Evaluation of the Quality of Life, and Prevalence of Chronic Orofacial Pain, in Patients with Diabetes in Kermanshah, Iran, in 2019

BACKGROUND This study intended to evaluate the prevalence of chronic orofacial pain in diabetic patients and its characteristics. METHODS In this cross-sectional study, 1300 patients referred to the Diabetes Centre of Taleghani Hospital in Kermanshah in 2019 were studied. The data collection tool was a questionnaire including demographic sections, medical history, and clinical findings. Data analysis was performed using SPSS software version 18, and the significance level was considered 0.05. RESULTS The prevalence of chronic orofacial pain in diabetics was 11.8 %. Headaches with a prevalence of 6.7 % were the most common chronic pain, followed by neuropathic pain with 2.54 % and TMJ pain with 2.38 %. The results showed that with an increase in FBS (Fasting Blood Sugar) and HbA1c (Haemoglobin A1c) variables, the prevalence of chronic orofacial pain also increased (P < 0.001). People under 40 and over 60 years were more likely to have TMJ pain (P < 0.001). Also, the duration of pain showed a statistically significant relationship with age and FBS. In patients under 50 years of age, the highest frequency was related to pain persistence less than 30 minutes, and in older ages, the prevalence of pain lasting more than 3 hours was higher (P < 0.02). Also, with an increase in FBS, the duration of pain increased (P < 0.05). The relationship between perceived pain intensity and type of diabetes was significant (P < 0.001). There was also a statistically significant and inverse relationship between pain intensity and age (P < 0.001, ρ = - 0.473). CONCLUSIONS Migraine headaches, chronic neuropathic pain, and TMJ complication have high prevalence in diabetic patients, and management of these pain should be put under consideration by clinicians. KEY WORDS Diabetes, Chronic Orofacial Pain, Prevalence

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Cross-Sectional Associations of Fatigue Subtypes with Pain Interference in Younger, Middle-Aged, and Older Adults with Chronic Orofacial Pain

Pain Medicine ◽

10.1093/pm/pnaa092 ◽

2020 ◽

Vol 21 (9) ◽

pp. 1961-1970

Author(s):

Ian A Boggero ◽

Marcia V Rojas Ramirez ◽

Christopher D King

Keyword(s):

Sleep Quality ◽

Pain Intensity ◽

Orofacial Pain ◽

Age Groups ◽

Pain Interference ◽

Pain Clinic ◽

Middle Aged ◽

Cross Sectional ◽

General Fatigue ◽

Chronic Orofacial Pain

Abstract Objective Mental, emotional, physical, and general fatigue, as well as vigor, have each been associated with pain interference—defined as pain-related disruption of social, recreational, and work-related activities—in patients with chronic orofacial pain (COFP). The objectives of the current study were to compare levels of these fatigue subtypes across younger, middle-aged, and older patients with COFP and test the associations between fatigue subtypes and pain interference in these age groups. Design A cross-sectional cohort design was used. Setting Participants self-reported fatigue subtypes (Multidimensional Fatigue Symptom Inventory–Short Form), pain interference (West Haven–Yale Multidimensional Pain Inventory), pain intensity (visual analog scale), pain duration (months), depression (Symptom Checklist 90–Revised), and sleep quality (Pittsburgh Sleep Quality Index) at their initial appointment at a tertiary orofacial pain clinic. Subjects Sixty younger (age 18–39), 134 middle-aged (age 40–59), and 51 older (age 60–79) COFP patients provided data for the study. Methods Analysis of variance was used to compare levels of fatigue subtypes between the age groups. Regression with dummy-coding was used to test if the relationship between fatigue subtypes and pain interference varied by age. Results Older COFP patients reported less general fatigue and more vigor than younger or middle-aged adults. Fatigue subtypes were each associated with greater pain interference, but associations became nonsignificant after controlling for depression, sleep, and pain intensity/duration. Age group–by–fatigue subtype interactions were not observed. Conclusions Managing fatigue may be important to reduce pain interference in COFP populations and may be accomplished in part by improving depression and sleep.

