52 results match your criteria: "University Hospital "Tsaritsa Yoanna - ISUL" - Sofia[Affiliation]"

Article Synopsis
  • Probiotics have shown promise in preventing antibiotic-associated diarrhea (AAD), but clear guidelines were lacking, leading to a trial evaluating a specific probiotic mix called Sinquanon in adults on antibiotics.
  • The study involved over 550 participants in a double-blind trial comparing the effects of the probiotic mix versus a placebo, with findings showing a significant reduction in AAD incidence (9.2% for probiotics vs 25.3% for placebo).
  • Results indicated not only fewer cases of AAD but also improved gastrointestinal quality of life, with no major adverse effects noted between the two groups, suggesting that Sinquanon can effectively help those on antibiotics.
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Co-expression of miRNA players in advanced laryngeal carcinoma - Insights into the roles of miR-93-5p, miR-145-5p, and miR-210-3p.

Biomol Biomed

September 2024

Department of Ear, Nose and Throat Diseases, University Multiprofile Hospital for Active Treatment "Tsaritsa Yoanna - ISUL", Medical University of Sofia, Sofia, Bulgaria.

Advanced laryngeal squamous cell carcinoma (LSCC) is the second most prevalent type of head and neck squamous cell carcinoma (HNSCC). Identifying microRNAs (miRNAs) related to key regulatory molecules or mechanisms could offer an alternative approach to developing new treatment strategies. The aim of our study is to evaluate significant correlations among deregulated miRNAs in advanced laryngeal carcinoma and to analyze, in silico, their strength of association, targets, and the most deregulated pathways.

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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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Effective percutaneous treatment of severe necrotizing pancreatitis: a case report.

J Surg Case Rep

October 2024

Department of Surgery - University Hospital "Tsaritsa Yoanna - ISUL" (8 "Byalo more" str., 1527, Sofia, Bulgaria), Medical University of Sofia, Sofia, Bulgaria.

Article Synopsis
  • Necrotizing pancreatitis (NP) is a serious condition with high risks, and its treatment has shifted from open surgery to less invasive methods like percutaneous catheter drainage (PCD).
  • A 71-year-old male with acute abdominal pain experienced worsening symptoms due to sepsis, leading to the discovery of large fluid collections around the pancreas, which were resolved with PCD.
  • Studies, including the PANTER trial, have shown that PCD is safer and more effective than traditional surgery for infected necrotizing pancreatitis, resulting in fewer complications and lower healthcare costs.
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Article Synopsis
  • Severe COVID-19 cases are often driven by an excessive immune response, known as a cytokine storm, leading to uncontrolled inflammation.
  • Understanding immune dysregulation is crucial for developing targeted therapies to manage COVID-19 effectively.
  • This review examines various immunomodulatory treatments, including corticosteroids, antiviral drugs, and monoclonal antibodies, aimed at balancing immune response to improve patient outcomes.
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Background: Trimethylamine N-oxide (TMAO) is synthesized by the intestinal microbiota and is an independent predictor of cardiovascular disease (CVD). However, its underlying mechanisms remain unclear. We investigated TMAO levels across different CVD-risk patient groups, and evaluated associations between TMAO and vascular alterations (e.

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In people with cancer, multiple primary malignant neoplasms (MPMNs) are not unusual, and they may be caused by risk factors such as genetics, viral infection, smoking, environmental factors, or treatment-related variables. The frequency of MPMNs occurring in the same or separate organ systems is between 2% and 17%. The 5-year breast cancer survivors have been found to have around 3.

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Pseudomonasaeruginosa antimicrobial susceptibility profiles, resistance mechanisms and international clonal lineages: update from ESGARS-ESCMID/ISARPAE Group.

Clin Microbiol Infect

April 2024

Laboratoire de Bactériologie, Centre Hospitalier Universitaire de Besançon, Besançon, France; Laboratoire associé du Centre National de Référence de la Résistance aux Antibiotiques, Centre Hospitalier Universitaire de Besançon, Besançon, France; Chrono-environnement UMR 6249, CNRS, Université Franche-Comté, Besançon, France.

Scope: Pseudomonas aeruginosa, a ubiquitous opportunistic pathogen considered one of the paradigms of antimicrobial resistance, is among the main causes of hospital-acquired and chronic infections associated with significant morbidity and mortality. This growing threat results from the extraordinary capacity of P. aeruginosa to develop antimicrobial resistance through chromosomal mutations, the increasing prevalence of transferable resistance determinants (such as the carbapenemases and the extended-spectrum β-lactamases), and the global expansion of epidemic lineages.

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A considerable portion of the world's population practices fasting, for religious purposes like Ramadan or to adopt a healthier lifestyle such as intermittent fasting. During this period, individuals undergo metabolic changes that alter their internal environment. The literature was analysed to identify a possible relationship between fasting and the development of -induced peptic ulcers.

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Endoscopic mucosal resection (EMR) is the standard of care for the complete removal of large (≥ 10 mm) nonpedunculated colorectal polyps (LNPCPs). Increased detection of LNPCPs owing to screening colonoscopy, plus high observed rates of incomplete resection and need for surgery call for a standardized approach to training in EMR. 1 : Trainees in EMR should have achieved basic competence in diagnostic colonoscopy, < 10-mm polypectomy, pedunculated polypectomy, and common methods of gastrointestinal endoscopic hemostasis.

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Sleep disorders are a common concomitant comorbidity in patients with heart failure. The aims of our study are to determine the incidence and phenotypic characteristics of sleep apnea in overweight patients with exacerbated heart failure and to assess the degree of involvement of systolic and diastolic function impairment in the individual group. From 100 screened patients with heart failure in our department from 2015 to 2017, 61 met the inclusion criteria and participated in the study.

