Dimitrovska, Irena
Preferred name
Dimitrovska, Irena
Official Name
Dimitrovska, Irena
Translated Name
Димитровска, Ирена
Alternative Name
Ирена Димитровска
Irena Dimitrovska
Main Affiliation
8 results
Now showing 1 - 8 of 8
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Item type:Publication, Barriers and factors that facilitate the use of long-term oxygen therapy at home and the quality of life of patients with COPD(Association of Traditional Chinese Medicine and Acupuncture Tong Da Tang TCM, Skopje R.N. Macedonia, 2024); ; Aleksandra StefanovskaBackground: Long-Term Oxygen Therapy (LTOT) is a critical intervention for managing chronic obstructive pulmonary disease (COPD) in patients with severe hypoxemia. Despite its clinical benefits, the effective use of LTOT at home faces numerous barriers and facilitating factors that significantly influence the quality of life (QoL) of COPD patients. Objective: This study aims to explore the barriers and factors that influence the use of LTOT at home, as well as its impact on the quality of life of COPD patients Methods: Through a comprehensive review of the literature, we identify the challenges and facilitators associated with LTOT use, along with the factors that contribute to the quality of life of patients. A mixed-methods approach was utilized in this study, involving qualitative data from semi-structured interviews with patients, caregivers, and healthcare providers. The study included a cohort of COPD patients on LTOT, assessing their experiences and QoL over a specified period. Results: Key barriers to effective LTOT use at home included physical limitations, social stigma, equipment management issues, and insufficient patient education. Facilitating factors identified were robust social support, comprehensive education programs, and regular follow-up with healthcare providers. Conclusion: Understanding the barriers and facilitating factors in the use of LTOT at home is essential for enhancing adherence and improving the QoL of COPD patients. Tailored interventions that address these barriers and leverage facilitating factors can lead to more effective LTOT use and better patient outcomes. This study highlights the importance of a holistic approach in managing COPD, incorporating both medical treatment and supportive measures to optimize patient well-being. The findings provide valuable insights into enhancing the effectiveness of LTOT at home and improving the overall well-being of individuals living with COPD. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Pulmonary embolism - Pulmonary thromboembolism in patient with rectal adenocarcinoma(Association of Traditional Chinese Medicine and Acupuncture Tong Da Tang TCM, Skopje R.N. Macedonia, 2024); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, A 75-year old woman with undiagnosed Behcet's disease presenting with recurrent thromboembolism and aortic disection:A multidisciplinary Perspective(Association of Traditional Chinese Medicine and Acupuncture Tong da Tang, 2024-11); Behçet's disease (BD) is a systemic vasculitis characterized by recurrent oral and genital ulcers, uveitis, and skin lesions, often leading to severe vascular complications, including recurrent thromboembolism and aortic dissection. While its etiology remains uncertain, BD is thought to involve genetic predisposition and environmental triggers, with associations to HLA-B51 particularly prevalent among populations along the historical Silk Road. Diagnosing BD is challenging due to its diverse symptoms and lack of specific biomarkers, necessitating a holistic approach that considers a wide array of clinical, serological, and imaging findings. This report presents the case of a 47-year-old woman with previously undiagnosed BD who developed severe complications, including aortic dissection and pulmonary embolism. A multidisciplinary approach was critical in recognizing the systemic nature of her condition, eventually confirming BD through the combination of vascular involvement, mucocutaneous symptoms, and a positive HLA-B51 marker. Following diagnosis, targeted treatment involving immunosuppressive therapy and anticoagulation led to significant improvement. This case underscores the importance of a comprehensive, interdisciplinary perspective in managing BD, especially in complex cases where symptoms span multiple organ systems. Further research into BD’s underlying mechanisms and more effective, integrative treatment approaches is essential to improve patient outcomes. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Пулмонален синдром при инфекција со Ханта вирус(Residents' Doctor Association RDA, 2023-11); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Hipoventilacioni sindrom gojaznih (HSG) -Simptomi,dijagnoza i ljecenje(2024-06-06); - Some of the metrics are blocked by yourconsent settings
Item type:Publication, STUDIJA PRESEKA – KVALITET ZIVOTA PACIJENATA SA HOBP-OM: UPOTREBA SGRQ I HADS(2024-01-06); - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Pulmonary fibrosis - symptoms, causes and treatment(Македонско здружение за алергологија и клиничка имунологија - МЗАКИ, 2023-09) - Some of the metrics are blocked by yourconsent settings
Item type:Publication, HYPERTENSION IN PRIMARY HYPERPARATHYROIDISM: A CASE REPORT OF ECTOPIC PARATHYROID ADENOMA(Македонско лекарско друштво = Macedonian medical association, 2024); ;