Edina Tanovic | University of Sarajevo Clinical Center (original) (raw)
Issues by Edina Tanovic
Papers by Edina Tanovic
Folia Medica Facultatis Medicinae Universitatis Saraeviensis, Nov 29, 2018
Aim : The aim of this paper is to demonstrate the conservative treatment of knee osteoarthritis b... more Aim : The aim of this paper is to demonstrate the conservative treatment of knee osteoarthritis by the selected parameters. Methods of the study : The study included 74 patients, both genders, aged between 52-73 years with clinical and radiological signs of osteoarthritis of the knee. Patients were divided in two groups. The first group - patients with osteoarthritis of the knee without comorbidity treated with nonsteroid antireumatics and physical therapy and the other group - patients with osteoarthritis of the knee and cardiovascular comorbidity treated Paracetamol tablets 2xl, lighter opiate in the evening, outpatient physical therapy and individual exercises at home. Results : Findings showed that the total sample was more represented in women than men. Statistically, more frequent (p <0.05) sleeping pain occurred in subjects with comorbidity - 73.7% compared to subjects without comorbidity - 55.6%. The duration of physical therapy was statistically significant (p <0.05) longer in the comorbidity group and was 13.3 ± 1.8 (10-15 days) compared to the noncomorbid group at 11.5 ± 1 , 9 days (range 10-15 days). After 4 months, the VAS score was slightly lower in the noncomorbid group and was 3.9 ± 0.5 (range 7.8-9.4) versus the comorbidity group - 4.3 ± 1.7 (range 3 , 1 to 9.7). Conclusion : Osteoarthritis is a chronically degenerative disease of the elderly population. New findings from the pathophysiology of osteoarthritis, as well as the knowledge about the risks of non-steroidal antireumatics, give priority to physical therapy, analgetics and topical drug administration. Osteoarthritis therapy trend is the maximum self-reliant involvement of patients in a permanent treatment program. Keywords: knee osteoarthritis, conservative treatments
Bosnian Journal of Basic Medical Sciences, Feb 20, 2009
Cerebrovascular accident is a focal neurological defi ciency occurring suddenly and lasting for m... more Cerebrovascular accident is a focal neurological defi ciency occurring suddenly and lasting for more than hours. Th e purpose of our work is to determine the role of the functional electrical simulation (FES) in the rehabilitation of patients with hemiparesis, which occurred as a consequence of a cerebrovascular accident. Th is study includes the analysis of two groups of patients with hemiparesis ( patients with deep hemiparesis and patients with light hemiparesis), a control group which was only treated with kinesiotherapy and a tested group which was treated with kinesiotherapy and functional electrical stimulation. Both groups of patients were analyzed in respect to their sex and age. Additional analysis of the walking function was completed in accordance with the BI and RAP index. Th e analysis of the basic demographical data demonstrated that there is no signifi cant diff erence between the control and tested group. Th e patients of both groups are equal in respect of age and sex. After weeks of rehabilitation of patients with deep and light hemiparesis there were no statistically signifi cant diff erences between the groups after evaluation by the BI index. However, a statistically signifi cant diff erence was noted between the groups by the RAP index among patients with deep hemiparesis. After weeks of rehabilitation the group of patients who were treated with kinesiotherapy and functional electrical stimulation showed better statistically signifi cant results of rehabilitation in respect to the control group with both the BI index and the RAP index (p<,). In conclusion, we can state that the patients in rehabilitation after a cerebrovascular accident require rehabilitation longer than weeks. Walking rehabilitation after stroke is faster and more successful if we used functional electrical stimulation, in combination with kinesiotherapy, in patients with disabled extremities.
Acta Scientific Medical Sciences, Jul 11, 2019
Artificial sweeteners are substitute for sugar that we consume daily. They are classified as food... more Artificial sweeteners are substitute for sugar that we consume daily. They are classified as food aditive that provide taste similar as sugar, but with less food energy [1].
Journal of Health Sciences
Introduction: Due to the declaration of a state of emergency in the country due to the pandemic C... more Introduction: Due to the declaration of a state of emergency in the country due to the pandemic COVID-19, the education system was changed to online teaching. The implementation of distance education has led to an increased sedentary lifestyle, decreased physical activity, and increased use of information technologies. The purpose of this study was to analyze the sedentary habits of female students and their physical health during a period of restricted physical activity with reference to online instruction.Methods: The research was conducted among the first to third grade students of Secondary School Konjic, 45 days after the implementation of online instruction. Students of general secondary school (N = 83), business school (N = 68), and medical school (N = 55) completed the questionnaire after their parents gave their consent.Results: The total number of students surveyed was 206, with students from all three schools studied participating in online classes for up to 4 hours. Medi...
