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    Item type:Publication,
    Linkages between workplace stressors and quality of care from health professionals' perspective - Macedonian experience
    (Wiley, 2014-05)
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    Vera Basarovska
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    During last two decades, within the process of transition, the socio-economic reforms in Republic of Macedonia reflected on the national health care system. The objective of this article was to identify workplace stressors and factors that influence quality of care, from the perspective of health professionals (HPs), and to understand how they were linked in the context of such social circumstances.
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    Кожна преосетливост, атописки статус и вентилациска функција кај работници во кожарска индустрија
    (Македонско лекарско друштво - Macedonian Medical Association, 2008)
    Јорданова, Родна
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    Ристеска-Куч, Снежана
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    Lung Function Impairment in Construction Workers – Influence of Smoking and Exposure Duration
    (Scientific Foundation SPIROSKI, 2021-05-08)
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    Bislimovska, Dragana
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    Atanasovska, Aneta
    AIM: The objective of the study was to assess the influence of exposure duration and smoking on ventilatory impairment among construction workers. METHODS: A cross-sectional study was performed, including 83 construction workers aged 18–64 years, compared to equivalent number of office controls matched by age, workplace exposure duration, and smoking status. Data on chronic respiratory symptoms, work history, and smoking status were collected by standardized questionnaire, while lung functional testing of the examined subjects was performed by spirometry. RESULTS: Mean values of spirometric parameters were lower in construction workers compared to controls with statistical significance registered for maximal expiratory flow (MEF25), MEF50, and MEF75. Lung functions of construction workers have been found to decrease in relation to exposure duration but reached significance only for small airways changes. There was a significant difference in detected ventilatory impairment between exposed workers and controls for any type of ventilatory impairment, as well as obstructive and combined ventilatory pattern and obstructive ventilatory pattern in small airways. Obstructive ventilatory impairment was significantly associated with life-time smoking in construction workers, while obstructive ventilatory pattern in small airways was significantly associated with life-time smoking. The combined effect of daily smoking, life-time smoking, and number of cigarettes smoked daily was shown to have a significant influence in their development. The risk for obstructive ventilatory pattern in small airways among exposed subjects was about 4 fold higher in those exposed more than 20 years (odds ratio [OR] = 3.68 [1.01–14.59] confidence interval [CI] 95%), and about 2.5 fold higher in smokers (OR = 2.57 [0.92-7.25] CI 95%). Exposure duration, smoking and age had independent effect only on small airways changes and force expiratory volume in the 1st s/force vital capacity %. CONCLUSION: Our data suggest the importance of the joint effect of job exposure in construction and daily smoking on the development of lung function impairment and airflow limitation, being dominant, especially on small airways.
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    Association between occupational exposure and cancer in developing countries: a systematic review
    (2025-10-08)
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    Petrovska, Ekaterina
    Objective: This systematic review aims to identify, evaluate, and synthesize existing evidence about the association between occupational exposure and cancer in developing countries, to conduct risk of bias assessment (RBA), and to identify knowledge gaps to guide future research. Material and Methods: A systematic review is currently conducted across three major databases—MEDLINE (via PubMed), EBSCO, and DynaMed—including studies published between 1990 and 2025. The search strategy was developed in accordance with the PICOs framework, using a combination of search terms, Medical Subject Headings (MeSH), and Boolean operators (AND, OR, NOT) to identify relevant studies. The ongoing first phase of this systematic review (MEDLINE database) initially identified a total of 1,759 records which were screened based on title and abstract. For the resulting 41 records, the full-text articles were assessed for eligibility. Following the exclusion criteria, four articles without an existing abstract and 28 review articles were removed. In accordance with the inclusion criteria, only original research articles were considered, resulting in 9 full-text articles being included for qualitative synthesis. Screening of EBSCO and DynaMed databases will be conducted in the next phase of the review. RBA was based on the criteria proposed by Shamliyana et al. Results: Preliminary data showed that the most frequently analysed occupational carcinogens in developing countries were: asbestos, silica dust, pesticides, arsenic, and particulate matters. Mostly investigated cancer sites were: lung cancer, melanoma, leukaemia, and colo-rectal cancer. The RBA showed external and internal validity issues for most of the studies. Conclusion: There is a clear need to improve evidence synthesis on occupational exposure and cancer in developing countries, where the burden could be greater but research is limited. Acknowledgements: The authors declare no funding or conflicts of interest.
