Tudjarova gjorgova, Smilja
Preferred name
Tudjarova gjorgova, Smilja
Official Name
Tudjarova gjorgova, Smilja
Translated Name
Туџарова Ѓоргова, Смиља
Alternative Name
Tudzarova Gjorgova, Smilja
Smilja Tudzarova Gjorgova
S Tudzarova Gjorgova
С Туџарова Ѓоргова
Tudzarova, Smilja
Smilja Tudzarova
S Tudzarova
Smilja Tudjarova Gjorgova
S Tudjarova Gjorgova
Туџарова Ѓоргова, Смиља
Смиља Туџарова Ѓоргова
Gjorgova Tudjarova, Smilja
Gjorgova Tudzarova, Smilja
Main Affiliation
Email
smilja.tudzarova@medf.ukim.edu.mk
16 results
Now showing 1 - 10 of 16
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Item type:Publication, Влијанието на ХБО терапијата врз брзината на заздравувањето на раните кај пациенти со дијабетично стапало(Институти-Медицински факултет,Скопје, 2012); ; Здравковска МилкаХипербарната оксигенотерапија претставува адјувантен третман кој се користи во лекувањето на голем број заболувања. Особено добри резултати, со скратување на времето на заздравување на раните, се постигнува по третманот со ХБО кај пациенти со дијабетични улцерации. Нашето двегодишно искуство покажа редуцирање на потребата од хируршки интервенции, како и намалување на процентот на ампутации на екстремитетите. Целта на трудот беше да се процени ефектот на кислородот под притисок врз степенот на епителизација на улцерацијата, како и влијанието на нивото на гликозата во крвта и крвниот притисок врз зараснувањето на раните кај пациенти со дијабет. Основната група испитаници се состоеше од две групи: Група А ја сочинуваа 36 пациенти на возраст од 25-70 години, со основно заболување дијабет и лезии на екстремитетите со дијаметар поголем од 2 цм, кои беа лекувани со ХБО и преврска. Група Б ја сочинуваа 10 пациенти кои имаа основна болест дијабет со дијабетични лезии на екстремитетите со дијаметар поголем од 2 цм. Пациентите беа хируршки лекувани, како и со третман со ХБО и со преврска. Контролната група испитаници (Група В) ја сочинуваа 30 пациенти со основно заболување дијабет и со почетни кожни црвенила со дијаметар до 1 цм. Тие беа амбулантски третирани само со преврска. Кај сите испитаници беа направени следните анализи пред третманот: рдг на белите дробови, ЕКГ, гасни анализи пред и по секоја терапија. Беше мерено нивото на гликоза во крвта и систолниот и дијастолниот крвен притисок. Добиените резултати покажаа дека кај 75% од пациентите со ХБОТ настапи комплетна епителизација, се намали нивото на гликоза во крвта по третманот. ХБОТ предизвика сигнификантно покачување на систолниот и дијастолниот крвен притисок во случаи каде базалниот притисок не беше добро регулиран и изнесуваше над 150/90. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Molecular Biology and Genetic Mechanisms in the Progression of Malignant Skin Melanoma(Macedonian Academy of Sciences and Arts / Sciendo, 2016-11); ; ; Malignant skin melanoma is a tumor deriving from transformed skin melanocytes as a result of complex interactions between genetic and environmental factors. This melanoma has a potential to metastasize early and very often it is resistant to the existing modalities of the systemic therapy. As in any other neoplasms, certain types of melanoma may skip certain stages of progression. The progression from one stage to another is accompanied by specific biological changes. Several key changes in the melanoma tumorogenesis influence the regulation of the cell proliferation and vitality, including the RAS-RAF-ERK, PI3K-AKT, and p16INK4/CDK4/RB pathways. A key role in the dissreguarity of the RAS-RAF-ERK (MAPK) pathway in the malignant melanoma development have been demonstrated by many studies. To date, the molecular genetic alterations during melanoma development have been partially known. In the pathogenesis of the malignant melanoma, there are mutations of various genes such as NRAS, BRAF, and PTEN and mutations and deletions of CDKN2A. In the past years, great advance has been made in the insights of the molecular aspects of the melanoma pathogenesis. However, this field yet poses a challenge to discover new details about the melanoma molecular characteristics. The research results are focused towards the improvement of the melanoma patients prognosis by introducing personalized targeted therapy. - Some of the metrics are blocked by yourconsent settings
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Item type:Publication, Surgical treatment of scalp skin cancer with endocranial invasion(Macedonian Association of Orthopedics and Traumatology, 2016); ; ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, WALANT as an Optimal Approach in Hand Surgery during Pandemics(Charles University in Prague, Karolinum Press, 2022-01) ;Georgieva, Gordana ;Srbov, Blagoja; ;Tusheva, SofijaJovanovska, KaterinaThe emergence of the COVID-19 pandemic imposed fundamental changes in the field of surgery. Reorganization was made in order to adequately treat the patients during the pandemic. WALANT (Wide Awake Local Anesthesia No Tourniquet) approach was found to be a very convenient method in facilitating continuity in hand surgery with limited staff. A retrospective comparative study was performed between period of April 2020 till September 2021 at our clinic to evaluate advantages of WALANT approach. This study included 136 patients, from which 72 (53%) were operated with WALANT, compared to the control group of 64 (47%) patients without WALANT. Average hospital stay for the WALANT group was 2.2 days vs. 4.7 days for the control group. Average operating room personnel were 3.8 for WALANT and 6.2 for the control non-WALANT group. Intraoperative and postoperative VAS (visual analogue scale) score was evaluated. Due to its diversity, low cost and low complication rate, we recommend WALANT approach in acute and elective hand surgery. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, ESPRAS Survey on Continuing Education in Plastic, Reconstructive and Aesthetic Surgery in Europe(Georg Thieme Verlag KG, 2022-08) ;Moellhoff, Nicholas ;Arnez, Tine ;Athanasopoulos, Elias ;Costa, HoracioDe Santis, GiorgioBackground Specialty training in plastic, reconstructive and aesthetic surgery is a prerequisite for safe and effective provision of care. The aim of this study was to assess and portray similarities and differences in the continuing education and specialization in plastic surgery in Europe. Material and Methods A detailed questionnaire was designed and distributed utilizing an online survey administration software. Questions addressed core items regarding continuing education and specialization in plastic surgery in Europe. Participants were addressed directly via the European Leadership Forum (ELF) of the European Society of Plastic, Reconstructive and Aesthetic Surgery (ESPRAS). All participants had detailed knowledge of the organization and management of plastic surgical training in their respective country. Results The survey was completed by 29 participants from 23 European countries. During specialization, plastic surgeons in Europe are trained in advanced tissue transfer and repair and aesthetic principles in all parts of the human body and within several subspecialties. Moreover, rotations in intensive as well as emergency care are compulsory in most European countries. Board certification is only provided for surgeons who have had multiple years of training regulated by a national board, who provide evidence of individually performed operative procedures in several anatomical regions and subspecialties, and who pass a final oral and/or written examination. Conclusion Board certified plastic surgeons meet the highest degree of qualification, are trained in all parts of the body and in the management of complications. The standard of continuing education and qualification of European plastic surgeons is high, providing an excellent level of plastic surgical care throughout Europe. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Treatment of Decubitis Ulcer Stage IV in the Patient with Polytrauma and Vertical Share Pelvic Fracture, Diagnosed Entherocollitis and Deep Wound Infection with Clostridium Difficile with Combined Negative Pressure Wound Therapy (NPWT) and Faecal Management System: Case Report(Scientific Foundation SPIROSKI, 2017-06-15); ;Merdzanovski, Igor; ; The aim of this paper was to present a case with the successful treatment of decubitis ulcer stage IV in the patient with polytrauma and vertical share pelvic fracture and diagnosed entherocollitis combined with deep wound infection with Clostridium difficile treated with combined Negative Pressure Wound Therapy (NPWT) and faecal management system. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Transgender Breast Surgery(International Society of Aesthetic Plastic Surgery, 2023); ;Jovanovski, Tomislav; Gjorgova, Gloria - Some of the metrics are blocked by yourconsent settings
Item type:Publication, ЗГРИЖУВАЊЕ НА ДЕФЕКТИТЕ НАСТАНАТИ ПО ЕКСЦИЗИЈА НА SINUS PILONIDALIS ВО САКРО-КОКЦИГЕАЛНАТА РЕГИЈА(Македонско лекарско друштво = Macedonian medical association, 2012); ; ; ; Introduction. The pilonidal cyst is still an actual surgical problem due to the frequency of its appearance and high risk of post-operative recurrence. Radical excision and treatment of the defect is classic surgical technique when dealing with this clinical identity. Having in mind the frequency of post-operative recurrences, many surgical methods to treat the tissue defect have been developed. The tendency is to avoid the straight line in the inter-gluteal crease. The objective of our study is to evaluate the different available operative techniques that are used when treating this disease. Methods. This is a retrospective-prospective study that includes all 671 patients treated in a period of 10 years with various techniques employed. The techniques are analyzed and compared regarding their complications with a special attention paid to the recurrence and the rate of the disease. Results. Recurrences are seen after 6-12 months of follow up. There are 22 eases of recurrences (3,28%). Most of them, or 72% of the total number, are seen in the patients that were operated with the method of direct suture of the postexcisional defect (2,88%). In the open method, no recurrences are presented. In the other 93 cases where other techniques were utilized, there are only 2 recurrences (2.07%). Conclusions. There are no recurrences in cases of opened wound healing, but hospital stay is the longest one. Com-paring other methods. there is a smaller recurrence risk with this technique. and although patient and surgeon de-pended. it has insignificant differences concerning the risk of postoperative complications. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, OPEN FASCIOTOMY AND PARTIAL FASCIECTOMY AS A CHOICE OF TREATMENT FOR DUPUYTREN'S CONTRACTURE(Македонско друштво на ортопедите и трауматолозите (МАДОТ), 2016-12); ;A. Gjorgjeska ;V. GinoskiDupuytren's contracture is a benign fibroproliferative disease that affects the palmar and digital fascia of the hand. The condition results in slow and progressive thickening and shortening of the fascia that leads to debilitating flexion contractures. Surgery maintains an important role in the management of the disease. The simplest surgical treatment is open fasciotomy while partial fasciectomy is the most commonly performed procedure for Dupuytran's contracture. It is the preferred method for the treatment of Dupuytran's disease at the University clinic for plastic and reconstructive surgery in Skopje, as well. 150 patients with Dupuytren's disease were treated at the University clinic for plastic and reconstructive surgery in Skopje. The patients were categorized into stages I,II,III and IV as per the severity of the disease. All of them underwent partial fasciectomy and/or open fasciotomy. Open fasciotomy was performed as a single procedure as well as a part of a combined treatment together with partial fasciectomy. The triad of postoperative hematoma, infection and skin loss occured in 3% of the cases. Division of a digital nerve or arteryoccured in less that 1% of the cases. Recurrence is more likely to occur in young patients with strong Dupuytren's diathesis. More than 90% of the patients included in this study had a 100% correction of motion. Surgery for Dupuytren's contracture can give good results. Correct surgical technique and meticulous post-operative care is needed to achieve higher rates of correction.
