Communication in medicine is considered a core skill of the doctor on the way to successful diagnosis and treatment, and establishing an adequate relationship with the patient. In a similar way, should take place and the communication process between physician-patient and nurse-patient, and between all actors of the medical team and patients. Good communication skills, patience and sensitivity to the problems of the patient are necessary to create mutual trust. It is important to be in communication with the patient never imposing your own views, even when we are deeply convinced that whatever we do, we do it for their own good. Communication in health care requires knowledge, competence and technical skills, including the need for continuing active learning and practicing communication skills of all members of the medical team, both doctors and nurses and other staff who work with patients.

Cilj. Studija je imala za cilj da utvrdi da li postoji oštećenje zdravlja kod školske dece i adolescenata sa povećanom telesnom masom a koja su različitog uzrasta. Metode. U studiji dizajna preseka uključena su deca koja su svrstana u tri grupe: od I-IV razreda, od V-VIII i srednjoškolce. Neinvazivnim izikalnim pregledom odredjeni su studijski parametri a uzeti su uzorci krvi za laboratorijske analize. Određen je stepen uhranjenosti putem izračunavanja indeksa telesne mase (BMI), vrednosti krvnog pritiska, procenat masti u organizmu (Deurenbergova formula), holesterol i trigliceridi. Podaci su analizirani metodama deskriptivne statistike i testiranja hipoteze, uz p≤0.05. Rezultati. U studiji je bilo 10 dečaka i 30 devojčica, dobi 13.1±2.8 godina (srednja vrednost, SD), sa vrednostima sistolnog krvnog pritiska 118.8±14.1 mmHg i dijastolnog krvnog pritiska 78.5±5.5 mmHg, serumskog holesterola 4.48±0.72 mmol/L i triglicerida 1.26±0.71 mmom/L i indeks telesne mase-ITM 30.72±4.68 kg/m2. Normalno uhranjenih je bilo 4 (10%), dece sa prekomenom telesnom masom 14 (35%), gojaznih I stepena 13 (32.5%), gojaznih II stepena 7 (17.5%), gojaznih III stepena 2 (5%) a prosečni udeo masnog tkiva u telu je bio 38.0±6.1%. ITM je bio značajno veći kod dece starijeg školskog uzrasta i srednjoškolaca nego kod dece u mladjim razredima osnovne škole (p=0.006) i značajno je korelirao sa uzrastom, sistolnim i dijastolnim pritiskom i vrednostima triglicerida u krvi (p<0.05). Zaključak. Aktuelni status uhranjenosti dece uključene u studiju predstavlja značajan rizik od razvoja bolesti, kao što su kardiovaskularne (npr. hipertenzija) i oboljenja metabolizma (npr. metabolički sindrom).

SUMMARYAim: This study investigated the cumulative incidence of Chlamydia trachomatis infection in women treated in gynaecology departments of healthcare facilities in two towns in Serbia and one town in the Former Yugoslav Republic (FYR) of Macedonia, including their medical records in public health reports.Methods: A cross-sectional observational research design with retrospective data collection during a five-year period (2008-2012) originated from women treated as in-and out-patients. The data included the results of cervical and urethral swab testing on Chlamydia trachomatis infection and women's gynaecological diagnoses in Pomoravlje County (the Institute of Public Health Cuprija "Pomoravlje" in Cuprija, Alba outpatient clinic, Paracin) and in Skopje (Clinic for Obstetrics and Gynaecology, "Mikrolab" laboratory).Results: The incidence of positive ELISA assay from samples from the Institute of Public Health "Pomoravlje" Cuprija and polyclinic Alba was 6.5% and 12.5%, respectively (p < 0.01). The incidence of positive DFA test from samples from the Clinic for Obstetrics and Gynaecology, Skopje and "Mikrolab" laboratory was 18.8% and 15.2%, respectively (p = 0.20). In Pomoravlje County and in Skopje 7.5% and 17.6% of urethral swab samples were positive for Chlamydia trachomatis, respectively (p < 0.01). The rate of microbiological samples tested for Chlamydia trachomatis in Pomoravlje County and Skopje was 48.4% and 21.2%, respectively (p < 0.01). One-year incidences of Infectio sexuales chlamydiales (A56) from 2007-2011 were significantly different among three data settings relating to Serbia, the FYR of Macedonia and Pomoravlje County (p < 0.001).Conclusions: The incidence of Chlamydia trachomatis positive cervical and urethral swabs in our study were highly variable between countries and within individual hospitals and caused by many factors.

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