Journal of Health Sciences <div style="display: block; text-align: left; padding: 10px 10px 10px 10px; margin: 0px; background-color: #ffd7d7; color: #690000; border-radius: 3px; width: 100%;"><strong>ⓘ Notice to readers and authors: </strong>The is a duplicate and fake website of the Journal of Health Sciences, created by a malicious third party, fraudulently offering academicians the opportunity to rapidly publish their research online for a fee. The legitimate website of the Journal of Health Sciences is <strong></strong>. <br />If you have been a victim of the fraudulent website please report it here: <a href="" target="_blank" rel="noopener nofollow"></a></div> <div> <p><strong><em><br />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 specialties 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 (<strong>ICMJE</strong>; <a href="" rel="noopener nofollow"></a>), Committee on Publication Ethics (<strong>COPE</strong>; <a href="" rel="noopener nofollow"></a>), and the World Association of Medical Editors (<strong>WAME</strong>; <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="" target="_blank" rel="noopener nofollow">Scilit</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>, <strong><a href="" target="_blank" rel="noopener nofollow">Researcher</a></strong>, <strong><a href=";tip=sid&amp;clean=0" target="_blank" rel="noopener nofollow">Scimago</a></strong>, PROQUEST, <a href="" target="_blank" rel="noopener nofollow"><strong>ScienceOpen</strong></a>, <strong><a href="" target="_blank" rel="noopener nofollow">MIAR</a></strong>, <strong><a href="" target="_blank" rel="noopener nofollow">Bielefeld Academic Search Engine (BASE)</a></strong>, CAB Abstracts, ULRICH'S, Academic Journal Database, Elektronische Zeitschriftenbibliothek, Index Copernicus, Geneva Foundation for Medical Education and Research, and other libraries.</p> </div> University of Sarajevo, Faculty of Health Studies en-US Journal of Health Sciences 2232-7576 Acute descending necrotizing mediastinitis as a complication of the retropharyngeal abscess caused by anaerobes <p>Descending necrotizing mediastinitis (DNM) is a rare, life-threatening form of mediastinitis caused by odontogenic, pharyngeal, or cervical infections. The retropharyngeal space is the most common primary site of infection. Given the fulminant course and high mortality rate, early diagnosis and prompt treatment are important predictors of survival in patients with DNM. Appropriate empirical antibiotic treatment, prompt surgical intervention, and proper management of patients in the intensive care unit can be of vital importance. We present the case of a previously healthy 20-year-old male patient who was successfully cured and discharged from the Clinical Center University of Sarajevo after suffering from a severe form of mediastinitis as a complication of the retropharyngeal abscess caused by anaerobes.</p> Ilijaz Pilav Orhan Čustović Arijana Horman-Leventa Alma Alihodžić-Pašalić Safet Mušanović Alen Pilav Kemal Grbić Kenan Kadić Meho Dapčević Ademir Hadžismailović Amela Katica-Mulalić Copyright (c) 2020 Ilijaz Pilav, Orhan Čustović, Arijana Horman-Leventa, Alma Alihodžić-Pašalić, Safet Mušanović, Alen Pilav, Kemal Grbić, Kenan Kadić, Meho Dapčević, Ademir Hadžismailović, Amela Katica-Mulalić 2020-12-30 2020-12-30 10 3 248 252 10.17532/jhsci.2020.1041 Canton Sarajevo journey through COVID-19 pandemic <p><strong>Introduction:</strong> Sarajevo is the capital city of Bosnia and Herzegovina, with the population in Canton Sarajevo of 438,443 people. The first cases of COVID-19 in Canton Sarajevo were on 20th March. On that day, we had three positive cases. These days at the beginning of the COVID-19 epidemic in Canton of Sarajevo around 2500 citizens were in self-isolation at home. The aim of this paper is to show the journey of Canton Sarajevo in the fight against COVID-19 infection, the impact of measurements that were taken to stop the infection spreading and to compare pre- and post-lockdown stats.