Acting director: Dr. Elnur Smajić, MSci., specialist in internal medicine, sub- specialist in cardiology
Contact telephone: 003870 35 303 299
Head nurse: Hanka Redžić, graduated in nursing
Nurse for quality improvement and education: Emrisela Vejzović, graduated in nursing
Secretary of the clinic: Adila Džibrić, technician
Contact telephone.: 00 387 35 30 33 02; head nurse – 00 387 35 30 31 14; admission and outpatient clinic 00 387 35 30 33 05; reception – 00 387 35 30 33 61; daily hospital 00387 35 30 33 15; cabinet for ergometry 00 387 35 30 31 39
E-mail: info@ukctuzla.ba
HEALTH CARE SERVICES:
- Routine ultrasound of the abdomen and urotract
- Basic echocardiography
- Intensive therapy and care
- All forms of nutrition (parenetral, enteral)
- Mechanical ventilation
- Pace- maker
- Electrocardioversion
- The provision of central venous access with hemodynamic monitoring, and continuous monitoring with ultrasound diagnostics and follow-up
- Endoscopic routine and emergency procedures of the digestive tract
- Interventional endoscopic procedures
- Endoscopic retrograde cholangiopancreatography (ERCP)
- Endoscopicpapillotomy, balloon dilatation, extraction of stones, implantation of endoprostheses
- Endoscopic ultrasound
- Capsule endoscopy
- Interventional ultrasound with drainage procedures
- Transient elastography- Fibroscan
- Etanol ablation in treatment of liver cancer
- Diagnostic laparoscopy
- Ultrasound- guided biopsy
- Preparing patients for liver transplant surgery (cadaver and living donors), post- transplant care
- Intragastric balloon placement in the treatment of pathological obesity
- Diagnosis and treatment of diabetes
- Diagnostic and treatment of endocrine and metabolic disorders
- Dynamic and endocrine tests
- The treatment of inflammatory and degenerative disorders of the musculosceletal system.
- Ultrasound diagnosis of locomotor system
- Ultrasound- guided joints puncture
- Intra- articular, peri- articular and canicular infiltrations
- Diagnosis and treatment of kidney diseases
- Preparing and treatment with one of dialysis methods
- Transplant Center jobs
- Ultrasound diagnosis of the abdominal and urinary system
- Color Doppler of the renal atrium
- Ultrasound- guided kidney biopsy
- Ultrasound- guided puncture and aspiration of kidney cysts
- Standard low- flow rate and high- flow rate in hemodialysis
- “Online” hemodiafiltratation
- Intermittent, slow, low- efficiency and continuous dialysis
- Intermittent, continuous and cyclic peritoneal dialysis
- Hemoperfusion, membrane therapeutic plasmapheresis
- Dry isolated ultrafiltration
- Temporary or permanent vascular catheterization
- Electrocardiogram (standard ECG, signal- averaged ECG, 24- hour ECG, exercize ECG)
- Vectorcardiography, ultrasound of the heart, left and right ventricels catheterization
- Transesophageal echocardiogram
ORGANIZATIONAL STRUCTURE
TRANSPLANT INFORMATION CENTER
POLYCLINICS
AMBULANCES
Admission and outpatient polyclinic
Clinic for Cardiology
Clinic for Nephrology
Clinic for Rheumatology
Clinic for Gastroenterology
Clinic for Endocrinology and Metabolic Disorders
COUNSELING CENTRES
Diabetes counseling center
Hypertension and chronic kidney diseases counseling centre
CABINETS
Transplantation medicine cabinet
Cabinet for endoscopy
Cabinet for ergometry and spirometry
Holter cabinet
Cabinet for CAPD
Cabinet for ultrasound of the heart
Cabinet for cardiomyopathy
DAILY HOSPITAL
DEPARTMENTS:
- Department for Intensive Therapy
- Department for Cardiology
- Department for Nephrology and Hemodyalisis
- Department for Gastroenterology
- Department for Endocrinology
- Department for Reumatology
THE CLINIC STAFF
The Clinic for Internal Medicine has 220 employees including specialists in internal medicine- 43; doctors on specialization- 16; secondary doctors- 5; nurses/technicians with a high health school- 27; nurses/technicians with a higher nursing school- 2; nurses/technicians with nursing school – 123; non- medical workers-5.
