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Volume 39, Issue 2, 2025

Online ISSN: 3042-3511

ISSN: 3042-3503

Volume 39 , Issue 2, (2025)

Published: 12.11.2025.

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01.12.2015.

Review Article

Epidemiological and clinical picture of scabies in municipality of Podgorica in a Ten-year Period (2006-2015)

The objective of this study is to obtain data on the incidence of scabies in the city of Podgorica, the observed ten-year period (2006 to 2015) and its incidence in relation to age and gender. The second objective was to find out whether the incidence is declining to the observed period.Scabies is contagious, worldwide disease, sporadically or in epidemic form. For the creation of this parasitosis, importance is given to the socioeconomic status, living conditions, sexual promiscuity, the development of resistant populations of the parasite. In developed countries, the incidence shows a cyclical fluctuation, with long, calm intervals, while in developing countries the incidence is constantly high. The disease is spread by close physical contact, often spreading within families and it is subject to mandatory reporting. In this paper, we used the official data of the Institute for Public Health in Podgorica, which included all clinical cases reported for the ten years, a total of 1,141 people, which are classified according to age and sex, for each year. Scabies as parasitism has been reported in the highest percentage among the younger population, aged 0-20 years, more common among males. The largest number of patients is registered in 2012.

Marijan Bakic, Mirjana Bakic, Marija Bakic, Masa Golubovic

01.12.2015.

Review Article

Retroperitoneal liposarcomas: the experience of a tertiary Asian center

Retroperitoneal sarcomas are mesodermic origin and include less than 1% of all malignant tumors. The most frequent histological type of sarcoma are liposarcomas. Most commonly they are located in lower extremitetes while intraabdominal findigs are rare. Early diagnosis is quite challenging because the first symptoms occur only in advanced stages of disease. The gold standard for diagnosing is MSCT. The therapeutic approach is surgical by combining radiation therapy in case of recurrence and excision was not comletly. The chemotherapy is still controversial, and most authors consider that it is not adequate way of treatment. Seventy years old woman was admitted to the department of surgery because of the pain located in theleft half of the abdomen. It lasts for 3 monthsand in recent times became stronger and accompanied by nausea. Stooll and urin were regular . Physical examination revealed painfully formation. Velaues of blood examples were within normal range. US and MSCT of the abdomen were made before operation. MSCT showed retroperitoneal TU formation size 52x35cm. The findings were confirmed during the operation. Tumor weight was 9250g. Histopathological examination showed that it was a low-grade myxoid liposarcoma. One year after surgery, there was a recurrence. The first symptoms of abdominal liposarcoma manifests only in advanced stages of the disease. Radical surgical excision first choice in treatment. If the excsion lines could not be clear radiotherapy should be added.

Goran Ilic, Srdjan Milina, Vladimir Korac, Slavica Popovic

01.12.2015.

Review Article

Bleeding in late pregnancy

The aim of this paper is to present the incidence of placental abruption and placenta previa at GAO General Hospital N. Pazar like to stress the importance of bleeding in the second trimestreu pregnancy. A retrospective study was conducted at the department of gynecology and obstetrics, ZC Novi Pazar January 2008 December 2012th As the basis of the data, the history and the findings from the protocol konzervtaivno treated surgically and we pacijenata. Analizirali incidence of bleeding compared to the total number of births, maternal age, parity and gestation. During the period of 2008-2012, there were 186 abruption (1.72 %) and 34 placenta previa (0.31%). Within a given period, there were 10778 delivery of which 220 bleeding or 2.03 %. The incidence of placenta previa and ab.placente compared to 84.5% abruption and placenta previa 15.5%. The age of pregnant women who develop bleeding: the highest percentage of bleeding at the age of 26- 31god (43.6%) than in the group of 19-25 years. 82.63 % and the lowest in the group under 18 (3.18) and above 35 years of age (11.3%). Maternal parity. primipara i 92 (41.88%), second child 49 (22.27 %) , third child i 46 (20.91%), fourth child 28 (12.72%). Gestational age at which it contacted the bleeding; 8 to 27 ng (3,645), 28-34 ng 30 (13.63 %) 0.35 to 37 ng 41 (18.64 %), and 37 ng 141 (64%). Method of delivery; caesarean 117 abruption (62%) vaginal delivery 69 (38%). Placenta previa; cesarean section 28 (82.3 %) and 6 vaginal (17.6 %). Any bleeding in the second half of pregnancy should be taken seriously. Prolong pregnancy as possible. You need to pay attention to risk factors: hypertension, gestational diabetes, smoking, previous cesarean section, and in this sense preventive effect on pregnant women.

Ajisa Hajrovic, Samra Hajrovic, Sefcet Hajrovic, Jasmin Nurkovic, Ibrahim Preljevic, Muamer Suljic

01.12.2015.

