Journal of Health Sciences <div> <p><strong><em>The Journal of Health Sciences</em></strong> is international, open access, peer-reviewed and evidence-based scientific journal published by the University of Sarajevo, Faculty of Health Studies (UNSA FHS; <a href=""> ;</a> <a href="" rel="noopener nofollow"></a>).</p> <p>The Journal's mission is to promote excellence in nursing and a range of disciplines and specialities of <a href="" rel="noopener nofollow">allied health professions</a>. It welcomes submissions from international academic and health professionals community. The Journal publishes evidence-based articles with solid and sound methodology, clinical application, description of best clinical practices, and discussion of relevant professional issues or perspectives. Articles can be submitted in the form of research articles, reviews, case reports, and letters to the editor or commentaries.</p> </div> <div> <p>The Journal's priorities are papers in the fields of nursing, physical therapy, medical laboratory science, environmental health, and medical imaging and radiologic technologies. Relevant articles from other disciplines of <a href="" rel="noopener nofollow">allied health professions</a> may be considered for publication.</p> <p>It follows publishing standards set by the International Committee of Medical Journal Editors (ICMJE; <a href="" rel="noopener nofollow"></a>), Committee on Publication Ethics (COPE; <a href="" rel="noopener nofollow"></a>), and the World Association of Medical Editors (WAME; <a href="" rel="noopener nofollow"></a>).</p> <p><strong>This journal is indexed or abstracted by</strong> <a href="" target="_blank" rel="noopener nofollow"><strong>SCOPUS</strong></a>, <strong><a href="" target="_blank" rel="noopener nofollow">EBSCO</a></strong>, <strong><a href="" target="_blank" rel="noopener nofollow">DOAJ</a></strong>, <strong><a href=";user=fOhsyZ8AAAAJ&amp;view_op=list_works" target="_blank" rel="noopener nofollow">Google Scholar</a></strong>, <strong><a href=";order=date" target="_blank" rel="noopener nofollow">Dimensions</a></strong>, PROQUEST, ScienceOpen, Bielefeld Academic Search Engine (BASE), CAB Abstracts, ULRICH'S, Academic Journal Database, Elektronische Zeitschriftenbibliothek, Index Copernicus, Geneva Foundation for Medical Education and Research, SciLit Basel, ScienceOpen, and other libraries.</p> </div> University of Sarajevo, Faculty of Health Studies en-US Journal of Health Sciences 2232-7576 A Novel Cellular Automata Classifier for COVID-19 Prediction <p><strong>Introduction:</strong> China has witnessed a new virus Corona,which is named COVID-19. It has become the world’s most concern as this virus has spread over the worldat a higher speed; the world has witnessed more than one lakh cases and one thousand deaths in a span of few days.</p> <p><strong>Methods:</strong> We have developed a preliminary classifier with non-linear hybrid cellular automata, which is trained and tested to predict the effect of COVID-19 in terms of deaths, the number of people affected, the number of people being could be recovered, etc. This indirectly predicts the trend of this epidemic in India. We have collected the datasets from Kaggle and other standard websites.</p> <p><strong>Results:</strong> The proposed classifier, hybrid non-linear cellular automata (HNLCA), was trained with 23,078 datasets and tested with 6785 datasets. HNLCA is compared with conventional methods of long short-term memory, AdaBoost, support vector machine, regression, and SVR and has reported an accuracy of 78.8%, which is better compared with the cited literature. This classifier can also predict the rate at which this virus spreads, transmission within the boundary, and of the boundary, etc.</p> Kiran Sree Pokkuluri SSSN Usha Devi Nedunuri Copyright (c) 2020 Kiran Sree Pokkuluri, SSSN Usha Devi Nedunuri 2020-03-29 2020-03-29 10 1 34 38 10.17532/jhsci.2020.907 Non-antimicrobial effect of Alocasia denudata Engler against selected Gram-positive oral pathogen <p><strong>Introduction:</strong><em> Alocasia denudata</em> is a herbal plant used by traditional healers as a wound healing agent and its potential as a healer has been proven scientifically. Normally, wounded tissue offers the opportunity for microflora to adhere, colonize, invade, and infect the surrounding healthy tissue. Therefore, the aim of this study is to assess the antimicrobial effect of <em>A. denudata</em> on selective oral pathogen as well as to analyze its phytochemical compound.