Abstract: This research aims to relate the knowledge about Psychosomatic that understands diabetes is rooted in genetic and cultural practice with the Program Monitoring of Patients with Diabetes Mellitus 1 in the Guaruja city called "Sweeties of Guarujá", on the coast of São Paulo. From this conception, has established itself as a research problem that essential relationship can exist between investment in professional training activities and their influence in diabetes care.

Abstract: Introduction: Obesity is a state of excess adipose tissue mass. It can be calculated by BMI or waist circumference. Waist circumference more than 88cm in female and 102cm in males make them overweight and these overweight increases 2.9 times the risk of metabolic syndrome, type 2 diabetes. The antioxidant enzymes SOD (Superoxide Dismutase), MDA (Malondialdehyde) levels are assayed in these overwight and risk category (gentic risk). Materials & Methods: 25 obese and overweight are included with age matched controls who came to chalmeda anadrao institute of medical sciences hospital. The Fasting blood glucose (FBS), lipid profile, SOD, MDA levels are measured. Results: The mean ± SD values of FBS of samples with history of diabetes (146.3 ± 11.68) and without history of diabetes (95 ± 4.02) compared to controls are (88.33 ± 6.78) which is significant with p<0.001. The antioxidant enzyme levels in controls and samples are SOD mean ± SD samples (50 ± 4.96) controls (100 ± 4.62), MDA samples are (619.12 ± 0.91) controls (240.4 ± 1.14). The comparison of lipid profile of samples with controls are also significant with p value <0.001. Discussion: In normal healthy condition there is always redox homeostasis occurring in cell, any imbalance to this redox homeostasis leads to oxidative stress (OS). OS leads to overproduction of ROS and impairs antioxidant defense mechanism. Increased metabolic and mechanical load on myocardium, large body mass, nutritious diet leads to formation of lipid peroxidation, freeradical and reactive oxygen species generation which inturn impairs insulin receptors functioning leads to insulin resistance, metabolic syndrome, type 2 diabetes. Conclusion: From this study we conclude that regular physical activity, diet restriction, and early assessment of SOD, MDA levels we can prolong the complications of type 2 diabetes.

Abstract: The most interesting studies of perfusion-diffusion deficiency in the morpho-functional system mother-placenta-fetus available in women with pre-eclampsia and eclampsia are just described in this review. The main cause of vascular endothelium damage is vasospasm and an accelerated formation of free radicals in women’s with pre-eclampsia. The ophthalmological peculiarities mentioned in the article are such as follows: irregular spasm of small arterioles, including normal pregnancy cases, is usually described with a method of conjunctive vessels biomicroscopy. The most common method of ophthalmological examination is ophthalmoscopy. Pathologic changes of retina and retinal vessels in women with gestosis are most similar to the changes observed in the eyes of patients with essential hypertension. Pregnant women are in a group of risk because of arterial hypo- and hypertension, anemia and gestosis, providing the expressed deficiency of blood circulation of eye.

Abstract: The Child Health Investment Partnership of the Roanoke Valley (CHIP-RV), Virginia, USA, has been helping at risk children and families for the past 24 years. CHIP-RV began as a grassroots effort involving local pediatricians, social service agencies, and the public health department. Working together these professionals have developed and implemented a comprehensive program that provides for health care coordination, family strengthening services, and mental health services all directed at the mission of promoting health of medically under-served children within the greater Roanoke Valley. CHIP services are directed at low-income pregnant women and children from birth to kindergarten entry. Services include home visits with an RN, medical records reviews, in-home comprehensive assessments, health education, preparation for kindergarten, support for management of difficult behaviors, skill development, home and child safety, dental varnish application, and transportation to health and social services. Evaluations of the CHIP-RV model has shown CHIP-RV to be successful at meeting selected health and social needs of at-risk children and families. It is a model that should successfully interface with the Affordable Care Act as well as private/public efforts to reduce the cost of health care, help families to utilize the health care system and keep children well.

Abstract: Despite advances in chemotherapy and radiation, prognosis for all patients with high grade gliomas remains poor. In anaplastic astrocytomas (WHO III) GTR is associated with a 5 year progression free survival (PFS) of 44% compared to 22% when surgical resection is sub-total. While initial studies demonstrated post-radiation chemotherapy improved outcomes, successive chemotherapeutic trials were unable to significantly improve outcomes. Recent trials in adults with recurrent glioblastoma multiforme have shown that the combination of Bevacixumab and Irinotecan have improved 6 month PFS was 46% and overall survival (OS) at 6 months of 77%. Although these adult studies were encouraging, results were not replicated in children with similar pathology. This case series presents two pediatric patients with anaplastic astrocytoma treated with an induction therapy of Temozolamide (90mg/m2 x 42 days) plus standard radiation therapy (5400 cGy) very shortly after surgical resection, followed by a consolidation treatment regimen of 8-cycles of chemotherapy with Bevacizumab (10mg/m2) and Irinotecan (125mg/m2), given on days 1 and 15 of 21 day cycles. These patients did extraordinarily well on this therapeutic regimen, surpassing expectations, with one patient having 18 months of PFS and one patient achieving CR1 at the time of this publication for 20 months. The treatment regimen was well tolerated without unanticipated toxicities or episodes of severe neutropenia induced by this therapy. We are encouraged by the improvements in PFS and OS in these two patients as well as the acceptability of toxicity in this case series and thus recommend prompt induction and consolidation chemotherapy following resection of these neoplasms.