Objective: To assess the role of Insulin growth factor-I (IGF-I) in females selected for assisted reproductive technique (ART).Methods: In this cross-sectional study 133 infertile females were recruited for Intracytoplasmic sperm injection (ICSI). The antral follicle count (AFC), pre-ovulatory follicle count (PFC), total doses of follicle stimulating hormone (FSH) were estimated. IGF was measured. Successful pregnancy conception afterICSI was confirmed by an intrauterine gestational sac with cardiac activity after embryo transfer. Receiver Operating Curve (ROC) analysis was also done to find out the area under the curve for clinically pregnant samples using IGF-I. Binary logistic regression analysis was done to estimate the odds ratio with 95% confidence interval for clinical pregnancy using IGF-I; all p-values less than 0.05 were considered significant.Results: Study results revealed that IGF-I gave positive association with clinical pregnancy outcome, and is a more reliable predictor of clinical pregnancy. IGF-I gives 39.8% positive correlation with number of oocytes fertilized. These correlations were statistically significant with p-values less than 0.05. Area under the curve for clinical pregnancy using IGF-I, was 72.4% which reveals the importance of IGF-1 in predicting the outcome of ART.Conclusion: Based on the results of the present study we came to the conclusion that IGF-I is a better and cheaper option and an important tool in the field of infertility.
BACKGROUND: Iron deficiency anemia is most common nutritional deficiency in pregnant women due to increased iron turnover and additional requirement by fetus. Glycemic index is popularly measured by assessing glycated proteins. HbA1c is affected by several factors including pregnancy.OBJECTIVE: The aim of this study is to assess the relationship between iron deficiency anemia in pregnant women and glycated protein (HbA1c).PATIENTS AND METHODS: It is a prospective study conducted at a tertiary care hospital between the duration of April 2019 to June 2019. Total of 40 normal females were taken as control group, while 42 pregnant non – diabetic iron deficient patients.RESULTS: Both groups included females of reproductive age. All parameters including hemoglobin, serum iron, serum total iron – binding capacity (TIBC), serum transferrin saturation and serum ferritin showed statistically significant between two groups (p <0.001). HbA1c also showed statically significant difference (p = 0.021).CONSLUSION: Study showed strong correlation between iron deficiency anemia and glycated proteins as it is increased as iron deficiency develops. So it may give false increase in levels in evaluation of glycemic index.
Objective: The objective of the study is to evaluate and compare the lipid profile in normotensive pregnancy and in pre-eclamptic pregnant women.Methods: The study was a case-control study, conducted from January 2018 to June 2018. The sample size was 90. Participants were recruited after fulfilling the selection criteria out of which, 45 were normal pregnant females and 45 were pregnant females with Preeclampsia (PE). Participants were placed in two groups namely A and B. Group A were 45 healthy pregnant females and group B were 45 preeclamptic pregnant women. The biophysical parameters included age, weight, height and BMI. Blood pressure was recorded through standard protocols. Blood was taken for lipid profile which includes Cholesterol, Triglyceride and HDL-C, measured through enzymatic colourimetric (CHOD-PAP) method, Glycerol-3-Phosphate Oxidase Phenol Aminophenanzone (GPO-PAP) method and Cholesterol Oxidase-Phenol Aminophenazone (CHOD-PAP) method respectively, however; LDL-cholesterol was calculated through Friedewald's formula. Urinary protein was measured through URS Strips through semi-automated analyser CYBOW reader 300. Data were statistically analysed through IBMSPSS software version 20 with the help of one-way analysis of variance (ANOVA) analysis, Tukey'sHSD test, independent sample t-test and Pearson correlation analysis by considering p-values 0.05 as a significant.Results: The results of the study revealed a significant rise in the lipid profile of pregnant women with preeclampsia than in normotensive pregnant women including cholesterol, Triglyceride, HDL-C and LDL-C.Conclusion: The study concluded that dyslipidaemia or hyperlipidaemia in early pregnancy could be one of the reasons for developing preeclampsia in late pregnancy and the risk of being hypertensive in advanced age.
Objective: The objective of this study is to evaluate the correlation of radiologically diagnosed non-alcoholic fatty liver disease (NAFLD) with serum uric acid (SUA) levels.Methods: It is a case control study conducted in private sector tertiary care hospital. A total of 200 subjects were involved in this study after calculation of sample size. The study participants were recruited from the medicine ward while the healthy controls were taken from the general population. Non probability consecutive sampling technique was employed. Inclusion criteria was patients who were diagnosed with fatty liver through abdominal ultrasonography. Exclusion criteria was patients suffering from any other chronic illness that can lead to an echogenic liver on ultrasound (viral hepatitisand diabetes) and history of alcohol consumption. Ethical approval for the study was taken from IRB. Data were entered and analysed using IBM SPSS version 23.0. Mean with standard deviation for age, BMI, SBP, DBP and SUA were reported between two study groups.Results: Highly significant results were observed between two groups; diseased and controls. Mean uric acid levels were found to be significantly higher in NAFLD (non-alcoholic fatty liver disease)cases as compared to controls, with serum uric acid showing an affirmative and positive linear relationship with fatty liver. An increase in BMI and systolic and diastolic blood pressures was also seen in NAFLD group as compared to controls which indicates that BMI is a comorbid for cardiac complications among the NAFLD patients.Conclusions: The study determined that uric acid levels elevate with progression of non-alcoholic fatty liver disease. This finding brings a new insight of uric acid in clinical practice. Increase in serum uric acid levels might serve as a trigger for physician to screen for NAFLD. An increase in BMI and systolic and diastolic blood pressure in NAFLD patients indicates underlying causes leading to cardiovascular complications in these patients.
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