Biomedical subjects

Dragana Niksić

Publications and source records attributed to Dragana Niksić.

8 recordsLinked to original sources

PubMed2006

Cancer mortality, recent trends and perspectives.

Considering that a register for cancer was established in Federation of Bosnia and Herzegovina only recently, basic reliable source for the analysis of cancer mortality trends are the data on death cases caused by such diseases. Lack of census as well as standardized mortality rate data makes the study even more difficult to make. The aim of the study is the analysis of the malign diseases trend in the post-war period according to the available data. The study is the descriptive work on the analysis of the system using linear regression methods for expected trend for the total population and age group from 0 to 64 years. Registered rate of cancer mortality in Federation of Bosnia and Herzegovina in 2004 was 142 per 100000 inhabitants, and indicates input stream in the analyzed period. Total increase in mortality of males and females is 2.5% per year. It is expected that in 2020 around 5000 inhabitants of Federation of Bosnia and Herzegovina will die of some malign disease. Trend of mortality of malign diseases in males is higher than in females and more probable in older population. There is a tendency of mortality decrease in the group of 0-64 years of age. Mortality list of the most frequent locations of cancer has undergone changes. Liver cancer, colon cancer, sigma and rectum cancer as well as lung and breast cancer lead the list. Objective ageing of the population, technological drawbacks, insufficient primary and secondary prevention worsened by socio-economic life conditions will affect the increase in number of people with malign diseases in Bosnia and Herzegovina.

Adolescent↗

PubMed2006

[Group methods for smoking cessation].

UNLABELLED: Tobacco smoking is unique public health problem. Tobacco is unique among preventable causes of diseases because: it is always dangerous, it is highly addictive to many consumers, it is actively and energetically promoted, often by one of the world largest and most powerful industries, it use harms not only those who consume it, but also other people who are exposed to their smoke. Those importance characteristics help to make tobacco a particularly difficult public problem, requiring action, including a workshop for addiction of smoking. THE PURPOSE: Of work was to present results of workshop for addiction of smoking. METHOD: We worked in group using Macfarland and Folkenberg method in quitting of tobacco smoking. The group had 9-12 participants (in total were 100 participants). Person documentation of participant includes family and life anamnesis, physical examination, capacity of lungs, weight and height. RESULTS: The most of health problems are registered in those people who where smoking at least 15 years, and most commend illness are cardiovascular systems 66,7 % and respiratory system 40 %. In first 10 day the symptoms of stopping using cigarettes where, in 92 % had wish for cigarettes, in 76 % had headache, in 68 % physical disorders and fall of concentration, 64 % of them had appetite disorder. CONCLUSION: Group work has been shown to be the effective way to stop smoking, but it depends a getting the patients to join and stay in-group.

Adult↗

PubMed2006

[Model of integrated management of hypertension--population approach].

Actual transitional moment in Bosnia and Herzegovina has the significant health implication. Several population surveys conducted in the past 10 years period showed the rather high prevalence of main cardiovascular risk factors, including hypertension. It was proof that cardiovascular risk factors are preventable. Hence, development and establishment of a model of integrated management of hypertension in actual moment in BIH is necessities due to relatively high level of prevalence of hypertension and limited financial resources in health sector. This paper shows a possible model a model of integrated management of hypertension at population level with active participation of actors from three managerial levels--strategic, tactical and operational.

Bosnia and Herzegovina↗

PubMed2005

Evaluation of efficiency practical issues in the management of childhood asthma.

Asthma is the most common chronic illness in children and adolescents. The pediatric "Asthma School" has been established to improve the health and quality of life of children with asthma through education and support. The purpose of work is evaluation of efficiency education adolescents, children and parents in prevention, adequate use medications and control of asthma. It was operational investigation. The study was enrolled 70 participants from 7 cities in FBiH, which were attended "Asthma School". Evaluations of efficiency of education program have been done through questionnaires using 5-point scale. Observing variables were: attitude about quality of education and level of knowledge about asthma at the end of the educational round. "Asthma School" attended 62 parents and 8 adolescents. The age of children was 6-14 years. The most of participants were with middle school education (64.3%). Successfulness of seminar was score with highest point of scale by 79%. Access to health information was important for patients in adequate treating illness (80.6%) and in prevention of asthma (15%). There was a significant improvement for 38,4% in the basic knowledge of asthma among participants, from 2.7 before to 3.8 after education. Among 20 children that have learned proper technique breathing there was not register worsening symptoms of asthma by 83.4%. There was a significant improvement in the condition of patient, following by greater value PEF (72.3% participants). The results implicate necessity of continuity such action in order to make life of young asthma patient.

