Discourse in Matrix of Power: The Textual Analysis of First Presidential Speech by Donald. J. Trump at White House in the Context of Norman Fairclough’s Modal of Three Levels of Discourse

This research study aims at the analysis of President Donald. J. Trump’s political discourse (his speech) delivered at White House, America on Jan 30, 2018, by discussing it as power discourse. It focuses upon the linguistic and stylistic analysis of president’s political discourse. Hence, the research probes into the detail analysis of how in his speech Donald has used different sentence structures, repetitions, ellipses, parallelism, political jargon, technical vocabulary, figurative language and many other linguistic features. Furthermore, the researcher has also analyzed his speech from the angel of discourse properties his speech exhibits. Since discourses are shaped by power and positioning of the socially conditioned status of the persons, the researcher argues here that his political discourse actually demonstrates Trump’s power position and his ideology as expressed in his speech. Besides, Norman Fairclough’s modal of three levels or dimensions of discourse (Description, interpretation and explanation) has been taken as a theoretical framework of this research study to analyze his speech. The research probes into the detail analysis of how he uses repetitions, ellipses, parallelism, political jargon, anaphoric and anaphoric references in his speech. This is a qualitative research in design and is based on the descriptive analysis. The interpretive analysis as a method has also been adopted to interpret Donald’s speech in framework presented by Fairclough. The significance of the research lies in the fact that it contributes to the field of to the body of Stylistics, Critical Discourse Analysis, Political and Visionary Discourse and modern literary theory

An Analysis of the Darkest Part of the Forest by Holy Black in Light of Wendy B. Faris’ Model of Narrative Techniques in Magical Realism

This research study focuses on the analysis of the narrative techniques of the text The Darkest Part of the Forest by Holy Black, an American novelist, in light of Wendy. B. Faris’ theory of narrative techniques in magical realism proposed in Ordinary Enchantment: Magical Realism and the Remystification of Narrative (2004) that serves as theoretical framework. In this context, the present research is a post-modernist analysis of the text since magical realism is mode of writing under Post Modernism. The study negotiates that text appears as a magical realist text because it shows several instances, settings, plot and characters which present it more than a fantasy. The plot revolves around the horned boy, a faerie prince, faeries, their encounter with human beings, magic, spell, and pastoral settings. The analysis of juxtaposition of realistic elements with fantasy or unrealistic happenings is the focus of this research. Wendy B. Faris has proposed five primary elements as the narrative building blocks of the binary opposition between realism and fantasy: the irreducible element, unsettling doubts, the phenomenal world, merging realms and, the distortion of time, space and identity. The researchers’ aim is to investigate whether Faris’ five elements may be successfully applied to the text under analysis. The findings of this research study amplify that this text is a post-modernist piece of writing and it truly exhibits the amalgamation of fantasy and real word occurrences. By discerning narrative elements in the text through discussion and textual references, the researchers have negotiated how these narrative elements served as building blocks of magical realism in the selected text. This research is qualitative and descriptive and adds to the body of Fantasy, American and Post-Modernist literature

Severe Ataxia with Cognitive Impairment in A Young Child: A Case Report of Pontocerebellar Hypoplasia

ABSTRACT Adolescence is a period of rapid development and a variety of genetic disorders present during this time due to difficulties with motor and cognitive skills. A very rare group of diseases is genetic Pontocerebellar Hypoplasia, characterized by a developmentally small cerebellum that leads to ataxia and movement abnormalities. Here, we present a case of a young boy who presented with ataxia and falls

