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Biomedical subjects

D Vasilev

Publications and source records attributed to D Vasilev.

At least 19 recordsLinked to original sources
PubMed1994

[A case of an impossible cannulation of the v. jugularis and v. subclavia in a female patient with longstanding myasthenia gravis and immunosuppressive therapy].

The report deals with a female patient presenting myasthenia gravis of 8-year duration, maintained on continuous APV, repeatedly cannulated central veins, and immunosuppressive therapy with corticosteroids--Imuran and Sandimmun. Repeated CT examination of the mediastinum fails to detect any process. The consecutive scanning is necessitated because of the impossibility to cannulate v. jugularis and v. subclavia at the last attempt. Cytological evidence of a thymosarcoma is established during examination.

Adult↗
PubMed1994

[A case of generalized convulsion during induction with Diprivan].

The case report concerns a male patient presenting oligophrenia and epilepsy of long duration, adequately prepared for anesthesia with anticonvulsants, sustaining generalized convulsion during anesthesia induction with Diprivan. On deepening Diprivan anesthesia, the convulsion subsides. The patient runs an uneventful postoperative course, free of convulsions. The issue of small doses Diprivan giving rise to convulsions is comprehensively discussed.

Adult↗
PubMed1993

[Artificial abortions in Bulgaria and their prevention].

Authors go into one extremely important problem for the family, woman, natality and family planning in Bulgaria. Scarcely during the last years it can be observed a slight reduction of the frequency of induced abortions. The average age of women having an abortion is high--about 30, which shows, that induced abortion is still a method of regulation fertility in intergenetic interval. The rate of those who have induced abortion under the age of 19 in Bulgaria is 7.8 to 53.3%, in Czechoslovakia, 6.7%, in DDR--50.0%, Greece--68%, Hungary--8.9%, Sweden--15.8%. The rate of done again induced abortion is higher, that is a result of bad preventing activities during the first abortion. Similar is the tendency of growing number of unmarried women having an induced abortion, as it is in the other countries: from 16.4% in 1980 to 21.7% in 1987. Bulgaria is on the third place in Europe according to the absolute number of dead cases after abortion (maternity death, after Rumania and USSR). It can be mentioned that in Bulgaria women do not use the most modern and safest devices, medicines for interruption of pregnancy.

Abortion, Induced↗
PubMed1991

[Prohibited visiting in the maternity hospital and its epidemiological consequences].

Advancement of the obstetric ward in Bulgaria is connected with the organization, forbidding a free contact of parturients with their relatives. The authors carry out an inquiry study, showing that the administrative ban of visits in the obstetric ward is violated a hundred percentage. Concrete data are indicated to show when, with whom, for how much time the parturients are visited. The opinion of the parturients is accepted that it is necessary to fix daily time for their visits with members of their families, and it is recommended that the problem should find contemporary administrative solution.

Bulgaria↗
PubMed1991

[Our experience with the use of the new Bulgarian intrauterine contraceptive device, the Venus Cu 300 (preliminary report)].

A team of the family planning centre at the Research Institute of Obstetrics and Gynecology carried out a trial on a new Bulgarian intrauterine contraceptive device (ICD), produced by the firm Venus in the town of Varna: Venus Cu 300. This is a T-shaped device with horizontal arm of 30 mm, vertical arm of 34 mm, a copper thread with an area of 300 mm2 and two control threads. It is produced from PVC. Purity of copper is over 99.9% in the copper thread. The construction of Venus Cu 300 has the positive properties of other intrauterine contraceptive devices, used in our country during the last 15 years. 87 women have been followed in 320 cycles for a period of 6 months. A larger part of them are parous, mainly with one or two children. Venus Cu 300 has been used in seven nulliparas, presenting risk for frequent abortions. Three Venus Cu 300 have been placed immediately after abortion. No pregnancy occurs, which is explained by the careful choice of the patients. Extraction of ICD has been made only in one case due to medical causes: bleeding and pain. More abundant menstruation after ICD has been found in 11.5% of women, but there has been no need to extract ICD. Inferences are made that Venus Cu 300 is in every way equal to the known models of ICD, that the trial should include a larger group of women to accumulate data in dynamics, in order to improve Venus Cu 300 eventually.

Adult↗
PubMed1990

[The psychosomatic aspects of defloration (a sociomedical study)].

The phenomena surrounding the first sexual act are examined rather poorly from their psychosomatic side during investigation of human sexuality and reproductive behaviour. Frequency and character of the bleeding during defloration, experienced pain, a complex of fear due to pain and bleeding, motivation, evaluation and self-esteem of the behaviour, self-esteem on timeliness of the first sexual act, the attitude of the husband to defloration performed by other partner before marriage. Some of the obtained data are compared with similar data, obtained by analogous studies in some European countries. Inferences are made, which could be used by services, rendering consultative help to young women, candidates for marriage and their partners.

Adult↗
PubMed1990

[Defloration (a sociomedical study)].

Object of the study were 100 women at fertile age, who informed retrogradely for events connected with disturbance of their virginity. It was established that defloration occurred not at exactly determined moment of the age of young women and girls, but at wider age interval from 16 to 20 years, during noon hours and at night, with equal probability during all seasons, excluding summer, when probability is twice as large, in various places: lodgings, in another's flats, during trips or youth brigades, duration of sexual prey is described, usage of alcohol, ect. An attempt is made to characterize the first partner and stability of the connection between partners, evolution of this connection, which is the background of defloration. The obtained data are compared with data on analogous studies in some other countries. The inferences are proposed as recommendations, which should be taken into consideration by parents, teachers and health services.

Adolescent↗
PubMed1990

[Sexual violence as a sociomedical problem].

A review is made on data, described in the literature, in respect to frequency and significance of sexual abuse. In spite of the scarcity of data and discretion, with which the problem is surrounded, it could be determined that in some countries around 10 to 25% of women at mature age run a risk of sexual abuse. The forms are described, in which this violation of sexual freedom of the personality are manifested: abuse, combined abuse and "passive" form of sexual abuse (s refusal of sexual contact in family partners). Data are given on the characteristic of the abuser and his victims. Sexual abuse is connected with individual constitutional factors: character, biorhythms of sexual needs, physiological states leading to frigidity or impotence as well as socially determined factors: education, usage of alcohol, crimogenic environment, ect. In the end a review is made on the measures, which are taken in various countries in the struggle with sexual abuse: legal protection, institutions for recovery of victims of abuse, "hot telephone lines" social measures, etc.

Female↗
PubMed1990

[The use of the triphasic contraceptive preparation trisiston for therapeutic purposes].

After a brief review of the qualities of the new triphasic contraceptive preparation Trisistone and some of its advantages in comparison with the other combined contraceptive drugs the authors report on the results from the first study, carried out in our country, on the therapeutic effect of Trisistone. Thirty-eight women with various gynecological diseases were treated. The largest group was that of women with irregular bleedings. In this group the effect was not good in all women. It was found that Trisistone had limited possibilities to control irregular uterine bleedings, which most probably was connected with its comparatively low dose of steroid hormones. The side effects were comparatively slight and not quite frequently. The most frequent side effect was the occurrence of irregular bleeding in 9.5% of the treated women. The state without any side effects was improved in 30.1% of the patients. Best results were found in women with postcastration syndrome, hypoestrogenism and congenital anomalies in the development of ovaries--primary ovarian dysgenesis. Trisistone is especially suitable for substituted treatment in women with ovarian hormonal deficit.

Adult↗