AWARENESS AMONG PATIENTS IN OUTPATIENT CARE IN NORTHEAST BULGARIA

Medical activities to be performed after the patient fully informed about upcoming treatments. He must be aware of the many factors that influence medical treatments and laboratory results. It is important to consult medical professionals for the conditions to be met by the patient before the research. The article is an analysis of the views of patients, laboratory physicians, laboratory and general practitioners for the level of awareness among patients of an impending investigation. The research was conducted in northeastern Bulgaria among 1039 respondents. There is a high degree of awareness among the urban population, unlike poor awareness among patients of smaller settlements.Medical activities to be performed after the patient fully informed about upcoming treatments. He must be aware of the many factors that influence medical treatments and laboratory results. It is important to consult medical professionals for the conditions to be met by the patient before the research. The article is an analysis of the views of patients, laboratory physicians, laboratory and general practitioners for the level of awareness among patients of an impending investigation. The research was conducted in northeastern Bulgaria among 1039 respondents. There is a high degree of awareness among the urban population, unlike poor awareness among patients of smaller settlements

INTERACTIONS AND RELATIONSHIPS OF MEDICAL LABORATORY ASSISTANTS IN TEAMWORK AT UNIVERSITY HOSPITAL „ST. MARINA – VARNA“

The relationship of medical staff raise many important issues in medical practice, which must include not only professional competence but also the implementation of effective professional communication, observation and interaction. Good professional communication in medical practice is achieved through the strict observance of the established rules of medical ethics. Compliance with both the universal and the specific rules for medical professionals to communicate. Creating an atmosphere of trust, support and empathy in the process of working with medical staff from different departments in the hospital environment. The article is an analysis of opinion on the interaction between technicians, nurses and doctors in a hospital environment. The study was conducted among 66 respondents in the University Hospital „St. Marina – Varna“The relationship of medical staff raise many important issues in medical practice, which must include not only professional competence but also the implementation of effective professional communication, observation and interaction. Good professional communication in medical practice is achieved through the strict observance of the established rules of medical ethics. Compliance with both the universal and the specific rules for medical professionals to communicate. Creating an atmosphere of trust, support and empathy in the process of working with medical staff from different departments in the hospital environment. The article is an analysis of opinion on the interaction between technicians, nurses and doctors in a hospital environment. The study was conducted among 66 respondents in the University Hospital „St. Marina – Varna

APPLICATION OF MANAGEMENT PROGRAMS FOR CHRONIC DISEASES - INTERNATIONAL EXPERIENCE AND SITUATION IN BULGARIA

Disease management programs (DMPs) are successful in different regions of the world and there are possibilities for their application in Bulgaria. A retrospective approach is used in the analysis of 11 articles, for the period 2002 – 2011. The data shows that the disease management programs improve the coordination between the different participants in the system and ensure comprehensiveness and continuity of the health care and, at the same time, early diagnostics, therapy and rehabilitation.Disease management programs (DMPs) are successful in different regions of the world and there are possibilities for their application in Bulgaria. A retrospective approach is used in the analysis of 11 articles, for the period 2002 – 2011. The data shows that the disease management programs improve the coordination between the different participants in the system and ensure comprehensiveness and continuity of the health care and, at the same time, early diagnostics, therapy and rehabilitation

ANALYSIS OF THE ABORTIONS IN BULGARIA FOR 2014

Every year, in Bulgaria nearly half of the pregnancies end up with an abortion. It is well known that every abortion hides a risk for every woman that had this kind of medical intervention. Also lowers the ability of having another pregnancy, having a healthy carrying and giving a natural childbirth. On other side, abortions are associated with being a significant factor which regulates the demografic features of the population. There is a tendency that most of the Bulgarian women use the abortion like alternative method for contraception. This is due to the fact that since 1956 there isn`t a law that prohibit the performing of abortion by choice of the pregnant woman. For the period from 1967 to 1998, many statistics show that the number of the abortions is significantly higher than the number of the actual childbirths. However, through out the next few years there is a stable tendency of dropping the number of abortions. Overall, in 2014 there is a solid tendency for the decreasing numbers of the abortions in Bulgaria between the period of 2000-2013.Every year, in Bulgaria nearly half of the pregnancies end up with an abortion. It is well known that every abortion hides a risk for every woman that had this kind of medical intervention. Also lowers the ability of having another pregnancy, having a healthy carrying and giving a natural childbirth. On other side, abortions are associated with being a significant factor which regulates the demografic features of the population. There is a tendency that most of the Bulgarian women use the abortion like alternative method for contraception. This is due to the fact that since 1956 there isn`t a law that prohibit the performing of abortion by choice of the pregnant woman. For the period from 1967 to 1998, many statistics show that the number of the abortions is significantly higher than the number of the actual childbirths. However, through out the next few years there is a stable tendency of dropping the number of abortions. Overall, in 2014 there is a solid tendency for the decreasing numbers of the abortions in Bulgaria between the period of 2000-2013

