Biomedical subjects

V Nikolić

Publications and source records attributed to V Nikolić.

At least 55 records · Page 3Linked to original sources

PubMed1990

[Specific psychomotor organization in a child with phocomelia].

The authors follow the specific development of a child with phocomelia. Psychomotoric organization was analyzed in the period prior to starting school and before the child became literate. The existence of specific forms and outlines of catching movements was established. The lower extremities developed a compensatory--fine motorics mechanism of toe abduction. A drawing of a human figure expressed the specific experiencing of the body scheme as the "losing" of the upper extremities. Left-handedness was discovered. Typical difficulties exist in the forming of the number conception. Preparations are being done for the mastering of the use of the intelectual prosthesis-computer.

Child↗

PubMed1990

[Social tension--a factor in conversion. Case report].

Presented is a case of a girl of Albanian nationality, an adolescent, one of the ill in the group of "mass poisoned" in Kosovo, at the beginning of 1990. The up to then, completely healthy girl had repeated crises of the same type four times, with functional disorders. She was hospitalized at the request of her father in Novi Sad, at the Institute for Neurology and Psychiatry of the Developmental Age. The somatic and laboratory findings were within the average limits. The psychological tests indicated a person prone to conversive reacting in situations which she does not succeed to process emotionally in an adequate manner. Such a personality structure had the role of inducing a conversive atmosphere in the immediate school environment. The presented case has suggested that a low level of general culture and expected school knowledge primarily creates favorable grounds for massive hysterical occurrences.

Adolescent↗

PubMed1990

[Organic factors in behavior disorders in the developmental age].

The problem of bad behavior in the young is as old as the written history of mankind. It is always a current problem in a practical and theoretical sense as well. While everyday life is filled with various forms of criminal offense, drug addiction, the forming of gangs-especially in dynamic societies, theoretical opinions tend to oscillate between biological factors and the psychological-social ones which are always unsuitable for a person in the course of its development. The authors have presented a review of the basic theoretical directions, and after that the results of their own research. Children with behavior disorders were investigated: parallely by psychological-psychiatric investigation as well as with an up-to-date biological approach, examining subclinical semiotics, EEG and REG. On the basis of these comparisons we have come to the following principal opinions: the suggested psycho-neuro-vegetative subclinical syndrome, recommended by the same authors, does not take the behavior disorder upon itself. Also, not every behavior disorder includes the obligatory psycho-neuro-vegetative subclinical syndrome (PNVSS). Nevertheless, PNVSS presents a risk factor for behavior disorder, in the case that the personality in development is growing up under unfavorable psycho-social conditions. Finally, in the younger ages PNVSS, by its primary features, determines the behavior disorder also, while at an older age (after 11) behavior has all the more of an asocial and antisocial character.

Adolescent↗

PubMed1989

The role of orbital wall morphological properties and their supporting structures in the etiology of "blow-out" fractures.

The stiffness and strength of the orbital walls are proportionally dependent on the anatomical structures which support and strengthen these walls from the opposite side. The medial wall is therefore strong due to the support of ethmoid cells. The floor is stronger the less surface there is and the more supported it is by trabeculae of the maxillar sinus. The strength of the upper and lateral walls are proportional to their thickness. The orbital floor is on the average the weakest, followed by the medial and upper walls. The lateral wall is the stiffest and the most rigid. Computed tomography (CT) has improved structural analysis of the orbital contents and orbital walls enabling the visualisation of superficial and deep soft tissues and bone structures.

Biomechanical Phenomena↗

PubMed1989

[Injuries of the diaphragm].

Diaphragmal injuries are rare but serious. They are caused by traffic accidents, murder or suicide, fall from height, crush or blast injuries. Mechanisms of diaphragmal rupture may be various: sudden intraabdominal pressure increase, transferred strike force from pelvis (like "contra coup"), direct pressure on one or both hemitoracices, injuries piercing or sclopetar. Negative intraabdominal pressure is convenient for prolapse of abdominal organs into pleural cavity. Ruptures were more often of tendinous than muscular part of diaphragm, and they were more often on left side. Diaphragmal injuries can be: open--percutaneous (thoracoabdominal) and closed--subcutaneous. There are three types of thoracoabdominal injuries: thoracoabdominal, abdominothoracal and thoraco-retroperitoneal. Open diaphragm injuries are followed by shock, hemorrhages, cardiopulmonary disfunction, haematothoracic, peritonitis and other lesions. Closed diaphragmal injuries can be manifested clinically or latent. In the first stage of treatment there is a conservative approach (solving the shock) and in the second stage surgical approach. More often thoracotomy is better than laparotomy and the place of incision depends on localisation of injuries and clinical signs. During last 10 years we surgically treated 19 diaphragmal injuries with mortality rate of 15.9% (3). Most frequent causes of injuries were traffic accidents or sclopetar injury, and the predominant compression. Diaphragmal lesions were a part of thoracoabdominal injuries and politraumas with high mortality rate. The frequency of injuries of other abdominal organs was the following: spleen, lungs, liver, stomach, bowel, kidney, bladder, retroperitoneal blood vessels, legs, arms and pelvis. The treatment of diaphragmal injuries requires multidisciplinary, experienced surgery team with well equipped anaesthesiology and reanimation unit.

