Parenting Style and Anti-social Behavior: An Exploratory Study of Secondary School Students

The primal objective of present study was to investigate the relationship of parenting style with secondary school students’ antisocial behaviour. Population of the study consisted of all students enrolled in public secondary schools of the Sahiwal division. Random sampling technique was employed for sample selection. Researchers selected all three districts of Sahiwal division i.e. Pakpattan, Okara and Sahiwal. Eight schools from each district were randomly selected as sample of the study. Data were collected from 190 male (95 urban and 95 rural) and 200 female (100 urban and 100 rural) students by using two questionnaires viz.  Parental Authority Questionnaire (PAQ) and Sub-Types of Antisocial Behaviour (STAB). Statistical Package for Social Sciences (SPSS) was used for data analysis. Pearson r was run to analyze the data. It was inferred from  analysis that majority of public secondary schools students perceive fathers’ parenting style to be authoritarian and mothers’ to be authoritative. No significant correlation was found between authoritative parenting style and students’ antisocial behaviour. Authoritarian as well as permissive parenting styles were significantly correlated with students’ antisocial behaviour. To conclude, both authoritarian and permissive parenting styles are the major contributors to lead students towards antisocial behaviour. It is recommended that parents should employ authoritative parenting style in rearing their childre

Parenting Style and Anti-social Behavior: An Exploratory Study of Secondary School Students

The primal objective of present study was to investigate the relationship of parenting style with secondary school students’ antisocial behaviour. Population of the study consisted of all students enrolled in public secondary schools of the Sahiwal division. Random sampling technique was employed for sample selection. Researchers selected all three districts of Sahiwal division i.e. Pakpattan, Okara and Sahiwal. Eight schools from each district were randomly selected as sample of the study. Data were collected from 190 male (95 urban and 95 rural) and 200 female (100 urban and 100 rural) students by using two questionnaires viz.  Parental Authority Questionnaire (PAQ) and Sub-Types of Antisocial Behaviour (STAB). Statistical Package for Social Sciences (SPSS) was used for data analysis. Pearson r was run to analyze the data. It was inferred from  analysis that majority of public secondary schools students perceive fathers’ parenting style to be authoritarian and mothers’ to be authoritative. No significant correlation was found between authoritative parenting style and students’ antisocial behaviour. Authoritarian as well as permissive parenting styles were significantly correlated with students’ antisocial behaviour. To conclude, both authoritarian and permissive parenting styles are the major contributors to lead students towards antisocial behaviour. It is recommended that parents should employ authoritative parenting style in rearing their childre

Sonographic Comparison of Portal Vein Diameter in Cirrhotic and Non-Cirrhotic Patients

Background: Liver cirrhosis has become one of the major causes of morbidity and mortality. The burden of liver cirrhosis is growing in both the West and the East. In Pakistan death rate of liver cirrhosis is conspicuous because of chronic hepatitis (hepatitis B, C) and hepatocellular carcinoma. It is reported by World Health Organization that Pakistan occupies secondary place in spread of hepatitis C. Objective: To compare the portal vein diameter in cirrhotic and non-cirrhotic patients through ultrasound. Methodology: Ultrasound machine Toshiba Xario, Mindray dp 10 and G logic p5 with a curvilinear transducer of frequency 3.5 MHz was used. The study was conducted at, Hussain Diagnostic Ultrasound Centre Jampur, District Rajanpur. Data of 100 patients was collected through Cross-Sectional Analytical study. Statistical software for social sciences (SPSS version 22.0) is used for the analysis of data. Results: One hundred patients participated in this study. Among them, the minimum age was 30 and the maximum age was 70. Ratio of male patients was more than female patients, due to fact of more alcohol consumption in males. Out of 100 patients, 50 patients had cirrhosis and 50 were non cirrhotic. Liver cirrhosis patients came the severe symptoms like weakness, lethargy, hematemesis and melena. Non cirrhotic patients came with epigastric pain, nausea and vomiting. Mean of Portal vein diameter in non-cirrhotic patients was 10.5mm. Mean of  Portal vein diameter in live cirrhosis patients was 14.8mm. A statistical significance difference was found between the two means of portal vein diameter of two groups (cirrhotic and non-cirrhotic) as the p-value 0.000 less than 0.05. Conclusion: Liver cirrhosis is one of the major issues of health and a big reason for increasing mortality rate all over the world. The most common etiology of liver cirrhosis .is .alcohol. Patients come with liver cirrhosis having severe symptoms like weakness, lethargy, hematemesis and melena. Non-cirrhotic patients come with mild symptoms like epigastric pain, nausea and vomiting, having normal portal vein diameter. Mean portal vein diameter in cirrhotic patients (14.8mm) was greater than non-cirrhotic patients (10.5mm). Key words: Liver cirrhosis, Non-alcoholic steatohepatitis (NASH), Non- alcoholic fatty liver disease (NAFLD), alcoholic liver disease (ALD). DOI: 10.7176/JHMN/76-12 Publication date:June 30th 202