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    O-267 RESOURCES PREDICT HIGHER LEVELS OF JOB ENGAGEMENT AND JOB SATISFACTION: CROSS-SECTIONAL SURVEY AS A FIRST PHASE OF PROSPECTIVE LONGITUDINAL STUDY
    (Oxford University Press (OUP), 2024-07-01)
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    Atanasovska, Aneta
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    Bislimovska, Dragana
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    Marinova, Tina
    Introduction The aim of this study was to analyze job resources as predictors of the levels of job engagement and job satisfaction in a random population of workers towards development of occupational health and safety strategy. Methods This cross-sectional survey was conducted during winter 2022/2023 as a first phase of prospective longitudinal study. We used series of questionnaires to evaluate demographics, job characteristics, job resources (teamwork, remuneration, relationship with supervisor, job crafting, and engaging leadership), job engagement, and job satisfaction. The average age of participants (N=1.014, 52.1% females) was 42.7±11.1 years while the mean tenure was 16.5±10.9 years. They have worked on average 41.5±6.4 hours/week. Aiming to evaluate the role of job resources, controlling for age, gender, tenure, and working hours/week, hierarchical multiple regression models were tested for vigor, dedication, and job satisfaction. Control variables were entered in the first step, while different job resources were entered in three subsequent steps. Results Bivariate analyses showed significant positive correlations of vigor, dedication, and job satisfaction with analyzed job resources. Teamwork (β=.12), task crafting (β=.09), cognitive crafting (β=.24), and empowering leadership (β=.20) (R2=.31) predicted higher levels of vigor. Higher dedication was predicted by teamwork (β=.11), task crafting (β=.08), cognitive crafting (β=.26), relational crafting (β=.09) and inspiring leadership (β=.16) (R2=.32). Teamwork (β=.19), remuneration (β=.22), supervisor support (β=.11), cognitive crafting (β=.09), and empowering leadership (β=.14) (R2=.50) predicted higher levels of job satisfaction. Discussion -Conclusion Occupational health and safety strategy should take into account job crafting and engaging leadership components as significant predictors of higher job engagement and job satisfaction.
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    Work-related asthma in automobile spray painters: two case reports
    (Walter de Gruyter GmbH, 2008-06)
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    Risteska-Kuc, Snezana
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    This report describes two patients who had developed asthma after working as automobile painters with isocyanate-based aerosol paint for two years or over. In both patients asthma was confirmed using the standard diagnostic procedure. One of the subjects was atopic. One was ex-smoker and the other had never smoked. Neither had a family history of asthma. The symptoms occurred after workplace exposure lasting two years in one patient and three in the other. As both reported work-relatedness of the symptoms, they underwent serial peak expiratory flow rate (PEFR) measurement and bronchoprovocation testing. Significant work-related changes in PEFR diurnal variations and in non-specific bronchial hyperresponsiveness (NSBH) were observed in one patient, suggesting allergic occupational asthma (OA), while the other patient was diagnosed work-exacerbated asthma (WEA). Our data confirm that spray painting is an occupation with increased risk of respiratory impairment and asthma.
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    418 Psychosocial factors in medical students predict higher burnout levels
    (BMJ Publishing Group Ltd, 2018-04)
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    P-464 RESEARCHER MENTAL HEALTH OBSERVATORY (REMO) RECOMMENDATIONS TOWARDS IMPROVEMENT OF RESEARCHER MENTAL HEALTH AND WELL-BEING IN R.N. MACEDONIA
    (Oxford University Press (OUP), 2024-07-01)
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    Jankoski, Darko
    Introduction: Relevant stakeholders, including ICOH, ILO, WHO, as well as EC put in their agenda labor protection, workplace safety culture, and mental health of workers. Researcher Mental Health and Well-being Manifesto strongly focuses on protection and improvement of mental health in researchers. The aim of this presentation is to discuss the opportunities for promotion of mental health within the academic community in R.N. Macedonia through application of recommendations proposed by Researcher Mental Health Observatory (ReMO) COST Action. Methods: We performed a desk analysis using relevant online resources as well as official and personal contacts to evaluate the national context in R.N. Macedonia concerning workplace mental health in researchers. ReMO key guidelines are used to develop actions to improve researcher mental health in R.N. Macedonia. Results: Despite raised awareness in recent years about workplace mental health and well-being, however the knowledge, attitudes, and practices about researcher mental health in R.N. Macedonia is still on a basic level. There is only occasional interest about this issue in policy makers, employers, workers, trade unions, and media. Specific actions with measurable outcomes have to be developed at community, institutional, and policy level. Open dialogue between stakeholders could be beneficial in systematic improvement of mental health of researchers. Strengthening of the Committee for Safety and Health at University level could help in the promotion of occupational safety and health in academia. Conclusion: Occupational health and safety strategy at national level should include mental health and well-being of researchers as an emerging issue.
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    Occupational Asthma: The Knowledge Needs for a Better Management
    (Oxford University Press (OUP), 2022-01-05)
    Rui, Francesca
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    Otelea, Marina Ruxandra
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    Fell, Anne Kristin Møller
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    The management of occupational asthma (OA) may be influenced by several factors and removal from exposure is the main tertiary prevention approach, but it is not always feasible without personal and socioeconomic consequences. Reducing the delay between the onset of suggestive symptoms of OA and the diagnosis of OA is associated with a better prognosis. Workers' education to increase awareness to trigger agents and a medical surveillance program directed especially at at-risk workers could be helpful in reducing this latency time. An early identification of workers who develop rhinitis and conjunctivitis which often precede the onset of asthma symptoms could be important for an early identification of OA. This is particularly important for cases of asthma caused by high-molecular-weight sensitizers and in the early years of employment. The availability of financial support and compensation measures for workers with OA may influence the latency time before diagnosis and, consequently, may influence the OA outcomes. In conclusion, there is a need for high-quality cohort studies that will increase knowledge about risk factor that may influence the timing of diagnosis of OA. This knowledge will be useful for implementation of future surveillance and screening programs in workplaces.