scholarly journals The Ilioinguinal Approach versus the Anterior Intrapelvic Approach to the Acetabulum: A Review

2013 ◽  
Vol 1 (1) ◽  
pp. 140-147
Author(s):  
Ilir Hasani ◽  
Igor Kaftandziev ◽  
Simon Trpeski ◽  
Ljupco Nikolov ◽  
Alek Saveski ◽  
...  
Keyword(s):  
Complication Rate ◽  
Day Surgery ◽  
Acetabular Fractures ◽  
Review Of Literature ◽  
Ilioinguinal Approach ◽  
Advantages And Disadvantages ◽  
Republic Of Macedonia ◽  
Significant Difference ◽  
Golden Standard ◽  
The Republic

The ilioinguinal approach (IIA) to the acetabulum has been used as a golden standard for fifty years to treat “anterior” acetabular fractures. Since its introduction by Hirvensalo and Cole, the anterior intrapelvic approach (AIPA) has been adopted by some surgeons, whilst others remain devoted to the IIA. IIA is routinely used in the Republic of Macedonia. The aim of this study is to present a review of literature for two different anterior approaches for the treatment of acetabular fractures used in modern day surgery, focussing on AIPA and its priorities and comparing it to IIA.We performed a search, mainly electronically, and retrospective analysis of existing literature. We have identified and selected two representative and well-systematized papers for IIA, and six for AIPA. We presented the advantages and disadvantages, priorities and weaknesses of both approaches separately, comparing complications, risks and results. Based on the facts presented regarding the advantages of AIPA with a focus on visualization, accessibility and biomechanical justification, the approach should be implemented in our everyday practice and we are comfortable in stating this preference, especially due to the fact that upon comparison of the complication rate there is no significant difference between the two approaches.

scholarly journals Prosthodontics Status and Treatment Needs among the Elderly in the Republic of Macedonia

2018 ◽  
Vol 6 (5) ◽  
pp. 874-878
Author(s):  
Julijana Nikolovska ◽  
Vesna Korunoska-Stevkovska ◽  
Aneta Mijoska ◽  
Lidija Popovska
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Oral Health ◽  
Urban Areas ◽  
Dental Treatment ◽  
The Elderly ◽  
Treatment Needs ◽  
Republic Of Macedonia ◽  
Significant Difference ◽  
The Republic

BACKGROUND: Oral health care management among the elderly differs from the rest of the population, due to some specific physiological changes and general health status related to age. We know very little about the oral health in elderly in the Republic of Macedonia, because there are only a few articles published about dental health status and edentulism of this population.AIM: The study aimed to evaluate the prosthodontic status of older adults over 65 years in the Republic of Macedonia, about their socio-economic status and individual factors.MATERIAL AND METHODS: A cross-sectional study was conducted in 8 regions, in rural and urban areas of Macedonia and a representative sample of 432 people (age > 65 years) was examined. Statistical analyses of the data were made by chi-square tests and the corresponding C-coefficient.RESULTS: Only 6% of all participants had not any prosthetic appliance, 9.5% had more than one bridge, 28.7% of examinees had partial dentures, both bridge(s) and partial denture(s) had 10.7% participants, and 45.1% of examinees were toothless. There was a significant difference between patients who visited the dentist more than once a year and those who did not (c2 = 14.2; df = 4, p < 0.01). From all of the participants, 40.3% used public dental care organisations.CONCLUSIONS: We found a high prevalence of edentulousness among older adults over 65 years in Macedonia. The study confirmed the necessity for establishing healthcare educational programs for the dental treatment of elderly in Macedonia.

scholarly journals Characteristics of Five Turkish Rice Cultivars (Oryza sativa L.) Grown under the Environmental Conditions of the Republic of Macedonia

2017 ◽  
Vol 18 (1) ◽  
pp. 17
Author(s):  
Dobre Andov ◽  
Danica Andreevska ◽  
Emilija Simeonovska ◽  
Trajche Dimitrovski
Keyword(s):  
Environmental Conditions ◽  
Oryza Sativa L ◽  
Block Design ◽  
Rice Cultivars ◽  
Republic Of Macedonia ◽  
Significant Difference ◽  
Randomized Complete Block Design ◽  
The Republic ◽  
Set Up ◽  
Standard Cultivar

