12 research outputs found
Intentions for professional realization for midwife interns from the Medical university of Varna
AIM: The aim of this paper is to observe the motivation when choosing the Midwife program and the intention for professional development of midwife interns at the Medical University of Varna.MATERIALS AND METHODS: The methods used were:- Sociological method - a survey, involving midwife interns at the Medical University of Varna, graduated in 2012, 2013, 2014 and 2015 (75 individuals);- Documentary method - analysis of appropriate literature and academic documentation.RESULTS AND DISCUSSION: The majority of the respondents had enrolled in the Midwife program by their own choice. Midwife interns consider that they have gained the theoretical and practical knowledge needed for a solid start in the profession. While in training at the Medical University of Varna, the students have deΒtermined that education and self-development in the field are the key for a successful professional realization. Students show the intention to participate in various forms of ongoing and continuous trainings, which is a seΒrious commitment to public health and the profession itself.CONCLUSIONS: The university degree is not just a goal for young people, but also a well-determined choice and self-commitment to society. Midwives are specialists in their own field of expertise and in their range of activities when providing care for female reproductive health
AWARENESS OF PARENTS REGARDING NEONATAL SCREENING
According to the World Health Organization, screening refers to the systematic application of research to identify patients at risk of developing a specific disease. The goal is to detect it at the earliest stage before its clinical manifestation. Screening tests are non-invasive and relatively easy to administer, without putting the child's health at risk. The aim of the study is to investigate and analyze parents' awareness of mandatory screening programs applied in the neonatal period. Material and metods: A survey was conducted among parents through an individual survey in April and May 2023. Used methods β documentary, sociological, statistical and graphic processing of the results. The results of the conducted survey indicate that more than half of the respondents (68%) are familiar with the concept of "screening". Parents consider effective the implementation of hearing screening of the newborn after birth (80%) and support the introduction of other screening programs in the Neonatal Department (72%)
Midwives coping with stress
Professional stress can be defined as an emotional, cognitive, behavioural and psychological reaction to negaΒtive and unfavourable aspects related to the nature of the work. This reaction affects the whole organism and its environment, can become a permanent condition and is characterised by a high degree of suffering, and often with a sense of impasse. According to NIOSH (National Institute for Occupational Safety and Health), occupational stress is a combination of negative physical and emotional responses that occur when there is a mismatch