Faculty of Medicine
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Item type:Publication, Platelet-rich plasma as a promising bioscaffold for enhancing peripheral nerve regeneration: An experimental study in a rat sciatic nerve model(Journal of Biological Methods, 2025); ; ; ;Aleksovski, BorisTusheva, SofijaDespite advancements in surgical treatments, impairments persist after peripheral nerve injuries, prompting a shift in research toward the microenvironment of injured axons. Platelet-rich plasma (PRP), rich in growth factors and derived from autologous blood, emerges as a potential candidate to accelerate nerve healing. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, SMALL ANIMAL MODEL IN THE DEVELOPMENT OF RADIOPHARMACEUTICALS - THE STEP FORWARD TOCLINICAL STUDIES(Faculty of Veterinary Medicine - Skopje, 2022) ;Janevik Ivanovska, Emilija; ;Aleksovski, Boris; Darkovska Serafimovska, MarijaExperimental design is a critical component for the success of research activities involving development and evaluation of new radiopharmaceuticals. Experimental animal models have substantially contributed to a better understanding of mechanisms of disease and show the novel approaches in imaging and image analysis were equally important to meet the challenges of analyzing the complex mechanisms underlying pathophysiological processes in vivo. Proper animal models are key factors for successful pharmaceutical and medicinal experiments. To reduce animal number for ethical and nancial reasons, cost-ef cient methods where high quantities of data are achieved fast are optimal. Biodistribution and pharmacokinetics studies diagnostic or therapeutic radiopharmaceuticals by SPECT or PET imaging followed by post mortem analysis in diseases model gives a good start point for further steps toward clinical applications. In this presentation, targeting properties, biodistribution and pharmacokinetics of different molecules, as potential radiopharmaceuticals have been studied in small animal models using suitable imaging modalities and post mortem analysis. The following experimentally designed animal models have been introduced in our work so far as an essential part in the development of new radiopharmaceutical products and quality control of existing radiopharmaceutical products. Rat models were used to establish: stasis-induced thrombus in the femoral vein after injection of thromboplastin to demonstrate Deep Venous Thrombosis; induced amyloidosis by multiple application of beta2-microglobulin for determination of the existence of the depositing osteoarticular tissues, condition associated with hemodialysis in patients with chronic kidney diseases; collagen-induced arthritis as a model of in ammatory arthritis; bacterial abscesses by the injection of Staphylococcus aureus. Mouse models were used for: in vivo evaluation of the radiolabelled conjugated antibodies in normal Balb/c mice and nude mice xenografts; per os administration of iodine labeled BSA loaded microspheres to show the strong adjuvant effect by inducing IgA secretion at the genito-urinary mucosa; athymic nude mice tumor bearning to demonstratespeci ty of pre-targeting technique referred to the Af nity Enhancement System (AES) uses bispeci c antibodies and radiolabeled bivalent haptens. The use of experimental animal models in the design of new drugs including radiopharmaceuticals is a key part of preclinical trials. Usually this approach can not fully replicate human disease or the varied and complex physical and psychological manifestations of human conditions. For these reasons the process of experimental design should be carried out routinely to ensure the generation of valid, reproducible and published data. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The role of TNF-α-based models in prognostication of the outcomes after ICH: a pilot study(2019-10); ;Aleksovski, Boris; ; Abstract Introduction: Recently, we have developed TNF-α-based models for prognostication of the 3-month neurological outcome in patients after Intracerebral hemorrhage, ICH (Rendevski et al., 2018). In this pilot study, we aimed to test their utility in the clinical practice for the purposes of identification of the patients who will most likely end up with a poor outcome, as well as to test their utility for clinical decision making between conservative and surgical intervention. Methods: 20 patients with ICH were included initially in this pilot longitudinal study. Their peripheral blood TNF-α levels were screened, and the risk for poor outcome was assessed by using our previously determined cutoff value of > 110.35 pg/mL. The neurological outcome was determined 3 months after the initial hemorrhagic cerebrovascular insult. Another series of 20 threatened patients with TNF-α levels higher than 200 pg/mL were tested for the possibility of lowering the risk of the poor outcome by implementing early craniotomy with hematoma evacuation. Results: The value of > 110.35 pg/mL had fairly identified the patients who later fell into the group with poor outcome, 3 months after ICH (8 out of 9 identified patients with risk for poor outcome have resulted in a poor outcome). In the second series of 20 threatened patients with TNF-α levels higher than 200 pg/mL, early craniotomy and evacuation of the hematoma were shown beneficial; 7 out of 20 patients resulted in a good outcome. Conclusions: TNF-α screening at admission was shown as a useful method for identifying the ICH patients with the highest risk for ending with poor neurological outcome; early craniotomy with hematoma evacuation in the threatened group of patients with the highest TNF-α levels has also shown benefit in lowering the risk for poor outcome and improving patient's neurological state 3 months after ICH. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, SSRI-reduced platelet reactivity in non-responding patients with life-long Recurrent Depressive Disorder: Detection and involved mechanisms(Elsevier BV, 2018-05) ;Aleksovski, Boris ;Neceva, Violeta ;Vujović, Viktorija; Adverse effects with bleeding disorders are often associated with the administration of SSRI in depression, although the exact mechanisms remain contradicting. This study is aimed at detecting and exploring the mechanisms of SSRI-induced changes in platelet reactivity in non-responding patients with Recurrent Depressive Disorder (RDD) and life-long exposure to antidepressants. