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    دورية أكاديمية

    المصدر: European Journal of Investigation in Health, Psychology and Education, Vol 13, Iss 10, Pp 2035-2045 (2023)

    الوصف: Numerous complications of type 1 diabetes (T1D) may be prevented through suitable glycemic control. Glycated hemoglobin (HbA1c) may be one of the markers for the early detection of the metabolic imbalance characteristic of the disease. However, optimal control of diabetes is not achieved in a large group of patients. It was demonstrated that numerous factors (sociodemographic, psychological, and clinical) contributed to this condition. The aim of the study was to identify factors influencing the control of diabetes measured via glycated hemoglobin concentrations in people with T1D. Independent factors influencing better diabetes control measured via HbA1c in the study group included higher disease acceptance, higher nutritional adherence, lower BMI, and a lower risk of eating disorders. Describing the determinants will allow for the improvement of the system of care provided to people with T1D and for it to comprise important psychological variables related to self-care and acceptance of the disease.

    وصف الملف: electronic resource

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    المصدر: Akhtar, A, Bawaneh, A, Awwad, M, Al-Hayek, H, Sijbrandij, M, Cuijpers, P & Bryant, R A 2021, ' Un estudio longitudinal de la salud mental antes y durante la pandemia por la COVID-19 en refugiados sirios ', European Journal of Psychotraumatology, vol. 12, no. 1, 1991651 . https://doi.org/10.1080/20008198.2021.1991651Test
    European Journal of Psychotraumatology, Vol 12, Iss 1 (2021)
    European Journal of Psychotraumatology
    article-version (VoR) Version of Record

    الوصف: Background The COVID-19 pandemic has resulted in increased anxiety and depression around the world. Refugees may be particularly vulnerable to the mental health effects of the pandemic because of their higher rates of mental health disorders, trauma histories, and daily stressors. Objectives This study used data from a controlled trial of a brief behavioural intervention for psychological distress in Syrian refugees living in Azraq Camp in Jordan to examine the psychological effects of the pandemic on refugee mental health. Method A total of 410 participants were randomized to either the intervention or control arms of the trial and were assessed at baseline and 3-month follow-up. Half the sample (199; 48.5%) completed their 3-month follow-up assessment after the pandemic restrictions began in Jordan and 211 (51.5%) completed the assessment prior to the pandemic. Refugees were independently assessed for symptoms of PTSD, anxiety, and depression at baseline and follow-up, and pandemic-related worries were assessed at follow-up for those who completed their assessment during the pandemic. Results The most commonly reported worries were economic difficulties (82.4%), shortage of essential supplies (71.3%), and infecting others (59.7%) or themselves (51.9%). Refugees who were assessed during the pandemic had less severe PTSD symptoms than those assessed prior to the pandemic. Significant predictors of pandemic-related worries were lower levels of depression prior to the pandemic and greater anxiety during the pandemic. Conclusion These findings highlight the specific needs of refugees during the pandemic and suggest that pre-existing mental health issues may not necessarily be the key risk factors for who will experience major mental health issues or worries during the pandemic.
    HIGHLIGHTS This study examined effects of the COVID-19 pandemic on refugee mental health before and after the pandemic.PTSD severity decreased more in people exposed to the pandemic than those who were not.Great pre-pandemic depression predicted fewer pandemic-related worries.

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    المساهمون: Universidad Nacional de Colombia, Ruiz Ariza, Edgar Alberto