The Turkish rice cultivars 'Kiziltan', 'Gala', 'Halilbey', 'Gönen' and 'Paşali' were evaluated under typical environmental conditions and production technology of the Kochani rice producing region in the Republic of Macedonia and compared to the standard cultivar 'San Andrea'. The field trial was set up during 2013 and 2014 in randomized complete block design in 3 replications. The Turkish rice cultivars showed shorter period from seeding to flowering compared to the standard. Significantly lower plant height and panicle length in the Turkish cultivars was determined, based on 30 plants per cultivar. 'Paşali' cultivar produced the highest average number of productive tillers (586.67 m-2), while 'Gönen' the lowest (448.50 m-2), based on 3 samples. The Turkish rice cultivars achieved higher average paddy rice yield (based on 3 samples per cultivar), with significant difference between means only for 'Paşali', where the highest value was obtained (9591.78 kg ha-1). The Turkish rice cultivars generally showed better results than the standard and as such are potentially suitable for cultivation in the Republic of Macedonia.

scholarly journals COMPARATIVE ANALYSIS OF ONLINE LOANS IN THE REPUBLIC OF MACEDONIA

2018 ◽  
Vol 28 (5) ◽  
pp. 1593-1596
Author(s):  
Marina Blazhekovikj Toshevski
Keyword(s):  
Comparative Analysis ◽  
Financial Institutions ◽  
Short Term ◽  
Good Practices ◽  
Advantages And Disadvantages ◽  
Republic Of Macedonia ◽  
The Republic

When the customer can not realize the goals from his own resources, then he starts using other sources of funding even though the conditions for their use are less favorable.In this paper, will be made an analysis of online (fast) loans in the Republic of Macedonia. Below are the conditions that they offer, their characteristics, advantages and disadvantages as well as their concern for the users. Also, will be made a comparative analysis between certain online (fast) loans offered in the Republic of Macedonia. These are non-bank financial institutions that provide customers quick and easy solutions in case of short-term financing. These are companies oriented towards users who actively work to fulfill the established good practices in relations with them and impose their fast performance as a market norm.

scholarly journals Comparative analysis of materiovigilance systems of Macedonia, USА, EU, Japan and China and their role in public health

2019 ◽  
Vol 11 (1) ◽  
pp. 20-30
Author(s):  
Vlatko Kokolanski ◽  
Suzana Trajkovikj -Jolevska ◽  
Rozalinda Isjanovska ◽  
Kiro Ivanovski ◽  
Katarina Dirjanska
Keyword(s):  
Public Health ◽  
Medical Device ◽  
Legal Framework ◽  
Shared Responsibility ◽  
Regulation System ◽  
Legal Norms ◽  
Advantages And Disadvantages ◽  
Republic Of Macedonia ◽  
The Republic ◽  
Japan And China

Materiovigilance is a system applied for the purpose of detecting, gathering, monitoring, assessing and responding to new data on safety of medicinal products and related to the use of medical device related to possible incidents during use. The aim of this paper was to show the characteristics of the system of materiovigilance in the Republic of Macedonia compared to four other jurisdictions (US, EU, Japan and China), the recognition of the advantages and disadvantages of the systems and their impact on public health. Material and methods: For the realization of the aim of the study, we conducted an analysis of data published on the web pages of regulatory authorities related to the existing legal framework and review of the literature available on the network for scientists and researchers ResearchGate. General dialectical method as well as legal methods (dogmatic and normative method) were used in this study in order to determine the content, the meaning and the importance of the legal norms which regulate the system of materiovigilance. Results: The five systems of materiovigilance have several features that include monitoring of adverse events caused by medical device that have been granted a marketing authorization. Globally, these systems provide different, shared responsibility of all stakeholders. Thus, the scope of responsibilities of producers is significantly higher in Japan and China, opposed to the EU and Macedonia, where the responsibility is passed on to distributors, health professionals and other for-profit entities. United States is in the middle between these two extreme systems of materiovigilance, where the FDA has the responsibility to protect the public health forecasting responsibilities to the industry. Conclusion: There are significant variations in the regulation system of materiovigilance in the Republic of Macedonia and the analyzed legal systems. To date, there is no empirical evidence that one system is better than another, but it is indisputable that each system has its advantages and disadvantages regarding the protection of public health. Within the analyzed systems of materiovigilance three best practices can be seen that contribute to the improvement of public health: transparency, repeating the examination of medical device and central versus local control. 

