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Search Results: 1 - 10 of 229020 matches for " Maria Cristina Foss de;Pace "
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Relationship among social support, treatment adherence and metabolic control of diabetes mellitus patients
Gomes-Villas Boas, Lilian Cristiane;Foss, Milton Cesar;Freitas, Maria Cristina Foss de;Pace, Ana Emília;
Revista Latino-Americana de Enfermagem , 2012, DOI: 10.1590/S0104-11692012000100008
Abstract: this cross-sectional and quantitative study aimed to analyze the relationship among social support, adherence to non-pharmacological (diet and physical exercise) and pharmacological treatments (insulin and/or oral anti-diabetic medication) and clinical and metabolic control of 162 type 2 diabetes mellitus patients. data were collected through instruments validated for brazil. social support was directly correlated with treatment adherence. adherence to non-pharmacological treatment was inversely correlated with body mass index, and medication adherence was inversely correlated with diastolic blood pressure. there were no associations between social support and clinical and metabolic control variables. findings indicate that social support can be useful to achieve treatment adherence. studies with other designs should be developed to broaden the analysis of relations between social support and other variables.
Causas referidas para o desenvolvimento de úlceras em pés de pessoas com diabetes mellitus
Martin, Isabela dos Santos;Beraldo, Aline Ale;Passeri, Silvia Maria;Freitas, Maria Cristina Foss de;Pace, Ana Emilia;
Acta Paulista de Enfermagem , 2012, DOI: 10.1590/S0103-21002012000200010
Abstract: objective: to analyze the root causes referred to in the etiology of foot ulcers in people with diabetes mellitus (dm). methods: a sectional study, quantitative, conducted at the diabetes clinic of a university hospital in ribeir?o preto - sp (brazil). data were collected using a structured instrument and physical examination of the feet of a sample of 30 diabetic patients. results: the sample had a mean age of 57.5 years, was predominantly male with a low educational level; 90% had type 2 dm, long-term and poorly controlled; obesity / overweight in 77%; and, 93.3% had plantar insensitivity. the metatarsal region was the site of ulcer most frequently mentioned, and the cause was the callus. conclusion: the root causes involved in the etiology of these ulcers correspond, directly or indirectly, to extrinsic factors that can be prevented with basic care and at low cost. the plantar insensitivity, a key factor triggering the ulcers, was not recognized by these people.
Ades?o à dieta e ao exercício físico das pessoas com diabetes mellitus
Boas, Lilian Cristiane Gomes-Villas;Foss, Milton César;Foss-Freitas, Maria Cristina;Torres, Heloísa de Carvalho;Monteiro, Luciana Zaranza;Pace, Ana Emilia;
Texto & Contexto - Enfermagem , 2011, DOI: 10.1590/S0104-07072011000200008
Abstract: this cross-sectional and quantitative study aimed to evaluate adherence among people with type-2 diabetes mellitus to self-care, regarding diet and physical exercises, as well as the relationship to socio-demographic and clinical characteristics. the sample consisted of 162 type-2 diabetes mellitus patients under outpatient clinic follow-up. data was collected using the brazilian version of the summary of diabetes self-care activities questionnaire and patient files. low adherence to self-care was evidenced in the studied sample. for p<0.05, correlation was inversely proportional to patient educational level, suggesting that the higher the educational level, the lower the adherence. there was no statistically significant correlation between adherence to self-care and gender, age, marital status, monthly per capita income, time of diagnosis, type of medication in treatment, and/or presence of complications/co-morbidities. results corroborate findings in literature that socio-demographic and clinical variables may not predict adherence to treatment among people with diabetes mellitus..
