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<div>
<p class="MsoNormal">REČ UREDNIKA</p>
<p class="MsoNormal"><br />
</p>
<p class="MsoNormal" style="text-align: left;">Pripremajući izdanje časopisa koje upravo čitate, kroz tekstove različititih autora, iznova sam dolazila do zaključka da uspešan i dobar zdravstveni radnik mora biti pomalo i psiholog. Svakodnevni rad sa pacijentima pun je izazova i iziskuje mnogo strpljenja i razumevanja. U trenucima kada ispred vas stoji nepristojan, ljut, agresivan ili zahtevan pacijent, farmaceut ili lekar mora postati i psiholog kako bi na pravi način pomogao. U stalnoj rubrici „Menadžment u farmaciji", naš autor Igor Lazarević piše o radu sa problematičnim kupcima i o tome koliko je važno razumeti psihologiju različitih ljudi sa kojima svakodnevno poslujete. Iako je tekst inicijalno urađen iz ugla ekonomiste i pomaže poslovanju apoteka, može se primeniti i na odnos lekara sa pacijentima, ali i na odnose unutar različitih kompanija i institucija u zdravstvu.Čini mi se da sve veći problem postaje rad sa pacijentima koji su zbunjeni ili uplašeni,najčešće zbog oprečnih informacija kojima raspolažu na temu određenog zdravstvenog problema ili lečenja. Jedan od aktuelnih primera je i problem koji je nastao u vezi sa odbijanjem određenog broja roditelja da vakcinišu decu u okviru obavezne vakcinacije.Ljudi imaju osobinu da se brzo adaptiraju na dobre stvari pa smo zaboravili, odnosno,nikada nismo ni imali priliku videti kako je izgledalo kad je svaki 10 čovek umirao od velikih boginja. Dobro je podsetiti se da je upravo zahvaljujući vakcinaciji dosta teških zaraznih bolesti iskorenjeno ili dovedeno pod kontrolu. Naš autor, mr ph. Uroš Čakar, u okviru zdravstvenog vremeplova podseća sve nas na deo istorije vakcinacije kroz priču o Edvardu Dženeru i velikim boginjama.Često ne možemo birati okolnosti u kojima se nađemo, ali uvek možemo izabrati način kako na njih da reagujemo.Nepopravljivi optimisti bi rekli da ako se samo malo potrudimo svuda možemo naći nešto pozitivno ili je to samo nešto što se može naći u Letećem Cirkusu Montija Pajtona. Šta vi mislite?</p>
<p class="MsoNormal" style="text-align: right;">Glavni i odgovorni urednik</p>
<p class="MsoNormal" style="text-align: right;">Estela Gaković Ranisavljević</p></div>
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<h1 style="margin: 0px; padding: 0px; border: 0px; outline: 0px; vertical-align: baseline;"><span style="font-weight: normal; line-height: 20px; font-family: Arial, Helvetica, sans-serif; font-size: 10pt; color: rgb(104, 108, 111);">Poštovani čitaoci,</span></h1>
<h1 style="margin: 0px; padding: 0px; border: 0px; outline: 0px; vertical-align: baseline;"><span style="font-weight: normal; line-height: 20px; font-family: Arial, Helvetica, sans-serif; font-size: 10pt; color: rgb(104, 108, 111);">O etici u zdravstvu se često diskutuje, a </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">ova, uvek aktuelna tema, poslednjih godina </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">otvara nova pitanja o etičkim principima </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">genetskih istraživanja. Dešifrovanje ljudskog </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">genoma dovelo je do razvoja različitih </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">naučnih metoda i sprovođenja </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">farmakogenetskih studija čiji je rezultat,</span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">između ostalog, ogromna količina </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">prikupljenih genetskih informacija. Zbog </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">rizika od zloupotrebe dobijenih informacija,</span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">kao i nepostojanja regulative u rukovanju </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">genetičkim nalazima otvaraju se brojna </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">etička, moralna i pravna pitanja, ali i veliki </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">potencijal za poboljšanje zdravstva. Tekst u</span></h1>
