Health-Related Quality Of Life (HRQOL) of oncology contains subjective experience of the positive and negative aspects of disease on the physical, emotional, social and cognitive function, and the frequency of the symptoms and side effects of the treatment. The patient is the best source for information about the quality of life and it is necessary that the patient’s value system evaluates and qualitative terms. The effect of chemotherapy is the system, which means that the blood is transported to where the whole body where reacted to the malignant cells in the process of cell division and a variety of other normal tissues. Thus become supporting undesirable advent such as fatigue, which is almost always present, loss of appetite, reduced resistance to infection, and the most common and best known, nausea, vomiting, and hair loss. All of these complications affect the reduction in quality of life, and this applies to all aspects of life: emotional status, social life, physical limitations in daily performance of physiological actions. The role of nurses in the application of chemotherapy is extremely important. From the beginning, the patient and the nurse gain a relationship of trust and security to the patient feel comfortable and safe.

Introduction: Sexually transmitted infections represent a public health problem of great importance in most parts of the world. Research goal: The primary aim is determine the sexual activity, attitudes and knowledge of high school students about sexually transmitted diseases. Method: The research conducted is the type of study section. In December, 113 students from first to fourth grade from High School Center Foca were surveyed. In the study used an anonymous questionnaire character. The questionnaire in this research was anonymous. Results: 35.4% of respondents were sexually active. The young men were sexually much more active than girls (χ2 = 30,447; p = 0.001). Most sexually active students said that they had their first sexual intercourse at age 15 (50%%). The boys and girls have diametrically opposed attitudes regarding age in which they find it is the optimal time for their sexual activities (χ2 = 20,252; p = 0.001). Students of the third and fourth grade have a much higher level of knowledge compared to the students of the first and second grade (χ2 = 31,791; p = 0.001). Most students would continue to associate with a person even if that person has one of the sexually transmitted diseases (64.6%). Conclusion: The results of this study show that sexual activity of adolescents surveyed is not a mass phenomenon, but that knowledge of students of first and second grades was insufficient, and that there is a need for education of this target group, considering the importance of preserving reproductive health of adolescents, who are the future of preserving population.

Contemporary societies are facing high increase of population over 65 years of age within the total population. It is a result of lifespan extension, advances in medicine and science in general, improvement of quality of life, etc. [1]. The elderly represent a vulnerable population group whose needs are numerous, diverse and highly specific. Health, social and economic needs of this category are intertwined and mutually connected as a whole, which requires specific approaches and adjustment of work in family medicine to these needs. High incidence of chronic and degenerative diseases leads to progressive decrease of functional skills in physical, psychological, but also in all other aspects of life [2, 3]. University of East Sarajevo, Bosnia and Hercegovina Original study Faculty of Medicine, Foča, Republic of Srpska1 Originalni naučni rad UDK 616-001-084-053.9:613.98 https://doi.org/10.2298/MPNS1710277P

Introduction: Lung cancer is often a malignant disease and one of the leading causes of death. It hes been the most common malignant disease in male population for years and has also become more frequent in fe male population. Health care and emotional support to these patients is of considerable inportance. If one of the family members is diagnosed with this disease, the family often experience problems overcomeing and understanding their own reactions in that situation. The aim of this study was to investigate to which extend the patients are informed about their disease.the awareness of patients about their disease, as well as to examine how wich family members are willing to support a sick member of their family. Methods: The study included patients suffering from lung cancer who were admitted to the Oncology Department of the University Clinical Centre in Foca for chemotherapy. After the end of the treatment patients were discharged to home health care treatment. During the home visits, patients and familiy members were interviewed. The sample consisted of N = 18 patients, and N = 18 their family members who cared for the patient at home. Patients were interviewed by means of anonymous questionnaire, and the results are displayed graphically. Results: The results showed that the respondents were quite well informed about their disease, although it sometimes happened that they did not sufficiently understand well enough given information. Half of the respondents (50% of them) were not adequately informed about the side effects of chemotherapy. Two-thirds (78%) of the family members were willing to support a sick family member, and even up to 34% of them where reluctant to seek help from health professionals. Conclusion: It is believed that knowledge and information on the character and severity of the disease significantly contribute to easier acceptance of the diagnosis and encourage the patient to active participation in their own treatment. Since the health care of lung cancer sufferers is complex , nurses should be educated enough keeping pace with technological development (diagnostics, therapy, emotional support, health education, work integration and reintegration of the patient in the corresponding group and environment).

