Acta Medica Bulgarica最新文献_第9页

Surgical Treatment of Adults with Uncorrected Tetralogy of Fallot: A Clinical Case Series 成人未矫正法洛四联症的手术治疗:临床病例系列

Acta Medica Bulgarica Pub Date : 2022-04-01 DOI: 10.2478/amb-2022-0008

V. Petrova, D. Petrova, V. Kornovski, T. Vekov, V. Danov

引用次数: 0

Possible Hypothetical Mode of Action of ECT (Electroconvulsive Therapy) Based on DNA Dipole Character and Epigenetics 基于DNA偶极特性和表观遗传学的ECT（电惊厥治疗）可能的假设作用模式

Acta Medica Bulgarica Pub Date : 2021-11-01 DOI: 10.2478/amb-2021-0049

H. Koch

引用次数: 0

Association of X Chromosome Aberrations with Male Infertility X染色体畸变与男性不育的关系

Acta Medica Bulgarica Pub Date : 2021-11-01 DOI: 10.2478/amb-2021-0051

S. Xharra, E. Behluli, A. Moder, H. Nefic, R. Hadziselimovic, G. Temaj

引用次数: 0

Significance of the Dominant Psychological and Physiological Aspects of the Occupational Stress Models 职业压力模型的主要心理和生理方面的意义

Acta Medica Bulgarica Pub Date : 2021-11-01 DOI: 10.2478/amb-2021-0046

S. Simeonova, R. Nikolova

{"title":"Significance of the Dominant Psychological and Physiological Aspects of the Occupational Stress Models","authors":"S. Simeonova, R. Nikolova","doi":"10.2478/amb-2021-0046","DOIUrl":"https://doi.org/10.2478/amb-2021-0046","url":null,"abstract":"Abstract The importance of the dominant psychological and physiological aspects of occupational stress models is a significant topic for researchers working in the field of medicine. Modern society faces significant problems in the detection and management of stress due to its growing impact on the functional state of working individuals. Ensuring safe and healthy working conditions is necessary to deal with the adverse effects of occupational stress on health. Controlling and reducing stress is possible by revealing the causal psychophysiological links in the mechanisms of work-related stress. Scientifically based stress management is based on the categories and concepts underlying occupational stress models. Modern work-related models of stress describe and study not only the adverse characteristics of the work process, but also the factors that stimulate the health and well-being of the individual. Monitoring occupational stress is part of the process of neutralizing and eliminating it. In today’s dynamic world, it is not enough to expect only quality performance of the professional duties of employees, but the commitment of managers working in the field of health care is needed to analyse and manage the dominant psychological and physiological aspects of occupational stress models and prevent adverse aspects of models of this type of stress at work.","PeriodicalId":35746,"journal":{"name":"Acta Medica Bulgarica","volume":"48 1","pages":"33 - 42"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45864679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Current Trends in the Gene Therapy of Hematologic Disorders 血液病基因治疗的发展趋势

Acta Medica Bulgarica Pub Date : 2021-11-01 DOI: 10.2478/amb-2021-0048

D. Nikolova

引用次数: 0

Current Knowledge About the Implication of Bacterial Microbiota in Human Health and Disease 细菌微生物群在人类健康和疾病中的意义

Acta Medica Bulgarica Pub Date : 2021-11-01 DOI: 10.2478/amb-2021-0047

D. Nikolova

引用次数: 0

Physical Activity and Rehabilitation – A Key to Healthy Aging 体育活动和康复-健康老龄化的关键

Acta Medica Bulgarica Pub Date : 2021-11-01 DOI: 10.2478/amb-2021-0050

V. Mihaylova, I. Ivanova, A. Alakidi, K. Kilova, M. Liochkova

{"title":"Physical Activity and Rehabilitation – A Key to Healthy Aging","authors":"V. Mihaylova, I. Ivanova, A. Alakidi, K. Kilova, M. Liochkova","doi":"10.2478/amb-2021-0050","DOIUrl":"https://doi.org/10.2478/amb-2021-0050","url":null,"abstract":"Abstract A doctrine was established regarding the so called “new beginning” – the transition to the post-retirement period for a full-value experience of the available compensatory reserves and creation of overcoming strategies for opposing and coping with the obstacles in the still uncommon lifestyle of the senior citizen. By outlining the role of physical activity in a synthesized format, a successful attempt for data classification worldwide was made; in one fourth of the elderly people there is insufficient physical activity, more evident in the women and for Bulgaria this percent is higher (95%). The role and effect of categorized physical exercises for mobility, flexibility, and stretching, aerobic and anaerobic movements have been pointed out. Moreover, the review discusses the preventive effects of rehabilitation, including psychological ones and the role of it in helping patients live with socially significant diseases, coping with disability. The contribution of physical activity and rehabilitation as protective factors of non-infectious diseases is associated with good mental health, improved quality of life and well-being. Within this meaning, while contemporary medicine adds years to life, physical activity and mostly rehabilitation is a significant reason for adding a meaningful life in the course of aging and old age.","PeriodicalId":35746,"journal":{"name":"Acta Medica Bulgarica","volume":"48 1","pages":"62 - 68"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43895276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neurological Manifestations of Hospitalized Patients with Covid-19: A Case Series Study 新冠肺炎住院患者的神经学表现:病例系列研究

Acta Medica Bulgarica Pub Date : 2021-10-01 DOI: 10.2478/amb-2021-0035

M. Zamanian, A. Janbakhsh, F. Mansouri, B. Sayad, M. Afsharian, S. Vaziri, B. Mahdavian, Z. Afshar, R. Miladi, M. Shirvani, M. Noori, M. Salimi, A. Babazadeh, S. Ebrahimpour

