Ilaz Bunjaku - Academia.edu (original) (raw)

Papers by Ilaz Bunjaku

Medical Archives, 2012

A cute Gastrointestinal bleeding-Massive acute bleeding from gastrointestinal section is one of t... more A cute Gastrointestinal bleeding-Massive acute bleeding from gastrointestinal section is one of the most frequent forms of acute abdomen. The mortality degree in emergency surgery is about 10 %. It's very difficult to identify the place of bleeding and etiology. Purpose: The important purpose of this research is to present the cases of acute gastrointestinal bleeding from the patients which were monitored and treated at The University Clinical Center of Kosova-Emergency Center in Pristina. Material and methods: These inquests included 137 patients with acute gastrointestinal bleeding who were treated in emergency center of The University Clinical Center in Pristina for the period from January 2005 until December 2006. Results and discussion: From 137 patients with acute gastrointestinal bleeding 41% or 29% was female and 96% or 70.1 % male. Following the sex we gained a high significant difference of statistics (p <0.01). The gastrointestinal bleeding was two times more frequent in male than in female. Also in the age-group we had a high significant difference of statistics (p<0.01) 63.5 % of patients were over 55 years old. The mean age of patients with an acute gastrointestinal bleeding was 58.4 years SD 15.8 age. The mean age for female patients was 56.4 age SD 18.5 age. The patients with arterial systolic pressure under 100 mmHg have been classified as patients with hypovolemic shock. They participate with 17.5% in all prevalence of acute gastrointestinal bleeding. From the number of prevalence 2{1.5%} patients have been diagnosed with peptic ulcer, 1{0.7%} as gastric perforation and 1{0.7% }with intestine ischemia. Abdominal Surgery and Intensive Care 2 or 1.5% died, 1 at intensive care unit and 1 at nephrology. Conclusion: As we know the severe condition of the patients with gastrointestinal bleeding and etiology it is very difficult to establish, we need to improve for the better conditions in our Emergency Center for treatment and initiation base of clinic criteria. Key words: acute gastrointestinal bleeding, emergency centre, university clinical center of Kosova. corresponding author: Basri lenjani, md. emergency medicine. university clinical center of Kosovo, prishtina, Kosovo.

Albanian Journal of Trauma and Emergency Surgery, 2019

Background: Multiple injuries are the second leading cause of morbidity, invalidity and mortality... more Background: Multiple injuries are the second leading cause of morbidity, invalidity and mortality in developed and developing countries in children, young people and the elderly. The most frequent causes are: road traffic accidents, falling from heights, firearms, vehicles, colds and explosive devices. The incidence and prevalence of polytrauma differs from region to region and the largest number of deaths from multiple injuries or polytraumatis occur within the first trauma time, often defined as the "golden hour of trauma". Aim: Provide medical care at all stages of managing the injured with politrauma with basic and advanced support in order to reduce: morbidity, disability and mortality. Materials and methods: The research material was obtained from UCCK Emergency Clinic archive. The research is retrospective, descriptive, qualitative, for the period January-December 2018 In the research only injured with: injuries, sex, type of pathologies, causes, road traffic, firea...

Albanian Journal of Trauma and Emergency Surgery, 2020

The process of patient referral system at the level of health care is a comprehensive institution... more The process of patient referral system at the level of health care is a comprehensive institutional framework with responsible, well-defined competencies, as a network of cooperation with the general goal of maintaining health, treatment, stabilization, transport and medical care up to in the complete recovery of the sick. The process of patient referral system in most countries in Europe and in the world is a challenge for most developing and developed countries. The mechanisms of the referral system function at different national, regional and municipal levels based on national laws and policies and work on the basis of efficient lines of communication by creating clear and simple steps and procedures described. The referral system in Kosovo is disorganized, chaotic, the Ministry of Health must have a national document of the referral system for patients at the health level, and before that all health care professionals are educated, trained on the way of the referral system, whic...

Introduction: Around 1.250000 people die each year due to traffic accidents. Traffic accident inj... more Introduction: Around 1.250000 people die each year due to traffic accidents. Traffic accident injuries are the leading cause of death in the most productive age group-20-45 years old. 20 to 50 million people end up with injuries, disability because of traffic accident injuries. Purpose of study: To identify the most common factors of traffic accidents. To compare the number of accidents and casualties at local, regional and global level. To evaluate the way traffic accidents are handled from urgent medicine services and the Emergency Medical center (eMc) in particular. To improve the quality of management traffic accident from medical teams. Material and methods: data for this paper is extracted from eMc and archive protocols in different years, carrying out data analysis. We have cooperated with eMc of University clinical center of Kosovo (UccK), and Kosovo police-pristina regional unit. retrospective method of research and afterwards descriptive and analytical method has been applied. Results: According to Police statistics, the largest number of accidents in traffic in Kosovo. The EMC in Pristina had 1024 traffic accident interventions in 2019 but 2020 the traffic accidents are lowest for 181 accidents, because we have the decrease in circulation as a result of the CIVID pandemic 19. The largest number was in August-198 cases (15.4 %) while the lowest number was in May-69 (5.4%). Of 604 cases of traffic accidents that have been analyzed, 212 or 35.1 % included persons of age group 16-25. Of the total number, 411 or 68.04 % were males and 193 or 31,9 % were females. Conclusion: The main factor of traffic accidents remains human factor. Traffic accidents increase the incidence of death and disability in general population. enforcing emergent Medical services, promoting and educating the population, institutional cooperating, have positive impact in reducing the number of traffic accident, decreasing mortality and disability caused by traffic accidents.