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Analysis of Bacterial Biofilm Formation and and Expression in Chronic Rhinosinusitis Patients.

J Clin Med

February 2023

Department of Ear, Nose and Throat Diseases, Medical Faculty, Medical University of Sofia, University Hospital "Tsaritsa Yoanna-ISUL", Byalo More Str. 8, 1527 Sofia, Bulgaria.

Chronic rhinosinusitis (CRS) is a condition affecting as much as 16% of the adult population in developed countries with many factors attributed to its development, including the more recently proposed role of bacterial biofilm infections. Plenty of research has been conducted on biofilms in CRS and the causes behind the development of such an infection in the nasal cavity and sinuses. One such probable cause is the production of mucin glycoproteins by the mucosa of the nasal cavity.

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BACKGROUND : Optimal training strategies in endoscopic retrograde cholangiopancreatography (ERCP) remain controversial despite the shift toward competence-based training models, with limited data available on patient safety during training. We aimed to assess whether pre-procedural clinical predictors could identify patients at low risk of developing procedure-related adverse-events (AEs) in a training environment. METHODS : We performed a prospective, multicenter, cohort study in five training centers.

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Impact of folic acid on regulatory B lymphocytes from patients with systemic lupus erythematosus in vitro.

Int J Rheum Dis

February 2023

Department of Immunology, Laboratory of Experimental Immunology, The "Stephan Angeloff" Institute of Microbiology, Bulgarian Academy of Sciences, Sofia, Bulgaria.

Background: Epigenetic modifications of genomes are of particular interest as numerous studies indicate the correlation between DNA methylation and the development of systemic lupus. As a major methyl group donor, folic acid is an important participant in this process. The aim of this study is to determine the effect of low or high dose folate co-culturing with peripheral blood mononuclear cells (PBMCs) on the secretion of interleukin (IL)10 from regulatory cells from lupus patients or from healthy volunteers.

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According to the American Academy of Neurology 2011 guidelines, there is insufficient evidence to support or refute the use of therapeutic plasma exchange (TPE) for myasthenia gravis (MG). The goal of this study was to determine whether a novel nanomembrane-based TPE could be useful in the treatment of MG. Thirty-six adult patients, MGFA 4/4B and 5, with acute MG episodes were enrolled into a single-center retrospective before-and-after study to compare a conventional treatment group ( = 24) with a nanomembrane-based TPE group ( = 12).

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Article Synopsis
  • The text discusses the evolution of acute pain in discogenic lumbosacral radiculopathy to chronic pain and its prevalence among working-age individuals, highlighting the challenge of effective treatment.
  • It outlines a study involving 60 patients divided into two groups, where one group received classic acupuncture and the other underwent conventional physiotherapy to compare treatment efficacy for chronic pain.
  • The findings suggest that a combination of ultrasound and low-frequency magnetic field therapy, along with acupuncture, is recommended as an effective non-invasive treatment for chronic pain in affected patients.
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Socio-Economic Burden of Myasthenia Gravis: A Cost-of-Illness Study in Bulgaria.

Front Public Health

April 2022

Department of Social Medicine and Public Health, Faculty of Public Health, Medical University of Plovdiv, Plovdiv, Bulgaria.

Article Synopsis
  • Myasthenia gravis (MG) is a chronic autoimmune disorder that results in muscle weakness and fatigue, heavily impacting socio-economic conditions for patients and their families due to unemployment and lower income.
  • The study estimated the annual costs for MG patients in Bulgaria at approximately 4,047 EUR, with direct healthcare costs slightly surpassing indirect costs, mainly driven by medication expenses and hospitalizations.
  • Factors driving costs included disease severity, crises, and recurrent infections, with many patients relying on informal caregivers instead of formal support services.
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Colon capsule endoscopy (CCE) is an alternative to conventional colonoscopy (CC) in specific clinical settings. High completion rates (CRs) and adequate cleanliness rates (ACRs) are fundamental quality parameters if CCE is to be widely implemented as a CC equivalent diagnostic modality. We conducted a systematic review and meta-analysis to investigate the efficacy of different bowel preparations regimens on CR and ACR in CCE.

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ECCO Guidelines on Therapeutics in Ulcerative Colitis: Surgical Treatment.

J Crohns Colitis

February 2022

Department of Colorectal Surgery, Beaujon Hospital, Assistance Publique-Hôpitaux de Paris, Clichy and Université of Paris, France.

Article Synopsis
  • This article is the second part of a two-part series on the management of ulcerative colitis (UC) by the European Crohn's and Colitis Organisation (ECCO).
  • While the first article covered medical management, this one focuses on treating acute severe UC (ASUC) and surgical options for patients who don't respond to medical treatment.
  • The article also offers guidance on preoperative preparations, surgical techniques, and addresses various common clinical situations to update ECCO's recommendations for managing UC.
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Background: In chronic diarrhea patients, massive over-reporting symptom-based criteria for functional bowel disorders are pitfalls. There is currently no objective biomarker that may provide a correct correlation with the severity of chronic diarrhea. To clarify the role of fibroblast growth factor-19 (FGF-19) as a biomarker of objective measurements of the severity of diarrhea in comparison with a patientreported outcome, based on the Bristol Stool Form (BSF) Scale.

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Whipple's disease.

Br J Hosp Med (Lond)

March 2021

Department of Gastroenterology, Clinic of Gastroenterology, University Hospital 'Tsaritsa Yoanna-ISUL', Medical University of Sofia, Sofia, Bulgaria.

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