Search results for "type 1"

showing 10 items of 540 documents

Thermal Thresholds Predict Painfulness of Diabetic Neuropathies

2004

OBJECTIVE—Pathophysiology explaining pain in diabetic neuropathy (DN) is still unknown. RESEARCH DESIGN AND METHODS—Thirty patients with peripheral DN (17 men and 13 women; mean age 52.4 ± 2.5 years) were investigated. Fifteen patients had neuropathic pain, and 15 patients were free of pain. Patients were followed over 2 years and examined at the beginning and thereafter every 6 months. Clinical severity and painfulness of the DN were assessed by the neuropathy impairment score and visual analog scales (VASs). Cold and warm perception thresholds as well as heat pain thresholds were obtained for evaluation of Aδ- and C-fibers. Nerve conduction velocities (NCVs) and vibratory thresholds were …

MalePain Thresholdmedicine.medical_specialtyHot TemperatureDiabetic neuropathyVisual analogue scaleEndocrinology Diabetes and MetabolismElectromyographyRisk AssessmentSeverity of Illness IndexDiabetic NeuropathiesPredictive Value of TestsReference ValuesDiabetes mellitusSeverity of illnessInternal MedicinemedicineHumansHeart rate variabilityThermosensingPain MeasurementProbabilityAdvanced and Specialized Nursingmedicine.diagnostic_testElectromyographybusiness.industryMiddle AgedPrognosismedicine.diseaseCold TemperatureElectrophysiologyDiabetes Mellitus Type 1Diabetes Mellitus Type 2HyperalgesiaCase-Control StudiesSensory ThresholdsAnesthesiaPredictive value of testsNeuropathic painPhysical therapyFemalebusinessDiabetes Care
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Survival of patients with spinal muscular atrophy type 1.

2013

BACKGROUND: Spinal muscular atrophy type 1 (SMA1) is a progressive disease and is usually fatal in the first year of life. METHODS: A retrospective chart review was performed of SMA1 patients and their outcomes according to the following choices: letting nature take its course (NT); tracheostomy and invasive mechanical ventilation (TV); continuous noninvasive respiratory muscle aid (NRA), including noninvasive ventilation; and mechanically assisted cough. RESULTS: Of 194 consecutively referred patients enrolled in this study (103 males, 91 females), NT, TV, and NRA were chosen for 121 (62.3%), 42 (21.7%), and 31 (16%) patients, respectively. Survival at ages 24 and 48 months was higher in …

MalePalliative careDatabases Factualmedicine.medical_treatmentKaplan-Meier EstimateSpinal Muscular Atrophies of ChildhoodSeverity of Illness IndexCohort StudiesRetrospective StudieCause of DeathPalliative CarePrognosisSpinal muscular atrophy type 1Child PreschoolHome mechanical ventilationBreathingFemaleLong survivalSurvival AnalysiPediatric palliative careHumanmedicine.medical_specialtyPrognosiMechanical assisted coughRisk AssessmentStatistics NonparametricArts and Humanities (miscellaneous)medicineRespiratory muscleConfidence IntervalsHumansDecompensationSurvival analysisRetrospective StudiesMechanical ventilationNoninvasive Ventilationbusiness.industryInfant NewbornOxygen Inhalation TherapyInfantSpinal muscular atrophymedicine.diseaseRespiration ArtificialSurvival AnalysisConfidence intervalSurgeryPediatrics Perinatology and Child HealthCohort StudiebusinessConfidence IntervalPediatrics
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The Highly Structured Climate in Families of Adolescents With Diabetes: Functional or Dysfunctional for Metabolic Control?