Journal of Acute Disease, 2012

Medical Archives, 2012

A cute Gastrointestinal bleeding-Massive acute bleeding from gastrointestinal section is one of t... more A cute Gastrointestinal bleeding-Massive acute bleeding from gastrointestinal section is one of the most frequent forms of acute abdomen. The mortality degree in emergency surgery is about 10 %. It's very difficult to identify the place of bleeding and etiology. Purpose: The important purpose of this research is to present the cases of acute gastrointestinal bleeding from the patients which were monitored and treated at The University Clinical Center of Kosova-Emergency Center in Pristina. Material and methods: These inquests included 137 patients with acute gastrointestinal bleeding who were treated in emergency center of The University Clinical Center in Pristina for the period from January 2005 until December 2006. Results and discussion: From 137 patients with acute gastrointestinal bleeding 41% or 29% was female and 96% or 70.1 % male. Following the sex we gained a high significant difference of statistics (p <0.01). The gastrointestinal bleeding was two times more frequent in male than in female. Also in the age-group we had a high significant difference of statistics (p<0.01) 63.5 % of patients were over 55 years old. The mean age of patients with an acute gastrointestinal bleeding was 58.4 years SD 15.8 age. The mean age for female patients was 56.4 age SD 18.5 age. The patients with arterial systolic pressure under 100 mmHg have been classified as patients with hypovolemic shock. They participate with 17.5% in all prevalence of acute gastrointestinal bleeding. From the number of prevalence 2{1.5%} patients have been diagnosed with peptic ulcer, 1{0.7%} as gastric perforation and 1{0.7% }with intestine ischemia. Abdominal Surgery and Intensive Care 2 or 1.5% died, 1 at intensive care unit and 1 at nephrology. Conclusion: As we know the severe condition of the patients with gastrointestinal bleeding and etiology it is very difficult to establish, we need to improve for the better conditions in our Emergency Center for treatment and initiation base of clinic criteria. Key words: acute gastrointestinal bleeding, emergency centre, university clinical center of Kosova. corresponding author: Basri lenjani, md. emergency medicine. university clinical center of Kosovo, prishtina, Kosovo.

Albanian Journal of Trauma and Emergency Surgery, 2019

Background: Multiple injuries are the second leading cause of morbidity, invalidity and mortality... more Background: Multiple injuries are the second leading cause of morbidity, invalidity and mortality in developed and developing countries in children, young people and the elderly. The most frequent causes are: road traffic accidents, falling from heights, firearms, vehicles, colds and explosive devices. The incidence and prevalence of polytrauma differs from region to region and the largest number of deaths from multiple injuries or polytraumatis occur within the first trauma time, often defined as the "golden hour of trauma". Aim: Provide medical care at all stages of managing the injured with politrauma with basic and advanced support in order to reduce: morbidity, disability and mortality. Materials and methods: The research material was obtained from UCCK Emergency Clinic archive. The research is retrospective, descriptive, qualitative, for the period January-December 2018 In the research only injured with: injuries, sex, type of pathologies, causes, road traffic, firea...

Albanian Journal of Trauma and Emergency Surgery, 2020

The process of patient referral system at the level of health care is a comprehensive institution... more The process of patient referral system at the level of health care is a comprehensive institutional framework with responsible, well-defined competencies, as a network of cooperation with the general goal of maintaining health, treatment, stabilization, transport and medical care up to in the complete recovery of the sick. The process of patient referral system in most countries in Europe and in the world is a challenge for most developing and developed countries. The mechanisms of the referral system function at different national, regional and municipal levels based on national laws and policies and work on the basis of efficient lines of communication by creating clear and simple steps and procedures described. The referral system in Kosovo is disorganized, chaotic, the Ministry of Health must have a national document of the referral system for patients at the health level, and before that all health care professionals are educated, trained on the way of the referral system, whic...

Introduction: Around 1.250000 people die each year due to traffic accidents. Traffic accident inj... more Introduction: Around 1.250000 people die each year due to traffic accidents. Traffic accident injuries are the leading cause of death in the most productive age group-20-45 years old. 20 to 50 million people end up with injuries, disability because of traffic accident injuries. Purpose of study: To identify the most common factors of traffic accidents. To compare the number of accidents and casualties at local, regional and global level. To evaluate the way traffic accidents are handled from urgent medicine services and the Emergency Medical center (eMc) in particular. To improve the quality of management traffic accident from medical teams. Material and methods: data for this paper is extracted from eMc and archive protocols in different years, carrying out data analysis. We have cooperated with eMc of University clinical center of Kosovo (UccK), and Kosovo police-pristina regional unit. retrospective method of research and afterwards descriptive and analytical method has been applied. Results: According to Police statistics, the largest number of accidents in traffic in Kosovo. The EMC in Pristina had 1024 traffic accident interventions in 2019 but 2020 the traffic accidents are lowest for 181 accidents, because we have the decrease in circulation as a result of the CIVID pandemic 19. The largest number was in August-198 cases (15.4 %) while the lowest number was in May-69 (5.4%). Of 604 cases of traffic accidents that have been analyzed, 212 or 35.1 % included persons of age group 16-25. Of the total number, 411 or 68.04 % were males and 193 or 31,9 % were females. Conclusion: The main factor of traffic accidents remains human factor. Traffic accidents increase the incidence of death and disability in general population. enforcing emergent Medical services, promoting and educating the population, institutional cooperating, have positive impact in reducing the number of traffic accident, decreasing mortality and disability caused by traffic accidents.

Journal of Acute Disease, 2012