当社グループは 3,000 以上の世界的なカンファレンスシリーズ 米国、ヨーロッパ、世界中で毎年イベントが開催されます。 1,000 のより科学的な学会からの支援を受けたアジア および 700 以上の オープン アクセスを発行ジャーナルには 50,000 人以上の著名人が掲載されており、科学者が編集委員として名高い
。オープンアクセスジャーナルはより多くの読者と引用を獲得
700 ジャーナル と 15,000,000 人の読者 各ジャーナルは 25,000 人以上の読者を獲得
Abdul Hafeez Kandhro and Fatehuddin Khand
Background: Deficiencies of iodine, Selenium, are the 2 most common micronutrient deficiencies in some areas of Pakistan, although control programs, when properly implemented, can be effective.
Objective: We investigate these deficiencies and their possible interaction in adult age in both gendersof Hyderabad & plane areas of Sindh. Design: Goiter, signs of Iodine deficiency, and biochemical markers of thyroid (Thyroid Hormones), Serum Selenium status were assessed in 100 younger aged 15–30 y.
Results: The goiter rate was 30.5%.TSH levels in adult goiter cases were significantly higher 11.40 ± 3.80 μIU/ml (p <0.002) than the control subjects 1.27 ± 0.42 μIU/ml (matched for age and gender and with no personal history of goiter). As compared to control subjects T3 levels were significantly higher 1.80 ± 1.02 ng/dl (p <0.001) in goiter cases. The T4 levels were comparable between goiter patients and control subjects. There were significantly lower 42.68 ± 11.07 μg/L (p <0.001) serum selenium levels in goiter cases as compared to control subjects 88.88 ± 10.39 μg/L. There were significantly lower 60.32 ± 20.47 μg/L (p <0.001) urine iodine levels in goiter cases as against the controls.
Conclusion: The finding of present study that T3 and T4 levels in goiter patients were within normal ranges indicates that the cause of enlarged thyroid gland in these patients is deficiency of iodine in the diet. The finding that iodine was excreted in significantly lower amounts in goiter patients than in the control subjects, also suggests mild iodine deficiency to be the cause of goiter in these patients.