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Education in diabetes

Uwe Schmidt, Claudia Capek, Cahit Birdir, Christine Erfurt, Katharina Nitzsche
INTRODUCTION: It can be observed that there is an increase in the methamphetamine (MA) consumption in Saxony (Federal Republic of Germany). There is so far no data available in German speaking countries about the risk of MA consumption in pregnancy or delivery. METHODS: The data from all pregnant women who were examined or delivered at the Clinic for Obstetrics and Gynaecology between 2010-2015 were retrospectively searched for MA consumption. 119 pregnancies with 113 deliveries of 115 women consuming MA could be evaluated...
February 20, 2019: Zeitschrift Für Geburtshilfe und Neonatologie
T Skinner, M Byrne, J K Dickinson, L Fisher, M Funnell, S Guzman, C Hendrieckx, N Hermanns, K Kanc, C Lloyd, A Mocan, A Nouwen, F Pouwer, N Saleh-Stattin, F Snoek, J Speight, J Sturt, M Vallis, J Wagner, I Willaing, D Young-Hyman, V Zoffmann
We read with interest the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) joint consensus report on the management of hyperglycaemia in Type 2 diabetes. Following publication of the report, discussions of the content among networks of behavioural and educational researchers prompted us to write this letter. This consensus report is to be commended for recommending that 'providers and health care systems should prioritize the delivery of patient-centered care...
February 20, 2019: Diabetic Medicine: a Journal of the British Diabetic Association
Claudia Ramirez-Perdomo, Alix Perdomo-Romero, María Rodríguez-Vélez
OBJECTIVE: Describe the knowledge and practices performed by people for diabetic foot prevention. METHODS: This was a cross-sectional, descriptive study, with a random stratified sample, comprised of 304 people with type 2 diabetes mellitus. The information was collected through an instrument designed by the researchers that assessed sociodemographic aspects, and level of knowledge and practices of the participants in diabetic foot care prevention. RESULTS: In the assessment of diabetic foot care prevention, there was a low and average level of knowledge, whereas practices were moderately adequate...
February 18, 2019: Revista Gaúcha de Enfermagem
Jacques Joubert, Stephen M Davis, Geoffrey A Donnan, Christopher Levi, Graeme Gonzales, Lynette Joubert, Graeme J Hankey
BACKGROUND AND PURPOSE: After an initial stroke, the risk of recurrent stroke is high. Models that implement best-practice recommendations for risk factor management in stroke survivors to prevent stroke recurrence remain elusive. We examined a model which focuses on vascular risk factor management to prevent stroke recurrence in survivors returning to their primary care physicians. This model is coordinated from the stroke unit, integrates specialist stroke services with primary care physicians, and directly involves patients and carers in risk factor management...
February 20, 2019: International Journal of Stroke: Official Journal of the International Stroke Society
Sarah T Pendlebury, Peter M Rothwell
BACKGROUND: Risk of dementia after stroke is a major concern for patients and carers. Reliable data for risk of dementia, particularly after transient ischaemic attack or minor stroke, are scarce. We studied the risks of, and risk factors for, dementia before and after transient ischaemic attack and stroke. METHODS: The Oxford Vascular Study is a prospective incidence study of all vascular events in a population of 92 728 people residing in Oxfordshire, UK. Patients with transient ischaemic attack or stroke occurring between April 1, 2002, and March 31, 2012, were ascertained with multiple methods, including assessment in a dedicated daily emergency clinic and daily review of all hospital admissions...
March 2019: Lancet Neurology
K S Vivekanandan, P Thangadurai, J Prasad, K S Jacob
Background and Aim: There is a dearth of community data on nature, prevalence, clinical features, and explanatory models related to sexual dysfunction among men, particularly from rural India. This study attempted to examine different aspects of male sexual dysfunction and misconceptions in the community. Materials and Methods: Villages in Kaniyambadi Block, Vellore district were stratified, and four were randomly selected. Men living in these villages were recruited for the study...
January 2019: Indian Journal of Psychological Medicine
Yao Liu, Nicholas J Zupan, Rebecca Swearingen, Nora Jacobson, Julia N Carlson, Jane E Mahoney, Ronald Klein, Timothy D Bjelland, Maureen A Smith
OBJECTIVE: Teleophthalmology for diabetic eye screening is an evidence-based intervention substantially underused in US multipayer primary care clinics, even when equipment and trained personnel are readily available. We sought to identify patient and primary care provider (PCP) barriers, facilitators, as well as strategies to increase teleophthalmology use. DESIGN: We conducted standardised open-ended, individual interviews and analysed the transcripts using both inductive and directed content analysis to identify barriers and facilitators to teleophthalmology use...
