Varna Medical University Press: Journals
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THE EFFECT OF RADIOTHERAPY AND BRACHYTHERAPY APPLICATIONS ON SEXUALITY IN GYNECOLOGICAL CANCERS AND THE ROLE OF THE NURSE
Get PDFIntroduction and Aim: Gynecological cancers affect sexuality by affecting body image, gender role, female identity and reproductive ability. Surgical treatment, radiotherapy or chemotherapy applied in gynecological cancers negatively affect the body image and reproductive capacity of women. The aim of this study is to examine the effects of radiotherapy and brachytherapy applications on sexuality in gynecological cancers and the role of the nurse in the light of the literature.Material and methods: Biological process of cancer, side effects of treatment, additional health problems and drugs used affect sexuality and reproductive health. Women undergoing radiotherapy often complain of vaginal sensitivity and orgasmic insufficiency, decreased vaginal elasticity, and dyspareunia.In this study, studies on the effects of pelvic radiotherapy and brachytherapy on women's sexual function were examined.Results and discussion: Sexuality is a multidimensional concept and is negatively affected by brachytherapy. In addition to brachytherapy, women are in an effort to regain their feminine identity, values, priorities and sexual partner responsibility. In such a process, support systems and counseling services play an important role in relieving concerns and worries. Depending on the treatment applied, postradiotherapeutic vaginal changes are effective in women's sexual function and orgasm problems. It is beneficial to provide counseling on sexual issues in order to increase the quality of life of women receiving brachytherapy and to ensure integrity in health care.Conclusion: Gynecological cancers and their treatment methods, which are very common in Turkey, have negative effects on women's health. Radiotherapy is frequently used in the treatment of gynecological cancers and nurses have a great responsibility in meeting the post-care needs
FACTORS FOR ACTIVE LONGEVITY OF OLD PEOPLE ATTENDING DAY CARE CENTRE IN VELIKO TARNOVO
Get PDFOne of the major global problems facing humanity in the 21st century is population ageing. The proportion of the elderly /60-74 years/, old people /75-89 years/ and the long-lived /over 90 years/ is increasing [4].This makes the problems related to the elderly population in Bulgaria particularly relevant, as they are fully adequate to the demographic development and naturally increase the interest in the needs of the elderly, approaches and ways to promote their active and healthy lifestyle. From this perspective, knowledge of the factors contributing to active ageing would help to provide effective psychological support and improve the quality of life of the old person. Objective of the study: to identify the factors of active longevity in the elderly attending the Day-care centre in Veliko Tarnovo. Materials and Methods: Object of the study: factors for active longevity in the elderly attending a Day-care centre in Veliko Tarnovo. Subject of the study: the process of identification of the factors of active longevity in the elderly attending a Day-care centre in Veliko Tarnovo Methods used: survey method, statistical processing and graphical interpretation of the results. Results and Discussion: based on the conducted study, the problem of the need to inform the elderly about the diversity of factors for active longevity and the implementation of various programs for their management through active physical activity clearly emerges.Conclusion: The need for systematic physical activity to be realized on the basis of a complex of physical exercises, built on a scientifically based methodology, is proved
DEVELOPMENT OF ONCOLOGY NURSE NAVIGATION MODEL: A QUALITATIVE STUDY
