Publications by authors named "Stanislava Yordanova"

We investigated the rise of nontuberculous mycobacteria (NTM) infections in Bulgaria, focusing on species identification and distribution from 2018 to 2022. Utilizing advanced diagnostic tools, including the Hain Mycobacterium CM/AS method, Myco-biochip assay, and whole-genome sequencing, the study identifies and characterizes a diverse range of species from clinical samples. While , , , and were dominating, a number of rare species were also found.

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Article Synopsis
  • The study focuses on the issue of drug-resistant tuberculosis in Bulgaria, specifically investigating the transmission of rifampicin-resistant strains from 2017 to 2019 using whole genome sequencing (WGS).
  • The results showed that a majority of the isolates were from the Euro-American lineage, with over 18% resistant to fluoroquinolones, but no resistance mutations were found for bedaquiline or linezolid.
  • The findings emphasize the effectiveness of WGS for monitoring and understanding recent tuberculosis transmission and predicting resistance to various antituberculosis drugs.
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Introduction: Nontuberculous mycobacteria (NTM) are representatives of the genus Mycobacterium with a worldwide distribution, associated mainly with water, soil, and biofilms. Some of NTMs, such as Mycobacterium avium complex (MAC), are etiological agents of human diseases - disseminated or with different localization, most often pulmonary.

Aim: In the present study, we analyzed Mycobacterium intracellulare isolates recovered from clinical specimens of tuberculosis (TB) suspected patients in Bulgaria, 2018-2020.

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Article Synopsis
  • This study reports the first two confirmed cases of Mycobacterium marinum infection in Bulgaria, a type of non-tuberculous mycobacteria.
  • The infections were identified using specialized media, cultivation techniques, and PCR-based Line Probe Assay at a national laboratory.
  • Both patients worked with fish and water, exhibiting similar symptoms known as "swimming pool" or "fish tank" granuloma, and faced challenges with prolonged treatment involving rifampicin and ethambutol.
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A three-step synthesis was implemented to prepare a quaternary ammonium functionalized blue fluorescent poly(propylene imine) dendrimer modified with pyridinium salt of 4-acylamino-1,8-naphthalimide. The new cationic dendrimer absorbs in the ultraviolet light region and emits blue fluorescence. Its spectral characteristics in organic solvents and in an aqueous solution were studied.

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Four benzothiazolium crown ether-containing styryl dyes were prepared through an optimized synthetic procedure. Two of the dyes ( and ) having substituents in the 5-position of the benzothiazole ring are newly synthesized compounds. They demonstrated a higher degree of photoisomerization and a longer life time of the higher energy forms in comparison with the known analogs.

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Novel asymmetric monomeric monomethine cyanine dyes , which are analogues of the commercial dsDNA fluorescence binder thiazole orange (), have been synthesized. The synthesis was achieved by using a simple, efficient and environmetally benign synthetic procedure to obtain these cationic dyes in good to excellent yields. Interactions of the new derivatives of with dsDNA have been investigated by absorption and fluorescence spectroscopy.

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The objective of the study was to compare three different questionnaires (Short Form (SF)-6D, EuroQuol (EQ)-5D and WHO-5) to establish which one is more sensitive and which one gives an adequate assessment of the quality of life in patients with diabetes. In an observational and transversal study with duration of 4 months, in 5 Bulgarian cities, 146 patients were randomly selected. The following quality-of-life measuring instruments were applied: 146 questionnaires SF-6D, 146 questionnaires EQ-5D and 103 questionnaires of WHO-5.

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To assess the spread of the Mycobacterium tuberculosis Beijing genotype among patients with multidrug-resistant and extensively resistant tuberculosis in Bulgaria, we genotyped 188 (72%) of 261 microbiologically confirmed resistant isolates obtained during 2007-2011. The estimated prevalence of the Beijing genotype among these patients was 3.2%.

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