17 research outputs found
Evaluation of the parameters of importance for quality of life of laryngectomized patients.
Uvod:Kvalitet života trenutno predstavlja najaktuelniji koncept savremene nauke i smatra
se idealom moderne medicine. Holistički pristup lečenju čoveka a ne samo bolesti igra
značajnu ulogu u ostvarenju koncepta kvaliteta života povezanog sa zdravljem.
Kvalitetu života laringektomisanih bolesnika u našoj sredini nije posvećena
adekvatna pažnja. Totalna laringektomija kao veoma mutilantna operacija dovodi do
drastičnih promena u kvalitetu života. Multidisciplinarni rehabilitacioni program je
neophodan laringektomisanim bolesnicima da bi poboljšali kvalitet života. Fonijatrijska
rehabilitacija je najznačajniji vid rehabilitacije jer omogućava uspostavljanje verbalne
komunikacije. Rehabilitacioni tim koga čine fonijatri, logopedi, psiholozi i medicinske
sestre zaslužan je za uspešnu rehabilitaciju oko 87% laringektomisanih pacijenata koji su
savladali ezofagusni glas i govor. Psihološka rehabilitacija omogućava resocijalizaciju,
povratak u porodično okruženje i društvene aktivnosti. Plod ove studije je i konačno
formirano Udruženje laringektomisanih pacijenata Srbije.
Ciljevi studije:1.Proceniti demografske i kliničke karakteristike laringektomisanih
bolesnika i ispitati faktore od značaja za kvalitet života laringektomisanih bolesnika;
2.Evaluirati karakteristike ezofagusnog glasa i govora i izvršiti objektivizaciju kvaliteta
uspostavljanja alarinksnog govora; 3.Proceniti osnovne psihometrijske karakteristike
upitnika EORTC QLQ –C30 i EORTC QLQ H&N 43.
Materijal i metode: Istraživanje je sprovedeno u Klinici za otorinolaringologiju i
maksilofacijalnu hirurgiju Kliničkog centra Srbije u Beogradu u periodu od 01. marta 2012.
do 01. marta 2015. godine. Ispitivanjem je obuhvaćeno 223 pacijenta kojima je zbog
verifikovanog karcinoma larinksa učinjena totalna laringektomija u Klinici za
otorinolaringologiju i maksilofacijalnu hirurgiju Kliničkog centra Srbije a fonijatrijska
rehabilitacija je sprovedena u Odseku za fonijatriju Klinike. U okviru istraživanja pacijenti
su podeljeni u dve grupe:
• Prvu grupu je predstavljalo 168 laringektomisanih pacijenata koji su prošli sve
planirane faze fonijatrijske rehabilitacije...Introduction: Quality of life currently represents the most modern concepts of science and
it is considered the ideal of modern medicine. A holistic approach to the treatment of the
human, not only a disease, plays an important role in the realization of the concept of
health related to quality of life. In our community we do not pay adequate attention to the
quality of life of laryngectomized patients. Total laryngectomy as a mutilant operation
leads to drastic changes in life quality. A multidisciplinary rehabilitation program is
essential for the laryngectomized patients to improve their quality of life. Phoniatric
rehabilitation is the most important aspect of rehabilitation because it allows the restitution
of verbal communication. Rehabilitation team, consisting of phoniatricians, speech
therapists, psychologists and nurses, was responsible for the successful rehabilitation of
about 87% of laryngectomized patients who have mastered the esophageal voice and
speech. Psychological rehabilitation allows the resocialization, return to the family
environment and social activities. The yield of this study is the final establishment of the
Association of laryngectomized patients of Serbia.
Objectives of the study: 1.Evaluate the demographic and clinical characteristics of
laryngectomized patients and examine important factors for the life quality of
laryngectomized patients; 2.Evaluate characteristics of esophageal voice and speech and
perform objectification of quality established alaryngeal speech; 3.Evaluate basic
psychometric characteristics of the questionnaire EORTC QLQ - C30 and EORTC QLQ
H&N43.
