Varna Medical University Press: Journals
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    HEALTH PREVENTION AT STUDENTS AT MEDICAL UNIVERSITY VARNA

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    The World Health Organization defined health as "a state of complete physical, mental and social well-being and not necessarily the absence of disease or infirmity. Health and medical prevention are all measures taken by health professionals and society as a social organization to protect and prevent the spread of risk factors for diseases and their complications among the population. It is a set of medical and non-medical measures that are taken to achieve better health and quality of life, by isolating risk factors, preventing diseases, reducing their consequences and premature death. Aim: To investigate and analyze the opinion of students from Medical University - Varna regarding their health prevention during their studies.Material and methods: Documentary analysis and direct anonymous poll.Results: From the survey conducted among students from the University of Varna, we can draw the following conclusions:1. Of the 201 respondents, almost half claimed that they did not use their right to one preventive examination per year at their general practitionerr for taking an anamnesis and complete objective status, laboratory tests of blood and urine, filling in a questionnaire. Only with this statement, 20.1% shared that within a year they visited their personal doctor for preventive examinations. 2. Almost all respondents, with few exceptions, agree that their lifestyle, risk factors and diet have an impact on the eventual discovery of a new disease. 3. Over 80% of the respondents regularly measure their vital signs for the purpose of self-control and health monitoring. 4. The majority of respondents indicated that their psychological stress decreased after they received the necessary information about their health after a preventive examination. Conclusion: In conclusion, the students share that prevention is important, but they do not have the opportunity to go for examinations due to insufficient time

    HEALTH CARE IN BULGARIA - MODERN ASPECTS AND CHALLENGES

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    The profession requires specialized knowledge and competencies in tune with the health care delivery system, such as leadership, integration of innovative technologies, and teamwork. The need for health care is current and multifaceted due to the changing health care environment and population demographics. Purpose: The aim of the study is to summarise the available scientific evidence on the impact of different indicators on improving health care outcomes in Bulgaria. Materials and Methods: A systematic review has been conducted to identify challenges and opportunities for strengthening health care activities and systems. The sources analysed cover the period 2013-2023. The literature search not only addressed comparability of determinants but also health care advances represented by other reviews using the key terms: health, health care, health, well-being, development, challenges in four major medical literature databases (PubMed, EBSCO, DART-Europe, and Google Scholar). Results and Discussion: A priority of any health system is to maintain and improve the quality and integration of health care. Effective health care practice in modern health care ensures quality activities to preserve, maintain and restore health. The direct link between health and economic stability has been established through scientific evidence. Health care is multi-stage and depends on a number of factors - patient, model of management and decision-making, quality of interdisciplinary collaboration and availability of human and material resources. The quality of health influences the quality of life and differs significantly by age, disease manifestation and level of medical care. Combining medical professionals with innovative ideas and good professional levels, creates conditions for maintaining and preserving the well-being and well-being of the population. Health care professionals, in each case of illness, have a key role arising from their tasks and functions. Health care management approaches and decision-making are closely linked to the accepted paradigm of health, which also influences the particular model chosen for the organisation, management and functioning of the health care system. Conclusion: Health in all policies is a priority of the health system in Bulgaria. The effective development of health care depends to a significant extent on the level of professional training and the rational use of medical professionals as a significant resource in health care. Ensuring accessibility and quality of care is impossible without competent health care professionals. Against the backdrop of limited financial resources, issues of the full involvement of health care professionals in the diverse aspects of professional activities are at the forefront

    ГРЕШКИ ПРИ УПОТРЕБАТА НА МЕДИЦИНСКА ТЕРМИНОЛОГИЯ НА ЛАТИНСКИ ЕЗИК В НОРМАТИВНАТА УРЕДБА НА РЕПУБЛИКА БЪЛГАРИЯ

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    The report examines the normative acts in the Republic of Bulgaria that affect the use of medical terminology. It draws attention to the mistakes that are made in modern health legislation. The text examines the Health Act; the Act on Medicinal Products in Human Medicine; Ordinance No. 42 of 8 December 2004 on the introduction of statistical classification systems for coding diseases and health–related problems and medical procedures, the Ordinance on Medical Expertise, adopted by PMS No. 120 of 23 June 2017;Ordinance No. 49 of 18.10.2010 on the basic requirements to be met by the structure, operation and internal order of hospital care facilities and medical–social care homes; Ordinance No. 4 of 4 March 2009 on the conditions and procedure for prescribing and dispensing medicinal products, issued by the Minister of Health; texts from the Coding System of Medical Procedures, created by the National Centre for Public Health and Analysis at the Ministry of Health. The report analyses the spelling of diagnoses in Latin but transliterated in Cyrillic, spelling and grammatical errors in the acts. The study can be the basis for joint work between doctors and Latin philologists, leading to the correct use of Latin terms in legal acts

