Sanamed

4

Authors: Muhvic Urek Miranda, Mijandrusic Sincic Brankica, Braut Alen

Crohn´s disease is a chronic inflammatory bowel disease still with unknown etiology. In 0.5-20 % of patients, extraintestinal lesions in the oral cavity can be presented in forms of orofacial granulomatosis, cobblestone and corrugated oral mucosa, mucosal tags, deep linear ulcerations with hyperplastic folds, pyostomatits vegetans, aphthous ulcers, angular cheilitis, labial/facial edema and gingival erythema/edema. We describe a case of a 28-year-old male who was presented with oral lesions of Crohn´s disease and treatment procedure. The patient was candidate for biologic treatment so dental procedures and preparation of the patient for treatment are described. Good communication and cooperation between the patient's doctor and dentist are important for successful treatment.

5

Authors: Raspopovic Milena

Introduction: Perfectionism is a relatively stable personality trait which refers to setting high personal standards and the pursuit of perfection. Anxiety as personality trait represents propensity to observe objectively harmless situations as endangering and to react signifficantly more intensive than the particular situation requires. Earlier results have shown positive correlation between exam anxiety and negative perfectionism (fear of failure). Also, some gender differences where found regarding perfectionism and anxiety, showing girls as more anxious and more perfectionists than boys. Aim: The aim of this research was to examine if there is any correlation between perfectionism and anxiety, what is it's level and direction. Also, we wanted to examine if there are any gender differences regarding these two personality traits. Method: Systematic non-experimental research. The study involved 202 students of Belgrade University, 158 girls (78%) and 44 boys (22%). Perfectionism level was measured with Multidimensional Perfectionism Scale, by Frost et al., while anxiety was measured with Enler Multidimensional Anxiety Scale - Trait. Statistical analysis included Pearson correlation and t-test of independent samples. Results: The results show moderate positive correlation between anxiety and perfectionism (r = 0.29, p= 0.01), and slightly higher positive correlation between anxiety and negative aspects of perfectionism (r =0.40, p = 0.01). There is a gender difference shown in anxiety level between female and male students, i.e. Girls have shown significantly higher anxiety level than boys (t = 3.39, p < 0.01, n²= 0.05). Regarding perfectionism, only significant gender difference was on the subdimension doubt about the action (t = 2.11, p =0.04, n²= 0.02), showing girls as more likely to express this trait than boys. Conclusion: Based on this research we conclude that more anxious persons are more of perfectionists (especially negative perfectionists) than those who are less anxious. Also, our results describe female students as generally more anxious than male students. Keywords: perfectionism, anxiety, gender differences, connection.

5

Authors: Pezelj-Ribaric Sonja, Prpic Jelena, Glazar Irena

Saliva is a readily available oral fluid with many functions, from digestion, maintenance of oral tissues' integrity, to caries prevention. Changes regarding its secretion may be divided into qualitative and quantitative: both of them are a consequence of certain conditions/diseases (e.g. internal factors) or nutrients/drugs ingested (e.g. external factors). During the last 15 years, technological advances gave a significant momentum to utilization of saliva as a diagnostic tool. Analysis of saliva, just like the blood analysis, has two main objectives: to identify the subjects suffering from a certain disorder, and to follow the development and progress of therapy. This paper provides an overview of possibilities for the use of saliva for diagnostic purposes and gives specific examples of some clinical investigations, with the final aim to stimulate the use of this noninvasive means for the health care promotion.

6

Authors: Jovanovic Milos, Glisic Selimir, Stankovic Zora, Dacic Krnjaja Bojana

Purpose: Assessment of complication in surgery of complicated cataracts and option of postponement of surgery. Setting: Clinic for eye diseases, Clinical Centre of Serbia Methods: This was a retrospective observational case series. Results: In 16 patients subjected to cataract surgery by method of phacoemulsification, three experienced complications during surgery. Two experienced rupture of posterior lens capsule and prolapse of the vitreous body, and one, expulsive hemorrhage. The visual acuity in all three patients was lesser than the preoperative visual acuity. In the second group of 16 patients, after having been acquainted with the survey, the cataract surgery was postponed and the patients were controlled after one year. The cataract progressed just partially in certain patients and all the patients were satisfied with the status of their vision and did not demand surgery. Conclusions: Cataract surgery in complicated cases may be accompanied by complications with uncertain postoperative visual results. Therefore, in patients with complicated cataracts and relatively preserved visual acuity, it is necessary to be careful with proposing surgery and often obey their wish to postpone surgery. This should be done particularly with patients of advanced age, patients with poor general status of life and in monoculuses

8

Authors: Valencic Lara, Sotosek Tokmadzic Vlatka, Kuharic Janja, Sustic Alan

Introduction: Traumatic brain injury is the leading cause of death in children and adults in developed countries. Severe traumatic brain injury is classified with Glasgow Coma Scale score 8 and less. About 50% of patients with severe traumatic brain injury developes at least one infection as a complication of primary condition during hospitalization in the Intensive Care Unit, resulting with fatal outcome in 28% of patients. Ventilator associated pneumonia is the leading infection that affects patients with severe traumatic brain injury, with an incidence between 41% and 74%. Following are sepsis and urinary tract infections. The aim: To analyze the number of patients with nosocomial infection and isolated severe traumatic brain injury hospitalized in the Intensive Care Unit of the Clinical Hospital Centre Rijeka, Croatia, from 31st  January 2013 to 31st December 2014. Patients and methods: A two year retrospective study included 46 patients with isolated severe traumatic brain injury and nosocomial infection hospitalized in the Intensive Care Unit of the Clinical Hospital Centre Rijeka,Croatia, in the period from 31st January 2013 to 31st December 2014. All medical data was collected from the Division of Intensive Care Unit, Clinical Hospital Centre Rijeka, Croatia. Results: From 67 patients with isolated severe traumatic brain injury, 46 (68,65%) of them developed nosocomial infection. There was statistically significant more male patients than female (p<0.05). The average age of infected patients was 57,8 years. The leading were the infections of the respiratory system. Gram negative bacteria Proteus mirabilis and Pseudomonas aerugnonsa were the leading pathogens. The average duration of the infection was 5,77 days. For 16 (34,78%) of 46 patients the treatment outcome was lethal. Conclusion: Nosocomial infections are becoming a major public health problem. The emphasis must be set on the prevention which includes maintaining the hygiene and the antiseptic rules among the Intensive Care Unit staff. Already developed infections must be adequately treated so the negative treatment outcomes can be reduced. Key words: isolated severe traumatic brain injury, Glasgow Coma Scale, Intensive Care Unit, nosocomial infections, gram negative bacteria.