MU-Varna is a Partner in a Large-Scale European Project for Creation of a Centre of Competence in the Field of Personalized Medicine, 3D and Telemedicine, Robotic-Assisted and Minimally Invasive Surgery

August 16, 2018By Antonia GenovaScience and education No Comments

The Project Funding Agreement BG05M2OP001-1.002-0010-C01 “CENTER OF COMPETENCE IN THE FIELD OF PERSONALIZED MEDICINE, 3D AND TELEMEDICINE, ROBOTIC-ASSISTED AND MINIMALLY INVASIVE SURGERY” was signed on 26.07.2018, funded by Operational Programme “Science and Education for Smart Growth” and the European Regional Development Fund. The total project cost is 23 695 179,29 BGN, of which 20 140 902,40 BGN European and 3 554 276,89 BGN national co-funding. The project starts on 27.07.2018 and ends on 31.12.2023. The leading organization in the project implementation is Medical University – Pleven (MU-Pleven) and the main partners are Medical University “Prof. Dr. Paraskev Stoyanov” – Varna and the Institute of System Engineering and Robotics at the Bulgarian Academy of Sciences (ISER – BAS). Associated partners in the creation of the Center of Competence are: UMHAT “St. Marina” – Varna; UMHAT “Dr. Georgi Stranski” EAD, Pleven; Innovation Solutions Company “5th Degree” and Florida Hospital Cancer Institute, USA.

The main activities under the project are: project organization and management; creation of a new infrastructure and modernization of the existing one; conducting research, development and innovation activities; dissemination of the research results, intellectual property protection, knowledge and technology transfer and human resources development; publicity and visualization, and project audit.

The aim of the project is to create an innovative, high-tech and modern competence center in the field of personalized medicine, telemedicine and 3D medicine, robotic-assisted and minimally invasive surgery, to achieve excellence in research and in the training of specialists, who will enhance the competitiveness of the existing institutions and stimulate entrepreneurship in the region and the country. Over the next 10 years the Center will operate on the basis of a high-tech, pro-innovative infrastructure, including equipment and specialized software. This will create opportunities for research and development, new knowledge and technology transfer, training of undergraduate, postgraduate and PhD students, and other clinical professionals in the targeted areas:  General Surgery, Gynecology, Urology, ENT, Orthopedics, Pathology, Medical Genetics, etc. The Center will continue its partners’ mission through offering innovative, attractive and modern education, and will expand the opportunities, quality and form of training and research. The services supporting the access to new knowledge are based on the experience gained by the specialists working for the main partners under the project: Medical University – Pleven, Medical University “Prof. Dr. Paraskev Stoyanov” – Varna and the Institute of System Engineering and Robotics at the Bulgarian Academy of Sciences. The human resources and infrastructure of the associated partners will be used gratuitously for the implementation of a part of the activities under the project. The Center will initiate cooperation with leading European and global technology partners that will enhance the efficiency of its achievements, hence the financial sustainability after the project completion. All this will contribute to the increase of the number of developed and successfully implemented innovative products, processes and services in the scientific field.

The following departments with appropriate laboratories are planned to be set up within the Center of Competence: Personalized Medicine, 3D Medicine, Minimally Invasive Surgery (MIS) and Robotic-Assisted Surgery. The expected results and effects of the project implementation are: creating diagnostic panels for breast cancer, ovarian carcinoma, lung and colon cancer, the most common hereditary diseases for the Bulgarian population and genetic predispositions; improving the possibilities for prevention of hereditary diseases, based on a personalized approach in genomic tests of pre-reproductive couples. There will be a telemedicine center with opportunities for telesurgery, telepatology, telemedicine and 3D telestration, aimed at conducting consultations with other global centers, specialized training and research. Suitable for 3D printing patient-specific orthotics will be developed and patented; bioprinted tissue transplants will be created; as well as model organs for conducting training in minimally invasive and robotic-assisted surgery. A complete process for research and training of surgeons, young doctors and students will be developed through 360-degree live stream virtual reality surgery. Clinical algorithms for optimal, faster introduction and promotion of minimally invasive and robotic-assisted surgery in the clinical practice in Bulgaria through innovation in education will be created. Experimental models for helium insufflation in body cavities, miniature thermal camera technology, pressure microsensors for the needs of MIS will be developed and patented. The development and patenting of a robotic surgical simulator and the creation of a training model, using 3D printed organs, are expected. Implementation of joint research projects, developed by the Center of Competence and the business, and acquisition of intellectual property rights are planned.

