Daniel Nogueira Cortez

Perfil epidemiológico da hanseníase no município de Divinópolis, Minas Gerais

Objective: to analyze the epidemiological profile of leprosy in Divinopolis/MG. Method: this is cross-sectional and descriptive study. Data were collected in the Information System for Notifiable Diseases, for the period 2001 to 2010. Results: during the period under study has reported 124 cases of leprosy living in the city, mostly in individuals over 15 years with a predominance of multibacillary and zero degree of disability at diagnosis. The hidden prevalence of leprosy in the period 2006 to 2010 was 12 cases. Conclusion: we conclude that the current organization of health services contributes to late diagnosis and highlights the need to integrate primary health care in the conduct of actions to control leprosy

Comparison of education group strategies and home visits in type 2 diabetes mellitus: clinical trial

1 Apoio financeiro da Fundação de Amparo à Pesquisa de Minas Gerais (FAPEMIG), Brasil, processo APQ-00896-13/Edital Programa HIPERDIA Minas e do Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brasil, processo no 306873/2016-8. 2 Mestranda, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil. Bolsista da Coordenadoria de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brasil. 3 PhD, Professor Adjunto, Universidade Federal de São João del Rei, Divinópolis, MG, Brasil. 4 MSc, Enfermeira, Hospital da Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil. 5 PhD, Professor Associado, Departamento de Estatística, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil. 6 PhD, Professor Adjunto, Departamento de Estatística, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil. 7 PhD, Professor Associado, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil. Comparação das estratégias de educação em grupo e visita domiciliar em diabetes mellitus tipo 2: ensaio clínico1ABSTRACT Objective: to compare the adherence and empowerment of patients with type 2 diabetes mellitus for self-care practices and glycemic control in group education strategies and home visits. Method: Clinical trial with ten randomized clusters, performed with 238 patients with type 2 diabetes mellitus distributed in group education, home visit, and control group. Socio-demographic data, glycated hemoglobin and those obtained from the self-care and empowerment questionnaires were collected. Statistical analysis was performed separately by educational strategy. Results: the mean age of the patients was 57.8 years old (SD = 9.4 years old), with a predominantly female participation (66.4%). Both strategies presented similar results regarding adherence to self-care practices and patient empowerment. There was also a reduction in glycated hemoglobin levels; however, only in the education group, the difference presented statistical significance (p <0.001). Conclusion: the strategies were effective; however, group education presented better glycemic control results in relation to the home visit. International registry: NCT02132338 and national: RBR-92j38t in the clinical trials registry.

Avaliação da visita domiciliar para o empoderamento do autocuidado em diabetes

Resumo Objetivo Avaliar o efeito da visita domiciliar na adesao e empoderamento das praticas de autocuidado em diabetes mellitus tipo 2. Metodos Ensaio clinico randomizado por clusters, com a participacao de 145 usuarios com diabetes mellitus tipo 2, sendo 34 do Grupo intervencao e 111 do Grupo controle. Foram utilizados os questionarios de Autocuidado com o diabetes e Diabetes Empowerment Scale-Short Form para comparacao entre grupos na linha de base, assim como entre o antes e depois intragrupo. O nivel [...]