<h1 style="margin: 0px; padding: 0px; border: 0px; outline: 0px; vertical-align: baseline;"><span style="font-weight: normal; line-height: 20px; font-family: Arial, Helvetica, sans-serif; font-size: 10pt; color: rgb(104, 108, 111);">kome naša autorka doc. dr med. sci. Ljiljana </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">Bojović Hastreiter preispituje etičke aspekte </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">farmakogenetike i genetske dijagnostike </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">navodi me na razmišljanje o filozofiji morala </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">u zdravstvenom sistemu. Moralna pravila</span></h1>
<h1 style="margin: 0px; padding: 0px; border: 0px; outline: 0px; vertical-align: baseline;"><span style="font-weight: normal; line-height: 20px; font-family: Arial, Helvetica, sans-serif; font-size: 10pt; color: rgb(104, 108, 111);">nisu apsolutno važeća i menjala su se tokom </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">istorije ljudske civilizacije, ali od zdravstvenih </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">radnika se uvek očekivalo pored znanja i </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">etičko i savesno ponašanje. Savremena </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">zdravstvena etika se pored klasičnih </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">problema susreće sa svim problemima </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">današnjice, dehumanizacijom društa pa </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">posledično i medicine i neuvažavanjem</span></h1>
<h1 style="margin: 0px; padding: 0px; border: 0px; outline: 0px; vertical-align: baseline;"><span style="font-weight: normal; line-height: 20px; font-family: Arial, Helvetica, sans-serif; font-size: 10pt; color: rgb(104, 108, 111);">opštih ljudskih i moralnih vrednosti. Pravila </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">ponašanja zdravstvenih radnika se </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">pokušavalo regulisati na različite načine, još </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">od Hipokratove zakletve preko Ženevske </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">deklaracije i različitih kodeksa i smernica </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">dobre prakse, ali uvek ostaju dileme i </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">nerazjašnejna pitanja, a nekako mi se čini da </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">se na kraju cela priča svodi na pitanje</span></h1>
<h1 style="margin: 0px; padding: 0px; border: 0px; outline: 0px; vertical-align: baseline;"><span style="font-weight: normal; line-height: 20px; font-family: Arial, Helvetica, sans-serif; font-size: 10pt; color: rgb(104, 108, 111);">dobrote. Da li je mogući biti dobar lekar ili </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">farmaceut ako nisi i dobar čovek?</span></h1>
<h1 style="margin: 0px; padding: 0px; border: 0px; outline: 0px; vertical-align: baseline;"><span style="font-weight: normal; line-height: 20px; font-family: Arial, Helvetica, sans-serif; font-size: 10pt; color: rgb(104, 108, 111);">Glavni i odgovorni urednik</span></h1>
<h1 style="margin: 0px; padding: 0px; border: 0px; outline: 0px; vertical-align: baseline;">
</h1>
<h1 style="margin: 0px; padding: 0px; border: 0px; outline: 0px; vertical-align: baseline;"><span style="font-weight: normal; line-height: 20px; font-family: Arial, Helvetica, sans-serif; font-size: 10pt; color: rgb(104, 108, 111);">Estela Gaković Ranisavljević</span></h1> ',
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<h1 style="margin: 0px; padding: 0px; border: 0px; outline: 0px; vertical-align: baseline;"><span style="font-weight: normal; line-height: 20px; font-family: Arial, Helvetica, sans-serif; font-size: 10pt; color: rgb(104, 108, 111);">Poštovani čitaoci,</span></h1>
<h1 style="margin: 0px; padding: 0px; border: 0px; outline: 0px; vertical-align: baseline;"><span style="font-weight: normal; line-height: 20px; font-family: Arial, Helvetica, sans-serif; font-size: 10pt; color: rgb(104, 108, 111);">Stvari nisu uvek onakvim kakvim nam se </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">čine. Često nesvesno stvaramo obrasce </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">mišljenja, gradimo „prečice" u razmišljanju </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">zasnovane na prethodnim iskustvima, </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">ubeđenjima ili jednostavno iz ugla gledanja.</span></h1>