Surgical intervention usually leads to fear. The operation has always been emphasized emotional entry into the sphere of the unknown and there is no man with normal psychological defenses that do not feel any discomfort when visiting any operation. The aim of this study is to examine the existence of psychological reactions of patients who were admitted to the surgical treatment, the possibility of exploring measures to overcome possible preoperative and postoperative fear, development of a plan to introduce changes and strategies to overcome the preoperative and postoperative fear and monitoring its implementation. The research was conducted in the surgical unit for anesthesia and resuscitation at University Hospital in Foca during the period from 01.05.2013. until 31.05.2013. year. The study used a descriptive short questionnaire with information on the subject and self-assessment questionnaire for depression. The majority of patients a few days before the operation had diminished interest in the events around them, a feeling of emptiness, indisposition, sleep problems, fatigue. The majority of patients had decreased appetite, weakness of concentration, slow, suicidal ideas. From all examined patients 15% of them showed no physical symptoms, while 85% were showed greater number of physical symptoms in the field of all organ systems. Twenty percent of all examined patients has no signs of depression, a mild form of depression was found in 55% of patients, while the moderately mild form of depression was found in 25% of patients. A well-designed and conducted psychological preoperative preparation is not only an important factor for positive operational outcomes and successful post-operative recovery of patients, but also more durable pledge its rational relationship to health and disease.

Demencija je progresivna bolest koja dovodi do gubitka mentalnih sposobnosti, što rezultira promjenom memorije, te gubitka socijalnih sposobnosti. Demencija nastaje zbog stanja koja izazivaju promjenu mišljenja, pamćenje, zaključivanje i govor. Demencija je postala sve učestalija, a može se otkriti već u srednjim godinama iako je u starosti mnogo češća. Pozitivna veza između ishrane i nastanka mentalnih poremećaja ogleda se i u jakoj korelaciji između unosa rafinisanog šećera i smanjenja stava svijesti oboljelih od šizofrenije i nastanka depresije. Mentalne promjene u toku starenja i postepeno odvajanje od aktivnog društvenog života, obično se emotivno odražavaju u prvoj fazi starenja bjekstvom u hranu, a u drugoj fazi poslije 75. godine apatijom, kada i hrana gubi svoju privlačnost. Demencije predstavljaju jedan od najznačajnijih savremenih javnozdravstvenih problema. Dugotrajan nutritivni deficit u ishrani povezuje se sa depresivnim raspoloženjem, anksioznošću i kongnitivnim propadanjem.

Young people, according to UN defiiniciji, represent the future of every society and they are the most profitable long-term investmentEach year, approximately 1 million teenage girls become pregnant in the world, and every 67 seconds a baby teenager In the adolescent period a large number of young people start with alcohol, coffee, psychotropic substances and smoking. The reasons are most often the desire to prove, identification, affirmation sekusalnog identity, curiosity for the new and unknown. The aim of the study was to examine the knowledge, attitudes and knowledge of adolescents about the use of psychoactive substances, alcohol and tobacco, as well as to identify ways in which young people use their free time.  The survey was conducted in April 2015, in primary and Secondary School in Foca. The survey included 212 respondents, of different genders and different age groups. Data were collected original survey questionnaire, anonymous character, which contains 14 questions. Both groups of patients in a large percentage stated that they did not try psychoactive substances, as the most common reason for drug use both cited as the main reason for the influence of society. Although sexual activity is still taboo in the RS, alarming data that 19% of ninth grade students sexually active, and to limit entry into sexual relations increasingly lowered. Young in primary and secondary school state that they are sufficiently informed of psychoactive substances, as the most frequent source of information for high school state TV and the Internet, and ninth grade students report that they are parents. In this time of adventure and immature display of defiance social and social norms, young people are very vulnerable group subject to acceptance of various forms of risk behavior.

