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Article
Non Leukaemic Chidhood Anaemia in Mosul

Author: Sana M. Taib
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2012 Volume: 11 Issue: supplement Pages: 694-697
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Anaemia is not a disease by it self but it is a sign not diagnosis of many disease and anaemia is very common among children.OBJECTIVE:To assess the frequency of anaemia among childenMETHODS:This study include (408) anaemic children (243 male and 165 female) with ratio (1.4:1) their haemoglobin level was below 10g/ dL .They were admitted to paediatric hospital in Mosul . Routine haematological tests were done and some special haematological tests were performed when indicated.RESULTS:Three hundred children (300) out of 408 (73.5%) were admitted because of infection. The most common type of anaemia was normochromic normocytic (53.18%) , the second type of anaemia was hypochromic microcytic (32.11%), haemolytic anaemia represented (8.83%), the rest type of anaemia were normochromic macrocytic anaemia (5.14%) and dimorphic anaemia was (0.74%).CONCLUSION:Anaemia is a common paediatric problem and iron deficiency anaemia is the commonest cause of childhood anaemia so that the main focus for prevention of this needs to be on education around childhood nutrition


Article
Iron Deficiency Anaemia and Beta Thalassaemia Trait in Anaemic Pregnant Women.

Author: Haider H. AL–Shammari
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2010 Volume: 52 Issue: 3 Pages: 280-283
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Anaemia is one of commonest health problems in antenatal care units of developing countries and contributes significantly to increased maternal and fetal morbidity and mortality.
Patients and methods: During the period from 1st of July 2007 to the end of October 2007, hundred anaemic pregnant women attending the gynaecology and obstetrics department in Al- Yarmook teaching hospital in Baghdad and 20 apparently healthy pregnant women,aged between 17 - 46 years as a control were included in this study. Anaemic women included in this study fulfilled the criteria of haemoglobin concentration of less than 110 g/L in first trimester and 105g/L in the second and third trimesters, no history of acute or chronic illnesses, not receiving any treatment & without any family history of haematological disorders. These women were randomly selected in relation to age , parity ,trimester of pregnancy & social status. Ten mls of venous blood samples were aspirated from each pregnant women in the studied group , two mls were put in ethylendiaminetetra acetic acid (EDTA) tube and analyzed for peripheral blood smear , reticulocyte count & haemoglobin A2 ( Hb A2 )using standard methods for hematological investigation .While the remaining 8 ml were put in a plain tube to evaluate serum iron , total iron binding capacity & serum ferritin. Serum iron, total iron binding capacity was done by colometric method, while serum ferritin was done by immunoenzymatic assay and hemoglobin A2 (HbA2) level by haemoglobin electrophoresis.
Results: Peripheral blood smear study revealed a hypochromic microcytic anaemia in 81% of cases, 8% of cases showed macrocytic anaemia, 8% a normochromic normocytic anaemia while the remaining 3% of cases showed a dimorphic picture .Iron deficiency anemia constitutes 79% of the cases confirmed by serum ferritin. Only two cases ( 2% ) had elevated level of HbA2 .Serum iron, total iron binding capacity & serum ferritin had significant differences in those cases with low social status, increasing parity & increasing gestational age (trimesters).Iron deficiency anaemia was not found to have a significant association with increasing age , while patients with para 4 & more, in the third trimester & low social status were more significantly affected with iron deficiency anemia .
Conclusion: Iron deficiency anemia was found in 79% of anemic pregnant females confirmed by measurement of serum ferritin level. There were a significant difference between parity; social status and gestational age with the incidence of iron deficiency anemia.â-thalassaemia trait constitute only 2% of anemic cases in the studied sample.