Review Article

Colorectal cancer screening methods

Colorectal cancer (CRC) is an important social and medical problem. Complete recovery can be achieved only if the disease is diagnosed in the early stages, most common by screening methods. Studies have shown that screening methods reduce the incidence and mortality of colorectal cancer. The methods for colorectal screening can be divided into tests that allow the detection of cancer (fecal occult blood test and fecal DNA test) and morphological tests that allow diagnosis of cancer or adenomatous polyps (flexible sigmoidoscopy, colonoscopy, double contrast barium enema, CT colography ). In people with average risk of disease, screening begins at 50 years and performed on one of the following: fecal occult blood test (every year), flexible sigmoidoscopy (every 5 years), colonoscopy (every 10 years), double contrast barium enema (every 5 years) or CT colography (every 5 years). Colonoscopy is the preferred method, and is used as a confirmatory method, if the any other methods was positive.

Dusan Popovic, Tamara Alempijevic, Nada Kovacevic, Milan Spuran, Dragan Tomic, Srdjan Djuranovic, Miodrag Krstic

01.12.2015.

Review Article

Elementi metaboličkog sindroma kod bolesnica sa subkliničkim hipotireoiduzmom

Mnogi autori odnedavno dovode uvezu postojanje elemenata metaboličkog sindroma(MetSy) kod bolesnika sa subkliničkim hipotiredizmom(SH).Cilj:U ovoj studiji preseka smo prikazali elemente MetSy kod novodijagnosktikovanih bolesnica sa SH ipokušali da utvrdimo njihovu povezanost. Istraživanje je obuhvatilo 70 ispitanica, 50 ispitanica sa novootrkivenim SH, i 20 eutiroidnih kontrola. Grupa bolesnica je prema vrednostima glikemije i posle OGTT testa podeljena na dve grupe, bolesnice koje imaju SH , a bez Diabetes mellitusa tip2 (DMT2), i bolesnice koje imaju i SH i DMT2. Kalkulacije su urađene pomoću EXCEL i Med Calc (verzija 9.3.8.0) programa,i pomoću programa SPSS-verzija 17. Dobili smo sledeće rezultate: Bolesnice su značajno starije u odnosu na kontrolnu grupu, imaju više vrednosti za obim struka(OS) i BMI (Index telesne mase ), značajnoveći procenat osoba sa hipertenzijom (62%) i DMT2 (36%),od toga 14% novootkrivenih sa DMT2, dok u kontrolnoj grupi nije bilo DM. Vrednosti glukoze i HbA1c su više u grupi bolesnica u odnosu na kontrolnu grupu, a nema razlike u insulinemiji i HOMA. Očekivano su vrednosti TSH i Anti TPO-At više, a koncentracije FT4 značajno niže kod ispitanica sa SH u odnosu na kontrolnu grupu.Utvrđeno je da postoji korelacija između koncentracije glukoze i TSH u grupi bolesnica,ali ne i u kontrolnoj grupi.Prevalenca MetSy je 25 % kod kontrola i 62 % kod bolesnica. S obzirom na rezultat naše studije preporučuje se odredjivanje glikemije kod svakog bolesnika kod koga je utvrđen SH,i obrnuto,određivanje tiroidnog statusa kod osoba sa DMT2. Takođe se preporučuje lečenje SH po utvrđenim kriterijumima, jer zajedno sa MetSy imaju veći rizik za razvoj kardiovaskularnog događaja.

Vesna Popovic-Radinovic

01.12.2014.

Review Article

Analysis Identification of Victims of Mass Catastrophe in Forensic Dentistry

Natural disaster, such as earthquakes, fires and volcanic eruptions, airline and railway accidents and shipwrecks, as a rule, are very rare, but they always have human victims. Wars are also a form of mass killings of people, but the identification of war victims requires more complex procedures. The most reliable and certain methods used for identification are fingerprints, dental analysis and DNA analysis. Secondary means of identification include a personal description, medical findings, as well as evidence and clothing found on the body. The largest contribution to the identification of the bodies was given by dentists who tried to identify victims with the teeth. Dental identification is an essential procedure that is conducted either independently or as supplement identification. Dentition in process of identifying the victims is used to compare AM (ante-mortem) and PM (post mortem) anthropological characteristics and dental procedures. Today dental identification is unavoidable process, because of its simplicity and because of the speed and economy.

Uros Jovanovic, Zoran Stankovic

01.12.2014.