CONTINUITY IN KIDNEY TRANSPLANT PROGRAM
Living- donor kidney transplant program has been continuously carried out in the University Clinical Center Tuzla since it was started on September 15, 1996. Up to date 225 transplant surgeries have been successfully performed. A multidisciplinary team consisting of specialists in nephrology, urology, anesthesiology and related diagnostic branches are actively involved in the kidney transplant program.There are many certified experts in the field of transplantation medicine among them, and some of them have European transplant certification.
Once met all the necessary requirements and the criteria of Eurotransplant a cadaver transplant program that included experts from Clinic for Internal Medicine started in 2006. So far 35 cadaver kidney transplants have been performed at the University Clinical Center Tuzla. Grafts and patients survival rates in kidney transplant recipients is 74% after five years.
Several master’s theses and two doctoral theses were defended on the theme of kidney transplant.
The center for dyalisis is a provider of dialysis and related health services to all chronic and acute dialysis- dependent patients with kidney failure. Al methods of extracorporeal circulation are offered in order to treat acute and chronc kidney failure, acute exogenous intoxications and other severe systemic diseases and mutiorgan failures. Since 2002 dialysis center has been appointed reference Fresenius MC for the Federation of Bosnia and Herzegovina. There are 138 patients on hemodialysis in the University Clinical Center Tuzla.
Temporary and permanent catheterization of the jugular vein
Urgent endoscopic management of patient with bleeding from the upper parts of the digestive tract
ScopeGuide- assisted colonoscopy
ScopeGuide assisted colonoscopy is a diagnostic as well as a therapeutic procedure performed to evaluate the large intestine including entering the final part of the small intestine. The colonoscopy device helps the doctor to determine the exact position of the device in the abdominal cavity of the patient, therefore to complete the procedure as fast as possible. The procedure enables efficient performance while avoiding entering the so- called arches, which make the procedure difficult and painful for the patient.
Capsule endoscopy
Capsule endoscopy helps the doctor to see the small intestine pathology completely painless and with a high accuracy of diagnosing even the smallest changes in the small intestine.
Intragastric balloon placement in the treatment of pathological obesity
The balloon is placed endoscopically in the stomach and then filled with saline and where allowed colored with methylene blue dye. The balloon is filled depending on the patient’s body weight. The balloon is being removed from the stomach six months later. This method is not suitable for patients whose obesity is related to genetic and hormonal disorders.
FibroScan- Transient elastography
Transient elastography or FibroScan is a non- invasive ultrasound technology that measures the liver tissue damage in various diseases, and assess the amount of liver fat (steatosis grade). This procedure in a non- invasive method allows the doctor to determine the degree of fibrosis, and to diagnose cirrhosis of the liver. It is not used for elastography of focal liver changes such as tumors.
Etanol ablation of changes in the liver
Etanol ablation procedure is primarily used for a non- invasive treatment of primary tumors of the liver- hepatocellular carcinoma, and to a lesser extent metastases in selected cases. The procedure can treat one change of a maximum diameter up to 50mm, or 3 smaller changes with total diameter of 60 mm.
Stress echocardiography of the heart
Stress echocardiography is an established technique for assessing coronary artery disease.
BOOKS AND PUBLICATIONS
- I. Pašić, H. Sušić, A. Halilbašić, K. Martinović, O endemskoj nefropatiji: Regionalni medicinski centar,”23. avgust” Doboj,1976.
- I. Pašić, Laparoskopija i komplementarne metode u kliničkoj praksi : IGTRO “Univerzal-OOUR” ” Grafičar”, Tuzla,1978.
- Pašić i saradnici, Gastroenterologiju: U A. Fejger, M. Grujić, M. Macanović, A. Mikeš, N. Numić, I. Pašić, Interna medicina I : Svjetlost, Sarajevo, 1986. 26-173.
