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E. Ajanović

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Objective: The primary goal of this study was to determine the difference of abundance of CD4+, CD8+ and CD56+ bronchoalveolar fluid’s lymphocytes and their subpopulations between cancerous lung and healthy lung from the same patient. Methods: Mini-bronchoalveolar lavage was taken from 55 patients from lung with cancer and healthy lung. After laboratory processing and addition of CD4, CD8, CD27, CD28 and CD56 antibody, the material was analyzed by flow cytometer. Results from lung with cancer were compared to the ones from the healthy lung. The examined patients were the test and the control group at the same time. Results: CD27+28+ forms of CD4+ and CD8+ lymphocytes are more activated in the cancerous lung compared to healthy lung, while the CD27-28- forms are less activated in diseased lung. CD4+ forms of CD56+ lymphocytes are more activated in cancerous lung compared to the health lung, while the CD8+ forms are less activated in diseased lung. Conclusion: Immature helper and cytotoxic T lymphocyte response, as well as regulatory NK and NKT cell response are more activated in cancerous lung compared to the health lung of the same patient.

AIM To determinate the difference of abundance of CD4+, CD8+ and CD56+ bronchoalveolar fluid's lymphocytes and their subpopulations between non- and small cell lung cancer. Also, the differences of abundance of examined lymphocytes were compared between main clinical stages of lung cancer. METHODS Mini-bronchoalveolar lavate was taken from lungs of 55 patients with cancer. After laboratory processing and adding CD3, CD4, CD8, CD27, CD28 and CD56 antibody, the material was analysed by flow cytometer. Results of Mini-BAL for non- and small cell lung cancer were compared, as well as the different clinical stages of the disease. RESULTS Immature and regulatory forms of lymphocytes are more activated, while mature and activated forms are less activated in small cell lung cancer compared to non small type. With an increase of the clinical stage of disease, immunological reaction of T lymphocytes is better expressed because of increasing of abundance of immature and regulatory forms of different subpopulations of lymphocytes. CONCLUSION All components of local CD4+ and CD8+ T lymphocyte, as well as NK and NKT cells response were more activated in lungs with small cell lung cancer, and these reactions were more expressed with an increase in the clinical stage.

S. Bešlija, M. Banjin, S. Jungić, N. Obralić, G. Kecman-Malcic, I. Rakita, B. Salkić, A. Pašić, L. Tinjić et al.

S. Bešlija, M. Banjin, S. Jungić, Nermina Obralic, G. Kecman-Malcic, I. Rakita, B. Salkić, A. Pašić, L. Tinjić et al.

14502 Background: The oral fluoropyrimidine X (Xeloda®) has improved efficacy, safety and convenience compared with 5-FU/LV in MCRC [Van Cutsem et al. Br J Cancer 2004] and early-stage colon cancer...

B. Prnjavorac, K. Abduzaimović, E. Ajanović, Muhamed Clanjak, Merlina Kalajdžija, B. Rakić, S. Redzepović

In the paper are stated the data of ten years observations of the occurrences of the seroconversion in the patients at the dyalized treatment in the dyalized center in Tesanj. The seropositiveness to B and C hepatitis was 16.5%, what is the usual percentage for the local population. The serconversion to the positive C hepatitis occurred in one patient, and that in the first year of the dialyzed treatment, what remains the possibility the dyalizis began in the period of the incubation. The separation of the seropositive apparati for the dyalisisi from the rest made the sufficient organizational measure by the dyalized center.

B. Prnjavorac, E. Ajanović, B. Rakić, S. Kahvić

Analyses of creatinema in the cases of global respiratory failure was performed in this paper. The patients with global respiratory failure treated in General Hospital in TeSanj have been followed. For all patients laboratory analyses have been performed on the admimtion and in the time of clinical status improvement, including creatinin level, K, Na, Hb, Htc, and blood gas analyses with mesurement of pO2 pCO2 pH, BE, saturation of the blood with oxgen, BE and HCO3-. Creatinine level have been considered in coleration of body mass index, and general nutritional status. The dinamic source of creatinine level in the blood have been followed, in relation of parameters of respiratory status. The statistical significance in relation of creatinine level with the respiratory status was registrated. With the improvement of respiratory status and laboratory analyses related to respiratory status, decrease of creatinin level was registrated. Because of that the therapy given to the patients with respiratory failure could influence on potassium level, the relation of creatinnemia and potassium level in the blood wasn't considered. The high creatinin level couldn't be explained with the initial renal failure, but as the sign of metbolic adaptation to hypoxemic and hypoxyc situation on the body. The registration of high creatinine level in the situations of global respiratory failure could be the guidelines for the choice of the antibiotics for these patients, mostly for potentially nephrotoxic antibiotics, like aminoglicosides, and theirs combinations. The decision and evaluation of benefit and toxicity of antibiotics for these situations could be easier.

B. Prnjavorac, E. Ajanović, I. Masic, B. Rakić-Prnjavorac, K. Kahvić, S. Kahvić, M. Smailbegović

The data in computing programs could make two types of problems, functioning of medical equipment and analyses of medical datas. The first one is not use limiting problem. The troubles could be performed in calculation of pregnancy dates but the final calculation in up to medical practitioners. The former situation, analyses of medical datas, could be limited without complete and correct datas, mainly in analyses of life expectancy tables, and related fields.

B. Prnjavorac, E. Ajanović, I. Masic, B. Rakić-Prnjavorac, K. Kahvić, S. Kahvić, M. Smailbegović

Use of medical information in everyday practice has been described in this paper. Importance of systematic collection, analysis and use, including correct "data management" is noticed. Information system is formed of every noted information, not only in computing form. Use of databases allows us connection to many information, but rational use should allow us to select only these in number an quality which are necessary for decision making.

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