scholarly journals Correlation of Detrusor Wall Thickness with International Prostate Symptom Score: A Cross-sectional Study of Nigerian Men with Prostate-Related Diseases

Author(s):  
Obasi Augustine Ulebe ◽  
Timothy Uzoma Mbaeri ◽  
Joseph Amauzo Abiahu ◽  
Michael Echeta Aronu ◽  
Kingsley Chidi Oranusi ◽  
...  

Introduction: Bladder Outlet Obstruction (BOO) due to prostate- related diseases can lead to changes in bladder wall resulting in detrusor wall thickening. These changes are time-dependent and may reflect the severity of underlying BOO. Although urodynamic tests are considered to be the gold standard for the assessment of the severity of Lower Urinary Tract Symptoms (LUTS), these are time-consuming, invasive and expensive. The Detrusor Wall Thickness (DWT) measurement has emerged as a cheap, non invasive and reproducible alternative means of assessing the severity of LUTS in men with BOO. Aim: To determine the correlation between the DWT and International Prostate Symptom Score (IPSS) in men being evaluated for prostate-related BOO/LUTS. Materials and Methods: A cross-sectional hospital based study was conducted over a period of 12 months (May 2014 to April 2015), at Urology Clinics of the Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi. All 100 new consecutive male patients aged ≥40 years with prostate-related LUTS and who can achieve bladder volume of >250 mL were included in the study. The DWT was measured at three different sites (anterior, lateral and dome) at bladder volume >250 mL. Ethical approval was attained from the institutional ethical review board. Severity of LUTS was assessed using a validated IPSS questionnaire. Data was analysed using SPSS version 20. Spearman’s correlation was used to assess the correlation. The p-value <0.05 was considered significant. Results: A total of 100 men with the mean age of 71.02±9.10 years were studied. The mean duration of symptoms was 30.63±26.60 months with the average IPSS being 20.94±6.13. A total of 43 patients and 57 patients had moderate and severe LUTS, respectively. None of the patients had mild LUTS. The mean anterior, lateral, dome and average DWT measurements were 4.95±2.36 mm, 4.96±2.37 mm, 5.02±2.34 mm and 4.97±2.35 mm, respectively. A total of 97 patients had DWT ≥2 mm. There was a significant positive correlation between the DWT and IPSS (r2=0.635 and p<0.001). Conclusion: The positive correlation between the DWT and IPSS has demonstrated that the DWT measurement can be used in assessing the severity of LUTS in men with prostate-related diseases.

2004 ◽  
Vol 20 (4) ◽  
pp. 227-236 ◽  
Author(s):  
Sara Holmberg ◽  
Anders Thelin ◽  
Eva-Lena Stiernström

Summary: The concept of “sense of coherence” (SOC) has been widely recognized since it was first introduced by Antonovsky. The originality and usefulness of the SOC scale and its relation to other psychosocial measures has been the subject of lively debate. The aim of this paper was to test for associations between SOC and work-related psychosocial factors (mainly the Job Demand-Control model), general living conditions, education, and social network factors. Cross-sectional data from a population-based sample of 1782 rural males from nine counties in Sweden were analyzed with a multiple regression technique. The subjects were occupationally active at inclusion and the mean age was 50 years (range 40-60). SOC was assessed with the original 29-item questionnaire. Psychosocial variables and lifestyle factors were assessed using questionnaires and structured interviews. The mean SOC among the subjects was 152.3 (standard deviation, 19.4). A strong negative correlation was found between SOC and job demand, whereas a positive correlation with job control was demonstrated. A positive correlation with general living conditions and with social support was also found. However, there was no correlation to education and occupation. Thus, SOC was shown to be strongly correlated to work-related psychosocial factors and social support, but independent of sociodemographic factors.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 923.4-924
Author(s):  
H. Hachfi ◽  
D. Khalifa ◽  
M. Brahem ◽  
N. Ben Chekaya ◽  
M. Younes

