scholarly journals The Pillars of the Nose-Crura Shortening for Over Projected Nose

2019 ◽  
Vol 7 (23) ◽  
pp. 4036-4042
Author(s):  
Gabriela Kopacheva-Barsova ◽  
Marina Davcheva-Chakar ◽  
Nikola Nikolovski ◽  
Marjan Marolov ◽  
Vesna Petreska-Dukovska

BACKGROUND: The over projected nose, commonly referred to as the "Pinocchio" nose is a significant challenge to the rhinoplasty surgeon. Firstly, we speak about a very large nose, and secondly, we speak about the correction of nasal cartilages (alar and triangular). Surgical correction of the over projected nose is the most difficult and least predictable component of rhinoplasty surgery. AIM: By performing rhinoseptoplasty we aimed to achieve an ideal landmarks position according to concepts of nasal projection as well as by making preoperative analyses to determine the ideal position for the nasal tip after having understood and defined the ideal position for the nasion. METHODS: We performed a retrospective study of patients who were admitted to ENT University Clinic, University Campus “St. Mother Theresa” Skopje, the Republic of Macedonia in the period 2011-2019. A total of 70 patients were enrolled in the study; 46 women (33%) and 24 men (33%). Operative technique rhinoseptoplasty was realised in 70 patients. All of the 70 (100%) patients underwent preoperative and postoperative evaluation during this period regularly to record the effects of various approaches on nasal projection, rotation, need for revision, and patient satisfaction. RESULTS: All patients used one or more of the preferred methods to treat over projection. Patients who had undergone 2 previous rhino/septoplasty procedures were excluded from the study, and hence, a total of 70 patients were evaluated. Full-transfixion incisions were made in all patients. From 2011 to 2019, in 72 cases, 1 or more of the preferred methods were used to treat over projection. CONCLUSION: The crural anatomy of the nasal tip relates to the size and shape of the lower lateral cartilages (LLC) and their relationship with the caudal septum and upper lateral cartilages (ULC). Modification of nasal tip rotation and projection should attempt to preserve or reconstruct major tip mechanisms.

2013 ◽  
Vol 4 (2) ◽  
Author(s):  
Igor Tomovski ◽  
Aleksandra Kanevče ◽  
Ljubčo Kocarev

Global trends in the energy sector are focused towards extensive inclusion of renewable sources in the energy production. Solar energy has proven to be a valuable candidate, especially for direct conversion into electricity. Its wider use has, so far, among other, been constrained by the technological limitations, resulting in higher production costs compared to those from conventional non-renewable sources, primarily coal. In that sense, the efforts of the scientific community have for long been directed towards development of both efficient and inexpensive solutions. However, the major boost in the electricity production from photovoltaics (PV) came from the legislative measures, primarily the introduction of feed-in tariffs. Following the global trends, a significant increase in PV inclusion in the electricity production was made in the Republic of Macedonia. In the article we give a brief review of the achieved progress.


2014 ◽  
Vol 37 (2) ◽  
pp. 135-140 ◽  
Author(s):  
Branko Angjelovski ◽  
Aleksandar Cvetkovikj ◽  
Slavcho Mrenoshki ◽  
Ivica Gjurovski ◽  
Toni Dejanoski ◽  
...  

AbstractThe objectives of the present study were to determine the production performances of sows on commercial pig farms in the Republic of Macedonia, to compare the differences in sow productivity data between small and large farms and to examine interrelationships of key production parameters among farms with different sizes. The study was retrospectively based and included the annual (2012) analyses of the sow productivity data in small (<200 sows, n=4) and large (200-1000 sows, n=5) commercial pig farms. The data was statistically evaluated and compared with the known literature. Sows productivity was greater on the small farms compared to the large ones. The small farms had larger litter per sow (PBL), more pigs born alive (PBA), higher weaning weight (WW) and more pigs weaned per sow per litter (PWSL) than the large ones (p<0.001). Small farms also had greater farrowing rate (FR) (p<0.01). Higher replacement rate (RR), lower average parity (AP), greater number of litters per sow per year (LSY) and higher sow death rate (SDR) were observed in large farms (p<0.001). The large farms also had less non-productive days (NPD) than the small farms (p<0.001). Different intensity of correlations also were observed for several productive parameters among the farm groups. The data obtained in this study show that sow productivity on Macedonian pig farms is lower than in EU countries. Small herds are more efficient than the large herds. Despite all limitations, our study provides information for veterinarians regarding reproductive parameters of sows and their interrelationships on Macedonian pig farms. Further investigation should be made in order to identify whether specific management factors have effect on the productivity of the breeding herd.


