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Id: lil-747106
Autor: Cai, Song-Wang; Shen, Ning; Li, Dong-Xia; Wei, Bo; An, Jun; Zhang, Jun-Hang.
Título: Compensatory sweating after restricting or lowering the level of sympathectomy: a systematic review and meta-analysis
Fonte: Clinics;70(3):214-219, 03/2015. tab, graf.
Idioma: en.
Resumo: OBJECTIVE: To compare compensatory sweating after lowering or restricting the level of sympathectomy. METHOD: A systematic review and meta-analysis were conducted of all randomized controlled trials published in English that compared compensatory sweating after lowering or restricting the level of sympathectomy. The Cochrane collaboration tool was used to assess the risk of bias, and the Mantel-Haenszel odds ratio method was used for the meta-analysis. RESULTS: A total of 11 randomized controlled trials were included, including a total of 1079 patients. Five of the randomized controlled trials studied restricting the level of sympathectomy, and the remaining six studied lowering the level of sympathectomy. CONCLUSIONS: The compiled randomized controlled trial results published so far in the literature do not support the claims that lowering or restricting the level of sympathetic ablation results in less compensatory sweating. .
Descritores: Acesso aos Serviços de Saúde/estatística & dados numéricos
Índios Norte-Americanos/estatística & dados numéricos
Medicaid/estatística & dados numéricos
United States Indian Health Service/estatística & dados numéricos
Necessidades e Demandas de Serviços de Saúde
Estados Unidos
Limites: Adulto
Idoso de 80 Anos ou mais
Pessoa de Meia-Idade
Adulto Jovem
Tipo de Publ: Research Support, N.I.H., Extramural
Responsável: BR1.1 - BIREME

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Id: lil-473085
Autor: Rith-Najarian, S; Dannels, E; Acton, K.
Título: Preventing amputations from diabetes mellitus: the Indian Health Service experience
Fonte: West Indian med. j;50(supl.1):41-43, Mar. 1-4, 2001.
Idioma: en.
Conferência: Apresentado em: Annual International Conference of the University Diabetes Outreach Project, 7, Ocho Rios, Mar. 1-4, 2001.
Resumo: With the heavy burden of diabetes mellitus among American Indians and Alaskan Natives, lower-extremity amputation (LEA) has become a common complication. Rates of diabetes-related LEA are 2-3 times those observed in other diabetic populations. During the past 12 years, the Indian Health Service (IHS) has made LEA prevention a public health priority. From 1988 to 1992 screening criteria based on simple examinations were developed and validated in primary care Settings. Prevention efforts have focused on targeting high-risk individuals for self-care foot education, provision of protective footwear, and routine podiatry care. Follow-up studies in Alaska and northern Minnesota saw 25-50reductions in LEA rates associated with these interventions. In settings where these efforts were augmented with system changes, such as team coordination, patient-tracking systems, comprehensive footcare practice guidelines, flowsheets, and outreach programmes, LEA incidence was reduced by 50-75. Efforts are currently underway to disseminate system-based approaches for comprehensive diabetic footcare and to expand the availability of foot care resources to tribal communities served by the IHS.
Descritores: Amputação
Índios Norte-Americanos
Pé Diabético/etnologia
Pé Diabético/cirurgia
Educação de Pacientes como Assunto
Pé Diabético/prevenção & controle
Fatores de Risco
Serviços de Saúde do Indígena/normas
Estados Unidos
United States Indian Health Service
Limites: Humanos
Responsável: BR1.1 - BIREME

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