The Rivers Of Faith: Mariology In Mariamabad, Pakistan

M.A. Thesis. University of Hawaiʻi at Mānoa 2017

Effect of presence and absence of parents on the emotional maturity and perceived loneliness in adolescents

The present study was conducted to examine the Emotional Maturity and Perceived Loneliness of adolescents with respect to the presence and absence of parents. It was hypothesized that the absence or presence of parents of adolescents would affect the level of emotional maturity and perceived loneliness among adolescents. The adolescent participants N=250 (males n=125 and females n=125; age range= 13-18; M=16.63; SD=0.87) were approached through purposive convenient sampling technique. Measures included the Emotional Maturity Scale and the UCLA loneliness scale V-III. Results indicated that adolescent who lived with their guardians had greater perceived loneliness than those who lived with their parents. However, adolescents who were living with their parents had lower Emotional Maturity. A significant negative but weak/moderate relationship was found between Perceived Loneliness and Emotional Maturity (r=-.28). The findings of this study can be useful in clinical settings to counsel adolescents who are facing conflicts with step- or absent- parents, or feel lonely in the presence of their parents as well as in therapies and have disrupted levels of emotional maturity. Moreover, it can benefit the psychological community by providing the opportunity to find solutions to relevant problems

What matters to program partners when implementing a community-based exercise program for people post-stroke? A theory-based qualitative study and cost analysis

BackgroundCommunity-based exercise programs integrating a healthcare-community partnership (CBEP-HCP) can facilitate lifelong exercise participation for people post-stroke. Understanding the process of implementation from multiple perspectives can inform strategies to promote program sustainability.PurposeTo explore stakeholders' experiences with undertaking first-time implementation of a group, task-oriented CBEP-HCP for people post-stroke and describe associated personnel and travel costs.MethodsWe conducted a descriptive qualitative study within a pilot randomized controlled trial. In three cities, trained fitness instructors delivered a 12-week CBEP-HCP targeting balance and mobility limitations to people post-stroke at a recreation centre with support from a healthcare partner. Healthcare and recreation managers and personnel at each site participated in semi-structured interviews or focus groups by telephone post-intervention. Interviews and data analysis were guided by the Consolidated Framework of Implementation Research and Theoretical Domains Framework, for managers and program providers, respectively. We estimated personnel and travel costs associated with implementing the program.ResultsTwenty individuals from three sites (4 recreation and 3 healthcare managers, 7 fitness instructors, 3 healthcare partners, and 3 volunteers) participated. We identified two themes related to the decision to partner and implement the program: (1) Program quality and packaging, and cost-benefit comparisons influenced managers' decisions to partner and implement the CBEP-HCP, and (2) Previous experiences and beliefs about program benefits influenced staff decisions to become instructors. We identified two additional themes related to experiences with training and program delivery: (1) Program staff with previous experience and training faced initial role-based challenges that resolved with program delivery, and (2) Organizational capacity to manage program resource requirements influenced managers' decisions to continue the program. Participants identified recommendations related to partnership formation, staff/volunteer selection, training, and delivery of program activities. Costs (in CAD) for first-time program implementation were: healthcare partner ($680); fitness coordinators and instructors ($3,153); and participant transportation (personal vehicle: $283; public transit:$110).ConclusionDuring first-time implementation of a CBEP-HCP, healthcare and hospital managers focused on cost, resource requirements, and the added-value of the program, while instructors and healthcare partners focused on their preparedness for the role and their ability to manage individuals with balance and mobility limitations. Trial Registration: ClinicalTrials.gov, NCT03122626. Registered April 17, 2017—Retrospectively registered, https://www.clinicaltrials.gov/ct2/show/NCT0312262

Clitopilus cretoalbus sp. nov. (Entolomataceae, Agaricales), a new species from Pakistan

A new species, Clitopilus cretoalbus A.Izhar, Zaman, M.Asif, H.Bashir, Niazi & Khalid sp. nov., is described herein based on several collections from Punjab, Pakistan. It is characterized by a clitocyboid to somewhat omphaloid stature combined with a white pileus, decurrent lamellae, an almost central to slightly eccentric whitish relatively long stipe, the occurrence of cheilocystidia, and basidiospores with 6 to 9 ridges in polar view. Molecular phylogenetic analyses of nrITS and nrLSU performed using the maximum likelihood method supported the novelty of this Pakistani species and its placement within the genus Clitopilus section Scyphoides. A comparison with other morpho-anatomically close species confirmed that the newly described species is distinct from others

