Faculty of Medicine
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Item type:Publication, Assessment of the Motivation for Smoking Cessation among the Citizens of the Republic of North Macedonia(Galore Knowledge Publication Pvt. Ltd., 2022-04-19); ; ;Prosheva, Sanja; Marya HubbardIntroduction: North Macedonia is among the top rated countries with high smoking prevalence with high rate of adult smoking 48.4%, and nearly 81.4% of the smokers started smoking before being 25 years of age. This paper will highlight the prevalence and public’s motivation on smoking cessation, broken down into age groups throughout the entire country of North Macedonia. Materials and Methods: The method is an analytical-descriptive method with cross sectional study, as a result to a quantitative-qualitative survey conducted among the population in 2021 with the collaboration of the Virginia Tech University and the NGO Link Across. Data from the Qualtrics housed surveys and the completed paper surveys were entered into an Excel DB. Descriptive statistics were generated for all questions. Bivariate data were analyzed using r. Results and Discussion: Smoking is widely spread among all age groups, but with a trend to decrease in numbers as the age is of a higher number - 32.2% belongs to the 18 to 24 year old group. Distribution by gender -57.8% female, 40.4% male. Younger age groups have the highest relative frequencies about the intention to quit smoking within one month. Approximately 16% of participants who were smokers and attempted to quit, were smoke free and successful in cessation. Majority of survey participants who attempted to quit were not successful and resumed smoking within 6 months. This is strong justification of smokers who attempt to quit needing a program that would guide them and maintain the attempts for cessation. Conclusions: New state programs for smoking cessation should be offered as soon as possible. Also regarding the changes in smoking protection laws, they should be analyzed; some of the changes need to be reverted regarding the law legislation of the new modern ways of tobacco use, which are on the rise all over the world. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Health promotion challenges and opportunities in the Western Balkans: a review of contemporary policies and actions(Frontiers Media SA, 2026-01-27) ;Gabrani, Jonila ;Rommel, Alexander ;Anton, Aline ;Cilović-Lagarija, ŠeilaGrujić-Vujmilović, DraganaBackground Countries in the Western Balkans (WBCs) fall behind the European Union in implementing effective health promotion. This study explores the key components of national health promotion policies and action plans in Albania, Federation of BiH, and the Republic of Srpska, Montenegro, North Macedonia, and Serbia, with the aim of describing key action trends, gaps, and challenges, and recommendations for health promotion implementation improvement. Methods Within the framework of the “Western Balkan Strategic Partnership for Health Protection” (WASP) project, implemented in five WBCs on behalf of the Global Health Protection Programme (GHPP), 2023–2025, and using the” Ottawa Charter for Health Promotion” a descriptive observational study was employed, combining data and information provided from the desk review of national legal frameworks, country-specific reports and consultative meetings to describe health promotion policies and action plans implementation in the period from 2010 to 2022. Results WBCs highlight diverse national priorities, such as promoting education and healthy lifestyles (e.g., Albania, Serbia, Federation of BiH, and the Republic of Srpska), addressing health inequalities (e.g., Federation of BiH, and the Republic of Srpska, Serbia), and digital health systems. The strategies and action plans of WBCs have common health promotion goals, and challenges. Community engagement and enforcement of public health policies are insufficient. Preventive care services are notably underdeveloped in rural areas with inadequate healthcare infrastructure. Although legal frameworks show that there is commitment to health promotion, putting action plans into practice is still a challenge, especially when it comes to involving communities and focusing on prevention. Budget transparency and working together across the region could also be improved to better tackle health inequalities and build stronger health systems. Conclusion While WBCs demonstrate growing political commitment to health promotion, substantial gaps remain in translating strategies into sustainable action. Strengthening intersectoral collaboration, improving monitoring systems, securing stable financing, and expanding community participation are crucial for advancing equitable, prevention-oriented health systems across the region. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Epidemiological aspects of pseudoexfoliative syndrome in the Republic of Macedonia and association with other ophthalmoligic diseases(Здружение на офталмолози на Македонија = Macedonian Association of Ophthalmologists, 2019) ;Ivanova, M; - Some of the metrics are blocked by yourconsent settings
