TENTH ANNIVERSARY INTERNATIONAL MEDICAL CONGRESS OF SEEMF SOUTHEAST EUROPEAN MEDICAL FORUM e-mail: [email protected] Website: www.seemfcongress.com Tel./fax.: +359 2 854 87 82 TENTH ANNIVERSARY INTERNATIONAL MEDICAL CONGRESS OF SEEMF SOUTHEAST EUROPEAN MEDICAL FORUM (SEEMF) TENTH ANNIVERSARY INTERNATIONAL MEDICAL CONGRESS Clinical & Translational Medicine Challenges in the Healthcare Systems- 21st Century. Values & Principles 5- 8 September 2019 Sofia, Bulgaria Sofia, Bulgaria 2019 SOUTHEAST EUROPEAN MEDICAL FORUM e-mail: [email protected] Website: www.seemfcongress.com Tel./fax.: +359 2 854 87 82 TENTH ANNIVERSARY INTERNATIONAL MEDICAL CONGRESS OF SEEMF © Издателство: Сдружение "Югоизточно-европейски медицински форум", 2019г. © Publisher: Southeast European Medical Forum, 2019 ISBN 978-619-7544-17-6 2 TENTH ANNIVERSARY INTERNATIONAL MEDICAL CONGRESS OF SEEMF TABLE OF CONTENTS 1. EAACME Certificate .................................................................................................... 4 2. Appeal of Assoc. Prof. Andrey Kehayov- SEEMF President ....................................... 5 3. Appeal of Prof. Leonid Eidelman- President of WMA ................................................. 6 4. Organizing committee ................................................................................................ 7-8 5. Scientific committee................................................................................................. 9-11 6. Agenda .................................................................................................................. 12- 22 7. Abstracts .............................................................................................................. 23-121 AGING OF THE POPULATION ....................................................... 24-30 CARDIOVASCULAR DISEASES & CARDIOVASCULAR SURGERY.TRANSPLANTATIONS ................................................ 31-44 GASTROENTEROLOGY. TRASPLANTATIONS .......................... 45-53 NEUROLOGY, NEUROSURGERY & PSYCHIATRY ................... 54-58 NEPHROLOGY & UROLOGY.TRANSPLANTATIONS ............... 59-72 SEXUAL MEDICINE & REPRODUCTIVE HEALTH .................... 73-79 ORTHOPAEDICS & TRAUMATOLOGY. CALAMITY MEDICINE ..... ............................................................................................................ 80-83 PHARMACOTHERAPY ................................................................... 84-86 ROUND TABLE .............................................................................. 87-100 VARIA ........................................................................................... 101-137 8. Interview of Assoc. Prof. Andrey Kehayov- SEEMF President in the WORLD MEDICAL JOURNAL ..................................................................................... 138-140 3 TENTH ANNIVERSARY INTERNATIONAL MEDICAL CONGRESS OF SEEMF EACCME European Accreditation Council for Continuing Medical Education Certificate TENTH ANNIVERSARY INTERNATIONAL MEDICAL CONGRESS OF SOUTHEAST EUROPEAN MEDICAL FORUM SOFIA, Bulgaria, 05/09/2019-08/09/2019 has been accredited by the European Accreditation Council for Continuing Medical Education (EACCME®) for a maximum of 17 European CME credits (ECMEC®s). Each medical specialist should claim only those credits that he/she actually spent in the educational activity. The EACCME® is an institution of the European Union of Medical Specialists (UEMS), www.uems.eu. Through an agreement between the European Union of Medical Specialists and the American Medical Association, physicians may convert EACCME® credits to an equivalent number of AMA PRA Category 1 Credits™. Information on the process to convert EACCME® credits to AMA credits can be found at www.ama-assn.org/education/earn-credit- participation-international-activities. Live educational activities occurring outside of Canada, recognised by the UEMS-EACCME® for ECMEC® credits are deemed to be Accredited Group Learning Activities (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada. Dr ……………………. has been awarded 17 European CME Credits (ECMEC®s) for his/her attendance at this event 4 TENTH ANNIVERSARY INTERNATIONAL MEDICAL CONGRESS OF SEEMF Dear Colleagues, SEEMF members, Friends, It is my great honor and pleasure to welcome all of you once again in Bulgaria! The Tenth Anniversary International Medical Congress of Southeast European Medical Forum is a very special event for me, for I have dedicated the last ten years of my life in making this organisation as important and influential as it is now! As we are all aware, most of the countries in South eastern Europe have similar healthcare systems and experience similar problems in the fields of quality of care, professional