Background: Premature ejaculation (PE) is one of the sexual dysfunctions commonly present among patients with diabetes mellitus (DM), but rarely reported and not commonly investigated compared to erectile dysfunction....Background: Premature ejaculation (PE) is one of the sexual dysfunctions commonly present among patients with diabetes mellitus (DM), but rarely reported and not commonly investigated compared to erectile dysfunction. In this study, we aimed to investigate the prevalence of PE in a group of patients with type 2 DM and explore possible determinants of its occurrence and its association with erectile dysfunction. Methods: This was a cross-sectional study of subjects recruited from the Diabetes clinic and whose sexual function was assessed using the premature ejaculation diagnostic tool (PEDT) and erection hardness score (EHS), who were in heterosexuals relationship and resides together with their wives and had no major organ failure or acute infection within the last 1 month. Other socio-demographic history and diabetes-related questions were assessed. Results: A total of 69 subjects were recruited. The prevalence of PE was 27.5% in the study. There was a significant inverse relationship between the prevalence of premature ejaculation and frequency of sexual intercourse. Almost half 14/30 (46.7%) of those with erectile dysfunction had premature ejaculation. Diabetic patients with erectile dysfunction (ED) showed a significantly higher incidence of PE with significantly lower values of EHS. Higher level of fasting blood glucose was associated with higher prevalence of erectile dysfunction. Conclusions: The prevalence of PE was relatively high at 19/69 (27.5%) among our type 2 diabetic patients. Hence, health care giver should always endeavour to ask about it even when patients do not volunteer the information.展开更多
BACKGROUND Most occurrences of type 1 diabetes cases in any population are sporadic rather than familial.Hence,type 1 diabetes among siblings is a rare occurrence.Even more rare is for three or more siblings to develo...BACKGROUND Most occurrences of type 1 diabetes cases in any population are sporadic rather than familial.Hence,type 1 diabetes among siblings is a rare occurrence.Even more rare is for three or more siblings to develop type 1 diabetes.In this report,we describe a case of a Nigerian family in which type 1 diabetes occurred in three siblings among four children with neither parent having diabetes.All three siblings are positive for glutamic acid decarboxylase and anti-islet cell antibodies.CASE SUMMARY There were four siblings(three males and one female)born to a couple without a diagnosis of diabetes.The eldest child(male)was diagnosed with diabetes at the age of 15,the second child(female)was diagnosed at the age of 11 and the fourth child(male)was diagnosed at the age of 9.All the siblings presented with similar osmotic symptoms and were diagnosed of diabetic ketoacidosis.All of them had markedly reduced serum C-peptide levels with high levels of glutamic acid decarboxylase and insulinoma-associated protein-2 antibodies.We could not perform genetic analysis of HLA-DR,DQ and CTLA4 in the siblings as well as the parents;hence haplotypes could not be characterized.Both parents of the probands have no prior history of diabetes,and their blood glucose and glycated hemoglobin levels were within normal ranges.The third child(male)has no history suggestive of diabetes,and his blood glucose and glycated hemoglobin have remained within normal ranges.CONCLUSION Although the occurrence of type 1 diabetes in proband siblings is uncommon,screening for diabetes among siblings especially with islet autoantibodies should be encouraged.展开更多
<b>Introduction:</b> Diabetes mellitus is a global health burden whose prevalence is increasing worldwide. Remote patient monitoring, an automated process which involve transmission of data swiftly from th...<b>Introduction:</b> Diabetes mellitus is a global health burden whose prevalence is increasing worldwide. Remote patient monitoring, an automated process which involve transmission of data swiftly from the person with diabetes to the health care providers is often considered to be a technological solution to the challenges of health care delivery with potential of reducing both morbidity and mortality. While the use of telehealth in diabetes management is becoming more prominent, however its use in the management of diabetes emergencies is not very common. <b>Objective:</b> To evaluate telehealth intervention in the management of patient with diabetes in the emergency setting with resultant early diagnosis and management. <b>Methods:</b> This paper presents a design, implementation and evaluation of Tele-healthcare monitoring system with the aids of GPS, smartphone and cellular network infrastructure to monitor patients with diabetes especially during diabetic emergencies. This system depends on remote monitoring of patient when away from the place of domicile or their treating doctor or family members using patient’s data. Patient can also be linked to nearby hospitals using GPS and the attending doctors would have access to patient’s data. Alarm is also issued by the system to the next-of-kin/family members or care giver by sending emergency SMS including the location, time and patient’s clinical condition. The developed system consists of mobile application and web based application. The Mobile application was developed with JAVA programming language and SQLite database. <b>Results:</b> The result from the evaluation of the developed system shows effectiveness of 83.33% and mean users’ perception of 94%. <b>Conclusion:</b> This system is simple and cost-effective to be implemented and enables early intervention when the blood glucose is abnormally high or low in order to save life of the patient without delay.展开更多