between job requirements and capabilities, resources or needs of the worker.AIM: The aim of this study is to determine the ability of midwives working in the St. Anna University Hospital and SHOGAT `Prof. Dr. D. Stamatov`, Varna, to cope with stress arising from the job environment.MATERIALS AND METHODS: We have studied the opinion of working midwives from St. Anna University Hospital and SHOGAT Γ’β¬ΕΎProf. Dr. D. Stamatov` - Varna. The survey was conducted in June 2016. The methods we used were: documentary, statistical - questionnaire, graphic analysis.RESULTS AND DISCUSSION: The answer of the respondents indicates an increased workload, which can be a source of stress. Increased physical overload and emotional exhaustion in the workplace are a prerequisite for the emergence of stress. The accumulated fatigue and inadequate rest decrease the ability to work and are a prerequisite for the occurrence of stress among working midwives. Many midwives work a second job or have family (other) obligations that prevent them from getting adequate rest. It is noteworthy to mention that more than half of the midwives choose their relatives and friends to share the emotions experienced during the day.CONCLUSIONS:1. Increased physical overload and emotional exhaustion in the workplace are a prerequisite for the emergence of stress.2. The accumulated fatigue and inadequate rest decrease the ability to work and are a prerequisite for the occurrence of stress among working midwives.3. Stress is the cause of discomfort among midwives.4. Respondents choose to share with family and friends to overcome stress
The Opinion Of Third-Year Students The Midwife Program Of The Medical University Of Varna On The Practical Preparation During Their Training
Π£Π²ΠΎΠ΄:ΠΠΊΡΡΠ΅ΡΡΡΠ²ΠΎΡΠΎ Π΅ ΡΡΡΠ΄Π½Π° ΠΏΡΠΎΡΠ΅ΡΠΈΡ, ΠΈΠ·ΠΈΡΠΊΠ²Π°ΡΠ° ΠΈΠ½ΡΠ΅Π»ΠΈΠ³Π΅Π½ΡΠ½ΠΎΡΡ, Π±ΡΡΠ·Π° ΠΌΠΈΡΡΠ», ΠΏΡΠ°ΠΊΡΠΈΡΠ΅ΡΠΊΠΈ ΡΠΌΠ΅Π½ΠΈΡ ΠΈ ΡΡΠ΅Π½Π΅ ΠΏΡΠ΅Π· ΡΠ΅Π»ΠΈΡ ΠΆΠΈΠ²ΠΎΡ (1).Π‘ΡΡΠ΄Π΅Π½ΡΠΈΡΠ΅ ΠΎΡ ΡΠΏΠ΅ΡΠΈΠ°Π»Π½ΠΎΡΡ βΠΠΊΡΡΠ΅ΡΠΊΠ°β ΠΏΠΎΠ»ΡΡΠ°Π²Π°Ρ ΡΠ΅ΠΎΡΠ΅ΡΠΈΡΠ½Π° ΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ½Π° ΠΏΠΎΠ΄Π³ΠΎΡΠΎΠ²ΠΊΠ° Π² ΡΠ²ΠΎΡ ΡΠ΅ΡΠΈΡΠΈΠ³ΠΎΠ΄ΠΈΡΠ΅Π½ ΠΊΡΡΡ Π½Π° ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅, ΠΊΠΎΡΡΠΎ ΠΎΡΠ³ΠΎΠ²Π°ΡΡ Π½Π° ΠΠΠ. Π’Π΅ΠΎΡΠ΅ΡΠΈΡΠ½Π°ΡΠ° ΠΏΠΎΠ΄Π³ΠΎΡΠΎΠ²ΠΊΠ° ΡΠ΅ ΠΎΡΡΡΠ΅ΡΡΠ²ΡΠ²Π° ΡΡΠ΅Π· Π·Π°Π΄ΡΠ»ΠΆΠΈΡΠ΅Π»Π½ΠΈ, ΠΈΠ·Π±ΠΈΡΠ°Π΅ΠΌΠΈ ΠΈ ΡΠ°ΠΊΡΠ»ΡΠ°ΡΠΈΠ²Π½ΠΈ ΡΡΠ΅Π±Π½ΠΈ Π΄ΠΈΡΡΠΈΠΏΠ»ΠΈΠ½ΠΈ. ΠΠ»ΠΈΠ½ΠΈΡΠ½Π°ΡΠ° ΠΏΠΎΠ΄Π³ΠΎΡΠΎΠ²ΠΊΠ° ΡΠ΅ ΠΎΡΡΡΠ΅ΡΡΠ²ΡΠ²Π° ΡΡΠ΅Π· ΠΊΠ»ΠΈΠ½ΠΈΡΠ½Π° ΠΏΡΠ°ΠΊΡΠΈΠΊΠ° ΠΈ ΠΏΡΠ΅Π΄Π΄ΠΈΠΏΠ»ΠΎΠΌΠ΅Π½ ΡΡΠ°ΠΆ. ΠΠΎ Π²ΡΠ΅ΠΌΠ΅ Π½Π° ΠΊΠ»ΠΈΠ½ΠΈΡΠ½Π°ΡΠ° ΠΏΠΎΠ΄Π³ΠΎΡΠΎΠ²ΠΊΠ° ΡΡΡΠ΄Π΅Π½ΡΠΈΡΠ΅ ΠΈΠ·Π²ΡΡΡΠ²Π°Ρ Π΄Π΅ΠΉΠ½ΠΎΡΡΠΈ ΠΏΠΎΠ΄ ΡΡΠΊΠΎΠ²ΠΎΠ΄ΡΡΠ²ΠΎΡΠΎ ΠΈ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΠ΅ΡΠΎ Π½Π° ΠΏΡΠ΅ΠΏΠΎΠ΄Π°Π²Π°ΡΠ΅Π» ΠΏΠΎ ΠΏΡΠ°ΠΊΡΠΈΠΊΠ° ΠΈ/ΠΈΠ»ΠΈ ΠΏΡΠ°Π²ΠΎΡΠΏΠΎΡΠΎΠ±Π½Π° Π°ΠΊΡΡΠ΅ΡΠΊΠ°. (2)ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄ΠΈ: ΠΠ·ΠΏΠΎΠ»Π·Π²Π°Π½ΠΈ ΡΠ°:Π‘ΠΎΡΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈ ΠΌΠ΅ΡΠΎΠ΄, ΠΊΠ°ΡΠΎ ΡΠ° Π°Π½ΠΊΠ΅ΡΠΈΡΠ°Π½ΠΈ ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡΠ°Π»Π½ΠΎ ΠΈ Π°Π½ΠΎΠ½ΠΈΠΌΠ½ΠΎ Π²ΡΠΈΡΠΊΠΈ 28 ΡΡΡΠ΄Π΅Π½ΡΠΊΠΈ ΠΎΡ 3 ΠΊΡΡΡ ΡΠΏΠ΅ΡΠΈΠ°Π»Π½ΠΎΡΡ βΠΠΊΡΡΠ΅ΡΠΊΠ°β Π½Π° ΠΠ£-ΠΠ°ΡΠ½Π° ΠΏΡΠ΅Π· ΡΠ½ΠΈ 2018 Π³.