1998

Objective: Compare changes in perceived family climate over time in families with healthy adolescents and families with adolescents with diabetes and analyze the links to metabolic control. Method: In a total of four annually conducted surveys, 89 German adolescents with diabetes and 106 healthy adolescents as well as their parents completed the Family Environment Scale (FES). Metabolic control was determined by physicians' reports of adolescents' hemoglobin (HbA,) levels. Results: Compared to families with healthy adolescents, families caring for an adolescent with diabetes portrayed their family interactions as considerably more structured and less cohesive and stimulating. Family climate…

MaleParental monitoringAdolescentDysfunctional familyPersonality AssessmentDevelopmental psychologyGermanyDiabetes mellitusAdaptation PsychologicalDevelopmental and Educational PsychologymedicineHumansFamily Environment ScaleChildInternal-External ControlGlycated Hemoglobinbusiness.industrySick RoleSocial environmentmedicine.diseaseSocial relationSelf CareDiabetes Mellitus Type 1Hemoglobin AMetabolic control analysisPediatrics Perinatology and Child HealthFemaleFamily RelationsbusinessClinical psychologyJournal of Pediatric Psychology
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Arterial and Venous Endothelia Display Differential Functional Fractalkine (CX 3 CL1) Expression by Angiotensin-II

2012

Objective— Angiotensin-II (Ang-II) promotes the interaction of mononuclear cells with arterioles and neutrophils with postcapillary venules. To investigate the mechanisms underlying this dissimilar response, the involvement of fractalkine (CX 3 CL1) was explored. Methods and Results— Enhanced CX 3 CL1 expression was detected in both cremasteric arterioles and postcapillary venules 24 hours after Ang-II intrascrotal injection. Arteriolar leukocyte adhesion was the unique parameter significantly reduced (83%) in animals lacking CX 3 CL1 receptor (CX 3 CR1). Human umbilical arterial and venous endothelial cell stimulation with 1 μmol/L Ang-II increased CX 3 CL1 expression, yet neutralization …

MalePathologyTime Factorsp38 Mitogen-Activated Protein KinasesMiceVenulesLeukocytesEndothelial dysfunctionExtracellular Signal-Regulated MAP KinasesReceptorCells CulturedMice KnockoutMembrane GlycoproteinsAngiotensin IINF-kappa BArteriesEndothelial stem cellArteriolesNADPH Oxidase 5NADPH Oxidase 4NADPH Oxidase 2FemaleRNA InterferenceReceptors ChemokineTumor necrosis factor alphaCardiology and Cardiovascular MedicineSignal Transductionmedicine.medical_specialtyCX3C Chemokine Receptor 1BiologyTransfectionPeripheral blood mononuclear cellLosartanVeinsInterferon-gammaApolipoproteins EDownregulation and upregulationInternal medicineCell AdhesionHuman Umbilical Vein Endothelial CellsmedicineAnimalsHumansLeukocyte RollingCX3CL1Chemokine CX3CL1Tumor Necrosis Factor-alphaEndothelial CellsMembrane ProteinsNADPH OxidasesAtherosclerosismedicine.diseaseAngiotensin IIMice Inbred C57BLDisease Models AnimalEndocrinologyAngiotensin II Type 1 Receptor BlockersArteriosclerosis, Thrombosis, and Vascular Biology
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Focal nodular hyperplasia of the liver: an unusual association with diabetes mellitus in a child and review of literature

2010

Abstract Hepatic hemangioma, adenoma and focal nodular hyperplasia are the most frequent benign lesions of the liver, but they are all infrequent among pediatric population. The reports of focal nodular hyperplasia in children have recently increased in number, with many cases associated to drug intake, particularly to chemotherapy. We here describe, to our knowledge, the first case of focal nodular hyperplasia in association with diabetes mellitus in childhood.

MalePathologymedicine.medical_specialtyAdenomamedicine.medical_treatmentBiopsyDiagnosis DifferentialBiliary atresiaDiabetes mellitusBiopsyCase reportmedicineHepatectomyHumansChildChemotherapymedicine.diagnostic_testbusiness.industryFocal nodular hyperplasialcsh:RJ1-570lcsh:Pediatricsmedicine.diseaseDiabetes Mellitus Type 1Focal Nodular HyperplasiaDifferential diagnosisHepatectomybusinessTomography X-Ray ComputedFollow-Up Studies
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A brief version of the Pediatric Inventory for Parents (PIP) in Spanish population: Stress of main family carers of chronic paediatric patients.