<h1 style="margin: 0px; padding: 0px; border: 0px; outline: 0px; vertical-align: baseline;"><span style="font-weight: normal; line-height: 20px; font-family: Arial, Helvetica, sans-serif; font-size: 10pt; color: rgb(104, 108, 111);">Takva razmišljanja su često pogrešna i </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">stvaraju nam probleme. Pogrešni obrasci </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">mišljenja mogu čitav misaoni proces da </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">smeste u pogrešan, najčešće sužen okvir.</span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">Odličan i slikovit primer kako nas naš ugao </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">gledanja ume prevariti daje Daglas Adams u </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">knjizi „Autostoperski vodič kroz galaksiju – </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">Do viđenja i hvala na svim ribama" u priči o </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">keksu. Artur Dent čeka voz na stanici, čita </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">novine i sprema se da otvori kutiju keksa koju </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">je kupio. Pored njega sedi neznanac koji prvi </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">otvara kutiju i ništa negovoreći počinje da </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">jede keks. Artur obuzet ljutnjom, ne govori </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">ništa, uzima keks iz iste kutije. Tako zajedno </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">pojedu kutiju keksa, a Artura izjeda cela </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">situacija. Stranac odlazi, a Artur ispod novina </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">pronalazi svoju kutiju keksa. Shvata da je on </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">u stvari pojeo strančev keks.</span></h1>
<h1 style="margin: 0px; padding: 0px; border: 0px; outline: 0px; vertical-align: baseline;"><span style="font-weight: normal; line-height: 20px; font-family: Arial, Helvetica, sans-serif; font-size: 10pt; color: rgb(104, 108, 111);">O tome kako ne treba da mislimo jedan je </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">od zanimljivh i edukativnih tekstova koje </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">možete pročitati na sledećim stranicama.</span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">Uvek je dobro podsetiti se jednostavnih </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">mudrosti koje, kao po nekom nepisanom </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">pravilu, najmanje primenjujemo. Ako </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">krenemo od pretpostavke da sve potiče iz </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">misli i da misao prethodi delu onda pazimo </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">na svoje misli, jer kakve su nam misli takav </span><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">nam je život.</span></h1>
<div style="text-align: right;"><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">Glavna i odgovorna urednica</span></div>
<div style="text-align: right;"><span style="color: rgb(104, 108, 111); font-family: Arial, Helvetica, sans-serif; font-size: 10pt; font-weight: normal; line-height: 20px;">Estela Gaković Ranisavljević</span></div> ',
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<h1><span style="font-size: 10pt; font-weight: normal;">Poštovani čitaoci,</span></h1>
