Introduction: In the field of hemodialysis care, the issue of patient satisfaction is of particular importance. These patients are users of health care, usually for a long time. Most of them are particularly sensitive to the attitude of the health care system towards them. This requires special attention, especially when it comes to their opinion about the quality of the service they receive. Objective: To study and analyze the factors influencing the satisfaction with the received nursing care in patients on hemodialysis treatment. Material and methods: Documentary, sociological and statistical methods were used in the study. An anonymous survey surveyed the opinion of 575 patients on hemodialysis treatment in dialysis structures located in 8 cities (Varna, Ruse, Dobrich, Burgas, Shumen, Razgrad, Targovishte and Silistra). The data was processed using SPSS Statistics. Results: Examining patient satisfaction as users of hemodialysis nurses, we found that almost all were satisfied (90%). 8.52% of the respondents cannot assess their degree of satisfaction, and 1.74% of the respondents are completely dissatisfied. It is noteworthy that those who expressed dissatisfaction with nursing care are only males. As the age of the patients increases, so does the satisfaction with the care provided by the dialysis nurse. As the time spent on hemodialysis treatment increases, so does the satisfaction of patients with the nursing care provided. Patients with lower levels of satisfaction are more adamant that the nurse can contribute to the quality of dialysis care. Conclusions: Patients on hemocial treatment were satisfied with the care they received during treatment (p<0.001). Among the factors influencing their satisfaction are: gender (p <0.05), age (p<0.001), duration of hemodialysis treatment (p<0.05). Our study found that patients who felt that the nurse could influence the quality of care provided had a lower level of satisfaction.
{"title":"Factors Affecting The Satisfaction Of Hemodialysis Patients From The Nursing Care Received","authors":"K. Stamova","doi":"10.14748/VMF.V10I2.7962","DOIUrl":"https://doi.org/10.14748/VMF.V10I2.7962","url":null,"abstract":"Introduction: In the field of hemodialysis care, the issue of patient satisfaction is of particular importance. These patients are users of health care, usually for a long time. Most of them are particularly sensitive to the attitude of the health care system towards them. This requires special attention, especially when it comes to their opinion about the quality of the service they receive. Objective: To study and analyze the factors influencing the satisfaction with the received nursing care in patients on hemodialysis treatment. Material and methods: Documentary, sociological and statistical methods were used in the study. An anonymous survey surveyed the opinion of 575 patients on hemodialysis treatment in dialysis structures located in 8 cities (Varna, Ruse, Dobrich, Burgas, Shumen, Razgrad, Targovishte and Silistra). The data was processed using SPSS Statistics. Results: Examining patient satisfaction as users of hemodialysis nurses, we found that almost all were satisfied (90%). 8.52% of the respondents cannot assess their degree of satisfaction, and 1.74% of the respondents are completely dissatisfied. It is noteworthy that those who expressed dissatisfaction with nursing care are only males. As the age of the patients increases, so does the satisfaction with the care provided by the dialysis nurse. As the time spent on hemodialysis treatment increases, so does the satisfaction of patients with the nursing care provided. Patients with lower levels of satisfaction are more adamant that the nurse can contribute to the quality of dialysis care. Conclusions: Patients on hemocial treatment were satisfied with the care they received during treatment (p<0.001). Among the factors influencing their satisfaction are: gender (p <0.05), age (p<0.001), duration of hemodialysis treatment (p<0.05). Our study found that patients who felt that the nurse could influence the quality of care provided had a lower level of satisfaction.","PeriodicalId":23566,"journal":{"name":"Varna Medical Forum","volume":"103 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85844869","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}
The environment with its factors directly affects each organization, forming the processes of interaction inside and outside. The movement of goods, services, and people additionally affects various directions, logistics, and management, which burden health systems and create precedents in providing logistics and service resources in crisis situations . The management of a health organization involves flexibility in terms of functions and largely depends on effective interaction both within the system between its individual elements and between external factors that influence it. The environmental factors relevant to the activity require flexible planning, which has a high degree of reliability and adaptability. The management structures should be prepared in advance to be able to identify and analyze problems and to know about the mechanisms for their elimination. Planning should be fully coordinated and constantly updated to meet the changing environment. This ensures the achievement of the set goals through the organized execution of tasks. The working environment in a healthcare organization is one in which therapeutic and diagnostic measures are carried out, care from medical and non-medical persons for patients. Health conditions are important for both patients and physicians.