ΠΠΎΠΊΡΠΌΠ΅Π½ΡΠ°Π»Π΅Π½ ΠΌΠ΅ΡΠΎΠ΄, ΠΊΠ°ΡΠΎ ΡΠ° Π°Π½Π°Π»ΠΈΠ·ΠΈΡΠ°Π½ΠΈ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΠ½ΠΈ ΠΈΠ·ΡΠΎΡΠ½ΠΈΡΠΈ, ΡΠ°Π·Π³Π»Π΅ΠΆΠ΄Π°ΡΠΈ ΠΏΡΠ΅Π΄ΠΌΠ΅ΡΠ° Π½Π° Π½Π°ΡΡΠΎΡΡΠΎΡΠΎ ΠΈΠ·ΡΠ»Π΅Π΄Π²Π°Π½Π΅.Π‘ΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠΈ ΠΌΠ΅ΡΠΎΠ΄, ΠΈΠ·ΠΏΠΎΠ»Π·Π²Π°Π½ ΠΏΡΠΈ Π°Π½Π°Π»ΠΈΠ· Π½Π° ΡΠ΅Π·ΡΠ»ΡΠ°ΡΠΈΡΠ΅ ΠΎΡ ΡΠΎΠ±ΡΡΠ²Π΅Π½ΠΎΡΠΎ ΠΏΡΠΎΡΡΠ²Π°Π½Π΅.Π Π΅Π·ΡΠ»ΡΠ°ΡΠΈ ΠΈ ΠΎΠ±ΡΡΠΆΠ΄Π°Π½Π΅: ΠΡ ΠΎΡΠ³ΠΎΠ²ΠΎΡΠΈΡΠ΅ Π½Π° ΡΡΡΠ΄Π΅Π½ΡΠΈΡΠ΅ ΡΡΡΠ°Π½ΠΎΠ²ΠΈΡ
ΠΌΠ΅, ΡΠ΅ Π³ΠΎΠ»ΡΠΌ ΠΏΡΠΎΡΠ΅Π½Ρ (78,57%) ΡΠ° Π΄ΠΎΠ²ΠΎΠ»Π½ΠΈ ΠΎΡ Π±Π°Π·ΠΈΡΠ΅ Π·Π° ΠΊΠ»ΠΈΠ½ΠΈΡΠ½Π° ΠΏΡΠ°ΠΊΡΠΈΠΊΠ° Π½Π° ΠΠ£-ΠΠ°ΡΠ½Π°. Π‘ΡΡΠΎ ΡΠΎΠ»ΠΊΠΎΠ²Π° ΠΌΠΈΡΠ»ΡΡ, ΡΠ΅ Π½Π° ΠΊΠ»ΠΈΠ½ΠΈΡΠ½Π° ΠΏΡΠ°ΠΊΡΠΈΠΊΠ° ΠΏΠΎΠ»ΡΡΠ°Π²Π°Ρ Π΄ΠΎΡΡΠ°ΡΡΡΠ½ΠΎ Π·Π½Π°Π½ΠΈΡ ΠΈ ΡΠΌΠ΅Π½ΠΈΡ. Π‘ΠΏΠΎΡΠ΅Π΄ 89,28% ΠΎΡ ΡΡΡΠ΄Π΅Π½ΡΠΈΡΠ΅ Π·Π° ΠΏΡΠ°ΠΊΡΠΈΡΠ΅ΡΠΊΠΎΡΠΎ ΠΈΠΌ ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅ Π³ΠΎΠ»ΡΠΌΠΎ Π·Π½Π°ΡΠ΅Π½ΠΈΠ΅ ΠΈΠΌΠ° ΠΏΡΠ΅ΠΏΠΎΠ΄Π°Π²Π°ΡΠ΅Π»ΡΡ, ΠΊΠΎΠΉΡΠΎ Π²ΠΎΠ΄ΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ½Π° ΠΏΡΠ°ΠΊΡΠΈΠΊΠ°ΡΠ°.ΠΠ·Π²ΠΎΠ΄ΠΈ: ΠΠΎΠ΄Π΅Π½Π΅ΡΠΎ Π½Π° ΠΊΠ»ΠΈΠ½ΠΈΡΠ½Π°ΡΠ° ΠΏΡΠ°ΠΊΡΠΈΠΊΠ° ΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ½ΠΈΡΠ΅ Π±Π°Π·ΠΈ Π½Π° ΠΠ£-ΠΠ°ΡΠ½Π° Π·Π° ΡΠΏΠ΅ΡΠΈΠ°Π»Π½ΠΎΡΡ βΠΠΊΡΡΠ΅ΡΠΊΠ°β ΠΏΠΎΠΊΡΠΈΠ²Π°Ρ Π³ΠΎΠ»ΡΠΌΠ° ΡΠ°ΡΡ ΠΎΡ ΠΎΡΠ°ΠΊΠ²Π°Π½ΠΈΡΡΠ° Π½Π° ΡΡΡΠ΄Π΅Π½ΡΠΈΡΠ΅. Π‘ΠΏΠΎΡΠ΅Π΄ Π°Π½ΠΊΠ΅ΡΠΈΡΠ°Π½ΠΈΡΠ΅ Π΅ Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎ ΠΏΠΎΠ΄ΠΎΠ±ΡΡΠ²Π°Π½Π΅ Π½Π° ΠΎΡΠ½ΠΎΡΠ΅Π½ΠΈΠ΅ΡΠΎ Π½Π° ΠΏΠ΅ΡΡΠΎΠ½Π°Π»Π° Π² ΠΎΡΠ΄Π΅Π»Π΅Π½ΠΈΡΡΠ° ΠΊΡΠΌ ΡΡΡ
.INTRODUCTION: Being a midwife is a difficult profession requiring intelligence, quick thinking, practical skills and lifelong learning.Students from the Midwife program receive a theoretical and clinical training in their four-year training course that meets the Unified State Requirements. Theoretical training is done through compulsory, elective and facultative subjects. Clinical training is conducted through clinical practice and pre-graduate practice. During clinical preparation, students undertake activities under the guidance and supervision of a practicing lecturer and/or a qualified midwife.Β MATERIALS AND METHODS: A sociological method was used, and 28 third-year students from the Midwife program at the Medical University of Varna were interviewed individually and anonymously in June 2018.A documentary method analyzing literary sources dealing with the subject of this study was applied.A statistical method was used to analyze the results of the own study.RESULTS AND DISCUSSION: From the answers of the students, we found that a large percentage (78.57%) were satisfied with the clinical practice bases of the Medical University of Varna. They also thought that they had enough knowledge and skills in terms of clinical practice. According to 89.28% of the students for their practical training, the lecturer who led the clinical practice was of great importance.CONCLUSION: The clinical practice and clinical bases at the Medical University of Varna for the Midwife program fulfil the majority of the expectations of the students. According to respondents, it is necessary for the attitude of the staff in the wards toward them to be improved
