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, Effect of the first wave of COVID-19 on Poison Control Centre activities in 21 European countries: an EAPCCT initiative(Informa UK Limited, 2022-10) ;Hondebrink, L ;Zammit, M ;Høgberg, L C G ;Hermanns-Clausen, MLonati, DBackground: Public health emergencies often affect Poison Control Centre (PCC) operations. We examined possible effects of the coronavirus disease 2019 (COVID-19) pandemic on call volume, call characteristics, and workload in European PCCs. Method: All 65 individual European PCCs were requested to supply data on the number of calls and call characteristics (caller, age groups, reason and specific exposures) from March to June in 2018, 2019, and 2020 (Part 1). Number of calls with specific characteristics was normalised to all calls. Calls (N) and call characteristics (%) were compared between 2020 and 2018/2019 (average), within PCCs/ countries and grouped. Correlation between call volume and COVID-19 cases per PCC/country was examined. All PCCs received a survey on workload (Part 2). Parts 1 and 2 were independent. Results: For Part 1, 36 PCCs (21 countries) supplied 26 datasheets. PCCs in the UK and in France merged data and supplied one datasheet each with national data. Summed data showed an increase of 4.5% in call volume from 228.794 in 2018/2019 (average) to 239.170 in 2020 (p<0.001). Within PCCs/countries, calls significantly increased for 54% of PCCs/countries (N¼14/26) and decreased for 19% (N¼5/26), three of which (N¼3/5) only serve medical professionals. Correlation between call volume and COVID-19 cases was (non-significant) positive (Rho >0.7) in 5/26 PCCs/countries (19%), and negative in 6/26 (23%). Call characteristics (median proportion of grouped data in 2018/2019 vs. 2020) changed: fewer medical professionals called (40 vs. 34%, p<0.001), calls on intentional exposures decreased (20 vs. 17%, p<0.012), as did calls on patients between 13 and 17years (5 vs. 4%, p<0.05). Calls on specific exposures increased; disinfectants from 1.9 to 5.2%, and cleaning products from 4.4 to 5.7% (p<0.001). For Part 2, 38 PCCs (24 countries) filled the survey on workload (number/ length of shifts and time on PCC duties), which increased in 23/38 PCCs (61%), while 10/38 (26%) worked with fewer employees. Conclusions: Obtaining aggregated European PCC data proved challenging but showed an increase in overall call volume and workload during the first COVID-19 wave. Call characteristics changed including fewer calls from professionals and more calls on specific exposures. Within single PCCs/countries a variety of effects was observed. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Arsenic in drinking water – case study in Gevgelija(2022); ; This paper analyses the situation of arsenic concentration in drinking water from the city water supply system in Gevgelija for the period 2011–2019. Under the slopes of Kozuv, the groundwater carries with them to the source of water supply, inorganic arsenic originating from the rocks themselves. A series of sampling of drinking water was performed and it was observed that in the drinking water samples from the drilled well area “Moin” the concentrations of arsenic were increased above the MAC by 10 μg/l, while samples from the Vardar well were within the permissible limits. The Institute of Public Health of the Republic of North Macedonia submitted to the Directorate of Food at the Ministry of Health an opinion on urgent measures to prevent the possible risk of arsenic through drinking water for the health of the population of the city of Gevgelija and the surrounding areas (about 20 000 inhabitants). The aim of paper was to assess the risk through analyses and evaluation of level of arsenic in drinking water, which is important for prevention of arsenic-related disease by providing safe drinking water from new wells from other side of the river Vardar. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Public Health Aspects of Non-ionizing Radiation in Health determinants in the scope of new public health(Jacobs Verlag, Lage, Germany, 2005)Exposure to electromagnetic fields is not a new phenomenon. However, dur ing the 20th century, numerous man-made electromagnetic field sources used for individual, industrial and commercial purposes and in medicine have become the focus of the public health interest. All those new and advancing technologies, including power lines, microwave ovens, computer and TV screens, security de vices, radars, mobile cellular phones and their base stations, have made our life richer and easier. At the same time, they have brought with them concerns about possible health risks associated with their use, such as cancer, reduced fertility, memory loss, changes in the behaviour and development of children etc. In response to growing public health concerns over possible health effects from exposure to the electromagnetic field sources, in 1996 the World Health Organization (WHO) launched a large, multidisciplinary International Electro magnetic Field (EMF) Project. This project brings together current knowledge and available resources of key international and national agencies and scientific institutions (1). Despite the feeling of some people that more research needs to be done, the WHO and many other experts concluded that the current evidence does not con firm the existence of any health consequences from exposure to low level electro magnetic fields. There are some gaps in knowledge about the biological effects from long-time exposure and exposure to high levels, so more research is needed in these areas (2). The conflict between concerns about possible health effects from exposure to EMF and the development of electricity supply and telecommunications facilities has led to considerable economic consequences. But the lack of knowledge about the health consequences of technological advances may not be the sole reason for social opposition to innovations and further progress. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Women's perspective on the COVID-19 pandemic: Walking into a post-peak phase(Elsevier BV, 2021) ;Sabatino, Jolanda ;Moscatelli, Sara ;Rustamova, Yasmin; Avesani, MartinaThe pandemic of Novel Coronavirus Disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has provoked hundreds of thousands of deaths, resulting in catastrophe for humans. Although some insights have been garnered in studies on women, children and young adults infected with COVID-19, these often remain fragmented in literature. Therefore, we discussed the impact of COVID-19 pandemic on women, children and young patients, particularly those with underlying cardiovascular comorbidities or congenital heart disease. Furthermore, we gathered and distilled the existing body of literature that describes their cardiovascular complications and the recommended actions in favour of those patients toward the post-peak pandemic period. Although many questions still require answers, this article is sought to help the practicing clinician in the understanding and management of the threatening disease in special populations. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The prioritization of zoonoses in the Republic of North Macedonia – Do we need one health approach(Institute of Public Health of the Republic of North Macedonia, 2021-09-25) ;Blazho Janevski; ; ;Vladimir MikikjVasilka Poposka-Treneska - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Noise induced sleep disturbance in adult population: Cross sectional study in Skopje urban centre(Institute od Immunobiology and Human Genetics, Faculty of Medicine, University "Ss Kiril and Metodij", Skopje, 2009-09-15); ; ; ;Vera PetrovaAim. To evaluate sleep disturbance caused by environmental noise in residents of Skopje urban centre and to quantify the probability for sleep disturbance related to night-time noise exposure. Methods. Cross sectional study with noise measurements for determination of noise exposure indicator Lnight. A randomised sample was selected from adult population and directly interviewed with questionnaire for assessment of sleep disturbance. Results. 510 questionnaires were collected and the response rate was 72%, 8% of the population sample reported a high level of sleep disturbance and 18% reported a moderate level of sleep disturbance. The most frequent sources of noise were neighbourhood and road traffic. The most disturbed age group were individuals 51-65 years old, who were significantly more disturbed (p=0.010) than the age group of 41-50 years old. Differences in sleep disturbance were significant only for the group exposed to Lnight ≥ 56 dBA (Wald = 4.31; p = 0.04). Exposure to Lnight above 56 dBA had OR = 2.2 (95% CI 1.1 - 4.7) or double significant increase probability for sleep disturbance, compared with control group of subjects exposed to Lnight ≤ 45 dBA. Conclusion. Night time noise exposure above the established limit values significantly increased the risk for sleep disturbance. These findings induce necessity for reducing noise exposure, especially during night-time and for taking preventive measures. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Functional Foods in Macedonia: Consumers’ Perspective and Public Health Policy(ID Design 2012/DOOEL Skopje, 2013-12-15); ; ;Milosevic, Jasna ;Kendrovski, VladimirNaunova-Spiroska, DanielaBackground: The objective of our study was to explore the knowledge, attitudes and practices of Macedonian consumers towards functional foods, to predict future trends and to assess the national public health policies encompassing the functional foods market. Methods: Total of 518 respondents aged 18+, from all regions in the country participated in the study. They were sampled through three-staged national representative sampling procedures. The questionnaire comprised questions regarding the level of information about functional foods, trust in health claims, frequency of consumption and knowledge and attitudes related to those foods. Statistical significance was determined at p<0.05. Results: Respondents aged 18-34 were more informed compared to the total population (22 and 16 % respectively, p<0.05). Most of the consumers consume these products once a day. Employed consumers were willing to increase daily consumption from 3 to 18 % (p<0.05). On average 65.1% of the statements assessing knowledge were answered correctly. On a scale from -3 to +3 functional foods were considered as very healthy (mean=2.03, SD=1.42). Conclusion: On average, Macedonian consumers have a positive attitude and high expectations of functional foods. Public health policies still lag when compared to comprehensive approach of the food industry in market placement of these products.