Neurogerijatrija/ neurologija starijeg životnog doba, 2020
Poremećaji hoda i poremećaji ravnoteže uobičajeni su klinički problemi za starije osobe. Uzroci p... more Poremećaji hoda i poremećaji ravnoteže uobičajeni su klinički problemi za starije osobe. Uzroci poremećaja hoda su individualni, često zbog fiziološkog procesa starenja i somatskih bolesti. Poremećaji hoda dovode do gubitka lične slobode, pada i povreda i rezultiraju značajnim smanjenjem kvaliteta života. Kod starijih osoba, kontrola statičke i dinamičke kontrole položaja i ritma je poremećena, što dovodi do izmijenjenog hoda, smanjuje se korak, povećava se širina hoda kako bi se održala ravnoteža, gornji dio tijela se savija prema naprijed da bi se održala ravnoteža, ruke se ne pomiču dok hodaju, hod je nepravilan, teže je započeti prve korake nakon sjedenja ili stajanja, kao i okretanja. Ako je moguće, najbolje je tretirati etiološki faktor, tj. osnovne bolesti, kao što su parkinsonizam, neki metabolički poremećaji itd. Treba voditi računa o nusefektima nekih lijekova, naročito antiparkinsonika, sedativa, hipnotika i antidepresiva. Također je potrebno uključiti i druge specijalist...
International Journal of Scientific & Engineering Research, 2019
INTRODUCTION: Physiotherapy and rehabilitation of the patients after the implantation of total hi... more INTRODUCTION: Physiotherapy and rehabilitation of the patients after the implantation of total hip endoprosthesis have been equally important as the surgical intervention. The main aim of the rehabilitation presents the reducing of pain, renewal of function and muscle strength and achieving the optimal extent of the movement in hip joint necessary for the everyday activities. There are many rehabilitation protocols (kinesytherapy, training with weights, treadmill, conventional physiotherapy, bicycle ergometer, functional exercises etc.), individually adjusted to the patients based on the kind of implanted endoprosthesis. MATERIAL AND METHODS: The survey included 100 examinees with the disease of hip joint who had been treated surgically at the Clinics for orthopaedics and traumatology in Clinical center of Sarajevo University by implanting the total endoprosthesis. The examinees were questioned before and after the physiotherapy treatment that was conducted within the postoperative rehabilitation after the implanting the total hip endoprosthesis. The survey covered the period since 1st January 2014. to 31st December 2016. In the survey cross-sectional method of the survey was used where all the data were collected by the corresponding instrument tools of survey, in this case poll questionnaire, WOMAC. The mentioned questionnaire consists of 24 questions which analyse the pain, stiffness and body activity. The span of points is in the form of Likert scale RESULTS: Analysing the pain in the hip/groin during the last month while doing certain activities, before and after the conducted physiotherapy, statistically significant improvement was found, and that has been confirmed by Anova test, p=0.001. Analysing the stiffness in the hip/groin during the last month while doing certain activities, before and after the conducted physiotherapy, statistically significant improvement was found, and that has been confirmed by Anova test, p=0.001 CONCLUSIONS: This survey confirms the significance, not only of the surgical procedure of implantation of total hip endoprosthesis in the third age patients, but also the significance of the well organized physiotherapy and rehabilitation that has provided good results in our patients. The improvement degree of the functional status is considerably bigger after the surgery and conducted physiotherapy compared to the preoperative period.
