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Introduction This paper presents available epidemiological data on number and types of surgeries of Waldeyer?s ring over a sixty-year period, as well as their interactions. Results Out of 80.477 patients operated on in the period from December 1, 1939 to Dec 31, 1998, statistical survey included 56.564 patients (Table 1). 26.808 (46.57%) patients were operated in local anesthesia, 23.833 (41.40%) under ether narcosis, and 6.923 (12.026%) patients were operated on under general endotracheal anesthesia. 38.846 (67.48%) tonsillectomies, 12.864 (22.34%) tonsilloadenoidectomies and 5.854 (10.16%) adenoidectomies were performed. Discussion The percentage of these surgeries is very high, but in the past ten years it has fallen below 50%. General endotracheal anesthesia is being used at the Department since 1966, and ether anesthesia is not being used since 1991. We believe that the number of tonsillectomies is high, because it also includes surgeries performed under local anesthesia, in patients over ten years of age. However, we can conclude that anesthesiological procedures effectively followed trends of medical science.

Background/Aim. The main role of physical education is health and educational practices of cadets and all-round personality development. Instruction executing is successful only when the set requirements are realized. The aim of this study was to evaluate the effectiveness of physical education in order to rise physical capabilities of the Military Academy cadets during a 4-year education. Methods. The study was conducted in the Military Academy, Belgrade. A total of 120 cadets who at the beginning of the study were 19 years ? 6 months and at the end 23 years ? 6 months were included in this study. The study used the following tests for verification and assessment of physical fitness: pull-ups, lifting the trunk from the ground, standing long jump seats, running at 1,600 m and overcoming the infantry obstacles. The data were analyzed using statistical programs to calculate the central and dispersion parameters. The difference in the achieved results in the individual variables were evaluated by the univariate analysis of variance (ANOVA), while the differences in the system variables by region were identified by the multivariate analysis of variance (MANOVA) and discriminant analysis. The group membership was determined using profile analysis. Results. There were statistically significant differences in all the tests to evaluate the effectiveness of physical education during a 4-year study, except in the standing long jump test. The best average results in motor capabilities tests, were achieved after two years of study, while in the endurance tests showed the best results achieved at the end of a 4-years studying. Conclusion. The results of overcoming specific tests for the physical abilities of the Military Academy cadets show that the physical education curriculum only slightly improves the development of physical skills of cadets during a 4-year study. The existing program shows the best results in the pull-ups test of the ground troops, and the worst in the multiple motor control tests (endurance, strength and speed).

INTRODUCTION The paper is the translation of the report of the Head physician of the Municipal Hospital in Subotica for 1889. It shows the number of patients, the number of checkups, the number of outpatients and inpatients, distribution by sex, age, place of residence, the frequency of patients by months and groups of diseases, the average length of treatment, the number of cured, unsuccessfully treated and deceased patients, the most significant surgeries, the number of doctors employed and a detailed survey of groups of diseases. ANNUAL REPORT From January 1, to December 31, 1889, 6.123 patients were treated, 5.141 outpatients and 982 inpatients; 24.644 visits, 69 patients on average, 2.884 men and 2.257 women; 662 under 1 year of age; 828 aged 1 to 5; 1.655 aged 5 to 20; 1.854 aged 20 to 80; 142 patients over 80 years of age. 4.260 patients were from Subotica and 881 from other parts of the country. 19.436 patient days were required, 19 3/4 on average. 747 patients were cured, condition improved in 132, 60 were unsuccessfully treated and 43 patients died. Cerebral and spinal cord diseases occurred in 73 outpatients and 38 patients (the same distribution: outpatients + inpatients goes for all diseases, respectively); nervous system diseases 82 + 18; ear diseases 139 + 2; eye diseases 1706 + 220; nose diseases 12 + 0; respiratory tract diseases 478 + 95; circulatory system diseases 35 + 13; lymphatic system diseases 51 + 5; mouth and throat lumen diseases 207 + 9; coronary diseases and diseases of intestinal mucosa 711 + 18; genitourinary tract diseases 252 + 66; skin diseases 440 + 107; muscle, gland and tissue diseases 104 + 23; joint diseases 75 + 16; bone diseases 56 + 20; acute infectious diseases 344 + 43; chronic infectious disease 143 + 137; general nutritional disorders 222 + 43; poisonings 3 + 2; childbirths 8 + 6.

Introduction The paper describes a very rare, isolated exocranial complication of the purulent frontal sinus inflammation. Frontal bone osteomyelitis occurs either in the course of an acute episode or during the exacerbation of a chronic disease. By distribution, it can be diffuse or circumscript. It is more common in younger males. Case Outline The case described is one of a 43-year-old patient with purulent frontal sinusitis developing into osteomyelitis of the anterior wall of the right frontal sinus, accompanied by the exteriorisation of the process into the frontal region soft tissues. The classical paranasal sinus radiography did not find any pathological changes in bony structures. Computerised tomography findings pointed to purulent inflammation of the frontal and part of the ethmoid sinuses, with a defect of the anterior wall of the right frontal sinus. Conclusion Surgical exploration established a defect in the anterior wall of the right frontal sinus, with an organised purulent collection, 1.3 cm in diameter. During surgery, evacuation of the inflamed mucosa and obliteration of the right frontal sinus were performed. Having analyzed the anamnestic data, radiography and laboratory results, and intraoperative findings, we were not able to conclude decisively whether it was a complication of acute or chronic inflammation. .