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Knowledge and Practices of Hypertensive/Diabetic Patients with Hyperlipidaemia in a Secondary Care Setting in Ebute Metta, Lagos State.

Journal of Basic and Social Pharmacy Research ◽

10.52968/27456559 ◽

2020 ◽

Vol 1 (5) ◽

pp. 1-11

Author(s):

E.I. Akinyemi ◽

◽

B.A, Aina

Keyword(s):

Medical Condition ◽

Healthcare Facility ◽

Cross Sectional Study ◽

Diabetic Patients ◽

Medical Conditions ◽

Cross Sectional ◽

Significance Level ◽

Lifestyle Choices ◽

Lagos State ◽

Secondary Care Setting

Background: Hypertension and diabetes are two chronic medical conditions which require aggressive management. When both diseases coexist with hyperlipidaemia, it poses a greater risk for cardiovascular disease than with either of the diseases alone. Self-management, a pillar of chronic disease management, is unachievable if patients are unaware or inadequately informed about their medical condition. Adequate information about a disease and its management will empower patients to manage their medical conditions better Objective: To assess hyperlipidaemia knowledge and practices among hypertensive/diabetic patients with hyperlipidaemia. Method: This study was conducted in a secondary healthcare facility in Lagos State. A cross-sectional study design was used. Data collection was done using researcher-administered questionnaires. An educational intervention was thereafter carried out. Verbal feedback on impact of intervention was received from all respondents. Frequency distribution and cross tabulations were generated using SPSS version 23.0 at significance level set at p<0.05. The knowledge-related questions were scored and converted to percentages. Scores below 50% were considered poor, while scores of 50 % and above were considered good. Results: The overall knowledge scoring revealed that more than half of the patients had poor knowledge of hyperlipidaemia. A significant association was observed between gender and knowledge of hyperlipidaemia (p<0.05); males having better knowledge. Patients had good practices such as good level of medication adherence and appropriate dietary and lifestyle choices necessary for effective hyperlipidaemia management. Conclusion: This study showed that knowledge of hyperlipidaemia is poor in this patient population, especially among the females though patients emonstrated good hyperlipidaemia practices.

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Myeloperoxidase as an Important Predictor of Cardiovascular Risk in Individuals with Rheumatoid Arthritis

10.21203/rs.3.rs-641421/v1 ◽

2021 ◽

Author(s):

Elisangela Gueiber Montes ◽

Fabiana Postiglioni Mansani ◽

Alceu de Oliveira Toledo Júnior ◽

Marcelo Derbli Schafranski ◽

Bruno Queiroz Zardo ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Cardiovascular Risk ◽

Cross Sectional Study ◽

Important Predictor ◽

Diabetic Patients ◽

Glucocorticoid Treatment ◽

Cross Sectional ◽

Significance Level ◽

Dose Time ◽

Significant Difference

Abstract Background: Rheumatoid arthritis is an inflammatory disease with joint manifestations. In the presence of extra-articular manifestations, the morbidity and severity of the disease increases. Glucocorticoid is used as a treatment and may result in side effects related to cardiovascular risk. Methods: This was a cross-sectional study including 59 volunteers with rheumatoid arthritis receiving treatment at a Hospital of Campos Gerais, that aimed to establish the relation between cardiovascular risk, glucocorticoid treatment and myeloperoxidase in these patients. Subjects were divided into two groups: using (n = 39) and without glucocorticoids (n = 20). They underwent clinical evaluation, physical examination and blood samples were taken. Statistical analysis was performed using Student's t-test and Mann-Whitney test. Logistic regression was performed to assess cardiovascular risk. The significance level was 5% (α = 0.05). Calculations were performed using the Statistical Package for the Social Science version 21.0. Results: There has been a significant difference between groups in blood glucose values (p = 0.012), that can be explained by the different percentage of diabetic patients in the groups. When assessed cardiovascular risk using the predictors of glucocorticoid dose, time of glucocorticoid use, myeloperoxidase, and C-reactive protein together, these were responsible for significantly predicting cardiovascular risk (p = 0.015). Conclusions: A significant relation between the predictor myeloperoxidase alone was also demonstrated (p = 0.037), may it be an important predictor of cardiovascular risk among individuals with rheumatoid arthritis.

