1
|
Jatic Z, Trifunovic N, Erkocevic H, Hasanovic E, Ceric K, Bajrami B, Jasarevic M, Gavran L, Zalihic A, Hasanagic M, Dautbegovic E, Selmanovic S, Dedovic S, Batic-Mujanovic O. Family Medicine During COVID-19 pandemic in Canton Sarajevo: Positive and Negative aspects. Mater Sociomed 2022; 34:44-49. [PMID: 35801073 PMCID: PMC9229353 DOI: 10.5455/msm.2022.33.44-49] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Accepted: 03/14/2022] [Indexed: 11/03/2022] Open
Abstract
Background: Objective: Methods: Results: Discussion: Conclusion:
Collapse
Affiliation(s)
- Zaim Jatic
- Faculty of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
- Public Institution Health Center of Canton Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Natasa Trifunovic
- Faculty of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
- Public Institution Health Center of Canton Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Hasiba Erkocevic
- Faculty of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
- Public Institution Health Center of Canton Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Elvira Hasanovic
- Faculty of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
- Public Institution Health Center of Canton Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Katmerka Ceric
- Public Institution Health Center Bihac, Bihac, Bosnia and Herzegovina
| | - Baskim Bajrami
- Public Institution Health Center Gorazde, Gorazde, Bosnia and Herzegovina
| | - Maksida Jasarevic
- Public Institution Health Center Bihac, Bihac, Bosnia and Herzegovina
| | - Larisa Gavran
- Public Institution Health Center Brcko, Brcko, Bosnia and Herzegovina
- Faculty of Medicine, University of Zenica, Zenica, Bosnia and Herzegovina
| | - Amra Zalihic
- Public Institution Health Center Mostar, Mostar, Bosnia and Herzegovina
- Faculty of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina
| | - Melida Hasanagic
- Public Institution Health Center Old City Mostar, Mostar, Bosnia and Herzegovina
| | | | - Senada Selmanovic
- Health center with polyclinic "Dr Mustafa Sehovic", Tuzla, Tuzla, Bosnia and Herzegovina
| | - Samir Dedovic
- Health center with polyclinic "Dr Mustafa Sehovic", Tuzla, Tuzla, Bosnia and Herzegovina
| | - Olivera Batic-Mujanovic
- Health center with polyclinic "Dr Mustafa Sehovic", Tuzla, Tuzla, Bosnia and Herzegovina
- Faculty of Medicine, University of Tuzla, Tuzla, Bosnia and Herzegovina
| |
Collapse
|
2
|
Tupkovic E, Softic R, Klebic J, Selmanovic S, Becirovic E, Mirkovic Hajdukov M, Smajic M. Post-traumatic Stress Disorder, Metacognitions, Cognitive and Global Functioning in Bosnian War Veterans. Mater Sociomed 2019; 31:258-261. [PMID: 32082089 PMCID: PMC7007607 DOI: 10.5455/msm.2019.31.258-261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Affiliation(s)
- Emir Tupkovic
- Department of Neuropsychiatry of Primary Health Centre Tuzla75000Tuzla, Bosnia and Herzegovina
| | - Rusmir Softic
- Department of Psychiatry, Clinical Center University of SarajevoBolnička 25, 71.000 Sarajevo, Bosnia and Herzegovina
| | - Jasmina Klebic
- Centar za rani rast, Public Health Center Tuzla, 75.000 Tuzla
| | | | - Elvir Becirovic
- Department of Psychiatry, University Clinical Center Tuzla, Solina b.b. 75000 Tuzla, Bosnia and Hercegovina
| | - Mitra Mirkovic Hajdukov
- Department of Psychiatry, University Clinical Center Tuzla, Solina b.b. 75000 Tuzla, Bosnia and Hercegovina
| | - Miralem Smajic
- Faculty of Pharmacy, University of Tuzla, Univerzitetska br. 8, 75.000 Tuzla
| |
Collapse
|
3
|
Ramic E, Selmanovic S, Alibasic E, Dzananovic D, Dzafic F, Ramic I. The Frequency of Multifactorial Syndromes in Geriatrics of Tuzla Canton Population. Mater Sociomed 2017; 29:268-271. [PMID: 29284997 PMCID: PMC5723185 DOI: 10.5455/msm.2017.29.268-271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction: There are four main multifactorial syndromes in geriatrics the so-called “4N”, which specifically occur at elderly patients. Listed syndromes often occur related, and they can be the cause and the result of many other syndromes at geriatric patients. Objective: determine the difference in the assessment of the level of immobility, instability, dependence, urinary incontinence (“4N”) in elderly groups. Materials and methods: The research included total 200 elderly respondents experimental group made of elderly persons (>65 years) living alone. Control group included elderly persons living in a family environment. Universal geriatric questionnaire was made for this research. For fast orientation the redone questionnaire was used for our conditions: examination in clinics for usual elderly problems “Short list for examination”. For the assessment of the mental abilities reduction at elderly we used “Short portable mental status questionnaire” (SPMSQ). Results: In total sample the research included 200 elderly respondents, 45% in experimental group and 55% in control group. The average age (±SD) was 75,4±6,2 years in the experimental group, while in the control group the average age was 74,9±5,6 years. We notice nearly equal distribution of falling risk according to groups (50%, 47%). In total sample there were 62% mobile, 22,5% limited mobility, and 4% immobile. Dependence frequency was more represented at examination group respondents (p=0,002). Dependence chances (OR) were 2,05 times larger (95 %CI=1,12-3,75) in examination group than in control group respondents. Frequency of urinary incontinence problem is significantly represented at all our respondents (42,2% v.s. 35%). Conclusion: Permanent gerontology and geriatrics training is needed both family medicine doctors and other experts in the field of elderly health protection and preventive health measures, pharmacotherapy, palliative care, especially about four main geriatrics syndromes at elderly.
