Health-related quality of life in patients with type 1 diabetes mellitus in the different geographical regions of Brazil : data from the Brazilian Type 1 Diabetes Study Group

Background: In type 1 diabetes mellitus (T1DM) management, enhancing health-related quality of life (HRQoL) is as important as good metabolic control and prevention of secondary complications. This study aims to evaluate possible regional differences in HRQoL, demographic features and clinical characteristics of patients with T1DM in Brazil, a country of continental proportions, as well as investigate which variables could influence the HRQoL of these individuals and contribute to these regional disparities. Methods: This was a retrospective, cross-sectional, multicenter study performed by the Brazilian Type 1 Diabetes Study Group (BrazDiab1SG), by analyzing EuroQol scores from 3005 participants with T1DM, in 28 public clinics, among all geographical regions of Brazil. Data on demography, economic status, chronic complications, glycemic control and lipid profile were also collected. Results: We have found that the North-Northeast region presents a higher index in the assessment of the overall health status (EQ-VAS) compared to the Southeast (74.6 ± 30 and 70.4 ± 19, respectively; p < 0.05). In addition, North- Northeast presented a lower frequency of self-reported anxiety-depression compared to all regions of the country (North-Northeast: 1.53 ± 0.6; Southeast: 1.65 ± 0.7; South: 1.72 ± 0.7; Midwest: 1.67 ± 0.7; p < 0.05). These findings could not be entirely explained by the HbA1c levels or the other variables examined. Conclusions: Our study points to the existence of additional factors not yet evaluated that could be determinant in the HRQoL of people with T1DM and contribute to these regional disparities

Correlação entre sintomas e tempo de evolução do câncer do trato aerodigestivo superior com o estádio inicial e avançado

Muitos dos aspectos clínicos e biológicos da história natural do câncer do trato aerodigestivo superior estão por elucidar, o que no Brasil tem como consequência direta a falha sistemática das campanhas de prevenção e de diagnóstico precoce. OBJETIVO: Analisar os sinais e sintomas apresentados por portadores da doença em estadiamentos iniciais e avançados. Outras variáveis como o tempo de evolução da doença, o estado geral e nutricional foram consideradas. MÉTODO: Estudo de coorte histórica com corte transversal em 895 indivíduos portadores do câncer do trato aerodigestivo superior. RESULTADOS: Os sinais e sintomas encontrados não se correlacionaram de forma estatisticamente significativa com o tempo de evolução da doença nem com a doença em fases iniciais, mas evidenciaram um desenvolvimento rápido da doença. CONCLUSÃO: Os resultados sugerem uma doença de início insidioso nas fases iniciais e de rápida evolução. O tempo longo de evolução - maior que três meses, associou-se às pioras nos estados geral e nutricional dos pacientes

Produtividade de mandioquinha-salsa sob diferentes densidades de plantio e tamanho das mudas Productivity of peruvian carrot (Arracacia xanthorrhiza Bancroft) under different densities of planting and size of seedlings