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Cranial neuralgias and persistent idiopathic facial pain

Oxford Textbook of Headache Syndromes ◽

10.1093/med/9780198724322.003.0027 ◽

2020 ◽

pp. 237-247

Author(s):

Aydin Gozalov ◽

Messoud Ashina ◽

Joanna M. Zakrzewska

Keyword(s):

Neuropathic Pain ◽

Trigeminal Neuralgia ◽

Facial Pain ◽

Orofacial Pain ◽

Treatment Modalities ◽

Management Approach ◽

Trigeminal Neuropathy ◽

Facial Region ◽

Persistent Idiopathic Facial Pain ◽

Chronic Orofacial Pain

Orofacial pain is a complex problem and affects up to 7% of the population. Although trigeminal neuralgia has been considered the prime neuralgic condition in the facial region, other forms of neuropathic pain are now being more frequently recognized and require recognition and a different management approach. Many patients with chronic orofacial pain report numerous comorbidities, such as psychiatric or personality disorders, which significantly affect management. Various pain conditions present in the facial region. Some of them rarely present extra-orally (unless as radiating pain) such as atypical odontalgia or persistent dento-alveolar pain disorder and burning mouth syndrome, whereas others will present in both areas such as classical trigeminal neuralgia, post-traumatic trigeminal neuropathy, trigeminal neuropathy attributed to multiple sclerosis, and persistent idiopathic facial pain. Myofascial pain syndrome related to the muscles of mastication is very common and may also be associated with temporomandibular joint problems. Trigeminal neuralgia and the rarer glossopharyngeal neuralgia are similar in quality and characteristics with specific treatment modalities, but differ in pain location. Trigeminal neuropathic pain is caused most frequently by trauma. If no other diagnostic criteria are fulfilled, a diagnosis of persistent idiopathic facial pain is made. It is crucial for these patients to be managed by multidisciplinary teams.

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Haemoglobin variants may cause significant differences in haemoglobin A1c as measured by high-performance liquid chromatography and enzymatic methods in diabetic patients: a cross-sectional study

Annals of Clinical Biochemistry International Journal of Laboratory Medicine ◽

10.1177/0004563216664366 ◽

2016 ◽

Vol 54 (4) ◽

pp. 432-437 ◽

Cited By ~ 2

Author(s):

Shuichi Otabe ◽

Hitomi Nakayama ◽

Tsuyoshi Ohki ◽

Eri Soejima ◽

Yuji Tajiri ◽

...

Keyword(s):

