Pub Date : 2023-07-26DOI: 10.5272/jimab.2023293.5036
I. Miteva, Valentin Valchev, T. Kundurzhiev
After the pandemic and at the beginning of 2023, our team carried out a survey among active athletes about the risks associated with smoking. The purpose of the study is to assess smoking as a risk factor in athletes using a survey method. Methods: The respondents were asked to participate anonymously in a survey consisting of 14 questions. We surveyed 50 active athletes (35 men and 15 women). Results: Forty-three of the participants were aged between 18 and 22 years old, and 7 were aged between 23 and 27 years old. Results: 30% of the surveyed athletes are smokers, 40% are non-smokers and 30% used to smoke in the past; 66% are familiar with the risk of smoking; 42% would support a ban on smoking in public; 22% report that cigarettes influence athletic achievements; 80% of the athletes consider that they are smoking due to stress; 34% think that only a health problem could make them quit smoking. Conclusions: The fact that 66% of the athletes are aware of the risks associated with smoking gives us hope in the combat against smoking. The effect of cigarettes on the human body should be emphasized. The survey showed that there are insufficient campaigns to raise awareness about the harmful effects of smoking which is key to quitting cigarettes.
{"title":"SMOKING AS A RISK FACTOR IN ATHLETES","authors":"I. Miteva, Valentin Valchev, T. Kundurzhiev","doi":"10.5272/jimab.2023293.5036","DOIUrl":"https://doi.org/10.5272/jimab.2023293.5036","url":null,"abstract":"After the pandemic and at the beginning of 2023, our team carried out a survey among active athletes about the risks associated with smoking. The purpose of the study is to assess smoking as a risk factor in athletes using a survey method. Methods: The respondents were asked to participate anonymously in a survey consisting of 14 questions. We surveyed 50 active athletes (35 men and 15 women). Results: Forty-three of the participants were aged between 18 and 22 years old, and 7 were aged between 23 and 27 years old. Results: 30% of the surveyed athletes are smokers, 40% are non-smokers and 30% used to smoke in the past; 66% are familiar with the risk of smoking; 42% would support a ban on smoking in public; 22% report that cigarettes influence athletic achievements; 80% of the athletes consider that they are smoking due to stress; 34% think that only a health problem could make them quit smoking. Conclusions: The fact that 66% of the athletes are aware of the risks associated with smoking gives us hope in the combat against smoking. The effect of cigarettes on the human body should be emphasized. The survey showed that there are insufficient campaigns to raise awareness about the harmful effects of smoking which is key to quitting cigarettes.","PeriodicalId":339756,"journal":{"name":"Journal of IMAB - Annual Proceeding (Scientific Papers)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128487644","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 : 2023-07-21DOI: 10.5272/jimab.2023293.5026
P. Teneva, Ivelina Dobreva
Global coronavirus disease 2019 (COVID-19) has posed major challenges to clinical laboratories, from initial diagnosis to patient monitoring and treatment. Some routine laboratory markers reveal a range of changes in patients with COVID-19. Among the most frequently observed are: increased levels of C-Reactive Protein (CRP), Lactate dehydrogenase (LDH), D-Dimer neutrophilia with lymphopenia and decreased platelet count. The aim of our study is to present the changes in the values of CRP, LDH, D-Dimer, number of Thrombocytes (PLT), Lymphocytes (Ly) and Neutrophils (Neu) during hospitalization and at the discharge of patients with Sars-Cov-2. Materials and methods: The object of the study are clinical laboratory results of 106 patients who underwent hospital treatment for Covid -19 in the "St. Ivan Rilski" St. Zagora, divided into two groups. The first group (Group I) is in the period November-December 2020, the second group (Group II) patients were hospitalized in April 2021. The values of CRP, LDH, D-Dimer, number of platelets, Ly, Neu from the day of the patient's admission to the hospital and from his discharge were examined. Results and discussion: In 100% of the examined patients in the first group CRP with values at the time of admission to the hospital (TAH) 88.70 ± 63.132 mg/L. LDH was increased in three of the groups in more than 90% of the patients, with the highest values of the enzyme being recorded in Group II at the end of hospitalization, 802.33 U/L (± 557.836). In the studied groups, we found significantly more patients with elevated values in both groups at discharge (Group I 49.12% and Group II 46.94%). The highest number of patients with thrombocytopenia was observed in Group II at the time of admission to the hospital, 26.53% (n=13). Conclusion: Quantification of these and other laboratory parameters could significantly aid the detection of at-risk patients and reveal disease severity. They represent objective and standardized criteria guiding therapy.
