Henry RR: Skeletal muscle protein-tyrosine phosphatase activity and tyrosine phosphatase 1B protein content are associated with insulin action and resistance.

Ključne besede:telemedicina na domu; sladkorna bolezen tipa 2; kronično srčno popuščanje; opolnomočenje bolnika Key words:home telemedicine; diabetes mellitus type 2; chronic heart failure; patient empowerment Citirajte kot/Cite as: Zdrav Vestn. 2016; 85:676-85. prispelo: 20. 5. 2016 sprejeto: 6. 11. 2016 Telemedicine support to patients with chronic diseases for better long-term control at home AbstractAuthors in many scientific publications suggest that the telemonitoring of health parameters is a useful tool for supporting patients with long-term conditions staying at home and their self-management of the disease. Those patients are likely to benefit from timely and adequate response to deteriorated conditions detected by the telemedicine system. Almost all of the studies state that telemedicine provided as telemonitoring can be an effective add-on tool in the hands of patients and medical experts for the self-management of patients with, for example, heart failure or diabetes. In this paper the principles of patient telemonitoring are presented as applied within a telemedicine service provided by the Centre for Telehealth (CEZAR) at the General Hospital Slovenj Gradec (Slovenia). The centre supports patients with diabetes mellitus type 2 and/or with chronic congestive heart failure. The service was set-up in 2014 as part of a European project called UNITED4HEALTH. Since then over 550 patients from the Carinthia and Saleška regions (Slovenia) have been receiving telemedicine support for more than two years. The clinical outcomes of the telemedicine service published elsewhere prove that the selected telemedicine service model is adequate and the implemented technological solution is acceptable for all service users: the patients and the clinicians. IzvlečekAvtorji številnih znanstvenih objav navajajo, da je spremljanje parametrov zdravja na daljavo uporabno orodje pri podpori kroničnim bolnikom, ki sami, ob ustrezni medicinski podpori, skrbijo za svojo bolezen. Tem bolnikom pravočasen odziv in ukrepanje ob poslabšanju bolezni, ki ga omogoča telemedicinska storitev, izboljša izid zdravljenja. Rezultati vseh tovrstnih raziskav nakazujejo, da je lahko telemedicinska storitev v obliki spremljanja parametrov zdravja na daljavo (telemonitoring) učinkovito dodatno orodje v rokah bolnika in zdravstvenih oz. medicinskih strokovnjakov pri samooskrbi sladkorne bolezni in/ali srčnih bolezni. V članku predstavljamo princip telemedicinskega spremljanja, kot se uporablja v telemedicinski storitvi, ki jo ponuja Center za zdravje na daljavo (CE-ZAR), ki deluje v okviru Splošne bolnišnice Slovenj Gradec. Center nudi storitve bolnikom s sladkorno boleznijo tipa 2 in/oz. bolnikom s kroničnim srčnim popuščanjem. Storitev smo vzpostavili v letu 2014 v okviru evropskega projekta UNITED4HEALTH -Združeni za zdravje. Od začetka dela je center nudil storitve že 550 bolnikom koroške in saleške regije. Nekateri od njih prejemajo storitev že dve leti. Klinični rezultati telemedicinskega spremljanja, objavljeni drugje, potrjujejo, da ...

Culture-negative endocarditis accounts for 2.5-31% of all endocarditis cases and remains a diagnostic and therapeutic challenge. Bartonella spp. has only recently been recognized as an important cause of culture-negative endocarditis. We report a case of Bartonella henselae endocarditis occurring in an immunocompetent man who owned a cat and had previously been diagnosed with valvulopathy. Diagnosis was made only after prolonged diagnostic work-up with serology and with PCR and subsequent sequencing to identify the microorganism in the excised valves. The duration of treatment in patients with bartonella endocarditis is not clearly defined, and we decided to treat our patient with a prolonged course of antibiotic. Surgical treatment is usually necessary and was also successful in our patient. To our knowledge, this is the first case of bartonella endocarditis occurring in our geographic area.