Incidence Of Anemia Research Articles

Influence of Comorbidities and Related Factors on the Development of Hospital Acquired Anemia Among Critically ILL Patients

Background: Anemia is common and serious factor which associated with increased mortality rates in critically ill patients with associated comorbidities. Objective: to investigate the incidence of hospital acquired anemia along with the potential effects of cardiovascular, endocrine, and respiratory disorders as associated comorbidities in critically Ill patients. Methodology: A total of 150 of hospitalized critically ill patients who were not anemic during admission were included in the study. Results: 43.3 % of patients developed anemia by drop in their hemoglobin by 2.0 g/dL or more. The results showed that the incidence of hospital acquired anemia significantly increased in patients with cardiovascular, followed by those with endocrine and respiratory disorders. Hospital-acquired anemia is common in 43.3 % of hospitalized patients for one week. Conclusion: The incidence of hospital-acquired anemia significantly associated with hospitalization period, the blood loss during withdrawing, and associated comorbidities. critically ill patients with longer hospitalization and those with associated comorbidities are at higher risk of developing Hospital-acquired anemia.

Exploring The Prevalence And Underlying Causes Of Anemia In Hemodialysis Patients. A Cross-Sectional Study

Background: Anemia is a common complication among patients with chronic kidney disease (CKD), especially those who are on hemodialysis. It also has a marked effect on their Quality of Life and with it, the morbidity-morbility. This research aimed to evaluate the frequency and incidence of anemia in hemodialysis patients at MMC. Objectives: to find out the incidence and etiological factors responsible for anemia in hemodialysis patients at MMC. Study design: a cross-sectional study Duration and place of study. From June 2023 to Aug 2023 department of nephrology mmc mardan Methods This study was designed as a cross-sectional analysis on 200 hemodialysis patients of MMC. Demographics, clinical parameters and laboratory values were collected. Anemia was characterized by an hemoglobin <13 g/dL in men and <12 g/dL for women. Statistical Analysis: Descriptive statistics, including mean and standard deviation assisted by the p-value for determining significance. Results Out of 200 Patients had a mean age of 58.4 years (SD =12.6). 85% of patients had anemia, with a mean hemoglobin 10.2 g/dL (SD 1.4) in anaemic patient's. The main causes of anemia were iron deficiency (60%), inflammatory states (40%) and erythropoietin resistance(alone or in combinations) for 25%, respectively. Anemia prevalence was significantly associated with all the comorbidities and with increased duration of hemodialysis. Conclusion Anemia is highly prevalent among hemodialysis patients at MMC, most often attributed to iron deficiency and inflammation. Treatments are effective as long the condition can be caught early and so, regular monitoring is vital for a more positive prognosis. Additional investigation is necessary to improve anemia care in this population. Keywords: Anemia, Hemodialysis, Prevalence, Causes

PENINGKATAN KADAR HEMOGLOBIN REMAJA PUTRI ANEMIA MELALUI SUPLEMENTASI BUBUR KACANG HIJAU DAN MERAH

Mung beans and red beans contain vitamin A, calcium, and potassium, which can increase hemoglobin levels in the body. The prevalence of anemia in Indonesia is 23.7%, with the incidence of anemia in females being much higher than in males, at 27.2% in females and 20.3% in males in 2018, showing an increase from 2013 to 2018. Therefore, this community service aims to increase hemoglobin levels in anemic adolescent girls through supplementation with mung bean and red bean porridge. The methods used include nutrition education, training on making bean porridge, and regular health monitoring, with evaluations using questionnaires, structured interviews, and participatory observation. The evaluation results showed a significant increase in hemoglobin levels in all 10 adolescent girls (100%) involved in the program after supplementation, as well as high satisfaction with the materials and the benefits of the information provided. In conclusion, this program is effective in increasing hemoglobin levels and providing beneficial nutrition education for anemic adolescent girls.

