Poster: "ECR 2018 / C-3158 / Buried bumper syndrome: where did that PEG tube go?!" by: "I. Kavelj, N. BABIC, G. Lovrencic-Prpic, D. Zadravec; Zagreb/HR"

University students experience numerous health-related behavioral changes, including the adoption of unhealthy dietary habits. This study aimed to assess the nourish status in a sample of students from Faculty of Medicine of Sarajevo University and correlate it with students eating habits. A cross-sectional survey of 68 students was performed during February and March 2016, at the Sarajevo University. Verbal informed consent was obtained from all participants before completing the self-administered questionnaire that included questions on their eating habits and anthropometrics measures, weight and height. Body mass index was used to assess students nourish status. Statistical analyses were performed using the Statistical Package for Social Sciences software (version 13.0). This study showed that the majority of the students (69.12%) were of normal weight. Intakes of fruit and raw vegetables were more common among students with BMI≤24.9 kg/m 2 than students with BMI≥25 kg/m 2 (P=0.0004 and P=0.046 respectively). Consumption frequency of coca cola and beverages was less common (P=0.005) among students with BMI≤24.9 kg/m 2 . This study gives baseline information about weight status and eating habits among a sample of university students. Regulating the energy density of food could be used as an approach for successful body weight control.

The proper process control is the key to achieving both environmental and commercial goals of conducting the process of anaerobic digestion. Taking into account that the parameters that can be monitored are quite numerous, and that the monitoring equipment, its installation and maintenance require significant financial resources, it is, from commercial aspect, necessary to minimize the number of parameters to the set of parameters which are necessary but sufficient for the proper conduct of the process to the point after which the further continuation of the process is not economically justified. The paper presents the model developed for determination of the minimum number of parameters to be monitored in order to ensure sufficient quality control of this process and describes its validation through the laboratory test.

Introduction. Primary appendiceal adenocarcinoma is a very rare malignancy which accounts for 0.1% of all appendectomy specimens. In both patients presented in this paper, appendectomy was performed due to suspected acute complicated appendicitis. Case Reports. The first patient, a 77-year-old man, presented with a low grade colonic-type pT3 adenocarcinoma of the appendix, diagnosed by histopathological examination of the resected appendix delivered in a fixative. A month after appendectomy, the patient underwent right hemicolectomy of a tumor at the edge of the resection. Due to a cardiovascular disease, adjuvant chemotherapy was not indicated. The second patient, a 74-year-old female, presented with a low grade mucinous adenocarcinoma of the appendix with subserous infiltration, diagnosed by histopathological analysis of the resected appendix. Eight months after appendectomy, the patient developed a recurrent tumor in the cecal area. After radical surgical excision of the recurrent tumor, the patient received adjuvant chemotherapy. Both patients had a 5-year survival without relapse. Conclusion. Preoperative diagnosis of appendiceal adenocarcinoma is a challenge due to overlapping symptoms of complicated acute appendicitis. Our results suggest that in elderly patients with symptoms of complicated acute appendicitis, appendectomy should be done with intraoperative histopathological frozen section consultation. In advanced stages of adenocarcinoma, right hemicolectomy is a better choice than appendectomy.

Introduction: During the course and development of diverse cardiological diseases different central nervous system complications may develop. These are most frequently related to the nature of the cardiovascular entity itself. Aim: To evaluate the association between atherogenesis factors and border zones strokes within the cerebral medial artery vascularization territories. Methods: In total 30 patients were enrolled in the study. Stroke diagnosis was based according to clinical and neurological examination and brain CT findings. The study analyzed risk factors correspondingly to World Health Organization criteria. Results: In majority of patients (18; 60%) arterial hypertension was diagnosed. Additionally, following condition and risk factors were identified: cardiological diseases (17; 23.3%), cigarette smoking (13, 43.3%), hypercholeterolaemia (9; 30%) and diabetes (7; 23.3%). In the group with cardiological diseases most frequent was myocardial infarction (9; 56.2%), AV block II and III (5, 29.4%), atrial fibrillation with slow ventricular response (3; 17.6%). Conclusion: Results of the study point to conclusion that myocardial infarction, AV block II and III, atrial fibrillation with slow ventricular response, iatrogenic hypertension and traditional risk factors for atherogenesis significantly influences presentation of the border zone strokes within the cerebral medial artery vascularization territories.

