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    Disk herniations and cauda equine compression in different lumbosacral transitional anatomy types
    (Medical faculty, Ss Cyril and Methodius University Skopje, Macedonia, 2018)
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    Chabukovska Radulovska, Jasmina
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    Analysis of the results of implantation of total hip endoprothesis in severe dysplastic coxarthrosis
    (Macedonian Academy of Sciences and Arts/Walter de Gruyter GmbH, 2014)
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    The aim of this study is to affirm the importance of operative treatment of severe dysplastic coxarthrosis through analysis of the results of implantation of total cementless endoprothesis in patients with DDH Crowe types III and IV.
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    Ultrasound examination of musculoskeletal adverse side effects after vaccination in babies
    (Georg Thieme Verlag KG, 2016-08-18)
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    Dimitrieska Kiprovska, Svetlana
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    Comparison of PAMG-1 and phIGFBP-1 Tests for the Prediction of Preterm Delivery in Patients with Preterm Labor
    (Scientific Research, 2017)
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    Josephine Theresia Maier
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    Hanns Helmer
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    Lars Hellmeyer
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    Objective: To compare PAMG-1 and phIGFBP-1 tests in predicting impending spontaneous preterm delivery within 7 days upon presentation in pregnant women with symptoms of preterm labor. Study Design: From September 2014 to April 2015 women with singleton gestation, symptoms of preterm labor, GA 22 - 35, participated in this prospective cohort study upon admission. Recruited patients had intact membranes and a minimal cervical dilatation of ≤3 cm. Vaginal swabs for phIGFBP-1 and PAMG-1 were taken in addition to routine treatment. Biochemical test results were blinded and had no effect on management of patients. Results: A total of 96 patients were screened for inclusion into the trial; 57 met the inclusion criteria for final analysis. The PAMG-1 test was positive in 5.7% of patients, while phIGFBP-1 test was positive in 29.8% of patients. The prediction of spontaneous preterm delivery within 7 days of admission in patients with a cervical length < 25 mm (30%), the PAMG-1 test and phIGFBP-1 test showed a SN of 100% and 100%; SP of 83.3% and 50.0%, (p ≤ 0.05); PPV of 71.4% and 45.5%; and NPV of 100% and 100%. 89.5% of women who received corticosteroids and 84.2% of women who received tocolysis did not go into preterm labor within one week. Conclusion: Our study supports the high negative predictability of biochemical tests to rule out spontaneous preterm labor in patients with a short cervix. However, our study strongly suggests that the PAMG-1 test is more accurate for predicting imminent spontaneous preterm delivery as compared to phIGFBP-1. These findings can significantly reduce economic burden caused by unnecessary admission and treatment of patients suspected of preterm labor. Such a reduction in the use of corticosteroids and tocolytics would lead to a reduction in the short and long term health effects associated with the use of therapeutic drugs like corticosteroids, antibiotics and tocolytics.
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    USAGE OF DIFFERENT TYPES OF ANESTHESIA IN ORTHOPEDIC PATIENTS TREATED WITH DAY CASE SURGERY
    (MIT University Skopje, 2016)
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    Introduction: Orthopedic patients treated with day case surgery expect rapid recovery, high postoperative satisfaction and low postoperative pain and complications. Aim: The aim of our study is to report the annual frequency of the day case surgeries in our clinic, as well as to point out the types of orthopedics surgical procedures used. Material and methods: Between 2013 and 2015, at the University clinic for orthopedic surgery, patients were selected for day case surgery on hands and feet. Local anesthesia, intravenous regional anesthesia or peripheral nerve blocks were used for different types of operations. Results: In 3 years period, we operated 5124 patients, 1143 of them were treated as day case surgery. We found that our day case surgery rate was 22%. Out of 1143 patients, 657 (57%) were operated under local anesthesia, 237 (21%) with intravenous regional anesthesia and 249 (22%) with peripheral nerve blocks. 645 were females and 498 were males with average age of 47 ± 15 years. The procedures performed under local anesthesia were; 399 (35%) release of carpal tunnel, 171 (15%) release of trigger finger, 84 (7%) release of de Quervain’s and 3 (0.3%) minimal invasive suture of Achilles tendon rupture. Procedures performed with intravenous regional anesthesia were; 156 (14%) excision of fascia palmaris in Dupuytren contracture and 81 (7%) excision of ganglion of the wrist. Operations performed with peripheral nerve blocks were; 171 (15%) correction of hallux valgus deformities and 78 (7%) bunion deformities. Conclusion: The rate of day case surgery in our clinic is low. We use local anesthesia, intravenous regional anesthesia and peripheral nerve blocks for hand and foot operations. Day case surgery can offer a number of advantages for patients; it can minimize the costs, reduces the surgery waiting time and lowers the postoperative complications.
