Resumo de Effects Of Diabetes

interventions that have woven effective in the management of chronic illness
have often been difficult to establish in widespread practice. The Chronic Cars Model provides a framework for implementing
interventions, but it is expensive and difficult to implement.

We developed a decision support system based on this model to improve the
care of adults who have diabetes and receive primary care in Vermont
or adjacent New York. The Vermont
Diabetes Information System uses a network of community laboratories for
providing data to produce flowshsets, reminders, action alerts, and population
reports that are sent tO primary care providers by fax and to patients by mail.
Currently, 7295 patients are cared for by 124 primary care providers in 62
practices and are enrolled in a randomized controlled trial to study its effects

Schizophrenia impairs many cognitive functions, including face perception.
Veridical face perception is critical for social interaction, including
distinguishing friend from foe and familiar from unfamiliar faces. The main aim
of this study was to determine whether patients with schizophrenia show less
activation in neural networks related to face processing, compared with healthy
subjects, and to investigate the relationships between this functional
abnormality and anatomical abnormalities in the fusiform gyrus shown with
magnetic resonance imaging (MRI).

Method: Twenty male chronic schizophrenia patients and 16 healthy comparison
subjects matched with the patients for age, gender, handedness, and parental
socioeconomic status underwent high-spatial-resolution MRI. Event-related
potentials elicited by images of faces, cars,
and hands were recorded in a separate session.

Results: Compared to the healthy subjects, the patients with schizophrenia
showed bilateral N170 amplitude reduction in response to images of faces but
not to images of other objects. The patients also had smaller bilateral
anterior and posterior fusiform gyms gray matter volumes, compared to the
healthy subjects. In addition, right posterior fusiform gyrus volume was
significantly correlated with N170 amplitude measured at the right posterior
temporal electrode site in response to images of faces in the schizophrenia
patients but not in the healthy comparison subjects.

Conclusions: The results provide evidence for deficits in the early stages
of face perception in schizophrenia. The association of these deficits with
smaller fusiform gyrus volume in patients with schizophrenia, relative to
healthy subjects, suggests that the fusiform gyms is the site of a defective
anatomical substrate for face processing in schizophrenia

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