Acta Scientific Medical Sciences, 2019
Malignant esophageal tumors are one of the most difficult diseases, because when they are noticed... more Malignant esophageal tumors are one of the most difficult diseases, because when they are noticed, they are already in advanced stage. Sometimes even radical surgical methods can not give desireable results. Results of surgical treatment are best in countries where screening program is included in routine diagnostics. Malignant esophageal tumor takes fourth place out of all tumors of digestive tract, and average age of diseased are between 55.-65. years. First aim of this study is to analize localization of esophageal tumors, pathohistological representation, operating techniques and complications. Second aim of this study is to show relation between surgical treatment and preoperative radiotherapy and chemotherapy. This retrospective study included 13 patients with pathohistology of esophageal tumor who were on Clinic for abdominal surgery KCUS during two years. All patients had different surgical treatments which depended on stage which was find during surgery. Patients were analyzed based on age, sex, localization of esophageal tumor, and stage of tumor. Analysis of 13 patients included resectional methods, pathohistology and preoperative oncological treatment. Results were different and were corelated with neoadjuvant oncological treatment. Radical surgery had 11 patients that included esophagectomy and esophagoplasty with removal of regional lymphonodes. Esophagogastroplasty was tretment for 6 patients. Becuase of inadequate nutrition or inoperable tumors 6 patients had gastrostomy. Implatation of Haering dentures was included as palliative surgery in 2 patinets. The most of esophageal tumors were located in the lower third (53,84%), and the leaset of esophageal tumors were located in the upper third (15,83%). Pathohistology analysis of esophageal tumors showed that tumors were planocellular carcinoma (67%) and adenocarcinoma (23%). In most cases radical surgery treatment was required. Tumors of lower third esophagus are most numerous, and least numerous are in upper third. Planocellular carcinoma is the most often malignant tumor of esophagus. Radical surgical approach was used 84,6% patients and the rest patients 15,4% had palliative surgery. The most used techniques was gastroplasty which was the best and from palliative sugery was gastrostomy. Postoperative complications were present in 23,1% of cases. Reactions of tumor on chemotherapy and radiotherapy are different, sometimes even remission of malignant cell is possible. Even in that cases radical surgical approach remains the best method in every case after chemotherapy and radiotherapy.
Journal of Health Sciences, Apr 20, 2022
Introduction: With the advent of the COVID-19 pandemic, people's dietary habits have changed, so ... more Introduction: With the advent of the COVID-19 pandemic, people's dietary habits have changed, so the importance of additional supplementation has become a current topic. The aim of this study is to analyze the attitude of female respondents toward dietary supplementation before and during the COVID-19 pandemic. Methods: The research is a cross-sectional study conducted in two different time periods. The sample consisted of two female subsamples who purchased immunity preparations from Verdant Pharmacy before the pandemic (n = 81) and during the pandemic (n = 120). Female respondents in both subsamples were: Of the same age, in the same health condition, residing in the same area (municipality), users of a local pharmacy located near the health center. The research instrument was a non-standardized questionnaire "Assessment of attitudes towards nutritional supplementation," which consisted of nine questions. Results: During the pandemic COVID-19, the attitude toward the use of preparations to strengthen immunity differs by 7% compared to the pre-pandemic check. The attitude toward the use of preparations to strengthen immunity throughout the year increased by 32.3% (53.3%) during the pandemic, and the attitude toward the choice of preparations to strengthen immunity changed by 13% during the pandemic COVID-19 based on own experience and by 17% based on the recommendation of the pharmacist. Conclusion: The pandemic COVID-19 has contributed to a change in female respondents' attitudes toward nutritional supplementation to strengthen the immune system during a pandemic. With the help of the media, public health recommendations, and people's fear of disease, the COVID-19 pandemic led to a change in respondents' attitudes compared to the pre-pandemic period.
Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2021
Aim To investigate the effect of intermittent traction therapy (ITT) on pain in patients with chr... more Aim To investigate the effect of intermittent traction therapy (ITT) on pain in patients with chronic low back pain (CLBP). Methods A total of 81 patients with CLBP were included: experimental group received ITT (n=40) and control group received conservative physical treatment (n=41) 10 times for two weeks. A visual analogue scale (VAS) was used for measuring low back pain. Results In the experimental group, 26 (out of 40; 65.0%) patients were females, in the control group 20 (out of 41; 48.8%) were females (p=0.141). In a within-group comparison, median of VAS value was significantly decreased in both groups after ITT. A comparison of pre-intervention and post-intervention VAS value showed no statistically significant difference. Females from the experimental group had a significantly greater decrease of VAS compared with females from the control group. Patients in the ITT group with L5/S1 level of hernia had lower estimated marginal mean of VAS scale compared to the control group,...
Conclusion: The results of the study suggest that exercise therapy has positive effect on activit... more Conclusion: The results of the study suggest that exercise therapy has positive effect on activities of daily living in patients with Parkinson's disease.
