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Community pharmacy-based intervention to improve self-monitoring of blood glucose in type 2 diabetic patien

Müller,Uta; Hämmerlein,Andrea; Casper,Annette; Schulz,Martin
Fonte: Pharmacy Practice (Granada) Publicador: Pharmacy Practice (Granada)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/12/2006 Português
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Self-monitoring of blood glucose (SMBG) is clearly correlated with increased life expectancy and quality of life in type 2 diabetic patients. Objective: The objective of our study was to record and assess the errors patients make in preparing, performing, and processing self-monitoring of blood glucose (SMBG). Furthermore, the study aimed to determine to what extent a single standardized SMBG instruction session in a community pharmacy might reduce the number of patients making errors or the number of errors per patient. Methods: Between May and October 2005, SMBG of 462 randomly selected patients with type 2 diabetes was monitored in 32 pharmacies specialized in diabetes care. The patients performed blood glucose self-tests using their own blood glucose meters. Self-testing was monitored using a standardized documentation sheet on which any error made during the performance of the test was recorded. If necessary, patients were instructed in the accurate operation of their meter and the use of the necessary equipment. Additionally, patients obtained written instructions. Six weeks later, assessment of the quality of patient’s SMBG was repeated. Results: During the first observation, 383 patients (83%) made at least one mistake performing SMBG. By the time of the second observation...

; Effect of denture quality on perioral muscle activity during speech

Santos, Carla Moreto; Vitti, Mathias; Mattos, Maria da Glória Chiarelo; Semprini, Marisa; Paranhos, Helena de Freitas Oliveira; Hallak, Jaime Eduardo Cecilio; Regalo, Simone Cecilio Hallak
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ;
Publicado em 19/11/2015 Português
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; This study aimed to evaluate the electromyographic activity of the orbicularis oris muscle in patients using clinically inadequate conventional dentures before and after the insertion of clinically acceptable new convencional denture. Six patients, using inadequate dentures, were asked to pronounce the syllables PAH, BAH, MAH, SAH, FAH, VAH, MEE and the word MISSISSIPI. During this activity, we analyzed the Electromyographic activity of the orbicularis oris muscle. This was done before and after changing the inadequate denture for a acceptable new denture. A K6-I EMG Light Channel Surface Electromyograph was used (Myo-tronics Co). Results were analyzed by repeated measures ANOVA, with 3 sources of variation (Syllables, Muscles, and Clinical Conditions). ANOVA revealed higher electromyographic readings in the mandibular fascicle of the orbicular oris muscle, as compared to those of the maxillary fascicle (F = 79.02; P<0.01). The comparison regarding clinical conditions indicated higher electromyographic values after insertion of acceptable new denture (F= 32.64; P<0.01). Clinical condition after the implantation of a new well-adapted complete denture revealed higher electromyographic activity levels than those measured with the use of maladapted complete dentures.