Caesarean or vaginal delivery - the choice of pregnant women through the eyes of 3rd-year students from the midwife program at the medical university of Varna
There has been a clear trend towards an increasing number of Caesarean sections in the recent years. A certain percentage of these surgical births have no clear medical indications and are solely attributable to the preferΒence of the patients to give birth this way.The aim of this investigation is to reveal the causes for choosing a method of giving birth of pregnant women in two maternity wards in Varna, through the eyes of 3rd-year students from the Midwife program at the MedΒical University of Varna.MATERIALS AND METHODS: The research included 26 3rd-year students from the Midwife program at the Medical University of Varna, who have done clinical practice in maternity wards in Varna during their edΒucation. The applied methods were: documental, statistical, and sociological.RESULTS AND DISCUSSION: Data acquired from the quality and quantity analysis determined that the students observed an increase in the rate of pregnant women wishing to give birth naturally - per vias naturaΒles - 62%. Nevertheless, surgical delivery keeps high percentage 69%. According to students, the reason is that women who have decided to give birth naturally change their mind when the birth process begins, frightened from the pain and in a moment of uncertainty.CONCLUSION: The way a delivery is conducted, when there are no medical indications, is highly dependent of the staff at the ward.Informed choice and trust in doctors and midwifes are crucial for the type of the delivery
Pre-graduate traineeship in the Midwife program at the Medical University of Varna. Expectation and reality
ΠΡΠ²Π΅Π΄Π΅Π½ΠΈΠ΅: ΠΡΠ΅Π΄Π΄ΠΈΠΏΠ»ΠΎΠΌΠ½ΠΈΡΡ ΡΡΠ°ΠΆ Π² ΡΠΏΠ΅ΡΠΈΠ°Π»Π½ΠΎΡΡ βΠΠΊΡΡΠ΅ΡΠΊΠ°` Π½Π° ΠΠ£-ΠΠ°ΡΠ½Π° ΠΏΡΠΎΡΠΈΡΠ° ΠΏΠΎΠ΄ ΡΠΎΡΠΌΠ°ΡΠ° Π½Π° ΠΊΠ»ΠΈΠ½ΠΈΡΠ½Π° ΠΏΡΠ°ΠΊΡΠΈΠΊΠ° Π² ΠΏΡΠΎΠ΄ΡΠ»ΠΆΠ΅Π½ΠΈΠ΅ Π½Π° 4 Π³ΠΎΠ΄ΠΈΠ½ΠΈ, 1600 ΡΠ°ΡΠ°, ΡΠ°Π·ΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈ Π² 10 ΠΎΡΠ΄Π΅Π»Π΅Π½ΠΈΡ Π½Π° ΡΡΠ΅Π±Π½ΠΎ ΠΏΡΠ°ΠΊΡΠΈΡΠ΅ΡΠΊΠΈ Π±Π°Π·ΠΈ. ΠΠ±ΠΈΠΊΠ½ΠΎΠ²Π΅Π½ΠΎ ΡΡΡΠ΄Π΅Π½ΡΠΈΡΠ΅ ΠΈΠΌΠ°Ρ ΠΎΡΠ°ΠΊΠ²Π°Π½ΠΈΡ ΠΎΡΠ½ΠΎΡΠ½ΠΎ ΠΏΡΠΎΡΠΈΡΠ°Π½Π΅ Π½Π° ΡΡΠ°ΠΆΠ°, ΡΡΠΉ ΠΊΠ°ΡΠΎ ΠΏΠΎ Π²ΡΠ΅ΠΌΠ΅ Π½Π° ΠΊΠ»ΠΈΠ½ΠΈΡΠ½Π° ΠΏΡΠ°ΠΊΡΠΈΠΊΠ° ΡΠ° ΠΏΠΎΡΠ΅ΡΠ°Π²Π°Π»ΠΈ ΡΡΠ΅Π±Π½ΠΎ ΠΏΡΠ°ΠΊΡΠΈΡΠ΅ΡΠΊΠΈΡΠ΅ Π±Π°Π·ΠΈ ΠΈ ΡΠ° Π·Π°ΠΏΠΎΠ·Π½Π°ΡΠΈ Ρ Π΅ΡΡΠ΅ΡΡΠ²ΠΎΡΠΎ ΠΈ ΡΠΈΡΡΠΌΠ° Π½Π° ΡΠ°Π±ΠΎΡΠ°. ΠΠ΅Π²ΠΈΠ½Π°Π³ΠΈ ΡΠ΅Π·ΠΈ ΠΎΡΠ°ΠΊΠ²Π°Π½ΠΈΡ ΡΡΠ²ΠΏΠ°Π΄Π°Ρ Ρ ΡΠ΅Π°Π»Π½ΠΎΡΡΡΠ°, ΠΊΠ°ΠΊΡΠΎ ΡΠ΅ Π²ΠΈΠΆΠ΄Π° ΠΎΡ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎΡΠΎ ΠΏΡΠΎΡΡΠ²Π°Π½Π΅. Π¦Π΅Π»: ΠΠ° ΡΠ΅ ΠΏΡΠΎΡΡΠ°Ρ ΠΎΡΠ°ΠΊΠ²Π°Π½ΠΈΡΡΠ° Π½Π° ΡΡΠ°ΠΆΠ°Π½Ρ Π°ΠΊΡΡΠ΅ΡΠΊΠΈΡΠ΅ ΠΎΡΠ½ΠΎΡΠ½ΠΎ ΠΏΡΠΎΡΠΈΡΠ°Π½Π΅ Π½Π° ΠΏΡΠ΅Π΄Π΄ΠΈΠΏΠ»ΠΎΠΌΠ½ΠΈΡ ΡΡΠ°ΠΆ. ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄ΠΈ: ΠΡΠΎΡΡΠ΅Π½ΠΎ Π΅ ΠΌΠ½Π΅Π½ΠΈΠ΅ΡΠΎ Π½Π° ΡΡΡΠ΄Π΅Π½ΡΠΈ ΠV ΠΊΡΡΡ ΠΎΡ ΡΠΏΠ΅Ρ. βΠΠΊΡΡΠ΅ΡΠΊΠ°` Π½Π° ΠΠ£-ΠΠ°ΡΠ½Π° (27) ΡΡΠ΅Π· ΠΏΡΡΠΊΠ° ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡΠ°Π»Π½Π° Π°Π½ΠΊΠ΅ΡΠ° ΠΏΡΠ΅Π· ΠΌ. ΡΠ»ΠΈ 2017 Π³. ΠΠ·ΠΏΠΎΠ»Π·Π²Π°Π½ΠΈ ΠΌΠ΅ΡΠΎΠ΄ΠΈ - Π΄ΠΎΠΊΡΠΌΠ΅Π½ΡΠ°Π»Π΅Π½, ΡΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠΈ - Π°Π½ΠΊΠ΅ΡΠ΅Π½, Π³ΡΠ°ΡΠΈΡΠ΅Π½ Π°Π½Π°Π»ΠΈΠ·. Π Π΅Π·ΡΠ»ΡΠ°ΡΠΈ ΠΈ ΠΎΠ±ΡΡΠΆΠ΄Π°Π½Π΅: ΠΠΎΠ²Π΅ΡΠ΅ΡΠΎ ΠΎΡ ΡΡΡΠ΄Π΅Π½ΡΠΈΡΠ΅ ΡΡΠΈΡΠ°Ρ, ΡΠ΅ ΠΏΠΎ Π²ΡΠ΅ΠΌΠ΅ Π½Π° ΠΏΡΠ΅Π΄Π΄ΠΈΠΏΠ»ΠΎΠΌΠ½ΠΈΡ ΡΡΠ°ΠΆ ΡΠ° ΡΡΡΠ²ΡΡΡΠ΅Π½ΡΡΠ²Π°Π½ΠΈ ΡΠ²ΠΎΠΈΡΠ΅ ΠΏΡΠ°ΠΊΡΠΈΡΠ΅ΡΠΊΠΈ ΡΠΌΠ΅Π½ΠΈΡ ΠΈ ΡΠ° ΡΠΏΡΠ°ΠΆΠ½ΠΈΠ»ΠΈ ΠΌΠ°Π½ΠΈΠΏΡΠ»Π°ΡΠΈΠ²Π½Π° ΡΠ΅Ρ