Material and Methods: The study was conducted at the Clinic of Otorhinolaryngology
and Maxillofacial Surgery, Clinical Center of Serbia in Belgrade, in the period from 1st
March 2012 to 1st March 2015. The study included 223 patients, who were verified
laryngeal cancer and underwent total laryngectomy in the Clinic of Otorhinolaryngology
and Maxillofacial Surgery, Clinical Center of Serbia and phoniatric rehabilitation was
conducted in the Phoniatric Department. In this study the patients were divided into two
groups:
• The first group consisted of 168 laryngectomized patients who underwent all planned
phases of phoniatric rehabilitation..
Functionalization of academic content concerning carboxylic acids
Istraživanja [1, 2, 3, 4] su pokazala da se učenici srednjih škola suočavaju s
problemima u učenju gradiva organske hemije, posebno s primenom ovih znanja u različitim
kontekstima. Jedan od osnovnih uzroka je sama koncepcija nastave organske hemije, koja se
prvenstveno svodi na izlaganje akademskih znanja u gotovom vidu [2, 3]. U situacijama kada
se učenicima prenosi obimno i kompleksno gradivo, najčešće motivacija za učenje nije
velika. Akademska znanja iz organske hemije nisu od velikog značaja učenicima, ukoliko oni
ne uviđaju kako mogu da ih iskoriste za unapređivanje kvaliteta svakodnevnog života i
pripremu za bavljenje budućom profesijom [1, 3, 4]. Da bismo utvrdili da li izlaganje gradiva
organske hemije u kontekstu svakodnevnog života i različitih profesija može da doprinese
poboljšanju učeničkih postignuća i funkcionalizaciji stečenih znanja, sproveli smo pedagoški
eksperiment sa paralelnim grupama, sa učenicima trećeg razreda gimnazije prirodnomatematičkog
smera, u kome je ovaj inovativni pristup nastavi iskorišćen za obradu nastavne
teme Karboksilne kiseline i njihovi derivati. Utvrdili smo da primena ovog pristupa dovodi do
statistički značajnog poboljšanja učeničkih postignuća i njihove sposobnosti za primenu
stečenih znanja iz ove oblasti organske hemije u različitim životnim kontekstima.Research [1, 2, 3, 4] has indicated that high school students have problems related
to the learning of organic chemistry content, particulary problems associated with the
application of acquired knowledge in a variety of contexts. One of the main causes of this
problem is the very conception of organic chemistry courses, which are primarely based on
transmission of academic content [2, 3]. In situations where students are exposed to an
extensive and complex teaching material, their motivation for learning usually isn’t high.
Furthermore, academic content of organic chemistry is not relevant to students, if they are not
aware of how they can use it to improve the quality of their everyday life, or whether mastery
of this content is important for their future professions [1, 3, 4]. To determine whether
teaching organic chemistry in the context of everyday life, different professions and historical
context, can help to improve student achievement and functionalization of acquired
knowledge, we have conducted a pedagogical experiment with parallel groups of third grade
mathematics and science orientation gymnasium students. This innovative approach was used
for teaching about carboxylic acids and their derivates. We found that the application of this
approach leads to a statistically significant improvement in student achievement and their
ability to apply the acquired organic chemistry knowledge in a variety of contexts.Prvi naučni simpozijum sa međunarodnim učešće
Educational value of the history of science content
Osamdesetih godina prošlog veka američki naučni odbor je istakao neraskidivost
veze između razvoja nauke i razvoja tehnologije. S obzirom na tehnološki napredak društva u
kojem živimo, učenici se u školama moraju osposobljavati za razumevanje tehnoloških
inovacija i njihovog uticaja na kvalitet života, kao i za kritičko procenjivanje društvenih
pitanja koja obuhvataju posledice razvoja tehnologije [1]. Da bi razumeli nauku i tehnologiju
savremenog i budućeg doba, učenici treba da razumeju razvoj nauke i tehnologije u prošlosti.
