Current issue
Volume 39, Issue 2, 2025
Online ISSN: 3042-3511
ISSN: 3042-3503
Volume 39 , Issue 2, (2025)
Published: 12.11.2025.
Open Access
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Contents
01.01.2021.
Original Article
Lifestyle as a predictor of obesity in children aged 7-14 years
The aim of our work is to examine the impact of lifestyle on body mass index, as well as to examine the impact of sociodemographic lifestyle factors in school children. Prevalence of overfeeding and obese children, is rapidly increasing both in the world and in our country, so obesity is gaining pandemic size. The research was conducted as a retrospective study for the period from 2011 to 2015. The respondents consist of 700 primary school students aged 7 to 14 from the territory of the municipality of Pancevo. The body mass index (BMI) - calculated on the basis of percentiles - is defined as a dependent variable in this paper ranks, categorized into four groups, as an independent variable are defined sociodemographic characteristics and lifestyle of young people. The questionnaire was formed for the purposes of this research, and dimensionality the questionnaire was confirmed by exploratory factor analysis. Between groups with different indexes body weight, there is a statistically significant difference in eating habits, leisure habits time and performing physical activity. Eating habits, leisure habits and physical activity, they are important predictors of body mass index, while school success is a predictor of lifestyle ages 7 to 14 years.
Gordana Grbic, Dejan Mitrasinovic, Dragana Kljajic, Ljiljana Simpraga, Marija Trajkov
01.12.2021.
Actual
Ugradnja prvog trajnog pejsmejkera u Kliničko bolničkom Centru Zemun
Srdjan Raspopović, Ivan Stanković, Snežana Vidanović, Nenad Tiljev, Mijodrag Miljković, Dragan Petrović, Ljilja Dundjerović, Ratko Tomašević, Nebojša Mitrović, Dragoš Stojanović, Miloš Panić, Siniša U. Pavlović, Nikola Jagić, Aleksandar N. Nešković
01.01.2021.
Case Report
Intra-abdominal abscess as a rare complication after Cesarean section: a case report
We present the case of a young mother, 21 years old, who developed an intra-abdominal abscess 2 weeks after the caesarean section. Postpartum abscess after caesarean section is rare (≤1%), but potentially a very serious complication. It usually occurs as a consequence of inadequate or delayed treatment of postesectional endometritis. Risk factors are younger age, lower socioeconomic status, multiple vaginal examinations and length of caesarean section. The causes are anaerobic and Gram-negative bacteria. Clinical symptoms are variable, nonspecific and present as fever, abdominal and pelvic pain, signs of peritonitis, tachycardia, tachypnea, and generalized weakness. Complications include septicemia, fistula formation, multiorgan dysfunction, and even death. Ultrasound examination is the initial diagnostic method that can confirm the existence of a purulent collection. In case of diagnostic dilemmas, an urgent CT examination is indicated.
Svetlana Kocic, Mladen Jovanovic, Predrag Popovic, Nikola Kolarovic
01.01.2021.
Case Report
COVID19 polyneuropathy therapy with high doses of alpha-lipoic acid- Case report
The aim of our work is to acquaint other fellow physicians with our experience in prescribing high doses of ALA to which there was only a therapeutic response in terms of significant reduction of neuropathic ailments in our patients. We continued the therapy for six months after the introduction, because the difficulties are still maintained, now in a very mild form. COVID-19 disease caused by the SARS-CoV-2 virus was first described in December 2019 in Wuhan, China, but has since spread rapidly globally. Although the number of cases and deaths has attracted a lot of media attention, less attention is paid to the long-term tribute taken by those who survived the disease Since the discovery, there have been more and more reports linking SARSCoV-2 infection to various nervous system disorders. These disorders can be broken down into processes that affect the brain and spinal cord that make up the central nervous system or CNS, as well as those that affect the peripheral nervous system or PNS. Every day we learn more about the spectrum of neuromuscular disorders that develop after COVID-19 disease. We present two patients with polyneuropathy after proven SARSCoV-2 virus infection, aged 37 and 45, without previous chronic diseases that may be associated with peripheral nerve damage. The dominant symptoms in both patients are weakness and unpleasant sensations in the hands and feet, fatigue and general weakness. Therapy with high doses of alpha-lipoic acid has led to a significant reduction in discomfort and improved quality of life of patients.
Željko Kaganović, Sladjana Pavic, Zorica Tanasković
01.01.2021.
Case Report
Testicular torsion in patient with congenital monorchism: a case report
We present a 21 years-old patient with congenital monorchism, diagnosed and emergency operated for testicular torsion. In combination, testicular torsion and monorchism represent an extremely rare finding. In any case of monorchism, testicular sparing surgery is one of the main goals, and that is why fast and accurate diagnosis is mandatory, since delayed diagnosis lead to loss of only gonade.
Perica Jockic, Aleksandar Argirovic, Svetlana Kocic, Vuk Aleksic
01.01.2021.
Seminars
Značaj i uloga medicinske sestre kod primene radioterapije u cilju lečenja malignih bolesti
Medicinska sestra (tehničar) ima značajnu ulogu u lečenju i nezi pacijenata obolelih od malignih bolesti. Tokom primene radioterapije, medicinska sestra preduzima sve mere i postupke, realizuje intervencije u cilju pružanja adekvatne nege, duhovne i psihosocijalne podrške1 . Odnos između medicinske sestre i pacijenta treba da bude interaktivan i pun poverenja, a to je moguće postići pružanjem kvalitetne zdravstvene nege, što zahteva posedovanje praktičnih veština, ličnih kvaliteta i znanja. Takođe, medicinska sestra predstavlja važanu kariku u multidisciplinarnom timu. Ona najviše vremena provodi sa pacijentom i njegovom porodicom, najkompetentnija je u proceni pacijenta i njegovih simptoma2 . Takođe je najčešći prenosilac informacija između pacijenta i drugih članova tima, u tome mora biti konkretna i tačna.
