Background: Burnout is a special a state of physical or emotional exhaustion that also involves a sense of reduced accomplishment and loss of personal identity.Objectives: To evaluate the predictors of burnout among work staff in the seven private agencies for support and defense of persons and their property.Material and Method: We performed a multicentric cross-sectional study that involved representative sample of working staff from Agencies of Private Security in Central Serbia. Burnout was assessed using Maslach Burnout Inventory- (MBI)-Human Services Survey.Results: A total number of participants were 353 (330 men and 23 women). Measured level of burnout as assessed by high emotional exhaustion, high depersonalization, and low personal accomplishment was 66.3, 82.4, and 13.4%, respectively. We identified that female gender, younger age, shorter work experience, working in shifts, working 12 h a day and more than 8–12 h a day as well as dissatisfaction with working conditions. Work in shifts, working 12 h a day and more than 8–12 h a day and dissatisfied with dissatisfaction with working conditions significantly increase the risk of total burnout.Conclusion: Our results showed that significant predictors for the development of burnout syndrome were female gender, younger age, shorter work experience, working in shifts, as well as dissatisfaction with working conditions.

Background and objectives: Health-related quality of life after stroke is an important public health issue. The objective of the study was to investigate the relationship between the perceived health-related quality of life in stroke survivors in relation to the type of inpatient rehabilitation. Materials and Methods: Using a random selection method out of a total of 688 patients, every fourth survivor who had a stroke in the period from 1 January 2017 to 31 December 2019 was selected from the admission protocol of the Clinic for Rehabilitation and Physical Medicine of the Clinical Centre Niš, Serbia. A total of 160 first-ever stroke survivors were included (80 underwent additional inpatient rehabilitation and 80 underwent only inpatient rehabilitation in a tertiary health institution) in a twelve-month prospective study. The EuroQuol-5 Dimension (EQ5D) questionnaire and Stroke Impact Scale were used for the assessment. Multivariate linear regression analysis was done. Results: Multivariate linear regression analysis showed that additional inpatient rehabilitation from six up to eight weeks after discharge was significantly associated with better self-reported health condition by 3.9 times (from 1.9 to 8.2), significantly decreased the ranks of EQ5D by 1.78 times (from 1.02 to 3.11), and showed a higher health-related quality of life. We determined a significant increase of strength, emotions, mobility, and participation role in survivors who underwent additional inpatient rehabilitation compared with those who did not. Conclusions: There was a significant difference in health-related quality of life perceived by stroke survivors who underwent additional hospital rehabilitation in relation to those who underwent only inpatient rehabilitation.

Acute myocardial infarction is the leading cause of premature morbidity and premature death worldwide. The aim of the paper was to determine the trends of acute myocardial infarction in the period between 2006 and 2019 in the population of the Nišava District. A descriptive study was performed. Data about acute myocardial infarction incidence and mortality were obtained from the population registry for Acute Coronary Syndrome of Serbia. Crude, specific and age-standardized incidence and mortality rates per 100,000 persons were calculated as well as the trend lines. A total number of 12,142 new cases of acute myocardial infarction (7,595 in males and 4,547 in females) were registered. Men suffered 1.7 times more often than females. An insignificantly decreasing acute myocardial infarction incidence trend y = 0.4868x + 112.24, R² = 0.0029 was recorded. A total of 3,925 persons died (2,260 males and 1,665 females). Men died 1.4 times more often than women and a significant decreasing mortality trend was recorded both males (y = -1.6112x + 52.563, R² = 0.7779) and in females (y = -0.4956x + 22.81, R² = 0.3306). A significant increasing mortality trend of acute myocardial infarction by age was determined y = 11.152x - 34.519, R² = 0.7022. The trend of incidence tended to decrease however, without statistical significance, but insignificantly. The incidence and mortality rates were higher in men than in women for the whole observed period. Mortality trend significantly decreased both in men and in women and significantly increased with age.

