Problems with adherence to treatment among adolescents with diabetes mellitus type 1

Introduction: Diabetes Mellitus type 1 (DM1) is a chronic degenerative disease with high impact on the lives of children and adolescents. The DM1 affects mainly children and young adults under 30 years old, with a predominance from 10 to 14 years old. As a chronic disease, involves changes in daily habits, being following the recommendations of health professionals one of the main conducts to achieve such changes, however, this follow-up is not easy and can directly infl uence the glycemic control and lead to complications. Objective: Identify the diffi culties of adolescent with DM1 to treatment adherence. The recommendations of this treatment are related to the blood glucose measurements, using a diet plan and insulin application. Methods: The study included 15 adolescent with DM1, of both genders, aged 10-19 years participating in a multidisciplinary group at an outpatient unit in São Paulo, Brazil, aged 13,93 ± 2.4 years, diagnosed with DM1 with an average time of 4.5 years. The following evaluations were employed:1) individual interviews for identifi cation and clinical characterization; 2) characterization of cardiovascular and metabolic parameters; 2) anthropometric assessment and 4) application of a questionnaire with questions about problems of blood glucose measurements, diet plan and insulin application. Data collection was performed before medical appointment with an endocrinologist in a hospital in São Paulo state. Results: The identifi ed diffi culties and cardio-metabolic variables showed the adolescents presented uncontrolled blood glucose levels, doing the rotation of insulin incompletely and face many daily diffi -culties to perform the appropriate treatment, being the most frequently reported the insulin application and proper nutrition. Conclusion: Adolescents with type 1 diabetes presented diffi culties in adherence to treatment, mainly o follow insulin treatment and proposals for changes in eating habits by following a diet. It is necessary that health professionals offer strategies and orientation to these individuals to improve the handling of their diffi culties that directly affect the course of the disease and leave them more susceptible to developing complications

OBESIDADE E RISCO CORONARIANO EM HOMENS E MULHERES PARTICIPANTES DE UM PROJETO DE EXTENSÃO UNIVERSITÁRIA

Caracterizada pelo acúmulo excessivo de gordura corporal a obesidade se torna um problema de saúde pública com o avanço da idade podendo ser avaliada por meio do índice de massa corpórea (IMC) e o Índice de conicidade (IC). Objetivo: Determinar a prevalência de obesidade e comparar risco coronariano em homens e mulheres participantes do programa de prevenção primária e secundária de doenças cardiovasculares de um centro de reabilitação. Metodologia: Os voluntários foram identificados e tiveram avaliadas medidas antropométricas e de circunferência da cintura para o cálculo do IMC e IC. O método estatístico utilizado foi Shapiro-wilk para normalidade e posterior teste t de Student e Man-Withney (

Updated cardiovascular prevention guideline of the Brazilian Society of Cardiology: 2019

Sem informação113478788

Projeto hipertensão do setor de reabilitação cardíaca da FCT/UNESP: uma perspectiva de melhor qualidade de vida