- I. Pašić i saradnici, Egzogena trovanja: U A. Fejger, M. Grujić, M. Macanović, A. Mikeš, N. Numić, I. Pašić, Interna medicina II : Svjetlost, Sarajevo, 1986. 935-975.
- I. Pašić, T. Tulumović, S. Trnačević, F. Pašić,Toksikologija, Prvo izdanje, : Univerzitet u Tuzli,, UKC Tuzla, 1996.
- Dž. Poljaković, Šećerna bolest : Narodna i univerzitetska biblioteka «Derviš Sušić», Tuzla, 2003.
- E. Eminović, F. Lakkis, J. Karamehić, M. Tabaković, Glavni sistem histokompatibiliteta-MHC i tipizacija tkiva U: Jasenko Karamehić, Transplantacije bubrega, University of Tuzla-Yale University, Sarajevo New Hawen 2004.
- Akutna abdominalna bol: Avicena d.o.o., Sarajevo, 2005.
- H. Resić, J. Karamehić, Z. Dizdarević, M. Tabaković, Imunološki mehanizmi u bolesti bubrega : U Jasenko Karamehić, Zehra Dizdarević i saradnici, Klinička imunologija, Svjetlost, Sarajevo, 2007. 311-320.
- Z. Kušljugić, F. Baraković, A. Arslanagić, V. Gerc i saradnici, Kardiologija, PrintCom grafički inžinjering, Tuzla, 2007.
- E. Mešić, N.Mehmedović, M. Atić, S.Lekić, M.Tabaković, E. Hodžić: U Dž. Harčin ( urednik), Druga strana života, UHBBTK, 2008.
- S.Mulić-Bačić i saradnici, Interna medicina za studente Visoke zdravstvene škole, 2011.
- Emir Hodžić. Voljeti bubregom-informacije i uputstva za pacijente sa transplantiranim bubregom.doo Soreli, Tuzla, 2012.
- Tabaković M, Salkić NN, Baraković F, Trnačević S. Hypertension After Renal Transplantation. In: Current Concepts in Kidney Transplantation. Editors: Sandip Kapur, Cheguevara Afaneh and Meredith J. Aull. Publisher: InTech. 2012. ISBN 978-953-51-0900-6. DOI: 10.5772/51012. str. 243-259.
- Salkić N. Endoskopski tretman gojaznosti. U: Kirurško liječenje bolesti debljine. Ur: Bešlin M, Pašić F. Zagreb: Zagrebački institut za kulturu zdravlja; Tuzla: Printcom. 2017. ISBN 978-9958-13-123-3. str 105-114.
- Salkić N i sar. Praktična digestivna endoskopija. Printcom doo, Tuzla. 2020. ISBN 978-9958-13-153-0.
The Clinic for Internal Medicine is the place of science and education as well as a teaching base for Nursing School and Medical faculty. The health care professionals from the Clinic for Internal medicine are active members of various scientific and research societies.
CENTER FOR INFORMATION- TRANSPLANTATION
This Center presents the development of transplantation medicine at the University Clinical Center Tuzla. Health professionals engaged in the center have actively worked to create a unique waiting list and a database for all patients who went through the transplantation surgery. They role is also the coordination with medical centers in the region, colleagues and patients. Information Center which has been operating since October 2008, was created to consolidate data from the field of the transplantation medicine, as well as to establish contacts and network of transplantation medicine centers. One of the main tasks of Center is to collect data from all segments of transplantation medicine, and make them available to the patients and health professionals dealing with transplantation medicine. The Center is also the place where transplant medical education and training is conducted.
POLYCLINIC
It is consisted of outpatient clinic, 6 ambulances, 7 cabinets, 2 counseling centers
Nurse in charge: Mehaisa Hasanbašić, graduated nurse
Outpatient clinic of the Clinic for Internal Medicine with capacity of 6 beds provides complete health care services in the field of diagnostics. It is open to provide costs and time- effective diagnostics and a 24- hour observation of patients without their long staying and hospitalization.
