Ocenjivanje radne sposobnosti (ORS) je postupak koji služi da se na osnovu bioloških funkcija organizma neke osobe i zahteva određenog posla i karakteristika radnog mesta utvrdi da li je ispitivana osoba sposobna za taj posao ili grupu poslova. ORS izvršnih radnika na železnici se obavlja prema programu propisanom Pravilnikom o predhodnim i periodičnim pregledima zaposlenih na radnim mestima sa povećanim rizikom (Službeni glasnik RS br. 120/07) i Pravilniku 655 o zdravstvenim uslovima koje moraju ispunjavati železnički radnici koji neposredno učestvuju u vršenju železničkog saobraćaja. Jedna od hroničnih bolesti sa kojima se susrećemo tokom ORS je hronična opstruktivna bolest pluća (HOBP). Definicija kontraindikacija za rad železničkih radnikau izvršnoj službi koji boluju od HOBP sadržana u pravilniku 655 je veoma uopštena. Zato smo, da bi olakšali i poboljšali kvalitet procene radne sposobnosti, razvili algoritam za procenu radne sposobnosti kod ovih radnika. Prema GOLD (Global Initiative for Chronic Obstructive Lung Disease) smernicama kod sumnje na postojanje HOBP najpre treba dokazati da bolest postoji, a za potrebe medicine rada smatrali smo važnim ujednačiti i pojasniti kriterijume za ocenu radne sposobnosi, što je rezultovalo dijagnostičkim algoritmom za ORS. Takođe je važno voditi računa za koje radno mesto se ORS vrši. Primena dijagnostičkog algoritma tokom ORS, omogućuje da se kod izvršnih radnika na železnici i na radnom mestu sa povećanim rizikom koji boluju HOBP izvrši optimalna procena težine bolesti, utvrdi efikasnost terapijskog tretmana, proceni da li su nedostaci funkcinalno kompenzovani i utvrdi dinamika vanrednih perodičnih pregleda.

670 students, of 3rd, 5th and 7th grade, were examined. 50,6% were boys, 526(78,51%) healthy (3<PB<90), that is well nourished students, (257-38,36%) boys and (269-40,15%) girls. There is statistically significant frequency of normally nourished children of 3rd, 5th and 7th grade in comparison to the whole frequency of appearing of the numbered eating disorders (p<0,001). Undernourished (PB) were 18 students (2,68%), 9 boys (1,34%) and 9 girls (1,34%). Malnutrition is statistically the least frequent eating disorder with children of 3rd, 5th and 7th grade. Pre-obese (90<PB<97) were 92 students (13,73%), where 47 were boys (7,01%) and 45 were girls (6,72%). Pre-obesity is statistically the most frequent eating disorder among children of 3rd, 5th and 7th grade (p<0,05). 34 students (5,07%) were diagnosed with obesity, 26 (3,88%) boys and 8 (1,19%) girls. Statistically the obesity appears more often with boys than with girls of the same age (p<0,001). In general the least manifested eating disorder with students of 3rd, 5th and 7th grade, but also in each class separately, is undernourishment, which appears with the same frequency both with boys and girls. Generally the most manifested disorder in nourishment with students of 3rd, 5th and 7th grade, but also in each class separately, is pre-obesity which appears with the same frequency both with boys and girls. The level of obesity is the highest with the students of 3rd grade, and the lowest with the students of 5th grade.

In 2008. 1402 children of 1st,3rd,5th and 7th grade of 18 elementary schools in Serbian enclave of Kosovo Pomoravlje, were examined. This are villages of municipality of Gnjilane, Vitina, Novo Brdo and Kosovska Kamenica. I general 2816 children attend the elementary school. 932 of all examined children had a deformity, every ten had kyphosis, and every 8-10 had scoliosis. Every 5th child of 1st grade and every 6th child of 3rd grade had anemia. Some kind of flat-footed (pedes pllani) had every fifth to every third child. Only every tenth child was fat.