248 research outputs found
Attitudes Of Jordanian Women Towards Interpersonal Violence Against Women And Help-Seeking Preferences
Violence against women is a public health concern bearing substantial importance in developed and developing countries. In Jordan, there are no specific foundations or legislations in the penal code that illegalize domestic violence, and there are no confining orders to apply in cases of abuse. The purpose of this study was to examine Jordanian women attitudes towards spousal abuse and help-seeking preferences. A quantitative study was conducted using a self-administered questionnaire; the survey contained questions from the Muslim Marital Violence Scale (MMVS, 2006) as well as demographic questions. A convenience sample of 199 women was recruited from Jordanian University of Science and Technology (JUST) located in Irbid. Statistical analysis was used to test for the significance of the selected factors (such as economic status, cultural and religious views, relationship with family, and financial independence) on women’s attitudes towards spousal abuse and help seeking preferences. Findings indicated that 26.7% of women have a history of abuse at some point in their lives. One third of participants indicated that either family opposed their marriage, however no association was found between women who reported that either family opposed marriage and between the women’s attitudes towards violence. More than a third of women knows of domestic abuse agency; however 35.9% of women indicated that there is no safe place to go if the wife decides to leave her violent husband. More importantly, the majority of participants reported that they cannot leave the husband because of the children indicating a strong cultural values. Data findings also emphasized that despite the fact that 64.9% of women indicated having a family that can support them financially, the percentage of women who indicated being hit in front of family was 13.7%. Results found an association between being hit in front of family and women’s acceptance of abuse. Therefore the extended family role as potential cause and protection against intimate partner violence should be studied further to examine the continued role of the wife’s and husband’s kin in women’s risk of IPV in Jordan. The findings may also apply to Arab American immigrants who hold similar cultural values. The results of this study can help in designing tools and culturally meaningful approaches for the prevention and treatment of violence
Effect Of Phyllanthus N/Ruri Extracts On High Fat Diet Induced Non-Alcoholic Fatty Liver Disease In Rats
Non-alcoholic fatty liver disease (NAFLD), a multifactorial condition that can
exacerbate into non-alcoholic steatohepatitis and liver cirrhosis, is the prime cause of
chronic hepatic damage in patients with no history of alcohol consumption. It is
strongly linked to insulin resistance, obesity and oxidative stress. Unfortunately, due to
the lack of standard treatment for NAFLD, healthcare goals have only been to decrease
the patient's weight, ameliorate oxidative stress and improve insulin resistance. This
study investigated the therapeutic activity of Phyllanthus niruri (Euphorbiaceae), an
herb traditionally used for the treatment of liver diseases in a number of Asian
communities, against NAFLD
Sleep Quality and Its Health Correlates Among Egyptian Secondary School Students
The objective of the recent study was to determine the prevalence of poor sleep quality and to assess its psychological and general health correlates among secondary school students in the city of Assiut, Egypt. A cross sectional study was conducted among 829 secondary school students (selected by multistage stratified random sampling) aged 15–19 years in Assiut. Students filled in a self-administered questionnaire that included demographic data, Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale, general perception of health, and the short form of Depression Anxiety and Stress Scale. The prevalence of poor sleep quality (PSQI \u3e5) was 72.5%. The mean PSQI score was 7.35 ± 2.94 standard deviation. Poor sleep quality was higher among females, urban residents and public school students. Correlates of poor sleep by multivariate analysis were age, urban residence, public education, mild to moderate and severe to very severe anxiety symptoms, severe to very severe depressive symptoms, excessive daytime sleepiness, and feeling fully active sometimes and not active at any time. Poor sleep quality was alarmingly highly prevalent among secondary school students, with significant health consequences. Increasing the awareness of the community especially adolescents, parents, and school teachers about healthy sleep is an essential priority
Integrative effects of biostimulants and salinity on vegetables: Contribution of bioumik and Lithovit®-urea50 to improve salt-tolerance of tomato
Received: June 1st, 2021 ; Accepted: July 5th, 2021 ; Published: November 3rd, 2022 ; Correspondence: [email protected] separate and combined effect of lithovit-urea50 and bioumik was tested on
salt-stressed tomato crops. Salinity was induced using three different NaCl solutions (2, 4 and
8 dS m-1
). Under the salinity effect, all aspects of plant growth were inhibited. Total chlorophyll
and carotenoids reduced from mg g-1 FW and 1.1 mg g-1 FW at 2 dS m-1 to reach 1.01 mg g-1 FW
and 0.66 mg g-1 FW at 8 dS m-1 in control plants. Plants treated by the combination of both
products had the highest chlorophyll and carotenoids content with 2.24 mg g-1 FW and
1.34 mg g-1 FW, 1.88 mg g-1 FW and 1.05 mg g-1 FW, and 1.39 mg g-1 FW and 0.86 mg g-1 FW
respectively at 2, 4 and 8 dS m-1
. Treating plants by this combination maximized flower number,
fruit weight, yield and fruit diameter at 2 dS m-1 (17 flowers, 47.93 g, 431.1 g plant-1 and 3.23 cm
respectively) and 4 dS m-1 (15flowers, 36.45 g, 291.85 g plant-1 and 2.8 cm respectively). The
separate application of bioumik minimized cell electrolyte leakage at 2 dS m-1 (8.82%) compared
