Now showing 1 - 10 of 24
  • Some of the metrics are blocked by your 
    Item type:Publication,
    Impact of epysiotomy on anal continence in women after vaginal delivery
    (Macedonian Association of Anatomists and Morphologists, 2019)
    ;
    ;
    ;
    Lazarova-Stojovska, Aleksandra
    ;
    Aim: The purpose of this study to determine the impact of episiotomy use in women after vaginal delivery on the female anal continence Methods: The study was designed as a cross-sectional. It was performed at the University Clinic of Obstetrics and Gynecology, University of "Ss. Cyril and Methodius" in Skopje, Macedonia during a period of one year. The study included 470 women of reproductive age with at least 1 previous vaginal delivery. The following variables were analyzed with regard to their influence on anal continence: use of episiotomy, type of episiotomy, perineal injury and degree of perineal injury. Data was acquired using a questionnaire specially designed for this study. The severity of anal incontinence quantified using St. Mark's Anal Incontinence Score. Results: Both the use of episiotomy and the severity of perineal trauma exerted a significant effect on anal continence. The use of episiotomy has been associated with lower St. Mark’s scores, while higher degrees of perineal trauma, were proven to significantly increase the value of the St. Mark’s score Conclusion: Anal incontinence is an unsettling condition affecting women that is inextricably linked to vaginal delivery. Further studies are needed to prove the benefit of episiotomy, which is traditionally regarded as a protective procedure and a method for prevention of pelvic floor disorders.
  • Some of the metrics are blocked by your 
    Item type:Publication,
    BIOELECTRICAL IMPEDANCE ANALYSIS IN KARATE ATHLETES: BIA PARAMETERS OBTAINED WITH INBODY720 REGARDING THE AGE
    (Faculty of Physical Education, Sport and Health in Skopje, 2016)
    ;
    ;
    ;
    ;
    The basic purpose of this paper is to make recognizable analysis of body composition with bioelectrical impedance analyzer, (especially with InBody 720) to the sports scientific public. To fulfill this assignment we would like to present numerous parameters of body composition obtained with InBody 720, in subjects younger than 18 years and older than 18 years, because of fact that this BIA device gives different final result sheets regarding the age limit of 18 years. We investigated 21 karate athletes, members of karate national team of Republic Macedonia, age span from 15 to 22 years. They were divided in two age different groups, up to 18 (U18) and over 18 years old (18+). The final result sheets for person younger than 18 years consists considerably less parameters than for subjects older than 18 years. Comparison of parameters common for both groups showed that U18 karate athletes had significantly lower mean values for following parameters: height (176.8  4.26cm vs. 179.8  5.35cm), body weight (69.05  7.4 kg vs. 77.43  8.71 kg), skeletal muscle mass (35.38  4.43 kg vs. 38.34  2.97 kg) and body mass index, BMI (21.8  1.31 kg/m2 vs. 23.97  2.26 kg/m2) than 18+ karate athletes. Younger athletes also had significantly lower parameters of obesity diagnose: body fat mass (6.73  1.98 kg vs 10.31  5.02 kg) and body fat percent (9.8  2.65% vs. 12.91  5.14%). The data from this paper could allow the health professionals, sport scientists, sport expert and athletes to get useful information about plenty of parameters of body mass analysis obtained with bioelectrical impedance analyzer.
  • Some of the metrics are blocked by your 
    Item type:Publication,
    ESTRADIOL: MECHANISM OF CARDIORENAL PROTECTION
    (Faculty of Physical Education, Sport and Health in Skopje, 2017)
    ;
    ;
    ;
    Premenopausal women have a decreased incidence of cardiovascular disease and a decreased rate of progression of renal disease. With the onset of menopause, however, decreased synthesis of 17β-estradiol (estradiol) is accompanied by an increased incidence of cardiovascular disorders and accelerated progression of renal diseases. The glomerulus and the vascular wall are not static, and components of these structures dynamically increase, decrease, or reorganize in response to physiological and pathological stimuli. Although multiple cellular and biochemical processes are involved in glomerular and vascular remodelling, glomerular mesangial cells (GMCs) in the kidney and smooth muscle cells (VSMC) and endothelial cells in the vasculature are the final common pathway for dynamic changes in glomerular and vascular wall structure. Estradiol may induce protective effects on the renal and cardiovascular system by altering VSMC, GMC, or endothelial cell biology so as to prevent glomerular and vascular remodelling. The purpose of this review is to provide an overview of the participating mechanisms in this regard, as well as the mechanism of estradiol signalling in cardiomyocytes, with an emphasis on mechanisms that might be important in cardioprotection.
