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Search Results: 1 - 10 of 987 matches for " Novakovi? Dejan "
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Dental status of children with special needs in Banjaluka
?eri Aleksandra,Kuzmanovi?-Radman Irena,Novakovi? Budimka,Bo?i? Dejan
Stomatolo?ki Glasnik Srbije , 2013, DOI: 10.2298/sgs1301007d
Abstract: Introduction. Dental status in people with special needs is generally non satisfactory. Children with special needs have difficulties in maintaining oral hygiene, they require special conditions for dental care and because of previous negative experience they often show emotional vulnerability. Development of oral and dental diseases in these subjects is the consequence of insufficient knowledge about the causes of these diseases, poor eating habits, low level of oral hygiene and inadequate number of visits to dentist. The aim of this study was to determine dental status and the prevalence of dental caries in children with special needs in the institution “Za titi me” in Banjaluka. Material and Methods. The study included 82 children (53 boys and 29 girls) with mixed and permanent dentition age 5-15 years. They were divided into four groups according to their diagnosis. The first group included children with combined disorders of speech development and hearing, in the second group were children who had neurological disorders without mental retardation, third group included children with mild mental retardation and fourth group comprised children with moderate mental retardation. For each patient the number of teeth, the presence of caries and restorations, the number of extracted teeth, the presence of residual roots and the presence and number of fixed restorations were recorded. Results. Mean DMFT of all teeth was 9.77. Detailed analysis showed the greatest number of decayed teeth (83.83%), and filled teeth (9.52%) whereas the least number was for extracted teeth (6.65%). The highest percentage of children (79.27%) did not have any class I composite filling or one amalgam filling class I (82.92%). Only one child had a fixed restoration. Conclusion. The status of teeth in children with special needs in the institution “Za titi me” in Banjaluka indicated high percentage of carious teeth, small percentage of restorations and extracted teeth, and inadequate oral hygiene.
Transverse testicular ectopia - case report
?ivanovi? Dragoljub,Slavkovi? An?elka,Madi? Jelica,NovakoviDejan
Srpski Arhiv za Celokupno Lekarstvo , 2004, DOI: 10.2298/sarh0412438z
Abstract: Transverse testicular ectopia is an extremely rare anomaly, characterized by migration of one testis towards the opposite inguinal canal, usually associated with inguinal hernia. Spermatic cord of the ectopic testis originates from the appropriate side. In most reported cases, the accurate diagnosis has not been made before surgery. This is a case report of transverse testicular ectopia in eleven-year-old boy who had undergone an operation for the left inguinal hernia in age often months. At the time of herniorrhaphy, the right testis was absent. Ten years later, during re-operation of the left inguinal hernia, both testis were found in left inguinal canal and easily brought down sequentially through the left groin into the scrotum. The right testis was fixed in the left hemiscrotum, due to shorter funicular elements, and the left was trans-septally moved to the right hemiscrotum (a modified Ombrédanne operation). Ultrasonography and voiding cystoureterography showed no associated genitourinary anomalies and no Mülerian duct remnants. The rupture of gubernaculum and dysfunction of the genito-femoral nerve could explain the etiology of crossed testis ectopia. Although ectopic testis could be localized preoperatively by ultrasonography, CT, MRI, arteriography and venography, correct diagnosis was made intraoperatively in the majority of cases. Treatment modalities include laparoscopic and surgical procedures. Atrophie testis should be removed. If testes are fused, they have to be brought into one hemiscrotum. In cases where testes are completely separated with individual funicular elements and vas deferens, an ipsilateral or contralateral orchiopexy should be performed depending on the length of funicular elements.