</p> <p><strong>Methods:</strong> The stem of <em>A. denudata</em> was extracted with 80% ethanol solution, freeze-dried, and sent to poison center to analyze its phytochemical constituents. The bioassay applied for determining the antimicrobial effect employs the well agar diffusion method to the selected Gram-positive oral bacteria; <em>Streptococcus mutans</em>, <em>Staphylococcus aureus</em>, <em>Enterococcus faecalis</em>, and non-oral pathogen <em>Streptococcus pyogenes</em>. These bacteria were incubated and the inhibition zone was recorded.</p> <p><strong>Results:</strong> Our results showed that the mean yield of extraction was 12.8% and that the different concentrations of <em>A. denudata</em> show no antimicrobial effects toward the selected Gram-positive oral pathogen including non-oral pathogen bacteria. However, the gas chromatography–mass spectrometry result showed that antimicrobial compound is present along with anti-inflammatory and antioxidant compounds but showed no effect on the oral pathogen.</p> <p><strong>Conclusion:</strong> <em>A. denudata</em> extract has antimicrobial compound but did not show antimicrobial activity toward the selected Gram-positive oral pathogen.</p> Nurul Akilah Mohd Yusoff Tuan Nadrah Naim Ismail Ismail Wan Nazatul Shima Shahidan Copyright (c) 2020 Nurul Akilah Mohd Yusoff, Tuan Nadrah Naim Ismail Ismail, Wan Nazatul Shima Shahidan 2020-04-11 2020-04-11 10 1 39 46 10.17532/jhsci.2020.831 Knowledge, attitudes and quality of life of caregivers towards asthma in their children: a Nigerian perspective <p><strong>Introduction: </strong>The burden of uncontrolled asthma is high and caregivers can offer support in the management of asthma. Asthma is one of the most common chronic diseases in children. The objective of this study was to assess the knowledge, attitudes, and quality of life (QoL) of caregivers toward asthma in their children.</p> <p><strong>Methods: </strong>This cross-sectional study was conducted in the Paediatric Respiratory Unit of the University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State (July 2017-September 2017). We utilized a 46-item questionnaire comprising knowledge and attitude domains and the 13-item Pediatric Asthma Caregiver’s QoL Questionnaire (PACQLQ). Data were analyzed using the IBM SPSS Version 25.0. Statistical significance was set at <em>p</em> &lt; 0.05.</p> <p><strong>Results: </strong>Fifty-one caregivers participated in the study. More than half (n = 36, 70.6%) of the caregivers were 40 years old and above, female (n = 37, 72.5%), graduates from higher institutions (n = 33, 64.7%), and self-employed (n = 27, 52.9%). About a quarter (n = 13, 25.5%) had a family history of asthma and a similar proportion (n = 14, 27.5%) knew the three main symptoms of asthma.</p> <p><strong>Conclusion: </strong>Less than half (n = 24, 47.1%) of the caregivers had good asthma knowledge. Dust (n = 35, 68.6%) and smoke (n = 31, 60.8%) were identified as the most common asthma triggers in their children. The majority of the caregivers (n = 41, 80.3%) agreed that most people can have well-controlled asthma without seeing a doctor regularly. Overall, less than half of the caregivers (n = 24, 47.1%) showed positive attitudes toward their children’s asthma. The overall score for the PACQLQ was 3.91 (0.98) which implied a poor QoL. The caregivers had both impaired activity and emotional function from managing asthma in their children. More female caregivers had better knowledge about asthma than their male counterparts (t = −3.178; df = 49; <em>p</em> = 0.003). Less than half of the caregivers had good asthma knowledge and positive attitudes toward asthma in their children. They had an impaired QoL from managing asthma in their children.</p> Kosisochi Chinwendu Amorha Ebere Emilia Ayogu Blessing Adaora Ngwoke Eleje Oboma Okonta Copyright (c) 2020 Kosisochi Chinwendu Amorha, Ebere Emilia Ayogu, Blessing Adaora Ngwoke, Eleje Oboma Okonta 2020-04-11 2020-04-11 10 1 47 57 10.17532/jhsci.2020.860 Determination of adaptation levels and applications for fistulas care and protection to disease of patients with arteriovenous fistula <p><strong>Introduction: </strong>The aims of this study were to the determinate adaptation to chronic disease, applications for arteriovenous fistula (AVF) care,&nbsp; protection of hemodialysis (HD) patients with an AVF, and to determine the relationships between adaptation and application.