Diabetes education program in Bulgaria

The objective of the Diabetes Education Program for Bulgaria (DEPB) was to introduce a large-scale unified structured educational program for insulin-treated diabetic patients. A total of 52 university and regional educational centers for people with diabetes and four centers for education of children with diabetes were organized. The educational course includes 10 sessions, 45min each, in 3-5 consecutive days for groups of 8-12 insulin-treated patients. To assess the effect of the DEPB on diabetes-related parameters data collection was organized in seven centers. It included 2055 patients who were allocated to education (intervention group) or not to be educated (control group). Diabetes-related parameters were measured at baseline, and patients will be followed at 6 months. Measuring the biochemical parameters, self-estimated knowledge, treatment satisfaction, burden and handling of diabetes before and after education would give the opportunity to evaluate its impact on the metabolic control and on psychological factors.     

The “return” of hepatitis B

INTRODUCTION Hepatitis B virus (HBV) infection is a global health problem. This infection is especially endemic in Asia, South Pacific Region, sub-Saharan Africa and South America[1]. It is estimated that over 350 million people worldwide are chronically …     

Hormonal changes in patients with mumps orchitis

目的：检测不同年龄感染腮腺炎性睾丸炎患者的激素水平改变。方法：应用放射免疫法测定３组患者的ＦＳＨ、ＬＨ、催乳素、雌二醇和睾酮水平。结果：３组患者均存在不同程度的激素紊乱，尤其以青春期发生感染的组Ⅱ有显著激素水平改变。与对照组比较，组Ⅱ的ＦＳＨ、ＬＨ、催乳素和雌二醇分别升高２８７、１９７、１８１和１９８倍，睾酮减少６４１倍。结论：感染腮腺炎性睾丸炎患者的生殖激素有明显改变，且与感染时患者的年龄有关。