Objective. The public image of nursing appears as a positive but has a negative aspect as well. It is based on myths, misconceptions and stereotypes, which may influence the choice of nursing as a profession, the employment and the work of nurses. The aim of this study is to explore what the attitudes and opinions of students about health care identity and respectability of the profession are, the role of the health care team, possibility to leave the country and satisfaction with nursing positions in Bosnia and Herzegovina. Methods. The study was designed according to the type of cross-sectional study. An epidemiological survey was conducted at the Medical Faculty in Foca during the period 1st to 31st May 2017. The study included 60 students of nursing from the first to the fourth-year, students of different gender and age from 19 to 24 years, who, at the time of examination, attended study. Results. Most respondents, 90% are women, while the study involved only 10% of male students. Of the total num­ber of examined nursing students, 43.4% disagree or generally disagree with the statement that other members of the team value nurses. The highest percentage of subjects (93.4%) agrees with the statement that the continuous improvement is required. Ninety percent of respondents agree with the state­ment that the nurses' job is just as responsible as the other members of the healthcare team. When it comes to the desire to go abroad, the majority (86.6%) would like to do so. Conclusion. Based on the survey results, we can conclude that among students prevail discontent with the position of a nurse in the healthcare team and the country, as well as the great interest in going abroad.

Introduction: Burnout syndrome is the answer to chronic, emotional and interpersonal stressors who are related to the workplace. It is characterized by mental or emotional exhaustion, a feeling of fatigue and depression with a more emphasis on psychological than physical symptoms. The aim of this study was to determine the prevalence of burnout syndrome among nurses at the JZU General Hospital Nisic and JZU Health Center Niksic. Material and methods: The research is designed to the type of section study. The study included 100 nurses at the General Hospital Niksic and the Health Center Niksic, different of sex, age, level of education and years of work. The data was collected by the Maslach Burnout Inventory (BMI), consisting of 22 questions posed as a series of claims that are evaluated, using the Likert scale (0-6). Results: Of the total number of respondnents in 36%, there is a burnout syndrome measured by the total MBI score, compared to 64% of subjects with no burnout syndrome. With the help of MBI scale it was found that 8% of respondents have a high level of emotional exhaustion, 38% have a middle level, and the remaining 53% of nurses and technicians have a low level. Conclusion: Based of the results of this research, we can conclude that sex and age of nurses / technicians do not affect the occurrence of a professional burnout syndrome. The nurses / technicians working in primary health care in a significantly lower percentage have a mean level of depersonalization. Also, nurses / technicians with longer length of service show a low level of personal success (achievements).

INTRODUCTION: Per year more people die from diabetic and vascular diseases (KVD) than from any other cause. Risk factors of the KVD are numerable and have a cumulative effect. The results of past studies shows that smoking cigarettes plays a key role in the development of KVD. THE AIM OF THE RESEARCH: Determine to the influence of smoking in health and education workers on development of the cardiovascular diseases. RESPONDENTS AND METHODS OF RESEARCH: Research was conducted to the type of section study in the population of health and education workers in the Berane municipality. The sample was composed of 109 health workers and 71 educational workers. In the research was participated all health workers employed in the Health Center 'Dr Nika Labovic' in Berane and all educational worker employed in the Primary school ,,Vuk Karadžic' in Berane. In the research was used the questionnaire, and the data was collected prospectively. As implementing instruments for research were used questionnaires: 'Work related stress' and 'Cindy'. χ square and ANOVA test were used for statistical data processing. RESEARCH RESULTS: The average age of health workers was 43.70 ± 11.90 years, while the average age of educational workers was 42.29 ± 10.90 years. More than half of health and education workers said that smoking. 36.7% of health workers and 39.4% of educational workers smoked daily. In the group of educational workers, the highest percentage of respondents (49.3%) are almost never exposed to tobacco smoke at work. In relation to health workers, educational workers are significantly worried about health effects of smoking. CONCLUSION: In the health and education workers of Berane municipality, smoking is a significant risk factor for the development of cardiovascular diseases.