Introduction: The High Blood Pressure (HBP) presented the high and more dangerous risk factors of cardiovascular disease progress and development in Brazilian and worth population. Considering the statistical and the alterations that high blood pressure can induce, programs that disclose the care of this pathology and stimulate the health life style, with a balanced diet and physical exercise practice, has been discussed and applied on the society. Objective: The objectives of this study is describe the activities developed on High Blood Pressure Project of the FCT/UNESP and realize a characterization of 2015 project participants. Methods: The HBP project is developed in Presidente Prudente with goers people of People’s Park and with hypertensive employees of FCT/UNESP that are interesting in project participation, they are followed one time per month. Initially they respond an evaluation report that compound personal dates, family historic, medication, and physical activity realization and frequency. After this, the blood pressure of the participants is measure together with weight and height. There are too informative folders distribution addressing themes that can influenciate the worsening of hypertension, and specifics questionnaires application. Results and discuss: The results appointed that de HBP is presented as goers people of People’s Park as FCT/UNESP employees, with respectively, 75% and 72%, all of them with family historic of high blood pressure. A large number of FCT/UNESP employees have HBP controlled with medication, but 31,25% of this individuals doing physical activity to control this, justifying the number of people with degree 1 of obesity. Addition of HBP 31,25% of this population have another risk factors like diabetes (12,5%), dyslipidemia (18,65%) and thrombosis (6,25%) favoring the appearance of cardiovascular disease. To favor the HBP presence, 25% are smoking, 50% make use alcoholic beverages, and 6,25% had acute myocardial infarction. Conclusion: We conclude that the implantation of an extension project to monitor the hypertensive volunteers and to offer orientations that contribute to eliminate or to ease this important risk factor avoiding the cardiovascular disease development is essential to improve quality of life in this population.Introdução: A hipertensão arterial sistêmica (HAS) representa o maior e mais perigoso fator de risco para a progressão e/ou desenvolvimento de Doenças Cardiovasculares (DCV) na população mundial e brasileira. Considerando as estatísticas e as alterações que podem ser induzidas pela HAS, programas que divulguem os cuidados que devemos ter com essa doença e estimulem a adoção de um estilo de vida saudável, por meio de uma alimentação balanceada e da pratica de exercício físico, vêm sendo amplamente discutidos e aplicados na sociedade. Objetivo: Este trabalho tem por objetivo descrever as atividades desenvolvidas no Projeto Hipertensão Arterial da FCT/UNESP e realizar uma caracterização dos indivíduos que participaram no ano de 2015 desse projeto. Métodos: O projeto Hipertensão Arterial é desenvolvido com indivíduos que frequentam o Parque do Povo de Presidente Prudente e nos postos de trabalho da FCT/UNESP com funcionários hipertensos que se interessam pela participação do projeto, estes são acompanhados uma vez por mês. Inicialmente é feita uma ficha de avaliação que é composta por dados pessoais, histórico familiar, medicação, realização e frequência de atividade física. Posteriormente a pressão arterial é aferida e são mensurados o peso e a altura dos participantes do projeto. Além disso, há a distribuição de folders informativos sobre a hipertensão arterial, onde são abordados temas que podem influenciar na piora do quadro de HAS, e também é realizada a aplicação de questionários específicos. Resultados e Discussão: Os resultados apontam que tanto os funcionários da FCT/UNESP, quanto os frequentadores do Parque do Povo de Presidente Prudente que possuem hipertensão arterial sistêmica, respectivamente, 75% e 72,72% possuem histórico familiar de HAS. A maioria dos funcionários da FCT/UNESP possuem HAS controlada pelo uso de medicação, porém apenas 31,25% desses indivíduos realizam atividade física. Isso pode justificar a presença de obesidade grau 1 na maior parte dos indivíduos. Além da HAS, 31,25% possuem outros fatores como diabetes (12,5%), dislipidemia (18,65%) e trombose (6,25%), o que pode favorecer o aparecimento de doenças cardiovasculares. Para favorecer a presença da HAS, 25% são fumantes, 50% fazem uso de bebidas alcoólicas, e 6,25% tiveram infarto agudo do miocárdio. Conclusão: Concluímos assim que a implantação de um projeto de extensão, que proporciona um monitoramento de indivíduos hipertensos e oferece orientações que contribuem para eliminação ou amenização desse importante fator de risco, evitando assim o desenvolvimento de doenças cardiovasculares, é essencial para melhora da qualidade de vida dessa população.Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq

Prevalência da obesidade e sedentarismo em trabalhadores hipertensos da FCT/UNESP: a importância da orientação