Correlation of Maternal Anemia with Sonographic Placental Thickness

Anemia is a condition in which hemoglobin (Hb) concentration and/or red blood cell (RBC) numbers are lower than normal and insufficient to meet an individual’s physiological needs, it affects roughly one-third of the world’s population.Objective: To correlate the maternal anemia with placental thickness ultrasonographically.Methodology: Toshiba Nemio17 with Convex array transducer 3-5 MHz frequency was used. Patient were in spine position. Measurements of placental thickness were performed in the mid portion of the placenta, perpendicular to its long axis. The study was conducted at Gillani Ultrasound Centre and Mansoorah Teaching Hospital Lahore. Data of 110 patients was collected through cross-sectional, analytical study. Convenient Sampling Technique was used to analyze data. Statistical software for social sciences (SPSS version 22.0) is used for the analysis of data.Results: Out of 110 patients 44.5% patients were in 2nd trimester and 55.5% patients were in their 3rd trimester. In our study 26.4% patients had normal hemoglobin, 43.6% patients were diagnosed with moderate anemia and 30% patients were diagnosed with mild anemia. Hemoglobin rates varied between 7 g/dL to 15.40 g/dL. Placental thickness varied between 10.50mm and to 56.50mm. 9 patients had normal placental thickness, 89 had thick placenta and 12 had thin placenta. In 2nd trimester minimum placental thickness was noted 15.7 mm and maximum placental thickness was 47.2 mm. In 3rd trimester minimum placental thickness was noted as 10.5 mm and maximum thickness 56.5 mm. In normal placental thickness minimum hemoglobin was noted as 7 g/dL and maximum was 15.5 g/dL. In thick placenta minimum hemoglobin noted was; 7.8 g/dL and maximum hemoglobin was 15.4 g/dL. In thin placental thickness minimum hemoglobin was 8.9 g/dL and maximum was 11.2 g/dl. Majority patients came with hemoglobin rates between 8 to 11 (g/dL) and less than 5 patients came with hemoglobin 7 g/dL. In patients with mild anemia mean placental thickness was 30.57 mm. In patients with moderate anemia had mean placental thickness of 33.72 mm and in patients with normal anemia had mean placental thickness of 30.39 mm. Out of 110 patients, 29 had no anemia and from these 3 patients were found with normal placental thickness 4 with thick placenta and 2 were with thin. 81 patients who were diagnosed with anemia had normal placental thickness in 6 patients, 65 had thick placenta and 10 patients were found with thick placenta.Conclusion:We concluded that, maternal anemia has adverse effects on placental thickness and gestational age. In the present study we found that morphological and histological changes in placenta of anemic mother is undertaken, to study the effects of anemia on morphology of placenta and fetal outcomes. Keywords: Ultrasound (US), anemia, placenta, placental thickness DOI: 10.7176/JHMN/81-02 Publication date:October 31st 202

Involvement of hedgehog pathway in early onset, aggressive molecular subtypes and metastatic potential of breast cancer