2019年全球冠状病毒病(COVID-19)给临床实验室带来了重大挑战，从初步诊断到患者监测和治疗。一些常规实验室标志物揭示了COVID-19患者的一系列变化。其中最常见的是:c反应蛋白(CRP)水平升高，乳酸脱氢酶(LDH)， d -二聚体嗜中性粒细胞伴淋巴细胞减少和血小板计数减少。我们的研究目的是了解Sars-Cov-2患者住院期间和出院时CRP、LDH、d -二聚体、血小板(PLT)、淋巴细胞(Ly)和中性粒细胞(Neu)数量的变化。材料与方法:研究对象为在“圣伊万·里尔斯基”圣扎戈拉医院接受新冠肺炎住院治疗的106例患者的临床实验室结果，分为两组。第一组(第一组)患者于2020年11月至12月住院，第二组(第二组)患者于2021年4月住院。检测患者入院当日及出院当日CRP、LDH、d -二聚体、血小板数、Ly、Neu值。结果与讨论:在100%被检查的第一组患者中，CRP与入院时的值(TAH)为88.70±63.132 mg/L。3组患者LDH升高，均超过90%，其中II组患者在住院结束时LDH最高，为802.33 U/L(±557.836)。在研究组中，我们发现两组出院时升高的患者明显更多(I组49.12%，II组46.94%)。第二组患者入院时出现血小板减少的人数最多，为26.53% (n=13)。结论:这些及其他实验室参数的定量分析有助于发现高危患者并揭示疾病严重程度。它们代表了指导治疗的客观和标准化的标准。
{"title":"CHARACTERISTIC CHANGES IN SOME CLINICAL LABORATORY PARAMETERS OF THE SARS-COV-2 INFECTION IN THE COURSE OF THE DISEASE","authors":"P. Teneva, Ivelina Dobreva","doi":"10.5272/jimab.2023293.5026","DOIUrl":"https://doi.org/10.5272/jimab.2023293.5026","url":null,"abstract":"Global coronavirus disease 2019 (COVID-19) has posed major challenges to clinical laboratories, from initial diagnosis to patient monitoring and treatment. Some routine laboratory markers reveal a range of changes in patients with COVID-19. Among the most frequently observed are: increased levels of C-Reactive Protein (CRP), Lactate dehydrogenase (LDH), D-Dimer neutrophilia with lymphopenia and decreased platelet count. The aim of our study is to present the changes in the values of CRP, LDH, D-Dimer, number of Thrombocytes (PLT), Lymphocytes (Ly) and Neutrophils (Neu) during hospitalization and at the discharge of patients with Sars-Cov-2. Materials and methods: The object of the study are clinical laboratory results of 106 patients who underwent hospital treatment for Covid -19 in the \"St. Ivan Rilski\" St. Zagora, divided into two groups. The first group (Group I) is in the period November-December 2020, the second group (Group II) patients were hospitalized in April 2021. The values of CRP, LDH, D-Dimer, number of platelets, Ly, Neu from the day of the patient's admission to the hospital and from his discharge were examined. Results and discussion: In 100% of the examined patients in the first group CRP with values at the time of admission to the hospital (TAH) 88.70 ± 63.132 mg/L. LDH was increased in three of the groups in more than 90% of the patients, with the highest values of the enzyme being recorded in Group II at the end of hospitalization, 802.33 U/L (± 557.836). In the studied groups, we found significantly more patients with elevated values in both groups at discharge (Group I 49.12% and Group II 46.94%). The highest number of patients with thrombocytopenia was observed in Group II at the time of admission to the hospital, 26.53% (n=13). Conclusion: Quantification of these and other laboratory parameters could significantly aid the detection of at-risk patients and reveal disease severity. They represent objective and standardized criteria guiding therapy.","PeriodicalId":339756,"journal":{"name":"Journal of IMAB - Annual Proceeding (Scientific Papers)","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126814035","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 : 2023-07-21DOI: 10.5272/jimab.2023293.5031
Yordanka Donkova, D. Konstantinova, D. Georgiev
Introduction: The daily practice shows that the patients prefer treatments that require fewer visits and low cost. The technology of conventional complete dentures follows several subsequent stages – clinical and laboratory. The search for alternative methods has led to the more and more successful development of digital technologies that could also be used for complete dentures. The conclusions of their use include higher quality, simplification of the laboratory technologies, and creation of functionally fit prosthetic structures. Purpose: The purpose of this research is to systematically review the up-to-date information available in the scientific databases in regard to the implementation of CAD/CAM technologies for the complete prosthesis. Materials and methods: A search was carried out in the period from January 2022 to October 2022 in the electronic databases PubMed, Google Scholar and ScienceDirect, using the following keywords: CAD/CAM, digital prosthesis, complete dentures, planning of complete dentures, edentulous patients, in English, German, Turkish and Bulgarian language. Conclusion: The individual anatomic and morphological particularities, age and functional changes occurring after the complete loss of teeth create conditions for the prosthesis that cannot be unified according to the scientific literature. Most probably, this is the reason why there is no straight protocol and straight technology for producing complete dentures using the digital method.