</p> <p><strong>Methods:</strong> This research is a prospective, descriptive, and cross-sectional type of research. Sample of the study accounted for 180 patients who underwent HD. Research was completed with 114 patients. The research was conducted from July 2019 to September 2019, in two different dialysis centers in Osmaniye Province. The data were collected using The Patient Identification Form and Adaptation to Chronic Illness Scale. Mean ± Standard deviation, percentages, and independent samples t-test analysis was used.</p> <p><strong>Results: </strong>When the scale scores of the patients participating in the study were evaluated, determined to level of total adaptation with chronic disease and physical adaptation was to above the average score (40.24 ± 5.99). Social adaptation (21.82 ± 6.39) and psychological adaptation (22.91 ± 5.39) levels can be said to be moderate. Individuals who exercised with the ball to mature the fistula, who was careful to dress and keep the area dry on the 1<sup>st</sup> day of the operation, who was careful not to apply lotion to the fistula area, and who complied with the fluid restriction were found to have higher levels of adaptation with the disease.</p> <p><strong>Conclusion: </strong>As a result, it is observed that the general and physical adaptation levels to chronic disease are above the average and social and psychological adaptation levels are medium-level. However, it is observed that the adaptation level of the participants who stated that they performed all applications for AVF care and protection properly is higher. In line with these findings, the adaptation level of patients should be increased by a patient-centred and multifaceted approach.</p> Derya Atik Songül Güngör Copyright (c) 2020 Derya Atik, Songül Güngör 2020-04-11 2020-04-11 10 1 58 66 10.17532/jhsci.2020.862 Nursing Practice guidelines for needling of A.V Fistula/grafts: Beni-Suef City, Egypt. <p><strong>Introduction:</strong> Vascular access is considering to the patient undergoing hemodialysis (HD) as his/her soul which indicating patient survival, moreover, vascular access can controlling, directing the dialysis regimen effectiveness. Cannulation techniques are a crucial skill for nurses to minimize arteriovenous fistula (AVF) or graft (AVG) complications.</p> <p><strong>Methods:</strong> A cross-sectional study was applied to assess vascular complication and related factors. The participants were 65 patients on maintenance HD therapy enrolled at the dialysis unit, central Ehnasa’ government hospital, Beni Suef City. Data were collected using developed questionnaires regard patients’ demographic data, clinical, and HD session characteristics, designed Nursing Practice guidelines for needling of AVF/AVG booklet.</p> <p><strong>Results:</strong> Statistically, the results show the most common cannulation technique which was demonstrated is an area method (65%) and needle direction is retrograde with bevel up (66.2%). whereas, the significant positive correlation shows between the cannulation techniques and vascular access complication, duration of dialysis and complication during the dialysis session. Furthermore, the most common complication related to needling practice is aneurysm (44.6%).</p> <p><strong>Conclusion:</strong> Following cannulation, technique guidelines will prevent potential complication, increase vascular access durability, and improve patients’ quality of life.</p> Magda Bayoumi Leena Khonji Copyright (c) 2020 Magda Bayoumi, Leena Khonji 2020-04-11 2020-04-11 10 1 67 75 10.17532/jhsci.2020.887 Workplace violence against nurses at Minia district hospitals <p><strong>Introduction:</strong> Violence against nurses at the workplace is an alarming problem in both developed and developing countries affecting the quality of their work. The aim of this study is to assess the prevalence of external (patient initiated) and internal violence (initiated by staff members) against nurses and studying the violence-associated factors such as perpetrators, the attitude of nurses following aggression incidents, consequences, and impact on nurses and work.