Тhe First Laparoscopic Surgery on a Baby for Removal of a Kidney with Congenital Tumour Has Been Performed at UMHAT “St. Marina” in Varna

August 14, 2018By Antonia GenovaHealth news No Comments

Two weeks after the surgery – on holiday with mom and dad

Minutes after the surgery for removal of a kidney with congenital tumour and recovering from the anaesthesia, the eleven-month Slave was ready to crawl. The baby-friendly surgery was performed by Assoc. Prof. Dr. Deyan Anakievski from the Clinic of Urology at University Hospital “St. Marina” – Varna. This has been the first case in our country, in which the intervention has been performed not in the usual way, using a classic open surgery, but laparoscopically – through three 5 mm openings in the skin and 3 cm incision in the groin area, from where the damaged left kidney has been removed.

 

The eleven-month Slave comes from Macedonia. At his birth a tumour formation on the upper pole of the left kidney was detected. Initially, after the ultrasound examinations, a “hematoma” was diagnosed, and the patient was left for observation. Three months later the examinations indicated that the formation had increased in size. After nuclear magnetic resonance imaging and subsequent biopsy, a congenital tumour (congenital mesoblastic nephroma – classic type) was diagnosed. The parents were extremely worried about the fact that such formations require removal of the entire kidney. They had consultations with other medical doctors in Germany, Turkey, Serbia and France, where they were offered a classic open kidney removal surgery. After several months of searching and wandering, Slave’s parents made the decision their child to be operated on in Bulgaria at the Varna University Hospital, and they put their trust in the hands of Assoc. Prof. Dr. Anakievski.

 

 

In the day of leaving the hospital    One week after the surgery​

The little patient was accepted at the Department of Pediatric Oncology at the Varna University Hospital for preoperative preparation on 24thJuly. “I have performed plenty of laparoscopic surgeries so far, but in adult patients only,” said Assoc. Prof. Anakievski. “The major challenge for us was to apply the most appropriate for the child anesthesia.” The surgery lasted 60 minutes. The post-operative period went on smoothly at the Pediatric Resuscitation Department. On the third day the 11-month patient was discharged from the hospital. The histopathology confirmed the diagnosis – a conventional mesoblastic nephroma, which had already been removed not through a large 10-12 cm incision but through several small openings, and consequently the little Slave will be able to grow up as a healthy child, with normal renal function.

 

“It’s not the individual it’s the team that matters here. This is teamwork,” believes Assoc. Prof. Anakievski. “And our team at the University Hospital is complete. We have absolutely all the conditions and specialists to meet the healthcare needs of the little patients, beginning with pre-clinical preparation, surgical treatment and post-operative resuscitation.” According to Assoc. Prof. Anakievski, it is absolutely possible and appropriate to perform other urological interventions using this baby-friendly method, such as congenital narrowing in the renal pelvis, congenital narrowing between the pelvis and the ureter, bladder plastic operations in reflux, etc.

 

Congenital mesoblastic nephroma is the most common benign tumour in newborns, corresponding to approximately 3% of all kidney tumours in children. Most often it is diagnosed during the first three months after the birth (90% are diagnosed throughout the first year). The boys are more likely to be affected than the girls (2:1). Three types of this tumour have been known – classic (conventional), cellular and mixed type. In the cases of surgical removal of the entire tumour, literature data usually indicate excellent results.

 

Darina Velcheva

Student in Pharmacy at MU-Varna Has Won the First Place in the Oldest Swimming Marathon in Our Country – Galata-Varna

August 8, 2018By Antonia GenovaSports No Comments

Once a year, on the first Sunday of August, you can cross the Varna Bay, relying solely on your own strength and stamina. Arseniy Beketov, a first-year student at Medical University – Varna, who swam the distance of 4,5 km for 51 minutes and 24 seconds, turned out to be the most resilient swimmer this year.

