Podizanje deteta sa poremećajem iz spektra autizma (PSA) predstavlja izazov koji zahteva značajnu uključenost svih članova porodice, informisanost porodice o karakteristikama poremećaja kao i o dostupnim vidovima zdravstvene zaštite i podrške roditeljima i deci. Cilj: Utvrđivanje koji su prvi simptomi, uzrast deteta kada je postavljena dijagnoza, utrvrđivanje dostupnosti dodatne pomoći iz domena obrazovanja i socijalne zaštite, kao i dodatne pomoći za roditelje dece sa PSA. Materijal i metode: Korišćen je metod prikupljanja kvantitativnih podataka u vidu ankete, a ispitanici su iz registra pacijenata s dijagnozom poremećaja iz spektra autizma. Uzorak se sastojao od 223 dece muškog pola i 58 ženskog pola (ukupo 281). U istraživanju smo koristili upitnik koji je razvijen od strane Ejmi Deniels (Amy Daniels) i nacionalnih koordinatora Mreže jugoistočne Evrope za autizam (Southeast European Autism Network-SEAN). Rezultati: Ukupno je intervjuisan 281 roditelj. Prosečni uzrast kada je postavljena dijagnoza PSA bio je 45.8 meseci (SD 22.4). Najčešći prvi simptomi kod dece bili su: 1) problem uspostavljanja kontakta očima tokom razgovora ili igre; 2) dete nije razumelo šta mu roditelji ili drugi odrasli govore; 3) teškoće u socijalnim interakcijama; i 4) neuobičajeni pokreti (hodanje na prstima, lepršanje rukama, okretanje oko sebe). Tri najčešća vida terapije koji su korišćeni bili su: tretman govora ili jezika 150 ispitanika (53,3%), farmakoterapijа 83 ispitanika (29.5%) i senzorna integrativna terapija 80 ispitanika (28,5 %). Zaključak: Život dece u poremaćajima iz spektra autizma ne bi trebalo da predstavlja problem samo pojedinca i njegove porodice, već i celog društva. Podrška pоdrazumeva razvoj svih službi koje imaju mogućnost da olakšaju život deci i njihovim roditeljima.

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Herpes simplex encephalitis (HSVE), manifesting with non-convulsive status epilepticus (NCSE), normocellular CSF findings and CT features of acute ischemic stroke, is a rare finding that can be hard to diagnose accurately. We present a case of HSVE and compare our results to those of previously published cases with the same pathology, in order to provide information to support more rapid and effective diagnosis and treatment. A Pubmed search of reported cases was conducted and five cases of HSVE manifesting with NCSE were found. Each of the cases, including ours, was compared in terms of clinical manifestations and CSF, CT and EEG findings. The clinical manifestations in our patient correlated with those of the other cases. EEG showing sharp fronto-temporo-centro-parietal waves was only observed in our patient. Similar CT manifestations were found in one other patient, normocellular CSF was registered in three other cases and positive PCR for HSV in four patients. Information about the possible clinical manifestations and CT, EEG and CSF findings in patients with HSVE manifesting with NCSE is crucial for a fast diagnosis and successful treatment, leading to higher survival rates and fewer complications and neurological deficits.

Introduction: Autism spectrum disorders (ASD) represent a disorder with an incidence of 1% in the juvenile population. Insufficient studied etiology and lacking in evidence based therapeutic procedures, represent part of the challenges associated with ASD. Adaptive capabilities of children with autism are often impaired and depend on many factors, some of which are neurophysiological in nature. The study aim was to compare patients with pathological changes in EEG with epileptic and non-epileptic recordings to different levels of adaptive capabilities of children with ASD. Material and Methods: In this study EEG readings were used in the sleep and awake state for the assessment of the presence and the type of abnormality of the reading. EEG questionnaire was developed for the purpose of this research to record the characteristics of EEG readings and neurological manifestations. For the evaluation of the adaptive capabilities Vineland II scale was used. Results: A statistically significant difference exist between the examined groups in all domains assessed by Vineland II scale. 44.7 % of patients had some form of pathological EEG records or epilepsy. The most represented types of seizures was primary generalized tonic clonic attacks. Conclusion: There was a statistically significant difference between the examined groups in all domains. Patients with epilepsy tend to obtain the lowest scores in all examined domains. These results may be used for the potential identification of prognostic factors and to show the value of antiepileptic therapy as an alternative for children with autism spectrum disorders.

Objectives: Determine whether and how primary health care workers (PHCW) provide alcohol screening and brief interventions (SBI) and assess their interest in improving. Methods: A questionnaire built built on WHO recommendations for alcohol prevention and harm reduction in primary health care was distributed to 130 primary health care workers (26.9% doctors, 73.1% nurses) in family medicine and emergency medicine departments in the Primary Health Care Facility Doboj. Results: The participation rate was 61% (79/130), of which 28 (35%) doctors and 51 (65%) nurses answered the questionnaire. 3 (10.7%) doctors and 3 (5.9%) nurses provide alcohol screening always, 15 (53.6%) doctors and 22 (43.1%) nurses sometimes, while 10 (35.7%) doctors and 25 (49%) nurses never do alcohol screening. None of the PHCW uses AUDIT, 1 uses CAGE, and others use clinical screening procedures. 12 (42.9%) doctors and 40 (78%) nurses never provide brief interventions. 22 (28%) PHCW are interested in providing alcohol screening, while 20 (71.4%) doctors and 15 (29.4%) nurses are interested in improving their SBI skills. Conclusions: Primary health care workers do not provide routinely alcohol screening and brief interventions aimed at prevention and reduction of alcohol related problems. Those who do provide SBI do not follow WHO recommendations. There is a certain interest to improve, but the fact that 39% PHCW did not even answer the questionnaire is indicative. Motivation, training on SBI and follow-up of PHCW are needed.