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https://www.readbyqxmd.com/read/27811458/surgical-site-infection-in-posterior-spine-surgery
#1
O A Ojo, B S Owolabi, A W Oseni, O O Kanu, O B Bankole
BACKGROUND: Surgical site infections (SSIs) in spine surgery remain a significant cause of morbidity and prolonged hospitalization. Factors affecting SSI includes patient's comorbidities, duration of surgery, type and indication for surgery among others. We intend to document our experience in our center and highlight possible factors influencing SSI in posterior spine surgery. METHODOLOGY: All consecutive patients who had posterior spine surgeries between January 2012 and July 2014 were recruited into the study...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27748785/diabetes-health-profile-18-is-reliable-valid-and-sensitive-in-singapore
#2
Maudrene Ls Tan, Eric Yh Khoo, Konstadina Griva, Yung Seng Lee, Mohamed Amir, Yasmin Lm Zuniga, Jeannette Lee, E Shyong Tai, Hwee Lin Wee
INTRODUCTION: The Diabetes Health Profile-18 (DHP-18) measures diabetes-related psychological well-being in patients with type 2 diabetes mellitus (T2DM). It includes 3 subscales: psychological distress (PD), barriers to activity and disinhibited eating. The psychometric properties of the DHP have not been evaluated in Asia. The aim of this study was to determine the psychometric properties of the DHP in multiethnic Singapore. MATERIALS AND METHODS: Patients between the ages of 18 to 65 diagnosed with diabetes (either type 1 or type 2) for at least 1 year were recruited from a diabetes outpatient clinic in a tertiary hospital...
September 2016: Annals of the Academy of Medicine, Singapore
https://www.readbyqxmd.com/read/27612943/the-mental-health-in-diabetes-service-minds-to-enhance-psychosocial-health-study-protocol-for-a-randomized-controlled-trial
#3
Casey L O'Brien, Chantal F Ski, David R Thompson, Gaye Moore, Serafino Mancuso, Alicia Jenkins, Glenn Ward, Richard J MacIsaac, Margaret Loh, Simon R Knowles, Susan L Rossell, David J Castle
BACKGROUND: After a diagnosis of diabetes mellitus, people not only have to cope with the physical aspects and common complications that require daily self-management, they are also faced with ongoing psychosocial challenges. Subsequently they find themselves having to navigate the health system to engage multidisciplinary supports; the combination of these factors often resulting in reduced health-related quality of life. To maintain optimal diabetes control, interventions need to incorporate psychosocial supports and a skill base for disease management...
2016: Trials
https://www.readbyqxmd.com/read/27556476/well-being-and-diabetes-management-in-early-pregnant-women-with-type-1-diabetes-mellitus
#4
Karolina Linden, Carina Sparud-Lundin, Annsofie Adolfsson, Marie Berg
This paper explores well-being and diabetes management in women with type 1 diabetes mellitus (DM) in early pregnancy and investigates associations among perceived well-being, diabetes management, and maternal characteristics. Questionnaires were answered by 168 Swedish women. Correlation analyses were conducted with Spearman's correlation coefficient (rs). The women reported relatively high scores of self-efficacy in diabetes management (SWE-DES-10: 3.91 (0.51)) and self-perceived health (excellent (6.5%), very good (42...
2016: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/27489251/diabetes-related-stigma-affects-the-quality-of-life-of-people-living-with-diabetes-mellitus-in-switzerland-implications-for-healthcare-providers
#5
Daniel Gredig, Annabelle Bartelsen-Raemy
There is a growing body of scientific evidence that stigma represents a reality for many people living with diabetes (PWD). However, little is known about the impact of experienced stigma. Against this background, the present study aimed to establish, by means of an in-depth consideration of the situation in Switzerland, whether and how experienced and perceived stigma impact the quality of life of those PWD affected. In this cross-sectional study, an anonymous paper-and-pencil self-administered questionnaire (SAQ) was used for data collection...