Every day 5 doctors and nurses/technicians are engaged in the outpatient clinic workflow which includes fast diagnostics, specialist examinations, ultrasound, and consultations with doctors of different specialties and sub- specialties.
INTENSIVE CARE UNIT
Chief of the unit: Primarius Dr. Esad Brkić, specialist in internal medicine- cardiologist
Nurse in charge: Jasmina Šehanović, graduated nurse
Ass. Prof. Denis Mršić, specialist in internal medicine- cardiologist
Dr. Edita Sijerčić MSci, specialist in internal medicine
Dr. Ammar Brkić, specialist in internal medicine
Dr.Emir Bećirović, specialist in internal medicine
Dr.Amra Hadžović Alibašić, specialization in internal medicine
Dr. Tarik Altumbabić specialization in urgent medicine
Dr.Asja Omečehajić
Contact telephone: 035/303-305
Intensive care unit with 14 beds offers comprehensive treatment, hemodynamic monitoring, ultrasound diagnostics and continuous follow- up of patients. Ultrasound of abdominal and urinary tract, transthoracic echocardiography, mechanical support, pace maker simulation, electrocardioversion, cardiopulmonary resuscitation and parenteral/ enteral nutrition of patients in critical condition.
Health professionals at the unit deal with rational diagnosis and treatment of the most serious disases in internal medicine, including acute and life- threatening conditions that require critical intensive care and therapy.
On average, 1.500-1.800 patients are treated annually in the Intensive Care Unit with a coronary unit, with an average hospital stay of 3.0-3.5 days.
DEPARTMENT FOR GASTROENTEROLOGY
Chief of the department: Ass. Prof. Predrag Jovanović,specialist in internal medicine-gastroenterohepatologist
Nurs in charge: Šejla Mićić, graduated nurse
Ass. Prof. Mirela Bašić-Denjalić, specialist in internal medicine- gastroenterohepatologist
Dr. Adnan Gegić MSci., specialist in internal medicine
Dr. Nataša Križić, specialist in internal medicine-gastroenterologist
Dr. Majda Mehmedović, specialist in internal medicine
Dr. Ismar Hasukić, specialist in internal medicine- gastroenterohepatologist
Dr. Majda Mehmedović, specialist in internal medicine
Dr. Emir Tulumović, specialist in internal medicine
Dr.Amar Habibović, specialist in gastroenterology
Dr. Selma Hodžić, specialist in internal medicine
Dr. Faris Odobašić, specialization in internal medicine
Dr.Belma Kalesić, specialization in internal medicine
Dr.Nedim Selimović, specialization in internal medicine
Dr.Naid Dizdarević, specialization in internal medicine
Dr. Ilma Kešetović
Dr. Amila Osmanović
Dr. Azra Sakić
Contact telephone:035/303-358
Endoscopic procedures of the digestive tract. Endoscopic retrograde cholangiopancreatography (ERCP), Endoscopic papillotomy, balloon dilatation, stone extraction, endoprosthesis implantation, Endoscopic ultrasound, Video capsule endoscopy, Interventional ultrasound with drainage procedures.
Diagnostic laparoscopy, ultrasound guided biopsy, liver transplantation preoperative management of patients (cadaver/ living donor), postoperative management of patients, intragastric ballon placement in the treatment of pathological obesity.
The department has 39 patient beds with a semi-intensive care unit and a unit for interventional ultrasound. The Department of Gastroenterology provides the most modern diagnostic procedures in the field of upper and lower gastrointestinal endoscopy and interventional ultrasound. From the wide range of procedures, we highlight interventional endoscopy, endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound, video capsule endoscopy and interventional ultrasound with drainage procedures. . Supported by powerful radiological, laboratory and immunological diagnostics, the Department of Gastroenterology is today able to successfully diagnose and treat most diseases of the digestive tract.
