Faculty of Medicine
Permanent URI for this communityhttps://repository.ukim.mk/handle/20.500.12188/14
Browse
7 results
Search Results
- Some of the metrics are blocked by yourconsent settings
Item type:Publication, PREVALENCE OF PSYCHOSIS IN NORTH MACEDONIA FOR THE PERIOD FROM 2020 TO 2023(Macedonian Medical Association, 2025-09); The aim of the study was to estimate the prevalence of psychosis in the Republic of North Macedonia (RNM) for the period 2020-2023. Data from the Psychosis Registry of the Institute of Public Health - Skopje, as well as reports from the Public Health Centers in the Republic of North Macedonia, were used. A descriptive-analytical method was used to analyze and present the results. In 2020, the overall rate of psychosis cases was 134.88 per 100,000 population. In 2023, the rate doubled to 299.3 per 100,000 population. In 2023, the rate doubled to 299.3 per 100,000 inhabitants. The largest number of cases for the entire period was diagnosed in the population aged 45-54 years (3935). There are also regional differences, with the most cases documented in the Skopje (1462) and Pelagonia regions (1287). Conclusion: The trend of people suffering from psychosis in our country is continuously increasing. The most affected by this disease are males and the adult population. The results demonstrate the importance of early detection and targeted interventions to address the prevalence of psychosis across different population groups. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Imported viremic dengue case in a southeastern European country: Established Aedes mosquitoes warrant urgent surveillance(Wolters Kluwer – Medknow, 2024-07); ; In 2023, international tourism nearly reached the levels seen before the COVID-19 pandemic. Tropical and sub-tropical countries are a popular travel destination, where mosquito-bome diseases pose a significant public health challenge[1]. Dengue, the most prominent human arboviral disease is transmitted by several species of Aedes mosquitoes, particularly Aedes aegypti and Aedes albopictus[2]. These vectors are also present in Europe, especially Aedes albopictus, which has been recorded in most countries in Mediterranean Europe. Prompt international travel allows travelers to return while they are in their viremic phase, notably 4 to 5 days after the onset of symptoms. The mosquitoes get infected after feed on a viremic person, and consequently can transmit the virus into susceptible local population[2]. Autochthonous dengue transmissions in Europe, where Aedes albopictus is the dominant vector, was reported in Veneto region in Italy, Catalonia Spain, southern France, and Adriatic coast in Croatia[3]. The presence of such competent vectors is progressively making dengue fever an emerging public health issue in Europe. For the first time, we report a viremic dengue fever imported into the Republic of North Macedonia. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Factors that have impact on natural population change in Republic of North Macedonia(Институт за јавно здравје на Република Македонија = Institute of public health of Republic of Macedonia, 2023-12); ; The planning of public health programmes is directly related with the demographic characteristics and the population change has long term impact on the health, health care and community interventions. The objective of this paper is to analyze the factors influencing the trend of population change in the Republic of North Macedonia. Material and methods: Data from the National Statistical Office and World Health Organization have been used. Literature review was conducted applying public health approach and descriptive method. Results: The natural population change in North Macedonia has negative trend in the last 10 years, the birth rate has declined, while the mortality is increasing. The biological factors and fertility rate have significantly influenced the birth rate, while the burden of chronic noncommunicable diseases, road injures, violence and COVID-19 are lead causes of mortality. Numerous factors indirectly affect the negative trend of population change such as the high rate of unemployment, poverty, socioeconomic and political context, migration and availability and quality of health care. Conclusion: А detailed analysis of the factors affecting the natural population change and an appropriate national response with the aim of reducing the negative trends is needed. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Health System Preparedness And Response For COVID-19 Pandemic In North Macedonia(Македонско лекарско друштво = Macedonian medical association, 2020-11); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, COMMON COMPUTED TOMOGRAPHY FINDINGS AND ASSOCIATION OF THEIR EXTENT TO THE DEMOGRAPHIC FEATURES OF 47 COVID-19 PATIENTS IN NORTH MACEDONIA("Ss Cyril and Methodius"University, Faculty of Medicine, Skopje, R. N. Macedonia, Department of Anesthesia and Reanimation, 2021-03); ; ; Tochko, AleksandraIntroduction and Purpose: There was an unprecedentedly rapid and worldwide spread of the coronavirus after the acknowledgement of several cases of unusual pneumonia that were defined as coronavirus disease 19 (COVID-19) and reported in December 2019 in Wuhan, China. As of March 12th, 2021, there are more than 119 million confirmed cases, 2.63 million deaths due to the disease, and 67.1 million recovered. In the Republic of North Macedonia as of March 11th, 2021, we have 110.209 confirmed cases, 3.265 deaths and 96.570 recovered. The purpose of this study was to perform a thorough evaluation of the CTs in COVID-19 patients with the focus on the type, extent and common distribution of the parenchymal findings, as well as to make an assessment of the relationship between the extent of the parenchymal findings and different demographic features of the patients by using a visual volumetric grading of the parenchymal involvement and administering an appropriate CT score. Material and Methods: CT radiological findings of 47 patients from North Macedonia, enrolled in the study, were analyzed and summarized, and all of whom had positive RT – PCR tests for 2019 – nCoV. The CTs in all patients were performed with 1.25 mm and 5 mm slice thickness on 16-slice Somatom Definition AS+ computed tomography (Siemens Healthineers, USA). The main focus was put on identifying the lesions, evaluating their most common type, distribution and scoring their extent in the lung parenchyma. While applying an appropriate CT score, we made a correlation with the demographic characteristics, such as age, gender and body weight. Results and Discussion: The most common CT finding in almost all 47 patients was the ground glass opacities (GGO) diffusely scattered in both lungs with a dominant peripheral and posterior distribution. We found that age and weight are significant risk factors for predicting the severity and outcome of COVID-19 disease. Conclusion: Chest CT is an important diagnostic and predictive tool in patients with COVID-19. There should be a consensus in the definite diagnosis of COVID-19 based on clinical findings, positive nCov PCR tests and radiological findings. Demographic features can aid in the prediction of severity and outcome of the disease. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, ATYPICAL RADIOLOGICAL MANIFESTATIONS OF ACTIVE PULMONARY TUBERCULOSIS IN SERIES OF PATIENTS FROM NORTH MACEDONIA ON COMPUTED TOMOGRAPHY(Institute of Knowledge Management, International Journal, 2022-03-30)Immunocompromised and patients with chronic diseases worldwide, as well as from North Macedonia, have a greater probability of acquiring tuberculosis (TB) in their lifetime, which is caused by the mycobacterial species and still represents one of the major burdens of the public health systems, as well as one of the most frequent causes of death. The disease itself can manifest in two forms, active and dormant. The active form of the disease manifests shortly after acquiring the infection, whilst the dormant one can occur after years of latency as a postprimary form. Negative microbiology results in tuberculous patients can delay and complicate the accurate diagnosis, so the diverse diagnostic imaging modules, especially the computed tomography (CT), have a supreme role in diagnosing, and following patients with pulmonary tuberculosis (PTB) after treatment. Purpose: Our aim was to illustrate and analyze some atypical appearances of active pulmonary tuberculosis (PTB) in series of 30 patients from North Macedonia on computed tomography (CT). Methodology: 30 consecutive chest CT scans of patients with microbiologically proven tuberculosis from North Macedonia were thoroughly analyzed. All patients underwent a non- contrast and then a contrast enhanced chest CT according to appropriate diagnostic protocol on a 64-slice Somatom Definition AS + computed tomograph (Siemens Healthineers, USA). We reviewed 30 CT scans and all the available information from the medical history of the patients, including their microbiology results. Results: Some of the uncommon signs of PTB we observed on the CTs included: (1) various clusters of micronodules; (2) cystic patterns in PTB patients; (3) PTB with diffusely scattered non miliary nodules, (4) PTB in the setting of COVID 19 pneumonia, (5) organizing pneumonia. Conclusion: Aside from the obvious decrease of the PTB incidence globally, there is an evident rise of atypical manifestations, clinically and on imaging. Mastering the knowledge of atypical CT imaging signs in active PTP will help in reaching diagnosis, following treatment response or residual activity of PTP in clinical practice. Diagnostic imaging also aids the detection of complications or sequels from the disease. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, National dietary survey on the children population in the Republic of North Macedonia(Wiley, 2022-02)