Faculty of Medicine

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    Item type:Publication,
    Ethnic differences in nutritional status in adolescents from Republic of North Macedonia
    (Macedonian Association of Anatomists and Morphologists, 2024-10-24)
    Stojnoska Bojadzieva, Biljana
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    The aim of the study was to evaluateethnic differences of nutritional status among the adolescents from Republic of North Macedonia. This study included 2386 adolescents (1762 of Macedonian ethnic group and 624 of Albanian ethnic group) of both sexes, at the age from 11 to 18 years.Body height and weight were measured using standard equipment and measurement technique. Body mass index (BMI) was calculated (kg/m2)as anthropometric indicator for evaluating nutritional status in adolescents. We found ethnic differences in nutritional status in both male and female adolescents of both Macedonian and Albanian ethnic group. The percent of underweightadolescentsin the first group at the age from 11 to 14 years and in the second group at the age from 15 to 18 years was higher in Albanian adolescents in both sexes. On the other hand males and females of Macedonian ethnic group werewith higher percent with risk of obesityand overweightwith BMI≥95th percentile. There were statisticallysignificant differences in nutritional status in adolescents of both ethnic groups in Republic of North Macedoniaand the obtained values in our study are recommended to be applied for better understanding of deviations in growth and nutrition in both ethnic groups.
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    Item type:Publication,
    Lower Body Weight in Men, an Epidemiological Predictor of Enlarged Left Atrium in Sinus Rhythm Patients with Dilated Heart
    (Wolters Kluwer - Medknow, 2016-07)
    Bakalli, A
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    Musliu, N
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    Kocinaj, D
    Background/Aims: The source of thrombi in patients with dilated cardiomyopathy is not necessarily from the dilated left ventricle. Left atrium (LA) and left atrial appendage (LAA) might be in charge for relatively high rate of systemic embolizations in these patients. The main aim of our study was to identify epidemiological predictors in sinus rhythm patients with dilated heart for LA and LAA dilation and/or dysfunction. Patients and Methods: This was a prospective cross-sectional study conducted from 2009 to 2014 in 101 sinus rhythm patients with dilated heart. We excluded patients with swallowing problems, acute myocardial infarction, atrial fibrillation/flutter, severe systolic dysfunction, mechanical valves, oral anticoagulation therapy, and/or patients with a history of stroke/systemic thromboembolic event. Results: Mean patient age was 58.13 ± 12.66 years and 69.3% were men. Hypertension was encountered in 51% of our patients, 56% of them had a history of coronary artery disease, 30% had diabetes, 25% had dyslipidemia, 30% were smokers, whereas 10% were alcoholics. Mean LA dimensions resulted higher than reference values, whereas 86% of our patients had LAA dysfunction. Male gender was an independent predictor for LA diameter dilation (95% confidence interval [CI]: 1.765–9.078, P = 0.005), while lower body weight was a predictor for enlargement of LA area (95% CI: 0.044–0.351, P = 0.014) and LA volume (95% CI: 0.160–2.067, P = 0.024). Conclusion: Male patients with dilated cardiomyopathy at sinus rhythm with lower body weight tend to have larger LA and consequently might be at higher risk of developing atrial thrombus and its subsequent consequences.