Joint contracture—common manifestation of childhood diabetes mellitus

Mucormycosis is an opportunistic fulminant fungal infection, which mainly infects immunocompromised patients. Infection with mucormycosis can cause devastating rhino-orbital-cerebral and pulmonary infection with an extremely poor prognosis. The infection begins in the nose and paranasal sinuses due to inhalation of fungal spores. We report a case of mucormycosis in an uncontrolled diabetic patient to emphasize early diagnosis of this potentially fatal fungal infection. Rhino-orbitalcerebral mucormycosis is the most common manifestation in patients with diabetes mellitus. We also review the current concepts in management of mucormycosis. Mucormycosis remains difficult to treat and requires a multifaceted approach involving elimination of predisposing factors, surgical debridement, and anti-fungal therapy. Lipid formulations of Amphotericin B are the treatments of choice. DOI: http://dx.doi.org/10.3126/jaim.v1i2.6531 Journal of Advances in Internal Medicine 2012;01(02):73-75

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Incidence of Childhood Diabetes Mellitus in Austria 1979–1984

Acta Paediatrica ◽

10.1111/j.1651-2227.1988.tb10646.x ◽

1988 ◽

Vol 77 (2) ◽

pp. 299-302 ◽

Cited By ~ 21

Author(s):

E. SCHOBER ◽

H. FRISCH

Keyword(s):

Diabetes Mellitus ◽

Childhood Diabetes

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Shame Feeling in the Parents of Children with Diabetes Mellitus

European Psychiatry ◽

10.1016/j.eurpsy.2017.02.078 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S264-S264

Author(s):

E. Albani ◽

E. Kotrotsiou ◽

M. Gouva ◽

A. Bargiota ◽

G. Hadjigeorgiou ◽

...

Keyword(s):

Diabetes Mellitus ◽

Psychological Impact ◽

Childhood Diabetes ◽

Cross Sectional ◽

Psychological Burden ◽

Factors Affecting ◽

Competing Interest ◽

Cross Sectional Design ◽

Screening For Psychological Distress ◽

Social Demographic

IntroductionChronic diseases such as childhood diabetes mellitus constitute a challenge for both the affected children and their families. Childhood diabetes mellitus is characterized by complex therapeutic management and has a profound physical and psychological impact on the whole family and a number of losses for the parents.Aim and objectivesTo recognize and quantify the factors affecting shame feelings for parents of children with diabetes mellitus.MethodA cross-sectional design was performed. A sample of 316 parents (110 men–206 women, mean age 40.6 years, SD = 6.0 ranged 17–57) participated to the present study. The questionnaire included: (a) social-demographic characteristics, (b) The Other As Shamer Scale (OAS), (c) The Experience of Shame Scale (ESS). SPSS for Windows 20.0 was used for the statistical analysis.ResultsAge and the place of residence of the parents, the duration and the severity of disease were identified as significant multivariate factors on internal and external shame.ConclusionFeeling of shame consist a significant psychological burden of the parents with children suffering from diabetes mellitus. Screening for psychological distress in parents of children is indicated, and preventive interventions are needed, targeted according to the increased needs as suggested in the research results.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Computational Intelligence Approach for Classification of Diabetes Mellitus Using Decision Tree

Advances in Healthcare Information Systems and Administration - Computational Intelligence and Soft Computing Applications in Healthcare Management Science ◽

10.4018/978-1-7998-2581-4.ch005 ◽

2020 ◽

pp. 87-103

Author(s):

Engin Pekel ◽

Ebru Pekel Özmen

Keyword(s):

Diabetes Mellitus ◽

Computational Intelligence ◽

Elevated Blood ◽

Algorithm Efficiency ◽

Chronic Hyperglycemia ◽

Classification And Regression ◽

Cart Algorithm ◽

Intelligence Approach ◽

Common Manifestation

Diabetes mellitus (DM) is a group of metabolic disorders with one common manifestation: elevated blood sugar or hyperglycemia. The diagnosis of diabetes is the most crucial point due to chronic hyperglycemia. This chapter improves the performance of the Classification and Regression Trees (CART) algorithm because the accurate classification of diabetes depends on the algorithm efficiency. Authors use the accuracy rate for the objective function in the prediction process by Genetic Algorithm (GA). The proposed GA-CART algorithm provides the best performance at 96.05%.

