The aim of this paper is to determine the importance of the nurse in the assessment, prevention, treatment and education of patients with decubitus ulcers. The pressure on the thin layer of skin between the bone protrusions and the hard surface, which is higher than 25 mmHg, and which lasts longer than 2 hours, causes ischemia of local tissue (interruption of capillary circulation), and it eventually leads to permanent deterioration of soft tissue cells. Nursing care for patients with pressure ulcers or risk factors for the development of pressure ulcers is focused on all existing preventive measures that prevent, delay or slow down the onset of the disease. The initial assessment performed by the nurse must include a complete medical history, environmental assessment, and family assessment. The education of medical staff and patients must be an integral part of any preventive strategy against the development of pressure ulcers. The ultimate goal of education is to reduce the occurrence of pressure ulcers. In the research, we applied the survey method using the Questionnaire with 17 questions. We used the Norton scale to assess the risk of pressure ulcers. In a study of patients with pressure ulcers in our study, we concluded that the subjects were older, mostly over 70 years of age, and male was more prevalent. Other data (education, housing conditions, marital status, length of treatment and method of treatment, mobility, physical activity and mental status, risk factors and complications) of our study on 30 respondents agree with data from the world literature. In terms of satisfaction with health services and the work of nurses, respondents are mostly satisfied. The education of medical staff and patients must be an integral part of any preventive strategy against the development of pressure ulcers. The ultimate goal of education is to reduce the occurrence of pressure ulcers.

The aim of this study was to determine the importance of health care in the treatment of patients with gastrointestinal bleeding. Bleeding in the digestive tract is divided into bleeding from the upper and bleeding from the lower part of the digestive tract. Caring for patients with severe bleeding is a serious challenge. The role of the nurse and the way the patient approaches the patient in terms of care, but also recognizing the development of possible complications, is very important. Descriptive surveys were applied using a questionnaire as a research instrument. The study found that females are more represented than males, that the level of education is high and that most employees have been working for more than 5 years. The analysis of questionnaires from the second group of questions related to professional issues related to bleeding from the gastrointestinal tract showed that 80% (16) of respondents were thoroughly acquainted with the types of bleeding from the digestive tract, and that 70% (14) of respondents Bleeding from the digestive tract is influenced by hereditary and environmental factors, so that 65% of respondents know in detail and apply the nursing procedures used in cases of gastrointestinal bleeding. 95% answered that the nurse is obliged to fully recognize the symptoms of bleeding and possible complications, and that 60% of the respondents were fully acquainted with the procedures aimed at reducing pain in patients with gastrointestinal bleeding. All 100% of the respondents thought that the nurse was fully acquainted with the symptoms and signs of bleeding, with the procedures of diagnosis and treatment, as well as with dietary measures. 85% of respondents were aware of care measures related to reducing fear and insomnia in patients. 80% of the respondents thought that they had enough knowledge to provide care for patients with gastrointestinal bleeding, and 97% of the respondents thought that the patients were not enough, or not educated at all.

The aim of the study is to present the tasks of a nurse in educating mothers about the importance of breastfeeding. Breastfeeding is the best start to a baby’s life, because breast milk is the best food for a baby. Despite all the advantages and multiple positive effects of breastfeeding, a small percentage of breastfed children has been recorded in the world. For the purposes of this research, an indirect observational method was used - a survey. A questionnaire constructed for the purposes of this research was used as an instrument. Using the random sampling method, we included 30 postpartum mothers who underwent an education program. The research was conducted in the Health Center Podgorica, in the period from 01.07.-20.07.2021. years. According to the results of the research, 46.7% of mothers had enough information about the benefits of breastfeeding, and 46.66% of them had a problem with breastfeeding. The results show that 73.34% of respondents are educated about breastfeeding. Half of the mothers of 15 of them received the most information about natural nutrition from other mothers. 90% of mothers had a positive attitude about the importance of natural nutrition. Based on the conducted research, we can conclude that the engagement of the nurse in the issue of educating mothers about breastfeeding has improved the attitudes of mothers, but not to a sufficient extent. The results of the research show that mothers are not sufficiently educated about the importance of breastfeeding. Research shows that if mothers receive adequate information and support, they will be more willing to start and maintain breastfeeding for as long as possible. Existing studies indicate that women need effective support for breastfeeding,but many health professionals lack the necessary knowledge, attitudes and skills. The results of our study also show that it is necessary to improve the education of nurses in order to improve their skills and pass on important information to mothers about the importance and need for breastfeeding.

The aim of our work is to examine the impact of lifestyle on body mass index, as well as to examine the impact of sociodemographic lifestyle factors in school children. Prevalence of overfeeding and obese children, is rapidly increasing both in the world and in our country, so obesity is gaining pandemic size. The research was conducted as a retrospective study for the period from 2011 to 2015. The respondents consist of 700 primary school students aged 7 to 14 from the territory of the municipality of Pancevo. The body mass index (BMI) - calculated on the basis of percentiles - is defined as a dependent variable in this paper ranks, categorized into four groups, as an independent variable are defined sociodemographic characteristics and lifestyle of young people. The questionnaire was formed for the purposes of this research, and dimensionality the questionnaire was confirmed by exploratory factor analysis. Between groups with different indexes body weight, there is a statistically significant difference in eating habits, leisure habits time and performing physical activity. Eating habits, leisure habits and physical activity, they are important predictors of body mass index, while school success is a predictor of lifestyle ages 7 to 14 years.

