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S. Loga

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Selma Sinanović, S. Loga, M. Muftić, Mirza Jahić, Alma Glinac, Munib Smajović

Introduction: Time management is an important aspect of successful leadership and involves mastering your own work and time instead of allowing them to master you. Time management is a daily process that is applied in order to rationally use time, work schedules, lists of tasks, delegation of responsibilities and everything else that helps to efficiently use time. Material and methods: This research was prospective, descriptive, analytical and controlled. There was 100 medical worker involved, who have managing jobs of different levels and 100 medical workers who do not have managing jobs, who represented the control group. The questionnaire on „time stealers“ according to Sewert. Demographic data was gathered according to the questionnaire on self construction. Results and Conclusions: Based on conducted research, it was established that there were differences in frequencies of certain „time stealers“ in managers of different levels of University Clinical Center Tuzla; the „time stealers“ are more frequent among these with shorter length of service; These differences are significantly more frequent (p<0.05) for some questions e.g. being distracted by phone calls, meetings that are held just for the sake of having a meetings, insufficient, one-way or bad communication with superiors, and have negative effects on management of business hours.

M. Jakovljevič, S. Loga, Dražen Begić, I. Pajević, A. Kučukalić, A. Kulenović, D. Babic, B. Maslov, V. Daneš et al.

BACKGROUND Suicidal behavior is an important worldwide health problem. Psychiatric disorders, especially mood disorders, are the main risk factors for suicidal behavior. Suicide is an important cause of death in patients with epilepsy. The aim of this study was to analyze the presence of suicidal ideation in patients with epilepsy. SUBJECTS AND METHODS The study included 50 epilepsy inpatients and outpatients of both genders, aged 18 years and older, treated at the Department of Neurology, Clinical Center University of Sarajevo in the period from 1(st) of April - October 1(st) 2007. The sample was selected randomly. Applied research instruments were general questionnaire, HAM-D-17, BHS and BSS. RESULTS Suicidal ideation and thoughts of death were present in 38% epilepsy patients. Symptoms of depression as well as feelings of hopelessness were found in half of the participants (52% and 48%), and were significantly more common in epilepsy patients with suicidal ideation. There was a significant relation of suicidal ideation with the presence of chronic pain (3.86; p=0.49), sexual/physical abuse history (5.95, p=0.015), level of hopelessness (20.7; p=0.000) and severity of depression (14.48; p=0.000) in epilepsy patients. Multiple logistic regression analysis showed that unemployment (Exp(B) 33.9; p=0.007) and the level of hopelessness (Exp(B) 14.9; p=0.001) were independently related to suicidal ideation in these patients. CONCLUSIONS The study has shown that the level of hopelessness and unemployment have a predictive value for appearance of suicidal ideation in epilepsy patients. In the prediction of suicidal ideation in this population of patients, there is no single variable that should be considered as specific and separate.

S. Loga, Bojan Šošić, A. Kulenović, Emira Švraka, Nina Bosankić, A. Kučukalić, O. Cemalovic, A. Hadzic

BACKGROUND Quality of life assessments are increasingly present in health research. Chronic and progressive illness of a family member unavoidably affects quality of life of a family as a whole. The goals of this study were to gain insight into the family burden of chronic disorders, especially possible differences in family quality of life (FQOL) in families that have members suffering from either schizophrenia or Crohn's disease, and families in which none of the members have chronic somatic or mental illness, as well as to pilot an instrument for this purpose. SUBJECTS AND METHODS The sample consisted of 53 families with a member suffering from schizophrenia, 50 families with a member suffering from Crohn's disease, and 45 families with no identifiable chronic illnesses. An informant from each family underwent a structured face to face interview, using a questionnaire specially adapted from Family Quality of Life Survey, an instrument widely used to assess FQOL in families with members with disabilities, and which addresses nine areas of family life. RESULTS In the domain of health, both groups of families with chronic illnesses believe they have significantly different conditions when compared to members of the Control group. In the Crohn's disease group, families had a great deal more of challenges in accessing healthcare services; and see themselves at a disadvantage when compared to both other groups in the domain of finances. Control group offered lowest rating in the domain of support from others. Overall measures of FQOL show significant variation among the three groups, Crohn's disease group offering lowest ratings, followed by families of mental health service users. CONCLUSIONS Overall, FQOL seems to be lower in families that have members diagnosed with Crohn's disease than in families with members suffering from schizophrenia. Illness-specific studies are required, as well as instruments with stronger psychometric properties and studies of determinants of FQOL. Qualitative approach should be emphasised when studying FQOL related to chronic illnesses.

Copyright © 2011 by Academy of Sciences and Arts of Bosnia and Herzegovina. E-mail for permission to publish: amabih@anubih.ba him an internationally acknowledged scholar. As Professor Kecmanovic authored or edited a great many widely read psychiatry textbooks he has contributed enormously to the education of medical students, psychiatric residents, psychiatrists, psychologists and psychiatric social workers in the former Yugoslavia in general and in the Republic of Bosnia-Herzegovina in particular. Kecmanovic’s latest book is entitled Controversies and Dilemmas in Contemporary Psychiatry. As the title suggests, it deals with those topics in psychiatry that are debatable in the fi rst place. And there are many of them. As Kecmanovic put it, if we take all the dilemmas out of psychiatry there is not much psychiatry left . Kecmanovic does not take sides. He dissects arguments, casts light on the pros and cons. He explains how some dilemmas might be resolved, and why others are not likely to be resolved because the resolution of them is simply beyond the scope of psychiatry. Kecmanovic is focused on the most important and most intriguing questions that psychiatrists cannot help but confront – no matter whether they are more interested in conceptual issues or in day-to-day clinical practice. Indeed, most psychiatrists are not keen on discussing controversies and dilemmas in contemporary psychiatry because they believe that debating burning psychiatric questions unveils the weaknesses of psychiatry and thereby tarnishes the public image of psychiatry. In this book Kecmanovic forces psychiatrists to face up to the aspects of their job that are only apparently question-free. Th at is only one of the reasons why the book deserves their attention. Kecmanovic has chosen to discuss those subject-matters that, in his opinion, contain the main controversies and dilemmas in contemporary psychiatry, such as the defi nition of mental disorder, mental health, similarities and difDusan Kecmanovic is one of the most prominent psychiatrists in the former Yugoslavia. Before leaving Sarajevo in 1993 he was Professor of Psychiatry and Political Psychology at Sarajevo University, and a member of the Academy of Sciences and Arts of Bosnia and Herzegovina. His publications – 24 books and more than 250 papers (as the primary author) published by reputed publishers and in respected journals – made Acta Medica Academica 2011;40(1):195-196 DOI 10.5644/ama2006-124.27

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