</p> <p><strong>Methods:</strong> A cross-sectional study included 385 nurses from three different hospitals in Minia district was agreed to participate in the study. These hospitals included Health Insurance Hospital, Minia University Hospitals (Minia University Gynecological, Obstetric, and Pediatric Hospital and Minia Renal Hospital), and Minia general hospital<strong>.</strong> The well-structured questionnaire covered four main domains; sociodemographics, lifetime working experience of violence, external and internal violence and its effects on work, the perpetrators of violence, and attitude of nurses following violent incidents.</p> <p><strong>Results:</strong> More than half of nurses (55.8%) were exposed to workplace violence during their working lifetime. Experiencing external violence (patient initiated) during the past year was significantly higher (57.4%) than the internal (staff initiated) type (33.5%). Verbal violence was the most common type of violence. Reporting violence incidents were done by 68.3% and 38.7% of the nurses who were exposed to external and internal violence, respectively.</p> <p><strong>Conclusion:</strong> Violence against nurses working in different health-care facilities at Minia district was prevalent and has a significant impact on nurses and their work.</p> Ebtesam Esmail Hassan Naglaa Mohammed Amein Sanaa Mohmoud Ahmed Copyright (c) 2020 Ebtesam Esmail Hassan, Naglaa Mohammed Amein, Sanaa Mohmoud Ahmed 2020-04-13 2020-04-13 10 1 76 82 10.17532/jhsci.2020.865 Analyzing the effects of exercise prescribed based on health-related fitness assessment among different somatotypes <p><strong>Introduction: </strong>Human body types (somatotypes) are classified into ectomorph, mesomorph, and endomorph. The ectomorphs are physically weak and usually tall. Mesomorphs were characterized as muscular, thick skinned with good upright posture. Endomorphs characterized as fat, heavy, and usually short.</p> <p><strong>Methods:</strong> This study is an interventional study, in which a total number of 45 healthy male volunteers between the age group of 22 and 28 years were observed. Written consent was obtained from the patients after a detailed explanation of the study. Exercises were prescribed and executed based on the American College of Sports Medicine (ACSM) guidelines for exercise testing and prescription. Body composition, cardiorespiratory endurance, muscular strength, muscular endurance, and flexibility were assessed.</p> <p><strong>Results:</strong> The statistical analyses were done using the SPSS software version 16 executed at a 95% confidence interval. Mean and standard deviations were calculated by descriptive statistics. A paired t-test was done to find the effectiveness of the intervention. The level of significance in all tests was set to <em>p </em>&lt; 0.05. Positive changes were observed in health-related fitness among the three groups.</p> <p><strong>Conclusion: </strong>This study reports about finding the somatotypes, and exercising based on that will provide the best results in health-related fitness components designed by the ACSM.</p> Vijayakumar Kathirgamam Mandar Ambike Raju Bokan Vaishaly Bharambe Arun Prasad Copyright (c) 2020 Vijayakumar Kathirgamam, Mandar Ambike, Raju Bokan, Vaishaly Bharambe, Arun Prasad 2020-04-15 2020-04-15 10 1 83 89 10.17532/jhsci.2020.876 Predictors of anxiety and depressive symptoms among Greek nurses <p><strong>Introduction: </strong>The increasing needs of an aging population and the shortage of nursing personnel have a negative impact on the workload of nurses increasing the risk of developing anxiety and depressive symptoms. This research aims to evaluate the strength of occupational and demographic characteristics in predicting anxiety and depression among nurses.</p> <p><strong>Methods:</strong> In this cross-sectional study, a sample of 164 Greek nurses from three hospitals employed full-time participated. Anxiety and depression were measured using the validated Greek versions of the State-Trait Anxiety Inventory – State and Trait Y forms and the Centre for Epidemiological Studies Depression scale, respectively. The statistical analysis of the data was performed using the statistical program SPSS version 19.0. The statistical significance level was set up at 0.05.