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); 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); - 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); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Attrition in Everyday Dental Clinical Practice(Macedonian Academy of Sciences and Arts/De Gruyter, 2024-12); ; Introduction Attrition, its prevention and therapy is a complex problem, with a multifactorial etiology. The aim of this paper is to examine the treatment of attrition in everyday dental clinical practice with the help of soft inserts. Material and method In this study, 30 patients were included, divided into two groups of 15 patients, the study and the control group. The examined patients had first degree of attrition diagnosed according to the Bardsley index, after which the condition was noted in four intervals: the initial situation, after 2, 4 and 6 months from the first visit. The research data were processed in Statistica for Windows 7.0 and SPSS version 20, and the same were presented graphically. Results In the study group with I degree of attrition, for p>0.05, no statistically significant difference was determined in the range of the Bardsley index between the four measurement times (Friedman Test: N=15; Chi-Square=7,200; df =3; p=0.0658). In the control group, for p<0.05, a significant difference was determined in the range of the Bardsley index between the four measured times (Friedman Test: N=15; Chi-Square=15.180; df=3; p=0.0017) with a significantly high value after 6 months. Discussion From the results obtained when comparing the study group in patients with I degree of attrition and the control group, a negative change from the parafunction bruxism was observed in 20% of the test group and 47% of the control group. The results of our research indicated that in patients with the first degree of attrition from the study group, soft dental inserts give significantly better results than untreated patients in the control group. This correlates with the research of Khayat N. et al. Conclusions From the results of the subjects in the group with I degree of attrition, we can conclude that the soft inserts has great efficiency as a means of management of this parafunction and therefore its application in daily therapy is recommended. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, THE IMPACT OF PHYSICAL ACTIVITY ON CARDIOVASCULAR DISEASE(MIT Univerzitet Skopje, 2022); ; 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, Prevalence of Rotaviruses in the Etiology of Acute Diarrhea in Young Children, Clinical forms, Extraintestinal Manifestations and Complications(Macedonian Academy of Sciences and Arts/Sciendo, 2020-12-08); ; ; ; Rotavirus is highly contagious factor with dominant feces-oral transmission. Because it is stable in external environment, transmission clusters are possible by close contact, ingestion of contaminated water or food or contact with contaminated surfaces. It survives within hours and days on hands and contaminated surfaces. This makes it the most common enteric and nosocomial pathogen in the world, especially in early childhood. In addition to the rapid dehydration with pronounced electrolyte disturbances, numerous extraintestinal possibilities have been recorded in the clinical picture, which emphasizes the need for prevention of this disease.In the period from 1.02.2018 to 31.01.2020 at the Clinic for Infectious diseases were treated 1060 patients with diarrheal disease, of which 502 children (47.36%). Rotavirus etiology was confirmed in 23.30% of the children. According to the protocols, laboratory and biochemical investigations were done to all 117 children, with tracking parameters and their dynamics of admission and discharge from the hospital. Most of the children, 84 (82.0 6%) are from urban areas, with a more confirmed epidemiological survey of 59 (42.00%). The average age of the children was 8 months, with a small percentage of children on maternal food (breastfed 25, i.e. 21.37%), with high febrile admission in 99% of children with an average temperature of 38.5oC and an average febrile duration of 4 days, with an average of 7 (+ 2.49) of stools and 5 (+ 2.12) of vomiting. There was a significant difference in hematocrit, leukocyte, electrolyte, glycaemia, and CRP values on admission and discharge. There was predominant isonatremic dehydration, and the compensatory mechanisms followed by the values of the electrolytes ABS, Ph, BE showed a tendency to maintain within the physiological limits. The clinical picture of extraintestinal manifestations included bronchitis, mesenteric lymphadenitis, upper respiratory infections and rash.Rotavirus infection is a serious health and economic problem in our country, so it needs continuous prevention and monitoring in order to reduce the incidence, and thus the need for hospitalization and cure of rotavirus disease. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Back to the basics: Propolis and COVID-19(Wiley Online Library, 2020-07); ; The epidemiological burden of COVID-19 is a healthcare challenge throughout the world, not only in terms of testing the limits of medical capacities, but also as an enigma considering preventive strategies and methods. The upper respiratory tract mucosa is the first line of defense, as a physical barrier, as well as through multiple innate and adaptive immune mechanisms which are crucial for efficient antiviral responses. Identifying methods able to reduce or prevent colonization, viral adhesion, and promote virus shedding on mucous membranes or have the ability to inactivate pathogens and thus reduce virus dose and/or increase immune response would be essential in the management of COVID-19 outbreak and help in flattening the curve. We review the effects of propolis, an old remedy with proven antiviral properties, as a possible low-cost inhibitor of SARS-CoV-2 in the oropharyngeal niche, prophylaxis, or adjuvant therapy. - 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); ; ; 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