Peripheral nerve blocks in pediatric anesthesia
NovakoviDejan,Budi? Ivana,Simi? Du?ica,?or?evi? Nina
Srpski Arhiv za Celokupno Lekarstvo , 2009, DOI: 10.2298/sarh0910497n
Abstract: Introduction Most children undergoing surgery can benefit from regional anesthetic techniques, either as the sole anesthetic regimen or, as usual in pediatric practice, in combination with general anesthesia. The use of peripheral nerve blocks (PNBs) in pediatric anesthesia is an effective way to decrease the side-effects and complications associated with central blocks. In spite of their many advantages, including easy performance end efficacy, peripheral nerve blocks are still underused. Objective This article discusses a general approach to PNBs in children and provides data concerning the practice of this regional technique in different age groups. Methods Data from 1,650 procedures were prospectively collected during the period from March 1, 2007 to February 29, 2008. The type of PNB, if any, as well as the patient age were noted. Our patients were divided into four groups: 0-3 years, 4-7 years, 8-12 years and 13-18 years. Results During the investigated period, PNBs as a sole technique or in anesthetized children were performed in 7.45% of cases. Ilioingunal/iliohypogastric nerve block and penile block were the most common (70% of all PNBs) distributed mainly among the children between 4-7 years of age (p<0.05). In older children, extremity PNBs predominate in regard to other types of blocks. PNBs are most frequently performed under general anesthesia (85%), so the perineural approach requires a safe technique to avoid nerve damage. Conclusion The observed differences in PNB usage seem to be related to patient age and correlate with common pathology and also with technical availability of PNB performance.
ANESTHESIA FOR A NEONATE WITH PYLORIC ATRESIA-JUNCTIONAL EPIDERMOLYSIS BULLOSA SYNDROME: A CASE REPORT
Ivana Budi?,Dejan Novakovi,Vesna Marjanovi?,Zoran Marjanovi?
Acta Facultatis Medicae Naissensis , 2005,
Abstract: The paper describes the anesthetic management of a neonate with pyloric atresia - junctional epidermolysis bullosa (PA-JEB) syndrome. Anesthesia for the neonate with PA-JEB syndrome can stand for a serious challenge even to the most experienced anesthesiologists. Therefore, a few basic principles will help to organize the necessary procedures. Shearing forces applied to the skin will result in bulla formation, while compressive forces to the skin are tolerated. Adhesive tape, adhesive ECG electrodes, adhesive pulse oximeter probes should not be used under any circumstances. Padding should be profusely used. Face masks should be lubricated with some emollient or coated with several layers of Vaseline gauze. All the instruments places into the mouth (laryngoscope, oropharyngeal airways) must be thoroughly lubricated with water based lubricant - do not lubricate with Lidocaine jelly. Pharyngeal suctioning should be avoided. Tracheal lesions do not appear after intubation probably because the trachea is lined with columnar epithelium. To reduce the risk of new laryngeal bullae formation, a tracheal tube a half to one size smaller than predicted may be necessary. With maximal skin and mucous membrane protection, anesthesia in children with PA-JEB syndrome may be conducted with a few sequelae.
Congenital upper eyelid coloboma with ipsilateral eyebrow hypoplasia
Vulovi? Dejan,Novakovi? Marijan,?arenac Tatjana,Jani?ijevi?-Petrovi? Mirjana
Vojnosanitetski Pregled , 2012, DOI: 10.2298/vsp1209809v
Abstract: Introduction. Coloboma is a Greek word, which describes the defect of all layers of the organ, and it can be congenital or as the result of an injury, operation, or some disease. Congenital upper eyelid coloboma is a rare anomaly, with the unknown incidence. The size of the defect is different, but it always involves all layers of the eyelid. This malformation is more frequent at the upper eyelid, and unilaterally, at the junction of the medial two thirds. Sometimes, it can also involve the eye, and may be a component of many syndromes (Goldenhar, Fraser, Manitoba, CHARGE, Cat eye). Case report. We are describing the case of the upper eyelid coloboma with the rare eyebrow anomaly at the three-month old girl, and the result of reconstruction. The baby was treated conservatively with lubricants and overnight patching. Pentagonal excision of the defect was performed in general anesthesia. Three layers of the eyelid were prepared: the skin, muscle and tarsoconjunctival layer. Because of orbicularis muscle malposition, reinsertion and reposition of the muscle fibres were performed. Then, lateral canthotomy was made and the suture of three layers of the eyelid. Catgut suture 7-0 was used for the conjunctiva and muscle. Nylon 6-0 was used for skin suture. Z-plasty was done on the upper part of the pentagonal excision in order to reduce skin tension at the suture line. The operation lasted about 60 minutes and the hospitalization three days. The occlusive dressing was applied for two days. The stitches were removed after seven days. The postoperative swelling of the upper and lower eyelid disappeared in five days. There were no complications in the postoperative period. Conclusion. The main principle of the treatment of eyelid coloboma is surgical reconstruction of all layers of the eyelid, in optimal period, using different surgical methods, which depends on the size of the defect. An early diagnosis is of the greatest importance, as well as the treatment of associated anomalies. Complications of the upper eyelid coloboma depend on the size of the defect, presence of the eye anomalies and the method of reconstruction.
