MEDIS – International Journal of Medical Sciences and Research
type: channel
description: MEDIS – INTERNATIONAL JOURNAL OF MEDICAL SCIENCES AND RESEARCH Vol. 5. Issue 2 / 2026 Distinguished Teachers, Scientists, and Researchers in the field of Medicine We are pleased to inform you of that procedure for applying for your scientific and research papers in the field of Medicine, Medical Sciences, and Health, for the MEDIS IJ Vol. 5 Issue. 2. 2026, has started. The purpose of this publishing venture is to persevere the continuity and raise the quality of the work so far, in order for MEDIS IJ to be included in the SCOPUS or WOS list as soon as possible. From now on we offer a new opportunity to do so in MEDIS IJ, where papers will be published in English only. Important: One author can publish only 1 paper per issue The deadlines are as follows: - 27. 04. 2026 abstract submission deadline - 02. 05. 2026 till 12:00 AM full paper submission deadline More Info... Abstract template
publisher: Institute of Management & Knowledge
language: en
publication name: MEDIS – International Journal of Medical Sciences and Research
issn: 2671-3497
items: ASSESMENT OF QUALITY OF LIFE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS AND DIABETIC POLYNEUROPATHY
items: HIP DISORDERS AND IMPROVEMENT ON THE PATIENT LIFE OPPORTUNITIES BY THE HIP ENDOPROSTHESIS IMPLANTATION
items: DAMAGE CONTROL IN ORTHOPEDICS
items: STUDY OF REVENUE CHANGE IN UNIVERSITY MULTIPROFILE HOSPITALS FOR ACTIVE TREATMENT IN BULGARIA
items: ASSESSMENT OF PATIENT SATISFACTION WITH THE QUALITY OF DENTAL SERVICES PROVIDED BY STUDENTS OF DENTAL MEDICINE
items: EFFECTIVE DOCTOR-PATIENT COMMUNICATION A KEY FACTOR FOR ASSESSING PATIENT SATISFACTION WITH DENTAL SERVICES PROVIDED
items: THE NEED FOR ADDITIONAL TRAINING OF NURSES WORKING IN THE DIALISIS TREATMENT FIELD
items: BENEFITS OF BALNEO AND MUD TREATMENT FOR LATE SEQUENCES OF COVID-19
items: https://medisij.com/index.php/mij/article/view/126
items: OCCLUSAL SPLINTS, RETAINERS AND THE RELATION BETWEEN THEM – A REVIEW ARTICLE
items: KEY FACTORS FOR SAFE AND RATIONAL SECURITY OF BLOOD AND BLOOD COMPONENTS
items: EFFECTIVENESS OF PHYSIOTHERAPY FOR MUSCO-SKELETAL DISORDERS AND THE ROLE OF REMOTE PHYSIOTHERAPEUTIC INTERVENTIONS
items: INSURANCE WITH SPECIALIST DOCTORS AND HEALTH CARE SPECIALISTS IN REGIONAL CITIES WITH MEDICAL UNIVERSITIES IN BULGARIA
items: CONNECTION BETWEEN THROMBOCYTES VALUES AND ELEVATED D-DIMER AND LDH LEVELS IN PATIENTS WITH Sars-Cov-2
items: THE UTILITY OF HEALTHCARE SYSTEM BEFORE AND DURING THE COVID-19 PANDEMIC
items: THE RELATIONSHIP BETWEEN CHRONIC VENOUS DISEASE AND THE APPEARANCE OF SUPERFICIAL THOMBOPHLEBITIS
items: PHYSICAL THERAPY AND NEUROREHABILITATION OF PATIENTS WITH CEREBROVASCULAR STROKE
items: EFFECTIVENESS OF PHYSICAL THERAPY AND REHABILITATION IN IMPROVING MOTOR SKILLS AND MENTAL FUNCTION IN CHILDREN WITH CEREBRAL PALSY
items: DEVELOPING STEPS TO IMPROVE ADHERENCE IN HEALTHCARE PROFESSIONALS DAILY PRACTICE
items: OPPORTUNITIES FOR TREATMENT WITH A TEMPORARY OBTURATOR MADE OF THERMOPLASTIC FOIL
items: PROSTHETIC TREATMENT OF A PATIENT WITH RESECTION OF THE HARD PALATE WITH AN OBTURATOR WITH A SILICONE BASE
items: Patient transfer from hemodialysis to peritoneal dialysis: a single center experience
items: ON THE POSSIBILITIES AND STRATEGIES FOR INCORPORATION ANTIMICROBIAL AGENTS INTO RESIN COMPOSITE DENTAL MATERIALS – A NARRATIVE REVIEW
items: NEW CONCEPT OF FRONTAL TEETH RESTAURATION FOR EXCELLENT FUNCTION AND AESTHETIC
items: FORCED OSCILLATION TECHNIQUE (FOT) – A NOVEL METHOD FOR THE DETECTION OF EARLY AIRWAY CHANGES
items: LOW-INTENSITY SHOCKWAVE TREATMENT FOR NEUROGENIC BLADDER WITH CHRONIC URINE RETENTION - CASE REPORT
items: PERSONALIZED MEDICINE AS TREND IN PHARMACEUTICAL INDUSTRY
items: CHARACTERISTICS OF TONSILLITIS PATIENTS IN CHILDREN AT UNIVESITAS KRISTEN INDONESIA HOSPITAL, 2010-2017
items: NON-COMMUNICABLE DISEASES IN REPUBLIC OF SERBIA: CAUSES AND CONSEQUENCES
items: DYNAMICS OF MORTALITY FROM DISEASES OF THE CIRCULATORY ORGANS IN BULGARIA, SOUTH CENTRAL REGION AND PLOVDIV PROVINCE

ASSESMENT OF QUALITY OF LIFE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS AND DIABETIC POLYNEUROPATHY
type: item
description: Diabetes mellitus is a chronic disease that has a great effect on the quality of life of patients. It is one of the most progressively increasing chronic diseases of the 21st century. Modern medical practice defines the disease as an important risk factor for the development of severe debilitating complications, reduced quality of life. Predominant among the health-related complications reducing the quality of life is diabetic neuropathy. It is a serious and frequent complication of diabetes mellitus, with a chronic progressive course of development, which without adequate treatment can lead to potentially life-threatening complications, significant morbidity and increased mortality among people with diabetes. The aim of the present study was to assess satisfaction and health-related quality of life in individuals suffering from type 2 diabetes and a realized neurological complication. Researched and surveyed during the period November 2022 – April 2023, there are 20 patients, respectively 10 men and 10 women with type 2 diabetes mellitus and a diagnosed complication - diabetic neuropathy. With the help of a questionnaire consisting of 69 questions, divided into 3 groups of previously formulated questions, the patients were surveyed. Medical records were also used. Regarding general health, 80%(8) of men and 80%(8) of women rated it as good. 20%(2) of men and 20%(2) of women rated it as poor. 60% (6) of men and 20% (2) of women have no difficulty in daily walking of more than 1 mile (1.6 km) as a result of the disease and the complication. 40%(4) of women report very limited motor activity as a result of the polyneuropathy. 40%(4) of men and 40%(4) of women reported minor difficulties in motor activity. When asked if they had experienced pain in the last 4 weeks, 40%(4) of men answered that it was mild. 40% (4) of men and 100% (10) of women reported moderate pain, 20% (2) of men reported experiencing very severe pain in the past 4 weeks. Patients with DM and a reali…
subject: Articles
  topic: section
subject: diabetes mellitus
  topic: keywords
subject: diabetic neuropathy
  topic: keywords
subject: quality of life
  topic: keywords
creator: Nikolay Kostadinov
creator: Tzvetelina Totomirova
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-05-18
publication date: 2023-05-18
starting page: 25
ending page: 30
doi: 10.35120/medisij020325k

