(1) DOM ZDRAVLJA DOLJEVAC, SLUŽBA ZA ZDRAVSTVENU ZAŠTITU ODRASLOG STANOVNIŠTVA; (2) INSTITUT ZA JAVNO ZDRAVLJE NIŠ; (3) ZDRAVSTVENA USTANOVA APOTEKA LILLY DROGERIE; (4) ZDRAVSTVENI CENTAR KNJAŽEVAC, SLUŽBA ZA ZDRAVSTVENU ZAŠTITU PREDŠKOLSKE I ŠKOLSKE DECE SA MEDICINOM SPORTA I SAVETOVALIŠTEM ZA MLADE; (5) MEDICINSKI FAKULTET NIŠ Sažetak:Uvod: Rak debelog creva ili kolorektalni karcinom je jedan od najčešćih oblika zloćudnih oboljenja u svim razvijenim zemljama sa zabrinjavajućim trendom porasta učestalosti. S obzirom na važnost problema i činjenicu da u Republici Srbiji maligni tumori debelog creva predstavljaju drugu najčešću lokalizaciju malignih tumora kod oba pola, od koje svake godine približno oboli 4200 i umre 2600 lica, Ministarstvo zdravlja je sačinilo program organizovanog skrininga za karcinom kolorektuma u našoj zemlji, koji se sprovodi u vidu decentralizovanog programa počevši od 2013. godine. Cilj rada: Prikazati rezultate sprovođenja skrininga za kolorektalni karcinom na teritoriji Nišavskog okruga, za period 2013-2015. godine. Metoda: Analiza, pregled, obrada i statistički prikaz prikupljenih podataka koordinatora skrininga domova zdravlja na teritoriji Nišavskog okruga uključenih u program i koordinatora Instituta za javno zdravlje Niš. Rezultati: U periodu od početka sprovođenja skrininga zaključno sa 2015. godinom na teritoriji Nišavskog okruga postignuti su značajni rezultati. Od ukupnog broja ciljne populacije starosti od 50-74 godine (61 568), na skrining test je pozvano 64,28%, pri čemu se odazvalo 52,59%. 77,40% ispitanika je dostavilo FOB test, od toga je FOB+ bilo 6,57%, a FOB− 91,46%. Urađena su 223 kolonoskopska pregleda i otkriveno je ukupno 18 kolorektalnih carcinoma, tj. 1,69% od svih FOB+ ispitanika, i 0,11% od svih testiranih. Zaključak: Dosadašnji rezultati sprovedenog organizovanog skrininga su ohrabrujući. Očekujemo da će u narednom periodu povećanje obuhvata stanovništva skriningom doprineti smanjenju smrtnosti od kolorektalnog carcinoma, kako na našoj teritoriji, tako i u Srbiji. Ključne reči: kolorektalni karcinom, skrining. Summary:Introduction: Cancer of the colon or colorectal carcinoma is the most common form of malignant disease in all developed countries with a troubling trend of increasing frequency. Given the importance of the problem and the fact that in the Republic of Serbia malignant tumors of the colon are the second most common localization of malignant tumors in both sexes of which around 4,200 are diagnosed each year and 2,600 have died, the Ministry of Health has prepared a program of organized screening for colorectal cancer in our country which has been being implemented in the form of decentralized programs since 2013. Aim: To show the results of the implemented screening for colorectal cancer at the territory of Niš District for the period 2013-2015. Method: Analysis, inspection, processing and statistical representation of data collected by the screening coordinators at Health Care Centers at the territory of Niš District involved in the program and th...
Reproductive health implies that people are able to have a responsible, satisfying and safe sex life and that they have the capability to reproduce and the freedom to decide about it. It is directly conditioned by social, cultural and behavior factors.One in every five people in the world is an adolescent, and 85% of them live in developing countries. In many countries, taboos and norms about sexuality pose strong barriers to providing information, health services and other forms of support needed by young people to safeguard their sexual and reproductive health.The regulation of fertility is the most important factor that affects the reproductive health. Adolescents are not sufficiently aware of the possibility of contraception or sexually transmitted infections. In Serbia, 84% of boys and 65% girls (adolescents) have had sexual experience. Worldwide, 36-70% of adolescents do not use contraception and unwanted pregnancies are the reason for 90% of unwanted births and 89% of unsafe abortions.There are many programs in the world which aim to increase the knowledge about preservation of reproductive health. There are not any national programs in our country for family planning and preservation of reproductive health in youth population. In national strategy for youth are given different ways of youth education in the field of health promotion, including promotion of reproductive health.In order to ensure that adolescents have the ability to achieve good health, we must provide information and education in a timely manner, and we need to provide life skills and choices.
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