Knowledge evaluation and educating diabetic patients on self foot care at diabetic out patients` clinic, Muhimbili National Hospital

Background: Diabetic foot infection, ulcers and amputations remain very common in diabetics worldwide and extremely affect patients’ quality of life. The objective of this survey was to assess the level of knowledge and educate diabetic patients on self foot care at diabetic outpatient clinic at Muhimbili National HospitalMethods: A cross-sectional survey of diabetic patients was conducted at Muhimbili National Hospital at the diabetic outpatient clinic from mid September to mid November 2013 inclusive. Patients who voluntarily consented and determined fit for the study were recruited. Data on subjects` demographic characteristics and status of baseline and post discussion sessions self foot care knowledge were collected and analysed.Results: A total of 115 patients were studied. Females were the majority 60.9% (70) and the mean age was 33.5(SD± 1.8) years, age ranged from 11years to 65 years. A considerable number of patients had poor self foot care knowledge 54(47.0%).Young patients (<30 years) had better knowledge about self foot care. There was a parallel increase in knowledge level of foot care with increasing level of education (P value =0.000). There was a significant improvement in self foot care knowledge level score among participants after foot care education sessions as the mean knowledge score prior education and post education were 5.7(SD±3.6) and 15.6(SD2±.5) respectively (P value = 0.000).Conclusion and recommendation: A considerable number of diabetic patients have poor self foot care knowledge and the level of knowledge on self foot care improved prominently following foot care education session.  Therefore there is a need for establishment and strengthening effective foot care education for diabetic patients at clinics in order to prevent and reduce the incidence of foot infection, ulceration and amputations.Keywords: Diabetic patients, Self foot care knowledge, Self foot care education, Diabetic foot complication

Custo médio de produção de suínos para abate: anexo 18 - dezembro//84.

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Perspectivas conjunturais do mercado internacional de vinhos em 2015.

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Custo médio de produção de suínos para abate: anexo 12 - junho/83.

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Custo médio de produção de suínos para abate: anexo 21 - setembro/85.

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Custo médio de produção de suínos para abate: anexo 16 - junho/84.

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A Marca coletiva como estratégia organizacional: o caso dos vinhos finos de altitude de Santa Catarina.

Bases referenciais do programa. Estrutura das normativas do programa: Regulamento da Marca Coletiva ACAVITIS (MCA); Norma de procedimentos para obtenção da MCA; Norma de procedimentos de cortes e vinhos da MCA de diferentes safras; Norma de procedimentos da avaliação sensorial dos vinhos da MCA; Declaração de produtos elaborados para obtenção da MCAbitstream/item/71556/1/doc077.pd

Custo médio de produção de suínos para abate: anexo 19 - março/85.

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Custo médio de produção de suínos para abate: anexo 11 - março/83.

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Custo médio de produção de suínos para abate: anexo 22 - dezembro/85.

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