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Biomedical subjects

L Lazarov

Publications and source records attributed to L Lazarov.

At least 19 recordsLinked to original sources

Efficacy of parenteral administration of ivermectin in the control of strongylidosis in donkeys.

Investigations into the efficacy of parenteral ivermectin (Pandex) administration for strongylidosis control in donkeys were carried out. The preparation was applied subcutaneously at a dose of 0.2 mg/kg (1 ml/50 kg body weight). One day prior to the treatment and 14 days post-treatment, individual coprological samples were obtained for faecal nematode egg counts and larval culture. The study was performed on 263 donkeys originating from different regions of Bulgaria. Prior to the treatment and 20 days after that, blood samples were obtained from 64 previously infected animals for monitoring of changes in eosinophil leukocyte counts. The subcutaneous application of ivermectin had an efficacy of 96% in terms of reduction of faecal egg counts. In 92.2% of infected donkeys, a complete reduction of faecal eggs count occurred (0 eggs per gram of faeces epg), whereas in the remaining 7.8% of the infected donkeys, the egg counts were reduced by 72%. The reduction in faecal egg counts did not result in changes in eosinophil counts. The results obtained as well as the lack of local changes after the subcutaneous application of ivermectin in donkeys allow us to recommend its use for control of strongyles in donkeys.

Animals↗

[Cancer of the cervix uteri--exophytic form, prominating through the vaginal introitus of a 52-year old patient].

The authors describe a rare case of carcinoma of the cervix uteri with exophytic accretion, prominating through the vaginal introitus of a 52-year old patient. They make the conclusion that accurate, precise and early diagnostics is necessary as well as an experienced operative team because during surgery there might be surprises, disturbing its normal course and outcome.

Carcinoma↗

[Our experience with cedax (ceftibuten) in the obstetrical and gynecological practice].

Cedax is an oral third generation cephalosporin for use with a wide spectrum of antibacterial activity. It has been made a comparative study between Cedax and other third generation cephalosporins in 40 pregnant women with asymptomatic bacteriuria. The authors made a conclusion Cedax is a preferred antibacterial drug for treatment of similar infections of pregnancy because of his easy application way and the absence of side effects.

Administration, Oral↗

[Peripartal hysterectomy].

In the present investigation the authors review 37 cases of peripartal hysterectomy, made in our clinic for a 10 year period. The results show that there is a high risk intervention, because of the massive blood loss and altered anatomical structure.

Adult↗

[Hysteroscopic diagnosis of endometrial carcinoma].

Searching of more effective methods for early diagnosis of Endometrial Cancer has confirmed the hysteroscopy as most complete and sufficient manner in this direction. In the present exposition the authors are sharing their experience and making some practical conclusions that may be useful for the physicians applying this method.

Adult↗

[Elective cesarean section during delivery and emergency. Interrelations among different indicators].

The authors made a retrospective research over 466 Cesarean sections for a 4 year period. The cases were divided into three groups: 1. Elective Cesarean section 2. Cesarean section during the delivery 3. Emergency Cesarean section The purpose is to compare clinical results for the mother and baby in the three groups. We found that: 1. The best results we found in the first group 2. Similar results may be achieved in the other groups, if continuous monitoring of the labor, and if there are possibilities for an emergency operative treatment.

Adult↗

[Parovarian cyst in an 18-year-old patient].

A rare case of a large paraovarian cyst in an unusually young 18-age-old patient, filling up the whole abdominal cavity, is described. It is concluded that an accurate and precise diagnostics, and also an experienced surgical team would be required in such a surgery as complete surprises can take place effecting its course and outcome.

Adolescent↗

Bioelectric impedance in the estimation of hemodynamic and fluid status in dialysis patients.