文摘Background: Premature ejaculation (PE) is one of the sexual dysfunctions commonly present among patients with diabetes mellitus (DM), but rarely reported and not commonly investigated compared to erectile dysfunction. In this study, we aimed to investigate the prevalence of PE in a group of patients with type 2 DM and explore possible determinants of its occurrence and its association with erectile dysfunction. Methods: This was a cross-sectional study of subjects recruited from the Diabetes clinic and whose sexual function was assessed using the premature ejaculation diagnostic tool (PEDT) and erection hardness score (EHS), who were in heterosexuals relationship and resides together with their wives and had no major organ failure or acute infection within the last 1 month. Other socio-demographic history and diabetes-related questions were assessed. Results: A total of 69 subjects were recruited. The prevalence of PE was 27.5% in the study. There was a significant inverse relationship between the prevalence of premature ejaculation and frequency of sexual intercourse. Almost half 14/30 (46.7%) of those with erectile dysfunction had premature ejaculation. Diabetic patients with erectile dysfunction (ED) showed a significantly higher incidence of PE with significantly lower values of EHS. Higher level of fasting blood glucose was associated with higher prevalence of erectile dysfunction. Conclusions: The prevalence of PE was relatively high at 19/69 (27.5%) among our type 2 diabetic patients. Hence, health care giver should always endeavour to ask about it even when patients do not volunteer the information.
文摘BACKGROUND Most occurrences of type 1 diabetes cases in any population are sporadic rather than familial.Hence,type 1 diabetes among siblings is a rare occurrence.Even more rare is for three or more siblings to develop type 1 diabetes.In this report,we describe a case of a Nigerian family in which type 1 diabetes occurred in three siblings among four children with neither parent having diabetes.All three siblings are positive for glutamic acid decarboxylase and anti-islet cell antibodies.CASE SUMMARY There were four siblings(three males and one female)born to a couple without a diagnosis of diabetes.The eldest child(male)was diagnosed with diabetes at the age of 15,the second child(female)was diagnosed at the age of 11 and the fourth child(male)was diagnosed at the age of 9.All the siblings presented with similar osmotic symptoms and were diagnosed of diabetic ketoacidosis.All of them had markedly reduced serum C-peptide levels with high levels of glutamic acid decarboxylase and insulinoma-associated protein-2 antibodies.We could not perform genetic analysis of HLA-DR,DQ and CTLA4 in the siblings as well as the parents;hence haplotypes could not be characterized.Both parents of the probands have no prior history of diabetes,and their blood glucose and glycated hemoglobin levels were within normal ranges.The third child(male)has no history suggestive of diabetes,and his blood glucose and glycated hemoglobin have remained within normal ranges.CONCLUSION Although the occurrence of type 1 diabetes in proband siblings is uncommon,screening for diabetes among siblings especially with islet autoantibodies should be encouraged.
文摘<b>Introduction:</b> Diabetes mellitus is a global health burden whose prevalence is increasing worldwide. Remote patient monitoring, an automated process which involve transmission of data swiftly from the person with diabetes to the health care providers is often considered to be a technological solution to the challenges of health care delivery with potential of reducing both morbidity and mortality. While the use of telehealth in diabetes management is becoming more prominent, however its use in the management of diabetes emergencies is not very common. <b>Objective:</b> To evaluate telehealth intervention in the management of patient with diabetes in the emergency setting with resultant early diagnosis and management. <b>Methods:</b> This paper presents a design, implementation and evaluation of Tele-healthcare monitoring system with the aids of GPS, smartphone and cellular network infrastructure to monitor patients with diabetes especially during diabetic emergencies. This system depends on remote monitoring of patient when away from the place of domicile or their treating doctor or family members using patient’s data. Patient can also be linked to nearby hospitals using GPS and the attending doctors would have access to patient’s data. Alarm is also issued by the system to the next-of-kin/family members or care giver by sending emergency SMS including the location, time and patient’s clinical condition. The developed system consists of mobile application and web based application. The Mobile application was developed with JAVA programming language and SQLite database. <b>Results:</b> The result from the evaluation of the developed system shows effectiveness of 83.33% and mean users’ perception of 94%. <b>Conclusion:</b> This system is simple and cost-effective to be implemented and enables early intervention when the blood glucose is abnormally high or low in order to save life of the patient without delay.
