexity of these tasks is severe when mass deaths occur, but also when killings happened in the different locations in the
same time, also, during the discovering of the victims which become putrefied and decay, where the biggest problem is to
identify the victim and determine the cause of death.

S. Matejić, S. Dobričanin, Lj. Šćepanović, Z. Vitošević

01.12.2004.

Original scientific paper

BARIUM ENEMA AND CHRONIC APPENDICITIS

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. 

M. Vuković, N. Moljević, S. Sekulić, D. Krivokuća

01.12.2004.

Original scientific paper

FREQUENCY OF CERVICAL PLANOCELLULAR CARCINOMA

Today it is noticeable that the incidence and mortality from cervical carcionoma increases, especially the growth of
frequency of those changes at younger women. The total number of diagnosis of invasive carcinoma at the processed biopsy and operative matrials was 186. The majority of results were the histological grade G1 N1 54,83% in the group of 41-50 years old patients, and the less significant was number of histological grade G2 N2 at the age 51-60 and G3 N3 at patients over 60 years old. In 72 cases the radical surgical treatment was done after previously made HP diagnosis of planocellular carcinoma on the biopsy material, and it was done in the cases that were operable in stage Ib (FIGO). The most of operated women were with histological grade G1 N1, so we followed in what degree the size of tumor, beside the histological grade G1 N1, so we followed in what degree the size of tumor, beside the histological grade, have an effect on the possibility of presence of the metastasis in regional lymphatic nodes. We came to the conclusion that with the growth of macroscopically size of tumor, the frequency of appearance of lymphatic nodes increases. Those parameters could not the small number of operated cases. When the disease is discovered in these histological grades. It is not operable, and then we perform radiotherapy as a method of treatment.

D. Vukićević, Ž. Perišić

01.12.2004.

Professional paper

METABOLIC SYNDROM, RISK FACTOR FOR CARDIOVASCULAR DISEASE

Sindrom X or Metabolic Syndrome are both terms used to describe a collection of herth risks contitions that increase your chance os developing heart disease, stroke and diabetes. The condition is aslo known by other names including insulin Resistence syndrome, and Dysmetabolic syndrome. The number of people with Metabolic Syndrome increases with
age, affecting more than 40 percent of people in their 60 s and 70 s. Components of Metabolic Syndrome are: Abdominal obesity, atherogenic dyslipidemia, raised blood pressure, insulin resistance, proinflamate state and prothrombotic state. The
National Cholesterol Education Program 's Adult Treatment Panel III report (ATPIII) identified 6 components of the metabolic syndrome that relevate to CVD. Insulin resistance is present in the majority of people with the matabolic syndrome.
It strongly associates is present with other metabolic risk factors and correlates unuvariately with CVD risk. Patiens with
longstanding insulin resistance frequently manifest glucose intolerance. When glucose intolerance evolves into diabetslevel hyperglicemia, independent risk factor for CVD. When 3 of 5 of the listed caracteristics are present, a diagnosis of metabolic syndrome can be made. The exact cause of Metabolic syndrome is not known. Most reserchers believe it is caused by
a combination of your genetic makeup and lifestyle choices-including the types of food you eat and level of physical activity.

T. Novaković, A. Jovanović, S. Sovtić, S. Pajović

01.12.2004.

Professional paper

TRICHOPHYTID REACTION TO ANTIGEN AGENT IN CHILDRENS AGE

The main goal of this research was to present the mikid generalised reaction in children who suffered from trichophytiae profundae capillitii. After the infection and the inflammation brought on by the direct contact with the sick calves, the intensive mikid reactions occured, that is, the aseptic lesions of the skin. From 149 sick children, hospitalised at the DVC in Priština, 63(42,28%) were with the diagnosis of Kerion celsi. In 7(11,11%) cases trichophytid reactions occured to the animal type of the trichophyton mentagrophytes. The inflammed regions of the kerion produced the secondary bacterial infection with the regionale lymphadenopathy. Two weeks later antibodies and skin rash were produced in response to the infection agents. Early diagnostice and the adequate therapy decreases frequency of the mikid reaction in childrens age

N. Krstić

01.12.2004.

Professional paper

UREAAPPLIANCE IN DERMATOLOGY AND COSMETOLOGY-OUR EXPIRIANCE

Urea is naturally present in healthy skin,but when the skin is dry, and in some skin condicions, such as eczema, psoriasis and dermatitis, the level of urea in the skin is reduced, because skin is dry and rough and irritation. Urea deserves a bigger role in our dermatotherapy and medical cosmetology-for curring skin disorders and for better care of healthy skin. Urea
helps replenish this essential skin component and help support the skin`s natural moisture levels.

M. Relić, S. Lazarević

01.12.2004.

Professional paper

IMPORTANCE OF ANAMNESIS AT THE FOREIGN BODIES OF THE LOWER RESPIRATORY WAYS

Foreign bodies of the lower respiratory ways represent a very important chapter in ENT and medicine in general,
becouse they can lead to child fatal results in very short time due the obstruction and suffocation. They considered as some of the most urgent states in medicine, so that the childs life depends on correctly and quickly made diagnostic and skilfully do
ne intervention. The authors have analysed the importance of anamnesis at the patients which have the foreign body in the
lower respiratory ways, hospitalized at the ENT Clinic and Pediatric Clinic of the CHC Priština, during the period of 1994 -
1999. Results of ork are showed that 132 childrens have been hospitalized during this period, and 119 of them were with
positively anamnesis for foreign body, while 13 were with negatively anamnesis, but with positive clinical and/or radiolo
gical findings. From 119 patients with positively anamnesis, 82.38% had positive TBSC finding, while patients with nega
tively anamnesis (13) had positive TBSC finding in 23.08% cases. The largest number of the children has been male pole
(64.36%), of the age of 3 and younger (73.27%), the most frequent foreign body was raw grain of bean (31.69%), and peanut (16.83%), and the most frequent localisation has been the right bronchi (57.43%). The most foreign bodies have been extracted by the upper tracheobronchoscopy (99.01%), while in only 0.99% of the cases tracheostomy and lower tracheobron choscopy applied. Positive anamnesis for foreign body of the lower respiratory ways was sufficient reason to indicate a tracheobronchoscopy, but if patients had positively clinical and/or radiological findings, negatively anamnesis must be interpreting very carefully

B. Belić, R. Đurović, V. Andrić

01.12.2004.

Original scientific paper

COMPLICATIONS OF BRONCHIECTASIS

On autopsy material of fifty corpses, age 0-75 (Institute for Pathology of Medicine Faculty in Belgrade and KBC
Dragiša Mišović - Dedinje, Beograd) we have met with all kind of comlications of bronchyectazia and bronchyloectazia
which were mentioned in literature. All statement complications, which caused death, we classified into lung and out lung
ones. Among lung complications, we stated that pneumonia among children in a big number of cases of congenital
bronchyectazia and cystic fibrosis of lungs. The apses of lungs were represented in four cases of secular and spindle shaped bronchyectazia and in one case of distal secular bronchyectazia it was represented in empiem pleure. In two cases lung gangrene was noted. Among out lung complications we can emphasize two cases of sepses of brain Apses. Leptomeningitis was present at one case. Among long-term spread bronchyectazia and bronhyloectasis with chronically manure inflammation and lung abscesses (bronchiectasiae abscendons), we stated the deposit of amiloids in glomerulus's and blood vessel of kidney intersticium as well as in liver and spleen. Chronical lung heart (cor pulmonale chronicum) was the most often complication of bronchyectazia and bronchyloectasia in the middle and older age period of our cases and it had represented the major cause of death.

Z. Dolićanin

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