HIP DISORDERS AND IMPROVEMENT ON THE PATIENT LIFE OPPORTUNITIES BY THE HIP ENDOPROSTHESIS IMPLANTATION
type: item
description: The most common reason for the hip joint endoprosthesis implantation is advanced coxarthrosis of the hip, which can be primary, meaning that the cause of coxarthrosis is still unknown, and secondary, which occurs due to a detected disorder: insufficient development of the hip (dysplasia) or after joint trauma (hip fractures, dislocations). Osteoarthritis is the leading cause of physical disability in the elderly in developed countries, but it is also the fastest growing health and disability problem. Aim: To examine the possibilities of regular life activities in patients before and after the hip endoprosthesis surgery. Methods: the research was conducted with people who have hip disease, who are housed in the "Vaso Ćuković" Risan Special Hospital, who need hip endoprostheses. Results: Male patients answered that they feel healthy with a median of 20 (15-25) with a minimum of zero and a maximum of 100, while female respondents felt somewhat healthier 25 (20-30). After the surgery, male respondents answered that they felt healthy with a median of 90 (82.5-100), as did female respondents who felt healthier with mean of 90 (80-100). Male patients before hip surgery had a median health index of 0.35, or in the range -0.11 -0.48, female patients had the same median index value of 0.35, or range 0.07-0.48. Male patients after hip surgery had an median health index of 0.93, or in the range 0.88-1.00, female patients had the maximum index values of 1.0, or in the range 0.96-1.0. Conclusion; Implantation of a hip endoprosthesis provides greater opportunities for normal everyday activities.
subject: Articles
  topic: section
subject: Hip diseases
  topic: keywords
subject: hip endoprosthesis implantation
  topic: keywords
creator: Ljiljana Stijepović
creator: Indira Poplata
creator: Elvedina Hodžić
creator: Nino Alić
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-05-18
publication date: 2023-05-18
starting page: 61
ending page: 66
doi: 10.35120/medisij020361s

DAMAGE CONTROL IN ORTHOPEDICS
type: item
description: Introduction:DAMAGE CONTROL - in orthopedic surgery and traumatology, it is indicated for fresh fractures, especially for trauma with open bone fractures. In all these fresh fractures, hemodynamic instability of the body occurs. In these cases, a minimally invasive procedure is recommended, which initially aims to temporarily stabilize the fractures and control bleeding Material and methods:In our work, we will present the official literature that deals with the issue of damage control in orthopedics. Discussion: One of the leading causes of death in people under 40 is polytrauma. Fractures of the diaphysis of the tibia, femur, and pelvis are the most common fractures that are stabilized using external fixation. Bilateral fractures of the femoral diaphysis are associated with a poor prognosis in terms of mortality and fat embolism syndrome.Hemodynamically stable patients should always undergo definitive fracture fixation. Any prolonged intervention in hemodynamically unstable patients worsens the favorable outcome. Then the immune response can be triggered and increased, which is identified with the clinical condition "Second trauma". Therefore, these patients should be immediately subjected to DAMAGE CONTROL with temporary stabilization and then delayed definitive fixation for a period of 5-10 days from damage control, i.e. in the second act. Orthopedic surgeons should be very careful and recognize the triangle of death - acidosis, hypothermia and coagulopathy, which are interconnected and eventually become irreversible and lead to death as the final outcome. Damage control surgery in orthopedics includes three stages: the first stage of treatment involves controlling bleeding, reducing contamination, and achieving temporary fracture fixation. The time in which all this is done should be as short as 1-2 hours. The second phase involves the stabilization of vital parameters in the ICU as well as the reanimation of the child with the prescription of the necessary the…
subject: Articles
  topic: section
subject: damage
  topic: keywords
subject: control
  topic: keywords
subject: polytrauma
  topic: keywords
subject: orthopedics
  topic: keywords
creator: Saša Jovanović
creator: Predrag Denović
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-05-18
publication date: 2023-05-18
starting page: 7
ending page: 10
doi: 10.35120/medisij020307j

STUDY OF REVENUE CHANGE IN UNIVERSITY MULTIPROFILE HOSPITALS FOR ACTIVE TREATMENT IN BULGARIA
type: item
description: The success of a hospital medical care system needs to be measured by how efficiently and effectively it addresses the needs of the users of the services it provides. The difficulties caused by the spread of COVID-19 did not prevent the University Multiprofile Hospitals for Active Treatment from continuing to perform their public service functions - they took over the treatment of the most significant part of patients with SARS-CoV-2 infection, while at the same time continued to provide the necessary conditions for conducting practical medical education for future medical specialists. The aim of the study is to perform a comparative analysis of the change in revenue of the University Multiprofile Hospitals for Active Treatment for the period 2019 – 2021. Methodology: The following methods were used for processing and analyzing the received information: Documentary method - the source of the information is the annual reports of the medical facilities for hospital care, which are received and processed annually at the National Center for Public Health and Analyzes at the Ministry of Health; System analysis method; Comparative-analytical method; Economical analysis; Financial and accounting analysis; Statistical methods, including: analysis of the dynamics of phenomena and graphic analysis - to visualize the obtained results. Results: There is a trend of increasing the total revenues of UMHAT for the studied period by 32.6%. The first year since the onset of the COVID-19 pandemic (2020) has seen the strongest increase in revenue from the Ministry of Health, followed by revenue from donations. In 2021, the increase in revenues from voluntary health insurance companies was most pronounced, but there was a decrease in revenues from the Ministry of Health. Discussion: In the Report on the health of citizens of the Minister of Health, it is stated that the growth of costs in 2020 compared to those reported in 2019 in the system of the Ministry of Health by more than 58% is…
subject: Articles
  topic: section
subject: revenues
  topic: keywords
subject: University Multiprofile Hospitals for Active Treatment
  topic: keywords
subject: COVID-19
  topic: keywords
subject: Ministry of Health
  topic: keywords
creator: Hristo Stoyanov
creator: Rumyana Yaneva
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-05-18
publication date: 2023-05-18
starting page: 1
ending page: 5
doi: 10.35120/medisij020301s

ASSESSMENT OF PATIENT SATISFACTION WITH THE QUALITY OF DENTAL SERVICES PROVIDED BY STUDENTS OF DENTAL MEDICINE
type: item
description: In today's competitive world, the quality of dental services provided is extremely important. Dental service providers around the world consider patient satisfaction to be an important and fundamental factor in providing dental services. Patient satisfaction by the provided dental services is defined in the literature as the achieved match between the patient's expectations, his needs and the actual dental care provided to him/her. Understanding the importance of the concept dedicated to the quality of dental services and surveying the satisfaction of patients receiving these services is very important. Oral diseases are considered major health problems due to their high incidence and prevalence worldwide Aim:. The aim of the present study was to assess patient satisfaction by dental services provided by dental students. Materials and methods: Sociological survey has been carried out. For the respondents’ convenience participating in the research, the opportunity to choose between two options for filling out the survey card is provided: a paper survey card and Online questionnaire created in Google Forms. A survey was conducted on a voluntary basis in May-July 2023. The results of the survey are presented in table and graphic form, which are accompanied by analyzes and conclusions. For the purposes of the research, 358 patients treated by fourth, fifth- and sixth year students in the facility of the Faculty of Dental Medicine at the Medical University of Varna - were surveyed. Results: The results show a positive correlation between the quality of dental services provided by dental students and patient satisfaction. Conclusion: Measuring the quality of dental services has an important role in managing the dental care provided, diagnosing the problem and evaluating the effectiveness of the service. Patient satisfaction is one of the key indicators in the quality of services provided in the dental practice. The results of the conducted study dedicated to patient satis…
subject: Articles
  topic: section
subject: satisfaction
  topic: keywords
subject: quality of dental services
  topic: keywords
subject: dental medicine students
  topic: keywords
creator: Gergana Georgieva
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-05-18
publication date: 2023-05-18
starting page: 61
ending page: 66
doi: 10.35120/medisij020361g