to control (11.43%). Additionally, plants treated by lithovit-urea and bioumik had the highest
relative water content with 107.3%, 96.5% and 91.2% respectively at 2, 4 and 8 dS m-1
. N, Ca
and Mg in roots were significantly the highest at 2 dS m-1 (4.5%, 2.6% and 0.5% respectively),
at 4 dS m-1 (3.74%, 2.49% and 0.48% respectively) and at 8 dS m-1 (3.21%, 2.61% and 0.32%
respectively). K content in roots was maximized following the separate application of bioumik
with 3.21% at 2 dS m-1 and 2.55% at 8 dS m-1
. Conclusively, lithovit-urea and bioumik helped
plants in tolerating salt-stress with an optimal effect obtained after their combination
Assessing a 600-mg Loading Dose of Clopidogrel 24 Hours Prior to Pipeline Embolization Device Treatment
Background:
Clopidogrel/aspirin antiplatelet therapy routinely is administered 7-10 days before pipeline aneurysm treatment. Our study assessed the safety and efficacy of a 600-mg loading dose of clopidogrel 24 hours before Pipeline Embolization Device (PED) treatment.
Methods: In this retrospective cohort study, we included patients treated with PED from October 2010 to May 2016. A total of 39.7% (n = 158) of patients were dispensed a loading dose of 650 mg of aspirin plus at least 600 mg of clopidogrel 24 hours preceding PED deployment, compared to 60.3% (n = 240) of patients who received 81-325 mg of aspirin daily for 10 days with 75 mg of clopidogrel daily preprocedurally. The mean follow-up was 15.8 months (standard deviation [SD] 12.4 months). modified Rankin Scale (mRS) was registered before the discharge and at each follow-up visit. To control confounding, we used multivariable logistic regression and propensity score conditioning.
Results: Of 398 patients, the proportion of female patients was ~16.5% (41/240) in both groups and shared the same mean of age ~56.46 years. ~12.2% (mean = 0.09; SD = 0.30) had a subarachnoid hemorrhage. 92% (mean = 0.29; SD = 0.70) from the pretreatment group and 85.7% (mean = 0.44; SD = 0.91) of the bolus group had a mRS ≤2. In multivariate analysis, bolus did not affect the mRS score, P = 0.24. Seven patients had a long-term recurrence, 2 (0.83%; mean = 0.01; SD = 0.10) of which from the pretreatment group. In a multivariable logistic regression, bolus was not associated with a long-term recurrence rate (odds ratio [OR] 1.91; 95% confidence interval [CI] 0.27-13.50; P = 0.52) or with thromboembolic accidents (OR 0.99; 95% CI 0.96-1.03; P = 0.83) nor with hemorrhagic events (OR 1.00; 95% CI 0.97-1.03; P = 0.99). Three patients died: one who received a bolus had an acute subarachnoid hemorrhage. The mean mortality rate was parallel in both groups ~0.25 (SD = 0.16). Bolus was not associated with mortality (OR 1.11; 95% CI 0.26-4.65; P = 0.89). The same associations were present in propensity score-adjusted models.
Conclusions: In a cohort receiving PED, a 600-mg loading dose of clopidogrel should be safe and efficacious in those off the standard protocol or showing \u3c30% platelet inhibition before treatment
A comparison of the gene expression profiles of non-alcoholic fatty liver disease between animal models of a high-fat diet and methionine-choline-deficient diet
Non-alcoholic fatty liver disease (NAFLD) embraces several forms of liver disorders involving fat disposition in hepatocytes ranging from simple steatosis to the severe stage, namely, non-alcoholic steatohepatitis (NASH). Recently, several experimental in vivo animal models for NAFLD/NASH have been established. However, no reproducible experimental animal model displays the full spectrum of pathophysiological, histological, molecular, and clinical features associated with human NAFLD/NASH progression. Although methionine-choline-deficient (MCD) diet and high-fat diet (HFD) models can mimic histological and metabolic abnormalities of human disease, respectively, the molecular signaling pathways are extremely important for understanding the pathogenesis of the disease. This review aimed to assess the differences in gene expression patterns and NAFLD/NASH progression pathways among the most common dietary animal models, i.e., HFD- and MCD diet-fed animals. Studies showed that the HFD and MCD diet could induce either up- or downregulation of the expression of genes and proteins that are involved in lipid metabolism, inflammation, oxidative stress, and fibrogenesis pathways. Interestingly, the MCD diet model could spontaneously develop liver fibrosis within two to four weeks and has significant effects on the expression of genes that encode proteins and enzymes involved in the liver fibrogenesis pathway. However, such effects in the HFD model were found to occur after 24 weeks with insulin resistance but appear to cause less severe fibrosis. In conclusion, assessing the abnormal gene expression patterns caused by different diet types provides valuable information regarding the molecular mechanisms of NAFLD/NASH and predicts the clinical progression of the disease. However, expression profiling studies concerning genetic variants involved in the development and progression of NAFLD/NASH should be conducted
Analysis of Cortical Bone Fracture in Human Thigh Segment Through Finite Element
Stress intensity factor, K, and von mises stress have been obtained by using three-point bending test in twodimensional (2D) model of cortical bone in human thigh segment. This test has been done in finite element analysis (K) with respect to the continuum mechanic approach. The K values obtained from the Ansys simulation is almost similar to the K values of the equation. The differences values between them were in between 0.02% to 6.64%. The values obtained in von mises stress increases whenever the crack length decreases, while the maximum value obtained when the crack length is 1mm. The values of K is directly proportional to the ratio of crack length, where whenever the ratio of the crack length over width increases, the K values also increases
Schistosomiasis and Urinary Bladder Cancer in North Western Tanzania: A Retrospective Review of 185 Patients.
