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Dhat Syndrome: Physical and Psychological Implications

Thesis Info

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Author

Khan, Nashi

Program

PhD

Institute

University of Health Sciences

City

Lahore

Province

Punjab

Country

Pakistan

Thesis Completing Year

2008

Thesis Completion Status

Completed

Subject

Applied Sciences

Language

English

Link

http://prr.hec.gov.pk/jspui/handle/123456789/470

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676725900073

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Dhat Syndrome is commonly reported in the Indian sub continent. Previous researches conduced in India and Sri Lanka has employed clinical observations and informal assessment procedures and no formal assessment tool has yet been developed to examine manifestation of Dhat Syndrome. Main objectives of the present research were to develop Dhat Syndrome Symptom Checklist (DSSC) and to examine manifestation and implications of Dhat Syndrome. A series of studies were carried out to develop DSSC and examine manifestation and implications of Dhat Syndrome. Dhat Syndrome Symptom Checklist (DSSC) was developed through in-depth interviews of health professionals, patients with Dhat Syndrome as well as in consultation with existing literature. Psychometric properties of DSSC were estimated using Inter rater Congruence, Factor Analysis and Reliability Analysis. A final DSSC comprised of 62 symptoms with three subscales i.e. Physical, Psychological and Sexual symptoms (Studies 2 -6). Main study aimed to examine manifestation and implications of Dhat Syndrome. It was hypothesized that patients with Dhat Syndrome would manifest variety of Physical Psychological and Sexual symptoms. Patients with Dhat Syndrome (N = 318) were recruited from private practice of health professionals. Semi Structured Interview Schedule, DSSC and General Health Questionnaire (GHQ-28) were used for assessment and individual assessment of patients was carried out. Data was analyzed using descriptive and inferential statistics. Descriptive statistics indicated that majority of the patients were consulting Hakims and Homeopaths and typical profile of Dhat Syndrome patient in Pakistan is a young, single, less educated man with poor socioeconomic status. Dhat Syndrome had xviadverse implications for patients’ health, particularly physical and sexual health, and marital life. Premature ejaculation and nocturnal emissions were main reasons for referral, whereas masturbation and exposure to pornographic material was reported as major causes of Dhat Syndrome. Inferential statistics revealed that sexual weakness, education, discharge before urine, perceived implications of Dhat Syndrome on physical and sexual health, severity of the problem, lack of information and diet were significant predictors of “Physical Symptoms”. Sexual weakness, perceived implications of Dhat Syndrome on patient’s life, lack of information and “emission” emerged as significant predictors of “Psychological Symptoms”. Sexual weakness, perceived implications of Dhat Syndrome on health, “emission” and age were significant predictors of “Sexual Symptoms”. Most patients fell above caseness scores on somatic complaints and anxiety. Somatic complaints were experienced the most and depression the least. There was positive relationship between somatic complaints, anxiety, social dysfunctioning, depression and DSSC symptoms. DSSC physical and sexual symptoms, perceived implications of semen loss for patients’ life emerged as significant predictors of somatic complaints in patients. Anxiety in patients was predicted by DSSC physical and psychological symptoms, perceived implications of Dhat Syndrome for patients’ life and “discharge before urine”. DSSC sexual, psychological and physical symptoms, perceived psychological effects of Dhat Syndrome, lack of information about sex and “nocturnal emission” predicted depression in patients. DSSC psychological and physical symptoms emerged as significant predictors of social dysfunctioning in patients.Sex is a tabooed area in Pakistan and this is the first systematic study on Dhat Syndrome in Pakistan. DSSC would be a useful tool for diagnosticians, clinicians and researchers. Findings of the study have very important implications for the patients, health professionals and researchers and warrant the need for counselling services as well as sex education. Moreover, further investigations on sexual health in general and Dhat Syndrome in particular are also recommended. KEY WORDS: Dhat Syndrome, Dhat Syndrome Symptom Checklist, Manifestation, Implications, Hakims, Homeopaths, General Health Questionnaire, Somatic Complaints, Anxiety, Depression, Social Dysfunctioning, Emissions, Discharge before Urine, Nocturnal Emissions.
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شاعرصدیقی کا اختصاص