February 18, 2019: BMJ Open
Rachid Malek, Souad Hannat, Abdelmalek Nechadi, Fatima Zohra Mekideche, Meriem Kaabeche
OBJECTIVE: The aims of this study are to describe the behaviour of an Algerian population with diabetes and the consequences of fasting. METHODS: In 2017, a prospective multicenter study was conducted in 26 counties before and after fasting. The study concerned 901 patients with 836 type 2 diabetes mellitus (T2DM) and 65 with type 1 diabetes mellitus (T1DM). RESULTS: The average age for T2DM and T1DM was 57.86±10.44 and 45.8±17.69 years respectively...
February 16, 2019: Diabetes Research and Clinical Practice
Y J Shin, H W Choung, J H Lee, I C Rhyu, H D Kim
The association between oral squamous cell carcinoma (OSCC) and periodontitis in large hospital cases with cohort controls has yet to be evaluated. The aim of this study was to investigate the association of periodontitis with OSCC across tumor location and tumor-node-metastasis (TNM) stage among Koreans ( N = 424). OSCC cases ( n = 146) were recruited from Seoul National University Dental Hospital and matched by age, sex, and smoking to controls ( n = 278) from the Yangpyeong health and periodontal cohort in Korea...
February 19, 2019: Journal of Dental Research
Suzanne Sap, Ernest Kondo, Eugene Sobngwi, Ritha Mbono, Sandra Tatah, Mesmin Dehayem, Paul Olivier Koki, Jean Claude Mbanya
BACKGROUND: Patient education is essential in management of type I diabetes. OBJECTIVE: To evaluate the short-term impact of patient education through WhatsApp on the knowledge of the disease and glycemic control of adolescents and young adults living with Type 1 diabetes in a resource-limited setting. METHODS: A double arm non-randomized clinical trial was carried out in two clinics for diabetes in Cameroon, over a period of two months. The intervention consisted in providing four sessions of patient education through WhatsApp to an intervention group compared to a control group with their classic follow up...
February 18, 2019: Pediatric Diabetes
Nicola Di Daniele, Roberto Celotto, Danilo Alunni Fegatelli, Marco Gabriele, Valentina Rovella, Angelo Scuteri
INTRODUCTION: Cognitive impairment and dementia represent an emerging health problem. Cardiovascular (CV) risk factors contribute to cognitive impairment. AIM: To investigate the effect of vascular calcification on cognitive impairment and dementia, independently of plaque and traditional CV risk factors. METHODS: Four hundred and sixty-nine patients (age of 78.6 ± 6.1 years, 74.4% women) were studied. Traditional CV risk factors levels, cognitive function (MMSE), brain CT scan, and other vascular parameters were measured...
February 18, 2019: High Blood Pressure & Cardiovascular Prevention: the Official Journal of the Italian Society of Hypertension
Nashwa Othman, Osama Gheith, Torki Al-Otaibi, Tarek Mahmoud, Faisal Al-Refaei, Fatma Mahmoud, Heba Abduo, Narayanan Nampoory, Medhat A Halim, Ayman Najeb
OBJECTIVES: Diabetes knowledge among kidney transplant recipients with posttransplant diabetes has not been exhaustively assessed. We evaluated levels of diabetes knowledge among our kidney transplant patients using a 35-item diabetes self-care management questionnaire. MATERIALS AND METHODS: The study comprised renal transplant patients with posttransplant diabetes mellitus who were referred from Hamed Al-Essa Organ Transplant Center of Kuwait to the Dasman Diabetes Institute...
January 2019: Experimental and Clinical Transplantation
Nashwa Othman, Osama Gheith, Torki Al-Otaibi, Heba Abdou, Medhat A Halim, Tarek Mahmoud, Prasad Nair, Jude Yagan, Ayman Maher, Mohamed Dahab, Ahmed Yahya
Posttransplant diabetes is a common complication of solid-organ transplantation. We present the possible role of diabetes education in improvement of posttransplant diabetes in a 36-year-old bodybuilder who was a kidney transplant recipient. The patient had been abusing some medications to help in bodybuilding. He underwent living unrelated-donor renal transplant with thymoglobulin induction and was maintained on steroids, tacrolimus, and mycophenolate mofetil. Posttransplant diabetes was confirmed by blood tests...