Na primer, kroz odgovarajuće epizode iz istorije prirodnih nauka, učenici mogu sagledati
kako tehnologija traži odgovore nauke da bi se razvijala ili, kako se razvijala sposobnost
čoveka da uoči problem koji je značajan za istraživanje i čije rešavanje doprinosi razvoju
nauke, a samim tim i tehnologije. U ovom radu se govori o potencijalima sadržaja istorije
prirodnih nauka za obrazovanje i vaspitanje učenika. Razmatra se uticaj sadržaja iz istorije
prirodnih nauka na razumevanje pojmova iz savremenih prirodnih nauka, kao i uticaj na
razvoj psiho-fizičkih sposobnosti i formiranje pogleda na svet kod učenika.In the eighties American Scientific Committee noted the connection between the
development of science and technology. Because of the technological advancement of
modern society, students in schools must be trained to understand the technological
innovations and their impact on quality of life, as well as a critical evaluation of the social
issues that include the effects of technology development [1]. To understand the science and
technology of modern and future times, students need to understand the development of
science and technology in the past. For example, through appropriate episodes from the
history of science, students can see the relation between technology and science, and their
influence on the ability of man to detect a problem that is significant for the study. The
impact of the history of science content on student understanding of the concepts of modern
science, and development of their skills and view of the world are examined in this paper.Prvi naučni simpozijum sa međunarodnim učešće
Evaluation of the parameters of importance for quality of life of laryngectomized patients.
Uvod:Kvalitet života trenutno predstavlja najaktuelniji koncept savremene nauke i smatra
se idealom moderne medicine. Holistički pristup lečenju čoveka a ne samo bolesti igra
značajnu ulogu u ostvarenju koncepta kvaliteta života povezanog sa zdravljem.
Kvalitetu života laringektomisanih bolesnika u našoj sredini nije posvećena
adekvatna pažnja. Totalna laringektomija kao veoma mutilantna operacija dovodi do
drastičnih promena u kvalitetu života. Multidisciplinarni rehabilitacioni program je
neophodan laringektomisanim bolesnicima da bi poboljšali kvalitet života. Fonijatrijska
rehabilitacija je najznačajniji vid rehabilitacije jer omogućava uspostavljanje verbalne
komunikacije. Rehabilitacioni tim koga čine fonijatri, logopedi, psiholozi i medicinske
sestre zaslužan je za uspešnu rehabilitaciju oko 87% laringektomisanih pacijenata koji su
savladali ezofagusni glas i govor. Psihološka rehabilitacija omogućava resocijalizaciju,
povratak u porodično okruženje i društvene aktivnosti. Plod ove studije je i konačno
formirano Udruženje laringektomisanih pacijenata Srbije.
Ciljevi studije:1.Proceniti demografske i kliničke karakteristike laringektomisanih
bolesnika i ispitati faktore od značaja za kvalitet života laringektomisanih bolesnika;
2.Evaluirati karakteristike ezofagusnog glasa i govora i izvršiti objektivizaciju kvaliteta
uspostavljanja alarinksnog govora; 3.Proceniti osnovne psihometrijske karakteristike
upitnika EORTC QLQ –C30 i EORTC QLQ H&N 43.
Materijal i metode: Istraživanje je sprovedeno u Klinici za otorinolaringologiju i
maksilofacijalnu hirurgiju Kliničkog centra Srbije u Beogradu u periodu od 01. marta 2012.
do 01. marta 2015. godine. Ispitivanjem je obuhvaćeno 223 pacijenta kojima je zbog
verifikovanog karcinoma larinksa učinjena totalna laringektomija u Klinici za
otorinolaringologiju i maksilofacijalnu hirurgiju Kliničkog centra Srbije a fonijatrijska
rehabilitacija je sprovedena u Odseku za fonijatriju Klinike. U okviru istraživanja pacijenti
su podeljeni u dve grupe:
• Prvu grupu je predstavljalo 168 laringektomisanih pacijenata koji su prošli sve
planirane faze fonijatrijske rehabilitacije...Introduction: Quality of life currently represents the most modern concepts of science and
it is considered the ideal of modern medicine. A holistic approach to the treatment of the
human, not only a disease, plays an important role in the realization of the concept of
health related to quality of life. In our community we do not pay adequate attention to the
quality of life of laryngectomized patients. Total laryngectomy as a mutilant operation
leads to drastic changes in life quality. A multidisciplinary rehabilitation program is
essential for the laryngectomized patients to improve their quality of life. Phoniatric
rehabilitation is the most important aspect of rehabilitation because it allows the restitution
of verbal communication. Rehabilitation team, consisting of phoniatricians, speech
therapists, psychologists and nurses, was responsible for the successful rehabilitation of
about 87% of laryngectomized patients who have mastered the esophageal voice and
speech. Psychological rehabilitation allows the resocialization, return to the family
environment and social activities. The yield of this study is the final establishment of the
Association of laryngectomized patients of Serbia.