approaches, medical standards, migration of health professionals and institutional cooperation. Nine years ago, driven by enthusiasm and a yearning for knowledge, we began organizing the first congress of our organisation without being certain whether it was going to successful or not. However, after almost a decade has passed, I can proudly state that together we have experienced an unforgettable exchange of experience in medical practice, valuable knowledge and personal friendship. Today the commitment and our efforts bring me pride, for we continue to witness growth in the number of participants, prominent lecturers and member-organizations in the Southeast European Medical Forum. I believe that the high level of interest in our multidisciplinary Congresses is the best proof of their worldwide importance to the medical science and practice. After a decade, I am proud to say that the Southeast European Medical Forum has become one of the most influential professional societies and a reputable partner to other European and International Associations. The Scientific program of the Tenth Anniversary International Medical Congress of SEEMF was designed to cover almost entire field of clinical and translational medicine through the lectures of our speakers- all of which with highest academic and practical competences. I am in no doubt that the experience we are about to share together during the next few days, will enhance your career development in numerous ways. As usual, you may expect new findings to be presented and discussed, all of which aim at improving the understanding of the current medical practices in all aspects for the best of our patients and will help us acquire the adequate skills to answer the current challenges for a healthier world. I have made sure that in addition to enjoying the Scientific program of the event, you will have the opportunity to enjoy the traditional Bulgarian cuisine and to taste our amazing wines; to get a sense of the ancient Thracian Culture through the Gold treasures that you will see; to feel the atmosphere of the city of Plovdiv – one of the oldest cities in the world and the oldest living city in Europe, chosen as European Capital of Culture for 2019. Welcome to the Tenth Anniversary International Medical Congress of SEEMF! Thank you for being a part of our unique Southeast European Medical Society. Assoc. Prof. Andrey Kehayov, MD SEEMF President 5 TENTH ANNIVERSARY INTERNATIONAL MEDICAL CONGRESS OF SEEMF Tenth Anniversary International Medical Congress of SEEMF Message from the President of the World Medical Association, Professor Leonid Eidelman On behalf of the World Medical Association, it is indeed a privilege to participate in the 2019 SEEMF Medical Congress. The exchange of ideas, and collaboration among physicians from Southeast European countries – neighbors with a similar healthcare system facing parallel issues – is vital to the wellbeing of physicians and patients. Your commitment to promoting Southeast European countries with quality medical education, medical practice and healthcare is admirable. The WMA stalwartly supports physician associations that pursue their goals and we look forward to continuing cooperation with SEEMF. My abiding thanks to the Southeast European Medical Forum for hosting this year’s congress. Sofia, the location of the meeting, serves as a great backdrop. It is one of the oldest city’s in Europe and uniquely melds the east and west. My hope for all those attending this meeting is that we continue to uphold The Physician’s Pledge of the WMA’s Declaration of Geneva, “WE SOLEMNLY PLEDGE to dedicate our lives to the service of humanity and FOSTERING the honor and noble traditions of the medical profession. “ Congratulations on your 10th anniversary and best wishes for continued success in your endeavors! 6 TENTH ANNIVERSARY INTERNATIONAL MEDICAL CONGRESS OF SEEMF TENTH ANNIVERSARY INTERNATIONAL MEDICAL CONGRESS OF THE SOUTHEAST EUROPEAN MEDICAL FORUM ORGANIZING COMMITTEE Chair: Assoc. Prof. Andrey Kehayov MD, PhD – SEEMF President, Sofia, Bulgaria, Medical University Sofia, Faculty of Public Health, Sofia, Bulgaria Members: Dr. Stylianos Antypas – SEEMF Secretary General, Mellisia, Athens, Greece Prof. Pavel Poredoš,MD,PhD – SEEMF Vice President Department of Vascular Disease, University Medical Centre, Ljubljana, Slovenia Dr. Oleg Musii – SEEMF Vice President, Medical Association Ukraine, Kiev, Ukraine Prof. Gia Lobzhanidze MD, PhD, DMSc – SEEMF-Vice President, President of Georgian Medical Association Tbilisi, Georgia Dr. Ivan Madhzarov – SEEMF Board Member, President of the Bulgarian Medical Association, Sofia, Bulgara Acd. Prof. Wladimir Ovcharoff, MD, PhD, DMSc – SEEMF Board