Astley Cooper has described a technique, the reposition of anterior shoulder dislocation by the frontal arm elevation, on 1825. The author’s aim was to show his own results when reposing frontal shoulder dislocation by this simple and secure technique. In the KBC Zemun emergency service, from 2003 to 2007, by this technique, 32 anterior shoulder dislocations with or without fractures of the greater tuberosity fracture, were reposed. The reposition was successful in all dislocations, and total short lasting anesthesia was used to two patients (3 dislocations). The basic advantage of this technique is that it is physiological, simple and does not demand strong physical force, and the neuron-bone complications were not recorded.

Lekar koji učestvuje u prenatalnom skriningu i dijagnostici kongenitalne srčane bolesti mora biti familijaran sa potencijalnim uticajem tehničkih faktora u postizanju najboljih diagnostičkih prikaza srca i njegovih struktura, a sve u okviru prihvatljivih termalnih i mehaničkih sigurnosnih limita ultrazvučnih procedura u obstetriciji. Znanje adekvatne optimizacije gain-a, uvećanja ultrazvučne slike, korišćenje compound imaging-a i harmonic imaging-a su preduslovi kvalitetnog pregleda. Ostali važni faktori koji utiču na pregled i koji treba da se uzmu u obzir su gestaciona starost u momentu pregleda, maternalni telesni habitus, fetalni pokreti i pozicija i primenjena frekvenca ultrazvučnog talasa. Nekad je neophodno da se sačeka optimalni fetalni položajda bi prikazali željene strukture, a da bi se to postiglo nekad se pacijent mora ponovo pregledati nekom drugom prilikom.

Lymph node metastasis in patients with colorectal carcinoma is bed prognostic factor. High level of CEA and CA 19-9 tumor markers before surgery have had a high sensitivity and also is a combination of high specification, especially in late stage cases. Considering that, general attention was to proof a correlation between level of CEA and CA 19-9 tumor markers before surgery and number of nodal metastasis in these patients. Our study included 102 patients with colorectal carcinoma. We measured level of CEA and ca 19-9 tumor markers before surgery and compared it with number of dissected lymph node metastasis after surgery as same as comparing with Duke’s stage of carcinoma. Average level of CEA tumor marker before surgery was 44,59 μg/mol. Lowest rate was 0,8 μg/mol ant the higher was 551 μg/mol. Average level of CA 19-9 before surgery was 258, 8696 U/mol. Average number of dissected lymph nodes per patient was 14,62 within average 2,5895 was nodal metastasis. There is a high statistically signification between CEA and CA 19-9 tumor markers level before surgery and level of Duke’s classification stage after surgery. Number of nodal metastasis is correlated with level of CEA before surgery. Level of CA 19-9 before surgery is not statistically significant for number of nodal metastasis. During this examination we noticed a high increasing of CEA and CA 19-9 tumor marker levels before surgery in patients with C2 Duke’s stage with more than 4 lymph nodal metastasis found after surgery. In this patients level of CEA was higher 45,78 μg/ml comparing with patients in C1 Duke’s stage who have had CEA level 6,07 μg/ml. In patients with C2 Duke’s stage average value of CA 19-9 was extremely high – 71 U/ml. High level of CEA and CA19-9 is statistically significant for staging of colorectal malign disease as same as for number of nodal metastasis.

Although the first balloon dilation of aortic stenotičnog valve in the fetus was performed successfully as early as 1989th , the fetal cardiac intervention procedures are still in experimental medicine and performed in a few centers in the world. Interventional cardiology procedures at this time in the application of the fetuses with aortic stenosis, fetuses with stenosis / atresia of the pulmonary artery and hypoplasia of fetuses with left ventricle and restrictive međupretkomorskim hole.

Parapneumonična efuzija kod dece definiše se obično kao nakupljanje pleuralne tečnosti u toku akutne bakterijske pneumonije, a ređe u sklopu virusne pneumonije i tuberkuloznog pleuritisa. Empijem označava prisustvo purulentnog sadržaja u pleuralnom prostoru. Pleuralna infekcija je kontinuum, ali klasično postoji podela u tri stadijuma: eksudativni, fibropurulentni i organizovani. Glavni bakterijski uzročnici su Pneumococcus, Streptococcus pyogenes i Staphylococcus aureus. Postoje dve kliničke prezentacije parapneumonične efuzije. Kada sumnjamo na pleuralni izliv, sprovodi se standardizovan terapijsko-dijagnostički postupak prema smernicama BTS vodiča. Ukoliko perzistira signifikantna količina pleuralne tečnosti i dođe do kompromitovanja plućne funkcije, tada govorimo o komplikovanoj parapneumoničnoj efuziji i indikovana je torakalna drenaža. Pri pojavi septacija i lokulacija u pleuralnom prostoru, neophodna je intrapleuralna instilacija fibrinolitika. Primena Streptokinaze je bezbedna, efikasna, smanjuje potrebu za hirurškim lečenjem i zajedno sa ostalim terapijskim merama dovodi do kompletnog oporavka deteta.