2018

A chronic illness in childhood has a negative impact on the paediatric patient and on family functioning. Psychological stress in parents influences the level of adjustment to the illness of their children. The Pediatric Inventory for Parents (PIP) was designed to measure stress in parents whose child has a chronic illness or requires prolonged medical monitoring. The main objective of this study is to provide a brief version of the Spanish translation of the PIP, across a sample consisting of 465 main familial caregivers (85.2% female, n = 396) between 27 and 67 years old ([Formula: see text] = 44.13; SD = 5.35) of paediatric patients between 9 and 18 years old ([Formula: see text] = 12.10…

MalePediatricsPsychometricsRespiratory Tract DiseasesEmotionsSocial Scienceslcsh:MedicineAnxietyPediatrics0302 clinical medicineSurveys and QuestionnairesMedicine and Health SciencesPsychology030212 general & internal medicineChildlcsh:ScienceDepression (differential diagnoses)Child PsychiatryMultidisciplinaryDepressionMiddle AgedCaregiversAnxietyFemalemedicine.symptomResearch ArticleAdultmedicine.medical_specialtyAdolescentPsychometricsPsychological StressDwarfismShort statureStructural equation modeling03 medical and health sciencesCronbach's alphaMental Health and PsychiatrymedicineHumansAsthmaAgedBronchiectasisbusiness.industryMood Disorderslcsh:RBiology and Life Sciencesmedicine.diseaseDiabetes Mellitus Type 1SpainChronic Diseaselcsh:Qbusiness030217 neurology & neurosurgeryStress PsychologicalPLoS ONE
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Neurocognitive functioning in children with type-1 diabetes with and without episodes of severe hypoglycaemia

2007

Previous studies have shown that recurrent severe hypoglycaemia can cause long-term cognitive impairment in children with type-1 diabetes, but the results are controversial, possibly due to the heterogeneity of samples and lack of comprehensive neuropsychological assessments of children. The aim of this study was to assess the effects of diabetes and severe hypoglycaemia on the neurocognitive functioning of children with a standardized, wide age-range neuropsychological test battery designed for the assessment of children. Eleven children with diabetes and a history of severe hypoglycaemia, 10 children with diabetes without a history of severe hypoglycaemia, and 10 healthy control children …

MalePediatricsmedicine.medical_specialty030209 endocrinology & metabolismNeuropsychological TestsSeverity of Illness IndexNEPSYPerceptual Disorders03 medical and health sciences0302 clinical medicineDevelopmental Neuroscience030225 pediatricsmedicineHumansNeuropsychological assessmentChildPsychiatryPsychomotor learningLanguage Disordersmedicine.diagnostic_testNeuropsychologyWechsler Adult Intelligence ScaleNeuropsychological testExecutive functionsHypoglycemia3. Good healthDiabetes Mellitus Type 1Child PreschoolPediatrics Perinatology and Child HealthFemaleNeurology (clinical)Psychomotor DisordersCognition DisordersPsychologyNeurocognitive030217 neurology & neurosurgeryDevelopmental Medicine & Child Neurology
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Updated 24-year trend of Type 1 diabetes incidence in children in Poland reveals a sinusoidal pattern and sustained increase

2017

AIMS To present the incidence trend for Type 1 diabetes in Polish children aged 0-14 years, updated using data collected during 2005-2012, and assess the reliability of the predictive model constructed previously using the 1989-2004 database. METHODS Children aged < 15 years with newly diagnosed Type 1 diabetes are recorded prospectively (EURODIAB criteria) in several regional registers in Poland. Age- and gender-standardized incidence rates for Type 1 diabetes were calculated per 100 000 persons/year. Incidence rates were analysed in terms of the dependency on age, gender, geographical region and population density. Incidence rate trends over time were modelled using generalized linear mod…