Objectives of the study: 1.Evaluate the demographic and clinical characteristics of
laryngectomized patients and examine important factors for the life quality of
laryngectomized patients; 2.Evaluate characteristics of esophageal voice and speech and
perform objectification of quality established alaryngeal speech; 3.Evaluate basic
psychometric characteristics of the questionnaire EORTC QLQ - C30 and EORTC QLQ
H&N43.
Material and Methods: The study was conducted at the Clinic of Otorhinolaryngology
and Maxillofacial Surgery, Clinical Center of Serbia in Belgrade, in the period from 1st
March 2012 to 1st March 2015. The study included 223 patients, who were verified
laryngeal cancer and underwent total laryngectomy in the Clinic of Otorhinolaryngology
and Maxillofacial Surgery, Clinical Center of Serbia and phoniatric rehabilitation was
conducted in the Phoniatric Department. In this study the patients were divided into two
groups:
• The first group consisted of 168 laryngectomized patients who underwent all planned
phases of phoniatric rehabilitation..
Evaluation of the parameters of importance for quality of life of laryngectomized patients.
Uvod:Kvalitet života trenutno predstavlja najaktuelniji koncept savremene nauke i smatra
se idealom moderne medicine. Holistički pristup lečenju čoveka a ne samo bolesti igra
značajnu ulogu u ostvarenju koncepta kvaliteta života povezanog sa zdravljem.
Kvalitetu života laringektomisanih bolesnika u našoj sredini nije posvećena
adekvatna pažnja. Totalna laringektomija kao veoma mutilantna operacija dovodi do
drastičnih promena u kvalitetu života. Multidisciplinarni rehabilitacioni program je
neophodan laringektomisanim bolesnicima da bi poboljšali kvalitet života. Fonijatrijska
rehabilitacija je najznačajniji vid rehabilitacije jer omogućava uspostavljanje verbalne
komunikacije. Rehabilitacioni tim koga čine fonijatri, logopedi, psiholozi i medicinske
sestre zaslužan je za uspešnu rehabilitaciju oko 87% laringektomisanih pacijenata koji su
savladali ezofagusni glas i govor. Psihološka rehabilitacija omogućava resocijalizaciju,
povratak u porodično okruženje i društvene aktivnosti. Plod ove studije je i konačno
formirano Udruženje laringektomisanih pacijenata Srbije.
Ciljevi studije:1.Proceniti demografske i kliničke karakteristike laringektomisanih
bolesnika i ispitati faktore od značaja za kvalitet života laringektomisanih bolesnika;
2.Evaluirati karakteristike ezofagusnog glasa i govora i izvršiti objektivizaciju kvaliteta
uspostavljanja alarinksnog govora; 3.Proceniti osnovne psihometrijske karakteristike
upitnika EORTC QLQ –C30 i EORTC QLQ H&N 43.
Materijal i metode: Istraživanje je sprovedeno u Klinici za otorinolaringologiju i
maksilofacijalnu hirurgiju Kliničkog centra Srbije u Beogradu u periodu od 01. marta 2012.
do 01. marta 2015. godine. Ispitivanjem je obuhvaćeno 223 pacijenta kojima je zbog
verifikovanog karcinoma larinksa učinjena totalna laringektomija u Klinici za
otorinolaringologiju i maksilofacijalnu hirurgiju Kliničkog centra Srbije a fonijatrijska
rehabilitacija je sprovedena u Odseku za fonijatriju Klinike. U okviru istraživanja pacijenti
su podeljeni u dve grupe:
• Prvu grupu je predstavljalo 168 laringektomisanih pacijenata koji su prošli sve
planirane faze fonijatrijske rehabilitacije...Introduction: Quality of life currently represents the most modern concepts of science and
it is considered the ideal of modern medicine. A holistic approach to the treatment of the
human, not only a disease, plays an important role in the realization of the concept of
health related to quality of life. In our community we do not pay adequate attention to the
quality of life of laryngectomized patients. Total laryngectomy as a mutilant operation
leads to drastic changes in life quality. A multidisciplinary rehabilitation program is
essential for the laryngectomized patients to improve their quality of life. Phoniatric
rehabilitation is the most important aspect of rehabilitation because it allows the restitution
of verbal communication. Rehabilitation team, consisting of phoniatricians, speech
therapists, psychologists and nurses, was responsible for the successful rehabilitation of
about 87% of laryngectomized patients who have mastered the esophageal voice and
speech. Psychological rehabilitation allows the resocialization, return to the family
environment and social activities. The yield of this study is the final establishment of the
Association of laryngectomized patients of Serbia.
