Ljiljana Đorđević, Jovana Džoljić, V. Popovic, Vojislav Stojanović
{"title":"WASTE MANAGEMENT TOWARD ENVIRONMENATAL SUSTAINABLILITY – CASE STUDY SIMPO A.D. SERBIA","authors":"Ljiljana Đorđević, Jovana Džoljić, V. Popovic, Vojislav Stojanović","doi":"10.35120/kij5403375d","DOIUrl":"https://doi.org/10.35120/kij5403375d","url":null,"abstract":"One of the leading problems in the world is related to the amount of waste generated by various humanactivities. Due to the extremely negative impact on the environment and the accompanying negative effects on aglobal and local level, a systematic approach has been taken to cope with this problem. In accordance with theAgenda 2030 and the UN Sustainable Development Goals (SDGs), especially SDG 14, it is necessary tosignificantly reduce waste production by 2030 through various activities of prevention, reduction, recycling andreusing (UN A/RES/ 70/1, 2015).Depending on the population lifestyle and the type of industry in which waste is generated, the amount andcomposition of waste in a certain area are very different, and therefore the way of waste dealing also differs. Thefurniture industry produces significant amounts of waste, of which non-hazardous waste is generally handled inaccordance with the principles of the circular economy, while at the same time, hazardous waste must be adequatelydisposed of by appropriate operators.The paper presents the model of waste management in the furniture factory \"Simpo\" a.d., Vranje, Serbia as anexample of waste management in compliance with legal regulations and with the aim of reducing negative impactson the environment. In the mentioned factory, the largest share in the total waste amount in 2020 and 2021 hashazardous waste, namely waste sludge (69% in 2020 and 81% in 2021). The amount and composition of other typesof produced waste in 2020 and 2021 did not change significantly.The company \"Simpo\" a.d. manages waste in accordance with all legal acts of the Republic of Serbia and wastegenerated during the production process and other activities manages in a responsible and legal manner, so the riskand negative effects on the human health and the environment is reduced to a minimum level.","PeriodicalId":17821,"journal":{"name":"Knowledge International Journal","volume":"18 50","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91547235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"EXTERNAL OPHTHALMOMYIASIS","authors":"Biljana Gjorgieva, Strahil Gazepov, Doruntina Selimi Ademi","doi":"10.35120/kij5404645g","DOIUrl":"https://doi.org/10.35120/kij5404645g","url":null,"abstract":"Ophthalmomyiasis is a zoonotic disease most often caused by the larvae of oestrus ovis (sheep fly). Thefemale O. ovis retains her eggs within her body until they hatch, and then typically deposits her larvae into thenostrils of sheep and goats. Larvae of Oestrus ovis are obligate parasites of the nasal and sinus cavities of sheep andgoats, so this parasite is widespread in countries where the climate is hot and dry and sheep and goats are numerous.Therefore, it usually occurs in shepherds and farmers in rural areas, but it has also been observed in urban areas andin close contact with animals. In addition to oestrus ovis, there are other species that can cause this disease - thehuman bot fly (Dermatobia Hominis), midge (Fannia), house fly (Musca domestica) and cattle (Hypoderma).Ophthalmomyiasis is classified as external if the larvae are present on the lids or conjunctiva, and internal whenthere is intraocular penetration of the larvae, which affects the retina and if left untreated can lead to blindness.Intraocular penetration of larvae, or ophthalmomyiasis interna, is less common worldwide than ophthalmomyiasisexterna. It is known to occur at various anatomical sites including skin, eye, nose, paranasal sinuses, throat,intestine, and urogenital tract Conjunctival myiasis is the most common form of ophthalmomyiasis, and it is arelatively mild, self-limited, and benign disease.An ocular involvement occurs in about < 5% of all the cases ofhuman myiasis.Risk factors include eye infections, eye sores, advanced age, frailty, poor general health. Symptoms are described asforeign body sensation with lacrimation, conjunctival hyperemia and pruritus followed by eye pain. These initialsigns and symptoms of ophthalmomyiasis externa may mimic conjunctivitis. All movements of the larva are clearlyvisible from the side, which greatly facilitates its detection and diagnosis. Ophthalmomyiasis can be treatedefficiently ,if identified in time The treatment is based on the manual extraction of all larvae under local anesthesia,followed by washing or rinsing the eyes and local treatment. Prevention has always been better than cure. Goodpersonal hygiene can avert significant complications caused by ophthalmomyiasis Cases of ophthalmomiasis havebeen reported in countries around the world including Afghanistan, Pakistan, Kuwait, Iraq, Libya, Tunisia, Russia,India, USA, Canada, Croatia Slovenia. In the Republic of North Macedonia in 2022, 4 cases of ophthalmomiasiswere diagnosed and treated at the Shtip Clinical Hospital. It is characteristic that all the patients are men who areengaged in animal husbandry and agriculture and they are from a rural environment. Myiasis should be consideredas an occupational disease in farmers and shepherds.","PeriodicalId":17821,"journal":{"name":"Knowledge International Journal","volume":"2017 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86715923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marija Atanasova Lazareva, A. Ugrinska, E. Janevik-Ivanovska
