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Study on Subclinical Rickets Among Adolescents in Hazara

Thesis Info

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Author

Shah, Tanveer Hussain

Program

PhD

Institute

Hazara University

City

Mansehra

Province

KPK

Country

Pakistan

Thesis Completing Year

2016

Thesis Completion Status

Completed

Subject

Biochemistry

Language

English

Link

http://prr.hec.gov.pk/jspui/bitstream/123456789/9782/1/Tanveer_Hussain_Shah_Biochemistry_2016_HSR_HU_Mansehra_11.08.2017.pdf

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676727405661

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This study has revealed that sub clinical rickets is found in adolescent students of Hazara. Although this concern is common in both genders from all geographical areas, but more cases were found in rural school student and of girl’s gender. The major root cause includes nutritional deficiencies and unavailability of sun shine. Hence the lack of synergistic effect of sun shines vitamin D and nutritional intake was seen in sub clinical rickets cases. Biochemical low serum level of vitamin D is the most prominent laboratory tool for the confirmation of this problem. Study populations consisted of school students which belonged to rural, urban and suburban areas of Hazara, Pakistan. Number and ages of all group participants were almost same and there was no significant differences among them (>0.05). Prevalence of sub clinical rickets was found to be 51(27%), out of which girls was 36(71%) and boys 15(29%) with significant differences (<0.05). Among cases of subclinical rickets, 26(51%) were from rural, 16(31%) urban area and 09(18%) from suburban region. Same gender of subclinical rickets from different areas were of similar ages, but difference noted in the ages of boys and girls sub clinical rickets cases (<0.05). Determination of nutritional status of each individual from different areas which was assigned as sub clinical rickets case reflect that, average amount of nutrients such as vitamin D, calcium and phosphorus were being taking less than the recommended amount on daily basis in their foods. No significant difference were noted in daily intakes of sub clinical cases of both genders as well as among different areas groups (>0.05). There was no difference seen significantly between daily intake of adolescents with or without sub clinical rickets (>0.05). Although both genders were taken almost similar amount of vitamin D, calcium & phosphorus on daily basis in their foods, but significant differences were noted in Sub clinical Rickets among Adolescents prevalence of sub clinical rickets & serum vitamin D level between two genders (<0.05). Area wise among different subclinical rickets groups as well as their comparison with normal cases, the significant differences were observed regarding serum 25(OH) D concentration (<0.05). In comparison of sub clinical rickets cases with normal group in similar area, calcium and alkaline phosphatase in serum of boys and girls from rural and urban territory showed significant difference (<0.05), but non significant difference was observed in phosphorus and parathyroid status in group(>0.05). No significant differences were observed regarding calcium, phosphorus, alkaline phosphatase and parathyroid hormonal level of suburban subclinical clinical cases vs. normal (>0.05). On the basis of vitamin D status the sub clinical cases divided into two categories, Insufficiency (≥25-<50nmol/l) and deficiency (<25nmol/l). Vitamin D deficiency cases was 8(16%) and 43(84%) of vitamin D insufficiency. Significant difference was noted between vitamin D deficient and vitamin D insufficient level. In sub clinical rickets groups, low level of vitamin D (51)100%, abnormality of calcium found in (28)55%, phosphorus (13)24%, high alkaline phosphatase (37)73% and none of the case with high parathyroid hormone level from upper normal reference range. Occurrence of low vitamin D level 33(92%) was found in girls having age >13 to ≤16 years but only 3(08%) having age ≥11 to ≤13 years. In boys age >13 to ≤16 years none of case had low vitamin D level, all of 15(100%) subclinical rickets cases were of age between ≥11 to ≤13 years. Significant difference in vitamin D level of lower age girl group and higher age girl group was noted (<0.050). Study concluded that, sub clinical rickets is considered as camouflagic problem among school students of both genders especially girls in Hazara. Lack of synergistic effects of sunshine vitamin D and nutritional intakes are the major cause of this problem. Low sun shine is attributed to environmental, social and traditional factors. Along with sunshine and nutritional factors, the age and sex might be contributing factors in the occurrence of low vitamin D status.
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نوجوانوں کے مسائل

