- Colorectal Cancer Surgical Treatments
- Mental Health and Psychiatry
- Cardiac, Anesthesia and Surgical Outcomes
- Pelvic and Acetabular Injuries
- Cardiac tumors and thrombi
- Congenital Anomalies and Fetal Surgery
- Pediatric Hepatobiliary Diseases and Treatments
- Gallbladder and Bile Duct Disorders
- Colorectal and Anal Carcinomas
- Pancreatic and Hepatic Oncology Research
- Aortic aneurysm repair treatments
- Sarcoma Diagnosis and Treatment
- Colorectal Cancer Screening and Detection
- Schizophrenia research and treatment
- Gastric Cancer Management and Outcomes
- Digital Humanities and Scholarship
- Colorectal Cancer Treatments and Studies
- Hernia repair and management
- Obsessive-Compulsive Spectrum Disorders
- Dermatological and COVID-19 studies
- Genetic and rare skin diseases.
- Hedgehog Signaling Pathway Studies
- Soft tissue tumor case studies
- Child and Adolescent Psychosocial and Emotional Development
- Anorectal Disease Treatments and Outcomes
Medical University Pleven
2018-2024
Shumen University
2023-2024
Sofia University "St. Kliment Ohridski"
2019-2022
National Specialized Hospital for Active Treatment of Hematologic Diseases
2014-2021
Military Medical Academy
1989-2013
Medical University of Varna
2003
Religion can play an important role in the lives of psychiatric patients. We assessed how often a psychotic illness lead to change strength religious faith and commonly religion is used for coping with such illnesses sample consecutively admitted 52 patients psychosis were interviewed regarding their beliefs after index admission. 69.4% religious, 11 (22.4%) stated that was most part lives. 30.4% described there had been increase religiousness onset illness. 61.2% using Such better insight...
Introduction Somatotropinomas are the main cause of acromegaly. Surgery is primary and most efficient method treatment. The study aimed to compare radicality small-sized medium (<30 mm) somatotropinoma removal incidence postoperative complications in patients with acromegaly when using microscopic endoscopic techniques. Methods In this randomized controlled trial, a total 83 underwent transspheroidal endoscopy or surgery. Somatotropinoma was all cases. Patients were randomly divided...
Background: Gastrectomy, the surgical removal of all or part stomach, is a critical intervention often employed in cases gastric cancer. Among various techniques utilized gastrectomy, two primary methods have gained prominence: Roux-en-Y anastomosis and intestinal interposition. Both aim to restore gastrointestinal continuity functionality post-surgery, yet they differ their approaches outcomes. This article evaluates efficacy, benefits, drawbacks context gastrectomy. Patients Methods: A...
Abstract Background: Minimally invasive surgery for groin hernia has expanded significantly over the last two decades and demonstrated better outcomes in terms of pain quality life. A major contributing factor related to chronic post-operative inguinal (CPIP) is mesh fixation. An alternative standard fixation methods self-adhesive surgical mesh. Patients Methods: Prospective data analysis was performed all patients undergoing laparoscopic transabdominal pre-peritoneal (TAPP) repair a single...
Background: Pancreatic anastomotic leakаgе is one of the most serious complications following pancreaticoduodenectomy (PD). The significant riskfactors for pancreatic leakage are texture, main duct (MPD) size and technique. Herewith we describe our technical modifications single-layer pancreaticojejunostomy (PJ) with a soft pancreas nondilated MPD reconstruction after PD. Methods: We report early experience using this technique in 52 patients who underwent PD between May 2009 December 2012....
Using pneumodissection in TAPP, we found it easier to confirm the inguinal anatomy and dissect preperitoneal layer floor, with less bleeding. The mean operative time was 72 min during 27 procedures, there were no perioperative complications minimal pain.
Splenic cysts are rare medical conditions, and their incidence is dominated by parasitic types. Non-parasitic splenic cysts, whether true (with a cellular lining of the cystic wall) or pseudocysts (without lining), significantly rarer than ones. Their etiology not fully established, with fetal remnant development, metaplasia, mesothelial invagination being widely accepted possible mechanisms. rarely symptomatic if small predominantly discovered incidentally, while larger multiple mainly...
This scientometric study analyzed the dynamic institutionalization of research on laparoscopic proctocolectomy and outlined most significant institutions, scientists, journals conference proceedings.A retrospective problem-oriented, title-word based search was done in Web Science Core Collection (WoS), MEDLINE BIOSIS Citation Index (BIOSIS) between 2008-2017.The following parameters were comparatively assessed: annual dynamics publications; languages authors; journals; scientific...
We present a full text search engine in digital library of Bulgarian folklore songs - the lyrics and scores songs. The deployment on cloud as well technical requirements for providing our data to Europeana are discussed.
The course of psychoses schizophrenic type follows rules which are still not adequately understood. It is, however, clear that certain symptoms appear mostly early, others only late. With this hypothesis in mind, we studied 44 final phase patients whose main symptom was disordered thinking the schizophasic and illness at least 10 years' standing. most important finding study is varied unspecific initial progresses into a highly specific syndrome. initially registered include various...
The hypothesis that some symptoms of schizophrenia only manifest in the early stages whereas others appear later is tested with 33 inpatients 'terminal states'. It found while onset shows no specificity, outcome very typical. initial are polymorphous; thought disorders can be less than one third patients and frank incoherence approaching severity schizophasia not at all. Many years registered as paralogism, echolalia, verbigeration, stilted speech, neologism, hypotonic thinking, retardation,...
Aggression and anxiety are among the most common phenomena needing medical control, especially in acute mental disorders. Today we can choose from a confusingly large array of drugs which quickly control these two kinds emotional behavioural Everyday practice shows that groups symptoms, seemingly so different one another, be treated with same drugs. If probe more deeply into matter, find similarities effects include not only inhibition aggressiveness but also their enhancement, activation,...
Summary Our purpose was to present a technique of pneumodissection applied with total mesorectal excision that ensured effective pelvic nerve preservation. Its detailed description emphasized the role proper definition optimal dissection plane around rectal cancer, so-called ‘holy plane’ for excision. The study covered 28 cancer patients at mean age 58±7.6 years (range 53 69 years). Rectal cancers were TNM stages I-III and differentiation grades G1-G3. Total between 2011 2016 performed....
Abstract Background The epidemiology of Crohn’s disease (CD) has changed over the past decades, demonstrating a trend toward increased prevalence in developing countries, while developed its incidence stabilized. study aimed to examine profile key pro-inflammatory cytokines serum patients with CD and establish their association severity activity disease. Methods A total 61 (29 women (47.5%), 32 men (52.5%) aged from 18 40 years (mean age (30.42 ± 2.51) years) verified diagnosis active phase...
Isolated congenital cystic duct absence is a very rare pathology of the biliary tract. A comprehensive review patients identified in literature available presented. Traditionally, open surgery such as retrograde or anterograde cholecystectomy performed. patient whom during laparoscopic missing has been diagnosed reported to illustrate effectiveness approach. This approach consists clear differentiation common hepatic and bile ducts with wide gallbladder mouth directly attached them resection...