Psychiatric illness, emotional distress, glycemic control and chronic complications in type 1 diabetes subjects

ABSTRACT Objectives: To assess the prevalence of psychiatric disorders in patients with type 1 diabetes mellitus (T1D) and to compare patients with and without psychiatric disorder. Materials and methods: We made a cross-sectional study including patients with T1D assisted in the outpatient clinics of the Brazilian National Health System. To assess depression and anxiety, we used the PHQ-9 questionnaire and the DSM-5th edition criteria, respectively. B-PAID evaluated the level of emotional distress associated with diabetes; EAT-26, eating disorders; SCI-R, adherence to the proposed clinical treatment. Results: We analyzed 166 patients aged 33 (22-45.2) years, 53.6% female. The prevalence of depression and anxiety was 20.5% and 40.4%, respectively. HbA1c was worse in the depressed (9.0% vs. 8.4%, p = 0.008), in the anxious ones (9.0% vs. 8.3%, p = 0.012) and in the patients with high levels of B-PAID (8.8 % vs. 8.3 %, p = 0.009). There was no difference in the prevalence of complications related to diabetes. Conclusions: The prevalence of psychiatric disorders and emotional distress related to diabetes was high in our population of T1D patients, and depression and high levels of B-PAID were associated with the worse glycemic control.

Cistoadenoma mucinoso de apêndice / Mucinous cystadenoma of the appendix

O presente trabalho relata o caso de paciente do sexo feminino que foi encaminhada ao médico cirurgião por apresentar dor na fossa ilíaca direita e alterações em exames radiológicos na topografia do apêndice cecal. Ela foi examinada no consultório e prontamente encaminhada para internação no Hospital Miguel Piltcher, na cidade de Pelotas-RS, onde submeteu-se apendicectomia.

This paper reports the case of a female patient who was referred to a surgeon for presenting pain in the right iliac fossa and changes in radiological studies on the topography of the cecal appendix. She was examined in the office and promptly sent to Hospital Miguel Piltcher in the city of Pelotas, RS, where she was subjected to appendectomy.