Publications by authors named "Amer Custovic"

Background: Endocrine disrupting air pollutants such as sulphur dioxide (SO), carbon monoxide (CO), nitrogen dioxide (NO), fine particle matter (PM), and ozone (O) can affect thyroid gland function on the level of synthesis, metabolism, and the action of its hormones.

Objective: The aim of this study was to establish whether increased air pollution could contribute to an increased incidence of autoimmune thyroid diseases (AITD).

Methods: A retrospective analysis was conducted of the medical records of 82000 patients at the University Clinical Centre in Tuzla, Bosnia and Herzegovina.

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Objective: To evaluate the defense mechanisms (DM) in patients with drug-resistant epilepsy and, to determine whether displacement is associated with seizures.

Subjects And Methods: Following an examination, 50 patients were diagnosed in accordance with the 2005 proposal of the International League Against Epilepsy and the definition of drug-resistant epilepsy from 2010. The neuropsychological examination used the Defense Style Questionnaire (DSQ-40).

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Background: Bosnia and Herzegovina (B&H) is one of the countries of Southeast Europe with the lack of data about chronic autoimmune thyroid diseases (CAITD) epidemiology.

Objective: This research aimed to assess incidence of CAITD in the Tuzla Canton of B&H during a 6-year period (2015-2020).

Methods: We retrospectively evaluated 82,000 hospital records of inpatients and outpatients with possible thyroid symptoms residing in Tuzla Canton of B&H (total of 445,028 inhabitants).

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Background: Delirium is a syndrome that occurs in all age groups and in many clinical departments, and is most common in intensive care units. It is an emergency, in the overlapping fields of somatic medicine, neurology and psychiatry. Delirium occurs suddenly, dramatically, and requires a quick reaction, recognition and treatment.

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Introduction: This survey aims to assess knowledge, attitude and stigma towards HIV patients, among medical students in Tuzla, Bosnia and Herzegovina. We also aimed to assess potential risk factors for HIV infection among fourth year medical students.

Methodology: Data were collected from specific questionnaire that was completed by 171 students of the Faculty of Medicine, University of Tuzla.

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Introduction: The depression is a common mental disorder, especially after a stroke, which further aggravates the recovery.

Aim: To analyze depression within 48 hours and fifteen days after ischemic stroke in relation to gender and location (brain hemisphere and brain circulation).

Methods: We analyzed 40 patients (65.

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Introduction: The main route of acquiring infectious blood and body fluids in hospital conditions is accidental exposure to stinging incidents.

Aim: The aim of this study was to determine the epidemiological characteristics of accidental exposures to blood-borne pathogens among different professional groups of health care workers (HCWs).

Materials And Methods: A cross-sectional study was conducted using the "Questionnaire on the HCWs exposure to blood and blood transmitted infections" at the University Clinical Centre Tuzla, Bosnia and Herzegovina, from the 1st of March to the 31st of December 2014.

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Aim To assess the relationship between the clinical sign of limited hip abduction and developmental dysplasia of the hip (DDH). Methods A research was conducted on 450 newborns at the Neonatal Unit at the Clinic of Gynaecology and Obstetrics and the Orthopaedics and Traumatology Clinic of the University Clinical Centre, Tuzla, between 30th August 2011 and 30th April 2012. Clinical (degree of hip abduction) and ultrasound examination of all newborns' hips were performed using the Graf method on their first day of life.

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Article Synopsis
  • More than 30 years after AIDS was recognized, the study analyzes the epidemiological and clinical characteristics of 28 HIV-infected patients treated at a clinic in Tuzla from 1996 to 2013.
  • The majority of patients were male (82.14%), with a significant number infected through heterosexual contact, and nearly 57% showed no symptoms of infection at their first visit.
  • The study found a notable occurrence of opportunistic diseases, especially tuberculosis, and revealed a death rate of 21.4% among the patients.
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Article Synopsis
  • Acinetobacter baumannii is a major cause of difficult-to-treat nosocomial infections in hospitals, particularly in intensive care units.
  • The study tracked 855 patients in a clinic, finding that 12.3% developed infections, with A. baumannii causing 51.4% of these cases, primarily respiratory infections.
  • Most A. baumannii isolates showed resistance to multiple antibiotics, though many were susceptible to tobramycin and all to colistin, highlighting the need for improved antibiotic strategies and infection control measures.
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Article Synopsis
  • ICUs have a higher risk of nosocomial infections (NIs), prompting a study to evaluate the rates, locations, and bacteria involved at a surgical ICU in Tuzla.
  • In 2010, 11.27% of the 834 studied patients developed NIs, with respiratory and urinary tract infections being the most common.
  • Gram-negative bacteria, especially Klebsiella pneumoniae, were predominant, highlighting the need for ongoing infection control in ICU settings.
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Introduction: Clostridium difficile (C. difficile) is currently the leading cause of healthcare-associated diarrhea, but almost nothing is known about the extent of C. difficile infection (CDI) in Bosnia and Herzegovina.

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Introduction: The prevalence of human brucellosis in Bosnia and Herzegovina and the Tuzla Canton reached its peak in 2008, with a reported total of 994 cases within country, and with 104 cases within the Tuzla Canton.

Aim: to analyze the clinical and epidemiological features of human brucellosis in patients hospitalized at the University Clinical Center Tuzla during the period from 01/01/2000 till the 31/12/2010.

Methods: We retrospectively analyzed the clinical symptoms, the laboratory and X-ray findings, the treatments, and the course and outcome of the disease.

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Introduction: Intrahospital infections in surgical wards pose a significant problem, particularly in patients with impaired natural defense potential. They significantly complicate and increase the cost of basic treatment of the patient and sometimes leave permanent damage. Active control of their appearance is of paramount importance in their prevention.

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The aim of presented research was to determine microorganisms which cause intrahospital infections (IHI) with specific anatomical localization and to determine the antimicrobial resistance of these organisms in a group of 5106 patients hospitalized at Surgery Department of the University Clinical Center Tuzla in the period between 1 January to 31 December 2004. The research was conducted in accordance with the National Nosocomial Infections Surveillance (NNIS) methodology. The results show that in 73.

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Intrahospital infections (IHI) and antibiotics resistance are the problems which exist in virtually all hospitals in the world. The main aim of the present research is establishing of epidemiological surveillance over occurrence of IHI at the Clinic for Gynaecology and Obstetrics at the University Clinical Center Tuzla and thus identifies: types of bacteria which cause IHI, types of infection according to anatomical localization and research resistance organisms causing of IHI on antimicrobial drugs. A study was implemented on all patients admitted to Clinic for Gynaecology and Obstetrics during the period of one year and who subsequently developed infection.

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Nosocomial infections are important problem for the modern medicine. Especially sensitive category, susceptible to nosocomial infections, are the infants. The aim of the research was to establish an active monitoring over the breaking out of the nosocomial infections in the Neonatology Department of the Gynecology and Obstetrics Clinic of the University Clinical Center Tuzla (UKC) and to determine the kind of bacteria that causes the nosocomial infections as well as the type of infection according to anatomical localization.

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Epidemic food poisioning caused by food contaminated by microorganisms, its toxins or chemical toxic substances, emerge in the hospitals as specific kind of intrahospital infections. An occurrence of food poisoning in hospitals is facilitated by several facts as: centralized food preparation, kinds of food, staff carriers, an unfavourable hygienic regime in the kitchens and at the places where food is shared, crossing of clean and unclean paths in a kitchen, carelessness, non-education etc. Danger that contaminated food brought to hospitals is more serious since it is about consumers with disrupted health.

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