{"title":"Environmental Factors Of A Medical Organization That Influence Management In A Crisis","authors":"S. Radeva","doi":"10.14748/VMF.V10I2.7971","DOIUrl":"https://doi.org/10.14748/VMF.V10I2.7971","url":null,"abstract":"The environment with its factors directly affects each organization, forming the processes of interaction inside and outside. The movement of goods, services, and people additionally affects various directions, logistics, and management, which burden health systems and create precedents in providing logistics and service resources in crisis situations . The management of a health organization involves flexibility in terms of functions and largely depends on effective interaction both within the system between its individual elements and between external factors that influence it. The environmental factors relevant to the activity require flexible planning, which has a high degree of reliability and adaptability. The management structures should be prepared in advance to be able to identify and analyze problems and to know about the mechanisms for their elimination. Planning should be fully coordinated and constantly updated to meet the changing environment. This ensures the achievement of the set goals through the organized execution of tasks. The working environment in a healthcare organization is one in which therapeutic and diagnostic measures are carried out, care from medical and non-medical persons for patients. Health conditions are important for both patients and physicians.","PeriodicalId":23566,"journal":{"name":"Varna Medical Forum","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89593943","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}
D. Grupchev, Vladislava Iotsova, S. Nikolaeva, C. Grupcheva
Goal Analysis of the trends for taking, processing, cultivation and storage of eye tissue in Bulgaria and proposing a strategy for improving the quality of transplantation nationwide. Methods Retrospective, documentary analysis of trends in tissue procurement and corneal and amniotic membrane transplantation in the last 10 years, based on the published register. A geographical map is created depicting the popularity of transplantation and the allocation of registered eye banks. Results The results demonstrate a concentration of corneal transplantations in Sofia city (74%) and amniotic membrane in Varna (81%), which is in line with the territorial distribution of eye banks and their connection to medical institutions. The number of corneal banks is three, which provides between 200 and 300 transplants per year. The number of the amniotic membrane banks is the same, however the tendency there is an exponential increase in the amniotic membrane transplantations on the anterior surface of the eye. Conclusion The analysis shows an uneven distribution of transplantation in Bulgaria and the need for centralization and proper vertical distribution of procurement and transplantation of eye tissues. A fully functional eye bank on the territory of Varna will solve many logistical problems and will undoubtedly lead to a more even coverage of the territory of Bulgaria with a better opportunity for eye tissue transplantations.
{"title":"Transplantation of cornea and amniotic membrane in Bulgaria – retrospective analysis based on the public registry of the Executive Agency Medical Supervision","authors":"D. Grupchev, Vladislava Iotsova, S. Nikolaeva, C. Grupcheva","doi":"10.14748/VMF.V10I2.7906","DOIUrl":"https://doi.org/10.14748/VMF.V10I2.7906","url":null,"abstract":"Goal Analysis of the trends for taking, processing, cultivation and storage of eye tissue in Bulgaria and proposing a strategy for improving the quality of transplantation nationwide. Methods Retrospective, documentary analysis of trends in tissue procurement and corneal and amniotic membrane transplantation in the last 10 years, based on the published register. A geographical map is created depicting the popularity of transplantation and the allocation of registered eye banks. Results The results demonstrate a concentration of corneal transplantations in Sofia city (74%) and amniotic membrane in Varna (81%), which is in line with the territorial distribution of eye banks and their connection to medical institutions. The number of corneal banks is three, which provides between 200 and 300 transplants per year. The number of the amniotic membrane banks is the same, however the tendency there is an exponential increase in the amniotic membrane transplantations on the anterior surface of the eye. Conclusion The analysis shows an uneven distribution of transplantation in Bulgaria and the need for centralization and proper vertical distribution of procurement and transplantation of eye tissues. A fully functional eye bank on the territory of Varna will solve many logistical problems and will undoubtedly lead to a more even coverage of the territory of Bulgaria with a better opportunity for eye tissue transplantations.","PeriodicalId":23566,"journal":{"name":"Varna Medical Forum","volume":"279 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77613432","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}
The aim of our study was to investigate the role of 18F-FDG PET/CT for detection of distant metastases from malignant epitelial head and neck cancer. Methods We analized 205 patients who underwent PET/CT in our clinic for pretreatment staging, restaging between 2015-2017. Patients with positive findings of PET/CT underwent further imaging or biopsy. Results Of the 205 patients and 308 PET/CT exams (166 men and 39 women), 18 had distant metastases. There was 1 false positive result, 186 true negative and no false negative results. PET/CT had a sensitivity of 100%, a specificity of 99.4%, PPV of 94.7%, NPV of 100% and accuracy of 99.5%. Conclusion PET/CT is a useful screening imaging tool for detection of distant metastases in patients with malignant epitelial head and neck cancer.
