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Home > Relationship Between the Quetelet’S Index, Homa-Ir Index and Prostate Size in Patients With Benign Prostatic Hyperplasia at St. Mary’S Hospital In

Relationship Between the Quetelet’S Index, Homa-Ir Index and Prostate Size in Patients With Benign Prostatic Hyperplasia at St. Mary’S Hospital In

Thesis Info

Author

Onyuma, Timothy

Department

Pathology (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2011

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728065934

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Introduction: Benign prostatic hyperplasia is a highly prevalent disease and is considered an inevitable correlate of ageing. Several theories have been advanced in a bid to explain its pathogenesis, the most popular ones relating to sex steroid hormones (1). Currently facets of the metabolic syndrome of which two principal components are insulin resistance and high BMI have been postulated to be related to growth of the prostate (2). Insulin resistance is assessed by the HOMA-IR index. Some studies have demonstrated an association between these indices and the size of the prostate (3). While others have not (4). We set out to investigate this association. Objectives: The aim of this study was to assess the relationship between the Quetelet‘s Index, HOMA-IR index and the prostate volume amongst patients scheduled for surgery for prostate enlargement. Methods: Consecutive male patients attending the urology clinic were recruited into the study. Their anthropometric measures were taken and Quetelet‘s index was derived from the same. Prostate volumes were determined by transrectal ultrasonography (TRUS). Serum samples were taken, after an overnight fast and assayed for insulin and glucose levels. Tissue specimens were examined at the Aga khan University Hospital Histopathology labs. Prostate volume was considered the main outcome. Regression modeling was employed to assess the relationship between the BMI and prostate volume and that between the HOMAIR index and the prostate volume. Results: A total of 130 patients fulfilled the inclusion criteria. The mean age was 69.8 (SD 9.152). The mean BMI was 22.66 (SD4.01), while the mean prostate volume was 81.2cc (SD38.98). The age of the patients was associated with the prostate volume and according to our model there was an increase in the mean prostate volume with age. In addition, the Quetelet‘s index was also associated with the prostate volume, explaining 23% of the variability in prostate volume (R2=0.229, β = 0.475, p<0.001). We also demonstrated a relationship between the HOMA-IR Index and the volume of the prostate. Conclusion: The Quetelet‘s Index and the HOMA-IR Index are positively associated with the prostate volume and are potential modifiable risk factors for Benign Prostatic Hyperplasia.
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مولانا غلام محمد نورگت

مولانا غلام محمد نورگت
گزشتہ ماہ ہندوستان کی مشہور دینی شخصیت حضرت مولانا غلام محمد نورگت کی وفات سے علمی ودینی حلقوں میں صفِ ماتم بچھ گئی۔ان کی اچانک وفات کی خبر ہندوستان ہی میں نہیں بلکہ تمام عالم اسلام میں رنج وغم کے ساتھ سنی گئی۔ اِنّالِلّٰہِ وَاِنَّااِلَیْہِ رَاجِعُوْن۔
ادارہ ندوۃ المصنفین سے مرحوم مولانا غلام محمد نورگت کاتعلق ورابطہ اس کے قیام اول ہی سے تھا۔وہ اس کے نہ صرف لائف ممبر ورکن تھے بلکہ اس کے بانی اورعالم اسلام کی زبردست ہستی مفکرِ ملّت حضرت مفتی عتیق الرحمن عثمانی ؒ کے خصوصی رفقاء میں تھے۔حضرت مفتی صاحبؒ کے مشوروں وہدایات کے تحت انہوں نے اپنے آبائی وطن گجرات سورت اوراس کے مضافات میں اسلامیات کے فروغ اور مذہبی ودینی تعلیمات کے لیے دینی مدرسوں کے قیام میں بڑھ چڑھ کرحصہ لیا۔کتنے ہی مدارس انہوں نے قائم کیے اور ان کاسنگ بنیاد حضرت قبلہ مفتی عتیق الرحمن عثمانیؒ کے دستِ مبارک سے رکھوایا۔ علمی ودینی کاموں کوانجام دینے اورانہیں پایۂ تکمیل تک پہنچانے کے لیے حضرت مفتی صاحبؒ سے برابر صلاح ومشورہ لیتے رہتے، قدم قدم پرمفتی صاحبؒ کی رہنمائی سے استفادہ حاصل کرتے رہتے تھے۔حضرت مفتی صاحبؒ سے حضرت مولانا غلام محمد نورگتؒ کے اس قدر تعلق خصوصی اوران کی بے لوث دینی خدمات سے متاثر ہوکر مشہور علمی و دینی شخصیت حضرت مولانا ابوالحسن علی ندوی مدظلہ العالی دامت برکاتہم نے اپنی تصنیف ’حیات عبدالحئیؒ ‘میں خاص طور پراسے بیان فرمایا ہے۔ مفتی صاحبؒ کو وہ اپنا مشفق و مہربان اور بڑے بھائی کی طرح سمجھتے تھے، ان کی ہربات ماننا وہ باعث سعادت سمجھتے تھے۔حضرت مفتی صاحبؒ کی وفات کی خبرسن کر پھوٹ پھوٹ کر بچوں کی طرح رونے لگے،اس کے بعد جب بھی حضرت مفتی صاحبؒ کاکہیں ذکر ہوتاتو ان کی یاد کرتے کرتے ان کی آنکھوں سے آنسو چھلک...

