Citation: Zisova LG, Chokoeva AA, Amaliev GI, Petleshkova PV, Miteva-Katrandzhieva TM, Krasteva M, Uchikova EH, Kuzmanov AH, Ivanova ZV. Vulvovaginal candidiasis in pregnant women and its importance for candida colonization of newborns.
Aim: The dynamic and rapid development of medicine and assisted reproductive technology (ART), in particular, has opened up a whole new range of opportunities for infertile couples worldwide. In the resent years, the number of couples with reproductive problems and infertility in Bulgaria has sharply increased. For some of them surrogacy is the only chance for having a child. This calls for the introduction of new legislative, regulatory provisions concerning surrogacy agreements. This article provides an overview of the current attitudes in Bulgarian society as regards surrogate motherhood and its legalization. Materials and methods: 256 respondents, aged from 20 to 61 y (mean 36.26 ± 0.55), of whom 48.7% men and 51.3% women, took part in the anonymous survey. The questions in the survey are related to ethical, legal and social aspects of surrogacy. Results: The findings revealed a positive attitude towards surrogacy as a means of assisted reproduction, with 79.2% of all respondents sharing the opinion that it is mandatory to legalize and regularize surrogacy in Bulgaria. Conclusions: These results are important because they demonstrate generally tolerant attitudes in Bulgarian society towards surrogacy. The introduction of adequate laws and regulations will significantly facilitate assisted reproduction, and will, to a great extent, curb the some inconvenience of surrogacy whilst ensuring the protection of the rights of both the surrogate mother and the commissioning couple.
Aim: Arthrosis of the hip joint is a condition that is becoming more and more common-it affects 1% of the population and constitutes a serious problem for their working efficiency and active way of life. The deforming arthrosis limits the functional capacity of the affected patients, worsens their quality of life and leads to incapacitation of the patients. The treatment of patients with coxarthrosis has to be planned and carried out comprehensively, in accordance with the pathological findings, the stage, duration and individual abilities of each patient. In the early stages of the condition, conservative therapy plays an essential role in the prophylaxis of complications and in slowing down the process. Physical and rehabilitation methods, in combination with medicamentous therapy, yield good results. This article focuses on the application of the comprehensive effect of conservative physiotherapeutic methods and complementary drug therapy in the early stage of coxarthrosis. The aim of the study is to investigate the efficiency of the combined application of physiotherapeutic electrical procedures and kinesitherapy methods and means in the treatment of coxarthrosis in the initial stage. Material and methods: 18 outpatients with coxarthrosis at an average age of 68, were subjected to a treatment schedule including: interferential current, low-frequency magnetic field, ultra phoresis with non-steroid anti-inflammatory medications, followed by a program of remedial exercise administered in 2 courses of 7 d at 'St. Panteleymon' Hospital in Plovdiv, in the period from September 2017 to May 2018. Results: The range of motion in terms of degrees exhibits a tendency towards increasing at the end of the course of therapy, as compared to that at the beginning of the course. The results from the initial and final muscle tests of the hip joint showed an improvement of the muscle function (from a degree of 3.50 to a degree of 4.50). Conclusion: In patients with coxarthrosis in the initial stage, the pain subsides after the physical and rehabilitation therapy administered in combination with medications.
After the intake of a yohimbine bark food supplement a thirty-eight-year old man declared serious complaints: headache, rapid heart rate, high blood pressure, cold sweating, rush, tremor. The patient took only 1 capsule per day every morning for two days. After the discontinuation of supplementation the symptoms disappeared. The purpose of the study was to determine the factors causing the described side effects. Series of analyses were performed: HPLC/MS and GC/MS. Yohimbine bark contains a number of different alkaloids. It was important to be established the content of the main alkaloidyohimbine because the content of yohimbine was not declared on the label. We also suspected the presence of undeclared sibutramine. The screening did not find presence of sibutramine but it was found that the total content of yohimbine in 1 capsule was 50 mg. 50 mg of yohimbine per 1 capsule is extremely high dose-the approved daily dose of yohimbine in medicinal product is up to 30 mg/person/ day. We also established presence of α-yohimbine (ajmalicine) in high levels. We consider that the total content of yohimbine should be declared on the label of every food supplement which contains yohimbine bark, otherwise the customers would be exposed to risk.
BACKGROUND: Modern education in the field of healthcare is faced with the challenge of coping with one of the most important tasks – to develop in students a set of competencies which serve as a sound basis for mastering a series of job-specific knowledge, skills and abilities, and which constitute a guarantee for coping successfully with all everyday tasks. The attention of the mentor is focused on finding the most reasonable solution to the various situations that the trainee may find him/herself in, and ensuring emotional comfort. AIM: To identify the grounds and criteria for selecting mentors for the pre-graduation traineeships of the future registered nurses. METHODS: To determine the opinion of the mentors, we surveyed 106 mentors in several university hospitals: ‘St. Georgi’ University Hospital – Plovdiv, MPHAT AD – Haskovo, ‘Dr. At. Dafovski’ University Hospital – Kardzhali, University Hospital – Stara Zagora. RESULTS: During the pre-graduation traineeship in a real-life environment, students have the opportunity to develop and consolidate a series of skills, competences and qualities which are an integral part of the modern image of the registered nurse. Logically, the mentor should be the leading factor in the pre-graduation traineeship, yet the tutor has organisational and control functions. CONCLUSION: Mentors are expected to ensure patient safety, as well to create suitable working conditions for students.
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