Training In The Workplace - A Prerequisite For Good Adaptation To Practice The Profession In Hospital Conditions

Студентите от медицинските университети усвояват през периода на своето обучение знания и умения, заложени в учебните планове, съобразно държавните изисквания за придобиване на професията. Тъй като целите на обучението определят желания краен резултат, водейки се от предварително зададеното изискване към образователната подготовка на учащите се, те служат за формулиране на компонентите на професионалните компетенции като комплекс от знания, умения, отношения и личностни качества, които трябва всеки учащ се да придобие и усвои до края на обучението си. Обучението на работното място като форма на продължаващо развитие на медицинските работници е важен фактор за повишаване на качеството на здравните грижи и предлаганата медицинска помощ. Обучението продължава и по време на професионалната реализация и способства адаптацията и израстването в професията.Students from medical universities acquire knowledge and skills during the period of their training, as set out in the curricula, according to the state requirements for acquiring the profession. Since the learning objectives determine the desired end result, using the pre-set requirement for learners' education as a basis, they serve to formulate the components of professional competences as a complex of knowledge, skills, relationships and personal qualities that each learner needs to acquire and master until the end of training. On-the-job training, as a form of continuing development of medical workers, is an important factor in improving the quality of health care and medical assistance. Training continues during professional development and promotes adaptation and growth in the profession

The Role Of The Midwife In Participating In Women's Health Prevention Programs

Акушерската професия изисква широки научни познания, комуникативни умения, способност за цялостен подход към прилагането на лечебно-диагностични методи. В непрекъснатия контакт с пациентите, с близките е здравният специалист, независимо дали става въпрос за болнично или извънболнично обслужване. Основните задачи на акушерката се отнасят до участие в решаването на проблеми, свързани с възпроизводството на населението, медико-социални въпроси на брака и семейството, социално-правни проблеми на бременната, майката и детето. Акушерките се реализират професионално в специализирани болници по акушерство и гинекология, акушеро-гинекологични отделения на други болници, акушеро-гинекологични кабинети в извънболничната помощ, кабинети по стерилитет, кабинети по медико-генетични консултации, кабинети за семейно планиране, кабинети за социално-правна помощ на майчинството и детството, научни изследователски институти. Акушерката може да организира и ръководи здравни структури за промоция на здравето, здравна профилактика, здравно възпитание и обучение за бременни, родилки и техните семейства, училища за родители и училища за кърмене.The obstetric profession requires extensive scientific knowledge, communicative skills, the ability to take a holistic approach to the application of healing and diagnostic methods. In constant contact with patients, the health care professional independently whether it is a hospital or outpatient service. The main tasks of the midwife concern participation in solving problems related to the reproduction of the population, medical and social issues of marriage and family, sociolegal issues of the pregnant women, mothers and children. Midwives are professionally employed in specialized hospitals of obstetrics and gynecology, obstetric gynecology departments of other hospitals, obstetric and gynecological offices in outpatient care, sterility consultation offices, consultation offices for medical genetic counseling, family planning offices, maternity and childhood social care offices, scientific research institutes. The midwife can organize and manage health structures to promote health, health prophylaxis, health education and training for pregnant women, nurses and their families, parents' schools and nursing schools

Analysis of the Results of a Survey Among Healthcare Professionals Working with Electronic Medicine Lists

In the current information society, electronic communication technologies are the basis of the most successful economic, administrative, health, and other organizations. A number of countries in Europe and around the world have successfully implemented the model of electronic management and the large-scale use of electronic services. Already in 2017, based on detailed analysis and technological recommendations, the project for the implementation of the first two parallel stages of the construction of the National Health Information System (NHIS) was launched. It covers all participants and main flows of information in the healthcare sector, including: -          Electronic health record (patient file);-          Eluctronic recipe (e-recipe);-          Electronic referrals (e-referrals); The aim of this study is to summarize the opinions of healthcare professionals about working with an electronic medicine list. 87 health professionals (midwives) from a total of 128 states who were directly engaged in the activities of the hospital wards of SHOGAT Prof. Dr. D. Stamatov, Varna, were interviewed during the period May–June 2022. More than half of the respondents (66.7%) prefer the electronic form for prescribing drug therapies. 57.5% believe that the process of work is facilitated by the introduced amendments regarding the work with electronic databases compared to paper media. In conclusion, in the current information society, electronic communication technologies are the basis of the most successful economic, administrative, and health activities that support the processes of diagnosis and treatment in hospital structures. They save time and resources, ensure patient safety, and improve the quality of service

Liquid-based cytology and its practicability in Bulgaria

PURPOSE: Our aim was to summarize the foreign and our own experience in screening the cervical cancer by using conventional Papanicolaou (PAP) smear and liquid-based cytology (LBC).MATERIAL AND METHODS: In the Department of Obstetrics and Gynecology, Medical University of Varna, we examined 100 patients and compared the results from LBC with those from conventional PAP smear concerning different criteria as well as to test LBC practicability in Bulgaria.RESULTS: There were significant advantages of LBC mainly due to the lower number of unsatisfactory results and higher specificity of low-grade squamous intraepithelial lesions (LSIL). The comparison with the results from foreign studies demonstrated the same tendencies and diagnostic values.CONCLUSION: Our investigation proved the benefits of LBC in screening the cervical cancer. A much broader application of this method in Bulgaria was recommended taking into consideration that it was rarely used at presence.Scripta Scientifica Medica 2013; 45(2): 66-69

