34 research outputs found
Studimi për rininë Kosovë 2024
No full textautorë Butrint Berisha, Gresa Statovici, Mimoza Telaku, Egzon Osmana
Studija o mladima Kosovo 2024
No full textizmenil: Butrint Berisha, Gresa Statovici, Mimoza Telaku and Egzon Osmana
Youth study Kosovo 2024
No full textedited by Butrint Berisha, Gresa Statovici, Mimoza Telaku and Egzon Osmana
Gastroesophageal Reflux associated with Lercanidipine
No full textAlthough calcium channel antagonists target cardiac and vascular smooth muscle, their impact extends to other types of smooth muscles as well. In the gastrointestinal tract, blocking calcium influx can reduce gastric motility and lower esophage- al sphincter pressure, potentially affecting digestive processes.Lercanidipine is a medication that has only recently become avail- able in the Kosovar market. To our knowledge, there have been no reported cases of gastroesophageal reflux as a side effect of this drug. Over the past four years, our clinic has observed 34 patients who developed symptoms of gastroesophageal reflux after beginning calcium antagonist therapy for hypertension. Among these 34 patients, 8 were taking lercanidipine, while the remain- ing patients were on amlodipine, verapamil, and diltiazem. In conclusion, the use of calcium channel antagonists is not recom- mended In patients with hiatal hernia and hypertension because they can either cause or worsen reflux
Međugrupni kontakt, međugrupna anksioznost i stavovi prema suprotstavljenoj skupini u podijeljenome društvu
Get PDFThe negative attitudes and negative emotions play a key role in maintaining the hostilities between the groups of a divided society. Evidence suggests that intergroup contact can improve or worsen intergroup attitudes. The current study examined the mediating role of intergroup anxiety on quantity of interethnic contact and acculturation attitudes and emotional responses to contradictory conflict narratives in a divided society with a background of armed conflict in the past. The study was conducted among 202 Albanians and 239 Serbs in Kosovo. The results indicate that as more as they meet members of the opposing group the less they feel intergroup anxiety and the more they show acculturation attitudes towards the opposing group among both Albanians and Serbs. However, such mediating role of intergroup anxiety was not found on emotional responses to contradictory conflict narratives, except among Serbs who live in certain enclaves. The findings are discussed in terms of context, reconciliation, and maintenance of frozen conflict.Negativni stavovi i negativne emocije imaju ključnu ulogu u održavanju neprijateljstava među skupinama podijeljenoga društva. Prema dosadašnjim nalazima međugrupni kontakt može poboljšati ili pogoršati međugrupne stavove. Provedeno istraživanje provjerilo je medijatorsku ulogu međugrupne anksioznosti na količinu međuetničkih kontakata i akulturacijskih stavova te emocionalne odgovore na kontradiktorne narative sukoba u podijeljenome društvu s poviješću oružanih sukoba. U istraživanju provedenome na Kosovu sudjelovala su 202 Albanca te 239 Srba. Rezultati i kod Albanaca i kod Srba pokazuju da što se sudionici više susreću s pripadnicima protivničke skupine, to manje osjećaju međugrupnu anksioznost i više pokazuju akulturacijske stavove prema protivničkoj skupini. Međutim, takva medijatorska uloga međugrupne anksioznosti nije pronađena za emocionalne odgovore na kontradiktorne narative sukoba, osim među Srbima koji žive u određenim enklavama. O nalazima istraživanja raspravlja se u okvirima konteksta, pomirenja i održavanja zamrznutoga sukoba
Relation of the Perception of Work Environment with Job Satisfaction: The Case of Teachers in High Schools in the Municipality of Prishtina
Get PDFMany researchers have put the work environment in the spotlight, anticipating that a positive environment would be valuable for enhancing employee satisfaction, which motivates them to be more efficient. The purpose of this research was to test the relationship between the perception of work environment and job satisfaction in high schools in the Municipality of Prishtina. The survey included 154 teachers in these schools. The results obtained in this study, for each dimension of the work environment, were analyzed according to the relevant theoretical framework. From the empirical results, it was found that there is a correlation between work environment and job satisfaction. These results indicate that there are positive correlations of sets of relationship dimensions, personal growth / goal orientation, and system change / maintenance with job satisfaction
Hiatal hernia associated chronic cough: two case reports
No full textChronic cough conventionally defined as a cough persisting for more than 8 weeks, represents both a disabling symptom for the patients and a difficult management problem. Gastroesophageal reflux alone or in combination with other factors such as postnasal drip syndrome and/or asthma is the cause of chronic cough in 10-40 % of adult patients. Reflux related extraoesophageal manifestations are frequent and represent a diagnostic and therapeutic challenge which could involve lungs, upper airways and mouth, presenting with asthma, laryngitis, chronic cough, dental erosions, and non-cardiac chest pain. One common cause of acid reflux disease is a stomach abnormality called a hiatal hernia.
Here we present two patients with chronic cough, who had hiatal hernia. The first case is an 81-year-old male, with a cough for the last three years. The patient had been visiting pulmonologists for a long time because of their cough. Finally, he was instructed to consult a gastroenterologist. In the upper endoscopy, in addition to antral gastritis suspicious for an intestinal metaplasia, there was also a 3-4 cm hiatal hernia.
