Parenting styles and socio-demographic dynamics associated with mental health of in-school adolescents in Ibadan, south-west Nigeria

Background: Positive parenting and enabling socio-demography, engenders good conduct in adolescence. Balanced parental demandingness and emotional responsiveness, deployed by authoritative parents, supports adolescents’ mental health. Parental emotional responsiveness deters peer-pressured risky behaviours; while parental negligence, permissiveness, or demandingness encourages mental health problems. This is especially in the context of unfavourable socio-demographic setting.Aim: We aimed to evaluate parenting styles and socio-demographic factors associated with adolescents’ mental health.Method: A cross-sectional multistage study was conducted with 286 in-school adolescents in Ibadan, Nigeria. Data were collected with questionnaires. The questionnaires evaluated socio-demography, mental health, and perceived parenting styles using the Strength and Difficulty Questionnaire (SDQ) and Scale of Parenting Styles (SPS) questionnaires. Data analysis was conducted using SPSS 21.Results: Some of the adolescents in this study, experienced peer problems (4.9%), conduct problems (9.4%), hyperactivity problems (0.7%), emotional problems (14.3%), and they lacked pro-social behaviours (11.1%). In comparison to adolescents who perceived fathers as authoritative, adolescents who perceived fathers as less demanding experienced emotional (p = 0.01) and peer (p = 0.02) problems. Perceived maternal negligence and authoritarian parenting was associated with more peer problems (1.5±2.3 and 1.3±2.2) in comparison to perceived maternal authoritative style (0.6±1.5). Most adolescents from lower social class experienced conduct (88.8%; p = 0.07) and emotional problems (73.2%; p = 0.20).Conclusion: Competent parenting style and socio-economic resources supports resilience to mental health problems in adolescents

Acute kidney injury secondary to iatrogenic bilateral ureteric ligation following emergency abdominal hysterectomy

Background: Bilateral ureteric injury, although rare is a complication that could follow obstetric, gynaecologic and other pelvic surgeries. Majority of cases are diagnosed postoperatively, hence a high index of suspicion is required in patients who develop acute kidney injury (AKI) following abdomino-pelvic surgeries. Early diagnosis and intervention is key in the reversal of this uncommon type of AKIMethods: We reviewed the case notes of a 47 year old female who was managed for AKI following abdominal hysterectomy.Results: We present a case of 47 year old female who was referred to us 24 hours after she developed acute kidney injury following emergency abdominal hysterectomy on account of uterine rupture. There was significant haemorrhage before and during the surgery. Estimated glomerular filtration rate at presentation was 17 mls/min/1.73m2 and abdominopelvic ultrasound showed bilateral obstructive uropathy. She received blood transfusion, haemodialysis, explorative surgery where both ureters were found to be ligated with evidence of bilateral hydroureters within 72 hours of referral. Bilateral ureteroneocystostomy was done with subsequent complete renal recovery.Conclusion: Ureteric injuries should always be considered in all patients who develop AKI following abdomino-pelvic surgeries even in the presence of other possible causes such as haemorrhage. Abdominopelvic ultrasound scan should be done in these patients and early referral for specialist care is key to reducing associated morbidity and mortality.Keywords: Bilateral ureteric injuries, acute kidney injur