Faculty of Medicine

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    Item type:Publication,
    ИНФОРМИРАНОСТ НА ПОПУЛАЦИЈАТА ЗА ГЛОБАЛНИОТ ПРОБЛЕМ СО КЛИМАТСКИТЕ ПРОМЕНИ
    (Institute of Public Health of the Republic of North Macedonia, 2019-04-06)
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    Михаил Кочубовски
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    Анета Костова
    The EU Health Strategy „Together for Health“ acknowledged climate change as a health threat and stressed the role of the European Community to coordinate and respond rapidly to health threats globally and strengthen the capacities of countries (European Commission, 2008). The aim of the study was to determine the level of awareness of the population about the problem with the global climate change and the measures undertaken by the responsible bodies to handle the climate change. Material and methods: A pilot survey was conducted in December 2018 in the Republic of Macedonia by applying a questionnaire, which was an adapted version of the survey questionnaire (‚climate change‘ version 1), translated in Macedonian language and distributed on an interactive online platform. A total of 130 respondents answered the questionnaire. Results: The largest percentage (90.2%) of the respondents said air pollution was first thing they associated with the climate change, followed by the traffic density (41.7%) and waste management (41.7%). When it comes to responsibility, the National Government (33.8%) has the highest responsibility in comparison with international organizations (20%). Conclusion: The study has shown that there is certain level of awareness among the population concerning climate change and associated phenomena such as traffic density, fires and floods, but also strong campaigns has to be undertaken in order to raise public awareness.
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    Свесност за време на општа анестезија на пациент на терапија со Beta-блокер - приказ на случај
    (Macedonian Medical Association = Македонско лекарско друштво, 2013)
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    Љупчо Тасевски
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    Гордана Талеска
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    Маја Мојсова - Мијовска
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    Introduction Awareness during anesthesia is a rare but significant complication with potentially devastating psychological consequences The causes of intra operative awareness are still unclear but it is supposed that is multi factorial As a contributing factor commonly is induced the use of adrenergic blockers and ACE inhibitors Case report An years old women was hospitalized at the Clinic for Maxillofacial surgery in Skopje for operation of the cyst of the maxillary sinus In the preoperative clinical assessment was established that patient had medical history of hypertension on therapy with blockers and ACE inhibitors Preoperative and intraoperative course was without significant hemodinamically changes but after extubation patient recallwhole procedure She develops posttraumatic stress disorder Conclusion Despite precautions and good technique some cases of awareness will still occur It may not be possible to prevent every case of awareness from happening but it is possible to identify high risk cases and modify anaesthetic technique accordingly The patient should receive adequate psychological support afterwards not only in the form of a regular visit by the anaesthetist but with the referral for counselling or psychotherapy if necessary