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Introduction: Severity drinking and alcohol dependent individuals have high rates of co-occurring somatic disorders. Many papers show close relationship between alcoholism and liver damage or liver disease. There occur high blood pression, diabetes. According the treatment proposal, patients with co-occur somatic problems seem less compliant with treatment and more drop out of treatment at all. Aims: The purpose of this paper was to show high implication of somatic disorders among severity drinking patients and alcohol dependent patients. Methods: We observed 34 male patients, age between 35-60, who treated in our clinic for one year, on Department of Alcoholism. We used the medical data, history of illness, psychiatric and neurological examination during treatment and complete blood count. All the patients verified diagnosis of alcoholism and excluded other mental illness according the criteria ICD-X. Results: All of 34 male patients (100%) show raised level of Gamma-glytamyl transpeptidase (GGT),19 patients (55,88%) with high blood pressure, 9 patients (26,47%) verified Type 2 (non-insulin-dependent) diabetes mellitus, 3 patients(8,82%) with Type 1 (insulin-dependent) diabetes mellitus and 5 patients (14,70%) drop-out in the middle of treatment(solving problem with somatic disorders and less of motivation). Conclusion: Alcoholism, alcohol-dependency and severity drinking show more linking with somatic problems and somatic disorders as well. In recent clinical work many different specialist may confirm somatic aspect as a big role in alcoholism, like note that patients with some somatic problem seek more likely to seek treatment than the others alcoholics.

Objectives: Disulfiram is an aversive medication that works by making the drinking of alcohol an unpleasant experience (FDA approved since 1951) and most study of understanding alcohol abuse and dependence are based on it. Also, the combined Cognitive Behavioral Therapy (CBT) and disulfiram assurance treatment was substantially effective in patients with alcohol disorders. Methods: We conducted 150 male patients range of age 20-60 and treated in Special Hospital on Addictions for 3 months period of time (inpatient setting).The recommended dose of disulfiram was 250 mg. All patients were diagnosis of alcohol dependence according the ICD-X, excluded psychosis and no one was unable to take disulfiram for medical reason. We used medical history of illness, psychiatric interview and semi structured CBT protocol for alcohol disorder and CBT sessions (2 sessions per week).Control group were 80 patients on disulfiram assurance therapy (alone). Results: CBT plus disulfiram assurance (N=150): 93(62%) maintaining sobriety and absence of drinking for 3 months; 44 (29,33%) maintaining sobriety for 2 months and 13 (8,66%) absence of drinking only 1-1,5 month.Disulfiram assurance therapy alone (control group) (N=80): 41 (51,25%) maintaining sobriety of drinking for 3 months; 22 (27,5%) less than 3 months; 10 (12,5%) for 1,5-2 months and 7 patients (8,75%) drop-out after a week without no relevant or medical reasons. Conclusions: In this paper was shown the high level of effectiveness for the CBT combined with disulfiram assurance therapy according the maintaining sobriety and absence of drinking.

Сажетак Увод: Реализација спортских активно сти особа са инвалидитетом захтева пре свега приступачност спортских објеката и спортских терена. Архитектонске ба ријере су просторне препреке унутар изгра ђеног окружења које корисницима инва лидских колица ограничавају или у по тпуности онемогућавају њихову само ста лну употребу. Циљ истраживања је био да се испита на које архитектонске баријере наилазе особе са повредом кичмене мождинепара плегијом које се рекреативно или про фесионално баве спортом. Методологија рада: Узорак испитаника је чинило 26 особа са повредом кичмене мождине-параплегијом, оба пола, који се активно баве спортом, тренирају минимум 2-3 пута недељно. Истраживање је реа лизовано у Београду, и то у Дому за одрасла инвалидна лица, Удружењу параплегичара и квадриплегичара "Дунав", Атлетском клубу "Погледи", Клубу кошаркаша у ко лицима "Дунав", Стонотениском клубу особа са инвалидитетом Београда "СТИБ" и Спортскорекреативном удружењу "Све је могуће". За потребе истраживања кон струисан је упитник који је обухватио опште социодемографске карактеристике и архитектонске баријере на које наилазе бавећи се спортом.