Arsova, Slavica

Preferred name

Arsova, Slavica

Official Name

Arsova, Slavica

Main Affiliation

slavica.arsova@medf.ukim.edu.mk

Now showing 1 - 10 of 19

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Character and Temperament Dimensions in Subjects with Depressive Disorder: Impact of the Affective State on Their Expression
(Scientific Foundation SPIROSKI, 2017-03-15)
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Novotni, A
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The depression is a cross-cultural condition that occurs in all cultures and within all nations with certain specificities, even though there are some differences in its manifestation. The hereditary load is of major importance, but also the individual personality factors, in the form of risk factors, are associated with the occurrence of depression. Personality characteristics have a significant impact on the occurrence of the recurrent depressive disorder and the outcome of the treatment as well.
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Avoidant personality disorder through the lens of ICD 11
(Royal College of Psychiatrists, 2024-04)
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<jats:sec id="S0924933824013609_sec7280" sec-type="intro"><jats:title>Introduction</jats:title><jats:p>With the new dimensional diagnosis of personality disorders in ICD 11, the categorical model has been abandoned. The types of personality disorders in the new dimensional model should show certain common characteristics. According to the recognition of the common characteristics of individual types of personality disorders, as well as determining the severity, a transition from the categorical to the dimensional diagnostic system can be made.</jats:p></jats:sec><jats:sec id="S0924933824013609_sec7281"><jats:title>Objectives</jats:title><jats:p>To analyze and present the trait domains specifiers in persons with avoidant personality disorder and to facilitate the adoption of the new diagnostic criteria.</jats:p></jats:sec><jats:sec id="S0924933824013609_sec7282" sec-type="methods"><jats:title>Methods</jats:title><jats:p>An unsystematized literature review was made, with key words: avoidant personality disorder, ICD 11, ICD 10, traits; and a case was presented.</jats:p></jats:sec><jats:sec id="S0924933824013609_sec7283" sec-type="results"><jats:title>Results</jats:title><jats:p> This is the case of a 26-year-old student who has had no friends since his school days. During his secondary education, on the initiative of another person, he got together with several other people, but he was not fully accepted. During the studies, the communication with the colleagues took place only at the university and around the responsibilities. About a year ago, he had reduced willpower and suicidal thoughts, when he took antidepressant and adjuvant antipsychotic therapy for some time. He is now being examined due to severe tension, dissatisfaction, lack of friends, repeated suicidal ideation. According to researches, people with avoidant disorder have prominent trait domains – negative affectivity, detachment and reduced dissociality (Bach <jats:italic>et al</jats:italic>. BMC Psychiatry 2018; 18:351), negative affectivity, detachment and anankastia (Simon <jats:italic>et al</jats:italic>., Front. Psychiatry 2023, 14:1175425), negative affectivity and detachment (Bach <jats:italic>et al</jats:italic>. Borderline Personality Disorder and Emotion Dysregulation 2022, 9:12). In our case, assessments of trait domains were made with PSQ-11 and PiCD. On the PSQ-11, an increase in the negative affectivity, detachment and anankastia on critical score was obtained, while on the PiCD, an increase in negative affectivity, detachment, anankastia, and a decrease in dissociality was obtained. Mild personality disorder was scored on the Rating Scales for Severity of Disorder (SASPD, LPFS-BF 2.0).</jats:p></jats:sec><jats:sec id="S0924933824013609_sec7284" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p>The types of personality disorder can be represented by certain common trait domains specifiers, which will be useful in adopting the diagnostic criteria in ICD 11 for personality disorder. Assessment of the severity of the disorder provides additional information on treatment strategies and prognosis. The most significant features of avoidant personality disorder are negative affectivity and detachment, while anankastia is on the borderline score and has a reduction in dissociality.</jats:p></jats:sec><jats:sec id="S0924933824013609_sec7285"><jats:title>Disclosure of Interest</jats:title><jats:p>None Declared</jats:p></jats:sec>
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Psychometric characteristics of the Macedonian version of Clinical Assessment Interview for Negative Symptoms (CAINS)
(Medicinska naklada, 2021-09)
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Markovska Simoska, Silvana
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Milutinovic, Miloš
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Novotni, Ljubiša
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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)
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Milutinovikj, Milosh
