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Home > Moderating Role of Positive Religious Coping, Engagement Coping, and Perceived Availability of Social Support Among Chronically- Ill Patients

Moderating Role of Positive Religious Coping, Engagement Coping, and Perceived Availability of Social Support Among Chronically- Ill Patients

Thesis Info

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External Link

Author

Siddiqui, Shakira Huma

Program

PhD

Institute

Quaid-I-Azam University

City

Islamabad

Province

Islamabad.

Country

Pakistan

Thesis Completing Year

2011

Thesis Completion Status

Completed

Subject

Philosophy and psychology

Language

English

Link

http://prr.hec.gov.pk/jspui/handle/123456789/2009

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676725318629

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The present research was carried out to investigate the moderating role of positive religious coping, engagement coping, and perceived availability of social support in stress-distress relationship among chronically-ill patients (HIV/AIDS & cancer). This study also investigated the role of gender, locale, type of disease and stages of disease in the appraisal of stressors (poor physical well-being, disease-related discrimination & barriers to care), and different coping strategies (positive religious coping & engagement coping) as well as perceived availability of social support among chronically-ill patients. Present research comprised two separate studies, Study-I and Study-II. The Study-I was further conducted in two phases. Phase-I aimed at translation of the Physical Well-being Scale, Disease-related discrimination Scale, Barriers to Care Scale, Positive Religious Coping Scale, Engagement Coping Scale, and Interpersonal Support Evaluation List into Urdu language. Whereas, phase-II of the study-I aimed at investigating the psychometric properties of the translated instruments. The translated versions were administered to a sample of 90 chronically- ill patients, comprising HIV/AIDS (n = 35) and cancer (n = 55) patients. Convergent and discriminant validity of the instruments were addressed and the scales exhibited good internal consistency reliability. For study-II (main study) data were collected from 330 chronically-ill patients comprising 252 cancer patients and 78 HIV/AIDS patients. A total of 63% (n = 208) were symptomatic patients whereas, 37% (n = 122) were asymptomatic. Participants were administered Urdu version of the seven scales (Physical Well-being scale, Disease-related Discrimination, Barriers to Care scale, Positive Religious Coping Scale, Engagement Coping Scale, Perceived Availability of Social Support and Beck Depression Inventory). Multiple regression and hierarchical moderated regression analyses were used to test the hypothesized relationships. Poor physical well-being and disease-related discrimination have significant main effects on depression. All the three moderating variables (positive religious coping, engagement coping and perceived availability of social support) were found significantly related to the depression. Positive religious coping and engagement coping was found significantly moderating poor physical well-being and depression relationship as well as disease-related discrimination and depression relationship. Whereas, moderating role of perceived availability of social support was found for poor physical well-being and depression as well as barriers to care and depression. Finally, t-test were conducted to explain the differences on stress appraisal, perceived availability of social support and coping strategies with reference to gender, locale, type and stages of disease. Overall, male patients differed from female patients in the appraisal of poor physical well-being, disease-related discrimination and barriers to care, whereas female patients significantly differed from male patients in their use of coping strategies. Patients from rural areas were high in the perception of poor physical well-being and barriers to care as compared to urban patients. HIV/AIDS patients differed from cancer patients in their high use of coping strategies and high perception of availability of social support as compared to cancer patients. Symptomatic patients were high in the appraisal of poor physical well-being, barriers to care and positive religious coping. HIV/AIDS and cancer patients were further compared across disease stages and gender. Symptomatic HIV/AIDS patients were high on the appraisal of poor physical well being and barriers to care as compared to asymptomatic HIV/AIDS patients. However, symptomatic cancer patients differed from asymptomatic cancer patients in their high appraisal of poor physical well- being, barriers to care and their high use of positive religious coping. Male cancer patients were high on the appraisal of poor physical well-being, disease-related discrimination and barriers to care, whereas, female cancer patients were high on positive religious coping, engagement coping, and perceived availability of social support as compared to men cancer patients. Male HIV/AIDS patients differed from female HIV/AIDS patients in their high perception of availability of social support. Further research may test the role of negative religious coping and disengagement coping strategies among chronically-ill patients.
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مجھے کتنی سہولت ہے۔۔۔ازہر ندیم

 

مجھے جب زندگی کے حسن کا ادراک کرنا ہو

مجھے جب آسماں کی وسعتوں سے بات کرنی ہو

مجھے پھولوں ستاروں سے کوٸ منظر سجانا ہو

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مجھے رنگوں کی دلکش وادیوں کی سیر کرنی ہو

