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Training of rehabilitation therapists in Bulgaria--the need for reform in the education strategy and its realization.
A survey of the historical development of the major "rehabilitation" offered at the Medical College, Plovdiv, a comparative analysis of training structures in Bulgaria and other European countries, setting guidelines for the reform in the strategy and implementation of training.
Parathyroid carcinoma of the mediastinum.
Parathyroid carcinoma accounts for about 4% of all diseases of the parathyroid glands. It usually presents as a tumor mass in the neck region. Mediastinal parathyroid carcinoma has been reported very rarely. The present paper reports an ectopic parathyroid carcinoma in the anterior mediastinum in a...
Macular thickness measurements in healthy eyes using spectral optical coherence tomography.
We examined 163 healthy eyes of 84 healthy volunteers. In order to measure their macular thickness the patients were examined using spectral-domain optical coherent tomography (SD-OCT - iVue, Optovue). They were allocated into 6 age groups. The mean central macular thickness (inner circle - fovea ce...
A rare case of severe intoxication from multiple bee stings with a favorable outcome.
A 73-year old female of no allergic diathesis was attacked by bees and stung all over her body accidentally sustaining more than 518 stings for a very short time. Severe acute poisoning developed from the bee venom, manifested by coma, rhabdomyolysis, toxic hepatitis, acute renal failure, gastric he...
Surgical techniques for repair of primary retinal detachment: Part II. Comparison of present techniques in relation to morbidity.
To compare present surgical techniques for repair of primary retinal detachment. AIM of each technique is closing the retinal break(s), but the approach is either extraocular (e.o.) with scleral buckling or intraocular (i.o.) with pneumatic retinopexy or vitrectomy. The results are similar ranging b...
Fractures of the femoral neck treated with hemiarthroplasty. A comparative study.
We studied retrospectively 376 patients with fresh, displaced, nonpathological femur neck fractures. They were treated with either a cementless Austin-Moore prosthesis or a cemented Thompson prosthesis. Criteria for the choice of the prosthesis were the fracture site on the neck of the femur and the...
Poems syndrome--a rare variant of plasma cell dyscrasia. Case report and review of literature.
We present a case of POEMS syndrome in a 47-year-old male patient who initially presented with edema of the lower limbs, moderate lymphadenopathy, hepatosplenomegaly, histological findings of Castleman disease with marked sinusoidal angioproliferation in the lymph nodes and multiple osteosclerotic l...
Pseudoresistance in patients with epilepsy--characteristics and determining factors.
We found that compliance correlated weakly with age and education, but showed high and moderate correlation with duration of epilepsy less than 20 years and male gender. Therapy adjustment had a beneficial effect in 16 of 24 patients (66.67%) in our study. The detailed analysis of the causes for pse...
YKL-40--a novel biomarker in clinical practice?
YKL-40 is a recently discovered human glycoprotein which is related in amino acid sequence to the chitinase protein family, but has no chitinase activity. The present review focuses on the expression and regulation of YKL-40, its clinical significance, detection techniques and outlines the advantage...
Central corneal thickness measurements in ocular hypertension, primary open angle glaucoma, glaucoma suspects and control subjects.
Our results suggest that CCT should be taken into account when assessing the risk for the development of glaucoma in OH patients....