Pub Date : 2024-06-30DOI: 10.3897/folmed.66.e114010
Nilanjan Roy, Ishita Roy
We present the case of a 28-year-old male with a history of alcohol dependency and smoking, who presented with chest pain, shortness of breath, and altered sensorium. He exhibited severe metabolic acidosis, hypoglycemia, low platelet count, and acute kidney injury. Alcoholic ketoacidosis was suspected due to ketonuria, metabolic acidosis, and ketonemia, compounded by electrolyte abnormalities and radiographic findings of pneumonia.
{"title":"Successfully managed alcoholic ketoacidosis with sepsis leading to multiple organ dysfunction syndrome: a case report.","authors":"Nilanjan Roy, Ishita Roy","doi":"10.3897/folmed.66.e114010","DOIUrl":"10.3897/folmed.66.e114010","url":null,"abstract":"<p><p>We present the case of a 28-year-old male with a history of alcohol dependency and smoking, who presented with chest pain, shortness of breath, and altered sensorium. He exhibited severe metabolic acidosis, hypoglycemia, low platelet count, and acute kidney injury. Alcoholic ketoacidosis was suspected due to ketonuria, metabolic acidosis, and ketonemia, compounded by electrolyte abnormalities and radiographic findings of pneumonia.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-30DOI: 10.3897/folmed.66.e120367
Velina Stoeva, Meri Hristamyan, Ralitsa Raycheva, Veselina Kondeva, Yordanka Stoilova
Introduction: Dental personnel are potentially exposed to pathogenic microorganisms, as well as to possible sources of infection. The same is true for dental students, for whom it is crucial to acquire knowledge on infection control and appropriate dental techniques during their training.
{"title":"Monitoring compliance with the rules of antiseptics and decontamination by dental students at work.","authors":"Velina Stoeva, Meri Hristamyan, Ralitsa Raycheva, Veselina Kondeva, Yordanka Stoilova","doi":"10.3897/folmed.66.e120367","DOIUrl":"10.3897/folmed.66.e120367","url":null,"abstract":"<p><strong>Introduction: </strong>Dental personnel are potentially exposed to pathogenic microorganisms, as well as to possible sources of infection. The same is true for dental students, for whom it is crucial to acquire knowledge on infection control and appropriate dental techniques during their training.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-30DOI: 10.3897/folmed.66.e116056
Zlatina Tomova, Yanko Zhekov, Angelina Vlahova
Fractures in esthetic ceramic veneering are one of the potential failure modes during prosthetic treatment. Depending on the type of chipping fracture, there are three possible outcomes: replacement, restoration repair, or polishing of the fractured area. Computer-aided design and manufacturing (CAD/CAM) technologies provide new methods to the maintenance and repair of fixed metal-ceramic restorations. Here, we report the case of a 68-year-old patient who came to the dentist with comcerns about his appearance due to spontaneous gingival bleeding and a fracture in the ceramic veneering of a metal-ceramic restoration. The patient reported occurrences of bruxism. The proposed treatment plan included consultation with a cardiologist, periodontal treatment, polishing of the chipped areas, repair of the fractured zone with an exposed metal core, and fabrication of a mouth guard. Once the ceramic veneering on the palatal and buccal sides of the retainers had been completely removed, a digital impression was obtained and sent to the dental lab so that milled zirconium veneer could be manufactured. The veneering was cemented the next day using the standard prosthetic field preparation process and resin-modified glass ionomer cement. In conclusion, fixed metal-ceramic restorations that have fractured can be successfully repaired using CAD/CAM methods and materials.
