Vol 17, No 2 (2013)

While home-based chronic care management systems are widely discussed in international scientific papers, this is not the case in Russian publications. The main objective of this article is to fill this gap, dealing with aspects such as systems implementation. This includes current work processes and possible lists of patient home equipment. Special attention is given to exploring the relatively new term «health care coordinators and the different approaches to defining that role and its responsibilities. In the final part of the article, a short evaluation of existing projects worldwide is provided, followed by a discussion of how this experience can be utilized within Russia. This investigation is not only theoretical, but practical as well-drawing on data from both scientific and real-world examples

The prevalence of osteoporosis in Russia is about 10%, and in the age group over 50 years — up to 25-35%. The role of primary care physicians in the prevention, diagnosis and treatment of this disease is high, because 80% of patients seeking medical help in primary health care. The article presents the results of the assessment of the awareness of the general practitioners (family doctors) on the prevention, diagnostics and treatment of osteoporosis

The level of inflammation mediators (IL-1 в, IL-6, IL-8, IL-10, TNF-а) and condition of neutrophilic granulocytes in patients with acute ischemic stroke was investigated. In the course of studying the cytokine system identified the over-production of pro-inflammatory (IL-1 в, IL-6, IL-8, TNF-а) and anti-inflammatory cytokines (IL-10). Identified a direct correlation between the severity of ischemic stroke and the level of IL-1 в: the higher the level of cytokines, especially difficult was the condition of the patient. The definition IL-1 в, IL-6, IL-8, IL-10, TNF-а) can be used as a marker of disease progression

The purpose of the work was to identify the level of anxiety and depressive disorders in patients in primary care. Patients with essential hypertension (EH), with coronary heart disease (CHD), with diabetes mellitus (DM) aged 35 to 67 years were examined. The control group consisted of patients who have applied for a checkup. To identify and assess the severity of depression and anxiety the scale HADS (Hospital Anxiety and Depression Scale) was used. The high incidence of significant depression and anxiety were identified subclinically and clinically in patients in primary care. These data indicate the need for timely assessment of anxiety severity and depressive disorders in patients with somatic diseases, not only clinically, but also through pathopsychological making it possible to verify reliably these diseases and prescribe appropriate treatment

The article presents the observation of drug allergy manifested by selective neutropenia combined with fixed toxicodermia syndrome as result of treatment by drug nurofen at a boy of 10 years old

The spring council meeting of EURACT took place in Graz. New initiatives, elections and goals described.