Get PDFAim: This research aimed to develop an Oncology Nurse Navigation Model for Turkey.Material and methods: This research was qualitative research that used a phenomenological research design. The research sample consisted of patients who received at least one dose of chemotherapy or radiotherapy, nurses and physicians who worked for at least six months and worked in the care process of the patients in the oncology clinic of a training and research hospital in Edirne. The data were collected through the semi-structured interview method which was made individually using the “Descriptive Information Form” created by the researcher for patients, nurses and physicians and the “Semi-Structured Interview Form” created separately for each target group.Results and discussion: The results of this research were presented in three sections. The sociodemographic and descriptive characteristics of the participants were included in the first section. Eight themes were determined as a result of interviews with patients, nurses and physicians. These were; communication, psychological needs, health services provided, coping with cancer, experienced symptoms during the cancer process, nursing roles, physician services and caring for cancer patients. The results of these themes were presented under the headings in the second section. The results of the similar and different aspects of the results obtained from patients, nurses and physicians were included in the third section.Conclusion: As a result of this research, the cancer patients’ navigation services needs were determined during the cancer diagnosis and treatment process. An Oncology Nurse Navigation Model was created according to these identified needs. It is recommended that this model be used in studies and be tested in different groups
ЧУЖДИЦИТЕ НА ПОЛИТИЦИТЕ
No full textThis report will examine the foreign words and expressions used by politicians in their election campaign for the early parliamentary elections in 2023. Interviews and election debates broadcast on national television will be used as a source. The situation in which the speech acts of the participants in the shows are performed will be described. Words and expressions will be described and explained. The aim is to examine the reasons for the use of foreigners, as well as to assess to what extent politicians' messages reach voters. An analysis will be made of the vocabulary used and the reasons for its use
CREATING CONDITIONS FOR DEVELOPING SOFT SKILLS IN A UNIVERSITY ENVIRONMENT
No full textNumerous studies have shown that employers nowadays value soft skills more than any general or specific knowledge acquired by students in the course of their studies. The project described in this paper illustrates an effort to teach students from three universities located on three continents soft skills, among which: critical thinking and problem solving, project development and implementation, teamwork and leadership, communication, intercultural interaction, time management and work ethics. The involved universities are: the University of Economics in Varna, Bulgaria, the National University of Costa Rica and Oklahoma Community College, USA. The students worked in international teams and had to reach a common goal on the achievement of which they reported at the end of the project. The activities carried out within the project and the interaction that students had to initiate and maintain in order to fulfil the tasks assigned to them promoted the development and/or furthering of valuable soft skills that we believe enhanced the involved students’ employability and general adaptability to the changing conditions on the current job market
БЕЛЕЖКИ ВЪРХУ ИСТОРИЯТА И ПРАКТИКАТА НА ПРЕВОДА И ПРЕПОДАВАНЕТО НА КУЛТУРОЛОГИЧНИ И ЛИТЕРАТУРОВЕДСКИ ПОНЯТИЯ СЪС СТАРОГРЪЦКИ И ЛАТИНСКИ ПРОИЗХОД НА БЪЛГАРСКИ
No full textThe paper discusses the inevitable problems in the process of transcription, adoption and use of everyday concepts, terms, and realia of Ancient Greek or Latin origin in the modern languages, focused on the case with the Bulgarian language. Its main purpose is to outline some of these problems, but also to propose guidelines and models of how they can be overcome by specialists working with non-specialists. Some examples of successful initiatives at Sofia University, Department of Classics, in this direction are also mentioned, as optional courses on the Bulgarian reception of vocabulary in different close areas, or working on projects, together with the students, devoted to the translation of ancient realia through a third language, for example English or French. The History of concepts – as an autonomous discipline in the field of Philosophy and History – is briefly introduced. The argument reads as follows: by turning to its approach, Classical philology could make its own work with the audience more attractive and successful
ЗНАЧИМОСТ НА МОЗЪЧНОСЪДОВИТЕ ЗАБОЛЯВАНИЯ
