Improved health care in neurology and psychiatry – longer life

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Atherosclerosis as a leading cause of Stroke, and Stroke as a one of the most common cause of death and work incapacity, were recognized by the EU health dealing bodies. Several protocols, strategies and projects initiated and financed by the EU Commission and other EU bodies (mentioned under points C.3.1 and C.3.2), prove the awareness of necessity of joint efforts on the successful diagnostic, treatment and above all prevention of these neurological diseases. At the same time, initiatives for introducing of cross-border health care were present in EU since late 90ties, by the development of a legal framework to enable cross-border care for citizens. Due to prevention and timely reaction on Stroke, many lives could be saved, and the ability to work quickly restored. This is the main challenge of this project which could be jointly solved through the project Improved health care in neurology and psychiatry – longer life, by involving experts from both sides of the border. Stroke (AVC) is the most important cause of mortality and long-term work incapacity in Europe, including both Romania and Serbia. Consequently, they present a particular socio-economic impact. 75-80% of all strokes are ischemic, consecutive focal vascular occlusion. Determining the etiology of ischemic stroke contribute to the choice of appropriate therapy. Atherosclerosis is the leading cause of ischemic stroke (30%). Computer tomography (CT) and magnetic resonance imaging (MRI) allow reliable differentiation of the bleeding in early ischemic stroke. Vascular imaging (ultrasound Doppler Color-EDC-DSA digital subtraction angiography, CT angiography, and / or angio-MRI) provides information about cervical and intracranial blood vessels permeability (stenosis, occlusion). The overall objective of the project and the expected change your project will make to the current situationThe overall objective of the project is: Improvement of quality of life in border region through medical prevention in neurology and psychiatry. Having in mind above presented facts, purchasing and involving of necessary equipment in all three medical institutions, so as development of scientific documents, new protocols and technics, which demonstrate the methods for reliable diagnosis, noninvasive and inexpensive, which could be included in a battery of tests for the early screening of vascular cognitive impairment, prevention especially in rural areas through Mobile Prevention Diagnostic system, Cooperation e-health platform supported with newly purchased equipment, could lead to significant decreasing of stroke in both countries. Main output 1: Revitalization of the facilities of Neurological Department of “Sveti Luka” Hospital, Three health care institutions equipped, 1 health facility revitalized, Main output 2: Experts involved in Promo conferences, Medical students involved in project activities, Experts using Cooperation e-health platform, Citizens participating Info – days, Citizens involved in Awareness campaign, Citizens included in MPD system, Citizens reached by communication tools, Main output 3: Stroke (AVC) and Atherosclerosis patients in border region, Risk groups for Stroke and Atherosclerosis in border region, Main output 4: People directly involved in activities (MPD, Info events), People reached by communication tools, People which will use health care services after the project’s end. Approach: Similar socio-economic situation, geographic location, lifestyle, diet and habits of inhabitants of the border region, causes similar medical problems. The cross-border project team, composed with neurology and psychiatry experts from both countries will be involved in all stages of the project, backed by a laboratory of cervical-cerebral Doppler ultrasonography well equipped. Through it, is done cervical and cerebral echo-Doppler evaluation. The team also has advanced features (eg, brain CT, MRI brain) allowing thorough investigation of ischemic stroke patients. At the existing equipment will be added the planned achievements. This equipment was selected in order to ensure performance improvement of the team, in the cervical and cerebral Doppler ultrasonography field. Cross-border approach is necessary in this phase of dealing with the presented issues, because of the strong correlation between theory and research, which will be done by Romanian partner, combining with practice which will be done in two Serbian neuro-psychiatric hospitals. That’s way, problem which influences both countries at the same way, will be jointly solved. Also, by introduction of Cooperation e-health platform, this cooperation will be even more successful. Among the others reasons for cross-border approach to this issue, there is also the fact that Romania, as an EU country, for several years have an access to new, modern technologies, and for Serbian medical institution sharing of know-how could be priceless. Also, lot of young people from Serbia are studying Medicine in Romania, and some of them will be involved in the project, and will be able to practice it in Serbia after finishing of college. Over 24 months, how will run the project, we will study the evolution of general cognitive function, through batteries of tests applicable to patients who have suffered ischemic strokes. To emphasize the dynamic array elementary neurological (motor deficit, objectives sensitivity disorders, etc.) evaluations will be performed at baseline, at 30 days, 90 days and then every 6 months, the scales: NIHSS MRS, Barthel Index, and in order to assess cognitive deficits will use the following scale: MMSE sample Rey, Hamilton scale, scale clinical evaluation of dementia - CDR. Original approach to solving of this issue will be: the MPD (Mobile Prevention Diagnostic) in Serbia as a pioneering approach with new protocols and technics developed in Romania by using modern equipment in both countries; Cooperation e-health platform setting-up.

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