Jovanovska, Viktorija
Preferred name
Jovanovska, Viktorija
Official Name
Jovanovska, Viktorija
Main Affiliation
41 results
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Item type:Publication, Subjective Quality of Life of Women in the Perinatal Period: A Post Covid-19 Pandemic Exploration in North Macedonia(Македонска академија на науките и уметностите, Одделение за медицински науки = Macedonian Academy of Sciences and Arts, Section of Medical Sciences/Walter de Gruyter GmbH, 2023-03-01); ; ; Subjective quality of life could be considered one of the indicators of health behavior and wellbeing of women in the perinatal period. Accordingly, the aim of this paper was to examine how women in perinatal period perceive quality of life in various domains. Its relationship to age, number of pregnancies, course of pregnancies, and method of delivery and experience with Covid-19 pandemic was investigated, as well. Our sample consisted of 366 pregnant women in any period of pregnancy who came in for regular outpatient examinations and control, those who were hospitalized due to pathological pregnancy or due to the need for intensive care, as well as women in their postnatal period, one year after delivery, who were seeking professional advice from a gynecologist. The majority were aged 20 to 30 years (53.8%). The findings showed that assessed domains of subjective quality of life were related to a variety of experiences with the Covid-19 pandemic. The results are presented and discussed in detail. Implications and limitations are given, as well. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The outcome of Pregnancy with Fetal Primitive Neuroectodermal Tumor(ID Design 2012/DOOEL Skopje, 2018-08-20); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Influence of obstetrically-associated risk factors in assessing anal incontinence in patients post vaginal delivery(Macedonian Association of Anatomists and Morphologists, 2018); ; ; ; Stojoska Lazarova, AleksandraIntroduction: Anal incontinence (AI) is an inconvenient and limiting medical condition that can cause social and hygienic problems, isolation, low self-esteem and low quality of life. The etiology is multifactorial. Women are eight times more affected than men and the reason is considered to be childbirth. In order to prevent this social, physical and psychological problem, it is necessary to define the risk factors leading to development of such symptoms in female patients after undergoing vaginal delivery. Factors that influence occurrence of anal incontinence in patients after vaginal delivery, have been categorized into obstetric, maternal and fetal factors. Objective: The purpose of this study is to determine the impact of individual obstetric risk factors on occurrences of anal incontinence in patients after vaginal delivery, and express it as anal score value. Materials and methods: We designed the study cross-sectional, and developed the research it at the University Clinic of Obstetrics and Gynecology, "Ss. Cyril and Methodius" University in Skopje, Macedonia, in a 3-month period, from August to November 2017. In this study, we engaged patients in their reproductive age, who had undergone at least one vaginal delivery. The degree of incontinence was determined using St. Mark's Anal Incontinence Score (SMIS). Results: In the examined segments, multi-parity (at least 2 vaginal births) increased by OR = 4.69 (95% CI 2.04-10.82) the patient's risk of having St. Mark’s score of ≥8 and this is statistically significant difference. Induced labor also reduced the likelihood of OR = 0.39 (95% CI 0.15-1.04) for St. Mark’s score of ≥8, but the difference was not a statistically significant one. Use of mediolateral episiotomy had protective significance against the risk of St. Mark score of ≥8. Conclusion: Results of this study show consistency with data published so far on the influence of obstetric risk factors on occurrences of anal incontinence in patients after vaginal delivery. Changes in anal incontinence are expressed in increased St. Mark’s score. Our study showed that the following factors had statistically significant impact on the score value: multi-parity, fetal macrosomia and perineal injury (grades 3 and 4). - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Knowledge gaps and knowledge acquisition of HPV infection and HPV vaccines among medical students in North Macedonia(Elsevier BV, 2023-04); ; ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, IODINE SUPPLEMENTATION AND THYROID STATUS IN HEALTHY PREGNANT WOMEN IN IODINE-REPLETE REGION(2019); ; ; ; Background: Optimal iodine intake is essential for proper function of the thyroid in pregnancy, affecting thus the foetal development. Recent data worldwide have revealed insufficient iodine intake in pregnant women in certain countries with confirmed iodine sufficiency and raise the issue of iodine supplementation in this population. The objective of the study was to determine the effects of the iodine supplementation in pregnant women (PW) on their thyroid status and compare