Professional swimmers and amateurs from eight countries took part in the competition. Arseniy is one of the few Varna citizens who have won the oldest marathon in Bulgaria. The route of the traditional swimming marathon, in which 310 people took part, starts from Cape Galata and ends at the second dike, covering a distance of 4 400 m. 

Arseniy has been training  swimming for 7 years, 5 of them –  professionally. He has numerous medals from international tournaments. He has competed in the Varna-Galata marathon for the fifth time, missing the one last year. At that time he was competing in the European Junior Swimming Championship in France and was ranked 12th, after swimming the 10 km distance for 1:50 hr. This has been the best achievement for Bulgaria among the juniors so far.

The student in Pharmacy graduated from the Sports School in Varna. He has been training every day, swimming 6-7 km. “Being a sportsman has its end at some point,” says Arseniy. “Someday I want to have my feet firmly on the ground. And this firm ground is education. That is why I have chosen to study at Medical University – Varna. I will become a good pharmacist someday.”

Arseniy enjoys the excellent sports facilities, provided by the University. He combines swimming and studying successfully. In spite of the daily workouts, he attends lectures regularly and has completed his first year at MU-Varna with GPA 5:80.

Darina Velcheva

Lecturers from MU-Varna and the University of Pharmacy in Ukraine Took Part in the First Summer School in Pharmacognosy

August 4, 2018By Antonia GenovaInternational activities, Science and education No Comments

The initiative for a Summer School in Pharmacognosy was carried out for the first time from 22nd to 31st July 2018 at MU-Varna. Organizers are the Department of Pharmaceutical Technologies, headed by Assoc. Prof. M. Pharm. Kaloyan Georgiev and TS Pharmacognosy at the same Department, headed by Assoc. Prof. M. Pharm. Iliya Zhelev. Lecturers from MU – Varna and their colleagues from the National University of Pharmacy – Kharkov (Ukraine) took part in the Summer School.

A variety of laboratory tests were performed within the programme. The differences between the methods for analysis of plant substances in Ukraine and Bulgaria were also discussed. The lecturers from Ukraine shared their experience by presenting outcomes of their own scientific research.

During the second part of the programme there was also a visit to the University botanical gardens in Balchik and the one in the eco-park in Varna. Part of the tour included the regions around Cape Kaliakra and the Kamchia River, where the attention was focused on the characteristic for the respective territory and climatic conditions medicinal plants. In addition, material for future phytochemical studies was collected.

All participants received their certificates at an official ceremony on Tuesday – 31st July 2018.

Organizational Life of Varna Medical Society and Dr. Ignatiev as Its First President

August 4, 2018By Antonia GenovaScience and education No Comments

“…the history of the first Medical Society in our country, which is the predecessor of the medical organization, is a part of the cultural history of the Bulgarian people, and therefore it is not devoid of significance.”

Dr. A. Nedyalkov,
Varna Medical Society, Sofia, 1910

 

 

In a sequence of news and materials we are going to acquaint you with details and biographical notes regarding the members of the first elected management of the Varna Medical Society and its organizational life.

 

 

 

 

The Varna medical doctors – founders of the Society came from different nationalities. They were graduates of medical schools in different parts of the world and held various public positions. Nevertheless, they were all united by a common goal – the development of medical science and practice in the name of public health. We should underline that this was happening during the years after the Liberation, when there were hardly one hundred medical doctors in Bulgaria, and the hospital conditions were not that good at all.

Founded on 10th December 1883, the Varna Medical Society had a regular organizational life under the guidance of:

1. President Dr. Mihail (Miron) Vasilievich Ignatiev
2. Vice-President Dr. Angel Dimitrov Pyuskyuliev
3. Member-Secretary Dr. Zhelyaz (Zhelyu) Radev Gyokcherenliev

For the first seven months of 1884 only, there were 13 meetings, where interesting cases from the practice were reported, scientific papers were reviewed, current issues of the sanitary condition in the city and the country were dealt with. The number of the members of the Society had increased for a short time, and in 1885 they were already 25. A new Board of Directors was elected:

