Background Dietary habits have an integral role in glycemic control. Where uncontrolled glucose levels can have an impact on almost every organ in the patients’ bodies. In this study, the target fasting blood glucose is set to be 70–180 mg/dl in accordance with the American Diabetes Association which recommends keeping this value to more than 16 hours and 48 minutes a day. Objective Intending to explore the food frequency consumption and its association with poor glycemic control among type 2 diabetic patients in Syria. Methods In this cross-sectional study, data on the dietary pattern of 104 patients with type two diabetes were collected by trained interviewers in two diabetic clinics in Damascus, Syria. Dietary information was obtained by a quantitative food frequency questionnaire. Overall diet quality was evaluated. Glycemic control was assessed by fasting plasma glucose. Results the general dietary habits demonstrate that 55.8% of the patients recorded fasting Blood Glucose of 70–180 mg/dl, 21.1% recorded 181–250 mg/dl, and 23.1% recorded above 250 mg/dl. None of the food items studied in this research recorded a statistical significance excepts for excess amounts of white sugar, and consuming fast food weekly which were associated with poor glycemic control. Conclusion Consuming fast food weekly, and using 6–7 tablespoons or more of sugar a day could possibly serve as an independent predictor of poor glycemic control. Furthermore, distributing the total food intake in a day into multiple meals and eating less amounts of rice and creamed cheese were recognized to record better glycemic values, however, these results were not statistically significant.
Background and Aim: The purpose of this study was to the identification of clinical manifestations and risk factors for patients with dilated cardiomyopathy in order to reduce complications, save patients' lives, and support the health system in Syria. Methods: This retrospective observational cohort study was conducted at the department of cardiology at Damascus Hospital in Damascus, Syria. We identified 125 patients with a diagnosis of dilated cardiomyopathy between 2013 and 2022. Patients’ clinical data were documented using Google Forms, and it was analyzed using SPSS version 25. Results: The most common age group in our study was the ages between 51-69 years which constituted 42%. As for sex, males constituted 69% of the sample, while females were only 31%. About 55% of the sample were smokers, and only 14% of patients were alcohol consumers. Patients who were diagnosed with DMC accounted for 80% of the sample. Symptoms included dyspnea which was the most common symptom among patients, with a percentage of 85%. The only statistical correlation with dilated cardiomyopathy was diabetes, as the percentage of patients with dilated cardiomyopathy who were suffering from diabetes was 72%, compared to only 28% of those who suffer from diabetes and those who do not have dilated cardiomyopathy. Conclusion: DCM is a non-ischemic cardiomyopathy with structural and functional cardiomyopathy abnormalities. It is necessary not to neglect the family history of cardiac diseases due to its importance in diagnosing heart diseases especially in young patients.
Aim and background: Since meningioma is the most common intracranial tumor, seizures in these patients account for a huge portion of the tumor-related epilepsy. Tumor-related seizures adversely affect the quality of life, hence a better understanding of meningioma seizure rates, associated risk factors, and potential mechanisms is critical to the development of improved treatment strategies. Methods: This study was conducted on 100 patients in Damascus Hospital who were diagnosed with supratentorial meningioma and were treated surgically between 2017-2021. Results: The incidence of preoperative seizure was found to be 0.92 higher for individuals with cerebral edema (OR =3.329) than for individuals without cerebral edema. Also, it was found that patients with cerebral edema had a higher incidence of postoperative seizures (OR =2.124) compared to patients without cerebral edema by 0.75. In addition, the incidence of seizures for people who have a tumor size of less than 4 cm is 0.23 higher than the incidence of seizures for people who have a tumor size of more than 4 cm. Lastly, the incidence of preoperative seizures for people with neurological deficits (OR =1.049) is 0.02 higher than in people without neurological deficiency. Conclusion: It was found that 43% cases of pre-operative seizures have occurred, and this percentage decreased to 25% in post-operative cases. A correlation between tumor classification and the incidence of preoperative seizures was observed where 66.7% of individuals with grade II meningioma had preoperative seizures, and 75% of people with grade III meningioma had preoperative seizures.
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