The impact of the metabolic syndrome and parental risk factors in patients with type 1 diabetes

Background: One-third of patients with type 1 diabetes develop diabetic complications, such as diabetic nephropathy. The diabetic complications are related to a high mortality from cardiovascular disease, impose a great burden on the health care system, and reduce the health-related quality of life of patients. Aims: This thesis assessed, whether parental risk factors identify subjects at a greater risk of developing diabetic complications. Another aim was to evaluate the impact of a parental history of type 2 diabetes on patients with type 1 diabetes. A third aim was to assess the role of the metabolic syndrome in patients with type 1 diabetes, both its presence and its predictive value with respect to complications. Subjects and methods: This study is part of the ongoing nationwide Finnish Diabetic Nephropathy (FinnDiane) Study. The study was initiated in 1997, and, thus far, 4,800 adult patients with type 1 diabetes have been recruited. Since 2004, follow-up data have also been collected in parallel to the recruitment of new patients. Studies I to III have a cross-sectional design, whereas Study IV has a prospective design. Information on parents was obtained from the patients with type 1 diabetes by a questionnaire. Results: Clustering of parental hypertension, cardiovascular disease, and diabetes (type 1 and type 2) was associated with diabetic nephropathy in patients with type 1 diabetes, as was paternal mortality. A parental history of type 2 diabetes was associated with a later onset of type 1 diabetes, a higher prevalence of the metabolic syndrome, and a metabolic profile related to insulin resistance, despite no difference in the distribution of human leukocyte antigen genotypes or the presence of diabetic complications. A maternal history of type 2 diabetes, seemed to contribute to a worse metabolic profile in the patients with type 1 diabetes than a paternal history. The metabolic syndrome was a frequent finding in patients with type 1 diabetes, observed in 38% of males and 40% of females. The prevalence increased with worsening of the glycemic control and more severe renal disease. The metabolic syndrome was associated with a 3.75-fold odds ratio for diabetic nephropathy, and all of the components of the syndrome were independently associated with diabetic nephropathy. The metabolic syndrome, independent of diabetic nephropathy, increased the risk of cardiovascular events and cardiovascular and diabetes-related mortality over a 5.5-year follow-up. With respect to progression of diabetic nephropathy, the role of the metabolic syndrome was less clear, playing a strong role only in the progression from macroalbuminuria to end-stage renal disease. Conclusions: Familial factors and the metabolic syndrome play an important role in patients with type 1 diabetes. Assessment of these factors is an easily applicable tool in clinical practice to identify patients at a greater risk of developing diabetic complications.

Just say no? The influence of personal goals, beliefs, psychosocial adjustment, and parental relationships in drug use by adolescents

The study in its entirety focused on factors related to adolescents decisions concerning drug use. The term drug use is taken here to include the use of tobacco products, alcohol, narcotics, and other addictive substances. First, the reasons given for drug use (attributions) were investigated. Secondly, the influence of personal goals, the beliefs involved in decision making, psychosocial adjustment including body image and involvement with peers, and parental relationships on drug use were studied. Two cohorts participated in the study. In 1984, a questionnaire on reasons for drug use was administered to a sample of adolescents aged 14-16 (N=396). A further questionnaire was administered to another sample of adolescents aged 14-16 (N=488) in 1999. The results for both cohorts were analyzed in Articles I and II. In Articles III and IV further analysis was carried out on the second cohort (N=488). The research report presented here provides a synthesis of all four articles, together with material from a further analysis. In a comparison of the two cohorts it was found that the attributions for drug use had changed considerably over the intervening fifteen-year period. In relation to alcohol and narcotics use an increase was found in reasons involving inner subjective experiences, with mention of the good feeling and fun resulting from alcohol and narcotics use. In addition, the goals of alcohol consumption were increasingly perceived as drinking to get drunk, and for its own sake. The attributions for the adolescents own smoking behavior were quite different from the attributions for smoking by others. The attributions were only weakly influenced by the participants gender or by their smoking habits, either in 1984 or 1999. In relation to participants own smoking, the later questionnaire elicited more mention of inner subjective experiences involving "good feeling. In relation to the perceived reasons for other people s smoking, it elicited more responses connected with the notion of "belonging. In the second sample, the results indicated that the levels of body satisfaction among adolescent girls are lower than those among adolescent boys. Overall, dissatisfaction with one's physical appearance seemed to relate to drug use. Girls were also found to engage in more discussions than boys; this applied to (i) discussion with peers (concerning both intimate and general matters), and (ii) discussion with parents (concerning general matters). However, more than a quarter of the boys (out of the entire population) reported only low intimacy with both parents and peers. If both drinking and smoking were considered, it seemed that girls in particular who reported drinking and smoking also reported high intimacy with parents and peers. Boys who reported drinking and smoking reported only medium intimacy with parents and peers. In addition, having an intimate relationship with one's peers was associated with a greater tendency to drink purely in order to get drunk. Overall, the results seemed to suggest that drug use is connected with a close relationship with peers and (surprisingly) with a close relationship with parents. Nevertheless, there were also indications that to some extent peer relationships can also protect adolescents from smoking and alcohol use. The results, which underline the complexity of adolescent drug use, are taken up in the Discussion section. It may be that body image and/or other identity factors play a more prominent role in all drug use than has previously been acknowledged. It does appear that in the course of planning support campaigns for adolescents at risk of drug use, we should focus more closely on individuals and their inner world. More research on this field is clearly needed, and therefore some ideas for future research are also presented.

