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One hundred patients, who had committed a first suicidal attempt during the years 2004 and 2005, were submitted to a psychiatric interview in the Center for preventing suicide, on the second day of their hospitalization in the Clinic of... more
One hundred patients, who had committed a first suicidal attempt during the years 2004 and 2005, were submitted to a psychiatric interview in the Center for preventing suicide, on the second day of their hospitalization in the Clinic of Urgent Medicine and Toxicology. The levels of depression and anxiety were assessed by the Hamilton scale for depression (HAMD) and Hamilton scales for anxiety (HAMA). The patients were divided in two groups: age 15-25 (n=70) and age older than 25 (n=30). Age-matched healthy volunteers (n=26) were also studied. The results suggest that all patients with a first suicidal attempt showed signs of depression according to HAMD, and a high level of anxiety, whereas the younger patients showed mean scores for minor depression. The older patients showed signs of major depression, within a depressive episode, which required medical treatment. All younger patients were submitted to psychiatric counselling for one month after the suicidal attempt. The healthy patients showed no signs for depression and anxiety. Language: en
Purpose: Although arterio-venous malformation (AVM) is an embryogenesis disorder, it shows tendency for postnatal enlargement, which implies alternate angiogenesis mechanisms, such as reorganization of minor haemorrhages, ischemic... more
Purpose: Although arterio-venous malformation (AVM) is an embryogenesis disorder, it shows tendency for postnatal enlargement, which implies alternate angiogenesis mechanisms, such as reorganization of minor haemorrhages, ischemic lesions, hormonal factors and traumatic aetiology. The paper presents a case of a patient with enlarging AVM shown by neuroradiologic imaging and extending of clinical features. Method: The evolution of the disease is presented by history data, computerized tomography (CT), CT-angiography, neuropsychological and psychiatric findings. Results: 45-year female patient reports frequent headaches, partial seizures and speech difficulties. A head injury in early childhood was reported. She had learning and memorizing difficulties, but completed high school and found a job. Since then she notices speech problems. At the age of 35 she reports frequent numbness and weakness of her right arm and slurred speech and got retired. At the same time arteriography showed AVM. Symptoms aggravated and new angiography ten years later shows enlarged (>6 cm) temporooccipital AVM, supplied by the a. cerebri media and posterior branches and drained into the sinuses. After introducing antiepileptic drugs, no sudden speech interruptions were observed. AVM embolisation was scheduled by a neurosurgeon. Conclusion: The presented case features and untypical evolution and a need for frequent neuroradiological control.
Introduction: The purpose of this study was to investigate the relationship between active and passive body mass components and maximal aerobic consumption (VO2max) in adult male soccer players. Methods: The study involved seven hundred... more
Introduction: The purpose of this study was to investigate the relationship between active and passive body mass components and maximal aerobic consumption (VO2max) in adult male soccer players. Methods: The study involved seven hundred (700) male soccer players, mean age 25.06 ± 4.41 years (range 18 to 35), divided in six age groups. Body composition was assessed according the anthropometric protocol by Matiegka, and relative muscle mass (MM%), bone (BM%) and fat (BF%) and absolute muscle mass (MMkg), bone (BMkg) and fat (BFkg) components were calculated. The Bruce protocol (incremental multistage treadmill test) was used for the estimation of maximal oxygen consumption. Results: Mean values of body mass components for total sample were as follows: muscle mass (MM%)= 52.75 ± 2.63%, bone mass (BM%)=16.63 ± 1.29% and body fat (BF%)=14.12 ± 1.54%. Mean VO2max was 48.89±5.17 ml/kg/minute. Relative muscle mass (MM%) showed similar values across age different groups (ANOVA: F=2.174; p=0.06) while absolute muscle mass (MMkg) showed tendency of increment with age (ANOVA: F=2.136; p=0.01). Body fat (BFkg and BF%) was statistically higher in the older groups (ANOVA F=3.737; p<0.01; ANOVA F=4.117; p<0.01). Weak positive correlation between VO2max and muscle component (r=0.243; p<0.001) and a weak negative correlation between VO2max and body fat (r=-0.08;p<0.05) were found. Conclusions: Our results confirm the assumption that subjects with larger muscle mass have greater endurance and higher maximal oxygen consumption compared to subjects with larger body fat component.