Pravilan način ishrane je važan deo zdravog stila života i kao takav treba da bude usvojen u najmlađem životnom dobu. Cilj rada je bio da se utvrde navike u ishrani studenatske populacije. Istraživanje je dizajnirano kao studija preseka u kome je učestvovalo 246 studenata Visoke zdravstvene škole strukovnih studija u Beogradu. Korišćen je anketni upitnik iz istraživanja „Zdravstveno stanje, zdravstvene potrebe i korišćenje zdravstvene zaštite stanovništva Srbije” iz 2000. godine, dizajniran od strane SZO. Za statističku obradu podataka korišćene su metode deskriptivne i eksplorativne analize, metode ukrštenih tabela uz primenu Pirsonovog χ2 testa. Analiza je urađena u softverskom paketu SPSS 13.0. Rezultati istraživanja pokazuju da svakodnevno doručkuje nešto više od polovine studenata, ruča 81,7%, a večera polovina studenata. Mleko i mlečne napitke svakodnevno konzumira po jednu šolju 2/5 ispitanika, dok je sir korišćen 1-2 puta nedeljno. Krompir kao i sve vrste mesa, riba i jaja u ishrani koriste se jednom do dva puta nedeljno. Sveže povrće svakodnevno je uzimala samo trećina studenata, a sveže voće nešto više od trećine. Oko 1/5 ispitanika svakodnevno uzima slatko pecivo i slatkiše. Samo 1/5 koristi crni ražani hleb. Kao najčešći namaz u ishrani studenti koriste margarin, majonez, maslac i kajmak. Od ukupnog broja ispitanika nikada ne razmišlja o svom zdravlju pri izboru načina ishrane 7,3% studenata, ponekad razmišlja 43,5%, često 39,8%, dok 9,3% ispitanika uvek razmišlja o svom zdravlju pri izboru načina ishrane.

Congenital heart disease is the most important cause of infant mortality. Abnormalities of the heart and great arteries are the most common congenital defects. Congenital heart disease is often fallow by extracardiac malformations. Many studies revailed positive impact of prenatal diagnosis and timelly treatment on pre-operative condition and outcome of surgery and long term prognosis. Neverthelles, structural cardiac anomalies were also among the most frequently missed abnormalities by prenatal ultrasonography at mid-trimester scan. The 4-chamber view has a Detection Rate of 6-50%, with a reasonable figure of 20% in community setting screening programs. The addition of the outflow determines a significant increase of the Detection Rate which, in most studies, ranges 20-40%. The three-vessel view allows to detect major abnormalities of the arches, the neck vessels and the thymus. The prenatal detection of specific types of congenital heart disease, such as Transposition of great arteries, Hypoplastic left heart syndrome, Tetralogy Fallot, seems to have a significant impact on survival, hospital stay and pre-operative conditions of the affected neonates. Hence, fetal cardiac screening is a must for all health professionals involved in prenatal diagnosis.

Tuberculous peritonitis is a specific inflammatory disease of the peritoneum, rare in developed countries, often in developing countries. Symptoms usually have a chronic character and appearance of ascites is often the initial symptom of the disease. Symptomatology may not be typical. It occurs most often anorexia, weight loss, abdominal pain and subfebrile temperature Presented 23-year-old patient, after elective surgery on the right inguinal hernia, when the changes in the peritoneum and omentum were observed and 2l of ascites were evacuated, was admitted to Hospital for emergency surgery, Clinical Centre of Serbia, Belgrade for further diagnostic and therapeutic treatment. The patient noted occasional mild abdominal pain, bloating, fatigue and general weakness. Chest radiography showed a small pleural effusion in the right and laminar athelectasis in the lower right lung field. On performed EHO and MSCT of the abdomen is visible easily enlarged liver, with a discrete dilation of intrahepatic bile ducts, gallbladder with calculuses. Portal and spleen vein dilated, enlarged spleen. Right subphrenic and interintestinally present clear liquid. Other findings in order. Exploratory laparotomy was perfomed. Histopathological examination, of the slices of the peritoneum, confirmed changes typical for tuberculous peritonitis.

The overall survival rate in infants affected by congenital heart disease remains low. The poor outcome may be related to the increased association with extracardiac anomalies and aneupoloidy. Since most types of CHD are now amenable to surgery, it is essential that any fetus with congenital structural heart defect should be completely evaluated, noting in particular congenital extracardiac defects which may adversely affect the prognosis. Noncardiac malformations have been reported to occur in up to 50% of patients with congenital heart disease. The combination of cardiac anomalies with other organ abnormalities appears in genetic syndromes and after exposure to environmental factors. Fetuses with prenatally diagnosed cardiac malformations need to have offer structural abnormalities ruled out. They should be evaluated thoroughly by ultrasound exam, because the detection of an extracardiac anomaly may dramatically affect prognosis. Also, fetuses in which an extracardiac anomaly or chromosome abnormality is diagnosed deserve a complete evolution with full fetal echocardiography. Fetal caryotype analysis should be performed since the risk of aneuploidy approaches 40% in cases of prenatally diagnosed CHD.

Utvrditi učestalost i postojanje depresivnosti u porodici HIV pozitivnih osoba u odnosu na pol, starost, socijalne karakteristike i strukturu porodice. Retrospektivnom studijom je obuhvaćeno 124 članova porodice HIV pozitivnih osoba, koji su bili u programu rada savetovališta na Infektivnoj klinici KCS u Beogradu u toku 2010 godine.Nivo depresivnosti utvrđen Beckovom i Hamiltonovom skalom je povećan kod ženskih članova porodice, posebno majki HIV pozitivnih. Depresivni simptomi su više zastupljeni i kod nezaposlenih članova, kao i onih koji procenjuju kvalitet života kao loš, a nezadovoljni su svojim zdravstvenim stanjem.HIV infekcija je savremena bolest današnjice i povezana je sa socijalnom izolacijom i stigmatizacijom kako obolelih tako i njihovih porodica. Ovakav status porodice može da vodi u razvoj depresije što utiče na kvalitet života porodice. Ove studije su pokazale da nivo depresivnosti raste kod ženskih članova porodice koja živi sa HIV infekcijom i da socijalni status, a ne HIV status utiče na nivo depresivnosti u porodici. Preventivno delovanje u osnovi mora da ima socijalnu podršku na različitim nivoima društvene zajednice porodicama HIV pozitivnih osoba kako bi se razvoj depresije sprečio.