Impact of Self-Compassion on Existential Anxiety in Young Adults of Pakistan

It’s not much about the existential isolation but about our existential uniqueness, the feeling that no matter how deeply connected we are with someone, there is still an unbridgeable gap between every individual and all the elements of our perceived world which can’t be covered in any way possible. Young adulthood is an age where the self-creation process starts hence, the initiation of process of understanding life experiences, experimentation and exploration of meaning in life. All these processes comes with the consequences of overwhelming experiences of existential questioning, concern, and anxiety, leading to various other negative or positive psychological outcomes, depending upon the subjective experiences. Hence the current research was aimed to study the impact of self-compassion on existential anxiety in adolescents and young adults. The population consisted of both male and females (N=280). Current study is based on a quantitative correlation survey research design and the statistical analyses was done through SPSS (version 22). Neff’s Compassion Scale-Short Form (SCS-SF), and Existential anxiety questionnaire (EAQ) and Existential concern questionnaire (ECQ) scales were used. The statistical analysis involved Pearson product moment correlation, and Stepwise Regression. The finding of the study revealed that there was a significant weak negative relationship between Self-compassion and Existential Anxiety and a significant positive relationship between self-criticism and existential anxiety. Moreover, the isolation (subdomain of self-compassion) predicted 20.4% variance in level of Existential anxiety scale and 29.7% variance in Existential concern questionnaire. Following findings are significantly important regarding generating appropriate clinical interventions and provides beneficial insight into developing awareness programs on a community level

The Relationship between Perfectionism Dimensions and Coping Strategies in Postgraduate Clinical Psychology Students and Practitioners

The aim of the study was to explore a relationship between perfectionism dimensions and coping strategies in postgraduate clinical psychology students and practitioners i.e. professionals of an emotionally challenging field. The population consisted of postgraduate clinical psychology students, and those who have recently completed the degree and had conducted some therapeutic sessions individually (N = 100, M = 3% & F = 97%). The measurement tools applied in this study were Frost Multidimensional Scale (FMPS) (FMPS; Frost., Marten., Lahart., & Rosenblate) and Brief Cope Inventory [2]. The research was descriptive correlational study and the statistical analyses was done through SPSS (version 22). The study was conducted during COVID-19 pandemic situation hence, data was collected through online medium. Both the hypotheses got rejected while the data supported newer findings which showed that both the perfectionism dimensions had a weak positive but statistically significant relationship with the dysfunctional coping (except organization). Moreover, results indicate that unemployed participants found to be more organized than those who were employed. The study would be of significant value in developing programs aiming at counseling mental health practitioners with using adaptive coping strategies. As when they enter the professional field they are expected to be perfect in their services, causing them to strive for better and to cope on their own for the sake of providing satisfactory interventions to their patients for their well-being

B-type natriuretic peptide versus amino terminal pro-B type natriuretic peptide: selecting the optimal heart failure marker in patients with impaired kidney function

Background: The effect of impaired kidney function on B-type natriuretic peptide (BNP) and N-terminal proBNP (NT-proBNP) is vague. This study was performed to examine the effect of kidney dysfunction on the afore-mentioned markers and determine appropriate cutoffs for systolic heart failure (SHF). Methods: In this cross sectional study adults with estimated glomerular filtration rate (eGFR)/min for ≥3 months were identified in consulting clinics from June 2009 to March 2010. SHF was defined as documented by a cardiologist with ejection fraction of \u3c 40% and assessed by New York Heart Association classification (NYHA). Plasma was assayed for creatinine (Cr), BNP and NT-proBNP. Results: A total of 190 subjects were enrolled in the study, 95 with and 95 without SHF. The mean age of patients was 58 (±15) years, 67.4% being males. Mean BNP levels showed a 2.5 fold and 1.5 fold increase from chronic kidney disease (CKD) stage 3 to stage 5 in patients with and without SHF respectively. NT-proBNP levels in non-heart failure group were 3 fold higher in CKD stage 5 compared to stage 3. Mean NT-proBNP levels were 4 fold higher in CKD stage 5 compared to stage 3 in patients with SHF. Optimal BNP and NT-proBNP cutoffs of SHF diagnosis for the entire CKD group were 300 pg/ml and 4502 pg/ml respectively. Conclusion: BNP and NT-proBNP were elevated in kidney dysfunction even in the absence of SHF; however the magnitude of increase in NT-proBNP was greater than that of BNP. BNP and NT-proBNP can be useful in diagnosing SHF, nonetheless, by using higher cutoffs stratified according to kidney dysfunction. NT-proBNP appears to predict heart failure better than BNP

Coupled surface plasmon–phonon polariton nanocavity arrays for enhanced mid-infrared absorption