{"title":"RESEARCH ON THE INFLUENCE OF DIFFERENT TYPES OF ANION-EXCHANGE CARTRIDGES ON THE QUALITY OF [18F]NAF RADIOPHARMACEUTICAL AS PART OF PRODUCTION PROCESS DEVELOPMENT","authors":"Marija Atanasova Lazareva, A. Ugrinska, E. Janevik-Ivanovska","doi":"10.35120/kij5404661a","DOIUrl":"https://doi.org/10.35120/kij5404661a","url":null,"abstract":"[18F]Sodium Fluoride radiopharmaceutical is a sterile solution for intravenous administration, intendedfor skeletal visualization by positron emission tomography (PET). [18F]Sodium Fluoride for bone imaging wasintroduced in early 1960's, but with the increased availability of PET scanners in the last two decades, thisradiopharmaceutical has growing use in clinical practice for the detection of bone metastases. The productionprocess of [18F]NaF includes production of the radioisotope [18F]F- and purification and formulation of the [18F]NaFradiopharmaceutical. The radioisotope [18F]F- is produced by a cyclotron via the 18O(p,n)18F nuclear reaction,followed by recovery of [18F]F- from [18O] proton-irradiated water by adsorption and desorption from anionexchangeresins. The fluoride anions are trapped on the anion-exchange SPE (solid-phase extraction) cartridge, andall other cationic and water-soluble radionuclide impurities present in irradiated enriched water are collected in thewaste vial. Next step is desorption of the fluoride anions from the cartridge by elution with saline solution (0.9%NaCl). This study aimed to define the most appropriate type of anion-exchange SPE cartridge which could be usedfor routine production [18F]Sodium fluoride radiopharmaceutical which meets the quality requirements defined inEuropean pharmacopeia monograph. For that purpose, as part of development of in-house production method,manual productions with four different types of anion-exchange cartridges were performed. The influence of sorbentsubstrate and counter-ion of the cartridge on the final yield and the quality of the produced radiopharmaceutical wasinvestigated. The study also aimed to define the minimum volume of physiological solution required for the pHparameter to be within limits.The results have shown that the quality parameters: appearance, chemical purity, radiochemical purity andradionuclide purity were in defined acceptance criteria and did not differ when using different anion-exchangecartridges. The pH analyses have demonstrated that the type of cartridge and counter-ion influence the final pH of[18F]NaF solution. This study confirmed that the three types of anion-exchange resins (QMA-Cl-, QMA-CO32- andPS-OH-) could be used for production. In the experiments where QMA-Cl- was used, the required pH level wasobtained even without dilution. The other cartridges could be used in the [18F]NaF production process, but furtherdilution is necessary in order to obtain the pH value in acceptance criteria. On the basis of this study, the QMA-Cl- ischosen as a cartridge to be used in the further development of the in-house method for [18F]NaF radiopharmaceuticalproduction.","PeriodicalId":17821,"journal":{"name":"Knowledge International Journal","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86272074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"PROBABILITY DENSITY FUNCTION OF AVERAGE POWER OF REAL SPEECH SIGNALS","authors":"G. Petkovic","doi":"10.35120/kij5403459p","DOIUrl":"https://doi.org/10.35120/kij5403459p","url":null,"abstract":"It is known that many real signals, such as speech signals, are non-stationary processes that express theirfeature through changes in parameters over time. By observing speech in shorter time intervals, the property ofstationarity can be notice. This characteristic enables the application of techniques for adaptation to local signalcharacteristics in signal processing algorithms. Many of these algorithms are described by standards, and in additionto intensive development in this area in last decades, there is a constant need for the development of new solutionsand standards. One of the most used parameters of the speech signal for adaptation is the mean (average) signalpower. The change of speech in time results in a wide dynamic range of average power. In addition to the predicteddynamics of average power, in the design of systems with adaptive techniques it is important to include otherparameters, among which is the Probability Density Function (PDF) of the average power. The goal of the researchpresented in this paper is the analysis of the probability distribution of the average power of speech signals, based onwhich the adaptability in the development of algorithms in digital processing would be improved, which wouldensure higher quality and less requirements in data transmission and storage. In addition to the theoreticalconsideration, the research was conducted on real speech signals of different speakers. In modern technical systems,where Internet technologies are prominent, processing, transmission and memorization of speech is executed frameby frame. Therefore, an analysis of the probability density of the average power for different frame lengths wascarried out in the experiment. In the experimental part, for each of the speech signals of the speech corpus, theProbability Density Function that best describes the average power values per frame was determined. Experimentalresearch results indicate that the function that best describes the average power is different for different speakers. Inaddition, when observing one speaker, the Probability Density Function is different for different frame lengths. Itcan be concluded that when it comes to adaptive techniques in the digital processing of the speech signal, it isimportant to consider the characteristics of the average power, among which is the Probability Density Function ofthe average power","PeriodicalId":17821,"journal":{"name":"Knowledge International Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89675533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sasko Nikolov, Gordana Kamcheva Mihailova, S. Jordanova, Marijan Jovev