Article
Morphological changes of the placentae from anaemic pregnant women associated with intrauterine growth restriction

Author: Mareb H. Ahmed, Dr. Abduljaber Y. Alhubaity
Journal: The Medical Journal of Tikrit مجلة تكريت الطبية ISSN: 16831813 Year: 2016 Volume: 2 Issue: 2
Publisher: Tikrit University جامعة تكريت

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Abstract


Article
Prevalence of anemia of chronic disease and iron deficiency anemia among adult diabetic patients in Erbil City
انتشار فقر الدم الناجم عن مرض مزمن وفقر الدم بسبب نقص الحديد بين مرضى السكري البالغين في مدينة أربيل

Authors: Ranan Kardagh Polus --- Abdulqadir Hameed Abdulqadir
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2014 Volume: 18 Issue: 1 Pages: 674-679
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Anaemia is often an unrecognized complication of diabetes mellitus that has adverse effect on the progression of diabetes related complications. Contributors to its development include erythropoietin insufficiency and iron deficiency. The aim of this study was to assess the prevalence of iron deficiency anaemia and anaemia of chronic disease among diabetic patients.Methods: Over a period of six month from November 2010 to May 2011, 250 diabetic patients, attending Layla Qasim diabetic center were studied, their age ranged between 18-73 years. Venous blood samples were collected from each of them. A complete blood picture, iron study, HbA1c% and fasting blood glucose were performed. According to the duration of diabetes, patients were divided into three groups: group I patients (duration of diabetes < 5 years), group II (duration of diabetes between 5-9 years) and group III (duration of diabetes ≥10 years).Results: One hundred ten patients (44%) were found to have anaemia. The frequency of anaemia was more among group III (46.6%). Higher prevalence of anaemia was found among female patients (53.9%) than male patient (24.1%). Among anemic patients, 72 patients (65%) considered as having anaemia of chronic disease (ACD), 26 patients (24%) were iron deficiency anemia (IDA), 11 patients (10%) were thalassemia trait and one patient (1%) had autoimmune hemolytic anaemia. ACD was more frequent among group II (80%) and group III (70.4%), while IDA was more frequent among group I (12.6%). both ACD and IDA were more frequent among female patient than male patients (34.7% and 13.8% respectively). There was no significant correlation between HbA1c and Hb, serum iron parameters and S.ferritin.Conclusion: It was concluded that anaemia is common among diabetics and remains unrecognized by both physicians and patients; it is more common among female diabetics. The commonest type of anaemia among diabetic patients is ACD followed by IDA.


Article
Maternal knowledge related to anemia during pregnancy among a sample of mothers attending Primary Health Care centers. Baghdad.

Author: Maral F Thabit *
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2017 Volume: 13 Issue: 2 Pages: 79-84
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Anaemia is a major public health concern and is one of the most prevalent health issue in women within reproductive age group.Objective: to assess maternal knowledge related to anaemia during pregnancy.Type of the study: A cross –sectional study.Method: The study including 200 mothers who attended selected primary health care centres, Baghdad during November and December 2015, they completed a previously prepared questionnaire coveringsocio-demographic characteristics and knowledge regarding anaemia in 4 main domains. The responses were analysed by using frequency, percentage and percent score for each statement and overall percent score for each domain and mean overallpercent score for all the four domains.Results: the main source of information of the participated mothers was health personal (59.5%).The overall percent score for the main domains was good 71% for aetiology of disease, excellent 91% for signs and symptoms of anaemia, good 75% for complications of anaemia and very good 75% regarding ways of prevention and treatment.Conclusion: Satisfactory knowledge level of mothers regarding anaemia during pregnancy.


Article
Is Grand Multiparity Still An Obstetrics Risk?

Authors: Ali Abdullah Abbass --- Sawsan Talib Salman --- Majid Khalil Ali
Journal: Diyala Journal of Medicine مجلة ديالى الطبية ISSN: 97642219 Year: 2015 Volume: 8 Issue: 1 Pages: 21-28
Publisher: Diyala University جامعة ديالى

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Abstract

Background: Grand multiparity has been known to be an obstetric risk because of the documented complications associated with the condition, and it is an indication for booking in a tertiary health institution.Patients and Methods: Cross – sectional study was conducted in Al-Batool teaching hospital during the period from July 2014 to November 2014. Total number of deliveries was 200. Samples (100 grand multipara women and 100 woman as control group), who were admitted to the maternity unit for labour and delivery, the two groups were matched for age, antepartum outcome, intrapartum outcome, postpartum outcome and fetal outcome to compare the risk between grand multiparity and control.Results: Two hundred of grand multiparous woman and control group were included in the present study the mean age was (32.32 ± 6.006) years. There was (56%) of grand multiaparity have anemia and other medical diseases such as hypertension, diabetes mellitus, epilepsy and urinary tract infection. Statistically significant differences noticed when compared with the control group (p- value ≤ 0.05). Also there were higher incidence of preterm labour and abruption placenta in grand multiparity comparing to control group. However higher incidence of caesarian section delivery in grand multiparous woman than control group (60%, 40%) respectively. The most common cause for caesarian section was due to previous scar, which was (58.8%) in control versus (51.6%) in grand multiparity. Regarding the perinatal outcome there was Apgar score ≤ 7 at 1 minute (61%, 28%) in grand multiparity and control respectively which was statistically significant.Conclusion: The grand multiparity still be considered a high risk in pregnancy due to medical and obstetrical complications, also it is necessary to provide a good health care for grand multiparous woman, and their neonates.


