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Home > Relationship Between Gestational Diabetes and a Positive Depression Screen

Relationship Between Gestational Diabetes and a Positive Depression Screen

Thesis Info

Author

Ozelle, Onegarach Herbert

Department

Obstetrics and Gynaecology (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2019

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728065595

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Introduction: Gestational diabetes mellitus (GDM) and its treatment have a marked effect on women’s lives consequently aggravating psychosocial disruptions of a normal pregnancy. The demand for behavioural adaptation as well as postulated biological interactions are likely to increase the risk of maternal depression in GDM patients. There is however inadequate literature concerning the relationship between GDM and depression. Objective: To compare the proportion of women with GDM who screen positive for depression and the proportion of women without GDM who screen positive for depression at the Aga Khan University Hospital, Nairobi. Socio-demographic factors associated with a positive depression screen were explored. Methods: This was a case control study, applying the Edinburgh Postnatal Depression Scale (EPDS) and a socio-demographic tool on two antenatal groups; women with GDM and women without GDM. The proportion of women with depression was determined as the percentage of pregnant women with domain and overall scores below the cut-off levels that is 13. The Chi-square test and Fisher’s exact test were used to test for statistically significant differences in the proportion of GDM and non GDM women who screened positive for depression. Secondary analysis was done using univariate and multivariate analysis to examine the relationship between gestational diabetes, mode of treatment, and selected socio-demographic characteristics and a positive depression screen. Results: A total of 315 pregnant participants were enlisted for the study (104 with GDM and 211 without GDM). The two study groups were comparable demographically except for maternal age, parity, BMI, ethnicity, mode of conception and alcohol intake (p <0.05). Thirty-five of 104 (33.7%) women with GDM had a positive depression screen compared to 13 of 211(6.2%) women without GDM (p <0.001). Multivariate analysis showed that GDM is associated with the occurrence of a positive depression screen (odds ratio 6.7, 95% confidence interval 3.3-13.6). However mode of treatment of GDM and other socio-demographic characteristics were not associated with a positive depression screen. Conclusion: Women with GDM are significantly more likely to screen positive for depression in pregnancy compared to women without GDM. Screening for depression as well as psycological support may be required in women diagnosed with GDM.
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ساتھوں کی انہونی ہو گئی

ساتھوں کی انہونی ہو گئی
سجناں کنڈ وکھاؤنی ہو گئی
اگے تاں سی رج کے سوندے
نیندر ہن پروہنی ہو گئی
عشق نوں نہ سوکھلّا جانو
پنڈ دکھاں دی چائونی ہو گئی
دکھاں باہجوں سکھ نہیں ملدے
شرط ایہو آزمائونی ہو گئی
منگن بھیک حسن دا دن نوں
راتیں دھونی لائونی ہو گئی
ہکے پاسے سیک جگر نوں
روٹی ہُن پرتائونی ہو گئی
پتہ حنیف نوں مل کے لگا
دُکھاں دی ایہہ چھائونی ہو گئی

علامہ ابن کثیر کی شخصیت اور السیرۃ النبویہ میں ان کا منہج و اسلوب

Sīrah is the topic which started during 1st Hijrah, from that time till now there are several books written on this topic, there is no such personality in history other than Prophet Muhammad (PBUH) whose biography from his birth till his death is preserved in such a manner. None of the aspect of his life is hidden, there was no such personality in history that was praised to such an extent. There are so many books written on the Sīrah of Holy Prophet (PBUH), but the one which was written by Allama Ibn-e-Kathir is indeed unique among them all. During his era there were too many books written on Sīrah al-Nabawiyyah but his command on Ḥadith and Fiqh made his work unique among others, he added authentic Aḥadith and narrations in his book and included such points which remained hidden from other authors. His book consists of 4 parts, and also includes Fiqh al Sīrah, which shows his great command over Fiqh (Islamic Jurisprudence). The work of Ibn-e-Kathir helps in deeply understanding the Sīrah of Prophet.

The Anti Diabetic Effect of Guaiacum Officinale in Streptozotocin Induced Male Albino Rats