EFFECTIVE DOCTOR-PATIENT COMMUNICATION A KEY FACTOR FOR ASSESSING PATIENT SATISFACTION WITH DENTAL SERVICES PROVIDED
type: item
description: In recent years, great progress has been made in the communication between dental practitioners and their patients. In the 21 st century, communication has become an essential and necessary clinical skill for every dental professional. Communication skills are a skill that every medical professional must master in order to build the best possible relationships with patients. This includes the ability to form a certain idea about the patient's oral disease, altering the patient's mood (minimizing fear, anxiety, increasing confidence, hope for favorable treatment results), influencing the patient's lifestyle and behavior in order to carry out the recommendations given by the dental specialist treating him. They are described in the scientific literature the different models of the relationship between the doctor and the patient, as well as the research of authors regarding the importance of good communication about the patient's dental treatment procedure satisfaction. Aim: The present study aims to investigate the impact of efficient communication towards patient satisfaction with the quality of dental services provided. Sociological survey has been carried out. For the respondents’ convenience participating in the research, the opportunity to choose between two options for filling out the survey card is provided: a paper survey card and Online questionnaire created in Google Forms. A survey was conducted on a voluntary basis in May-July 2023. The results of the survey are presented in table and graphic form, which are accompanied by analyzes and conclusions. For the purposes of the research, 358 patients treated by fourth, fifth- and sixth year students in the facility of the Faculty of Dental Medicine at the Medical University of Varna - were surveyed. There is a positive correlation observed from the survey between effective doctor-patient communication and patient satisfaction with the quality of dental services provided. Good communication with the patient stren…
subject: Articles
  topic: section
subject: communication
  topic: keywords
subject: satisfaction
  topic: keywords
subject: quality of dental services
  topic: keywords
creator: Gergana Georgieva
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-05-18
publication date: 2023-05-18
starting page: 45
ending page: 51
doi: 10.35120/medisij020345g

THE NEED FOR ADDITIONAL TRAINING OF NURSES WORKING IN THE DIALISIS TREATMENT FIELD
type: item
description: According to the EU health strategy “Together for Health: A Strategic Approach for the EU”, health care specialists have a crucial role in maintaining the proper function of the entire health care system. Today, the education system gives health care specialists the opportunity to develop in different professional fields. Nursing care for patients undergoing renal replacement therapy is specific and requires that nurses have excellent theoretical knowledge and practical skills in the field of nephrology and the extra-renal blood purification methods, and be qualified to administer intensive and specialized procedures. The goal of this research is to study the necessity for nurses working in dialysis facilities attaining additional knowledge and skills on dialysis treatment in this specific field. Materials and methods: For the purposes of this research, 78 nurses working in dialysis facilities in Northwest Bulgaria participated in a survey, which was conducted by distributing a self-developed anonymous questionnaire in the 2020-2022 period. Results: The activity of the nurses caring for dialysis treatment patients is different from the activity in other health care facilities. Conclusion: Dialysis treatment requires that health care professionals have specific knowledge and skills. Currently, it is a fact that this discipline is not being taught in higher education institutions. The research detected a need for additional training in the renal replacement therapy field.
subject: Articles
  topic: section
subject: CKD
  topic: keywords
subject: dialysis
  topic: keywords
subject: additional training
  topic: keywords
subject: health education
  topic: keywords
creator: Galya Georgieva
creator: Pavlinka Dobrilova
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-05-18
publication date: 2023-05-18
starting page: 53
ending page: 59
doi: 10.35120/medisij020353g

BENEFITS OF BALNEO AND MUD TREATMENT FOR LATE SEQUENCES OF COVID-19
type: item
description: Balneotherapy is one of the most used therapies, where natural factors are applied for treatment and prevention. It is used in various pathological conditions, with evidence of a good effect in rheumatic and neurological diseases, and in recent years also in patients recovering from COVID-19. The therapeutic factors that are used include: natural mineral or thermal waters, natural peloids (mud) and other environmental therapeutic factors. The pandemic of COVID-19 turned out to be a significant factor that led to changes in lifestyle and habits and, accordingly, the use of balneotherapy procedures for prevention and treatment. Balneotherapy (SPA-therapy) is recommended by the European SPA association after COVID-19, for better recovery of health and limitation of long-term symptoms in patients with post-COVID-19 syndrome (PCS). It is suggested that balneo-climate-treatment can improve lung function, increase the physical activity capacity and the performance of therapeutic exercises as well as the quality of life of patients in the recovery phase after COVID-19. The purpose of the present review is to investigate the benefits and effectiveness of both balneo and mud therapy in patients with long-term post-COVID-19 sequelae. Materials and methods: For the purpose of the present study, a review was made of the known scientific articles published in the world databases (Google Scholar, Pubmed, Science Direct Web of Science, Scopus, and literary sources in Cyrillic). The results were searched for the following keywords: post-COVID-19 condition, long-term effects of COVID-19, post-COVID-19 syndrome (PCS), rehabilitation, balneotherapy, SPA therapy, peloidotherapy, mud treatment, lye therapy, treatment with Rapa (highly concentrated solution of salts (most often NaCl)). Results: The review of the scientific literature published in specific medical journals found evidence for the therapeutic effectiveness and benefits of balneo and mud therapy in patients with long-term con…
subject: Articles
  topic: section
subject: Long-term effects of COVID-19
  topic: keywords
subject: Post-COVID-19 syndrome (PCS)
  topic: keywords
subject: rehabilitation
  topic: keywords
subject: balneotherapy
  topic: keywords
subject: SPA therapy
  topic: keywords
subject: peloidotherapy
  topic: keywords
subject: mud treatment
  topic: keywords
creator: Galina Мratskova
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-05-18
publication date: 2023-05-18
starting page: 11
ending page: 17
doi: 10.35120/medisij020311m

https://medisij.com/index.php/mij/article/view/126
type: item
title: OCCUPATIONAL EXPOSURE TO NOISE DURING AIRPORT GROUND HANDLING - IMPACT AND RECOMMENDATIONS TO REDUCE THE OCCUPATIONAL RISK OF DAMAGE TO THE HEALTH OF WORKERS. CURRENT STATE OF LEGISLATION IN THE FIELD OF NOISE PREVENTION IN THE WORKPLACE IN BULGARIA
description: Those working in the ground handling of aircraft at the airport in the process of performing their activities are exposed to the impact of a complex of harmful and dangerous risk factors, including noise. Noise in the working environment above 85 dB(A) is one of the first unfavorable factors at the airport that affect the functional state of various organs and systems in the human body. Exposure to noise in the work environment at or above 85 dB(A) can cause a number of complaints related to the central and autonomic nervous systems, disorders in the vestibular and auditory apparatus up to permanent hearing loss, reduced work capacity, impaired concentration, fatigue, difficulty in verbal communication, the ability to hear warning signals, respond to environmental sounds, etc. All this affects the general safety and is a prerequisite for the occurrence of aviation accidents caused by the human factor. The purpose of the present study is to present the results of research conducted on noise at the airport itself and its impact on ground staff, by deriving good practices and examples, to make general conclusions and proposals with a practical orientation for the introduction of a standard for health monitoring and prevention of the risk of noise exposure among airport ground handling workers. The methods used are documentary, formal-logical with analysis of official documents, systematic review of articles and data in the surveyed area. The results of the survey show the lack of clear legal rules and standards in the Republic of Bulgaria regarding the health screening of hearing for those working in environments with excessive noise levels, including for ground handling operators at airports. Therefore, solutions to this problem must be implemented, in particular through the introduction of a standard and the introduction of clear criteria for health monitoring, engineering, ergonomic knowledge and preventive measures. Hearing prevention, early screening and health mo…
subject: Articles
  topic: section
subject: aviation noise
  topic: keywords
subject: ground personnel
  topic: keywords
subject: noise-induced hearing loss
  topic: keywords
subject: legislation
  topic: keywords
subject: airports
  topic: keywords
creator: Dorina Manahilova
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-05-18
publication date: 2023-05-18
starting page: 39
ending page: 44
doi: 10.35120/medisij020339m