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Item type:Publication, ГОНИОСКОПИЈАТА КАКО ЗЛАТЕН СТАНДАРД ВО ИСПИТУВАЊЕТО НА ИРИДОКОРНЕАЛНИОТ АГОЛ – ПРЕГЛЕД НА ЛИТЕРАТУРА(SHMSHM - AAMD, 2026-04-30); ; ;Muhamedin RushitiMerima IzairiГониоскопијата преставува важна офталмолошка дијагностичка метода која се употребува за евалуација и дијагностицирање на заболувањата на иридокорнеалнот агол. Таа е инвазивна метода која се изведува со помош на различни окуларни леќи и нивна директна апликација во око и со помош на биомикроскопот се добива реална слика од структурите на ИКА. И покрај откривање на нови не инвазивни и софистицирани имиџинг методи за испитување на ИКА гониоскопијата се уште е златен зтандард и најчесто користена метода за преглед на структурите што ја сочиниуват самиот иридокорнеален агол и други структури на окото. Ова метода е динамична и се добива реална слика во тек на испитувањето. Целта на овој труд беше да се докаже важноста на ова дијагностичка метода со сите предности и недостатоци во секојдневната офталмолошка пракса. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, ТРАБЕКУЛЕКТОМИЈАТА КАКО ЗЛАТЕН СТАНДАРД ВО ХИРУРШКИОТ ТРЕТМАН НА ГЛАУКОМОТ - ПРЕГЛЕД НА ЛИТЕРАТУРА(SHMSHM - AAMD, 2024-12-30); ;Muhamedin RushitiPandilov, Stefan - Some of the metrics are blocked by yourconsent settings
Item type:Publication, ЕФИКАСНОСТА НА БРОЛУЦИЗУМАБ ВО ТРЕТМАНОТ НА ДИЈАБЕТИЧЕН МАКУЛАРЕН ЕДЕМ - ПРЕГЛЕД НА ЛИТЕРАТУРА(SHMSHM - AAMD, 2024-12-30); Ardita Rizvanolli - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Coiling in Patients with Unruptured and Ruptured Brain Aneurysms(SciVision Publishers LLC, 2025-01-30); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Noncompletely Occlusive Net-Assisted Remodeling Technique in Coiling of Wide-Necked Cerebral Saccular Aneurysms(EC Clinical and Medical Case Reports (Ecronicon), 2024-07-04); ; ; Stamenkovski, Nikola - Some of the metrics are blocked by yourconsent settings
Item type:Publication, IMPACT OF TIME-TO-TREATMENT AND THROMBECTOMY TECHNIQUE ON OUTCOMESINACUTEISCHEMICSTROKE:ASINGLE-CENTERCOHORTANALYSIS(Macedonian Association of Anatomists and Morphologists, 2025-06); ; ; ; Introduction:Mechanical thrombectomy (MT) is the standard of care for acute ischemic stroke (AIS) secondary to large vessel occlusion (LVO). Time-to-reperfusion is the most critical determinant of patient outcome. This study aimed to conduct a comprehensive analysis of key time metrics and the efficacy of MT at our institution, evaluating their impact on both angiographic and clinical results to identify areas for process optimization.Methods:We conducted a retrospective analysis of a cohort of 17 consecutive patients treated with MT for LVO stroke. We analyzed demographics, baseline clinical status (mRS), occlusion location, detailed time-to-treatment intervals, procedural techniques, and outcomes. The primary angiographic endpoint was successful reperfusion, defined as an extended Thrombolysis in Cerebral Infarction (eTICI) score of ≥2b. Clinical endpoints included functional outcome at 3 months, measured by the mRS, and the rate of symptomatic intracranial hemorrhage (sICH).Results:The mean patient age was 60.9 years, with a significant male predominance (70.6%). All patients presented with severe stroke (initial mRS 4-5), indicating a high-acuity cohort. The mean time from symptom onset to final reperfusion was prolonged at 505 minutes (8 hours 25 minutes). Despite this, a high rate of successful reperfusion (eTICI ≥2b) was achieved in 85.7% of patients, with complete reperfusion (eTICI ≥2c/3) in 57.1%. However, this technical success did not fully translate to clinical recovery, as a good functional outcome (mRS 0-2) at 3 months was achieved in only 30.8% of patients. The rate of sICH was 15.4%.Conclusion:Our center achieves high rates of technical success in reperfusion (85.7% eTICI ≥2b), comparable to international benchmarks. However, prolonged treatment delays are significantly attenuating clinical outcomes, with only 30.8% of patients achieving functional independence. This analysis underscores that procedural excellence alone is insufficient; optimizing system-wide time-to-treatment protocols isthe critical next step to improve patient recovery.