{"title":"APPLICATION OF DIGITAL TECHNOLOGIES FOR COMPLETE DENTURES","authors":"Yordanka Donkova, D. Konstantinova, D. Georgiev","doi":"10.5272/jimab.2023293.5031","DOIUrl":"https://doi.org/10.5272/jimab.2023293.5031","url":null,"abstract":"Introduction: The daily practice shows that the patients prefer treatments that require fewer visits and low cost. The technology of conventional complete dentures follows several subsequent stages – clinical and laboratory. The search for alternative methods has led to the more and more successful development of digital technologies that could also be used for complete dentures. The conclusions of their use include higher quality, simplification of the laboratory technologies, and creation of functionally fit prosthetic structures. Purpose: The purpose of this research is to systematically review the up-to-date information available in the scientific databases in regard to the implementation of CAD/CAM technologies for the complete prosthesis. Materials and methods: A search was carried out in the period from January 2022 to October 2022 in the electronic databases PubMed, Google Scholar and ScienceDirect, using the following keywords: CAD/CAM, digital prosthesis, complete dentures, planning of complete dentures, edentulous patients, in English, German, Turkish and Bulgarian language. Conclusion: The individual anatomic and morphological particularities, age and functional changes occurring after the complete loss of teeth create conditions for the prosthesis that cannot be unified according to the scientific literature. Most probably, this is the reason why there is no straight protocol and straight technology for producing complete dentures using the digital method.","PeriodicalId":339756,"journal":{"name":"Journal of IMAB - Annual Proceeding (Scientific Papers)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130404960","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 : 2023-07-20DOI: 10.5272/jimab.2023293.5021
G. Yordanova, M. Grancharov
Introduction: Hypodontia and hyperdontia are two dental phenomena with deviations in the number of teeth - reduction and increase of tooth germs. The aim of the study is to compare the frequency of manifestation of hyperdontia and hypodontia, their distribution by tooth groups among Bulgarian orthodontic patients. Materials and methods: The prospective clinical-epidemiological study covered 2676 patients: 1705 (63.7%) female and 971 (36.3%) male. They were detected and diagnostically proven with supernumerary and missing teeth. The findings were distributed according to their localization to make a comparative analysis. Results: The patients established with hypodontia were 5.79% with average age of 15.17±5.34 years, and hyperdontia in 3.13% of patients with average age of 11.80±4.65 years. Statistically credible, hyperdontia was more frequently observed in males, while hypodontia was significantly more frequently observed in females. The hypodontia was the most commonly observed in the mandibular distal segment - second premolars (46.5%), next affected was the maxillary lateral (37.4%), followed by the maxillary distal segment (32.3%), and the least was the mandibular frontal segment (12.9%). The supernumerary teeth found in the maxillary frontal segment were incisors and mesiodens (91%) compared to the maxillary distal segment (9%) was significant. In the mandible, the difference between the frontal (42.3%) and distal segment (57.7%) was without statistical significance. Conclusions: Knowledge of the clinical characteristics of hypodontia and hyperdontia are important for targeted early diagnosis and treatment. Both of these specific problems have an effect on an individual's function and psychosocial well-being.
