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    Indicators of abdominal obesity: waist circumference and waist-to-hip ratio in adolescence of North Macedonia
    (Macedonian Association of Anatomists, 2021-04-02)
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    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.
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    ANATOMICAL VARIATIONS OF THE AORTIC ARCH BRANCHING PATTERN
    (Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, 2018)
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    Anatomical variations of the aortic arch and its branches are fairly common and can have important implications on prognosis and management of surgical interventions, as well as on radiological diagnostics and interventional radiology. The aim of this study was to present the anatomical variations in branching pattern of the aortic arch in a large group of patients using CTA and consequently to determine their prevalence in our population. The study population included 1000 patients with referral diagnoses requiring CTA chest radiography, which visualizes the aortic arch. The course of the aortic arch was clearly observed in all of the 1000 patients. The anatomic features of the aortic arch itself and supra-aortic vessels were analyzed, and anatomical variations were recorded on each CT image. The results showed that 89.3% of the cases had the usual branching pattern of the aortic arch. The most common variation was aortic arch with two branches, with left common carotid artery arising from brachiocephalic trunk (7.9%). Separate origin of the left vertebral artery between the left common carotid artery and the left subclavian artery was present in 2.8% of cases. The knowledge of the anatomy of the aortic arch and its branches and the awareness of vascular variations is an imperative in diagnostic procedures and in planning surgical interventions during clinical practice.
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    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)
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    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.
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    Growth parameters and nutritional status in relation to socioeconomic status of Macedonian adolescents
    (2014)
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    Nakjeva, Natasha
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    To assess the anthropometric parameters of growth and nutritional status in relation to socioeconomic status (SES) of Macedonian adolescents.
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    Sex and age specific differences of anthropometric parameters in Macedonian adolescents
    (Macedonian Association of Anatomists and Morphologists, 2015)
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    Janevska Nakeva, Natasa
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    The aim of this study was to evaluate sex and age-specific differences of anthropometric parameters in Macedonian adolescents. This study included 1183 adolescent students (622 males and 561 females) at the age of 15 to 18 years. Anthropometric parameters, which define longitudinal and transversal measures of skeleton, were measured using standard equipment and measurement technique. BMI was calculated from body height and weight (kg/m2 ). Two skin-folds were measured: triceps and subscapular. We found a significant sex-specific difference for body height, weight, elbow and knee diameter at the age of 15 to 18 years in favour of boys. Height, weight and two transversal parameters had higher values in boys.Triceps and subscapular skin-folds as indicators for subcutaneous fat component and a valuable technique for evaluating the nutritional status had higher values in females in all age groups. Sex-specific differences were registered for triceps skin-fold at the age of 15 to 18 years, and for subscapular skin-fold at the age from 15 to 17 years in favor of females. Populations share their own genetic background and environmental factors, so anthropometric characteristics of the body of Macedonian adolescents can be used as criteria for the assessment of growth and nutrition within this group.
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    EVALUATION OF SEX-SPECIFIC DIFFERENCES OF ANTHROPOMETRIC VARIABLES THAT WERE USED AS INDICATORS OF NUTRITIONAL STATUS IN MACEDONIAN CHILDREN
    (Macedonian Association of Anatomists, 2018)
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    Zhivadinovik, Julija
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    The aim of this study was to evaluatesex-specific differences of anthropometric varibalesthat were used as indicators of nutritional status in Macedonian children aged 5.The study included 226(113boys and 113girls) Macedonianchildren aged 5. We selected 5 anthropometrical parameters to measure (body weight, height, mid upper arm circumferences-MUAC, skinfolds thickness triceps–SFTr and subscapular-SFSc) and in addition according to the standard formulas we calculated: weight-for-age (BW), height-for-age (BH), body mass index-for-age (BMI)mid-upper-arm circumference-for-age (MUAC)and skifolds thikness (SFTr-for-age, SFSc-for-age).In general results have shown sex-specific differences in the examined parameters (BH, BW, BMI) in favour of the boys, with exception of skin-foldsthicknessthatwere higher in girls. Values of the 50th percentile in boys were as follows: 21kg for BW, 115cm for BH, 15.48kg/m2 for BMI,15.5 cm for MUAC, 7mm for SFTr and 4.1mm for SFSc.The values of these parameters in girls were: 20kg for BW,113.5 cm for BH, 15.01kg/m2 for BMI, 7.8mm for SFTrand 4.7 for SFScrespectively.These results can be used as criteria for assessment and detection of deviations in the nutritional status in Macedonian children aged 5.
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    Medical faculty student's opinion on the significance of anatomy education and methodologies for practical teaching during the III-rd semesterr
    (Faculty of Medicine, Ss Cyril and Methodius University in Skopje, 2018)
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    Objectives: To take in foresight the student`s opinion to the significance of anatomy education and methodologies for practical teaching and to implement it into further changes of anatomy education. Material and method: A previously formulated questionnaire about goals of anatomy education and practical model (teaching) was used to perceive student`s opinion. The participants were students of Medical Faculty who practiced the IIIrd semester. Out of 162 participants 87 were women, 30 were men, 12 did not indicate their sex, and the remaining 33 questionnaires because of incomplete filling were exluded by analysis. The results obtained were compared with data of similar questionnaire based-studies. Results: Student`s opinion was that as a main goals of anatomy education still were the medical terminology and human body structure. Also, the obtained results sertified high importance to the preparation to the clinical clerkship and fostering of professionalism. For the adequacy of time for anatomy lectures and practice, as well as, for Anatomy 3 credit the option adequate was confirmed in the highest percent. To acquire anatomy knowledge to students working of choice was a group from the 5 students and mainly for all of the used methods and teaching aids affirmative responses were verified. To the usefulness of the dissection hall for acquiring knowledge of anatomy less than 80% of students were agree. Also, their opinion was that the computer assisted teaching cannot completely replace the dissected cadavers. The attendance and continual revision were the real prerequisite for coming up to the examination. The descriptive questions, short essay questions and multiple choice questions were confirmed separately and in the highest percent in totality. In conclusion: The new methodologies and techniques must be incorporated in the anatomy education, but the student`s and educator`s health comes first.
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    Anthropometric parameters and indexes in 9 year-old-children from R. North Macedonia
    (Macedonian Association of Anatomists, 2021-04-02)
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    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.
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    Dermatoglyphics in patients with schizophrenia--findings in the Macedonian population
    (Macedonian Academy of Sciences and Arts, 2013)
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    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.