<br /><strong>Methods:</strong> During the period March-July 2020, we have analyzed daily newly cases and followed them through the period of at least 14 days. All data were analyzed using SPSS 25.0 (IBM Corp. Released in 2019. IBM SPSS Statistics for Windows, NY: IBM Corp.) and MS Office 2019 suite (Excel). For comparison, we have used the Chi-square test.<br /><strong>Results:</strong> In the period of 10 weeks from the beginning of March to the 25th of May in Canton of Sarajevo, we had a total of 113 cases of COVID-19 infection. The number of conducted tests was 7515. In total, with positive retests, we had only 161 positive tests, which is 2.14% of all analyzed tests. From that number of patients, 58 (51.3%) were male and 55 (48.7%) were female. Regarding age distribution, under 65 years were 91.1% of patients.<br /><strong>Conclusion:</strong> Choosing the best method to fight against COVID-19 is hard to determine. Staying at home would decrease the infection rate, but in the long term, it is not sustainable. Perhaps the mix of methods that we had in Sarajevo is the best option. Fighting against one epidemic cannot be the source for other epidemics.</p> Anes Jogunčić Aida Pilav Anisa Bajramović Snežana Bursač-Aranđelović Aida Pošković-Bajraktarević Emina Kurtagić-Pepić Aida Pitić Zimka Šeremet Denis Đurović Suada Branković Copyright (c) 2020 Anes Jogunčić, Aida Pilav, Anisa Bajramović, Snežana Bursač-Aranđelović, Aida Pošković-Bajraktarević, Emina Kurtagić-Pepić, Aida Pitić, Zinka Šeremet, Denis Đurović, Suada Branković 2020-12-30 2020-12-30 10 3 176 182 10.17532/jhsci.2020.1031 Quality of life of mothers who have children with developmental disabilities <p><strong>Introduction:</strong> The primary source of strength and support is the child’s family. A special role in caring for a child with developmental disabilities is played by his mother. The objective of this research is to find out the assessment of the quality of life (QOL) of disabled children mothers as well as to research the relation of sociodemographic variables of the respondents, as specified in this study and estimate the quality of their life and health.<br /><strong>Methods:</strong> The cross-sectional study was performed by the use of the descriptive-analytical method. In a targeted association of families which have children and persons with difficulties was conducted this research on a sample of 100 registered mothers. The research instrument was the standardized questionnaire for QOL, the World Health Organization QOL-BREF and the users’ records of the mothers in the association.<br /><strong>Results:</strong> The average age of the respondents was M = 48. 01 ± 11. 68. About 62% of the respondents are married, 54% have a high school diploma, 67% are not employed, 68% of the respondents did not declare to have health problems, and among those who declared to have health problems, the most common disease was diabetes mellitus. The average number of household members was M = 3. 44 members. The number of the household members was significantly and positively related to the domain of social interaction (rs = 0. 219; p &lt; 0. 05), the domain of the environment (rs = 0. 220; p &lt; 0. 05) and to the general QOL (rs = 0. 227; p &lt; 0. 05). The age of the respondents was significantly and positively<br />related only to the environmental domain (rs = 0. 205; p &lt; 0. 05). The respondents who drive a car showed a significantly higher level of QOL in the field of mental health (p = 0. 042) and the environment (p = 0. 005). Concerning mothers with higher incomes rate, their QOL was better in the following domains: Physical health (p = 0. 030), mental health (p = 0. 002), environment (p = 0. 000001), and general QOL (p = 0. 0002).<br /><strong>Conclusion:</strong> The respondents with a larger number of household members, those who have the support of family members, who were without health problems, and who independently use own car for transportation, consider their QOL as being better. Therefore, a promotional – preventive program for improving the life quality of mothers of children and persons with disabilities should include accessible life in the community and the ability to recognize the unique needs of the entire family of children and persons with disabilities.