High Performance Liquid Chromatography ◽

Liquid Chromatography ◽

High Performance ◽

Globin Gene ◽

Cross Sectional Study ◽

Enzymatic Assay ◽

Diabetic Patients ◽

Haemoglobin A1c ◽

Cross Sectional ◽

Hb Toranomon

Background We aimed to determine whether the discrepancy between haemoglobin A1c values determined by high-performance liquid chromatography and enzymatic haemoglobin A1c measurements in diabetic patients was clinically relevant. Methods We randomly recruited 1421 outpatients undergoing diabetic treatment and follow-up who underwent at least three haemoglobin A1c measurements between April 2014 and March 2015 at our clinic. In 6369 samples, haemoglobin A1c was simultaneously measured by HA-8160 and MetaboLead (enzymatic assay), and the values were compared. Results haemoglobin A1c measurements by high-performance liquid chromatography and enzymatic assay were strongly correlated (correlation coefficient: 0.9828, linear approximation curve y = 0.9986x − 0.2507). Mean haemoglobin A1c (6.8 ± 1.0%) measured by high-performance liquid chromatography was significantly higher than that measured by enzymatic assay (6.5 ± 1.0%, P < 0.0001). During the sample processing, four (0.3%) subjects presented consistently lower haemoglobin A1c values (<0.7%) by high-performance liquid chromatography than those from enzymatic assay. Of these, three had Hb Toranomon [β112 (G14) Cys→Trp]. The fourth had Hb Ube-2 [α68 (E17) Asn→Asp]. One other subject presented consistently higher haemoglobin A1c values (>1%) by high-performance liquid chromatography than those from enzymatic assay and was diagnosed with a −77 (T > C) mutation in the δ-globin gene. These unrelated asymptomatic subjects had normal erythrocyte profiles, without anaemia. Conclusions We showed that haemoglobin A1c values measured by high-performance liquid chromatography were significantly higher than those measured by enzymatic assay in diabetic subjects. However, when an oversized deviation (>0.7%) between glycaemic control status and haemoglobin A1c is apparent, clinicians should check the methods used to measure haemoglobin A1c and consider the possible presence of a haemoglobin variant.

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Dietary practices in type 2 diabetes patients at Bhopal, Madhya Pradesh: a cross-sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20193465 ◽

2019 ◽

Vol 6 (8) ◽

pp. 3423

Author(s):

Rama Singodiya Lodha ◽

Smriti Singh ◽

Dinesh Kumar Pal ◽

Manju Toppo ◽

Shipra Verma ◽

...

Keyword(s):

Diabetes Mellitus ◽

Diabetes Patient ◽

Consumption Pattern ◽

Diabetic Patients ◽

Dietary Practices ◽

Cross Sectional ◽

Male And Female ◽

Significance Level ◽

Significant Difference ◽

The Mean

Background: Diabetes mellitus (DM) is a rapidly growing health problem in India. Diet and physical activity are important modifiable risk factors affecting the incidence, severity and management of DM. The aim of the study was to assess diet of diabetes mellitus patients. 87 adults from a cohort of diabetic patients attending the Medical Clinics at the Hamidia Hospital Bhopal were invited for the study.Methods: Information about their nutritional status & food consumption pattern was taken by 24-hour dietary recall and food frequency questionnaire. Data was analysed using Epi Info and MS Excel. Frequency counts and percentages were used to describe the demographic characteristics of the participants while the significance difference in between male and female participants. The significance level was set at P <0.05 and 0.01. Statistical analysis used: MS Excel and Epi Info.Results: The study sample was 87 out of which 56 were females and 31 were males; mean age of DM patients was 48.21±12.98.The mean energy intake was 1386.52 kcal and 1125.79 kcal among male and female. The mean protein intake was 68.71 g and 50.50 among male and female diabetics. There was significant difference between male and female age. There were no significant difference in body mass index and waist hip ratio between male and female. 30 (34.5%) & 16 (18.4%) were overweight and obese respectively.Conclusions: Based on these findings, the dietary practices of diabetic patients are inadequate and require improvement. Education and counselling about diet of a diabetes patient is needed.

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Krónikus orofacialis fájdalmak

Orvosi Hetilap ◽

10.1556/650.2019.31432 ◽

2019 ◽

Vol 160 (27) ◽

pp. 1047-1056

Author(s):

Gergely Fehér ◽

Zsolt Nemeskéri ◽

Gabriella Pusch ◽

Iván Zádori ◽

Gyula Bank ◽

...

Keyword(s):

Neuropathic Pain ◽

Healthcare Professionals ◽

Orofacial Pain ◽

Inflammatory Diseases ◽

Current Evidence ◽

Initial Management ◽

Pain Syndromes ◽

Chronic Orofacial Pain ◽

The Common

Abstract: Orofacial pain is the common name of a variety of disorders from inflammatory diseases to neuropathic pain syndromes. This condition is quite common, it may involve 7% of the whole population. Patients (and doctors) are not aware of the origin of their complaints, therefore initial management falls among the variety of healthcare professionals. The aim of our review was to summarize the current evidence of chronic orofacial pain including diagnosis, management and pitfalls. Orv Hetil. 2019; 160(27): 1047–1056.