scholarly journals Frequency of Electrocardiographic Changes in Trained Athletes in the Republic of Macedonia

2017 ◽  
Vol 5 (6) ◽  
pp. 708-713
Author(s):  
Ivanka Karagjozova ◽  
Suncica Petrovska ◽  
Slobodan Nikolic ◽  
Vesela Maleska-Ivanovska ◽  
Ljubica Georgievska-Ismail
Keyword(s):  
Screening Program ◽  
Cost Benefit ◽  
Ecg Changes ◽  
Sports Activity ◽  
Republic Of Macedonia ◽  
Significant Difference ◽  
Study Population ◽  
Electrocardiographic Changes ◽  
The Republic ◽  
The Cost

BACKGROUND: The use of a 12-lead electrocardiogram (ECG) in the screening of young athletes still has some controversies regarding the cost-benefit of the procedure.AIM: We wanted to identify types and frequency of ECG changes in athletes in the Republic of Macedonia as well as its relation to age, gender, duration, frequency and type of sports.METHODS: The study population included 256 trained amateur athletes who were prospectively examined.RESULTS: The 12-lead ECG patterns were considered normal in 19.9% of athletes, with common training-related changes found in 48.8%, while abnormal and borderline ECG changes were present in 6.6% and 24.6% of athletes respectively. ECG changes were more frequent in males than in females without significant difference regarding the age of athletes. There was a significant correlation between more pronounced ECG changes and longer duration of sports engagement, higher duration of sports activity and type of sport practised.CONCLUSION: The prevalence of abnormal ECG patterns in athletes in RM which could indicate structural cardiac disease and greater risk of sudden cardiac death exist in a proportion that should implicate mandatory 12-lead ECG in the pre-participation screening program and further on the regular annual basis.

scholarly journals High Incidence of Congenital Hypothyroidism in One Region of the Republic of Macedonia

2014 ◽  
Vol 17 (1) ◽  
pp. 31-35 ◽  
Author(s):  
V. Anastasovska ◽  
Koviloska R. ◽  
Kocova M.
Keyword(s):  
Congenital Hypothyroidism ◽  
Screening Program ◽  
Thyroid Stimulating Hormone ◽  
Republic Of Macedonia ◽  
Thyroid Screening ◽  
Significant Difference ◽  
High Incidence ◽  
Screening Coverage ◽  
The Republic ◽  
Neonatal Thyroid Screening

Abstract Congenital hypothyroidism (CH) is the most common preventable cause of mental retardation in children. Diagnosis is difficult at birth without neonatal screening. Neonatal thyroid screening was established in Prilep, Republic of Macedonia as an integral part of the nationwide screening program. To estimate the prevalence of CH in this region, neonatal thyroid screening was performed on 9757 newborns, during the period 2002-2011. The DELFIA method was applied to measure the thyroid-stimulating hormone (TSH) concentration in dried blood spot samples on standard filter paper taken 48 hours after birth by heel-stick. The TSH cut-off level was 10 mU/L. The neonatal thyroid screening coverage was 93.4%. Eight newborns with CH were detected, with an incidence of 1:1220 live births, significantly higher compared to the nationwide results 1:2602. The TSH level was not significantly dependent on the gender of the newborn. There was a statistically significant difference between the TSH level and the timing of newborn screening sampling (p <0.05) and between the TSH level and the newborn birth weight (p = 0.01). One point ninety-two percent of newborns with TSH levels above 5 mU/L indicated an iodine sufficiency in Prilep. The incidence of CH in Prilep, which is higher when compared with that reported in surrounding countries, might be a consequence of the higher percentage of the Romany population in this region. Further analysis of this population in other regions is warranted.

