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Biomedical subjects

T Chernev

Publications and source records attributed to T Chernev.

At least 55 records · Page 3Linked to original sources

[Diabetic retinopathy during pregnancy].

Diabetic retinopathy is the leading of blindness between the age of 24-64 years and we know the half of this period corresponding to the peak fertility and childbearing years. The prevalence and severity of the retinopathy is strongly related to the duration of the disease and patient age. The progression of diabetic retinopathy during pregnancy can vary from minimal to market deterioration of the retina. So in diabetic women full retinal evaluation must be done as a part of prepregnancy counseling procedure. Patient who already have proliferative retinopathy during pregnancy are monitored frequently by ophthalmologist and lesser photocoagulation can be done safely during pregnancy.

Adult↗

[The medicosocial aspects of contraception for teenagers].

The authors study and examine the influence of some medical and social factors on the teenagers use of contraceptives. The study is based on the questionnaires fulfill by 568 teenagers (aged 13-19). In the enquêtes are shown the role of the family status of the parents the involvement of the family and the school in the sex education, and also are indicated the favorite teenager's contraceptive methods. The positive attitude on contraception and on this kind of researches is very characteristic for 94% of the analyzed teenagers. The authors made a conclusion on optimizing the use of modern contraceptives for teenagers.

Adolescent↗

Preoperative sonographic evaluation of patients with endometrial carcinoma.

OBJECTIVE: The aim of the study was to evaluate the possibilities of endovaginal ultrasound in the preoperative clinical assessment of patients with endometrial carcinoma. METHOD: Sixty-four postmenopausal women with a diagnosis of endometrial carcinoma after dilatation and curettage were scanned before operation with a 7.5-MHz endovaginal probe. RESULTS: The location of the process and depth of myometrial invasion were estimated correctly in the vast majority of patients. Spread beyond the uterus and distance from the serosa could not be estimated precisely. CONCLUSION: Preoperative evaluation and staging of endometrial carcinoma are possible and useful for gynecologists, as they provide information on tumor location, depth of myometrial invasion, and involvement, if present, of the lower uterine segment or cervix.

Endometrial Neoplasms↗

[Artificial abortions in Bulgaria and their prevention].

Authors go into one extremely important problem for the family, woman, natality and family planning in Bulgaria. Scarcely during the last years it can be observed a slight reduction of the frequency of induced abortions. The average age of women having an abortion is high--about 30, which shows, that induced abortion is still a method of regulation fertility in intergenetic interval. The rate of those who have induced abortion under the age of 19 in Bulgaria is 7.8 to 53.3%, in Czechoslovakia, 6.7%, in DDR--50.0%, Greece--68%, Hungary--8.9%, Sweden--15.8%. The rate of done again induced abortion is higher, that is a result of bad preventing activities during the first abortion. Similar is the tendency of growing number of unmarried women having an induced abortion, as it is in the other countries: from 16.4% in 1980 to 21.7% in 1987. Bulgaria is on the third place in Europe according to the absolute number of dead cases after abortion (maternity death, after Rumania and USSR). It can be mentioned that in Bulgaria women do not use the most modern and safest devices, medicines for interruption of pregnancy.

Abortion, Induced↗

[Cardiotocographic control during labor].

The authors discuss different aspects of intrapartum foetal monitoring. The scientific basis of foetal intrapartum foetal monitoring are pointed out. The authors present three groups of cardiotocographic signs which should alarm the obstetricians: warning signs, threatening signs and clear signs for foetal distress. The authors discuss also the specific characteristics of the cardiotocographic record of premature fetus during pregnancy and labour. It is pointed out that the intrapartum foetal monitoring and the correct interpretation of the cardiotocographic record lead to better perinatal results.

Cardiotocography↗

[The importance of x-ray pelvimetry for the prognosis of pelvic dystocia].

The frequency of roentgenological pelvimetry at the Research Institute of Obstetric and Gynecology during 1988 is 4.79%. Thirty-five pelvimetries out of 276 (12.68%) were urgent, but the remaining 241 (87.32%) were planned. Pelvimetries showed normal measurements in 113 of pregnant women (40.94%), but there was shortening in one or more diameters of the single planes of the pelvis in 163 women (59.06%). The measures of the diameters of the pelvic cavity were shortened most frequently, more rarely at the pelvic inlet and most rarely at the pelvic outlet. Changes in the bony pelvis were indicated after secondary traumatic deformity of the pelvis. The role of roentgenological pelvimetry in taking decision for delivery of breech presentation of the fetus was analyzed. It is pointed out that the roentgenological pelvimetry is the single, easy, convenient, safe and available method for determination of pelvic diameters, respectively for prognosis of pelvic dystocia.

Dystocia↗