Perinatal infection occurs as a consequence of the intrauterine (congenital) infection, intrapartal infection, or the
newborn infection in the course of its nursing. Congenital cytomegalovirus infection is a most frequent intrauterine infection. The prevalence of congenital CMV infection given by different authors varies significantly, but the majority of them
mention that it is in the range from 0.5 to 2.5 % of the number of the live-born. Significance of this disorder is underlined by
the fact that about 20% of intrauterine infected newborns have later serious problems in their development. The signs of fetal
impairments with congenital CMV infection can be noticed with about 10 % of the infected newborns at the very birth. The
mortality rate among these newborns is high even about 30 % of them exhibit heavy signs of the disease and die very soon
after the birth. Even with 70 % of the newborns with the symptoms of congenital CMV infection it is possible to notice at the
birth the presence of the symptomatology related to CNS, and this is of predicative significance for the later unfavorable
development of the infant. It should be pointed out that, in contrast to intrauterine infection, which provenly yields to fetal
impairments, there are no reliable data that would point to undesired outcomes of intra- or postpartal infections. The work
gives a survey of contemporary knowledge about cytomegalovirus infection in perinatology, as well as about the possibilities of its diagnosis and treatment.

Scientific research of effects of glucagon on the cardiovascular system have shown that glucagon has some
cardiostimulatory potential. The very interesting fact is that glucagon shows its cardiostimulatory effects by activating its
own, higly specific glucagonic receptors. That is way we wanted to research not only the effects of glucagon on the C.V.S.
but also its effects during the depression of the C.V.S. with high dosses of beta blocators (presolol) expecting a good
hemodinamic response. The experiment has been performed on two groups of 6 dogs. The first group of animal was treated
with i.v. bolus injections of glucagon and other group with presolol (15 mg/kg b.w.) i.v., and after that with i.v. bolus
injection of glucagon. Hemodinamic variables (mean arterial pressure, central venal pressure and hearth frequency) were
registred at the 1-st, 2-nd, 3-rd, 10-th, 20-th, 30-th and 40-th minute. The hearth frequency was registred by continous
monitoring, mean arterial pressure was registred with cateter in the arterial femoralis, while the central venal pressure was
registred over central venal cateter in v. femoralis. After the i.v. bolus injection glukagon shows higly positive effects,
followed by short-term increase of the mean arterial pressure, while the c.v.p. considerably falls. During the administration
of presolol the hearth frequency and mean arterial pressure fall considerably and progressively, while the c.v.p. rises
considerably. Glucagon, in conditions of c.v.s. depresion by high doses of presolol (15 mg /kg b.w.) considerably increases
hearth frequency and mean arterial pressure, while the c.v.p. falls considerably.

Beside great improvement in diagnostical ant therapeutic aproach in curement of brain tumors, gliomas still have
bad prognosis. Better results could be obtained only in early tumor discavery. Alpha pheto protein (AFP) and carcinoembrionic antigen (CEA) are markers specific for certain carcinomas (hepatocelular, nonseminated testicular, colorectal). Thieir specifity for gliomas still has not been stated. The aim of tis study was to determine tissue or sera levels of AFP, and CEAin experimentaly induced gliomas, and teir poential use in human gliomas diagnosis. For analyses , tissue supernatant homogenate C6 of rat glioma and sera were used during different phases of development (days 0,7,14,21 and 31). Tumor markers were also determened as well as in tissue of human brain tumors (two anaplastic astrocitomas an one glioblastoma). Techique applied was immunoenzyme type Mein method. Obtained results showed no signs of AFPeither in sera, or in rat brain tissue or human glioma tissue. CEA however, showed statisticlly, important specifity, for glioma tissue. During tumorgenesis tissue concentracion of CEA showed statisticly higher levels in comparasion with controls , starting from day 7, reachin peak of tumorgenesis on day 21, (p < 0.001). CEAwas not detectable in control animal group sera, and also during the period of tumor development. CEA concentracion obtained from animal brain were similar to those in human
brain tissue tumors. Further investigation need to be caried out, in order to determine the potential role of this marker in
diagnosis and treatment establishment course.

On the territory of Yugoslavia Q fever presents a significant health and epidemiological problem. In Vojvodina Q
fever is being reported in epidemic form. In adition to, sporadic cases are registrated in Central Serbia as well. In Kosovo and Metohia during this period there was no single case of Q fever diagnosed. This disease is primary professional illness. Q
fever is more often diagnosed in male compared to female gender. Among reported cases elderly structures between 20 and
59 dominate and participation of those elderly groups estimate 78,4% of all registerd cases. Q fever has a strictly seasonal
character, and the most cases are reported in the period January-April

Hepatitis A is relatively benign disease. The duration of illness caused by HAV is variable, ranging from several
weeks to several mounths. Infection with HAV does not cause chronic liver disease. We have presented the clinical and
st epidemiological caracteristic an epidemic of hepatitis A in area of Toplica. Since late septembar 2001 to february of 21 in
2002, in hospital in Prokuplje have been treated 211 patients. The epidemic is spread by contact