OCCLUSAL SPLINTS, RETAINERS AND THE RELATION BETWEEN THEM – A REVIEW ARTICLE
type: item
description: This article reviews different types of occlusal splints and retainers, and current trends of their creation by digital technologies. They were systematically searched by key words, single or combined. The key words were: bruxism, retainer, modification of occlusal splints, modification of retainers, 3D printing, CAD/CAM. It was used peer-reviewed articles published in Google scholar until July 2023. The articles were in English with available at least abstract with clear conclusion part. Paid for the reader articles are not included in the review. In this article are presented main and additional types of occlusal splints, different types of retainers and their modifications, the contact point between splints and retainers and their digital creation.
subject: Articles
  topic: section
subject: Occlusal splints
  topic: keywords
subject: retainers
  topic: keywords
subject: digital technologies
  topic: keywords
subject: CAD/CAM technology
  topic: keywords
subject: 3D printing
  topic: keywords
creator: Dobromira Shopova
creator: Desislava Bakova
creator: Miroslava Yordanova
creator: Svetlana Yordanova
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-05-18
publication date: 2023-05-18
starting page: 31
ending page: 37
doi: 10.35120/medisij020331s

KEY FACTORS FOR SAFE AND RATIONAL SECURITY OF BLOOD AND BLOOD COMPONENTS
type: item
description: The use of human blood for therapeutic purposes requires the continuous construction of safety and quality systems, in order to minimize potential risks during the process of collection, processing, circulation and final use. Safety, security, rationality, and reliability are important prerequisites for the continuous provision of blood products, regardless of their purpose. Health institutions for blood and blood products should have an organized quality system that will be compatible with strategic goals, while at the same time emphasizing the self-sufficiency of a particular community. In this context, it is necessary to establish a stable and applicable mechanism for issuing permits and accreditation by certified institutions, from this field, which would ensure their operation in accordance with current regulations. Modern blood transfusion practice must provide guarantees to voluntary blood donors regarding the security and confidentiality of all data related to the health of each individual. The key factors, on which safe and rational provision of blood and blood products are based, are visible through continuous activities associated with the promotion of voluntary and unpaid blood donation, thus contributing, in a specific way, to raising and maintaining high standards. Medical and other personnel involved in the process of collection, examination, processing, storage and circulation of human blood and blood components should be qualified and should undergo continuous education. The future development of transfusiology will be based on teamwork and interdisciplinary cooperation, as well as continuous monitoring and application of regulations from this field. The implementation of the Type and Screen method, i.e., blood group typing and antibody screening, should become a standard in the rationalization of the need for blood, which ensures a greater number of available blood units, increases self-sufficiency and directly contributes to the preservation of th…
subject: Articles
  topic: section
subject: transfusion
  topic: keywords
subject: blood
  topic: keywords
subject: blood groups
  topic: keywords
subject: compatibility
  topic: keywords
creator: Aleksandra Penjišević
creator: Branislav Sančanin
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-05-18
publication date: 2023-05-18
starting page: 19
ending page: 24
doi: 10.35120/medisij020319p

EFFECTIVENESS OF PHYSIOTHERAPY FOR MUSCO-SKELETAL DISORDERS AND THE ROLE OF REMOTE PHYSIOTHERAPEUTIC INTERVENTIONS
type: item
description: For patients with musculoskeletal diseases, physiotherapy is a safe and efficient treatment option that can help them manage their symptoms and enhance their health. In primary care, physiotherapists aid in the diagnosis, cure, and manage of a broad spectrum of acute and chronic disorders, as well as promote physical exercise, mobility, and function. Physiotherapists in basic medical teams maximize patients' mobility in accordance with their lifelong needs. This brief study emphasizes the significance of musculoskeletal disorders treatable with physiotherapy. Physiotherapy interventions, when delivered remotely through e-Health platforms, have gained prominence as accessible and effective tools for managing musculoskeletal conditions. These interventions provide patients with valuable resources for self-management, while greatly used to improve everyones quality of life. At the same time, helping to moderate the challenges that this load can create on healthcare systems. The use of telehealth in physiotherapy offers opportunities for personalized care, continuous monitoring, and the implementation of evidence-based interventions. The relevancy of this approach is mainly noticed when put in the context of the COVID-19 pandemic, where the need for remote healthcare delivery has become paramount. Telehealth allows patients to receive timely care and support while adhering to social distancing guidelines. The concept of adherence to eHealth technology in physiotherapy is crucial for ensuring the success of remote interventions. Understanding when and how patients engage with eHealth platforms can guide the development of more effective interventions. It is essential to explore factors that influence patient adherence to technology-driven physiotherapy interventions to optimize their benefits. As healthcare systems worldwide face increasing demands, the implementation of remote physiotherapeutic e-Health interventions can help alleviate the burden by offering scalable an…
subject: Articles
  topic: section
subject: physiotherapy
  topic: keywords
subject: musco-skeletal disorders
  topic: keywords
subject: remote physiotherapeutic’ e-health
  topic: keywords
creator: Xhorxhina Alushaj
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-12-15
publication date: 2023-12-15
starting page: 45
ending page: 49
doi: 10.35120/medisij020445a

INSURANCE WITH SPECIALIST DOCTORS AND HEALTH CARE SPECIALISTS IN REGIONAL CITIES WITH MEDICAL UNIVERSITIES IN BULGARIA
type: item
description: People are the most important resource for any organization, including healthcare. The analysis of the geographical distribution of human resources in the "Healthcare" sector in the Republic of Bulgaria shows that there are certain disproportions. The lack or insufficiency of specialists can lead to a deficit in the diagnostic-treatment-rehabilitation activity in certain medical specialties, or to non-use of certain available medical equipment. The purpose of the present study is to examine the number and relative share of doctors with a specialty and health care specialists, where they are most numerous - in the cities where there are medical universities in Bulgaria and their adjacent areas for 2021. Material and methods: The following methods were used to carry out the research: documentary method - based on official data from the National Statistical Institute, comparative analysis, economic analysis, mathematical-statistical method, tabular analysis. Based on the obtained results, it is clear that in Bulgaria the number of general practitioners is the highest - 3,945, and the number of "Infectious Diseases" specialists is the lowest. Per 10,000 people of the population, the highest share of doctors and medical specialists in health care is in Pleven district, 67.3 and 95.0, respectively, and the lowest in Varna district, respectively – 50.7 and 63.8. Discussion: The number of doctors in Bulgaria is above the average for the European Union, but despite this there is a serious shortage of doctors in certain specialties, which had its impact on the treatment of patients during the COVID-19 pandemic. Our country is one of the countries in the EU with the lowest provision of nurses. Their shortage is due to several factors, among them the emigration of trained nurses, the aging of the workforce - with the average age of this type of specialist being over 50, dissatisfaction with wages and working conditions. Conclusion: The human factor is a significant element in a…
subject: Articles
  topic: section
subject: insurance
  topic: keywords
subject: specialty doctors
  topic: keywords
subject: health care professionals
  topic: keywords
subject: cities with medical universities
  topic: keywords
creator: Rumyana Yaneva
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-12-15
publication date: 2023-12-15
starting page: 1
ending page: 5
doi: 10.35120/medisij020401y