Unusual case of an enormous dermoid cyst in a 16-year-old gir

We present the case of a 16-year old girl with alarged ermoid cyst from right ovary. Ultrasound examination and MRI were performed, which visualized a huge multilocular ovarian tumour formation, situated in pelvic and whole abdominal cavity. We performed anex ploratory laparotomy, oophorocystectomy and, in our case, the organ preserving operation was completely sufficient. The histological examinations reported mature cystic teratomas (Dermoids) without morphological data for malignant transformation.Scripta Scientifica Medica 2011;43(2):77-7

A rare case of campomelic dysplasia: a case report

We report an uncommon case of campomelic dysplasia in a24-year-old patient nuliparva, pregnantin 38g.w. with breech presentation, admitted at the Specialized Obstetrics and Gynecology Hospital. The ultrasound Examination visualized Intrauterine Growth Retardation (IUGR) as well as severe angulation and rhizomelic Short ening of the femur and tibia. Those ultrasonography features suggested the presence of campomelic dysplasia. After aplanned Cesarian section, a female baby was delivered, weighing 2250 gr. Thepostnata lX ray was managed and the diagnosis was confirmed without other abnormallites. The genetic testing established normal karyo types of the parents and we suggested the new SOX9 mutation of the baby. No individual Feature is pathognomonic of this condition, however the most typical characteristic sign of campomelic Dysplasiais the marked anterior bowing of the long bones, particularly of the femur and tibia.Scripta Scientifica Medica 2011;43(2):73-7

Infection Prevention Associated with Medical Care in Cesarean Section

Public health encompasses a wide range of opportunities, including the possibility to influence and manage infectious agents, to influence the infectious process, and to implement anti-epidemic measures at the local and/or general structural levels. With particular emphasis are the activities related to the protection of maternal and child health at the maternity home level, as well as the care related to them until their discharge. In the conditions of a global pandemic, a number of events related to the protection of personal health, as well as activities at the level of medical institutions for strict disinfection and behavior protocols, were imposed. The volume of invasive treatment and diagnostic manipulations has increased, as has the diversity of patients and pathologies in the process of hospitalization and subsequent specific medical care. The subject of the study is the maternity ward at SHOGAT "Prof. Dr. D. Stamatov," Varna.The aim of the study is to define the prevention of infections associated with medical care in the context of an increased epidemiological risk. Results: In the period 2020–2021, 6,599 patients passed through the maternity ward at SHOGAT Varna, accounting for 54.76% of all patients at the hospital. In the years analyzed, there were no registered hospital infections (RHI) or infections related to medical care (IRMC), as well as incidents when dealing with sharp objects. A total of 18,201 microbiological studies were conducted on patients and the working environment in the hospital. All positive results for improved IRMC/RHI registration were operationally discussed at clinical-epidemiological and laboratory meetings. Infections related to medical care (IRMC) play a leading role in the organization of activities in the maternity ward and related structures (maternity and operating rooms, intensive care units, postpartum sectors, etc.), as well as with the accompanying human factor problems and in conducting hygiene and disinfection events

Fetal fibronectin FFN. Biochemical markers of preterm birth

The use of biochemical markers for predicting preterm birth has a potential advantage because it provides direct evidence of changes in the extracellular matrix of the surface between fetal membranes and decidual tissue.  [1, 12] fFN is a protein that is produced during pregnancy and acts as a biological glue such as the amniotic sac kept attached to the endometrium. fFN can be found in cervico-vaginal secretions up to 22 weeks and late in the last trimester. [7] The purpose of this study is to determine the level of fetal fibronectin (fFN) in cervical mucus as a specific indicator of preterm birth in pregnant women with clinical symptoms. The study was attended by 90 women divided into two groups. First group of pregnant women at term gestation 24-34 weeks with clinical symptoms the PB and the second group of pregnant women with normal pregnancy occurs. In all women was conducted Full Term Test. The results were statistically processed by using SPSS v. 17. The presence of symptoms of preterm labor showed difference in the percentage of positive results of fFN test (p <0.05), women with clinical symptoms have - a high percentage of positive tests. When conducting Full term pregnancy test with positive results in the highest percentage with overt clinical RTD, Roma and second and third birth. Furthermore, pregnant women with a positive test result mainly born at 35 weeks, newborns weighed an average of 2 550.1 g, which explicitly includes them in the premature population

Ectopic pregnancy after assisted reproductive technology: a retrospective study

In this study from 2006 to 2010,1628 IVF-ET cycles were performed in our unit. Long protocol with GnRH agonist plus recombinant FSH, short protocol with GnRH antagonist, short protocol with microdoses of GnRH agonist (flare up), natural modified cycle with GnRH antagonist and hCG were applied. The serum level of the P-hCG was measured 12 days after embryotransfer (ET). When positive, the P-hCG level was determined every 4 days until the ultrasound examination 22 days after the ET. From 1628 IVF - ET cycles, we had 10 tubal pregnancies (0,61%) and one heterotopic pregnancy (HP). Salpingectomy was performed in all patients, 7 had laparoscopy, and 3 underwent emergent laparotomy due to hemorrhagic shock. Regarding the HP patient, an ultrasound scan confirmed a viable intrauterine 8-weeks gestation and an ectopic pregnancy (EP) in the left tube with fetal heartbeat corresponding to gestational age of 7-8 weeks. Laparoscopy with left salpingectomy was performed the following day. The intrauterine pregnancy proceeded uneventfully. The patient delivered by elective Cesarean section at 39 weeks of gestation due to breech presentation. Patients undergoing IVF-ET must be informed of the risk of EP and the possibility of HP should not be ignored