Penka Petleshkova

Medical University Plovdiv · Department of Obstetrics and Gynecology

Background: Despite scientific advances, the management of procedural pain in neonates remains suboptimal. Applying adequate therapy to control pain during the neonatal period is a moral and ethical act. In recent decades, ample evidence has accumulated regarding the risks, associated with both untreated pain and the use of more aggressive analgesi...

BACKGROUND: Self-management is an active approach to coping and assuming responsibility on the part of a person, independently or in collaboration with medical specialists, to manage his/her health status. In cases of chronic diseases, the stigma of an uncertain future is a norm; it dominates and often suppresses the everyday routine. In this conte...

Non-nutritive sucking and oral uptake of glucose 25% are often non-pharmacological methods used to manage procedural pain in newborns. Aim: To compare the effect of using non-nutritive suction (NNS) and Sol.Glucosae 25% for reducing/eliminating neonatal pain due to heel prick. Material and methods: Term infants were studied: group (A), NNS, n = 40,...

Objective: Extrahepatic portal vein thrombosis (EHPVT) is a common cause of portal hypertension in children. The aim of the present study was to identify the clinical manifestations and the existing risk factors for development of EHPVT in pediatric patients. Subjects and methods: This was a single center retrospective cohort study. In all study...

The training of nurses is a key issue on which the provision of access to and quality of medical care depends. The shortage of nurses and the unfavorable ratio between nurses and doctors create problems in the proper organization of the provision of medical care. As health care providers working under stressful conditions, future nurses need a safe...

The choice of an occupation is an important step in everyone's life. The greatest risk that a wrong choice entails is for the person to be forced to do a job he/she does not enjoy. So careers advice is a vital prerequisite for a successful career. Experience shows that an effective career is directly dependent on the successful choice of an occupat...

An important place in clinical practice is given to the management of neonatal pain. The non-pharmacological methods used (glucose solutions, kangaroo care, non-nutritive sucking (NNS), etc.) have proven their effectiveness. These include homeopathic agents. The purpose of the present study is to compare the effect of Hypericum D6 and NNS on the re...

Background: Modern education in the field of healthcare is faced with the challenge of coping with one of the most important tasks - to develop in students a set of competencies which serve as a sound basis for mastering a series of job-specific knowledge, skills and abilities, and which constitute a guarantee for coping successfully with all ever...

Modern European systems of education and training in the field of healthcare are designed to train competent professionals able to provide high quality healthcare to society, and also motivated to continue improving their education and training. The job of the registered nurse requires high professionalism and participation in continuous post-gradu...

Health prophylaxis is a strategic priority in every health care system. This research aims at surveying the prophylactic and medical activity of the elderly and the old. An anonymous survey of 340 people aged 60 and over was conducted in "Haskovo Hospital" for a period of one year. The collected data provide grounds for concluding that health proph...

In the present stage of knowledge and scientific development, the role played by a wide cluster of factors in accelerated ageing has been proved. Furthermore, it is possible to modify most of them. Aim: The aim of this study is the research and analysis of the major modifiable risk factors for premature ageing. Materials and methods: A direct indiv...

It is known that control of procedural pain in newborns is an ethical act and requires treatment. It includes homeopathic agents used in certain clinical conditions in neonatology. The purpose of this prospective study is to determine the effect of administration of the preparation of Arnica D30 to reduce the severity of procedural pain induced by...

Objective: Anti-Mullerian hormone (AMH) was highlighted as a valid marker of ovarian dysfunction inwomen with anovulatory polycystic ovarian syndrome (PCOS) and was linked with cardiovascularconditions. This study was designed to determine the circulating AMH levels in different phenotypes ofPCOS without additional risk factors for atherosclerosis...

Poland Syndrome is a rare condition evident at birth that includes a wide range of malformations of chest and arm. The exact cause of the syndrome is unknown, but genetic involvement and a vascular abnormality of the subclavian artery are suspected. We report two cases of right-sided Poland Syndrome with true dextrocardia, diagnosed in neonatal per...

Diabetes mellitus type 2 is a socially significant disease due to its high incidence rate on a global scale. The causes are rooted mainly in the changes in eating habits, the sedentary way of life, the low energy expenditure leading to obesity, the ageing population, as well as urbanization. Diabetes mellitus type 2 is a chronic, lifelong condition...

Objective: To investigate the efficiency of the combined application of a physiotherapeutical program with fit-ball exercises in cases of chronic pain in the lumbar area. Subjects and method: 38 outpatients aged 39 to 67, with chronic pain in the lumbar area (dating back from 5-7 years, with last exacerbation 5-6 weeks prior to the patients' inclus...

Aim: Esthesionevroblastoma is a rare malignant neuroectodermal tumor that begins development of neuroepithelial cells of the olfactory membrane. Therefore the biology of the tumor, surgery is a method of choice. Endoscopic transnasal method with craniobasal resection is favorable alternative to more invasive surgical methods in a rigorous assessmen...

ABSTRACT (I.) AIM: Esthesionevroblastoma is a rare malignant neuroectodermal tumor that begins development of neuroepithelial cells of the olfactory membrane. Therefore the biology of the tumor, surgery is a method of choice. Endoscopic transnasal method with craniobasal resection is favorable alternative to more invasive surgical methods in a rigo...

Pre-existing diabetes mellitus (Types 1 and 2) and gestational diabetes mellitus (GDM) are the most common medical complications in pregnancy. The aim of this study was to evaluate and compare the lifestyle habits of pregnant women with pre-existing diabetes mellitus (PDM) and GDM. A comparative-descriptive study on diabetes self-management during...

For the period 2012-2016 the incidence of NI is 11.23%.With highest proportion are presented ventilator-associated pneumonias-69.02%, followed by bloodstream infections-11.38% (p<0,001).The incidence of VAP varies from 83% in 2012 to 72% in 2016 (the lowest range of 52.9% in 2014).

Aim: Arthrosis of the hip joint is a condition that is becoming more and more common-it affects 1% of the population and constitutes a serious problem for their working efficiency and active way of life. The deforming arthrosis limits the functional capacity of the affected patients, worsens their quality of life and leads to incapacitation of the...

In recent years, the objectification and control of neonatal pain has caused many discussions. Given its early and late effects, researchers' efforts are aimed at minimizing the impact of maternal and child-related factors, with a possible effect on pain sensitivity in new-borns. Our aim is to study the influence of maternal factors (daily intake o...

ABSTRACTIntroduction:The independent actions of students isthe main method of work during the pre-graduation traineeship. This is the reason why the pre-graduation traineeship demands high responsibility, independence and adaptability of trainee nurses. Students' independent actions are one of the most important components of the pre-graduation tra...

Herniated disc is one of the most common problems of the musculoskeletal system, and the spine, in particular. This article presents a modern algorithm of methods of treatment constituting comprehensive rehabilitation of herniated disc in the lumbar section of the spine, including: physical therapy, active and passive kinesitherapy, medical massage...

Materials and methods: Samples of vaginal secretions from 80 healthy pregnant women who were clinically suspicious for Candida vaginitis were collected within 48 hours before delivery. Samples for probable Candida colonization from the oral mucosa and feces were collected from their newborns within 47-72 hours after birth. Samples were plated on S...

Background: Vulvovaginal candidiasis (VVC) is considered as a special risk factor during pregnancy, with important influence on the reproductive function of the patients and on the morbidity in the newborns from mothers with VVC. Maternal VVC is a major risk factor for the development of candida-colonization of the infant, which in turn is the firs...