CONNECTION BETWEEN THROMBOCYTES VALUES AND ELEVATED D-DIMER AND LDH LEVELS IN PATIENTS WITH Sars-Cov-2
type: item
description: СОVID-19 is an infеction caused by the new cоrоnavirus Sаrs-Cov-2. For thе specific treatment of patients, it is impоrtant to detеrmine thе sеverity of the disease with thе help of biomarkers when they are hospitalized. Many of them rеveal a range of chаnges in patients with COVID-19. Among the mоst commonly оbserved changes are decreased thrombocytes count, increased D-dimer and LDН values. The aim of the present study is to present the changes in Thrombocytes (Thr), Lactatedehydrogenase (LDH) and D-Dimer values in hospitalized patients with Sars-Cov-2 and the relationship between them. For our research, we took the values from the clinical laboratory results of 106 hospitalized patients for the treatment of Covid-19 in the "St. Ivan Rilski" town of Zagora. Patients were divided into two subgroups depending on the period of their hospitalization. In both groups, the laboratory values of LDH, Thre, D-Dimer on the first day of admission to the hospital are presented. Results: In the two groups of patients studied by us, we found a positive correlation between thrombocytes values ​​​​and LDH values ​​​​at admission: r=0.234, p<0.05. A greater number of patients developed thrombocytopenia during hospitalization in Group II 26.53% (n=13). A number of authors have reported that in COVID-19, LDH correlates with disease severity and can be considered a major predictor of lung injury in these patients. Elevation of LDH was observed in over 96% of patients in both groups. Conclusion: Thrombocyte count monitoring during hospitalization is important in the prognosis of patients with coronavirus disease. Thrombocytopenia, elevation of D-dimer, and the following cоmplications in pаtients with COVID-19 аrе among the most common laboratory findings requiring hospitalization.
subject: Articles
  topic: section
subject: Sars-Cov-2
  topic: keywords
subject: LDH
  topic: keywords
subject: D-dimer
  topic: keywords
subject: Thrombocytes
  topic: keywords
creator: Pavlina Teneva
creator: Ivelina Dobreva
creator: Katya Mollova
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-12-15
publication date: 2023-12-15
starting page: 17
ending page: 22
doi: 10.35120/medisij020417t

THE UTILITY OF HEALTHCARE SYSTEM BEFORE AND DURING THE COVID-19 PANDEMIC
type: item
description: According to the European Charter of Patients' Rights, every person has the right to access health services in accordance with their health needs. The aim of this study is to analyze the utility of the healthcare service before and during the COVID-19 pandemic. Material and methods: An anonymous survey was conducted through a questionnaire in Google Forms among individuals over 20 years old (n=645), who were divided into several groups. Documentary, sociological and statistical methods were applied. Results: 58.4% of respondents reported that they maintained their GP visits during the COVID-19 pandemic. 43.3% of them had no obstacles to contact him/her by phone and 45.7% had no obstacles to visit him/her in person. Conclusion: The spread of the SARS-CoV-2 virus has presented the health system with many challenges, one of which is the burden on all its levels. However, between patient and doctor there is an established relationship, adequate communication and mutual trust.
subject: Articles
  topic: section
subject: health system
  topic: keywords
subject: utility
  topic: keywords
subject: Covid-19 pandemic
  topic: keywords
creator: Nikolay Nikolov
creator: Natalia Shtereva-Nikolova
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-12-15
publication date: 2023-12-15
starting page: 55
ending page: 59
doi: 10.35120/medisij020455n

THE RELATIONSHIP BETWEEN CHRONIC VENOUS DISEASE AND THE APPEARANCE OF SUPERFICIAL THOMBOPHLEBITIS
type: item
description: The most common complications of chronic venous disease are venous ulcers and superficial thrombophlebitis. The current study aimed to determine the incidence of superficial thrombophlebitis in patients with chronic venous disease and to follow frequency and cause of disease recurrence. In a nine years period, 495 patients were treated for superficial thrombophlebitis in the clinic of Vascular Surgery of Military Medical Academy and in the diagnostic-consultative office of vascular surgery. Of them 108 (22%) patients, were admitted for surgery. The goals of therapy for STP are to prevent the clot progressing into the deep venous system and to hasten the resolution of the inflammatory and thrombotic processes in areas already affected. The first option of treatment consists of perscription of nonsteroid anti-inflammatory drugs, venotonics and low molecular weight heparin. Only in cases when the thromboplebitis of the great or small saphenous vein cames closer the SFJ or SPJ, the surgery is necessary. The surgical techniques that are usually applied are crossectomy of the GSV, or SSV and less often thrombectomy of the EIV, phlebotomy, phlebocutaneoectomy. The other 387(78%) patients underwent conservative therapy with AINS, antiagregant or anticoagulant therapy. Patients with chronical venous insufficiency and varicose veins are more at risk for superficial thrombophlebitis appearance.
subject: Articles
  topic: section
subject: DVT varicose veins
  topic: keywords
subject: thrombophlebitis
  topic: keywords
creator: Mihaela Mireva
creator: Milan Tsekov
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-12-15
publication date: 2023-12-15
starting page: 33
ending page: 38
doi: 10.35120/medisij020433m

PHYSICAL THERAPY AND NEUROREHABILITATION OF PATIENTS WITH CEREBROVASCULAR STROKE
type: item
description: Cerebral stroke represents an acute disturbance of circulation in the brain, which occurs with local and general brain symptoms. Main etiological factors are: arteriosclerosis, increased blood pressure, arterial hypotension, heart diseases, malformations of brain blood vessels, etc. Stroke is the most common neurological disease and the leading cause of mortality in the world, right after cardiovascular and malignant diseases. Cerebrovascular stroke is a focal neurological deficit caused by intracerebral hemorrhage. It is a condition that occurs due to a change in blood circulation in the brain and a very low supply of oxygen and nutrients to parts of the brain, which results in their damage and disruption of the functions that depend on them. There are two types of cerebrovascular stroke: ischemic - thrombosis and thromboembolism (85%) and hemorrhagic – intracerebral and subarachnoid bleeding (15%). The clinical picture can develop gradually or, the patient can suddenly fall into a coma. Absence of movements of the affected limbs predominates, always opposite to the side of the impact with an outburst of the facial nerve of the central type. Hemiplegia is a loss of the voluntary movements of one half of the body, caused by damage to the opposite brain hemisphere. The musculature is atonic, tendon reflexes are reduced or lost The aim of the research is to determine the effectiveness of physical therapy and neurorehabilitation in patients with cerebrovascular brain stroke. Treatment of stroke: In the acute stage, physical therapy is aimed at preventing complications of the loco-motor apparatus (contractures, muscle and tendon retraction, heterotropic ossifications), the respiratory system (hypostatic pneumonia) and the skin (decubitus). This is achieved through treatment with position (frequent change of the position of the body in bed), passive exercises performed according to strictly defined rules, breathing exercises, exercises for healthy limbs and great care of…
subject: Articles
  topic: section
subject: stroke
  topic: keywords
subject: physical therapy
  topic: keywords
subject: prognosis
  topic: keywords
subject: rehabilitation
  topic: keywords
subject: gait
  topic: keywords
subject: postural control
  topic: keywords
subject: hemianopia
  topic: keywords
creator: Lence Nikolovska
creator: Abdulraim Taci
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-12-15
publication date: 2023-12-15
starting page: 61
ending page: 65
doi: 10.35120/medisij020461n

EFFECTIVENESS OF PHYSICAL THERAPY AND REHABILITATION IN IMPROVING MOTOR SKILLS AND MENTAL FUNCTION IN CHILDREN WITH CEREBRAL PALSY
type: item
description: Cerebral palsy was first described by William John Little in 1846. There are many definitions of cerebral palsy that vary from author to author. However, we can say that cerebral palsy (CP) is a chronic non-progressive brain damage, postural and body motility disorder. Apart from sensorimotor abnormalities, some cases are accompanied by mental disorders as well as disorders of cognitive functions. It can occur during pregnancy, at birth or during the postnatal period, ie. prenatal, perinatal and postnatal - equally in both sexes. There are different classifications of cerebral palsy: according to changes in muscle tone, according to topographic features and according to the severity of the clinical picture.According to changes in muscle tone, they are divided into: Spastic form, Athetoid form, Ataxic form, Hypotonic form and Mixed form. According to the topography they are classified as: Diplegia, Quadriplegia, Hemiplegia, Triplegia and Monoplegia Physical therapy program is determined based on the clinical form of the disease When determining a rehabilitation program, the principle of an individual approach is followed. Rehabilitation includes: physical medicine, kinesitherapy, reflex exercises according to Vojta, manual massage, thermotherapy, education of parents for rehabilitation at home; orthopedic aids; special education techniques. The aim of this study is to determine the role and impact of Physical Medicine and Rehabilitation in the treatment of children with Cerebral Palsy in early childhood Methods of research: The research was conducted at the University of Southeast Europe - (Stul University) at the Faculty of Health Sciences in the Department of Physical Therapy and Rehabilitation, over a period of 6 months, from the beginning of April to the end of September 2023. 61 patients with cerebral palsy are included in the research, of which 28 are male, and the remaining 33 patients are female. The patients included in the research are classified into group…
subject: Articles
  topic: section
subject: Cerebral palsy
  topic: keywords
subject: symptoms
  topic: keywords
subject: physical therapy
  topic: keywords
subject: kinesitherapy
  topic: keywords
subject: rehabilitation
  topic: keywords
subject: bexercises
  topic: keywords
creator: Lence Nikolovska
creator: Besart Ismani
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-12-15
publication date: 2023-12-15
starting page: 23
ending page: 26
doi: 10.35120/medisij020423n