<h1><span style="font-size: small; font-weight: normal;">Bliži se kraj 2013. godine i većina ljudi se osvrće na prethodnu godinu i pravi planove za narednu. Poslednjih godina se često čuje izraz „novogodišnja depresija", kao posledica velikih očekivanja ili neuspeha kojih mnogi </span><span style="font-size: small; font-weight: normal;">postanu svesni u vreme prazničnog novogodišnjeg raspoloženja i slavlja. Uvek su mi zanimljive teme o ljudskoj psihologiji i ponašanju. Novi pogled na uzroke, a posledično i na lečenje depresije iznosi naš autor dr Đorđe Marina u zanimljivom tekstu koji daje uvid u rezultate najnovijih istraživanja ove oblasti. Zanimljiv je rezultat studije koji ukazuje da većina depresivnih ljudi brže stari ili brže oboleva od demencije,srčanih oboljenja ili dijabetesa. Kongitivna neuronauka raspolaže intrigantnim dokazima da lični doživljaj stresne situacije i pogleda na svet utiče na dužinu telomera (krajeva) hromozoma, koje se smanjuju kako čovek stari. Kod depresivnih i pesimističnih ljudi telomere se ranije i brže skraćuju pa je po toj teoriji i starenje ubrzano. To je još jedan od dokaza u prilog tvrdnji da životna filozofija utiče na psihičko ali i fizičko zdravlje, a sviđa mi se ideja da bi se moglo reći da je jedna od terapija budućnosti „lečenje filozofijom".Irvin D. Jalom, profesor psihijatrije na Stenford univerzitetu u knjizi „Lečenje Šopenhauerom" na slikovit i zanimljiv način oslikava koliko filozofija može pomoći u različitim problemima sa kojima se svakodnevno suočavamo. Posmatranje sebe,svojih postupaka i sumiranje dešavanja bi trebalo da budu svakodnevna praksa jer na taj način nećemo dočekati kraj godine uz </span><span style="font-size: small; font-weight: normal;">„novogodišnju depresiju".Sa željom da filozofski način razmišljanja i svesnost o sebi i svojim postupcima postane vaša rutina u 2014. godini želim vam prijatne praznike.</span><span style="font-size: small; font-weight: normal;"><span class="Apple-tab-span" style="white-space:pre"> </span>Glavni i odgovorni urednik </span><span style="font-size: small; font-weight: normal;">Estela Gaković Ranisavljević</span><span style="font-size: small; font-weight: normal; color: rgb(0, 60, 100); font-family: Arial;">.</span></h1> ',
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<p><span style="font-size: medium; font-weight: normal;">Poštovani čitaoci,</span></p>
<p><span style="font-size: medium;"><span style="font-weight: normal;">Zakon o pravima pacijenata stupa na snagu od 01. decembra 2013. godine i donosi nekoliko novina, ali jedna od najintrigantnijih je pravo deteta da od 15. godine starosti samostalno donosi odluke o lečenju. Još tokom faze izrade pomenutog zakona ova stavka je uzburkala mišljenja, a uvedena je u </span><span style="font-weight: normal;">Zakon na osnovu zahteva UNICEF-a i Centra za zaštitu dece koji žele što više prava za decu od petnaeste godine. Ova tema pokreće mnoga filozofska, etička ali i moralna pitanja.Deca će imati pravo na odgovarajuću medicinsku zaštitu bez roditeljskog prisustva što ostavlja roditelje bez prava da utiču na jednu od najvećih vrednosti uopšte – zdravlje svoje dece. Individualno je, koliko je dete od 15 godina zrelo da donosi samostalne odluke takve vrste. Utisak je da prava mladih u Srbiji </span><span style="font-weight: normal;">ne samo da nisu harmonizovana, već su u potpunom „raskoraku" sa zdravim razumom.</span><span style="font-weight: normal;">Dok se novim zakonom iz oblasti zdravstva deci od 15 godina daje pravo da budu samostalna, Zakonom o radnim odnosima, na primer, predviđeno je da dete od 15 godina može da se zaposli isključivo uz saglasnost roditelja ili staratelja. Za brak, čak i godinu dana starijem adolescentu, sa </span><span style="font-weight: normal;">navršenih 16 godina, neophodna je potvrda suda da je za ženidbu ili udaju telesno i duševno zreo.</span><span style="font-weight: normal;">Otvaraju se mnoga pitanja? Koliko imamo poverenja u svoju decu ili način na koji smo ih vaspitali? Da li je slobodna odluka samo za one koji su emotivno i mentalno zreli? Da li zakonske odredbe i norme mogu sprečiti nekog u svojoj nameri da nešto uradi?</span><span style="font-weight: normal;">Odgovori su individualni, ali svakako teraju da razmislimo u kom pravcu želimo da idemo.<br />
<div style="text-align: right;">Glavna i odgovorna urednica </div>
</span></span><span style="font-weight: normal; font-size: medium;">
<div style="text-align: right;">Estela Gaković Ranisavljević</div></span></p>
<h1>
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