Objetivou-se, no presente trabalho, estudar a resposta produtiva da mandioquinha-salsa 'Amarela de Carandaí', propagada por mudas grandes-MG (22,1 g); médias-MM (14,1 g); pequenas-MP (9,7 g) e muito pequenas-MMP (5,7 g) e cultivada em canteiros com duas-2F e três fileiras-3F de plantas. Foram feitas colheitas aos 211 e 239 dias após o plantio-DAP. Todas as características avaliadas nas plantas, nas duas colheitas, foram influenciadas de forma variável pela interação tamanho das mudas e número de fileiras no canteiro. As maiores alturas das plantas foram daquelas do tratamento MP3F, nas duas épocas de colheita, mas, as colhidas aos 211 DAP (35,64 cm) apresentaram 4,50 cm a mais em relação às colhidas aos 239 DAP (31,14 cm). As massas frescas de folhas foram maiores nas plantas do tratamento MG2F (23,86 t ha-1), aos 211 DAP, e as do MM3F (22,09 t ha-1), aos 239 DAP. As maiores médias de massas frescas de rebentos (8,66 t ha-1) e de coroas (5,66 t ha-1) foram obtidas aos 239 DAP, em relação às dos 211 DAP (7,19 e 4,20 t ha-1). As maiores produções de raízes comerciais (11,61 t ha-1) e de não comerciais (5,80 t ha-1) foram do tratamento MG3P, aos 211 DAP e dos tratamentos MMP2F (14,48 t ha-1) e MP3F (5,92 t ha-1), respectivamente, aos 239 DAP. As massas frescas de raízes comerciais representaram apenas 18,31% e 23,08%, aos 211 DAP e 239 DAP, respectivamente, em relação à produção total das plantas.<br>The present research aimed to study the productive response of 'Amarela de Carandaí Peruvian carrot (Arracacia xanthorrhiza Bancroft), which was propagated by big - MG (22.1 g); medium - MM (14.1 g); small - MP (9.7 g) and very small - MMP (5.7 g) seedlings and cultivated on plots with two (2F) and three (3F) rows of plants. Harvests were accomplished at 211 and 239 days after planting (DAP). Every evaluated plant characteristics from the two harvests were diversely influenced by the interaction between the seedling sizes and the number of rows per plot. The highest height of plants were those from the MP3F treatments, for both dates of harvest, but those harvested at 211 DAP (35.64 cm) showed an extra 4.50 cm in relation to those harvested at 239 DAP (31.14 cm). Fresh matters of leaves were higher for plants from the MG2F treatment (23.86 t ha-1), at 211 DAP, and from the MM3F (22.09 t ha-1), at 239 DAP. The highest averages of fresh matters of shoots (8.66 t ha-1) and of crowns (5.66 t ha-1) were obtained from 239 DAP, in relation to those from 211 DAP (7.19 and 4.20 t ha-1). The highest yields of commercial roots (11.61 t ha-1) and non-commercial roots (5.80 t ha-1) were from the MG3F treatment, at 211 DAP and from the MMP2F (14.48 t ha-1) and MP3F (5.92 t ha-1) treatments, respectively, at 239 DAP. The fresh matter of commercial roots represented only 18.31% and 23.08%, at 211 DAP and 239 DAP, respectively, in relation to total yield of plants

Health-related quality of life in patients with type 1 diabetes mellitus in the different geographical regions of Brazil : data from the Brazilian Type 1 Diabetes Study Group

Background: In type 1 diabetes mellitus (T1DM) management, enhancing health-related quality of life (HRQoL) is as important as good metabolic control and prevention of secondary complications. This study aims to evaluate possible regional differences in HRQoL, demographic features and clinical characteristics of patients with T1DM in Brazil, a country of continental proportions, as well as investigate which variables could influence the HRQoL of these individuals and contribute to these regional disparities. Methods: This was a retrospective, cross-sectional, multicenter study performed by the Brazilian Type 1 Diabetes Study Group (BrazDiab1SG), by analyzing EuroQol scores from 3005 participants with T1DM, in 28 public clinics, among all geographical regions of Brazil. Data on demography, economic status, chronic complications, glycemic control and lipid profile were also collected. Results: We have found that the North-Northeast region presents a higher index in the assessment of the overall health status (EQ-VAS) compared to the Southeast (74.6 ± 30 and 70.4 ± 19, respectively; p < 0.05). In addition, North- Northeast presented a lower frequency of self-reported anxiety-depression compared to all regions of the country (North-Northeast: 1.53 ± 0.6; Southeast: 1.65 ± 0.7; South: 1.72 ± 0.7; Midwest: 1.67 ± 0.7; p < 0.05). These findings could not be entirely explained by the HbA1c levels or the other variables examined. Conclusions: Our study points to the existence of additional factors not yet evaluated that could be determinant in the HRQoL of people with T1DM and contribute to these regional disparities