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Home > Quality of Life As Determined by Psoriasis: Patients’ Perspective of Psychological Well Being

Quality of Life As Determined by Psoriasis: Patients’ Perspective of Psychological Well Being

Thesis Info

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Author

Gul, Afsheen

Program

PhD

Institute

University of the Punjab

City

Lahore

Province

Punjab

Country

Pakistan

Thesis Completing Year

2012

Thesis Completion Status

Completed

Subject

Philosophy & psychology

Language

English

Link

http://prr.hec.gov.pk/jspui/handle/123456789/916

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676725332217

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Mental health, undoubtedly occupies a pivotal role in the life of an individual and the society at large. Any disharmony in the maintenance of normal health has been found resulting in the hampered psychosocial functioning leading to highly distressing and devastating situations. In today‘s world of awareness and self-preservation, ―Psoriasis‖ a skin disease of organic nature which has tremendously attracted the attention of the affectees as well as the Social and Health Scientists and more so the psychologists who feel desperately concerned with the mental health of people. The present study therefore has its main focus on the psychological well being by exploring its prevalence, etiology and its distressing effects leading to a host of psychosocial problems. Tremendous work done in the advanced world inspired the researcher to probe the prevalence and its consequences in Pakistan. A purposive sample consisting of 300 patients of psoriasis was contacted for data collection. All the patients were taken from the government hospitals of Lahore cosmopolitan. The control group was selected and matched with regard to gender, marital status, family system and age (except existence of psoriasis) in groups so that the two groups were subjected to the same environmental background and hence results could be reliably compared. The participants were administered in addition to demographic questionnaire, (i) an urdu version of duly standardized Medical Outcome Study short form Health Survey (SF-36), (ii) standardized urdu adaptation of Hospital Anxiety and Depression Scale (HADS) (iii) and udru adapted and semi standardized version of Psoriasis Quality of life Questionnaire (PQLQ) for finding out the general health, anxiety depression and psoriasis related quality of life of the people. Data was analysed using descriptive and inferential statistics. Descriptive statistics indicated that out of 300 respondents the patients‘ age ranged from 18-56 years with mean age xvof 37 years. Further 148 patients belonged to nuclear family system where as 152 patients lived in a joint family system. The lot was further identified as consisting of 110 (37%) married and 190 (63%) unmarried. Necessary and relevant statistical analyses such as Regression analysis, ANOVA and t-test were employed for inferential statistics. The results revealed that patients showed a considerable and significant loss of quality of life due to the disease psoriasis. Additionally the experience of anxiety and depression was observed more in women than men, it was also found that severity of the disease affected the physical, as well emotional well being of the patients. These results provided the answers to the questions about the relationship between̳the degree of severity of psoriasis‘ and the̳resultant anxiety and depression‘ as determining factors of quality of life and congenial living. Information gained from this study can be used to demonstrate the importance of physician-patient communication and serve as an adjunct to future research exploring the impact of psoriasis on quality of life. In addition, the reported findings as above may serve as a better guideline for exploring more aggressive treatment options.
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کھل اُٹھا لالہِ صحرائی ترے ؐآنے سے


کھل اُٹھا لالۂ صحرائی ، ترےؐ آنے سے
’’دل کی دنیا میں بہار آئی ترےؐ آنے سے‘‘

سر نگوں ہو گئی دارائی ترےؐ آنے سے
سرزمیں روم کی تھرَّائی ، ترےؐ آنے سے

تیرے آنے سے بجھا آتشکدۂ فارس
شرک کو ہو گئی پسپائی ، ترےؐ آنے سے

پھر خزاں آنے کا اِمکان ہی باقی نہ رہا
ہوئی ایسی چمن آرائی ، ترےؐ آنے سے

ایک مدت سے تھیں مشتاقِ زیارت آنکھیں
خوش ہوئی چشمِ تمنائی ، ترےؐ آنے سے

اہلِ ایمان کو ایماں پہ ملا اجرِ عظیم
کفر نے اپنی سزا پائی ترےؐ آنے سے

خار و خس ، کوہ و دمن ، دشت و بیاباں ، عرفانؔ
سب کی اُمید ہے بر آئی ، ترےؐ آنے سے

عہد نبوی میں حفاظت قرآن سے متعلق مستشرقین کے اعتراضات کا علمی جائزہ

Islam is the complete code of life. The Prophet (PBUH) and his companions made every effort to safeguard it. They handed it over in fully preserved form without any flaw to their true followers. However, adversaries of Islam have been trying to find faults with safety of Quran and the life of Prophet (PBUH). Orientalists are among them. Orientalists are those non-Muslim scholars, who do their research about Muslim’s beliefs, culture and values. Their purpose is to double edge. First to create doubts in the minds of Muslims regarding their religion. Secondly to marsh hated in the hearts and minds of non-believers. This is why these prejudiced scholars criticize Quran and the personal life of Prophet (PBUH). In the following discussion we have analyzed these objections in detail regarding the safeguard of the Holy Quran during the time of Muhammad (PBUH).