{"title":"The role of PET/CT for detection of distant metastases in malignant epitelial head and neck cancer","authors":"T. Yordanova","doi":"10.14748/VMF.V10I2.7902","DOIUrl":"https://doi.org/10.14748/VMF.V10I2.7902","url":null,"abstract":"The aim of our study was to investigate the role of 18F-FDG PET/CT for detection of distant metastases from malignant epitelial head and neck cancer. Methods We analized 205 patients who underwent PET/CT in our clinic for pretreatment staging, restaging between 2015-2017. Patients with positive findings of PET/CT underwent further imaging or biopsy. Results Of the 205 patients and 308 PET/CT exams (166 men and 39 women), 18 had distant metastases. There was 1 false positive result, 186 true negative and no false negative results. PET/CT had a sensitivity of 100%, a specificity of 99.4%, PPV of 94.7%, NPV of 100% and accuracy of 99.5%. Conclusion PET/CT is a useful screening imaging tool for detection of distant metastases in patients with malignant epitelial head and neck cancer.","PeriodicalId":23566,"journal":{"name":"Varna Medical Forum","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82528570","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}
The migration of health professionals is a growing worldwide phenomenon which poses a number of challenges to countries. Therefore, in order to find appropriate solutions for health systems, more research that pays attention to the effects of migration and their polar characteristics is being carried out. Recently, it has been suggested that circular migration is one of the most suitable instruments to increase the positive and limit the negative consequences of migration. The aim of the present study is to analyze circular migration as a new instrument that has the potential to help overcome the challenges that migration poses to countries‘ health systems. The methods used include analysis and synthesis of scientific literature and reports of various international and national organizations. The results of a number of studies show that there isn’t a unified definition of circular migration and the proposed ones at an academic and political level vary in nature. The similarities among them are in the explanation of the circular migration as a temporary and repeating movement of people between two countries, and the differences come from the established duration of stay in the host and sending countries and the legal form it takes. There are different reasons that lead to the development of this phenomenon among health professionals, and it is considered that personal motives have the strongest influence on the decision of individuals. Given the dynamic pace at which circular migration is developing, international organizations recommend that countries improve the data collection on circular migration of health professionals, which can serve as an evidence base for policy-making in this area.