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Conhecimento dos diabéticos frente à doença e orientações no autocuidado

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963-v13i2a239077p346-352-2019 ◽

2019 ◽

Vol 13 (2) ◽

pp. 346

Author(s):

Robson Tostes Amaral ◽

Aurélio De Melo Barbosa ◽

Cristiane Chagas Teixeira ◽

Leyla Gabriela Verner Amaral Brandão ◽

Thaisa Cristina Afonso ◽

...

Keyword(s):

Diabetes Mellitus ◽

Glycemic Control ◽

Low Income ◽

Disease Patient ◽

The Elderly ◽

Patient Care Team ◽

Diabetic Patients ◽

Cross Sectional ◽

Significance Level ◽

Spearman Test

RESUMOObjetivo: analisar o conhecimento dos pacientes diabéticos frente ao Diabetes Mellitus. Método: trata-se de um estudo quantitativo, transversal, realizado com 74 pacientes de ambos os sexos e com diagnóstico médico de Diabetes Mellitus, em um hospital público estadual. Utilizou-se um questionário estruturado. Realizou-se o teste de Spearman, com nível de significância de 0,05%. Apresentaram-se os resultados e em forma de tabelas. Resultados: identificaram-se 74 pacientes diabéticos, com média superior a 10 anos de diagnóstico e prevalência do diabetes tipo II. Compôs-se a maioria por mulheres, com predominância da doença em idosos. Aponta-se que grande parte dos pacientes era obesa, de baixa renda e escolaridade, apenas 6,9% conseguiram definir corretamente o conceito de Diabetes Mellitus e, do total, 94,6% conheciam alguma estratégia para o controle da glicemia, porém, na maioria dos casos, citou-se apenas a dieta sem açúcar. Apresentou-se um relativo conhecimento sobre as complicações que o Diabetes Mellitus pode provocar com base nas orientações dos profissionais da saúde. Conclusão: conclui-se que os pacientes diabéticos apresentaram baixo conhecimento sobre a doença e os variados tipos de estratégias existentes para o controle da glicemia. Descritores: Conhecimentos; Atitudes e Prática em Saúde; Diabetes Mellitus; Autocuidado; Educação; Doença Crônica; Equipe de Assistência ao Paciente. ABSTRACT Objective: to analyze the knowledge of diabetic patients against Diabetes Mellitus. Method: this is a cross-sectional quantitative study of 74 patients of both sexes and a medical diagnosis of Diabetes Mellitus, in a state public hospital. A structured questionnaire was used. The Spearman test was performed, with significance level of 0.05%. Results were presented and in the form of tables. Results: 74 diabetic patients with a mean of more than 10 years of diagnosis and type II diabetes were identified. It was composed mostly by women, with predominance of the disease in the elderly. It was pointed out that most patients were obese, low income and educated, only 6.9% were able to correctly define the concept of Diabetes Mellitus and, of the total, 94.6% knew some strategy for glycemic control, in most cases, only the sugar-free diet was mentioned. A relative knowledge about the complications that Diabetes Mellitus can provoke based on the guidelines of health professionals has been presented. Conclusion: it was concluded that diabetic patients had low knowledge about the disease and the various types of strategies for glycemic control. Descritores: Knowledge; Attitudes; Practice; Diabetes Mellitus; Self Care; Education; Chronic Disease; Patient Care Team. RESUMEN Objetivo: analizar el conocimiento de los pacientes diabéticos frente a la Diabetes Mellitus. Método: se trata de un estudio cuantitativo, transversal, realizado con 74 pacientes de ambos sexos y con diagnóstico médico de Diabetes Mellitus, en un hospital público estatal. Se utilizó un cuestionario estructurado. Se realizó la prueba de Spearman, con un nivel de significancia del 0,05%. Se presentaron los resultados y en forma de tablas. Resultados: se identificaron 74 pacientes diabéticos, con media superior a 10 años de diagnóstico y prevalencia de la diabetes tipo II. Se compuso la mayoría por mujeres, con predominio de la enfermedad en ancianos. Se observa que gran parte de los pacientes era obesa, de baja renta y escolaridad, sólo el 6,9% consiguieron definir correctamente el concepto de Diabetes Mellitus y del total, el 94,6% conocía alguna estrategia para el control de la glucemia, en la mayoría de los casos, se citó sólo la dieta sin azúcar. Se ha presentado un relativo conocimiento sobre las complicaciones que la Diabetes Mellitus puede provocar con base en las orientaciones de los profesionales de la salud. Conclusión: se concluye que los pacientes diabéticos presentaron bajo conocimiento sobre la enfermedad y los variados tipos de estrategias existentes para el control de la glucemia. Descritores: Conocimiento, Actitudes y Práctica en Salud; Diabetes Mellitus; Autocuidado; Educación; Enfermedad Crónica; Grupo de Atención al Paciente.

