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Izet Masić

Publications and source records attributed to Izet Masić.

At least 19 recordsLinked to original sources

Web based distance learning at Faculty of Medicine of Sarajevo University.

The time in which we live is defined by the significant influence of the information technologies on our lives, changes and development of society and the efficacy of all the organization systems. Increase and development of distance learning (DL) technologies over the past decade has exposed the potential and the efficiency of new technologies. Number of events has organized by teaching staff from Cathedrae for Medical Informatics in order to promote distance learning and web based education are very extensive: professional-scientific events, workshops and congresses, first tele-exam at the Medical Faculty, Introducing of Distance learning in curriculum at biomedical faculties, etc. At the University in Sarajevo in year 2003 was opened the e-learning center for the support to the faculties the distance studies by use of the information technology. At Medical Faculty of University of Sarajevo at Cathedrae for Medical Informatics since 2002 is in progress realization of the project named: "Possibilities of introducing distance learning in medical curriculum", approved by the Federal and the Cantonal ministry of science and education. Pilot project was realized during three past school years, theoretical and practical education of subject Medical informatics are adapted to the new concepts of education using world trends of education from the distance. One group of students was included in the project finalized by electronic exam registration and electronic exam on 20 June 2005, publicly, in the Physiology amphitheatre of the Medical Faculty in Sarajevo.

Bosnia and Herzegovina↗

[Hematological-biochemical tests in patient with migraine].

Migraine is periodical disorder which is characterized by recurrent headache seizures different in intensity, frequency and duration. Amylases L-1,4 glycol: gluckanohidrolises, (EC.3.2.1.1) are enzymes from hydrolase's group which dissolve starch meaning glycogen. Activity of amylases in serum grows: at acute pancreatitis, at carcinoma of pancreas, heavy necroses of pancreas. Total number of examinees was 92 out of which 45 were male (48.9 %) and 47 female or 51.1 %. Average age of the examines was 42.9. Neuroticism scale which was tested by Cornell scale was 55,03. Out of the total number of examinees 30 or 32,6 were non-smokers while 62 or 67,4 % smoked regularly. The aim of this work is to perform hematological-biochemical test of blood in patients with migraine. In the beginning of this research it was planned for all the patients to have hematological blood test done (sedimentation of erythrocytes, trombocytes, complete blood test and differential blood test) and biochemical blood test (hepatogram, transamynase, amylase, Lactal dehydrogenase, Alkalic phosphatase, ferrum in serum, Glucose, Cholesterol, Calcium and Phosphorus in serum. After reviewing the received values of hematological and biochemical tests, all values were within the borders of normal values. Amylases had higher values at 49 or 53,3 % of patients, and 43 or 46,7 % of patients had normal values of amylases. Normal values of amylases are to 220 U/l measured by I.F.C. at 37 degrees C. Medium value in tested group is 219.09. It means that every second examinee had increased values of amylase in blood; there is no statistics difference of amylase value between sexes.

Adolescent↗

[One hundred and forty years of Turkish civilian and Turkish military hospital in Sarajevo].

This year BIH health celebrates two anniversaries: One hundred and forty years of Turkish civilian and Turkish military hospital in Sarajevo. During Ottoman period in Bosnian pasha region, Oman authorities have founded several military (in each bigger center it has been established military hospital of the Turkish Army) and five civil hospitals, mostly financed from vakuf (Islamic charity) funds. However, first hospital institution in BIH was located in Hadzi Sinan tekija at Mihrivode in Sarajevo, where was located special room for treatment, of mostly physiological patients, using zikr (spiritual ritual). By second half of 19th century civil populations were cured in homes, and wealthy citizens had their own private physicians who used to come with purpose or temporary from Dalmatian or neighboring countries bringing with them appropriate medications. By establishment of mentioned hospitals, other populations were treated by barbers, ranar (specialist for wounds), travar (person who treats patients with grass), and attars who had attar shops with medications purchased from Osman imperia or neighboring western countries. Drugs were prescribed to patients from Ijekarusa (drug prescription book), who were copied from generations and religion books, religion authorities of all confessions or from originals and copies of Arabic medical books which were brought by individuals going to Arabic countries (Mecca, Istanbul, Cairo, etc.). Mentioned hospitals, founded during Osman period (Sarajevo, Tuzla, Mostar, Travnik, Bihac) had key role in the history of BIH health, and they were basis for latter established regional and municipality hospitals founded in the Austria-Hungarian period. In the paper are described Turkish military and Turkish civil hospital established in June 1866 and in October 1866.

