Age and length of service have important influence on the level of stress and burnout syndrome: the older the physicians and the higher the length of service the higher the level of stress and the higher the risk of burnout syndrome.

Background: The wars that ravaged the former Socialist Federal Republic of Yugoslavia in the 1990's resulted in the near destruction of the healthcare system, including education of medical students and the training of specialist physicians. In the latter stages of the war, inspired by Family Medicine programs in countries such as Canada, plans to rebuild a new system founded on a strong primary care model emerged. Over the next fifteen years, the Queen's University Family Medicine Development Program in Bosnia and Herzegovina played an instrumental role in rebuilding the primary care system through educational initiatives at the undergraduate, residency, Masters, PhD, and continuing professional development levels. Changes were supported by new laws and regulations to insure sustainability. This study revisited Bosnia and Herzegovina (B-H) 8-years after the end of the program to explore the impact of initiatives through understanding the perspectives and experiences of individuals at all levels of the primary care system from students, deans of medical schools, Family Medicine residents, practicing physicians, Health Center Directors and Association Leaders. Methods: Qualitative exploratory design using purposeful sampling. Semi-structured interviews and focus groups with key informants were conducted in English or with an interpreter as needed and audiotaped. Transcripts and field notes were analyzed using an interpretative phenomenological approach to identify major themes and subthemes. Results: Overall, 118 participants were interviewed. Three major themes and 9 subthemes were identified including (1)

Introduction: Elderly persons have higher risk for falls, compared to younger population. Although no single risk factor causes all falls, a great deal of risk factors to which an individual is exposed, i.e. osteoporosis, lack of physical activity, impaired vision, usage of drugs, living settings etc, can be treated.Objective: To investigate the risk for falls in elderly patients treated in Family medicine teaching center (ECPM), Primary Health Care Center Banja Luka.Method: This prospective study was conducted in June 2012. The study included 150 patients aged 65 years and older. Patients were chosen randomly. In study were included patients who have visited their family doctors on every of Mondays in June 2012. The Tinetti Gait and Balance Instrument was used to asses the risk for falls. Patients were examined to asses gait and balance according to Tinetti questionnaire, and supplementary questionnaire was created to record data about age, sex, chronic diseases and drugs that patients take.Results: The study included 91 (60.7%) female and 59 (39.3%) male patients. The average age of patients was 74.71 years. 77 (51.3%) were aged 65 to 75 years and 73 (48.7%) were more than 75 years old. Results of Tinetti Gait and Balance Instrument showed that the risk for falls was high in 55 (36.7%), moderate in 31 (20.7%) and low in 64 (42.7%) patients.Conclusion: Approximately, one third of investigated patients had high risk for falls, what indicates that family doctors should be more involved in fall prevention in elderly and in constant educating of older adults and their families.

<p><strong>Aim<br /></strong> To assess obesity and weekly physical activity among medical students at the University of Banja Luka, Bosnia and Herzegovina, related to gender and years of study profile. <br /><strong>Methods<br /></strong> This is a prospective, descriptive study conducted among the student population across all six years, comprised of a validated survey instrument Youth Risk Behaviour Survey Questionnaires. The study was approved by the Ethics Committee of the School of Medicine and carried out as an anonymous survey, during the winter semester of the academic year 2017/2018. <br /><strong>Results<br /></strong> Of the total 601 students, the study included 543 students, 327 (60.2%) females and 216 (39.8%) males. The majority of students 337 (62.1%) had normal weight, and 13 (2.4%) had class 1 obesity. Most female students, 255 (75.7%) had normal weight, while 132 (61.1%) males were overweight. Physical inactivity was found among 349 (64.3%) students; 11 (2%) exercised regularly twice a week and 16 (2.9%) exercised five times a week. <br /><strong>Conclusion<br /></strong> This study should help better understanding and identifying the onset of obesity among the students of the School of Medicine in Banja Luka and promote awareness of the obesity problem among them that would have benefit for health of this population group.</p>

Sindrom sagorijevanja na poslu specijalizanata porodične medicine APSTRAKT Cilj istraživanja je bio da se ispita prevalenca sindroma sagorijevanja na poslu kod ljekara na specijalizaciji iz porodične medicine u Republici Srpskoj u odnosu na pol, bračni status i broj djece. Istraživanje je provedeno anketiranjem ljekara na specijalizaciji iz porodične medicine u edukativnim centrima porodične medicine Banja Luka i Doboj u periodu od 1. februara do 30. aprila 2010. godine. Ispitanici su popunjavali anketni upitnik za samoprocjenu nivoa stresa i 'Maslach Burnout Inventory' koji su bili dopunjeni podacima o dobi, polu, bračnom stanju i broju djece sa kojima žive. Istraživanjem je obuhvaćeno 57 ljekara, od kojih je bilo 20 muškaraca. Visok nivo stresa imalo je 77.2% ljekara. Ispitanici su imali umjeren nivo emocionalne iscrpljenosti i depersonalizacije. Kod ljekara-žena, izražen je umjeren, a kod ljekaramuškaraca niži nivo ličnog zadovoljstva; ali među ovim grupama ispitanika nije nađena statistički značajna razlika. Rezultati istraživanja nisu pokazali da postoji povezanost između pola, bračnog stanja, uključujući i broj djece u porodici, na pojavu sindroma sagorijevanja na poslu. KLJUČNE RIJEČI sindrom sagorijevanja na poslu, specijalizanti, bračno stanje, djeca u porodici