Varna Medical University Press: Journals
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Artificial intelligence in contemporary dermatocosmetology – new opportunities for diagnosis and personalized skin care
No full textThis study explores the integration of Artificial Intelligence (AI) into dermatological and cosmetic practice with the aim of increasing the objectivity and reproducibility of skin diagnostics. Traditional evaluation of the skin’s condition is primarily based on clinical examination and visual diagnostics, which, in spite of the high importance of clinical experience and expertise, are closely related to subjectivity and limitations in tracing changes or developments of a condition over a prolonged period of time.The aim of this study is the analysis of contemporary publications discussing the application of Artificial Intelligence, with a focus on digital dermatological diagnostics, personalized skin care, and the role of intelligent diagnostic systems as a complementary tool for medical specialists.Materials and Methods: A search for scientific publications was conducted in the online databases Google Scholar and ResearchGate, utilizing the following keywords: artificial intelligence; dermatological diagnostics; digital imaging; personalized therapy; dermato-cosmetics. The research period spans the months of September to November 2025.Results: This article covers 51 publications representing studies conducted between 2015 and 2025 related to the application of AI in dermatological diagnostics and in the development of personalized therapeutic approaches. The development of AI models is supported by the existence of large databases, which create conditions for improving algorithms and increasing their diagnostic reliability. Various deep learning approaches emerge as a key factor in the integration of AI into dermatological practice for the automated analysis of skin images and stratification of skin parameters.Conclusion: The use of Artificial Intelligence contributes to more precise diagnostics, an individualized therapeutic approach, and objective monitoring of the effects of dermatological and dermato-cosmetic interventions. It does not replace but complements the clinical expertise of specialists. Artificial Intelligence has significant potential to enhance the efficiency and precision of dermatological and dermato-cosmetic practice, while requiring regulation, responsibility, and prioritization of patient safety and well-being
Establishment of qualifications requirements in military education and training
No full textThis article analyzes the process of educational qualification requirements definition, the legal basics and functional needs. The autor researches the related documents, as the Higher education act, the National qualification framework, the National classifier of positions and professions. The process is exposed in the area of military education and training where the specifics are outlined and ther implications to the process of military education qualification requirements definition is concerned. In order to cover the complexity of military profession the autor proposes use of a sectoral qualification framework for military officers as a tool for addressing the competences, given by the employer with exact qualifications for the specific educatiolal and organizational level based on the predefined learning areas
The impact of digitalization in insurance on the employees of the insurance companies
Full text linkThe digital distribution of insurances is a stage of insurers’ striving for achievement of a sustainable competitive advantage by providing the best possible customer’s experience. The human factor is a key factor in consulting, sales and control for adherence to the regulatory requirements of more complex insurance products. The modern employees need to adapt to the new requirements, increasing their digital competences
Research for the presence and impact of correlation-regression dependencies on the price of farmlands
Full text linkThe management of real estate, which includes agricultural land, is a matter of national security, food security for the population, and economic prosperity for every country. Farmland is part of both national and personal wealth. Agriculture is a key sector in both the material production system and the national economic system of Bulgaria. In this context, the significance of land resources (agricultural land) as an irreplaceable production factor at the core of the agri-food chain and as a new evolutionary investment asset is fundamental. This study aims to analyze the impact of correlation-regression dependencies on agricultural land prices. The study’s results have scientific value and practical application and are foundational in managerial decision-making, project management, risk assessment, and control for legislative, executive, and local authorities, agricultural enterprises, and, not least, personal finances. It concludes that of the ten examined independent variables, five have a coefficient of determination above 0.5, indicating that over 50% of the variance in the dataset of farmland prices (the dependent variable) can be explained by the values of these variables
Awareness of pregnant and postpartum women regarding pregnancy hygiene
Full text linkPregnancy is a physiological period associated with numerous changes in a woman's body. To ensure a healthy pregnancy and prevent complications, it is necessary for pregnant women to follow a hygienic and dietary regimen. Part of midwifery care focuses on a woman's emotional health, as well as providing advice on personal hygiene, healthy eating, physical activity and sports, clothing, travel, etc.Aim: The purpose of the study is to examine and analyze the awareness of pregnant women regarding pregnancy hygiene.Materials and Methods: An anonymous survey was conducted among pregnant and postpartum women (n=61). The research was conducted through individual surveys in April 2024. The methods used include documentary research, sociological methods, and statistical and graphic processing of the results.Results and Discussion: The results of the survey indicate that slightly more than half of the respondents are familiar with health recommendations during pregnancy (50.8%) and have access to information on the subject (52.5%). The pregnant and postpartum women in the sample expressed a desire to be trained by a midwife on issues related to pregnancy hygiene (70.5%).Conclusion: Midwife-led training during prenatal consultations would increase awareness among pregnant women on this topic. Clear guidelines should be provided regarding healthy nutrition during pregnancy, physical activity, and emotional stability
