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    Preoperative magnesium sulphate usage as a medical challenge in postoperative pain management.
    (Department of Anesthesia and reanimation, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Macedonia, 2018-12)
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    Mojsova Miovska M
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    Toleska M
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    POSTOPERATIVE SERUM CREATININ LEVEL IN TWO DIFERENT HYDRATION REGIMES IN LIVING DONOR KYDNEY TRANSPLANATATION
    (Department of Anaesthesia and Reanimation, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Macedonia, 2017-04)
    Mojsova Mijovska, Maja
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    Introduction: Early graft function is very important and can be achieved with adequate intraopeartive perfusion characteristics of the graft and urine output. The goal of this study was to examine the influence of targeting central venous pressure (CVP) on early graft function. Material and methods: After approval of Ethical committee of the Medical Faculty-Skopje, we obtained inform consent of 60 patients, ASA 2-3 undergoing renal transplantation of livingrelated person in the Clinic of Urology – Skopje. A prospective clinical study was performed in the period of 2 years. Patients were divided into 2 groups of thirty patients : group A receiving normal saline intraoperatively targeting for CVP to 15 mmHg until vascular clamps were off and group B receiving normal saline 10ml/kg/h. We recorded lactate at the end of the surgery, onset of diuresis and total urine output from unclamping the renal vessels to the end of the surgery in both groups and postoperative serum creatinine in 3times (3, 12, 36 hours). Results: The onset of diuresis in seconds was insignificantly longer in group B p>0,05 (p=o,31). The average value of postoperative levels of the lactate showed that in group B the levels of the lactate were significantly higher for Z=-5,79 and p<0,001 (p=0,000). We didn’t find any statistical differences in postoperative serum creatinine in both groups. Conclusion: Our study didn’t show any benefit from targeting CVP to 15 mmHg. We couldn’t find any significant difference on onset of diuresis and urine output after the unclamping the vessels. However, in the constant infusion group (group B) the level of the lactate was higher CVP. In postoperative biochemical parameters we had no statistical difference between the average values of serum cratinine.
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    Steven-Johnson syndrome and anesthesia
    (Department of Anesthesia and reanimation, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Macedonia, 2019)
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    Temenugova I
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    Percutaneous Nephrostomy as a Procedure in the Treatment of Urinary Tract Obstruction - Experiences in the University Clinic of Urology in Skopje
    (Macedonian Academy of Sciences and Arts, 2024-04)
    Trifunovski, Aleksandar
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    Atanasova, Ana
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    Obstructive uropathy encompasses various urinary tract obstructions, leading to changes in urine flow, kidney pressure, and impaired kidney function. Predicting renal recovery from obstructive uropathy, can be challenging and necessitates treatment, as in percutaneous nephrostomy (PNS) drainage. The choice of drainage method depends on patient-specific factors and local expertise. According to the data for the Republic of North Macedonia, in the register of the European Renal Association, in the last few years, there has been an increase in the percentage of patients with obstructive nephropathy from 7.6% to 8.9% who end up on a chronic hemodialysis program. Prompt relief from urinary tract obstruction is essential to preserve renal function and prevent complications. The aim of this study is to present our initial data analysis of recent experience in the use of nephrostomies as a method for temporary or long-term resolution of obstructive nephropathy, in terms of safety and success in preserving kidney function and reducing the number of patients on hemodialysis.
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    Hypoxia during one lung ventilation in thoracic surgery
    (Македонско лекарско друштво = Macedonian medical association/De Gruyter, 2011)
    Taleska, Gordana
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    Trajkovska, Trajanka
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    Mojsova Mijovska, Maja
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    The effects of two thermal insulation methods on the postoperative lactate levels, shivering and patient’s thermal comfort.
    (Department of Anesthesia and Reanimation, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Macedonia, 2019-05)
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    Tolevska M
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    IS REGIONAL POPLITEAL SCIATIC NERVE BLOCK A BETTER OPTION FOR TREATING PEDIATRIC SPORTS INJURIES THAN GENERAL ENDOTRACHEAL ANESTHESIA?
    (Faculty of Physical Education, Sport and Health in Skopje, Republic of Macedonia, 2023)
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    Ristevski, Toni
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    Trifunovski, Aleksandar
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    In pediatric anesthesia, the use of ultrasound-guided peripheral nerve blocks has grown in favor. In order to determine the most effective anesthetic technique for pediatric ankle and foot sport procedures, this study evaluated the effectiveness of popliteal sciatic nerve blocks. ASA I or II pediatric patients between the ages of 1 and 14 who had either a localized popliteal sciatic block or general endotracheal anesthesia for surgery due to a sport injury were included in the retrospective analysis. The length of analgesia, the length of recovery, the time until hospital discharge, and any problems that were reported were evaluated. In comparison to general endotracheal anesthesia, popliteal plexus regional anesthesia showed quicker operation times, shorter recovery times, and longer analgesia durations. Additionally, the popliteal plexus anesthetic group's average hospital stay was shorter and there were no problems. Despite several cases of unsuccessful blocks and minor problems in the general anesthetic group, it was clear that popliteal nerve blocks often reduced pain, reduced the need for opioids, increased patient comfort, and sped up recovery. In conclusion, popliteal nerve blocks are a safe, dependable, and effective alternative to conventional anesthetic methods for treating postoperative pain in pediatric ankle and foot procedures.
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    Хипооксија при вентилација на едно белодробно крило во торакалната хирургија
    (Journal of the Macedonian Medical Association, 2011)
    Гордана Талеска
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    Трајанка Трајковска
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    Весна Дурнев
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    Марина-Темелковска-Стефановска
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    Маја Мојсова -Мијовска
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    Pediatric Enigma in ICU – Late Treatment of Severe Sepsis: A Case Report
    (ID Design 2012/DOOEL Skopje, 2012-07-31)
    Gordana Taleska
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    Zorka Nikolova
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    Maja Mojsova-Mijovska
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    Risto Simeonov
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    Trajanka Trajkovska