Contemporary Definitions of Hypoglycemia as Frequent and Dangerous Syndrome and Coma
Vyacheslav Semionovish Lukyanchikov
Issue:
Volume 7, Issue 5, October 2019
Pages:
83-90
Received:
27 September 2019
Accepted:
17 October 2019
Published:
29 October 2019
Abstract: A decrease in blood glucose is a frequent and dangerous violation of the most important part of homeostasis - energy. The high frequency of hypoglycemia is explained by a pathogenetic relationship with many diseases and syndromes, as well as the important role of hypoglycemia as a physiological regulator of energy metabolism. The danger of hypoglycemia is that glucose is actually the only source of energy for nerve structures and a lack of glucose could lead to their damage. In addition, deep hypoglycemia and low glucose concentration in brain cells could lead to cerebral edema. Analyzes of the respectful literature for a 20-year period, as well as my own clinical experience, including the work as an endocrinologist surgeon. The article presents the definitions of hypoglycemia, the typology of the syndrome in terms of causes, development mechanisms and clinical forms, also issues of the clinic and laboratory diagnostics are defined. Algorithms for the treatment of hypoglycemic coma and pathogenetic diagnosis of the main variants of hypoglycemia are proposed. Hypoglycemic syndrome [HS] and hypoglycemic coma [HC] are frequent clinical and laboratory paroxysms, especially among patients with diabetes mellitus. These conditions are of great danger to the health and even to the lives of patients, and require quick, qualified help.
Abstract: A decrease in blood glucose is a frequent and dangerous violation of the most important part of homeostasis - energy. The high frequency of hypoglycemia is explained by a pathogenetic relationship with many diseases and syndromes, as well as the important role of hypoglycemia as a physiological regulator of energy metabolism. The danger of hypoglyc...
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Prevalence and Associated Factors of Zinc Deficiency Among Pregnant Women Attending Antenatal Care at Gambella Hospital, Gambella, Ethiopia, 2018
Ataguade Mekonnen,
Wondwossen Terefe,
Abate Bekele Belachew,
Amaha Kahsay Adhanu,
Kebede Embaye Gezae
Issue:
Volume 7, Issue 5, October 2019
Pages:
91-99
Received:
30 May 2019
Accepted:
21 October 2019
Published:
30 October 2019
Abstract: It has been evidenced that zinc deficiency has an adverse effect on both mother and fetus, and subsequent birth outcomes and child survival. However, data on the prevalence and determinants of zinc deficiency among pregnant women are scanty in the country. Thus, this study was aimed to assess the prevalence of zinc deficiency and its associated factors among pregnant mothers attending antenatal care in the study setting in particular and the country in general. Hospital based cross-sectional study was done in Gambella Hospital, Southwest Ethiopia from January to March, 2016. A randomly selected 246 pregnant women were included in this study. Blood samples were collected to analyze biochemical indicators of zinc deficiency. A multivariable logistic regression analysis was done to assess the effect of various explanatory variables on the serum zinc level. The mean serum zinc concentration was 58.75μg/dl (95%CI: 56.10-61.41). The overall prevalence of zinc deficiency among pregnant women was 55.3% (95% CI: 50.0-61.3). Zinc deficiency was positively associated with short birth interval (AOR=2.6; 95% CI: 1.08-6.27), the third trimester (AOR=3.76; 95% CI: 1.49-9.49), failure to consume diet of animal source (AOR=2.4; 95% CI: 1.01-5.74), inadequate dietary diversity (AOR=3.59; 95% CI: 1.45-8.96), low serum albumin level (AOR=3.05; 95%CI: 1.31-7.08), and anemia (AOR=3.09; 95%CI: 1.19-7.95). More than half (55.3%) of pregnant women had biochemical evidence of zinc deficiency. Moreover, the magnitude of zinc deficiency was pronounced among pregnant mothers with short birth interval, advanced gestational age, minimal intake of animal food sources, inadequate dietary diversity score, low serum albumin level, and low hemoglobin level (anemia). Therefore, effort should be made to encourage pregnant mothers to consume balanced diet including animal food sources particularly in their third trimester, to monitor their hemoglobin and serum albumin levels, and strengthening family planning implementations to prevent the occurrence of zinc deficiency.
Abstract: It has been evidenced that zinc deficiency has an adverse effect on both mother and fetus, and subsequent birth outcomes and child survival. However, data on the prevalence and determinants of zinc deficiency among pregnant women are scanty in the country. Thus, this study was aimed to assess the prevalence of zinc deficiency and its associated fac...
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