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Biomedical subjects

B Stambolov

Publications and source records attributed to B Stambolov.

At least 19 recordsLinked to original sources
PubMed2005

[Incidence and indications for cesarean section in the Obstetrics Clinic in the University Hospital of Obstetrics and Gynecology "Maichin Dom" in Sofia].

The incidence and the indications for Cesarean section in the Obstetric Clinic of the University Hospital of Obstetrics and Gynecology were analysed and compared to a study carried out 20 years ago In 2003 - 2004 there were 2700 pregnant women treated in the clinic 558 had Cesarean section (incidence 20.7%). For comparison the incidence of Cesarean section in 1985 was 6.67% (160 Cesarean sections for 2096 patients) and for 1986 the incidence was 7.63% (131 Cesarean Sections for 1865 patients. The leading indication for the both studies was "previous Cesarean section" the indication "contracted pelvis" was the second and infertility and breech presentation were on the third and forth place. There was no change in the indications for Cesqarean section in the present study and the study carried out 20 years ago. There was a relative increase of the indications 'contracted pelvis' and 'increased age in a nulliparous patiet' compared to the previous years.

Breech Presentation↗
PubMed2004

[Highlighting some clinical aspects of the association of myoma with pregnancy].

UNLABELLED: Leiomyoma is a benign tumor, with mesenchymal embryonal cell origin. During pregnancy 0.1 to 4% of cases are diagnosed. MATERIAL, METHODS AND RESULTS: During the period of 1999-2003, 59 pregnant and delivering women were registered with the diagnosis of Leiomyoma (0.5%) at the ObGyn complex, University Hospital, Pleven. In the observed group, were encountered significantly more often primary sterility, pathological positions of the fetus and placental pathologies. CONCLUSIONS: Leiomyoma frequently complicates the progress of pregnancy and delivery necessitating operative intervention by the means of Caesarean Section.

Adult↗
PubMed2004

[Paraurethral cysts--diagnosis, differential diagnosis and treatment (a case report)].

The aim of the authors is to reflect clinically upon a rare pathology of the female genital system vaginal cysts. The presentation includes description, diagnostical methods, differential diagnosis and treatment of the paraurethral cysts and urethral diverticulum. It was fully described on the basis of clinical case from the gynecological practice on a patient with paraurethral cyst, which was removed surgically with good outcome and result.

Adult↗
PubMed2004

[Characteristics of maternal mortality in the university hospital of Pleven for the period of 1977-2001 years].

The authors report retrospective investigation of causes for maternal mortality in the Department of Obstetric and Gynecology in Hospital in Pleven for the period 1977-2001 and comparison between indexes for a different period of time. Objects of investigation were patient histories necropsy report and forensic expertise. Vital births were 73922 for a period of 25 years in Pleven. Dead pregnant and materinity were 45 and the rate of maternal mortality was 60,07/per 100 000 vital births. Causes of maternal mortality were divided in immediate 40 cases (88,88%) and indirect - 5 cases (11,11%). The hemorrhage was the most common cause of maternal mortality - 18 cases (45%). The authors mention that the absolute number of maternal losses is comparatively constant but the rate of maternal mortality in creases because of tendency of decrease of birthrate and concentration of pathology in Department of Obstertic and Gynecology in Pleven.

Adult↗
PubMed1995

[Rupture of follicular and corpus luteum ovarian cysts--the cause of acute gynecological abdomen].

The symptomatology of the ruptured follicular and corpus luteum cysts varies from clinical occult status to haemorrhagic shock according to clinical studies for a ten years period. The syndrome frequency is higher in women over 30 years of age at rate 1:2 of the follicular to luteum cysts affecting mainly the right ovary. Twenty percent of the patients have been treated conservatively. Preoperative and intraoperative diagnosis coincides in 92% of the cases.

Abdomen, Acute↗
PubMed1993

[The motivation for deciding on keeping or terminating a pregnancy. II. The socioeconomic factors, the self-assessment of health status and the attitude towards the future].