In order to estimate the hemodynamic and fluid changes, "dry body weight" and intradialytic stability, electric bioimpedance cardiography was performed in 37 dialysis patients during dialysis procedure, i.e. before, at 2 h and after dialysis. The following parameters were estimated: systemic vascular resistance index-fl. Ohm/m2 (SVRI), mean arterial pressure-Torr (MAP), thoracic fluid conductivity/Ohm (TFC), cardiac index-L/min/m2 (CI), left cardiac work index-kg m/m2 (LCWI) and ejection fraction % (EF). Results were compared with changes in total body water estimated by the urea kinetic model (UKM). The patients were divided into three groups: normotensive (n = 12), hypertensive (n = 15) and hypotensive (n = 10). EF was increased in all the three groups, but only in hypotensives this change was significant (from 40.5 +/- 9.1 to 50.2 +/- 5.41, p < 0.01). The changes in other hemodynamic parameters (CI, LCWI, SVRI) did not reach statistical significance. TFC decreased significantly in all the three groups: normotensive from 0.056 +/- 0.009 to 0.048 +/- 0.009 (p < 0.001), hypotensive from 0.043 +/- 0.009 to 0.035 +/- 0.058 (p < 0.001) and hypertensive from 0.054 +/- 0.016 to 0.045 +/- 0.014 (p < 0.001). These changes were accompanied by a significant decrease in total body water (TBW): from 34.05 +/- 4.19 to 32.72 +/- 4.51 in the hypotensive group, from 34.06 +/- 7.18 to 32.91 +/- 7.27 in the normotensive group, and from 38.92 +/- 7.06 to 37.59 +/- 7.04 in the hypertensive group. The technique was found to be simple, noninvasive and helpful for the estimation of individual hemodynamic changes during dialysis procedure.

Blood Pressure↗

[Gynecological interventions and cesarean section without suturing of the peritoneum (visceral and parietal)].

The authors reveal advantages of sewing off technics of parietal and visceral peritoneum in gynaecologic operations and Caesarean sections compared with common routine technics of sewing up. This study is prospective, controlled and includes two years period. 170 cases of gynaecologic operations and 45 Caesarean sections are investigated. It is confirmed the role of preoperative microbiologic investigations of cervical secret and vaginal secret. On the base of results similar to world experience in this field authors recommend described technics to gynaecologists and obstetricians.

Cesarean Section↗

[A single-stage double-layer suture for restoration of the uterine wall in cesarean section--our experience].

The author report, that in the Clinic of Obstetric & Gynaecology--St. Zagora, since 15 years, the uterine wall was reconstructed in two stories during caesarean section with continued catgut stitches. From 1990 they set the task to study prospectively the results of using the new surgical technics--one-stored, two-layered suture for reconstruction of the uterine wall during caesarean section. The received results of this method at 71 patients for 4 years & 5 months are very good and they confirm the effectiveness of one-stored, two-layered suture. The task is to enlarge the limits of using this technics from the others assistants in the clinic.

Catgut↗

[Protracted labor ending with a cesarean section--a high-risk factor for puerperal infection].

The author undertakes a study to investigate the protracted delivery with different duration of prematurely ruptured membranes, to investigate and to compare the morbidity and structure of patients. To investigate the lochia secretions and to compare the microflora of the patients with ruptured membranes at different times with a view to their influence by antibiotic prophylaxis. At the end author makes appropriate conclusions.

Bulgaria↗

[The active management of labor. The advantages and disadvantages].

The doctrine for active conduct of labour is undoubtedly leading in the modern obstetrics. The authors apply a new, modified method for the conduct of labour, which is applied electively. The most important labour's components are reflected on simplified partogram in order to graphic visual aids.

Adolescent↗

[The relationship between the outcome of a free vaginal birth and the indications for a prior cesarean section].

The author sets up the task to analyse the correlation between the results of vaginal delivery and the indications for a previous Caesarean section. The work is done on the base of 740 deliveries in the Clinic of Obstetrics and Gynaecology in Stara Zagora. The author discusses the major indications for Caesarean delivery especially pelvis-fetal disproportion and makes the conclusion that this indication has not been set properly during the first Caesarean delivery because the women delivers even larger fetuses per vias naturales in the consequent pregnancies. The pelvio-fetal disproportion in pregnancy does not mean that the next pregnancies must be terminated by operation.

Asphyxia Neonatorum↗