ObjectiveTo compare the effectiveness of weekly vs daily iron and folic acid Further analysis did not reveal a significant relationship between means of initial . weekly iron folic acid supplementation (WIFS) programmes for populations at risk can .. the relationship between anaemia control in WRA and the MDGs. made interesting through the use of drama, poems and folk songs, with content. No,I don't think there is any correlation between folic acid and iron absorption. Iron in our body performs various functions/zolyblog.info of the major function is .
Two girls had adverse reactions to treatment and were excluded. There was a significant rise in the mean hematocrit of both supplemented groups group A, Supervised iron and folic acid therapy once a week is an effective alternative to daily administration and helps lower the prevalence of anemia in adolescent girls.
Folic Acid Deficiency and Iron Overload | JAMA Internal Medicine | JAMA Network
Its prevalence is highest among young children and women of childbearing age, particularly pregnant women. The physiological growth spurt, with its attendant rise in mean hemoglobin level, and menarche cause an increase in daily iron requirement, which, if not met, can rapidly result in anemia. Diagnosis and treatment of anemia is of particular importance in adolescent girls because they enter the reproductive cycle soon after menarche.
Even a marginal iron deficiency at this stage can precipitate severe anemia later on due to the stress imposed by pregnancy and parturition. Adolescent girls can be easily approached through school-based intervention programs. Because the turnover rate of these cells is 5 to 6 days, a single weekly dose may be as efficacious and more cost-effective.
Compliance might also improve because fewer doses of iron would be needed. This hypothesis has been supported by studies comparing the effectiveness of hemoglobin or hematocrit response, which was found to be similar regardless of whether supplementation was daily, weekly, or twice weekly.
Hallberg 9 reiterated that there is no evidence that weekly supplementation better prevents iron deficiency because the fundamental argument in its favor, that daily supplementation causes a mucosal block, is not valid. The aim of this study was to investigate whether supervised weekly iron and folic acid supplementation would lower the prevalence of anemia and improve hematocrit status as effectively as daily supplementation in adolescent Nepalese girls, in whom baseline prevalence of anemia is suspected to be quite high.
bpac - Tiredness POEM February
The school caters to families from the lower-middle socioeconomic group. Dharan is a small foothill town m above sea level located more than km east of Kathmandu.
History and examination The girls were questioned and examined by B. Type of diet vegetarian or nonvegetarianhistory of passage of worms, and menarchal status were recorded.
Presence of pallor, icterus, edema, hyperpigmentation, lymphadenopathy, platynychia, bleeding spots, xerophthalmia, and goiter were recorded on a predesigned form.
Physical examinations were conducted to rule out any systemic abnormalities.
Weekly vs Daily Iron and Folic Acid Supplementation in Adolescent Nepalese Girls
Weight, height, and mid-arm circumference were measured using standard techniques. Similarly, girls who had been hospitalized for any severe illness within the past 2 weeks were also excluded. Finally, girls median age, 15 years were included in the study. Urinary tract infection While most people with a urinary tract infection UTI have classical features others may present with less specific symptoms.
When a UTI is suspected antibiotic treatment is appropriate in the presence of: However, a negative urinalysis does not predict response to antibiotic treatment Richards, ; this means that antibiotic treatment is justified when the patient has classic symptoms even when both dipstick test and MSU are negative.
When the patient has non-specific symptoms and both dipstick test and MSU are negative the decision to use antibiotics must be made on a case-by-case basis. Bacteriuria found incidentally in asymptomatic elderly women should not be treated unless coexisting conditions increase the risk of symptomatic invasive disease.
In untreated asymptomatic bacteriuria, the organisms especially E. Large amounts of bacteria in the urine may therefore protect against symptomatic bacteriuria caused by more virulent strains Merck, Glandular fever Diagnostic testing for glandular fever is unlikely to be helpful in people who present with tiredness and no other suggestive symptoms. While chronic EBV infection is sometimes suspected, reliable laboratory evidence is rarely found in patients who have been ill for more than 4 months.
Beyond this time other causes are much more likely. On rare occasions reactivation of EBV occurs, but antibodies are an unreliable indicator of this. Diabetes mellitus Type 1 diabetes, because of its usually acute onset, is unlikely to present as tiredness alone.
However, type 2 diabetes has an insidious onset and tiredness may well be the initial symptom. A fasting glucose is therefore worthwhile for people who present with tiredness and have risk factors for diabetes.