Adolescent↗

PubMed2005

[Why B&H does not have law on health data protection?].

Protection of private data is secured by number of laws in EU and in some aspects they consider clinical or medical data, or they are more common and therefore reflect on general data protection. Considering the fact that, there are no laws in Bosnia and Herzegovina on Data protection, neither Health Data protection, it could be concluded that, based on Law on free access to information in Bosnia and Herzegovina, patients cannot control dissemination of private and confidential information about their health and health status in general. The authors suggest creation of legislative in this area in Bosnia and Herzegovina in accordance with directive 95/46/EC of European Parliament and Council of Europe, which come into force in EU in 1997.

Bosnia and Herzegovina↗

PubMed2004

Basic charasteristics of information system of health insurance in FB&H.

Due to the territorial and administrative division in the war period, information system of health protection after the war was divided in two systems, what matched organisation of health insurance in that period. Those information systems were incompatible, developed on different, both, hardware and software. Therefore, Ministry of Health, within the project "Basic hospital services", financed through the World Bank loan, applied new, common information system in health insurance. Goal of this paper is to present basic features of information system of health insurance in FB&H, as well as the way of its functioning in respect to other institutions included in the system, respective data bases, sites of entering and updating data, while using data available with Federal Bureau of Health Insurance.

Bosnia and Herzegovina↗

PubMed2003

[Quality of and quality assurance in health care preventive health care].

Quality in healthcare and healthcare protection represents one from the most complex characteristics of the state and functioning of healthcare system. In fact, the quality represents the responsibility of all the components/participants of the system: inhabitants, actual patients, the potentional patients, decisions makers, purchasors and the performers of services. The quality of the healthcare protection is that level of the insured healthcare services to the individuals or the inhabitants who satisfies the probability of the desired outcome for health in relation quality of the healthcare protection is that level of the insured healthcare services to the individual or the inhabitants who satisfies the probability of the desired outcome for health in relation to the standards of the healthcare protection. The estimations of the actual degree of quality of the corrective action in aim that the noticed defects get removed. The quality estimation is the first step in the quality insurance and includes the analysis of the structural, process and outcome variables. In the majority of countries of the world estimation I insurance of quality mostly are represented at hospitals, and one from the reasons is that the hospital protection is very expensive I required the strict control of the resources of cost. In the other hand in the primary healthcare protection was performed significantly lesser number of the research of the estimation I insurance in this segments of the health care protection significantly are more complex, in our country are being performed the pilot studies in this domain. And that at the chair for the medical informatics of the Medical faculty of Sarajevo, and in future will be intensified the activities thanks to the insurance of the Agency for Healthcare Quality and Accreditation FB&H in the performing of the strategic aims of the reforms of the healthcare by the competent ministaries of health.

Bosnia and Herzegovina↗

PubMed2003

[Transformation of the system of care of patients with multiple injuries in Bosnia and Herzegovina].

Bosnia and Herzegovina, in the global transition, lives to see also the changes in the reconstruction of the health care system and his different segments. One from these segments of the healthcare is the urgent medicine. In this segments they attempt to find the optimal solutions of the organization of the polytraumatized patients in the centers for urgent medicine in the out hospital and the hospital institutions. With the programmes of the war and postwar conditions. To the programmes of the health involved some of strategies and concepts in this field from the developed countries and to us neighboring countries with those who we had tried to apply in the war and postwar conditions. Those solutions have to be accorded with the general conceptions of the development of healthcare in the future period in B&H, and the response, and supported on the organizational, functional, technologic and the income--based changes of the prehospital and hospital institutions, first of all in the city Sarajevo, and then also in other regions of Bosnia and Herzegovina. At the example of the transformation of the system of taking care of the polytraumatized patients in the Center for urgent medicine the Clinical Center of the University of Sarajevo the authors suggest some kind of the unique solution for the rest healthcare of the institutions of the similar types in Bosnia and Herzegovina.

Bosnia and Herzegovina↗