Π½ΠΈΠΊΠ° (74.1%). Π‘ΡΡΠ΄Π΅Π½ΡΠΈΡΠ΅ ΡΠ²ΡΡΠ΄ΡΡ, ΡΠ΅ ΡΠ° ΡΡΠ΅ΡΠΈΠ»ΠΈ Π΄ΠΈΡΠΊΠΎΠΌΡΠΎΡΡΠ° Π½Π° ΡΠ°Π·ΠΌΠΈΠ½Π°Π²Π°Π½Π΅ Π½Π° ΡΠ΅ΠΎΡΠΈΡ ΠΈ ΠΏΡΠ°ΠΊΡΠΈΠΊΠ° (70.4%). Π’Π΅ ΡΠ° ΡΠ±Π΅Π΄Π΅Π½ΠΈ, ΡΠ΅ ΡΠ° ΠΈΠΌΠ°Π»ΠΈ Π²ΡΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡ ΡΠ΅Π΄ΠΎΠ²Π½ΠΎ Π΄Π° ΡΠΏΡΠ°ΠΆΠ½ΡΠ²Π°Ρ ΠΌΠ°Π½ΠΈΠΏΡΠ»Π°ΡΠΈΠΈ (88.9%) ΠΈ ΡΠ΅ ΡΡΠ²ΡΡΠ²Π°Ρ ΠΏΠΎΠ΄Π³ΠΎΡΠ²Π΅Π½ΠΈ Π·Π° Π·Π°ΠΏΠΎΡΠ²Π°Π½Π΅ Π½Π° ΡΠ°Π±ΠΎΡΠ° (77.8%). ΠΠ·Π²ΠΎΠ΄ΠΈ: ΠΡ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎΡΠΎ ΠΏΡΠΎΡΡΠ²Π°Π½Π΅ ΠΌΠΎΠΆΠ΅ Π΄Π° Π·Π°ΠΊΠ»ΡΡΠΈΠΌ, ΡΠ΅ ΠΈΠΌΠ° ΡΡΠ²ΠΏΠ°Π΄Π΅Π½ΠΈΠ΅ Π² ΠΎΡΠ°ΠΊΠ²Π°Π½ΠΈΡΡΠ° Π½Π° ΡΡΡΠ΄Π΅Π½ΡΠΈΡΠ΅ ΠΎΡΠ½ΠΎΡΠ½ΠΎ ΠΏΡΠΎΡΠΈΡΠ°Π½Π΅ Π½Π° ΠΏΡΠ΅Π΄Π΄ΠΈΠΏΠ»ΠΎΠΌΠ½ΠΈΡ ΡΡΠ°ΠΆ. Π‘ΡΡΠ΄Π΅Π½ΡΠΈΡΠ΅ ΡΠ° Π½Π°Π΄Π³ΡΠ°Π΄ΠΈΠ»ΠΈ ΡΡΠ²ΠΎΠ΅Π½ΠΈΡΠ΅ Π·Π½Π°Π½ΠΈΡ ΠΈ ΡΠΌΠ΅Π½ΠΈΡ.Introduction: The pre-graduate traineeship in the Midwife program at the Medical University of Varna takes place in a real working environment. It has a duration of 1600 hours, distributed in 10 sectors of train-ing and practice bases. Normally, students have expectations of the internship as they have attended the practical training bases and are familiar with the nature and rhythm of work, on the one hand, and on the other hand they are more self-reliant during the pre-graduate practice and have the opportunity to discover gaps in their training that must be filled. Aim: The aim of this paper is to examine the expectations of the midwives of the organization of the pre-graduate traineeship. Materials and Methods: Students` opinion has been studied among the seniors from the Midwife program at the Medical University of Varna (27) through an individual inquiry card during the month of July, 2017. The methods used were as follows: documentary, statistical based on the inquiry, graphical analysis. Results and Discussion: Most of the students believe that during their pre-graduate internship they have improved their practical skills and practiced treatment technique (74.1%). A significant proportion of them think that they felt discomfort from the divergence of theory and practice (70.4%). Students are convinced that they had the opportunity to regularly exercise treatment techniques (88.9%) and feel ready to start work (77.8%). Conclusion: From the survey we can conclude that in half of the students there is a match between the expectations and the actual course of the pre-graduation traineeship. Students have upgraded their knowledge and skills
Gynecological Health - Conscious Care For The Interns From The Midwife Program Of The Medical University Of Varna
