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The slamic authors of the medical and other works have become very known for West, but under well changed names, as for example Razes for Ar-Razi, Avicenna for Ibn Sina, Alhazen for Ibn Haitham, Avenzoar for Ibn Zuhr, Avveroes for Ibn Rusd etc. Up to those changes in the names has not come at any case come accidentally. This was the result of the religious striving to the cultural worls of the West, and not to speak about the plebs, only the giants are represented wich was imppossible to avoid. It is indusputable the great contribution of the Islamic authors to the development of the biomedical sciences. They not only succeeded to preserve the achievements of the pre Islamic authors, than they by the own researches gave the great contribution to the development of these sciences and their disciplines, and they have overgiven to us as a dowry.

CONFLICT OF INTEREST: NONE DECLARED New discoveries in technology indeed enabled significant improvement of health care in the last three decades. Only during the last few years a significant breakthrough is achieved in the field of antiviral drugs, biotechnology, digital diagnostic technology, molecular diagnosis, tissues and organs transplantation as well as surgical and information technologies, which all contributed to the improvement of health care. Rapid growth of medical technology has led to the increase in costs of health care, increased access to these technologies and improvement of health care that is permanently encouraging the further development of technology. Technology encompasses the skills, knowledge and ability to understand, use and create useful things. It is the practical application of knowledge. Evaluation of health technology is the systematic evaluation of characteristics, results or impact of health technologies. The primary purpose of evaluation is to provide information to responsible parties for the technology in the health care system, which will be used in decision-making and introduction of these technologies. Information technology in medicine and health care represents all medical and health technology in the process of work, monitoring and evaluation done using computer technology. Progress of medical science in recent years especially needs to thank to the development of information technologies. The health care system of Bosnia and Herzegovina is currently operating in the two sub-systems of primary health care. One is inherited from the past system, in which the primary health care is provided by general practitioners, specialists in general practice, as well as gynecologists, pediatricians and pulmologists, and the second subsystem occurs when in PHC is introduced the system of family medicine doctors and family medicine specialists. Family medicine, based on the concept of orientation towards the methods which are more effective, rational and cost-effective health care, use of defined procedures and evidence-based medicine, and more adequate education can empower and stimulate general practice doctors, especially family medicine specialists, who have passed various forms of training and courses in this area, to more rational and efficient use of diagnostic technology in their daily practice, without unnecessary duplication of tests. With this they make savings to the healthcare system, improve the financial position of overall health system, especially in the PHC segment, increase satisfaction of doctors providing that health care, but also the users of health services.

New discoveries in technology indeed enabled significant improvement of health care in the last three decades. Only during the last few years a significant breakthrough is achieved in the field of antiviral drugs, biotechnology, digital diagnostic technology, molecular diagnosis, tissues and organs transplantation as well as surgical and information technologies, which all contributed to the improvement of health care. Rapid growth of medical technology has led to the increase in costs of health care, increased access to these technologies and improvement of health care that is permanently encouraging the further development of technology. Technology encompasses the skills, knowledge and ability to understand, use and create useful things. It is the practical application of knowledge. Evaluation of health technology is the systematic evaluation of characteristics, results or impact of health technologies. The primary purpose of evaluation is to provide information to responsible parties for the technology in the health care system, which will be used in decision-making and introduction of these technologies. Information technology in medicine and health care represents all medical and health technology in the process of work, monitoring and evaluation done using computer technology. Progress of medical science in recent years especially needs to thank to the development of information technologies. The health care system of Bosnia and Herzegovina is currently operating in the two sub-systems of primary health care. One is inherited from the past system, in which the primary health care is provided by general practitioners, specialists in general practice, as well as gynecologists, pediatricians and pulmologists, and the second subsystem occurs when in PHC is introduced the system of family medicine doctors and family medicine specialists. Family medicine, based on the concept of orientation towards the methods which are more effective, rational and cost-effective health care, use of defined procedures and evidence-based medicine, and more adequate education can empower and stimulate general practice doctors, especially family medicine specialists, who have passed various forms of training and courses in this area, to more rational and efficient use of diagnostic technology in their daily practice, without unnecessary duplication of tests. With this they make savings to the healthcare system, improve the financial position of overall health system, especially in the PHC segment, increase satisfaction of doctors providing that health care, but also the users of health services

