INTRODUCTION: The World Health Organization defines patient adherence as the willingness to adapt its behavior (in terms of therapy, diet, lifestyle, and diagnostic procedures) to the recommendations agreed with the healthcare provider. Objective. The study aimed to determine the impact of socio-demographic factors and length of elevated blood pressure on the adherence of patients with arterial hypertension. METHOD: The study was performed as a cross-sectional study. The sample consisted of 170 patients, 88 (51.8%) women and 82 (48.2%) men, with a mean age of 58 ± 7.9 years. In addition to the general questionnaire, the study used the Adherence in Chronic Diseases Scale. RESULTS: Statistically significantly higher adherence was found in subjects aged 60-69 years and participants in the study with arterial hypertension for more than 15 years (p<0.05). Subjects with completed primary school had statistically significantly lower adherence (p<0.05). Place of residence, employment status and gender of the respondents did not show a statistically significant influence on the adherence of the respondents (NS). CONCLUSION: It uses the age, educational status and duration of arterial hypertension in the adherence of examination statistics. Place of residence, employee status and gender of respondents do not show a statistically significant impact.

Introduction: Irritable bowel syndrome represents chronic, functional bowel disorder, without organic substrate, which manifests with abdominal pain, bloating and diarrhea and/or constipation. Diagnosing irritable bowel syndrome includes anamnesis, physical examination and depending on indications, endoscopic exam as well. Therapy includes medications and psychotherapy, during exacerbations. Case report: Female patient 26 year old, pays a visit to outpatient clinic, due to frequent stools in last couple of weeks. She has 2-4 stools a day, without mucilage or blood in the stool. She feels bloated and experiences abdominal discomfort, which subsides after emptying stool contents. She denies other symptoms and has been perfectly healthy up till now. After the examination we came up with working diagnosis-IBS and the patient was presented with the treatment plan. She disagrees with it and asks for specialist referral. From the first referral, to hospitalization, to making final diagnosis, a year has passed and the final diagnosis has been the same as the diagnosis made by the family medicine specialist. Conclusion: In order for primary care doctors to be health system gate keepers, it takes sufficient time for them to spend with a patient (reduce the number of patients seen daily), greater work autonomy and adequate health legislations, which is possible through systemic changes, as a result of a dialogue of all relevant participants in the health care system.

Uvod: Postavljenje dijagnoze bolesti je značajan i nerijetko složen proces. U dijagnostičkom procesu ljekar je dužan da se pridržava pravila medicinske metodologije, odnosno da slijedi algoritam koji propisuju smjernice dobre kliničke prakse. Dijagnostičke greške podrazumjevaju propuštene, zakašnjele ili netačne dijagnoze koje nastaju kao posljedica nepoštovanja dijagnostičkog protokola ili neadekvatne interpretacije nalaza dobijenih u toku istog. Prikaz slučaja: U ambulantu porodične medicine dolazi pacijent rođen 1953. godine koji nije registrovan u Doma zdravlja Krupa na Uni. Sa sobom donosi kamen koji je izmokrio prije dva dana. Probleme sa kamenjem u buregu ima unazad šest godina. Godišnje ima jednu epizodu bubrežne kolike I tada mu se u terapiji propišu lijekovi iz grupe Fluorohinolona i analgetici, nakon čega on izmokri kamen i bude dobro. Navodi da je do sada uradio šest nalaza krvi i urina, dva ultrazvučna pregleda abdomena i jedan konsultativni pregled urologa. Brine ga što mu je sedimentacija u posljednje vrijeme stalno povećana i činjenica da mu je na posljednom ultrazvučnom pregledu rečeno da jedan bubreg radi svega 20%. Ultrazvučni pregled u Domu zdravlja Krupa na Uni otkriva veliku tumoroznu leziju dijametra 8 cm u području sigmoidnog kolona koja naliježe na mokraćnu bešiku i metastatske promjene u II, V, VI i VII segmentu jetre. Patohistološki nalaz je opisao adenocarcinoma invasivum interstini crassi gradus II pT4N1cM1a. Nakon provedene hemoterapije po protokolu XELOX (osam terapijskih kura) došlo je do povlačenja metastatskih promjena. Zaključak: Poštovanje smjernica dobre kliničke prakse, pažljivo vođenje medicinnske dokumentacije, kontinuirana medicinska edukacija i kvalitetna komunikacija sa pacijentom omogućavaju sigurno obavljanje ljekarske profesije uz minimalan rizik za nastanak dijagnostičke greške. Ključne riječi: dijagnoza, greška, porodična, medicina Summary: Introduction: The diagnosis of disease is an important and often complex process. In the diagnostic process the doctor is obliged to abide by the rules of the medical methodology, that is, to follow the algorithm that prescribes the guidelines of good clinical practice. Diagnostic errors include missed, delayed or incorrect diagnoses. They arise as a result of failure to comply with a diagnostic protocol or an inadequate interpretation of the findings obtained during the same. Case Report: A patient born in 1953 who is not registered with the Health Center Krupa na Uni comes from the ambulance family medicine. He brought with him a stone that erupted two days ago. Problems with stones in the barrel have been back for six years. Annually there is one episode of the kidney colic, which in the course of therapy is prescribed drugs from the group Fluoroquinolone and analgesics, he erodes the stone and it is good. He states that he has done six blood and urine tests, two ultrasound examinations of the abdomen and one consultation with a urologist. He is worried that his sedimentation has been constantly increased and the fact that at ...