Cohort profile: the ESC EURObservational Research Programme Non-ST-segment elevation myocardial infraction (NSTEMI) Registry

AIMS

The European Society of Cardiology (ESC) EURObservational Research Programme (EORP) Non-ST-segment elevation myocardial infarction (NSTEMI) Registry aims to identify international patterns in NSTEMI management in clinical practice and outcomes against the 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without ST-segment-elevation.

METHODS AND RESULTS

Consecutively hospitalised adult NSTEMI patients (n = 3620) were enrolled between 11 March 2019 and 6 March 2021, and individual patient data prospectively collected at 287 centres in 59 participating countries during a two-week enrolment period per centre. The registry collected data relating to baseline characteristics, major outcomes (in-hospital death, acute heart failure, cardiogenic shock, bleeding, stroke/transient ischaemic attack, and 30-day mortality) and guideline-recommended NSTEMI care interventions: electrocardiogram pre- or in-hospital, pre-hospitalization receipt of aspirin, echocardiography, coronary angiography, referral to cardiac rehabilitation, smoking cessation advice, dietary advice, and prescription on discharge of aspirin, P2Y12 inhibition, angiotensin converting enzyme inhibitor (ACEi)/angiotensin receptor blocker (ARB), beta-blocker, and statin.

CONCLUSION

The EORP NSTEMI Registry is an international, prospective registry of care and outcomes of patients treated for NSTEMI, which will provide unique insights into the contemporary management of hospitalised NSTEMI patients, compliance with ESC 2015 NSTEMI Guidelines, and identify potential barriers to optimal management of this common clinical presentation associated with significant morbidity and mortality.

Can a brief training intervention on schizophrenia and depression improve knowledge, attitudes and practices of primary healthcare workers? The experience in Armenia

BACKGROUND

Although the World Health Organization has called for mental health services to be integrated into primary care, mental health remains in most countries, and especially in low- and middle-income countries, one of the most neglected topics in the training curriculum of frontline health workers. As a result, primary healthcare professionals leave medical and nursing schools with insufficient knowledge, and often with negative attitudes towards mental disorders.

AIM

We investigated the effect of a brief training intervention on schizophrenia and depression conducted among general practitioners and nurses in Armenia.

METHODS

Training interventions were one-day, face-to-face, interactive workshops, including didactic presentations and discussions of case studies. We used a quasi-experimental design of the before/after type, to compare data on knowledge, attitudes and practices collected before and after the training sessions.

RESULTS

Mean scores for knowledge, attitudes and practices increased significantly (p < 0.001) among both nurses and GPs for both schizophrenia (111 GPs and 167 nurses) and depression (459 GPs and 197 nurses).

CONCLUSIONS

Our experience suggests that a brief training intervention can result in significant improvements in knowledge, attitudes and practices among primary healthcare workers and could help improve mental health services.

Dynamics aspects in ex-combatants experienced PTSD

Introduction

Growing stress and extreme situations create serious psychological problems, for solving which a person must get adopted to new situations different from stress- formed conditions, “suppressing” herewith spontaneous aggression and anxiety that quite often leads to both forming anti- and asocial behavior and the development of somatoform disorders.

Objective

The purpose of this study is to examine the development of several PTSD (post traumatic stress disorder) symptoms actual in PTSD dynamics.

Aim

To determine how growing of actual parameters impacts on development of PTSD.

Methods

In this study material of observation, testing and diagnoses of 30 male Karabagh war volunteers at the age of 35–61 (48 ± 8) were used. The psychiatric disorders (among the examined patients) corresponded to ICD-10 diagnostic criteria for PTSD. The observation period included 15–18 years. The clinical self- report scale SCL-90-R was used to assess several psychological features.

Results

All the actual SCL-90 properties exceed the pathological level (≥2). In particular, somatisation level was 2, 2 ± 0, 5 in 2009 vs. 1, 97 ± 0,10 in 1996. It is caused, on the one hand, by the presence of unconscious suppressed anxiety, on the other hand, by the evident deterioration of the patients’ somatoneurological status. Besides, growing aggression is revealed (SCL- hostility) (2,4 ± 0,8 in 2009 vs. 2, 24 ± 0,16 in 1996), that indicates gradual forming of organic cerebral changes.

Conclusion

The comparison of 1996–2009 features enables to hypothesize, that development of actual parameters is essential in PTSD dynamics at the stage of distant results.