Mnogi pacijenti se plaše zračenja, što čini pripremu pacijenta i njegove porodice još značajnijom. Sestre bi trebalo da daju informacije o koristima zračne terapije u lečenju raka, procesu planiranja zračenja, šemi zračenja, kao i o aktivnosti samog pacijenta u cilju preveniranja propratnih neželjenih efekata zračenja, u odnosu na svakog pojedinog pacijenta. Od naročitog je značaja posvetiti vreme razgovoru sa pacijentom, njegovom porodicom i pružiti podršku3 . Neophodno je da se zadovolje mere zaštite bazirane na principima vremena, udaljenosti i metalnih blokova. Zdravstveno osoblje treba da provede što manje vremena u blizini pacijenta, sa radioaktivnim izvorima, kao i njegovoj sobi, uz maksimalno korišćenje olovne zaštite. Stepen sporednih efekata zavisi od mnogih faktora, što uključuje volumen tkiva koji se zrači, ukupne dnevne doze zračenja, metode zračenja i određene individualne faktore4 . Akutna reakcija, na primer kod kože, dešava se tokom zračenja i uopšteno govoreći, povlači se za 2-4 nedelje po završetku kompletnog zračenja. Kasni sporedni efekti mogu da se pojave nekoliko meseci nakon kompletnog zračenja i mogu trajati duži vremenski period.
Svetlana Banović, Maja Stojadinov Ilić, Dragana Stanković
01.12.2021.
Original Article
The importance of the work of a nurse in the early detection of persons at increased risk for the development of diabetes at the level of primary health care
The aim of this study was to point out the importance of the work of a nurse in the early detection of persons at increased risk for the development of diabetes at the level of primary health care. DM is a global phenomenon and a major socio-economic and medical problem. The most important tests for the diagnosis of diabetes are the determination of HbA1c and the oral glucose tolerance test (OGTT). The paper conducted a study in the form of analysis of data on examinations performed on 330 patients in 2020 at the Health Center Veliko Gradiste during the implementation of the project “Knowledge to Health” which included screening for early detection of DM type 2 by determining HbA1c-glycosylated hemoglobin and oral glucose tolerance test. The total number of respondents in this study was 330 and the survey was conducted during 2020. The analysis of the study sample showed that more than 184 respondents (55.76%) were female. In relation to age, most respondents were in the age group over 65 (64.54%) years of age in both sexes. This indicates that age (and often associated diseases) is a significant risk factor for type 2 diabetes. Measurement and determination of HbA1c values in both men and women showed that high values were mostly found in people over 65 years of age. The glucose load test in 27 men (oral glucose tolerance test - OGTT test) showed that normal tolerance exists in 10 men over the age of 65, w h ile 3 men over the age of 65 have a high risk of developing diabetes. Diabetes mellitus was determined by a glucose load test in 4 women ove r the age of 65, then in 1 woman aged 55-64, as well as in 2 women aged 45-54. One of the basic tasks of nurses is to conduct health education work with patients, give advice for successf u l treatment and care, and if done properly, it c an reduce one of the most important public health problems of modern society.
Vesovic Dusan, Anita Nestorovic
01.12.2021.
Case Report
Ulnar nerve schwanomma: Case report
Schwannoma is a slow-growing benign tumor of the peripheral nerve that frequently occurs in the region of the head, neck and spine. We present a 50-year-old male patient diagnosed and operated for schwannoma of the ulnar nerve in the distal part of the left forearm. In the case of a palpable limb mass, one of the possible diagnoses is schwannoma, and since operative technique is somewhat specific with tumor enucleation and internal neurolysis, it is crucial to preoperatively keep in mind schwannoma as a possible diagnosis.
Jovana Prelic, Matija Radojevic, Miljan Mihajlovic, Radmila Culafic, Vuk Aleksic
01.12.2021.
Case Report
Acute coronary syndrome in apical hypertrophic cardiomyopathy
Hypertrophic cardiomyopathy (HCM) is characterized by left ventricular hypertrophy in the absence of abnormal cardiac loading conditions. Apical hypertrophic cardiomyopathy (Yamaguchi syndrome) is a relatively rare HCM phenotype. It is characterized by apical left ventricular hypertrophy, often with the absence of left ventricular outflow tract obstruction. In patients with HCM symptoms of angina are quite common, mostly due to microvascular dysfunction or oxygen supply demand mismatch. Here we present a case of apical hypertrophic cardiomyopathy with concomitant severe coronary artery disease.
Radosava Cvjetan, Ivona Vranić, Predrag Miličević, Srđan Kafedžić, Nataša Rakonjac
01.12.2021.
Case Report
Pulmonary valve blood cyst in an adult patient: a case report
In this paper, we describe the case of an adult male with a pulmonary valve blood cyst. Blood cysts are benign primary heart tumors, common in neonates, but very rare in adults, mostly asymptomatic, and detected incidentally. Ultrasound (transthoracic transephophageal echocardiography) is crucial in detecting lesion, with the help of other diagnostic methods (MRI, CT). Further treatment, conservative or surgical, depends on the effect of the cyst on heart function. Although the diagnosis of cardiac lesions using routine imaging is available, definitive diagnosis is possible only by pathohistological and immunohistochemical analysis of the surgical sample.
Marija M Milinkovic, Vesna Bozic, Svetislav Tatic, Mladen Kocica