1. President Dr. Angel Dimitrov Pyuskyuliev
2. Vice-President Dr. Stoycho Yurdanov
3. Member-Secretary Dr. Yurdan Sevvov

Nine meetings were held. The members were Dr. Angel Dimitrov Pyuskyuliev, Dr. Batista Valenda, Dr. Boris Abramovich Oks, Dr. Vasilaki Papadopoulos, Dr. Vasilyev, Dr. Georgi Yanopoulos, Dr. Dileva, Dr. Dimitrov, Dr. Dimitar Galabov, Dr. Zhelyaz (Zhelyu) Radev Gyokcherenliev, Dr. Kutsodimitris, Dr. Mihail (Miron) Vasilievich Ignatiev, Dr. Stoycho Yurdanov, Dr. Yurdan Sevvov, the Mayor of Varna Mr. Mihail Koloni, who as an honorary member of the Society was one of its active associates.

Dr. Mihail (Miron) Vasilievich Ignatiev was the first President of the Society. He was born in a gentry family, in Suzdal (Russia) in 1853. In 1879 he graduated from the Imperial Medical and Surgical Academy in St. Petersburg with a doctoral degree “cum eximia laude”.

While he was a student, he volunteered in the detachments of the Red Cross, and in 1877-1878 he took part in the military actions in the Russo-Turkish Liberation War and later in the fight against the plague epidemics in the province of Astrakhan. Gradually Dr. Ignatiev’s interest in Bulgaria had been growing and after his graduation he came and lived in Bulgaria for almost five years, working in succession as a regional doctor in Dobrich, a senior doctor at the Varna First Class Hospital and district doctor in Balchik. Immediately after the outbreak of the Serbian-Bulgarian War he came back to Bulgaria as a part of the rendering medical aid Russian Red Cross Mission. 

In 1891 Dr. Ignatiev passed an examination for the degree of Doctor of Medicine. The manifested by him interest in psychiatry, even at the time spent in Bulgaria, had not subside. On the contrary, it became the major medical field he was dedicated to. In 1902 he defended a dissertation thesis entitled „Игнатиев М. В. Изследование о душевнобольных по отчетам руских психиатрических заведений” (Ignatiev, M. V. Research on Mentally Ill People according to the Reports of Russian Psychiatric Institutions”). While working on it, Dr. Ignatiev received consultations from the famous Russian neurologist, psychiatrist, psychologist, morphologist, physiologist and public figure – Prof. Vladimir Mihailovich Behterev (1857-1927).

As a practitioner psychiatrist, Dr. Ignatiev went on to introduce new, more humane and more progressive methods of treatment for mentally ill people- methods, preserving their individual freedom. At the same time he remained true to his desire to summarize scientifically observed facts and phenomena. More than fifty of his published scientific and popular articles were found in the Central Medical Library in Moscow. He was also a pioneer in the development of the statistics on mental illness in Russia.

In 1906 Dr. Ignatiev was the first to appeal for the establishment of a fund for the development of the proposed by Prof. Behchev Institute for Research in Psychiatry and made the first contribution to this fund.

This reputable doctor and citizen died in 1909 or 1910. Unfortunately, little has been known about his tremendous contribution to the health care in Bulgaria, and he definitely deserves much greater public recognition.

Varna Medical University Press Welcomes Readers at Book Hut One on the “Book Alley” in the Sea Capital

July 31, 2018By Antonia GenovaCultural activities, Science and education No Comments

Today, 27th July begins the greatest travelling book fair in the country. Varna Medical University Press will be present on the “Book Alley” in Varna for the first time. Every day from 10:00 am till 10:00 pm, a team of Medical University Press and students – volunteers from the Students Council at MU – Varna will welcome readers at Book Hut One (Shatra 1). Varna Medical University Press will offer all books with 10% discount. As every year publishers from all over the country will present themselves on Slivnitsa Blvd. – between Cherno More Hotel and the Festival and Congress Centre. The fair continues till 5th August 2018.

Do you know that …

… the publishing activities of Medical University – Varna started as soon as the foundation of the higher education institution in 1961, providing training aids needed for the educational process. The following year the activities have been expanded, and the publication of the scientific journal “Annual Papers of the Higher Medical Institute – Varna” was launched, which has been going on without interruption until now, but under the name of Scripta Scientifica Medica.