{"title":"COMPARING THE FREQUENCY OF MANIFESTATION OF HYPERDONTIA AND HYPODONTIA","authors":"G. Yordanova, M. Grancharov","doi":"10.5272/jimab.2023293.5021","DOIUrl":"https://doi.org/10.5272/jimab.2023293.5021","url":null,"abstract":"Introduction: Hypodontia and hyperdontia are two dental phenomena with deviations in the number of teeth - reduction and increase of tooth germs. The aim of the study is to compare the frequency of manifestation of hyperdontia and hypodontia, their distribution by tooth groups among Bulgarian orthodontic patients. Materials and methods: The prospective clinical-epidemiological study covered 2676 patients: 1705 (63.7%) female and 971 (36.3%) male. They were detected and diagnostically proven with supernumerary and missing teeth. The findings were distributed according to their localization to make a comparative analysis. Results: The patients established with hypodontia were 5.79% with average age of 15.17±5.34 years, and hyperdontia in 3.13% of patients with average age of 11.80±4.65 years. Statistically credible, hyperdontia was more frequently observed in males, while hypodontia was significantly more frequently observed in females. The hypodontia was the most commonly observed in the mandibular distal segment - second premolars (46.5%), next affected was the maxillary lateral (37.4%), followed by the maxillary distal segment (32.3%), and the least was the mandibular frontal segment (12.9%). The supernumerary teeth found in the maxillary frontal segment were incisors and mesiodens (91%) compared to the maxillary distal segment (9%) was significant. In the mandible, the difference between the frontal (42.3%) and distal segment (57.7%) was without statistical significance. Conclusions: Knowledge of the clinical characteristics of hypodontia and hyperdontia are important for targeted early diagnosis and treatment. Both of these specific problems have an effect on an individual's function and psychosocial well-being.","PeriodicalId":339756,"journal":{"name":"Journal of IMAB - Annual Proceeding (Scientific Papers)","volume":"267 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133824603","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 : 2023-07-06DOI: 10.5272/jimab.2023293.5017
T. Dimitrova, G. Yaneva
Purpose: Recently, quantitative dermatoglyphic examinations have been intensively carried out for screening purposes in oncology. Material/Methods: The present study covered 82 women aged between 36 and 80 years with clinically, histologically and mammographically confirmed breast cancer and 60 healthy women aged between 31 and 79 years from the region of Varna, Bulgaria. Two dermatoglyphic methods were applied: i) dactyloscopy of finger ridge count and finger indexes and ii) palmoscopy - palmar ridge count, palmar maximal atd, adt and dat angles, and palmar main lines. Statistical data processing was performed by means of variation analysis, regression analysis, χ2 test and one-way ANOVA using the SPSS software package, version 19. Results: The results from the dactyloscopic and palmoscopic examinations revealed several statistically significant differences in these quantitative dermatoglyphic patterns between breast cancer females and healthy ones. Conclusion: We could conclude that the purposeful examinations of the quantitative dactyloscopic patterns such as total finger ridge count and finger indexes and quantitative palmoscopic traits such as palmar ridge count, maximal adt, atd and dat angles and main palmar lines play a promising role for the cost-effective and trustworthy breast cancer screening in Bulgaria.
{"title":"QUANTITATIVE DERMATOGLYPHIC PATTERNS IN FEMALE BREAST CANCER PATIENTS","authors":"T. Dimitrova, G. Yaneva","doi":"10.5272/jimab.2023293.5017","DOIUrl":"https://doi.org/10.5272/jimab.2023293.5017","url":null,"abstract":"Purpose: Recently, quantitative dermatoglyphic examinations have been intensively carried out for screening purposes in oncology. Material/Methods: The present study covered 82 women aged between 36 and 80 years with clinically, histologically and mammographically confirmed breast cancer and 60 healthy women aged between 31 and 79 years from the region of Varna, Bulgaria. Two dermatoglyphic methods were applied: i) dactyloscopy of finger ridge count and finger indexes and ii) palmoscopy - palmar ridge count, palmar maximal atd, adt and dat angles, and palmar main lines. Statistical data processing was performed by means of variation analysis, regression analysis, χ2 test and one-way ANOVA using the SPSS software package, version 19. Results: The results from the dactyloscopic and palmoscopic examinations revealed several statistically significant differences in these quantitative dermatoglyphic patterns between breast cancer females and healthy ones. Conclusion: We could conclude that the purposeful examinations of the quantitative dactyloscopic patterns such as total finger ridge count and finger indexes and quantitative palmoscopic traits such as palmar ridge count, maximal adt, atd and dat angles and main palmar lines play a promising role for the cost-effective and trustworthy breast cancer screening in Bulgaria.","PeriodicalId":339756,"journal":{"name":"Journal of IMAB - Annual Proceeding (Scientific Papers)","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133568791","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 : 2023-06-27DOI: 10.5272/jimab.2023292.5009
Georgi Lazarov, V. Mladenov
