Modifications of the maximum expiratory flow in bronchial asthma treatment using Intal and Ketotifeno.

<strong>Introduction</strong>: The studies of the lung function are essential for the diagnosis, classification and treatment of the Bronchial Asthma and inside them the mensuration of the flow maximum expiratory (FEM) it provides a quantitative value of the obstruction of the air roads. <strong><br />Methods</strong>: It was carried out a study in two stages, the first one descriptive in which was included the 15 year-old patients and more with diagnostic of Bronchial Asthma and belonging to the CMF #26 of the Policlínico Area V of the Municipality Cienfuegos, with the objective of determining the modifications of the value of the FEM according to outline of treatment used intercrisis. The sample was constituted for 37 patients, to those that were applied a form of data where it was included the age, sex, clinical characteristics of its illness and the current treatment. In the second stage two groups were created selected by the simple random method. The first one received treatment with Intal Spray (four aplications per day) and the second with Ketotifeno (tab. 1 mg. /2tab par day) egining to make mensurations from FEM to the three, six, nine and twelve months of having implemented the treatment. <strong><br />Results</strong>: They in our patient prevailed the ages of 15- 24 years and of 25- 34 years and the feminine sex, the Salbutamol was the more utilized in the previous treatments, initially the greater number of asthmatic they were classified like moderates and upon concluding the 12mo month the 72.9% they of the total of the pattern behaved like light; they with both treatments improved the courages of FEM, although the group of patient that you received treatment with Intal you showed an improvement in statements security much more rapid. <strong><br />Conclusions:</strong> That patient that they utilized Intal had a more rapid elevation of the FEM

Calidad de vida en el paciente diabético

roblem worldwide, since it is one of the most frequent non-transmissible diseases as for the variety and intensity of complications associated with it. Objective: To assess some physical, psychic and social aspects related with life quality of these patients. Methods: A descriptive, cross-sectional study was developed in the in the Centre for Care and Education of Diabetic Patients, between 2006 and 2007. The universe was formed by 148 diabetic patients (type II) that received ambulatory assistance in that institution. Variables: age, sex, years suffering from that disease, associated diseases and nutritional assessment according to the body mass index. Results: There was grater incidence of females, most of the patients were between 40 and 59 years; it was significant the association of diabetes with hypertension, mainly in overweight patients. Life quality was poorer with more years of diseases evolution, the obese patients and those with peripheral ascular disease. Conclusion: Even when life quality of diabetic patients is not generally deteriorated, there is a negative disposition towards the disease.Introducción: La diabetes mellitus es un importante problema de salud a nivel mundial, por ser una de las afecciones no transmisibles más frecuentes, así como por la severidad y diversidad de sus complicaciones crónicas. Objetivo: Valorar algunos aspectos físicos, psíquicos y sociales relacionados con la calidad de vida del paciente diabético. Métodos: Se realizó un estudio descriptivo de corte transversal en el Centro de Atención y Educación al Diabético en el período comprendido entre diciembre de 2006 y febrero de 2007. El universo estuvo integrado por 148 pacientes diabéticos tipo 2 que recibieron ingreso ambulatorio en dicha institución. Variables analizadas: edad, sexo, años de evolución, enfermedades asociadas y evaluación nutricional según índice de masa corporal. La calidad de vida se valoró mediante la aplicación del cuestionario del perfil de calidad de vida en enfermos crónicos. Resultados: Existió un predominio del sexo femenino sobre el masculino; el mayor número de pacientes estaba entre 40 y 59 años; resultó significativa la asociación de la diabetes mellitus con la hipertensión arterial, destacándose los pacientes sobre-peso. La calidad de vida fue menor en los pacientes con más años de evolución, los obesos y los que padecen de enfermedad vascular periférica. No obstante en su percepción general solo manifestaron un estado de ánimo negativo en relación con la enfermedad. Conclusión: Aunque la calidad de vida de los pacientes diabéticos no esté deteriorada de forma general pueden padecer un estado de ánimo negativo en relación con la enfermedad

Coronary Calcium Scoring and Cardiovascular Risk in Patients with Type 2 Diabetes Mellitus

Background: Diabetes mellitus is considered as an independent cardiovascular risk factor. Coronary calcium scoring has proved to be a useful tool for stratifying cardiovascular risk. Objective: To quantify coronary calcium in patients with diabetes mellitus type 2 in order to estimate cardiovascular risk. Methods: A descriptive observational study was conducted. The sample included 33 patients with type 2 diabetes mellitus admitted in the Center for Diabetes Care and Education of Cienfuegos from April to July 2009. Variables studied: age, sex, nutritional assessment, illness duration, history of hypertension, hyperlipidemia and smoking. Coronary calcium was determined with multislice helical CT scanner. Results: females were predominant. Most patients were between 41 and 70 years old. More than half were from 2 to 11 years of evolution and had fasting glucose levels higher than 7.0 mmol / L. In 40.0% of diabetic patients three or more risk factors and average and high coronary calcium values were present. Out of the total, 21.7% (5 patients) has less than three risk factors and average and high values. Conclusions: Performing coronary calcium quantification can reclassify cardiovascular risk in a high percentage of estimated cases

What patients with diabetes mellitus type 2 know on their disease

Background: education on diabetes is one of the key objectives of general care for people with diabetes mellitus and should be effectively implemented in order to provide patients with more information about their disease. Objective: to determine how much patients with type 2 diabetes know about the disease. Methods: descriptive study of a case series conducted between January and June 2008. The universe consisted on 120 patients from the "Area V" Polyclinic of Cienfuegos who were diagnosed with diabetes mellitus, type 2. In order to determine how much patients know about the disease a pre-test designed by the working group of the Center for Diabetes Care and Education was applied to all patients admitted in the institution. Results: females predominated over males. The largest number of patients was between 5 and 10 years and more than 10 years of disease progression (40% in both groups). In the first group 21, 7% of patients have an inadequate knowledge standard on the disease and in the second one, the same situation occurs in 25% of them. Hypertension and ischemic heart disease were the chronic diseases associated with more patients and polyneuropathy and neuropathy were the most common chronic complications. Conclusions: patients with diabetes need a steady educational work to acquire more knowledge on their disease and to live better with it