Journal of Health Sciences, 2018
Introduction: An increasing number of people suffer from degenerative diseases of the hip joints.... more Introduction: An increasing number of people suffer from degenerative diseases of the hip joints. Many studies report the long-term outcomes of invasive therapy in the treatment of coxarthrosis. However, results of prolonged conservative treatment are scarce. The purpose of this study was to evaluate the effects of prolonged conservative physical therapy on functional recovery of degenerative hip changes. Methods: We retrospectively analyzed 47 patients diagnosed with coxarthrosis according to the American College of Rheumatology criteria. Data on sex and age, duration of physical therapy, the type of physical therapy, the values of manual muscle test (MMT) at admission and discharge, were taken from the medical records of the patients. Results: There were 76.6% female and 23.4% male patients. Half of the patients were 70 or more years old. Majority of patients were treated by kinesiotherapy (74.5%) and had significantly different (p < 0.05) values of MMT at admission and dischar...
Journal of Health Sciences, 2017
Introduction Disability is one of the factors that can lead to social exclusion and poverty of in... more Introduction Disability is one of the factors that can lead to social exclusion and poverty of individuals with hearing and speech impairment. This is due to the fact that individuals with disabilities are often underestimated, in terms of their work and social skills. The employment of people with disabilities represents a powerful mechanism for achieving full participation of the marginalized groups in all spheres of society. Methods The study included a total of 40 people with hearing and speech disabilities, out of which 16 individuals were employed at DES d.o.o. Sarajevo and 24 at SINKRO d.o.o. Sarajevo. A combination of three questionnaires was used for assessing daily activities and their impact on the quality of life (QoL) of the individuals with hearing and speech disabilities. Results In the total sample, there were 35% males and 65% females. Complete deafness was observed in the majority of participants (90%), while the rest had either moderate (7.5%) or mild (2.5%) heari...
Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2018
Aim To demonstrate the effects of early diagnosis of overuse syndrome in the wrist on healing, pa... more Aim To demonstrate the effects of early diagnosis of overuse syndrome in the wrist on healing, pain intensity and quick recovery to daily work and sport activities. Methods This clinical retrospective study included 60 patients of both sexes aged from 22 to 44 years, with pain in the wrist and clinical signs of creeping tenosynovitis. Patients were divided into two groups: the first group - persons doing sports activity, and the second group - patients who did not deal with sports activities. Results Females in 31 (51.7%) cases compared to males with 29 (48.3%) were slightly more represented in the total sample. Patients with injuries due to sports activities had previously reported to the physician and the diagnosis was set at an average of 3.1±0.9 days after the first symptoms (the range of 2-5 days), compared to the patients of the second group whose diagnosis was set at an average of 4.7±1.1 days after the first symptoms (p<0.05). Conclusion Patients involved in sports activi...
Medicinski arhiv, 2007
Cerebrovascular accident (stroke) is focal neurological deficiency occurring suddenly and lasting... more Cerebrovascular accident (stroke) is focal neurological deficiency occurring suddenly and lasting for more than 24 hours. Among its consequences are hemiplegia, speech impairment, swallowing impairment, changes of the facial nerve, sensibility, sphincter control or physiological changes. The goals of the study are to show the place functional electrical stimulation (FES) in the rehabilitation hemiplegic patients after cerebrovascular accident. In our study we analyzed two comparative groups with 40 hemiplegic patients, the first one, control group treated only with kinezitheraphy, and the second one, tested group treated with kinezitheraphy and functional electrical stimulation. Both groups of patients were analyzed according to gender, the etiology of the cerebrovascular accident and the duration of rehabilitation. We also had special analyzed of walking by BI index. Results has shown that we had two comparative groups according to gender and the etiology of the cerebrovascular acc...
Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2019
Aim To investigate the effect of kinesiotherapy on muscle strengthening in patients with Parkinon... more Aim To investigate the effect of kinesiotherapy on muscle strengthening in patients with Parkinon's disease. Methods This clinical retrospective - prospective study was based on collected data from medical histories and included 40 patients, who, beside medicaments, had undergone kinesiotherapy. This study analysed age, gender, duration of the rehabilitation and estimation of the gross muscle strength at admittance and discharge using Manual Muscle Test (MMT). Results Females was slightly more represented in the total sample without significant statistical difference. After kinesiotherapy significant statistical difference in muscle strength was observed, average MMT of the upper extremities increased from 3.25±0.6 to 3.53±0.8 and on the lower extremities from 2.9±0.8 to 3.3±0.9. The analysis of the gender on the higher score of MMT showed that gender does not affect the score of MMT. Correlational analysis of the age and duration of hospitalization on the score of MMT showed th...