Introduction: Cardiovascular diseases (CVD) have become the leading cause of morbidity and mortality worldwide. Technological advances was responsible for the change in people's living habits becoming increasingly sedentary and the set of bad habits and poor diet cause a pandemic of overweight and obesity and cardiovascular disease. In promoting health (PH) are given tips and guidelines so that the population has an interest to change to better their lifestyle and made follow-up anthropometric data and BP values. Objective: To analyze the sedentary and the obesity in hypertensive workers FCT/UNESP, demonstrate the importance of guidance on the risk factors, and promote health. Materials and methods: The study included 12 employees of the FCT/UNESP, the presence of physical inactivity and obesity was assessed using anthropometric data (height, weight, body mass index (BMI), waist circumference (WC) and waist ratio and hip [WHR]), measurement of BP and application of the IPAQ questionnaire, which ranks the level of physical activity. Results: Patients showed Age of 51.33 ± 9.67 years, weight 101.7 ± 20.53 kg, height 1.72 ± 0.09 meters, BMI 34.02 ± 5.07, PAS 123.33 ± 7.78 mmHg, DBP of 88.33 ± 12.67 mmHg, and 66.66% of men and 66.66% women had circumferences above recommended. 16.66% of the population was classified as active and 83.33% as insufficient active. Discussion: Most of the workers involved in the project present their higher measures the level considered normal, and are directly related to the disposal of body fat and are rich factors for the development of various cardiovascular diseases. The PS is extremely important for individuals analyzed for monitoring of anthropometric indices and provide tips on how to have a healthy life, taking care of food and how to practice physical exercises. Conclusion: Most of the individuals are overweight and obese, have hypertension diagnosed and do not perform physical activity sufficiently, which reinforces the importance of PH for these individuals.Introdução: As doenças cardiovasculares (DCV) se tornaram a principal causa de morbidade e mortalidade no mundo. O avanço tecnológico foi o responsável para a mudança de hábitos de vida da população os tornando cada vez mais sedentária e o conjunto de maus hábitos e má alimentação causam uma pandemia de sobrepeso e obesidade e doenças cardiovasculares. Na promoção a saúde (PS) são dadas dicas e orientações para que a população tenha interesse de mudar para melhor os seus hábitos de vida e feito acompanhamento de dados antropométricos e valores de PA. Objetivo: Analisar o sedentarismo e a obesidade em trabalhadores hipertensos da FCT/UNESP e demonstrar a importância da orientação sobre os fatores de risco e a promoção a saúde. Materiais e métodos: Participaram do estudo 12 trabalhadores da FCT/UNESP, a presença de sedentarismo e obesidade foi avaliada por meio de dados antropométricos (altura, peso, índice de massa corpórea (IMC), circunferência abdominal (CA) e a relação cintura e quadril [RCQ]), aferição da PA e aplicação do questionário IPAQ, que classifica o nível de atividade física. Resultados: Os pacientes apresentaram Idade de 51,33 ± 9,67 anos, Peso de 101,7 ± 20,53 kg, Altura de 1,72 ± 0,09 metros, IMC de 34,02 ± 5,07, PAS de 123,33 ± 7,78 mmHg, PAD de 88,33 ± 12,67 mmHg, e 66,66% dos homens e 66,66% das mulheres apresentaram circunferências acima do recomendado. 16,66% da população foi classificada como ativo e 83,33% como insuficiente ativo. Discussão: Grande parte dos trabalhadores envolvidos no projeto apresentam suas medidas mais elevadas que o nível considerado normal, e são relacionadas diretamente com a disposição de gordura corporal e são fatores de rico para o desenvolvimento de diversas doenças cardiovasculares. A PS é extremamente importante para os indivíduos analisados, para um acompanhamento dos índices antropométricos e fornecer dicas de como ter uma vida saudável, como cuidar da alimentação e como praticar exercícios físicos. Conclusão: A grande maioria dos indivíduos analisados apresentam sobrepeso e obesidade, possuem a HA diagnosticada e não realizam atividade física de forma suficiente, o que reforça a importância da PS para esses indivíduos

Search for heavy neutral leptons in final states with electrons, muons, and hadronically decaying tau leptons in proton-proton collisions at s\sqrt{s} =13 TeV

International audienceA search for heavy neutral leptons (HNLs) of Majorana or Dirac type using proton-proton collision data at $\sqrt{s}$ =13 TeV is presented. The data were collected by the CMS experiment at the CERN LHC and correspond to an integrated luminosity of 138 fb$^{-1}$. Events with three charged leptons (electrons, muons, and hadronically decaying tau leptons) are selected, corresponding to HNL production in association with a charged lepton and decay of the HNL to two charged leptons and a standard model (SM) neutrino. The search is performed for HNL masses between 10 GeV and 1.5 TeV. No evidence for an HNL signal is observed in data. Upper limits at 95% confidence level are found for the squared coupling strength of the HNL to SM neutrinos, considering exclusive coupling of the HNL to a single SM neutrino generation, for both Majorana and Dirac HNLs. The limits exceed previously achieved experimental constraints for a wide range of HNL masses, and the limits on tau neutrino coupling scenarios with HNL masses above the W boson mass are presented for the first time

