Diss. (sammanfattning) Stockholm : Karolinska institutet, 2005. / Härtill 5 uppsatser.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2002. / Härtill 6 uppsatser.

Thesis (M.S.)--University of Michigan, 1993.

Thesis (M.S.)--University of Michigan, 1991.

Thesis (M.S.)--University of Wisconsin--Madison, 1982. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 92-98).

Thesis (M.S.)--University of Michigan, 1991.

Includes bibliographical references and index.

Bakgrund: Diabetes typ 1 är en sjukdom som medför stora förändringar i en persons liv. I denna förändring ingår flera övergångar, b.la. att övergå från frisk till sjuk men också övergå från pediatrisk vård till vuxenvård. Det är organisatoriska skillnader mellan den pediatriska vården och vuxenvården. Sjuksköterskan har olika roller i de två olika vårdformerna och på så sätt stöttas patienterna på olika sätt. Syfte: Syftet med denna studie var att beskriva patienternas upplevelser av övergång från pediatrisk vård till vuxenvård vid diabetes typ 1. Metod: Författarna har använt sig av en litteraturöversikt för att strukturera och skapa en överblick över det valda området och för att besvara syftet. Författarna har använt sig av tio vetenskapliga originalartiklar där de sammanställt ett resultat som svarar på denna litteraturöversikts Resultat: Resultatet visade att patienterna hade personliga åsikter kring utmaningarna under övergången. Patienterna hade olika inställningar inför övergången från pediatrisk vård till vuxenvård. Patienterna ansåg att förbättringar borde göras på organisationsnivå p.g.a. brist på struktur under övergången samt dålig kommunikation med patienterna. Diskussion: Sjuksköterskor är i behov av kunskap angående patienternas upplevelser av övergången för att kunna förbättra sin egen roll. När patienter övergår från pediatrisk vård till vuxenvård upplever de stress och påfrestningar på grund av sämre vägledning från den pediatriska vården. Både den pediatriska vården och vuxenvården är i behov av en praktisk struktur för övergången, detta för att dämpa känslor av oro som kan uppkomma hos patienterna. / Background: Diabetes type 1 is a disease that causes big changes in a person's life. The changes include various transitions, for an example transition from healthy to ill but also the transition from pediatric care to adult care. There are organizational differences between the pediatric care and adult care. Nurses have different roles in these two different treatment modalities that leads to the support being different too. Aim: The aim of this study was to describe patient’s experiences of transition from pediatric care to adult care of diabetes type 1. Method: A literature overview was used to structure and give the reader an overview of the selected area and to answer the purpose. Ten original scientific articles were used to compiled research that fulfill the purpose of this study Results: The result showed the patients personal views about the challenges during the transition. Patients had different feelings about the transition from pediatric care to adult care. The patients felt that improvements should be made in the organization level due to the bad structure during the transition. According to patients improvements should also be made with communication. Discussions: Nurses are in need of more knowledge about patients experiences of transition in order to improve their own role as a nurse. The patients feel stress and strain because of the transition from pediatric care to adult care. The patients felt stress also because there was no guidance from the health system under the transition period. The pediatric care and the adult care are in need of a structure to be able to decrease the unrest for patients.

A hipertensão arterial sistêmica (HAS) é uma condição clínica multifatorial que acomete parte significativa da população mundial sendo sua prevalência no diabetes melito (DM) mais elevada do que na população em geral. Modificações no estilo de vida, entre elas intervenções dietoterápicas são importantes ferramentas para a prevenção e manejo da HAS, sendo o efeito destas relacionado à composição dos alimentos. Poucos estudos avaliaram o papel dos micronutrientes na pressão arterial (PA) de pacientes com DM e as recomendações atuais de consumo são baseadas em estudos populacionais ou em pacientes sem DM. O objetivo deste manuscrito foi revisar os efeitos da ingestão de micronutrientes consumidos sob a forma de alimentos ou suplementação sobre a PA de pacientes com DM. Foi realizada uma revisão sistemática de ensaios clínicos randomizados (ECR) nas bases Medline e Lilacs. Foram incluídos ECRs realizados em pacientes adultos com DM que avaliaram o efeito de micronutrientes da dieta ou suplementos sobre a PA e com no mínimo duas semanas de intervenções. Foram excluídos ECRs com intervenção múltipla de micronutrientes ou outras (fármacos, exercício). Os dados foram extraídos por dois pesquisadores independentes. Dos 607 estudos inicialmente selecionados foram excluídos 555 com base no título ou resumo; 52 estudos potencialmente relevantes para inclusão tiveram então seu texto completo avaliado e destes, 12 ECR foram incluídos, totalizando 16 intervenções. Em conclusão, a restrição de sódio, a suplementação de magnésio e a suplementação de vitamina D nos pacientes com hipovitaminose D podem conferir melhora nos valores da PA de pacientes com DM. Já o possível efeito benéfico da vitamina C permanece incerto e a administração de vitamina E não é recomendada. A indicação de aumento da ingestão de potássio não foi testada em pacientes com DM. Novos estudos para confirmar e esclarecer o papel destes e de outros micronutrientes sobre a PA de pacientes com DM são necessários. / Hypertension is a multifactorial clinical condition that affects a significant part of the world population, with a higher prevalence in patients with diabetes mellitus (DM) than in the general population. Changes in lifestyle, including dietary intervention, are important tools for prevention and management of hypertension, this effect being related to food composition. Few studies evaluated the role of micronutrients in blood pressure (BP) in patients with DM and the current recommendations were based on population studies in patients without DM. The aim of this study was to review the effects of micronutrients from diet or supplements on BP in patients with DM. A systematic review of randomized controlled trials (RCT) was performed in Medline and Lilacs. It was conducted in adult patients with diabetes and evaluated the effect of micronutrients from diet or supplements on BP after at least two weeks of intervention, RCT trials with multiple micronutrient intervention or other (drugs, exercise) were excluded. Data were extracted by two independent researchers to record changes in BP at the end of the studies. Of the 607 studies initially selected 555 were excluded based on title or abstract; 52 potentially relevant studies for inclusion were then evaluated with their complete text and, from these, 12 RCTs were included, with a total of 16 interventions. In conclusion, sodium restriction, magnesium and vitamin D supplementation in patients with hypovitaminosis D may improve BP values of diabetic patients. However, the possible beneficial effect of vitamin C remains uncertain and the administration of vitamin E is not recommended. The indication of increased potassium intake has not been tested in patients with DM. Further studies are needed to confirm and clarify the role of these and other micronutrients in BP in patients with DM.

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