Abstract

Background: it is essential to have an understanding of life expectancy and risk factors among patients with sickle cell disease (sickle cell anemia, hemoglobin diseases, and thalassemias). These are required to counsel the patients, target treatment, and plan the right clinical trials.

 

Methods: a research followed 3764 people ranging from birth to 66 years of age and suffering from scd. The procedure was done to understand the life expectancy and calculate the average age at death. Moreover, the study understood the reasons for the death in all 209 adults. It used the proportional-hazards regression analysis to know the risks for an untimely death in adults with sickle cell anemia.

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Results: when the results for young kids and adults with sickle cell anemia were observed, it was found that the average age at death was 48 for women and 42 for men. Moreover, suffering from hemoglobin c disease had an average mortality age of 60 for men and 68 years for women.

 

In people with sickle cell disease, 18% of deaths took place in patients with mainly renal organ failures. 33% of the tested patients were medically free of organ failures but episodes of pain crisis took their life. Out of these patients, 78% experienced chronic pain, chest syndrome, or both, while 22% suffered a stroke that took their lives.

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Clinical modeling showed that people with sickle cell anemia faced acute chest syndrome, seizures, kidney failure, a white-cell count of over 15, 000 per cubic mm, and a low hemoglobin level were related to a risk of early death.

 

Conclusions: results suggested that 50% of patients with sickle cell anemia lived beyond the age of 50. A huge share of those who lost their lives suffered no noticeable chronic organ failure. However, most of them died due to acute episodes of pain or stroke. Early death was seen highest among patients who had symptomatic disease. High levels of fetal hemoglobin suggested improved chances of survival and are assumably a credible source to foresee the risks and other factors related to adult life expectancy.


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Life Expectancy And Risk Factors Involved In Sickle Cell Disease

Surprising benefits of donating blood

Blood is that element in the human body that can't be manufactured. Hence, it makes blood donation a very significant phenomenon. It benefits the patients, the donors, society, and the overall medical ecosystem. However, people are not particularly aware of some of the benefits of donating blood. While some of them are necessarily good for your overall health, some can even surprise you.

Benefits

Potentially reveal health issues
Donating blood gets your vitals checked to make sure you are adequately fit for the procedure. Hence, it can be a process to keep your overall health checked. Your pulse, blood pressure, and hemoglobin check can ensure that you are free of any chronic illness. Usually, blood low in iron is not taken for donation. As a result, blood donation can find health issues that can be eradicated from the roots.

Reduce harmful overload of iron
Iron overload in the body causes a condition called hemochromatosis. Although this condition is not a usual phenomenon in india, it is important to detect it at the earliest. Blood donations help eliminate the excess iron from the body through red blood cells.

Cardio and vascular health
Regular blood donation maintains low blood pressure and keeps the risk of heart attacks at bay. According to a study, donating blood reduces the chance of heart attacks by 88 percent. High hemoglobin and high iron stores are checked by blood donations that have to do with blood clots and strokes.

Reduce the risk of cancer
A high concentration of iron in the body can cause free-radical damage. It increases the risk of cancer in the lungs, liver, colon, and throat due to the lowering of oxidative stress. Thus, regular blood donations make sure that the risk of cancer and mortality is lower.

Liver stays healthy
Excess iron in the body gets stored in the liver, heart, and pancreas leading to a risk of cirrhosis or liver failure. Various health ailments related to the liver are prevented by donating blood and getting rid of the extra iron in the body.

Help your mental state
With several physical benefits, there are also some psychological edges. As donating blood directly or indirectly helps a patient, it gives a sense of pride and satisfaction. Making a difference in society feels extremely fulfilling and that keeps you in an elated state. Hence, blood donation is equally healthy for your body and mind.

Surprising Benefits Of Donating Blood

People with sickle cell disease often experience myriad symptoms of the disease that can be controlled by the right nutrition. Reports suggest that nutrition is an increasingly significant factor to prevent symptoms such as slow growth, lower body mass, joint issues, infections, pain crises, and anemia.

There is a greater than the typical requirement for both calories and micronutrients.

The nutritional requirement of a sickle cell patient emphasizes more on vegetables, fruits, whole grains, and more similar food items. These can prevent any deficiencies in the body and also decrease any chances of disease exacerbation.

 


	
	High-calorie nutrient-dense diet
	


The usual energy intake in a sickle cell patient is normally lower than the average values. It is a case even when the condition is asymptomatic where the requirement drops to half the level. As a result, people with sickle cell diseases (especially kids) are at higher risk for impaired growth and considerably lesser fat and fat-free mass, with obesity also posing a risk. It is suggested to have adequate energy supplements in the diet to reach the minimum sufficient requirement of the body that can be done only by proper nutritional assessment.