Acta Scientific Medical Sciences
Folia Medica Facultatis Medicinae Universitatis Saraeviensis, Nov 29, 2018
Aim : The aim of this paper is to demonstrate the conservative treatment of knee osteoarthritis b... more Aim : The aim of this paper is to demonstrate the conservative treatment of knee osteoarthritis by the selected parameters. Methods of the study : The study included 74 patients, both genders, aged between 52-73 years with clinical and radiological signs of osteoarthritis of the knee. Patients were divided in two groups. The first group - patients with osteoarthritis of the knee without comorbidity treated with nonsteroid antireumatics and physical therapy and the other group - patients with osteoarthritis of the knee and cardiovascular comorbidity treated Paracetamol tablets 2xl, lighter opiate in the evening, outpatient physical therapy and individual exercises at home. Results : Findings showed that the total sample was more represented in women than men. Statistically, more frequent (p <0.05) sleeping pain occurred in subjects with comorbidity - 73.7% compared to subjects without comorbidity - 55.6%. The duration of physical therapy was statistically significant (p <0.05) longer in the comorbidity group and was 13.3 ± 1.8 (10-15 days) compared to the noncomorbid group at 11.5 ± 1 , 9 days (range 10-15 days). After 4 months, the VAS score was slightly lower in the noncomorbid group and was 3.9 ± 0.5 (range 7.8-9.4) versus the comorbidity group - 4.3 ± 1.7 (range 3 , 1 to 9.7). Conclusion : Osteoarthritis is a chronically degenerative disease of the elderly population. New findings from the pathophysiology of osteoarthritis, as well as the knowledge about the risks of non-steroidal antireumatics, give priority to physical therapy, analgetics and topical drug administration. Osteoarthritis therapy trend is the maximum self-reliant involvement of patients in a permanent treatment program. Keywords: knee osteoarthritis, conservative treatments
Bosnian Journal of Basic Medical Sciences, Feb 20, 2009
Cerebrovascular accident is a focal neurological defi ciency occurring suddenly and lasting for m... more Cerebrovascular accident is a focal neurological defi ciency occurring suddenly and lasting for more than hours. Th e purpose of our work is to determine the role of the functional electrical simulation (FES) in the rehabilitation of patients with hemiparesis, which occurred as a consequence of a cerebrovascular accident. Th is study includes the analysis of two groups of patients with hemiparesis ( patients with deep hemiparesis and patients with light hemiparesis), a control group which was only treated with kinesiotherapy and a tested group which was treated with kinesiotherapy and functional electrical stimulation. Both groups of patients were analyzed in respect to their sex and age. Additional analysis of the walking function was completed in accordance with the BI and RAP index. Th e analysis of the basic demographical data demonstrated that there is no signifi cant diff erence between the control and tested group. Th e patients of both groups are equal in respect of age and sex. After weeks of rehabilitation of patients with deep and light hemiparesis there were no statistically signifi cant diff erences between the groups after evaluation by the BI index. However, a statistically signifi cant diff erence was noted between the groups by the RAP index among patients with deep hemiparesis. After weeks of rehabilitation the group of patients who were treated with kinesiotherapy and functional electrical stimulation showed better statistically signifi cant results of rehabilitation in respect to the control group with both the BI index and the RAP index (p<,). In conclusion, we can state that the patients in rehabilitation after a cerebrovascular accident require rehabilitation longer than weeks. Walking rehabilitation after stroke is faster and more successful if we used functional electrical stimulation, in combination with kinesiotherapy, in patients with disabled extremities.
Acta Scientific Medical Sciences, Jul 11, 2019
Artificial sweeteners are substitute for sugar that we consume daily. They are classified as food... more Artificial sweeteners are substitute for sugar that we consume daily. They are classified as food aditive that provide taste similar as sugar, but with less food energy [1].
Journal of Health Sciences
Introduction: Due to the declaration of a state of emergency in the country due to the pandemic C... more Introduction: Due to the declaration of a state of emergency in the country due to the pandemic COVID-19, the education system was changed to online teaching. The implementation of distance education has led to an increased sedentary lifestyle, decreased physical activity, and increased use of information technologies. The purpose of this study was to analyze the sedentary habits of female students and their physical health during a period of restricted physical activity with reference to online instruction.Methods: The research was conducted among the first to third grade students of Secondary School Konjic, 45 days after the implementation of online instruction. Students of general secondary school (N = 83), business school (N = 68), and medical school (N = 55) completed the questionnaire after their parents gave their consent.Results: The total number of students surveyed was 206, with students from all three schools studied participating in online classes for up to 4 hours. Medi...