Mud-packing frog: A novel breeding behaviour and parental care in a stream dwelling new species of Nyctibatrachus (Amphibia, Anura, Nyctibatrachidae)

Reproductive modes are diverse and unique in anurans. Selective pressures of evolution, ecology and environment are attributed to such diverse reproductive modes. Globally forty different reproductive modes in anurans have been described to date. The genus Nyctibatrachus has been recently revised and belongs to an ancient lineage of frog families in the Western Ghats of India. Species of this genus are known to exhibit mountain associated clade endemism and novel breeding behaviours. The purpose of this study is to present unique reproductive behaviour, oviposition and parental care in a new species Nyctibatrachus kumbara sp. nov. which is described in the paper. Nyctibatrachus kumbara sp. nov. is a medium sized stream dwelling frog. It is distinct from the congeners based on a suite of morphological characters and substantially divergent in DNA sequences of the mitochondrial 16S rRNA gene. Males exhibit parental care by mud packing the egg clutch. Such parental care has so far not been described from any other frog species worldwide. Besides this, we emphasize that three co-occurring congeneric species of Nyctibatrachus, namely N. jog, N. kempholeyensis and Nyctibatrachus kumbara sp. nov. from the study site differ in breeding behaviour, which could represent a case of reproductive character displacement. These three species are distinct in their size, call pattern, reproductive behaviour, maximum number of eggs in a clutch, oviposition and parental care, which was evident from the statistical analysis. The study throws light on the reproductive behaviour of Nyctibatrachus kumbara sp. nov. and associated species to understand the evolution and adaptation of reproductive modes of anurans in general, and Nyctibatrachus in particular from the Western Ghats.

Destin ou Destinée dans un contexte de fragmentation psychologique et sociale chez des jeunes mineurs isolés, immigrés d’Afrique Noire

Résumé: Cet article questionne la vision psychodynamique et psychosociale dans le parcours de vie de jeunes immigrés africains, vulnérables, placés en Maison d’Enfants à Caractère Social. Ce placement propose une formation professionnelle ou la poursuite des études, formations indispensables pour rester en France à condition de disposer de papiers en règle. La problématique de la fragmentation psychique et sociale chez ces jeunes dont le processus développemental est marqué par l’exil sera interrogée au regard des concepts tels que Destin et Destinée. Cette dernière sera aussi questionnée à la lumière du rôle et de la valeur du travail chez ces jeunes évoluant dans un nouveau contexte socio-économico-culturel qui tend à les stigmatiser. Par l’intermédiaire des données verbales et non verbales issues d’entretiens psychologiques, d’un groupe de parole et d’une grille d’observation inspirée d’un questionnaire, nous proposons une analyse des trajectoires personnelles au regard d’un processus d’identification. Cette analyse permet déjà d’aller au-delà des caractéristiques individuelles et de mettre en exergue le rôle capital qu’incarne le travail pour asseoir une identité sociale et sortir de l’état intemporel d’exil

Lo patronal, lo estatal y lo parental en la autobiografía de Ankhtifi de Mo'alla

Resumen: Entre las principales contribuciones académicas de Alicia Daneri, sobresale un estudio monográfico sobre el Primer Período Intermedio (Las Dinastías VII-VIII y el período heracleopolitano en Egipto, 1992). Allí, la Autobiografía de Ankhtifi de Mo‘alla es considerada en el marco de un análisis de la crisis política y socioeconómica que la historiografía ha señalado como el rasgo distintivo de la época. Posteriormente, Jan Assmann (The mind of Egypt, 2002 [1996]) ha abordado esa misma autobiografía, para destacar la emergencia de un nuevo tipo de actor social durante tal período, interpretado en clave de patronazgo. Ciertamente, aquella escena política en crisis facilita la percepción de una lógica social ligada a las prácticas patronales. Sin embargo, tal cosa no implica que otras grandes lógicas de organización social como aquellas que corresponden al ámbito estatal y al del parentesco no continúen gravitando con fuerza. El propósito de este artículo es el de reconsiderar la Autobiografía de Ankhtifi en un intento por vislumbrar el alcance específico de lo patronal, lo estatal y lo parental en el texto, lo que a su vez permite una reflexión más amplia sobre las características de la organización social y política en el valle del Nilo durante el Primer Período Intermedio.