DEVELOPING STEPS TO IMPROVE ADHERENCE IN HEALTHCARE PROFESSIONALS DAILY PRACTICE
type: item
description: Adherence is a a term that has been prominently used and emphasized recently, representing the connection between a patient and their treatment. Medical adherence has its hierarchical structure, with roots primarily stemming from legislative bodies to the healthcare system, institutions and ultimately healthcare professionals (doctors, nurses, technicians). However, medical adherence faces a significant obstacle in achieving therapy goals and improving treatment outcomes among many patients, especially those with chronic conditions. Social and sociental conditions, as well as the state organization in Bosnia and Herzegovina (BiH), greatly influence the healthcare system and the purchasing power of healthcare service users. Due to significant barriers and challenges regarding adherence, efforts are being made to maintain a system that supports increasing patient adherence levels. Within this research paper, three questionable theses are presented: internal and external education, improvement of the healthcare system and the implementation of systematic data collection on patient adherence. All three questionable thesis recived positive feedback from respondents (200 participants). From the first thesis, 154 respondents voted in favor, for the second thesis, 142 respondents and for the third thesis, 134 respondents agreed with the proposed suggestions. Unfortunately, in BiH insufficinet attention is given to patient adherence and there is no unified strategy to increase adherence levels. Internal and external education would be essential as healthcare workers are not adequately trained, nor are conditions created for its implementation. Increasing the level of adherence can greatly benefit healthcare workers in their daily practice if they have adequate conditions in place. Unfortunately, a significant number of healthcare employees lack the knowledge, experience and a clearly defined strategy on how to increase patient adherence. The complexity of measuring adherence…
subject: Articles
  topic: section
subject: adhrence
  topic: keywords
subject: level
  topic: keywords
subject: education
  topic: keywords
subject: healthcare
  topic: keywords
subject: strategy
  topic: keywords
subject: patients
  topic: keywords
creator: Lana Lekić
creator: Ervin Alibegović
creator: Jasna Rahimić
creator: Bojan Pavlović
creator: Aida Hamzić-Mehmedbašić
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-12-15
publication date: 2023-12-15
starting page: 27
ending page: 31
doi: 10.35120/medisij020427l

OPPORTUNITIES FOR TREATMENT WITH A TEMPORARY OBTURATOR MADE OF THERMOPLASTIC FOIL
type: item
description: Prosthetic treatment with a temporary obturator is an intermediate stage in the overall prosthetic rehabilitation of patients with maxillary resection. According to prevailing opinions, treatment with a temporary obturator should start around 2 weeks to 2-3 months after resection and to continue until the final completion of the healing processes in the defect. Due to the dynamic changes in the defect, this treatment stage is associated with many difficulties, requiring frequent correction of the obturator and up to 12-14 clinical visits on average. The aim of the research is to track the opportunity for fabrication of a temporary obturator of thermoplastic foil with vacuum forming apparatus and its efficiency for restoring speech and fluid intake in patients with maxillary resection. Materials and methods: For the aim of the study we conducted a treatment of a 45-year-old patient operated a week ago for maxillary carcinoma. As a result, the left alveolar bone and a part of the hard palate with a diameter of 10 mm were resected, with teeth 13 to 23, 16 and 17 preserved. The defect was padded with gauze and an impression with an irreversible hydrocolloid impression material was taken. In the laboratory a grade 4 plaster working model was cast on which the borders of the palatal plate were outlined. For the frontal teeth, these were the cervical areas of the teeth, and for the distal - their equators. In the area of the defect and the missing teeth the border reached the transitional fold, and distally - the soft palate. The plate was made from foil of 1 mm diameter which was drawn onto the model with a vacuum forming apparatus and was cut along the indicated borders. Results: The palatal plate - obturator successfully closed the comunication to the nasal cavity and restored the opportunity for fluid intake, which was the main problem for the patient. The use of a foil with a thickness of 1 mm provided stability and resistance of the construction. As a result of this,…
subject: Articles
  topic: section
subject: maxillary carcinoma
  topic: keywords
subject: maxillary resection
  topic: keywords
subject: maxillary defect
  topic: keywords
subject: obturator
  topic: keywords
subject: thermoplastic foil
  topic: keywords
creator: Ivan Gerdzhikov
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-12-15
publication date: 2023-12-15
starting page: 51
ending page: 54
doi: 10.35120/medisij020451g

PROSTHETIC TREATMENT OF A PATIENT WITH RESECTION OF THE HARD PALATE WITH AN OBTURATOR WITH A SILICONE BASE
type: item
description: Introduction: The most commonly used treatment method for maxillary resection patients is with an obturator, closing the communication between the oral and nasal cavity. Prosthetic methods and means with different types of materials are used for its fabrication. The purpose of the described clinical case is to track the opportunity for treatment of a patient with resection of the hard palate, with an obturator with a silicon base. Materials and methods: The clinical case tracks the treatment of a patient with maxillary carcinoma. Preliminary alginate impressions were taken from the jaws. A custom tray with which a functional impression with a silicone material was taken, was fabricated for the mandible. The height and the central position of the mandible were determined with record bases with wax rims. The dentures were finished with heat cured resin. The upper denture was used as a custom tray for taking a functional impression of the prosthetic field with silicone cream material. After packing in the laboratory, the impression material was replaced with permanent soft relining material Molloplast B (Detax). The finished dentures were adjusted and articulated until bilaterally balanced occlusion was achieved. Results: Treatment results showed good retention and stability of the prosthetic construction. Functional impression shaping and subsequent replacing with silicon material ensured a good and tight hermetic seal in the area of the defect. The use of permanent soft relining material allowed a trauma-free transmission of masticatory pressure and a stable connection with the plastic base of the obturator. The patient's eating and speech as well as the fluid intake were successfully restored. The achieved results improved the quality of life of the patient and his self-esteem. Conclusions: Prosthetic treatment with an obturator with a silicon base provides good retention and stability of the prosthetic construction which allows successful restoration of the patient…
subject: Articles
  topic: section
subject: maxillary resection
  topic: keywords
subject: maxillary defect
  topic: keywords
subject: obturator
  topic: keywords
subject: soft relining material
  topic: keywords
subject: Molloplast B
  topic: keywords
creator: Ivan Gerdzhikov
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-12-15
publication date: 2023-12-15
starting page: 13
ending page: 16
doi: 10.35120/medisij020413g