مجھے آواز کے جادو میں جب بھی ڈوب جانا ہو

مجھے کتنی سہولت ہے

میں ان پھیلی ہواٶں میں بس اک پیغام لکھتا ہوں

میں ان خالی فضاٶں میں تمہارا نام لکھتا ہوں

مجھے ہر سو جمالِ خواب کی برسات ملتی ہے

تمہاری یاد سے مجھ کو ، یہ کاٸنات ملتی ہے

مجھے کتنی سہولت ہے

EMPATHY DAN DESIGN THINKING DALAM INOVASI MANAJEMEN PENDIDIKAN ISLAM DI ERA DISRUPTIF

Abstract the phenomenon of the current disruptive era makes technology develop fast paced. The rapid progress must be matched with the ability of human resources as the executor of the organization. This study aimed to find out the management innovation in Islamic education institution that nowadays becomes a serious concern to face the global competition. The abilities of empathy and design thinking are the skills that need to be had by headmasters in facing the disruptive era. Innovation in Islamic education management is essential to do considering that the success of education goals is seen from how to manage an organization. This study is the result of literary research sourced from indexed scientific journals, books, and news on the internet. The procedures used included three phases, namely organize, synthesize, and identify.  The result of content analysis showed the concept of design thinking as the process to obtain problem solving which is relevant to the education field namely the formulation of new policy and analysis towards a problem by collecting analyses so that it is helpful to obtain right and effective decision making. Abstrak Fenomena era disruptif saat ini menjadikan teknologi berkembang serba cepat. Pesatnya kemajuan harus diimbangi dengan kemampuan SDM sebagai pelaksana organisasi. Penelitian ini bertujuan untuk menggali inovasi manajemen di lembaga pendidikan Islam yang saat ini menjadi perhatian serius untuk menghadapi persaingan global. Kemampuan empati dan design thinking adalah skill yang harus miliki oleh kepala sekolah dalam menghadapi era disruptif. Inovasi dalam manajemen pendidikan Islam penting dilakukan mengingat keberhasilan tujuan pendidikan dilihat dari cara mengelola organisasi. Penelitian ini merupakan hasil riset kepustakaan dengan referensi jurnal ilmiah terindeks, buku dan berita di internet. Prosedur yang digunakan meliputi 3 tahap, yaitu organize, synthesize dan identify.  Hasil analisis isi menunjukkan konsep design thinking sebagai proses menghasilkan problem solving relevan dalam dunia pendidikan khususnya perumusan kebijakan baru dan analisis terhadap suatu permasalahan dengan mengumpulkan analisa-analisa sehingga membantu dalam upaya pengambilan keputusan yang tepat dan efektif.

Studies of the Formulation and Evaluation of Controlled Release Matrix Tablets With Selected Anti-Diabetic Drugs