Background:Knee osteoarthritis and obesity are both major health problems. It is now admitted that the prevalence of knee osteoarthritis gets higher with obesity and that weight loss helps knee function and allows patients to avoid surgery.Objectives:The aim of this study was to study the influence of obesity on knee osteoarthritis features.Methods:A cross-sectional study was conducted in the university hospital Taher Sfar of Tunisia over a period of 6 months. Patients who had knee osteoarthritis confirmed by radiographs were included. Sociodemographic, clinical, radiological and therapeutic data were collected from medical records and visits. Obesity was defined by a body mass index (BMI) ≥30. Functional impairment was assessed by the Womac index and Lequesne index.Results:The study included 186 patients. There were 31 males and 155 femmes. The mean age was 60±10 years. The percentage of obese patients was 53,8%. The mean age was similar in both groups obese and non obese. There were more women in the obese group compared to the non obese group (p=0.0001), more patients who had diabetes mellitus and dyslipidemia (p=0.002). Non-obese patients had a shorter duration of symptoms with no statistical significance (p=0.151). Obese patients had more involvement of both knees (p<0.0001). Obesity did not have an impact on pain severity. Severity of radiological images (p=0,0001) were more frequent in obese patients. Functional impairment was similar in both groups. However, the percentage of patients having a very important functional impairment with Lequesne index was higher in obese patients (p<0.029). Obese patients also needed more physical therapy sessions (p=0.035).Conclusion:Knee osteoarthritis in obese patients is characterized with the femlae gender predominance, bilateral knee involvement, and a more severe images on radiographs. Thus the need for better control of weight and the importance of physical activity.References:[1]Coggon D, Reading I, Croft P, et al. Knee osteoarthritis and obesity. Int J Obes Relat Metab Disord J Int Assoc Study Obes 2001; 25: 622–627.Disclosure of Interests:None declared


2020 ◽  
Vol 54 (4) ◽  
pp. 231-237
Author(s):  
Lateefat B. Olokoba ◽  
Kabir A. Durowade ◽  
Feyi G. Adepoju ◽  
Abdulfatai B. Olokoba

Introduction: Long waiting time in the out-patient clinic is a major cause of dissatisfaction in Eye care services. This study aimed to assess patients’ waiting and service times in the out-patient Ophthalmology clinic of UITH. Methods: This was a descriptive cross-sectional study conducted in March and April 2019. A multi-staged sampling technique was used. A timing chart was used to record the time in and out of each service station. An experience based exit survey form was used to assess patients’ experience at the clinic. The frequency and mean of variables were generated. Student t-test and Pearson’s correlation were used to establish the association and relationship between the total clinic, service, waiting, and clinic arrival times. Ethical approval was granted by the Ethical Review Board of the UITH. Result: Two hundred and twenty-six patients were sampled. The mean total waiting time was 180.3± 84.3 minutes, while the mean total service time was 63.3±52.0 minutes. Patient’s average total clinic time was 243.7±93.6 minutes. Patients’ total clinic time was determined by the patients’ clinic status and clinic arrival time. Majority of the patients (46.5%) described the time spent in the clinic as long but more than half (53.0%) expressed satisfaction at the total time spent at the clinic. Conclusion: Patients’ clinic and waiting times were long, however, patients expressed satisfaction with the clinic times.


2019 ◽  
Vol 34 (2) ◽  
pp. 11-15
Author(s):  
Miguel Crisostomo ◽  
Celso Ureta

Objective: To evaluate the association of salivary pH and taste sensitivity among geriatric and non-geriatric patients in an otorhinolaryngology - head and neck surgery out-patient clinic. Methods: Design:           Cross-Sectional Study Setting:           Tertiary Government Training Hospital Participants: 40 otorhinolaryngology out-patients   Results: Of the 40 patients aged 24 to 92-years-old (mean age 59.8 years), 21 were geriatric and 19 were non-geriatric. The mean salivary pH was 6.66 (range 5 to 8) and 6.63 (range 5 to 7) for geriatric and non-geriatric groups; the difference in mean salivary pH was not statistically significant (p = .87). The salivary pH in the geriatric group showed a negative correlation with age (r=0.06), while the salivary pH in the non-geriatric group had a positive correlation with age (r=0.14). Overall, increases in age among the non-geriatric group were correlated with increase in salivary pH which were not observed in the geriatric patients. In the geriatric group, among the 4 tastants, the strongest correlation between taste sensitivity and salivary pH was observed for quinine followed by sucrose and NaCl, but no correlation for citric acid. In the non-geriatric group, the strongest correlation between taste sensitivity and salivary pH was observed for NaCl, followed by quinine, citric acid and sucrose. Conclusion: There was no significant difference between the mean salivary pH of geriatric and non-geriatric patients, and both means were within normal. There was a negative correlation between age and salivary pH in the geriatric group, and a positive correlation in the non-geriatric group.  Salivary pH had the strongest correlation with taste sensitivity for quinine and NaCl among geriatric and non-geriatric participants, respectively, but the reasons for, and significance of this cannot be inferred from the present study. Keywords: salivary pH; taste sensitivity; gustatory function; geriatric 


2019 ◽  
Vol 6 (4) ◽  
pp. 1712
Author(s):  
Srinivasa S. ◽  
Nisar Ahamed A. R. ◽  
Bhavya S.