Legal and Institutional Functionality in the Protection of Women – Victims of Domestic Violence in the Republic of Macedonia – Present Situation and Future Perspectives

2017 ◽  
Vol 10 (2) ◽  
pp. 131
Author(s):  
Zorica Saltirovska Professor ◽  
Sunchica Dimitrijoska Professor
Keyword(s):  
Domestic Violence ◽  
Women Victims ◽  
Violence Against Women ◽  
Social Protection ◽  
National Level ◽  
Gender Based Violence ◽  
Republic Of Macedonia ◽  
The Law ◽  
The Republic ◽  
Gender Based

Gender-based violence is a form of discrimination that prevents women from enjoying the rights and liberties on an equal level with men. Inevitably, domestic violence shows the same trend of victimizing women to such a degree that the term “domestic violence” is increasingly becoming synonymous with “violence against women”. The Istanbul Convention defines domestic violence as "gender-based violence against women", or in other words "violence that is directed against a woman because she is a woman or that affects women disproportionately." The situation is similar in the Republic of Macedonia, where women are predominantly victims of domestic violence. However, the Macedonian legal framework does not define domestic violence as gender-based violence, and thus it does not define it as a specific form of discrimination against women. The national legislation stipulates that victims are to be protected in both a criminal and a civil procedure, and the Law on Prevention and Protection from Domestic Violence determines the actions of the institutions and civil organizations in the prevention of domestic violence and the protection of victims. The system for protection of victims of domestic violence closely supports the Law on Social Protection and the Law on Free Legal Aid, both of which include provisions on additional assistance for women victims of domestic violence. However, the existing legislation has multiple deficiencies and does not allow for a greater efficacy in implementing the prescribed measures for the protection of victims of domestic violence. For this reason, as well as due to the inconsistent implementation of legal solutions of this particular issue, the civil sector is constantly expressing their concern about the increasingly wider spread of domestic violence against women and about the protection capabilities at their disposal. The lack of recognition of all forms of gender-based violence, the trivial number of criminal sentences against persons who perform acts of domestic violence, the insufficient support offered to victims – including victim shelters, legal assistance, and counseling, and the lack of systematic databases on domestic violence cases on a national level, are a mere few of the many issues clearly pointing to the inevitable conclusion that the protection of women-victims of domestic violence is inadequate. Hence, the functionality and efficiency of both the existing legislation and the institutions in charge of protection and support of women – victims of domestic violence is being questioned, which is also the subject for analysis in this paper.

OWNERSHIP IN THE REPUBLIC OF MACEDONIA AND THE STATE AS THE HOLDER OF THE PROPERTY RIGHT UNDER THE CONSTITUTION IN 1991

2018 ◽  
Vol 28 (6) ◽  
pp. 1993-2005
Author(s):  
Shemsije Demiri ◽  
Rudina Kaja
Keyword(s):  
Legal Aspect ◽  
State Ownership ◽  
The State ◽  
Point Of View ◽  
State Function ◽  
Dominant Form ◽  
Republic Of Macedonia ◽  
General Terms ◽  
Starting Point ◽  
The Republic

This paper deals with the right to property in general terms from its source in Roman law, which is the starting point for all subsequent legal systems. As a result of this, the acquisition of property rights is handled from the historical point of view, with the inclusion of various local and international literature and studies, as well as the legal aspect devoted to the respective civil codes of the states cited in the paper.Due to such socio-economic developments, state ownership and its ownership function have changed. The state function as owner of property also changed in Macedonia's property law.The new constitutional sequence of the Republic of Macedonia since 1991 became privately owned as a dominant form of ownership, however, state ownership also exists.This process of transforming social property into state or private (dissolves), in Macedonia starts from Yugoslavia through privatization, return and denationalization measures, on which basis laws on privatization have been adopted. Because of this, there will be particularly intensive negotiations regaring the remaining state assets.

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