In our practice, we are increasingly seeing men aged from 37 to 45 years' old who have permanent low normal testosterone levels. Aim: We set out to investigate whether there is an association between permanent low normal testosterone levels and negative change in seminal fluid parameters in young men. Patients and Methods: For the period from January 2013 to December 2015 at the Andrology office at Hospital "St. Sofia" we examined 73 men aged 37 to 45 years with normal or elevated body mass index, permanent low normal testosterone level, and negative change in seminal fluid parameters. In order to compare the results we obtained, at the very beginning of the study we selected a control group of 20 healthy men of the same age. Results: We obtained, although within reference ranges, significantly lower values for total testosterone in the 73 men with negative change in seminal fluid parameters, compared with those in the control group without seminal damages (p<0.001) We found a high correlation relationship between the level of testosterone and the results of the first (r = 0.614, p<0.001) and second spermograms (r = 0.662, p<0.001). Conclusions: 1. Our study shows that in a number of men at a young age, some decrease in normal testosteronе secretion occurs, with a concomitant negative change in seminal fluid parameters, which is remarkably different from the same parameters in their peers with a high normal testosterone level. 2. We identify permanent low normal testosterone, overweight and obesity as predictors, signaling a possible negative change in seminal fluid parameters. 3. We can say that if obesity plays some role in seminal damages, the mechanism in most cases is most likely related to the sustained permanent low normal testosterone level, as a result of increased adipose tissue.
{"title":"PERMANENT LOW NORMAL TESTOSTERONE LEVELS AND SEMINOLOGICAL DAMAGES IN MEN FROM 37 TO 45 YEARS OLD","authors":"Georgi Lazarov, V. Mladenov","doi":"10.5272/jimab.2023292.5009","DOIUrl":"https://doi.org/10.5272/jimab.2023292.5009","url":null,"abstract":"In our practice, we are increasingly seeing men aged from 37 to 45 years' old who have permanent low normal testosterone levels. Aim: We set out to investigate whether there is an association between permanent low normal testosterone levels and negative change in seminal fluid parameters in young men. Patients and Methods: For the period from January 2013 to December 2015 at the Andrology office at Hospital \"St. Sofia\" we examined 73 men aged 37 to 45 years with normal or elevated body mass index, permanent low normal testosterone level, and negative change in seminal fluid parameters. In order to compare the results we obtained, at the very beginning of the study we selected a control group of 20 healthy men of the same age. Results: We obtained, although within reference ranges, significantly lower values for total testosterone in the 73 men with negative change in seminal fluid parameters, compared with those in the control group without seminal damages (p<0.001) We found a high correlation relationship between the level of testosterone and the results of the first (r = 0.614, p<0.001) and second spermograms (r = 0.662, p<0.001). Conclusions: 1. Our study shows that in a number of men at a young age, some decrease in normal testosteronе secretion occurs, with a concomitant negative change in seminal fluid parameters, which is remarkably different from the same parameters in their peers with a high normal testosterone level. 2. We identify permanent low normal testosterone, overweight and obesity as predictors, signaling a possible negative change in seminal fluid parameters. 3. We can say that if obesity plays some role in seminal damages, the mechanism in most cases is most likely related to the sustained permanent low normal testosterone level, as a result of increased adipose tissue.","PeriodicalId":339756,"journal":{"name":"Journal of IMAB - Annual Proceeding (Scientific Papers)","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121913353","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 : 2023-06-23DOI: 10.5272/jimab.2023292.5006
I. Mladenovski, M. Mladenovski, Plamen G. Stoev, S.V. Vasilkova, M. Danovska
Background: Blindness (anopia) is a functional loss of vision, which could be due either to ophthalmological or neurological conditions. Blindness may be congenital or acquired. The main causes of blindness in adults are cataracts, uncorrected ametropia (myopia, astigmatism), glaucoma, macular dystrophy, cortical ischemic strokes, etc. In less than 10% of the patients, the reason for cortical blindness is bilateral occipital strokes, one of them hemorrhagic. Case Description: In the current case report, we present a 75-year-old patient with complaints of headache and visual loss. The patient has a history of a left PCA (posterior cerebral artery) distal ischemic stroke. The CT scan reveals a hypodense cerebral lesion in the left medial occipital cortex and subcortex (lingual gyri and cuneus) and a hyperdense cerebral lesion in the right medial occipital cortex and subcortex (lingual gyri and cuneus). The neurological examination shows only bilateral visual loss without motor deficits. The patient has visual anosognosia and confabulation in the setting of obvious visual loss and cortical blindness(Anton-Babinski syndrome, also known as ABS or Anton syndrome). However, performing cerebellar tests (dysdiadochokinesis, finger-to-nose test, heel-to-shin test, cerebellar ataxia) was not done because of the visual loss. After being consulted by a neurologist and neurosurgeon with the preliminary diagnosis of brain hemorrhage, the patient was admitted to the Neurology Clinic of UMHAT D-r "Georgi Stranski", Pleven, Bulgaria. Conclusion: Occipital infarction must be considered in all cases with sudden onset of isolated visual loss. Early diagnosis and treatment of stroke reduce mortality and morbidity. The prognosis depends on the extension of the visual cortex damage.