the findings with the data of pregnant women without iodine supplementation, all living under iodine sufficiency of general population. Material and Methods: The case control study was performed on total 543 PW (aged 15 – 40 years), 267 of which were taking iodine supplements. Iodine status was assessed as median urinary concentration and thyroid function tests (TFTs) were performed by chemiluminescent immunoassays. Data analysis was performed by descriptive and nonparametric statistics. Results: The overall median urinary iodine concentration (UIC) in PW was 167,5 μg/L. The median value of the group with iodine supplementation was higher compared to non-supplementation group (180,5 μg/L vs 160,2 μg/L), but the difference was not statistically significant. The median value was higher for thyroid stimulating hormone (TSH) in the group of PW with iodine supplementation (1,8 mIU/L vs. 1,6 mIU/L), while for thyroglobulin (Tg) in the group without iodine supplementation (11,4 μg/L vs. 10,5 μg/L). The difference in free thyroxine (FT4) results between the two groups was not statistically significant. Conclusions: Living in a long-term iodine sufficient region, PW on iodine supplementation with 150 μg/day remained euthyroid, without evidence of increased incidence of iodine-induced thyroid disorders. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, A rare case of pleomorphic dermal sarcoma presented during pregnancy, a case report(John Wiley & Sons, Inc., 2024); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Acute appendicitis in the third trimester of a pregnancy finished with spontaneous vaginal delivery(Asclepius, 2018); ; ; Acute appendicitis is the most common surgical problem occurring during pregnancy. Its incidence is more common in the second trimester and is confirmed in 1/1000 pregnancies. Clinical manifestations of acute appendicitis in pregnant patients are generally very similar to non- pregnant patients. We present, here, the case of a 29-year-old pregnant patient at 35+4 weeks of gestation with the signs of acute appendicitis. The patient underwent a successful open appendectomy of her perforated appendix, without performing a cesarean section (CS) at the same time. 5 weeks postoperatively, at term, labor was induced with vaginal prostaglandins and the patient delivered a healthy female baby without any complications. Immediate diagnosis of acute appendicitis during pregnancy is recommended and management with the suitable surgical intervention should not be delayed for >24 h as it increases the risk of perforation with its subsequent critical complications. The treatment of acute appendicitis is always surgical, with an appendectomy and perioperative broad-spectrum antibiotics. Except in cases of high maternal and fetal mortality, a CS should not be done simultaneously with the appendectomy in cases of a perforated appendix with diffuse peritonitis, due to the very high risk of dehiscence of the uterus. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The Connection of the Level of Estradiol in Serum and Obesity with the Endometrial Bleeding in Postmenopausal Women(Scientific Foundation Spiroski, 2019-01-13); ; BACKGROUND: Postmenopausis is a period that begins one year after the last menstrual period. Abnormal uterine bleeding could be of different origins. AIM: This study aimed to determine the association of serum estrogen hormone levels and obesity with the occurrence of endometrial bleeding in post-menopausal women. MATERIAL AND METHODS: Prospective clinical study involving 120 postmenopausal patients treated at the University Clinic for Gynecology and Obstetrics-Skopje, divided into two groups: control and study. The control group consisted of 40 postmenopausal patients without endometrial bleeding, hospitalised and operated due to urogenital pathology. The study group consisted of 80 patients with endometrial bleeding who were divided into three subgroups according to the thickness of the endometrium: from 5-8 mm, 8-11 mm and above 11 mm. In all subjects, estradiol and BMI was determined. RESULTS: Estradiol levels were statistically higher in the study group compared to control while statistically significant difference among the three subgroups according to the thickness of the endometrium about the levels of estradiol in blood is not found. About BMI, the results showed that there was no statistical significance between the two examined groups. CONCLUSION: Patients with endometrial bleeding have increased levels of estradiol and are at increased risk of endometrial cancer about controls, the likelihood of endometrial cancer significantly increases by 1,108 times.</jats:p> - Some of the metrics are blocked by yourconsent settings
Item type:Publication, 125 Dysmenorrhea among young student population-epidemiological analysis(Elsevier BV, 2022-06); ; ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Vaginal ph versus cervical length in the second trimester of pregnancy as a predictor of preterm birth(Macedonian Association of Anatomists and Morphologists, 2018); ; ;