Diabetic neuropathy is one of the main complications of Diabetes Mellitus, which can lead to loss of protective sensation, motor alteration, in plantar pressure, generating deformities, abnormal gait and mechanical trauma to the feet. OBJECTIVEto evaluate the distribution of plantar pressure, sensory, motor changes and balance in people with peripheral diabetic neuropathy. METHODCross-sectional study conducted with individuals registered in the municipal public health network of a city in the east of São Paulo - Brazil, with Diabetes Mellitus and Peripheral Neuropathy identified by the Michigan Screening Instrument, sensory-motor changes by the International Consensus, static and dynamic assessments of plantar pressure using Baropodometry with BaroScan and balance using the Berg scale. RESULTSOf the 200 individuals evaluated, 52.55% had no plantar protective sensitivity, the static evaluation did not identify changes in the peak of plantar pressure, however in the dynamics the average in the right foot was 6.08 (± 2) kgf / cm2 and 6 , 7 (± 1.62) kgf / cm2 on the left foot, the center of static pressure on the right foot was lower (10.55 ± 3.82) than on the left foot (11.97 ± 3.90), pointing hyper plantar pressure. The risk of falling was high, ranging from 8 to 56 points, with an average of 40.96 (± 10.77). CONCLUSIONThe absence of protective plantar sensitivity, increased pressure, biomechanical changes lead to loss of balance and are predictive of complications in the feet due to diabetic neuropathy.
Objective
To determine whether there are gender differences in the impact of the disease in the quality of life of individuals with Diabetes Mellitus type 2.
Methods
The sample consisted of 192 individuals distributed in equal numbers by gender. Data were collected between the months of August 2013 to May 2014, by sociodemographic and clinical questionnaires and instruments for assessing quality of life (PAID) and adherence to treatment.
Results
The age of the patients ranged from 30 to 80 years old with a mean of 61 years of age (± 11). B-PAID scores were higher in men except in issues related to social support, but the differences were not statistically significant; 51.7% of the patients with good adherence to treatment were women and 48.3% were men.
Conclusions
The perception of the impact of diabetes in the quality of life of individuals in the present study, measured by the B-PAID instrument, showed that the highest scores predominate in men, that is, they have a higher degree of emotional distress than women. In the group with good adherence to treatment, there is a greater number of individuals with higher PAID scores, especially in men. In the group with poor adherence to treatment, the number of individuals with a high degree of emotional distress was similar in both sexes. This research was approved by the Research Ethics Committee of UNIFESP, through Plataforma Brasil (Protocol number 103,384).
Abordar as possíveis interações medicamentosas que possa existir em uma instituição de longa permanência para idosos (ILPI). Método: Estudo de caráter observacional, retrospectivo, descritivo, realizado em uma ILPI em uma cidade do Sul de Minas Gerais, entre os meses de agosto a outubro de 2015. Resultados: Mais de 50% dos assistidos tiveram algum tipo de interação, principalmente devido ao uso de medicamentos de uso contínuo e/ou esporádico, com dano ou risco à saúde, evidenciando a importância da atenção farmacêutica no local estudado. Conclusão: A interação medicamentosa é comum em pacientes que fazem uso de polifarmácia, principalmente com medicamentos de via oral, caso da grande maioria da população em estudo.
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