Respiration-Based COPD Detection Using UWB Radar Incorporation with Machine Learning

COPD is a progressive disease that may lead to death if not diagnosed and treated at an early stage. The examination of vital signs such as respiration rate is a promising approach for the detection of COPD. However, simultaneous consideration of the demographic and medical characteristics of patients is very important for better results. The objective of this research is to investigate the capability of UWB radar as a non-invasive approach to discriminate COPD patients from healthy subjects. The non-invasive approach is beneficial in pandemics such as the ongoing COVID-19 pandemic, where a safe distance between people needs to be maintained. The raw data are collected in a real environment (a hospital) non-invasively from a distance of 1.5 m. Respiration data are then extracted from the collected raw data using signal processing techniques. It was observed that the respiration rate of COPD patients alone is not enough for COPD patient detection. However, incorporating additional features such as age, gender, and smoking history with the respiration rate lead to robust performance. Different machine-learning classifiers, including Naïve Bayes, support vector machine, random forest, k nearest neighbor (KNN), Adaboost, and two deep-learning models—a convolutional neural network and a long short-term memory (LSTM) network—were utilized for COPD detection. Experimental results indicate that LSTM outperforms all employed models and obtained 93% accuracy. Performance comparison with existing studies corroborates the superior performance of the proposed approach

Association of <i>GSTTI</i>, <i>M1</i> and Polymorphism in <i>GSTPI</i> with Chronic Periodontal Disease in a Pakistani Population

Objective: Chronic periodontal disease (CP) is a multifactorial infectious and inflammatory disease that occurs due to the challenge between the immune response of the host and specific periodontal bacteria, and that can lead to tooth loss due to damage inflicted to the supporting tissue. The current study investigates the genotypes of the GSTM1 and GSTT1 genes, along with the allelic frequency of the single nucleotide polymorphism [SNP; rs1695] in the GSTP1 gene and correlates them individually or in various combinations with the incidence of CP. Methods: A total of 203 clinically confirmed CP patients and 201 control subjects were enrolled from Multan and Dera Ghazi Khan Districts in Pakistan from April to July 2022. Multiplex Polymerase Chain Reaction (PCR) and tetra-primer amplification refractory mutation system–polymerase chain reaction (T-ARMS–PCR) approaches were applied to determine the genotypes of the studied GSTs. The association of rs1695 in GSTP1 with CP was studied both individually and in various combinations with GSTM1 and T1. Results: The absence of GSTM1, the presence of GSTT1 and the presence of the mutant allele (G) at rs1695 in GSTP1 were found to be significantly associated with CP. Patients aged between 10 and 30 years were more affected by CP. Conclusion: Our results indicate that the genotypes of the analyzed GSTs affect the levels of protection from oxidative stress and may therefore influence the disease progression in CP

Association of GSTTI, M1 and Polymorphism in GSTPI with Chronic Periodontal Disease in a Pakistani Population

Objective: Chronic periodontal disease (CP) is a multifactorial infectious and inflammatory disease that occurs due to the challenge between the immune response of the host and specific periodontal bacteria, and that can lead to tooth loss due to damage inflicted to the supporting tissue. The current study investigates the genotypes of the GSTM1 and GSTT1 genes, along with the allelic frequency of the single nucleotide polymorphism [SNP; rs1695] in the GSTP1 gene and correlates them individually or in various combinations with the incidence of CP. Methods: A total of 203 clinically confirmed CP patients and 201 control subjects were enrolled from Multan and Dera Ghazi Khan Districts in Pakistan from April to July 2022. Multiplex Polymerase Chain Reaction (PCR) and tetra-primer amplification refractory mutation system&ndash;polymerase chain reaction (T-ARMS&ndash;PCR) approaches were applied to determine the genotypes of the studied GSTs. The association of rs1695 in GSTP1 with CP was studied both individually and in various combinations with GSTM1 and T1. Results: The absence of GSTM1, the presence of GSTT1 and the presence of the mutant allele (G) at rs1695 in GSTP1 were found to be significantly associated with CP. Patients aged between 10 and 30 years were more affected by CP. Conclusion: Our results indicate that the genotypes of the analyzed GSTs affect the levels of protection from oxidative stress and may therefore influence the disease progression in CP