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Tuzla, Bosnia and Herzegovina

University of Tuzla is a public university located in the city of Tuzla, Bosnia and Herzegovina. The university was founded in 1958. It became a proper university in 1976, and today is one of the major institutions of higher learning in Bosnia and Herzegovina. Wikipedia.

Delibegovic S.,University of Tuzla
Journal of Laparoendoscopic and Advanced Surgical Techniques | Year: 2012

Background: During laparoscopic appendectomy, the standard technique in securing the base of the appendix is by endoloop ligatures or a stapler. We earlier demonstrated the possibility of the application of a double Hem-o-lok® clip in securing of the base of the appendix. The application of only one plastic clip would, however, lower the cost of the laparoscopic procedure even further and shorten the surgery time. The objective of this prospective study was to evaluate the possible advantages of securing of the base of the appendix using only one Hem-o-lok clip. Patients and Methods: The 90 patients with acute appendicitis were randomly divided into three groups: In the first group, the base of the appendix was secured using one endoloop ligature, in the second group using a 45-mm stapler, and in the third group using only one nonabsorbable Hem-o-lok clip. The data collected included age, gender, surgery time, time of endoloop/stapler/clip application, hospital stay, costs associated with these, and intra-and postoperative complications. Results: There were no significant differences in hospital stay among the three groups of patients; but the average time of the operation was significantly longer in the endoloop group than in the stapler group (P=.002), whereas the endoloop and Hem-o-lok groups were not statistically different (P=.22). The time of application of the endoloop was significantly longer than for the stapler (P<.0001) and Hem-o-lok (P<.0001) groups. The time of application of the stapler was significantly shorter than that of the Hem-o-lok (P<.0001). However, the price of one endoloop is €28.85, for the stapler is €230.7, and for one Hem-o-lok clip is €2.35. Conclusion: The use of one Hem-o-lok clip is as safe as an endoloop and/or stapler; however, the time of the laparoscopic procedure using the Hem-o-lok was shorter in comparison with the use of an endoloop, with the cost of the procedure being the lowest. © 2012, Mary Ann Liebert, Inc. Source

Zerem E.,University of Tuzla | Zerem E.,Academy of science and Arts of Bosnia and Herzegovina
World Journal of Gastroenterology | Year: 2014

Severe acute pancreatitis (SAP), which is the most serious type of this disorder, is associated with high morbidity and mortality. SAP runs a biphasic course. During the first 1-2 wk, a pro-inflammatory response results in systemic inflammatory response syndrome (SIRS). If the SIRS is severe, it can lead to early multisystem organ failure (MOF). After the first 1-2 wk, a transition from a pro-inflammatory response to an anti-inflammatory response occurs; during this transition, the patient is at risk for intestinal flora translocation and the development of secondary infection of the necrotic tissue, which can result in sepsis and late MOF. Many recommendations have been made regarding SAP management and its complications. However, despite the reduction in overall mortality in the last decade, SAP is still associated with high mortality. In the majority of cases, sterile necrosis should be managed conservatively, whereas in infected necrotizing pancreatitis, the infected non-vital solid tissue should be removed to control the sepsis. Intervention should be delayed for as long as possible to allow better demarcation and liquefaction of the necrosis. Currently, the step-up approach (delay, drain, and debride) may be considered as the reference standard intervention for this disorder. © 2014 Baishideng Publishing Group Inc. All rights reserved. Source

Ahmetovic E.,University of Tuzla | Grossmann I.E.,Carnegie Mellon University
AIChE Journal | Year: 2011

We propose a general superstructure and a model for the global optimization for integrated process water networks. The superstructure consists of multiple sources of water, water-using processes, wastewater treatment, and pre-treatment operations. Unique features are that all feasible interconnections are considered between them and multiple sources of water can be used. The proposed model is formulated as a nonlinear programing (NLP) and as a mixed integer nonlinear programing (MINLP) problem for the case when 0-1 variables are included for the cost of piping and to establish optimal trade-offs between cost and network complexity. To effectively solve the NLP and MINLP models to global optimality we propose tight bounds on the variables, which are expressed as general equations. We also incorporate the cut proposed by Karuppiah and Grossmann to significantly improve the strength of the lower bound for the global optimum. The proposed model is tested on several examples. © 2010 American Institute of Chemical Engineers (AIChE). Source

Blbl K.,University of Tuzla
Computers and Operations Research | Year: 2011

In this paper, we study the job shop scheduling problem with the objective of minimizing the total weighted tardiness. We propose a hybrid shifting bottleneck-tabu search (SB-TS) algorithm by replacing the re-optimization step in the shifting bottleneck (SB) algorithm by a tabu search (TS). In terms of the shifting bottleneck heuristic, the proposed tabu search optimizes the total weighted tardiness for partial schedules in which some machines are currently assumed to have infinite capacity. In the context of tabu search, the shifting bottleneck heuristic features a long-term memory which helps to diversify the local search. We exploit this synergy to develop a state-of-the-art algorithm for the job shop total weighted tardiness problem (JS-TWT). The computational effectiveness of the algorithm is demonstrated on standard benchmark instances from the literature. © 2010 Elsevier Ltd. All rights reserved. Source

Pasic Z.,University of Tuzla
Medicinski arhiv | Year: 2011

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. 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. 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%. 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. Source

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