Factor structure of Urdu version of the flourishing scale

Background: A great deal of research has been carried out on the assessment of the eudaimonic perspective of psychological well-being and the hedonic perspective of subjective well-being. The Flourishing Scale (FS) has been extensively used in research and practice, as it assesses the fundamental aspects of social psychological functioning. Nevertheless, the psychometric properties of Urdu versions of eudaimonic measures, such as the FS, have not yet been ascertained. The translation and validation of the FS in the Urdu language was not available, and hence this study was planned with the aim to validate the Urdu version of the FS. Methods: We assessed the psychometric properties of the FS in a sample of adults aged 18 years and above in Pakistan (N = 130) using exploratory factor analysis based on principal component analysis with varimax rotation and confirmatory factor analysis. Results: The exploratory factor analysis confirmed the unidimensional nature of the 8-item FS. We assessed that the Urdu version of the FS showed a high internal consistency reliability (α = 0.914) with a significant intraclass correlation coefficient (ICC), p < 0.001). In our study, the Kaiser–Mayer–Olkin value was 0.915 with a chi-square test value (χ2) of 637.687, and Bartlett's test of sphericity was significant (df = 28, p < 0.001). The intraclass correlation coefficients (ICCs) at test–retest for all domains were statistically significant (p < 0.001) and showed excellent agreement for all the items. The revised confirmatory factor analysis revealed a good-fit model, but with item 8—“People respect me”—removed due to its lower factor loading. Conclusions: The findings suggest that the FS is a psychometrically sound instrument for assessing social psychological functioning among adults in Pakistan. Therefore, the validated Urdu version of the FS may be used in future studies of well-being in clinical psychology and positive psychology

Factor Structure of Urdu Version of the Flourishing Scale

Background: A great deal of research has been carried out on the assessment of the eudaimonic perspective of psychological well-being and the hedonic perspective of subjective well-being. The Flourishing Scale (FS) has been extensively used in research and practice, as it assesses the fundamental aspects of social psychological functioning. Nevertheless, the psychometric properties of Urdu versions of eudaimonic measures, such as the FS, have not yet been ascertained. The translation and validation of the FS in the Urdu language was not available, and hence this study was planned with the aim to validate the Urdu version of the FS.Methods: We assessed the psychometric properties of the FS in a sample of adults aged 18 years and above in Pakistan (N = 130) using exploratory factor analysis based on principal component analysis with varimax rotation and confirmatory factor analysis.Results: The exploratory factor analysis confirmed the unidimensional nature of the 8-item FS. We assessed that the Urdu version of the FS showed a high internal consistency reliability (α = 0.914) with a significant intraclass correlation coefficient (ICC), p &lt; 0.001). In our study, the Kaiser–Mayer–Olkin value was 0.915 with a chi-square test value (χ2) of 637.687, and Bartlett's test of sphericity was significant (df = 28, p &lt; 0.001). The intraclass correlation coefficients (ICCs) at test–retest for all domains were statistically significant (p &lt; 0.001) and showed excellent agreement for all the items. The revised confirmatory factor analysis revealed a good-fit model, but with item 8—“People respect me”—removed due to its lower factor loading.Conclusions: The findings suggest that the FS is a psychometrically sound instrument for assessing social psychological functioning among adults in Pakistan. Therefore, the validated Urdu version of the FS may be used in future studies of well-being in clinical psychology and positive psychology

Xylophagia : a meta-synthesis of the literature

Purpose – The purpose of this paper is to provide an insight into xylophagia, its treatment, intervention options, etiological causes and possible relationship with other diseases. Design/methodology/approach – A systematic search was performed across four scientific databases (i.e. Ovid Medline, Embase via Ovid, PubMed and ProQuest). All of the qualitative studies reporting on xylophagia from the inception of databases until August 2019 have been included. The quality of included studies was assessed through a ten-item checklist given by Kmet et al. (2004). Findings – A total of 18 studies were included, and five primary themes emerged after analysis: precipitation/onset of xylophagia, co-morbid psychiatric or medical illnesses, assessment and investigation modes to confirm diagnosis, outcomes of xylophagia and treatment options comprising medical care, psychological care, counseling and duration of recovery. There were 16 females and 9 males in included studies. The mean ages and standard deviations of males and females were 29.25(12.17) years and 32.81(11.92), respectively. The mean duration and standard deviation of paper pica were 4.80(4.27) years. Research limitations/implications – Despite the limitation that this meta-synthesis is based upon findings from case studies, results show that standardized medication regimens for treating xylophagia are still not available or are unknown. There is a dire need for further research in order to better understand the disorder. The healthcare professionals need to use reciprocal, mutually constituent influence of biological and sociocultural factors in order to screen, diagnose and manage complex psychological problems like xylophagia. Originality/value – The findings advance our understanding of the positive effects of patients and family members undergoing counseling or cognitive behavior therapy in reducing stress and enhancing coping skills thus, avoiding self-damaging behaviors