Collapse
Affiliation(s)
- Enisa Ramic
- Primary Health Care Center and Polyclinics Dr Mustafa Sehović, Tuzla, Bosnia and Herzegovina
| | - Senada Selmanovic
- Primary Health Care Center and Polyclinics Dr Mustafa Sehović, Tuzla, Bosnia and Herzegovina
| | - Esad Alibasic
- Primary Health Care Center Kalesija, Bosnia and Herzegovina
| | - Dzevad Dzananovic
- Primary Health Care Center and Polyclinics Dr Mustafa Sehović, Tuzla, Bosnia and Herzegovina
| | - Fejzo Dzafic
- University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina
| | - Irma Ramic
- Faculty of Medicine, University of Tuzla, Bosnia and Herzegovina
| |
Collapse
|
4
|
Selmanovic S, Beganlic A, Salihefendic N, Ljuca F, Softic A, Smajic E. Therapeutic Effects of Curcumin on Ultrasonic Morphological Characteristics of Liver in Patients with Metabolic Syndrome. Acta Inform Med 2017; 25:169-174. [PMID: 29114108 PMCID: PMC5639892 DOI: 10.5455/aim.2017.25.169-174] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
Introduction: Metabolic syndrome (METS) represent a simultaneous presence of multiple metabolic disorders in one person. Prevalence is increasing worldwide, which is probably related to increased obesity and sedentary lifestyle. Non-alcoholic steatosis or “fatty liver” is a metabolic disease caused by fat dysfunction. It can be a sign of some other disease, and can often be found in patients with metabolic disorders. Ultrasound is an acceptable method for the identification of fatty steatosis. There is evidence that when turmeric is used as a herbal diet, with its active metabolite of curcumin, can repair fatty acidosis and thus prevent progression of fatty steatosis complications such as cirrhosis and liver cancer. Goal. The aim of the study was to determine the effects of 400 mg curcuminaddition to the nutrition on ultrasound morphological characteristics of the liver in METS patients. Methodology: A prospective cohort study was conducted on 100 subjects with METS, treated in the family medicine practice of the Tuzla Canton, aged 35-70 years. The therapeutic effects of 400 mg curcumin on ultrasound-morphological characteristics of the liver were followed, validated by ultrasound in 50 respondents of experimental groups with METS. The data were processed by the IBM SPSS Statistics 21 statistical analysis program using parametric techniques andStudent’s t-test for paired samples. Results: There were 65% of women in the study. There were no statistically significant differences in the age of respondents within the analyzed groups. The use of 400 mg curcumin per day was statistically significantly improved ultrasound morphological characteristics of the liver in subjects with METS. Conclusion: All respondents with METS who used curcumin had beneficial effects on the morphological characteristics of the liver. Curcumin had stronger effects on subjects with METS and DM type 2 than others.