Π£ΠΠΠ: Π ΠΏΠ΅ΡΠΈΠΎΠ΄Π° Π½Π° ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅ Π±ΡΠ΄Π΅ΡΠΈΡΠ΅ Π°ΠΊΡΡΠ΅ΡΠΊΠΈ ΠΈΠ·ΡΡΠ°Π²Π°Ρ Π·Π°Π΄ΡΠ»Π±ΠΎΡΠ΅Π½ΠΎ ΡΠΈΡΠΎΠΊ ΠΊΡΡΠ³ ΠΎΡ Π΄ΠΈΡΡΠΈΠΏΠ»ΠΈΠ½ΠΈ, ΡΠ²ΡΡΠ·Π°Π½ΠΈ Ρ Π³ΠΈΠ½Π΅ΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ½ΠΎΡΠΎ Π·Π΄ΡΠ°Π²Π΅ Π½Π° ΠΌΠΎΠΌΠΈΡΠ΅ΡΠΎ ΠΈ ΠΆΠ΅Π½Π°ΡΠ° (1). Π ΡΠΎΠ·ΠΈ ΠΏΡΠΎΡΠ΅Ρ ΡΠ΅ ΠΏΡΠ΅ΠΏΠ»ΠΈΡΠ° ΠΈ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΡΡΠ°, ΠΊΠΎΡΡΠΎ Π΄ΠΎΡΡΠΈΠ³Π° Π΄ΠΎ Π²ΡΠΈΡΠΊΠΈ Π½Π°Ρ ΠΎΡ ΠΌΠ΅Π΄ΠΈΠΈ ΠΈ Π΄ΡΡΠ³ΠΈ ΠΌΠ΅ΡΡΠ°. ΠΠ°ΡΠΎ Π±ΡΠ΄Π΅ΡΠΈ ΡΠΏΠ΅ΡΠΈΠ°Π»ΠΈΡΡΠΈ ΡΠ΅ ΡΠ΅ Π½Π°ΡΡΠ°Π²Π°Ρ Π΄Π° ΠΈΠ½ΡΠ΅ΡΠΏΡΠ΅ΡΠΈΡΠ°Ρ ΡΠΎΠ·ΠΈ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΎΠ½Π΅Π½ ΠΏΠΎΡΠΎΠΊ ΠΈ Π΄Π° ΡΠ° Π³ΡΠ°ΠΌΠΎΡΠ½ΠΈ ΠΏΠΎ ΠΎΡΠ½ΠΎΡΠ΅Π½ΠΈΠ΅ Π½Π° ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈ ΠΏΡΠΎΠ±Π»Π΅ΠΌΠΈ (2). ΠΠ°ΡΠ΅ΡΠΎ ΠΏΡΠΎΡΡΠ²Π°Π½Π΅ Π΅ Π½Π°ΡΠΎΡΠ΅Π½ΠΎ ΠΊΡΠΌ ΠΏΡΠ°ΠΊΡΠΈΡΠ΅ΡΠΊΠ°ΡΠ° Π³ΡΠΈΠΆΠ°, ΠΊΠΎΡΡΠΎ ΡΡΡΠ΄Π΅Π½ΡΠΈΡΠ΅ ΠΎΠΊΠ°Π·Π²Π°Ρ Π² ΠΊΡΠ°Ρ Π½Π° ΠΎΠ±ΡΡΠ΅Π½ΠΈΠ΅ΡΠΎ ΡΠΈ Π·Π° ΡΠ²ΠΎΠ΅ΡΠΎ Π³ΠΈΠ½Π΅ΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ½ΠΎ Π·Π΄ΡΠ°Π²Π΅.ΠΠΠ’ΠΠ ΠΠΠ Π ΠΠΠ’ΠΠΠ: ΠΠ·ΠΏΠΎΠ»Π·Π²Π°Π½ Π΅ ΡΠΎΡΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈ ΠΌΠ΅ΡΠΎΠ΄, ΠΊΠ°ΡΠΎ ΡΠ° Π°Π½ΠΊΠ΅ΡΠΈΡΠ°Π½ΠΈ ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡΠ°Π»Π½ΠΎ ΠΈ Π°Π½ΠΎΠ½ΠΈΠΌΠ½ΠΎ Π²ΡΠΈΡΠΊΠΈ Π·Π°Π²ΡΡΡΠ²Π°ΡΠΈ 28 ΡΡΠ°ΠΆΠ°Π½Ρ-Π°ΠΊΡΡΠ΅ΡΠΊΠΈ ΠΏΡΠ΅Π· 2017 Π³. Π½Π° ΠΠ£-ΠΠ°ΡΠ½Π°.ΠΠΎΠΊΡΠΌΠ΅Π½ΡΠ°Π»Π΅Π½ ΠΌΠ΅ΡΠΎΠ΄, ΠΊΠ°ΡΠΎ ΡΠ° Π°Π½Π°Π»ΠΈΠ·ΠΈΡΠ°Π½ΠΈ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΠ½ΠΈ ΠΈΠ·ΡΠΎΡΠ½ΠΈΡΠΈ, ΡΠ°Π·Π³Π»Π΅ΠΆΠ΄Π°ΡΠΈ ΠΏΡΠ΅Π΄ΠΌΠ΅ΡΠ° Π½Π° Π½Π°ΡΡΠΎΡΡΠΎΡΠΎ ΠΈΠ·ΡΠ»Π΅Π΄Π²Π°Π½Π΅.Π‘ΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠΈ ΠΌΠ΅ΡΠΎΠ΄, ΠΈΠ·ΠΏΠΎΠ»Π·Π²Π°Π½ ΠΏΡΠΈ Π°Π½Π°Π»ΠΈΠ· Π½Π° ΡΠ΅Π·ΡΠ»ΡΠ°ΡΠΈΡΠ΅ ΠΎΡ ΡΠΎΠ±ΡΡΠ²Π΅Π½ΠΎΡΠΎ ΠΏΡΠΎΡΡΠ²Π°Π½Π΅.Π ΠΠΠ£ΠΠ’ΠΠ’Π Π ΠΠΠ‘ΠͺΠΠΠΠΠ: ΠΠΎΠ»ΡΠΌ ΠΏΡΠΎΡΠ΅Π½Ρ ΠΎΡ ΡΡΡΠ΄Π΅Π½ΡΠΈΡΠ΅ (72%) ΡΠ° Π·Π°ΠΏΠΎΠ·Π½Π°ΡΠΈ Ρ ΠΌΠ΅ΡΠΎΠ΄ΠΈΡΠ΅ Π·Π° ΠΎΡΠΊΡΠΈΠ²Π°Π½Π΅ Π½Π° ΠΎΡΠΊΠ»ΠΎΠ½Π΅Π½ΠΈΡ Π² Π³ΠΈΠ½Π΅ΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ½ΠΎΡΠΎ Π·Π΄ΡΠ°Π²Π΅. ΠΡ Π°Π½ΠΊΠ΅ΡΠΈΡΠ°Π½ΠΈΡΠ΅ 75% ΠΏΠΎΡΠ΅ΡΠ°Π²Π°Ρ Π°ΠΊΡΠΈΠ²Π½ΠΎ Π³ΠΈΠ½Π΅ΠΊΠΎΠ»ΠΎΠ³ ΠΈ ΡΠΈ ΠΏΡΠ°Π²ΡΡ ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΡΠ½Π° ΡΠΈΡΠΎΠ½Π°ΠΌΠ°Π·ΠΊΠ°. Π£ΡΠΈΠ»ΠΈΡΠ΅ΡΠΎ Π΅ ΠΌΡΡΡΠΎΡΠΎ, ΠΊΡΠ΄Π΅ΡΠΎ 64% ΠΎΡ Π±ΡΠ΄Π΅ΡΠΈΡΠ΅ Π°ΠΊΡΡΠ΅ΡΠΊΠΈ ΡΠ° ΠΏΠΎΠ»ΡΡΠΈΠ»ΠΈ Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠ°ΡΠ° ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΡ Π·Π° ΡΠΎΠ²Π°.ΠΠΠΠΠΠ: ΠΡΠΌ ΠΌΠΎΠΌΠ΅Π½ΡΠ° Π½Π° ΠΏΡΠΎΡΡΠ²Π°Π½Π΅ΡΠΎ Π·Π°Π²ΡΡΡΠ²Π°ΡΠΈΡΠ΅ Π°ΠΊΡΡΠ΅ΡΠΊΠΈ ΡΠ° Π³ΠΎΡΠΎΠ²ΠΈ Π΄Π° ΡΠ΅ Π³ΡΠΈΠΆΠ°Ρ Π·Π° ΡΠΎΠ±ΡΡΠ²Π΅Π½ΠΎΡΠΎ ΡΠΈ Π³ΠΈΠ½Π΅ΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ½ΠΎ Π·Π΄ΡΠ°Π²Π΅, ΠΊΠ°ΠΊΡΠΎ ΠΈ Π΄Π° Π±ΡΠ΄Π°Ρ ΠΏΠΎΠ»Π΅Π·Π½ΠΈ Π·Π° ΡΠ²ΠΎΠΈΡΠ΅ Π±Π»ΠΈΠ·ΠΊΠΈ ΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΊΠΈ. ΠΠΎΡΡΠΈ Π΅Π΄ΠΈΠ½ΠΎΠ΄ΡΡΠ½ΠΈ ΡΠ° Π² ΠΎΡΠ³ΠΎΠ²ΠΎΡΠΈΡΠ΅ ΡΠΈ Π·Π° Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠ° ΠΏΡΠΎΠΌΡΠ½Π° Π½Π° ΠΎΡΠ³ΠΎΠ²ΠΎΡΠ½ΠΎΡΡΠΈΡΠ΅ ΠΎΡΠ½ΠΎΡΠ½ΠΎ Π³ΠΈΠ½Π΅ΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ½ΠΈΡΠ΅ ΠΈΠ·ΡΠ»Π΅Π΄Π²Π°Π½ΠΈΡ.INTRODUCTION: During the training period, prospective midwives study a wide range of disciplines related to the gynecological health of the girl and the woman. This process intertwines the information that reaches all of us from the media and other places. As future