Objectives of the study: 1.Evaluate the demographic and clinical characteristics of
laryngectomized patients and examine important factors for the life quality of
laryngectomized patients; 2.Evaluate characteristics of esophageal voice and speech and
perform objectification of quality established alaryngeal speech; 3.Evaluate basic
psychometric characteristics of the questionnaire EORTC QLQ - C30 and EORTC QLQ
H&N43.
Material and Methods: The study was conducted at the Clinic of Otorhinolaryngology
and Maxillofacial Surgery, Clinical Center of Serbia in Belgrade, in the period from 1st
March 2012 to 1st March 2015. The study included 223 patients, who were verified
laryngeal cancer and underwent total laryngectomy in the Clinic of Otorhinolaryngology
and Maxillofacial Surgery, Clinical Center of Serbia and phoniatric rehabilitation was
conducted in the Phoniatric Department. In this study the patients were divided into two
groups:
• The first group consisted of 168 laryngectomized patients who underwent all planned
phases of phoniatric rehabilitation..
Evaluation of the parameters of importance for quality of life of laryngectomized patients.
Uvod:Kvalitet života trenutno predstavlja najaktuelniji koncept savremene nauke i smatra
se idealom moderne medicine. Holistički pristup lečenju čoveka a ne samo bolesti igra
značajnu ulogu u ostvarenju koncepta kvaliteta života povezanog sa zdravljem.
Kvalitetu života laringektomisanih bolesnika u našoj sredini nije posvećena
adekvatna pažnja. Totalna laringektomija kao veoma mutilantna operacija dovodi do
drastičnih promena u kvalitetu života. Multidisciplinarni rehabilitacioni program je
neophodan laringektomisanim bolesnicima da bi poboljšali kvalitet života. Fonijatrijska
rehabilitacija je najznačajniji vid rehabilitacije jer omogućava uspostavljanje verbalne
komunikacije. Rehabilitacioni tim koga čine fonijatri, logopedi, psiholozi i medicinske
sestre zaslužan je za uspešnu rehabilitaciju oko 87% laringektomisanih pacijenata koji su
savladali ezofagusni glas i govor. Psihološka rehabilitacija omogućava resocijalizaciju,
povratak u porodično okruženje i društvene aktivnosti. Plod ove studije je i konačno
formirano Udruženje laringektomisanih pacijenata Srbije.
Ciljevi studije:1.Proceniti demografske i kliničke karakteristike laringektomisanih
bolesnika i ispitati faktore od značaja za kvalitet života laringektomisanih bolesnika;
2.Evaluirati karakteristike ezofagusnog glasa i govora i izvršiti objektivizaciju kvaliteta
uspostavljanja alarinksnog govora; 3.Proceniti osnovne psihometrijske karakteristike
upitnika EORTC QLQ –C30 i EORTC QLQ H&N 43.
Materijal i metode: Istraživanje je sprovedeno u Klinici za otorinolaringologiju i
maksilofacijalnu hirurgiju Kliničkog centra Srbije u Beogradu u periodu od 01. marta 2012.