We present the case of a young mother, 21 years old, who developed an intra-abdominal abscess 2 weeks after the caesarean section. Postpartum abscess after caesarean section is rare (≤1%), but potentially a very serious complication. It usually occurs as a consequence of inadequate or delayed treatment of postesectional endometritis. Risk factors are younger age, lower socioeconomic status, multiple vaginal examinations and length of caesarean section. The causes are anaerobic and Gram-negative bacteria. Clinical symptoms are variable, nonspecific and present as fever, abdominal and pelvic pain, signs of peritonitis, tachycardia, tachypnea, and generalized weakness. Complications include septicemia, fistula formation, multiorgan dysfunction, and even death. Ultrasound examination is the initial diagnostic method that can confirm the existence of a purulent collection. In case of diagnostic dilemmas, an urgent CT examination is indicated.

The aim of our work is to acquaint other fellow physicians with our experience in prescribing high doses of ALA to which there was only a therapeutic response in terms of significant reduction of neuropathic ailments in our patients. We continued the therapy for six months after the introduction, because the difficulties are still maintained, now in a very mild form. COVID-19 disease caused by the SARS-CoV-2 virus was first described in December 2019 in Wuhan, China, but has since spread rapidly globally. Although the number of cases and deaths has attracted a lot of media attention, less attention is paid to the long-term tribute taken by those who survived the disease Since the discovery, there have been more and more reports linking SARSCoV-2 infection to various nervous system disorders. These disorders can be broken down into processes that affect the brain and spinal cord that make up the central nervous system or CNS, as well as those that affect the peripheral nervous system or PNS. Every day we learn more about the spectrum of neuromuscular disorders that develop after COVID-19 disease. We present two patients with polyneuropathy after proven SARSCoV-2 virus infection, aged 37 and 45, without previous chronic diseases that may be associated with peripheral nerve damage. The dominant symptoms in both patients are weakness and unpleasant sensations in the hands and feet, fatigue and general weakness. Therapy with high doses of alpha-lipoic acid has led to a significant reduction in discomfort and improved quality of life of patients.

We present a 21 years-old patient with congenital monorchism, diagnosed and emergency operated for testicular torsion. In combination, testicular torsion and monorchism represent an extremely rare finding. In any case of monorchism, testicular sparing surgery is one of the main goals, and that is why fast and accurate diagnosis is mandatory, since delayed diagnosis lead to loss of only gonade.

Medicinska sestra (tehničar) ima značajnu ulogu u lečenju i nezi pacijenata obolelih od malignih bolesti. Tokom primene radioterapije, medicinska sestra preduzima sve mere i postupke, realizuje intervencije u cilju pružanja adekvatne nege, duhovne i psihosocijalne podrške1 . Odnos između medicinske sestre i pacijenta treba da bude interaktivan i pun poverenja, a to je moguće postići pružanjem kvalitetne zdravstvene nege, što zahteva posedovanje praktičnih veština, ličnih kvaliteta i znanja. Takođe, medicinska sestra predstavlja važanu kariku u multidisciplinarnom timu. Ona najviše vremena provodi sa pacijentom i njegovom porodicom, najkompetentnija je u proceni pacijenta i njegovih simptoma2 . Takođe je najčešći prenosilac informacija između pacijenta i drugih članova tima, u tome mora biti konkretna i tačna.

Mnogi pacijenti se plaše zračenja, što čini pripremu pacijenta i njegove porodice još značajnijom. Sestre bi trebalo da daju informacije o koristima zračne terapije u lečenju raka, procesu planiranja zračenja, šemi zračenja, kao i o aktivnosti samog pacijenta u cilju preveniranja propratnih neželjenih efekata zračenja, u odnosu na svakog pojedinog pacijenta. Od naročitog je značaja posvetiti vreme razgovoru sa pacijentom, njegovom porodicom i pružiti podršku3 . Neophodno je da se zadovolje mere zaštite bazirane na principima vremena, udaljenosti i metalnih blokova. Zdravstveno osoblje treba da provede što manje vremena u blizini pacijenta, sa radioaktivnim izvorima, kao i njegovoj sobi, uz maksimalno korišćenje olovne zaštite. Stepen sporednih efekata zavisi od mnogih faktora, što uključuje volumen tkiva koji se zrači, ukupne dnevne doze zračenja, metode zračenja i određene individualne faktore4 . Akutna reakcija, na primer kod kože, dešava se tokom zračenja i uopšteno govoreći, povlači se za 2-4 nedelje po završetku kompletnog zračenja. Kasni sporedni efekti mogu da se pojave nekoliko meseci nakon kompletnog zračenja i mogu trajati duži vremenski period.