Management of macrovascular diabetic complications: a single-center case series analysis of consecutively attending patients in primary care

Introduction. The prevalence of diabetes mellitus is increasing, with type 2 diabetes (T2DM) being a major health priority for any public health system. Increased arterial stiffness in patients with diabetes will lead to the appearance of vascular complications. Increased arterial stiffness in patients with diabetes usually leads to vascular complications. Any earlier diagnosis of impaired macrovascular evidence may lead to improved outcomes in patient care. The objective of our study was to assess and evaluate the finger-toe pulse wave velocity (ftPWV), as a measure of arterial stiffness, in order to assist with early detection of macrovascular diabetic complications. Materials and Methods. The observational case series included 140 patients who are registered in a primary care office, of whom 73 were previously diagnosed with diabetes mellitus (study group). The age-matched non-diabetic group included 67 consecutive registered patients who visited the practice for other reasons. Results. The mean age of all patients was 51.42±11.57 years, with DM patients being with 4.5 years older than the non-DM patients (CI 95% and CI 95%). There was a significantly higher mean value of ftPWV in the DM group (p = 0.0039) although the study presented some limitations. Conclusions. The mean value of ftPWV was statistically significant higher in diabetic patients. The assessment of ftPWV is a non-invasive test, and the data can be used as a useful marker of vascular stiffness in primary care, thus providing an early diagnosis of macrovascular complications during the monitoring and care of the diabetic patient

Motor Coordination and Its Importance in Practicing Performance Movement

The training of good motor coordination optimizes the motor skills, and these, over time, lead to the improvement of the motor skills specific to the practiced movement. The purpose of this study was to assess the capacity and speed of learning coordinated movements in the context of working in an online system. At the same time, we set out to evaluate the level of motor coordination achieved through training using the eLearning platform Hudl and the Teaching Games for Understanding approach. Thus, three groups of students were analyzed whose motor histories were different. The analysis of the three tested groups was performed in the first year of study and in the third year of study. The training programs have been adjusted/modified according to the COVID-19 pandemic situation, which has determined their application in the online system as well. The results of this study confirm that by assisting learning through computer programs, in the online system, these workouts can be effective. At the same time, the study shows us that, in addition to the natural evolution from childhood and adolescence, an advanced form of motor coordination appears, which is installed through the action of learning