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Disproportionately elevated proinsulin levels precede the onset of insulin-dependent diabetes mellitus in siblings with low first phase insulin responses. The Childhood Diabetes in Finland Study Group.

The Journal of Clinical Endocrinology & Metabolism ◽

10.1210/jcem.79.6.7989457 ◽

1994 ◽

Vol 79 (6) ◽

pp. 1570-1575 ◽

Cited By ~ 2

Author(s):

M E Røder ◽

M Knip ◽

S G Hartling ◽

J Karjalainen ◽

H K Akerblom ◽

...

Keyword(s):

Diabetes Mellitus ◽

Insulin Dependent Diabetes Mellitus ◽

Insulin Dependent Diabetes ◽

Dependent Diabetes Mellitus ◽

Study Group ◽

Childhood Diabetes ◽

Insulin Dependent ◽

Insulin Responses

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Incidence of childhood diabetes mellitus in Yorkshire, northern England, is associated with nitrate in drinking water: an ecological analysis

Diabetologia ◽

10.1007/s001250050714 ◽

1997 ◽

Vol 40 (5) ◽

pp. 550-556 ◽

Cited By ~ 78

Author(s):

R. C. Parslow ◽

P. A. McKinney ◽

G. R. Law ◽

A. Staines ◽

R. Williams ◽

...

Keyword(s):

Diabetes Mellitus ◽

Drinking Water ◽

Childhood Diabetes ◽

Ecological Analysis

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Early Diabetic Nephropathy and Retinopathy in Patients with Type 1 Diabetes Mellitus Attending Sudan Childhood Diabetes Centre

Journal of Diabetes Research ◽

10.1155/2020/7181383 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Hana Ahmed ◽

Tayseer Elshaikh ◽

Mohamed Abdullah

Keyword(s):

Diabetes Mellitus ◽

Blood Pressure ◽

Type 1 Diabetes ◽

Diabetic Retinopathy ◽

Risk Factor ◽

Diabetic Nephropathy ◽

Type 1 Diabetes Mellitus ◽

Ethnic Group ◽

Childhood Diabetes

Objective. Data on microvascular complications in children and adolescents with type 1 diabetes mellitus (T1DM) in Sudan are scarce. This study was aimed at determining the prevalence of diabetic nephropathy (DN) and retinopathy (DR) and their relationship to certain risk factors in children with T1DM attending the Sudan Childhood Diabetes Centre. Design and Methods. A clinic-based cross-sectional study of 100 patients with T1DM aged 10-18 years. Patients with disease duration exceeding 5 years if the onset of diabetes was prepubertal and 2 years if it was postpubertal were included. Relevant sociodemographic, clinical, and biochemical information was obtained. Blood pressure was measured. The patients were screened for DN and DR using urinary microalbumin estimation and fundus photography, respectively. Results. The frequency of microalbuminuria and diabetic retinopathy was 36% and 33%, respectively. Eleven percent had both retinopathy and microalbuminuria. Seven percent of the patients were found to be hypertensive. Patients with diabetic retinopathy had significantly higher HbA1c levels ( p = 0.009 ) and longer diabetes duration ( p = 0.02 ) than patients without retinopathy. Logistic regression showed that high HbA1c (odds ratio (OR) 0.83, confidence interval (CI) 0.68-1.00, p = 0.04 ), but not age, duration, ethnic group, BMI, blood pressure, and presence of nephropathy, was an independent risk factor for retinopathy. Likewise, high blood pressure (OR 6.89, CI 1.17-40.52, p = 0.03 ), but not age, duration, ethnic group, BMI, HbA1c, and presence of retinopathy, was a predictor for nephropathy. Conclusion. High prevalence of incipient DN and early stages of DR were observed in this study. Longer diabetes duration and higher HbA1c were associated with the presence of diabetic retinopathy. High blood pressure was a risk factor for DN. So regular screening for these complications and optimization of glycemic control are needed.

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