000 02687cam a2200349 a 4500
003 EG-GiCUC
005 20250223032802.0
008 210815s2021 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.28.M.Sc.2021.Sh.M
100 0 _aShareef Karam Ali Easa
245 1 0 _aMetformin as fetal hemoglobin inducer in non-transfusion-dependent thalassemia patients /
_cShareef Karam Ali Easa ; Supervised Mona Hassan Eltagui , Mona Kamal Elghamrawy , Mariam Saad Soliman
246 1 5 _aميتفورمين" كمحفز للهيموغلوبين الجنينى فى مرضى أنيميا البحر الأبيض المتوسط غير المعتمدين على نقل الدم
260 _aCairo :
_bShareef Karam Ali Easa ,
_c2021
300 _a103 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520 _aBackground: Metformin was reported as a potential fetal hemoglobin (HbF) inducing agent but its efficacy and safety in Non-Transfusion-Dependent Thalassemia (NTDT) patients were not fully studied. Objectives: A prospective interventional study aimed to study the effect of metformin on HbF change in NTDT and its role in ameliorating disease severity. Methods: Forty-two patients with established diagnosis of NTDT aged 12-23 years old were enrolled. They were receiving a stable dose of Hydroxyurea (HU) over the last 3 months. Inclusion criteria:- Confirmed diagnosis of NTDT based on hemoglobin Electrophoresis and/or high performance liquid Chromatography .- Age greater than or equal to 12 years of age.- Stable dose of HU over the last 3 months.- Serum creatinine less than or equals to 1.4 mg/dl . - Liver enzymes (ALT and AST) less than or equal to 3 times upper limits of normal .- Patients/ parents giving willingly informed consents Exclusion Criteria: - Simple or chronic red blood cell transfusion therapy in the last 3 months.- Patients with diabetes mellitus who are receiving other anti-diabetic medications.- Patients with chronic hypoxemic conditions associated with lactic acidosis, such as cardiovascular, renal, hepatic and pulmonary diseases
530 _aIssued also as CD
653 4 _aHbF inducers
653 4 _aMetformin
653 4 _aNon-transfusion dependent Thalassemia
700 0 _aMariam Saad Soliman ,
_eSupervisor
700 0 _aMona Hassan Eltagui ,
_eSupervisor
700 0 _aMona Kamal Elghamrawy ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c81729
_d81729