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Article
Chronic Dyspepsia in Iraqi Patients: Types, Causes and Common Presentations

Author: Ali Nasir Sattar
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2015 Volume: 8 Issue: 2 Pages: 2282-2286
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: Dyspepsia is a common problem in the outpatient clinic. The clinical presentation is variable, and often chronic.Aims: is to find the proportions of organic and functional dyspepsia, the causes of organic dyspepsia, and the most common presentation of each type of dyspepsia.Methodology: From January 2013 to July 2014, the types, causes, and common presentations of chronic dyspepsia were studied clinically and endoscopically in 116 patients (Male=68, Female=48) at the outpatient clinic in Al-Hindeya general hospital.Results: During the 16 months study period, 62 patients had organic dyspepsia and 54 patients had functional dyspepsia. Men reported organic dyspepsia (67.4%) more often than women (32.6%), while functional dyspepsia was more common in females (52%). Out of 62 patients with organic dyspepsia, 38 had peptic ulcer disease, 12 had reflux esophagitis, 2 had hiatus hernia, and 10 had gallstones. There was a statistically significant relation between heartburn, epigastric pain and organic dyspepsia, while the relation between altered bowel motion, abdominal distention and functional dyspepsia was highly significant.Conclusions: Peptic ulcer disease, reflux esophagitis, gallstones, and hiatus hernia are the most common causes of organic dyspepsia. Heartburn and epigastric pain are significant predictors to organic dyspepsia, while abdominal distention and altered bowel motion are highly significant predictors of functional dyspepsia.Keywords: Dyspepsia, organic, functional, heartburn, epigastric pain, abdominal distention, and altered bowel motion.


Article
The Adequateness of Glycemic Control in Type 2 Diabetes Mellitus

Author: Ali Nasir Sattar
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2015 Volume: 12 Issue: 4 Pages: 1129 -1136
Publisher: Babylon University جامعة بابل

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Abstract

A survey study of 166 patients with type 2 diabetes on medical treatment was investigated for inadequate glycemic control. The study carried out at the outpatient clinic in Al–Hindeya general hospitalover a period of five months. The study aims to find the proportion of glycemic control in type 2 diabetes patients and the factors associated with inadequate control. Fasting blood glucose and glycosylated hemoglobin were used to assess glycemic control. Patients, socio-demographic characters were collected to evaluate the factors related to inadequate control. An HbA1c level of 7% and more was used as an indicator of inadequate control. We found 78.3% of the patients had HbA1c level ≥7%. In the multivariate analysis, female gender (P≤ 0.042), overweight (P≤ 0.005), illiterate (P≤ 0.002), and treatment with insulin (P≤ 0.03) were significantly associated with poor glycemic control.

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