Background Dysregulation of hedgehog pathway is observed in numerous cancers. Relevance of hedgehog pathway genes in cancer cohort and inhibition of its downstream effector (GLI1) towards metastasis in cell lines are explored in the study. Method One hundred fifty fresh tumours of breast cancer patients were collected for the study. Based on differential expression, panel of 6 key regulators of the pathway (SHH, DHH, IHH, PTCH1, SMO and GLI1) in microarray datasets were identified. Expressional profiles of aforementioned genes were later correlated with clinico-pathological parameters in Pakistani breast cancer cohort at transcript and protein levels. In addition, GLI1 over expressing breast cancer cell lines (MDA-MB-231 and MCF-7) were treated with GANT61 to explore its probable effects on metastasis. Result SHH, DHH, PTCH1 and GLI1 were significantly over-expressed in tumours as compared with respective normal mammary tissues. A significant correlation of SHH, DHH and GLI1 expression with advanced tumour size, stages, grades, nodal involvement and distant metastasis was observed (p < 0.05). Over-expression of SHH, DHH and GLI1 was significantly related with patients having early onset and pre-menopausal status. Of note, hedgehog pathway was frequently up regulated in luminal B and triple negative breast cancer affected women. In addition, positive correlations were observed among aforementioned members of pathway and Ki67 (r-value: 0.63–0.78) emphasizing their role towards disease progression. Exposure of GANT61 (inhibitor for GLI1) significantly restricted cell proliferation, reduced cell motility and invasion. Conclusion Role of activated hedgehog pathway in breast cancer metastasis provides a novel target for cancer therapy against aggressive cancer subtypes

Sociodemographic differences in symptom severity and duration among women referred to secondary care for menorrhagia in England and Wales: a cohort study from the National Heavy Menstrual Bleeding Audit.

OBJECTIVE: To examine symptom severity and duration at time of referral to secondary care for heavy menstrual bleeding (HMB) by socioeconomic deprivation, age and ethnicity DESIGN: Cohort analysis of data from the National HMB Audit linked to Hospital Episode Statistics data. SETTING: English and Welsh National Health Services (secondary care): February 2011 to January 2012. PARTICIPANTS: 15 325 women aged 18-60 years in England and Wales who had a new referral for HMB to a gynaecology outpatient department METHODS: Multivariable linear regression to calculate adjusted differences in mean symptom severity and quality of life scores at first outpatient visit. Multivariable logistic regression to calculate adjusted ORs. Adjustment for body mass index, parity and comorbidities. PRIMARY OUTCOME MEASURES: Mean symptom severity score (0=best, 100=worst), mean condition-specific quality of life score (0=worst, 100=best) and symptom duration (≥1 year). RESULTS: Women were on average 42 years old and 12% reported minority ethnic backgrounds. Mean symptom severity and condition-specific quality of life scores were 61.8 and 34.7. Almost three-quarters of women (74%) reported having had symptoms for ≥1 year. Women from more deprived areas had more severe symptoms at their first outpatient visit (difference -6.1; 95% CI-7.2 to -4.9, between least and most deprived quintiles) and worse condition-specific quality of life (difference 6.3; 95% CI 5.1 to 7.5). Symptom severity declined with age while quality of life improved. CONCLUSIONS: Women living in more deprived areas reported more severe HMB symptoms and poorer quality of life at the start of treatment in secondary care. Providers should examine referral practices to explore if these differences reflect women's health-seeking behaviour or how providers decide whether or not to refer

Hepatoprotective role of vitexin against cadmium-induced liver damage in male rats: A biochemical, inflammatory, apoptotic and histopathological investigation