Regular Consumption of Iron Tablets With Anemia in Pregnant Mothers

Pregnant mothers are one of the groups vulnerable to malnutrition, as there is an increased nutritional need to meet the needs of the mother and the conceived fetus. During pregnancy, the benefits of taking iron tablets or Fe regularly can increase Hb levels so that pregnant mothers do not subsequently have anaemia and can prevent the occurrence of bleeding at the time of delivery, but there are still many pregnant women who are irregular in taking iron pills up to at least 90 tablets. Objective: This study aims to find out the link between regular consumption of iron tablets and the incidence of anaemia in pregnant women in the village of Margorejo. Methods: The type of surveillance used is analytical observational with a Crosectional approach. The population in this study is a pregnant woman of the third trimester in the village of Margorejo. The sample was taken using a saturated sampling method of 30 respondents. The data analysis used is a know-control correlation test. Results: Research results show that the correlation value is 0.541 and the p-value is 0.015 with a significant value of α 0.05. Conclusion: there is a link between regular consumption of iron tablets and anaemia in pregnant mothers

Clinical benefits of parenteral iron carboxymaltose in patients with colorectal cancer: a retrospective observational study

Background. The high incidence of anemia in colorectal cancer and its severe consequences for patients determine the need for timely diagnosis and correction of this condition. At the same time, it is extremely important to choose a method for correcting anemia, allowing to achieve maximum efficiency and safety. Aim. To evaluate perioperative methods for correcting iron deficiency anemia in patients with colorectal cancer based on a comparative analysis of the clinical results of intravenous administration of iron carboxymaltose and transfusion of blood components. Materials and methods. The results of treatment of 594 patients with colorectal cancer operated on in 2022 at the department of surgical treatment methods No. 3 (abdominal oncology No. 1) of the Volgograd Regional Clinical Oncology Dispensary were studied. Stratification of patients into groups was carried out using the method of pseudo-randomization by sex and age to eliminate confounding errors. After pseudo-randomization in a 1:1 ratio, the sample of patients with anemia was divided into 2 groups (main group – 124 patients, in whose treatment blood-saving techniques and parenteral administration of iron carboxymaltose were used, and control group – 124 patients, for treatment of anemia in which transfusions of blood components were used). In 98 (39.5%) cases hemicolectomies were performed, in 88 (35.5%) – anterior resections of the rectum, in 36 (14.5%) – resections of the sigmoid colon, in 18 (7.3%) – extirpations of the rectum, in 8 (3.2%) – resection of the transverse colon, 217 (87.5%) operations were performed through laparotomy access, 31 (12.5%) using minimally invasive technologies. Results. The frequency of postoperative complications of grade III–V according to Clavien–Dindo score in the main group (4.8%, 6/124) was statistically significantly lower compared to the control group (14.5%, 18/124) [χ2=6.643; p=0.01]. Postoperative mortality in the main group was 0.8% (1/124), in the control group – 5.6% (7/124) [χ2=4.65; p=0.032]. Conclusion. The use of blood-saving technologies with parenteral administration of iron carboxymaltose in patients with colorectal cancer leads to a reduction in the number of postoperative complications and the level of postoperative mortality.

Proximal Gastrectomy is Associated with Lower Incidence of Anemia and Vitamin B12 Deficiency Compared to Total Gastrectomy in Patients with Upper Gastric Cancer.

Proximal gastrectomy is an alternative to total gastrectomy (TG) for early gastric cancer (EGC) treatment in the upper stomach. However, its benefits in terms of perioperative and long-term outcomes remain controversial. The aim of this study was to compare the perioperative, body compositional, nutritional, and survival outcomes of patients undergoing proximal gastrectomy with double-tract reconstruction (PG-DTR) and TG for pathological stage I gastric cancer in upper stomach. The study included 506 patients who underwent gastrectomy for pathological stage I gastric cancer in the upper stomach between 2015 and 2019. Clinicopathological, perioperative, body compositional, nutritional, and survival outcomes were compared between the PG-DTR and TG groups. The PG-DTR and TG groups included 197 (38.9%) and 309 (61.1%) patients, respectively. The PG-DTR group had a lower rate of early complications (p=0.041), lower diagnosis rate of anemia and vitamin B12 deficiency (all p<0.001), and lower replacement rate of iron and vitamin B12 compared to TG group (all p<0.001). The PG-DTR group showed reduced incidence of sarcopenia at 6-months postoperatively, preserved higher amount of visceral fat after surgery (p=0.032 and p=0.040, respectively), and showed a higher hemoglobin level (p=0.007). Oncologic outcomes were comparable between the groups. The PG-DTR for EGC located in the upper stomach offered advantages of fewer complications, lower incidence of anemia and vitamin B12 deficiency, less decrease in visceral fat volume, and similar survival compared to TG. Consequently, PG-DTR may be considered a superior alternative treatment option to TG.