{"title":"WELLENS SYNDROME - REPORT OF TWO CASES IN A PATIENT WITH MULTIVESSEL CORONARY ARTERY DISEASE","authors":"Sasko Nikolov, Gordana Kamcheva Mihailova, S. Jordanova, Marijan Jovev","doi":"10.35120/kij5404619n","DOIUrl":"https://doi.org/10.35120/kij5404619n","url":null,"abstract":"Acute coronary syndrome is a leading cause of death and increased morbidity in developed countries.Wellens syndrome as a high-risk of acute coronary syndrome is characterized by changes in the ST-T segment in theprecordial leads, indicating critical stenosis of the left anterior descending artery (LAD). This syndrome belongs tothe subgroup of patients with unstable angina pectoris who have inverted T waves in the anterior precordial leads onthe electrocardiogram (ECG). In our paper, we presented two cases of Wellens syndrome with critical LAD stenosis,performed coronary angiography and LAD stent placement. Wellens' syndrome can be a marker of critical LADstenosis in both its proximal and midsection. Changes can be temporary, last for months or disappear afterrevascularization treatment. Coronary angiography of the patient may also reveal critical stenosis of RCA (80%),LCx (100%), and diagonal-1 (90%). Failure to recognize this syndrome can cause a delay in referring patients forurgent coronary angiography and revascularization therapy that can lead to anterior myocardial infarction,significant left ventricular dysfunction, and even death. About 75% of patients with Wellens syndrome treated withconservative management alone will develop an extensive anterior myocardial infarction within a few days, with anaverage of 8.5 days from the onset of symptoms. This case study concludes that clinicians should be aware of ECGchanges in Wellens syndrome, which may occur during the pain-free period. For the definitive management ofWellens syndrome, the treatment of choice is cardiac catheterization with percutaneous coronary intervention (PCI),to relieve the patient of the symptoms of Wellens syndrome, as well as a number of complications of this acutecondition.","PeriodicalId":17821,"journal":{"name":"Knowledge International Journal","volume":"318 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78742700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"BIBLICAL CONNECTIONS AND INTERPRETATIVE APPROACH TO THE SPACIOUS LIFE OF CYRIL","authors":"Milena Ristova-Mihajlovska, Aleksandra Stoilkova","doi":"10.35120/kij5405823r","DOIUrl":"https://doi.org/10.35120/kij5405823r","url":null,"abstract":"In this scientific work point of interest is the spacious biography of Saint Cyril the Philosopher, biblicalconnections and its interpretation. Firstly we present the biographical data of the Thessalonian brothers, Cyril andMethodius and the periodization of the old literature. Research was conducted before a relevant sample of 102respondents from primary, secondary and higher education, i.e. pupils and students. The sources for the data on theactivity of the Brothers and the beginnings of Slavic literacy are presented in a table.Than emphasis is placed ontheextensive biography of Saint Cyril and in terms of the interpretation biblical elements and allusions, insertedtexts,stories and quotes, factography, art pieces, explicit and implicit attributes of St. Cyril, dialogues, disputes andcontroversies are detected. A study visit to the Bigor Monastery by Macedonian Studies students is also presented.In the end photographs from the interpretation of the biography, taken during the studies, of an innovative approachand creative way of processing medieval works, interesting for the modern reader and researcher are inserted. Wemade multimedial video about texts of Bible, about texts od St. Cyril and St. Clement.","PeriodicalId":17821,"journal":{"name":"Knowledge International Journal","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78515879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"REPORT ON CASE-BASED STUDY OF CULTURE-FORMING ELEMENTS WITHIN SELECTED COMPANY CULTURE","authors":"Štefánia Puzderová","doi":"10.35120/kij5405745p","DOIUrl":"https://doi.org/10.35120/kij5405745p","url":null,"abstract":"This paper is concerned with communication and culture-forming elements within companies. Thepurpose of this paper is to report on the study that was conducted in order to decide whether culture-formingelements of company culture in the Slovak business context have a considerable impact on job satisfaction of theemployees. The most crucial concepts of this paper are the culture-forming elements and the term job satisfaction.The role of language and culture is closely explained in relation to these core concepts. This paper also drawsattention to intercultural communication, company culture, job satisfaction and it maps current situation within thefield emphasising the strong influence of the American