Introduction: Radicular low back pain is a disorder involving the dysfunction of the lumbosacral nerve roots. Clinical rehabilitation approaches for low back pain include kinesiotherapy, and physical therapyprocedures: ice , rest , heat, ultrasound, TENS, but evidences regarding their effectiveness are lacking. The purpose of this study was to determine if nerve mobilization brings better improvements in pain, SLR testand functional disability in patients with radicular low back pain compared to standard physical therapy.Methods: The study was conducted on a 60 patients with Radicular low back pain, treated in Regional medical center "Dr Safet Mujic", Mostar, during the period from 01.04.2010 untill 31.04.2011. Patientswere divided into two groups. First group (n=30) received a 4-week rehabilitation program including neural mobilization and lumbar stabilization program. Second group (n=30) received a 4-week rehabilitation program including active range of motion (ROM) exercises and lumbar stabilization program.Results: At the beginning, the two groups were not signifi cantly different in terms of score or SLR. After therapy there was statistically signifi cant improvement between groups in both VAS scores[Group A: 1.16±1.5; Group B: 2.25±2.2] and SLR [Group A: 80.9±17.4; Group B: 65.9±16.4]. ]. After the treatment, in group A, 46.6% (14) participants had been rated with 4, but in Group B: 33.3% (10) participants had been rated with 3.Conclusions: Patients treated with neural mobilization and lumbar stabilization showed better VAS scores and Straight Leg Test scores compared to patients treated with active range of motion exercises and lumbar stabilization. Further research to investigate their long term effi cacy is warranted, with emphasis on greater number of participants.

Introduction: The aim of this study was the evaluation of symptom improvements in patients with moderate lumbar spinal stenosis, who consecutively underwent placement of interspinous distraction deviceIMPALA®.Methods: This study included a total of 11 adult patients with moderate lumbar spinal stenosis. Clinical evaluations were performed preoperatively and 3-months after surgery using the Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI).Results: The mean preoperative VAS was 7.09 and fell to 2.27 a 3-months after surgery. The mean preoperative ODI was 59.45 fell to 20.72 a 3-months after surgery.Conclusions: Using the IMPALA® device in patients with moderate lumbar spinal stenosis is a minimal invasive, effective and safe procedure. Clinical symptoms were improved 3 months after surgery.

Common variable immunodeficiency (CVID) or acquired hypogammaglobulinemia is the type of primary immunodeficiency. Deregulation of the immune system, leading to hypogammaglobulinemia, defective activation and proliferation of T cells and dendritic cells, and malfunction of the cytokines are observed in CVID. The clinical picture of CVID varies, any organ or system can be affected, therefore the diagnosis is often difficult and delayed and sometimes is not always possible. This article describes a twelve years old boy with all the clinical signs of immunodeficiency, as confi rmed by laboratory. The main treatment consists of life-long immunoglobulin substitution in intravenous or subcutaneous form.

Introduction: Sex determination is one of fi rst and most important steps in identifying disintegrated bodies and skeletal remains. During the exhumation of bodies from the mass graves and archaeologicalexcavations, it is quite often the case that not all bones of one person are found, therefore, teeth and the scull are the only true identifi cation material. Canines are teeth most appropriate for sex determination.The aim of the research was to determine sex identity of the Bosnian-Herzegovinian population based on odontometric characteristics of permanent lower canines.Methods: The research sample included 180 patients of the Dental Offi ce, of both sexes. All patients with permanent lower right and left canines, without caries, with healthy state of gingiva and periodontium,without crown restorations were included in the research. Measurement was done directly in the patients' mouth using a digital sliding caliper. Greatest mesiodistal width of the lower right and left canine and intercuspal distance of the lower jaw were measured.Results: All parameters were higher in case of male, including Mandibular Canine Index (MCI) (p<0.01). The precision of appraising the sex identity for the Bosnian-Herzegovinian population, based on MCI on the right, amounts 68.89% and 68.54% on the left.Conclusions: The study showed that right canines are signifi cantly broader than the left ones and they are broader in case of males. Lower right canines, that is, MCI on the right, indicates greater accuracy insex determination in relation to left lower canines. The accuracy in sex determination for all variables is higher for the female.