    الوصف: La siguiente revisión narrativa de la literatura identifica y organiza en una secuencia lógica los criterios utilizados para considerar exitoso el tratamiento ortodóntico en el adulto y los principales factores que limitan la consecución de los objetivos planteados al inicio del tratamiento ortodóntico en el adulto y cómo estas limitaciones afectan la restauración de la función oclusal deteriorada. METODOLOGIA: Se realizó una revisión bibliográfica intencionada en las bases de datos Wiley, Pubmed, Scielo, Science Direct, Cochrane Library con palabras claves (limiting, orthodontic, adult), relacionándolas con cada uno de los capítulos principales elegidos para la discusión (limitantes Sistémicos, funcionales, del diente y su periodonto, económico-social) obteniendo información científica actualizada acerca de cada tópico. RESULTADOS: En total fueron seleccionados 100 artículos que se incluyeron como sustento bibliográfico para enriquecer la discusión y la presentación de resultados. CONCLUSIONES: existen limitaciones en el tratamiento ortodóntico del adulto que afectan la restauración de la oclusión perdida, las cuales pueden resultar muy fuertes en comparación con las encontradas en pacientes que no han alcanzado su pico de crecimiento final. Abstract. The following narrative review of the literature identified and organized in a logical sequence the criteria used to consider successful orthodontic treatment in adults and major factors limiting the achievement of the objectives set at the beginning of orthodontic treatment in adults and how these limitations affect the restoration of impaired occlusal function. METHODOLOGY: intentional literature review in the databases Wiley, Pubmed, Scielo, Science Direct, Cochrane Library with keywords (limiting, orthodontic, adult) relating them to each of the main chapters chosen for discussion (Systemic limiting was performed, functional tooth and periodontium, economic and social) to obtain updated information on each topic scientific information. RESULTS: In total there were 100 articles were included as bibliographic support to enrich the discussion and presentation of results. CONCLUSIONS: there are limitations in adult orthodontic treatment involving the restoration of occlusion loss, which can be very strong compared to those found in patients who have not reached their final growth peak. Otra

    وصف الملف: application/pdf

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    المساهمون: Universidade Federal do Triângulo Mineiro (UFTM), Universidade Estadual Paulista (Unesp), Universidade Federal de São Paulo (UNIFESP)

    المصدر: Scopus
    Repositório Institucional da UNESP
    Universidade Estadual Paulista (UNESP)
    instacron:UNESP

    الوصف: Submitted by Vitor Silverio Rodrigues (vitorsrodrigues@reitoria.unesp.br) on 2014-05-27T11:24:38Z No. of bitstreams: 0Bitstream added on 2014-05-27T14:35:44Z : No. of bitstreams: 1 2-s2.0-77953059475.pdf: 652790 bytes, checksum: cca240e80000ae3bc411a195a3a629a2 (MD5) Made available in DSpace on 2014-05-27T11:24:38Z (GMT). No. of bitstreams: 0 Previous issue date: 2010-03-01 BACKGROUND AND OBJECTIVES: Myotonic dystrophies are autosomal dominant neuromuscular diseases. Among them, myotonic dystrophy type 1 (MD1), or Steinert disease, is the most common in adults, and besides muscular involvement it also has important systemic manifestations. Myotonic dystrophy type 1 poses a challenge to the anesthesiologist. Those patients are more sensitive to anesthetics and prone to cardiac and pulmonary complications. Besides, the possibility of developing malignant hyperthermia and myotonic episodes is also present. CASE REPORT: This is a 39-year old patient with DM1 who underwent general anesthesia for videolaparoscopic cholecystectomy. Total intravenous anesthesia with propofol, remifentanil, and rocuronium was the technique chosen. Intercurrences were not observed in the 90-minute surgical procedure, but after extubation, the patient developed respiratory failure and myotonia, which made tracheal intubation impossible. A laryngeal mask was used, allowing adequate oxygenation, and mechanical ventilation was maintained until full recovery of the respiratory function. The patient did not develop further complications. CONCLUSIONS: Myotonic dystrophy type 1 presents several particularities to the anesthesiologist. Detailed knowledge of its systemic involvement along with the differentiated action of anesthetic drugs in those patients will provide safer anesthetic-surgical procedure. UFTM CET/SBA UFTM FMB-UNESP CET/SBA del Hospital Escuela UFTM Hospital São Paulo - UNIFESP Anestesióloga del Hospital Escuela UFTM FMB-UNESP