Prevalence of diabetes mellitus in the Japanese-Brazilian community of Mombuca, Guatapará, SP
Andrade, Regina Célia Garcia de;Figueiredo, Roberta Carvalho de;Foss-Freitas, Maria Cristina;Pace, Ana Emília;Dal Fabbro, Amaury Lelis;Franco, Laércio Joel;Foss, Milton César;
Arquivos Brasileiros de Endocrinologia & Metabologia , 2011, DOI: 10.1590/S0004-27302011000200005
Abstract: objective: to estimate the prevalence of type 2 diabetes mellitus (dm2) and impaired glucose tolerance (igt) in the japanese-brazilian community of mombuca in relation to risk factors (fr) for diabetes and cardiovascular disease. subjects and methods: cross-sectional study with 131 individuals of japanese ancestry (69% first generation), aged 20 years or more, submitted to socio-cultural, anthropometric, and biochemistry evaluation. results: of the individuals studied (n = 131, age = 55.1 ± 15.9 years), 58.8% were women. the prevalence of dm2 and igt were 13.7% and 14.5%, respectively. regarding rf, 76.3% presented dyslipidemia, 52.7% abdominal obesity, 48.1% arterial hypertension, and 42.3% whole body obesity. conclusions: the prevalence of dm2, igt, and rf in this japanese-brazilian community was higher than in the adult population of the city of ribeir?o preto-sp, brazil, suggesting an increase in risk conditions for these morbidities.
Obesidade e sua rela??o com fatores de risco para doen?as cardiovasculares em uma popula??o nipo-brasileira
Figueiredo, Roberta Carvalho de;Franco, Laércio Joel;Andrade, Regina C. Garcia de;Foss-Freitas, Maria Cristina;Pace, Ana Emilia;Dal Fabbro, Amaury Lelis;Foss, Milton César;
Arquivos Brasileiros de Endocrinologia & Metabologia , 2008, DOI: 10.1590/S0004-27302008000900011
Abstract: objective: to describe associations of weight excess and abdominal obesity with cardiovascular risk factors in a japanese-brazilian population from mombuca, guatapará, sp. methods: cross-sectional study with 131 individuals of japanese ancestry (69.2% first and 30.8% second generation), aged 20 years or more, corresponding to 66.8% of the resident population from this age group. data were collected through standardized questionnaires and laboratory and physical examinations were performed. results: prevalence of overweight and obesity was 29.6% and 46.3% in men and 25.6% and 39.0% in women, respectively. the prevalence of abdominal obesity was 55.6% in men and 20.8% in women. body mass index was independently associated with triglycerides, waist circumference and age; systolic blood pressure with waist circumference. conclusions: data from the present survey highlight the necessity of interventions to prevent obesity in the japanese-brazilian population from mombuca.
Comparison of venous plasma glycemia and capillary glycemia for the screening of type 2 diabetes mellitus in the Japanese-Brazilian community of Mombuca (Guatapará-SP)
Maria Foss-Freitas, Regina CG de Andrade, Roberta C Figueiredo, Ana Pace, Edson Z Martinez, Amaury L Dal Fabro, Laércio J Franco, Milton C Foss
Diabetology & Metabolic Syndrome , 2010, DOI: 10.1186/1758-5996-2-6
Abstract: This was a population-based descriptive cross-sectional study conducted on a sample of 131 individuals of both genders aged 20 years or more (66.8% of the target population). CG was measured with a glucometer in a blood sample obtained from the fingertip and PG was determined by an enzymatic method (hexokinase) in venous blood plasma, after a 10-14 hour fast in both cases. Data were analyzed by the receiver operating characteristic (ROC) curve in order to identify the best cut-off point for fasting glycemia (CG and PG) for the diagnosis of DM, using the 2-hour plasma glycemia > 200 mg/dl as gold - standard.The ROC curve revealed that the best cut-off point for the screening of DM was 110 mg/dl for CG and 105 mg/dl for PG, values that would optimize the relation between individuals with positive and false-positive results. The area under the ROC curve was 0.814 for CG (p < 0.01) and 0.836 for PG (p < 0.01).The cut-off points of 105 mg/dl(5.8 mmol/l) for PG and of 110 mg/dl(6.1 mmol/l) for CG appear to be the most appropriate for the screening of DM2 in the population under study, with emphasis on the fact that the value recommended for CG is 5 mg/dl higher than that for PG, in contrast to WHO recommendations.Diabetes mellitus type 2 (DM2) is a highly prevalent disease of epidemic projection for the next few years both in developed and developing countries [1], representing an important public health problem in view of the high morbidity and mortality of the disease itself and the high costs involved in its control and in the treatment of its complications. DM2 is among the 10 major causes of death in several industrialized and emergent countries [2,3]. In 2002, the cost of treating diabetic patients in the US was more than double the cost of treating non-diabetic individuals, amounting to approximately US$132 billion [4].Over the last few years, a worldwide trend has been observed showing that migrant populations present a pattern of morbidity-mortality that differs
