Nikolovska, Bisera
Preferred name
Nikolovska, Bisera
Official Name
Nikolovska, Bisera
Translated Name
Николовска, Бисера
Alternative Name
Pendovska, Bisera
Pendovska, B
Nikolovska, B
Bisera Nikolovska
Main Affiliation
Email
bisera.nikolovska@yahoo.com
20 results
Now showing 1 - 10 of 20
- Some of the metrics are blocked by yourconsent settings
Item type:Publication, Carpal tunnel syndrome caused by lipoma(Department of Anaesthesia and Reanimation, Faculty of Medicine, “Ss. Cyril and Methodius” University Skopje, R.N.Macedonia, 2021-03); ; ; Georgieva GCarpal tunnel syndrome as a result of space occupying masses is very rare. Lipomas located in the carpal tunnel were found in small number of cases. In this case report, we present a case of a middle-aged woman with progressive muscle atrophy of the thenar and loss of sensation on the right hand innervated by the median nerve. Clinical examinations, electromyography and MRI were done, and a soft tissue mass, the most likely lipoma, was found in the carpal tunnel making pressure to the median nerve. Surgery was performed, decompression of the median nerve was provided, and results after two months showed complete improvement of the motor end sensory function of the hand. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Use of platelet rich plasma and split thickness skin graft in post-infection soft tissue defects, our initial experience(Department of Anaesthesia and Reanimation, Faculty of Medicine, “Ss. Cyril and Methodius” University Skopje, R.N.Macedonia, 2020-12); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Platlet-Rich Plasma - Review of Literature(Macedonian Academy of Sciences and Arts / Walter de Gruyter GmbH, 2021-04-23); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, SARS-CoV-2 infection and venous thromboembolism after surgery: an international prospective cohort study(Wiley, 2022-01); ; ; Chokleska, NSARS-CoV-2 has been associated with an increased rate of venous thromboembolism in critically ill patients. Since surgical patients are already at higher risk of venous thromboembolism than general populations, this study aimed to determine if patients with peri-operative or prior SARS-CoV-2 were at further increased risk of venous thromboembolism. We conducted a planned sub-study and analysis from an international, multicentre, prospective cohort study of elective and emergency patients undergoing surgery during October 2020. Patients from all surgical specialties were included. The primary outcome measure was venous thromboembolism (pulmonary embolism or deep vein thrombosis) within 30 days of surgery. SARS-CoV-2 diagnosis was defined as peri-operative (7 days before to 30 days after surgery); recent (1-6 weeks before surgery); previous (≥7 weeks before surgery); or none. Information on prophylaxis regimens or pre-operative anti-coagulation for baseline comorbidities was not available. Postoperative venous thromboembolism rate was 0.5% (666/123,591) in patients without SARS-CoV-2; 2.2% (50/2317) in patients with peri-operative SARS-CoV-2; 1.6% (15/953) in patients with recent SARS-CoV-2; and 1.0% (11/1148) in patients with previous SARS-CoV-2. After adjustment for confounding factors, patients with peri-operative (adjusted odds ratio 1.5 (95%CI 1.1-2.0)) and recent SARS-CoV-2 (1.9 (95%CI 1.2-3.3)) remained at higher risk of venous thromboembolism, with a borderline finding in previous SARS-CoV-2 (1.7 (95%CI 0.9-3.0)). Overall, venous thromboembolism was independently associated with 30-day mortality (5.4 (95%CI 4.3-6.7)). In patients with SARS-CoV-2, mortality without venous thromboembolism was 7.4% (319/4342) and with venous thromboembolism was 40.8% (31/76). Patients undergoing surgery with peri-operative or recent SARS-CoV-2 appear to be at increased risk of postoperative venous thromboembolism compared with patients with no history of SARS-CoV-2 infection. Optimal venous thromboembolism prophylaxis and treatment are unknown in this cohort of patients, and these data should be interpreted accordingly. - Some of the metrics are blocked by yourconsent settings