  • Some of the metrics are blocked by your 
    Item type:Publication,
    Morphological characteristics of circulus arteriosus cerebri - Circle of Willis
    (Институт за јавно здравје на Република Македонија = Institute of public health of Republic of Macedonia, 2012)
    ;
    ;
    ;
    Jordanova, Olivera
    ;
  • Some of the metrics are blocked by your 
    Item type:Publication,
    LEVELS OF ANXIETY AND DEPRESSION IN ELITE KARATE ATHLETES
    (Faculty of Physical Education, Sport and Health in Skopje, Republic of Macedonia, 2018)
    ;
    ;
    ;
    ;
    The aim of the study was to assess the levels of anxiety and depression, in elite karate athletes on the beginning of the summer preparatory period. The investigation was carried out as part of regular periodical systematic physical check-up of athletes. Twenty nine elite male karate athletes (most of them members of the Macedonian national karate team) aged 15 to 29 years, were asked to fulfil the Beck Anxiety Inventory (BAI) and the Beck Depression Inventory (BDI). The BAI questionnaire consists of 21 questions related to various aspects of anxiety. The intensity of perceived anxiety for every question in BAI is scored from 0 to 3, with 0 representing the least serious and 3 the most serious symptoms. The sum of all items is calculated at the end. BAI scores from 0-7 were ranked as a normal anxiety level; 8-25 as moderate; and 26-63 as high anxiety. The degree of depressive symptoms was measured by the 21-item-revised form of Beck Depression Inventory. The BDI statements for each question are ranked from 0 to 3, with 0 representing the least serious and 3 the most serious symptoms. Scores of BDI ≤ 10 indicate absence of depressive symptoms, BDI scores from 11-20 indicate mild depressive symptoms, while BDI scores from 21-30 indicate moderate depressive symptoms. BDI scores higher than 30 indicate clinically manifest depressive episode. Mean value of the acquired BAI scores in elite karate athletes was 4,1 ± 3,8. One seventh of all athletes showed moderate levels of anxiety. Mean value of acquired BDI scores was 6,1 ± 5,5. Four athletes showed mild depressive symptom, while one athlete showed moderate depressive symptoms. There was a positive correlation between the degree of depressive symptoms and the age of the athletes (r=0,575).
  • Some of the metrics are blocked by your 
    Item type:Publication,
    ENERGY REGULATION BY DIFFERENT MOLECULES
    (Faculty of Physical Education, Sport and Health, Skopje, Republic of Macedonia, 2022)
    ;
    ;
    ;
    ;
    Abstract Energy homeostasis is regulated by several physiological systems such as endocrine, gastrointestinal, and nervous system, that contribute to maintaining the balance between energy expenditure and energy intake. Food intake as well as food utilization are essential components in the maintenance of energy balance. Exercise is a state that interferes with energy regulation, thus it has a good impact on healthy lifestyle and long lifespan. The aim of the study was to discover the possible role of some energy regulation molecules and their influence during exercise. A number of 37 scientific studies from PubMed, ScienceDirect, MEDLINE, and Scopus databases were examined from the period of the last 20 years, combining the physiological mechanisms relatedto energy regulation molecules. The Cochrane database was used by dividing molecules into different groups: anorexigenic / orexigenic molecules, incretins, adipokines, and myokines, all related to energy regulation and exercise induced metabolic changes. Thus, variety of molecules derived from the adipose tissue (Leptin, Adiponectin, IL-6 – Interleukin-6, TNF-α – tumor necrosis factor α), from the muscle tissue (Irisin, Myostatin), from intestine and gastric cells (YY - pancreatic peptide YY, GLP-1- Glucagon like peptide-1, GIP- Gastric inhibitory peptide, Ghrelin), from liver tissue (FGF-21- Fibroblast growth factor-21), from pancreatic cells (Amylin), and other molecules are being explored. To understand the exercise induced molecule action mechanisms and their interference, may be useful toward new pharmaceutical approaches, related to energy metabolism regulation. Key words: energy homeostasis; physiological mechanisms; exercise.