Article
Iron Status in Patients with Chronic Renal Failure on Haemodialysis

Author: Safa Ez-Aldeen Al-Mukhtar
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 3 Pages: 318-324
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Anaemia is common in renal failure. Serum iron (SI), and the percentage of transferrin saturation(TSAT) reflect the amount of iron immediately available for haemoglobin (Hb) synthesis. Serumferritin level reflects total body iron stores. Adequate iron stores are essential for achieving maximumbenefit from recombinant human erythropoietin (Epo). A low level of either of these indices mayindicate the need for supplement iron to support erythropoiesis.METHODS:Seventy Patients with end stage renal disease (ESRD) on regular haemodialysis (HD) were included inthis study from three dialysis centers in Baghdad: We have collected data on, serum iron, total ironbinding capacity (TIBC), TSAT, Serum ferritin, and blood film, was done. Fifty subjects were includedin the control group.RESULTS:A44 patients (62.9%) were receiving regular parenteral Iron Dextran with Epo, and 26 patients (37.1%)were receiving irregular oral or intramuscular iron Dextran with Epo. According to the serum ferritin,41 patients (58.6%) involved have serum ferritin level >300ng/ml, of them; the TSAT was > 20% in27 patients while TSAT ≤ 20% in 14 patients in this group, and Hb was > 11 g/dl in 11 patients whereas ≤ 11 g/dl in 30 patients in this group. Serum ferritin in 29 patients (41.4%) was ≤ 300 ng/ml, of them, the TSAT was ≤ 20% in 26 patients and > 20% in three patients only, the Hb level was ≤ 11 g/dlin all patients in this group. There was significant correlation with anaemia. (Hb ≤ 11 g/dl) and lowserum ferritin (P<0.005), patients with TSAT ≤ 20%, all were anaemic (Hb≤11 g/dl) and there was asignificant association between these two markers (P<0.005). In patients receiving regular parenteraliron and Epo (44 patients) (62.9%), the TSAT was > 20% in 21 patients (30%), while those who takingno or irregular iron therapy with Epo (26 patients) (37.1%), the STAT was >20% in 9 (12.9%) the difference was not statically significant.CONCLUSION:The serum ferritin in our study group was higher than that reported in other studies. Serum ferritin of ≤300 ng/ml, and TSAT of≤ 20% in our study group was significantly correlated with anaemia. Serumferritin of ≤ 300 ng/ml and a TSAT of≤ 20% were significantly associated.


Article
The Role of The Serum Calcium on Erythropoietin Responsiveness in Anaemic Haemodialysis Chronic Renal Failure Patients and The Effect of Dialysis Frequency and Duration

Author: Aljefery Mohammed Hashim
Journal: Journal of University of Babylon مجلة جامعة بابل ISSN: 19920652 23128135 Year: 2012 Volume: 20 Issue: 4 Pages: 1270-1280
Publisher: Babylon University جامعة بابل

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Abstract

In this study we examine the effect of the serum calcium level (in mmol/dl) on the rHuEPO ) EPREX) in 100 patients of different age group (20-65 years mean 42.5)of both sexes (35 female and 65 male) in haemodialysis program .We examine the responsiveness of anaemic CRF patients in HD program to the rHuEPO by the level of the PCV and compare the differences in the results according to the changes of the level of the serum calcium which may be fluctuated from patients to patients according to the different causes and from our result we can conclude that: the serum calcium level which examine in all patients in the study has a direct effect on erythropoietin treatment to anaemic HD CRF patients (p<0.05) and for this reason the calcium play a vital role in the anaemia management in this group of patients.

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