Risk Factors For Anemia In Pregnant Women In The Third Trimester

Anemia is a condition in which the percentage of erythrocytes and hemoglobin (Hb) levels of pregnant women fall below normal. Ponorogo Regency Health Profile Data in 2022, there were 1,746 anemic pregnant women out of 10,878 (16.50%). This study aims to provide an overview of risk variables and initiatives aiming to decrease the proportion of anemia cases among pregnant women. Method: Analytical observational research was used to conduct the study, which was conducted retrospectively from quantitative data. All 62 pregnant women with anemia in the third trimester formed the study sample for the case population. Two independent (free) factors were used in this study: parity, education, nutritional status, maternal age, and gestational age. The prevalence of anemia in third trimester pregnant women is the dependent variable. The instrument used by researchers is an observation sheet. Data analysis to test the truth of the hypothesis uses Regression Logistic Analysis. Result: The findings of the study revealed that maternal age (p-value 0.009) and gestational age (p-value 0.027) were risk factors that had an impact on the incidence of anemia at the North Ponorogo Health Center, indicating that gestational age affects the incidence of anemia. Maternal age has a significant risk impact on the occurrence of anemia. The data showed that the incidence of anemia with a risk of 0.884 times was not affected by nutritional status (p-value = 0.727), parity (p-value = 0.043), education (p-value = 0.043), while the incidence of anemia with a risk of 8.483 times was influenced by parity. Discussion: The findings of this study lead to the conclusion that influencing risk factors were gestational age, maternal age and parity, while nutritional status and education were risk factors that had no effect on anemia in pregnant women. Suggestion: It is expected to provide advice or reference to health centers in order to conduct early detection or further improve comprehensive examinations in order to reduce the prevalence of anemia in the third trimester of pregnancy among several parameters that have been examined by researchers.

A propensity score-matched comparison of neoadjuvant chemoradiotherapy with cisplatin-5FU and carboplatin-paclitaxel in locally advanced esophageal squamous cell carcinoma: A Turkish oncology group study.

Neoadjuvant treatment is the standard treatment in locally advanced ESCC. However, the optimal chemotherapy regimen is not known. This is a retrospective observational cohort study conducted with propensity score matching. Patients with resectable ESCC from 13 tertiary centers from Türkiye were screened between January 2011 and December 2021. We comparedthe efficacy and safety of neoadjuvant chemoradiotherapy with the CF and the CROSS regimens in patients with ESCC. Three hundred and sixty-two patients were screened. Patients who received induction chemotherapy (n = 72) and CROSS-ineligible (n = 31) were excluded. Two hundred and fifty nine patients received neoadjuvant chemoradiotherapy. After propensity score matching (n = 97 in both groups), the mPFS was 18.4 months (95% CI, 9.3-27.4) and 25.7 months (95% CI, 15.6-35.7; p = 0.974), and the mOS was 35.2 months (95% CI, 18.9-51.5) and 39.6 months (95% CI 20.1-59.2; p = 0.534), in the CF and the CROSS groups, respectively. There was no difference between subgroups regarding PFS and OS. Compared with the CF group, the CROSS group had a higher incidence of neutropenia (34.0% vs. 62.9%, p < 0.001) and anemia (54.6% vs. 75.3%, p = 0.003) in all grades. On the other hand, there was no significant difference in grade 3-4 anemia, grade 3-4 neutropenia, and febrile neutropenia between groups. There were more dose reductions and dose delays in the CROSS group than in the CF group (11.3% vs. 3.1%, p = 0.026 and 34.0% vs. 17.5%, p = 0.009, respectively). The resection rate was 52.6% in the CF-RT and 35.1% in the CROSS groups (p = 0.014). Favorable PFS and pCR rates and a comparable OS were obtained with the CROSS regimen over the CF regimen as neoadjuvant chemoradiotherapy in patients with ESCC.

