Made available in DSpace on 2019-03-30T00:14:34Z (GMT). No. of bitstreams: 0 Previous issue date: 2016-12-14 / INTRODUCTION: The growth of the elderly population is a worldwide phenomenon, resulting from the improvement in general living conditions and considerable advances in science and technology. With this large contingent of elderly people incorporated into the Brazilian population, most of them present with chronic diseases and functional limitations. Studies have identified the existence of a connection between diabetes mellitus and the symptoms of depression. OBJECTIVE: To evaluate the relationship between diabetes mellitus and depressive symptoms in elderly people in the city of Fortaleza-CE. METHODS: Cross - sectional, descriptive and analytical study with quantitative approach. This study was carried out with elderly patients aged 60 years or older, users of the Primary Health Care Units of the Municipality of Fortaleza in 2016. Data collection was used to collect data on socio-demographic data, general health, oral discomfort and the Geriatric Depression - 15 (EDG-15). The analysis was performed using the calculation of prevalence ratios with respective 95% confidence intervals and the exact Fisher's and chi-square tests. RESULTS: A total of 288 elderly individuals with a mean of 71.4 ± 6.9 years and a predominance of the female gender participated in the study. There was a prevalence of 38.5% in the elderly with Diabetes mellitus and 29.6% in the EDG-15 scale. The Regional Health Coordination III obtained a higher prevalence of elderly people with Diabetes mellitus and with suspicion of depression. Regarding the socio-demographic characteristics, there was no statistical significance for the prevalence of DM. However, the symptoms of depression were statistically in the categories: marital status, gender, retirement, income and schooling. Statistical significance was also shown in the variables on the perception of current health status and in the last year. Most interviewees reported having depression as a diagnosis. Regarding the application of EDG-15, it predominated as a result: there is suspicion of depression. Prevalent people with diabetes and depressive symptoms that use seven or more medications and deny harmful habits. CONCLUSION: There was no statistical relevance of Diabetes mellitus with depressive symptoms among the elderly participants. In the light of the observed results, efforts should be made to implement and improve policies and practices for DM prevention and control, and early detection of depressive symptoms, helping health professionals to meet the challenge of ensuring healthy aging for the population. / INTRODUÇÃO: O crescimento da população de idosos é um fenômeno mundial, resultante da melhora nas condições gerais de vida e avanços consideráveis na ciência e na tecnologia. Com esse grande contingente de idosos incorporados à população brasileira, grande parte deles apresentam-se com doenças crônicas e limitações funcionais. Estudos identificam a existência de uma conexão entre diabetes mellitus e os sintomas de depressão. OBJETIVO: Avaliar a relação entre diabetes mellitus e sintomas depressivos em pessoas idosas no Município de Fortaleza-CE. MÉTODOLOGIA: Estudo transversal, descritivo e analítico com abordagem quantitativa. Realizado com idosos com 60 anos ou mais, usuários das Unidades de Atenção Primária à Saúde do Município de Fortaleza em 2016. Foi utilizado para a coleta de dados, questionários versando sobre dados sócio demográficos, saúde geral, desconforto bucal e a aplicação da Escala de Depressão Geriátrica - 15 (EDG -15). A análise foi realizada utilizando o cálculo das razões de prevalências com respectivos intervalos de 95% confiança e os testes exato de Fisher e qui-quadrado. RESULTADOS: Participaram da pesquisa 288 idosos com média de 71,4 ± 6,9 anos e predomínio do gênero feminino. Houve prevalência de 38,5% de idosos com diabetes mellitus e 29,6% sugestivos de depressão pela escala EDG-15. A Coordenadoria Regional de Saúde III obteve maior prevalência de idosos com Diabetes mellitus e com suspeita de depressão. Relativo às características sócio demográficas, não houve significância estatística para a prevalência do DM. Entretanto os sintomas de depressão foi estatisticamente nas categorias: estado civil, gênero, aposentadoria, renda e escolaridade. Também foi demonstrado significância estatística nas variáveis sobre a percepção do estado de saúde atual e no último ano. A maioria dos entrevistados referiu ter depressão como diagnóstico. Quanto à aplicação da EDG-15, predominou como resultado: há suspeita de depressão. Preponderaram as pessoas diabéticas e com sintomas depressivos que utilizam sete ou mais medicações e que negam hábitos deletérios. CONCLUSÃO: Não houve relevância estatística de diabetes mellitus com os sintomas depressivos entre as pessoas idosas participantes. À luz dos resultados observados, esforços devem ser feitos para a implementação e o aprimoramento de políticas e práticas para prevenção e controle do DM, e detecção precoce dos sintomas depressivos auxiliando os profissionais de saúde no enfrentamento do desafio de assegurar um envelhecimento saudável à população.