Bosnia and Herzegovina↗

[Aortic stenosis and atrial septal defect in pulmonary hypertension caused by aorto-pulmonary fenestration].

This article writes about a 37-year-old patient with Eissemanger's syndrome. The catheterization was done when he when he was 7 years old and was diagnosed as follows: VSD, ASD and pulmonary hypertension. After repeated catheterization when patient was 23 years old the final diagnosis was established: Fenestra aortico pulmonalis, VSD, ASD, aortic stenosis gr II and pulmonary hypertension. The patient has been treating conservatively

Adult↗

[Thirty years of Medical Faculty in Tuzla].

This year Medical Faculty University of Tuzla celebrates thirty years of its funding and development. It was second established medical faculty in Bosnia and Herzegovina out of five presently existing. In this paper stated are the most important events and professors, scientists and researchers which in last thirty years with their engagement and contribution have made this Medical faculty respectable scientific institution in Bosnia and Herzegovina and abroad.

Bosnia and Herzegovina↗

[Medical informatics education at medical schools in Bosnia and Herzegovina].

AIM: Standardization of education process and almost every aspect of life in EU moved the authors of this paper to evaluate medical informatics education at medical schools in Bosnia and Herzegovina. A very complex political structure and existence of two entities, one district and ten cantons in the Federation of Bosnia and Herzegovina caused great differences in the curricula, teaching methods and quality of acquired knowledge among medical schools in the country. Also, on the example of the teaching process at the Medical School, University of Sarajevo, the authors propose a future united and integrated system in the area. METHOD: Method of the study is descriptive, comparing education in medical informatics at five B&H medical schools. Over 500 students answered questionnaires designed at medical schools in Sarajevo and Tuzla. The questions tackled the contents of the subject of medical informatics, the possibility of acquiring knowledge from both practical and theoretic lessons, "good" and "bad" sides of the curricula as well as students' computer literacy. RESULTS: The subject of medical informatics is being taught in at least 3-4 different ways. Medical schools in Banja Luka and Foca/Srbinje are under a strong influence of the University of Belgrade, Serbia and Montenegro; the teaching staff in Mostar are from Croatia; the University of Tuzla has its own way; and Medical School in Sarajevo maintains high quality values and principles. Things and events that distinguish the Medical School, University of Sarajevo is the fact that it is the only medical school in Bosnia and Herzegovina which has a web site of of the Department of Medical Informatics, organized a number of events including a distance learning course, and has a highly competent teaching staff. Medical School in Sarajevo is the oldest medical school in Bosnia and Herzegovina established in 1944. As a required subject, medical informatics was introduced in the academic year 1992/1993, and it is the only medical school in Bosnia and Herzegovina where medical informatics is taught in two semesters, second and eleventh. DISCUSSION: Three important areas are discussed: the quality of education in secondary schools should be improved; the lack of multimedia equipment, good LAN, high-speed connection to Internet and well organized web design, and issues related to maintenance of equipment; and students should have free access to computer rooms to enable them to extend their knowledge in spare time; general information about health system should be available to students to allow them to require the role and importance of medical informatics in "real life". Naturally, we raise the question of unique and systematic medical informatics education in the whole country, irrespective of entities, nationality or religion of students. CONCLUSION: Medical informatics education at Medical School, University of Sarajevo, is based on the same concept as on prestigious universities all over the world and in accordance with recommendations of the working groups on education of EFMI and IMIA. Other medical schools in Bosnia and Herzegovina should employ the same methodology and system of work in order to have standardized education in medical informatics and to achieve high quality in education. To enable us to follow the European and global achievements in this area, the power of fact should predominate in the education system as well as in the health system.

Bosnia and Herzegovina↗

[Criteria how to choose adequate methodology and relevant variables for assessment of quality of primary healthcare].