Get PDFУвод: Мозъчносъдовите заболявания са глобален медицински и социален проблем поради високата болестност, смъртност и инвалидност, които причиняват. По данни на Световната здравна организация годишно от мозъчен инсулт заболяват 17 млн. души по света, от които 6 млн. умират и 5 млн. остават трайно инвалидизирани, като близо 25 % от тях са под 65 години. Цел: Да се проучи информираността на респондентите за значимостта на мозъчносъдовите заболявания и скала Глазгоу-Лиеж - основните теоретични правила за нейното прилагане, регистриране и отчитане на резултатите. Материал и метод: Потърсихме мнението на студенти специалност „Медицинска сестра“ II курс (n=40), които са преминали обучение по Сестрински грижи за неврологично болни от Филиал Сливен и Филиал Шумен на МУ - Варна, а за проучването на експертно мнение привлякохме доказани преподаватели и наставници (n=10) в базите за практическа подготовка на студентите от същите филиали. За целта на изследването е разработена анкетна карта еднаква за двете групи респонденти с 28 въпроса, разпределени в три раздела. Заключение: Всички респонденти осъзнават значимостта на мозъчносъдовите заболявания. За най-голям относителен дял от участниците и от двете групи за диагностичния процес съществено е определянето на вида на инсулта и неговата локализация. Близо 1/3 от участниците посочват количествените нарушенията на съзнанието като обект на изследване чрез скала Глазгоу-Лиеж, за 2/3 от респондентите скала Глазгоу-Лиеж е приоритет само на лекарската практика. Всички експерти и 2/3 от студентите познават функциите, които са изследват чрез скалата – двигателна, словесно представяне и отваряне на очите, като 90% от експертите и 70% от студентите считат, че тя се прилага в медицинската практика само при инсулти
БОЛЕСТТА AMOR HEREOS В СРЕДНОВЕКОВНИЯ РОМАН HISTORIA DE JACOBO XALABÍN
No full textThe History of Jacobo Xalabín (La historia de Jacobo Xalabín) is a medieval anonymous novel written in the Catalan language. According to the latest research, it dates between 1492 and 1536. The narrator takes us to the court of Sultan Murad I in 1387. Sultan Yakub's first-born son rejects the love of his stepmother Isa Celebina, as a result of which she falls ill. Advised by the only doctor who discovered the cause of her illness – the Jew Kir Moshe, in order to cure her, they planned the death of Yakub Celebi. Although the inclusion of Isa Chelebina's illness in the narrative is only one of its elements, accurate conclusions can be drawn from the narrative about the level of modern medical practice at that time in the examination of patients, the treatment of identified diseases and the imposition of certain stereotypes regarding the qualifications of doctors in different countries. Added to them is the clearly expressed personal attitude of the author towards certain ethnic and religious types – the Christian wife of the ruler Isa Celebina, and the doctor from Constantinople, the Jew Kir Moshe
ПРОУЧВАНЕ НЕОБХОДИМОСТТА ОТ ОБУЧЕНИЕ НА ПОМОЩНИЯ ПЕРСОНАЛ В ДЕТСКО ОТДЕЛЕНИЕ ПО ВЪПРОСИТЕ НА ВЪТРЕБОЛНИЧНИТЕ ИНФЕКЦИИ
Get PDFВътреболничните инфекции са причина за висока заболяемост и смъртност в педиатричните отделения. Превенцията на тези инфекции е задължение не само на медицинските специалисти в болничните заведения, а и на помощният персонал, пряко свързан с почистването и дезинфекцията на болничната среда. Важен фактор за отговорно и качествено изпълнение на професионалните си задължения е необходимостта от подробна информация и обучение на санитарите, извършващи хигиенни мероприятия в детските отделения.Целта на настоящото изследване е да се проучат нагласите и познанията на помощния персонал в педиатричните отделения, относно проблемите на вътреболничните инфекции.Материали и методи: Приложени са анализ на литературни източници, анкетно проучване, дескриптивна /описателна статистика/. Изследвано е мнението на 12 санитари, работещи в отделение по педиатрия към МБАЛ „Д-р Иван Селимински“ АД, гр. Сливен. Изследването е проведено в периода декември 2021 – май 2022 година.Резултати: Непълни са познанията на санитарите относно разпределяне на отговорностите по профилактиката на ВБИ, използването на стандартни предпазни мерки, както и факторите определящи риска от развитие на НИ. Голяма част от респондентите са на мнение, че съществува риск от ВБИ,както за самите тях, така и за пациентите и се нуждае от допълнителна информация, относно проблема.Изводи: Отчете се необходимост от допълнителна информация относно превенцията на вътреболничните инфекции в детско отделение, насочена към помощния персонал