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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (4): 526-531
in English | IMEMR | ID: emr-191274

ABSTRACT

Background: Anemia is defined as a decrease in the hemoglobin concentration of blood, which accordingly decreases the oxygen-carrying capacity of red blood cells such that they are unable to meet the body's physiological requirements. Numerous reports have specified that anemia customarily occurs in patients with diabetes with renal insufficiency whereas limited studies have described the occurrence of anemia in people with diabetes prior to indication of renal impairment. Other studies have similarly recognized anemia as a risk factor for the need for renal replacement treatment in diabetes. Understanding the pathogenesis of anemia allied with diabetes can lead to the development of interventions to optimize results in these patients


Purpose: The purpose of this study was consequently to determine the pervasiveness of anemia among patients with type 2 diabetes


Materials and Methods: A total of 50 [25 with type 2 diabetes and 25 controls] participants were enlisted for the current study. Participants' blood samples were analyzed for fasting blood glucose, full blood count and renal function tests among others. The pervasiveness of anemia was then determined statistically


Results: A high incidence of anemia was perceived in the cases. Of the patients with diabetes, 85% had a hemoglobin concentration that was significantly less [males 10.88 +/- 1.78 and females 10.32 +/- 1.52] compared to that of controls [males 14.16 +/- 1.82 and females 12.49 +/- 1.11]. A significantly increased fasting blood glucose, urea, sodium, potassium, and calcium ions were observed in the cases [8.02 +/- 1.28, 5.21 +/- 2.01, 141.08 +/- 7.01, 4.84 +/- 0.49 and 1.51 +/- 0.28 respectively] as compared to the controls [4.57 +/- 0.52, 3.61 +/- 2.09, 134.86 +/- 6.75, 4.38 +/- 0.61 and 1.31 +/- 0.31 respectively]. Finally, a significant association between hemoglobin concentration and fasting blood glucose was also observed in the cases


Conclusions: The findings suggest that a high incidence of anemia is likely to occur in patients with poorly controlled diabetes and in patients with diabetes and renal insufficiency

2.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (7): 1169-1173
in English | IMEMR | ID: emr-192658

ABSTRACT

Objectives: We aimed to assess the effect of anemia on subjective sleep quality in patients with iron deficiency anemia [IDA]


Methods: The present study is a prospective and cross-sectional study which has been carried out at King Abdulaziz hospital between November 2016 and April 2017. Fifty-two patients diagnosed with iron deficiency anemia and 40 healthy individuals, who are gender and age matched, were involved in the study. All participants were requested to fill 3 forms: a socio-demographic form [age, gender, marital status, income level and educational status], hospital anxiety and depression [HAD] scale and Pittsburgh sleep quality index [PSQI]


Results: According to the HAD scale, the average anxiety score was found 9.31+/-2.41 in patients and 7.62+/- 2.11 in controls. And, the average depression score was 7.49+/-2.08 in patients and 6.39+/-2.73 in controls. The total sleep quality score was 6.68+/-2.99 in patients and 4.27+/-1.71 in controls. There was a statistically significant difference in terms of anxiety, depression and sleep quality scores. Linear regression analysis showed no association between anxiety and depression with poor sleeping


Conclusion: IDA affects sleep quality irrespective of psychological symptoms such as depression and anxiety

3.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (10): 1851-1857
in English | IMEMR | ID: emr-192726

ABSTRACT

Background and Aims: Blood donation [BD] is described as altruistic behavior and one of the life-saving practices. The deficit of blood supply from BD has become a global concern. Knowledge, attitude, practice, and motivation play a key role in BD. This study is aimed to determine the factors that hinder the healthy individuals who have not donated blood yet from BD, by exploring the demographic and other variables among the citizens of Jeddah city, Kingdom of Saudi Arabia [KSA]


Methods: A cross-sectional descriptive study was carried out at Faculty of Medicine, King Abdul-Aziz University [KAU], Jeddah, KSA, between June 01, 2016 to June 30, 2016. The study included 327 participants who were selected by convenient random sampling in the Jeddah City. The data was collected by using the online distribution of the previously validated questionnaire


Results: Half of the participants [51.1%] have good knowledge about BD. More than two-thirds of participants showed a positive attitude towards BD. Majority of participants [87.7%] claimed that they will donate blood if the recipient is a friend or relative. The most chosen reasons for not donating blood among participants were BD did not cross their minds [23.9%], no time for BD [17.1%] and fear of needles [13.8%]. Mobile blood campaign [84.4%] and one day off [83.2%] were important motivating factors for most of the participants. Almost half of the participants [52.29%] mentioned that BD should be non-remunerable, 26.61% agreed that remuneration is a motive and 21.10% believe that any form of gift is acceptable as a motivating factor for BD


Conclusion: Although most of the participants have good knowledge and positive attitude towards BD, still numerous potential and eligible donors evade BD. More awareness and motivational programmes are required to bring more individuals to the pool of regular donors

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