Neurogerijatrija/ neurologija starijeg životnog doba, 2020
Poremećaji hoda i poremećaji ravnoteže uobičajeni su klinički problemi za starije osobe. Uzroci p... more Poremećaji hoda i poremećaji ravnoteže uobičajeni su klinički problemi za starije osobe. Uzroci poremećaja hoda su individualni, često zbog fiziološkog procesa starenja i somatskih bolesti. Poremećaji hoda dovode do gubitka lične slobode, pada i povreda i rezultiraju značajnim smanjenjem kvaliteta života. Kod starijih osoba, kontrola statičke i dinamičke kontrole položaja i ritma je poremećena, što dovodi do izmijenjenog hoda, smanjuje se korak, povećava se širina hoda kako bi se održala ravnoteža, gornji dio tijela se savija prema naprijed da bi se održala ravnoteža, ruke se ne pomiču dok hodaju, hod je nepravilan, teže je započeti prve korake nakon sjedenja ili stajanja, kao i okretanja. Ako je moguće, najbolje je tretirati etiološki faktor, tj. osnovne bolesti, kao što su parkinsonizam, neki metabolički poremećaji itd. Treba voditi računa o nusefektima nekih lijekova, naročito antiparkinsonika, sedativa, hipnotika i antidepresiva. Također je potrebno uključiti i druge specijalist...
International Journal of Scientific & Engineering Research, 2019
INTRODUCTION: Physiotherapy and rehabilitation of the patients after the implantation of total hi... more INTRODUCTION: Physiotherapy and rehabilitation of the patients after the implantation of total hip endoprosthesis have been equally important as the surgical intervention. The main aim of the rehabilitation presents the reducing of pain, renewal of function and muscle strength and achieving the optimal extent of the movement in hip joint necessary for the everyday activities. There are many rehabilitation protocols (kinesytherapy, training with weights, treadmill, conventional physiotherapy, bicycle ergometer, functional exercises etc.), individually adjusted to the patients based on the kind of implanted endoprosthesis. MATERIAL AND METHODS: The survey included 100 examinees with the disease of hip joint who had been treated surgically at the Clinics for orthopaedics and traumatology in Clinical center of Sarajevo University by implanting the total endoprosthesis. The examinees were questioned before and after the physiotherapy treatment that was conducted within the postoperative rehabilitation after the implanting the total hip endoprosthesis. The survey covered the period since 1st January 2014. to 31st December 2016. In the survey cross-sectional method of the survey was used where all the data were collected by the corresponding instrument tools of survey, in this case poll questionnaire, WOMAC. The mentioned questionnaire consists of 24 questions which analyse the pain, stiffness and body activity. The span of points is in the form of Likert scale RESULTS: Analysing the pain in the hip/groin during the last month while doing certain activities, before and after the conducted physiotherapy, statistically significant improvement was found, and that has been confirmed by Anova test, p=0.001. Analysing the stiffness in the hip/groin during the last month while doing certain activities, before and after the conducted physiotherapy, statistically significant improvement was found, and that has been confirmed by Anova test, p=0.001 CONCLUSIONS: This survey confirms the significance, not only of the surgical procedure of implantation of total hip endoprosthesis in the third age patients, but also the significance of the well organized physiotherapy and rehabilitation that has provided good results in our patients. The improvement degree of the functional status is considerably bigger after the surgery and conducted physiotherapy compared to the preoperative period.