… Medical University – Varna had offset printing facilities back in 1972. It allowed its own production and met the growing demand for academic and scientific literature. Then the first specialized staff was also appointed – a printer and two bookbinders.

… since 2013 the publishing has been carried out within a separate unit – Varna Medical University Press. It has a team of editors and specialists in the field of design, prepress and printing, facilities for digital and offset printing, three bookstores and an online store.

… all scientific journals, issued by Medical University – Varna, are available for free at any time of the day and from anywhere in the world. They are uploaded on an online platform for periodicals of Varna Medical University Press. The platform allows for easy online submission of papers by authors from around the world.

… Varna Medical University Press has been working on the translation and publication into Bulgarian of one of the most widely read medical textbooks in the world. For the first time Schwartz’s Principles of Surgery by the authoritative American publisher McGraw-Hill will appear on the Bulgarian market. Schwartz’s Principles of Surgery is edited by Prof. Dr. Krasimir Ivanov.

… Medical University – Varna has three bookstores and an online store. The first one is located next to the main entrance of the Rectorate, at 55, Marin Drinov Str. The second one is in the Medical College, at 76, Tsar Osvoboditel Blvd. The third one is inUMHAT “St. Marina” – Varna, at 1, Hr. Smirnenski Blvd. All available editions can also be purchased from the online store of Varna Medical University Press. Moreover, deliveries are made all over the country and abroad.

A Team of MU-Varna Participated in a Debate on Transparency and Healthcare

July 26, 2018By Antonia GenovaHealth news, Science and education No Comments

A debate on «Transparency and Healthcare», organized by Gallup International and clinica.bg, was held on 23rd July in Sofia, with the participation of politicians and representatives of stakeholders in the healthcare system. At the invitation of the organizers, Medical University – Varna participated at the meeting with a presentation entitled «Transparency and Accountability in the Bulgarian Healthcare», made by Prof. Lyubomira Koeva, Head of TS «Health-Economic and Financial Analyses» at the Department of Economics and Healthcare Management. Some of the other invited lecturers at the debate were Prof. Petko Salchev from the National Centre of Public Health and Analyses (NCPHA), Prof. Daniel Valchev from the Centre of Legal Initiatives, Arkadi Sharkov from the Expert Club for Economics and Politics, Dr. Stanimir Hasardzhiev, Chairman of the National Patient Organization.

In the presence of the National Ombudsman Ms Maya Manolova, the newly elected Governor of the National Health Insurance Fund (NHIF) Dr. Decho Dechev, the Deputy Minister of Health Dr. Boyko Penkov, the President of the Bulgarian Medical Association Dr. Ivan Madzharov, the President of the Bulgarian Dental Association Dr. Nikolay Sharkov, representatives of various guilds and their accompanying industries, Prof. Koeva reported some improvements related to the transparency and accountability in the healthcare in Bulgaria. These relate to the health-political process, the availability and accessibility of data and public control. However, some important, still existing issues were outlined as well. Examples of lack of data on the number of non-insured persons and the number of state-insured persons in the health system, on the structure of the ownership of the public health establishments, on the budgets of the Regional Health Insurance Fund, etc. were ponted out. The lack of an integrated information system and key indicators, especially in the field of the quality of medical care, were considered.

The main focus of the discussion was the existing problems in the transparency of the health system, such as providing open, clear and timely relevant information on the state of the health system and the development of the health policy to the general public and patients. The importance of transparency as a prerequisite for trusting the system was underlined. Ideas regarding possible changes in the organization and the healthcare financing model were shared. The need for transparency and predictability of the system, competition under clear conditions and equal rules for everybody, more freedom but even more responsibility were indicated as the necessary conditions for successful health reform.

The Department of Economics and Healthcare Management is the Bulgarian partner in the European Observatory on Health Systems and Policies in the Health Systems and Policy Monitor (hspm.org). The periodic analyses on the state of the health system and the development of the health policy in Bulgaria, prepared by the team at Medical University – Varna, are published by the European Observatory on Health Systems and Policies in the Health Systems in Transition series and the Health Systems and Policy Monitor  (HSPM), and are used by specialists from around the world.

