In the second half of the 20th century, demographic changes of the Tesanj municipality developed in accordance with the complex socioeconomic circumstances in this area. In the period from 1953 to 1991 the population of Tesanj municipality increased by the average annual population growth rate of 1.5%. The biggest impact on demographic trends had the positive and relatively high rates of natural increase. The natural population change of Tesanj municipality in this period was the result of the effect of biological, socioeconomic, psychological and other factors. In this period fertility significantly influenced the rates of natural increase of municipal population. The gradual decline process of the fertility rates, which has started in the 1960s and still lasts, reflected on the natural population change and population growth rates of Tesanj population. Additional decrease of the fertility and birth rates, as well as moderate increase of mortality rate was observed. This occurred due to the decrease of the total population, as well as the adverse socioeconomic circumstances after 1995, which resulted in low natural growth rates.

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.

Knowledge of pigmented lesions dates back to ancient times beginning with Hippocrates and Celsius, who called such outgrowths naevi nigricans. In the 16th century they were described by Russius Lauretius and then in 17th century by Highmore as tumors resembling coal. During the 20th century those tumors had different names: melanotic tumor, melanotic cancer, anthracite cancer etc. One of recent publications is the thesis by Bonnta in Lion (1911) titled ”Melanosis and melanotic tumors“. In 1967 an international body within the World Health Organization was established for the evaluation of diagnostic methods and treatment of melanoma, and under its auspices comparative clinical research has been conducted worldwide [1].