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Validation of the Iief - 5 Questionnaire in a Clinic Population at Aga Khan University Hospital, Nairobi

Thesis Info

Author

Otim, Denis

Department

General Surgery (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2017

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728075026

Similar


Background: Men with lower urinary tract symptoms (LUTS) are at risk of erectile dysfunction (ED) and other co - morbidities. The clinical assessment of ED is unreliable and the International Index of Erectile Function – 5 (IIEF – 5) a widely used tool is not validated in our setting. We aimed to validate the IIEF – 5 as a screening tool for ED in men with LUTS visiting the outpatient services. Methodology: In the study, 99 men above 40 years with LUTS attending the urology clinics were consecutively enrolled, administered with the IIEF – 5 and assigned an ED status. Socio – demographic data and risk factors were captured in a separate questionnaire. A blinded urologist made an independent clinical assessment of ED following this. Results: In this study involving 99 men with LUTS, 45.5% had mild ED, 24.2% had no ED, 17.2% had mild-moderate ED, while 13.1% had moderate ED based on IIEF – 5 score. In comparison, 84.8% had no ED and 15.2% had ED based on clinical assessment. The questionnaire items were very correlated as determined by a Cronbach's alpha of 0.920. Determination of ceiling and floor effects was based on a cutoff of at least 15% of patients obtaining the least points of 5/25 for the floor effect or best points of 25/25 for the ceiling effect. 7.1% of patients scored 25/25 and none scored 5/25 hence no ceiling or floor effect was observed. The area under the curve 0.884 (p = 0.000002) demonstrated good diagnostic performance with favourable sensitivity and specificity. Conclusion: For men above 40 years with LUTS, the IIEF-5 is a valid and reliable tool to screen for ED. These results, taken with results from previous validation studies of the IIEF – 5 suggest that it should complement clinical assessment of ED.
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اظہارِ تشکر

اظہارِ تشکر

حمد و ثنا ہے اُس خالقِ لم یزل ولا یزال کے لیے جو لائقِ تسبیح و تمجید ہے۔جس نے اپنی قدرتِ کاملہ سے ذرے کو آفتاب،قطرے کو قلزم  اور عظیم آسمان کے شامیانے کو بغیر کسی سہارے کے نصب فرمایا۔جس کا کمال اس کی معرفت ہے اور جس کا شاہ کار "لولاکِ لما خلقت الافلاک" کا مصداق ہے۔لاتعداد درود و سلام اُس ہادی برحق معلمِ قدس ،سید الانبیاء  حضرت محمد مصطفیٰ  صلی اللہُ علیہ وآلہ ٖ وسلم کی ذاتِ مقدسہ و مطہرہ پر۔اور لاکھوں درود و سلام صاحبانِ کساء ،اہلبیتِ اطہار ؑ اور اصحابِ باوفا رضوان اللہ علیھم اجمعین کی ذواتِ پاکیزہ پر۔

یہ مقالہ میری زندگی کی اولین تحقیقی کاوش اور میری زندگی کے خوابوں  کی ادنی سی تعبیر ہے۔جس کے لیے میں نے ان تھک محنت کی۔ الحمد للہ میری اس کاوش کو خدائے بزرگ  و برتر نے  تکمیل  تک پہنچانے میں میری مدد فرمائی۔

       میں شکر گزار ہوں اپنے عظیم والدین کا جن کی بے پناہ محبتوں اور شفقتوں کے سبب میں ا س قابل بنا۔ جنہوں نے زندگی میں ہر گاہ رہنمائی فرمائی اور اپنی دعاؤں کے سائے میں پروان چڑھایا۔میرے والدِ بزرگ وارسید محمد حسین شاہ صاحب  کو تعلیم سے بے پناہ محبت ہے۔اُن کی زندگی کی یہ خواہش رہی ہے کہ ہمیں بہترین انداز میں زیورِ تعلیم سے آراستہ فرمائیں۔آج میں فخر محسوس کر رہا ہوں کہ ان کے خواب کو تکمیل تک پہنچانے میں خدا نے میری مدد فرمائی۔خدا میرے والدین کو سلامت رکھے اور ان کی محبتوں کا ابر ِ رحمت ہمیشہ برستا رہے۔

میں اپنے محسن و مشفق استاد نگرانِ مقالہ پروفیسر ڈاکٹر سید اشفاق حسین بخاری کا شکر گزار ہوں جن کے علمی سایہ عاطفت میں یہ تحقیق  مکمل کی ۔اچھی...

China-Pakistan Economic Corridor: A Case Study Of Internal Security Challenge Faced by Pakistan

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Chemical Composition and Biological Antioxidant and Antimicrobial Activities of Essential Oils from Selected Plants of Pothohar Plateau

Essential oils of different medicinal and aromatic plants have been potential candidates as source of food preservation, pharmaceuticals, alternative medicines and natural therapies in addition to their pharmacological properties like hepatoprotective, carminative, anticarcinogenic and antiviral effects. In present study some selected plants from Pothohar plateau were collected and subjected to essential oil extraction by hydrodistillation followed by assessment of their physical parameters like color, specific gravity, % yield etc and their biological activities including antioxidant, antimicrobial and cytotoxic attributes. The oils were then characterized by using GC and GC-MS techniques to find the chemical constituents. Overall the examined oils exhibited good antioxidant and antimicrobial behavior. To the best of our knowledge the essential oil of Parthenium hysterophorus has never been reported with regard to its composition as well as biological activities before present study. In general, Trachyspermum ammi and Cuminum cyminum essential oils showed significant activity in most of the assays performed in this study. Both showed remarkable potential for scavenging of DPPH free radical with IC50 values 2.61and 16.86 μg/mL, respectively and inhibited linoleic acid by 80.73 and 79.36% respectively. For T. ammi most sensitive bacterium was Streptococcus mutans (Inhibition zone=19.7mm; MIC=1.41 mg/mL) and fungus was Ganoderma lucidum (Inhibition zone=17.0mm; MIC=1.72 mg/mL) while for C. cyminum most sensitive bacterium was Bacillus subtilis (Inhibition zone=27.3mm; MIC=1.10 mg/mL) and fungus was Ganoderma lucidum (Inhibition zone=27.0mm; MIC=1.40 mg/mL). Both T. ammi and C. cyminum exhibited minimum hemolysis of human erythrocytes i.e. 7.98 and 4.51% respectively at 0.5 mg/mL concentration. GC-MS analysis revealed that thymol (37.75%) was the major component of T. ammi essential oil while cumaldehyde (24.10%) in C. cyminum essential oil. All the experiments were done in triplicate and mean ± S.D. was calculated.