August 4, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27489004/psychological-distress-mediates-the-association-between-food-insecurity-and-suboptimal-sleep-quality-in-latinos-with-type-2-diabetes-mellitus
#6
Angela Bermúdez-Millán, Rafael Pérez-Escamilla, Sofia Segura-Pérez, Grace Damio, Jyoti Chhabra, Chandra Y Osborn, Julie Wagner
BACKGROUND: Evidence increasingly indicates that poor sleep quality is a major public health concern. Household food insecurity (HFI) disproportionately affects Latinos and is a novel risk factor for poor sleep quality. Psychological distress may be a potential mechanism through which HFI affects sleep quality. Sleep, food insecurity, and distress are linked to type 2 diabetes mellitus. OBJECTIVES: We examined the relations between HFI, psychological distress, and sleep quality and tested whether psychological distress mediates the relation between HFI and sleep in people with diabetes mellitus...
October 2016: Journal of Nutrition
https://www.readbyqxmd.com/read/27472405/effectiveness-of-cognitive-behavioural-therapy-on-glycaemic-control-and-psychological-outcomes-in-adults-with-diabetes-mellitus-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#7
C Uchendu, H Blake
AIM: Diabetes is a chronic progressive condition presenting physical, social and psychological challenges that increase the risk of comorbid mental health problems. Cognitive-behavioural therapy (CBT) is effective in treating a variety of psychological disorders, and may potentially improve glycaemic control and psychological outcomes in diabetes. This systematic review and meta-analysis aims to establish the effectiveness of CBT on glycaemic control and comorbid diabetes-related distress, depression, anxiety and quality of life in the short, medium and longer term among adults with diabetes...
July 29, 2016: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/27413519/comparison-of-glibenclamide-and-insulin-on-neonatal-outcomes-in-pregnant-women-with-gestational-diabetes
#8
Mitra Behrashi, Mansooreh Samimi, Tayyebeh Ghasemi, Farzaneh Saberi, Fatemeh Atoof
BACKGROUND: Untreated or poorly controlled gestational diabetes can cause serious complications for mother and newborn. Glibenclamide is rarely used in treating mothers with this disease. This study aimed at comparing the effect of glibenclamide and insulin on neonatal outcomes in women with gestational diabetes mellitus. METHODS: In this randomized controlled clinical trial, 249 pregnant women aged 18-45 years within the 11(th)-33(rd) weeks of gestation with gestational diabetes, single fetus pregnancy, and in need of hyperglycemia treatment were entered and grouped randomly as either glibenclamide or insulin...
2016: International Journal of Preventive Medicine
https://www.readbyqxmd.com/read/27249587/an-evaluation-of-fecal-incontinence-in-women-with-urinary-incontinence
#9
A Camtosun, I Sen, M Onaran, N Aksakal, M Özgür Tan, I Bozkirli
OBJECTIVE: To investigate the occurrence of and risk factors for fecal and/or gas incontinence in female patients having urinary incontinence. PATIENTS AND METHODS: 741 consecutive adult female patients presenting with urinary incontinence alone (group 1, n = 700) or urinary incontinence with fecal and/or gas incontinence (group 2, n = 41) were enrolled into the study. As potential risk factors for fecal and/or gas incontinence in this population, the following variables were investigated: age, body mass index, type of urinary incontinence, childbirth history, menopausal symptoms, history of pelvic surgery, neurological disease, diabetes mellitus, tobacco use, constipation, cystocele, rectocele...
May 2016: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/27219688/diabetes-related-burden-and-distress-is-low-in-people-with-diabetes-at-outpatient-tertiary-care-level
#10
N Kuniss, G Kramer, N Müller, C Kloos, T Lehmann, S Lorkowski, G Wolf, U A Müller
OBJECTIVE: The importance of diabetes-related distress (DRD) for the treatment of diabetes is emphasized in national and international guidelines recommending routinely screening for psychosocial problems. To detect DRD, the PAID (Problem Area In Diabetes) questionnaire provides a valid and reliable instrument. RESEARCH DESIGN AND METHODS: 783 patients with diabetes mellitus type 1 (DM1, n=191, age 54.5 y, diabetes duration 22.5 y, HbA1c 7.2% (55 mmol/mol)) and type 2 (DM2, n=592, age 66...