Diabetes mellitus is a metabolic disorder and most common disease worldwide. In Asia more than 99% population suffered from type-2 diabetes. The occurrence and consequences of diabetes type 2 in children are also increasing with its complications. In the present study, the effect of Guaiacum officinale in streptozotocin induced diabetic rats in male albino rats was observed. For determining the anti-diabetic effect of bark extract of Guaiacum officinale, we developed type 2 diabetic rat model in albino rats by the use of streptozotocin at 30 mg /kg dose by intraperitoneal route. Initially OGTT was performed for the confirmation the development of type 2 diabetic model and the estimation of serum insulin by ELIZA technique. To determine the anti-diabetic activity of Guaiacum officinale, we selected male albino (Wistar) rats, weight 200±20 gms, acclimatized in uniform environment and conditions. Animals were divided in to four groups. Control group, streptozotocin induced diabetic group (positive control) Glibenclamide (Standard) group and Guaiacum officinale (treated) group. Streptozotocin administered at a dose 30 mg/ kg, I/P, single dose. Glibenclamide at 0.5 mg/kg dose by oral route for 28 days and Guaiacum officinale at 500mg/kg dose, orally for 28 days. After treatment of 28 days, we drawn blood samples by cardiac puncture technique for estimation of blood glucose, serum insulin, pancreatic enzymes, liver enzymes, bilirubin, kidney functions and electrolytes. Histo pathological studies were also performed by H&E staining and scanning electron microscopy. Animals were sacrificed by cervical decapitation, dissected and isolate the vital organs (pancreas, kidney and liver) to observe the histological changes in all 2 groups. Blood glucose was determined by glucometer and the data was analyzed by ANOVA SPSS version 20. Expressed in (Mean±SEM). The results of blood glucose level of treated group (G.O) showed highly significant results as compare to control group. The serum insulin level was performed by ELIZA rat kit. 144 animals were selected, results were expressed in (Mean± SEM) showed that the treated group found highly significant results equivalent to control group. The estimation of pancreatic enzymes (Amylase and Lipase) were performed, 144 male albino wistar strain weight 200±20 gms were selected, results were presented in (Mean±SEM) showed that the amylase level of treated (G.O) group was found highly significant and the level of pancreatic lipase of treated group was found highly significant. In the present study, determine the effect of Guaiacum officinale on liver enzymes, selected 144 albino rats, divided in to four groups, treated group treat with extract and standard group treated with Glibenclamide for 28 days. Blood was collected in a vacutainer containing gel tubes, centrifuged at 3000 rpm; serum was separated for estimation of liver enzymes. Data was analyzed by ANOVA SPSS version 20 and expressed in (Mean ± SEM). The results of serum Aspartate transaminase (AST/SGOT) showed that Guaiacum officinale (treated) group was found highly significant results as compare to control. The Gamma glutamyl transferase (γ- GT) level of treated albino rats with G. officinale for 28 days showed insignificant results were expressed in (Mean± SEM). The results of Alanine transaminase (ALT/SGPT) with compare to control, expressed in (Mean ± SEM) showed that the level of ALT/SGPT in treated albino rats was found insignificant. The alkaline phosphatase (ALP) of treated group (methanolic extract of Guaiacum officinale) at 500 mg /kg dose for 28 days by oral route. Results were expressed in (Mean±SEM) and compare with control, the treated group was found highly significant. The effect of G. officinale on bilirubin (Direct and indirect) was estimated in male albino Wistar rats, weight 200±20 gms, acclimatized under control conditions, divided in four groups. Treated group treated with (G. officinale) and standard group treated with GLB for 28 days. The results expressed in (Mean ± SEM) showed direct and indirect bilirubin was found insignificant.The effect of Guaiacum officinale was determined at 500 mg / kg dose on total lipids of male albino rats. The animals were treated with bark extract orally for 28 days. The level of cholesterol and triglycerides compare with control group expressed in (Mean ± SEM) was showed that the treated group (G. officinale) group was found to be highly significant. The level of triglycerides of male albino rats by the treatment with bark extract of G. officinale expressed in (Mean±SEM) showed significant results as compare to control.The effect of extract on high density lipoprotein (HDL) of albino rats estimated by ANOVA SPSS , expressed in (Mean± SEM) showed insignificant results with compare to control, while the results of low density lipoprotein (LDL) was showed highly significant and the value of VLDL showed insignificant result with compare to control. The effect of G. officinale at 500mg/kg dose on kidney functions (Urea and Creatinine) in male albino rats. The results were expressed in (Mean ± SEM) by ANOVA. The results of both urea and creatinine were found highly significant with respect to control.In present study, the effect of Guaiacum officinale on electrolytes (Sodium and Potassium) were observed in male albino rats at 500 mg/kg dose orally route for 28 days. Animals (144) were selected, weight 200±20 gms, divided in to four groups. Data expressed in (Mean± SEM) showed serum sodium of G. officinale treated group was found highly significant and serum potassium level was found to be insignificant with compare to control. The histo-pathological effects of Guaiacum officinale on tissues (pancreas, kidney and liver) of male albino rats were observed by H &E staining. The observations through microscopic examination proved that the bark extract of G. officinale showed highly significant with respect to control and supported by biochemical and hematological results. The histological studies of Guaiacum officinale on tissues (pancreas, liver and kidney) of male albino rats by scanning electron microscopy. The observations through electron microscope at different magnification showed that the bark extract of G. officinale protect the vital organs from diabetes and its disasters.