</p> Jasmina Mahmutović Najda Veladžić Amra Mačak Hadžiomerović Suada Branković Hadžan Konjo Đemil Omerović Copyright (c) 2020 Journal of Health Sciences 2020-12-30 2020-12-30 10 3 183 190 10.17532/jhsci.2020.969 Assessment of Lumbar Spine Disc Degeneration in Coherence to Pfirrman Grades and Oswestry Disability Index <p><strong>Introduction:</strong> Intervertebral disc (IVD) degeneration (IDD) is one of the main causes of low back pain (LBP). Standardized diagnostic algorithms for adequate estimation and classification of changes of lumbar discs are mandatory before starting with therapy.<br /><strong>Methods:</strong> One hundred patients who were indicated for lumbar magnetic resonance imaging (MRI) were included in the study. Pfirrmann grading system was used for the determination of IDD, while the visual analog scale (VAS) is used for evaluation of the intensity of LBP. To quantification of disability for LBP, we used the Oswestry Disability Index (ODI).<br /><strong>Result:</strong> Results showed higher Pfirrmann grades II and III for L2/L3 and L3/L4 lumbar levels and lower scores at L4/L5 and L5/S1. The analysis also showed low scores at the L2/3 and L3/4 lumbar level for Pfirrmann grades IV and V, and there was an increased at more inferior lumbosacral levels L4/5 and L5/S1. There was a significant correlation between Pfirrmann grades and ODI (p = 0.24) as well as VAS (p = 0.16).<br /><strong>Conclusion:</strong> Higher Pfirrmann grades correlated with increased ODI and VAS. Therefore, MRI can be used as a strong indicator of clinical appearance, but it is important to take into consideration that LBP should be correlated with clinical features. By summing Pfirrmann grades of all lumbar intervertebral levels in each patient, we can get more accurate insight for the status of the lumbar spine.</p> Suada Hasanović-Vučković Merim Jusufbegović Sandra Vegar-Zubović Lejla Milišić Adnan Šehić Ilvana Hasanbegović Adnan Beganović Copyright (c) 2020 Journal of Health Sciences 2020-12-30 2020-12-30 10 3 191 195 10.17532/jhsci.2020.1064 Handgrip strength and body mass index among adolescents in Northern Nigeria <p><strong>Introduction:</strong> Normative data on handgrip strength (HGS) and body mass index (BMI) are scarce among adolescents in the Nigerian context. The aims of this study were to evaluate patterns of HGS in relation to gender and age in Nigerian adolescents and its correlation with BMI.<br /><strong>Methods:</strong> This cross-sectional study involved 1966 participants (1275 males) and (691 females) aged 12–20 years in Northern Nigeria. Body mass and height were measured. HGS was assessed using a dynamometer.<br /><strong>Results:</strong> The right HGS (RHGS) was significantly higher than the left HGS (LHGS) (t = 21.337, p &lt; 0.05). There were significant age differences in the RHGS and the LHGS (p &lt; 0.05); however, no significant difference occurs at 12–14 years. Males participants aged 16–20 years had significantly higher RHGS values than females of the same age (p &lt; 0.0038). Conversely, males aged 15–20 years had significantly higher LHGS values than females of the same age (p &lt; 0.0038). There was a significant interaction between gender and age for the RHGS (F = 72.2, p &lt; 0.05) and the LHGS (F = 92.1, p &lt; 0.05). There was a significant correlation between the BMI and RHGS (r = 0.480, p &lt; 0.01) and the LHGS (r = 0.465, p &lt; 0.01).<br /><strong>Conclusion:</strong> There are gender and age difference in the HGS of Nigerian adolescents, with the dominance of the RHGS in both genders. HGS correlated with BMI. This normative data on HGS may serve as baseline data for future comparative studies assessing HGS among the adolescent population in Nigeria.