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Validation of the ELISA Method for Quantitative Detection of TNF-α in Patients with Intracerebral Hemorrhage(Scientific Foundation SPIROSKI, 2017-09); ;Aleksovski, Boris ;Stojanov, Dragan ;Mihajlovska-Rendevska, AnaAleksovski, Vasko<jats:p>AIM: We aimed to investigate the sensitivity, reproducibility and validity of the commercial ELISA kits for quantitative detection of TNF-α and their potential application for screening purposes in patients with ICH.METHODS: Analysis of six independent standard series, evaluation of the deviation of the TNF-α concentration in patients with ICH, standard addition and visual analysis of whole UV-Vis spectra were carefully performed.RESULTS: Low standard deviations of the absorbance were detected for every standard, as well as in the samples of healthy controls and patients with ICH. The standard addition series have also confirmed high sensitivity and reproducibility of the assay, with a congruent shift of the standard curves with the concentration of TNF-α for the added plasma. The visual analyses of the gained spectra have revealed the absence of any matrix effects from the addition of the human plasma in the reconstituted standards.CONCLUSION: The commercial ELISA kits can be used in the clinical practice for screening purposes of the plasma TNF-α levels in patients with ICH.</jats:p> - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Prognostic values of peripheral glutamate and TNF levels in patients with intracerebral haemorrhage(Scitechnol Biosoft Pvt. Ltd., 2018); ;Aleksovski, BorisRendevska Mihajlovska, Ana - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Peripheral glutamate and TNF-α levels in patients with intracerebral hemorrhage: Their prognostic values and interactions toward the formation of the edemal volume(VM Media SP. zo.o VM Group SK, 2018-03); ;Aleksovski, Boris ;Stojanov, Dragan ;Aleksovski, VaskoMihajlovska Rendevska, AnaWe aimed to evaluate the prognostic values, contribution and interactions of the peripheral blood plasma glutamate and tumor-necrosis factor-α (TNF-α) levels toward the formation of the perifocal edema in patients with intracerebral hemorrhage (ICH). - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Surgical Outcome in Patients with Spontaneous Supratentorial Intracerebral Hemorrhage(Walter de Gruyter GmbH, 2017-12-01); ;Stojanov, Dragan ;Aleksovski, Boris ;Mihajlovska Rendevska, Ana<jats:title>Summary</jats:title> <jats:p>The aim of the paper was to evaluate the surgical outcome in patients with spontaneous supratentorial intracerebral hemorrhage (ICH) after surgical intervention, in respect to the initial clinical conditions, age, sex, hemispheric side and anatomic localization of ICH. Thirty-eight surgically treated patients with spontaneous supratentorial intracerebral hemorrhage were included in the study. The surgical outcome was evaluated three months after the initial admission, according to the Glasgow Outcome Scale (GOS). The surgical treatment was successful in 14 patients (37%), whereas it was unsuccessful in 24 patients (63%). We have detected a significant negative correlation between the Glasgow Coma Scale (GCS) scores on admission and the GOS scores after three months, suggesting worse neurological outcome in patients with initially lower GCS scores. The surgical outcome in patients with ICH was not affected by the sex, the hemispheric side and the anatomic localization of ICH, but the age of the patients was estimated as a significant factor for their functional outcome, with younger patients being more likely to be treated successfully. The surgical outcome is affected from the initial clinical state of the patients and their age. The treatment of ICH is still an unsolved clinical problem and the development of new surgical techniques with larger efficiency in the evacuation of the hematoma is necessary, thus making a minimal damage to the normal brain tissue, as well as decreasing the possibility of postoperative bleeding.</jats:p> - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Modeling prognostic factors for poor neurological outcome in conservatively treated patients with intracerebral hemorrhage: A focus on TNF-α(Elsevier BV, 2018-09); ;Aleksovski, Boris ;Stojanov, Dragan ;Mihajlovska Rendevska, AnaAleksovski, VaskoPrognostic models for Intracerebral hemorrhage (ICH), mainly based on clinical evaluation, have remained inherently confounded by subjective scoring assessments and limited accuracy. In this study, we aimed at assessing the risk for poor outcome after ICH based on peripheral biochemical markers (TNF-α, glutamate and glucose) and radiological variables (both at admission and five days after patient's care), for modeling purposes of prognostication. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Effects of data transformation on multivariate analyses in intracerebral hemorrhage(Macedonian Pharmaceutical Association, 2016); ;Aleksovski, Boris ;Kolevska, Milena ;Stojanov, Dragan<jats:p>Multivariate statistical approaches have been increasingly applied in hemorrhagic stroke data analysis. Nevertheless, several aspects regarding their relevance and validity in respect of the application of data transformations have not been studied in details. This paper examines the effects of different data transformations in the standard statistical methods of the multivariate analysis of the intracerebral hemorrhage (ICH) parameters in small group samples. Two different methods for data transformations (log transformation (log(Xi )), square root transformation (√Xi ))have been carried out. The initial volume of the ICH have been studied using several test for skewness, kurtosis, histogram distribution method and different quartile-quartile (Q-Q) and probability-probability (P-P) plots as criteria for normal distribution. Multivariate analyses for the prediction of the perifocal edema was performed using raw and transformed data. Our results indicate that the data transformation operations should be performed very carefully because different analytical outputs lead to different scientific conclusions.</jats:p>