specialists they learn to interpret this information flow and to be knowledgeable about medical problems. Our study focuses on the practical care that students provide at the end of their training for their gynecological health.MATERIALS AND METHODS: A sociological method was used, with an individual and anonymous interview of all 28 students graduatingΒ from the Midwife program in 2017 at the Medical University of Varna.A documentary method, analyzing literary sources dealing with the subject of this study was applied as well as a statistical method used to analyze the results of the own study.Β RESULTS AND DISCUSSION: A large percentage of students (72%) are familiar with the methods of detecting disorders in gynecological health. Of those surveyed, 75% visit a gynecologist regularly and have a prophylactic pap smear. The school is the place where 64% of future midwives have received the necessary information about it.CONCLUSION: At the time of the study, midwives are ready to take care of their own gynecological health and be useful for their relatives and patients. They are almost unanimous in their responses on the necessary change in responsibilities for gynecological examinations
Attitudes Of Midwives From Northeastern Bulgaria For Discovering Independent Obstetrics Practices
In recent years we have witnessed many organized conferences and meetings where health professionals try to offer improvements in the quality of health services.\ \ The information vacuum in which young mothers find themselves after birth requires the organization of paid courses by private individuals to meet this natural need. Many non-governmental organizations and associations have been established with the main mission - imposing a mandatory standard and protocols for good medical practice and health care.The aim of the present study is to establish the attitudes and readiness of midwives from northeastern Bulgaria to open independent obstetric practices.A sociological method was used, as 94 midwives from the Maternity Wards and the wards / sectors of Pathology of Pregnancy in regional cities of northeastern Bulgaria were interviewed individually and anonymously.Documentary method, analyzing literature sources examining the subject of the present study.Statistical method used in the analysis of the results of our own research.Midwives from northeastern Bulgaria, working in maternity wards, almost categorically (95%) answered that there is currently a need to optimize obstetric care after childbirth. They answer the question of introducing patronage obstetric care even more categorically - 98% support this idea. Significantly high percentage - 86% of respondents are willing to provide obstetric care in the mother's home. Almost half of the surveyed midwives - 47% answered that they need additional training to perform home care.Conclusions:1. Midwives want the restoration of patronage obstetric care.2. Midwives are willing to perform such activities.3. Midwives want to get involved in independent obstetric practices
Genetic diversity as a paramount factor determining wheat adaptation to drought stress