Today, at the era of information technologies Bosnia and Herzegovina does not have organized action for creation of standardized Computer-Based Information Systems (CBISs) in health. These CBISs would enable collection of defined and comparable data and therefore ensure adequate analysis, observation and decision making on a local community level as well on the general level of health information system. Thanks to enthusiasts, local CBISs are created in health care facilities. Those individual local CBISs have similar solutions based on the experience of previous good functioning. Therefore, we can expect that a standardized state CBIS will be formed with the minimal focused action of people in charge. The Zavidovici Medical Center has a CBIS which has been working long enough so that we can analyze the results of usage of such an information system. The system has a modular character, oriented on analysis and documentation of data, and on support for management and decision-making functions. Analyzing the results reached by implementation of such a CBIS, we can conclude that we have achieved better results in patient administration and work organization and that we have less patients in dispensary of primary health care by 20%, shorter time in treatment of patients by 7%, reduced consumption of essential medicines by 8%, costs of treatment in medical facilities are down by 5% and patients have more a positive view toward the services provided now than they had earlier. Moreover, substantial savings in radio and laboratory diagnostics procedures have been achieved by reducing time for doing lab reports, savings in materials and through minimizing human error.

Fadil Sabovic, S. Durmisevic, S. Huseinagic

In early 2007 the decision was made to start the project to implement quality systems according to ISO 9001:2008 at the Cantonal Institute for Public Health in Zenica. Gaining certification in June 2009 completed the first phase of project implementation. This initial stage, besides commitment to building quality, and the formation of the department for the quality lead by a quality manager, has marked the preparation of project documents: the Rules of quality, quality policy, objectives, functional and process models of the Institute, and procedures that detail the processes of the Institute. Also, the drafting of accreditation standards for public health in cooperation with the Federal Agency for Quality and Accreditation in Health Care was started. With these activities the Cantonal Institute for Public Health in Zenica will improve their work processes. With the acquired experience the Institute wants to help and encourage other National Institutes of Public Health on the implementation of quality systems. This would contribute to strengthening the field of public health in Bosnia and Herzegovina.

CONFLICT OF INTEREST: NONE DECLARED Introduction The International classification of diseases (ICD) is the most important classification in medicine. It is used by all medical professionals. Concept The basic concept of ICD is founded on the standardization of the nomenclature for the names of diseases and their basic systematization in the hierarchically structured category. Advantages and disadvantages The health care provider institutions such as hospitals are subjects that should facilitate implementation of medical applications that follows the patient medical condition and facts connected with him. The definitive diagnosis that can be coded using ICD can be achieved after several visits of patient and rarely during the first visit. Conclusion The ICD classification is one of the oldest and most important classifications in medicine. In the scope of ICD are all fields of medicine. It is used in statistical purpose and as a coding system in medical databases.

GOAL OF THE STUDY To determine the changes of the electroencephalogram and the changes of the quantity in percentage terms of alpha, beta, theta and delta waves in the electroencephalogram in migraine patients after a carbamazepine treatment. Analyze pain characteristics after the carbamazepine treatment of these patients and the efficiency of the carbamazepine treatment in the prevention of new attacks. PATIENTS, METHODS, RESULTS A retrospective-prospective study has been conducted on 40 persons of approximately 42,9 years of age, with normal cranium CT finding, craniogram and fundus. They were divided in two groups: Group A--21 person who prophylactically took a daily dosage of 400 mg Carbamezepin and during acute pain attacks Naproksen; and group B--19 persons who prophylactically took daily dosage of 400 mg Carbamezepin. EEG test was done twice--before and after the medication, in order to check the concentration of different waves in the EEG in percentages. The T-test doesn't show a statistically significant difference between the alpha (p 0,719), beta 1 (p 0,865), beta 2 (p 0,710), theta (p 0,867) and delta (p 0,272) waves for the group A and for the group B alpha (p 0,996), beta 1 (p 0,920), beta 2 (p 0,826), theta (p 0,324) and delta (p 0,820) waves, on the significance level p 0,05 in the EEG at the beginning and the EEG at the end of the examination. The t-test does show a statistically significant difference between the intensity, frequency, duration and relief of pain at the beginning and at the end of the examination for both test groups. CONCLUSION Carbamazepin and Paracetamol do not cause changes in the EEG nor in the quantity in percentage terms of concentration of different waves in the control EEG in patients with vascular headaches. Statistically Carbamazepin and Paracetamol significantly change characteristics of pain and can be used for migraine treatment and prophylaxis.