</p> <p><strong>Results</strong>: Younger nurses, unmarried, those without children, those with less work experience, and working in the general medical units were more vulnerable. The average number of patients per nurse during the day shift may not predict anxiety or depression scores. Strong positive correlation between state and trait anxiety (r [162] = 0.77, <em>p </em>&lt; 0.001), state anxiety and depression (r [162] = 0.62, <em>p </em>&lt; 0.001), and trait anxiety and depression (r [162] = 0.63, <em>p </em>&lt; 0.001) was revealed.</p> <p><strong>Conclusion</strong>: Anxiety and depression are prevalent among nurses. Demographic and working characteristics are strong predictors of anxiety and depression among nurses. Nursing managers should emphasize emotional interventions (cognitive behavioral therapy, training on emotional intelligence, strengthening coping skills, and development of high resilience) in supporting nurses at higher risk.</p> Ioannis Nikolaou Victoria Alikari Foteini Tzavella Sofia Zyga Maria Tsironi Paraskevi Theofilou Copyright (c) 2020 Ioannis Nikolaou, Victoria Alikari, Foteini Tzavella, Sofia Zyga, Maria Tsironi, Paraskevi Theofilou 2020-04-15 2020-04-15 10 1 90 98 10.17532/jhsci.2020.856 Determinants of menopause-related symptoms in women during the transition to menopause and the postmenopausal period – A systematic literature review <p><strong>Introduction:</strong> Menopause is a complex physiological, self-perceived health condition caused by the reduction and termination of ovarian function, a process that results in a range of both psychological and physiological symptoms. The aim of this literature review was to synthesize the results of published studies on factors associated with menopausal symptoms in women during the transition to menopause and the postmenopausal period.<br><strong>Methods:</strong> This systematic review was carried out according to the PRISMA statement. Primary studies published between 2007 and 2017 were identified through the following databases: PUBMED, SCOPUS, and CINAHL. In total, 3301 studies were identified and 279 were screened in full text. Of these, 54 studies were included for quality assessment using checklists from the Norwegian Institute for Public Health. A total of 22 studies were ultimately selected for inclusion in the results. These were thematically reviewed.<br><strong>Results:</strong> A wide range of determinants was sorted as socio-demographic predictors, reproductive factors, clinical characteristics, behavioral, and lifestyle characteristics, and their association with the following outcomes was examined: The prevalence and severity of menopausal symptoms; sexual functioning; health indicators and health behaviors; health-related quality of life; physical performance; cognitive changes and attitudes; and the prevalence and age of natural menopause.<br><strong>Conclusions:</strong> The current state of knowledge regarding menopause indicates that a wide array of instruments and variables have been employed and assessed to further understanding about menopause-related symptoms. This systematic review provides information on factors that should be considered in the treatment of menopause-related changes that may be bothersome for menopausal women.</p> Zada Pajalić Zora Raboteg-Šarić Copyright (c) 2020 Zada Pajalić, Zora Raboteg - Šaraić 2020-04-23 2020-04-23 10 1 1 33 10.17532/jhsci.2020.885 Effects of positional coracohumeral ligament stretching on the size of calcium deposits in adhesive capsulitis <p>Adhesive capsulitis is a painful condition of unknown etiology with restriction of active and passive movements of the glenohumeral joint. The condition is a result of inflammation, adherence, and swelling in the lining of the shoulder joint capsule and its associated ligaments, causing resultant contracture of the capsule. We describe a patient with calcified and thickened coracohumeral ligament with adhesive capsulitis and diabetes mellitus.</p> G. Pooja Sharma P. Antony Leo Aseer P.M.Venkata Sai N. Venkatesh Copyright (c) 2020 G. Pooja Sharma, P. Antony Leo Aseer, P.M.Venkata Sai, N. Venkatesh 2020-04-15 2020-04-15 10 1 99 102 10.17532/jhsci.2020.840