Long-term follow up of patients with obstructive pulmonary diseases
Bulgaria (AMSB) - Medical University of Pleven, Pleven
UMHAT D-r G. Stranski, Pleven Bulgaria Department of Pneumonology and Phthysiatry
Assoc. Prof.Yavor Ivanov, PhD, MD
D-r Nikolay Kluchukov, PhD, MD D-r Iliya Krachunov, PhD, MD D-r Zlatina Ivanova, MD
4 weeks
Cities/Months Jan Feb Mar Apr May Jun Jul Augt Sep Oct Nov Dec
No No No No No Yes Yes Yes Yes No No No
Type of Research Project
- Clinical Project with Laboratory work
What is the background of the project?
Long-term follow up of a patients with obstructive pulmonary diseases (Chronic Obstructive Pulmonary Disease (COPD) and bronchial asthma) which include the following tests/ procedures: questionnaires Asthma Control Test (ACT),Asthma Control Questionnaire(ACQ),COPD Assessment Test(CAT), mMRC(Modified Medical Research Council) Dyspnea Scale ), pulse oximetry measuring, spirometry (including with bronchodilator test), X-ray interpretations, 6-Minute Walk Test(6MWT), inhalation technique assessments, oxygentherapy. Additional tests/ measurement, which could be observed in the clinic are thoracic ultrasound, thoracentesis and examination of sleep disturbances (polygraphy and polysomnography).
What is the aim of the project?
Learn new skills to manage and follow-up patients with obstructive pulmonary diseases.
What techniques and methods are used?
1. Questionnaires- standard international questionnaires will be filled in. In case of communication problems (due to language differences) a tutor will be available to assist. 2. Oxygen measurement- via standard pulse oximetry device. Exchange students will be instructed and then perform the measurement. 3. Spirometry- exchange students will assist to the tutors during the tests. At the end of the program students will be able to interpret the spirometry results including the bronchodilator test. 4. The X-ray of the patients will be discussed with the tutors- image results, diagnosis and differential diagnosis. 5. 6MWT (6-minutes walking test) – saturation, blood pressure and Borg scale will be measured/ filled in before and after the test by the students. The distance and the walking time also will be observed by the students. 6. Inhalation technique will be assessed via Vitalograph Aim device. At the end of the program student will be able to correct the poor inhalation technique of the patients with obstructive pulmonary diseases. 7. Oxygen therapy- students will assist in identifying and assessing patients suitable for home oxygen therapy. 8. Additional: 8.1 Thoracic ultrasound and thoracentesis - students will learn how to perform thoracic ultrasound of peripheral solid lesions and pleural effusions and will have the ability to assist during thoracentesis. 8.2 Polygraphy and polysomnography- student could assist during sleep disturbances evaluation. Main aspect of interest is obstructive sleep apnea.
What is the role of the student?
- The tasks of the student will be performed on his/her own
- The tasks will be done under supervision
What are the tasks expected to be accomplished by the student?
Pulse oximetry measurments, 6MWT, inhalation technique assessment will be performed by the students alone after instructions are given. Specific questionnaires will be filled in by the students, in case of language difficulties a tutor will assist. Spirometry, thoracic ultrasound and thoracentesis will be done under supervision. Spirometry result and X-rays will be discussed with the tutors.
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
Students should have passed their basic pulmonary course at their Medical University. At the beginning of the program additional instructions/ explanations will be given according to the specificity of the task.
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a scientific report
- The student will have the opportunity to present the results together with the supervisor at a conference
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
Students should passed their basic pulmonary course at their Medical University. Working language- English, level – intermediate and above.
Are there any legal limitations in the student’s involvement
Type of students accepted
This project accepts:
- Medical students
- Graduated students (less than 6 months)
- 1. Global Strategy for Diagnosis; Management; and Prevention of COPD – 2017 available at
- 2. 2017 GINA Report; Global Strategy for Asthma Management and Prevention available at