{"title":"Repair of fractured metal-ceramic restoration using CAD/CAM technologies. Case report.","authors":"Zlatina Tomova, Yanko Zhekov, Angelina Vlahova","doi":"10.3897/folmed.66.e116056","DOIUrl":"10.3897/folmed.66.e116056","url":null,"abstract":"<p><p>Fractures in esthetic ceramic veneering are one of the potential failure modes during prosthetic treatment. Depending on the type of chipping fracture, there are three possible outcomes: replacement, restoration repair, or polishing of the fractured area. Computer-aided design and manufacturing (CAD/CAM) technologies provide new methods to the maintenance and repair of fixed metal-ceramic restorations. Here, we report the case of a 68-year-old patient who came to the dentist with comcerns about his appearance due to spontaneous gingival bleeding and a fracture in the ceramic veneering of a metal-ceramic restoration. The patient reported occurrences of bruxism. The proposed treatment plan included consultation with a cardiologist, periodontal treatment, polishing of the chipped areas, repair of the fractured zone with an exposed metal core, and fabrication of a mouth guard. Once the ceramic veneering on the palatal and buccal sides of the retainers had been completely removed, a digital impression was obtained and sent to the dental lab so that milled zirconium veneer could be manufactured. The veneering was cemented the next day using the standard prosthetic field preparation process and resin-modified glass ionomer cement. In conclusion, fixed metal-ceramic restorations that have fractured can be successfully repaired using CAD/CAM methods and materials.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-30DOI: 10.3897/folmed.66.e111128
Sadia Rehman, Santosh Kumar, Muhammad Raza Sarfraz, Shazia Shakoor, Muhammad Tassaduq Khan, Saira Bano
Introduction: Chronic kidney disease (CKD) is a major risk factor for the development of cardiovascular disease (CVD), and it is the leading cause of morbidity and mortality in end-stage renal disease (ESRD) patients receiving maintenance hemodialysis (MHD).
{"title":"A case-control study investigating cardiovascular health in maintenance hemodialysis patients through oxidative stress biomarkers and carotid artery intima-media thickness.","authors":"Sadia Rehman, Santosh Kumar, Muhammad Raza Sarfraz, Shazia Shakoor, Muhammad Tassaduq Khan, Saira Bano","doi":"10.3897/folmed.66.e111128","DOIUrl":"10.3897/folmed.66.e111128","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic kidney disease (CKD) is a major risk factor for the development of cardiovascular disease (CVD), and it is the leading cause of morbidity and mortality in end-stage renal disease (ESRD) patients receiving maintenance hemodialysis (MHD).</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-30DOI: 10.3897/folmed.66.e122593
Veselin Popov, Gulhan Suleyman, Neofit Spasov, Stefan Pavlov, Gabriela Raycheva
In recent years, the role of radiation oncology in treating various pediatric cancers has been extensively researched and developed. The dosage of radiotherapy, when combined with chemotherapy, was either reduced in some oncological diseases or modified in other cancers. Despite these changes, due to swift advancements in radiation oncology technology, this combination therapy continues to enhance both overall and progression-free survival rates, maintaining its vital status as a therapeutic approach in precision medicine.
{"title":"A nine-year-old child with nasopharyngeal cancer treated with concomitant chemoradiotherapy with cisplatin - a case report.","authors":"Veselin Popov, Gulhan Suleyman, Neofit Spasov, Stefan Pavlov, Gabriela Raycheva","doi":"10.3897/folmed.66.e122593","DOIUrl":"10.3897/folmed.66.e122593","url":null,"abstract":"<p><p>In recent years, the role of radiation oncology in treating various pediatric cancers has been extensively researched and developed. The dosage of radiotherapy, when combined with chemotherapy, was either reduced in some oncological diseases or modified in other cancers. Despite these changes, due to swift advancements in radiation oncology technology, this combination therapy continues to enhance both overall and progression-free survival rates, maintaining its vital status as a therapeutic approach in precision medicine.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-30DOI: 10.3897/folmed.66.e106586
Bozhidar Hristov, Daniel Doykov, Desislav Stanchev, Emiliya Nacheva-Georgieva, Krasimir Kraev, Petar Uchikov, Gancho Kostov, Siyana Valova, Eduard Tilkiyan, Katya Doykova, Mladen Doykov
Bouveret's syndrome (BS) represents an exceedingly rare clinical entity characterized by gastric outlet obstruction induced by a gallstone passing through a cholecystoduodenal, cholecystogastric or choledochoduodenal fistula and impacting in the duodenum or pylorus. Endoscopy is the preferred first-line therapy. It has a favorable safety profile, but requires high level of expertise to achieve stone clearance.