The Relationship of Antenatal Care Service Standards with the Incident of Anemia in Pregnant Women

The aim of this research is to find out whether there is a relationship between Service Standards Antenatal Care With the incidence of anemia in pregnant women at the Astambul Community Health Center, Banjar Regency. Quantitative research method with cross-sectional. Number of populations and samples using techniques Total Sampling namely 50 respondents, data collection was carried out using observation sheets and register books with testsrank spearman. The results of the study showed that 30 pregnant women (60%) experienced anemia. There were 27 pregnant women whose pregnancy checks did not meet the ANC 10 T service standards (54%). Testrank spearmanThe p-value was 0.002&lt;0.05 with a correlation coefficient of 0.426** which was positive. The conclusion of this research is that H0 is rejected, and Ha is accepted, meaning that there is a strong and significant relationship in the same direction between Service Standards. Antenatal Care with the incidence of anemia in pregnant women at the Astambul Community Health Center, Banjar Regency. Pregnant women must always check their pregnancy according to the time specified based on the midwife's recommendations and continue to take the Fe tablets that have been given by the midwife

Relationship of lead (pb) content in hair, body mass index, and social environment with anemia in adolescent girls in Gorontalo city

The objective of this study is to analyze the relationship between lead levels, body mass index, and social environment with the incidence of anemia in adolescent girls, both individually and simultaneously. The study aims to maintain a balanced and objective approach, avoiding biased language and employing precise word choice. The language used is formal and clear, with a logical structure and causal connections between statements. The text adheres to conventional academic structure and formatting, including consistent citation and footnote style. No changes in content have been made, and technical term abbreviations have been explained when first used. The research data was collected using digital measuring instruments and questionnaires and then analyzed univariately and bivariately. The study results indicate that lead (Pb) levels in hair, body mass index (BMI), and social environment are significantly related to the incidence of anemia in adolescent girls, both partially and simultaneously. Specifically, lead levels in hair have a negative correlation with the incidence of anemia in adolescent girls. As lead levels in hair increase, hemoglobin values decrease, and the level of anemia in adolescent girls falls into the severe anemia category. However, it is worth noting that BMI and social environment are positively correlated with anemia in adolescent girls. This means that higher BMI and a better social environment are associated with higher hemoglobin levels in the blood, resulting in a lower prevalence of anemia in adolescent girls. Additionally, all three independent variables are related to the dependent variable by 32.60%. This study found that lead levels in hair, BMI, and social environment account for 32.60% of anemia in young women. The remaining 67.40% is attributed to other variables not included in this study.

Hubungan Paritas Dengan Kejadian Anemia Pada Ibu Hamil di PMB Pratama Madina Medan Tembung Kabupaten Deli Serdang Tahun 2024

Anemia is a condition of hemoglobin (Hb) levels in the blood (Hb &lt;11gr/dl) caused by a lack of nutrients needed for the formation of hemoglobin. This condition causes new problems for babies, such as low birth weight, decreased immune status, possible physiological disorders, and infant growth and development. This study aims to determine the Relationship between Parity and the Incidence of Anemia in Pregnant Women at PMB Pratama Madina Medan Tembung, Deli Serdang Regency in 2024. This type of research is an analytical survey study with a cross-sectional method approach. The population is all pregnant women at PMB Pratama Madina Medan Tembung as many as 30 people. The number of samples used was 30 people obtained using the Total sampling technique. The data analysis technique used chi square. the results obtained in this study were from 30 respondents, there was a relationship between Parity and the Incidence of Anemia in Pregnant Women showing that the p value = 0.015 &lt;0.05. It is recommended for Health Workers to increase counseling related to the Incidence of Anemia in Pregnant Women.