{"title":"CORTICAL BLINDNESS DUE TO BILATERAL STROKES – A CASE REPORT OF ANTON SYNDROME","authors":"I. Mladenovski, M. Mladenovski, Plamen G. Stoev, S.V. Vasilkova, M. Danovska","doi":"10.5272/jimab.2023292.5006","DOIUrl":"https://doi.org/10.5272/jimab.2023292.5006","url":null,"abstract":"Background: Blindness (anopia) is a functional loss of vision, which could be due either to ophthalmological or neurological conditions. Blindness may be congenital or acquired. The main causes of blindness in adults are cataracts, uncorrected ametropia (myopia, astigmatism), glaucoma, macular dystrophy, cortical ischemic strokes, etc. In less than 10% of the patients, the reason for cortical blindness is bilateral occipital strokes, one of them hemorrhagic. Case Description: In the current case report, we present a 75-year-old patient with complaints of headache and visual loss. The patient has a history of a left PCA (posterior cerebral artery) distal ischemic stroke. The CT scan reveals a hypodense cerebral lesion in the left medial occipital cortex and subcortex (lingual gyri and cuneus) and a hyperdense cerebral lesion in the right medial occipital cortex and subcortex (lingual gyri and cuneus). The neurological examination shows only bilateral visual loss without motor deficits. The patient has visual anosognosia and confabulation in the setting of obvious visual loss and cortical blindness(Anton-Babinski syndrome, also known as ABS or Anton syndrome). However, performing cerebellar tests (dysdiadochokinesis, finger-to-nose test, heel-to-shin test, cerebellar ataxia) was not done because of the visual loss. After being consulted by a neurologist and neurosurgeon with the preliminary diagnosis of brain hemorrhage, the patient was admitted to the Neurology Clinic of UMHAT D-r \"Georgi Stranski\", Pleven, Bulgaria. Conclusion: Occipital infarction must be considered in all cases with sudden onset of isolated visual loss. Early diagnosis and treatment of stroke reduce mortality and morbidity. The prognosis depends on the extension of the visual cortex damage.","PeriodicalId":339756,"journal":{"name":"Journal of IMAB - Annual Proceeding (Scientific Papers)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131064934","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 : 2023-06-22DOI: 10.5272/jimab.2023292.5000
Tsvetelina Kanlieva, K. Georgieva, M. Abadjiev
Prosthetic treatment of a patient with manifested nausea reflex could be a dramatic experience. There is a risk of aspiration or ingestion of foreign objects, and the dentist may have great difficulties during the procedures. Purpose: The purpose is to report the efficiency of homeopathic medicines in the case of prosthetic treatment with removable dentures of a patient with a gag reflex and several medical conditions. There is a risk of aspiration of foreign bodies. This leads to compromises in the final treatment quality and difficulty wearing a denture because of gagging. Homeopathy is a safe and natural alternative that finds application in dentistry. Material/Methods: A case of a female patient is reported. Age of 63 with accompanying diseases. The patient has an exaggerated gag reflex during intraoral examination and needs prosthetic treatment with removable dentures. The gag reflex was assessed by the Classification of Gagging Problem Index (CGP), and examination of reflex reaction with a sterile swab and monofilaments were done before and after the reception of homeopathic medicines. Results: During the first and second visits, the results of the CGP index were recorded in the patient's clinical record. The results of the tests with the monofilaments and the sterile swab before and after taking homeopathic medicines were filled in tables and were compared. Conclusions: A satisfactory, harmless and long-lasting result in the reduction of the nausea reflex is achieved in the reported case by homeopathic medicines. All clinical stages of removable dentures' fabrication were possible, and the patient tolerated the new prostheses pretty well.