MalePediatricsmedicine.medical_specialtyAdolescentEndocrinology Diabetes and MetabolismObservation period030209 endocrinology & metabolismNewly diagnosedCohort Studies03 medical and health sciencesAge Distribution0302 clinical medicineEndocrinologyPatient ageIncidence trendsInternal MedicinemedicineHumans030212 general & internal medicineChildPopulation GrowthType 1 diabetesbusiness.industryIncidenceIncidence (epidemiology)Infant NewbornInfantmedicine.diseaseConfidence intervalDiabetes Mellitus Type 1Child PreschoolFemalePolandbusinessCohort studyDiabetic Medicine
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Ketogenic diet for infants with epilepsy: A literature review.

2020

Abstract The ketogenic diet (KD) is an established, nonpharmacological treatment for drug-resistant epilepsy (DRE). Actually, KD and its variants have been shown to be elective and resolute for patients with glucose transporter type 1 (GLUT1) deficiency. The aim of this review was to study the use of KD and its variants in infancy, including the neonatal age, and demonstrate the safety and efficacy of this treatment in patients with the age of 0–23 months affected by DRE already subjected to pharmacological approach attempts. A literature search was conducted using PubMed as the medical database source. We used the age limit of 0–23 months, and we considered only articles published between …

MalePediatricsmedicine.medical_specialtyDrug Resistant EpilepsyKetogenicmedicine.medical_treatmentDrug-resistant epilepsyDrug-resistant epilepsy Epilepsy Glucose transporter type 1 deficiency Infant Ketogenic diet Diet Ketogenic Disease Management Drug Resistant Epilepsy Epilepsy Female Glucose Transporter Type 1 Humans Infant. Infant Newborn. Male Seizures Treatment OutcomeNeonatal ageNewborn. MaleAge limitlaw.invention03 medical and health sciencesBehavioral NeuroscienceEpilepsy0302 clinical medicineRandomized controlled triallawSeizuresmedicineGlucose transporter type 1 deficiencyHumans030212 general & internal medicineProspective cohort studyGlucose Transporter Type 1Epilepsybusiness.industryInfant NewbornDisease ManagementInfantRetrospective cohort studyKetogenic dietInfant. InfantDrug Resistant Epilepsymedicine.diseaseDietTreatment OutcomeNeurologyFemaleNeurology (clinical)businessDiet Ketogenic030217 neurology & neurosurgeryKetogenic dietEpilepsybehavior : EB
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Bone status in adolescents and young adults with type 1 diabetes: a 10-year longitudinal study

2020

Introduction: This study presents a 10-year longitudinal assessment of bone status in adolescents and young adults with type 1 diabetes (T1D). Material and methods: Thirty-two patients (12 female, aged 20.5 ± 3.93 years, T1D duration 13.9 ± 1.97 years) were studied using quantitative ultrasound (QUS) and dual-energy X-ray absorptiometry (DXA). Standard deviation scores (SDS) for these results were calculated. The following clinical parameters were analysed: sex, age, T1D duration, anthropometric parameters, daily insulin requirement (DIR), mean glycated haemoglobin (HbA1c) in the year preceding the examination, medication other than insulin, history of bone fractures, and comorbidities. Res…

MalePediatricsmedicine.medical_specialtyLongitudinal studyAdolescentEndocrinology Diabetes and Metabolismmedicine.medical_treatmentBone and BonesAnthropometric parametersYoung AdultEndocrinologyAbsorptiometry PhotonBone DensitymedicineHumansReference populationLongitudinal StudiesYoung adultGlycated haemoglobinType 1 diabetesbusiness.industryInsulinmedicine.diseasetype 1 diabetes; glycaemic control; bone status; quantitative ultrasound; dual X-ray absorptiometryQuantitative ultrasoundDiabetes Mellitus Type 1OsteoporosisFemalebusinessEndokrynologia Polska (Polish Journal of Endocrinology)
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