Wheat (Triticum aestivum L.) is a globally important crop for food and nutritional security that requires sufficient water supply for optimal production. All stages of wheat growth and development are adversely affected by reduced water supply, which limit productivity across large areas of Central and Southern Europe. Since drought episodes are expected to occur more frequently and with a greater intensity, the research efforts are devoted to identification of key traits associated with drought resistance that could be used as direct and indirect selection criteria for wheat drought tolerance. We evaluated and quantified several key genetic and molecular features of wheat genotypes with contrasting drought tolerance under severe dehydration triggered by the treatment of wheat with 250 mM sorbitol in hydroponic systems. Plant status was evaluated non-destructively by measuring leaf chlorophyll index, nitrogen content, and leaf relative water content. The drought-tolerant genotype displayed higher chlorophyll and nitrogen content, when grown under drought and benign conditions. Since root architecture appears to be a key trait for breeding against dehydration, we analysed the members of the DEEPER ROOTING (DRO) gene family that allow the root to penetrate deeper into soil, which could increase the yield even upon water shortage. Expression patterns of the DRO members showed genotype-specific changes under drought stress, which correlated well with plant drought tolerance. Our experiments suggest that genes affecting root system architecture could contribute to development of wheat cultivars with higher drought adaptability
Exploring the Genotype-Dependent Toolbox of Wheat under Drought Stress
Drought stress imposes substantial constraints on the growth and production of wheat (Triticum aestivum L.), a globally important cereal crop essential for food security. To mitigate these adverse effects, researchers are intensifying their efforts to comprehend how different genotypes respond to drought stress, aiding in the development of sustainable breeding and management strategies. This review summarizes past and recent research on genotype-dependent responses of wheat plants to drought stress, encompassing morphological, physiological, biochemical, molecular, genetic, and epigenetic reactions. Screening drought-affected features at early developmental stages can provide valuable insights into the late growth stages that are closely linked to plant productivity. This review underscores the importance of identifying traits associated with drought resistance, and the potential of leveraging wheat diversity to select cultivars with desirable agronomic characteristics. It also highlights recent advancements in investigating Bulgarian wheat genotypes with varying levels of drought tolerance, specifically in detecting essential features contributing to drought tolerance. Cultivating drought-resistant wheat genotypes and understanding stress stability determinants could markedly contribute to enhancing wheat production and ensuring stable yields under changing climate conditions