Faculty of Medicine
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Item type:Publication, Impact of night work on health and work ability among healthcare workers(Институт за јавно здравје на Република Македонија = Institute of public health of Republic of Macedonia, Co-publisher Scientific foundation Spiroski, 2025-08-15); ;Asani Kuki, Gjulsever; ; Veljikj Stefanovska, VesnaAim of the study. The study objective was to determine the impact of night work on health and work ability of health workers. Material and methods. This was a cross-sectional study conducted with an anonymous survey questionnaire distributed among 120 health workers employed in PHICGH „8th September“ - Skopje, in the period January-May 2024. The study comprised male and female subjects aged 21 to 62 years, 86.7% of them worked full-time, 60% worked in shifts, 40% worked only in the first shift, while 50% of them also had night shifts. Results. Тhe mean age of examined subjects was 40.9±10.6 years, and the average length of service in the current workplace was 11.8±8.9 years (range 1-42 years). 44.2% of them were active smokers with an average smoking experience of 6.2±9.1 years, while only 2.5% of them drank alcohol daily in an amount greater than one large glass (200 ml) of beer/wine or one small glass (50 ml) of brandy or other strong drink. A significant difference between subjects who worked and those who did not work night shifts was determined for the consumption of alcohol in a larger amount (P=0.030), followed by dissatisfaction with the workplace (P=0.031), as well as in dissatisfaction with life (P=0.042). The majority of subjects believed that psychophysical abilities during and after night work were worse than during day work,66.6% of them answered that they had difficulties in sleeping after night shifts. The frequency of cardiovascular diseases was significantly higher among subjects who worked night shifts compared to those who did not work (P=0.043), together with the frequency of health conditions that require regular medication at a strictly defined time (P=0.037). The average values of current work ability in subjects who worked night shifts and those who did not work night shifts were similar. Conclusion. The results of the study evidently showed a significant impact of night work on health and well-being as well as on work ability of health workers. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Eating habits of children in North Macedonia: Results from the fifth round of the Childhood obesity surveillance initiative (COSI)(Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, 2021); ;Nikolić, MarinaIntroduction. In Europe, 29% of boys and 27% of girls aged seven to nine were overweight and 12% of boys and 9% of girls obese. Eating habits are important for understanding the obesity problem. The aim of this paper was to describe the eating behaviors of second grade children in North Macedonia (MKD). Material and methods. A total of 3246 children were selected for data collection. Measurements of height and weight, as well as data for the eating habits was collected. Frequency of consumption of fruits, vegetables, soft drinks, savory snacks, and sweet snacks as well as breakfast consumption was used to create eating habits score. Results. There were significantly more obese boys while more girls were overweight. Obesity was more prevalent in urban areas of the country. Majority of children practiced neither “healthy” nor “less healthy” nutrition behavior. Children whose parents has tertiary education had significantly lower score comparing to those whose parents have secondary or lower education. Dietary habits had not a significant impact on BMI. 75% of girls and 78% of boys had breakfast every day. 40% of children daily consumed fruit and 37% consumed vegetables. Consumption of soft drinks was significantly higher in boys. Conclusion. Eating habits of children may shed light on root causes for obesity in MKD. There is much room for improvement in the intake of fruit and vegetables. Consumption of snacks and particularly soft drinks should be reduced. National obesity surveillance program that collects data and present evidence to policy makers is crucial and should be supported. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, PHYSICAL INACTIVITY BEFORE AND DURING COVID 19 PANDEMIC(Antrophological Society of Serbia- Nis, 2021); ; While physical activity is beneficial factor for overall health, physical inactivity is even more harmful for somatic and mental health. The modern public health policies are addressed to preventive strategy and increasing the socioeconomic and environmental conditions for people to be more active. According the WHO statistics, 23% of adult world population are not sufficiently active. Adolescent population is significantly more vulnerable regarding the sedentary life style, 81% of adolescent, between 11 an 17 years, do not reach the criteria of recommended dose of physical activity. The level of physical inactivity is dependent of economic development of the country, ethnicity, race, gender, age and other factors. Epidemiological restrictions recommended during the COVID 19 pandemic were mainly designed towards physical distancing and limited movements of people. The most countries banned unnecessary (or all) outdoor activities which affected people’s physical activity i.e promotes sedentary behavior. The great number of studies reported increases of physical inactivity and its influence on various medical conditions. Covid pandemic restrictions have detrimental effect on physical behavior, and its causes are multifactorial. The physical inactivity level adopted during the pandemic period was higher than before the restricted period. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Самоевалуација на здравјето кај лица со хемофилија како индикатор за квалитет на живот(SHMSHM / AAMD, 2016) ;Дејанова-Илијевска, В; ; ; Исмаили, А - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Migrant Health Policy in European Union (EU) and a non EU country: Current situation and future challenges for improvement(South Eastern European Journal of Public Health, 2020-03-16); Tona LizanaAim: The influx of refugees, asylum seekers and migrants in Europe is an ongoing reality and migrant health has become very important public health problem. The aim of this paper is to analyze and compare the health profile, migrant situation and migration integration health policy in Spain as a European Union (EU) country and Republic of North Macedonia as a country in process of European Union accession. Methods: Migration Integration Policy Index (MIPEX) Health strand questionnaire (2015) was applied to compare health policies for migrant integration in both countries. Results: There are differences between Spain and Macedonia in health care coverage and access to health services for migrants. Spain has health strand total score of 52 and is in the same group with Austria, Ireland, Belgium, Netherlands, Denmark and Sweden. Macedonia has lower health strand total score 38 and is in the same group with Turkey, Cyprus, Slovakia. Targeted migrant health policies are stronger and services more responsive in Spain compared to Macedonia which offers migrants legal entitlements to healthcare, but health services should be more culturally responsive to migrant health needs. Conclusion: Health migration policy in both countries is closely tied to the general immigration policy. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, A Snapshot of European Children’s Eating Habits: Results from the Fourth Round of the WHO European Childhood Obesity Surveillance Initiative (COSI)(MDPI AG, 2020-08-17) ;Williams, Julianne ;Buoncristiano, Marta ;Nardone, Paola ;Rito, Ana IsabelSpinelli, AngelaConsuming a healthy diet in childhood helps to protect against malnutrition and noncommunicable diseases (NCDs). This cross-sectional study described the diets of 132,489 children aged six to nine years from 23 countries participating in round four (2015–2017) of the WHO European Childhood Obesity Surveillance Initiative (COSI). Children’s parents or caregivers were asked to complete a questionnaire that contained indicators of energy-balance-related behaviors (including diet). For each country, we calculated the percentage of children who consumed breakfast, fruit, vegetables, sweet snacks or soft drinks “every day”, “most days (four to six days per week)”, “some days (one to three days per week)”, or “never or less than once a week”. We reported these results stratified by country, sex, and region. On a daily basis, most children (78.5%) consumed breakfast, fewer than half (42.5%) consumed fruit, fewer than a quarter (22.6%) consumed fresh vegetables, and around one in ten consumed sweet snacks or soft drinks (10.3% and 9.4%, respectively); however, there were large between-country differences. This paper highlights an urgent need to create healthier food and drink environments, reinforce health systems to promote healthy diets, and continue to support child nutrition and obesity surveillance.