Introduction In sports which are weight classified and where the athletes attempt to reach certain weight limitations it is very important to monitor the body composition and body fluids. Relatively little is known regarding the physical... more
Introduction In sports which are weight classified and where the athletes attempt to reach certain weight limitations it is very important to monitor the body composition and body fluids. Relatively little is known regarding the physical changes during the preparatory period of karate athletes. The aim of the study was to compare anthropometrical and physiological variables in male karate Macedonian National Team before and after preparatory period. Methods Eleven national level Macedonian male athletes from different weight categories were evaluated at baseline, before preparatory period and after three months, 1-5 days before competition. Body composition was assessed by bioelectrical impendence analyzer (BIA), In Body 720. Body weight, height, fat-free mass (FFM), fat mass (FM), fat percentage (BF%), body mass index (BMI), extracellular (ECT), intracellular (ICT) and total water (TW) were analysed. Abstract P-4 Table 1 Body fluid and body components variables of karate athletes before (1) and after (2) ten-week preparatory period Body fluid and body components Mean Standard deviation Std. error mean Paired differences ICW1 ICW2 32.23 4.33 1.30 0.341 r = 0.995 32.37 4.55 1.37 P = 0.000 ECW1 ECW2 19.04 2.82 0.85 0.540 r = 0.993 19.2 2.79 0.84 P = 0.000 TBW1 TBW2 51.27 7.13 2.15 0.389 r = 0.995 51.48 7.33 2.21 P = 0.000 FFM 1 FFM2 69.87 9.65 2.91 0.238 r = 0.995 70.25 9.39 2.83 P = 0.000 Soft Lean Mass 1 Soft Lean Mass 2 66.03 9.12 2.75 0.328 r = 0.995 66.33 9.39 2.83 P = 0.000 Skeletal mass 1 Skeletal mass 2 40.03 5.64 1.70 0.276 r = 0.996 40.55 5.96 1.80 P = 0.000 Results Mean values of all analysed parameters before and after preparatory period were as follow: height = 181.95 cm vs. 181.36 cm; weight = 80.21 kg vs. 81.05 kg; ICW = 32.23 kg vs. 32.37 kg; ECW = 19.05 kg vs. 19.11 kg; TW = 51.27 kg vs. 51.48 kg; FFM = 69.87 kg vs. 70.25 kg; BF = 10.34 kg vs. 10.75 kg; BMI: 24.21 vs. 24.55; BF%: 12.73% vs. 13.22%. Statistically significant differences were found only for height, weight and BMI (p < 0.05). Discussion Karate athletes usually try to maximise skeletal muscle mass and to minimise fat mass. The body fat percentage range of top level male karate athletes extends from approximately 7.5% for Japanese to 16.8% for Polish elite-level karate athletes (Imamura et al., 1997; Sterkowitch-Przbycien, 2010). Body fat percentage in our karate athletes was between 6% and 21%, with average value around 13%. The body weight was significantly higher at the end of the preparatory period. Nine athletes were found to increase and only 3 athletes to decrease their body mass. The FFM and percentage of body fat in our karate athletes was insignificantly higher after the preparatory period. Reference Sterkowitch-Przbycien KL. Body composition and somatotype of the top Polish male karate contestants. Biol Sport 2010;27:195–201.
The study investigated behavioral measures of social distance (i.e., desired proximity between self and others in social contexts) as an index of stigma against those with mental illness among medical students in Republic of North... more
The study investigated behavioral measures of social distance (i.e., desired proximity between self and others in social contexts) as an index of stigma against those with mental illness among medical students in Republic of North Macedonia, Turkey, Azerbaijan, Kazakhstan, and Poland, using the Reported and Intended Behavior Scale (RIBS), a standardized, self-administered behavioral measure based on the Star Social Distance Scale. The students' responses to standardized clinical vignettes on schizophrenia, and depression with suicidal ideation, were also assessed. A total of 257 North Macedonian (females, 31.5%; 1-4 grades, 189; 5-6 grades, 68); 268 Turkish (females, 43.3%; 1-4 grades, 90; 5-6 grades, 178); 450 Kazakh (females, 28.4%, 71.6%; 1-4 grades, 312; 5-6 grades, 138); 512 Azerbaijani (females, 24%; 1-4 grades, 468; 5-6 grades, 44; females, 24%), and 317 Polish (females, 59.0%; 1-4 grades, 208; 5-6 grades, 109) students were surveyed. The responses on the RIBS social distance behavior measures did not improve with advancing medical school grade, but students across all sites viewed schizophrenia and depression as real medical illnesses. The results support the development of enhanced range of integrated training opportunities for medical student to socially interact with persons with mental illness sharing their experiences with them.
Physical activity (PA) is stimulatory physiologic stress for the human body and regular PA induces significant changes in many physiological, biochemical and anthropological parameters. The aim of this study is to determine the values and... more
Physical activity (PA) is stimulatory physiologic stress for the human body and regular PA induces significant changes in many physiological, biochemical and anthropological parameters. The aim of this study is to determine the values and the differences among the cardio-physiological, hematological and anthropological parameters for different age and gender subgroups in healthy physically active children and an adolescent population. An anthropometric evaluation (Matiegka protocol), hematological analysis i.e., red blood cells count (RBC), hemoglobin level, hematocrit, and ergometrical testing (Brus protocol) were made. Regarding mass and height until the age of 12 (U12), girls were heavier and taller than boys. The mean values for relative muscle mass in all the groups of boys and girls of different ages are in the optimal range (>50%) and indicate well developed muscle mass. There are no differences between the same age subgroups for this anthropometric parameter between the b...

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