Productive and Reproductive Performance of Indegenious and Cross Bred Dairy Calttle in Muzaffarabad Azad Jammu and Kashmir

The study was conducted at Livestock Development Research Centre Muzaffarabad, Azad Jammu and Kashmir. The primary objective of this study was to improve the milk production of indigenous cows along with other productive and reproductive traits by crossing with European breeds. The indigenous heifers were artificially inseminated with Jersey semen and F1 crossbred were produced. The F1 offspring were selfed to obtain the F2 offspring and on the other hand the F1 cows were crossed with Frisian bull to produce three-breed crossbred cows. The information regarding productive and reproductive traits of all the cows was studied. The number of cows for each group were 48 for indigenous, 32 for F1 (Indigenous × Jersey) cross, 19 for F2 (F1 × F1) cross and 18 for F1 × Frisian cross. Highly significant increase (P < 0.0001) in milk yield and birth weights of calves was observed in all the crossbred cows compared to indigenous cows. Highest milk yield per lactation (1411.0 ± 92.88 liters) and highest lactation length (354.5 ± 16.70 s) was observed in F1 × Frisian cross whereas the highest 305day milk yield (1674.0 ± 47.58 liters) and daily average milk yield (5.07 ± 0.14 liters) was observed in F1 (Indigenous × Jersey) cows. 305day milk yield did not differ significantly between F2 (1295.0 ± 75.36 liters) and F1 × Frisian (1355.0 ± 60.32 liters) cows. The sex ratio of male and female calves did not differ significantly among the all breed groups (P > 0.05). Similarly method of breeding did not affect the sex ratio of male and female calves. Mean age at first calving (AFC) reduced highly significantly (P < 0.0001) in all the crossbred cows (951.2 ± 37.35 s for F1, 1086 ± 37.89 for F2 and 952.1 ± 28.23 s for F1 × Frisian) compared to indigenous (1861 ± 42.45 s) cows. Mean AFC of F1 and F1 × Frisian cows did not differ significantly (P = 0.9869). Mean dry period of F1 (110.2 ± 4.78 s); F2 (124.8 ± 10.14 s) and F1 × Frisian (99.76 ± 6.67 s) cows decreased highly significantly (P < 0.0001) compared to indigenous cows (239.5 ±7.87 s). The dry period among the crossbred cows did not differ significantly (P > 0.05). The service period recorded in present study was 256.0 ± 8.67, 92.60 ± 5.04, 81.81 ± 11.19 and 266.7 ± 16.56 s for indigenous, F1, F2 and F1 × Frisian cows respectively. The mean service period in F1 and F2 crossbred cows decreased highly significantly (P < 0.0001) compared to indigenous cows but no significant difference (P = 0.5493) was observed between the service period of indigenous and F1 × Frisian cows. Mean calving interval of one year was observed in F1 (368.8 ± 5.32 s) and F2 (359.8 ± 11.68 s) crossbred cows where as a calving interval of 518.6 ± 9.54 and 540.9 ± 22.39 s was observed in indigenous and F1 × Frisian cows respectively. The mean calving interval decreased highly significantly in F1 and F2 cows compared to indigenous and F1 × Frisian cows (P < 0.0001). Mean calving interval of indigenous and F1 × Frisian cows did not differ significantly (P = 0.2895). High breeding efficiency was observed in F1 (93.68 ± 1.85 %) and F2 (93.71 ± 2.74 %) and it increased highly significantly (P < 0.0001) in F1 and F2 compared to indigenous cows (73.46 ± 2.50 %). The mean breeding efficiency of F1 × Frisian (65.62 ± 3.05 %) did not differ significantly from that of indigenous cows (P = 0.0870). Within F2 crossbred cows significant (P < 0.05) sires effects were observed on 305 milk yield, daily milk yield and service period while the birth weight, milk yield per lactation, lactation length, age at first calving, dry period and calving interval were not affected significantly (P > 0.05) by sire. The sire effects within F1× Frisian crossbred cows were not observed (P > 0.05). Parity has significantly affected 305day milk yield in indigenous, F1 and F2 cows whereas parity did not significantly affected 305day milk yield in F1 × Frisian cows (P = 0.2472). The 305day milk yield in indigenous cows decreased significantly (P = 0.0063) from parity one to parity five. 305day milk yield in F1 and F2 increased significantly (P < 0.05) towards 4th and 5th parity and decreased thereafter. The mean lactation length in indigenous cows decreased significantly from first to five parity (P = 0.0024). Parity did not affect significantly (P > 0.05) lactation length of crossbred cows in relation to parity. Season of calving significantly (P < 0.05) affected the 305day milk yield in indigenous and crossbred cows. In indigenous cows autumn calvers produced the highest 305day milk compared to spring, summer and winter calvers. In crossbred cows highest 305day milk yield was observed in winter calvers compared to spring, summer and autumn calvers. The lactation length was not affected significantly (P > 0.05) by the season of calving in nondescript and their crossbred. Year of calving had a significant (P < 0.05) effect on 305 milk yield and lactation length of nondescript indigenous cows. 305 milk yield and lactation length of all the crossbred groups was not affected significantly (P > 0.05) by the year of calving. Overall productive and reproductive performance of indigenous × Jersey (F1) crossbred cows was found to be better compared to F2 and F1× Frisian crossbred cows. Thus upgrading of indigenous cows of AJ&K with exotic breed of Jersey is suggested in this study.