Acta Scientific Medical Sciences, 2019
Malignant esophageal tumors are one of the most difficult diseases, because when they are noticed... more Malignant esophageal tumors are one of the most difficult diseases, because when they are noticed, they are already in advanced stage. Sometimes even radical surgical methods can not give desireable results. Results of surgical treatment are best in countries where screening program is included in routine diagnostics. Malignant esophageal tumor takes fourth place out of all tumors of digestive tract, and average age of diseased are between 55.-65. years. First aim of this study is to analize localization of esophageal tumors, pathohistological representation, operating techniques and complications. Second aim of this study is to show relation between surgical treatment and preoperative radiotherapy and chemotherapy. This retrospective study included 13 patients with pathohistology of esophageal tumor who were on Clinic for abdominal surgery KCUS during two years. All patients had different surgical treatments which depended on stage which was find during surgery. Patients were analyzed based on age, sex, localization of esophageal tumor, and stage of tumor. Analysis of 13 patients included resectional methods, pathohistology and preoperative oncological treatment. Results were different and were corelated with neoadjuvant oncological treatment. Radical surgery had 11 patients that included esophagectomy and esophagoplasty with removal of regional lymphonodes. Esophagogastroplasty was tretment for 6 patients. Becuase of inadequate nutrition or inoperable tumors 6 patients had gastrostomy. Implatation of Haering dentures was included as palliative surgery in 2 patinets. The most of esophageal tumors were located in the lower third (53,84%), and the leaset of esophageal tumors were located in the upper third (15,83%). Pathohistology analysis of esophageal tumors showed that tumors were planocellular carcinoma (67%) and adenocarcinoma (23%). In most cases radical surgery treatment was required. Tumors of lower third esophagus are most numerous, and least numerous are in upper third. Planocellular carcinoma is the most often malignant tumor of esophagus. Radical surgical approach was used 84,6% patients and the rest patients 15,4% had palliative surgery. The most used techniques was gastroplasty which was the best and from palliative sugery was gastrostomy. Postoperative complications were present in 23,1% of cases. Reactions of tumor on chemotherapy and radiotherapy are different, sometimes even remission of malignant cell is possible. Even in that cases radical surgical approach remains the best method in every case after chemotherapy and radiotherapy.
Journal of Health Sciences, Apr 20, 2022
Introduction: With the advent of the COVID-19 pandemic, people's dietary habits have changed, so ... more Introduction: With the advent of the COVID-19 pandemic, people's dietary habits have changed, so the importance of additional supplementation has become a current topic. The aim of this study is to analyze the attitude of female respondents toward dietary supplementation before and during the COVID-19 pandemic. Methods: The research is a cross-sectional study conducted in two different time periods. The sample consisted of two female subsamples who purchased immunity preparations from Verdant Pharmacy before the pandemic (n = 81) and during the pandemic (n = 120). Female respondents in both subsamples were: Of the same age, in the same health condition, residing in the same area (municipality), users of a local pharmacy located near the health center. The research instrument was a non-standardized questionnaire "Assessment of attitudes towards nutritional supplementation," which consisted of nine questions. Results: During the pandemic COVID-19, the attitude toward the use of preparations to strengthen immunity differs by 7% compared to the pre-pandemic check. The attitude toward the use of preparations to strengthen immunity throughout the year increased by 32.3% (53.3%) during the pandemic, and the attitude toward the choice of preparations to strengthen immunity changed by 13% during the pandemic COVID-19 based on own experience and by 17% based on the recommendation of the pharmacist. Conclusion: The pandemic COVID-19 has contributed to a change in female respondents' attitudes toward nutritional supplementation to strengthen the immune system during a pandemic. With the help of the media, public health recommendations, and people's fear of disease, the COVID-19 pandemic led to a change in respondents' attitudes compared to the pre-pandemic period.
Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2021
Aim To investigate the effect of intermittent traction therapy (ITT) on pain in patients with chr... more Aim To investigate the effect of intermittent traction therapy (ITT) on pain in patients with chronic low back pain (CLBP). Methods A total of 81 patients with CLBP were included: experimental group received ITT (n=40) and control group received conservative physical treatment (n=41) 10 times for two weeks. A visual analogue scale (VAS) was used for measuring low back pain. Results In the experimental group, 26 (out of 40; 65.0%) patients were females, in the control group 20 (out of 41; 48.8%) were females (p=0.141). In a within-group comparison, median of VAS value was significantly decreased in both groups after ITT. A comparison of pre-intervention and post-intervention VAS value showed no statistically significant difference. Females from the experimental group had a significantly greater decrease of VAS compared with females from the control group. Patients in the ITT group with L5/S1 level of hernia had lower estimated marginal mean of VAS scale compared to the control group,...
Conclusion: The results of the study suggest that exercise therapy has positive effect on activit... more Conclusion: The results of the study suggest that exercise therapy has positive effect on activities of daily living in patients with Parkinson's disease.