Financiado para publicación en acceso aberto: Universidade de Vigo/CISUGCadmium (Cd) is one of the potent occupational and environmental toxicants, which induces oxidative stress to the multiple organs of the body, including liver. The present investigation was planned to evaluate the protective role of vitexin against Cd-prompted hepatotoxicity in rats. 24 male rats were divided into 4 groups viz. control, Cd-induced group (5 mg/kg), Cd + vitexin-treated group (2 mg/kg + 30 mg/kg), and vitexin-treated group (30 mg/kg). After 30 days of treatment, it was indicated that Cd escalated the level of liver function enzymes namely alanine transaminase (ALT), aspartate aminotransferase (AST) and alkaline phosphatase (ALP) as well as total bilirubin. Whereas the levels of albumin and total proteins were decreased in the rats. Additionally, it reduced the enzymatic activities of catalase (CAT), superoxide dismutase (SOD), glutathione peroxidase (GPx), glutathione reductase (GSR) and glutathione-S-transferase (GST), in addition to glutathione (GSH) content, whereas levels of malondialdehyde (MDA) and reactive oxygen species (ROS) were escalated. Furthermore, level of nuclear factor-kappa B (NF-κB), tumor necrosis factor-alpha (TNF-α), interleukin-1 beta (IL-1β) and interleukin-6 (IL-6) as well as the activity of cyclooxygenase-2 (COX-2) were increased. Besides, the level of Bax, caspase-9 and caspase-3 were elevated, while the Bcl-2 level was reduced following the Cd intoxication. Histopathological observation revealed significant hepatic tissue damage in Cd-administered rats. However, treatment of rats with vitexin significantly (p < 0.05) improved the Cd-induced disruptions in biochemical parameters as well as histological damages. Therefore, it is concluded that vitexin could be used as a therapeutic agent to counter the Cd-generated hepatic toxicity in rats owing to its anti-oxidant, anti-apoptotic and anti-inflammatory potential

Pattern of panic-buying and its psychosocial correlates among Pakistani adults during COVID-19 pandemic

Background: As the COVID-19 pandemic rages on, one bizarre yet ubiquitous human behavior has resurfaced. Globally, people have engaged in panic buying and hoarding (PBH). This irrational practice of panic buying is driven by deficient, manipulated news amid COVID-19 crisis.Methods: A cross-sectional study was conducted with Pakistani adults (≤18 years). Data was collected through an anonymous self-reported online survey from 17th April 2020 (0800 hours) through 20th April 2020 (2200 hours) via social media platforms. The survey consisted of sociodemographic characteristics, questions regarding food/essential supplies PBH and its psychosocial correlates- attitudes about COVID-19 severity (CA), values related to social responsibility (SR), social trust (ST), and self-interest (SI). Data was entered and analyzed using IBM Statistical package for social sciences (SPSS) version 20.Results: There were 786 participants in the survey; 59% were females. Mean age was 26.6±7.6 years. Mean PBH score was 2.31±0.85 (range: 1-5). Overall, 28.4% hoarded supplies a few times or more and 47% agreed to have bought more food/essential supplies due to COVID-19. Correlation analysis showed a 12.3% positive correlation of PBH with ST and 8.5% positive correlation with SI (p<0.05). In the multivariate regression model, PBH showed a statistically significant (p<0.05) positive impact on ST and SI.Conclusions: More than one-fourth of the individuals indulged in panic buying and hoarding during the COVID-19 in Pakistan. Fear of contracting the virus and uncertainty about the duration of lockdown was the common reasons behind PBH. Social trust and self-interest were significant psychosocial contributors to hoarding behavior.

Lesion detection in epilepsy surgery: Lessons from a prospective evaluation of a machine learning algorithm

AIM: To evaluate a lesion detection algorithm designed to detect focal cortical dysplasia (FCD) in children undergoing stereoelectroencephalography (SEEG) as part of their presurgical evaluation for drug-resistant epilepsy. METHOD: This was a prospective, single-arm, interventional study (Idea, Development, Exploration, Assessment, and Long-Term Follow-Up phase 1/2a). After routine SEEG planning, structural magnetic resonance imaging sequences were run through an FCD lesion detection algorithm to identify putative clusters. If the top three clusters were not already sampled, up to three additional SEEG electrodes were added. The primary outcome measure was the proportion of patients who had additional electrode contacts in the SEEG-defined seizure-onset zone (SOZ). RESULTS: Twenty patients (median age 12 years, range 4-18 years) were enrolled, one of whom did not undergo SEEG. Additional electrode contacts were part of the SOZ in 1 out of 19 patients while 3 out of 19 patients had clusters that were part of the SOZ but they were already implanted. A total of 16 additional electrodes were implanted in nine patients and there were no adverse events from the additional electrodes. INTERPRETATION: We demonstrate early-stage prospective clinical validation of a machine learning lesion detection algorithm used to aid the identification of the SOZ in children undergoing SEEG. We share key lessons learnt from this evaluation and emphasize the importance of robust prospective evaluation before routine clinical adoption of such algorithms