نوجوانوں کے مسائل
نحمدہ ونصلی علی رسولہ الکریم امّا بعد فاعوذ بااللہ من الشیطن الرجیم
بسم اللہ الرحمن الرحیم
معزز اسا تذہ کرام اور میرے ہم مکتب شاہینو!
آج مجھے جس موضوع پر اظہار خیال کرنا ہے وہ ہے:’’نوجوانوں کے مسائل ‘‘
صدرِذی وقار!
مسئلہ جیسا بھی ہو پریشان کن ہوتا ہے۔ ذہنی اور جسمانی قویٰ کے اضمحلال کا باعث ہوتا ہے اس کے حل کے لیے کوششیں کی جاتی ہیں ، اس کو عوام النّاس کے ذریعے اہل علم طبقہ کے ذریعے تگ و دو اور کاوش کے ذریعے حاصل کرنے کی ہر ممکن کوشش کی جاتی ہے تا کہ مسئلہ، مسئلہ ہی نہ رہے۔
جنابِ صدر!
مسائل کے شکار لوگ اپنی ذات کی حد تک سوچتے ہیں، ان کی قوت فکر محدود ہو جاتی ہے ان کے سوچنے کا انداز مختلف ہو جاتا ہے، دوست و احباب ان کے عظیم مشوروں سے محروم رہتے ہیں یہاں تک کہ تہذیب وتمدن اور کلچروثقافت تک متاثر ہوجاتے ہیں۔
صدرِمحترم!
مسائل کسی کی شکل وصورت دیکھ کرنہیں آتے ، یا قد کاٹھ والے شخص ہی مسائل کا شکار نہیں ہوتے، مسئلہ کسی کو بھی درپیش ہوسکتا ہے، غریب ہو یا امیر ہو، شاہ ہو یا گدا ہو ، چھوٹا ہو یا بڑا ہر ایک کو کوئی نہ کوئی مسئلہ درپیش رہتاہے۔ اور یوں ہی اس کے شب وروز مسائل کے حل میں گزرتے رہتے ہیں۔
ہر دل میں نئی طرح سے ہے یاد کسی کی
ملتی نہیں فریاد سے فریاد کسی کی
جناب صدر!
لیکن نو جوانوں کے مسائل بڑے گھمبیر ہوتے ہیں ، بچے کا اگر کوئی مسئلہ ہے تو نوجوان حل کر لیتے ہیں ،نوجوانوں کا مسئلہ پیرانہ سالی کے شکار لوگوں سے بوجہ ضعف اور تھکاوٹ حل ہونا مشکل ہو جاتا ہے۔ اس لیے اس عمر میں...

التطوير المهني للقادة في ضوء النَّظام الأخلاقي الإسلامي Professional development for leaders in the Light of Islamic moral system

The leadership of nations is a role designated for prophets and messengers of Almighty Allah, they executed this duty with utmost excellence. Their distinctive leadership and skills were guided by divine revelation, complemented by inherent natural abilities crucial for guiding people. Following the era of prophets and messengers, scholars, reformers, and noble rulers who succeeded them drew from this pure source. They derived principles of governance and successful leadership methodologies from the divine revelations, administering their people adeptly and fostering the consolidation of Islam in their lands. However, in later eras, these foundational elements waned. Many leaders disregarded the noble Islamic values they inherited. Consequently, weaknesses seeped in, and successful, impactful leadership shifted to other groups. I have compiled the principles of leadership advocated by the prophets and messengers, particularly the final messenger, Prophet Muhammad ﷺ,I gave some examples of the leaders among this Ummah, It showcase exemplary leaders from our glorious history and provide guidance on returning to that greatness by reverting to the landmarks of leadership illustrated by the Prophet ﷺ, It's in this return that the restoration of our former glory can be realized.

A Physiologically Based Approach to Study the Toxicological Effects of Bisphenol S, an Endocrine Disruptor, on Reproductive System of Male Rats