Collapse
Affiliation(s)
| | | | | | - Farid Ljuca
- Medical Faculty, Tuzla University, Tuzla, Bosnia and Herzegovina
| | - Albina Softic
- Hausarztpraxis R. Pürckhauer & Kollegen, Sontheim an der Brenz, Germany
| | - Elvisa Smajic
- Primary Health Care Center Tuzla, Tuzla, Bosnia and Herzegovina
| |
Collapse
|
5
|
Beganlic A, Softic A, Alic J, Causi M, Selmanovic S, Pasic F, Becarevic M. Screening for cardiac autonomic neuropathy: preliminary results from Bosnia and Herzegovina. Endocr oncol metab 2016. [DOI: 10.21040/eom/2016.2.3.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
|
6
|
Beganlic A, Pavljasevic S, Kreitmayer S, Zildzic M, Softic A, Selmanovic S, Becarevic M. Qualitative Evaluation of Cardiovascular Diseases Management in Family Medicine Team in One Year Level. Med Arch 2015; 69:140-4. [PMID: 26261378 PMCID: PMC4500297 DOI: 10.5455/medarh.2015.69.140-144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2015] [Accepted: 05/15/2015] [Indexed: 11/03/2022] Open
Abstract
INTRODUCTION Cardiovascular diseases (CVD) are the leading death cause in modern world and are the most public health problem. WHO program for CVD contains: prevention, command and follow up of CVD in global level. AIM Investigate CVD frequency in family medicine team in 2012.year (one year period of time) and qualitative management prevention and clinical services management quality of CVD together with recommended standards. PATIENTS AND METHODS clinical revision of clinical standard practice patients with CVD was provided in Family medicine team in Public Health Centre Tuzla for the period of time from January 01 2012 - December 31 2012. For quality of realized services, AKAZ standards were based for: chapter 2. Health promotion and diseases prevention 2.5. preventive clinical services; chapter 3. Clinical services, standard 3.1. Coronary diseases and standard 3.2. TIA and Stroke. From CVD register next parameters had been used: age, gender, disease diagnose, therapy, blood pressure values, total cholesterol values, ß blockers therapy, anticoagulant therapy prescription, smoker status, stop smoking recommendation and influenza vaccination recommendation. STATISTICAL APPROACH All results were taken in Excel program and statistically analyzed. Descriptive standard tests were taken with measurement of central tendency and dispersion. For significant differentials achieved with χ² chances relation was taken (Odds Ratio-OR) with 95% relevant security. All tests were leveled in statistical significant from 95% (p<0,05). RESULTS Considering total registered habitants number 1448 (males 624 females 824) total diseases of usually CVD in Team 1 family medicine 531 (36,67%). The most frequent disease was hypertension which was presented in 30,31% of registered patients but in total CVD illness was present in 82,67%. In relation with total patients number (531), female prevalence from CVD 345:186 males vs. 65%:35%; P=0,001 and was statistically significantly higher. Almost patients were in age from ≥65 years. Nearly all the standards for chapter 2. Health promotion and diseases prevention and chapter 3. Clinical services, standard 3.1. Coronary diseases and standard 3.2. TIA and Stroke are met in larger percentages than the minimum, however, bad quality signs we have found in total cholesterol control were values of total cholesterol were ≤ 5mmol/l achieved only in 27.58% patients with CVD. Stop smoking recommendation in smokers with TIA and Stroke (total 10 smokers) was registered in 20,00% patients. Indicator was not achieved,(min level 25%). CONCLUSION Role of family medicine team is extremely important in patient care who suffer from chronically noncontagious diseases such as CVD, as one of them. Considering that in our country preventive programs for CVD are at small level, results of this study are acceptable. Our plans for personal continuous educations and patient educations about healthy life style are pointed for higher or average of achieved standards and of course everything what have to be done should be written in personal dates of patients.
Collapse
Affiliation(s)
- Azijada Beganlic
- Public Health Center "Dr M. Sehovic" Tuzla, Tuzla, Bosnia and Herzegovina
| | - Suzana Pavljasevic
- Eye Policlinic of Public Health Center "Dr M. Sehovic" Tuzla, Tuzla, Bosnia and Herzegovina
| | - Sanda Kreitmayer
- Public Health Center "Dr M. Sehovic" Tuzla, Tuzla, Bosnia and Herzegovina
| | | | - Albina Softic
- Public Health Center Gracanica, Gracanica, Bosnia and Herzegovina
| | - Senada Selmanovic
- Public Health Center "Dr M. Sehovic" Tuzla, Tuzla, Bosnia and Herzegovina
| | | |
Collapse
|
7
|
Abstract
GOAL The aims are to establish the prevalence of newfound, unidentified cases of depressive disorder by screening with the Becks Depression scale; To establish a comparative relationship with self-identified cases of depression in the patients in the family medicine; To assess the significance of the BDI in screening practice of family medicine. PATIENTS AND METHODS A prospective study was conducted anonymously by Beck's Depression scale (Beck Depression Questionnaire org.-BDI) and specially created short questionnaire. The study included 250 randomly selected patients (20-60 years), users of services in family medicine in "Dom Zdravlja" Zenica, and the final number of respondents with included in the study was 126 (51 male, 75 female; response or response rate 50.4%). Exclusion factor was previously diagnosed and treated mental disorder. Participation was voluntary and respondents acknowledge the validity of completing the questionnaire. BDI consists of 21 items. Answers to questions about symptoms were ranked according to the Likert type scale responses from 0-4 (from irrelevant to very much). Respondents expressed themselves on personal perception of depression, whether are or not depressed. RESULTS Depression was observed in 48% of patients compared to 31% in self estimate depression analyzed the questionnaires. The negative trend in the misrecognition of depression is -17% (48:31). Depression was significantly more frequent in unemployed compared to employed respondents (p = 0.001). The leading symptom in both sexes is the perception of lost hope (59% of cases). CONCLUSION All respondents in family medicine care in Zenica showed a high percentage of newly detected (17%) patients with previously unrecognized depression. BDI is a really simple and effective screening tool for the detection and identification of persons with symptoms of depression.
