The objective of this study was to identify the risk factors and associated complications present in clients with hypertension/diabetes, enrolled in the HIPERDIA of the Executive Regional Health Department VI in Fortaleza, CE. This analytical documental study included 2,691 people. Of this total, 73.6% were women; 44.6% were between 60-79 years of age (mean age of 60.8 years); 87.4% were Caucasian, Asian or Pardo; 63.7% had eight or fewer years of education; 79.7% were non-smokers; 56.6% were considered sedentary; 59.6% were overweight/obese; and 48.4% had a family history of cardiovascular disease. An association was observed between having a sedentary lifestyle and being overweight/obese among patients with diabetes, and those with both diabetes and hypertension; family history of cardiovascular disease in patients with hypertension and those with both diabetes and hypertension; stroke, coronary artery disease and chronic renal failure in patients with hypertension and those with both diabetes and hypertension; and infarction and stroke in patients with diabetes. A family history of cardiovascular disease was associated with coronary artery disease and infarction. A relevant presence of risk factors and complications was found, highlighting the need for health education among clients.
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http://dx.doi.org/10.1590/s0080-62342012000500013 | DOI Listing |
J Prim Care Community Health
January 2025
Geisel School of Medicine at Dartmouth College, Hanover, NH, USA.
Introduction/objectives: Patients returning to the community from incarceration (ie, reentry) are at heightened risk of experiencing trauma when interacting with the healthcare system. Healthcare professionals may not recognize patients' trauma reactions or know how to effectively respond. This paper describes the development and pilot evaluation of a single-session training to prepare primary care teams to deliver trauma-informed care (TIC) to patients experiencing reentry.
View Article and Find Full Text PDFWorld J Diabetes
January 2025
Department of Internal Medicine, Prof Dr Suleyman Yalcin City Hospital, Istanbul Medeniyet University, Istanbul 34722, Türkiye.
Background: Inadequate glycemic control in patients with type 2 diabetes (T2DM) is a major public health problem and a significant risk factor for the progression of diabetic complications.
Aim: To evaluate the effects of intensive and supportive glycemic management strategies over a 12-month period in individuals with T2DM with glycated hemoglobin (HbA1c) ≥ 10% and varying backgrounds of glycemic control.
Methods: This prospective observational study investigated glycemic control in patients with poorly controlled T2DM over 12 months.
Prostate Int
September 2024
Erciyes University, Department of Urology, Devision of UroOncology, Kayseri, Turkey.
Background: It has been more than a decade since fusion prostate biopsy (FPB) has been used in the diagnosis of prostate cancer (PCa). Therefore, patients with a previous history of negative FPB and ongoing suspicion of PCa are beginning to emerge. This study investigated whether the first biopsy type (standard or fusion) should be effective in deciding on a second biopsy.
View Article and Find Full Text PDFRisk Manag Healthc Policy
January 2025
Department of Family Medicine, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Purpose: The aim of the study was to assess the effect of policy intervention on the physician ordering of HbA1c for the patients seen at the primary health care center in Riyadh, Saudi Arabia.
Methods: The study included patients over the age of 18 for whom HbA1c tests were ordered before and after the policy restrictions were implemented at the three main Primary Health Care Centers under the Ministry of National Guard Health Affairs (MNGHA) in Riyadh, between October 2020 and August 2023. Several data management steps and restrictions were carried out to identify the patients seen before and after the intervention and controlled for the confounders.
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