Author(s):  
Natasha Bogoevska ◽  
Vladimir Ilievski ◽  
Suncica Dimitrijoska

In the last fifteen years, the Republic of Macedonia conducts thorough reforms in the system of justice for children. Since 2003, intensive efforts have been made in the process of establishment of a legal and institutional framework for protection of children at risk and children in conflict with the law. In this regards, the legislative changes were made in accordance with the Convention on the Rights of the Child and other international standards and principles. The new system is based on three elements (criminal law, civil law, and system of services and protection). The goal is not only to introduce certain principles for the development of justice for children, but to perform constant holistic re-evaluation of the programs for children at risk and children perpetrators of criminal acts.The focus is put on strengthening the relevant institutions as independent administrative units with a multidisciplinary approach in encountering with the complex problem of juvenile delinquency. In that term, precise procedures are instituted, with clearly divided roles of the actors, demanding specialization of the professionals involved in child treatment. Yet, the implementation of the legal framework faces certain obstacles as a result of lack of political will, structural and systematic reasons. The basic goals and principles such as restorative justice, mediation, alternative measures and procedural rights are still non-achieved. The execution of sanctions remains to be most serious problems within the system of child justice. In this context, there are poor infrastructural capacities, insufficient human resources as well as absence of employed effective methods and techniques in the treatment of children.


2013 ◽  
Vol 15 (6) ◽  
pp. 417-421 ◽  
Author(s):  
Ji Yun Choi ◽  
Jun Hee Park ◽  
Hedyeh Javidnia ◽  
Jonathan M. Sykes

1916 ◽  
Vol 10 (4) ◽  
pp. 177-189 ◽  
Author(s):  
A. S. Ferguson

The ideal city of Plato could only come true if three great and unlikely changes were made in the state. Neither Plato's contemporaries nor later generations have been able to breast the second of these ‘waves,’ which brings in a new order of marriage for guardians. The scheme is condemned as not only not good or possible—the Platonic tests—but as inconsistent with itself and with the account given in the Timaeus. The parts under censure are the so-called table of prohibited affinities and the sanction of infanticide. It would be strange to find discrepancies in a proposal so important for Plato's state that details cannot well be left to some Damon, and I hope to show that difficulties arise only when critics do not place themselves exactly at Plato's point of view. He conceived a certain problem with sharp outlines, and his answer is precisely adapted to that. The first wave left the guardians as a family of men and women living in common. How was it possible to preserve this communal life and provide for the future of the guardian class? If the rulers failed to choose aright here, an oracle foretold the decay of the city (415b-c). Therefore Plato's rigid preoccupation in the second wave is to secure for the archons entire control over the birth of guardian children. Otherwise the community will sink into mere promiscuity and the stock will degenerate. In short, Plato tries to ensure that, apart from the necessary getting of children for the state, the guardians shall be friends and not lovers. Our special problems arise from the two questions—πως παδοποιήσονtαι, καì γεκομÉνους πως θρÉψουσι; (449c). Let us begin with the first of these.


Author(s):  
Zorica Saltirovska Professor ◽  
Sunchica Dimitrijoska Professor

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.


2018 ◽  
Vol 28 (6) ◽  
pp. 1993-2005
Author(s):  
Shemsije Demiri ◽  
Rudina Kaja

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.


2018 ◽  
Vol 28 (6) ◽  
pp. 1919-1923
Author(s):  
Tatijana Ashtalkoska-Baloska ◽  
Aleksandra Srbinovska-Doncevsk

A number of abuses of power and position, daily committed for acquisition of unlawful profit, beyond of permitted and envisaged legal jobs, starting from the lowest level, to the so-called, daily corruption, which most often is related to existential needs and it acts harmless, not even grow into another form, to one that uses such profits as the main motive for generating huge illegal gains for a longer period of time, by exploiting and abusing high social position, corruption in public sector, but today already in private sector too, are part of corruption in the broadest sense, embracing all its forms, those who do not enter in zone of punishment and those who means committing of serious crime. It has many forms, but due to focusing on a particular problem, as a better way to contribute a solution, this paper will focus on the analysis of corruption in the public administration in the Republic of Macedonia, and finding measures for its prevention and reduction, which we hope will give a modest contribution to its real legal protection, not only in declarative efforts in some new strategy for its prevention and suppression.


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