M.A. (Research Psychology) / It has become increasingly recognized that medical outcomes in chronic illness depend substantially on behavioural factors as well as biochemical factors (Hamburg & Inoff, 1984, p.321), and health-related personnel have begun to realize that comprehensive care of chronically ill individuals should be based on the tenet that the person is a biopsychosocial being who is in constant interaction with the environment ...

Orientador: José Elias Tomazini / Banca: Mauro Pedro Peres / Banca: Magda Francisca Gonçalves Rocha / Resumo: O presente estudo é uma interação interdisciplinar entre os conceitos da engenharia mecânica e a ciência da saúde, usada para rastrear alterações nos pés de portadores de Diabetes Mellitus, possibilitando, através de uma plataforma de força, a identificação do risco de formação de úlceras plantares secundárias à sobrecarga mecânica em áreas de sensibilidade diminuída. Para tal foi projetada e construída uma plataforma de força de fácil operação. O estudo em análise foi realizado com um grupo de 30 voluntários, de ambos os sexos, com idade entre 30 e 69 anos (com idade média de 50 anos) distribuídos entre portadores de Diabetes mellitus e não diabéticos. A amostra foi dividida em três grupos: diabéticos com e sem neuropatia diabética e não diabéticos. Todos participantes, possuem características antropométricas compatíveis e não apresentam deformidades articulares significativas nos pés e nem dificuldades de marcha. Cada participante foi avaliado três vezes, permanecendo em posição ereta e estática sobre a plataforma, num tempo de 20 segundos em cada coleta. Através da análise da distribuição da pressão plantar foi observado que os voluntários diabéticos com neuropatia diabética apresentaram desigualdade pressórica nas áreas de menor sensibilidade protetora dos pés o que indica risco de formação de úlceras plantares / Abstract: The following study is an interdisciplinary interaction between concepts of mechanic engineering and the health science, it is used to find disturbs in patients with Mellitus diabetic feet. It is possible through a force platform that recognizes the risk of appearing planter ulcers that are secondary from the mechanic overcharge in areas where the sensibility was decreased. So, it was projected and built a force platform which is cheap and easy to operate. The study of analyses has been realized with 30 volunteers, both gender, from 30 to 69 years old (average 50 years old) they were divided between Mellitus Diabetics and no diabetics. The sample divided was into three groups: Diabetic with neuropathy and without neuropathy and no diabetics. All of them have anthropometrics compatible characteristics and they do not present significant joint deformities in foot neither walk difficulties. Every patient was availed three times they were stand up and static on the platform during 20 seconds. Throughout the plant pressure analysis distribution it was noted the diabetic volunteers with diabetic neuropathy have presented unequal pressure value in the regions where the feet protection sensibility was decreased and it denotes risk of plants ulcer development / Mestre

Indiana University-Purdue University Indianapolis (IUPUI) / Objectives: The purpose was to evaluate pain scores (SF-36 BPS) among pre-diabetic patients on metformin or placebo to determine if patients on metformin therapy report less pain (higher SF-36 BPS) than patients on placebo. Study design: A descriptive retrospective review of pain scores was conducted using secondary data analyses of the Diabetes Prevention Program (DPP) and Diabetes Prevention Program Outcomes Study (DPPOS) conducted from 1996 to 2008. Patients were randomly assigned to placebo, low (850 mg/day) or high dose (1700 mg/day) metformin groups. Pain scores using the SF-36 BPS standard version were taken before randomization and annually (year one through four). Results: Out of 3,819 patients that participated in the original study, 1,056 patients met the current study criteria. The metformin group included 506 patients and the placebo group included 550 patients. With an alpha level of 0.05 for all analyses, baseline pain scores between the metformin group and placebo group showed no significant difference. Year two showed significance between placebo and metformin pain scores (75.2 vs 78.6). All other years were not significant. Comparing low and high dose metformin and placebo groups, years one, two and three displayed significant differences in pain scores. In years one and two, the high dose metformin group reported less pain than the placebo group (80.7 vs 77.7; 80.1 vs 75.2) and the low dose metformin group (80.7 vs 71.8; 80.1 vs 68.6). In year three, the high dose metformin group had less pain than the low dose metformin group (78.4 vs 70.5).

Temperament of 4-month-old infants of diabetic (n=l6) and nondiabetic (n=l8) mothers did not differ reliably in terms of maternal ratings on the Infant Behavior Questionnaire (IBQ) (Rothbart, 1981). Item analysis indicated that scales on a reduced version of the IBQ maintained high internal reliability. Discrete behaviors, adapted from the Infant Behavior Record (Bayley, 1969), and conceptually related to each scale of the IBQ, were observed by mothers and by a trained observer during the infants' well-child examinations. Group differences for activity level and duration of orienting were obtained by the trained observer. These differences were similar in pattern to those found by Yogman, Cole, Als, & Lester (1982) on newborn infants of diabetic mothers. Mothers' observations were reliably correlated with those of the trained observer on the following scales: (a) smiling and laughter, (b) fear, (c) distress to limitations, (d) soothability, and (e) duration of orienting. Mothers' observations were not reliably correlated with those of the observer on (f) activity level. The behavioral items were not significantly correlated with their respective scale on the IBQ. With subjects from both groups combined, neither gestational age nor ponderal index was related to temperament ratings or to discrete behaviors. Results failed to support the hypothesis that diabetic-related biobehavioral vulnerabilities and psychoendocrine mechanisms mediated temperament in 4-month-old infants. However, differences in discrete behaviors were present. Further studies are needed to determine whether differences of discrete behaviors affect later development. / M.S.

Inadequate, expensive health care services for the chronically ill, confront the lay person as one of the major forces in the social movement toward self-care. The purpose of this predictive correlational study was to investigate within a theoretical framework derived from Orem's conceptual model of nursing relationships among family as a social support system, exercise of self-care agency, and health status for the person with a chronic illness. The sample group was 51 chronically ill adults diagnosed with diabetes mellitus who attended diabetic instructions from one of the Central Indiana Hospitals. Findings indicated a weak positive correlation between self-care and cohesion and weak negative correlation between health status and cohesion. Findings also revealed significant differences between male and female for the variables self-care and conflict.Conclusions were that this study supported certain relationships proposed by Orem's conceptual model in nursing. Results can guide diabetics in providing optimal daily self-care. Professionals in the health care arena can utilize the results for educational development and encouragement of self-care agency in the adult diabetic. The family members can also clarify roles in supporting the diabetic adult. / School of Nursing

published_or_final_version / Psychiatry / Master / Master of Philosophy

Thesis (Ph. D.)--University of Hawaii at Manoa, 2004. / Includes bibliographical references (leaves 172-201). / Also available by subscription via World Wide Web / xii, 201 leaves, bound ill. 29 cm

Thesis (MHSc--Health Science) -- Auckland University of Technology, 2004. / Also held in print (218 leaves, col. ill., 30 cm.) in Akoranga Theses Collection (T 616.46200996 SIM)

Thesis (M.P.H.)--Georgia State University, 2008. / Title from file title page. Russell Toal, committee chair; Dominique Musselman, Ike Okosun, committee members. Description based on contents viewed July 7, 2009. Includes bibliographical references (p. 49-54).

Thesis (Ph. D.)--University of Texas at Austin, 2006. / Vita. Includes bibliographical references.