Introduction: The role of hyperhomocysteinemia in psychotic disorder can be explained by partial antagonism of homocysteine on NMDA-glycine receptor. Plasma concentration of homocysteine is an indicator of the status of the B-vitamins (folate, B12, B6). Folate defi ciency may have different effects on the neurochemical processes of schizophrenia. This suggests that the association between elevated levels of homocysteine and schizophrenia is biologically very likely. Methods: The study was consisted of 20 patients with schizophrenia and 20 healthy controls. We investigated the levels of serum homocysteine concentration using AxSYM (Abbott), levels of folate assay is two-step immunoassay to determine the presence folate in human serum using CMIA (chemiluminescent microparticle immunoassay) technology and Axsym Holo Tc is microparticle enzyme immunoassay (MEIA) for the quantitative determination of human holo TC in serum and determination defi cit of vitamin B 12. Results: The patients group has higher levels of homocysteine in compare with controls group for 3.85 μmol/L while the concentration of folate in the group of patients was lower for 9.17 ng/mL. The mean level of vitamin B-12 in investigation groups were in reference range 19.1-119 pmol/L, but patient group have lower average concentration of vitamin B-12 lower for 24.81 pmol/L compared to the control group. Conclusion: Our results showed that homocysteine concentration is inversely proportionate to folate concentration, i.e. as homocysteine concentration in serum increases, folate concentration falls. Shizophrenic patients with elevated tHcy level and low folate levels should have vitamin supplementation with folic acid.

Introduction: Hydatidiform mole is a gestational trophoblastic disease characterized by a range of disorders of abnormal trophoblastic proliferation.Methods: This was a retrospective study of 70 singletone pregnancies until the 12th week of gestational age diagnosed with hydatidiform mole or spontaneously aborted physiological pregnancy. The pregnantwomen had almost similar demographic features and were divided into two groups. 35 pregnant women with a molar pregnancy were included in the study group; while 35 pregnant women with physiologicalpregnancy spontaneously aborted were included in the control group. Analyzed parameters included a pregnant woman’s age, blood type, parity and previous pregnancies (course and outcomes).Results: In the study group 11.43% of cases had hydatidiform mola during previous pregnancies as well as the advanced average gestational age of an ongoing pregnancy (9.63±1.83 in contrast to 8.25±2.03in the control group). The pregnant women with the hydatidiform mole were reported to have statistically significantly greater number of irregular villous borders (71.43%); slightly enlarged villi (54.29%); moderatedpresence of cisterns (65.71%) as well as mild avascularisation of villi (57.14%).Conclusion: It was concluded that a previous molar pregnancy represents the highest risk for hydtidiforme mole and the pathomorphologic analysis of vilous changes can be a reliable parameter for establishingproper diagnosis of partial hydatidiform mole.

The objective of this study was to compare acceptance rate of immediate postpartum contraception and other characteristics among HIV-infected and HIV-non-infected parturients. Delivery logbooks from January 1990 to June 1994 were reviewed and 776 HIV -positive females  were identified. Data of these women were abstracted together with those of 1,552 HIV-negative women whose names were immediately before and after the HIV-Infected ones(1:2 ratio). HIV infected  women were more likely to be younger, have lower number of gravida, have baby with lower birthweight and lower first-minute APGAR score, and accept immediate postpartum contraception. However, the two groups did not differ in terms of mode of delivery.Stratification of acceptance rates of postpartum contraception revealed that the rates among multigravida were not different (39% vs 33%, OR = 1.30 [0.95-1.77)). However, HlV-infected primigravidous women were more likely than the non-infected to accept contraception (17.9% vs 0.9%, OR =  22.81(lO.03-54.65)).This was probably due to the policy of the hospital in encouraging HlV infected  mothers to adopt permanent or semipermanent methods of contraception.