{"title":"Neurological Manifestations of Hospitalized Patients with Covid-19: A Case Series Study","authors":"M. Zamanian, A. Janbakhsh, F. Mansouri, B. Sayad, M. Afsharian, S. Vaziri, B. Mahdavian, Z. Afshar, R. Miladi, M. Shirvani, M. Noori, M. Salimi, A. Babazadeh, S. Ebrahimpour","doi":"10.2478/amb-2021-0035","DOIUrl":"https://doi.org/10.2478/amb-2021-0035","url":null,"abstract":"Abstract There are some reports about the neurological manifestations and complications of COVID-19. We present neurological manifestations in 6 hospitalized patients with COVID-19. The patients presented with common symptoms of COVID-19 along with common findings from high-resolution computed tomography (HRCT) scan such as ground-glass opacities (GGOs). Though, RT-PCR testing of SARS-CoV-2 was negative for all 6 cases. In the current report, acute cerebrovascular diseases affected older patients, while dementia, seizure and encephalopathy affected younger ones. Three of the 6 patients had proven strokes based on their neuroimaging. Four of the 6 patients had high d-dimer levels. Two of the cases experienced convulsion. The third patient presented with typical symptoms and signs of neuroleptic malignant syndrome. The sixth case was interesting for transient dementia. Unfortunately, four out of six patients died. The recent case series report the association between neurological involvements and COVID-19 infection. Clinicians should be alert of the neurologic symptoms in the setting of COVID-19, which might even be the first presentations of this infection.","PeriodicalId":35746,"journal":{"name":"Acta Medica Bulgarica","volume":"48 1","pages":"41 - 45"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46462864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Complex Tibial Plateau Fractures Treated with a Hybrid External Fixator – Long Term Results 混合型外固定器治疗复杂胫骨平台骨折的远期疗效

Acta Medica Bulgarica Pub Date : 2021-10-01 DOI: 10.2478/amb-2021-0031

Y. Andonov

{"title":"Complex Tibial Plateau Fractures Treated with a Hybrid External Fixator – Long Term Results","authors":"Y. Andonov","doi":"10.2478/amb-2021-0031","DOIUrl":"https://doi.org/10.2478/amb-2021-0031","url":null,"abstract":"Abstract Introduction: High energy tibial plateau fractures represent a challenge because of the combined bone and soft tissue injury. The iatrogenic impact can further increase the likelihood for crippling complications. Less invasive treatment protocols have been developed to improve the results. Objective: We present the long-term results of limited internal fixation combined with a small wire external fixator. Patients and Methods: Fourteen patients were followed for at least 10 years. Initial and final functional results, complications and presence of joint degeneration were registered according to validated rating scores. Results: Of all patients included in the study, thirteen showed an excellent initial rating and one had an average result at baseline. 10 years later, eight patients still showed excellent grading results, four – good ones, one – average and one – poor results. Ten knees (71%) had osteoarthritis. Postphlebitic syndrome was diagnosed in two cases. Three knees showed medio-lateral instability, one showed a varus and one – a valgus deformity. Knee arthroplasty was performed in one case. Conclusion: The limited internal fixation combined with a hybrid ex fix can be considered as an alternative to the ORIF, especially when the soft tissues are severely compromised. Despite the inevitable joint degeneration, the associated overall morbidity is low and the long term function is quite satisfactory.","PeriodicalId":35746,"journal":{"name":"Acta Medica Bulgarica","volume":"48 1","pages":"26 - 29"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46536698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

DISHphagia – A Riddle Unwrapped a Clinical Case with Literature Review 一个疑难杂症的临床案例，并附文献复习

Acta Medica Bulgarica Pub Date : 2021-10-01 DOI: 10.2478/amb-2021-0032

H. Valkov, M. Kovacheva-Slavova, I. Lyutakov, T. Angelov, P. Getsov, B. Vladimirov, P. Penchev

{"title":"DISHphagia – A Riddle Unwrapped a Clinical Case with Literature Review","authors":"H. Valkov, M. Kovacheva-Slavova, I. Lyutakov, T. Angelov, P. Getsov, B. Vladimirov, P. Penchev","doi":"10.2478/amb-2021-0032","DOIUrl":"https://doi.org/10.2478/amb-2021-0032","url":null,"abstract":"Abstract Diffuse idiopathic skeletal hyperostosis (DISH) is a common but underdiagnosed systemic skeletal disease. It is characterized by calcifications affecting mainly the spinal anterior longitudinal ligament. In the majority of cases, the patients are asymptomatic, but cervical osteophytes can sometimes cause hoarseness, dysphagia (DISHphagia) and even dyspnea. Case description: A 61-year-old man was admitted to our department with complaints of difficulty in swallowing and weight loss. Dysphagia had been increasing gradually for nine months. Barium swallow esophagram revealed asymmetric swallowing with expansion above the upper esophageal sphincter without other abnormalities. The extension was confirmed by esophago-gastro-duodenoscopy (EGD). Furthermore, CT scan of the thorax clearly demonstrated degenerative changes of the cervical and thoracic region, extensive ossification of the anterior longitudinal ligament, and osteophytes from C2-C7 with a forward displacement of the esophagus by 14 mm. The so-called “wax dripping down the candle” phenomenon was as well observed. Conclusion: DISH is a systematic, musculo-skeletal disease of older adults with unknown etiology. Dysphagia is the most common symptom of the disease and might be caused by osteophytes of the cervical region. We presented a case of DISH with a rare localization of the osteophytes in the cervical region C2-C7. Due to the increasing incidence of the Forestier’s syndrome and its associated “DISHphagia”, the gastroenterologist should increase the awareness of this underestimated disease and improve the diagnostic approach.","PeriodicalId":35746,"journal":{"name":"Acta Medica Bulgarica","volume":"48 1","pages":"30 - 33"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48296822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0