In 2013 Medical University – Varna, in the face of the Department of Economics and Healthcare Management, received the «Varna Award» for the analysis Health System Review: Bulgaria 2012 in the Health System in Transition series of the European Observatory on Health Systems and Policies. The publication of the Health System Review: Bulgaria 2018 is due in September.

Students from St. Petersburg and Kharkiv will carry out their summer practices at the Medical University of Varna

July 25, 2018By Antonia GenovaInternational activities, Science and education No Comments

For the first time this year students from the National Medical University in Kharkiv (Ukraine) will carry out their summer practice at MU-Varna within the framework of the newly signed agreement for bilateral academic cooperation between the two universities. For the same period from July 20th to August 5th 2018, the Medical University of Varna will host the summer practices of students from the Northeastern State medical University “I. I. Mechnikov” in St. Petersburg. 

Today the Russian and the Ukrainian students were welcomed by the team of the Department of International Relations at MU-Varna and were greeted by Vice Rector for International Relations, Accreditation and Quality Prof. Todorka Kostadinova and the Dean of the Faculty of Medicine Prof. Dr. Zlatislav Stoyanov.

The incoming students of medicine will carry out their internships in surgery and internal diseases at University Hospital “St. Marina” – Varna under the professional guidance of Assoc. Prof. Dr. Irina Ivanova and Assoc. Prof. Dr. Vasil Bozhkov, and in obstetrics and gynecology under the mentorship of Dr. Kremen Tsvetkov. The Dean of the Faculty of Dental Medicine Prof. Stefan Peev and Assistant Prof. Dr. Nevena Karadjova will supervise the summer practices of the Russian and the Ukrainian students.

A diverse programme has been prepared for the students of public health by Assoc. Prof. Dr. Klara Dokova – Dean of the Faculty of Public Health. The exchange students will visit and will familiarize themselves with the activities of the Department of Social Medicine and Healthcare Organisation, the District Directorate of Food Safety in Varna, Day Centre “Riviera”, Day Centre “Sunny house”, Centre “Home care” at the District Council of the Bulgarian red Cross, “Karin home” and “Safe the Woman” Association.

The social programme of the students from St. Petersburg and Kharkiv includes training on the sailing boat “Hygeia”, visit of the Museum of the History of Medicine at MU-Varna as well as numerous informal meetings with the students from MU-Varna who are accompanying their colleagues from Russia and Ukraine.

Moscow Students Received Certificates of Completion of Summer Internship at MU-Varna

July 25, 2018By Antonia GenovaScience and education No Comments

Modern technological equipment and mentors’ high professionalism – this was pointed out by the students from I.M. Sechenov First Moscow State Medical University as the most remarkable reminiscence that would remain in them from the summer internship, held at the training and clinical facilities of MU – Varna. At an official ceremony on Friday, 20th July 2018, the twenty students from Russia received their Certificates from Dr. Aneta Dokova – Head of the International Cooperation Department and Ms. Siana Smoletsova – Summer Internship Coordinator.

During the last two weeks fifteen medical, four dental students and one student in Pharmacy were trained under the expert guidance of Assoc. Prof. Dr. Irina Ivanova, Assoc. Prof. Dr. Vasil Bozhkov, Assoc. Prof. Dr. Georgi Papanchev, Assoc. Prof. Dr. Nevena Karadzhova and Assoc. Prof. Pharm. Ilia Zhelev. All lecturers conducting the summer internships shared their appreciation of the excellent level of the academic training, high motivation, discipline and thoroughness of the Russian students.

The Moscow students extended their gratitude to the management of MU – Varna and the International Cooperation Department for turning the student exchange between the two universities into a tradition, as well as to their colleagues – students at MU – Varna for their cooperation during the internship, and the organization of the cultural and social programme out of the clinical practice.

For the eighth consecutive year MU-Varna and the Moscow University have implemented the internship exchange program. A group of twenty students and some lecturers from MU – Varna set off to Moscow two days ago.