May 2016: Experimental and Clinical Endocrinology & Diabetes
https://www.readbyqxmd.com/read/27146070/comparison-of-health-related-quality-of-life-between-type-2-diabetic-patients-with-and-without-locomotive-syndrome
#11
Rie Asakura, Nobuyuki Miyatake, Kazumi Dokai Mochimasu, Risa Kurato, Susumu Kuwana
OBJECTIVE: The aim of this study was to compare health-related quality of life (HRQOL) between type 2 diabetic patients with and without locomotive syndrome, which is a risk for becoming bedridden because of deteriorating locomotive organs. SUBJECTS AND METHODS: A total of 135 patients with type 2 diabetes mellitus (69.2 ± 10.2 years) were enrolled in this cross-sectional study. HRQOL was evaluated by the Euro-QOL-5 (EQ-5D), and locomotive syndrome was evaluated by "loco-check," established the Japanese Orthopedic Association...
May 4, 2016: Environmental Health and Preventive Medicine
https://www.readbyqxmd.com/read/27099658/the-reliability-and-validity-of-the-malay-version-17-item-diabetes-distress-scale
#12
B H Chew, F Mukhtar, M S Sherina, F Paimin, N H Hassan, N K Jamaludin
INTRODUCTION: Diabetes-related distress (DRD) refers to patient's concerns about diabetes mellitus, its management, need of support, emotional burden and access to healthcare. The aim of this study was to translate and examine the psychometric properties of the Malay version of the 17-item Diabetes Distress Scale (MDDS-17) in adult patients with type 2 diabetes mellitus (T2D). METHODS: A standard procedure was used to translate the English 17-items Diabetes Distress Scale into Malay language...
2015: Malaysian Family Physician
https://www.readbyqxmd.com/read/27086693/comparison-of-pigmentary-side-effects-of-taxanes-and-anthracyclines-an-onychoscopic-evaluation
#13
Ahu Yorulmaz, Mutlu Dogan, Ferda Artuz, Nurullah Zengin
BACKGROUND: Taxanes and anthracyclines are considered as fundamental drugs for the treatment of a broad range of cancers. They have several side effects, which may limit their usage. Drug-induced nail pigmentation (DHNP) has been reported as one of the most striking dermatological side effect of both taxanes and doxorubicin. OBJECTIVE: This study aimed to evaluate and compare pigmentary side effects of taxanes and doxorubicin with the help of onychoscopy. METHODS: Forty-one consecutive patients (30 women, 11 men) with a diagnosis of cancer (16 gastric cancer, 25 breast cancer) were prospectively enrolled in a period of six months...
April 17, 2016: Cutaneous and Ocular Toxicology
https://www.readbyqxmd.com/read/27002728/diabetes-related-distress-depression-and-distress-depression-among-adults-with-type-2-diabetes-mellitus-in-malaysia
#14
Boon-How Chew, Rimke Vos, Sherina Mohd-Sidik, Guy E H M Rutten
Type 2 diabetes mellitus (T2DM) brings about an increasing psychosocial problem in adult patients. Prevalence data on and associated factors of diabetes related distress (DRD) and depression have been lacking in Asia. This study aimed to examine the prevalence of DRD and depression, and their associated factors in Asian adult T2DM patients. This study was conducted in three public health clinics measuring DRD (Diabetes Distress Scale, DDS), and depression (Patient Health Questionnaire, PHQ). Patients who were at least 30 years of age, had T2DM for more than one year, with regular follow-up and recent laboratory results (< 3 months) were consecutively recruited...
2016: PloS One
https://www.readbyqxmd.com/read/26944692/management-of-type-2-diabetes-in-china-the-happy-life-club-a-pragmatic-cluster-randomised-controlled-trial-using-health-coaches
#15
Colette Browning, Anna Chapman, Hui Yang, Shuo Liu, Tuohong Zhang, Joanne C Enticott, Shane A Thomas
OBJECTIVE: To assess the effectiveness of a coach-led motivational interviewing (MI) intervention in improving glycaemic control, as well as clinical, psychosocial and self-care outcomes of individuals with type 2 diabetes mellitus (T2DM) compared with usual care. DESIGN: Pragmatic cluster randomised controlled trial (RCT). SETTING: Community Health Stations (CHSs) in Fengtai district, Beijing, China. PARTICIPANTS: Of the 41 randomised CHSs (21 intervention and 20 control), 21 intervention CHSs (372 participants) and 18 control CHSs (296 participants) started participation...