Whereas the second case is a 54-year-old lady with chronic cough. She also has been visited many times by doctors. Endoscopy revealed hiatal hernia of 4-5 cm. Despite the prescribed therapies and diet the cough persisted, therefore laparoscopic fundoplication was proposed.
At the end of this report, it should be said that in the differential diagnosis of a chronic cough, gastroesophageal reflux disease should also be considered
USE OF ENDOANAL ULTRASOUND IN ANORECTAL DISEASES: OUR CLINICAL EXPERIENCE
No full textINTRODUCTION: Benign anorectal diseases are very common in the general population. Fistula-in-ano obstructed defecation, and fecal incontinence remains a major challenge in surgery. The high rate of surgical failures and the need for repetitive surgical interventions are common experiences for physicians dealing with these pathologies. Endoanal ultrasound is now regarded as the gold standard for evaluating anal sphincter pathology in the investigation of anal incontinence. Endocavitary ultrasound for anal and rectal pathologies was first used in the early 60s for the initial assessment of rectal tumors. The main indications of the endoanal ultrasound are the assessment of anal fistula and the anal sphincter study in patients with fecal incontinence. Endorectal ultrasound is widely used in rectal cancer staging.
AIM: The purpose of this paper is to present the results of our work with endoanal ultrasound in our patients with benign and malignant anorectal diseases.
METHOD: The study included 65 patients [24 females (36.9%) and 41 males (63.1%), with a mean age of 49.29 ± 16.5 years, range 14-84], with benign and malignant anorectal diseases, who were registered at the “Gastromed - AFM” Ordinance in Pristina during the period March 2018 - January 2020. After taking the history, physical examination, and endoscopy, an endoanal/transrectal ultrasound was performed with a Hitachi EUP-R54AW-19 probe.
RESULTS: Based on the indications for endosonographic examination, patients were divided into 5 groups: with anal pain [n = 31 (47.7%)], with fecal incontinence [n = 11 (16.9%)], rectal cancer [n = 4 (6.2%)], constipation [n = 10 (15.4%)], and with perianal fistulas [n = 9 (13.8%)]. As can be seen almost half (47.7%) of the patients were with anal pain. Ten patients had fistulas (out of 5 with intersphincteric and transfincteric fistulas). Endosonography had also revealed four abscesses. Sphincter damage was present in 11 patients (16.9%). The internal anal sphincter was mostly damaged in 8 (12.3%) patients, while the external one was damaged in one patient (1.5%). Both sphincters were damaged in both patients. The anal fissure was the most common cause of anal pain, 17 patients (26.2%).
CONCLUSIONS: Endoanal ultrasound is easy to apply, well accepted by the patient, requires simple preparation, is inexpensive, and provides accurate and rapid information on regional anatomy. All these features make endoanal ultrasound to be the method of choice in patients with anorectal diseases
Chronic diarrhoea in adults: our experience
No full textChronic diarrhoea is characterised by a change in stool consistency, classified as Bristol Stool Chart 5-7, lasting longer than 4 weeks. It is a frequent diagnosis in gastroenterology clinics. Our clinic, Gastromed AFM \u27\u27 in Pristina, evaluated 50 pa- tients with chronic diarrhoea between 2023 and 2024. One-third of these patients did not receive a definitive diagnosis. The most common diagnoses were celiac disease, Clostridioides difficile infection (CDI), Crohn\u27s disease, Irritable bowel syndrome (IBS), and ulcerative colitis. Less frequent diagnoses included intestinal candidiasis, post-cholecystectomy status, lactose intolerance, chronic pancreatitis, diverticulosis, giardiasis, faecal impaction, SIBO and rectal tumour. Two of these patients had ulcerative co- litis complicated by CDI. Accurate patient history and appropriate testing are essential for the definitive diagnosis of chronic di- arrhoea
Eosinophilic esophagitis: A rare case of dysphagia
No full textEosinophilic esophagitis (EoE) is a chronic, inflammatory disease of the esophagus associated with the infiltration of the mucosa by eosinophils and is accompanied by symptoms such as dysphagia, food impaction, and retrosternal pain. In recent decades, a significant increase in its incidence has been observed, especially in Western countries, making it one of the main causes of dysphagia in young individuals. The diagnosis of EoE is based on a combination of clinical and endoscopic findings and histopathological biopsies, which confirm an infiltration of more than 15 eosinophils/HPF (high-power field). Differentiation from other diseases, especially gastroesophageal reflux resistant to treatment with proton pump inhibitors, is essential to establish the appropriate therapy. The treatment of EoE involves a combined approach known as “the 3Ds”: elimination diet, drug therapy (proton pump inhibitors and topical corticosteroids), and endoscopic dilation in cases with strictures. Management requires long-term monitoring to prevent the development of fibrosis and structural complications of the esophagus. Our paper presents a case study that illustrates the clinical, diagnostic, and therapeutic aspects of this pathology. The aim is to emphasize the importance of early diagnosis and a multidisciplinary approach, with the goal of improving the quality of life for patients and reducing long-term complications