Background. Private security refers to the security protection services that private security organizations provide to control crimes, protect lives and other assets, and to maintain order at their employers’ facilities. The objective of the study was to analyze the burnout syndrome and the quality of life among security employees of the professional private security sector in Central Serbia. Methods. A multicenter cross-sectional questionay-based study was performed in seven different cities in central Serbia. The study included the representative sample of security staff employed. The study was performed in the period from March 3, 2019 to April 30, 2019. Results. A total of 353 respondents (330 male and 23 female) participated in the study. The Response rate was 80%. Men were significantly older than women: 44.09±11.44 vs. 36.91±7.92 (F=8.752; p=0.003). Approximately one third (32.6%) had symptoms of total burnout and a much higher number of responders had moderate or high level of burnout in individual subscales; in emotional exhaustion (high 66.3%, moderate 19.8%), in depersonalisation (high 82.4%, moderate 16.2%) and slightly more than one third 34.5% had low personal achievement, about one third 32.9% had moderate personal achievement. Our study has shown that female sex and older age were associated with higher risk of total burnout and for the development of emotional exhaustion. Male sex, university education and managerial position were associated with higher personal achievement and lower risk of of total burnout because this subscale is inversely correlated with the burnout. Male sex, marritual union, two and more childreen and direct contact with clients were significantly associated with lower quality of life of employees. Conclusion. Nearly one third (32.6%) of security employees had symptoms of total burnout. Female sex and older age were associated with higher risk of total burnout and for the development of emotional exhaustion. Male sex and higher level of education were associated with greater personal achievement. Managerial position and higher education were protective factors in relation to the development of burnout. Male sex, marritual union, two and more childreen, direct contact with clients were significantly associated with lower quality of life of employees. security staff, professional private sector, quality of life

Chronic Obstructive Pulmonary Disease (COPD) is associated with high morbidity and complications, decreased quality of life, increasing mortality. The objective of the paper was to determine incidence trends of COPD in the population of the Nišava District from 2002 to 2014. The descriptive study was used. Data about new cases of COPD were extracted from the Population Registry of COPD for the population of the Nišava District. Data about population originated from Censuses 2002 and 2011. Crude incidence, age, and gender specific rates were calculated per 100 000 inhabitants. Trend lines were estimated using linear regression. The total number of registered new cases were 7527 (4575 in males and 2952 in females). The average annual new cases was 627 and the annual average crude incidence rate was 164.3/100 000 inhabitants. The lowest annual incidence rate was in 2014 (36.7/100 000) and the highest one was in 2006 (232.6/100 000). Males represent 61 % and females 39 %. Females were significantly older than males (78.5 ± 2.0 vs 81.4 ± 1.8, p < 0.001). Patients older than 50 years of age represent 86% of all registered patients. Incidence rate increased with age. Incidence trend rapidly decreased in 2014 both in males and females; in males: y = 3.874x + 160.3, R2 = 0.038, in females: y = 0.631x+112.5, R2 = 0.002. There were 1.6 more new cases of COPD in males than in females but females were older compared with males. COPD wasn’t common before the age of 40 and incidence increased with age. Under reporting and under registration of new cases of COPD was observed. Acta Medica Medianae 2019;58(2):16-21. Key words: chronical obstructive pulmonary disease, trend, incidence

Introduction. Burnout syndrome develops as a consequence of chronic stress among employees. The study objectives were to examine burnout syndrome and to evaluate the quality of life among security employees of the professional private security sector in Central Serbia. Methods. A multicenter cross-sectional questionnaire-based study was performed. The questionnaire for staff employed at institutions who are in direct contact with people (Human Services Survey, MBI-HSS) and Short Form 36 Health Survey-(SF-36). Results. A total of 353 respondents participated in the study. The response rate was 80%. Approximately one-third (32.6%) had symptoms of total burnout, and a much higher number of responders had a moderate or high level of burnout on individual subscales:- depersonalization (high 82.4%, moderate 16.2%) and emotional exhaustion (high 66.3%, moderate 19.8%) and, slightly more than one-third (34.5%) had low personal achievement, while about one-third (32.9%) had moderate personal achievement. Female sex and older age were associated with a higher risk of total burnout and the development of emotional exhaustion. Male sex, higher education, and managerial position were associated with higher personal achievement and lower risk of total burnout. Male sex, marital union, two or more children, and direct contact with clients were significantly associated with a lower quality of life of employees. Conclusion. Female sex and older age were associated with a higher risk of total burnout and the development of emotional exhaustion. Male sex, university education and managerial position were associated with greater personal achievement and were protective factors in relation to the development of burnout. Male sex, marital union, two or more children, and direct contact with clients were significantly associated with lower quality of life of employees. Keywords: burnout syndrome; security employees; professional private sector; quality of life