</p> Yahaya Abdullahi Talatu Audu Daniel Ter Goon Copyright (c) 2020 Yahaya Abdullahi, Talatu Audu, Daniel Ter Goon 2020-12-30 2020-12-30 10 3 196 203 10.17532/jhsci.2020.983 Applicability of the Fels questionnaire on physical activity of children in rural areas of Bosnia and Herzegovina <p><strong>Introduction: </strong>Insufficient physical activity is one of the leading public health problems in the world, but also in Bosnia and Herzegovina. Modern civilization is characterized by a significant decrease in physical activity, and the number of people whose lifestyle can be called sedentary has never been higher, which is especially emphasised among children and adolescents. Aim of the study is to examine public health significance of physical activity on the occurrence and the degree of obesity in children and adolescents in primary and secondary schools and to determine the applicability of the Fels questionnaire on physical activity of children in rural areas of Bosnia and Herzegovina.</p> <p><strong>Methods:</strong> We used a transversal research method of a cross-sectional study at a one-time point, and for obtaining results we used the Fels physical activity questionnaire for children and measurement protocol.</p> <p><strong>Results: </strong>276 primary and secondary school students in two cities participated in this survey. Respondents in Busovača are more physically active than their peers in Sarajevo. One-third of the total number of respondents is overweight and obese, and respondents in Sarajevo are significantly more nourished than their peers in Busovača. The Fels questionnaire is conditionally applicable, especially in rural areas.</p> <p><strong>Conclusion: </strong>This study confirmed that the Fels questionnaire for assessing the level of physical activity for children and young people, which is the general instrument for research of physical activity in children, is too generalized because it is based on a homogeneous urban population.</p> Vedran Đido Aida Pilav Marijan Marjanović Jenny Phillips Deana Švaljug Sandra Boskovic Hadžan Konjo Đemil Omerović Copyright (c) 2020 Vedran Đido, Aida Pilav, Marijan Marjanović, Jenny Phillips, Deana Švaljug, Sandra Bošković, Hadžan Konjo, Đemil Omerović 2020-12-30 2020-12-30 10 3 204 210 10.17532/jhsci.2020.1072 COVID-19 Pandemic: A Challenge for Healthcare Professionals and Assessment of Anxiety Symptoms <p><strong>Introduction:</strong> Worldwide, COVID-19 pandemic caused millions of infected people and thousands of deaths. Due to enormous pressure on health-care systems and its inadequate preparedness, utter collapse is expected. In the current epidemic response, healthcare workers’ (HCWs) knowledge and practice are crucial, while the impact on their mental health is still unknown.<br /><strong>Methods:</strong> The cross-sectional study was conducted among HCWs redeployed to COVID points in the Public Institution Health Centre of Sarajevo Canton. According to guidelines and information provided by the World Health Organization and Ministries of Health, a questionnaire was developed. In addition, General Anxiety Disorder-7 as a screening tool for anxiety disorders was used.<br /><strong>Results:</strong> Of 180 respondents, 26 (14.4%) were in direct contact with the sick patient. In total, 79 (43.9%) respondents consider their personal protective equipment is in accordance with the guidelines of the world health authorities. A total of 72 (39.7%) of respondents used the same mask for several days. In general, the danger from new coronavirus was considered minimal by 59 (32,6%) HCWs. Based on the achieved score for assessing the anxiety disorder, in 63 (35%) subjects, the presence of severe symptoms was detected.<br /><strong>Conclusion:</strong> This study found that most HCWs do not have enough knowledge about the COVID-19 pandemic. We identified that there are differences in the sources of information and gap in perceptions of the native origin of the virus. Considering the frequency of anxiety symptoms among HCWs, interventions are necessary in order to preserve their mental health.</p> Daniel Maestro Sabina Šegalo Dinko Remić Arzija Pašalić Anes Jogunčić Copyright (c) 2020 Daniel Maestro, Sabina Šegalo, Dinko Remić, Arzija Pašalić, Anes Jogunčić 2020-12-30 2020-12-30 10 3 211 218 10.17532/jhsci.2020.1073 Patient satisfaction as a psychological dimension after rhinoplasty: A randomized study <p><strong>Introduction:</strong> Rhinoplasty is an esthetic and functional nasal reconstruction surgery. The elimination of physical disabilities directly affects mental health and leads to a better psychological balance. Therefore, patient satisfaction is considered a valuable measure of medical service outcomes. The objectives of this study were to evaluate subjective patient satisfaction 1 year after surgery and its influence on the quality of life.