The aim of this study was to present a professionally sound option to conduct privatization process within the health care system of the Federation of Bosnia and Herzegovina. The purpose of this text is to represent a milestone for launching a wider public debate and preparation of privatization in-depth plan. Due to complexity of such action, it is not allowed to let it be spontaneous. It is recommended to the Federal Ministry of Health to take over the leadership in order to prepare a comprehensive document entitled "Policy and Strategy of Privatization of Health Care System in the Federation of Bosnia and Herzegovina". After preparation of the privatization concept, the wide public debate would be launched, as well as an appropriate support of the Government and Parliament. Hereinbefore mentioned document should provide answers to important issues, such as: privatization aims; subsectors eligible for privatization; ways of market regulations for providers of care and health insurance; payment mechanisms within public and private sector; issues of competition and solidarity, as well as equality and equity in health.

AIM AND PURPOSE Estimation of hematological laboratory effectiveness usage in family medicine, by an assessment of appropriate testing indications and efficiency of testing interpretation. METHODS For each patient who was sent to hematological testing, physicians fulfilled the questionnaire. Data gathered was used for computation of diagnostic technology operational characteristics: sensitivity, specificity, predictive values, clinical effectiveness, diagnostic odds ratio and error odds ratio. The data were served for interpretation assessment of testing results. For assessment of indications for hematological testing accuracy setting we used: the number needles (unwanted) testing according to operating diagnosis, number of confirmed operating diagnosis, and number of cases in which testing influence to therapy selection or health improving. RESULTS The results have shown sensitivity value of 0.88, specificity value of 0.97, positive predictive value of 0.98, and negative predictive value of 0.85. Effectiveness of diagnostic technology was 0.92, diagnostic odds ratio was 238 and error odds ratio was 0.2. Unwanted haematological testing has noted in 37.3% cases, but pre-test diagnosis had confirmed in 51.8% cases. The testing contribution to improving health status of patients was noted in 57.8% of cases. CONCLUSION The results have shown high level of accuracy, effectiveness and diagnostic odds ratio. However, poor assessment of testing indications has shown poor contribution to improving of patient health status.

Importance of establishing quality control in health care system was given in this paper. It is necessary to standardize the protocols in any kind of medical treatment. Only main protocols and guidelines allow us to compare its usefulness in everyday practice doctors, medical teams and medical institutions. First, it is necessary to calculate life expectancy tables for population to whom health care system is established. Than, collecting of the data should be systematically performed by health care providers. So, if we use guidelines and standardized protocols in everyday practice we could compare medical work and with other countries which are in our interest.

S. Durmišević, S. Huseinagic, D. Imamović, J. Durmišević-Serdarević

In this work the authors have examined through the survey, the prevalence of smoking, alcohol consumption and drug abuse among the school children and youth. Subjects in this research were 208 pupils in Primary school and 232 pupils in Secondary school. It has been found that in the group of Primary school children 0.9% smoke, 5.83% consume alcohol and 0.9% use narcotics. Out of total number of subjects from Secondary school 27.97% smoke, 28.81% consume alcohol and 10.59% use narcotics. The problem is especially prominent among the boys and girls of the last two years of Secondary school: 42.86% smoke; 41.35% consume alcohol and 13.53 use narcotics.

It is very expensive and long-termed process to establish a complex information system, and it requires to include large number of people and processing of large number of information. As I believe that health economics and management are the key factors for maintaining health system, I think that it is now essential to create information system which will, above all, ensure accurate and prompt information to the health managers. Therefore, I suggest building of a cheaper variant of the information system which could be upgrated, and which will involve, on this stage, small number of health workers. Computerized part of this information system would be built in several levels. At each of these levels data for the needs of health statistics, economic-financial activities, and management would be processed. Communication within information system, on this stage, would be enabled through telephone lines and modems. The system would work "off line". The change of data would be carried out periodically.

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