Vol. 6 No. 03 (2025): Volume 06 Issue 03

According to the ICD-10 definition, chronic ulcers are wounds that do not heal within the usual healing period of this type of injury or location. Chronic ulcers most often develop in patients with a burdened morbid background in the form of diabetes mellitus complicated by angio- and/or neuropathy, decompensated form of venous insufficiency, in bedridden patients for a long period of severe patients. The urgency of the problem of treating a chronic ulcer or wound is due not only to its medical significance but also to its social and economic importance. Chronic wounds are a heavy burden for both patients and their family members. Due to the presence of pain, infection, loss of function in the affected area, as well as constant financial costs, not only does the quality of life decrease and the number of disabled people increases, but conditions are created for the generalization of infection, the development of surgical sepsis and the death of the patient. In this manuscript, we present a clinical case description of the features of the course of a chronic wound that was complicated by the generalization of the infection of the type of chronic sepsis.

Perinatal mental health issues, including anxiety and depression, affect a significant number of women during pregnancy and after childbirth. Timely and effective treatment is essential to promote maternal and infant health. This study explores the national implementation of the MumSpace digital stepped-care model, designed to provide accessible, evidence-based mental health care for perinatal women. The model combines digital interventions with professional support in a stepped-care approach, enabling personalized care at various levels of severity. This study evaluates the model's effectiveness, feasibility, and user experience across a wide population of perinatal women. Results suggest that the MumSpace model significantly improves access to care, offers a scalable solution, and demonstrates positive mental health outcomes, thereby presenting a promising model for national implementation.