tradition of the corporate culture. It examines mutualinfluence of the values on the national and organizational levels. Findings are set forth based on the case-based studyanalysis of company culture enhanced with a data-driven approach. This in-depth analysis of company cultureserves as a sample confirming the interrelationship between the culture-forming elements and job satisfaction and itexplores tendencies and strategies such as taking control of fluctuation and job performance. Besides, a uniquelinking between the language element and other elements such as vision has been recognized. These insightsexemplify strong dependence on the culture-forming elements and job satisfaction. The findings reported in thispaper refer to the differences in the perception of culture-forming elements and it also examines the origin of variouscompany-culture elements comparing trends to American corporate culture. This paper addresses the formation ofcompany culture in terms of knowledge from Communication studies, Cultural studies, Intercultural Communicationand Sociolinguistics and recommends transferring knowledge from these fields into practical applications. Insightshighlighted in this paper can help professionals from Human resources and Communication departments whenforming and re-building attractive company cultures strengthening employee job satisfaction whereby it highlights aneed for interdisciplinary cooperation in order to transfer the knowledge from these scientific fields into practicalapplication and let modern society benefit from the contemporary findings from Humanities. Based on this culturalresearch, this paper does not only offer recommendations for the selected company, but it brings contributions interms of company culture. The outcome of this thesis contributes highly to the best practices shared within businessstudies and provides the east innovation efforts in Slovakia with ways to empower their company cultures and so tomotivate their employees and it is believed that application is not bound only to Slovak business context.","PeriodicalId":17821,"journal":{"name":"Knowledge International Journal","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82711312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"STABILITY ANALYSIS OF THE TECHNOLOGICAL PROCESS OF MECHANICAL WOOD PROCESSING USING CONTROL CHARTS","authors":"Damjan Stanojević, M. Kocić","doi":"10.35120/kij5403493s","DOIUrl":"https://doi.org/10.35120/kij5403493s","url":null,"abstract":"This paper presents a quality control tool, that is, a quality control method, which in this case concernsthe mechanical processing of wood, but in general, it can be implemented in any form of production (mechanicalengineering, traffic, food technology...). The goal of the research is to show the way of applying the control chartmethod, that is, to determine the stability of the technological process of mechanical wood processing in order to beable to define appropriate corrective measures in order to improve that part of the production process. The controlchart that was created in this paper is a graph consisting of a horizontal (abscissa) and a vertical axis (ordinate). Theorder of observations is plotted on the abscissa, and the corresponding values on the ordinate. Apart from theprecise creation of control charts, their correct interpretation is also of great importance. It is easiest to interpretcontrol charts where the process is \"outside statistical control\", that is, the process where the values of individualmeasurements are outside the control limits. This means that some special cause of variation is present in the processand an adjustment needs to be made. However, placing all points within the control limits, that is, obtaining acontrol map on which the process is \"within statistical control\", does not necessarily mean that such a process isacceptable by statisticians. On the basis of the results, that is, on the basis of the graph that has the shape of a brokenline, we observe whether the control limits have been exceeded, and we draw certain conclusions about the stabilityof the process. If the graph is between the control limits, we can conclude that our process is stable and undercontrol, that is, that our quality variation is within normal limits. If there are any jumps, ie. if some value in someobservation is out of bounds (above the upper control limit or below the lower control limit), then we conclude thatour process is not stable, not under control and that our quality variation is not within normal limits. In that case,certain corrective measures were proposed, which should improve the technological process of mechanical woodprocessing and bring it under control.Control charts, as an engineering-mathematical tool, are a very suitable tool for achieving the goals of statisticalcontrol. Optimal application of control charts ensures constant monitoring of the process, direction towards thedesired flow and undertaking of possible corrective measures. Also, their application ensures the fulfillment of thedesigned or required quality characteristics, that is, the fulfillment of the requirements of a certain standard. Withtheir simplicity of application and reliability, they provide users with convenience in work and relevant processindicators, and provide process controllers with valid data about the process flow. As such, they represent a tool thatkeeps the entire process within the given limits.","PeriodicalId":17821,"journal":{"name":"Knowledge