Background: We conducted a comparison between the dipeptidyl-peptidase-4(DPP-4) inhibitor sitagliptin versus NPH insulin as an add-on therapies in patients with type 2 diabetes mellitus (T2D) failing oral medications. The objective was to ascertain the better indication in long-duration diabetes.
Methods: thirty-five T2D patients inadequately controlled with metformin plus glyburide were randomized to receive sitagliptin (n=18) or bedtime NPH insulin (n=17) for 12 months.
Background: Blood glucose control is fundamental albeit not enough to prevent diabetic macrovascular complications. Dipeptidyl peptidase-4 (DPP-4) inhibitors are effective in improving metabolic parameters in patients with type 2 diabetes mellitus (T2DM) but little is known about its cardiovascular effects. We compared the DPP-4 inhibitor sitagliptin with bedtime NPH insulin (NPH) as add-on therapy in patients with T2DM, aiming to ascertain which drug would have additional cardioprotective effects.
View Article and Find Full Text PDFArq Bras Endocrinol Metabol
December 2010
Objective: This study reports on the Brazilian Portuguese adaptation of the QoL-AGHDA (Quality of Life Assessment of Growth Hormone Deficiency in Adults) for use in adult growth hormone deficient (GHD) patients.
Materials And Methods: The translation process adopted the dual panel methodology. The questionnaire was tested through field-test interviews (16 GHD patients).
Rev Bras Epidemiol
September 2010
Introduction: Asthma is the most prevalent chronic disease among adolescents, not only affecting their quality of life but also bringing deep concern about their health. Having a chronic disease in this age group, in addition to the limits caused by the disease itself, increases vulnerability to emotional damage including common mental disorders (CMD).
Objective: to evaluate the association between CMD and quality of life in adolescents with asthma.
Objective: To assess the quality of life (QoL) of asthmatic adolescents and its association with asthma severity, chronic diseases, and life style.
Method: Cross-sectional study involving 210 female and male asthmatic adolescents between 12 and 21 years old. The Paediatric Asthma Quality of Life Questionnaire, a self-administered instrument, was used.
This study investigates the association between history of asthma and common mental disorders among employees at a public university in the State of Rio de Janeiro, Brazil. Phase 1 cross-sectional data from a cohort study (the Pró-Saúde Study) were collected from 4,030 employees. Asthma was ascertained by self-reported medical diagnosis, and the occurrence of common mental disorders was based on the General Health Questionnaire (GHQ-12).
View Article and Find Full Text PDFTwo boys are described with precocious puberty (PP) due to pineal immature teratoma associated with choriocarcinoma. Patient 1 was a 7 year-old boy with a 2-year history of PP. He had elevated CSF and plasma beta-hCG levels.
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