义肢治疗的病人表现出恶心反射可能是一个戏剧性的经验。有吸入或摄入异物的危险，牙医在手术过程中可能会遇到很大的困难。目的:目的是报告顺势疗法药物在用活动义齿治疗呕吐反射和几种医疗条件的患者的情况下的效率。存在异物吸入的风险。这导致最终治疗质量的妥协和由于呕吐而难以佩戴假牙。顺势疗法是一种安全、自然的替代疗法，在牙科中得到了应用。材料/方法:报告1例女性患者。年龄63岁，伴有疾病。患者在口腔内检查时呕吐反射明显，需要使用活动义齿进行义肢治疗。采用“呕吐问题分类指数”(Classification of Gagging Problem Index, CGP)评估呕吐反射，并在接受顺势疗法药物前后用无菌棉签和单丝检查反射反应。结果:在第一次和第二次就诊时，CGP指数的结果记录在患者的临床记录中。将顺势疗法药物服用前后单丝和无菌拭子的检测结果填入表格进行比较。结论:顺势疗法药物在减少恶心反射方面取得了满意的、无害的和持久的结果。所有临床阶段的活动义齿的制造是可能的，并且患者耐受新的义齿相当好。
{"title":"INFLUENCE OF THE NAUSEA AND VOMITING REFLEX IN PROSTHETIC TREATMENT OF PATIENTS WITH HOMEOPATHIC MEDICINES - A CASE REPORT","authors":"Tsvetelina Kanlieva, K. Georgieva, M. Abadjiev","doi":"10.5272/jimab.2023292.5000","DOIUrl":"https://doi.org/10.5272/jimab.2023292.5000","url":null,"abstract":"Prosthetic treatment of a patient with manifested nausea reflex could be a dramatic experience. There is a risk of aspiration or ingestion of foreign objects, and the dentist may have great difficulties during the procedures. Purpose: The purpose is to report the efficiency of homeopathic medicines in the case of prosthetic treatment with removable dentures of a patient with a gag reflex and several medical conditions. There is a risk of aspiration of foreign bodies. This leads to compromises in the final treatment quality and difficulty wearing a denture because of gagging. Homeopathy is a safe and natural alternative that finds application in dentistry. Material/Methods: A case of a female patient is reported. Age of 63 with accompanying diseases. The patient has an exaggerated gag reflex during intraoral examination and needs prosthetic treatment with removable dentures. The gag reflex was assessed by the Classification of Gagging Problem Index (CGP), and examination of reflex reaction with a sterile swab and monofilaments were done before and after the reception of homeopathic medicines. Results: During the first and second visits, the results of the CGP index were recorded in the patient's clinical record. The results of the tests with the monofilaments and the sterile swab before and after taking homeopathic medicines were filled in tables and were compared. Conclusions: A satisfactory, harmless and long-lasting result in the reduction of the nausea reflex is achieved in the reported case by homeopathic medicines. All clinical stages of removable dentures' fabrication were possible, and the patient tolerated the new prostheses pretty well.","PeriodicalId":339756,"journal":{"name":"Journal of IMAB - Annual Proceeding (Scientific Papers)","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132258606","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 : 2023-06-21DOI: 10.5272/jimab.2023292.4994
Maksim Zagorov, S. Dobrilov, Kalin Mihov
Revision total hip arthroplasty (RTHA) is a challenging procedure when we speak about acetabular defects and recurrent instability. There are multiple reasons like the number of previous revisions, implant position, bone quality, patient characteristics and etc. Managing acetabular defects with porous trabecular metal augments has excellent survivorship, but when addressing instability, there are some unsolved issues. Management options include the use of large femoral heads, constrained acetabular liners, and dual mobility cups (DMC). These cups have increased jump distance and reduced likelihood of dislocation while not relying on locking mechanisms, therefore are the preferred option in RTHA. We present single-center series of 13 patients undergoing revision THA with a specific DMC cemented into a newly implanted or well-fixed trabecular metal (TM) revision shell. All patients underwent cementation of a single specific cemented DMC design (Novae Stick, SERF, Decines, France) in a Trabecular Metal Revision Shell (Zimmer Biomet, Warsaw, IN, US). The mean follow-up is 15,2 months, and there were no dislocations of the implanted DM cups. The mean HHS improved significantly from 35.9 (range 15–80) preoperatively to 80.1 (range 64-93) postoperatively (p = 0.001). The results of this small clinical series demonstrate that cementing a DMC in a well-fixed TM revision shell leads to no dislocation or dissociation of the cement interface and acetabular construct loosening in the short term.