Theories on the beginnings and structure of joint-families ("zadruga")
Novakovi? Nada
Stanovni?tvo , 2005, DOI: 10.2298/stnv0504105n
Abstract: In this paper the author has a critical standpoint toward the most known theories on joint family communities. The works of the up-to-now called Yugoslav authors were put in the foreground. The works of foreign authors were placed after. They were classified by a general criterion, by how the authors saw the origins of this form of family. The comprehension of the basic characteristics depends, as a rule, on that, as well as the elements structure, changing processes, adjustment to new conditions and extinction of the joint family community. The first part of this article is devoted to theories about family communities as an institution of the Slavs. In this way its origin is connected with elements of a certain ethnic community. The range and consequences of such beliefs are suggested. The second part is reserved to explaining the family community as an institution which appeared in feudalism. It is a consequence of the tax system role. With its termination, the communities fell apart. This kind of social development determination and this type of family is proven to be ahistorical. It is predominantly stressed that the authors neglected that feudalism was a class society and overemphasized the force factor significance. The third part deals with theories which believe joint-family communities as an institution which arose in the transition from tribal to class society. These researchers stress that it is a general, historically determined conditioned form, which originated before class society and terminated with its development. Elements of its structure are especially important, as well as methods of its transformation in new conditions and termination processes. The essence of this belief is the following: a joint-family is a general historical form of family organization which arose in the transition from tribal to class society. The most important characteristics are: 1) blood relationship among men members; 2) common property; 3) undeveloped division of labor, and plain peoples work is the most important for its survival; 4) democratic control; and 5) it is not just mere gathering of simple families it is based on kinship, origin and precedes monogrammed families.
Le jeu de citations dans le discours poétique de Jovan Hristi
Jelena Novakovi
Trans : Revue de Littérature Générale et Comparée , 2010,
Abstract: En examinant l’actualisation des citations d’auteurs fran ais des XIXe et XXe siècles (Charles Baudelaire, présenté comme héritier de Pascal, Paul Valéry, Saint-John Perse, Henri Michaux) dans le discours poétique de Jovan Hristi , écrivain serbe de la seconde moitié du XXe siècle, ce travail montre le déplacement de la poésie de la sphère abstraite à la sphère concrète, de la sphère esthétique à la sphère existentielle, qui s’opère de l’époque symboliste à l’époque moderne. Researching the use of quotations by French authors from the 19th and 20th centuries (Charles Baudelaire presented as the heir of Pascal, Paul Valéry, Saint-John Perse, Henri Michaux) in the poetic discourse of Jovan Hristi , a Serbian poet from the second half of 20th century, this paper points to the transformation of poetry from the abstract to the concrete, from the aesthetic to the existential sphere. This transformation takes place from the Symbolist period to modern times. Al examinar la actualización de las citas de autores franceses de los siglos XIX y XX (Charles Baudelaire, presentado como el heredero de Pascal, Paul Valéry, Saint-John Perse, Henri Michaux) en el discurso poético de Jovan Hristi , escritor serbio de la segunda mitad del siglo XX, este trabajo muestra el desplazamiento de la poesía desde el ámbito abstracto al ámbito concreto, del ámbito estética al ámbito existencial, que se opera de la época simbolista a la época moderna.