  • Some of the metrics are blocked by your 
    Item type:Publication,
    Psychophysiology and the sport science
    (Faculty of Physical Education, Sport and Health in Skopje, 2016)
    ;
    ;
    ;
    ;
    Psychophysiology is an interdisciplinary scientific approach which studies the connection between mind and body through measurement of the electrical activity of neural and muscular tissues and the conductivity of dermal tissue. The aim of this paper is to review some of the findings of psychophysiology research in sports. Two types of methods have been employed. The first one is the measurement of the changes in the brain electrical activity using the electroencephalography (EEG). Event-related potentials (ERP) are modalities of EEG which have largely been used in the research of performance in athletes. The other type of measurements is focused on the changes in cardiovascular system, respiratory system and skeletal muscles. The muscular electrical activity during sports performance has been investigated by electromyography (EMG). Both types of investigations can be combined. Psychophysiological level of measurement holds promise for understanding how cognitive-affective factors influence the quality of motor behavior.
  • Some of the metrics are blocked by your 
    Item type:Publication,
    COMPARISONS AND CORRELATIONS OF THE ELECTROCARDIOGRAPHY CHANGES REGARDING THE FUNCTIONAL FEATURES BEFORE, DURING AND IMMEDIATELY AFTER THE TREADMILL TEST WITH ATHLETES
    (Faculty of Physical Education, Sport and Health in Skopje, 2019)
    ;
    ;
    ;
    ;
    The need for cardiovascular screening in order to timely detect and diagnose the morphological and functional changes of the heart, which occur as a result of doing sport actively, and thus to avoid the occurrence of sudden cardiac death, is generally accepted. To achieve the objectives of the study, two noninvasive diagnostic methods for cardiovascular evaluation were used: electrocardiography (ECG) and the Bruce protocol test. The purpose of this study was to determine and examine the relationship of ECG changes to functional characteristics before, during, and/or immediately after exercise testing. This crosssectional study conducted during 2016/2017 involved 285 athletes aged 9 to 38, of both sexes. They were all given a 12-channel electrocardiogram (ECG) at rest, after which personal, family and sports history and anamnesis were given, followed by a Bruce protocol test and functional parameters were examined (symptoms, metabolic equivalents, METs, test duration, exercise capacity-VO2 max, rhythm disturbance, heart rate, heart rate reserve and recovery, chronotropic incompetence (CI), systolic and diastolic blood pressure). According to ECG changes and in accordance with international recommendations for its interpretation, athletes were divided into 4 groups: with normal, physiological, borderline or abnormal ECG findings. The results showed a significant positive connection between abnormal ECG and the occurrence of rhythm disturbance during the exercise test (r = 0.119; p = 0.045); Cardiovascular capacity expressed in (METs) compared to respondents with normal ECG was significantly higher in those with physiological ECG changes (p = 0.003), HR reserve percentage was lowest among athletes with abnormal ECG, and CI had the highest percentage. It can be concluded that an athlete with borderline, abnormal, and possibly physiologically assessed ECG should undergo further evaluation.
  • Some of the metrics are blocked by your 
    Item type:Publication,
    THE SIGNIFICANCE OF THE ELECTROCARDIOGRAPHIC SCREENING USED IN PREVENTION AND DETECTION OF PATHOLOGICAL CHANGES IN HEARTS OF ATHLETES
    (Faculty of Physical Education, Sport and Health, Skopje, Republic of Macedonia, 2022)
    ;
    ;
    ;
    ;
    Abstract Changes in the structure and function of the heart that occur as a result of engaging in professional amateur training can be detected in a timely manner by using 12-channel electrocardiography (ECG) as one of the non-invasive methods used for cardiovascular screening in athletes.. The aim of the study is to promptly detect and diagnose cardiovascular conditions that can cause sudden cardiac death in athletes. In this prospective cross-sectional study conducted during 2016/2017, 285 examinees-athletes aged 9-38 years of both sexes were included (62,1% men and 37,9% women). An ECG was performed on all of them and a personal, sports and family history was taken. According to the ECG changes and in accordance with international recommendations for its interpretation, the examinees were divided into 4 groups. The results showed that physiological changes in the ECG were found in 51,9% of examinees, borderline changes in the ECG in 21,4%, while abnormal in 7,7%. Due to the possibility of timely identification and detection of heart changes due to physical activity or congenital, and could cause sudden cardiac death, the use of 12-channel electrocardiography is necessary in the evaluation of athletes. Key words: electrocardiography, sudden cardiac death, screening for cardiovascular disease, athletes
  • Some of the metrics are blocked by your 
    Item type:Publication,
    Correlation of electrographic changes with sport activity characteristics and certain anthropometric characteristics in athletes.
    (Faculty of Medicine, University, Ss. Cyril and Methodius in Skopje, 2019)
    ;
    ;
    ;
    ;