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.

Uvod. Metabolički sindrom predstavlja skup metaboličkih poremećaja kojipovećavaju rizik za nastanak tipa 2 dijabetesa i kardiovaskularnih oboljenja.Cilj rada je bio utvrditi učestalost pojedinih komponenti metaboličkog sindromakorišćenjem IDF (International Diabetes Federation) kriterijuma prijei nakon postavljanja dijagnoze ishemijske bolesti srca.Metode. Istraživanje je retrospektivna-prospektivna analiza prisustva komponentimetaboličkog sindroma prije i nakon obolijevanja od ishemijskebolesti srca. Uzorak za istraživanje činilo je 107 bolesnika oboljelih od ishemijskebolesti srca. Uključeni su svi pacijenti sa ishemijskom bolesti srcakoji su liječeni u Domu zdravlja Laktaši u periodu od 1. 1. 2010. do 30. 11.2015. godine kod kojih je dijagnoza postavljena nakon ergometrijskog testiranja,koronarografije i pregleda kardiologa. Svim pacijentima su izvršenaantropometrijska mjerenja, izmjeren krvni pritisak i uzeti uzorci krvi nakon12 sati gladovanja radi određivanja vrijednosti glikemije i lipidnog statusa.Rezultati. Nakon kardiovaskularnog događaja došlo je do statistički značajnogsmanjenja broja bolesnika sa povišenim indeksom tjelesne mase (46 vs.38, p < 0,001), povišenim vrijednostima triglicerida (53 vs. 37, p < 0,001), povišenimsistolnim krvnim pritiskom (77 vs. 23, p = 0,004). Istovremeno je zabilježenostatistički značajno povećanje broja bolesnika sa centralnim tipom gojaznosti(61 vs. 92, p < 0,001), povišenim vrijednostima šećera u krvi (68 vs. 73,p < 0,001), kao i onih kojima je uvedena farmakoterapija za liječenje hipertenzije(49 vs. 90, p = 0,002) i šećerne bolesti (14 vs. 24, p < 0,001).Zaključak. Nakon postavljanja dijagnoze ishemijske bolesti srca kod ispitivanihbolesnika je primjenom farmakoloških i nefarmakoloških mjera smanjenaučestalost većine parametara metaboličkog sindroma. Porodični ljekariimaju značajnu ulogu u ranoj identifikaciji bolesnika sa metaboličkimsindromom i prevenciji ishemijske bolesti srca.

This study found that there was a high risk of burnout syndrome in physicians in the Republic of Srpska. Although the exposure to professional stress was higher in family physicians than in hospital doctors, the obtained difference was not statistically significant.

PROUST was selected as the acronym for our study after Marcel Proust, the famous novelist, critic and essayist who wrote an epic novel titled À la recherché du temps perdu (In Search of Lost Time), published in seven parts between 1913 and 1927. Accordingly, during our careers, we have been trying to search for lost lives in order to save lives in the future.

<p><strong>Objective. </strong>To investigate the level and causes of stress and the risk of onset of burnout syndrome among physicians employed at the Primary Health Care Centre, Banja Luka.</p><p><strong>Subjects and Methods. </strong>Between March 1, 2018, and May 31, 2018 all physicians from the Primary Health Care Centre, Banja Luka were offered the following questionnaires to fill in: a socio-demographic questionnaire, a questionnaire for self-assessment of the level of stress and the Maslach Burnout Inventory for assessment of the risk of burnout syndrome. <strong>Results. </strong>Out of 211 physicians, 85.8% were female. A high level of stress was found in 77.7% of the subjects. Older doctors had higher levels of emotional exhaustion compared to younger doctors with a shorter length of service (r=0.236, P=0.01). Emotional exhaustion was significantly correlated with a high level of depersonalization, a low level of personal accomplishment and a high level of stress (r=0.380, r=-0.174 and r=0.574, P=0.01, P=0.04 and P&lt;0.01, respectively). Depersonalization correlated with a low level of personal accomplishment and stress (r=-0.347 and r=0.283, P&lt;0.01 and P=0.01, respectively), while the level of personal accomplishment was in a negative correlation with stress (r=-0.281, P=0.01). A high stress level was associated with a high degree of emotional exhaustion (OR 56.543; 95% CI 11.35-213.09; P&lt;0.001) as well as lack of personal accomplishment (OR 0.155; 95% CI 0.04-0.50; P=0.003).</p><p><strong>Conclusion. </strong>A high level of stress was associated with older age, female gender, as well as with a high degree of emotional exhaustion and a lack of personal accomplishment. Preventive measures are warranted.</p>