do 01. marta 2015. godine. Ispitivanjem je obuhvaćeno 223 pacijenta kojima je zbog
verifikovanog karcinoma larinksa učinjena totalna laringektomija u Klinici za
otorinolaringologiju i maksilofacijalnu hirurgiju Kliničkog centra Srbije a fonijatrijska
rehabilitacija je sprovedena u Odseku za fonijatriju Klinike. U okviru istraživanja pacijenti
su podeljeni u dve grupe:
• Prvu grupu je predstavljalo 168 laringektomisanih pacijenata koji su prošli sve
planirane faze fonijatrijske rehabilitacije...Introduction: Quality of life currently represents the most modern concepts of science and
it is considered the ideal of modern medicine. A holistic approach to the treatment of the
human, not only a disease, plays an important role in the realization of the concept of
health related to quality of life. In our community we do not pay adequate attention to the
quality of life of laryngectomized patients. Total laryngectomy as a mutilant operation
leads to drastic changes in life quality. A multidisciplinary rehabilitation program is
essential for the laryngectomized patients to improve their quality of life. Phoniatric
rehabilitation is the most important aspect of rehabilitation because it allows the restitution
of verbal communication. Rehabilitation team, consisting of phoniatricians, speech
therapists, psychologists and nurses, was responsible for the successful rehabilitation of
about 87% of laryngectomized patients who have mastered the esophageal voice and
speech. Psychological rehabilitation allows the resocialization, return to the family
environment and social activities. The yield of this study is the final establishment of the
Association of laryngectomized patients of Serbia.
Objectives of the study: 1.Evaluate the demographic and clinical characteristics of
laryngectomized patients and examine important factors for the life quality of
laryngectomized patients; 2.Evaluate characteristics of esophageal voice and speech and
perform objectification of quality established alaryngeal speech; 3.Evaluate basic
psychometric characteristics of the questionnaire EORTC QLQ - C30 and EORTC QLQ
H&N43.
Material and Methods: The study was conducted at the Clinic of Otorhinolaryngology
and Maxillofacial Surgery, Clinical Center of Serbia in Belgrade, in the period from 1st
March 2012 to 1st March 2015. The study included 223 patients, who were verified
laryngeal cancer and underwent total laryngectomy in the Clinic of Otorhinolaryngology
and Maxillofacial Surgery, Clinical Center of Serbia and phoniatric rehabilitation was
conducted in the Phoniatric Department. In this study the patients were divided into two
groups:
• The first group consisted of 168 laryngectomized patients who underwent all planned
phases of phoniatric rehabilitation..
Evaluation of the parameters of importance for quality of life of laryngectomized patients.
Uvod:Kvalitet života trenutno predstavlja najaktuelniji koncept savremene nauke i smatra
se idealom moderne medicine. Holistički pristup lečenju čoveka a ne samo bolesti igra
značajnu ulogu u ostvarenju koncepta kvaliteta života povezanog sa zdravljem.
Kvalitetu života laringektomisanih bolesnika u našoj sredini nije posvećena
adekvatna pažnja. Totalna laringektomija kao veoma mutilantna operacija dovodi do
drastičnih promena u kvalitetu života. Multidisciplinarni rehabilitacioni program je
neophodan laringektomisanim bolesnicima da bi poboljšali kvalitet života. Fonijatrijska
rehabilitacija je najznačajniji vid rehabilitacije jer omogućava uspostavljanje verbalne
komunikacije. Rehabilitacioni tim koga čine fonijatri, logopedi, psiholozi i medicinske
sestre zaslužan je za uspešnu rehabilitaciju oko 87% laringektomisanih pacijenata koji su
savladali ezofagusni glas i govor. Psihološka rehabilitacija omogućava resocijalizaciju,
povratak u porodično okruženje i društvene aktivnosti. Plod ove studije je i konačno
formirano Udruženje laringektomisanih pacijenata Srbije.
Ciljevi studije:1.Proceniti demografske i kliničke karakteristike laringektomisanih
bolesnika i ispitati faktore od značaja za kvalitet života laringektomisanih bolesnika;
2.Evaluirati karakteristike ezofagusnog glasa i govora i izvršiti objektivizaciju kvaliteta
uspostavljanja alarinksnog govora; 3.Proceniti osnovne psihometrijske karakteristike
upitnika EORTC QLQ –C30 i EORTC QLQ H&N 43.