Adult↗

PubMed1989

[Changes in the clinical picture of chorea minor].

The paper dealt with the change in clinical picture of chorea minor. It used to be a very frequent disease but now it is all the rarer appearance and it always occurs as a complication of rheumatic disease. Except for its rarer frequency, once it has occurred it is more often complicated by cardiac incidents, the course of disease is longer and more resistant to therapy and is accompanied by psychic changes without frequent relapses observed in its previous appearances. Contemporary immunologic knowledge of this field has detected the complex neuroimmunologic changes taking place in CNS. According to the authors' opinion, modification of the clinical picture is the sequel of the broad application of antibiotics in general but the prevalence of chorea in girls keeps remaining unclear. However, there is no specific attritude toward neuroimmunologic mechanism so far, because previous knowledge of this problem is lacking.

Adolescent↗

PubMed1989

[Laterality in institutionalized patients with moderate, severe and very severe mental retardation and stereotyped behavior].

A total of 54 moderately (n = 13), more severely (n = 27) and severely (n = 14) mentally retarded persons living in institutions were dealt with in this paper. Qualities of their stereotyped actions were analysed and compared in respect to the used lateralization according to Cordić-Bojanin's modified scale and to Berg's scale for used lateralization. Results obtained pointed to the differences among stereotypes themselves in respect to the influence of social environment and the degree of retardation. Therefore, twisting of the body was regarded as the "mildest" form of retardation and passivity, while the motions of hands only were associated with the most severe ones. Used lateralization in the form of dextrality occurred in 62.96%, in the ambidextrality in 14.8% while sinistrality accounted for 22.2%. Right-handed persons most frequently showed stereotyped behaviour which was manifested by the forward-backward motion of the body, while left-handed persons showed stereotypes connected with hands. It was believed that the tonus which represented the termination of the voluntary action and the basis of the development of lateralization would be regarded as the connection between lateralization and stereotypes.

Adolescent↗

PubMed1989

[Paroxysmal torticollis in the developmental age].

An insufficiently elucidated clinical picture of paroxysmal alternating torticollis in the developing age is considered in this paper. This phenomenon is characterized by inclination of the head temporary on one side and the other, it is of various duration, with pauses and without any disturbances and symptoms. This appearance is observed in children aged 1-5. The authors assume that this rare state is a sequel of asymmetric maturation of the axial tonus. In that case, this torticollis is only the most striking phenomenon in the whole clinical picture of one-sided predomination of the axial tonus in its maturation.

Child, Preschool↗

PubMed1989

[The familial emotional whirlpool syndrome].

Good intentions and positive emotions of strong potentials predominantly directed toward children are singled out from the group of pathology of familial relationships. Nevertheless, they have negative effects just on children which are the objects of good intentions. By a more profound analysis of very complex emotional relationships a dominant personality--antecedent is detected which authoritatively imposes ethic and behavioural norms taking thus function both of parents and the next generation. Members of family react in various ways in dependence on their structure but they always show their emotional link. Opposition to the dominant person leads to the permanent emotional tension and conflicts which create a maelstrom in which newly come members are also emotionally engaged or rejected always in accordance with the attitudes of dominant person. The problem could be solved only by the therapeutic approach to the whole family. Positive attitudes toward children could be the factor for establishing cooperation with the therapist of the family.

Child↗

PubMed1988

Recurrent haemolytic-uraemic syndrome with hypocomplementaemia: a case report.

A boy who developed haemolytic-uraemic syndrome (HUS) at 8 years 6 months of age had four further episodes of the disease during the next 3 years. No renal abnormalities were detected between the attacks nor in the 2.5 years after the last recurrence. Reduced levels of serum complement were found during four of the episodes and in two intervening periods.

Child↗

PubMed1988