Faculty of Medicine

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CONGENITAL DIAPHRAGMATIC HERNIA - DIAGNOSIS, TREATMENT AND FAMILY PLANNING
(Македонско лекарско друштво = Macedonian medical association, 2025-08)
Mirjana Kjaeva Pejkovska
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Introduction. Congenital diaphragmatic hernia is a rare structural and genetic disorder. Early diagnosis, proper treatment and expectance of the outcome in terms of future family planning are needed. Aim. To increase the awareness of early diagnosis and to present the current protocols for diagnosis, treatment and family planning if congenital diaphragmatic hernia occurs, particularly in early childhood. Methods. For the purpose of this retrospective study, 20 mothers who gave birth to children with congenital diaphragmatic hernia were enrolled. They had been given questionnaires regarding the timing of their fetus’s diagnosis, the treatment that followed, and the frequency of this condition in their family. Before the treatment, parents of the patients signed a consent form. Their data were collected and analyzed in the period of two years. Results. Early diagnosis can be life saving because the baby needs to be intubated as soon as the mother gives birth. Some mothers had to plan their deliveries ahead in institutions with highly developed intensive care, with Discussion. Early diagnosis is of crucial importance for timely preparation and treatment of both mothers and babies. ECMO treatment, to provide the best treatment protocol for better quality of life for both mother and child. In the literature the need for sterilized conditions during the treatment is described because of the possible complication such as sepsis caused by healthcare-associated infections. Conclusion. Congenital diaphragmatic hernia is a condition for which awareness must be raised for proper diagnosis, treatment and family planning.
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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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Prioritisation of food-borne parasites in Europe, 2016.
(European Centre for Disease Prevention and Control (ECDC), 2018)
Martijn Bouwknegt
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Brecht Devleesschauwer
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Heather Graham
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Lucy J Robertson
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Joke WB van der Giessen
Background and aims: Priority setting is a challenging task for public health professionals. To support health professionals with this and in following a recommendation from the Food and Agriculture Organization of the United Nations (FAO) and World Health Organization (WHO), 35 European parasitologists attended a workshop from 8–12 February 2016 to rank food-borne parasites (FBP) in terms of their importance for Europe and regions within Europe. Methods: Countries were divided into European regions according to those used by the European Society of Clinical Microbiology and Infectious Diseases. We used the same multicriteria decision analysis approach as the FAO/WHO, for comparison of results, and a modified version, for better regional representation. Twenty-five FBP were scored in subgroups, using predefined decision rules. Results: At the European level, Echinococcus multilocularis ranked first, followed by Toxoplasma gondiiand Trichinella spiralis. At the regional level, E. multilocularis ranked highest in Northern and Eastern Europe, E. granulosus in South- Western and South-Eastern Europe, and T. gondii in Western Europe. Anisakidae, ranking 17th globally, appeared in each European region’s top 10. In contrast, Taenia solium, ranked highest globally but 10th for Europe. Conclusions: FBP of importance in Europe differ from those of importance globally, requiring targeted surveillance systems, intervention measures, and preparedness planning that differ across the world and across Europe.
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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

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