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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.
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Telepsychiatric Consultation vs. In-person Consultation in Clinic for Psychiatry in Skopje, North Macedonia
(SciVision Publishers LLC, 2022-02-28)
Haxhihamza, Kadri
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<jats:p>Introduction: Our dilemma as mental health professionals was; what do our patients prefer - tele psychiatric or face-to-face consultations?. Materials and Methods: In two-month period (July 15th through September 15th, 2021) all patients that have had their consultations at our Clinic were offered to choose between face-to-face and tele psychiatric consultation. At the same time, they were asked why they choose that particular form of consultation. Results: Total number of patients (2.053) 1339 chose face-to-face consultation, 714 chose tele-psychiatric consultation. Discussion: Many doctors and patients alike still like a “personal touch” but not all procedures should be performed face to face, especially during COVID-19 pandemics, in cases when patients just can’t get in to see their doctors in- erson, and for many cases that don’t require a physical exam (e.g. renewing of prescriptions of chronic patients), telemedicine can be a good alternative. Conclusions: Tele-medicine (particularly tele psychiatry) is here to stay. The only dilemma now is: what are the future ways to enhance tele psychiatry for use in different cultural and technological environments, so patients would choose tele-psychiatric consultation more often.</jats:p>
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Systemic Solutions for Addressing Early Recognition and Treatment of Antenatal and Postpartum/Postnatal Depression in Psychiatry Clinic in Skopje, North Macedonia
(Fortune Journals, 2020)
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Haxhihamza,, Kadri
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Mobbing, workplace bullying and psychological pain (case report)
(Morressier, 2018-09-13)
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Covid-19 pandemic and postnatal depression, risk factors for postnatal depression
(RAS Publishers LLC, 2022)
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Haxhihamza, Kadri
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Milutinovikj, Milosh
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Kocoska, Simona
<jats:p>Objective: To evaluate the effects of Covid-19 pandemic on mental health of women in the perinatal period, with an accent on the intensity of depressive symptomatology, and explore the relationship between the specific aspects of Covid-19 pandemic and the registered risk factors for perinatal depression in women. Methods: The study sample consisted of 54 patients, with heterogeneous demographic characteristics (age, marital status, educational background, socio[1]economic status and religious affiliation) selected from the Cabinet for women with perinatal mental health issues at the University Clinic for Psychiatry in Skopje, where they were treated in the period from January 2020 until December 2021 The included patients met the criteria for the diagnosis F.32 during pregnancy, or F32.01/F32.02 postpartum depression in compliance to the ICD 10, and were treated accordingly with a combined approach using psychological interventions and psychopharmaceutic treatment encompassing antidepressant, anxiolytic, antipsychotic, mood stabilizing drugs or a combination of the above mentioned. The inclusion criteria mandated that they were pregnant or had a child in the past two years. The participants could have been subjected to inpatient, or outpatient treatment, or a combination of both modalities during this time. In order to minimize the risk of infection during pandemic times, and protect the health of participants and researchers, the interviews were conducted via telephone beginning with obtaining an informed consent for participation in the study from the patients who were primarily informed in detail about the aims of the study, their rights and protection of their data and anonymity. We used the following methodology: - A structured, non-standardized socio-demographic questionnaire including 11 items regarding age, parity, realized pregnancies, course of pregnancy and delivery, type of treatment, pharmacological therapy, marital status, socio-economic status, educational background, religious affiliation and presence of previously established risk factors in the world literature; - A structured, non-standardized questionnaire regarding the effects of Covid-19 pandemic consisting of 11 questions; - Edinburgh Depression Perinatal Scale (EDPS) This is a 10-questions self-reported scale, which proved to be a valuable and efficient tool for screening perinatal depression. Namely, a presence of clinical depression was registered in 17.2% of the included participants using the EDPS, the percentage of perinatal depression before the COVID-19 pandemic ranged between 10-14% and has been presented in the literature. Of these, 37.8% were registered in Spain, and 40.7% in Canada [3]. Results: The statistical analysis of data from the structured non-standardized questionnaire for the effects of Covid-19 pandemic showed no statistical significance in the subjectively reported effects from the pandemic on participants’ mental health based on the question from the structured non-standardized Covid-19 questionnaire “Do you feel that the Covid-19 pandemic had an effect on your mental health prior or after the childbirth?” where 55.6% answered with “Yes” and 44.4% with “No”. In spite of this, we gained a perspective of the prevailing risk factors in this population and the correlational analysis of data from the questionnaires granted us insights into further investigation of the relationship between the co-variables.</jats:p>
