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Pulmonary function study in patients with DM

دراسة وظائف الرئة لدى المصابين بالداء السكري

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 Publication date 2014
  fields Medicine
and research's language is العربية
 Created by Shamra Editor




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Diabetes mellitus is a metabolic disorder characterized by high blood sugar resulting from a defect in insulin secretion and/or a defect in insulin action, according to the definition of the American Diabetes Association.



References used
West J.B.Respiratory Physiology: The Essentials 9th edition (2012)
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The diabetic foot ulcers considers a serious complications that related to diabetes, ulcers required medical and nursing care, that started with determine the degree of ulcer and applying Dressing which is from responsibility of nurses. There are man y kinds of dressing for grade 1&2 diabetic foot ulcers such as dry and honey dressing, aim of the study: Assessment the effect of applying the dry and honey dressings on the healing of grade (1&2) diabetic foot ulcers. Material and Methods: The study conducted in the Diabetes Mellitus Center in Lattakia city. A convenient sample of 40 adult diabetic patients whose meet the sample selection criteria were chosen. The sample divided randomly to two equal groups either the first group who subjected to dry dressing technique, or to the second group who subjected to honey dressing technique. Dressing changed for six weeks. Results: At the end of the study: (45%) of patients had complete ulcer healing, (35%) had partial healing and (20%) had no ulcer wound healing in the dry dressing group. Whereas (85%) of patients had complete ulcer healing and (15%) had partial healing. Conclusions: Honey dressing had statistical significant effects on the healing of grade (1&2) diabetic foot ulcers.
Blood glucose control reduces the microvascular and macrovascular complications in patients with diabetes mellitus type II. According to the American Diabetes Association, less than a half of those with diabetes achieve optimal control of blood gluc ose and target values of HbA1c. Life style modifications is one of the preferences of diabetes management because the potential relationship between diet and diabetic control. So nutrition therapy which given by dietitian and generally lifestyle modifications are considered mainly integrated to traditional medication for disease. The study included 104 patients with diabetes type II (HbA1c 8% ± 1.07, BMI 26.45 ± 2.69, fasting blood glucose 148.25 ± 33.76) given diabetes self-management education program and divided into two groups. The first group was treated with glibenclamide only and the second was treated with a combination of glibenclamide and metformin. After three months monitoring, 103 patients Completed the study. Therapeutic efficacy was evaluated considering HbA1c ≤ 6.5% as a target value. The necessary statistical study to analyze the data and evaluate the statistical significance of the results was made. The results indicate that the treatment supported with life style modifications was more effective than traditional therapy and patient education at blood glucose control in patients with diabetes mellitus type II and improve their health.
Skin tags are common benign skin tumors usually occurring on the neck and major flexors of older people. Objective: To investigate and compare the prevalence of diabetes and disorders of triglycerides, cholesterol, LDL, and HDL levels in patients wit h skin tags and a control group. A case-control study was conducted in individuals between (25-70) years old, comparing cases (n=107) and age-, sex-matched controls (n=97) without skin tag. Cases and controls were recruited from patients consecutively seen at the outpatient dermatology clinic at Al-Assad University Hospital in Lattakia. All patients underwent standard laboratory tests of fasting blood sugar , triglycerides , cholesterol , LDL , and HDL levels. Results: Patients with skin tags had higher frequency of diabetes and higher levels of triglycerides , cholesterol , and LDL than the control group (P <=0.0001) and lower levels of HDL in patients with skin tags than the control group (P<=0.001). A positive correlation was found between the existing of skin tags and high BMI comparing with the control group (P<=0.0001). According to our results, skin tags might be a useful clinical sign that could alert clinicians to screen patients with skin tags for abnormal lipids, type 2 diabetes mellitus, and cardiovascular disease, and guide patients with skin tags to modify their life style, avoiding risk factors and making clinical laboratory check-up periodically

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