The Clinic of Nephrology and Dialysis at University Hospital “St. Marina” – Varna Accepts Patients from All Over the World

July 20, 2018By Antonia GenovaHealth news, International activities No Comments

The Clinic of Nephrology and Dialysis at University Hospital “St. Marina” in Varna provides patients with 24-hour medical care, and diagnostic and therapeutic services at a global level. The Clinic is the only opportunity for hundreds of patients in the country and around the world to plan their holidays at sea during the summer months, despite their proven kidney diseases that require constant medical care. “The Dialysis Centre at Varna University Hospital “St. Marina” is the greatest hemodialysis centre in the country. Chronic dialysis treatment is provided for nearly 200 patients in the Varna region, and the number is much higher during the summer season,” explained Assoc. Prof. Dr. Svetla Staykova, head of the Clinic of Nephrology and Dialysis.

“The Clinic of Nephrology and Dialysis uses high technology equipment. It has Power Doppler Echography and Colour-Coded Doppler, a phase contrast microscope and stereomicroscope for controlling native tissue cylinders, obtained through renal biopsy, an ECG monitoring device, an echocardiograph for Doppler kidney vessel examination and for conducting controlled kidney biopsy, automated peritoneal dialysis machines, an ultrasonic automated biopsy gun, disposable renal biopsy needles – Bio-Pince, Tru-Cut and Core. The hemodialysis equipment has a full range of state-of-the-art features. We use unique equipment for preparation and “reverse osmosis” of the water for dialysis procedures – the only one of its kind in Bulgaria, and control of the parameters of the qualities of the “purified water” every two hours, ” added Assoc. Prof. Staykova.

The Clinic offers and provides highly specialized services for stationary and ambulatory diagnostics for all types of kidney diseases – glomerulonephritis, pyelonephritis, diabetic nephropathy, hypertensive nephropathy, vascular renal diseases, cystic renal disease, immune and autoimmune diseases with renal involvement and renal hypertension. Extracorporeal blood purification techniques, hemodialysis treatment with high-efficiency membranes, hemodiafiltration, ultradiffusion, peritoneal dialysis treatment and its modifications, apheresis treatment in renal and systemic diseases, immunoadsorption, hemoperfusion, immunosuppressive and cytostatic treatment in glomerulonephritis and vasculitis with renal involvement and synchronized immunosuppressive and cytostatic therapy with extracorporeal immunomodulation are performed at the Clinic. It also provides treatment and monitoring for unresponsive to medication hypertension and heart failure, unresponsive anemic syndrome, and bone-mineral disorders in chronic kidney diseases. Secondary hyperparathyroidism is diagnosed and Doppler renal blood flow assessment, and colour-coded Doppler techniques and criteria for assessment of renal transplant blood flow are carried out.

Potential recipients for renal transplantation in the Еxecutive Аgency for Тransplantation are also registered in the Clinic of Nephrology and Dialysis, along with preparation for live donor transplantation and post-operative treatment, follow-up monitoring of the patients, transplanted at UMHAT “St. Marina”, as well as their dispensary observation.

All modern and innovative diagnostic methods in the field of nephrology and renal replacement therapy are implemented in the Clinic in cooperation with the other hospital structures – invasive, non-invasive imaging – CT, MRI, CT – angiography, PET scanning, laboratory, immunological, microbiological, virological and histological testing. The Clinic of Nephrology and Dialysis operates in close interaction and contact with the Nephrology Clinic at the University Hospital in Bern, Switzerland, the Department of Clinical Medicine at Haukeland University Hospital, Bergen, Norway, the University Hospital in Naples, Italy, and the Department of Clinical Nephrology and Dialysis at the Medical University of Messina, Italy.

Assoc. Prof. Staykova’s medical team also provides highly specialized and expert consultative neurology support for early diagnosis and prevention of kidney diseases, and prevention and retardation of kidney failure. The Clinic of Nephrology and Dialysis at University Hospital “St. Marina” has eight highly qualified and leading specialists in the country, with proven professional expertise and recognition in the field of nephrology and renal replacement therapy, and four of them are habilitated lecturers, and 7 specializing post-graduates. In response to the growing needs and requirements of the patients, the team is being constantly trained to apply modern medical achievements and innovations through participating at symposia and congresses in our country and abroad.

Velina Markovska