The article present the results from a research on the principles of integrated care applied for patients with diabetes at the Department of Endocrinology and Metabolism Diseases at University Hospital for Active Treatment "St. Marina" Varna. An important point in the treatment of diabetes is customer orientation. The increased life expectancy, the aging population and the cost of treatment of patients with diabetes, both globally and in Bulgaria, prompted the need for the development of integrated care. Integrated care focuses on ensuring continuous care for patients with diabetes by multidisciplinary teams.
The paper present the perspectives and the possible benefits of the POCT tests, conducted outside of the clinical laboratories. Laboratory tests are objective in their character, which is one of the main reasons for the constant increase in the number of laboratory tests.The fast development of the technology in clinical laboratories, leads to the constant introduction of new markers, as well as the methods and equipment for the establishment of their values. Moving the laboratory diagnostics closer to the patient's location (point of care testing) is a new tendency in the policy of health care. The tendency may be applied and is expanding, because of the fast development of biotechnologies. In a worldwide scale, POCT is essential for the public health care.
Mouthwash is an antiseptic solution intended to reduce the microbial load in the oral cavity, although other mouthwash might be given for other reasons such as for their analgesic, anti-inflammatory or anti-fungal action. A study was carried out to compare the antibacterial and antifungal properties of three mouthrinse preparations - both containing commercial used antiseptic combinations (chlorhexidine 0,100% + chlorbutanol 0,500% and alcohol 21,60% + essential oils) and one with natural active ingredients (propolis 2,00% + mentha oil 0, 042%). The antibacterial and antifungal activity of three types of mouthwash were tested on three microbial strains - Staphylococcus aureus, Escherichia coli and Candida albicans by two alternatives of agar diffusion tests – “cup plate” technique and disc-diffusion test. The results showed the highest antimicrobial activity of the chlorhexidine-chlorbutanol combination. Mouthwash containing propolis with mint oil demonstrated activity only against S. aureus strain. It turned out that testing the antimicrobial activity of mouthwash with alcohol with essential oils with the agar diffusion method is not representative. For 24 hours with this mouthwash, no inhibition zones were observed in none of the strains at any concentration. Our assumption is that alcoholic solutions are exuding and bacteria starts to grow.
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