Background: Adolescence is an important stage in the growth and development of girls. There has been a change in sectorial trend in the onset of puberty menarche. Thus, this study is designed to study the change in sectorial trend. In this background the study has been framed with these objectives, to correlate the attainment of menarche among the subjects in relation to their mothers and to study the sexual maturity rating among the study subjects.Methods: This is a cross sectional observation study involving 70 female adolescent girls. Data was collected from study subjects admitted in the department of Pediatrics, KIMS Hospital and those visiting KIMS OPD during September 2018 to February 2019. Study Subjects were examined by the female investigator and data on anthropometry, Tanner SMR staging, and other examination findings were collected using a pretested standardized questionnaire, after taking the consent. Subjects were divided based on the age into six groups.Results: The mean age of attainment of menarche is 12.36 years and mean age at menarche in mothers was 14.18 years. In this study the earliest age of attainment of menarche is 10 years. In our study most of the subjects attained menarche between 12-13 years, which is earlier than the age of attainment of menarche in the mothers which was 14-15 years. All the subjects who attained menarche were in SMR Breast stages 3, 4 and 5 and pubic hair stages 2, 3, 4 and 5.Conclusions: There is a positive correlation between the ages of attainment of menarche in the mothers and the subjects in this study it is found that there is a positive correlation between age, weight, height and SMR Stages.


Author(s):  
Hetvi Bharatbhai Jethloja ◽  
Priyanka Birjubhai Unadkat ◽  
Radhika Kanaiyalal Raichura ◽  
Janvi Narendrasinh Rana ◽  
Nidhi Sudhir Ved

Introduction: The Coronavirus Disease-2019 (COVID-19) has caused a serious threat to people’s mental health causing psychosomatic disorders such as panic disorder, anxiety, and depression. Aim: To find out the correlation between the occurrence of psychosomatic disorders and age during the COVID-19 lockdown phase. Materials and Methods: This cross-sectional, observational study was conducted in Department of Physiotherapy at RK University, Rajkot, Gujarat, India. Males and females of age ≥21 years, with an ability to understand and fill Google form were recruited for the study. The subjects were divided into four groups according to age 21-34 years, 35-54 years, 55-64 years, and 65 years and older. There were 250 participants in each group. The subjects were asked to fill the COVID-19 Peritraumatic Distress Index (CPDI). Data were analysed by using software Statistical Package for the Social Science (SPSS) version 20. The normality of data was checked by the Shapiro Wilk test. Data followed parametric type so; Pearson correlation test was applied to find out the correlation between age and CPDI score. Results: The mean age of the population was 49.24±18.14 years. The mean CPDI scale scores were 27.572, 31.948, 31.364, and 35.328, respectively from groups 1 to 4. There was a significant positive correlation (p-value=0.031) in group 4, while no significance was found in group 1 (p-value=0.074), group 2 (p-value=0.067), and group 3 (p-value=0.062) Conclusion: There was a significant positive correlation between age and psychosomatic disorder occurrence in the geriatric age group (65 years and older) in the Rajkot city.


2020 ◽  
Vol 3 (1) ◽  
pp. e1-e4
Author(s):  
Rabia Razaq

Background: Accurate prenatal estimation of birth weight is useful in the management of labour and delivery. Objective: To determine the correlation between clinical estimated fetal weight with actual birth weight in 3rd trimester of pregnancy and to determine the correlation between Ultrasonographic fetal weight assessment with actual birth weight in 3rd trimester of pregnancy. Material & Methods: This cross sectional study with non-probability purposive sampling technique was conducted in three tertiary care hospitals of Punjab, Department of Obstetrics & Gynaecology, Allied Hospital, Faisalabad, Lady Aitcheson Hospital Lahore and Lady Willington Hospital Lahore. Informed consent was obtained from each female to use their data for research purpose. Demographic details were also noted. Then females undergo CEFW was done by using Johnson’s formula. Then ultrasonography was done on every female by experienced radiologists to get UEFW. FW measurement was done by using Shepard formula. Then females were followed-up till delivery of fetus. Actual birth weight (ABW) was noted on birth. Pearson correlation was used to measure the correlation coefficient for CEFW and UEFW with ABW. P-value≤0.05 was taken as significant. Results: In our study the mean age of the patients was 29.60±6.23 years and the mean gestational age of 33.30±2.31 weeks. The mean BMI value of the patients was 23.08±1.26 Kg/m2, the mean CEFW value 2219.60±556.41 grams while the mean UEFW value of the patients was 2227.77±521.94 grams and the mean value of ABW of the patients was 2284.00±515.29 grams. In our study the positive correlation was found between the CEFW, UEFW with ABW of the baby. Conclusion: Our study results concluded that both the clinical estimation ultrasonography estimation showed the feasible and reliable results. Both showed positive correlation with actual birth weight.