2016: BMJ Open
https://www.readbyqxmd.com/read/26876398/postoperative-functional-outcome-of-intradural-extramedullary-spinal-tumors-through-posterior-approach
#16
Iram Bokhari, Lal Rehman, Ghulam Farooq, Asif Qureshi
OBJECTIVE: To determine functional outcome of intradural extramedullary spinal tumors in patients undergoing excision through the posterior approach alone. STUDY DESIGN: Interventional study. PLACE AND DURATION OF STUDY: Neurosurgery Department, JPMC, Karachi, from March 2011 to February 2014. METHODOLOGY: Patients with intradural extramedullary spinal tumors (IDEM), confirmed on MRI, were admitted through Outpatient Department...
February 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/26860118/metformin-versus-insulin-in-gestational-diabetes-mellitus-a-meta-analysis-of-randomized-clinical-trials
#17
B Zhu, L Zhang, Y Y Fan, L Wang, X G Li, T Liu, Y S Cao, Z G Zhao
BACKGROUND: Metformin is widely used in treatment of type 2 diabetes. However, whether it is safe for use in pregnancy is controversial. METHODS: A search for relevant studies were performed using PubMed (1948-2014), Embase (1974-2014), the Web of knowledge (1950-2014), and the Cochrane database, included all randomized control trials published in English. RESULTS: Eight RCTs (1712 patients with gestational diabetes mellitus) were retrieved; of those 853 patients were given metformin, and 859 patients were given insulin...
May 2016: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/26817600/psychological-and-personality-factors-in-type-2-diabetes-mellitus-presenting-the-rationale-and-exploratory-results-from-the-maastricht-study-a-population-based-cohort-study
#18
Fleur E P van Dooren, Johan Denollet, Frans R J Verhey, Coen D A Stehouwer, Simone J S Sep, Ronald M A Henry, Stef P J Kremers, Pieter C Dagnelie, Nicolaas C Schaper, Carla J H van der Kallen, Annemarie Koster, Frans Pouwer, Miranda T Schram
BACKGROUND: Strong longitudinal evidence exists that psychological distress is associated with a high morbidity and mortality risk in type 2 diabetes. Little is known about the biological and behavioral mechanisms that may explain this association. Moreover, the role of personality traits in these associations is still unclear. In this paper, we first describe the design of the psychological part of The Maastricht Study that aims to elucidate these mechanisms. Next, we present exploratory results on the prevalence of depression, anxiety and personality traits in type 2 diabetes...
2016: BMC Psychiatry
https://www.readbyqxmd.com/read/26792166/investigating-the-association-between-diabetes-mellitus-depression-and-psychological-distress-in-a-cohort-of-south-african-teachers
#19
Abdul Kader Domingo, Laila Asmal, Soraya Seedat, Tonya M Esterhuizen, Carien Laurence, Jimmy Volmink
BACKGROUND: Diabetes mellitus (DM) may increase the risk of depression as a result of a sense of threat of debilitating complications or because of associated lifestyle changes. Depression may increase the risk of type 2 diabetes as a result of poor health behaviours. OBJECTIVE: To determine the association between diabetes mellitus, depression and psychological distress in a cohort of South African (SA) teachers. METHODS: Teachers from 111 public schools in the Metro South District of the Cape Metropolitan area, SA, were invited to participate in this study...
December 2015: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/26748793/diabetes-distress-among-adolescents-with-type-1-diabetes-a-systematic-review
#20
REVIEW
Virginia Hagger, Christel Hendrieckx, Jackie Sturt, Timothy C Skinner, Jane Speight
Diabetes distress (DD) refers to the negative emotions arising from living with diabetes and the burden of self-management. Among adults, the prevalence and significance of DD are well established, but this is not the case among adolescents. This systematic review investigated among adolescents with type 1 diabetes: the prevalence of DD; demographic, clinical, behavioral and psychosocial correlates of DD and interventions that reduce DD. Consistent with adult studies, around one third of adolescents experience elevated DD and this is frequently associated with suboptimal glycemic control, low self-efficacy and reduced self-care...
January 2016: Current Diabetes Reports
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