Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0011849 (diabetes)
 277,896 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This study evaluates the reliability and validity of the Denyes' instrument to measure self-care agency in adolescents and identifies significant correlates of agency in a sample of chronically ill adolescents. This descriptive cross-sectional study used a convenience sample of 51 adolescents having asthma, diabetes, and convulsive disorders. Internal consistency estimates of questionnaire factors ranged from alpha 0.65 to 0.87 except in one instance (attitude toward health, 0.17). Construct and concurrent validity were supported as self-care agency factors were significantly related to health practices and status. Of multiple demographic variables, only gender demonstrated significant correlations with any self-care factors, whereas gender and disease type displayed a significant interaction effect across three factors. Although assessment of factor stability remains, the Denyes' instrument appears to be a potentially useful research and clinical assessment tool to measure self-care agency in adolescents with a severe chronic illness.
 ...
PMID:Assessment of self-care agency in chronically ill adolescents. 333 72

The National High Blood Pressure Education Program has released three Joint National Committee reports and a task force report on the detection, evaluation, and treatment of high blood pressure. Like its predecessors, the 1988 Joint National Committee report was developed using the consensus process; it is based on the latest scientific research and reflects the state of the art regarding hypertension management. This report updates findings of previous reports in several respects: it broadens the step-care approach to provide more flexibility for clinicians; encourages greater patient involvement in the treatment program; emphasizes a consideration of the quality of life in the management of patients; and addresses the cost of care. It also provides more emphasis on control of other risk factors for cardiovascular disease; includes a discussion of the new cholesterol guidelines; recommends a reduction in alcohol consumption; and discusses the use of calcium and fish oil supplementation. This document expands earlier reports on special populations, including blacks and other racial and ethnic minority groups, young and elderly patients, pregnant patients, surgical candidates, and hypertensive patients with cerebrovascular disease, coronary artery disease, left ventricular hypertrophy, congestive heart failure, peripheral vascular disease, renal disease, chronic obstructive pulmonary disease or bronchial asthma, gout, diabetes mellitus, and hyperlipidemia. The report also updates previous drug tables to include new drugs, revised recommended doses of some drugs, and drug interactions. Consideration of step-down therapy after blood pressure has been controlled is suggested. This report is intended as a guide for practicing physicians and other health professionals in their care of hypertensive patients and as a reference for those participating in the many community high blood pressure control programs throughout the country.
 ...
PMID:The 1988 report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure. 256

During the dengue haemorrhagic fever/dengue shock syndrome (DHF/DSS) epidemic in Cuba in 1981, we identified some individual risk factors for the development of the severe clinical picture or for the fatal outcome of the disease. The percentage of secondary infection in 3 groups of patients with DHF/DSS was between 95 and 98.3 and it is concluded that secondary infection is an important, but not the only, condition for the development of DHF/DSS. An analysis of these 3 groups of patients and a fourth group of fatal cases showed that chronic diseases such as bronchial asthma, diabetes mellitus and sickle cell anaemia were additional risk factors contributing significantly to the development of DHF/DSS. The study also revealed that race was an individual risk factor, since DHF/DSS was more prevalent in white than in black persons.
 ...
PMID:Why dengue haemorrhagic fever in Cuba? 1. Individual risk factors for dengue haemorrhagic fever/dengue shock syndrome (DHF/DSS). 345 4