Thesis (M Med(Family Medicine))--University of Limpopo (Medunsa Campus) 2010. / Aim & Objectives Aim: To explore the lay beliefs of type 2 diabetic patients seen at Prince Mshiyeni Memorial Hospital. Objectives: To understand lay beliefs of effective life long management of type 2 diabetes patients and consequently to make recommendations of improving management of diabetes in conjunction with the findings of the study. Methodology Study Design: An exploratory study from a qualitative perspective using free attitude interviews as a data collection technique. Setting: Prince Mshiyeni Memorial Hospital a district hospital located in Umlazi in the outskirts of Durban, South Africa. Study Population: All type 2 diabetic patients above the age of 40 on treatment for 18 months or more. Ten respondents were purposively selected using maximum variation sampling strategy. Participants were asked individually to give an account of their beliefs and experience in the management of diabetes. All interviews were tape recorded, transcribed verbatim, and analyzed to identify emerging themes. Results The interpretative thematic analysis generated the following main themes: 1) Combination therapy 2) Modern versus Traditional 3) The bitter stuff 4) Traditional healers and alternative remedies viii 5) Stress: Physical, financial, emotional, psychosocial strain 6) Spiritual believes: Religious and Traditional 7) Eating right food and loose weight Conclusions This study has described most lay beliefs about the management of type 2 diabetes in this setting. The research has identified that type 2 diabetic patients seen at Prince Mshiyeni Memorial Hospital in Umlazi South of Durban held different diabetes management beliefs based on their respective initial symptom perception and beliefs, their illness origin and healing beliefs, their spiritual and traditional beliefs and values and to a significant extent, the beliefs of spouses or life partner in couples and of family members. These findings have challenged the functionality of the health care in its capacity to respond to the population expectations based on their ethnic, spiritual and cultural background.

Thesis (Family Medicine)) -- University of Limpopo, 2010. / Background In the Vanga Health Zone, diabetic patients have idea that diabetes is due to witchcraft, which idea can interfere with the prevention and management of their disease. The purpose of this study was to determine the profile of patients diagnosed with type 2 diabetes mellitus at Vanga Hospital, Democratic Republic of Congo (DR Congo). Methods A cross-sectional study was designed with use of a questionnaire to a systematic sample of type 2 diabetic patients attending the diabetic clinic of Vanga hospital for at least six months and resident at Vanga health zone. Results Only 2.1 % of the participants believe in a scientific cause for diabetes; 53.5 % of them do not think that their disease is due to the fact that they crossed over a path where some ritual was performed and, 89.2 % of the participants believe that God deserted the person who suffered from diabetes and expect that prayer will rectify the disease. The majority of participants (65.6 %) had poor glycaemic control. Correlation analysis has shown that glycaemia level was not significantly associated with sociodemographic characteristics or health belief factors. Conclusion The majority of patients at the Vanga diabetic clinic have a greater need for management strategies to improve their glycaemic control. Keywords: type 2 diabetes mellitus, health beliefs, knowledge, sub-Saharan Africa, rural

Landau (Pfalz), Universiẗat, Diss.--Koblenz, 2004.

Thesis (Ph. D.)--University of Missouri--Columbia, 1996. / "December 1996." Typescript. Vita. Includes bibliographical references (leaves 106-117). Also available on the Internet.

Thesis (doctoral)--Ludwig-Maximilians-Universität zu München, 1978.

