Anemia Low hemoglobin levels are associated with greater fatigue, poorer overall quality of life, and decreased

d ability to work (beyond that related directly to fatigue). Interventions that reverse fatigue and other anemia related symptoms should have a positive effect on quality of life. ( !actors influencing quality of life in cancer patients" anemia and fatigue. (#$I%"&'()**+) ,urope #ub$ed -entral) .he frequency and etiology of anemia were investigated in /,&)* children between ' and )' years of age in 0anliurfa, in the southeast region of .urkey. Anemia was found in )1/ ((.23) children in the ' )) years of age group, and in )' ().43) in the )/ )' years of age group5 in total, in )42 (4.13) children. -auses were iron deficiency in &* (42.&3) children, beta thalassemia hetero6ygosity in )+ ('.*3) children, chronic disease that causes anemia of inflammation in *+ ()&.+3) children, and intestinal parasitic infections in )( ()+.23) children. In eight (4.)3) children, the cause of anemia could not be determined. .he study7s results showed that iron deficiency anemia and chronic and parasitic disease are important problems in schoolchildren of 0anliurfa, while beta thalassemia and hemoglobinopathies have less importance. %epartment of #ediatrics, 8arran 9niversity !aculty of $edicine, 0anliurfa, .urkey. .he .urkish :ournal of #ediatrics;/+++, 1/(/)"&) &4< Anemia hemolitik %efisiensi nutrisi

Ida=s problem >ad environment #oor sanitation Intestinal #arasitic Infection Anemia

0leepy

!atigue

#ola tidur cukup 0ering keluar rumah tanpa alas kaki ?eadaan gi6i baik, pola makan tercukupi #enyakit dengan ge@ala mudah tidur ). /. *. 1. 4. '. (. Anemia " kurang 6at besi 8ipoteroid %iabetes %ehidrasi %epresi beban mental Aangguan tidur 0indrom kelelahan kronis ditandai dengan lesu, cepat marah, lelah otot,

Bat gi6i yang menyebabkan anemiaC ?ekurangan 6at mikronutrien Apakah kekurangan 6at besi !aktor " peninngkatan 6at besi karena kekurangan darah berdasarkann prioritas) >agaimana faktor ekonomiC Drang menderita anemi membutuhkan banyak biaya. Ada kaitan, karena tgkat pendapatan rendah sehingga kebutuhan yang dipenuhi primer, sekunder, tersier. #emenuhan kebutuhan kurang. $enengah kebwah, biasanya pemenuhan gi6inya kurang. menstruasi 0iapa yang berperan pentingC Drang tua, guru, teman sepergaulan, diri sendiri (susun

>agaiman faktor lingkunganC Anemia dengan sebab investasi cacing pada tubuh :enis cacing " Necator americanus dan A.duodenale #endarahan ter@adi ketika cacing menggunakan alat penghisapnya untuk menempel ke dinding dinding usus halus hingga melukai pembuluh darah. -acing mengeluarkan anticlotting agents yang menyebabkan sel darah mengalami lisis sehingga mengakibatkan hilangnyaEturunnya kadar 8b dalam tubuh.

!aktor pengasuhan () .ransactions of the Foyal 0ociety of .ropical $edicine and 8ygieneG Holume &*, Issue *G, MayJune 1999, Pages 240246 The epidemiology of hookworm infection and its contribution to anaemia among pre-school children on the Kenyan coast 0. >rooker,),, I. #eshu/, #.A. Jarn/, $. $osobo/, 8.L. Auyatt),*, ?. $arsh/,1, F.J. 0now*,1 aThe Wellcome Trust Centre for the E !"em!ology of #nfect!ous $!sease, %n!&ers!ty of '(for", )outh Par*s +oa", '(for" ',1 -P), %. /Centre for 0eogra h!c Me"!c!ne, .enya Me"!cal +esearch #nst!tute 1.EM+#2, .!l!f!, P3'3 4o( 2-0, .enya c.EM+#5 Wellcome Trust Colla/orat!&e Programme, P3'3 4o( 4-640, 6a!ro/!, .enya "$e artment of Tro !cal Me"!c!ne, %n!&ers!ty of '(for", John +a"cl!ffe 7os !tal, 7ea"!ngton, '(for" ',- 9$), %.

Abstract

#ntest!nal nemato"e !nfect!ons are recogn!8e" as a ma9or u/l!c health ro/lem, an" helm!nth control !s currently /e!ng "!recte" to:ar"s school;age" ch!l"ren :ho are *no:n to har/our the hea&!est !nfect!ons an" are most l!*ely to suffer from assoc!ate" mor/!"!ty3 7o:e&er, fe: "ata are a&a!la/le for the e !"em!ology of !ntest!nal nemato"es !n re; school ch!l"ren !n <fr!ca, an" the contr!/ut!on of hoo*:orm !nfect!on to the et!ology an" se&er!ty of anem!a among re;school ch!l"ren rema!ns oorly un"erstoo"3 Th!s a er !n&est!gates the e !"em!ology of aras!t!c !nfect!ons !n 460 re;school ch!l"ren :ho :ere art of a larger case;control stu"y of se&ere malar!a !n .!l!f! on the .enyan coast3 <lmost one;th!r" 12=>?@2 :ere !nfecte" :!th hoo*:orm, 20>2@ :!th Ascaris lumbricoides an" 1A>0@ :!th Trichuris trichiura3 #nfect!on re&alence of each s ec!es rose :!th age, an" the re&alence of hea&y !nfect!on :!th hoo*:orm an" mean !ntens!ty of hoo*:orm :ere mar*e"ly age;"e en"ent3 'ne;th!r" 1-4>-@2 of ch!l"ren ha" malar!a3 '&erall, ?6>-@ of ch!l"ren :ere anaem!c 1haemoglo/!n B 110 g5C2, :!th the re&alence "ecreas!ng :!th age3 <naem!a :as s!gn!f!cantly :orst !n ch!l"ren :!th hea&y hoo*:orm !nfect!on 1D200 eggs er gram23 Th!s relat!onsh! hel" for all ages, /oth se(es, an" :as !n"e en"ent of soc!oeconom!c factors3 The a l!cat!on of attr!/uta/le mor/!"!ty metho"s conf!rme" the contr!/ut!on of hoo*:orm !nfect!on to anem!a3