Search for heavy neutral leptons in final states with electrons, muons, and hadronically decaying tau leptons in proton-proton collisions at s\sqrt{s} =13 TeV

International audienceA search for heavy neutral leptons (HNLs) of Majorana or Dirac type using proton-proton collision data at $\sqrt{s}$ =13 TeV is presented. The data were collected by the CMS experiment at the CERN LHC and correspond to an integrated luminosity of 138 fb$^{-1}$. Events with three charged leptons (electrons, muons, and hadronically decaying tau leptons) are selected, corresponding to HNL production in association with a charged lepton and decay of the HNL to two charged leptons and a standard model (SM) neutrino. The search is performed for HNL masses between 10 GeV and 1.5 TeV. No evidence for an HNL signal is observed in data. Upper limits at 95% confidence level are found for the squared coupling strength of the HNL to SM neutrinos, considering exclusive coupling of the HNL to a single SM neutrino generation, for both Majorana and Dirac HNLs. The limits exceed previously achieved experimental constraints for a wide range of HNL masses, and the limits on tau neutrino coupling scenarios with HNL masses above the W boson mass are presented for the first time

Search for heavy neutral leptons in final states with electrons, muons, and hadronically decaying tau leptons in proton-proton collisions at s\sqrt{s} =13 TeV

International audienceA search for heavy neutral leptons (HNLs) of Majorana or Dirac type using proton-proton collision data at $\sqrt{s}$ =13 TeV is presented. The data were collected by the CMS experiment at the CERN LHC and correspond to an integrated luminosity of 138 fb$^{-1}$. Events with three charged leptons (electrons, muons, and hadronically decaying tau leptons) are selected, corresponding to HNL production in association with a charged lepton and decay of the HNL to two charged leptons and a standard model (SM) neutrino. The search is performed for HNL masses between 10 GeV and 1.5 TeV. No evidence for an HNL signal is observed in data. Upper limits at 95% confidence level are found for the squared coupling strength of the HNL to SM neutrinos, considering exclusive coupling of the HNL to a single SM neutrino generation, for both Majorana and Dirac HNLs. The limits exceed previously achieved experimental constraints for a wide range of HNL masses, and the limits on tau neutrino coupling scenarios with HNL masses above the W boson mass are presented for the first time

Search for CPCP violation in D0^0→\to KS0^0_\mathrm{S}KS0^0_\mathrm{S} decays in proton-proton collisions at s\sqrt{s} = 13 TeV

International audienceA search is reported for charge-parity D$^0$$\to$ K$^0_\mathrm{S}$K$^0_\mathrm{S}$$CP$ violation in D$^0$$\to$ K$^0_\mathrm{S}$K$^0_\mathrm{S}$ decays, using data collected in proton-proton collisions at $\sqrt{s}$ = 13 TeV recorded by the CMS experiment in 2018. The analysis uses a dedicated data set that corresponds to an integrated luminosity of 41.6 fb$^{-1}$, which consists of about 10 billion events containing a pair of ẖadrons, nearly all of which decay to charm hadrons. The flavor of the neutral D meson is determined by the pion charge in the reconstructed decays D$^{*+}$$\to$ D$^0\pi^+$ and D$^{*-}$$\to$ D$^0\pi^-$. The D$^0$$\to$ K$^0_\mathrm{S}$K$^0_\mathrm{S}$$CP$ asymmetry in D$^0$$\to$ K$^0_\mathrm{S}$K$^0_\mathrm{S}$ is measured to be $A_{CP}$( K$^0_\mathrm{S}$K$^0_\mathrm{S}$) = (6.2 $\pm$ 3.0 $\pm$ 0.2 $\pm$ 0.8)%, where the three uncertainties represent the statistical uncertainty, the systematic uncertainty, and the uncertainty in the measurement of the D$^0$ $\to$ K$^0_\mathrm{S}$K$^0_\mathrm{S}$ $CP$ asymmetry in the D$^0$ $\to$ K$^0_\mathrm{S}\pi^+\pi^-$ decay. This is the first D$^0$ $\to$ K$^0_\mathrm{S}$K$^0_\mathrm{S}$ $CP$ asymmetry measurement by CMS in the charm sector as well as the first to utilize a fully hadronic final state