DEPARTMENT FOR CARDIOLOGY
Chief of the department: Prof.Dr.Larisa Dizdarević-Hudić, specialist in internal medicine
Technician in charge: Ermin Baćić, graduated in nursing
Contact telephone:035/303-110
Ass. Prof. Lončar Daniela, specialist in internal medicine, sub- specialist in cardiology
Ass. Prof. Katarina Kovačević, specialist in internal medicine
Ass. Prof. Mirsad Selimović, specialist in internal medicine , sub- specialist in cardiology
Primarius Ass. Prof. Melika Avdagić, specialist in internal medicine , sub- specialist in cardiology
Dr. Edin Jašarević, specialist in internal medicine
Dr.Irma Bijedić, specialist in internal medicine
Dr.Begajeta Čaušević, specialization in cardiology
Dr.med. Amra Uljić, specialization in cardiology
Dr. Dajana Mešić, secondary doctor
Electrocardiographic diagnostics (standard ECG, averaged ECG, 24-hour ECG, stress ECG), vectorcardiogram, ultrasound of the heart, catheterization of the right and left ventricles, transesophageal ultrasound of the heart in preparation of heart defects for surgery. The cardiology department has 60 patient beds. Health professionals at the department deal with non-invasive diagnostics and treatment of cardiac diseases using ergo test, holter and heart monitor. The invasive methods includes transesophageal ultrasound of the heart, which better visualizes the heart structures that is important for cardiac surgery, as well as for the postoperative evaluation. There are 7 specialists in internal medicine, two professors of internal medicine, 3 masters working in the department, of whom two have the title of European cardiologists and one has the title of fellow. All specialists are active members of the Association of Cardiologists of Bosnia and Herzegovina, as well as the Association of Cardiologists of Europe and the World. Until now, the professionals from the department has participated in numerous research projects, the results of which have been presented in reference journals. In cooperation with the Faculty of Medicine of the University of Tuzla, in 2003, the first textbook “Cardiology” was published in 2003. The Department of Cardiology organized Congress of cardiologists of BiH with international participation, two international symposiums and two professional meetings of cardiologists of BiH. In its educational program, the Department of Cardiology organizes the Ultrasound Heart School for internal medicine specialists in BiH, as well as for its own staff. This is the only ultrasound heart school in Bosnia and Herzegovina that has been working continuously since 2002.
DEPARTMENT FOR ENDOCRINOLOGY
Chief of department: Dr. Jusuf Hodžić, specialist in internal medicine
Nurse in charge: Hidžeta Turatović, graduated nurse
Dr. Salih Azabagić, specialist in internal medicine
Primarius Dr. Lejla Jašarević, specialist in internal medicine, sub- specialist in endocrinology
Dr. Enisa Alić, specialist in internal medicine, sub- specialist in endocrinology
Dr. Dinka Begić, specialist in internal medicine
Dr. Alma Halilbašić,
Dr. Nadina Avdić Jahić, specialization
Dr. Dorić Jasmin, specialization
Dr. Amir Bećirović,secondary doctor
Contact telephone:035/303-113
Health professionals at the Department for endocrinology deal with diagnosis and treatment of diabetes, diagnosis of endocrinology disorders and metabolic disorders, diagnosis of diseases of the pituitary gland, thyroid and parathyroid glands, adrenal glands, gonads (in addition to basal hormonal diagnostics, dynamic and endocrinology tests are performed of which interpretation is in accordance with the guidelines of the European Endocrinology Association). There are 6 internal medicine specialists working at the Department, including 1 professor, 2 PhDs, 3 Masters of Medicine, 3 sub-specialists in endocrinology.