Resonant optical cavities are essential components in mid-infrared applications. However, typical film-type cavities require multilayer stacks with a micronthick spacer due to mid-infrared wavelengths, and their performance is limited by narrow frequency tunability and angular sensitivity. We propose and experimentally demonstrate the subwavelength-scale (≈0/150) resonant nanocavity arrays that enhance the absorption spectrum of the device in the mid-infrared (10–12 microns) via excitation of coupled surface plasmon–phonon polaritons. The proposed metal–insulator–polar dielectric (gold–silicon–silicon carbide) structure supports a guided mode of the coupled surface polaritons in the lateral direction while vertically confining the mid-infrared wav

Sonographic Association of Uterine Artery Pulsatility Index with Hypertension During Third Trimester of Pregnancy

Background: Hypertension (HTN) in pregnancy is the second most basic reason for maternal death and cause obstetric complications in 5-10% of all pregnancies. HTN directly affects the blood flow of uterine artery.  Doppler screening test is a valuable method to do safe and non-invasive detection and has high reliability in the detection of uterine artery blood flow characteristics. Objective: The purpose of the present study is to find association between predictive value of uterine artery pulsatility index in normal and hypertensive pregnancy during third trimester. Methods: A descriptive cross-sectional study was conducted with the sample size of 138 patients by selecting the convenient sampling from Ghurki Trust Teaching Hospital, Lahore. The pulsatility index of uterine artery of all the women with normal singleton pregnancy and hypertensive during third trimester of pregnancy were obtained using Doppler ultrasound. Data was analyzed with the help of Anova .The results were derived by mean, frequency and standard deviation . Results: The significance between groups was 0.002. The mean values of right and left uterine artery pulsatility index of 36 hypertensive patients were 1.40 and 1.41 and standard deviation 0.4 and 0.5 respectively whereas the mean values of right and left uterine artery pulsatility index of 102 normal patients were 0.739 and 0.77 and standard deviation 0.23 and 0.5 respectively Conclusion: Our study concluded that there was an association between uterine atery pulsatility index and hypertension during pregnancy. The uterine artery pulsatiltiy index has increased with hypertension in third trimester of pregnancy. Keywords: Hypertension, Pulsatility Index, Doppler Ultrasound DOI: 10.7176/JHMN/72-07 Publication date:March 31st 202

In silico Prediction and Validations of Domains Involved in Gossypium hirsutum SnRK1 Protein Interaction With Cotton Leaf Curl Multan Betasatellite Encoded βC1

Cotton leaf curl disease (CLCuD) caused by viruses of genus Begomovirus is a major constraint to cotton (Gossypium hirsutum) production in many cotton-growing regions of the world. Symptoms of the disease are caused by Cotton leaf curl Multan betasatellite (CLCuMB) that encodes a pathogenicity determinant protein, βC1. Here, we report the identification of interacting regions in βC1 protein by using computational approaches including sequence recognition, and binding site and interface prediction methods. We show the domain-level interactions based on the structural analysis of G. hirsutum SnRK1 protein and its domains with CLCuMB-βC1. To verify and validate the in silico predictions, three different experimental approaches, yeast two hybrid, bimolecular fluorescence complementation and pull down assay were used. Our results showed that ubiquitin-associated domain (UBA) and autoinhibitory sequence (AIS) domains of G. hirsutum-encoded SnRK1 are involved in CLCuMB-βC1 interaction. This is the first comprehensive investigation that combined in silico interaction prediction followed by experimental validation of interaction between CLCuMB-βC1 and a host protein. We demonstrated that data from computational biology could provide binding site information between CLCuD-associated viruses/satellites and new hosts that lack known binding site information for protein–protein interaction studies. Implications of these findings are discussed

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

COMPERATIVE ANALYSIS OF VOICE CODECS FOR LTE COMMUNICATION NETWORKS

 4G mobile connectivity protocol, LTE (Long Term Evolution), is lower dormancy and higher data rates. LTE overseers may utilize the current circuit to control voice through the fallback procedure Networks exchanged as LTE is totally Internet Protocol (IP) advancement. Voice over IP administrations (VoIP) are needed to give the voice over IP associations, similar to the Internet, to prevent this. Voice Codec is one of the basic sections of VoIP that can be communicated on Internet and change simple signs into compacted computerized parcels. In any case, there are various sorts of codecs that lift voice streams dependent on transfer speed and application necessities. There is, still, no default codec reasonable to everybody. Some codecs have better effectiveness, with different conditions and therefore the transmission capacity is lower. Every one of these qualities will influence the Ultimate corporate assortment of codecs. In this paper, investigation on various kinds of codecs is held that can be utilized with ns-3 test system in VoIP over LTE. Moreover, we have proposed some framework for examination of VoIP traffic over LTE nature of administration (QOS) by arranging various VoIP codecs. Furthermore, as far as deferral, jitter, parcel misfortune and error-proposed scenarios, the study of the different VoIP codecs across the LTE network has been evaluated