Ades o à dieta e ao exercício físico das pessoas com diabetes mellitus
Lilian Cristiane Gomes-Villas Boas,Milton César Foss,Maria Cristina Foss-Freitas,Heloísa de Carvalho Torres
Texto & Contexto - Enfermagem , 2011,
Abstract: Estudio transversal de enfoque cuantitativo que tuvo como objetivo evaluar la adherencia de las personas con Diabetes Mellitus tipo 2 al autocuidado, con respecto a la dieta y a los ejercicios físicos, así como la relación con características sociodemográficas y clínicas. La muestra consistió de 162 personas con Diabetes Mellitus tipo 2, en consulta externa de seguimiento. Para la recolección de datos se utilizó la versión brasile a del instrumento Summary of Diabetes Self-care Activities Questionnaire y consulta a los archivos de los participantes. Fue encontrada baja adherencia al autocuidado. Para p<0,05, la correlación fue inversamente proporcional a la escolaridad, lo que sugiere menor adherencia para mayor escolaridad. No se encontraron correlaciones estadísticamente significantes entre la adherencia al autocuidado y sexo, edad, estado civil, ingreso per cápita mensual, tiempo de diagnóstico, tipo de tratamiento con medicamentos y presencia de complicaciones/comorbilidades. Los resultados corroboran la literatura, en la cual variables sociodemográficas y clínicas pueden no predecir la adhesión al tratamiento de personas con Diabetes Mellitus.
Perception of social support by individuals with diabetes mellitus and foot ulcers Percepción del apoyo social de la persona con Diabetes mellitus y úlceras en los piés Percep o do apoio social pela pessoa com Diabetes mellitus e úlceras nos pés
Ana Laura Galhardo Figueira,Lílian Cristiane Gomes Villas Boas,Maria Cristina Foss de Freitas,Milton César Foss
Acta Paulista de Enfermagem , 2012,
Abstract: OBJECTIVE: To evaluate the perception of social support and the relationship of sociodemographic, clinical and metabolic control variables in individuals with diabetes mellitus and foot ulcers in an outpatient unit. METHODS: A quantitative cross-sectional approach was carried out using a social support network inventory. RESULTS: Participants had a high perception of social support; family and health professionals were identified as the main support sources. Fasting plasma glucose values were directly related with social support. CONCLUSION: Family members were identified as the main support source, which emphasizes their importance in the health care process. OBJETIVO: Evaluar el apoyo social percibido y su relación con las variables sociodemográficas, clínicas y de control metabólico de personas con Diabetes mellitus y úlceras en los piés, con seguimiento ambulatorio. MéTODOS: Estudio de abordaje cuantitativo, seccional, realizado por medio del Inventario de la Red de Soporte Social. RESULTADOS: Hubo una elevada percepción de apoyo social en la muestra estudiada, siendo las principales fuentes de apoyo los familiares y los profesionales de la salud. En el estudio de la relación entre el AS y las variables sociodemográficas, clínicas y de tratamiento, no hubo correlaciones estadísticamente significativas. En cuanto a las variables de control metabólico, el valor de la glicemia plasmática en ayuno presentó relación directa con el apoyo social. CONCLUSIóN: La familia fue la fuente de apoyo más se alada, reiterando su importancia en el proceso del cuidado a la salud. OBJETIVO: Avaliar o apoio social percebido e sua rela o com as variáveis sociodemográficas, clínicas e de controle metabólico em pessoas com Diabetes mellitus e úlceras nos pés, em seguimento ambulatorial. MéTODOS: Estudo de abordagem quantitativa, seccional, realizado por meio do Inventário da Rede de Suporte Social. RESULTADOS: Houve elevada percep o de apoio social na amostra estudada, e as principais fontes de apoio foram os familiares e os profissionais da saúde. No estudo da rela o entre o AS e as variáveis sociodemográficas, clínicas e de tratamento, n o houve correla es estatisticamente significantes. Quanto às variáveis de controle metabólico, o valor da glicemia plasmática de jejum apresentou rela o direta com o apoio social. CONCLUS O: A família foi a fonte de apoio mais apontada, reiterando sua importancia no processo do cuidado à saúde.