The Effect of Providing Nutritional Counseling on the Level of Knowledge, Attitudes, and Compliance with Fe Tablets Consumption for Pregnant Women with Anemia in the Grogol Community Health Center Area

Background: Anemia contributes to maternal mortality during pregnancy, with a 2021 prevalence of 5.02% in Grogol. Non-compliance with Fe tablet consumption is a key factor. Nutritional counseling can effectively improve mothers' knowledge, attitudes, and compliance with Fe tablet intake. Objective: This study examines the impact of nutritional counseling on knowledge, attitudes, and compliance with Fe tablet consumption among anemic pregnant women at Grogol Community Health Center. Method: Using a pre-experimental one-group pre-post-test design, 35 anemic pregnant women in their second and third trimesters were randomly sampled from clinic records. They received 15-20 minutes of counseling with leaflets. Knowledge and attitudes were assessed via interviews and questionnaires, while compliance was measured using the pill count formula. The Wilcoxon Signed Rank Test evaluated changes from baseline to post-counseling. Results: Nutritional counseling increased knowledge (28.60%), attitudes (17.10%), and compliance (22.80%). Significant improvements were found in knowledge (p=0.001), attitude (p=0.001), and Fe tablet compliance (p=0.002). Conclusion: Nutritional counseling at the Grogol Community Health Center should be provided periodically to carry out promotive and preventive functions in the incidence of anemia in pregnant women.

Umbilical cord clamping: Midwife's perspective at one of the regional general Hospitals of Gorontalo Province

The incidence of iron deficiency anemia in infants is a problem that often occurs in all countries, especially in developing countries, which is caused by visible dan invisible blood loss, decreased red blood cell production, premature cell destruction, premature birth, LBW, small gestational age, maternal anemia dan time of umbilical cord clamping. Delaying cord clamping by 1-3 minutes allows blood flow between the placenta dan neonate to continue, which can improve iron status in the baby for up to six months after birth. In Indonesia, 62.7% of births are attended by midwives, so the midwife's perception plays an important role in deciding when to clamp the umbilical cord during childbirth care. Objectives: To determine the perception of midwives in one of the regional general hospitals of Gorontalo province regarding delays in clamping the umbilical cord. Methods: This research uses a qualitative method with a phenomenological approach. Data collection was carried out on 7 informants using in-depth interviews dan the results of the interviews were analyzed using thematic analysis. Results: There is a difference between the informant's perception dan the practice carried out by the informant regarding the delay in clamping the umbilical cord. Conclusion: This difference in perception is caused by the informant's education which is dominated by DIII level, less than optimal training, experience during work, dan the work environment.

A Mathematical Model Investigating the Impact of Campaign Program on the Pattern of Transmission of Anemia in Pregnant Women

Anemia, a pervasive global health issue, is on the rise across the globe, impacting both developing and wealthy nations. Anemia, a hematological condition, can manifest at any point in life and is prevalent among pregnant individuals. The worldwide incidence of anemia among women of reproductive age is around 29.4%, with over 40% of pregnant women being affected. Anemia is a widespread issue that significantly contributes to illness and death, particularly in regions where malaria is prevalent. Anemia during pregnancy has a substantial effect on both the health of the fetus and the mother. Anemia has been identified as the cause of 20% of maternal fatalities in Africa. Iron deficiency is the primary cause of anemia. This research presents a comprehensive model that describes the dynamics of anemia in pregnant women and their fetus. The population is categorized into three classes: susceptible, impacted, and treated. A control factor that varies or changes over time, namely a campaign program, is being investigated. The model exhibits an equilibrium point and the stability of such points is assessed. Furthermore, the sensitivity analysis of the equilibrium point is conducted to identify the crucial parameters. Numerical simulations are conducted to observe the dynamic behavior of the model. Evidence demonstrates that the marketing program is successful in reducing the advancement of diseases. The implementation of an early accelerated campaign program greatly reduces the number of pregnant patients, as well as the yearly miscarriages and fatalities. However, discontinuing the applied treatment may reverse this positive outcome and increase the burden. Findings also suggest that the implementation of control measures helps to minimize the prevalence of anemia but may not eliminate the condition.

