- Acute Ischemic Stroke Management
- Stroke Rehabilitation and Recovery
- Cerebrovascular and Carotid Artery Diseases
- Vasculitis and related conditions
- Venous Thromboembolism Diagnosis and Management
- Cardiovascular Health and Disease Prevention
- Ocular Diseases and Behçet’s Syndrome
- Cerebrovascular and genetic disorders
- Neurological Disorders and Treatments
- Cerebral Venous Sinus Thrombosis
- Systemic Lupus Erythematosus Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Systemic Sclerosis and Related Diseases
- Long-Term Effects of COVID-19
- Connective tissue disorders research
- Sarcoidosis and Beryllium Toxicity Research
- Retinal and Optic Conditions
- COVID-19 and healthcare impacts
- Hereditary Neurological Disorders
- Aortic Thrombus and Embolism
- Mitochondrial Function and Pathology
- Vascular Malformations Diagnosis and Treatment
- Vascular Malformations and Hemangiomas
- Glycogen Storage Diseases and Myoclonus
- IgG4-Related and Inflammatory Diseases
Saints Cyril and Methodius University of Skopje
2006-2024
University Clinic of Traumatology
2012-2023
University of Ss. Cyril and Methodius in Trnava
2022
Boston Medical Center
2022
Boston University
2022
PHI University Psychiatric Clinic - Skopje
2020-2021
University Radiology
2014-2019
We assessed best available data on access and delivery of acute stroke unit (SU) care, intravenous thrombolysis (IVT) endovascular treatment (EVT) in the European region 2019 2020.We compared national per number inhabitants 100 annual incident first-ever ischaemic strokes (AIIS) 46 countries. Population estimates incidence were based United Nations Global Burden Disease Report 2019, respectively.The estimated mean SUs was 3.68 (95% CI: 2.90-4.45) one million (MIH) with 7/44 countries having...
Background Current stroke guidelines recommend advanced imaging (computed tomography [CT] perfusion or magnetic resonance imaging) prior to endovascular therapy (EVT) in patients with late presentation of large vessel occlusion. Adherence may be constrained by resources timely access imaging. We sought understand the factors which influence window selection for EVT candidates Methods conducted an international survey from January May 2022. The questions aimed identify and treatment decisions...
Introduction Despite the availability of prevention and therapies stroke, their implementation in clinical practice, even low-cost ones, remains poor. In 2015, European Stroke Organisation (ESO) initiated ESO Enhancing Accelerating Treatment (EAST) program, which aims to improve stroke care quality, primarily Eastern Europe. Here, we describe its methods milestones. Patients The EAST program is using an strategy based on a ‘detecting-understanding-reducing disparities’ conceptual framework:...
Background and purpose: There is a J‐shaped association between admission glycemia outcome. We designed an intravenous insulin protocol aiming at rapid strict glucose control in hyperglycemic ischaemic stroke patients. Here, we describe the initial experience, safety, efficacy of this to achieve maintain euglycemia first 48 h. Methods: The based on parallel scales for adjustment infusion rate according current change glycemia, which was recommended our unit 4/2007 acute patients with > 6...
A depression following a stroke (Post Stoke Depression-PSD) is the most common complication of that has negative effect on result after stroke. better definition risk factors disease will provide for prediction and treatment.To research identification PSD, typical Macedonian population, which help in early prediction, timely diagnosis treatment disease?We carried out prospective study order to determine prevalence PSD 100 patients treated at hospital Tetovo. The severity, localisation...
Stroke Education in the Digital Era organizations like WSO.Health care providers face challenge of rapidly acquiring knowledge not only about advancements stroke but also innovative strategies and technologies to effectively educate support colleagues.The goal is deliver high-quality, concise, accessible, multiplatform, engaging content a diverse ecosystem.Collectively, these e-strategies aim contribute reduction global burden.
Rationale Cerebrovascular diseases associated with pregnancy and postpartum period are uncommon; however, they can have an important impact on health of both women foetus or newborn. Aims To evaluate the frequency, characteristics management cerebrovascular events in pregnant/postpartum women, to clarify pathophysiological mechanisms underlying occurrence these including biomolecular aspects, assess short- long-term global cardiovascular outcome patients, their predictors infant outcome....
Cerebral venous sinus thrombosis (CVT) is rare cause of cerebrovascular disease. The incidence 0.5% all stroke. majority affected patients are young adults (mean age: 35-40 years) with mild to moderate disabilities. Poor outcome severe disability seen in 13% cases. Early diagnosis and treatment important for good outcomes preventing complications. Treatment options limited mostly based on consensus. NeuroAiD II™ (MLC901; Moleac Pte, Ltd, Singapore) has a potential beneficial role post-stroke...
Abstract Objective : Acetylsalicylic acid (ASA) is the most widely used antiplatelet agent in treating ischemic strokes. ASA resistance varies between populations, from 5% to 60%. We aimed determine prevalence of our population, its association with demographic characteristics, risk factors, and occurrence recurrent stroke (IS). (IST). Methods One hundred consecutive patients primary or IS were prospectively included. Strokes diagnosed computed tomography (CT) magnetic resonance imaging...
BACKGROUND: The World Stroke Academy (WSA), the educational platform of WSO, provides high-quality stroke education to health care professionals worldwide. Understanding learning needs and preferences WSA members is crucial for effective knowledge translation. This study aims (1) assess demographics professional backgrounds members, (2) identify in acquisition, (3) evaluate audience retention during webinars. METHODS: A survey was developed using Qualtrics distributed via email all from May...
Promoting research to improve stroke prevention, acute care, and recovery is a key mission of the European Stroke Organisation (ESO). networks may increase efficiencies reduce waste in randomised clinical trials treatments. Several countries have established national or regional networks, informal groups registers which serve as foundation for establishing network. To international collaboration on Europe, ESO Trials Network Committee leading development an alliance Alliance (ESOTA)....
Although post-stroke depression (PSD) is the most common neuro-psychiatric consequence after a stroke there still some obscurity regarding its aetiology and risk factors, which complicates management. A better knowledge of predictors will enable prevention treatment.The aim this work was identification factors for PSD, typical Macedonian population, help in early prediction, timely diagnosis treatment disease.We carried out prospective study at Clinical Hospital Tetovo, Republic Macedonia to...
The exposure to tobacco smoke could cause bronchoconstriction and acute asthma attack. Smoking asthmatics have an insufficient therapeutic response the standard therapy unsatisfactory improvement of respiratory function. In a randomized parallel study, inhaled fluticasone propionate in dose 250 µg twice per day was determined 38 with mild asthma, smokers nonsmokers. Short-acting ß2 agonist (salbutamol) dosage 0.1 mg/per used as rescue medication when needed. patients, detected positive...
Background To determine the frequency of patients (pts) with autoimmune diseases who developed stroke and to analyse associated risk factors.
Introduction One of the aims European Stroke Organisation (ESO) is to facilitate academic, multinational clinical stroke research. However, despite examples successful regional and national research networks collaborative groups, there no organisational structure at a level that can Materials methods In project including survey workshop involving researchers in ESO, we sought identify challenges faced by existing networks, define purpose roles any future collaboration, propose an structure....
Background/Aim. Carotid stenosis is a risk factor for cognitive impairment. The aim of the study was to evaluate degree impairment in patients with asymp-tomatic and symptomatic carotid correlate it presence, location, extent cerebral ischemic lesions. Methods. A prospective analysis 180 aged 50?70 years, divided into three groups (asymptomatic stenosis, controls) made. We assessed demographic characteristics, vascu-lar factors, ultrasound examination arter-ies, computerized tomography (CT),...