INTRODUCTION: Research of satisfaction of patients in the area of primary health care (PHC) and especially criteria how to choose best methodology and the relevant variables guided to the situation where activities were focused on description of the basic structure and processes of health care rather than on identification of needs for services and on result based assessment and satisfaction of patients with provided service. To give advantage to any of methodologies is inexplicable problem and depend of factors beyond of health service control. PURPOSE: Aim of this paper is to review existing measurements of healthcare for ones who intend to use measurements of quality of healthcare for clinical and research purposes and to recommend criteria how to choose adequate methodology and relevant variables for assessment of quality of primary healthcare. METHODOLOGY: For our study we used experience of the Cathedra for Medical Informatics, Medical faculty, University of Sarajevo with emphasis on research of quality of PHC. We selected over 3,000 users of PHC (patients-adults) in PHC units in ten cantons of Federation of Bosnia and Herzegovina. RESULTS: Statistically significant results we got when we crossed general attitude of patients about quality of healthcare with the following variables: place where patient receive healthcare, consultation with patients about patients' rights and life styles. We have not got statistically significant results when we crossed the following variables with general attitude of patients: distance from place of living to place where patients get healthcare, examination schedule in the units of PHC, continuity of healthcare, organization of field service and possibility to choose physician or nurse. CONCLUSION: Very often researchers create their own methods of measurement instead to carry out systematic review of existing ones to enable them to find appropriate one. In this paper we recommended guidelines for finding the most appropriate methods of health measurement using experience of the Cathedra for Medical Informatics, Medical faculty in Sarajevo.

Humans↗

[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↗

[Efficiency of the short group psychotherapy in rehabilitation of female's victims of war sexual torture].

AIM: Aim is to show the efficiency of short group psychotherapy of females victims of war sexual torture, suffering from chronic consequences of torture. METHOD: 15 female's victims of war sexual torture were included in this research, all of them suffering from chronic consequences of torture. Before including into group psychotherapy all of them were interviewed by psychiatrist. Initial testing was done before beginning of group psychotherapy with following instruments. General Questionnaire, MANSA Questionnaire for registration of Quality of life, and Multidimensional Instrument for assessment of psychological symptoms SCL R-53. Short group psychotherapy lasted three (3) month. Sessions were organized weekly and lasted 90 min. Group was leaded by two cotherapists both female. Working technique was supportive-expressive psychotherapy. During the group psychotherapy cycle clients have received general medical treatment, physiotherapy, gynecological treatment and dental treatment. When indicated they were treated with medications. After three month of therapy they were retested with MANSA and SCL-53 Questionnaires. RESULTS: Retest results after three month of treatment on MANSA Questionnaire are showing the significant improvement of quality of life. On SCL-53 Questionnaire there is reduction in all psychopathological symptoms, except on scale of obsessive compulsive symptoms, but it is statistically significant on subscale of paranoid ideation p<0.05, and on subscale of anxiety is on the border of significance p=0.054. CONCLUSIONS: Short group psychotherapy has shown efficiency in treatment of chronic psychological consequences with the females victims of sexual torture in the war. Chronic psychological consequences of torture are reduced after three month of treatment. Group experience helped to sexual torture survivor's to establish the better quality of life.

Adult↗

[Possibilities of application of distance learning in medical curriculum].

Possibilities of introduction of distance learning in medical curriculum is the title of project which commenced in 2002 at Cathedra for Medical Informatics of the Medical faculty in Sarajevo. Project is approved by Federal and Cantonal ministries of science and education. The purpose of this project is to support improvement of the educational process at biomedical faculties using contemporary methods, methodologies and information technologies in accordance with strategies and objectives given by Bologna declaration. Pilot project is attained after three years, theoretical and practical part of subject Medical Informatics are adapted to modern concepts of education using world trends of distance learning. One group of students from Medical faculty was involved in this project, which was finalized by electronic registration of exam and electronic testing on June 20, 2005 in public, in Physiological amphitheatre of Medical faculty in Sarajevo. In this article we have given complete description of this project as well as its basic adventages and disadvantages.

Bosnia and Herzegovina↗

[Crisis of the professional ethics at educational system of Bosnia and Herzegovina and its relationship].

In the structure of ruining of the social values system, in post war Bosnia and Herzegovina we possess the worrying degradation of the professional morals in the educational performance: irreal examination, intervention, bribe, sexual black mail and similar. That confirmed the results of the extensive examination which recently was realized on this subject. The negative crisis effects of the professional morals in the educational system will, surely, at the social plan, more long-term reflect. Because, it is no about only in the intelectual-expert, than also about the educational component of personality forming.

Bosnia and Herzegovina↗

[Education in family medicine at the Medical School in Sarajevo].

