Structured headache services as the solution to the ill-health burden of headache: 1. Rationale and description

In countries where headache services exist at all, their focus is usually on specialist (tertiary) care. This is clinically and economically inappropriate: most headache disorders can effectively and more efficiently (and at lower cost) be treated in educationally supported primary care. At the same time, compartmentalizing divisions between primary, secondary and tertiary care in many health-care systems create multiple inefficiencies, confronting patients attempting to navigate these levels (the “patient journey”) with perplexing obstacles. High demand for headache care, estimated here in a needs-assessment exercise, is the biggest of the challenges to reform. It is also the principal reason why reform is necessary. The structured headache services model presented here by experts from all world regions on behalf of the Global Campaign against Headache is the suggested health-care solution to headache. It develops and refines previous proposals, responding to the challenge of high demand by basing headache services in primary care, with two supporting arguments. First, only primary care can deliver headache services equitably to the large numbers of people needing it. Second, with educational supports, they can do so effectively to most of these people. The model calls for vertical integration between care levels (primary, secondary and tertiary), and protection of the more advanced levels for the minority of patients who need them. At the same time, it is amenable to horizontal integration with other care services. It is adaptable according to the broader national or regional health services in which headache services should be embedded. It is, according to evidence and argument presented, an efficient and cost-effective model, but these are claims to be tested in formal economic analyses

INFLUENCE OF THE SEPAJ METHOD ON THE QUALITY OF PINK WINE SAMPLES

Quality composition of pink wine samples made from sepaj of grape harvest obtained from Madrasa and Bayanshira varieties was analyzed. Sepaj 80:20; 60:40; 40:60; 20:80 obtained from mixing red grapes with white grapes in proportion. Samples of pink wine “Al wine” made from Tavkveri grape variety were in a superior position in terms of composition and organoleptic quality. Among the samples, the 60:40 sepaj sample was rated higher for the optimality and organoleptic quality of the composition indicators. So, it differed from other analogs in that it was 0.3-0.5 points ahead

Отримання та дослідження хімічного складу порошкоподібних солодових та полісолодових екстрактів для виробництва безалкогольних функціональних напоїв

The group of consumer goods used in regular and daily nutrition, as well as the group of products that have a positive effect on the physiological functions of the body and have a certain chemical composition, should include processed beverages. It is extremely important to expand the use of malt extracts in the creation of new non-alcoholic beverages, including functional ones. These extracts must come from sources other than typical malt forms, such as food grains and legumes (horse beans, buckwheat, peas, etc.). Buckwheat is a promising raw material for the production of beverages, especially without barley, wheat and rye gluten. To find the optimal parameters of primary mechanical, heat and moisture exchange processes by computer tests, it is required to develop a physical and mathematical method for grinding malt and mixed malt extracts. The aim of the study is to evaluate new malt extracts used in non-alcoholic beverages. Beverages made from powdered malt and polymalt do not increase the intake of vitamins (B4) and minerals (potassium, calcium and magnesium) in the body, do not cure the deficiency of the nutrient dextrin. They have also not been shown to have a positive effect on physiological processes. The answer to this question lies in increasing the nutritional value of beverages by eliminating gluten, which has a negative effect on some physiological processes in the body. The studied powdered malt and polymalt extracts for functional beverages were evaluated theoretically and practically. The presented results showed that buckwheat extract powder can be used as an ingredient in beverages, as an independent product, and also as a product recommended for people with gluten intoleranceДо групи споживчих товарів, що використовуються у звичайному повсякденному харчуванні, а також до групи продуктів, що позитивно впливають на фізіологічні функції організму і мають певний хімічний склад, слід віднести оброблені напої. При створенні нових безалкогольних напоїв, зокрема функціональних, вкрай важливо розширити використання солодових екстрактів. Ці екстракти повинні надходити з джерел, відмінних від звичайних форм солоду, таких як харчові злаки та бобові (кормові боби, гречка, горох тощо). Гречка є перспективною сировиною для виробництва напоїв, особливо без ячменю, пшениці та житнього глютену. Для визначення оптимальних параметрів первинних механічних, тепло- та вологообмінних процесів за допомогою комп'ютерних випробувань необхідно розробити фізико-математичний метод подрібнення солодових та змішаних солодових екстрактів. Метою дослідження є оцінка нових солодових екстрактів, що використовуються у безалкогольних напоях. Напої з порошку солоду та полісолоду не збільшують рівень вітамінів (В4) та мінералів (калій, кальцій і магній) в організмі, не виліковують дефіцит поживної речовини декстрину. Також не було показано, що вони позитивно впливають на фізіологічні процеси. Відповідь на це питання полягає у підвищенні поживної цінності напоїв за рахунок виключення глютену, який негативно впливає на деякі фізіологічні процеси в організмі. Досліджувані порошкоподібні солодові та полісолодові екстракти для функціональних напоїв оцінювали теоретично і практично. Представлені результати показали, що порошок екстракту гречки можна використовувати в якості інгредієнта напоїв, як самостійний продукт, а також продукт, рекомендований людям з непереносимістю глютен

Structured Q1 headache services as the solution to the ill-health burden of headache: 1. Rationale and description

In countries where headache services exist at all, their focus is usually on specialist (tertiary) care. This is clinically and economically inappropriate: most headache disorders can effectively and more efficiently (and at lower cost) be treated in educationally supported primary care. At the same time, compartmentalizing divisions between primary, secondary and tertiary care in many health-care systems create multiple inefficiencies, confronting patients attempting to navigate these levels (the “patient journey”) with perplexing obstacles. High demand for headache care, estimated here in a needs-assessment exercise, is the biggest of the challenges to reform. It is also the principal reason why reform is necessary. The structured headache services model presented here by experts from all world regions on behalf of the Global Campaign against Headache is the suggested health-care solution to headache. It develops and refines previous proposals, responding to the challenge of high demand by basing headache services in primary care, with two supporting arguments. First, only primary care can deliver headache services equitably to the large numbers of people needing it. Second, with educational supports, they can do so effectively to most of these people. The model calls for vertical integration between care levels (primary, secondary and tertiary), and protection of the more advanced levels for the minority of patients who need them. At the same time, it is amenable to horizontal integration with other care services. It is adaptable according to the broader national or regional health services in which headache services should be embedded

Structured Q1 headache services as the solution to the ill-health burden of headache: 1. Rationale and description

In countries where headache services exist at all, their focus is usually on specialist (tertiary) care. This is clinically and economically inappropriate: most headache disorders can effectively and more efficiently (and at lower cost) be treated in educationally supported primary care. At the same time, compartmentalizing divisions between primary, secondary and tertiary care in many health-care systems create multiple inefficiencies, confronting patients attempting to navigate these levels (the “patient journey”) with perplexing obstacles. High demand for headache care, estimated here in a needs-assessment exercise, is the biggest of the challenges to reform. It is also the principal reason why reform is necessary. The structured headache services model presented here by experts from all world regions on behalf of the Global Campaign against Headache is the suggested health-care solution to headache. It develops and refines previous proposals, responding to the challenge of high demand by basing headache services in primary care, with two supporting arguments. First, only primary care can deliver headache services equitably to the large numbers of people needing it. Second, with educational supports, they can do so effectively to most of these people. The model calls for vertical integration between care levels (primary, secondary and tertiary), and protection of the more advanced levels for the minority of patients who need them. At the same time, it is amenable to horizontal integration with other care services. It is adaptable according to the broader national or regional health services in which headache services should be embedded. It is, according to evidence and argument presented, an efficient and cost-effective model, but these are claims to be tested in formal economic analyses