{"title":"Circular migration – an opportunity to overcome the challenges with migration of health professionals","authors":"Iliyana Georgieva","doi":"10.14748/VMF.V10I2.7901","DOIUrl":"https://doi.org/10.14748/VMF.V10I2.7901","url":null,"abstract":"The migration of health professionals is a growing worldwide phenomenon which poses a number of challenges to countries. Therefore, in order to find appropriate solutions for health systems, more research that pays attention to the effects of migration and their polar characteristics is being carried out. Recently, it has been suggested that circular migration is one of the most suitable instruments to increase the positive and limit the negative consequences of migration. The aim of the present study is to analyze circular migration as a new instrument that has the potential to help overcome the challenges that migration poses to countries‘ health systems. The methods used include analysis and synthesis of scientific literature and reports of various international and national organizations. The results of a number of studies show that there isn’t a unified definition of circular migration and the proposed ones at an academic and political level vary in nature. The similarities among them are in the explanation of the circular migration as a temporary and repeating movement of people between two countries, and the differences come from the established duration of stay in the host and sending countries and the legal form it takes. There are different reasons that lead to the development of this phenomenon among health professionals, and it is considered that personal motives have the strongest influence on the decision of individuals. Given the dynamic pace at which circular migration is developing, international organizations recommend that countries improve the data collection on circular migration of health professionals, which can serve as an evidence base for policy-making in this area.","PeriodicalId":23566,"journal":{"name":"Varna Medical Forum","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75287564","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}
Orthodontic treatment is the main treatment for achieving a well-aligned dental arch and an aesthetic smile. For this purpose, different types of fixed orthodontic appliances have been developed. Studies have shown that there is a rapid increase in the number of microorganisms around the fixed orthodontic appliances, and a slower recovery of pH in the dental biofilm. Dental caries is associated with an increase in the proportions of acidogenic and acid-tolerant microorganisms, mainly S. mutans. The aim of the present study is to evaluate the relationship between treatment with a fixed orthodontic technique and the development of dental caries in children aged 12 to 18 years. Materials and Methods 82 children are included, 41 of which are treated with fixed equipment (braces) and 41 healthy controls, which have passed through the treatment room in UMDC - Varna. The children were selected by sex and age in both groups. Results The average age of the children in both groups is 14.7 years ±2.1 years, with girls predominating (65.9%). There was a positive moderate relationship between the duration of treatment with fixed orthodontic technique and EDI (r=0.423; p=0.006) and a strong positive relationship with Gorelick (r=0.571; p<0.001). A significant difference was found in the DMFT index by gender (p=0.036). Conclusion This study shows that children treated with a fixed orthodontic technique have a significantly higher incidence and increase in active carious lesions than those without a fixed device.
{"title":"Assessment of the relationship between treatment with a fixed orthodontic technique and the development of dental caries","authors":"E. Dimova","doi":"10.14748/VMF.V10I2.7913","DOIUrl":"https://doi.org/10.14748/VMF.V10I2.7913","url":null,"abstract":"Orthodontic treatment is the main treatment for achieving a well-aligned dental arch and an aesthetic smile. For this purpose, different types of fixed orthodontic appliances have been developed. Studies have shown that there is a rapid increase in the number of microorganisms around the fixed orthodontic appliances, and a slower recovery of pH in the dental biofilm. Dental caries is associated with an increase in the proportions of acidogenic and acid-tolerant microorganisms, mainly S. mutans. The aim of the present study is to evaluate the relationship between treatment with a fixed orthodontic technique and the development of dental caries in children aged 12 to 18 years. Materials and Methods 82 children are included, 41 of which are treated with fixed equipment (braces) and 41 healthy controls, which have passed through the treatment room in UMDC - Varna. The children were selected by sex and age in both groups. Results The average age of the children in both groups is 14.7 years ±2.1 years, with girls predominating (65.9%). There was a positive moderate relationship between the duration of treatment with fixed orthodontic technique and EDI (r=0.423; p=0.006) and a strong positive relationship with Gorelick (r=0.571; p<0.001). A significant difference was found in the DMFT index by gender (p=0.036). Conclusion This study shows that children treated with a fixed orthodontic technique have a significantly higher incidence and increase in active carious lesions than those without a fixed device.","PeriodicalId":23566,"journal":{"name":"Varna Medical Forum","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88604960","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}
The growing incidence of childhood malignancies has led to a steady and rapid increase in the number of scientific publications over the last decade. Assessment of oral status and dental treatment are important for all children, but are especially important for children with malignancies. Problems with dental and oral care in these children occur at different stages of the treatment of malignancy. The aim of the present study is to propose an algorithm for dental treatment based on the performed analyzes of children with malignant diseases. These guidelines recommend that children with cancer undergo a dental examination before starting treatment. Preliminary dental examination facilitates the establishment of a connection between the dentist and the child with malignancy before the onset of oral complications associated with the therapy. The study includes clinical and radiographic evaluation of the oral cavity, which enables the pediatric dentist to develop strategies for caries prevention and to predict the future development of oral status based on the child‘s medical diagnosis and upcoming treatments. It is necessary to create a collaboration between the pediatric dentist and the medical team responsible for the child‘s underlying disease. This communication should include information on the severity of dental caries, the invasiveness of the proposed dental treatment and the presence of pathological lesions, if any.
