GJorgjev, Dragan

Preferred name

GJorgjev, Dragan

Official Name

GJorgjev, Dragan

Main Affiliation

dragan.gjorgjev@medf.ukim.edu.mk

Now showing 1 - 10 of 20

Some of the metrics are blocked by your
consent settings
The INHERIT Model: A Tool to Jointly Improve Health, Environmental Sustainability and Health Equity through Behavior and Lifestyle Change
(2018-07-07)
Van der Vliet, N.
;
Staatsen, B.
;
Kruize, H.
;
Morris, G.
;
Costongs, C.
The need for analysis and action across the interrelated domains of human behaviors and lifestyles, environmental sustainability, health and inequality is increasingly apparent. Currently, these areas are often not considered in conjunction when developing policies or interventions, introducing the potential for suboptimal or conflicting outcomes. The INHERIT model has been developed within the EU-funded project INHERIT as a tool to guide thinking and intersectoral action towards changing the behaviors and lifestyles that play such an important role in today’s multidisciplinary challenges. The model integrates ecological public health and behavioral change models, emphasizing inequalities and those parts of the causal process that are influenced by human behaviors and lifestyles. The model was developed through web-based and live discussions with experts and policy stakeholders. To test the model’s usability, the model was applied to aspects of food consumption. This paper shows that the INHERIT model can serve as a tool to identify opportunities for change in important −food-related behaviors and lifestyles and to examine how they impact on health, health inequalities, and the environment in Europe and beyond. The INHERIT model helps clarify these interrelated domains, creating new opportunities to improve environmental health and health inequality, while taking our planetary boundaries into consideration. View Full-Text
Some of the metrics are blocked by your
consent settings
Strengthening the Early-Warning Function of the Surveillance System: The Macedonian Experience
(Springer Netherlands, 2010)
;
;
Karadzovski, Zarko
Some of the metrics are blocked by your
consent settings
Attitude of the Macedonian intensivists regarding withdrawal of therapy in intensive care patients: curriculum for policy development
(Academy of Medical Sciences of Bosnia and Herzegovina, 2011)
;
;
Ethical confusion regarding withdraw of therapy led to the aim of the study in which the knowledge and attitude of the Macedonian Intensive Care Unit (ICU) doctors and their impact on decision making process were assessed. Methods: Knowledge, Attitude and Practice (KAP) study has been conducted on a national sample of 217 ICU doctors (response rate 83.87%), applying restructured EURELD 2002 questionnaire as study instrument. CHI-square test was used for cross tabulations. Results: 103 responders were females and 79 males with mean age 40, 2 years +/- 3 y. Significant percent of the doctors didn't know what is withdraw of therapy, chi-square 34.47 (p < 0.0001) and for most there was no difference between withdraw of therapy and euthanasia, chi-square 41.482 (p < 0.0001). Most of doctors didn't have any formal training (67%) and didn't know whether they had experience with withdraw or withhold. Similarly to other countries, for significantly higher percentage of the Macedonian intensivists patient's wishes and patient autonomy have to be main criteria for decision. Significantly higher group of doctors (p < 0.0001) would prefer to leave their own advanced directives. Conclusions: Legal principles in end of life care must be established in the country. Courts should have drawn a distinction between intentionally causing a patient's death (euthanasia) and allowing a patient to die as a result of the withdrawal of life support treatment. There is a need of additional improvement of postgraduate curriculum and continuous professional development of ICU doctors working with end-of-life patients.
Some of the metrics are blocked by your
consent settings
The impact of evidence-based education on a perinatal capacity-building initiative in Macedonia
(Wiley Online Library, 2004-04)
Jeffery, Heather E
;
;
;
;
Pop-Lazarova, Marina
The perinatal mortality rate (PMR) in Macedonia is among the highest in Europe. The World Bank supported a consultant (HEJ) to collaborate with a Macedonian team to develop a national perinatal strategy with the goal of reducing the PMR. Education was given priority in the form of a hospital-based initiative to develop the capacity of health professionals to introduce evidence-based perinatal practice into 16 participating hospitals. A "train the teachers" approach was used, with trainees introduced to modern education and clinical practice in Sydney and subsequently supported to train their colleagues in Skopje.
Some of the metrics are blocked by your
consent settings
Nutritional status and growth parameters of school-age Roma children in the Republic of Macedonia
(2011-06)
;
Dimitrovska, Zlatanka
;
;
Mikik, Vladimir
;
Efremova-Stefanoska, Vesna