Impact of Marketing Leadership Effectiveness on Change Management in Manufacturing Sector of Pakistan

The major theme of this paper is exploration of new dimensions of marketing leadership effectiveness. These dimensions are discussed in theoretical perspective but the main contribution of this research is their empirical testing. The four intellects namely business, spiritual, emotional as well as political intelligence of marketing leaders are taken for measuring marketing leadership effectiveness and their impact on change management is analysed. The data was collected from manufacturing sector of Pakistan from the marketing leaders who are involved in the process of change management through purposive sampling technique. The sample size for current study was 200. Reliability of items is checked through Cronbach’s Alpha test. Results of correlation and regression analysis of study found positive and it is concluded that four selected intellects can act as measures of marketing leadership effectiveness which help in managing change successfully in organizations. This research has significant implications for industry experts as they can judge the ability of marketing managers while assigning them leadership role after measuring the four intellects as proposed in this research. For academia point of view, researchers who are interested to measure marketing leadership effectiveness can gain insight from present research.

Synthesis of Calix[4]Arene Based Receptors for the Removal of Anoins from Aqueous Media

Anions play an important role in biology, medicine, catalysis, biomimetic receptors and the environment, but at the same time they are also considered as potentially toxic to human health at elevated concentrations. Particularly, perchlorate, dichromate and fluoride ion are highly persistent in water for decades and their exposure in humans includes ingestion of contamination through drinking water and food. In 1990 US EPA considered perchlorate as toxic material and in 1998 US EPA included perchlorate in Contaminant Candidate List (CCL) with a drinking water level upto 24.5 μg L-1. Dichromate with high solubility in water and oxidation potential exhibits carcinogenic effects on biological systems. The maximum permissible level for dichromate in potable and industrial wastewater is 0.05 mg·L-1. Flouride with concentration of >1.5 mg/L in natural water causes dental and skeletal fluorosis; renal and neuronal disorders Therefore, there is essential need of treatment of wastewater containing hazardous anions from aqueous environment to reduce the health risk. In the field of separation science, the calix[4]arene platform displays interesting organizing properties for the building of various ligating sites to recognize various species including cations, anions and neutral molecules. Our study is concerned with the design and synthesis of different calix[4]arene based materials, efficient for the removal of anions mainly perchlorate, dichromate and flouride ion present in water by optimizing different parameters. In the first part of study, the synthesis of two new calixarene based polymeric resins (Resin-4 and Resin-5) were conducted and characterized by different analytical techniques, i.e. TGA, FT-IR and elemental analyses. The synthesized resins were used for the selective removal of perchlorate. Results showed that the Resin-4 and Resin-5 have perchlorate removal efficiency from aqueous media. The isotherm models, breakthrough curves, kinetic and thermodynamic studies further confirm the experimental results. The maximum adsorption of perchlorate could be achieved at low pH. During the second part of study dichromate adsorption by synthesized compound and resins were carried out. The liquid and solid phase extraction methods have been applied to ascertain the extraction efficiency of both the calix[4]arene derivative and the resin. Analysis of experimental data has been carried out by log-log plot analyses and the determination of characteristic parameters of each isotherm model such as Freundlich, Langmuir and Dubinin-Radushkevich (D-R). The kinetic and thermodynamic parameters concluded that the resin has good capability to efficiently remove dichromate from aqueous media. Finally the third part of our study demonstrates a comparative equilibrium study of calix[4]arene based chitosan (Resin-3) and Ambelite XAD-4 (Resin-4) towards fluoride ion. In batch experiments different parameters were optimized such as pH, dosage and concentration to evaluate the adsorption efficiency. Maximum % adsorption (i.e 98% and 96 % for Resin-3 and Resin-4 respectively) was observed at pH 8.7 with 50 mg of each resin in 60 minutes time. Langmuir, Freundlich, Dubinin–Radushkevich (D-R), Temkin and Flory-Huggins equilibrium isotherms were used to validated the experimental data. The results show that Langmiur and D-R isotherms best fit to experimental data for Resin-3 and Resin-4 as compared to other isotherms models. The maximum adsorption capacity of Resin-3 and Resin-4 was observed as 1.0175 mol g-1.and 1.2097 mol g-1, respectively. The results show that the synthesized calixarene based materials have desired properties for the removal of anions from aqueous media as compared to other reported materials. The analytical work will be beneficial in terms of public health safety, laboratory and industrial application.