Anxiety disorders in dialysis patients
Novakovi? Milan
Medicinski Pregled , 2007, DOI: 10.2298/mpns0710484n
Abstract: Introduction. Anxiety, as a primary symptom, includes all conditions of indefinite fear and psychic disorders dominated by fear. All dialysis patients suffer from anxiety as an independent phenomenon, or as part of another disease. Material and Methods. This study included 753 patients on chronic hemodialysis in Bosnia and Herzegovina (B&H) in the period 1999-2004. The patients were divided into two groups: the first group included 348 patients with Balkan Endemic Nephropathy (BEN), and the control group included 405 patients with other diagnoses causing renal insufficiency (N18). The study was designed as a comparative cross sectional study, and patients were tested using questionnaires assessing anxiety, depression and general mental health status. Statistical analysis was done using standard descriptive and analytical methods. Results. Socio-demographic data showed highly significant differences between BEN and N18 in relation to place of residence (urban/rural) (c2 = 23.970) p<0.01; in the incidence of renal comorbidity (c2 = 23.970) p<0.01; familial renal comorbidity (c2 = 23.970) p<0.01; and migrations (c2 = 4.874) p<0.01. Beck Anxiety Inventory Scores were highly significantly different between the two groups p<0.001, in regard to the incidence and variables. Hamilton Depression Rating Scale demonstrated a group significance p<0.001, and variables pointed to somatization, general anxiety and depression. This was confirmed by mini-mental state examination pointing to generalmental weakness. Conclusion. Anxiety appeared in all tested dialysis patients. It may be independent, somatized as part of another mental disorder or reinforced by a cognitive damage. Structured anxiety and depression result in pre-suicidal risk. .
Types of rape victimization
Novakovi? Milan
Medicinski Pregled , 2007, DOI: 10.2298/mpns0706277n
Abstract: Introduction: Behavior of rape victims is an enigma associated with the following phenomena: poverty, transition, legal weaknesses, and unintegrated mental health network. The aim of the study was to investigate rape victimization in relation to anomie, stress and postwar transition-related weaknesses in B&H in the period 1996-2005; and perform a personal analysis of rape victims. Material and methods: The experimental group consisted of rape victims receiving psychiatric treatment: non-violent victimization (n=125). It included random female victims with mental diseases: victimization by abuse of power and unclear victimization. The control group consisted of violent victimization victims (n=125, females). This was a multicentric, longitudinal, prospective study. Intercorrelation, univariate and canonical discrimination analyses were performed. Results Rape offenders were of male gender (c2 = 29.970) statistical significance p<0.001), from broken families was (c2 = 0.830), migration (c2 = 0.064), and heredity (c2 = 0.406). Victimization was classified as non-violent, social, unclear and violent. Non-violent victimization occurred in 19.03% (2001) to 24.46% (2004). Abuse of mental patients was recorded in 16.08% (2002) and 22.61% (2000), and abuse of power in 2.12% (2000) and 3.55% (2000), whereas unclear rape occurred in 0.88% (2004) and 1.74% (2002). We have found that patients from the primary group are significantly more anxious and depressed in total score and in individual items. Conclusion: Non-violent victimization was committed by persons with impaired intelligence, acute psychotic crisis, and substance abuse. Social victimization and criminally unclear rapes were of transitional character. Victimization was caused by (post)war anomy, poverty, stress and violence. It is given insufficient significance because of high prevalence and "dark number" of victims. The study emphasizes the role of psychiatry as well as weakness of the system in the deinstitutionalization. .
Forensic implications of rape
Novakovi? Milan
Medicinski Pregled , 2006, DOI: 10.2298/mpns0612567n
Abstract: Introduction. Rape is a sexual act of violence in which physical strength is used. Criminal law imposes strict punishments for such crimes as rape. Psycho-pathologically, rape is among the gravest of crimes, often associated with extremely deviated behavior. This article deals with the forensic aspects of sexual violence in Bosnia and Herzegovina in the period from 2000-2004. We report about sexual assaults, personality of delinquents, motives and consequences of rape. Material and Methods. Two groups of violent offenders were compared in the study: perpetrators of rape (N=90), and perpetrators of other criminal offences (N=90-recidivists). The control group included young males (N=90). Results. The results of the study show a high level of violence in Bosnia and Herzegovina. The rape rate equals the level of homicide in Bosnia and Herzegovina. Rape offenders are mostly people with personal disorders (70%), but they also present with other illnesses and behavior disorders. Conclusion. The significance of rape as a violent crime has not been sufficiently studied. High incidence of violence and rape in Bosnia and Herzegovina is extremely disturbing. The most disturbing aspect is the increase of violence and failure to take certain measures. The role of psychiatry is to provide penal education, treatment and programs for elimination of consequences of rape. .
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