2019 ◽  
Vol 22 (1) ◽  
pp. 36-40
Author(s):  
Suraya Sarmin ◽  
Sadia Sultana ◽  
Madhuchhanda Hazra Mou ◽  
Naheed Khan ◽  
Pupree Mutsuddy ◽  
...  

Objectives: Glomerular Filtration Rate (GFR) is an important parameter of kidney function. Many methods are used to measure GFR namely: inulin clearance, double plasma sample method (DPSM), Gates’ method, and equation based method. DPSM has become the gold standard in clinical research. Gates’ method is routinely practiced at National Institute of Nuclear Medicine and Allied Sciences. Chronic kidney disease epidemiology collaboration (CKD-EPI ) equation is encouraged as it is simple and reliable. The aim of the study was assesment of agreement between Gates’ method and CKD-EPI equation with plasma sample method for estimation of GFR. Patients and methods: This cross sectional observational study was carried out at NINMAS, during July 2017 to June 2018. A total of 70 subjects referred for 99mTC-DTPA renography along with GFR estimation, were included in this study. Result: The mean GFR value evaluated by DPSM, Gates’ and CKD-EPI  equation were, 81.86 ± 22.42, 86.13 ± 26.70 and 78.48 ± 23.87 mL/min/1.73 m2 respectively. A strong positive correlation (r = 0.922) was found between DPSM and Gates’ method and also between DPSM and CKD-EPI equation (r= 0.930). The Gates’ and CKD-EPI equation also showed strong positive correlation (r = 0.872). The mean difference between DPSM and Gates’, between DPSM and CKD-EPI equation,  between Gates’ and CKD-EPI equation were 4.26 ± 10.45, 3.38 ± 8.78  and  7.64 ± 13.09 mL/min/1.73 m2 respectively. Conclusion: Strong positive correlation and excellent agreement were observed between DPSM and Gates’ and also between DPSM and CKD-EPI equation. Strong correlation was also found in between Gates’ and CKD-EPI equation. So, DPSM, Gates’ method and CKD-EPI equation can reflect GFR almost equally and used interchangeably. Bangladesh J. Nuclear Med. 22(1): 36-40, Jan 2019  


Author(s):  
Devanshi Chowdhary ◽  
Ankita Sharma ◽  
L. Gopichandran

Background: According to WHO, the prevention and control of an epidemic and pandemic constitutes following preventive measures like hand washing, cough etiquette and dissemination of knowledge among other measures. In context to COVID-19, these measures have been proved to be very effective rendering various countries to be free of COVID-19. The knowledge, attitude and practice studies play an important role in assessing the societal readiness to accept behavioural changes, moreover they also determine baseline information to assess the actions to be taken to change the attitude and increase the knowledge of the people regarding the situation. Thus this study was undertaken to assess the knowledge, attitude and practice of the common public in India.Methods: A cross sectional survey was done among the attenders of patients visiting the cardiac/CTVS OPD during the month of June to July.  A total of 200 patients attendants were enrolled in the study. Due to COVID-19 restrictions only 10 patients per day were enrolled. After obtaining informed consent an online questionnaire was sent to their mobile phones via electronic media and participants were requested to fill the questionnaire while waiting for the doctor’s visit. The knowledge, attitude and practice of the participants were assessed by a validated KAP survey questionnaire.Results: The participants had a good knowledge score. The mean knowledge score (minimum, maximum) among the population was 7.7±1.7 (0, 11) though the participants had a poor practice score of 2.3±1.01 (0, 4). The participants had a positive attitude regarding the preventive practices regarding COVID-19 and also a positive attitude towards health care workers. The mean attitude score was 21.3±3.5 (5, 25). A significant positive correlation (r=0.263) was found between knowledge and practice scores. A significant association was also found in between the age with attitude and practice scores, and also in between qualification with knowledge and total KAP score.Conclusions: The present study concludes that people have good knowledge regarding the various aspects of COVID-19, also there was positive correlation of knowledge with practice. Hence it is important to disseminate right knowledge regarding the pandemic COVID-19 so that general public performs the appropriate practices in order to keep themselves and their near ones safe. This study reflects the awareness of general public in the difficult time, as well as their helping attitude towards healthcare professionals in form of providing accommodation etc. Community awareness, participation and preparedness are key factors in achieving a good health for all. 


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