[Education in family medicine--a new approach]. / Edukacija iz porodicne medicine--novi pristup.

The subject of the family medicine on the medical faculties in Bosnia and Herzegovina existed from recently as a separate curiculum of the medical study. Until recently the contents of this discipline interpreted within the subject of the social medicine or the object of the primary healthcare protection, and programs of teaching were based mainly on Anglosaxon experiences. The fact is that some teachers of the medical faculty in Sarajevo had their own visions and programs of the family medicine which by years were tested in the units of the family healthcare protection in Sarajevo, Mostar, and Banja Luka, about what was published in our and foreign literature. New approach from the family medicine should be based on as follows: greater use of the standardized procedures for the improvement of the communication skills; revised educational procedure of all the participants 6 interdisciplinaryilly in the education of the family medicine; improvement of knowledge about methodlogy and the principles of the research; improvement of the techniques and knowledge about the maipulatin of the medical informations; development of the skills of the continued studying through the total working aga; to the development of the capability of the critical estimation of the own work important; by the defining of the important educational goals in the curriculum of the urgent medicine; to the development and use of the methods feed-back informations from the students; to the modernizing of the methods of the evaluation of the educational process-adopted knowledge and the attitudes and the carrying out of the practice of the patients, and the ethic values in that process. In this work the authors consider the stated experiences in the education from the subject family medicine at our faculties realting to the foreign, and suggest that new concept of the education on the basis of these experiences in the practice.

[Helicobacter pylori and gastroduodenal disease in our patients: 2-year experience]. / Helicobacter pylori i gastroduodenalne bolesti u nasih bolesnika: dvogodisnje iskustvo.

Primary gastritis, duodenitis, peptic ulcer of stomach and duodenum are no longer considered to be disorders of the balance of secretion of acid and immune responses of the gastric mucose but it is thought to be caused by Helicobacter pylori infection. One of the most important factor causign the malignant gastric diseases such as carcinoma and non-Hodgkins MALT Lymphoma is an early infection by this spiral gram-negative bacterium. We performed byopsi of the gastric mucose in 80 of our patients. Endoscopic and histological results showed that 74 patients had gastritis 6 others had normal results. The highest incidence of disease was found in children of 11 to 14 years of age because 67.4% were girls and 22.4% were boys of this age. Ethiological analysis of patients with gastritis showed that Helicobacter pylori was isolated in bioptic material of 46 patients while results of other 28 patients were negative.

[Gastric resection and the hepatobiliary tract]. / Resekcija zeluca i hepatobilijarni trakt.

With the aim to evaluate the influence of gastric resection on the morphological and functional conditions of the liver and the eventual appearance of gallstones, 50 randomized patients with a resection of the stomach were clinically analysed at different period of time, together with 50 patients suffering from peptic ulcer. All patients underwent a liver biopsy, 26% of the patients with gastric resection and 20% of the patients with peptic ulcer showed pathological findings of the liver, which statistically is not a significant difference. The most frequent pathologic change in both groups was a persistent hepatitis, while gallstones rarely occurred. Further, a presence in the past of viral hepatitis and alcoholism in both groups has been analysed as possible factors for the mentioned changes in the liver. Hbs Antigen detection has also been drawn as important. People with gastric resection belong to the jeopardized groups of the population with a great risk-factor related to previous frequent blood transfusion and other medical procedures. Patients who underwent a gastric resection, were analysed for the influence of the time period, following operation, on proved lesions of the liver, which were also observed in relation to dumping syndrome, malnutrition and other postresection syndromes. The authors point out the importance of making an early detection of the lesions of the liver, during surgery, with the aim to prevent the development of severe chronic inflammation.