International Journal","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90592227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"MEDICO-GEOGRAPHIC ANALYSIS OF HEALTH CARE IN THE MUNICIPALITIES OF ELIN PELIN AND GORNA MALINA, BULGARIA","authors":"Dimitrinka Nenova","doi":"10.35120/kij5405763n","DOIUrl":"https://doi.org/10.35120/kij5405763n","url":null,"abstract":"In the modern world, man has until recently forgotten that health is the most valuable gift he couldpossess. With the development of science and the advancement of technology in recent years, more and moreattention has been paid to the individual, to his personal characteristics, predisposition to certain diseases (hereditaryor not), or addictions. The 2020 COVID-19 pandemic has seriously contributed and reminded man not only to takecare of his health but also to make efforts and help in protecting public health.Today, Bulgaria is witnessing not only the aging of the population but in some cases the almost completedepopulation of more and more settlements. Along with these problems, new ones arise that contribute to thedeterioration of the quality of life of the few remaining inhabitants of the territory. One of them is healthcare, orrather the lack of it. Many residents in different territories do not even have the opportunity for a medicalexamination. In addition, this lack of opportunity is observed in municipalities and settlements only 30 or 40 kmaway from the capital Sofia. Having adequate transport provision and the ability to transport people in emergenciesand with illnesses would make this partly acceptable. However, the reality is different. There are no medicalfacilities, doctors, dentists, or even pharmacies. The claim that the capital is close and the population has access tohealth infrastructure should not tolerate the lack of access to health care.The chosen topic is relevant because it is particularly important to focus public attention on the population andhealth care in the small municipalities and settlements that are close to the capital Sofia, but there are not enoughmedical personnel in them. Another reason for choosing the two municipalities and the connection with health careis their geographical location. Proximity to the capital Sofia is a leading factor for their economic-geographicaldevelopment, but the main interest is focused on their medical-geographical development and on how health care isprovided for the population in the territory.The provision of medical personnel is mandatory for all, not a privilege of certain territories. The problems with thepayment of medical personnel and their implementation in small settlements, which also results in the lack ofdoctors in certain parts of the country, are clearly visible, but they should not determine the lack of health care.","PeriodicalId":17821,"journal":{"name":"Knowledge International Journal","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90940846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"KINESITHERAPY AFTER ARTHROSCOPIC TREATMENT OF FRACTURES IN THE AREA OF THE ELBOW JOINT","authors":"N. Bekir, Steliyana Valeva","doi":"10.35120/kij5404649b","DOIUrl":"https://doi.org/10.35120/kij5404649b","url":null,"abstract":"The elbow joint is a complex intermediate motor unit of the upper limb. Pathological changes in theelbow joint affect the overall function of the upper limb, and this makes it difficult to carry out activities of dailyliving, practice sports, perform physical labor. As a consequence of the various trauma lesions with subsequentimmobilization of the elbow joint, there are numerous functional limitations and problems that interfere with thenormal function of the joint, such as limited range of motion, pain, muscle imbalance, edema, etc. The complexanatomical and biomechanical characteristics of the joint determine the difficulty of functional recovery, which is acomplex and prolonged process, and necessitates the search for more sparing methods of treatment, such asarthroscopy. Arthroscopy originated as a diagnostic procedure, but has subsequently been applied as a therapeuticprocedure to treat a wide range of joint pathologies. Michael Burman in 1932 first reported on elbow jointarthroscopy performed on cadaver models. There are many indications from removal of intra-articular loose bodiesto treatment of elbow osteoarthritis and fractures. Elbow fractures are one of the most difficult upper extremityinjuries to treat and kinesitherapy. Restriction of movement can lead to a significant reduction in working capacitywith serious social and occupational consequences. The duration and successful recovery of the joint depends on thetype of fracture. Studies have shown that arthroscopic treatment versus open surgical interventions favor reducedpostoperative time, as well as faster return to premorbid activity. Targeted kinesitherapy is needed to maximizerapid functional recovery of the elbow joint after arthroscopy. Early complex kinesitherapy after arthroscopictreatment of fractures in the elbow joint determines the maximum possible recovery of upper limb function. It isextremely important to ensure the complete success of the operation, to prevent the likelihood of complications aftersurgery. The ultimate goal of treatment is a functioning, pain-free and stable elbow.","PeriodicalId":17821,"journal":{"name":"Knowledge International Journal","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83767648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}