Faculty of Medicine
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Item type:Publication, Prevention of musculoskeletal disorders as occupational health problem among dental professionals(Македонско лекарско друштво = Macedonian medical association, 2024-11-02) ;Stavreva, Natasha ;Bajraktarova Valjakova, Emilija ;Elenchevski, Sasho; Objective: Musculoskeletal disorders (MSDs) have been identified as a significant occupational health problem among dental professionals. MSDs can be defined as any injury to the human support system, including the bones, cartilage, muscles, ligaments, tendons, blood vessels, nerves due to exposure to hazards at the workplace. For dental professionals they occur commonly in the neck, shoulder, lower back and wrists. They are significant work-related occupational health problem. Sufferers of MSDs may experience numbness, tingling, pain, decreased strength or swelling of the affected area. Ergonomics helps in designing jobs, equipment and workplaces to fit dental workers in prevention of MSD. The aims of the study are to define the significant risk factors to dental professionals’ health which lead to injuries and prevention of MSDs as occupational health problem. Material and methods: Risk factors of MSDs with specific reference to dentistry include stress, poor flexibility, improper positioning, infrequent breaks, repetitive movements, weak postural muscles, prolonged awkward postures and improper adjustment of equipment. This article includes MSDs and the signs, symptoms and risk factors and the influence of the ergonomics in prevention of these types of injuries Some authors have found symptoms of discomfort for dental workers occurred in the wrist/hands (69.5%), neck (68.5%), upper back (67.4%), low back (56.8%) and shoulders (60.0%). Results: Major health problems for dental professionals are musculoskeletal pain, especially back pain. Early symptoms of MSDs include pan, swelling, tenderness, numbness and loss of strength. Preventive measures for MSD are proper sitting posture, ergonomic equipment such as chairs, arm rests, workstation layout, dentist micro breaks, magnification systems and others. Conclusion: Ergonomic equipment, regular exercises, relaxation techniques and good scheduling assure high productivity, avoidance of illnesses and injuries and reduce the possible MSDs and increase productivity of dental professionals. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Complications of Coronavirus Disease-19 in a Hospitalized Patient: A Case Report(Scientific Foundation Spiroski (publications), 2020-12-25) ;Meshkova, Iskra; ;Simeonova, Magdalena ;Markovska, ZoricaMarkoska, VesnaBACKGROUND: Coronavirus (CoV) disease (COVID)-19 infection is a major public health issue worldwide with no specific therapy or vaccine. CASE REPORT: COVID-19-positive patient was hospitalized due to a dry irritating cough that has persisted for 3 days. The polymerase chain reaction test to severe acute respiratory syndrome-CoV-2 was positive. Computed tomography (CT) scan of the lungs showed massive bilateral consolidation. The patient was set to oxygen support (6 L/min). Two hours after referring the patient’s condition worsened with shortness of breath, suffocation, wheezing, and decreased saturation (77%). The patient was given mechanical support with continuous positive airway pressure mask. Therapy included azithromycin 500 mg and ceftriaxone 2 g. On the 3rd day of hospitalization, there was a sharp deterioration of the condition and a decrease in saturation (40%). The patient was intubated and immediately placed on intermittent positive pressure ventilation. Azithromycin was now combined with meropenem 3 × 1 g. The next morning patient’s condition further worsened with decrease in saturation and heart rate. The resuscitation was unsuccessful. CONCLUSION: COVID-19 is primary a respiratory infection, but the virus also affects other organs with poor outcome. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, THE EFFECT OF WIDE SWADDLING ON ALPHA HIP ANGLE IN NEWBORNS AND INFANTS(Институт за јавно здравје на Република Македонија = Institute of public health of Republic of Macedonia, 2025-05) ;Komnenovikj, Marina; ; ;Shabani, IlirDevelopmental dysplasia of the hip (DDH) is one of the most common diseases of the musculoskeletal system. Hip dysplasia occurs in 1:100, which means that it is 10 times more common than hip dislocation. The position of flexion and abduction in newborns and infants is the most common recommendation to improve hip development. The aim of this research is to evaluate the effects of wide swaddling, i.e., to determine whether wide swaddling influences hip maturation in the first months after birth and whether it has an effect on increasing the alpha angle of the hip during ultrasound examination. Materials and methods: A prospective, clinical, stratified study was conducted on male and female newborns and infants with type Ia, Ib and IIa hip according to the Graf method. The subjects were divided into two groups. The first group included 20 newborns and infants using wide swaddling (40 hips monitored). The second group consisted of 23 newborns and infants who were not swaddled (46 hips monitored). The wide swaddling method involved using an additional cloth diaper and one wide swaddle diaper. Subjects underwent hip ultrasound according to the Graf method during the first hip examination at 4–8 weeks of age, and again two months after the initial assessment. Results: a simple procedure such as wide swaddling influences an increase in the alpha angle of the hip. There is an effect on hip development with faster transition from type IIa to type I according to the Graf method. After two months, the progression of hip maturation in the swaddling group was evident, while hips in the non-swaddling group remained type I and II, indicating that there is also a normal maturation in the other group. Further research is necessary to evaluate the long-term effects of wide swaddling on hip development. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Sun exposed radiations - risk factors in development of BCC (Basal cell carcinoma) in the eye lid in R. Macedonia(Medical faculty, Ss Cyril and Methodius University in Skopje, 2010); ;Stavrikj, DejanAbstract Basal Cell Carcinoma (BBC) has been commonly the most represented malignant tumors in humans and account for approximately 80% of all non-melanoma skin carcinomas, it often appears on the eyelids. Sunlight is a factor of these cancers, therefore, doctors recommend sun screens. Basal cell carcinomas are thought to be related to sun exposure. If you have developed a basal cell carcinoma you probably have susceptible skin and should be careful about sun exposure. Sun exposure plays a large role in the development of BCC on the eyelids. People who live in sunnier climates , like our country with 250 sunny days, or who spend time outdoors due to work or hobbies are more likely to have BCC on the eyelids. In Macedonian investigations, the biggest percent are statistical significant- 69% of investigation group are on sun exposure, and makes 16 times greater chance for developing BCC on the eyelid (OR=16,3226(7,81<OR<34,1136, CI 95%).. The recommendation is staying out of the sun in the middle of the day (between10 and 16 ours), staying in these time makes 23 times greater chance for developing BCC on the eyelids(OR=23,3485(10,1395<OR<53,765, CI 95%).. Now researchers suspect that long intense exposure to the sun contributing to the rise of BCC on the eyelids, we find association between time of exposure and BCC on the eyelids. Sun exposure is the most preventable risk factor, with: a wide-brimmed hat, sunglasses, seek shade, applying sunscreen with an SPF of 15 or higher., get vit.D, avoid tanning beds - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Clinical Characteristics, risk factors and outcome in patients with in tracerebral haemorrhage(Leage against epilepsy of Macedonia, 2015); ; ;Mitrevska Velkova Jasmina ;Babunovska MarijaAbstractIntracerebral haemorrhage is a meaningful factors in the neurological praxis, as an urgent condition that requires timely detection and treatment with the purpose of improving trhe outcome. the aim of the study is to examine the clinical characteristics, risk factors and the outcome in patients with intacerebral haemorrhage. At the Department of urgent neurology of the University clinic of neurology in Skopje, Macedonia, a retrospective study was performed, with which 177 patients with intracerebralk heamorrhage, hospitalized at th University clinic of neurology within a two year period, are encompassed. the Main characteristics of the clinical features, risk factors, intrahospital complications and patient outcome werw researched. The results point to a nesessity of increased control of the risk factors with the patients, the effect of witch would be subject to futher studies. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, THE IMPACT OF PHYSICAL ACTIVITY ON CARDIOVASCULAR DISEASE(MIT Univerzitet Skopje, 2022); ;Grueva E ;Petkovski Z; Bojovski IBackground: Cardiovascular diseases are the leading cause of death in the adult population worldwide. Factors that affect heart health can be split into two groups: factors that can be controlled, influenced i.e. modified (obesity, diabetes, hyperlipemia, hypertension, physical activity, etc.), and factors that cannot be controlled, influenced i.e. non - modifying factors (genetics, aging, congenital valvular diseases, etc.). The advantage of physical activity is that it belongs to the modifying factors for preserving heart health, which means that it is never too late to start exercising. The aim of this paper is to introduce international experiences and recommendations for physical activity and its contribution to preserving heart health. The impact and connection of physical activity on the health of the human body have been observed and studied by many scientists from various medical fields over the years. Regular physical activity also helps in reducing the levels of glycemia in the blood, improving the mental state, as well as reducing body weight factors that directly affect the health of the heart. It has been proven on several occasions that physical activity or lack of it has an impact on almost all organs in the human body. The physical activity of the heart, as one of the most active organs in the human body, has both direct and indirect effects. In the continuation of this paper,we will refer to some of the global experiences and recommendations for physical activity that will lead to benefits not only for the heart but also for the entire organism. Conclusion: Physical activity is crucial for a healthy heart and a long life. More involvement from the scientific communityis needed for the promotion of the physical activity. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Women's Safety and Gender-Based Violence in the Republic of North Macedonia(Frontiers Editorial Office, 2020-02-21)Violence against women in the Republic of North Macedonia is the most common form of human rights violation, and women's safety is thus a high-priority public health problem. There have been significant achievements in the area of policy development: legislation harmonization for human rights protection, prevention of violence against women, protocols for the treatment and support of female victims, especially those with disabilities, and further collaboration and coordination between different sectors. In practice, there is still a need to establish a system of institutions for effective prevention, protection, gathering of evidence, and support of women victims of gender-based violence in addition to the prosecution of perpetrators. Policies for the improvement of women's safety should be considered as a priority and undertaken at an individual, relationship, community, and society level. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Usefulness of echocariography in detecting hart abnormalities in pregnancies with Preeclampsia/Gestational Hypertension(Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, 2017); ; ;Miceva, Irena; Introduction. Preeclampsia is a disorder in pregnancy which includes high blood pressure and proteinuria. It is recognized in 5-8% of all pregnancies. In the last several years an association between heart abnormalities and preeclampsia has been observed. Echocardiography as an imaging method is increasingly being used in obstetrics in the management of hemodynamic changes which occur in normal but also in pregnancies with preeclapsia. The aim of the study was to determine the usefulness of echocardiography in the control of pregnancies complicated with preeclampsia/gestational hypertension. Materials and methods. A total number of 38 patients were analyzed in our study. It was realized at the University Clinic for Gynecology and Obstetrics and University Clinic for Cardiology. Pregnant women were recruited from the Outpatient clinic at the University Clinic for Gynecology and Obstetrics. After signing an informed consent for participation in the study pregnant women were divided in two groups ( normotensive and pregnancies with gestational hypertension/preeclampsia). Echocardiographic examination was done at patients entry in the study. Results and discussion. In more than 38% of the cases in the examined group with hypertension an abnormal heart remodeling was seen with asymptomatic left ventricular dysfunction/hypertrophy. In the normotensive control group the heart function was normal in all evaluated cases