{"title":"Algorithm for dental treatment in children with malignant diseases","authors":"G. Trifonova","doi":"10.14748/VMF.V10I2.7908","DOIUrl":"https://doi.org/10.14748/VMF.V10I2.7908","url":null,"abstract":"The growing incidence of childhood malignancies has led to a steady and rapid increase in the number of scientific publications over the last decade. Assessment of oral status and dental treatment are important for all children, but are especially important for children with malignancies. Problems with dental and oral care in these children occur at different stages of the treatment of malignancy. The aim of the present study is to propose an algorithm for dental treatment based on the performed analyzes of children with malignant diseases. These guidelines recommend that children with cancer undergo a dental examination before starting treatment. Preliminary dental examination facilitates the establishment of a connection between the dentist and the child with malignancy before the onset of oral complications associated with the therapy. The study includes clinical and radiographic evaluation of the oral cavity, which enables the pediatric dentist to develop strategies for caries prevention and to predict the future development of oral status based on the child‘s medical diagnosis and upcoming treatments. It is necessary to create a collaboration between the pediatric dentist and the medical team responsible for the child‘s underlying disease. This communication should include information on the severity of dental caries, the invasiveness of the proposed dental treatment and the presence of pathological lesions, if any.","PeriodicalId":23566,"journal":{"name":"Varna Medical Forum","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74108193","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}
In the context of a coronavirus pandemic, immunization of the population is a priority task for the reduction of the virus. The participation of general practitioners in the immunization campaign is crucial to ensure rapid access to vaccination for any interested citizen. A study was made of the health and demographic profile of the patients who expressed a desire to be vaccinated in primary care practice in the city of Varna, in the fourth phase of the National Vaccination Plan for Covid-19 - immunization of vulnerable groups of patients in order to determine whether they meet the criteria for vaccination and how to optimize it in conditions of vaccine shortage. The results show that the majority of those wishing to be vaccinated are around 65 years old and have chronic diseases - cardiovascular, oncological, respiratory diseases. The formation of groups among those wishing to be vaccinated according to the risk of serious illness (low risk and high risk) is proposed, as well as according to the willingness of patients for vaccination (without contraindications, with contraindications, requiring additional consultations).
{"title":"Profile of patients wishing to be vaccinated against Covid-19 in primary care practice","authors":"Hristina Bozhinova-Dimitrova, L. Georgieva","doi":"10.14748/VMF.V10I2.7899","DOIUrl":"https://doi.org/10.14748/VMF.V10I2.7899","url":null,"abstract":"In the context of a coronavirus pandemic, immunization of the population is a priority task for the reduction of the virus. The participation of general practitioners in the immunization campaign is crucial to ensure rapid access to vaccination for any interested citizen. A study was made of the health and demographic profile of the patients who expressed a desire to be vaccinated in primary care practice in the city of Varna, in the fourth phase of the National Vaccination Plan for Covid-19 - immunization of vulnerable groups of patients in order to determine whether they meet the criteria for vaccination and how to optimize it in conditions of vaccine shortage. The results show that the majority of those wishing to be vaccinated are around 65 years old and have chronic diseases - cardiovascular, oncological, respiratory diseases. The formation of groups among those wishing to be vaccinated according to the risk of serious illness (low risk and high risk) is proposed, as well as according to the willingness of patients for vaccination (without contraindications, with contraindications, requiring additional consultations).","PeriodicalId":23566,"journal":{"name":"Varna Medical Forum","volume":"244 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75030250","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}
Because the oral cavity is the entrance portal and part of the gastrointestinal tract, oral manifestations occur in patients with inflammatory bowel disease (IBD). Oral manifestations of IBD manifest as a systemic complication or extraintestinal manifestation that may precede, exacerbate, or regress with changes in disease severity. Some of these manifestations are aphthous ulcers, gingivitis, periodontitis, halitosis and others. The oral cavity is one of the most affected areas in patients with CKD - 25-30% of patients. The aim of the present study is to investigate the relationship between dental health and chronic inflammatory bowel disease and the role of biomarkers in their diagnosis. For the period between December 2020 and March 2021 is conducted a systematic analysis of scientific publications in the available databases (PubMed, BioMedCentral, ScienceDirect, Scopus, Web of Science), examining the relationship between dental health and chronic inflammatory bowel disease and the role of biomarkers in their diagnosis.