One hundred consecutive patients, 74 women and 26 men, aged between 18 and 83 years (mean = 54.8 years), referred with complaints related to oral galvanism were investigated and treated and the treatment results were evaluated after 2-3 years. Forty of the patients reported facial pain, pain from the teeth, temporomandibular joints (TMJ) and masticatory muscles and TMJ clicking and locking and 26 reported headache. Smarting in the oral mucosa, smarting of the tongue and xerostomia were reported by 26, 21 and 24 patients, respectively, and 30 patients reported an unpleasant taste, a metallic taste or a battery taste. The same patient often reported several symptoms. The patients also reported various general symptoms, above all joint symptoms, pain in the back, neck and shoulders and general muscular pain but also tiredness, weakness, difficulty in concentrating, depression and insomnia. After clinical and radiological examination, salivary tests, determination of the maximum galvanic current at metallic contacts and screening for contact allergy to dental materials, various oral diagnoses could be established. Most of the patients exhibited functional disturbances of the masticatory system, periodontitis, smarting of the oral mucosa, xerostomia, pulpitis and pulpal necrosis and mucosal lesions. The medical illnesses the patients reported themselves to be suffering from or had been treated for included cardiovascular disorders, high and low blood pressure, asthma, rheumatic disorders, diabetes, pernicious anaemia, gastritis and peptic ulcer. Seventy-six patients took drugs regularly. In most cases there were several oral, dental and medical explanations for the symptoms.(ABSTRACT TRUNCATED AT 250 WORDS)
 ...
PMID:Results obtained from patients referred for the investigation of complaints related to oral galvanism. 345 16

This article deals with the use of oral contraceptives and IUDs by chronically ill adolescent females. Results of controlled studies of contraceptive choices and problems are reviewed for teenagers with cardiac disease, epilepsy, multiple sclerosis, migraine headaches, asthma, cystic fibrosis, inflammatory bowel disease, hepatitis, diabetes mellitus, thyroid disease, oligomenorrhea and amenorrhea. If oral contraceptives (OC) are prescribed for use in teens with cardiac disease, a contraceptive with 35ug or less of estrogen and the equivalent of 1 mg or less of norethindrone should be used. The low-dose progestin only pill can be prescribed, but should be used in conjunction with a back-up barrier method. Reports to date have failed to reveal increased seizure activity in epileptic pattients on OCs, and there is no significant evidence to date that OCs alter the course of multiple sclerosis. Although the evidence is inconclusive, the physician should use extreme caution in prescribing OCs for teens with prior migraines. Regarding asthmatic patients, no problems have been reported with IUD use except in regard to steroid therapy and its possible effect on reducing IUD effectiveness. No adverse effects 2ndary to the use of OCs in asthmatic patients have been reported. OCs should be avoided or used with extreme caution in the cystic fibrosis patient. Teens with active inflammatory bowel disease should be advised that OCs may be ineffective or dangerous; there are no reports available on the effects of the IUD on the disease. The pill is contraindicated during active liver disease or cirrhosis. The IUD is not highly recommended for contraception in diabetic teenagers, whereas a low-dose combined OC can be used with extreme caution. However, OCs should be avoided in the diabetic patient with nephropathy, vascular complications or retinopathy. There is at present no contraindication for contraceptive use by women with thyroid disease. Finally, patients with prolonged post pill amenorrhea and infertility are generally females with amenorrhea or oligomenorrhea before pill use.
 ...
PMID:Contraceptive use in the chronically ill adolescent female: Part I. 351 58

In order to study the problems of surgery for incisional hernia and its prognosis, 657 patients who had undergone surgery for incisional hernia between January 1974 and December 1983 in 27 hospitals were analyzed statistically by questionnaire survey. These patients consisted of 571 in whom surgery was performed for the first time and 86 in whom surgery was carried out for recurrent hernia. The ratio of male to female patients with initial surgery was 1:2.4, showing a higher frequency in females than in males. Initial surgery was most frequently carried out in the patients' 50s and 60s. The most common procedure which caused hernia was a median incision in 299 (51.6%), followed by an incision of the right hypogastrium for appendectomy in 211 (36.4%). There were many patients with systemic complications such as obesity, diabetes and asthma. The recurrence rate after radical surgery for incisional hernia was 9.1%. There was a tendency for the recurrence rate to be high in elderly patients and those who had had systemic complications (obesity, diabetes and asthma) preoperatively. The rate was very high, 33.3%, in patients with postoperative wound infection. The recurrence rate in patients with surgery for recurrent hernia was about three times as high as the 7.3% for patients with initial surgery. When the rate was determined by procedure, it was 2.4% for patients treated by a mesh prosthesis, 9.4% for those treated by celiorrhaphy and closure, and 16.7% for those treated by the overlap method. Mesh prosthesis was considered the best procedure, particularly for recurrent hernia.
 ...
PMID:[Surgery of incisional hernia and its prognosis--statistical analysis in 657 patients]. 352 14

