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Main Author:	Daniella Silva Oggiam
Format:	Artículo científico
Language:	en
Published:	Universidad de La Sabana 2021
Subjects:	Medicina nursing chronic pain complications physiotherapy diabetes mellitus
Online Access:	https://www.redalyc.org/articulo.oa?id=74170000007 https://www.redalyc.org/journal/741/74170000007/ https://www.redalyc.org/journal/741/74170000007/html/ https://www.redalyc.org/journal/741/74170000007/74170000007.epub https://www.redalyc.org/journal/741/74170000007/movil
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author	Daniella Silva Oggiam
author_facet	Daniella Silva Oggiam
contents	Distal Symmetric Polyneuropathy Pain in Diabetes Mellitus Daniella Silva Oggiam Juliana Vallim Jorgetto Guilherme Luiz Chinini Denise Miyuki Kusahara Mônica Antar Gamba Medicina nursing chronic pain complications physiotherapy diabetes mellitus Objective: To evaluate neuropathic pain (NP), its intensity, and complications in people with type 2 diabetes mellitus (T2DM) in a city of eastern São Paulo. Method: Cross-sectional study conducted with 96 individuals with T2DM served by primary health units in São João da Boa Vista-SP. The following instruments were used to screen NP: Michigan Neuropathy Screening Instrument, Leeds Assessment of Neuropathic Symptoms and Signs, Douleur Neuropathique 4, and Brief Pain Inventory. The data were analyzed using descriptive and inferential statistics, with a 5 % significance level.Results: Of the 96 people with T2DM for longer than five years, 22.9 % had pain. NP was related to high levels of fasting blood glucose (mean = 214 ± 65.58 mg/dl; p = 0.0002), glycated hemoglobin (mean = 8.8 ± 0.11 %; p < 0.001), absence of a balanced diet (p = 0.0066), obesity (p = 0.023), and high blood pressure (p < 0.001). Conclusion: Higher values of glycated hemoglobin rates increased three times the chance of NP. The screening and management of painful diabetic neuropathy is a challenge but adopting a screening protocol supports the secondary prevention of this manifestation. 2021 artículo científico 1657-5997 https://www.redalyc.org/articulo.oa?id=74170000007 https://www.redalyc.org/journal/741/74170000007/ https://www.redalyc.org/journal/741/74170000007/html/ https://www.redalyc.org/journal/741/74170000007/74170000007.epub https://www.redalyc.org/journal/741/74170000007/movil 10.7440/res64.2018.03 en http://www.redalyc.org/revista.oa?id=741 Aquichan application/pdf Universidad de La Sabana Aquichan (Colombia) Num.3 Vol.21
format	Artículo científico
id	redalyc_74170000007
language	en
publishDate	2021
publisher	Universidad de La Sabana
spellingShingle	Distal Symmetric Polyneuropathy Pain in Diabetes Mellitus Daniella Silva Oggiam Medicina nursing chronic pain complications physiotherapy diabetes mellitus Distal Symmetric Polyneuropathy Pain in Diabetes Mellitus Daniella Silva Oggiam Juliana Vallim Jorgetto Guilherme Luiz Chinini Denise Miyuki Kusahara Mônica Antar Gamba Medicina nursing chronic pain complications physiotherapy diabetes mellitus Objective: To evaluate neuropathic pain (NP), its intensity, and complications in people with type 2 diabetes mellitus (T2DM) in a city of eastern São Paulo. Method: Cross-sectional study conducted with 96 individuals with T2DM served by primary health units in São João da Boa Vista-SP. The following instruments were used to screen NP: Michigan Neuropathy Screening Instrument, Leeds Assessment of Neuropathic Symptoms and Signs, Douleur Neuropathique 4, and Brief Pain Inventory. The data were analyzed using descriptive and inferential statistics, with a 5 % significance level.Results: Of the 96 people with T2DM for longer than five years, 22.9 % had pain. NP was related to high levels of fasting blood glucose (mean = 214 ± 65.58 mg/dl; p = 0.0002), glycated hemoglobin (mean = 8.8 ± 0.11 %; p < 0.001), absence of a balanced diet (p = 0.0066), obesity (p = 0.023), and high blood pressure (p < 0.001). Conclusion: Higher values of glycated hemoglobin rates increased three times the chance of NP. The screening and management of painful diabetic neuropathy is a challenge but adopting a screening protocol supports the secondary prevention of this manifestation. 2021 artículo científico 1657-5997 https://www.redalyc.org/articulo.oa?id=74170000007 https://www.redalyc.org/journal/741/74170000007/ https://www.redalyc.org/journal/741/74170000007/html/ https://www.redalyc.org/journal/741/74170000007/74170000007.epub https://www.redalyc.org/journal/741/74170000007/movil 10.7440/res64.2018.03 en http://www.redalyc.org/revista.oa?id=741 Aquichan application/pdf Universidad de La Sabana Aquichan (Colombia) Num.3 Vol.21
title	Distal Symmetric Polyneuropathy Pain in Diabetes Mellitus
topic	Medicina nursing chronic pain complications physiotherapy diabetes mellitus
url	https://www.redalyc.org/articulo.oa?id=74170000007 https://www.redalyc.org/journal/741/74170000007/ https://www.redalyc.org/journal/741/74170000007/html/ https://www.redalyc.org/journal/741/74170000007/74170000007.epub https://www.redalyc.org/journal/741/74170000007/movil

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// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

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