由于口腔是胃肠道的入口和一部分，炎症性肠病(IBD)患者会出现口腔表现。IBD的口腔表现为全身性并发症或肠外表现，可能随着疾病严重程度的变化而发生、加重或消退。其中一些表现为口腔溃疡、牙龈炎、牙周炎、口臭等。口腔是CKD患者中受影响最大的区域之一，占患者的25-30%。本研究的目的是探讨牙齿健康与慢性炎症性肠病之间的关系以及生物标志物在其诊断中的作用。在2020年12月至2021年3月期间，对现有数据库(PubMed、BioMedCentral、ScienceDirect、Scopus、Web of Science)中的科学出版物进行了系统分析，研究了牙齿健康与慢性炎症性肠病之间的关系以及生物标志物在其诊断中的作用。
{"title":"Dental health in patients with inflammatory bowel disease and the role of biomarkers in diagnosis","authors":"M. Enchev, G. Georgieva","doi":"10.14748/VMF.V10I2.7907","DOIUrl":"https://doi.org/10.14748/VMF.V10I2.7907","url":null,"abstract":"Because the oral cavity is the entrance portal and part of the gastrointestinal tract, oral manifestations occur in patients with inflammatory bowel disease (IBD). Oral manifestations of IBD manifest as a systemic complication or extraintestinal manifestation that may precede, exacerbate, or regress with changes in disease severity. Some of these manifestations are aphthous ulcers, gingivitis, periodontitis, halitosis and others. The oral cavity is one of the most affected areas in patients with CKD - 25-30% of patients. The aim of the present study is to investigate the relationship between dental health and chronic inflammatory bowel disease and the role of biomarkers in their diagnosis. For the period between December 2020 and March 2021 is conducted a systematic analysis of scientific publications in the available databases (PubMed, BioMedCentral, ScienceDirect, Scopus, Web of Science), examining the relationship between dental health and chronic inflammatory bowel disease and the role of biomarkers in their diagnosis.","PeriodicalId":23566,"journal":{"name":"Varna Medical Forum","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73234255","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}
The National Health Insurance Fund (NHIF) is the only institution in the Republic of Bulgaria that performs control of public health resources disbursement. As the main figure in primary health care (PHC), the general practitioner (GP) is directly affected by the control of NHIF. The aim of this research is to study the opinion of GPs about the control performed by the NHIF and its impact on the work of PHC practices. Material and Methods 311 GPs from Sofia and the rest of the country who have a contract with NHIF are surveyed between February and August 2020. An anonymous questionnaire was used. Results Only half of the surveyed GPs have a positive attitude to the control by the NHIF. The negative attitude is dominant due to a number of reasons presented in detail in the paper. Conclusion The results of the conducted survey impose the need to act towards optimizing the control process in PHC in order to raise the authority of the NHIF.
{"title":"The control of the National Health Insurance Fund through the eyes of general practitioners","authors":"M. Djuglarska, E. Naseva, N. Popov","doi":"10.14748/VMF.V10I2.7900","DOIUrl":"https://doi.org/10.14748/VMF.V10I2.7900","url":null,"abstract":"The National Health Insurance Fund (NHIF) is the only institution in the Republic of Bulgaria that performs control of public health resources disbursement. As the main figure in primary health care (PHC), the general practitioner (GP) is directly affected by the control of NHIF. The aim of this research is to study the opinion of GPs about the control performed by the NHIF and its impact on the work of PHC practices. Material and Methods 311 GPs from Sofia and the rest of the country who have a contract with NHIF are surveyed between February and August 2020. An anonymous questionnaire was used. Results Only half of the surveyed GPs have a positive attitude to the control by the NHIF. The negative attitude is dominant due to a number of reasons presented in detail in the paper. Conclusion The results of the conducted survey impose the need to act towards optimizing the control process in PHC in order to raise the authority of the NHIF.","PeriodicalId":23566,"journal":{"name":"Varna Medical Forum","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78688691","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}
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