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Velma Pijalović, Herzegovina, Lejla Lazović-Pita, A. Peštek

The problem of an ageing population has only recently gained attention in Bosnia and Herzegovina (BIH). Adequate pension reforms cannot be expected if most citizens are unaware of the issues or even oppose the reforms necessary. The primary research is based on opinion survey data collected in the Federation of Bosnia and Herzegovina (FBIH) with a special focus on the fact that the ageing of the population might pose a problem for pension systems in the future. The results show that more than three quarters of the respondents are aware of this problem in FBIH. The logit regression model shows that pensioners, respondents who prefer the primary role of government, those with higher levels of education and reported living standard are more likely to recognise this issue. Improvements in the efficiency of pension funds, reduction in public spending and active measures aimed at the prevention of emigration from BIH are the solutions most widely recognised.

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 discharge. Duration of treatment was 10-20 days for 23.4% of patients, while 29.8% received treatment for 31-40 days. Conclusion: According to our results, MMT significantly improved at the end of the treatment. Thus, physical therapy had a positive effect on the recovery of muscle strength in patients with coxarthrosis.

Introduction: Shoulder pain is the most common form of extra-articular rheumatism. We aimed to determine the efficiency of the conventional physical treatment of the shoulder pain compared to the conventional treatment plus the Mulligan's joint mobilization technique and acupuncture. Methods: We included a total of 277 patients with the shoulder pain caused by adhesive capsulitis (frozen shoulder), calcific tendinitis, rotator cuff syndrome, or the tendinitis of the biceps muscle. We used clinical and radiological diagnostic criteria to make the diagnosis. Patients were assigned into group treated with conventional physiotherapy treatment during the ten days (CP)(n=148), and the group treated with conventional physiotherapy treatment plus the Mulligan joint mobilization and acupuncture (CP+MA)(n=128). Treatment efficiency was evaluated by assessing the status of the patients before and after the treatment with the Work Abilities and Activities of Daily Living (WAADL) scale as well as the Treatment Success scale. Results: Mean treatment duration was 13.36±5.83 and 10.86±4.55 days in CP and CP+MA group, respectively (p<0.05). Mean WAADL scores after the treatment were 3.98±1.04 and 4.61±1.10 in CP and CP+MA group, respectively (p<0.05). Mean Treatment success score was 3.16±0.74 and 4.35±0.78 in CP and CP+MA group, respectively (p< 0.05). Conclusions: Conventional physical therapy plus the Mulligan's joint mobilization technique and acupuncture resulted in shorter treatment duration and higher WAADL and Treatment success scores in patients with shoulder pain.

D. Durmuş

ABSTRACT The aim of this essay is to give voice to the distinct types of feminist consciousnesses in dominantly Muslim societies, which have been mostly ignored or marginalized by Western and Western-influenced feminisms. I analyze Islamic and secular feminisms in Turkey (a secular regime) and in Iran (an Islamic regime) and show the shortcomings and patriarchal elements in both movements. I also show the authenticity and necessity of both movements, and emphasize their contributions to the feminist ideal of pluralism. Finally, by producing this project, I hope to carve a space for Middle Eastern Feminisms in global feminist scholarship.

Dragan Z. Troter, Z. Todorović, Dušica R. Đokić-Stojanović, Ljiljana Veselinović, M. Zdujić, V. Veljković

E. Mwakapeje, Sol Høgset, A. Softić, J. Mghamba, H. Nonga, R. Mdegela, E. Skjerve

Bacillus anthracis is an aerobic, Gram-positive and spore-forming bacterium, which causes anthrax in herbivores. Humans get infected after coming into contact with infected animals' products. An unmatched case–control study was conducted to identify the importance of demographic, biological and/or behavioural factors associated with human cutaneous anthrax outbreaks in the hotspot areas of Northern Tanzania. A semi-structured questionnaire was administered to both cases and controls. The age range of participants was 1–80 years with a median age of 32 years. In the younger group (1–20 years), the odds of being infected were 25 times higher in the exposed group compared to the unexposed group (OR= 25, 95% CI = 1.5–410). By contrast, the odds of exposure in the old group (≥20 years) were three times lower in the exposed group compared to the unexposed group (OR = 3.2, 95% CI = 1.28–8.00). Demographic characteristics, sleeping on animal's skins, contacting with infected carcasses through skinning and butchering, and not having formal education were linked to exposure for anthrax infection. Hence, a One Health approach is inevitable for the prevention and control of anthrax outbreaks in the hotspot areas of Northern Tanzania.

SUMMARY – Epithelioid hemangioendothelioma is a rare vascular brain tumor. It develops from endothelial cells, usually in the liver, lung, bone and soft tissue. Primary localization of this tumor in the intracranial space is very uncommon; only 47 cases have been described in the literature. This tumor was initially classified as grade I (benign) in the World Health Organization (WHO) 2007 classification. In 2016, this tumor was re-classified as grade III (malignant). Herein, the first case report of epithelioid hemangioendothelioma in the cerebellum of a male patient is presented. Complete surgical excision was done. No adjuvant therapy was administered. Magnetic resonance imaging performed 2 years after the surgery continued to show no recurrence of the tumor. To our knowledge, this is the first report of cerebellar location of this rare tumor. In addition, the authors report drastic re-classification of the epithelioid hemangioendothelioma from the benign tumor (WHO 2007) to a malignant one (2016), which significantly changes postoperative management and follow up of this brain neoplasm.

M. Montero‐Odasso, M. Speechley, S. Muir-Hunter, Y. Sarquis‐Adamson, L. Sposato, V. Hachinski, M. Borrie, J. Wells et al.

To compare the trajectories of motor and cognitive decline in older adults who progress to dementia with the trajectories of those who do not. To evaluate the added value of measuring motor and cognitive decline longitudinally versus cross‐sectionally for predicting dementia.

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