Subject of investigation are peculiarities of emotional and motivational sphere of women in a fertile age (women recently confined or terminating pregnancy by wish). They are divided according to their attitude towards real pregnancy. Results of investigation show that double-pole attitude towards pregnancy is in direct dependence on the employment, on the security of working place. Marriage and its duration are mutually connected with the negative attitude toward pregnancy. Pregnancy becomes unwished for when the number of children desired coincides with the real one. There is a considerable interconnection between pessimistic expectations and attitude toward pregnancy in the both groups (p < 0.05). As a whole 72 per cent of tested persons would like to have two children without special preferences regarding their sex. According to the data made out of the investigation desired number of children is connected with the satisfaction from living conditions, the woman's age and marriage duration, with the professional realization and faith in future. The authors consider that towards every pregnancy an individual approach is necessary with careful search and investigation of factors which define woman's attitude toward pregnancy.

Abortion, Legal↗
PubMed1993

[The prevalence of the HBsAg carrier state among pregnant women and its effect on newborn infants. V. A follow-up of the processes of HBsAg clearance in pregnant women discovered as antigen carriers].

When studying the process of cleaning from HBsAg of 43 women, discovered as carriers during 8 1.m. is found essential continuity of persisting of the antigen from 1 to 6 years. The full cleaning from the antigen is found in 13 women (30.23%) and in the other 30 (69.77%) is found lasting persisting as of HBsAg and of the other markers of viral hepatitis B and viral hepatitis D. In the enlarged serological investigation for presence of the markers of viral hepatitis B and viral hepatitis D and complex clinical and paraclinical investigation is found that in the form of carriers of HBsAg are hidden different manifestations of the hepatitis B and hepatitis D viral infection--starting stages of viral hepatitis B, acute or chronic hepatitis B and hepatitis D viral infection and passed hepatitis B and hepatitis D viral infection. The obtained results allow to be admitted that women carriers of HBsAg appear to be potential sources of infection from viral hepatitis B and viral hepatitis D.

Bulgaria↗
PubMed1992

[The motivation for deciding to preserve or to terminate a pregnancy].

With 68 women recently confined and terminating pregnancy by wish a study was made about anxiety in its two varieties: (i) as a mental condition connected with an actual and significant for the person life situation and (ii) as a personal feature--a way of perception and interpretation of the events as threatening. Anxiety's level is measured by a psychological test adapted to the Bulgarian conditions. The high average estimation of anxiety shows that termination of pregnancy is suffered as a stress. Subject to anxiety are also family's incomes when investigating both groups--women recently confined and women going to have an abortion. Level of anxiety of women recently confined is connected with the attitude towards future which definitely bothers 67.6 per cent of them. Analysis of indices shows that anxiety in connection with the decision for keeping or terminating of pregnancy as well as with the expected future after confinement is subject to many factors. Data interpretation confirms the well-known thesis that reproductive health protection is not only of a medical and biological but of very wide interdisciplinary interest when the woman is on the brink of the important for her personally and finally for the society as well decision pro and con real pregnancy.

Abortion Applicants↗
PubMed1990

[The prognostic significance of the histological types of endometrial cancer in relation to the 5-year survival of the patients].

The authors analyse 474 patients with endometrial carcinoma, admitted and treated at the gynecological clinic of the Higher Medical Institute in the town of Pleven during the period of 1980-1988. The mean age of the women is 63.15-8.14 years. The hospitalized patients are arranged according to the clinical stage during the period of 1984-1988 in the following way: I stage--17.43%, II stage--72.69%, III stage--6.25% and IV stage--3.61%. The degree of a 5-year survival depends on the histological structure of the tumour. The late results in the treatment of patients with highly differentiated adenocarcinoma in comparison with the remaining forms are considerably better. The survival is over 76% of the treated women at I stage. The results from the clinical and morphological study on the basic variants of growth and distribution of carcinoma of the uterine body determine the basic principles for rational surgical treatment. Timely discovery, dispensary observation and treatment of women, predisposed to endometrial carcinoma are practical possibilities for pathogenetically substantiated prophylaxis.

Aged↗
PubMed1990

[Endometrial cancer. A clinico-morphological study].