	
	Adequate fluids
	


Avoiding dehydration is another significant factor to avoid any severe symptoms of sickle cell disease. Sickling of the erythrocytes aggravates in patients who perform hardcore physical work in the heat without drinking enough fluids. This leads to dehydration and can even result in constipation.


	
	Micronutrients
	


Micronutrient deficiencies can be found in sickle cell patients up to a great extent. Several vitamins and minerals like vitamin a, b6, c, e, carotenoids, zinc, and magnesium are often found in fewer numbers in scd patients. A significant drop in blood-antioxidant status may result in acute chest syndrome. The supplementation of these vitamins and minerals can reduce the number of sickled cells in the body. Plant phenols and flavonoids may also help in lowering oxidative stress.


	
	Calcium-rich food
	


Getting plenty of calcium-rich food like dairy products, leafy vegetables, cereals, and fruit juices aids the child's growth and development. This may lead to a stronger physical structure and a greater resistance to the disease.


	
	Omega-3 fatty acid
	


There are reduced proportions of omega-3 polyunsaturated fatty acids in sickle cell patients. These acids aid the fluidity of red blood cell membranes. As a result, they prevent sickle cell crises. Supplemental docosahexaenoic (dha) and eicosapentaenoic (epa) have shown numerous therapeutic benefits in scd patients.


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Role Of Nutrition In Sickle Cell Disease

Your body needs some cholesterol to produce hormones and vitamins that help in digestion. Two types of lipoproteins   ldl cholesterol and hdl cholesterol   are responsible for carrying cholesterol to and from the cells in your body.

Hdl or high-density cholesterol is good cholesterol. It carries bad cholesterol away from the arteries and other body parts back to the liver to be processed by the liver.

Ldl or low-density cholesterol, also known as the bad cholesterol, contributes to fatty build-ups within the arteries. This results in narrowing of the arteries and increases your risk of cardiovascular diseases like pad, heart attack, or even stroke.

Although there are medications to bring down ldl cholesterol levels, your doctor may recommend using therapeutic lifestyle changes to see how well your cholesterol levels can be managed without medications.

How to reduce  bad  cholesterol naturally

You can lower ldl cholesterol levels naturally with the following measures  

Diet and weight loss

Being obese or overweight not only increases the odds of developing high ldl levels but also contributes to cardiac diseases and chronic conditions. Studies suggest that losing even a little weight may help reduce ldl levels.

Your diet plays an important role in losing excess fat and maintaining ideal body weight. Eating the right kind of food   such as those that contain a good amount of monosaturated fats, phytosterols and soluble fibre   can help lower harmful ldl cholesterol and increase the levels of hdl cholesterol in the blood. Focus on eating whole grains, fruits and leafy vegetables, legumes, nuts and seeds, and fatty fish.

Exercise more often

Exercising regularly, in moderate amounts, can bring down your cholesterol levels and promote weight loss. Any form of cardiovascular activity, such as cycling, running, swimming and jogging benefits your heart health. You may also turn to other forms of exercise   weight training or yoga   as they also work to decrease the levels of bad cholesterol.

Quit smoking

Smoking causes a number of chemical changes in your body. Cigarette smoke increases bad cholesterol (ldl) and triglycerides levels. This leads to the accumulation of waxy plaque, which clogs the arteries. At the same time, smoking reduces the level of good cholesterol   the one that prevents the formation of plaque in your blood. Quit smoking and turn to a healthier lifestyle to see a difference in the levels of your ldl cholesterol.

Limit alcohol consumption

According to studies, heavy alcohol consumption or drinking more than what is considered moderate significantly increases bad cholesterol, which again raises triglyceride levels and ldl cholesterol.

Lifestyle changes are the natural and first line of treatment for people with high cholesterol levels. However, if your doctor suspects these levels could put you at risk of other medical conditions, he/she might recommend medications to manage bad cholesterol.

Reduce LDL Cholesterol With These Easy Steps

Air pollution affects the overall health of a human being. Whether it comes out of exhaust fumes from cars and factories or smoke from burning stubble air pollution, it is a cause of major concern. The effects of this can be seen in the growing number of asthma and other respiratory diseases. These diseases affect adults and children alike, however, it is the younger generation and elderly people who are more susceptible. Hence, it is extremely important to care about the quality of the air you breathe in. 


