1,157 results match your criteria: "Medical University - Sofia.[Affiliation]"

Clinical Approach in Prosthetic Treatment With 3D-Printed Implant-Retained Removable Denture: DENTCA System.

Case Rep Dent

October 2024

Department of Prosthetic Dental Medicine, Faculty of Dental Medicine, Medical University-Sofia, 1 "St. G. Sofiyski" Blvd. 1431, Sofia, Bulgaria.

The aim of this study is to present a method that optimizes clinical and laboratory workflow in the fabrication of implant-supported removable dentures by combining conventional and digital protocols. A 73-year-old patient came to our clinic for treatment of a completely edentulous lower jaw. Two Neodent Helix GM implants were placed in the canine regions and a removable denture with Locator GM Novaloc retention elements was fabricated.

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  • * They typically appear as well-defined, tan or mahogany masses with a central scar, and their histology features simple cell structures that indicate low malignancy risk.
  • * A review of 17 studies showed that while there is potential for metastasis (to liver, bones, lungs), only 1.5% experienced disease progression, indicating that aggressive cancer behavior is not necessarily linked to oncocytomas.
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A complex clinical case of aortic recoarctation is presented. The case is a 61-year-old comorbid patient with two previous aortic and cardiac operations. At the age of 10, the patient underwent surgery for post-ductal coarctation of the aorta (adult type) at the typical site, where the stenotic area was completely resected, and an end-to-end anastomosis was performed through a left-sided thoracotomy.

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is indigenous to the Mediterranean region. It is grown as fodder in southern Italy because it contains various secondary metabolites with beneficial activities on animals. Recently, its potential use in cosmeceutical treatments for skin problems was reported.

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: Acute decompensated heart failure (ADHF) is a condition with a high frequency of hospitalizations and mortality, and obstructive sleep apnea (OSA) is a common comorbidity. Continuous positive airway pressure (CPAP) therapy at home can be a good adjunctive non-drug therapy for these patients. : We conducted a single-center, prospective cohort study from 150 consecutive patients hospitalized for heart failure exacerbation in the cardiology department.

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  • A team updated the 2017 EULAR treatment recommendations for systemic sclerosis (SSc) to include new evidence and therapy options.
  • They conducted a systematic literature review and developed 22 recommendations across 8 clinical areas, focusing mainly on skin fibrosis and interstitial lung disease (ILD).
  • The updated guidelines now suggest new treatments like mycophenolate mofetil and rituximab and emphasize a research agenda for future therapies targeting various aspects of SSc.
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Airway Remodeling in Asthma: Mechanisms, Diagnosis, Treatment, and Future Directions.

Arch Bronconeumol

January 2025

Department of Experimental Allergology and Immunology and Department of Allergology and Internal Medicine, Medical University of Bialystok, Bialystok, Poland.

Article Synopsis
  • * The review covers the mechanisms of AR, including resident cells and inflammation, along with diagnostic tools like bronchial biopsy and lung tests, and discusses various asthma treatments.
  • * Current therapies mainly address inflammation rather than the structural changes in the airway, highlighting the need for more research on AR mechanisms to create better treatments and improve asthma management.
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The GENESIS database and tools: A decade of discovery in Mendelian genomics.

Exp Neurol

December 2024

Dr. John T. Macdonald Foundation Department of Human Genetics and John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine, Miami, FL, USA. Electronic address:

Article Synopsis
  • Human genetics research has made a lot of progress in finding out what causes diseases over the last ten years, thanks to sharing data and working together.
  • The GENESIS platform helps scientists who may not know a lot about bioinformatics to analyze genetics data and discover new disease genes.
  • With over 20,000 datasets from rare disease patients, GENESIS has contributed to discovering more than 100 new genes and helped solve many cases for patients with rare diseases.
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It has been demonstrated previously that human leukocyte antigen class I () and class II () alleles may modulate JAK2 V617F and CALR mutation (CALRmut)-associated oncogenesis in myeloproliferative neoplasms (MPNs). However, the role of immunogenetic factors in MPNs remains underexplored. We aimed to investigate the potential involvement of genes in CALRmut+ MPNs.

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L'Hèr. (Geraniaceae) is renowned for its traditional use as a flavor, ornamental and medicinal plant. This work aimed at an in-depth study of the phytochemical profiling and in vitro antioxidant and enzyme inhibition assessment of a methanol-aqueous extract from leaves.

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Sarcoglycanopathies are among the most frequent and severe forms of autosomal recessive forms of limb-girdle muscular dystrophies (LGMDs) with childhood onset. Four subtypes are known: LGMDR3, LGMDR4, LGMDR5 and LGMDR6, which are caused, respectively, by mutations in the , SGCB, and genes. We present the clinical variability of LGMD 2C/R5 among a genetically homogeneous group of 57 patients, belonging to 35 pedigrees.