Knowledge of cyclic changes, connected with hormonal action and precancerous states, is of substantial significance for early diagnosis and timely treatment of endometrial carcinoma. Eighty six women with endometrial carcinoma, established histologically, were studied prospectively. A parallel study of histological differentiation of the tumour and some clinical symptoms was made. Serum level of F2 were examined as well. It was found that they were more manifested in highly differentiated adenocarcinomas. Women with histories for dysfunctional uterine bleedings suffering from hypertonic disease diabetes, obesity and with increased levels of E2 were considered as a risk group for development of endometrial carcinoma.

Adenocarcinoma↗
PubMed1990

[Malignant neoplasms of the ovaries. The diagnostic and therapeutic results].

The study included 291 women, who suffered from malignant ovarian tumours, hospitalized and treated in the gynecological clinic of the Higher Medical Institute in the town of Pleven during two period: of 1984-1988-168 patients and of 1980-1983-123 patients. A total 5-year survival was estimated for those women. The mean age of women was 55.08 +/- 15.79 years with a mean number of deliveries 1.82 +/- 0.78 and a number of abortions 2.03 +/- 0.75. The great relative part of epithelial tumours--91.66% was noted in the general structure similar to other distributions. The age groups of 40-49, 50-59 and 60-69 were mostly represented. An interesting case of a woman with an ovarian carcinoma at late stages with more than an 8-year survival was described. The total 5-year survival, estimated by the authors, for the period of 1980-1983, was 26.19%. The principles of combined treatment are discussed in accordance with the clinical stage, operative and histological results. The significance of some risk and prognostic factors are evaluated.

Adult↗
PubMed1990

[The diagnostic and therapeutic results in carcinoma of the cervix uteri].

The study was carried out on 584 women with carcinoma of the uterine cervix, hospitalized and treated at the gynecological clinic of the Higher Medical Institute in the town of Pleven for a period of 9 years (1980-1983). The mean age of the patients was 48.26 +/- 13.31 years. The hospitalized women had 2.25 +/- 0.92 deliveries and 1.87 +/- 0.69 abortions. Investigating premorbid background of the patients, the authors studied frequency and character of the most frequently encountered operative interventions--appendectomy, herniotomies, cholecystectomies, ectopic pregnancy, ulcer, which did not show special differences from the remaining population. Adenocarcinoma of the uterine cervix had, 1.34% of the women and was found more rarely in comparison with some literary data. A 5-year survival was 61.05% of the cases with established metastases and undergone treatment. The mean age of women, in whom the operation of Wertheim was made, was 35 +/- 4.52 years, but that of those with combined x-rays therapy was 62 +/- 15.49 years. Possibilities for finding carcinoma of the uterine cervix at early stages of development, according to the authors, depend to a large degree on the oncological training of gynecologists, organization of cytological examinations and exact usage of the results from colposcopic and morphological investigations.

Adenocarcinoma↗
PubMed1990

[The treatment of tubal pregnancy with methotrexate].

After a brief review on the possibilities for conservative treatment of tubal pregnancy the authors described a woman with left tubal pregnancy, in whom metotrexat was used successfully in a dose of 20 mg 4 times every other day administered intramuscularly. The right uterine tube of the woman was removed during the preceding ectopic pregnancy. The patency of the remaining tube was examined after a 2-month period, during which anti-inflammatory treatment was performed as well. An opinion is given that such conservative treatment should be used only in strictly diagnosed patients and with the single aim-preservation of reproductive capabilities of the woman, when there is no other way of treatment. When there are no reproductive aims, the operative method is recommended.

Adult↗
PubMed1989

[Cesarean section in elder primiparae].

The frequency and indications for cesarean section for elderly primiparae are presented and compared with those for primiparae aged no more than 29 years and primiparea aged 30 to 34 years. With a mean frequency 1.75% of elderly primiparae, the operation took place in 60% of the cases in the year 1984 and in creased up to 80.95% during 1987. The most frequent indications for cesarean section in this group were: infertility 42.86% preeclampsia 11.43% dynamic dystocia 8.57%. A scheme for management of elderly primiparea that was introduced in obstetrical practice in order to lower the percentage of abdominal delivery, is presented.

Adult↗