Patient transfer from hemodialysis to peritoneal dialysis: a single center experience
type: item
description: INTRODUCTION Peritoneal dialysis and hemodialysis are complementary ways of treating end-stage renal failure. Changing the dialysis modality from hemodialysis to peritoneal dialysis is a rare and poorly studied phenomenon. MATERIALS AND METHODS Retrospective cohort study conducted on the population of adult patients with end-stage chronic renal failure who were treated at the Nephrology Clinic of the Clinical Center of the University of Sarajevo in the period from 2006 to 2023. A total of 109 adult patients, whose medical documentation was complete and who were in the peritoneal dialysis program at the Nephrology Clinic of the Clinical Center of the University of Sarajevo during the observed period, were included in this study. One group started the treatment with peritoneal dialysis, and the other with hemodialysis. Demographic data were collected for each patient: age, gender, underlying kidney disease, comorbidities (heart disease and diabetes), duration of treatment modality, data on modality change, complications and treatment outcomes. Data from physical and electronic patient histories were used. RESULTS Total of 109 adult patients were included in this study. They are divided into two groups. Group 1 (n=99) in which peritoneal dialysis was the first treatment modality and Group 2 (n=10) in which haemodialysis was the first treatment modality, but in which patients, after a certain time, were transferred to peritoneal dialysis. The median age of patients in Group 1 was 60 (-/-14.07) years and 54 (-/+12.23) years for Group 2. Within Group 1 the most common cause of terminal renal failure was diabetic nephropathy (n=40, 40.4%) and nephroangiosclerosis (n=24, 24.24%). The mean age of onset of peritoneal dialysis was 60 (-/-14.07) years, while the mean age of cessation of peritoneal dialysis was 63 (±13.69) years. The average duration of peritoneal dialysis treatment was 38.36(±34.14) months. During the stay at peritoneal dialysis, death was recorded in 63 patien…
subject: Articles
  topic: section
subject: End stage CKD
  topic: keywords
subject: peritoneal
  topic: keywords
subject: hemodialysis
  topic: keywords
subject: transfer
  topic: keywords
creator: Herenda V.
creator: Hasanspahić S.
creator: Kadić F.
creator: Hamzić-Mehmedbašić A.
creator: Rebić D.
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-12-15
publication date: 2023-12-15
starting page: 7
ending page: 12
doi: 10.35120/medisij020407h

ON THE POSSIBILITIES AND STRATEGIES FOR INCORPORATION ANTIMICROBIAL AGENTS INTO RESIN COMPOSITE DENTAL MATERIALS – A NARRATIVE REVIEW
type: item
description: Because of the high frequency of recurrent caries following composite resin restorative treatment, as well as the large number of cariogenic microorganisms present in the oral cavity, which represent a potential risk factor for the development of new carious lesions, the antimicrobial effects of composite resins are receiving increasing attention. Recently, attempts have been made to include specific antimicrobial compounds in restorative materials, mainly GJCs and composites, in addition to fluorides. Conventional composites' lack of antibacterial qualities implies a lack of an inhibitory impact against plaque accumulation on their surface, allowing bacteria such as mutans streptococci to grow freely. As a result, the antibacterial properties of dental resin composites are crucial to their therapeutic applications. The present study demonstrates the methods and possibilities for incorporating antimicrobial chemicals, both leachable and non-leachable, into the resin matrix or filler of composite resins.
subject: Articles
  topic: section
subject: Dental Resin Composite
  topic: keywords
subject: Antibacterial Agents
  topic: keywords
subject: Antibacterial Strategies
  topic: keywords
subject: Caries prevention
  topic: keywords
creator: Aleksandar Dimkov
rights: Copyright (c) 2023 https://creativecommons.org/licenses/by-nc/4.0
date: 2023-12-15
publication date: 2023-12-15
starting page: 39
ending page: 44
doi: 10.35120/medisij020439d

NEW CONCEPT OF FRONTAL TEETH RESTAURATION FOR EXCELLENT FUNCTION AND AESTHETIC
type: item
description: This clinical case report aimed to investigate impact of a novel inner ferrule (IF) preparation around root canal on the subsequent esthetic restoration. Material and Methods: This clinical research involved a case report featuring endodontically treated teeth (ETT) restored using a newly developed ceramic post. Special drills (Edenta AG GmbH, Switzerland) were utilized for root canal preparation, involving horizontal preparation around the cervical portion of the root canals and post spaces. Experimental samples (ETT) were prepared with and without a 2mm IF preparation. The newly designed zirconia ceramic posts (TZ-3Y-SBE, Tosoh, Japan) were cemented with Multilink Automix (Ivoclar), upgraded with MultiCore (Ivoclar), and crowned with an all-ceramic zirconia crown (Zirkonzahn, Italy). Results: Our clinical case provided insights into a new type of all-ceramic aesthetic restoration of prepared teeth (ETT) with a new IF preparation design and a new zirconia post-core design. Conclusion: The novel horizontal IF preparation around the root canal was developed to accommodate the initial retentive coronal ring of the newly designed zirconia posts. The incorporation of IF preparation and coronal retentive rings within the zirconia post structure effectively enhances the fracture resistance of ETT. This new modern aesthetic rehabilitation in all restored teeth significantly reduces the severity of root fractures for excellent function and aesthetic restoration of ETT.
subject: Articles
  topic: section
subject: Endodontically treated teeth
  topic: keywords
subject: zirconia post
  topic: keywords
subject: inner ferrule
  topic: keywords
subject: aesthetic restoration
  topic: keywords
creator: Sasho Jovanovski
creator: Aneta Mijoska
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-04-09
publication date: 2024-04-09
starting page: 47
ending page: 51
doi: 10.35120/medisij030147j

FORCED OSCILLATION TECHNIQUE (FOT) – A NOVEL METHOD FOR THE DETECTION OF EARLY AIRWAY CHANGES
type: item
description: According to the World Health Organization in 2019 chronic obstructive pulmonary disease (COPD) was the third leading cause of death worldwide, causing more than 3 million deaths whereas bronchial asthma affected more than 250 million people and caused 455 000 deaths. Both diseases are chronic obstructive conditions which need to be diagnosed early in order to prevent or slow down the complications. Consequently the world requires new effortless methods for diagnosis of airway obstructions, especially for small children and people who cannot perform the spirometry maneuver. The purpose of this report is to describe the objectives of the forced oscillation technique (FOT) and to establish its applications in the clinical practice. Studies and clinical cases regarding pulmonary function testing are summarized and analyzed. They are found in the following databases - PubMed, Google Scholar and Science Direct. Spirometry is the ‘gold standard’ for the diagnosis of airflow obstruction but it requires effort and can be difficult for patients to perform. Forced oscillation technique (FOT) on the other hand is a relatively new method that may hold the key to identifying smoking-related respiratory early alterations and childhood asthma. FOT requires tidal breathing while applying external, small amplitude oscillations in order to determine the response of the respiratory system. Therefore, it is easy for pre-school children to perform. The benefit of FOT should be taken into account for patients who cannot perform spirometry or other pulmonary function ttests. The minimal cooperation of the patient and the easy tidal breathing maneuvers make this method a great option for every pulmonologist. Compared to spirometry this technique may be more sensitive in the detection of disturbances of the peripheral airways and may be effective for the control of therapy at a long term. The Forced oscillation technique has been successfully applied in many pediatric respiratory disorders,…
subject: Articles
  topic: section
subject: Forced oscillation technique
  topic: keywords
subject: airway obstruction
  topic: keywords
subject: heterogenous ventilatory conditions
  topic: keywords
creator: Plamena Stoimenova
creator: Stoilka Mandadzhieva
creator: Blagoi Marinov
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-04-09
publication date: 2024-04-09
starting page: 41
ending page: 46
doi: 10.35120/medisij030141s