{"title":"Combined laser and mechanical lithotripsy for endoscopic management of Bouveret's syndrome: A case report.","authors":"Bozhidar Hristov, Daniel Doykov, Desislav Stanchev, Emiliya Nacheva-Georgieva, Krasimir Kraev, Petar Uchikov, Gancho Kostov, Siyana Valova, Eduard Tilkiyan, Katya Doykova, Mladen Doykov","doi":"10.3897/folmed.66.e106586","DOIUrl":"10.3897/folmed.66.e106586","url":null,"abstract":"<p><p>Bouveret's syndrome (BS) represents an exceedingly rare clinical entity characterized by gastric outlet obstruction induced by a gallstone passing through a cholecystoduodenal, cholecystogastric or choledochoduodenal fistula and impacting in the duodenum or pylorus. Endoscopy is the preferred first-line therapy. It has a favorable safety profile, but requires high level of expertise to achieve stone clearance.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-30DOI: 10.3897/folmed.66.e124868
Teodor Sofiyanski, Sonya B Sergieva, Bozhil S Robev, Milena T Dimcheva
Abstract.
摘要
{"title":"Dual-tracer subtraction scintigraphy combined with SPECT/CT in preoperative patients with primary hyperparathyroidism.","authors":"Teodor Sofiyanski, Sonya B Sergieva, Bozhil S Robev, Milena T Dimcheva","doi":"10.3897/folmed.66.e124868","DOIUrl":"https://doi.org/10.3897/folmed.66.e124868","url":null,"abstract":"<p><p>Abstract.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aims: Pseudomonasaeruginosa plays an important role in hospital infections caused by several virulence factors, such as elastase and proteases. This study aimed to evaluate the prevalence of LasA, LasB, and PIV genes, encoding these enzymes, in clinical isolates of P.aeruginosa.
{"title":"Molecular investigation of <i>LasA</i>, <i>LasB</i>, and <i>PIV</i> genes in clinical isolates of <i>Pseudomonas aeruginosa</i> in Mazandaran Province, North Iran.","authors":"Sahar Mohammadi Baladezaee, Mehrdad Gholami, Elham Amiri, Hamid Reza Goli","doi":"10.3897/folmed.66.e124561","DOIUrl":"10.3897/folmed.66.e124561","url":null,"abstract":"<p><strong>Aims: </strong>Pseudomonasaeruginosa plays an important role in hospital infections caused by several virulence factors, such as elastase and proteases. This study aimed to evaluate the prevalence of LasA, LasB, and PIV genes, encoding these enzymes, in clinical isolates of P.aeruginosa.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The failure of closure of the dorsal wall of the sacral canal (SC) has been known since the eve of modern osteology, appearing in prehistoric times. Variants include partial or complete absence of the dorsal wall of the SC. SC presents a pathway for minimally invasive therapeutic and diagnostic procedures for spinal diseases and for ensuring analgesia and anesthesia in operations, including labor and genitourinary surgery.
{"title":"Complete dorsal wall agenesis of the sacral canal in a Greek population: an osteological study.","authors":"Evangelos Nastoulis, Gregory Tsoucalas, Valeria Karakasi, Pavlos Pavlidis, Aliki Fiska","doi":"10.3897/folmed.66.e118790","DOIUrl":"10.3897/folmed.66.e118790","url":null,"abstract":"<p><strong>Introduction: </strong>The failure of closure of the dorsal wall of the sacral canal (SC) has been known since the eve of modern osteology, appearing in prehistoric times. Variants include partial or complete absence of the dorsal wall of the SC. SC presents a pathway for minimally invasive therapeutic and diagnostic procedures for spinal diseases and for ensuring analgesia and anesthesia in operations, including labor and genitourinary surgery.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Treatment for asthma and chronic obstructive pulmonary disease (COPD) is compromised, quality of life is negatively impacted, and significant financial losses result from nonadherence to the prescribed therapy.
{"title":"Assessment of nonadherence to inhalation therapy in asthma and chronic obstructive pulmonary disease in Bulgaria.","authors":"Ventsislava Pencheva, Kiril Genov, Todor Todorov, Stanimir Kacheshmarov","doi":"10.3897/folmed.66.e126047","DOIUrl":"10.3897/folmed.66.e126047","url":null,"abstract":"<p><strong>Introduction: </strong>Treatment for asthma and chronic obstructive pulmonary disease (COPD) is compromised, quality of life is negatively impacted, and significant financial losses result from nonadherence to the prescribed therapy.</p>","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}