La “responsabilidad parental” del código argentino proyectado

Resumen: Ante la posibilidad de la reforma y unificación de los Códigos Civil y Comercial en la Argentina, el presente artículo presenta un paneo de las principales modificaciones en materia de responsabilidad parental.

Doses efficaces en glyphosate et en 2,4-D pour le contrôle chimique des laitue d'eau (Pistia stratiotes, Linn.) et toxicité du glyphosate vis-à-vis des tilapias (Sarotherodon melanotheron)

The toxic effects of two herbicides Round up (gliphosate) and 2,4-D (herbazol) were tested on Pistia stratiotes (Linn. Araceae) samples cultivated in glass aquariums. The gliphosate appears to be more toxic on Pistia Stratiotes than 2,4-D. It was then tested on tilapia Sarotherodon melanotheron juveniles. The lethal dose for tilapia (CL50 = 13.25 mg.l -1) is about 18, 37 and 74 times higher than the glyphosate toxic dose for plants at 1, 2 and 4 meters water depth respectively.

La separación y el conflicto parental: efectos en las relaciones afectivas de los hijos adultos jóvenes.

323 p.

Socioeconomic status, parental support, motivation and self-confidence in youth competitive sport

World Conference on Psychology and Sociology 2012

O desenvolvimento da autonomia em adolescentes cariocas e sua percepção do estilo parental paterno

A adolescência feminina é marcada por muitos desafios, frutos das transformações que ocorrem na vida desta jovem. Com a puberdade, as diferenças biológicas entre os sexos se acentuam, sendo significativas as demandas e as expectativas socioculturais. Para as adolescentes, o desenvolvimento das mamas e o aumento dos quadris formam um novo corpo, suscitando novas sensações e sentimentos. Na adolescência intermediária, a jovem se depara com a tarefa de lidar com a sua sexualidade, com decisões morais, vivenciar o aumento de novos relacionamentos com seus pares e equilibrar a autonomia com a responsabilidade. A forma como a adolescente vivencia estas mudanças é moldada pelas características pessoais, crenças e práticas, que refletem o seu contexto. Na cultura ocidental, uma das questões típicas da adolescência é o desenvolvimento da autonomia, relacionada ao contexto familiar. Apesar das transformações sociais, a família continua a desempenhar um papel essencial na formação do indivíduo, tendo as atribuições de cuidado, de apoio e de afeto. No contexto familiar, por meio do estilo parental, são comunicadas as atitudes dos pais em relação aos seus filhos, criando um clima emocional, no qual as práticas parentais são expressas. Estudos dedicados aos relacionamentos pais-filhos especificam a importância da presença do pai para a dinâmica e o clima emocional familiar e sugerem que o gênero do progenitor pode influenciar a forma que ele se relaciona com sua filha. Assim, o objetivo deste trabalho se desdobra em dois. O primeiro é promover uma reflexão a partir de uma revisão de literatura contemplando essa temática. O segundo é investigar a relação entre a percepção do estilo parental paterno e o desenvolvimento da autonomia da filha adolescente. Para isso, utilizamos um método quantitativo, com aplicação de escalas sobre autonomia, interdependência e autonomia-relacionada e estilo parental. Participaram do estudo 50 adolescentes do sexo feminino, entre 14 a 16 anos, de famílias intactas, residentes no Rio de Janeiro. Os resultados apontaram para a existência de uma relação entre o desenvolvimento da autonomia e a percepção do estilo parental paterno. Quanto mais as adolescentes percebiam seus pais como autoritativos, maiores eram seus escores em autonomia-relacional e menores em autonomia. De um modo geral, as adolescentes da pesquisa apresentaram uma tendência à autonomia-relacionada e a perceber seus pais com o estilo parental autoritativo. Com base nestes resultados, concluímos que a maneira que as adolescentes percebem seus pais vai estar relacionada ao modo que vão desenvolver sua autonomia, indicando a importância de futuras pesquisas que explorem a relação pai-filha na adolescência em um contexto brasileiro.