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What is the significance of the air quality index (aqi)?

The air quality index is a visual representation of pollutant levels in the air around you. A quick glance at this colour coded map can tell you if the air outside your home is likely to harm you or not. The code is broken down into 6 levels ranging from green which signifies minimal impact to red which marks pollution levels that can harm a healthy person and seriously impact those who are already ill. The higher the aqi, the higher the level of air pollution.

 

What are the steps to reduce air pollution?

Simply talking about how there need to be stricter laws about car emissions and the burning of waste will not help you. Here are a few things you can do to protect yourself and your family from the ill-effects of air pollution.


	
	Carpool: exhausts from cars and other vehicles are one of the biggest causes of air pollution. Do your part to reduce air pollution by restricting the amount you use your car. Try taking public transport to work or carpooling with colleagues. Similarly, avoid making individual trips every time you need something from the market. Make a list and when it s long enough, then step out.
	
	
	Limit indoor pollution: do not smoke indoors. When cooking, keep the exhaust fan on so that the smoke produced does not collect indoors. Avoid spraying air fresheners etc. While they may temporarily make the air smell fresh, in the long run, they contribute to air pollution.
	
	
	Use public transport try to use public transport and avoid the use of personal vehicles.
	


How to protect yourself from air pollution


	
	Refrain from morning walks routines to later hours.
	
	
	Use n95/99 face masks whenever you step out.
	
	
	Use air-purifying plants to purify the air around your surroundings.
	
	
	Ventilate your kitchen, and bathroom to keep yourself away from air pollution.
	
	
	Restrict outdoor activities for kids if there is a high level of air pollution
	
	
	Use air-purifiers in your surroundings.
	
	
	Try to take steam with a few drops of eucalyptus oil every day.
	
	
	Keep your car s environment fresh.
	
	
	Ventilate your home, open your windows and doors and allow the air to circulate during mid hours.
	
	
	Eat jaggery (aka gurr) to flush out pollutants from your lungs.
	
	
	Consume a diet rich in vitamin c, omega fatty acids
	


Hence, the other way to cut down this pollution is by bringing significant lifestyle changes in our daily living. Cutting down the number of diesel and petrol vehicles can also prove helpful. People should shift to cng and electric vehicles for daily commuting. These efforts, if practiced on a regular basis, can bring a huge decrease in pollution.

Air purifiers can also be a healthy option for indoor purposes.

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Why Should You Care About Air Quality?

The world celebrates world blood donor day on the 14th of june to raise awareness of the need for safe blood and blood products and to thank voluntary and unpaid blood donors for their life-saving gift of blood. 

Importance of blood donation

The importance of donating blood is not only to save the lives of thousands of people who are deprived of life but also to save the lives of many more who are affected by the various diseases. ;

 

It has also been seen that when people; e have donated their blood, they have gained many health benefits as it helps in weight loss, helps maintain healthy liver and iron levels, it helps reduce the risk of heart attack and cancer. ;

 

A blood donation can save a life of- ;


	
	Victims of natural disasters, including earthquakes
	
	
	Patients with hemophilia, sickle cell disease, or cancer
	
	
	People who suffer traumatic injuries from being in a car accident
	
	
	Surgery patients
	
	
	Shooting or stabbing victims
	
	
	Women who suffer complications during childbirth
	


 

Blood types that are needed most

It s good to donate if you re healthy. However, there s always a need for specific blood and plasma which are universal and can be used when a patient blood type is unknown. For newborn infants or if a patient's particular blood type is unavailable.

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	Type o negative blood is always needed because it can be used in patients regardless of their blood type.
	
	
	Type ab positive plasma can also be transfused to patients with other blood types. 
	


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Donations are constantly needed

Because of their short shelf life of 5 days after being collected, platelet donations are constantly by the blood blank. Red blood cells also have a short shelf life and needed to be used within 42 days after the collection. Cryoprecipitate and plasma can be frozen and stored for up to a year after donation.


 

Some misconceptions about blood donations


	
	The donor will not experience any kind of pain while donating. ;
	
	
	There will be no scarcity of blood in the body after donating the blood as even after the donation the body will have a surplus quantity of blood. 
	
	
	The common misconception everyone has is that they will faint after donating their blood. ;
	
	
	You will be able to resume your everyday activity immediately after donating the blood. 
	
	
	You will not get infected with aids if you donate your blood. ;
	


 

Donating blood is a great way to give back to your community and potentially save a life by only giving up an hour of your time.

World Blood Donor Day: How Can We Save Life By Donating Blood?

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