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KEJADIAN DERAJAT LUKA DIABETES TIDAK BERHUBUNGAN DENGAN NILAI RISIKO DIABETIC FOOT ULCER

Jurnal Ilmu dan Teknologi Kesehatan ◽

10.32668/jitek.v4i2.91 ◽

2017 ◽

Vol 4 (2) ◽

pp. 215-227

Author(s):

Risma Anggraeni Yuliastuti ◽

Megah Andriany ◽

Eka Putri Y.

Keyword(s):

Diabetic Foot ◽

Wound Care ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Risk Level ◽

Diabetic Patients ◽

Cross Sectional ◽

Diabetic Ulcer ◽

Significance Level ◽

Risk Levels

The highest diabetic complication percentage is neuropathy (54%) causing diabetic foot ulcer (DFU). The study aimed to know the relationship between diabetic foot ulcer risk levels with diabetic ulcer severity levels. Scope of the study was diabetic wound care, particularly on legs mostly experienced by diabetic patients. The method used was descriptive correlation with cross sectional design. Sampling method was non probability with purposive sampling. Respondent number was 16 persons with inclusion criteria was diabetic patients with ulcer in one leg and no ulcer on another side in the second visitation to a diabetic clinic in Bekasi,Indonesia and agreed to be involved in the study. DFU risk level instrument modified from Diabetes Foot Screening and Risk Stratification Form of New Zealand Society for Study of Diabetes (NZSSD) to measure the DFU degree on legs with no ulcer. Another tool was to measure severity level of legs with ulcer according to Wagner. Data analysis used Kendall’s tau with 0.05 of significance level. The result shows there is no relationship between DFU risk levels with severity degree of diabetic ulcers. From the study, we can conclude that nurses do not need provide specific DFU prevention based on diabetic ulcer severity grade.

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Self-esteem and depression levels in diabetes mellitus patients

Journal of Public Health in Africa ◽

10.4081/jphia.2019.1200 ◽

2019 ◽

Author(s):

Yulianto Yulianto ◽

Yufi Aris Lestari ◽

Hartin Suidah ◽

Anik Supriani ◽

Riska Aprilia ◽

...

Keyword(s):

Diabetes Mellitus ◽

Health Care Professionals ◽

Sampling Technique ◽

Simple Random Sampling ◽

Self Esteem ◽

Diabetic Patients ◽

Mild Depression ◽

Cross Sectional ◽

Significance Level ◽

Cross Sectional Design

This study aimed to identify the relationship between self-esteem and the level of depression in people with Diabetes Mellitus. Cross sectional design was used in the study. There were 48 respondents chosen by Simple Random Sampling technique. The instrument used was a questionnaire and then data was analyzed by Pearson test with a significance level of α 0.05. The results showed that more than half of respondents had mild depression of 33 people (68.8%). In addition, there is a relationship of self-esteem with the level of depression which based on the results of the Spearman Rho statistical test with the Significant value p=0.014 < α 0.05. It is expected that health care professionals can provide support and motivate diabetic patients to maintain their daily activities.

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