{"title":"DUAL MOBILITY CUP CEMENTED INTO POROUS TRABECULAR METAL SHELL DURING REVISION TOTAL HIP ARTHROPLASTY","authors":"Maksim Zagorov, S. Dobrilov, Kalin Mihov","doi":"10.5272/jimab.2023292.4994","DOIUrl":"https://doi.org/10.5272/jimab.2023292.4994","url":null,"abstract":"Revision total hip arthroplasty (RTHA) is a challenging procedure when we speak about acetabular defects and recurrent instability. There are multiple reasons like the number of previous revisions, implant position, bone quality, patient characteristics and etc. Managing acetabular defects with porous trabecular metal augments has excellent survivorship, but when addressing instability, there are some unsolved issues. Management options include the use of large femoral heads, constrained acetabular liners, and dual mobility cups (DMC). These cups have increased jump distance and reduced likelihood of dislocation while not relying on locking mechanisms, therefore are the preferred option in RTHA. We present single-center series of 13 patients undergoing revision THA with a specific DMC cemented into a newly implanted or well-fixed trabecular metal (TM) revision shell. All patients underwent cementation of a single specific cemented DMC design (Novae Stick, SERF, Decines, France) in a Trabecular Metal Revision Shell (Zimmer Biomet, Warsaw, IN, US). The mean follow-up is 15,2 months, and there were no dislocations of the implanted DM cups. The mean HHS improved significantly from 35.9 (range 15–80) preoperatively to 80.1 (range 64-93) postoperatively (p = 0.001). The results of this small clinical series demonstrate that cementing a DMC in a well-fixed TM revision shell leads to no dislocation or dissociation of the cement interface and acetabular construct loosening in the short term.","PeriodicalId":339756,"journal":{"name":"Journal of IMAB - Annual Proceeding (Scientific Papers)","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115812824","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 : 2023-06-19DOI: 10.5272/jimab.2023292.4990
Stoyan Ivanov, Dimitar Trizlov
Tumors of the peripheral nervous system are classified according to the specific origin of cell differentiation. Schwannomas (neurilemmomas) are benign nerve sheath tumors slowly growing, often solitary, arising from the nerves' Schwann cells that are not generally associated with malignant degeneration. The cause is unknown. The authors present a case of a 37-year-old woman with a lump formation located at the anterior aspect of the knee joint, inducing a burning-like sensation around the knee and up the whole hip. The pain increased through motion of the knee joint and during palpation. Prior to these complaints, the patient does not recall any trauma or degenerative knee conditions.
{"title":"PAINFUL ANTERIOR KNEE SCHWANNOMA: A CASE REPORT","authors":"Stoyan Ivanov, Dimitar Trizlov","doi":"10.5272/jimab.2023292.4990","DOIUrl":"https://doi.org/10.5272/jimab.2023292.4990","url":null,"abstract":"Tumors of the peripheral nervous system are classified according to the specific origin of cell differentiation. Schwannomas (neurilemmomas) are benign nerve sheath tumors slowly growing, often solitary, arising from the nerves' Schwann cells that are not generally associated with malignant degeneration. The cause is unknown. The authors present a case of a 37-year-old woman with a lump formation located at the anterior aspect of the knee joint, inducing a burning-like sensation around the knee and up the whole hip. The pain increased through motion of the knee joint and during palpation. Prior to these complaints, the patient does not recall any trauma or degenerative knee conditions.","PeriodicalId":339756,"journal":{"name":"Journal of IMAB - Annual Proceeding (Scientific Papers)","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134357208","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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