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1.
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

2.
Egyptian Journal of Hospital Medicine [The]. 2017; 69 (5): 2455-2458
in English | IMEMR | ID: emr-190059

ABSTRACT

Anticoagulation is the mainstay treatment of pulmonary embolism. Using low molecular weight heparin versus unfractionated heparin remains a matter of debate


Objectives: the aim of this review is to study the prognosis of using low molecular weight versus unfractionated heparin in treatment of pulmonary embolism


Methods: pubMed and Cochrane library were searched for articles comparing the efficacy of low molecular weight heparin and unfractionated heparin in management of pulmonary embolism. Ten related results were selected for review


Results: literatures studies indicated that low molecular weight heparin was effective in therapeutic treatment of acute sub-massive and massive pulmonary embolism. It was as effective as intravenous unfractionated heparin. It was not associated with higher risk of major, minor bleeding, or thrombocytopenia. Low molecular weight heparin was as effective as unfractionated heparin in prophylaxis of deep venous sinus thrombosis as well as pulmonary embolism


Discussion: low-molecular-weight heparin seemed to be as effective safe as intravenous unfractionated heparin for the treatment as well as prophylaxis of pulmonary embolism. It was also safe with no major bleeding risk or higher risk of thrombocytopenia


Conclusion: both low molecular weight and unfractionated heparin had similar efficacy and safety in management of PE

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