January 2019: Experimental and Clinical Transplantation
Kyung Don Yoo, Hyo Jin Kim, Yunmi Kim, Jae Yoon Park, Sung Joon Shin, Seung Hyeok Han, Dong Ki Kim, Chun Soo Lim, Yon Su Kim
In 2016 and 2017, there were earthquakes greater than 5.0 in magnitude on the Korean Peninsula, which has previously been considered an earthquake-free zone. Patients with chronic kidney disease are particularly vulnerable to earthquakes, as the term "renal disaster" suggests. In the event of a major earthquake, patients on hemodialysis face the risk of losing maintenance dialysis due to infrastructure disruption. In this review, we share the experience of an earthquake in Pohang that posed a serious risk to patients on hemodialysis...
February 18, 2019: Kidney Research and Clinical Practice
Jing-Huan Deng, Kai-Yong Huang, Xiao-Xiao Hu, Xiao-Wei Huang, Xian-Yan Tang, Xiao Wei, Lei Feng, Guo-Dong Lu
Mild cognitive impairment (MCI), as a transitional stage between normal aging and dementia, causes cognitive decline among one-fifth of elders aged 65 years and older. Health-related lifestyles (HRL) are generally regarded as modifiable influencing factors of cognitive decline. The present study investigated how HRLs at two different life stages (one at midlife and the other at later life) affect MCI occurrence among community-dwelling elders, as part of the Diet and Healthy Aging (DaHA) study in Singapore...
2019: Journal of Alzheimer's Disease: JAD
Lei Feng, Irwin Kee-Mun Cheah, Maisie Mei-Xi Ng, Jialiang Li, Sue Mei Chan, Su Lin Lim, Rathi Mahendran, Ee-Heok Kua, Barry Halliwell
We examined the cross-sectional association between mushroom intake and mild cognitive impairment (MCI) using data from 663 participants aged 60 and above from the Diet and Healthy Aging (DaHA) study in Singapore. Compared with participants who consumed mushrooms less than once per week, participants who consumed mushrooms >2 portions per week had reduced odds of having MCI (odds ratio = 0.43, 95% CI 0.23-0.78, p = 0.006) and this association was independent of age, gender, education, cigarette smoking, alcohol consumption, hypertension, diabetes, heart disease, stroke, physical activities, and social activities...
February 11, 2019: Journal of Alzheimer's Disease: JAD
Simon Driver, Shannon Juengst, Evan Elizabeth McShan, Monica Bennett, Kathleen Bell, Rosemary Dubiel
Weight gain is prevalent among people with traumatic brain injury (TBI) and may be attributable to environmental or injury-specific factors such as mobility impairment, endocrine dysfunction, behavioral and emotional disorders, and sensory loss. Few weight management programs exist to meet the unique needs of this population. Researchers modified a nationally recognized, evidence-based weight-loss program, Group Lifestyle Balance™ (GLB), to address the needs of over-weight and obese people post TBI (GLB-TBI)...
June 2019: Contemporary Clinical Trials Communications
S Ashwin Kumar, P V Krishnam Raju, K V T Gopal, T Narayana Rao
Background: Many previous studies have observed an association of lichen planus (LP) with one or two comorbidities such as diabetes mellitus and thyroid dysfunction. This study was undertaken to determine the association of LP with common comorbidities including diabetes mellitus, dyslipidemia, metabolic syndrome, thyroid dysfunction, and hepatitis C virus (HCV) infection. Materials and Methods: The study included 75 patients with clinical diagnosis of LP and 75 age- and sex-matched controls...
January 2019: Indian Dermatology Online Journal
Xinjun Jiang, Jingpin Wang, Yanhui Lu, Hua Jiang, Mingzi Li
Aims: The aims of this study were to assess the effectiveness of self-efficacy-focused education on health outcomes in persons with diabetes and review the strategies employed in the interventions. Background: The traditional educational interventions for persons with diabetes were insufficient to achieve the desired outcomes. Self-efficacy-focused education has been used to regulate the blood sugar level, behaviors, and psychosocial indicators for persons with diabetes...
2019: Psychology Research and Behavior Management
P Choudhary, F Campbell, N Joule, P Kar
In both adults and children with diabetes, technologies such as continuous subcutaneous insulin infusion using insulin pumps and continuous glucose monitoring can help improve diabetes control, reduce hypoglycaemia and improve quality of life. Access to these technologies in the UK is very variable. Some technologies are recommended by the National Institute for Health and Care Excellence, while others have not been appraised, and new technologies are emerging all the time. Additionally, different guidelines for adults and children further complicate access to diabetes technology in the transition from paediatric to adult care...
February 17, 2019: Diabetic Medicine: a Journal of the British Diabetic Association
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