Main objective of the study was to assess the nutritional status of school age Roma children in Macedonia in order to detect precursors of possible health risks at an early age. The study was designed as a comparative case control study. Study group consisted of 229 Roma school children from the 1st and 272 from the 5th grade residing in different towns in Macedonia. The control group was recruited from other than Roma ethnic background and consisted of 283 children attending 1st and 356 children attending 5th grade. Every participant was measured for his/hers body height and weight. The t-test and Chi square (Chi2) were applied to test statistical significance of variables. The WHO's AnthroPlus software was applied to assess growth parameters and population at risk. There were significant differences in values of the body weight (p = 0.001) and height (p = 0.001) between Roma and non-Roma children attending the 1st grade of primary school. Weight-for-age, height-for-age and BMI-for-age indexes of the 1st grade children significantly differred in in the same intervals of SD (> or = -2SD and < -1SD; > or = -1SD and median; > +1SD and < or = +2SD; between Roma and non-Roma 5th graders. Anthropometric parameters of nutritional status of Roma children in Macedonia are significantly different than those of their non-Roma peers. Their health risks are predominantly related to underweight. The parameters related to health risks of overweight or obesity are lower in Roma than in non-Roma children.
Some of the metrics are blocked by your
consent settings
Functional Foods in Macedonia: Consumers’ Perspective and Public Health Policy
(ID Design 2012/DOOEL Skopje, 2013-12-15)
;
;
Milosevic, Jasna
;
Kendrovski, Vladimir
;
Naunova-Spiroska, Daniela
Background: The objective of our study was to explore the knowledge, attitudes and practices of Macedonian consumers towards functional foods, to predict future trends and to assess the national public health policies encompassing the functional foods market. Methods: Total of 518 respondents aged 18+, from all regions in the country participated in the study. They were sampled through three-staged national representative sampling procedures. The questionnaire comprised questions regarding the level of information about functional foods, trust in health claims, frequency of consumption and knowledge and attitudes related to those foods. Statistical significance was determined at p<0.05. Results: Respondents aged 18-34 were more informed compared to the total population (22 and 16 % respectively, p<0.05). Most of the consumers consume these products once a day. Employed consumers were willing to increase daily consumption from 3 to 18 % (p<0.05). On average 65.1% of the statements assessing knowledge were answered correctly. On a scale from -3 to +3 functional foods were considered as very healthy (mean=2.03, SD=1.42). Conclusion: On average, Macedonian consumers have a positive attitude and high expectations of functional foods. Public health policies still lag when compared to comprehensive approach of the food industry in market placement of these products.
Some of the metrics are blocked by your
consent settings
Noise induced sleep disturbance in adult population: Cross sectional study in Skopje urban centre
(Institute od Immunobiology and Human Genetics, Faculty of Medicine, University "Ss Kiril and Metodij", Skopje, 2009-09-15)
;
;
;
Vera Petrova
;
Aim. To evaluate sleep disturbance caused by environmental noise in residents of Skopje urban centre and to quantify the probability for sleep disturbance related to night-time noise exposure. Methods. Cross sectional study with noise measurements for determination of noise exposure indicator Lnight. A randomised sample was selected from adult population and directly interviewed with questionnaire for assessment of sleep disturbance. Results. 510 questionnaires were collected and the response rate was 72%, 8% of the population sample reported a high level of sleep disturbance and 18% reported a moderate level of sleep disturbance. The most frequent sources of noise were neighbourhood and road traffic. The most disturbed age group were individuals 51-65 years old, who were significantly more disturbed (p=0.010) than the age group of 41-50 years old. Differences in sleep disturbance were significant only for the group exposed to Lnight ≥ 56 dBA (Wald = 4.31; p = 0.04). Exposure to Lnight above 56 dBA had OR = 2.2 (95% CI 1.1 - 4.7) or double significant increase probability for sleep disturbance, compared with control group of subjects exposed to Lnight ≤ 45 dBA. Conclusion. Night time noise exposure above the established limit values significantly increased the risk for sleep disturbance. These findings induce necessity for reducing noise exposure, especially during night-time and for taking preventive measures.
Some of the metrics are blocked by your
consent settings
Assessing Health Impact of Air Pollution in Macedonian Cities
(Biomedical Research Network, LLC, 2018-10-15)
;
Some of the metrics are blocked by your
consent settings
