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Ruta F, Voidăzan S, Marginean C, Avram C, Sipos R, Molnar C, Tarcea M, Penzes M, Fogarasi-Grenczer A, Meghea C, Foley KL. Evidence-Based Practices to Promote Tobacco Cessation During Pregnancy in a Sample of Romanian General Practitioners. J Community Health 2019; 45:440-445. [PMID: 31641917 DOI: 10.1007/s10900-019-00754-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Changes in confidence in implementing smoking cessation support for pregnant women was assessed among Romanian General Practitioners (GPs) before and after a training program of evidence-based clinical practices to promote quitting. The total number of physicians participating in the study was 69. Before training, 51% of GPs felt somewhat/very confident asking pregnant women about tobacco use, 39% assisted smokers with a quit plan, 38% arranged follow-up for patients. After training, 85-90% found the training informative/very informative on: how to ask patients if they smoke (89%), advising patients to quit (88%), talking about the benefits of quitting (85%), assessing patients readiness to quit (87%), assisting patients in setting a quit date (87%).
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Affiliation(s)
- F Ruta
- Department of Community Nutrition, University of Medicine, Pharmacy, Sciences and Technology "George Emil Palade" of Targu Mureș, Targu Mureș, Romania
| | - S Voidăzan
- Department of Epidemiology, University of Medicine, Pharmacy, Sciences and Technology "George Emil Palade" of Targu Mureș, Targu Mureș, Romania.
| | - C Marginean
- Department of Gynecology, University of Medicine, Pharmacy, Sciences and Technology "George Emil Palade" of Targu Mureș, Romania, Targu Mureș, Romania
| | - C Avram
- Department of Medical informatics and biostatistics, University of Medicine, Pharmacy, Sciences and Technology "George Emil Palade" of Targu Mureș, Romania, Targu Mureș, Romania
| | - R Sipos
- Department of Anatomy, University of Medicine, Pharmacy, Sciences and Technology "George Emil Palade" of Targu Mureș, Targu Mureș, Romania
| | - C Molnar
- Department of Gynecology, University of Medicine, Pharmacy, Sciences and Technology "George Emil Palade" of Targu Mureș, Romania, Targu Mureș, Romania
| | - M Tarcea
- Department of Community Nutrition, University of Medicine, Pharmacy, Sciences and Technology "George Emil Palade" of Targu Mureș, Targu Mureș, Romania
| | - M Penzes
- Institute of Public Health, Semmelweis University, Budapest, Hungary
| | | | - C Meghea
- Department of Obstetrics, Gynecology, and Reproductive Biology, College of Human Medicine, Michigan State University, East Lansing, USA
| | - K L Foley
- Wake Forest School of Medicine, Winston-Salem, NC, USA
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Rodica B, Bajko Z, Maier S, Voidăzan S, Moțățăianu A. Influence of Risk Factors and Diabetic Complications on Peripheral Nerve Function in Type 2 Diabetes Mellitus. Acta Medica Marisiensis 2015. [DOI: 10.1515/amma-2015-0015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Objective: The aim of this study was to evaluate the impact of age, diabetes duration, glycaemic control, existence of cardiac autonomic neuropathy (CAN), retinopathy and of macroangiopathy on the peripheral nerve function in patients with type 2 diabetes.
Methods: One hundred forty-nine type 2 diabetes mellitus patients were assessed with peripheral motor and sensory nerve conduction tests and cardiovascular reflex tests, as well as being evaluated for retinopathy, common carotid artery intimal-media-thickness (IMT) and anklebrachial index (ABI).
Results: The duration of diabetes has the strongest effect in the reduction of the amplitude of motor response in the peroneal nerve and of the sensory amplitude in the sural nerve. The strongest correlations were found between glycaemic control and decreasing motor amplitude in the median nerve and sensory amplitude in the sural nerve, respectively. The motor and sensory nerve action potential amplitudes were significantly affected in the group of patients with CAN. According to multivariate logistic regression analysis, duration of diabetes and presence of CAN were the most important factors that influenced the motor and sensory nerve function.
Conclusion: The presence of CAN together with diabetes duration and poor glycaemic control were associated with impaired peripheral nerve function, while macroangiopathy does not seem to be associated with the impairment of these electrophysiological parameters.
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Affiliation(s)
- Bălașa Rodica
- University of Medicine and Pharmacy Târgu Mureş, Department of Neurology, Tîrgu Mureş, Romania
| | - Z. Bajko
- University of Medicine and Pharmacy Târgu Mureş, Department of Neurology, Tîrgu Mureş, Romania
| | - Smaranda Maier
- University of Medicine and Pharmacy Târgu Mureş, Department of Neurology, Tîrgu Mureş, Romania
| | - S. Voidăzan
- University of Medicine and Pharmacy Târgu Mureş, Department of Epidemiology, Tîrgu Mureş, Romania
| | - Anca Moțățăianu
- University of Medicine and Pharmacy Târgu Mureş, Department of Neurology, Tîrgu Mureş, Romania
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