The beneficial effect of thermomineral (sulfur) water in the treatment of degenerative rheumatic diseases of the peripheral joints is the result of the incorporation of sulfur in the form of sulfates and sulfides into the cartilaginous parts of the joints. The aim research is to examine the therapeutic effects of thermomineral-sulfur water from Ilidza-Sarajevo using the iontophoresis method in osteoarthritis of the knee and compare it with the effects of the classic galvanization method. The study was observational, prospective, included 100 participants with osteoartritis of the knee, 50 in the Iontophoresis group with sulfur water (ISW) and 50 in the group where the Classic galvanization method (CG) was applied, both genders, aged between 31 and 80. The research was conducted in two Centers for Physical medicine and rehabilitation in Sarajevo Canton. The research results show that there is a statistically significant difference in the reduction of pain in patients after 10 days of therapy, using the ISW method 33%, with the CG method it is 24% (p< 0.05). After 15 days of treatment using the ISW method 57%, according to the CG method 45% (p<0.05). The increase in the range of mobility of the knee joint with the ISW method after 10 days of treatment is 13%, and with CG 10% (p=0.336). Results after 15 days of therapy with the ISW method 22%, and with CG treatment 16% (p=0.074). The use of Ilidza sulfuric water using the iontophoresis method in osteoarthritis of the knee improves the establishment of the functional ability of the knee joint.

Improper nutrition leads to changes in the body that are not only an aesthetic problem, but also lead to chronic diseases. The goals of the research are to analyze knowledge, habits and attitudes about nutrition and knowledge about obesity, to determine the body mass index (BMI) of all respondents, to analyze the connection between nutrition, excess body weight and the frequency of chronic non-communicable diseases. The study was cross-sectional epidemiological, descriptive-analytical, was conducted on a sample of 200 respondents of patients Family medicine, Public Health Center of the Sarajevo Canton. The survey was conducted by interviewing respondents using a modified questionnaire, made up of 27 questions. Analyzing the results, it was determined that the respondents' knowledge of nutrition is satisfactory, but that the majority of respondents (121) have a BMI over 25. For men in the age group of 46-55 years, the average BMI is 29.3, and for women in the same age group, it is 27. 5, which shows that they do not apply their own knowledge about nutrition. The majority of respondents (32%) whose BMI is over 25 have one or more chronic non-communicable diseases. Most respondents stated that they get information about proper nutrition through the media, although many of them suffer from some chronic diseases, they do not get information at the health center. In the family doctor's clinic, it is very important to recognize excess body weight, bad eating habits of patients in time, plan a prevention strategy, and prevent the further development of chronic diseases with professional counseling.

Introduction: Benign prostatic hyperplasia (BHP) is one of the most common, progressive diseases in elderly men. It is very important to diagnose this disease in its early stages. The international prostate symptom score (IPSS) is a very helpful tool to be used for this purpose. Aims: The main goal of this study was to analyze the signs and symptoms of benign prostatic hyperplasia and its impact on a patient's quality of life. Patients and Methods: This descriptive randomized study included 112 male examinees aged 50-70 years. We used IPSS as a survey tool. Results: The average age of the examinees was 61.02 (± 6,18). 56.3% of examinees had mild symptoms, 31.3% had moderate symptoms and 12.5% of our examinees had severe lower urinary tract symptoms. Nocturia was the most common symptom. Irritative symptoms were present in 76.8% of examinees compared to obstructive symptoms which occurred in 8.9%, and 14.3% had both types of symptoms. Hypertension was the most common comorbidity (in 50.9% of cases). The majority of examinees answered that they would be satisfied with their quality of life if their symptoms do not change in the future. Conclusions: Assessment of symptoms and signs of benign prostatic hyperplasia using IPSS in clinical practice has proven to be useful in the timely approach of clinical physicians.

Background: Family medicine is defined by the copartner attitude towards patients, and the field of action of the same is not just sickness but illness too- which includes satisfaction od patients, which constitutes an important reference of quality of the health system. Objective: Evaluation of patients satisfaction with provided healthcare in Family medicine (FM). Methods: The research is, by type, designed as random, descriptive, prospective. The study was conducted in the time period of May, 2018, in FM- one patient departments of the Primary Healthcare Center of Sarajevo Canton. 250 of age subjects, older than 18 years ,both genders were included in the study. The standardized, anonym, diskret, and to the demands of the research adapted, questionnaire of the Agency for quality and acreditation in health in the Federation of Bosnia and Herzegovina was used as the survey instrument. For data processing, the statistical package for data processing IBM Statistics SPSS was used. Results: Most of the patients were very satisfied with the accesss to the establishment, the working time of the establishment, the waiting time in the waiting room, the duration of examination, the adequacy, with securing privacy and with the work of the physician and the nurse. 44,80% of patients were satisfied, and 32,40% were very satisfied with the department of FM. In comparison to other health departments, 36,44% of patients adduce that FM is better. 65,60% of patients schedule physician examination, 17,60% of patients do not. Between groups of patients, significant differences in patients satisfaction with provided healthcare exist, Conclusion:. The most satisfied group of patients, with provided healthcare in FM, are patients age over 55 years, retired, having some chronical disease, having a elected FM physician, which schedule physical examination by their elected FM physician and patients which always.

Background: Acute nasopharyngitis is a common condition usually accompanied by nasal congestion. The aim of this study was to compare efficacy and safety of the spray containing xylometazoline and lysozyme with spray containing only xylometazoline in the treatment of acute nasopharyngitis.Methods: Prospective, comparative, post-marketing study was performed on subjects with acute nasopharyngitisdivided into xylometazoline+lysozyme or xylometazoline nasal spray groups. Data collection was performed at the baseline before and 30 minutes after the therapy application and seven days after baseline.Main findings: Out of 173 included subjects, 59 were in the xylometazoline+lysozyme and 114 in the xylometazoline group. In both groups nasal patency was significantly improved 30 minutes after the therapy application (p<0.001). In the xylometazoline+lysozyme group all subjects had nasal decongestion within 20 minutes and this was significantly shorter (p=0.037) compared to xylometazoline group where 16 subjects (14%) needed 20 to 120 minutes for nasal decongestion. All adverse events were mild and there was no significant difference in the number of adverse events between the groups.Principal conclusions: Nasal sprays containing xylometazoline with or without lysozyme were effective and safe in the treatment of acute nasopharyngitis. Nasal spray containing xylometazoline with lysozyme showed a faster effect with significantly shorter time to nose decongestion. All recorded adverse events were mild and there was no difference between the groups in the number of recorded adverse events. Key words: nasopharyngitis, nasal obstruction, lysozyme, xylometazoline,nasal sprays