Orientador: Francisco Antonio Bertoz / Banca: Osmar Aparecido Cuoghi / Banca: Tetuo Okamoto / Banca: Laurindo Zanco Furquim / Banca: Alberto Consolaro / Resumo: Este estudo avaliou histomorfometricamente o periodonto após a movimentação dentária experimental em ratos sob estado diabético inicial. Numa amostra de 40 ratos, 20 normais e 20 diabéticos induzidos por estreptozotocina, utilizou-se o lado esquerdo como lado experimental, movimentando o primeiro molar superior com uma mola fechada de 25 cN, enquanto que o lado direito, sem acessório, serviu como controle. Realizou-se a eutanásia dos animais, respectivamente, 3, 7, 14 e 21 dias após movimentação para proceder preparo histológico convencional e análises microscópicas quantitativas e qualitativas. Macroscopicamente, exceto no terceiro dia, os ratos diabéticos demonstraram menores magnitudes de movimentação dentária. Microscopicamente, houve diferenças significantes quando as áreas do espaço periodontal dos ratos normais (p<0,01) e diabéticos (p<0,05) foram comparadas com seus respectivos controles nos quadrantes cervicais diastais, respectivamente, no 3º, 7º e 14º dia. Não se observou diferenças significantes entre os ratos normais e diabéticos exceto o quadrante apical distal (p<0,05) no 7o dia pós-movimentação. Qualitativamente, a neoformação do osso alveolar dos ratos diabéticos foi menor quando comparado com os normais. Apesar das diferenças qualitativas nas respostas teciduais do periodonto, a condição diabética em estado inicial mostrou pouco impacto clínico sobre o procedimento de movimentação dentária induzida. / Abstract: This study performed histomorphometric analysis of the periodontium resulted from experimental tooth movement in short-term diabetic rats. Using a split mouth design, in a sample of 40 rats, 20 normal and 20 streptozotocin-induced diabetic rats, left side of upper jaw was used to induce first molar tooth movement with a 25 cN closed coil spring, and the right side without the appliance served as control. Animals were killed, respectively, at 3, 7, 14 and 21 days post-movement and hemi-maxillas were submitted to conventional histological procedures and microscopic quantitative and qualitative analysis. Macroscopically, except at the 3rd day, diabetic rats showed minor magnitude of tooth movement. Microscopically, significant differences were evidenced between the experimental and control side at the distocervical quadrant at day 3, 7 and 14 after experimental tooth movement for both normal rats (p<0.01) and diabetic rats (p<0.05). There was no difference between the areas of periodontal space of normal and diabetic group except the mesiocervical quadrant at day 7 (p<0.05). Qualitatively, minor magnitude of alveolar bone neoformation was shown in diabetic group when compared with control group. Despite the qualitative differences observed in the periodontal tissue responses, the short-term diabetic state demonstrated little clinical impact on the experimental tooth movement. / Doutor

Orientador: Maria Lúcia Marçal Mazza Sundefeld / Banca: Artênio José Isper Garbin / Banca: Eduardo Pizzatto / Resumo: O objetivo desse estudo foi mostrar o perfil epidemiológico de pacientes portadores de diabetes mellitus tipo 2 cadastrados na Associação de Diabetes Juvenil da Região Noroeste Paulista e avaliar o conhecimento sobre a relação entre a doença e a saúde bucal. Um estudo observacional analítico transversal foi conduzido com 110 pacientes, que compuseram uma amostra de elementos acessíveis. Para obtê-la, 3 diferentes formas de convite aos participantes foram necessárias: envio de cartas, convite pessoal realizado em um evento da associação e por meio de ligação telefônica. Essa enfermidade acomete ambos os gêneros (50%), brancos, casados ou que moram com outra pessoa, com meia idade e variados níveis social, econômico e cultural. Somente 25.5% dos participantes conheciam e 39.1% tinham autopercepção da associação entre o diabetes mellitus tipo 2 e a saúde bucal. Foi significativa a associação entre as variáveis conhecimento e autopercepção (Qui-quadrado = 11.13; P = 0,0009). A relação é pouco conhecida, independentemente das características analisadas no perfil epidemiológico. Dessa forma, esse estudo aponta para a necessidade de melhorias quantitativas e qualitativas das pesquisas nessa área. / Abstract: The aim of this study was to show the epidemiological profile of the diabetes mellitus type 2 patients registered in the Diabetes Association of Northwest of São Paulo and evaluate the relation between this disease and oral health awareness. A transversal analytical observational survey was conducted with 110 patients. In this design, the sample had to be constituted by accessible elements. To obtain this sample 3 different forms of participants' recruitment were necessary: sending of letters, making personal invitation at an association' event and making phone calls. This infirmity attacks both the genders (50%), caucasians, married or who live with a partner, middle-aged and various social, economic and cultural level. Only 25.5% of participants knew and 39.1% noticed the association between diabetes mellitus type 2 and the oral health. There was a significant association between the variables knowledge and self-perception reported in the interviews (Chi square = 11.13; P = 0.0009). The relation is barely known, independently of the characteristics analyzed. Thus, this study points out the necessity of the qualitative and quantitative improvement in this area researches. / Mestre

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