Particulate matter measurements in Macedonia for health impact assessment
(Book of abstracts of the 22nd European Aerosol Conference, France Tours 2016, 2016)
Rumrich, Isabell Katharina
;
;
;
Lappi, Sari
;
Stefanovska, Aneta
Solid fuel combustion is a common heating source in Macedonia. Small scale combustion in combination with lacking legislation for other emissions lead to high air pollution levels in the Skopje valley. It is suspected that current air quality has significant impact on the population health. To investigate this topic further, risk assessment investigations have been introduced within the EU-funded Twinning project “Further strengthening the capacities for effective implementation of the acquis in the field of air pollution” (MoE 2016). Measured monthly mean concentration of particulate matter (PM) will be used in a pilot study on health impact assessment. The aim of the present work was to assess the correlations between the measured monthly particulate matter mass concentrations (PM2.5 and PM10) from different air quality monitoring stations, in order to evaluate their usability in the health impact assessment study. Method Monthly PM data were available from the national air quality monitoring network for the period of January 2012 to February 2016. PM2.5 was measured at two stations only (both within the city of Skopje) and PM10 at nine stations (4 Skopje city, 1 Skopje region, 4 outside Skopje region). Missing monthly values were imputed using the average PM2.5 or PM10 concentration calculated from measurements in the corresponding month of the other years at the same monitoring station. In addition, the average monthly ratios PM2.5:PM10 were calculated for the two stations in Skopje having parallel measurements of these two PM parameters with continuously acting instruments. Results The PM2.5:PM10 ratios at the two stations within Skopje city ranged between 0,61 in spring and 0,67 in autumn. Overall, the correlations in PM data between the different monitoring stations were high. The correlation in PM2.5 between the two stations in Skopje was excellent (R2>90%): The same applied to the PM10 stations within the city of Skopje, where only one monitoring station showed correlation lower than 90% with the others (Gazi Baba; R2>80%). all the Skopje region monitoring stations as well as the monitoring stations outside Skopje region showed generally intercorrelations higher than 70%. Only PM10 data from the station of Kavadarci, correlated poorly with the other stations. The rural background station of Lazaropole, located on a mountain, showed an inverse correlation with all the other monitoring stations. Conclusions. The limited size of the newly started national air quality monitoring programme in Macedonia poses challenges for air pollution exposure assessment. High PM2.5 and PM10 intercorrelations, however, suggest that the PM10 data can be used to improve spatial coverage of PM exposures. Most likely due to same sources, PM pollution levels have similar monthly profiles to those in Skopje city also at the three urban monitoring sites outside Skopje.
Some of the metrics are blocked by your
consent settings
Estimating health impacts and economic costs of air pollution in the Republic of 22-29 Macedonia
(Jacobs Verlag, 2015)
Craig Meisner
;
;
Aim: This paper assesses the magnitude of health impacts and economic costs of fine particulate matter (PM) air pollution in the Republic of Macedonia. Methods: Ambient PM10 and PM2.5 monitoring data were combined with population characteristics and exposure-response functions to calculate the incidence of several health end-points known to be highly influenced by air pollution. Health impacts were converted to Disability-Adjusted Life Years (DALYs) and then translated into economic terms using three valuation approaches to form lower and higher bounds: the (adjusted) Human Capital Approach (HCA), Value of a Statistical Life (VSL) and the COI (cost ofillness). Results: Fine particulate matter frequently exceeds daily and annual limit values and influences a person‟s day-to-day health and their ability to work. Converting lost years of life and disabilities into DALYs - these health effects represent an annual economic cost of approximately €253 million or 3.2% of GDP (midpoint estimate). Premature death accounts for over 90% of the total health burden since this represents a loss of total life-long income. A reduction of even 1μg/m3 in ambient PM10 or PM2.5 would imply 195 fewer deaths and represent an economic savings of €34 million per year in reduced health costs. Conclusion: Interventions that reduce ambient PM10 or PM2.5 have significant economic savings in both the short and long run. Currently, these benefits (costs) are „hidden‟ due to the lack of information linking air quality and health outcomes and translating this into economic terms. Policymakers seeking ways to improve the public‟s health and lessen the burden on the health system could focus on a narrow set of air pollution sources to achieve these goals.

GJorgjev, Dragan

Filters

Settings

Sort By

Results per page