Acarbose, an oral a-glycosidase inhibitor, is frequently employed for management of Non-Insulin dependent diabetes. Primarily it deeds by reducing plasma glucose level through slothful absorption of starches and sugars from intestine.Glipizide & Repaglinide, are 2nd generation sulfonyl-urea and act, by increasing insulin secretion, but binds to different betacell receptor sites. They are used alone / adjunct to diet to the management of type-II (non-insulin dependent) diabetes mellitus in patients whose hyper-glycemia cannot be controlled by diet and exercise alone.Owing to their short half life, dosage frequency / schedule, patient non-compliance, economic factors and adverse effects on GIT, they are wellthought-out to be good candidates for preparation into Modified release, dosage forms. Keeping this in view during pre-formulation work, emphasis was laid on detailed study of parameters such as optical-rotation, melting-point, %age-purity, particle-size, sizedistribution, solubility at different temperatures & pH, FTIR spectra for conformation, λ max determination, micro-meritic properties of selected drug(s), polymers and in-active ingredients used in this research work. DSC and FTiR studies were done to check interaction of drug with polymers and excipients.During this study attention was also concentrated on some contributing approaches to improve the dissolution rates of Glipizide & Repaglinide, which are insoluble/sparingly soluble drug(s). For this purpose solid dispersions of Glipizide & Repaglinide, were prepared by solvent evaporation technique, using Carbopole,, as dispersion carrier. The drug carrier interactions were studied through SEM, DSC, FTIR & X-ray diffraction analysis. The influence of proportional amount of the carrier on the dissolution rate of Glipizide & Repaglinide, were also investigated. The results did not show any chemical decomposition or well defined interaction between drugs and carrier, indicating a praiseworthy compatibility amid them. The solid dispersions with Carbopole, demonstrated an evident increase in the dissolution rate and solubility of Glipizide & Repaglinide. The boost in the dissolution rate and solubility of Glipizide & Repaglinide, could be attributed to several factors such as improved wettability, local solubilization, conversion from crystalline form to amorphous form and drugs particle size reduction. Directly compressed CR matrix tablets, using granular Ethocel® standard premium & Ethocel® standard F P premium were aimed, equipped and assessed invitro, in the first instance, followed by invivo evaluation of the best Dept. of Pharmaceutics, Faculty of Pharmacy, Gomal University, D.I.Khan, K.P. products. Physico chemical evaluation of the framed tablets was accomplished, using different physico.chemical, dimensional and QC-tests etc. Findings of all these experiments were found to be with in acceptable range and tablets met the pharmacotechnical requirments. The influence of different viscosity grades of Ethocel® on t h e t ab l et characteristics, drug release rates, release-patterns & release-kinetics were probed. Ethocel® with lower viscosity grades revealed good compressibility, resultant in harder tablets. Particle size and amount of polymer used were found to be the determining factors, in regulating the release rates of Acarbose, Glipizide & Repaglinide, from the tablets. The mechanism of drug release from the tablets seemed to differ from formulation to formulation, principally dependent on the amount of Ethocel® and particle size of the polymer used. More over the research concentrated on the consequence of partial replacement of primary active/ in-active ingredients (lactose) by various coexcipients such as HPMC, starch & CMC on the release rate and mechanism of drugs release from the matrix tablets. All of the coexcipients used improved the release.rates to different extent.Invitro studies revealed that tablet formulations containing polymer Ehocel® standard 7FP-premium, at D: P ratio 010: 3 & 01:3 were the best amidst the preparations for all three drugs (Acarbose, Glipizide & Repaglinide) singly, as they delivered boosted release patterns with optimum amount of the drugs released in 024 hrs, and due to their extended release rates, with either zero or near to zero-order release kinetics.The optimized Acarbose, Glipizide & Repaglinide matrix tablets designs were further used for invitro & invivo bio-availability, bio-equivalence & stabilities studies as compared to the comparative studies with available marketed, conventional tablets of Acarbose, Glipizide & Repaglinide. Stability studies were accomplished on the optimized preparation for a period of 1 year both in ambient and accelerated conditions and the tablets were re-assessed physicochemicaly at different intervals of time. The results attained demonstrated maximum stability for 1 year.The comparative invitro dissolution studies, revealed prolonged release rate of test formulations as 96.39%, 88.09% & 89.73% of Acarbose, Glipizide & Repaglinide released after 24 hours, correspondingly, while in all of the available marketed conventional formulations, drugs were released well before 24 hours. Invivo studies of the best formulated tablets were led by using HPLC based modified techniques meant at analysis of Acarbose, Glipizide & Repaglinide in rabbit’s-plasma. Measured plasma concentrations of the drug(s) were used in calculation of pharmaco-kinetic parameters for the CR, test tablets and reference marketed conventional preparations of Acarbose ,Glipizide & Repaglinide using PK Win Dept. of Pharmaceutics, Faculty of Pharmacy, Gomal University, D.I.Khan, K.P. Nolin, software(Win.Nolin®Ver 5.2.1 (Pharsight Corporation, Mountan.View, CA, USA). Intentionally prolonged Tmax, t1/2 and MRT0-t of the test CR matrix tablets of model drug(s) point toward smooth and extended absorption phase of the drugs under research. The test CR, tablets exhibited better and linear in-vitro & in-vivo correlation as compared to reference marketed, conventional tablet preparations. Conclusion: It is concluded that a good controlled release formulation of Acarbose, Glipizide and Repaglinide can be prepared without risk of possible interactions using Ethocel® standard 7FP and Ethocel® 7 Premium polymer to avoid risk of side effects of Acarbose, Glipizide & Repaglinide and to improve patient compliance. Hence it is determined that acarbose,Glipizide & Repaglinide can be loaded to controlled release matrix tablet for the treatment of diabetes mellitus with better compliance and improve efficacy.