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Browsing by Author "Macedo, J.M."

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  • Diabetes risk assessment: clinical screening tools
    Publication . Macedo, J.M.; Baylina, Pilar; Fernandes, R.
    The epidemic of type 2 diabetes (T2D) continues to soar worldwide. Driven by changes in human habits, from availability of energy dense processed foods to the decrease of physical activity, T2D constitutes already a heavy burden of disease and a worrisome barrier for the sustainability of National Health Systems. Indeed, it affects 415 million people (8.8% prevalence), was responsible for 5.0 million deaths in 2015, and is estimated to cost 1/9 of all Health expenses. Within Europe, Portugal is reported as having the highest prevalence of diabetes: an estimated 9.6% by World Standard Population. But if we take into consideration the age distribution of the Portuguese population, then estimates increase to 12.9%. This means that 1 million Portuguese have diabetes, with almost half of these still undiagnosed. Additionally, 2 million (a third of the adult population) are estimated to have intermediate hyperglycemia (or prediabetes), being largely unaware of this condition.
    2019-04Conference object Open access Show more
  • Procalcitonin: a marker for predicting the risk lower extremity amputation in infected wounds
    Publication . Macedo, J.M.; Baylina, Pilar; Fernandes, R.
    Diabetes Mellitus is a metabolic disorder that is growing at epidemic proportions worldwide and is consensually classified in type 1 Diabetes, type 2 Diabetes and Gestational Diabetes. One of the most common complication of diabetes is the lower extremity is the diabetic foot ulcer (DFU). Diabetes is also the most common cause of lower extremity amputation (LEA). Several foot disorders, such as foot ulcerations and infections are a major source of morbidity and a leading cause of hospitalization for persons with diabetes. Thus, ulceration, infection, gangrene, and limb amputation are major complications of the disease, estimated to cost billions of dollars each year and have attracted the attention of health policy providers.
    2019-04Conference object Open access Show more