The professionalism of bank staff as a key factor in customer migration in retail banking

In today's dynamic and technology driven market reality, characterized by increased consumer expectations, classical retail banking faces unprecedented challenges. Offering individualized financial solutions, building long-term relationships with customers and minimizing client migration are key factors in maintaining the leadership position of banks in the market segment under consideration. The research objective in this paper is focused on defining the impact of the bank staff's professional qualities on the decision of customers to remain loyal to their financial services provider or to migrate to a competitive institution. The conducted online survey and the subsequent analysis prove that the professional performance of bank employees is a critical factor that determines the migration attitudes of retail banking clients in Bulgaria

Modern Obstetric Care In Bulgaria. What Is A Midwives Model Of Care And Does It Have Ground In Our Country?

The WHO has declared 2020 the year of the nurse and midwife. In the same year, amendments to the law were adopted in Bulgaria, giving midwives the right to discover their own practices and to monitor uncomplicated pregnancies. In recent years, we have witnessed the ever-increasing rate of operative births, but also the growing interest and awareness of pregnant women in normal childbirth.In many countries in Europe, the midwives model of care for pregnant and childbirth is applied. All this provokes us to get acquainted with it in more detail, to check whether it is applied in our country and what its benefits would be. In the obstetric care model the pregnant woman, the woman giving birth, and the newborn are placed in the center. Natural processes such as childbirth and breastfeeding are leading. A relationship of trust, closeness and peace is built. The percentage of births by cesarean section at will-without real indications for it-clearly shows that the pregnant woman's awareness of normal birth as a process is incomplete. This creates a feeling of fear. A large percentage of women's consultations are conducted by obstetricians and gynecologists, but they do not have the opportunity to answer in detail all the questions that concern a pregnant woman. A significant percentage of women are embarrassed to ask most of their questions to the doctor due to anxiety. Many studies show that a woman takes the midwife closer and feels more comfortable sharing or seeking information from her. Of course, the pregnant must be predisposed to this. No less important is the fact that many women refuse to breastfeed their children without real contraindications.In the past,the care of the pregnant woman, the mother and the newborn in the first days was provided by community midwives. This shows that we have applied the midwives model of care. What has changed and why

Cardiac markers for acute coronary syndrome

Кардиологичните заболявания са най-честата причина за смърт и трайно намаляване качеството на живот сред населението в индустриално развитите страни, като засегнати са над 17 милиона души годишно. Това определя тяхната социална значимост. България не прави изключение - според статистиката между 60 и 70% от смъртността се дължи на сърдечно-съдовата патология, като водещата роля принадлежи на исхемичната болест на сърцето и острия коронарен синдром. В светлината на тази статистика все по-голямо значение добива лабораторната диагностика като ключов елемент за поставянето на адекватна диагноза, терапията, рисковата стратификация и профилактиката при тези пациенти. Целта на настоящата статия е да засегне проблемите на лабораторната диагностика, свързана с острия коронарен синдром. Базирайки се на библиографския метод на проучване, постигнахме обобщен и синтезиран информационен материал относно най-популярните сърдечни биомаркери и тяхното значение като лабораторни показатели. В този смисъл са засегнати не само традиционните лабораторни методики за тяхното изследване, но и представянето на нови тенденции в лабораторната диагностика на острия коронарен синдром. Мащабни клинични проучвания доказват възможностите на нови класове биомаркери, които да дадат възможност за диагностика и характеристика на коронарната болест в преднекротичния стадий и съответно да улеснят стратификацията на риска и клинична прогноза.Благодарение на тези усилия клиничното приложение на комбинациите от биомаркери с реално изтегляне на лабораторната диагноза на ОКС в преднекротичен стадий е една все по-реално изглеждаща цел. Необходими са и нови маркери и схеми за рискова стратификация, за да може да се диференцират групите с най-висок риск и болните, които биха имали полза от агресивна терапия.Cardiac diseases are the most common cause of death and lasting decline in the quality of life among the population in industrially developed countries, with over 17 million people affected annually. This determines their social significance. Bulgaria is no exception - according to statistics, between 60 and 70% of lethal outcomes are due to cardiovascular pathology, mainly because of ischemic heart disease and acute coronary syndrome. In the light of these statistics, laboratory diagnosis is becoming more and more important as a key element in the provision of adequate diagnosis, therapy, risk stratification and prophylaxis in these patients. The main objective of this article is to address the problems of laboratory diagnostics of acute coronary syndrome. Based on the bibliographic approach, we present summarized and synthesized information material on the most popular cardiac biomarkers and their significance as laboratory metrics. In that sense, not only the traditional laboratory methods, but also the new trends in the laboratory diagnostics of acute coronary syndrome are included. Large-scale clinical trials have proven the potential of new groups of biomarkers to diagnose and characterize coronary heart disease at the pre-necrotic stage and thus facilitate risk stratification and clinical prognosis. Thanks to these efforts, the clinical application of different combinations of biomarkers for diagnosing acute coronary syndrome at a pre-necrotic stage seems an аchievable goal in the near future. New markers and risk stratification schemes are needed to differentiate the groups at highest risk and the patients who would benefit from aggressive therapy

Vaccination Prophylaxis for Bacterial Infections

Introduction: Bacterial infections affect an increasing portion of the population and pose a significant threat to global health. Treatment has become more challenging due to bacterial resistance to various antibiotics, leading to the need for alternative methods to combat these infections. One such method is vaccination prophylaxis.Aim: The aim of this study is to analyze data from scientific publications and assess the effectiveness of vaccines against some of the most common bacterial pathogens.Materials and Methods: This study was conducted using a literature review approach, focusing on articles published in PubMed and Google Scholar from 2019 to 2024.Results: Our study found that vaccination prophylaxis is a widely used method for combating various bacterial pathogens. A strict vaccination program and adherence to it significantly reduce the spread of life-threatening infectious diseases. In Bulgaria, immunization begins in maternity wards, while in some European countries, it starts after the second month of life.Conclusion: The increasing spread of bacterial infections can be mitigated by developing new vaccines and optimizing the prophylaxis of existing ones. Adherence to immunization schedules significantly reduces the spread of serious infections and improves public health

Mining the evolution of software component usage

The topic of this thesis is the analysis of the evolution of software components. In order to track the evolution of software components, one needs to collect the evolution information of each component. This information is stored in the version control system (VCS) of the project—the repository of the history of events happening throughout the project’s lifetime. By using software archive mining techniques one can extract and leverage this information. The main contribution of this thesis is the introduction of evolution usage trends and evolution change patterns. The raw information about the occurrences of each component is stored in the VCS of the project. By organizing it in evolution trends and patterns, we are able to draw conclusions and issue recommendations concerning each individual component and the project as a whole.Der Mittelpunkt dieser Arbeit ist die Analyse der Evolution von Software Komponenten. Um die Evolution von Software Komponenten verfolgen zu können, benötigt man Informationen über die Evolution jeder einzelnen Komponente. Diese Informationen sind gespeichert in Versionskontrollsystemen - den Speichern der kompletten Geschichte der Ereignisse, die sich in der Laufzeit eines Projektes zutragen. Der Hauptbeitrag dieser Arbeit ist die Einführung von evolutionären Nutzertrends und evolutionären Änderungsmustern. Die unverarbeiteten Informationen über die Verwendung jeder einzelnen Komponente ist in dem Versionskontrollsystem eines Projektes gespeichert, und durch die Organisierung in evolutionären Änderungsmustern und Trends können wir Schlüsse daraus ziehen und Empfehlungen aussprechen für jede einzelne Komponente und das Projekt als Ganzes