Factors Relates To A Non Medical Accession By Hipoglycemics Patients With Oral Diabetes Mellitus Type 2

Diabetes mellitus type 2 can be defied as a syndrome of multiple etiologies and currently, it is estimated that in the world exists about 150 million patients with DM, and that number could double until 2025. Non-adherence to treatment is a diffiulty in effective assistance to individuals. This study aims to understand the factors related to non-adherence to oral hypoglycemic drug in patients with type 2 mellitus diabetes It is an integrative review, held in the databases SciELO, PubMed, MEDLINE and LILACS, using the descriptors DeCS (MeSH) - Descriptors in Health Sciences: medication adherence, type 2 diabetes and chronic disease. The selection respected inclusion/exclusion criteria previously listed considering the last six years. 108 articles of which 18 met the criteria were identifid. Among the factors that are related to medication accession are: gender, age, education, income, information about the disease and the medication, comorbidities, side effects and the time of diagnosis. It become necessary in health education strategies to take into consideration the various personal differences

Bipolarity and suicidal ideation in children and adolescents: a systematic review with meta-analysis

Abstract Background Affective disorders in children and adolescents have received growing attention in the world scenario of mental health. Additionally, there has been an increasing prevalence of suicidal ideation in this population. Objective A systematic review with meta-analysis was conducted to demonstrate the main risk factors regarding the development of suicidal ideation in the bipolar disorder. Methods This is a systematic review with meta-analysis using the PRISMA protocol ( http://www.prisma-statement.org/ ). This study included secondary data. Original data in mental health were collected by mapping the evidence found in the following electronic databases: MEDLINE/PubMed, LILACS, SciELO, and ScienceDirect in the period from 2005 to 2015. Results We found 1418 registrations in such databases, and 46 of them were selected to comprise this review. The result introduces a joint risk between the studies of 2.94 CI [2.29–3.78]. A significant correlation was verified between the risk factors and the suicidal ideation. The result was r (Pearson) = 0.7103 and p value <0.001. Conclusion Children and adolescents living with bipolar disorder are more vulnerable to suicidal ideation. These results reinforce the need of a more effective public policy directed toward this population