Trpkovska, Biljana
Preferred name
Trpkovska, Biljana
Official Name
Trpkovska, Biljana
Alternative Name
Trpkovska Biljana
Trpkovska B
Biljana Trpkovska
Трпковска Б
Трпковска Б
Билјана Трпковска
Main Affiliation
Email
biljana.trpkovska@medf.ukim.edu.mk
55 results
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Item type:Publication, CONTACT BRACHYTHERAPY IN THE TREATMENT OF SUPERFICIAL NON-MELANOMA SKIN CANCER: SINGLE INSTITUTIONAL EXPERIENCE(Macedonian Association of Anatomists and Morphologists, 2024); Introduction: Contact brachytherapy allows satisfactory treatment of superficial non-melanoma skin cancer, whether as adjuvant and/or definitive therapy. There are different techniques and different dose prescriptions in clinical practice, adapted to technical possibilities. Material and methods: 50 patients treated with contact brachytherapy for superficial non-melanoma skin cancer were analyzed, 15 of them in a postoperative and 35 in a definitive setting. Histopathologically, 40 patients had verified basal cell carcinoma and 10 had squamous cell carcinoma. High dose rate brachytherapy was performed with the GammaMed Plustm, with a radioactive Iridium192. A Leipzig-style cone contact applicator set with a diameter range of 10-45 mm was used. In 40 patients, a hypofractionated regimen was performed, with one fraction per week, with a dose of 7Gy, a total of 4 fractions, to achieve a total dose of 28Gy, over 4 weeks. A dose of 30Gy with a single fraction of 5Gy, over 6 weeks was administered to 10 patients, respectively, regardless of histological type. The dose was prescribed to a depth of 5 mm of the skin. Results: Local control was confirmed in 47 patients. In 3 patients the disease recurred 10 months after the last treatment (7Gy/4fr/28Gy). Skin redness was manifested in all patients (100%). Telangiectasia presented at the end of the treatment in 4 patients. At the first visit, all patients had reduced or completely disappeared inflammatory reactions. Conclusion: Our experience with the use of hypofractionated regimens has shown that it is a safe treatment, with easily manageable side effects. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Indicators of abdominal obesity: waist circumference and waist-to-hip ratio in adolescence of North Macedonia(Macedonian Association of Anatomists, 2021-04-02); ; ; ; Obesity in children and adolescents in the world is reaching a scale of an epidemic. It is considered the most widespread disease in children in many countries, especially in developed countries. The aim of this study was to define WC and WHR among Macedonian adolescents aged 11 to 14 years. A cross-sectional study was performed in 2013-2015, comprising a sample of 1267 adolescents of the Republic of Macedonia aged 11 to 14 years; 646 males and 621 females. Weight, height, body mass index (BMI), waist circumference (WC), hip circumference (HC) and waist-to-hip ratio (WHR) were measured and percentiles were calculated using Cole’s Lambda, Mu and Sigma (LMS) method. The relation between WHR and general obesity, as defined by the International Obesity Task Force, was investigated with receiver operating characteristic (ROC) analysis. The boys had statistically significant higher values in all anthropometric measures, except in HC where statistically significant gender differences were not found. BMI, WC, and HC increased with the age. The obtained reference percentile curves can be used temporarily for obesity screening in children and adolescents. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Waist circumference, waist-to-hip ratio cut-off points to predict obesity and metabolic syndrome among student population in skopje, North Macedonia(Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, 2021-06-21); ; ; ; Abdominal obesity is the most frequently observed component of metabolic syndrome. Any anthropometric measure is only the first step in identifying people at ‘early health risk’. This study aimed to determine a cut-off point of selected anthropometric indicators and to analyze the prevalence of normal weight obesity and abdominal obesity among university students. The study included 839 healthy students aged 18-20 (411 males and 428 females) from the Ss. Cyril and Methodius University in Skopje, R. North Macedonia. The following anthropometric parameters were measured: weight, height, two circumferences (waist WC and hip HC) using a standard protocol. The following indices were taken into consideration: Body Mass Index (BMI), WC and Waist-to-Hip Ratio (WHR). The prevalence of obesity across BMI cut-off points among Macedonian students was 22.22%. In the underweight group, the number of female students was significantly higher (12.61% vs 2.19%), while in the overweight and obesity group a higher percentage of male students was observed (27.5% vs 9.11% and 6.81% vs 1.41%). Prevalence of abdominal obesity according to WC and WHR cut-off among Macedonian students were: female had the prevalence of abdominal obesity (overweight and obese) of 25.47% WC and WHR 43.23%, respectively. Both cut-off points for the males were 34.55% WC and 52.81% WHR. However, the Macedonian cut-off points for WC and WHR showed a higher prevalence of abdominal obesity among males. These results and determination of BMI, WC, WHR cut-off values can be used for the prediction of consequences associated with obesity. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Somatotype in 11 years old Macedonian adolescents(Macedonian Association of Anatomists and Morphologists, 2018-04-12); ; ; ; Kavecan, IvanaObjectives. The aim of this study was to evaluate sex and ethnic differences of somatotype in Macedonian adolescents at the age of 11 years. Subjects and Methods. In this study 315 adolescent students (167 males and 148 females), from Macedonian and Albanian nationality at age of 11 years were included from primary schools in two cities: Skopje and Strumica in R. Macedonia. Ten anthropometric parameters were measured using standard equipment and measurement technique to assess the somatotype according to Heat–Carter somatotyping method. Results. Although there were not significant sex and ethnic differences of somatotype components between the groups at the age of 11 years, from the obtained results we concluded that males and females of Macedonian ethnic group had higher values for endomorph component than their Albanian pears, who had higher values for mesomorph and ectomoph component. Conclusion. Ethnic group should be taken in mind for easier evaluation and understanding of differences in anthropometric parameters of growth and body composition in Macedonian adolescents. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Nutritional status of Macedonian high school students and relation to level of education and employment status of their parents(Macedonian Association of Anatomists, 2019-12-27); ; ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Disk herniations and cauda equine compression in different lumbosacral transitional anatomy types(Medical faculty, Ss Cyril and Methodius University Skopje, Macedonia, 2018); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Anthropometric parameters and indexes in 9 year-old-children from R. North Macedonia(Macedonian Association of Anatomists, 2021-04-02); ; ; ; The aim of the study was the detection of sex-specific differences of anthropometric parameters and indexes that were used as indicators of growth and nutritional status in the 9-year-old-children from R.North Macedonia.The study included 280 healthy children aged 9 (140 boys, 140 girls) from R.North Macedonia. Fourteen anthropometric parameters were measured which define longitudinal, circular and transversal measures of skeleton using standard equipment and measurement technique. The following indicators were calculated: weight-for-age (BW), height-for-age (BH), BMI, mid-upper circumference-for-age (MUAC) and skinfolds thickness (scapula SFSc and triceps SFTr)-for-age.The results have shown significant sex-specific differences in favour of boys for the height, four transversal and three circular parameters, with exception of mid-upper-arm circumference and skinfolds that were apparently higer in girls. Values of the 50th percentile in boys were as follows: 33 kg for BW, 136 cm for BH and 17.65 kg/m2 for BMI, 19.8 cm for MUAC and for skinfolds: SFSc 8 mm and 12 mm for SFTr.The values of these parameters in girls were: 32 kg for BW, 135cm for BH and 17.47 kg/m 2 for BMI. 20.8 cm for MUAC and for SFSc 9.8 mm and 12.8 mm for SFTr .These results can be used as criteria for the assessment of the morphological characteristics and detection of deviations in the growth and nutritional status in children aged 9. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Dermatoglyphics in patients with schizophrenia--findings in the Macedonian population(Macedonian Academy of Sciences and Arts, 2013); ; ; ; The human palms and soles are textured with skin different to that of the other body surface. Instead of sebaceous glands or hairs, there are sweat glands opening into epidermal ridges. They are variously oriented, thus forming different patterns. The aim of the study was to assess some dermatoglyphic patterns, the TRC and the a-b ridge count in a sample of patients and a control group of healthy examinees. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, PERSISTENT TRIGEMINAL ARTERY - ANATOMICAL FEATURES AND CLINICAL SIGNIFICANCE(Macedonian Association of Anatomists and Morphologists, 2023); ; ; ; Persistent trigeminal artery is the most common primitive carotid basilar anastomosis that persists in adulthood. The overall incidence of persistent trigeminal artery is between 0.2 to 0.76%. PTA are known to be associated with a wide range of pathology. The aim of this study was to describe the morphological characteristics of the PTA and to emphasize its clinical significance. We examined radiographs from patients who had CT angiography undertaken for a variety of clinical reasons, performed as a part of their medical treatment at the University Institute for Radiology in Skopje, RN Macedonia. The study population included 234 patients, 130 male and 104 females, mean age 57.8 years. In one patient we found PTA with overall incidence of 0.42%. CTA revealed a left PTA that arise from the internal carotid artery and communicate with the basilar artery between the origin of the anterior inferior cerebellar artery and the superior cerebellar artery. Although anatomically interesting, an awareness of the anatomy and variations of the brain arteries is clinically important for radiologists and surgeons for save performance of procedures, and forensic pathologists since variants may have forensic consequences. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Disk herniations and cauda equine compression in unilateral and bilateral articular fusion lumbosacral transitional anatomy types(Macedonian Association of Anatomists, 2018-04-12); ; ; ; The relationship between different lumbosacral transitional vertebra (LSTV) types, disc herniations and neural structures compromise has been sporadically reported. The objectives of this study was to evaluate the relationship between articular fusion LSTV types, disc herniations and neural structures compromise. A total of 92 patients with lumbosacral radicular syndrome who underwent MRI examination of the lumbar spine were included in the study. All patients had at least one evaluated disc herniation at the last three mobile levels. These patients were separated in two groups. Study group comprised 58 patients who presented with LSTV (articular fusion type based on Castellvi classification). Additionaly this group was separated in two subgroups; 25 patients with unilateral and 33 of them with bilateral articular fusion LSTV type. Thirty four patients without LSTV were assigned to the control group. There were significantly more disc herniations (92% vs 73.5%, p=.03) and more severe cauda equine compression (12% vs 5.9%) at the level of transition in the LSTV unilateral articular fusion subgroup compared to the control group. At the adjacent proximal level significantly more disc herniations (93.9% vs 73.5%, p=.03) and more severe cauda equina compression (51.5% vs 14.7, p=.012) was observed in the LSTV bilateral articular fusion subgroup compared to the control group. In conclusion, altered morphology and biomechanics in articular fusion LSTV types provoke disc herniations and severe cauda equina compression to occur more frequently compared to the normal lumbosacral junction.