Faculty of Medicine

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    Item type:Publication,
    Улогата на интраназалните кортикостероиди во лекување на алергискиот ринитис
    (Здружение на офталмолози на Македонија = Macedonian Association of Ophthalmologists, 2015)
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    Item type:Publication,
    CORRELATION BETWEEN TONSIL HYPERTROPHY AND ALLERGIC RHINITIS IN CHILDREN
    (Macedonian Association of Anatomists, 2020-12-25)
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    Dukovska, Vesna
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    Nikoloska, Sofija
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    To show whether there is a correlation between the tonsils hypertrophy and adenoid hypertrophy (AH) with allergic rhinitis in children in R. Macedonia. A total of 120 children (5.3 ± 1.2 years old)with tonsil hypertrophy, adenoid hypertrophy, persistent upper respiratory infections and consecutive nasal obstruction were examined, after their parents gave a verbal consent for their participation. Inclusion criteria were: frequent upper respiratory infections, angina, nasal congestion due to nasal obstruction caused by adenoid hypertrophy, frequent serous otitis due to adenoid hypertrophy and sleep apnea due to tonsil hypertrophy.The prevalence of allergic rhinitis (AR) was as follows: AR had 70% of children with concha nasal hypertrophy, 39.2% of children with tonsillar hypertrophy, and 78.3% of children with adenoid hypertrophy. Although in the group of children with adenoid hypertrophy, a more severe degree of nasal concha hypertrophy was registered in children with AR compared to children without AR, itwasstatistically not significant.Regarding children with adenoid hypertrophy (AH), the results showed that children with AR presented significantly different results for Parikh's scale (p = 0.0076). Obstruction of torus tubarius was more common in children with AR (86.8% vs. 61.2%), while these children had a finding of soft palate obstruction (9.4% vs.26.8%), and vomer obstruction (3.8% vs.11.9%) less often than children without AR.Our study found that almost half of the children with tonsillitis/adenoid hypertrophy hadAR. Grade 3 and 4 TH was present in third of the children.
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    Item type:Publication,
    Influence of physical activity and television-watching time on asthma and allergic rhinitis among young adolescents: preventive or aggravating?
    (Elsevier BV, 2008)
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    Stavric, Katerina
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    Seckova, Lidija
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    Kimovska, Milica
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    BACKGROUND: Related to exercise hypothesis, the aim of the present study was to explore the influence of physical activity on asthma and allergic rhinitis in a developing country where publicity campaigns about the benefits of exercise are scarce. METHODS: The analysed data were self-reported and obtained through the standardized International Study of Asthma and Allergies in Childhood Phase Three written questionnaires completed by 3026 adolescents 13/14 year old in Skopje (Republic of Macedonia). Vigorous physical activity and television-watching timeboth unadjusted and adjusted for confounding factorswere used as variables for analysis. Odds ratios (OR, 95 % CI) in binary logistic regression were employed for statistic analysis of the data. RESULTS: Vigorous physical activity both > or = 3 times and 1-2 times per week was associated with an increased risk of current wheeze (aOR: 1.66; 1.08-2.55; p = 0.020 and aOR: 1.70; 1.23-2.36; p = 0.001, respectively), speech-limiting wheeze (aOR: 3.15; 1.13-8.77; p = 0.028 and aOR: 4.62; 2.22-9.62; p = 0.000, respectively) and exercise-induced wheeze (aOR: 2.72; 1.93-3.83; p = 0.000 and aOR: 4.01; 3.12-5.14; p = 0.000, respectively). Frequent physical activity was positively associated only with current allergic rhinitis symptoms (aOR: 1.40; 1.04-1.90; p = 0.029). Television watching > or = 3 hours a day increased the risk of current wheeze (aOR: 1.34; 1.01-1.77; p = 0.042) and exercise-induced wheeze (aOR: 1.32; 1.05-1.65; p = 0.016). CONCLUSION: The findings support the aggravating role of sedentary regimen and poor physical fitness on asthma symptoms, but not on allergic rhinitis. Physical activity may trigger asthma symptoms when physical fitness is poor and asthma is not controlled.