Effect of parental stock size on F-1 genetic structure in the bay scallop, Argopecten irradians (Lamarck, 1819)

Three F-1 families of the bay scallop, Argopecten irradians, were produced from one, two and 10 individuals. The genetic changes in these populations, which suffered recent and different levels of bottleneck, were analysed using amplified fragment length polymorphism (AFLP) techniques. In the parental stock, a total of 330 bands were detected using seven AFLP primer pairs, and 70% of the loci were polymorphic. All F-1 groups had a significantly lower proportion of polymorphic loci when compared with the initial stock, and loss of the rare loci and reduction in heterozygosity both occurred. The progeny of the larger population (i.e., N=10) exhibited a lesser amount of genetic differentiation compared with the progeny from N=2, which showed lesser differentiation than progeny from N=1. The effective population sizes (N-e) in N=1, 2 and 10 were estimated as 1.50, 1.61 and 2.49. Based on regression analysis, we recommend that at least 340 individuals be used in hatchery populations to maintain genetic variation.

A qualitative analysis of parental coping with an early diagnosis of hearing loss in Ireland

The recent implementation of Universal Neonatal Hearing Screening (UNHS) in all 19 maternity hospitals across Ireland has precipitated early identification of paediatric hearing loss in an Irish context. This qualitative, grounded theory study centres on the issue of parental coping as families receive and respond to (what is typically) an unexpected diagnosis of hearing loss in their newborn baby. Parental wellbeing is of particular concern as the diagnosis occurs in the context of recovery from birth and at a time when the parent-child relationship is being established. As the vast majority of children with a hearing loss are born into hearing families with no prior history of deafness, parents generally have had little exposure to childhood hearing loss and often experience acute emotional vulnerability as they respond to the diagnosis. The researcher conducted in-depth interviews primarily with parents (and to a lesser extent with professionals), as well as a follow-up postal questionnaire for parents. Through a grounded theory analysis of data, the researcher subsequently fashioned a four-stage model depicting the parental journey of receiving and coping with a diagnosis. The four stages (entitled Anticipating, Confirming, Adjusting and Normalising) are differentiated by the chronology of service intervention and defined by the overarching parental experience. Far from representing a homogenous trajectory, this four-stage model is multifaceted and captures a wide diversity of parental experiences ranging from acute distress to resilient hopefulness

Institutional change and coproduction of public services: The effect of charter schools on parental involvement

Recent discussions of school choice have revived arguments that the decentralization of governing institutions can enhance the quality of public services by increasing the participation of intended beneficiaries in the production of those services. We use data from the Schools and Staffing Survey to examine the extent to which the decentralization of authority to charter schools induces parents to become more involved in their children's schools. We find that parents are indeed more involved in charter schools than in observationally similar public schools, especially in urban elementary and middle schools. Although we find that this difference is partly attributable to measurable institutional and organizational factors, we also find that charter schools tend to be established in areas with above-average proportions of involved parents, and we find suggestive evidence that, within those areas, it is the more involved parents who tend to select into charter schools. Thus, while the institutional characteristics of charter schools do appear to induce parents to become more involved in their children's schools, such characteristics are only part of the explanation for the greater parental involvement in charter schools than in traditional public schools. © The Author 2005. Published by Oxford University Press. All rights reserved.

Parental exposure to elevated pCO2 influences the reproductive success of copepods

Substantial variations are reported for egg production and hatching rates of copepods exposed to elevated carbon dioxide concentrations (pCO2). One possible explanation, as found in other marine taxa, is that prior parental exposure to elevated pCO2 (and/or decreased pH) affects reproductive performance. Previous studies have adopted two distinct approaches, either (1) expose male and female copepoda to the test pCO2/pH scenarios, or (2) solely expose egg-laying females to the tests. Although the former approach is more realistic, the majority of studies have used the latter approach. Here, we investigated the variation in egg production and hatching success of Acartia tonsa between these two experimental designs, across five different pCO2 concentrations (385–6000 µatm pCO2). In addition, to determine the effect of pCO2 on the hatching success with no prior parental exposure, eggs produced and fertilized under ambient conditions were also exposed to these pCO2 scenarios. Significant variations were found between experimental designs, with approach (1) resulting in higher impacts; here >20% difference was seen in hatching success between experiments at 1000 µatm pCO2 scenarios (2100 year scenario), and >85% at 6000 µatm pCO2. This study highlights the potential to misrepresent the reproductive response of a species to elevated pCO2 dependent on parental exposure.