    PSYCHOSOCIAL FACTORS AND AGGRESSION AMONG EMERGENCY HEALTHCARE STAFF

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    Introduction and aim: Psychosocial factors accompany emergency healthcare workers on a daily basis. The negative impact of these factors intensifies because of the cause that these workers experiences some of the highest risks of job-related violence. That is the reason to study the dependence between psychosocial factors and aggression among emergency healthcare workers.Material and Methods: The study was conducted among 468 workers in 2 emergency healthcare centers. The male participants are 58.3% and 41.7% are female. The distribution by position is: nurses— 35.8%, followed by ambulance drivers—26.1%, the doctors are 18.1%, the paramedics—14.2% and theorderlies—5.8%. A sociological method was used—a survey. The statistical methods included descriptive statistics and Chi-square test.Results and Discussion: The participants which reported that psychosocial factors have negative impact on their work – 70.5%. Their distribution was as follows: 78.8% of paramedics, followed by doctors – 73.7%, nurses 71.7%, ambulance workers 67.8% and sanitarians 44.4%. The part of workers which claim that have been victims of aggression or violence are 46.6% and the distribution of answersby position are as follow: 60.7% of doctors, 49.2% of paramedics, 46.8% of nurses, 42.5% of ambulance drivers and 15.4% of medical orderlies. The part of participants which claim that psychosocial factors have negative impact on their work and at the same time they have been victims of aggression at the workplace are 46.3%. Our results confirm the results obtained in a number of other studies.Conclusion: The dependence between psychosocial risk factors and aggression at work is clearly visible. It is necessary to take urgent measures to limit it

    Abstracts of XVIII International Congress of Colorectal Surgery

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    High Mortality Rates of the Elderly During Water Related Disasters: Hazard and Mitigation Assessment

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    Research from previous natural disasters has been incorporated in this study to validate the assumption that the mortality rate among senior members of our society surpasses that of any other age group. The study identifies specific hazards that result in risks and contribute to this phenomenon. It is crucial to emphasize that old age itself is not a direct factor causing high mortality rates.Throughout one's life, various factors accumulate, increasing the risk during disasters. Examples of individual hazards include physical frailty, sensory impairments, and mental disabilities. Other identified aspects encompass a lack of education regarding swimming, first aid, and evacuation methods, as well as inadequate knowledge of suitable evacuation locations, a false sense of security, dependency on life-support equipment, and social isolation. External hazards consist of housing location, increased and intensified flood events, rising sea levels, and predictions of increased hurricane intensity in the future.Once the hazards are identified, the study explores mitigation factors and strategies. Examples include first-aid training courses, swimming lessons, self-reporting frailty, the implementation of protective infrastructure, diverse housing choices, disaster relief kits tailored to individual needs, and the possibility of relocating to areas less prone to disasters.It is important to note that the high mortality rate among the elderly is influenced by their specific location and the financial resources available to mitigate the risks

    Metabolic Syndrome and Its Relationship to CKD and NAFLD

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    In recent years, there has been a growing interest in the association between metabolic syndrome (MS), chronic kidney disease (CKD), and non-alcoholic fatty liver disease (NAFLD). Early recognition of this relationship is important for the prognosis of patients with NAFLD and CKD. In addition to early diagnosis, accurate assessment of renal function plays a pivotal role in clinical practice. The aim of this review is to present the epidemiology and pathophysiological relationship of MS with NAFLD and CKD while providing insights into various methods for assessing renal function in NAFLD patients

    Hiroshi Yamamoto: Heart of a Man, Mind of a Scholar, Soul of an Artist

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    Colchicine and therapy of cardiovascular disease: Not merely a theory

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    The cytoskeleton is a sophisticated cellular system consisted of actin filaments, intermediate filaments and microtubules (MT) accompanied by a large number of associated structural and motor proteins. Microtubules are dynamically assembling and disassembling structures. They are pivotal for many cell functions, e.g. intracellular traffic of membrane-bound organelles in endocytosis and protein secretion, also a variety of inflammatory and signal transduction pathways. Tubulin is the major building protein of MT. Depended on doses, agents that bind to tubulin inhibit its assembly, that is, MT formation, or disas-semble the preformed MT. Such tubulin-binding agents are named MT-disassembling agents or antitululins, colchicine being a classical member of these agents. Herein, we describe in brief the scientific saga of colchicine as related to the therapy of car-diovascular diseases such as acute coronary syndromes, myocardial infarction, atrial fibrillation, pericarditis, and hypertrophic cardiomyopathy

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    Varna Medical University Press: Journals
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