Collapse
|
8
|
Abstract
INTRODUCTION Reforming the health care system in Bosnia and Herzegovina began in 1998 through various forms of amendments to existing health plans and programs. There has been the introduction of new technologies, flow of new information from the profession, excessive demands on employers, financial constraints, etc. The hospital doctors in the workplace suffer from too many stressors. Burnout syndrome at work is a form of chronic stress reactions to stressors, and develops as a result of inefficient coping with and solving every day, demanding stressful situations related to professional duties. GOAL The goals of this study were: to identify the specific stressors of high intensity in the hospital physicians work environment, to discover whether and how certain stressors can affect the appearance of burnout syndrome at work in a hospital physician, to determine whether certain individual factors influence the occurrence of burnout syndrome at work. METHODS AND SUBJECTS We made the intersection study involving the use of questionnaires, in order to assess the stressors and burnout syndrome in hospital among doctors of the University Clinical Center in Tuzla. RESULTS The study comprised 34.7% hospital doctors (specialists and doctors on specialization) of a total 423 employees in various departments of the University Hospital Clinical Center in Tuzla. High level of emotional exhaustion was recorded in 37.4%, a high level of depersonalization in 45.6%, and a low level in perceptions of personal accomplishments in 50.3% of respondents. CONCLUSIONS Continuous exposure to stressors at the workplace, such as work at shifts, excessive workload, poor communication with superiors, and lack of continuous education of hospital physicians can lead to mental and physical exhaustion, professional burnout. Management of the University Clinical Center Tuzla should in the future address the structural reorganization of workplaces, as well as ongoing prevention interventions in other domains of risk factors or stressors, that this study identified.
Collapse
Affiliation(s)
- Senada Selmanovic
- Cathedra for Family Medicine, Faculty of Medicine, University of Tuzla, Bosnia and Herzegovina.
| | | | | | | | | | | |
Collapse
|
9
|
Abstract
INTRODUCTION Sleep disorders (SD) after stroke (stroke) are common occurrences, and most often in sleep apnea, insomnia and daytime sleepiness. GOALS. Research goals were to determine the types of SD and their frequency in patients with stroke in relation to the type of stroke and side of lesion. MATERIALS AND METHODS The study analyzed 200 patients with acute stroke hospitalized in the Clinic of Neurology, University Clinical Centre Tuzla in the period from 1st August 2007 to 1st June 2008. All patients have confirmed the existence of stroke by computerized tomography. SD was verified according to the General Curriculum of sleep, the Berlin questionnaire and Epvort scale. Stroke, by type, were divided into hemorrhagic and ischemic, and the localization of the stroke to right and left cerebral hemispheres. RESULTS Of the total number of respondents, 78% had SD. Very serious level of SD had 42% of respondents, 20% moderate, and 16% of medium-severe degree. There was no statistically significant differences in the frequency of SD among patients with ischemic and hemorrhagic stroke (76.8%: 82.5%, p = 0.58). In relation to the side of lesion there was more patient with SD and stroke in the right cerebral hemisphere, but there were no statistically significant differences (39.5%: 33%, p = 0.1). According Epvort scale sleep apnea and snoring was present in 86%, daytime sleepiness in 49.5% and narcolepsy 0.5%. CONCLUSIONS Sleep disturbance as a neuropsychological disorder has a significant incidence in the acute phase of stroke. SD is slightly more common in hemorrhagic stroke and stroke in the right hemisphere. Sleep Apnea and snoring are the most common types of SD in patients with stroke.
Collapse
Affiliation(s)
- Zejneba Pasic
- Neurology Clinic, University Clinical Centre Tuzla, Faculty of Medicine, University in Tuzla, Tuzla, Bosnia and Herzegovina.
| | | | | | | | | |
Collapse
|