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); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Timing of surgery following SARS ‐ CoV ‐ 2 infection: an international prospective cohort study(Association of Anaesthetists, 2021-03); ; Peri‐operative SARS‐CoV‐2 infection increases postoperative mortality. The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS‐CoV‐2 infection. This international, multicentre, prospective cohort study included patients undergoing elective or emergency surgery during October 2020. Surgical patients with pre‐operative SARS‐CoV‐2 infection were compared with those without previous SARS‐CoV‐2 infection. The primary outcome measure was 30‐day postoperative mortality. Logistic regression models were used to calculate adjusted 30‐day mortality rates stratified by time from diagnosis of SARS‐CoV‐2 infection to surgery. Among 140,231 patients (116 countries), 3127 patients (2.2%) had a pre‐operative SARS‐CoV‐2 diagnosis. Adjusted 30‐day mortality in patients without SARS‐CoV‐2 infection was 1.5% (95%CI 1.4–1.5). In patients with a pre‐operative SARS‐CoV‐2 diagnosis, mortality was increased in patients having surgery within 0–2 weeks, 3–4 weeks and 5–6 weeks of the diagnosis (odds ratio (95%CI) 4.1 (3.3–4.8), 3.9 (2.6–5.1) and 3.6 (2.0–5.2), respectively). Surgery performed ≥ 7 weeks after SARS‐CoV‐2 diagnosis was associated with a similar mortality risk to baseline (odds ratio (95%CI) 1.5 (0.9–2.1)). After a ≥ 7 week delay in undertaking surgery following SARS‐CoV‐2 infection, patients with ongoing symptoms had a higher mortality than patients whose symptoms had resolved or who had been asymptomatic (6.0% (95%CI 3.2–8.7) vs. 2.4% (95%CI 1.4–3.4) vs. 1.3% (95%CI 0.6–2.0), respectively). Where possible, surgery should be delayed for at least 7 weeks following SARS‐CoV‐2 infection. Patients with ongoing symptoms ≥ 7 weeks from diagnosis may benefit from further delay. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Evaluation of functional and radiologic outcome after conservative treatment of distal radius fractures(Macedonian Association of Anatomists and Morphologists, 2011); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, High energy trauma of the upper extremity with traction injury of the brachial plexus(Department of Anaesthesia and Reanimation, Faculty of Medicine, “Ss. Cyril and Methodius” University Skopje, R.N.Macedonia, 2021-10); ; Tomislav JovanoskiAs a severe peripheral nerve injury, brachial plexus lesion can cause limitation in every- day home and workplace activities. Hereby, we present a patient with high-energy trauma of the upper extremity. The examination showed motor weakness of the upper extremity and no flexion and extension in the wrist and fingers with sensibility impairment. The examination and mechanism of injury indicated traction lesion of the brachial plexus. MRI showed postganglionic stretch injury. Treatment of choice was physical therapy. To evaluate the function of the upper extremity after the injury, we used the DASH score. Four months post injury, the patient has flexion and extension in the wrist and fingers. The mechanism of injury and the magnitude of forces that caused the injury can guide as to the extent of the brachial plexus lesion. Analyzing the acquired information, a plan for initial treatment can be established. On point treatment can increase patient’s quality of life with better outcome. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Prophylactic Regenerative Peripheral Nerve Interfaces in Elective Lower Limb Amputations(Macedonian Academy of Sciences and Arts / Walter de Gruyter GmbH, 2022-04-22); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Brachial Plexus Injuries - Review of the Anatomy and the Treatment Options(Macedonian Academy of Sciences and Arts, 2021-03); ; ; ; Tomislav JovanoskiBrachial plexus injuries are still challenging for every surgeon taking part in treating patients with BPI. Injuries of the brachial plexus can be divided into injuries of the upper trunk, extended upper trunk, injuries of the lower trunk and swinging hand where all of the roots are involved in this type of the injury. Brachial plexus can be divided in five anatomical sections from its roots to its terminal branches: roots, trunks, division, cords and terminal branches. Brachial plexus ends up as five terminal branches, responsible for upper limb innervation, musculocutaneous, median nerve, axillary nerve, radial and ulnar nerve. According to the findings from the preoperative investigation combined with clinically found functional deficit, the type of BPI will be confirmed and that is going to determine which surgical procedure, from variety of them (neurolysis, nerve graft, neurotization, arthrodesis, tendon transfer, free muscle transfer, bionic reconstruction) is appropriate for treating the patient.