<br /><strong>Methods:</strong> This was a clinical, retrospective, randomized, and single-blinded study in which patients were randomly questioned by the same examiner. All subjects underwent pre-operative preparation and post-operative flow at Eurofarm Centre from 2007 to 2010. The survey was conducted through anonymous questionnaires that were provided to each respondent at least 1 year after discharge from the hospital.<br /><strong>Results:</strong> Overall, 20 (50%) patients had esthetic and 20 (50%) had functional nasal surgery. Most respondents were born between 1971 and 1980 (52.5%) and between 1981 and 1991 (40%), with the least born between 1951 and 1960 (2.5%). Regarding the education level, 27 had university degrees (67.5%), 1 had postgraduate education (2.5%), and 12 (30.0%) were secondary school graduates. In addition, 25 (62.5%) were unmarried and 15 (37.5%) were married.<br /><strong>Conclusion:</strong> No statistically significant correlation was found between the subjective assessment of patient’s health based on eight dimensions of health assessment and variables such as type of surgery, age, level of education, and marital status 1 year after undergoing rhinoplasty. A statistically significant difference was found between the type of surgery and physical pain (p = 0.004 &lt; 0.05, Mann–Whitney U test). Based on the research findings, we can conclude that patient satisfaction after undergoing rhinoplasty was moderately correlated positively with the quality of life (r = 0.180-0.345, p &lt; 0.05).</p> Redžo Čaušević Irmelina Karić Sanela Salihagić Indira Prguda Dženana Hrustemović Copyright (c) 2020 Redžo Čaušević, Irmelina Karić, Sanela Salihagić, Indira Prguda, Dženana Hrustemović 2020-12-30 2020-12-30 10 3 219 225 10.17532/jhsci.2020.930 Computed tomography simulator conversion curve dependence on scan parameters and phantom dimension <p><strong>Introduction:</strong> Using computed tomography (CT) and treatment planning systems (TPS) in radiotherapy, due to the difference in photon beam energy on CT and linear accelerator, it is necessary to convert Hounsfield units (HU) to relative electron density (RED) values. The aim of this dosimetric study was to determine whether there is a significant effect of potential in the CT tube, field of view size (FOV), and phantom dimensions on the CT conversion curve CT-RED. The second aim is whether there are significant differences between the CT-RED obtained by the Computerized Imaging Reference Systems (CIRS) Thorax 002LFC phantom and the “reference” curve in the TPS, obtained by the CIRS 062M pelvis phantom, at the same CT conditions.<br /><strong>Methods:</strong> Heterogeneous CIRS 062M and CIRS Thorax 002LFC phantoms were used, which anatomically and dimensionally represent the human pelvis, head, and thorax, with a set of known RED inserts. They were scanned on a CT LightSpeed GE simulator and obtained CT-RED.<br /><strong>Results:</strong> The high voltage in the CT tube had a significant effect on the HU (t = 10.72, p &lt; 0.001) for RED values &gt;1.1, while FOV as a parameter did not show statistical significance for the 062M pelvis phantom. Comparing the slopes (062M pelvis and head) of the CT-RED for RED ≥ 1.1, the obtained value is t = 1.404 (p = 0.163). In the case of a 062M pelvis and a 002LFC phantom, we have seen a difference in RED values (for the same HU value) of 5 % in the RED region ≥ 1.1 (bone).<br /><strong>Conclusion:</strong> Patients should be imaged on a CT simulator only at the potential of the CT tube on which the conversion curve was recorded. The influence of the FOV and scanned phantom dimensions is not statistically significant on the appearance of the calibration curve (RED ≥ 1.1).