Materijal i metode: Istraživanje je sprovedeno u Klinici za otorinolaringologiju i
maksilofacijalnu hirurgiju Kliničkog centra Srbije u Beogradu u periodu od 01. marta 2012.
do 01. marta 2015. godine. Ispitivanjem je obuhvaćeno 223 pacijenta kojima je zbog
verifikovanog karcinoma larinksa učinjena totalna laringektomija u Klinici za
otorinolaringologiju i maksilofacijalnu hirurgiju Kliničkog centra Srbije a fonijatrijska
rehabilitacija je sprovedena u Odseku za fonijatriju Klinike. U okviru istraživanja pacijenti
su podeljeni u dve grupe:
• Prvu grupu je predstavljalo 168 laringektomisanih pacijenata koji su prošli sve
planirane faze fonijatrijske rehabilitacije...Introduction: Quality of life currently represents the most modern concepts of science and
it is considered the ideal of modern medicine. A holistic approach to the treatment of the
human, not only a disease, plays an important role in the realization of the concept of
health related to quality of life. In our community we do not pay adequate attention to the
quality of life of laryngectomized patients. Total laryngectomy as a mutilant operation
leads to drastic changes in life quality. A multidisciplinary rehabilitation program is
essential for the laryngectomized patients to improve their quality of life. Phoniatric
rehabilitation is the most important aspect of rehabilitation because it allows the restitution
of verbal communication. Rehabilitation team, consisting of phoniatricians, speech
therapists, psychologists and nurses, was responsible for the successful rehabilitation of
about 87% of laryngectomized patients who have mastered the esophageal voice and
speech. Psychological rehabilitation allows the resocialization, return to the family
environment and social activities. The yield of this study is the final establishment of the
Association of laryngectomized patients of Serbia.
Objectives of the study: 1.Evaluate the demographic and clinical characteristics of
laryngectomized patients and examine important factors for the life quality of
laryngectomized patients; 2.Evaluate characteristics of esophageal voice and speech and
perform objectification of quality established alaryngeal speech; 3.Evaluate basic
psychometric characteristics of the questionnaire EORTC QLQ - C30 and EORTC QLQ
H&N43.
Material and Methods: The study was conducted at the Clinic of Otorhinolaryngology
and Maxillofacial Surgery, Clinical Center of Serbia in Belgrade, in the period from 1st
March 2012 to 1st March 2015. The study included 223 patients, who were verified
laryngeal cancer and underwent total laryngectomy in the Clinic of Otorhinolaryngology
and Maxillofacial Surgery, Clinical Center of Serbia and phoniatric rehabilitation was
conducted in the Phoniatric Department. In this study the patients were divided into two
groups:
• The first group consisted of 168 laryngectomized patients who underwent all planned
phases of phoniatric rehabilitation..
Recent landform evolution in Serbia
Serbia can be divided into two major geographical units: the Vojvodina Plain and the southern hills and mountains. In the plain fluvial and aeolian processes and landforms on loess are typical, while south of the Sava and Danube rivers, sheet and gully erosion, mass movements, fluvial, karstic, and fluvio-karstic landform evolution are most influential in shaping the present topography. Among the now inactive geomorphic processes tectonic movements, volcanic activity, coastal, glacial, and aeolian evolution have left behind traces still detectable in modern topography. Some examples of rapid topographic change resulting in the most spectacular landforms (landslides, rockfalls, natural bridges, and rock pinnacles) are presented and described in detail from various regions of Serbia
The algorithm for the assessment of functional work capacity of railway workers with chronic obstructive pulmonary disease (COPD)
The assessment of functional work capacity based on the biological function of the body and a specific job demands and job characteristics, determine whether a person is capable to do the job or group of jobs. Evaluation of work capacity (EWC) railway workers is conducted according to the program of Regulations for the former and periodic examinations of employees in workplaces with high risk published in the Official Gazette of RS no. 120/ 07 and 655. Regulations on health conditions to be met by railway workers, who are directly involved in railway transport. One of the most common chronic diseases during EWC is chronic obstructive pulmonary disease (COPD). The definition of contraindications for use of railway employees with COPD given by Ordinance 655 is in very general terms, trying to make it easier and improve the quality of assessment of work capacity, we have developed an algorithm for the assessment of work ability among these workers. When doubt the existence of COPD should first prove that the disease exists, according to GOLD (Global Initiative for Chronic Obstructive Lung Disease) guidelines, and for occupational medicine we considered important to clarify and standardize the assessment criteria for EWC, which resulting in a diagnostic algorithm for EWC. It is also important to know which type of job will worker to do. Application of a diagnostic algorithm in EWC will allow optimal assessment of disease severity in railway and other workers suffering of COPD working at the workplace with an increased risk efficacy treatment evaluation; assess compensation of functional defects and determine schedule of periodical examination