Journal of Health Sciences, 2018
Introduction: An increasing number of people suffer from degenerative diseases of the hip joints.... more Introduction: An increasing number of people suffer from degenerative diseases of the hip joints. Many studies report the long-term outcomes of invasive therapy in the treatment of coxarthrosis. However, results of prolonged conservative treatment are scarce. The purpose of this study was to evaluate the effects of prolonged conservative physical therapy on functional recovery of degenerative hip changes. Methods: We retrospectively analyzed 47 patients diagnosed with coxarthrosis according to the American College of Rheumatology criteria. Data on sex and age, duration of physical therapy, the type of physical therapy, the values of manual muscle test (MMT) at admission and discharge, were taken from the medical records of the patients. Results: There were 76.6% female and 23.4% male patients. Half of the patients were 70 or more years old. Majority of patients were treated by kinesiotherapy (74.5%) and had significantly different (p < 0.05) values of MMT at admission and dischar...
Journal of Health Sciences, 2017
Introduction Disability is one of the factors that can lead to social exclusion and poverty of in... more Introduction Disability is one of the factors that can lead to social exclusion and poverty of individuals with hearing and speech impairment. This is due to the fact that individuals with disabilities are often underestimated, in terms of their work and social skills. The employment of people with disabilities represents a powerful mechanism for achieving full participation of the marginalized groups in all spheres of society. Methods The study included a total of 40 people with hearing and speech disabilities, out of which 16 individuals were employed at DES d.o.o. Sarajevo and 24 at SINKRO d.o.o. Sarajevo. A combination of three questionnaires was used for assessing daily activities and their impact on the quality of life (QoL) of the individuals with hearing and speech disabilities. Results In the total sample, there were 35% males and 65% females. Complete deafness was observed in the majority of participants (90%), while the rest had either moderate (7.5%) or mild (2.5%) heari...
Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2018
Aim To demonstrate the effects of early diagnosis of overuse syndrome in the wrist on healing, pa... more Aim To demonstrate the effects of early diagnosis of overuse syndrome in the wrist on healing, pain intensity and quick recovery to daily work and sport activities. Methods This clinical retrospective study included 60 patients of both sexes aged from 22 to 44 years, with pain in the wrist and clinical signs of creeping tenosynovitis. Patients were divided into two groups: the first group - persons doing sports activity, and the second group - patients who did not deal with sports activities. Results Females in 31 (51.7%) cases compared to males with 29 (48.3%) were slightly more represented in the total sample. Patients with injuries due to sports activities had previously reported to the physician and the diagnosis was set at an average of 3.1±0.9 days after the first symptoms (the range of 2-5 days), compared to the patients of the second group whose diagnosis was set at an average of 4.7±1.1 days after the first symptoms (p<0.05). Conclusion Patients involved in sports activi...
Medicinski arhiv, 2007
Cerebrovascular accident (stroke) is focal neurological deficiency occurring suddenly and lasting... more Cerebrovascular accident (stroke) is focal neurological deficiency occurring suddenly and lasting for more than 24 hours. Among its consequences are hemiplegia, speech impairment, swallowing impairment, changes of the facial nerve, sensibility, sphincter control or physiological changes. The goals of the study are to show the place functional electrical stimulation (FES) in the rehabilitation hemiplegic patients after cerebrovascular accident. In our study we analyzed two comparative groups with 40 hemiplegic patients, the first one, control group treated only with kinezitheraphy, and the second one, tested group treated with kinezitheraphy and functional electrical stimulation. Both groups of patients were analyzed according to gender, the etiology of the cerebrovascular accident and the duration of rehabilitation. We also had special analyzed of walking by BI index. Results has shown that we had two comparative groups according to gender and the etiology of the cerebrovascular acc...
Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2019
Aim To investigate the effect of kinesiotherapy on muscle strengthening in patients with Parkinon... more Aim To investigate the effect of kinesiotherapy on muscle strengthening in patients with Parkinon's disease. Methods This clinical retrospective - prospective study was based on collected data from medical histories and included 40 patients, who, beside medicaments, had undergone kinesiotherapy. This study analysed age, gender, duration of the rehabilitation and estimation of the gross muscle strength at admittance and discharge using Manual Muscle Test (MMT). Results Females was slightly more represented in the total sample without significant statistical difference. After kinesiotherapy significant statistical difference in muscle strength was observed, average MMT of the upper extremities increased from 3.25±0.6 to 3.53±0.8 and on the lower extremities from 2.9±0.8 to 3.3±0.9. The analysis of the gender on the higher score of MMT showed that gender does not affect the score of MMT. Correlational analysis of the age and duration of hospitalization on the score of MMT showed th...
Acta Scientific Medical Sciences