</p> Goran Kolarevic Dražan Jaroš Bojan Pavičar Tatjana Ignjć Aleksandar Kostovski Goran Marosevic Branko Predojević Dragoljub Mirjanić Copyright (c) 2020 Goran Kolarević, Dražan Jaroš, Bojan Pavičar, Tatjana Ignjić, Aleksandar Kostovski, Goran Marošević, Branko Predojević, Dragoljub Mirjanić 2020-12-30 2020-12-30 10 3 226 233 10.17532/jhsci.2020.1085 Evaluation of nursing documentation: The experience of nurses from the primary and secondary/tertiary health care <p><strong>Introduction:</strong> Aim of the study is to piloting nursing documentation to obtain comments based on the experience of nurses/medical technicians from the primary, secondary, and tertiary health care about the documentation before it is published and starts being used.<br /><strong>Methods:</strong> A questionnaire was designed in the electronic form to be used for the evaluation and suggestions by nurses/medical technicians on the piloted form and content of nursing documentation for all levels of health care. A piloting sample was prepared to make 10% of nurses/medical technicians from health care institutions from the territory of the Federation of Bosnia and Herzegovina.<br /><strong>Results:</strong> A total of 94.3% of examinees at the primary health care level and only 17.2% of the examinees in the secondary and tertiary health care fill out nursing documentation both manually and electronically. All examinees at all levels of health care understand the purpose and importance of nursing documentation. A total of 27.7% of the examinees at the primary and 40.9% of the examinees at the secondary and tertiary level of health care pointed out that filling out nursing documentation was too time-consuming.<br /><strong>Conclusion:</strong> A total of 51.2% of the examinees at the primary and 64.2% at the secondary and tertiary level of health care agreed that submitted nursing documentation was adequate for use. It is suggested that after the adoption of nursing documentation at all levels of health care, piloting of its use should be conducted to evaluate the quality and quantity of all nursing documentation.</p> Šeila Cilović-Lagarija Nino Hasanica Sanela Tukulija Suada Branković Jasmina Mahmutović Dragana Galić Kristina Perić Selma Čajdrić Senada Mujačić Salih Slijepčević Ekrem Mrakić Elvedin Dervišević Copyright (c) 2020 Šeila Cilović-Lagarija, Nino Hasanica, Sanela Tukulija, Suada Branković, Jasmina Mahmutović, Dragana Galić, Kristina Perić, Selma Čajdrić, Senada Mujačić, Salih Slijepčević, Ekrem Mrakić, Elvedin Dervišević 2020-12-30 2020-12-30 10 3 234 240 10.17532/jhsci.2020.1086 Radiography student comparison performing lumbar and thoracic spine imaging <p><strong>Introduction:</strong> General radiography is a common imaging technique and X-ray examinations of the thoracic and lumbar spine are among the most frequent procedures undertaken. The aim of this research was to investigate the success rate, dose-area product (DAP), and effective dose values of 1st and 2nd cycle radiographer students performing X-ray imaging of the thoracic and lumbar spine using a phantom.</p> <p><strong>Methods:</strong> The students were divided into four groups according to the year of study (1st, 2nd, and 3rd years of 1st cycle degree, and all 2nd cycle degree students). They were asked to perform imaging of thoracic and lumbar spine on the phantom in both anteroposterior and lateral projections where IQ and DAP measurements were collated. The study was blind, so they did not know about the purpose of the study.</p> <p><strong>Results:</strong> First, we have inspected the acceptability rate of the images performed. The highest success rate of performing an optimal image was discovered with the 2nd cycle degree students where the 1st year students had the most difficulties there. In the second part, DAP and effective dose values were compared, only for the acceptable images in which case the 1st and 2nd years, students of the 1st cycle degree were most successful.</p> <p><strong>Conclusion:</strong> Based on that, we can conclude, that the 2nd cycle degree students had the lowest rejection rate regarding the optimal image quality, which was the price of using a larger primary X-ray field which leads to higher dose values.</p> Rebeka Viltužnik Nejc Mekiš Copyright (c) 2020 Rebeka Viltužnik, Nejc Mekiš 2020-12-30 2020-12-30 10 3 241 247 10.17532/jhsci.2020.1112