Prevalence of anemia in Somalia: A systematic review and meta-analysis of 3988 participants

Abstract: The incidence of anemia in Somalia is of medical concerns, especially among neonates and pregnant women. Despite the available intervention of the government to provide iron-based supplement, the associated morbidity of anemia in Somalia is still of medical relevance. This systematic review and meta-analysis were conducted to provide detailed information on the prevalence of anemia in Somalia. Asystematic search for articles describing the prevalence of anemia within Somalia was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines. Ameta-analysis was performed on our eligible studies using the random effect model. Our search returned 13 eligible articles involving 3988 participants within Somalia. There was a relative high prevalence of anemia in Somalia in this study 39.7% (95% CI: 26.3–53.1; I2=99.26%, P≤ 0.001). A higher proportion of these cases was from pregnant women. Cross-sectional study designs had more incidence of anemia 39.8% (95% CI: 29.0–51.7) than retrospective studies 29.2% (95% CI: 17.0–45.3) in this review. There was a variation in the distribution of anemia in relation to the publication years at P&lt; 0.001.EvidencefromthisstudyrevealsthatthereisahighprevalenceofanemiainSomalia and effort toward strategic treatment should be prioritized.

The Relationship Between Knowledge and Compliance with Blood-Supplemented Tablet Consumption with The Incidence of Anemia in Adolescent Women in The Muhammadiyah Orphanage Prambanan Sleman Yogyakarta in 2022

Anemia merupakan kondisi kadar hemoglobin dibawah 12 g/dL. Anemia dapat menyerang siapa saja, termasuk remaja putri. Hasil studi pendahuluan di Panti Asuhan Muhammadiyyah Prambanan Sleman Yogyakarta ditemukan 4 dari 10 siswa mengalami anemia yang diukur menggunakan alat Hb digital. Sejumlah 2 dari 10 yang hanya mengetahui anemia dan 10 remaja putri masih belum mengonsumsi tablet tambah darah. Penelitian bertujuan mengetahui keterkaitan pengetahuan dan kepatuhan konsumsi tablet tambah darah dengan kejadian anemia pada remaja putri Panti Asuhan Muhammadiyah Prambanan Sleman Yogyakarta tahun 2022. Penelitian menggunakan metode kuantitatif, pengumpulan data menggunakan desain cross sectional. Populasi penelitian yaitu seluruh remaja putri Panti Asuhan Muhammadiyah Prambanan Sleman Yogyakarta berjumlah 35 orang. Sampel penelitian yaitu keseluruhan dari populasi menggunakan Total Sampling. Hasil penelitian menunjukan terdapat keterkaitan yang signifikan terhadap kejadian anemia pada remaja putri panti asuhan Muhammadiyah Prambanan Sleman Yogyakarta diperoleh nilai pengetahuan P-Sig 0,025 (0,025) Maka hipotesis dalam penelitian ini adalah diterima dan terdapat keterkaitan antar variabel independent dan dependent.

Soil-transmitted Helminth Infection and Perinatal Outcomes in Pregnant Women in Primary Care Settings in South India: A Cohort Study.

Soil-transmitted helminth infections (STHs) in pregnancy have been linked to maternal anemia, low birth weight, and adverse perinatal outcomes. STH includes Ascaris lumbricoides, hookworm, and Trichuris trichiura. However, conflicting evidence exists regarding these effects. Hence, we aimed to assess the association of STH infections with perinatal outcomes. A community-based cohort study was conducted among pregnant women in primary care settings in Puducherry, South India, during December 2019 to April 2021. Stool samples were collected for STH screening and confirmed using polymerase chain reaction. Information on perinatal outcomes and hemoglobin levels were extracted from case records. The association of pre-term birth, low birth weight, anemia, and miscarriages with STH infection was analyzed using the Chi-square test. Among the 650 women enrolled, 58 (8.9%) had one of the STH infections. At the time of recruitment, 336 (52.0%) women had anemia. Twenty-four women (3.7%) had miscarriages, 14 (2.2%) had pre-term birth, and 65 (10.4%) had low-birth-weight (LBW) babies. All 14 pre-term babies had LBW, and out of 65 LBW, 40 were in mothers with anemia. Incidence of LBW, pre-term deliveries, and anemia were higher in women with STH than in those without STH (LBW: 12.3% vs 10.2%, P = 0.62; pre-term: 3.5% vs 2.1%, P = 0.5; and anemia: 54.4% vs 51.85, P = 0.7). Though the incidence of anemia, LBW, and pre-term delivery was higher in women with STH infections compared to those without STH, we did not find any significant association between the presence of STH infections and perinatal outcomes.

