Risk Factors for Diabetes in People with Diabetes in Kara Teaching Hospital
Djalogue Lihanimpo,
Mossi Komi Edem,
Nemi Komi Dzidzonu,
Tchamdja Toyi,
Djagadou Kodjo Agbeko,
Balaka Abago,
Djibril Mohaman Awalou
Issue:
Volume 11, Issue 4, July 2023
Pages:
64-66
Received:
12 August 2023
Accepted:
6 September 2023
Published:
8 October 2023
Abstract: With a view to preventing and improving diabetes management in Kozah Prefecture, we conducted this study to determine the risk factors for diabetes in people with diabetes and to assess their sociodemographic profile. Our cross-sectional prospective study took place from November 04, 2021 to January 28, 2022. It involved patients of both known sexes with diabetes who consented to participate in the study. We developed collection sheets that collected socio-demographic and clinical data from patients. The study involved 51 patients whose average age was 37.90 years with a sex ratio of 1.35. The majority of subjects (41.2%) were married and worked in the informal sector. Being overweight was the predominant risk factor (62.7%), followed by physical inactivity (57%), followed by family history of diabetes (54.9%), and high blood pressure. Older age (15.7%) was the least prevalent risk factor. More than half of patients were exposed to a combination of two more risk factors (54.9%). Subjects exposed to three risk factors represented (11.8%) of the study population. All patients had at least one factor recognized as a risk factor for diabetes. Given the results of our study we can say that the risk of developing the disease is greater when there is a combination of several factors.
Abstract: With a view to preventing and improving diabetes management in Kozah Prefecture, we conducted this study to determine the risk factors for diabetes in people with diabetes and to assess their sociodemographic profile. Our cross-sectional prospective study took place from November 04, 2021 to January 28, 2022. It involved patients of both known sexe...
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Research Article
Slowing of Motor–Evacuation Function of the Stomach After Pancreatoduodenectomy: A Modern Approach to the Problem
Oleksandr Usenko,
Volodymyr Kopchak,
Oleksandr Lytvyn,
Andrii Deinychenko,
Serhii Motelchuk,
Polad Azadov,
Sophia Khachaturova
Issue:
Volume 11, Issue 4, July 2023
Pages:
67-70
Received:
20 August 2023
Accepted:
4 October 2023
Published:
28 October 2023
Abstract: To investigate the effectiveness of the existing methods of forming anastomoses and to determine the influencing factors on the development of delayed gastric emptying (DGE) or slowing of motor–evacuation function of the stomach. An assessment of the frequency, features of the clinical course of DGE after pancreatoduodenectomy, in cases with underwent pylorus-preserving pancreaticoduodenectomy (PPPD), and pylorus-removing pancreaticoduodenectomy (PrPD), the way of reconstruction of the gastrointestinal tract based on the analysis of the given options for surgical interventions. A retrospective study was conducted of 102 patients between January 2019 and November 2021 who underwent Traverso pylorus-preserving pancreaticoduodenectomy and pylorus-removing pancreaticoduodenectomy. The patients were divided into two groups: I - 26 patients who had delayed gastric emptying and II - 76 patients without symptoms of DGE. complications occurred in 42% (43 patients), and DGE was diagnosed in 25.5% (26) of 102 patients. An postoperative pancreatic fistulas (POPF) was found in 14% (14 patients), and clinically significant fistulas (grades B and C) in 9% (9 patients). Among 26 patients, DGE in 16 patients had the degree of severity A, 8 - B, and 2 - C. The type of gastrojejunostomy (P < 0.05) significantly affects the occurrence of DGE. The type of pancreaticojejunostomy anastomosis (P = 0.85) does not affect the occurrence of delayed evacuation from the stomach. Patients with complications were discharged from the hospital 6 days later on average. General surgical complications (P ≤ 0.001); pancreatic fistula (P <0.05) is significantly associated with a clinically significant delay in DGE; biliary fistulae (P = 0.75), bleeding (P = 0.44) - no correlation was noted. The data obtained from the study of influencing factors are presented in Table 1.
Abstract: To investigate the effectiveness of the existing methods of forming anastomoses and to determine the influencing factors on the development of delayed gastric emptying (DGE) or slowing of motor–evacuation function of the stomach. An assessment of the frequency, features of the clinical course of DGE after pancreatoduodenectomy, in cases with underw...
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