Ecological Assessment of differrent raw materials for biogas

ABSTRACT: A comparative ecologic valuation of different raw materials for biogas production has been made. The valuation is based on the qualities of the different substrates: from energy cultures (sugar, fodder and red beet, leaves mass from the Paulovnia spring and autumn leaves). Three type of fertilizer (cattle from non-litter breeding, swine and non-removable bird fertilizer litter) as well as substrates from waste water of the WTP- Waster water treatment plan (mixed sediment, primary and secondary sediment). The examined raw material has been analyzed according to the following parameters: Dry matter (DM), Organic matter (OM), Organic Carbon (OC), Nitrogen Kjeldahl (N), Nitrogen Ammonium (N - ammonium), Nitrogen nitrate ( N- nitrate), Patassium (K), P (Phosphorus), pH ( H2O) and heavy metals – arsenic (As), Cadmium (Cd), Chromium (Cr), Copper (Cu), Mercury (Hg), Nickel (Ni), Lead (Pd), Zinc (Zn). The results of the examined substrates received from different raw materials (vegetal, organic fertilizers and waste water) give us ground to make the following conclusions: the examined substrates respond in the physical-chemical parameters to all technological requirements of raw material for biogas production (DM,C and proportion C:N). The established differences in the content of nitrogen / within the borders of 1,8% (substrate-leaves mass Paulovnia- spring) to 7,75% of substrate 7 (organic fertilizer)/ allow the combination of the substrates in order to adhere the Nitrate directive of the EU. The established differences in the active forms of nitrogen allow exploitation of programs for fertilizers with the participation of raw materials for biogas production. Our examination of substrates and show a content of heavy elements under the critical admissible limits. РЕЗЮМЕ: Направена е сравнителна екологична оценка на различни суровини за производство на биогаз. Оценката е на база качествата на различни субстрати: от енергийни култури (захарно, кръмно и червено цвекло, листна маса от Пауловния- пролетни и есенни листа, царевичен силаж и силаж Пауловния), три вида тор (говежда от безпостелно отглеждане, свинска и несменяема птича торова постеля), както и субстрати от отпадни води на ПС (първична,вторична и смесена утайка). Изследваните суровини бяха анализирани по следните показатели: Dry matter (DM) ,Organic matter (OM), Organic Carbon (OC), Nitrogen Kjeldahl (N), Nitrogen Ammonium (N -ammonium), Nitrogen nitrate (N- nitrate), Patassium (K), P (Phosphorus), pH ( H2O) and heavy metals – arsenic (As), Cadmium (Cd), Chromium ( Cr), Copper (Cu), Mercury (Hg), Nickel (Ni), Lead (Pd), Zinc (Zn). Резултатите от изследваните субстрати получени от различни суровини ( растителни, органични торове и отпадни води) ни дават основание да направим следните заключения: Изследваните субстрати по физикохимични показатели отговарят на всички технологични изисквания на суровини за производство на биогаз (СВ, С и съотношение С:N). Установените различия в съдържанието на азот е границите на 1,8% (субсрат - листна маса Пауловния –пролет) до 7,75% (при субстрат 7 - органична тор) позволяват комбиниране на субстратите с оглед спазване на Нитратната директива на ЕС. Съществуващите различия в подвижните форми на азота дават възможност за разработване на програми за торете с участие на различни суровини за производство на биогаз. Проучените от нас субстрати показват съдържание на тежки елементи под критично допустимите граници

Инвестиционные и маркетинговые изменения на рынке мобильной связи Украины

PURPOSE OF REVIEW: Despite reaching high percentages of desensitization using allergen-specific immunotherapy (SIT) in patients with food allergy, recent studies suggest only a low number of patients to reach persistent clinical tolerance. This review describes current developments in strategies to improve safety and long-term efficacy of SIT. RECENT FINDINGS: Modified allergens or tolerogenic peptides, ultimately optimized for human leukocyte antigen background of the patient, are explored for tolerance induction, whereas anti-IgE antibody (Omalizumab) may be used to facilitate SIT safety. Adjunct therapies to enhance efficacy may make use of TH1 polarizing agents, for example, CpG-oligodeoxynucleotides combined with modified allergen packaged in nanoparticles. Preclinical studies showed insulin-like growth factor-2, intravenous immunoglobulin, Tregitopes or allergen encased oligomannose-coated liposomes capable of inducing regulatory T-cells, recognized for their importance in clinical tolerance induction. Dietary intervention strategies utilizing herbal formula 2, VSL#3, nondigestible short-chain galacto-oligosaccharides and long-chain fructo-oligosaccharides (scGOS/lcFOS) plus Bifidobacterium breve M-16V or n-3 long-chain polyunsaturated fatty acids may facilitate safety and/or a favourable milieu for tolerance induction. SUMMARY: Combining SIT using (adapted) allergens or tolerogenic peptides with adjunct therapy may be essential to improve safety and/or efficacy. Beyond using targeted approaches, specific dietary components may be explored to reduce side-effects and support clinical tolerance induction by SIT

Co-digestion of waste activated sludge and silaged mix of chicken litter and fodder beet

In order to determine the yield of methane in a Co-degradation study with different substrates. The study involved the following substrates : WAS only; WAS+silage 2:1; WAS+silage 1:1; WAS+silage 1:2. Studieed is the contents of the macro and micronutrient in the tested substrates and biogas yield after methane fermentation. It was found that major disadvantage of the BMP test is the fact that it does not provide short-term results because of it s duration, methane yield during a shorter period could be predicted by evaluating the reaction rate provided by the rate constant

Artificial intelligence – the new suggestion for biomedicine, dentistry and healthcare

The development of technologies based on Artificial Intelligence (AI) and their application in medicine is growing rapidly. Innovations in digital technology, telemedicine, 5G technology and artificial intelligence (AI) create new opportunities for the development of the healthcare system. The aim of the present study is to explore the possibilities for the application of artificial intelligence in biomedicine, dentistry, healthcare and healthcare. In recent years there have been many major innovations, including the introduction of many new information and communication technologies. Digital innovations, including the further inclusion of telemedicine, the development of 5th generation wireless networks (5G) and artificial intelligence (AI) approaches, create an exceptional ecosystem for new health opportunities. The digital health sector creates a favorable environment for the provision of health services at a very high level