Review Article

Mucinous adenocarcinoma of the Prostate -a case report

Mucinous aenocarcinoma is one of the least common variant of prostate cancer. The prognosis of this variant of prostate cancer remains controversial. We report the case of 67-year old men with severe lower urinary tract symptoms (LUTS), bladder outlet obstruction (BOO), and sense of urinary retention. The serum level of prostate specific antigen (PSA) was 10.4ng/mL. Prostate was large (56mL), hard, lobulated, with extraprostatic extension and infiltration of surrounding structures, unsuitable for radical operative treatment. The patient demonstrated poor response to complete androgen blockade (CAB) (bilateral orchiectomy, steroidal antiandrogen) after 6 months of treatment with minimal decline of PSA (7.1ng/mL) and progressive growth of the primary tumor (110mL). The patient is submitted to antiandrogen withdrawal consisted of simultaneous addition of ketoconazole with hydrocortison substitution, resulting in normalisation of PSA (<1.0ng/mL) and diminution of prostate volume (PV) (63 mL) after 2 months, followed by adjunctive radiotherapy. Ketoconazole in reduced doses was stopped 6 months after completion of radiotherapy with PSA level < 0.002ng/mL and PV 16mL. The patient is alive with no evidence of disease more than 9 years after diagnosis of primary tumor. This case demonstrated modest hormonal sensitivity of mucinous adenocarcinoma of the prostate, whereas ketoconazole combined with radiotherapy, resulted in long term survival.

Djordje Argirovic, Aleksandar Argirovic

01.12.2014.

Review Article

Razlike u polovima u depresiji kod pacijenata sa tumorom mozga

Razlike u polu su pronađene u mnogim oboljenjima srca, kod moždanog udara i tumora.Razlike u poluu depresiji kod pacijenata satumorommozga su retko istraživane. Cilj rada Cilj ovog rada je bio da se utvrdi odnos između ispoljene depresivne epizode i pola kod pacijenata sa tumorom mozga. Metode rada Podaci se sastoje od 115 pacijenata sa primarnim tumorommozga, 61 muškaraca i 54 žena. Depresija pacijenata je procenjena Hamiltonov skalom depresivnosti (HADS). Nivo depresije kod žena je bila veća u odnosu namuškarce. Nije bilo statistički značajne razlike između muške i ženske grupe, iako je depresija češća kod žena. Naši podaci su slični kao i većina rezultata iz epidemioloških studija koje pokazuju da je depresija češća kod žena.Dalje studije su potrebne da pronađu konekciju između biološkog uzroka tumora mozga i depresije. Razlike u polu pomažu nam da razumemo prirodu neuropsihijatrijskih poremećaja, koje će nam pomoći da pronađemo specifične tretmane i strategije prevencije.

Nenad Zivkovic, Goran Mihajlovic, Marko Markovic, Milan Jovanovic

01.12.2014.

Review Article

Uspeh u lečenju infertiliteta poznatog uzroka

Cilj rada je da pokažemo metode dijagnostike, terapiju i uspešnost lečenja infertiliteta u manjim sredinama. Retrospektivnom studijom analizirali smo dijagnostiku, terapiju i uspešnost lečenja infertiliteta u periodu od 2002-2006. godine. Pratili smo kupno 94 para sa problemom infertiliteta. Kod 30 parova problem dijagnostike i lečenja infertiliteta nije ozbiljno shvaćen, tako da su u startu bili osuđeni na neuspeh. Preostala 64 para su aktivno učestvovala u dijagnostici i lečenju tako da je studija zasnovana na njima. Analizirajući anovulaciju, odnosno stimulaciju ovulacije, kod 64 pacijentkine pratili smo: uspešnost stimulacije ovulacije, trudnoće i njihov ishod, nadzor ovulacije folikulometrijom i određivanjem progesterona 20 dc, komplikacije - hiperstimulirajući ovarijalni sindrom,prosečnu starost pacijentkinja, vrstu i trajanje infertiliteta,dužinu stimulacije, prisustvo bakterija u cervikalnom kanalu, nalaz HSG, hormonski status, ishod urađenih laparoskopija, spermogram muževa i mesto lečenja infertiliteta. Uzroci steriliteta kod ispitivanih pacijentkinja su poremećaji ovulacije, oštećenje jajovoda, bakterije u cervikalnom brisu, muški faktor, godine starosti. Poremećaji ovulacije su uzroci infertiliteta u oko 30-40% slučajeva. Stimulacijom ovulacije kod 73% pacijentkinja je došlo do trudnoće a kod 62% pacijentkinja je trudnoća završena uspešno.

Nedzib Numanovic, Sefcet Hajrovic, Sefadil Spahic, Muamer Suljic, Ibrahim Preljevic, Ajisa Hajrovic

01.12.2014.

Review Article

Multidisciplinary surgical approach in patient with schwannomatosis in the Clinical Hospital Center Zemun

Schwannomas are benign sheat tumors composed of Schwann cells, which are covering peripheral nervs. Althought schwannomas can be found in any localisation, retroperitoneal scheannomas are extremly rare. Multiple schwannomas (neurilemomas) can be part of neurofibromatosis type II, as well as schwannomatosis. Depending on tumor localization, disease symptoms differ. We present a patient with multiple spinal as well as peripheral schwannomas as a part of schwannomatosis. Patient was successfully operated in cooperation between general surgeon and neurosurgeon.

Vuk Aleksic, Vladimir Spica, Radomir Benovic, Milenko Stanic, Tode Dragicevic, Aleksandra Zivkovic, Nenad Zivkovic, Milan Spaic, Velja Milacic

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