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  • The study focused on the importance of monitoring transcranial motor-evoked potentials (MEPs) during surgeries for extramedullary tumors in the cervical spine and how it relates to postoperative outcomes.
  • Fourteen patients were treated, with a mix of schwannomas and meningiomas, and the follow-up for neurological assessment lasted six months.
  • Results indicated that a significant drop in intraoperative MEPs often predicted postoperative motor deficits, while improvements in MEPs after tumor removal suggested potential recovery for patients with pre-existing motor issues.
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  • The study investigates how comorbidities impact the quality of life in patients with idiopathic inflammatory myopathies (IIMs) compared to other autoimmune diseases and healthy individuals, utilizing self-reported data from the COVAD-2 survey.
  • Results show IIM patients have significantly higher rates of comorbidities, basic multitasking, complex multitasking, and mental health disorders.
  • The presence of these conditions correlates with lower overall physical and mental health scores, suggesting the need for targeted management strategies for IIM patients based on identified clinical clusters.
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Aim: The study aimed to investigate a lipid profile in people with normal glucose tolerance (NGT), NGT and 1hrOGTT > 8.6 mmol/l, and impaired glucose tolerance (IGT); and to assess its association with some cardio-metabolic parameters.

Material And Methods: A total of 90 subjects, of mean age 46.

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Memory problems in elderly people with traumatic brain injury.

J Neuropsychol

September 2024

Department of Anesthesiology and Intensive Care, Medical University Sofia, Sofia, Bulgaria.

The aim of this study is to assess the effectiveness of various therapy methods in elderly individuals with traumatic brain injury (TBI), taking into account the degree of memory loss and the severity of the injury. The study was conducted in 2022 in Moscow, Russia, and Sofia, Bulgaria, involving six clinics. A total of 200 elderly patients with TBI participated in the study, with a mean age of 72 years.

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Aim: To investigate the effect of adding autologous serum eye drops to the postoperative regime after amniotic membrane transplantation for severe persistent corneal ulcers.

Methods: Forty eyes of 40 patients with persistent corneal ulcers were randomly assigned to artificial tears (sodium hyaluronate 0.2%, ATs group, =20) or autologous serum eye drops (ASEDs, =20) following treatment with amniotic membrane transplantation.

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This study presents a detailed methodology for integrating three-dimensional (3D) printing technology into preoperative planning in neurosurgery. The increasing capabilities of 3D printing over the last decade have made it a valuable tool in medical fields such as orthopedics and dental practices. Neurosurgery can similarly benefit from these advancements, though the creation of accurate 3D models poses a significant challenge due to the technical expertise required and the cost of specialized software.

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Introduction Dental health is an important component of overall health. Many factors can obstruct access to dental care and limit the utilization of services. Barriers to accessing dental services are divided into three groups - by patients, by dental profession, and by state and society.

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Metabolic Risk in Patients with a Diminished Ovarian Reserve and Premature Ovarian Insufficiency.

J Clin Med

August 2024

Department of Endocrinology, Faculty of Medicine, Medical University-Sofia, USHATE "Acad. Iv. Penchev", 2, Zdrave Str., 1431 Sofia, Bulgaria.

Diminished ovarian reserve (DOR) and premature ovarian insufficiency (POI) represent conditions of different severity, characterized by an earlier-than-expected decrease in ovarian activity. The present study aims to compare metabolic disturbances between women with DOR and patients with POI from a different origin. A total of 226 women (28 healthy women; 77 individuals with DOR, and 121 patients with POI/36 with Turner syndrome [TS] and 85 with non-TS POI/) have been studied retrospectively.

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This case report concerns a 48-year-old man with a history of ischemic stroke at the age of 41 who reported cardiac hypertrophy, registered in his twenties when explained by increased physical activity. Family history was positive for a mother with permanent atrial fibrillation from her mid-thirties. At the age of 44, he had a first episode of persistent atrial fibrillation, accompanied by left atrial thrombosis while on a direct oral anticoagulant.

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Focused extracorporeal shockwave therapy for the treatment of low back pain: a systematic review.

Front Med (Lausanne)

August 2024

Department of Neurosurgery, Faculty of Medicine, Medical University - Sofia, Sofia, Bulgaria.

Introduction: Low back pain (LBP) is a common condition affecting up to 84% of people in their lifetime, with a prevalence of 11.9% and a high recurrence rate within the first year. Furthermore, chronic low back pain syndrome has been described in up to 7%, making it a significant health and socioeconomic problem.

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Background: The aging population in Poland poses significant challenges to social and health systems. By 2050, the percentage of people over 65 in Poland is projected to reach 32.7%.

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The medial circumflex femoral artery contributes to the blood supply of the adductor muscles, hip joint, and femoral head. Its variations are common and important in the surgical field, as its damage can cause femoral head necrosis. Most commonly, the variations include different origin patterns from the femoral artery or its branches.

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Supramolecular medicine refers to the formulation of therapeutic and diagnostic agents through supramolecular techniques, amid treating, diagnosing, and preventing disease. Recently, there has been growing interest in developing metal nanoparticles (MNPs)-amyloid hybrid materials, which have the potential to revolutionize medical applications. Furthermore, the development of MNPs-amyloid hydrogel/scaffold supramolecules represents a promising new direction in amyloid nanotechnology, with potential applications in tissue engineering and biomedicine.

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