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    METHADONE MAINTENANCE TREATMENT AND CORONAVIRUS PANDEMIC
    (Scientific Institute of Management and Knowledge, 2023)
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    Danijela Janichevikj, Ivanovska
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    Gasi, Blerim
    Methadone and buprenorphine are the major modalities on the opioid substitution therapy (OST) for opioid dependence in North Macedonia. Some studies reported that coronavirus pandemic in methadone maintenance patients (MMT) increase levels of stress, anxiety, depression and craving of substance use. The negative emotions aroused by the COVID 19 outbreak and the accompanying social isolation to patients on MMT maybe are an important factor of this occurrence. The aim ofthis study is to evaluate the effect of coronavirus pandemic on mental health and use of legal and illegal substances in methadone maintenance patients. MATERIALS AND METHODS: The prospective study included two group of male patients on methadone therapy (N=30) between 20-51 years evaluated in Day hospital of heroin addicts-department of Psychiatric Hospital Skopje. The study was conducted for 6 months so the one groups of patients was evaluated before coronavirus pandemic and the second groups after six month of beginning the epidemic. The patients were assess using sociodemographic information by semi-structured questionnaire specially designed for the study. Urinary tests for determination of psychoactive substances, BDI scale to determinate depression and Zunk scale to determinate the anxiety Results of this study were determinate by descriptive methods and Students t-test. In our study we got not statistically significates results between sociodemographic characteristic in examination group. But we got statistically significates results between score of BDI and Zung scale in examination groups Also in our study we got that alcohol , tobacco use and recidivism of heroin use were statistical significantly higher in MMT patients after six monthsof coronavirus pandemic. Conclusion: Results in our studies, suggested that the psychological and behavioral changes of the patients receiving MMT duringthe epidemical were significant so maybe psychosocial treatment in the future, which will alleviate this conditions
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    PSYCHOLOGICAL AND SOCIAL INFLUENCE OF IDIOPATHIC SCOLIOSIS ON ADOLESCENTS AND THEIR CAREGIVERS
    (Department of Anaesthesia and Reanimation, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, R.N. Macedonia, 2024-05)
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    Dimitrovski, Aleksandar
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    Andonovska, Spasovska Nadica
    Adolescent idiopathic scoliosis (AIS) is a lateral curvature of the spine greater than 10° in children aged 10-18 years. The deformity may progress severely during adolescent development and if the curve is greater than 45°, an operative treatment should be considered. This condition is accompanied by cosmetic deformity and dissatisfaction of adolescents with their own body image, which results in changes in their mental health and lifestyle. In addition, family functioning and the emergence of parental anxiety and depression may be affected after a child is diagnosed with a chronic health condition. Objective: Recognition of mental health disorders in the patients and their parents in order to take appropriate measures that would improve the outcome of AIS treatment. Method: Research was performed, using available databases, including PubMed and Google Scholar, to capture relevant research published covering AIS. Results: Adolescents with scoliosis may show a less positive outlook on life, suffer from lower self-esteem, and have difficulty relating to peers. However, there is conflicting evidence whether the different stages of treatment, such as observation, bracing or surgery, affect the longterm psychological effect of scoliosis. Parents’ depression and anxiety were closely related to their children’s depression and anxiety. The parents face challenges such as acquiring adequate knowledge about scoliosis, participating in decisions about the type of treatment and managing their child undergoing invasive spine surgery. Conclusion: Psychosocial support is a key component in promoting better outcomes in adolescents as they cope with the challenges associated with idiopathic scoliosis. Providing parents with adequate information and resources on how to support their child can alleviate some of the emotional burden they experience.