Registry of people with diabetes in three Latin American countries : a suitable approach to evaluate the quality of health care provided to people with type 2 diabetes

Q2Q2Aims: To implement a patient registry and collect data related to the care providedto people with type 2 diabetes in six specialized centers of three Latin Americancountries, measure the quality of such care using a standardized form (QUALIDIAB)that collects information on different quality of care indicators, and analyze thepotential of collecting this information for improving quality of care and conductingclinical research. Methods: We collected data on clinical, metabolic and therapeu-tic indicators, micro- and macrovascular complications, rate of use of diagnosticand therapeutic elements and hospitalization of patients with type 2 diabetes in sixdiabetes centers, four in Argentina and one each in Colombia and Peru. Results:We analyzed 1157 records from patients with type 2 diabetes (Argentina, 668;Colombia, 220; Peru, 269); 39 records were discarded because of data entry errorsor inconsistencies. The data demonstrated frequency performance deficiencies inseveral procedures, including foot and ocular fundus examination and variouscardiovascular screening tests. In contrast, HbA1cand cardiovascular risk factorassessments were performed with a greater frequency than recommended by inter-national guidelines. Management of insulin therapy was sub-optimal, and deficien-cies were also noted among diabetes education indicators. Conclusions: Patientregistry was successfully implemented in these clinics following an interactiveeducational program. The data obtained provide useful information as to deficien-cies in care and may be used to guide quality of care improvement efforts.https://orcid.org/0000-0002-6860-3620N/

Opeatogenys gracilis (Pisces: Gobiesocidae): An overlooked species or another ‘Mediterranean endemism’ found in Atlantic waters?

The occurrence of Opeatogenys gracilis outside the Mediterranean Sea is confirmed for the first time. This is probably a more common species than previously thought, but its apparent complete dependence on seagrass beds suggests the possibility of including it in the IUCN threatened species list. Some sex differences are described and a complete meristic and morphometric description of the species is presented. The occurrence of the species in the north-east Atlantic indicates that it might be a recent dispersal from the Mediterranean Sea, or an overlooked part of the autochthonous fauna

Hydrogen production by glycerol steam reforming: How Mg doping affects the catalytic behaviour of Ni/Al2O3 catalysts

Glycerol steam reforming, using Mg doped Ni/Al2O3 catalysts, was investigated with the aim to efficiently produce hydrogen. Catalyst containing different Mg loading were prepared by impregnation method maintaining constant the Ni loading (10 wt.%). Catalytic experiments were performed in fixed bed reactor operated at 500 and 600 °C. Characterization results revealed that Mg, further to infer a basic character to the carrier, promotes the Ni dispersion. In addition to observe that the catalytic activity was mainly dependent upon the Ni dispersion, the amount and morphology of coke formed during reaction was affected by Mg loading. In particular, the addition of 3wt% of Mg contributes to reduce the coke formation rate while a subsequent addition of Mg up to 10wt%, does not significantly affect neither the catalytic activity nor the carbon formation. By operating at 600 °C and with H2O/Gly ratio of 6, low amount of coke, mainly of filamentous nature, was formed. The size and structure of carbon filaments changed as a function of Ni particle size and Mg loading.Fil: Dieuzeide, María Laura. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Tecnologías del Hidrogeno y Energias Sostenibles. Universidad de Buenos Aires. Facultad de Ingeniería. Instituto de Tecnologías del Hidrogeno y Energias Sostenibles; ArgentinaFil: Laborde, Miguel Ángel. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Tecnologías del Hidrogeno y Energias Sostenibles. Universidad de Buenos Aires. Facultad de Ingeniería. Instituto de Tecnologías del Hidrogeno y Energias Sostenibles; ArgentinaFil: Amadeo, Norma Elvira. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Tecnologías del Hidrogeno y Energias Sostenibles. Universidad de Buenos Aires. Facultad de Ingeniería. Instituto de Tecnologías del Hidrogeno y Energias Sostenibles; ArgentinaFil: Cannilla, C.. Consiglio Nazionale delle Ricerche; ItaliaFil: Bonura, G.. Consiglio Nazionale delle Ricerche; ItaliaFil: Frusteri, F.. Consiglio Nazionale delle Ricerche; Itali

Registry of people with diabetes in three Latin American countries: a suitable approach to evaluate the quality of health care provided to people with type 2 diabetes

Aims: To implement a patient registry and collect data related to the care provided to people with type 2 diabetes in six specialized centers of three Latin American countries, measure the quality of such care using a standardized form (QUALIDIAB) that collects information on different quality of care indicators, and analyze the potential of collecting this information for improving quality of care and conducting clinical research. Methods: We collected data on clinical, metabolic and therapeutic indicators, micro- and macrovascular complications, rate of use of diagnostic and therapeutic elements and hospitalization of patients with type 2 diabetes in six diabetes centers, four in Argentina and one each in Colombia and Peru. Results: We analyzed 1157 records from patients with type 2 diabetes (Argentina, 668; Colombia, 220; Peru, 269); 39 records were discarded because of data entry errors or inconsistencies. The data demonstrated frequency performance deficiencies in several procedures, including foot and ocular fundus examination and various cardiovascular screening tests. In contrast, HbA1c and cardiovascular risk factor assessments were performed with a greater frequency than recommended by international guidelines. Management of insulin therapy was sub-optimal, and deficiencies were also noted among diabetes education indicators. Conclusions: Patient registry was successfully implemented in these clinics following an interactive educational program. The data obtained provide useful information as to deficiencies in care and may be used to guide quality of care improvement efforts.Fil: Commendatore, V.. Servicio de Endocrinologia, Diabetes y Nutrici on; ArgentinaFil: Dieuzeide, G.. Hospital "Nuestra Sra. del Carmen". Servicio de Endocrinolog ia y Metabolismo; ArgentinaFil: Faingold, C.. Unidad Asistencial Dr. C esar Milstein. Servicio de Endocrinologia y Metabolismo; ArgentinaFil: Fuente, G.. Hospital "Carlos Durand". Unidad de Nutrici on; ArgentinaFil: Lujan, D.. Asociaci on Colombiana de Diabetes; ColombiaFil: Aschner, P.. Asociaci on Colombiana de Diabetes; ColombiaFil: Lapertosa, S.. Provincia de Corrientes. Ministerio de Salud Publica; ArgentinaFil: Villena Chavez, Jaime. Universidad Peruana Cayetano Heredia. Departamento de Medicina; PerúFil: Elgart, Jorge Elgart. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); ArgentinaFil: Gagliardino, Juan Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); ArgentinaFil: DIFAR Academic Committee