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    Health behaviors and their relationships with job demands and Burnout in anesthesia health workers
    (Department of Anesthesia and Reanimation, Faculty of Medicine, UKIM, Skopje, R.N.Macedonia, 2021-03)
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    Bislimovska, D
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    Kochov, P
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    Meshkova, I
    The aim of this study was to examine the associations between burnout and health behaviours in a sample of anaesthesia health workers (HWs). Material and Methods. 79 anaesthesia HWs (29 physicians, 50 nurses) participated in this cross-sectional study (aged 40.2±10.8 years, 81% females). For the evaluation of health behaviours, the questionnaire constructed for the study of Moustou et al. was used. Job demands and burnout were measured by Hospital Experience Scale and Maslach Burnout Inventory, respectively. A series of multiple regression models were tested to examine the associations of burnout to health behaviours, whereby controlling of age, hospital’s and unit’s tenure, as well as job demands. Results. Only 57% of the participants had breakfast every day or almost every day. Anaesthesia HWs consumed fast food on average of 2.47 (SD=2) times a week. Even 63.3% of the respondents didn’t exercise at all. Out of 79 respondents, 29 (36.7%) were smokers. Average scores of emotional exhaustion and depersonalization were 25.34±12.95 and 4.7±5.57, respectively. Results showed that emotional exhaustion positively predicted number of cigarettes smoked per day, frequency of using pills in order to relax and painkillers. Additionally, depersonalization positively predicted number of cigarettes smoked per day, frequency of using pills in order to relax and non-pharmaceutical remedies in order to relax/sleep, and number of drink units per time after leaving work and when going out. Conclusion. Job demands and burnout predicted health behaviours in anaesthesia HWs. Preventive strategy has to be developed in order to improve health and safety of anaesthesia HWs.
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    THE INFLUENCE OF ANESTHESIA IN INTRACAVITARY BRACHYTHERAPY IN LOCALLY ADVANCED CERVICAL CANCER - SINGLE INSTITUTIONAL EXPERIENCE
    (Department of Anesthesia and Reanimation, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, 2018-05)
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    Lazareva E.
    Brachytherapy is important and potentially curative treatment for patients with inoperable locally advanced cervical cancer. Depending on the local finding the radioactive source application can cause serious discomfort to the patient, anxiety, followed by pain. Some patients experienced severe uterine pain. In selected patients, anesthesiological assessment and support is of great importance, because this is a way to realized the treatment. Because of that the anesthesiologist is a vital member of the brachytherapy team. Anaesthesiologists play a key role in the ongoing challenge to provide safe and pain-free conditions for an optimum brachytherapy treatment effect.
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    INTRAVAGINAL BRACHYTHERAPY SUPPORTED BY LOCAL ANAESTHESIA IN THE TREATMENT OF ENDOMETRIAL CANCER – SINGLE INSTITUTIONAL EXPERIENCE
    (Department of Anaesthesia and Reanimation, Faculty of Medicine, “Ss. Cyril and Methodius” University Skopje, R.N.Macedonia, 2020-10)
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    Bojoski P
    Intravaginal brachytherapy in endometrial cancer is an inevitable part of the treatment. In the early stages of the disease, it signifcantly reduces the risk of local recurrence in the vaginal cuff with low rates of late toxicity. In the advanced stages, it provides palliative control usually with a hemostyptic effect. Brachytherapy may be the only postoperative treatment – monotherapy, or as a boost following the external beam radiotherapy, depending on many prognostic factors. Placing the vaginal applicator deep into the vagina is certainly an uncomfortable feeling, combined with pain, anxiety and discomfort. Local anaesthesia helps in reducing the painful sensations, gives adequate relaxation, but more importantly provides a quality insight into the condition of the vagina, and thus a successful application. Through our experience with the local vaginal anaesthesia with lidocaine 2% gel, we want to emphasize that intravaginal brachytherapy, supported by local anaesthesia, regardless of the degree of pain relief is directly related to successful treatment.