Analysis of Factors in Reducing the Incidence of Anemia in Adolescent Girls at Ummi Kulsum Banjaran SMP Bandung District

Adolescence is a transition period from childhood to adulthood. In Indonesia, around 90% of women menstruate every month, but the onset of menstruation can cause anemia for teenagers who experience it. This is caused by several things, of course because there is irregular bleeding, this is caused by the teenager’s age itself. , parental factors, including education and work, each person’s food intake/nutritional status, and also the menstrual cycle/length of menstruation experienced each month. This research aims to determine the factors associated with the occurrence of anemia in adolescent girls at Umi Kulsum Banjaran Middle School in 2022. The research method used is a quantitative analytical approach research design with a cross sectional research design. The research population was all 120 female students and the sample used was 55 people using the random sampling technique. Data collection was carried out by means of interviews and direct examination of respondents. Data analysis went through three stages, univariate (frequency distribution), bivariate (chi square) and multivariate analysis (Logistic Regression). The results of the research show that there are factors that are associated with the incidence of anemia in adolescent girls, including age, nutritional status and length of menstruation with a p-value &lt;0.05. It is recommended that students increase their knowledge about reproductive health, especially those related to enstruation, educational institutions can optimize education about adolescent reproductive health by collaborating with health workers in the surrounding environment.

Anemia and iron metabolism disorders after single anastomosis sleeve ileal (SASI) bypass. Is it a real problem?

PurposeSASI (single anastomosis sleeve ileal) bypass can lead to nutritional deficiencies, including disorders of iron metabolism and anemia. This study aims to evaluate the effect of SASI bypass on weight loss, anemia, and iron deficiency in patients with obesity during the follow-up period.MethodsThis study is a retrospective analysis of prospectively collected data from patients who underwent SASI bypass at our hospital between January 2020 and February 2022.ResultsThe mean age of the patients was 42 years (range 22–58). The average duration of the follow-up period was 26 months. The mean percentage of excess weight loss (%EWL) was 90.1%, and total weight loss (%TWL) was 30.5%. During the postoperative observation period, anemia was identified in ten patients (25%), comprising 70% with normocytic anemia, 10% with microcytic anemia, and two macrocytic anemia cases (20%). Iron deficiency was observed in two patients (5%).ConclusionSASI bypass is an effective bariatric procedure in weight loss outcomes. However, there may be an increased risk of anemia and iron metabolism disruptions associated with this procedure. The common limb length (250 vs. 300 cm) did not significantly impact hemoglobin, iron, TIBC, ferritin levels, or anemia incidence among patients undergoing SASI bypass. The decrease in postoperative ferritin levels signifies a depletion in tissue iron reserves, thereby emphasizing the necessity for surveillance of iron homeostasis parameters following SASI bypass.

A clinical case of successful nursing of a low birth weight premature baby by gestational age

The incidence of early anemia, NEC (necrotizing enterocolitis), retinopathy increases in children born at gestational age 31.6 weeks with ENMT (extremely low birth weight) and small size by gestational age. These diseases against the background of ENMT are severe and often lead to an unfavorable outcome. The incidence of early anemia of prematurity ranges from 16.5 to 91.3% and has an inverse correlation with gestational age and birth weight. Early anemia of prematurity is a hematologic syndrome characterized by a decrease in hemoglobin and/or hematocrit by more than 2 standard deviations from the mean values of hemoglobin and/or hematocrit for a given postnatal age in premature infants, developing in the 3rd to 10th week of life. The average incidence of necrotizing enterocolitis is 2.4:1000 newborns (1 to 10:1000), or about 2.1% (1 to 7%) of all infants admitted to neonatal intensive care units. The incidence of the disease increases with decreasing gestational age of the child at birth. Gradual increase of parenteral nutrition reduces the risk of NEC or death in preterm neonates with ENMT (extremely low birth weight), as well as neonates with antenatal NMT (low birth weight).