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Meeting the needs while keeping the source-blood inventory management
(Department of Anaesthesia and Reanimation, Faculty of Medicine, “Ss. Cyril and Methodius” University in Skopje, R.N.Macedonia, 2020)
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Todorovska, Elizabeta
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Background. Blood inventory management is the critical step between the blood supply and blood transfusion. Its main role is to keep the balance between shortage and wastage of blood. Evaluation of our current blood supply and inventory management with an intention to identify the weak points and to propose models to establish best practices that will ensure optimal blood supply with minimal wastage of blood. Material and Methods. We evaluated data concerning the number of whole blood units collected, the number and ABO/D phenotype of the produced, issued and expired blood components (BC), using the donor information system. Results. The linear trend of produced and issued BC shows an increment while the trend of expired BC shows a decrement over the period of 12 months in 2019. The overall rate of produced, issued and expired units is 126, 120 and 6 RBC/day and 78, 67 and 11 PLT/day. The expired RhD negative RBC (25%) and PLT (33%) are significantly greater in comparison to the produced and issued, being 2 times greater for the RBC and 3 times greater for the PLT. The expired AB RBC (16%) and PLT (27%) are significantly higher in comparison to the produced (8.2%) and issued (7.3%) RBC, as well as to the produced (5.7%) and issued (7.3%) PLT. From the total number of expired O RBC (688) and PLT (710), 28% and up to 50% are RhD negative respectively. From the total number of expired AB RBC (340) and PLT (1075), 26.5% and 22% are RhD negative respectively. The ,,universal” O negative RBC and AB negative PLT expire in significantly greater proportion than the produced and issued BC of the same blood type. Conclusion. Blood transfusion experts should work together with the clinicians and the hospitals in setting the indicators for monitoring the blood inventory management in order to minimise shortage and outdating of blood and to meet the patients’ needs for transfusion.
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Patient Satisfaction with Use of Telemedicine in University Clinic of Psychiatry: Skopje, North Macedonia During COVID-19 Pandemic
(Mary Ann Liebert Inc, 2021-04)
Haxhihamza, Kadri
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Kalpak, Gjorgji
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Background: There is increasing interest in the use of telemedicine as a means of health care delivery especially in circumstances of pandemics. This is partly because technological advances have made the equipment less expensive and simpler to use and partly because increasing health care costs and patient expectations have increased the need to find alternative modes of health care delivery. Introduction: Telemedicine and telepsychiatry, in particular, are rapidly becoming important delivery approaches to providing clinical care and information to patients in cases wherein the medical resources and the patients are very hard to be brought together with respect to rules of behavior in case of epidemics. The reliance on technology to bridge the obstacles between the patients (consumers) and medical resources (providers) can create problems that impact service delivery and outcomes, but in cases such as this (COVID-19 pandemics), this is virtually the only tool for providing clinical care and information to patients. Materials and Methods: A client satisfaction survey was undertaken in a daily hospital (a part of University Clinic of Psychiatry in Skopje). The anonymous modified self-report questionnaire (short form patient satisfaction questionnaire [PSQ-18]) covering demographic, gender, and age variables was endorsed by 28 participants. The mean age of the subjects was 40.25 ± 22 years, with a small majority of men (18 participants) versus women (11 participants). Results: Overall satisfaction with psychiatric care was high (80.22%). None of the demographic or other variables correlated significantly with satisfaction. Discussion: We had to reduce rate and time length of our face-to-face contacts with patients as a result of pandemics but they were able to reach their doctors virtually at all times. Conclusions: Many mental health professionals are using widely available, commercial software downloaded from the internet to provide care directly to a patient's home.

Arsova, Slavica

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