Annotation: Diabetes mellitus is considered not only a serious chronic disease, but also as an important medical and social problem that is becoming increasingly important. Disease management programs are needed to empower patients and help them develop the necessary skills for selfmanagement of their condition. Objective: To evaluate the effectiveness of the Type 2 Diabetes Management Program at the primary health care level. Methods: Study design is a prospective study, case-control. The study of the intervention group included 114 adults with type 2 diabetes participating in the Disease Management Program and the control group-60 adults with type 2 diabetes not participating in the Disease Management Program. All the investigated persons live in the service area of the municipal polyclinic No. 4 of Aktobe city (Aktobe region, Western region of Kazakhstan). A traditional care which included regular follow-ups every 3 months was provided in the control group. The selection of patients in the control group was carried out by random sampling. Both groups were randomized by age, gender, and duration of illness. The main result evaluated glycated hemoglobin levels, blood pressure, body mass index, and low density lipoprotein levels after 9 months. Results: According to the data obtained after 9 months of the study the analysis showed a decrease in the average level of glycated hemoglobin in the intervention group (7.8 ± 1.5%) compared with the control group (8.6 ± 1.8%) (p <0.05). And also in the intervention group (134.6 ± 12.5 and 83.3 ± 6.5) compared with the control group (125.7 ± 10.4 and 80.7 ± 6.2), systolic and diastolic blood pressure is shown below. There were no statistically significant differences between the groups according to body mass index and low-density lipoprotein. Findings: This Diabetes Management Program allows you to control such indicators as glycated hemoglobin and blood pressure in a positive direction. While both body mass index and low density lipoproteins remained at the same level due to the short observation time.
Objectives: The purpose of this article is to study and generalize, detect main tendencies in modern views on various aspects of the psychological health of adolescents in recent publications (taken into account the publication on multiple problems of adolescents’ health over the past decade: 2009-2019). Method: The literature search was conducted using Medline, TRIP Database and Cochrane Library to identify relevant medical studies over the past 10 years (2009-2019). The keywords search and title search and advanced search were applied in order to determine the articles and other forms of surveys on the general topic of adolescents’ psychological health. The articles were filtered for the TOP-30 concerning chronological principle and their actuality, novelty, citation level and deepness of the researchable aspect. Results: Multiple publications that focus on the psychological health of adolescents were detected. They concentrate on the principal factors that force pathological psychical behaviour among adolescents. E.g., the impact of family members' health and life-limiting conditions, unemployment and precarious employment, the negative impact of alcohol and the Internet, cognitive-behavioral therapy programs, the internalization of symptoms in depressive or anxious states, Internet-based therapy, responses to antidepressants, the Youth Version Short (EQ-i: YV-S) have been described. The chosen medical studies have been systemized in the form of a table and some of them were discussed more closely due to their importance and novelty. Conclusions: The study generalizes the most modern and innovatory views on aspects of the psychological health of adolescents in international publications taking into account synchronic and diachronic notions. The study may be used for close browsing of the current state of investigations in this scientific area as well as for further investigations in the forms of surveys and clinical experiments take notice of already detected and undetected yet problems.
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