Faculty of Medicine

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    Psychological Alienation and Feeling of Self-Efficiency in Young Male and Female Adults
    (Macedonian Academy of Sciences and Arts/Walter de Gruyter GmbH, 2023-12-01)
    Zorchec, Danijela
    ;
    Chepreganova Changovska, Tatjana
    ;
    In psychology, alienation is a condition of being separated or marginalized from other individuals or some larger segment of society. Self-efficacy is an individual's belief in their capacity to act in ways necessary to reach specific goals. This study was conducted to investigate the possible connectivity between psychological alienation and feelings of self-efficiency among young male and female adults. The study was conducted in April 2023, among 167 young people, aged 18-25 (M=22.28 ± 1.7SD). For this purpose, we used the Scale for psychological alienation and General self-efficacy. Results showed that there is a significant negative correlation between alienation and self-efficacy, meaning that the higher psychological alienation is, the lower self-efficacy is (t=-0.627; <0.001). There is a statistically significant difference between young male and female adults regarding alienation (t=-5.592; <0.001) e. g. males are reporting to be more alienated than females. Also, there is a statistically significant difference between young male and female adults regarding feeling of self-efficacy (t=4.692; <0.001) e.g. males feel less effective than females and in the scale for measuring meaninglessness (t=-2.966; 0.003) e. g. males feel more meaninglessness than females. In conclusion, psychological alienation and self-efficacy are correlated and there are gender differences regarding the two measured variables, in favor of the females.
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    Challenging Case of Multisystem Inflammatory Syndrome in a 19- Year Old Female: A Case Report
    (Macedonian Society of Nephrology, Dialysis, Transplantation and Artifical Organs, Department of Nephrology, 2022)
    Spasovska Vasilova, Adrijana
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    Milenkova, Mimoza
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    ;
    Introduction. In comparison to older adults, SARSCoV-2, leads to a mild illness in children and young adults typically manifested with fever, cough and gastrointestinal symptoms. However, the multisystem inflammatory syndrome in children and young adults (MISC) emerged during the coronavirus disease in 2019 pandemic. Case report. We report a challenging case of a 19- year old female patient with signs and symptoms of multisystem inflammatory syndrome and SARS-CoV2 infection, most probably as a post infectious disease with onset between 2 to 4 weeks after the infection. Its clinical symptoms may have overlaped with classical Kawasaki disease (systemic vasculitis) or Kawasakilike syndrome (atypical) with fever, gastrointestinal symptoms, rash, conjunctival injection, hypotension, sore throat, mucosal changes with a relative lack of severe respiratory disease, myocarditis, hypoalbuminemia and elevated inflammatory markers. And indeed, the clinical presentation of COVID-19 in young adults resembles Kawasaki disease with gastrointestinal manifestations to severe inflammation with myocarditis. Conclusion. Timely diagnosis and proper treatment of the multisystem inflammatory syndrome and SARSCoV-2 infection are real challenge requiring multidisciplinary approach and tertiary resources.
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    Type 2 diabetes in young adults, can we do more for them? – case presentation
    (De Gruyter Open Ltd., 2021-01-19)
    Trajkovska Ivana
    ;
    ;
    Hasan Taner
    Type 2 diabetes mellitus (T2DM), once considered a disease of old age, now occurs not uncommonly in children and young adults. Youth-onset type 2 diabetes is on the rise, and trends in childhood obesity only partially explain the recent appearance of a condi-tion that was previously confined to adults. The difficulty in T2DM in young adults highlights the critical need to promote healthy lifestyle to prevent or postpone the development of T2DM in those at risk. For individuals with early onset T2DM, glycemic con-trol must be carefully monitored and treated. We reported here a case that provides a successful management and treatment of the use of metformin, liraglutide, and most important lifestyle modifications to reduce body weight in young obese patient with poorly controlled and new diagnosed T2DM.