Health practitioners should not discourage mothers from breast feeding if they acquire an acute self limited illness. Depending on the treatment for a chronic disease, its severity, and its stage, mothers with some chronic diseases may breast feed. If a pregnant diabetic women has good prenatal care, continued good medical care for diabetes, and takes the needed increased insulin, the mammary gland should be able to produce ample milk for a health infant. Further, lactation induces a remission from diabetes. If pregnant women with severe asthma do not take medication, they are likely to experience severe asthma attacks which require large doses of medication to control them. 1 such medication, theophylline, passes to breast milk in a milk to plasma ratio of .6-.73. Mothers who have normal or mildly decreased renal function can breast feed successfully. In those women who experience moderate renal insufficiency, breast feeding can take place in only those cases where the infant is stable and can feed soon after delivery and the mother's condition is sound or improved after delivery. If indeed a woman with severe renal insufficiency can conceive, which is unlikely, she should not breast feed since the stress of pregnancy and delivery alone may have comprised her health. The limited research on breast feeding after a kidney transplant shows that an immunosuppressed women can produce immunocompetent milk with very little azathioprine present. Hypertensive mothers can breast feed their infants, especially if the internist treating her considers the lactation process. Diuretics may diminish milk production, but an active infant who stimulates milk production can counteract this effect. Methyldopa may suppress milk production.
 ...
PMID:Maternal disease as a consideration in lactation management. 354 16

Patterns of family interaction were compared in the families of 22 children with chronic asthma, 30 children with diabetes mellitus, and six healthy children. The groups were similar in terms of age (range 4-14 years and mean 10.2 years). Peak expiratory flow and signs of allergy were correlated with family interaction in the subjects with asthma. The following significant findings were made. Family interaction was more disturbed in asthma compared with both the diabetic and the healthy groups. In most of the disturbed families interaction patterns were rigid and enmeshed, but a few showed chaotic and disengaged patterns. There was a negative correlation between peak expiratory flow and disturbed cohesion in non-steroid dependent cases. The severely ill children with asthma living in families with a normal cohesion score had higher IgE concentrations than children living in disturbed families. It is concluded that family interaction should be considered to be an important dimension in the investigation of severe childhood asthma.
 ...
PMID:Asthma and family interaction. 356 17

Asian, Caribbean and British born Nottingham hospital discharge rates of people of pensionable age for a variety of diagnoses and elective surgery were compared. No evidence of under-utilization of services by immigrants was found, but marked excess discharges were observed for tuberculosis, diabetes, asthma, gastrointestinal bleeding and cataract surgery. Increased hospital use for most diagnoses probably reflects true differences in disease risk between immigrants and the indigenous population.
 ...
PMID:Elderly immigrants--a disadvantaged group? 363 Aug 49

A retrospective cohort study was conducted to examine mortality among 18,811 male farm owners and operators in New York State from 1973-1984. Farm Bureau membership lists were used to identify the study population, and vital status was determined through record linkage with death certificate and motor vehicle files. The comparison group consisted of the 1980 United States Census population of men who resided in the same towns as did the farmers. The results indicated that the study cohort experienced fewer than the expected numbers of deaths overall and for each major cause category except accidents. Specific causes with significant mortality deficits included cancer of the lung (standardized mortality ratio [SMR] = 47.0); diabetes mellitus (SMR = 57.5); ischemic heart disease (SMR = 65.3); bronchitis, emphysema, and asthma (SMR = 26.7); and cirrhosis of the liver (SMR = 29.7). The only specific cause with a significantly elevated mortality was accidents other than motor vehicle (SMR = 146.5). The investigation differs from previous research in method, setting, and population, but the pattern of findings is generally consistent with that of other studies.
 ...
PMID:A retrospective cohort study of mortality among New York State Farm Bureau members. 366 7


<< Previous 1 2 3 4 5 6 7 8 9 10 Next >>