Worldwide, cancers of the urinary bladder are well known to be associated with environmental chemical carcinogens such as smoking and occupational exposure to polycyclic aromatic hydrocarbons. These cancers are typically transitional cell carcinoma (urothelial carcinoma). In areas where schistosomiasis is endemic there is a high incidence of squamous cell carcinoma of the urinary bladder. Schistosomiasis causes chronic granulomatous cystitis leading to squamous metaplasia of transitional epithelium, and subsequently development of squamous cell carcinoma. The western part of Tanzania on the shores of Lake Victoria is such an endemic area. This study was done to document the burden of urinary bladder cancer associated with schistosomiasis in this region. This was a descriptive retrospective study of histologically confirmed cases of urinary bladder cancer seen at the Department of Pathology Bugando Medical Centre (BMC) over a period of 10 years. Data were retrieved from the records of the Departments of Pathology, Medical Records and Surgery. Data were analyzed by the use of contingency tables. A total of 185 patients were diagnosed with cancer of the urinary bladder during the study period, where as 90 (48.6%) were males and 95 (51.4) were females. The mean age at diagnosis was 54.3 years. Squamous cell carcinoma was the most frequent histological type (55.1%), followed by conventional transitional cell carcinoma (40.5%). Eighty three of all cancer cases (44.9%) were found to have schistosomal eggs. Schistosomiasis was commonly associated with squamous cancers compared to non squamous cancers. Most of the cancers associated with schistosomiasis had invaded the muscularis propria of the urinary bladder at the time of diagnosis (p<0.001) and such cancers were frequent below 50 years of age with a significant statistical difference (p<0.001). Poorly differentiated tumors were more frequent in females than males with a significant statistical difference (p=0.006). The majority of urinary bladder cancers seen in the Lake Region were squamous cell carcinoma associated with schistosomiasis. These cancers showed an aggressive behavior and were commonly seen in the younger age groups. Effective control of schistosomiasis in this region should significantly reduce the burden of urinary bladder cancer
Phyllanthus Niruri Standardized Extract Alleviates the Progression of Non-Alcoholic Fatty Liver Disease and Decreases Atherosclerotic Risk in Sprague–Dawley Rats
Non-alcoholic fatty liver disease (NAFLD) is one of the major global health issues, strongly
correlated with insulin resistance, obesity and oxidative stress. The current study aimed to evaluate
anti-NAFLD effects of three different extracts of Phyllanthus niruri (P. niruri). NAFLD was induced
in male Sprague–Dawley rats using a special high-fat diet (HFD). A 50% methanolic extract (50%
ME) exhibited the highest inhibitory effect against NAFLD progression. It significantly reduced
hepatomegaly (16%) and visceral fat weight (22%), decreased NAFLD score, prevented fibrosis,
and reduced serum total cholesterol (TC) (48%), low-density lipoprotein (LDL) (65%), free fatty
acids (FFAs) (25%), alanine aminotransferase (ALT) (45%), alkaline phosphatase (ALP) (38%), insulin
concentration (67%), homeostatic model assessment of insulin resistance (HOMA-IR) (73%), serum
atherogenic ratios TC/high-density lipoprotein (HDL) (29%), LDL/HDL (66%) and (TC–HDL)/HDL
(64%), hepatic content of cholesterol (43%), triglyceride (29%) and malondialdehyde (MDA) (40%)
compared to a non-treated HFD group. In vitro, 50% ME of P. niruri inhibited �-glucosidase,
pancreatic lipase enzymes and cholesterol micellization. It also had higher total phenolic and
total flavonoid contents compared to other extracts. Ellagic acid and phyllanthin were identified as
major compounds. These results suggest that P. niruri could be further developed as a novel natural
hepatoprotective agent against NAFLD and atherosclerosis
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