Background: Bisphenols are widely used in manufacturing polycarbonate plastic, plastic toys and food containers. One of these bisphenols, bisphenol A (BPA) is the major component of baby bottles, dental sealants, epoxy resins and food packaging has been well documented for its hazardous and estrogenic mode of action. In many countries, BPA has been banned in some applications and has been replaced by bisphenol S (BPS). However, nearly similar estrogenic potential of BPS to BPA has been reported in different studies. It has been detected in food, receipt papers and in water. Humans are prone to its exposure through dermal exposure and dietary food intake. An increase in the concentrations of BPS has been detected from 2010 to 2014 in human body fluids, suggesting the possibility of increased exposure to BPS in daily life. BPS has shown estrogenic mode of action, oxidative stress inducing potential, obesogenic effect as well as anti-androgenic effects in vitro. In the in vivo studies, BPS exhibited antiandrogenic effect in male zebra fish, decreased gonadosomatic index in female fish and affected endocrine functions. Similarly, BPS concentrations have been linked to the oxidative stress in the humans, however, in mammalian reproductive system; data regarding BPS toxicity is limited. In present studies, we first assessed in vitro effect of BPS on testicular tissues and sperm. Secondly, we aimed to evaluate whether sub-chronic and chronic exposure of BPS can modulate reproductive functions of male rats in vivo. Lastly, the potential effect of BPS on gonadal development of male rats exposed during pre-natal and neonatal periods were evaluated. Materials and methods: Stock solution of BPS was prepared by dissolving 0.5 g in 5 mL of ethanol and was further diluted with media/water to the final concentration of less than 0.5% ethanol in the media/water. In order to attain the first goal, testicular tissues and sperm from adult rats were incubated with media alone or in combination with different concentrations (0.5, 1, 10 and 100 μg/L) of BPS for two hours in 5% CO2 and 95% air at 37 0C. Testicular testosterone concentration was determined through Enzyme Linked Immuno Sorbant assay (ELISA), while testicular tissue and sperm oxidative stress was determined through estimation of antioxidant enzymes activity, lipid peroxidation (LPO) and generation of reactive oxygen species. To achieve the second goal, adult male rats were treated with different concentrations (1 - 50 μg/kg/day) of BPS through oral gavage for 28 days. Secondly, male rats (22 days old) were provided with water containing different concentrations of BPS (0.5, 5 and 50 μg/L) for a period of 48 weeks in water. Animals were killed by cervical dislocation; blood was collected 27 and was used for determination of different hormones in the plasma while testicular and epididymis tissues were used for histology, oxidative stress determination and evaluation of different parameters of sperm. In the next set of experiments, effect of BPS on the development of male gonads was assessed by exposing the animals to different concentrations of BPS during pre-natal and neonatal period of development. In the pre-natal exposure study, pregnant female rats were provided with water containing 0 and 0.5 - 50 μg/L of BPS. The pups born were assessed for alteration in the early sexual development and reproductive functions during adult hood. In the neonatal exposure study, male pups were subcutaneously injected with different concentrations of BPS (0.5 - 50 mg/kg.day in 50 μL castor oil) from post-natal day 1 to 10 and were followed in the adulthood for alterations in the reproductive functions. Plasma hormones levels, histological changes and alteration in the sperm parameters were determined and compared with the control. Results: In the in vitro exposure study, oxidative stress in the testis and sperm was enhanced along with the increase in antioxidant enzymes activity. At the highest concentration, BPS induced formation of reactive oxygen species, caused lipid peroxidation, affected superoxide dismutase levels, and increased DNA fragmentation in the rat spermatozoa. Similarly, BPS induced reduction in the testosterone secretion by the testis at highest concentrations tested. On the other hand, in the in vivo sub-chronic and chronic exposure study, testicular reactive oxygen species (ROS) and lipid peroxidation (LPO) were significant increase in the higher doses tested while antioxidant enzymes activity were significantly reduced. Sub-chronic exposure for 28 days reduced plasma and intra-testicular testosterone, plasma luteinizing hormone (LH) and follicle stimulating hormone (FSH) concentrations were suppressed in the groups treated with higher doses of BPS. Testicular morphology revealed thin seminiferous epithelium in the treated groups than control. In the epididymis, area of the tubular epithelium showed significant reduction and empty lumen were observed in the groups treated with higher concentrations of BPS. Chronic exposure of male rats to different concentrations of BPS showed a significant alteration in the gonadosomatic index (GSI) and relative reproductive organs weights. Oxidative stress in the testis was significantly elevated while sperm motility, daily sperm production (DSP) and number of sperm in epididymis were reduced. Plasma testosterone, LH and FSH concentrations were reduced and estradiol levels were high in 50 μg/L exposed groups. Histological observations included significant reduction in the epithelial height of the testis along with disrupted spermatogenesis. Other prominent observations were empty lumen of the seminiferous tubules and caput region of the epididymis. 28 Pre-natal exposure to different concentrations of BPS induced no significant alteration in early sexual development as well as in adulthood of male rats. Body weight gain, Ano-genital distance (AGD), nipple retention (NR) and organs weight exhibited no change. However, exposure to different concentrations of BPS in the neonatal stage resulted significant decrease in GSI and relative organs weights in BPS 5 and BPS 50 mg/kg.day treated groups as compared to the control. Slight delay in puberty onset in the highest dose treated group was noted but this delay was not different than control. Hormonal analysis showed a significant reduction in testosterone and significant elevated levels of estradiol was observed in the treated groups compared to the control. Histological alterations included reduction in epithelial height and diameter of the seminiferous tubules and spermatids arrest. Reduction in the DSP and sperm number in the caput was observed in the highest dose treated group than control. Conclusion: In conclusion, BPS can not only induce oxidative stress in the sperm and testis in vitro but can also exert its toxicological and endocrine disrupting potential in vivo. Beside its effect in adult animals, exposure to higher concentrations to BPS during neonatal stage of development imparts adverse alterations in the reproductive tissues of male rats. BPS exposure exert its effects by inhibiting cell defense system, inducing ROS and LPO which results in adverse structural and functional changes in the reproductive system. These changes are more prominent and long lasting when the animals are exposed in early stages of life especially during the neonatal stage of development. These affects seems to be accompanied by gonadotropin suppression, estrogenic and antiandrogenic effects of BPS, which ends up with the deleterious alterations in the testis of rats that can lead into infertility.