Background: The aim of the present study was to investigate the relationship between mid-trimester ultrasound fetal liver length (FLL) and gestational diabetes mellitus (GDM) in a high-risk population. Methods: A prospective study was performed in 331 women with singleton pregnancies who were at high risk of GDM and were undergoing a midtrimester ultrasound examination. The ultrasound scan at 23 weeks gestation was followed by a 100-g oral glucose tolerance test (OGTT) at 24 weeks gestation. Correlations between FLL and OGTT results at different time points were tested. Receiver operating characteristic (ROC) analysis of FLL as a potential prognostic factor for GDM was also performed. Results: In GDM patients, there was a significant positive correlation (P < 0.01) between FLL and OGTT glycemia immediately before and 60, 120, and 180 min after glucose intake. Mean FLL in GDM was significantly higher than in healthy subjects (41.04 vs 31.09 mm, respectively; P < 0.001). When tested as a potential prognostic factor for GDM, fetal liver measurements showed excellent diagnostic performance. The ROC analysis established a cut-off value of FLL of 39 mm for the prediction GDM, with sensitivity of 71.76%, specificity 97.56%, positive predictive value 91.0%, and negative predictive value 90.9%. The usefulness of FLL measurements was supported by a high area under the ROC curve (90.5%). Conclusion: In conclusion, there is a strong correlation between FLL and OGTT results, with FLL possibly serving as a valid marker for the prediction of GDM in high-risk populations.
Tourism on Kopaonik and Zlatibor mountains had started to develop decades ago, but at the beginning of the 21st century, mountain tourism started to develop rapidly and the number of tourists in the mountain regions of Serbia has significantly increased. Constant improvements of tourism offer and numerous tourist activities on the Kopaonik and Zlatibor mountains influenced an upward trend of a number of tourists. The principal aim of this paper is to investigate whether the particular relevant climate parameters, such as mean monthly temperature and a number of snowy days, can affect the increase or decrease of the number of tourists and overnight stays in the analyzed two mountains. For this purpose, the regression analysis was used. The results indicate that there is a significant impact of selected climate parameters on tourist traffic in the Kopaonik and Zlatibor mountains.
Background/Aim. Modern conceptualising of parenting in relation to manifesting adolescence externalising problems is based on parent-child two-way communication, mutual trust and parental involvement. A lot of research reports prove independent contribution of parental variables on expressing externalising problems in middle and late adolescence while data about their mutual relationship are missing. The aim of this study was to determine the relationships of parental variables and variables of externalising problems in a common space. Methods. The study included 507 students, both boys and girls, of Belgrade secondary schools, aged from fifteen to eighteen. Parental monitoring was studied using the Parental Monitoring Scale, affective attachment to parents by the Inventory of Parents and Peers Attachment, parenting practices using the Alabama Parenting Questionnaire and externalising problems by the Achenbach System of Empirically Based Assessment, Youth Self-Report. Results. Factor analysis indicated the existence of 4 factors (components) which together accounted for 65.5% of variance. The first factor (positive parenting and affective attachment to mother) accounted for 38.1%, the second (externalising problems and negative parenting) accounted for 11.26%, the third (affective attachment to father) accounted for 8.93% and the fourth (negative discipline and inadequate affective attachment to mother) accounted for 7.22% of variance. The most important discovery arised from matrix correlation was a negative correlation of the second component with the first (-0.539) and the third (-0.481) one. Conclusion. A positive relationship between parents and adolescents except for a positive parenting practices of parents characterize all the subscales of parental monitoring except for the parental control. Compared to fathers, mothers are generally more involved in life of adolescents and have better mutual relationship with them, but in relation to externalising problems the affective attachment to fathers proved to be very significant even independently of their parenting role.
BackgroundThe main goal of this study was to examine the responsiveness of smoking prevalence and cigarette consumption to price and income changes by income groups and the effectiveness of tax policy changes to reduce cigarette consumption in Montenegro.Data and methodsA two-part model was applied to estimate smoking participation, smoking intensity price and income elasticity. The first part of the model applies logit regression, while the second uses Deaton’s model to improve the validity and objectivity of conditional (smoking intensity) elasticity results. A generalised linear model (GLM) was applied to verify robustness. The reason for this is that Deaton’s model is commonly used in the analysis of Household Budget Survey (HBS) data, especially when households do not report the market price. Moreover, using this model, it is possible to capture the shading of quality to price change. The analysis used HBS data (2006–2017).ResultsThe estimates indicate that tobacco pricing policies had a much higher impact on smoking prevalence in the low-income group (price elasticity of −0.595) relative to the high-income group (price elasticity of −0.344). The same conclusion could be drawn for the smoking intensity elasticity: the high-income group was the least affected by changes in price (price elasticity of −0.258). At the same time, the most affected was the low-income group, with price elasticity of −0.424. Poorer households spent a larger share of their budget on cigarettes. The simulation results confirm that increases in the specific excise taxes of 58.3% on tobacco would reduce total cigarette consumption by 11.25% while increasing the collection of government revenue by 8.07%.ConclusionSmoking prevalence and consumption are very responsive to price and income changes, with considerable differences in elasticities between income groups. The taxation policy has a positive impact on changing patterns of consumption and public revenues across each income group. Low-income and middle-income households would benefit the most, while on the other hand, the highest revenue collection was generated from the wealthiest group. Our results align with results obtained so far for other low-income and middle-income countries. This paper contributes to the analysis of the smoking prevalence and cigarette consumption responsiveness to price and income changes, which was conducted for the first time in Montenegro.
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