Redu??o da press?o arterial, da IMC e da glicose após treinamento aeróbico em idosas com diabete tipo 2
Monteiro, Luciana Zaranza;Fiani, Cássio Ricardo Vaz;Freitas, Maria Cristina Foss de;Zanetti, Maria Lúcia;Foss, Milton César;
Arquivos Brasileiros de Cardiologia , 2010, DOI: 10.1590/S0066-782X2010005000135
Abstract: background: the aging process is associated with the development of several diseases, which can be attenuated by the practice of physical activities. aerobic training is an effective method to maintain and improve cardiovascular function. additionally, it has a crucial role in the prevention and treatment of several chronic-degenerative diseases, especially diabetes mellitus. }objective: to verify the effect of a 13-week aerobic training program on blood pressure (bp), body mass index (bmi) and glycemia levels in elderly women with type-2 diabetes mellitus (dm2). methods: eleven sedentary elderly women with dm2, aged 61.0 ± 9.1 years, were submitted a 13-week aerobic training program, constituting group g2. eleven controlled elderly women (aged 60.2 ± 6.8 years) were not submitted to the aerobic training, constituting the control group (g1). g1 attended educational lectures once a week, whereas g2 walked three times a week. results: both groups presented a significant decrease in glycemia and diastolic blood pressure levels. no significant decreases in bmi were observed after the aerobic training in either group. conclusion: the 13-week aerobic training program was enough to promote significant decrease in the diastolic blood pressure and glycemia levels; therefore, this type of exercise training decreases the risk factors for cardiovascular and metabolic diseases.
Volume do stent à ultra-sonografia intracoronária como preditor de reestenose angiográfica: estudo em pacientes com alto risco de reestenose
Lima-Filho, Moysés de Oliveira;Figueiredo, Geraldo Luiz de;Antloga, Cleide Marques;Camara, Silvio Sergio Pontes;Foss-Freitas, Maria Cristina;Foss, Milton Cesar;Marin-Neto, José Antonio;
Revista Brasileira de Cardiologia Invasiva , 2007, DOI: 10.1590/S2179-83972007000200007
Abstract: background: in non-selected populations, coronary obstructions of small vessels are more likely to suffer restenosis after percutaneous interventions. thus, the reference luminal diameter (rld) is a particularly important angiographic parameter, which is inversely related to the restenosis rate. additionally in non-selected patients, ultrasound (ivus) studies have shown similar results regarding the influence of vascular dimensions as independent predictors of clinical restenosis. the aim of this study was to evaluate the angiographic and ivus parameters as predictors of restenosis in patients submitted to pci with stents in whom a high risk for restenosis was characterized in a prospective search for diabetes mellitus and dysglycemia methods: seventy patients with 77 coronary artery obstructions were submitted to successful pci with stents. quantitative analysis of coronary angiograms and intracoronary ultrasonographic images were obtained immediately after and six months after the index procedure. an oral gtt test was performed in all patients without prior diagnosis of diabetes mellitus. results: twenty-three diabetics (32.86%) and 16 patients with glucose intolerance (22.85%) were identified. the angiographic and ivus parameters considered predictors of restenosis through bivariate analysis were: rld > 2.82 mm six months after the procedure - rr=0.60 (0.15 - 0.81) 95% ci (p=0.014), stent volume < 119.8 mm3rr=0.74 (0.38 - 0.89) 95% ci (p=0.0005) and stent area < 8.91 mm2 - rr=0.66 (0.24 - 0.85) 95% ci (p=0.006). by logistic regression multivariate analysis, stent volume mm3 < 119.8 was considered the only independent predictor of coronary restenosis (p=0.01). conclusions: in this population with high risk for coronary restenosis, vessel dimensions were inversely related to its occurrence. a stent volume < 119.8mm3 measured by ivus was the only independent predictor of restenosis after pci.
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