At the Medical faculty of the University of Sarajevo in the 11th semester of the instruction is organized the turnus training from family medicine, and according to the instructive plan and programme of the medical faculty defined in the statute from 1991 year, as well as the rest turnus instruction which the students of medicine pass in the sixth year of studies, and this instruction is imagined as a way and the path that the future physicians as better as possible prepare for the individual work with the patients after acquiring of the diploma. The instruction obligations according to this form of the instruction as that which is being produced are getting performed in the frame of the subject the social medicine and the organization of the healthcare protection. True, the subject family medicine will be independent of the school year 2005/06 for the registration generation 200/01. The momentary plan and programmee (turn) instruction is coinciped so that the teachers and assistants perform 20 hours of the theoretic instruction in the amphitheaters of the Medical faculty and the practical instructions perform the assistants for the family medicine by the fund from 75 hours of the instruction in units of the Health center on the localities Visnjik and Grbavica. The content of the programme encircles the method units which have lead professor Hodgets and the collaborators from Quins' university in Canada and according to the project concipied according to the regulations inter-university agreement of the mentioned university in Canada and the ours in Sarajevo, and the agreement between the Federal ministry of health in Sarajevo and Canada government and which we shall shortly present in this paper. After the heard theoretical and performed practical instruction is being performed the evaluation of knowledge by the corresponding test, which well also be shortly explained in this article. True, there are the definite misunderstandings and the different attitudes whether this concept is adequate for the users of the healthcare protection in B&H regarding the momentary limited resources for any innovations in the individual segments of the healthcare, because there is the anxiety that in the case of the breakdown of financing of the mentioned concept of the family medicine in B&H because of these we discussed publicly herr the thoughts and the attitudes also those who have the experiences from earlier, because we had also their own concepts of the organization of the family medicine, and eventually reflect also about implementation of some other models or modification of the existing which momentary gets realized. At the Cathedre for the family medicine at the Medical faculty of the University in Sarajevo is formed the lecture which make the chiefs of six other cathedres (of pediatry, gynecology, psychiatry, of internal medicine, surgery and social medicine) which have the task that in the following three years get concipied some kind of the optimal programmee of education from the family medicine at our faculty.

Bosnia and Herzegovina↗

[Determination of the potential number of users of family medicine services--importance of user registration].

The family medicine as the determination of the reformators and the strategies of the action in BiH is given in the form of the legal solution in the organization of the primary healhtcare action in BiH given in the form of the legal solution in the organization of the primary healthcare protection (the law about the healthcare protection--official newspaper F/BiH No 29/97). The fact is given the alternative solution--the team of the family medicine or the team of the medicine. Besides this there exist also some essential questions about the registration of the patients for the family medicine teams make complex the forming of the next of the family medicine. Besides that there are also some essential questional about the registration of the patients for family medicine teams--whethers that they registrar all the citizens or only the insureds to which is insured the healthcare protection though the medicine--werther are being registered all the citizens, whom belong the active ensured whom is ensured the healthcare protection through the institutions for the work medicine, the students and sportsmen who also have their institution etc. The further problem, when is in questions the patients registration of the patients, is the nonexistence of the reliable statistical data about the number, sexual inhabitants, as is known all the estimates are being done on the basis of the estimation of the federal institution for statistics. Therefore the registration of the family and the individuals for the family medicine teams will be rather painstaking.

Adolescent↗

[Distance learning in medical education].

Distance learning or learning from the distance represents the educative technique with occupies all more significant place in the actual medical education of the healthcare workers at the international plan, specuale in the domains of the postgraduated and continuous medical education. It represents the educative technique of the significant effectivness, wich has to have at the disposal both adequate technological infrastructure as well as the previous education of the lecturer and users, adapted teaching plans and evaluation mechanisms of knowledge. By use of the rich choice of technological models, in relation to the traditional method of learning, enables the simultaneous education to the great number of students of the various profiles, the approach to all the relevant data basis as well as the mechanism of the evaluation knowledge institutions and the lectures.

Education, Distance↗

[Electronic data records in primary health care and aspects of their development in Bosnia and Herzegovina].

In Medical Informatics medical documentation and evidention are most probably the key areas. Also, in primary health care it is very important and part of daily activity of medical staff. Bosnia and Herzegovina is trying to be close to developed countries and to modernize and computerize current systems of documentation and to cross over from manual and semi manual methods to computerized medical data analysis. The most of European countries have developed standards and classification systems in primary health care for collecting, examination, analysis and interpretation of medical data assessed. One of possibilities as well as dilemma, which data carrier should be used for storage and manipulation of patient data in primary health care, is use of electronic medical record. Most of the South East European countries use chip or smart card and some of countries in neighborhood (Italy) choose laser card as patient data carrier. Both technologies have the advantages and disadvantages what was comprehensively colaborated by the authors in this paper, with intention to help experts who make decisions in this segment to create and to correctly influence on improvement of quality, correctness and accuracy of medical documentation in primary health care.

Bosnia and Herzegovina↗