Dyslipidemia in young patients with type 1 diabetes mellitus

Objective The association between type 1 diabetes mellitus (T1D) and dyslipidemia (DLP) increases the risk of cardiovascular disease (CVD). The aim of this study was to evaluate the presence of dyslipidemia in young T1D patients.Materials and methods The study design was cross-sectional and descriptive. We reviewed medical records of T1D patients followed at an endocrinology service, from 1998-2012. Data collected: gender, actual age and age at diagnosis, duration of T1D since diagnosis, body mass index (BMI), pubertal stage, glycemic control (GC) determined by glycated hemoglobin (HbA1c), total cholesterol (TC), HDL, LDL, triglycerides (TG). To analyze lipid profile and metabolic control, we used the Brazilian Society of Diabetes Guidelines.Results Were included 239 T1D patients, 136 (56.9%) females; mean ± SD: actual age 15.7 ± 5.0 years and at T1D diagnosis 7.3 ± 3.9; T1D duration 10.6 ± 6.4 years, 86.6% puberty, 15.1% overweight. The prevalence of DLP was 72.5%, 63.3% females, 86.6% puberty, mean ± SD: actual age 15.4 ± 4.8 years and at T1D diagnosis 7.2 ± 4.1 years, duration of T1D 10.7 ± 6.1 years. We found high-CT in 56.7%, low-HDL = 21.7%, high LDL = 44.0%, high-TG = 11.8%. Between females with DLP, 83.5% was in puberty. We find correlation between the presence of DLP, a poor GC and BMC.Conclusion We found a high prevalence of DLP in young patients with T1D, particularly in puberty females. Programs targeting the prevention of dyslipidemia should be adopted, especially for this group, in order to prevent/delay chronic complications and cardiovascular disease. Arch Endocrinol Metab. 2015;59(3):215-9.

Medos, atitudes e convicções de estudantes de medicina de universidade pública da Região Norte, perante as doenças e a morte / Fears, attitudes and convictions of the medicine students of a public university in the North region before diseases and death

Objetivo: identificar possíveis atitudes, medos e dificuldades apresentados por estudantes de medicina de uma universidade pública da região norte. Método: aplicado questionário padronizado "Escalas de atitudes perante a doença" (EAPD) a 240 alunos do Curso de Medicina da Universidade do Estado do Pará (UEPA), período de outubro 2006/março de 2007. Resultados: verificou-se que todos os alunos entrevistados demonstraram algum tipo de preocupação com a sua saúde e que, dentre os itens pesquisados, as escalas que obtiveram uma maior pontuação se referem à "preocupação com o adoecer" e com "os hábitos de saúde ", não havendo diferença estatística entre as séries pesquisadas. COnclusão: tais resultados indicam que se torna importante uma maior preocupação pela obtenção de um melhor equilíbrio entre aspectos informativos e formativos, que ocorrem durante o curso, com a finalidade de maior humanização na formação médica, tornando-os mais aptos a lidar com a morte e com as doenças em geral.

Objective: identify possible attitudes, fears and difficulties presented by Medicine's students of a public university in the North Region. Method: the study was accomplished with 240 medicine students of the Universidade do Estado do Pará (UEPA). The information was collected in a standardized questionnaire named "Scales of attitudes about the illness" (EAPD), in the period between october of 2006 and march of 2007. Results: it was verified that ali the interviewed students demonstrated some type of fear about his health and about the things researched, the scales that gotten a higher punctuation were about "fear of his health" and "the habits of health", not having difference statistics between the searched series. Conclusion: these results indica te that a balance between informative and formative aspects becomes important during the course, with the purpose of a better humanization in the medical formation, making them more apt to deal with the death and general illnesses.