Introduction: It is very difficult to describe how the patient feels at first contact with the hospital environment, medical personnel and medical diagnostic and therapeutic procedures. He was usually upset at first contact since carries with it suspense and feers, due to illnes, but also because of the new situation. Will the first meeting to encourage patients and create confidence and sureness or, derogate and hurt his personality, depends on these first impressions. The aim: The aim is to exemine react to hospitalization, analyze what is to attitude of hospital personnel towards patients, and investigate which patients are proposals to improve the conditions and procedure for hospitalization. Methods: The study was conducted at University Hospital in Foca, period October-November, 2014. The study included 50patients who are being treated at the University Hospital in Foca, in the section of Internal Medicine. The research used an anonymous questionnaire, and the results are graphically presented. Results: Two-thirds of respondents reacted very well to the hospitalization. Asked about their impressions on the first meeting with the medical personnel, 94% of respondents expressed a positive opinion, while 6% of respondents characterized their first meeting as negative. Conclusion: Generally, this study yilded the following results which can be characterized as positive, but we must strive to be better and try to patients satisfaction with the services and attitude of health worker, made at the highest level.

Cardiovascular disease are diseases of the heart and blood vessels, that is artrerics and veins. This type of disease, leading to disturbances in blood supplying all organs causing corresponding occurrence of symptoms and clinical signs. Among the most significant risk factors that contribute to the occurrence of heart disease and vascular disease include smoking, physical inactivity is deseribed as a set of factors for cardiovascular disease whose base lies metabolism distribances. Components of the metabolic syndrome, including insulin resistance, obesity, high blood pressure, physical inactivity, high blood triglycerides and reduced HDL cholesterol. Insulin resistence with obesity is the basis of the metabolic syndrome. The metabolic syndrome is associated with an increased risk of a double occurrence of cardiovascular diseases. Particular attention to early identification, treatment and prevention of metabolic syndrome.

Infections transmitted by blood are infections where the infectious agent from the blood of one person is transmitted to the other person. These infections usually occur in hospitals and other places of hospitality. A large number of pathogens are transmitted through blood. Except of bacteria and viruses, as the most common pathogens that are transmitted through blood, there has been proven the transfer of the fungus, parasites and spirochetes through blood. Viruses that are the most frequently transmitted through blood and represent the highest risk of infection are: Hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV). The primary way to prevent transmission HBV, HCV and HIV in hospitals is to avoid occupational exposure of blood. You need to know that for HBV, HCV and HIV infection exist post exposure prophylaxis (PEP), which refers to a set of measures and procedures which prevent the transmission of pathogens transmitted through blood and other body fluids individuals who are infected.

Introduction: Nutritional status is the degree to which they met the metabolic needs nutrients. Many diseases of the organic content can lead to the development of malnutrition or conditions of inadequate nutrition or malnutrition. The aim of the work was to examine the nutritional status of elderly persons over 65 years of age. Materials and methods: The research was conducted in a University hospital in Foča on intensive department in from May to August 2014. The study included 30 patients over 65 years of age. The survey instrument was a socio demographic questionnaire and a standardized questionnaire for nutritional status (MNA). Results: The internal department where they were all patients, 65% were female, while 35% male half. The average age of respondents was 65 to 99 years. In terms of psychological stress, 19 patients suffered an acute stress or illness the last 3 months, while 11 patients had stress. We observed a statistically significant difference in terms of taking three or more medications daily. Conclusion: Results indicate that the elderly should be directed to diet because the results of the research show that a large number of respondents did not have a proper diet. With the proper in comprehensive assessment of nutritional status of the respondents, it is better to approach the selection of nutritional support which plays important role in the treatment of many diseases.