Specific immunotherapy (SIT) has been used for almost a century but its form of administration is still a matter of
debate. At present curative SIThas only demonstrated its efficiancy, under the conditions that an appropriate allergen extract
is used, and patients are careffuly selected. However, many alergic patients likely to respond to immunotherapy are not
treated specificaly, due to the prevaling opinion that immunotherapy is ineffective, and has more uneffectable side effects
than drug treatment. Direct comparison of efficiancy between immunotherapy and drugs is problematic as this implies a
comparison between a treatment aiming at interfering with the pathophysiological mechanisms of the alergic inflammation
with potential for long term effect, or even cure (immunotherapy), and a treatment abolishing symptoms whi-le being
administered, but without long term preventive capacity (drugs). In most patients the situation is not an either but ra-ther
both and. The advantages of combinig immunotherapy and drugs are related to a higher likelihood of increasing effi-ciancy,
reducing side effects, and improving patient compliance by combining a treatment having an immediate effect with one
functioning more slowly

The level of the health protection determines the living standard of people in that area. If the standard is higher the health protection is on a higher level. Extraordinary circumstances on the territory of Kosova and Metohia in the period of th almost whole last decade of 20 century caused much lower of health protection. It happened a spontaneous mobilisation of all factors of normal life in this area, causing an improvement in this matter. First public health workers made some changes and permitted their work with a great enthusiasm. Social-political structure of this area connected humanitarian organizations while Serbian population showed a strong determination to struggle with is strength for the existence in this area. Therefore the lowest level of the health protection in 1999 started gradually to improve. By opening new section within the Health Center in Zubin Potok (orthopedic and neurological) the scope of the health protection of the people got more extended. Orthopedic section opened an X-ray room where we X-rayed injures and sickness of the locomotor systems. In the period 1999-2002. we checked 8692 sick people (42,65% workers, 49,30% housewives and pensioners and 8.30% children). However, we did 1404 surgery operation. We took out 82 benign tumors, 64 objects and 59 skin excision (removal of para-site-ixodes ricini). Nevertheless, we put 2039 bandages where injures and sickness of locomotor systems occurred. During the last 3.5 years we did 301 X-ray photos. Gradual improvement of the standard of people, improvement of the social-political situation and further strong motivation of the population to stay in this area, contributing to better medical treatment and healing of sick people. It is contributing to the existence of the Serbian population in this area.

Certainly the level of the health protection of the population is in a direct connection with the living standard of people. Life and work of all the people in Zubin Potok municipality, as well giving the health help, became more difficult after 1999. It is because of the exile of non-Albanian population from teritory of Kosovo and Metohia. The most difficult problem, taking care of sick people, results from the impossibility of the normal traffic communication with Priština and Kosovska Mitrovica, where the Main Health Centers are located. More over, the irregular supplying with medicines, difficult transportation of patients, as well the downsizing of mean in this area, made the workers of Health center in Zubin Potok to make some changes in order to provide an adequate health protection for more than 10000 people in this area.

The urgent surgery center “Simonida” in Gra~anica was built by humanitarian organization “Doctors of the World” from Greece with donation of Ministry of Foreign affairs of Greece and Greek institute for mother and child. He started working in march 2000. Even though, it has a small capacity of 15 beds, it represent a very important part in health care for the people Serbian enclaves in Kosovo and Metohia. During 2002. 15133 patients were examined in this hospitaly. 811 patient were hospitalized, and 98 of them were operated. Serbian doctors performed the firs surgery 11.07.2002. when the patient S.S. 46 years old was operated due to inguinal hernia on left side. In the urgent surgery center 72 (73,47%) male patients and 26 (26,53%) female patients. Were operated 64 (65,31%) adults patients and 34 (34,69%) children were operated. In this hospital 46 patients for inguinal hernia, 14 patients for acuta appendicitis, 8 for inflammation of gall, 4 for testis retency, 4 for pilonoidal sinus, 3 for higrom, and 22 patients with other diseased were operated. Total anestesy used with 68 (69,63%), spinalis with 22 (22,45%) and local with 8 (8,16%) patients. Total anestesy was used with 36 adulta patients and with 32 children patients. Considering the restricted freedom of moveing and bad security situation of people in enclaves, the urgent surgery center “Simonida” justify its egzistence making possible adequate surgery help to the suftering peoples of Central Kosovo, Sirini} region and region Kosovsko Pomoravlje.

Febrile non-hemolytic transfusion reaction (FNHTR) is the most common adverse effect of blood transfusion. FNHTR is usually immune mediated due to the reaction of white cells antibodies in the recipient's plasma with the leukocytes contanied in the transfused blood components. In some patients, especially recipients transfused with platelets, cytokines are implicated in this reaction. The differential diagnosis may be difficult, especially when co-morbid disorders such as infection or malignancy, and certain treatments, may cause a similar spectrum of symptoms. In differential diagnosis, acute haemolytic transfusion reaction, bacterialy contaminated blood products and transfusion associated lung injury must be exlcuded. Repeated severe FNHTRs necessitate leucocyte depletion of blood components.