DEPARTMENT FOR NEPHROLOGY, HEMODYALISIS AND TRANSPLANTATION
Chief of the department: Prof.Dr. Mirna Alečković-Halilović, specialist in internal medicine, sub- specialist in nephrology
Nurse in charge: Lidija Tanasković, graduated nurse
Chief of nephrology section: Dr.Amila Jašarević, specialist in internal medicine
Nurse in charge: Rasema Srabović, graduated nurse
Chief of transplantation section: Dr. Maida Taletović-Dugonjić MSci., specialist in internal medicine, sub- specialist in nephrology
Nurse in charge: Mirela Hadžiabdić, graduated nurse
Chief of hemodialysis:
Nurse in charge: Tanja Mulić, graduated nurse
Ass. Prof. Alma Halilčević-Terzić, specialist in internal medicine, sub- specialist in nephrology
Dr, Davor Trojak MSci., specialist in internal medicine
Ass. Prof. Jasmina Pašić, specialist in internal medicine, sub- specialist in endocrinology, diabetologist
Dr. Adnan Altumbabić, specialist in internal medicine
Dr. Minela Bećirović, specialist in internal medicine
Dr. Naida Morić, specialization in internal medicine
Dr. Mirha Pjanić, specialization in nephrology
Dr. Denijal Mukinović, specialization in nephrology
Dr. Alma Klapić, specialization in nephrology
Dr. Vedrana Alikadić, specialization in nephrology
Contact telephone:035/303-106
Health professionals from the department treat patients suffering from different kidney diseases and failures by using dialysis methods.
The department has 27 patient beds.
The dialysis center was founded in 1970 in Tuzla as the third open dialysis center in the former Yugoslavia. Since then, the center has been working continuously and caring for all chronic and acute dialysis- dependent kidney patients. All methods of extracorporal circulation are performed in order to treat acute and chronic renal failure, acute exogenous poisoning and other sever systemic diseases and multiorgan failures: standard low flow and high- flow hemodialysis, online hemodiafiltration, intermittent, slow low- efficiency dialysis and continuous dialysis, intermittent, continuous and cyclic peritoneal dialysis, therapeutic membrane plasmaphresis, the isolated ultrafiltration, introduction of temporary and permanent vascular catheters and management of the kidney transplant waiting list.
Following diagnostic procedures are presently available at the Department:
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Abdominal ultrasonographic evaluation of the urinary tract,
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Doppler sonography of renal artery,
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Ultrasound- guided kidney biopsy,
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Ultrasound- guided puncture and evacuation of kidney cysts
Th Department of Nephrology and Hemodyalisis has ten doctors specialists, four university professors, one doctor with PhD, four doctors with masters of medical science, and one doctor specialist in internal medicine.
There are 37 highly- trained dialysis nurses/technicians, two dialysis equipment service technicians and one administrative person actively involved in the department workflow.
The Department provides continuing medical education activities important for the medical profession of nephrology.
DEPARTMENT FOR RHEUMATOLOGY
Chief of the department: Dr. Mario Križić MSci., sub- specialist in rheumatology
Nurse in charge: Ivana Jokić, graduated nurse
Dr. Alma Hajdarović – Đonlagić, MSci., sub- specialist in rheumatology
Ass. Prof. Maida Skokić, specialist in internal medicine
Dr. Alma Šerak Tokić, on specialization in rheumatology
Dr.Amra Tulumović – Mešanović, on specialization in rheumatology
Dr. Melika Salihović, on specialization in rheumatology
Dr. Dženana Jukan, on specialization in rheumatology
Contact telephone: 035/303-112
Health professionals from the department deal with the treatment of inflammatory and degenerative diseases of the musculosceletal system (rheumatoid arthritis, psoriatic arthritis, spondylarthritis, systmic lupus erythematosus and systmatic diseases of the connective tissue, severe forms of osteoporosis), ultrasound diagnostics of the locomotor apparatus, ultrasound- guided puncture for intra- articular, extra- articular and canalicular infiltrations of joints.
A total of 24 patient beds are available in the department of rheumatology.
A highly professional staff of the department offers the treatment, monitoring and clinical diagnostics (laboratory, immunological, microbiological, X-ray) for patients suffering from rheumatic disorders. Patients with systemic connective tissue diseases receive pulse- doses of cyclophosphamide, as well as cyclic pamidronate therapy in the treatment of severe osteoporosis with threatening fractures in the outpatient clinic.
Professional staff regularly provide patient education how to cope with disease-related problems of everyday life, with stress and with suffering.
The department is a teaching base for residents, doctors on internship, students of the Faculty of Medicine, Nursing college and Nursing school.