Rainfall in the urban area and its impact on climatology and population growth

Due to the scarcity of studies linking the variability of rainfall and population growth in the capital cities of Northeastern Brazil (NEB), the purpose of this study is to evaluate the variability and multiscale interaction (annual and seasonal), and in addition, to detect their trends and the impact of urban growth. For this, monthly rainfall data between 1960 and 2020 were used. In addition, the detection of rainfall trends on annual and seasonal scales was performed using the Mann&ndash;Kendall (MK) test and compared with the phases of El Ni&ntilde;o-Southern Oscillation (ENSO) and Pacific Decadal Oscillation (PDO). The relationship between population growth data and rainfall data for different decades was established. Results indicate that the variability of multiscale urban rainfall is directly associated with the ENSO and PDO phases, followed by the performance of rain-producing meteorological systems in the NEB. In addition, the anthropic influence is shown in the relational pattern between population growth and the variability of decennial rainfall in the capitals of the NEB. However, no capital showed a significant trend of increasing annual rainfall (as in the case of Aracaju, Macei&oacute;, and Salvador). The observed population increase in the last decades in the capitals of the NEB and the notable decreasing trend of rainfall could compromise the region&rsquo;s water security. Moreover, if there is no strategic planning about water bodies, these changes in the rainfall pattern could be compromising

Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial

Background Post-partum haemorrhage is the leading cause of maternal death worldwide. Early administration of tranexamic acid reduces deaths due to bleeding in trauma patients. We aimed to assess the effects of early administration of tranexamic acid on death, hysterectomy, and other relevant outcomes in women with post-partum haemorrhage. Methods In this randomised, double-blind, placebo-controlled trial, we recruited women aged 16 years and older with a clinical diagnosis of post-partum haemorrhage after a vaginal birth or caesarean section from 193 hospitals in 21 countries. We randomly assigned women to receive either 1 g intravenous tranexamic acid or matching placebo in addition to usual care. If bleeding continued after 30 min, or stopped and restarted within 24 h of the first dose, a second dose of 1 g of tranexamic acid or placebo could be given. Patients were assigned by selection of a numbered treatment pack from a box containing eight numbered packs that were identical apart from the pack number. Participants, care givers, and those assessing outcomes were masked to allocation. We originally planned to enrol 15 000 women with a composite primary endpoint of death from all-causes or hysterectomy within 42 days of giving birth. However, during the trial it became apparent that the decision to conduct a hysterectomy was often made at the same time as randomisation. Although tranexamic acid could influence the risk of death in these cases, it could not affect the risk of hysterectomy. We therefore increased the sample size from 15 000 to 20 000 women in order to estimate the effect of tranexamic acid on the risk of death from post-partum haemorrhage. All analyses were done on an intention-to-treat basis. This trial is registered with ISRCTN76912190 (Dec 8, 2008); ClinicalTrials.gov, number NCT00872469; and PACTR201007000192283. Findings Between March, 2010, and April, 2016, 20 060 women were enrolled and randomly assigned to receive tranexamic acid (n=10 051) or placebo (n=10 009), of whom 10 036 and 9985, respectively, were included in the analysis. Death due to bleeding was significantly reduced in women given tranexamic acid (155 [1·5%] of 10 036 patients vs 191 [1·9%] of 9985 in the placebo group, risk ratio [RR] 0·81, 95% CI 0·65–1·00; p=0·045), especially in women given treatment within 3 h of giving birth (89 [1·2%] in the tranexamic acid group vs 127 [1·7%] in the placebo group, RR 0·69, 95% CI 0·52–0·91; p=0·008). All other causes of death did not differ significantly by group. Hysterectomy was not reduced with tranexamic acid (358 [3·6%] patients in the tranexamic acid group vs 351 [3·5%] in the placebo group, RR 1·02, 95% CI 0·88–1·07; p=0·84). The composite primary endpoint of death from all causes or hysterectomy was not reduced with tranexamic acid (534 [5·3%] deaths or hysterectomies in the tranexamic acid group vs 546 [5·5%] in the placebo group, RR 0·97, 95% CI 0·87-1·09; p=0·65). Adverse events (including thromboembolic events) did not differ significantly in the tranexamic acid versus placebo group. Interpretation Tranexamic acid reduces death due to bleeding in women with post-partum haemorrhage with no adverse effects. When used as a treatment for postpartum haemorrhage, tranexamic acid should be given as soon as possible after bleeding onset. Funding London School of Hygiene & Tropical Medicine, Pfizer, UK Department of Health, Wellcome Trust, and Bill & Melinda Gates Foundation