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Biomedical subjects

I Dimitrov

Publications and source records attributed to I Dimitrov.

At least 19 recordsLinked to original sources
PubMed1992

[A triple pregnancy following heterologous insemination and ovarian stimulation with a favorable outcome].

The larger usage of inducing ovulation drugs in the last decade brought to more frequent multiple pregnancies. The authors describe triplet pregnancy after hetero-insemination and ovaries stimulation which ended the birth (by Cesarean section) of three alive and healthy babies. The triplet pregnancy is high-risky. More often hypertension anaemia and postpartum haemorrhage are met. The most important complication anyway is the preterm delivery which shows as a result unfavourable perinatal outcome. The question about the effectiveness of the prophylactic cerclage and the prophylactic tocolysis is discussed. The general opinion is that there is a higher rate perinatal death for the second and the third fetus.

Adult↗
PubMed1990

[Echographic studies of the internal genitalia in patients with gonadal dysgenesis].

The state of internal genitals of 30 patients with gonadal dysgenesis was examined dynamically by ultrasound. The results were compared with data from pneumogynecography (PGG), laparoscopy and laparotomy. In 96% of the patients ultrasound examination coincided with PFF and 100% with laparoscopy and laparotomy. Echographic examination is safe, adequately informative and could replace other more invasive depicting methods.

Adolescent↗
PubMed1990

[Vaginal echography in extrauterine pregnancy].

Twenty eight women with suspicion for extrauterine pregnancy were examined by a vaginal transducer. Extrauterine pregnancy was diagnosed in 18 of them, which was confirmed at the operation. There were no echographic data for tubal pregnancy in 10 of the women. Their further follow-up rejected the presence of extrauterine pregnancy. Three tubal pregnancies were discovered by routine monitoring of ovarian cycles. The immediate proximity of the vaginal transducer to the examined organs in the pelvis gives a possibility for exact topical diagnosis.

Female↗
PubMed1990

[The information value of the clinical data related to the vital prognosis in severe combined trauma].

Data are reported on a study of the informative value of ten clinical and laboratory parameters, which have a bearing on the vital prognosis of severe combined trauma. The presentation is part of a more comprehensive study, aimed at creating an expert system for prognosticating this type of pathology. Case material from the Clinic of Anesthesiology, Resuscitation and Intensive Treatment at the "Pirogov" Emergency Hospital in Sofia was used (1986-1988). Included in the study were 455 patients with severe combined traumatic injuries, of whom 210 died and 245 survived. The following methods were used for quantitative assessment of the informative value: for determining the descriptive informative value--informative criterion by Mel'nikov and informative criterion by Bykhovskiĭ [correction of Bihovski]; for the distributing informative value--the method of Kulback and modification of this method, as described by Genkin-Gubler. Simultaneous use of all four methods allowed to precise the values being obtained and to perform with maximal exactness the intervals relevant to the prognosis. This furnished the opportunity to distribute the individual parameters in highly informative groups, designated for entrance to the projected expert system.

Acute Disease↗
PubMed1990

[An information model of the resuscitation activities in treating severe combined trauma].

An informative model developed by the authors for treatment of severe combined trauma is presented. Central place occupy the intellectual activities of the anesthesiologist-resuscitator, while those of the surgeon are only outlined. The construction of the informative model (presented as algorithm) takes into account the fundamental requirements for treatment of severe combined trauma. Analyzing the nature of the informative processes in the model, the authors admit that prognostication is the factor that occupies central place in the treatment of severe combined trauma. The emphasized relative value of prognosis does not underrate the importance of the other intellectual processes in the model: diagnosis, reaching a decision, choice of approach. It is considered that this informative model might be used as auxiliary means in the teaching work in postgraduate qualification courses. At the same time, it furnishes the opportunity to determine the priority in the automation of definite activities in resuscitology.

Acute Disease↗
PubMed1989

[The structure and function of an automated system for predicting neonatal body weight (the Sinodeta P/1)].

The structure and function of an automated nosometric system, created by the authors, for prognosis of the risk of delivery of a child with low weight is described. The system is designed for health services, which give direction to parturient (public health sectors) and obstetric wards without technique and specialists for management of such children. The summarized extract is made on 883 cases, but verification--on 463 cases. The total effectiveness of the system is 82.1% against 66.25% of exact results during intuitive prognosis.

Algorithms↗
PubMed1989

[Gynecological morbidity in teachers].

On the basis of the study Plovdiv-85 the level of gynecological morbidity was discovered during the performed complex prophylactic examinations of teachers. This morbidity occupied eight place in the frequency of pathological impairment of teachers. It was established a manifested dependence between age, length of service and the level of morbidity. On the basis of the obtained information the needs of gynecological patients were established for dispensary system observation and performance of optimal medical and social therapy as well as the usage of sanatorium-health resort basis for complete rehabilitation. The size of the presented extract allows to assume that the obtained results of gynecological morbidity among teachers is statistically significant and representative for their social group in the country.

Adult↗