Introduction: Partial molar trophoblast degeneration is a benign disease characterised by numerous complications such as an invasive mole and malignant alteration.Methods: This was a retrospective study which recruited 70 pregnant women diagnosed with hydatidiform mole or with physiological pregnancy spontaneously aborted. The pregnant women had similar demographic features and were included in two groups. 35 pregnant women with a molar pregnancy diagnosed during the first trimester were included in the study group; while 35 pregnant women with miscarriages during the fi rst trimester were included in the control group.Results: Examined trophoblast changes were: type of atypia, amount and mass of trophoblast proliferation. Specifi c β HCG serum levels were observed in all pregnant women before the treatment. Pregnantwomen in the study group had statistically signifi cant higher levels of β HCG serum in comparison with the control group (both average levels 60191.37±49662.75 and levels according to gestational age). Statisticallysignifi cant changes of villous trophoblast were observed by the pathomorphological analysis: mild trophoblast atypia (57.14%); pronounced trophoblast mass (45.71%) and mild trophoblast proliferationamount (51.43%).Conclusion: Serum β-HCG level measurements and pathomorphological analysis of chorionic villi are reliable and effective methods in a partial mole diagnostics.

Adresa za dopisivanje Samra Korać DMD, MSc Sveučilište u Sarajevu Stomatološki fakultet Zavod za restorativnu stomatologiju i endodonciju Bolnička 4 a 1000 Sarajevo, Bosna i Hercegovina samragk@gmail.com Sažetak Svrha istraživanja bila je izmjeriti i usporediti unutarnju stabilnost boje triju svjetlosnopolimerizirajućih materijala i jednoga kemijski stvrdnjavajućeg nakon njihova ubrzanog starenja. Materijali i metode: Testovi za stabilnost boja obavljeni su na svjetlosnopolimerizirajućim kompozitima – nanopunjenju Filtek Supreme XT (3M ESPE), nanohibridu Tetric Evo Ceram (Ivoclar Vivadent) i mikrohibridu Herculite XRV (Kerr) te na samopolimerizirajućem kompozitu Bisfil II (Bisco). Svi uzorci bili su uronjeni u destiliranu vodu (37°C) i držani u tamnoj posudi 24 sata. Nakon toga podijeljeni su u tri skupine. Postupak ubrzanog starenja proveden je prema dvama protokolima – u vodenoj kupelji na 60°C i prema ISO-u 7491. Uzorci iz kontrolne skupine držani su u destiliranoj vodi 30 dana na temperaturi od 37°C. Razlike u boji – ∆E, računale su se iz koordinata CIE L*a*b* izmjerenih spektrofotometrom nasuprot bijeloj pozadini prije postupka starenja uzoraka i poslije njega. Razina osjetljivosti boje postavljena je na 1, a prihvatljivi šum na 3,5. Statistička analiza obavljena je uparenim t-testom i ANOVA-om (p≤0,05). Rezultati: Svi ispitani materijali pokazali su klinički neprihvatljive promjene boje nakon ubrzanog starenja u vodenoj kupelji, a fotostarenjem nastala je vidljiva promjena boje kod svih svjetlosnopolimerizirajućih kompozita. Nanokompozitni materijali značajno su promijenili boju i u kontrolnoj skupini. Zaključak: Unutarnja stabilnost boje testiranih materijala ovisi o uvjetima starenja i vrsti dentalnog kompozita. Kemijski stvrdnjavajući kompoziti pokazali su tijekom fotostarenja bolju stabilnost. Ključne riječi kompozitne smole; starenje; materijali, testiranje; boja 1 Katedra za restorativnu stomatologiju i endodonciju Stomatološkog fakulteta Sveučilišta u Sarajevu Department of Restorative Dentistry and Endodontics, Faculty of Dentistry, University of Sarajevo 2 Odjel za ispitivanje dentalnih materijala Akademskog centra za stomatologiju, Amsterdam (ACTA), Nizozemska Dental Materials Science Department, Academic Centre for Dentistry Amsterdam (ACTA) 3 Katedra za pretkliničku stomatologiju Stomatološkog fakulteta Sveučilišta u Sarajevu Departmet of Preclinical Dentistry, Faculty of Dentistry, University of Sarajevo