Challenges in the 21st century for the management of healthcare organizations
Full text linkNowadays, managers of healthcare organizations must overcome numerous challenges that affect almost all health systems globally—financial difficulties, a shortage of well-trained healthcare personnel, the risk of burnout syndrome among medical professionals, frequent employee turnover, and more. While there are no quick solutions to these issues, effective management can enable healthcare facilities to adapt to changing conditions and provide significant benefits for both patients and employees across various levels of the organization
Water scarcity and pollution in developing countries
Full text linkIntroduction: Water scarcity is a global problem that limits access to safe water for drinking and for hygiene at home, school, and health care facilities.Everybody has the right to live in a clean and safe environment including clean water, safely managed sanitation services, and good hygiene.Aim: The research aims to put a spotlight on the problems that arise from water scarcity and water pollution.Materials and Methods: A comprehensive review of scientific articles and guidelines was conducted to understand and assess the problems that arise from water scarcity and water pollution. An evaluation of the collected information was made to understand the consequences that many people might have to face in the future.Findings: The lack of access to clean water has an impact on health, nutrition, education, and every other aspect of life. Consequences that arise from water scarcity and water pollution affect the countries economically, ecologically, and socially.The greatest risk to water safety is microbial contamination of faeces. In many cases, a failure of sewage systems is a threat of contracting diseases, especially infections transmitted by faecal-oral mechanism, such as cholera.Conclusion: This study reveals the challenges that people within rural areas, urban slums, disaster-prone areas, and low-income countries face, in terms of water scarcity and water pollution. It shows possible solutions that should be implemented to improve the living conditions of many people worldwide.
Review of the economic burden of metastatic prostate cancer
Full text linkProstate cancer poses a significant challenge to healthcare systems due to the rising costs of treatment in the advanced stages of the disease. This review aims to analyze the economic burden of metastatic prostate cancer by reviewing existing studies published in the last ten years. Progression from a non-metastatic to a metastatic stage significantly increases healthcare costs, particularly in terms of hospitalizations, specialist examinations, and drug therapy. Retrospective analyses have shown that costs per patient can increase up to 62-fold when progressing to the metastatic stage. The main cost drivers are skeletal-related events (SREs), which further exacerbate hospital stays and treatment costs. Interventions that slow disease progression can help reduce the economic burden. This review highlights the importance of effective treatments and strategic approaches to cost control
The role of the hospital pharmacist in optimizing therapy in patients with chronic myeloid leukemia
Full text linkIntroduction: Modern treatment with tyrosine kinase inhibitors (TKIs) provides improved quality of life and prolonged survival for patients with chronic myeloid leukemia (CML).Objective: To present the main types of drug-related problems (DRPs) that can be identified and prevented by pharmacists during the dispensing of medications and monitoring the condition of CML patients.Materials and Methods: A systematic review of the existing scientific medical literature concerning TKI drug therapy in CML patients was conducted.Results: The choice of optimal therapy is based not only on efficacy but also on the safety of the drug product and consideration of individual characteristics such as age and comorbidities. Nilotinib and dasatinib are second-line TKIs prescribed in cases of therapeutic failure with imatinib, requiring strict monitoring for potential serious adverse drug reactions such as urinary retention and pleural effusion. The safety, efficacy, and optimal dosing of therapy in patients with hypothyroidism due to TKI treatment should be assessed individually. The use of drugs that induce or inhibit the CYP3A4 enzyme can cause serious interactions. Concurrent administration of imatinib and simvastatin leads to an increase in the maximum plasma concentration of simvastatin, which is due to the inhibition of the CYP3A4 enzyme by imatinib. Studies indicate relatively low adherence to imatinib therapy among CML patients due to missed doses, prescription errors, side effects, etc.Conclusion: Comprehensive care for CML patients, which includes the involvement of pharmacists, ensures traceability, control, and prevention of problems related to drug therapy
Questionnaires Measuring The Impact Of Olfactory Dysfunction On Quality Of Life – A Mini Review
Full text linkOlfactory dysfunction is perceived as a symptom that affects cognition, perception, emotional state, and behaviour, and has a huge impact on the patient's quality of life. Diagnostic methods (olfactometry) can be divided into two groups - subjective olfactometry (olfactory tests) and objective olfactometry, including Electro-olfactogram (EOG), air-dilution olfactometry, Nasal endoscopy. The growing interest in olfactory-related quality of life (QoL) has led to the development of various instruments (questionnaires and scales) to measure olfactory disorders. The aim of this mini-review is to examine reliable and validated questionnaires used to assess the quality of life of patients with olfactory dysfunction. Quality of life questionnaires are a valuable tool in clinical practice to assess and monitor the severity and impact of olfactory disorders in patients