Introduction. In the second half of the last century skin tuberculosis has become a rarity. With the appearance of resistance to different kinds of pathogenes, HIV-immunodeficiency and decreasing standard of living, the incidence of skin tuberculosis increses. Lupus vulgaris is a chronic form of the secondary tuberculosis of the skin. Case report. This is a case report of a 66-year-old woman who presented with a growing, painless, brownish-red, slab-shaped, jelly, cutanesous mass, 2.5 centimeters in diameter, on the tip of her nose, reaching the mucous membrane of the nose. Results. Apart from accelerated erythrocyte sedimentation rate (43/73) and a positive tuberculosis test (Mantoux 10 TU=25x25 mm), all relevant findings were within reference values. Using Ziehl-Neelsen staining, no acido-resistent bacilli were found. The skin scraping sample, taken from the affected skin and the mucous membrane, was cultivated in Lowenstein medium base, and this resulted with cultivation of Mycobacterium tuberculosis. Using three-drug combination therapy for ten months, complete remission was achieved. Conclusion. Successful cultivation of pathogens represents an absolute diagnostic criterion. We present a case of a woman with lupus vulgaris, because there is a small number of cases documented around the world where the diagnosis was confirmed by culture of Mycobacterium tuberculosis. .

INTRODUCTION Osteomas of the middle ear are small, single, usually unilateral, peduncular growths, off-white in color, with smooth or multilobular surface, asymptomatic or causing functional disorders (progressive hearing loss, pathological appearance of the eardrum, vertigo and otorrhea), of unclear or unknown etiology. Fleury described three types of osteomas: massive, diffuse atticoantral and localized type. The therapy is surgical. Small and asymptomatic ones are followed-up. Cremers suggests surgical intervention in cases of progressive growth and increased hearing loss. Case description Discharge and pain in the left ear started twelve years ago, accompanied by impaired hearing and tinnitus. Four months ago the symptoms aggravated and discharge and pain increased. Otomicroscopic findings revealed: perforation in the posterior attic and a prominent polypous, clustered bright red formation. Sch?ller X-ray showed total absence of pneumocyte cells, with distinct sclerotic changes. Retroauricular access showed a biventricular bony formation in the cavum and partly in the antrum. A cholesteatoma extended from the cavum into the antrum, above the osteatoma. The bony formation was separated transmeatally from the grip in the posterior attic using a chisel, partially removing the bone wall of the exterior aural tube, removing it completely through the mastoid antrum. The removed bony mass, sized 5 x 8 x 8 mm, included also the incus. DISCUSSION Osteoma was discovered accidentally. Regarding clinical features, it belonged to the second group, due to progressive hearing loss, recurrent episodes of otorrhea, pain, biventricular shape and association with cholesteatoma. It was removed using a combined method. It was not possible to establish when the osteoma exactly started generating. It is possible that the initial complaints twelve years ago were the first signs of illness, and chronic otitis may have occurred as a consequence of the tumor.

To investigate the frequency of Compositae sensitivity is one of the most important goals of current dermatology and allergology. We have patch tested 30 adult patients suffering from ?extrinsic? atopic dermatitis with sesquiterpene lactone mix and Compositae mix including Compositae mix individual ingredients, extracts of arnica (Arnica montana), chamomile (Chamomilla recutita), tansy (Tanacetum vulgare), feverfew (Tanacetum parthenium) and yarrow (Achillea millefolium) as well as with specific series for patients with atopic dermatitis. All allergens were purchased from Hermal-Trolab (Reinbek, Germany). There were 6 (20%) patients positive to Compositae mix only, and 3 (10%) patients positive to both Compositae mix and sesquiterpene lactone mix. Among 9 Compositae mix-sensitive patients 8 (88.8%) were positive to at least 1 of its individual ingredients: 5 (55.5%) to chamomile, 4 (44.4%) to arnica, 2 (22.2%) to tansy, and 2 (22.2%) to feverfew. Among Compositae-sensitive patients 78.8% had other contact allergies, most often to nickel (33.3%). Since our study represents the first report on contact allergy to Compositae among patients with "extrinsic" type of atopic dermatitis, it substantiates the statement that atopy represents a risk factor for Compositae allergy. In conclusion, the overall prevalence of 30% Compositae-sensitive among patients with ?extrinsic? atopic dermatitis detected in our study represents a basal sesquiterpene lactone mix detection rate of 10%, reinforced and safely supplemented by 20% by testing with the Compositae mix.