Temporomandibular disorders (TMD) are among the most challenging diseases of modern populations in diagnostic, therapeutic and prognostic terms. Diverse symptomatology requires teamwork and a multidisciplinary approach to this problem, therefore many researchers and clinicians in dentistry, otolaryngology, orthopaedics, neurology, radiology, rheumatology, and other areas deal with this disorder. Temporomandibular disorders is the common name for a number of pathological conditions that can have similar signs and symptoms, which lead to an imbalance of the normal functions of the stomatognathic system (1). Many epidemiological studies have examined the incidence of temporomandibular disorders in certain populations. It is now known that 60-70% of the population has at least one sign of temporomandibular disorder and that the ratio of temporomandibular disorders prevalence between women and men is Uvod

Introduction: Impaction may be defined as the failure of complete eruption into a normal functional position of one tooth within normal time due to lack of space in the dental arch, caused by obstruction byanother tooth or development in an abnormal position. The mandibular third molar is the most frequently impacted tooth. The incidence varies from 9.5% to 68% in different populations.Methods: The study was conducted in Department of Oral Surgery, Faculty of Dentistry, University in Sarajevo. Study represents retrospective analysis of panoramic radiographs (orthopantomograms) of patientsreferred to Department of Oral Surgery from January 2010 to February 2013 with indication for surgical removal of impacted third molars.Results: Of the 2000 radiographs, 761 presented with at least one impacted third molar (38%). A total of 1034 impacted mandibular third molars were present (51.7%). The most common age group was thirddecade (61.2%). Signifi cant statistical difference in incidence of third molar impaction was found between females and males (p<0.05), but there was no statistical difference in incidence in urban and suburbanpopulation (p=0.374). Vertical angulation was the most common pattern of impaction (65%). Frequency of third molars erupted into their normal position (class IA) was 42%. Impacted mandibular molars wereassociated with periodontal pockets in 134 (6.5%) cases and with dentigerous cysts in 5 cases (0.2%).Conclusion: The present study provides useful data regarding the clinical status of third molars in population of Bosnia and Herzegovina.

In this paper, we demonstrate a capability of surface coil magnetic resonance imaging in the review of orbital blood vessels anatomy. Surface coil allows a better detection of small anatomic structures including vessels such as ophtalmic artery and its branches, and also orbital veins, particularly superior and inferior ophtalmic veins with accompanying branches. The best results are obtained by the use of T1 sequences with short TE and TR.

Metastases to gastrointestinal tract are uncommon. In particular, metastases to the ampulla of Vater are very rare and may represent a significant diagnostic challenge. Metastases from the uterine cervix to the ampulla of Vater are exceedingly rare and only one case has been described in the available literature. We describe here a second case of metastatic squamous cell carcinoma of the cervix to the ampulla of Vater in a 45-year-old woman. Poorly differentiated squamous cell carcinoma presented as an isolated metastasis to the ampulla of Vater, two years after the initial diagnosis. While the squamous cell carcinoma could occur as primary ampullary carcinoma, albeit very rare, it is necessary to exclude the possibility of metastatic cancer.

In this paper the analytic characterization of generalized poles of operator valued generalized Nevanlinna functions (including the length of Jordan chains of the representing relation) is completed. In particular, given a Jordan chain of the representing relation of length l, we show that there exists a pole cancellation function of order at least l, and, moreover, the construction shows that it is of surprisingly simple form.