LOW-INTENSITY SHOCKWAVE TREATMENT FOR NEUROGENIC BLADDER WITH CHRONIC URINE RETENTION - CASE REPORT
type: item
description: We present a case of neurogenic bladder accompanied by chronic urine retention in a patient diagnosed with multiple sclerosis (MS). This condition was effectively managed by low-intensity shockwave therapy (Li-ESWT). Low-intensity focused shockwave therapy (Li-ESWT) is becoming increasingly important in the treatment of urological problems. This case study investigates the feasibility and efficacy of using Li-ESWT to reduce post-void residual volume in persons with neurogenic bladder, representing the first examination of its sort. Bladder dysfunction (BD) frequently occurs in patients who have been diagnosed with multiple sclerosis (MS). Bladder dysfunction (BD) can occur due to the impairment of nerve impulses in the central nervous system regions involved for regulating bladder function and managing the contractions of the urinary sphincters, which is caused by the lesions associated with multiple sclerosis (MS). Urinary retention can cause various symptoms, including insufficient bladder emptying, urinary incontinence, frequent urinary tract infections, urosepsis resulting in the development of kidney abscesses due to localised kidney infection, and reduced kidney function. Optimal bladder function is essential for individuals with MS, as it plays a critical role in preserving kidney health, preventing urinary tract infections and incontinence, reducing the frequency of MS episodes, and improving their overall well-being. A 31-year-old woman was referred to our urology office with a chronic urinary tract infection caused by a neurogenic bladder with a significant volume of residual urine. A kidney abscess formation was identified as a complication. Li-ESWT, which stands for low-intensity extracorporeal shockwave therapy, was used as a part of a multimodal strategy to treat the urinary bladder. This treatment was delivered off-label. The therapy was given on a weekly basis for a period of 6 weeks. The procedure included administering 2500 shocks at a rate of four…
subject: Articles
  topic: section
subject: neurogenic bladder
  topic: keywords
subject: multiple sclerosis
  topic: keywords
subject: low intensity shockwave therapy
  topic: keywords
subject: post-void residual volume
  topic: keywords
subject: detrusor underactivity
  topic: keywords
creator: Georgi Tosev
creator: Evgeniya Vladeva
creator: Cornelius Geil-Bierschenk
creator: Hans Sobek
creator: Joachim Felgner
creator: Philipp Reimold
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-04-09
publication date: 2024-04-09
starting page: 37
ending page: 40
doi: 10.35120/medisij030137t

PERSONALIZED MEDICINE AS TREND IN PHARMACEUTICAL INDUSTRY
type: item
description: Personalized medicine is indeed a significant trend in the pharmaceutical industry, revolutionizing the way treatments are developed and administered. It is an innovative perspective that ultimately magnifies the quality of healthcare and creates multiple opportunities in transforming the prospects of medicine development, clinical trials, and patient care. Genomics and data analytics are essential in advancing personalized medicine. The challenges in implementing personalized medicine are numerous, yet the opportunities to remodel healthcare are immense. The perspectives of personalized medicine in the pharmaceutical industry are encouraging, with great potential to inspire innovation and establish transformation od drug development.
subject: Articles
  topic: section
subject: precision medicine
  topic: keywords
subject: individualized treatment
  topic: keywords
subject: targeted therapy
  topic: keywords
subject: patient-centered care
  topic: keywords
creator: Marija Dimitrovska
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-04-09
publication date: 2024-04-09
starting page: 31
ending page: 35
doi: 10.35120/medisij030131d

CHARACTERISTICS OF TONSILLITIS PATIENTS IN CHILDREN AT UNIVESITAS KRISTEN INDONESIA HOSPITAL, 2010-2017
type: item
description: Tonsillitis is a common disease in Ear Nose Throat (ENT) clinic, especially in the age of children and adolescents. Tonsillitis is inflammation of the palatine tonsils caused by bacteria, viruses or other immunological factors. The research is to find the characteristic of patients tonsillitis at Christian University of Indonesia Hospital. Method: This research uses descriptive method with retrospective approach done at Christian University of Indonesia General Hosipital with sample number of 40 patient. Statistical data checks using SPSS version 25. Result: Based on the medical record data obtained patients tonsillitis in children most often in the age group 0-6 62.5%, male gender 55%, have good nutrition status 57.5%, the main complaints of sorethroat 60%, size of T2-T2 tonsils 40%, medical diagnosis is acute tonsilitis 75%, medical treatment 77.5%. Conclusion: The profile of patients with tonsillitis in children was predominantly in the age group 0-6 years, male gender with good nutritional status had major complaints was swallowing pain, tonsils size T2-T2 and diagnosed acute tonsillitis. Medicamentous administration was an option in the treatment of tonsillitis.
subject: Articles
  topic: section
subject: Tonsillitis
  topic: keywords
subject: children
  topic: keywords
subject: prevalence
  topic: keywords
creator: Ester Puti Andyni Manalu
creator: Bambang Suprayogi Resi Utomo
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-04-09
publication date: 2024-04-09
starting page: 27
ending page: 30
doi: 10.35120/medisij030127p

NON-COMMUNICABLE DISEASES IN REPUBLIC OF SERBIA: CAUSES AND CONSEQUENCES
type: item
description: The growing trend of chronic non-communicable diseases, which affects both developed and developing countries, is linked to changes in diet and lifestyle. Despite numerous epidemiological pieces of evidence and recognized risk factors for the development of chronic non-communicable diseases, there are still worrying indicators of morbidity and premature mortality as a consequence of non-communicable chronic diseases. The goal of the work is to point out the urgent need to create effective and sustainable health policies that would provide answers to growing public health challenges. Additionally, the authors emphasize in the paper the key risk factors and the necessity of transforming patterns of inadequate behavior in order to mitigate, and in the future, to stop the unfavorable trend of newly diagnosed cardiovascular diseases, stroke, diabetes, and cancer, as the leading causes of disability and premature death, as well as to reduce the burden on health funds.
subject: Articles
  topic: section
subject: non-communicable diseases
  topic: keywords
subject: cardiovascular diseases
  topic: keywords
subject: malignant diseases
  topic: keywords
subject: respiratory diseases
  topic: keywords
subject: diabetes
  topic: keywords
creator: Branislav Sančanin
creator: Aleksandra Penjišević
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-04-09
publication date: 2024-04-09
starting page: 19
ending page: 25
doi: 10.35120/medisij030119s

DYNAMICS OF MORTALITY FROM DISEASES OF THE CIRCULATORY ORGANS IN BULGARIA, SOUTH CENTRAL REGION AND PLOVDIV PROVINCE
type: item
description: In the European Union, Bulgaria ranks first in terms of mortality and last in terms of life expectancy. According to Eurostat data for 2018 in Bulgaria, from 2011 until this moment, the coefficients of both preventable mortality with good prevention and mortality preventable with good treatment are higher than the corresponding values for the EU as a whole. There are no prospects for their improvement. The rate of preventable mortality with good prophylaxis reached 226 per 100,000 population, which is significantly higher than the value of the rate in the whole EU (160 per 100,000). On the one hand, weak primary prevention and health promotion, and on the other hand, the need to improve protocols for diagnosis and treatment of the leading causes of death can be pointed out as reasons. The aim of the present study is to perform a comparative analysis of the dynamics of mortality from diseases of the circulatory organs for Bulgaria, its South Central Region and the Plovdiv province as part of this region. Materials and methods: documentary analysis - based on data from the National Statistical Institute; inductive and deductive methods; comparative analysis; structural analysis; economical analysis; statistical methods - analysis of the dynamics of phenomena, tabular and graphic analyzes - to visualize the obtained results. Results: Both for Bulgaria as a whole, as well as for its South Central region and the Plovdiv province, there is a trend of increasing mortality (per 100,000 people of the population) from diseases of the circulatory organs. Conclusion: From the data of our study, it is clear that, in general, for the observed 10-year period, and more specifically for the last of the years under consideration - 2022, for the entire country, the highest relative share in mortality (per 100,000 population) is occupied by other diseases of the heart. For the South Central region, the mortality rate from ischemic heart disease is the highest. The situation is similar …
subject: Articles
  topic: section
subject: mortality
  topic: keywords
subject: circulatory system diseases
  topic: keywords
subject: South Central region
  topic: keywords
subject: Plovdiv province
  topic: keywords
subject: risk factors
  topic: keywords
creator: Ivanka Kulevska-Gonovska
creator: Emil Spasov
creator: Румяна Янева
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by-nc/4.0
date: 2024-04-09
publication date: 2024-04-09
starting page: 13
ending page: 18
doi: 10.35120/medisij030113k