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    ОСТЕОГЕНЕЗА И РЕХАБИЛИТАЦИЈА КАЈ ПЕРТРОХАНТЕРНИ ФРАКТУРИ СО DYNAMIC HIP SCREW - ДХС
    (Institute of Public Health of Republic of Macedonia = Институт за јавно здравје на Република Македонија, 2017-06-30)
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    Емилија Гркова-Мишковска
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    Aim of the paper is to compare the effects of two physical modalities, magnetic therapy versus treatment with interferential currents in the physical treatment and rehabilitation of patients with surgically determined pertrohanteric femoral fracture with DHS and indicate the reasons for any differences. Material and methods: The study represents a prospective randomized clinical trial implemented at the Institute for Physical Medicine and Rehabilitation - Skopje. Include two groups with 90 participants with surgical pertochanteric femoral fracture, Kyle types I, II with dynamic fixation implant-DHS (Dynamic hip screw). Respondents are divided into two groups: Examined group - 45 patients is treated with kinesitherapy and Magnetic therapy and control group - which has 45 patients treated with kinesitherapy and interferential currents. Respondents were followed for one year, during which were performed three examinations, the first control on the day of discharge, 6 and 12 months, from the first review which is input for selected patients who meet the criteria for inclusion in research. Results: Tested difference between the two groups in terms of sex and age, for p> 0,05, indicated no statistically significant difference. After the analysis, patients in the experimental group have 4,125 times more likely, after 12 months have shaped callus compared to control group. Upon physical examination after discharge, 6 and 12 months. Conclusions: In the postoperative rehabilitation of pertrochanteric femoral fractures, Kyle type I, II with fixation dynamic implant-DHS, therapy of choice is magnetic therapy and kinesitherapy, from which improvement in functional status as well as in the stimulation of osteogenesis and quality of life in elderly patients
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    УЛОГАТА НА ФИЗИКАЛНАТА ТЕРАПИЈА ВО СПОРТСКАТА МЕДИЦИНА
    (MIT University Skopje, 2016)
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    Bozhninovski, Zoran
    Спортските повреди настануваат како резултат на травма или пренапрегање и ги вклучуваат сите ткива на локомоторниот апарат. Најчесто настануваат повреди на мускули, лигаменти, тетиви, како и на коските. Посериозни повреди вклучуваат и комбинација на коскено и меко ткиво, како и повреда на зглобовите. При акутните спортски повреди спортистот е вознемирен поради болката или можните последици од евентуалната сериозна повреда. Доброто првично проценување бара препознавање на повредата на местото на настанот и брзо отпочнување со третман. Потребен е тимски пристап со специјалист ортопед и искусен медицински физиотерапевтски персонал кои имаат тесна соработува со тренерот, судиите и другите администратори. Најчестите повреди се на коленото, но можат да бидат локализирани и на скокалниот зглоб, рамото, лактот, ‘рбетниот столб, главата и други регии на локомоторниот апарат. Повредите можат да настапат акутно, неочекувано, како резултат на удар, груба игра и пренапрегање, но можат да бидат резултат и на хронично оптоварување на спортистот. Со навремена, соодветно дозирана и добро спроведена физикална терапија, спортистот брзо и успешно се опоравува и се враќа кон спортските активности.
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    Teniss elbow: Its origins and treatment
    (Faculty of Physical Education, Sport and Health in Skopje, Republic of Macedonia, 2016)
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    Tennis elbow or lateral epicondylitis is a type of repetitive strain injury, resulting from tendon overuse and failed healing of the tendon. The extensor carpi radialis brevis muscle plays a key role. This disease is a very common cause of the elbow pain in people and athletes between the ages of 30 and 50 years old. Aim: The aim is to present origins and treatment of tennis elbow or lateral epicondylitis. Material and methods: The study included 90 patients having tennis elbow, and they were divided to two groups according to different conservative treatment. Clinical and radiographic examinations (X-ray, ultrasonography and MRI) were analyzed during the evaluation. In this retrospective study 2 patients were followed with colour Doppler ultrasound. Results: Exactly 80 patients became symptom-free and regained normal function after 1 year. 6 patients in group 1 and 4 patients in group 2 returned 1 year later complaining persistent pain of the area of elbow, and minimized the participation in sportive activities. Conclusion: Conservative therapy is the best choice for treatment of tennis elbow.