شاعر صدیقی کا اختصاص
دبستان کراچی کے شعری اْفق پر اْبھرنے والے ادباء و شعرانے اْردو شعری اور نثر ی ادب کے سرمایے میں ناقابل فراموش حصہ ڈالاہے۔جن میں اُن شعرا کا بھی اہم کردار رہا ہے جنہوں نے برصغیر کے مختلف علاقوں سے ہجرت کرکے سرزمین پاکستان سے اپنی بے لوث محبت کا ثبوت دیا ۔شاعری کے میدان کے شہسواروں میں ایک اہم نام شاعرؔصدیقی کابھی ہے جنہوں نے محض ایک صنفِ سخن کو اپنی پہچان نہیں بنایا بلکہ ہرصنف میں خودکو ایک اعلیٰ درجے کا شاعر ثابت کیا ہے۔
شاعرؔصدیقی کی پرورش کلکتے کے ادبی ماحول میں ہوئی جہاں اْنہیں وطن کے معروف شعرا کی صحبت میں بیٹھے کا موقعہ ملا اور بہت کم سنی میں شاعری کی طرف مائل ہوئے۔اْن کے ابتدائی کلام میں ایک پختہ کار سخن ورکے آثار نظر آنے لگے جس کے سبب سے وہ بہت جلد مشہور ہونے کے ساتھ ساتھ مقبول بھی ہوئے اور اْن کی غزلیں مختلف ادبی جرائد میں شائع ہونے لگیں۔پاکستان بننے کے بعد شاعر نے ۱۹۵۰ء میں کلکتہ سے ڈھاکا ہجرت کی اوریہاں پہ سرکاری ملازمت کے ساتھ صحافت اور فلمی دنیا سے بھی وابستہ ہوگئے۔یہاں سے اْن کی شاعری کا دوسرا اورسنہرا دور شروع ہوتا ہے اس دورمیںاُن کی شاعری فکروفن کی پختگی کو پہنچی ہے۔ڈھاکا میں وہ ایک ممتاز شاعر،ادیب اور صحافی کی حیثیت سے مشہور ہوگئے۔فلم انڈسٹری کے لیے اْنہوں نے جو گیت لکھے وہ چار دانگ ِعالم مشہورہو ئے۔شاعرؔصدیقی کاشمار ۱۹۷۱ئسے قبل مشرقی پاکستان کے مقبول گیت نگاروں میں ہوتا تھا۔
سانحہ مشرقی پاکستان کے بعد شاعرؔصدیقی نے اپنے اہل و عیال کے ساتھ نیپال سے ہوتے ہوئے کراچی ہجرت کی جو اْن کی زندگی کا سب سے بڑا سانحہ تھا کیوں کہ گھر بار اجڑنے کے ساتھ ساتھ اْن کا شعری اور نثری سرمایہ بھی اْس سانحہ کی نظر ہوگیا۔کراچی...

Social Framework Analysis Through Oedipus Complex in Lawrence’s Sons and Lovers

Sons and Lovers has always been posing problems for the teachers, during classroom critical discussions on the novel on account of its undue association with Freud’s concept of Oedipus complex and his focus on sexual instincts. Readers are forcibly led to the conclusion that there is convincing evidence of unconscious sexual attraction between Gertrude (the mother) and William and Paul (her sons) throughout the novel. The novel basically focuses on the individual’s mental and behavioral struggle to locate his own place in the social setup in pursuit of his dignity. An open-minded close examination of the novel makes one realize that it hardly deserves to be labelled as an illustration of Freud’s theory of Oedipus complex. Paul’s struggle for recognition and acceptance in the society is the central theme of the novel, which puts him in trying conditions and relations and leaves him struggling to adjust his place in quest of self-esteem and recognition. The more he tries to get satisfaction, the more he becomes disillusioned. Consequently, dissatisfaction leads him to interact with different people and he experiences maladjustment. The object of this paper is to analyze Paul’s relations with other main characters in the novel in order to diagnose the cause of his discontentment in his relations with them. An attempt has been made to view his predicament in the light of psychological and social cross-currents that pervade his behavior through-out the novel, Paul finds intellectual harmony with Miriam as her feelings match with those of his. Like Paul, she also wants to achieve something great. A cleavage occurs in their relationship when Miriam shows her reluctance to fulfil his carnal desires, as being unethical and contrary to her spiritual ideals. Paul’s sensual desires are fulfilled by Clara, a woman promising physical satisfaction but devoid of aesthetic sensibilities, which again compel him to turn to some new destinations. A thorough analysis of the novel Sons and Lovers clearly reveals that there is very little influence of Oedipus complex, while there is a strong chemical bond and natural affection between the mother and son which is a natural human instinct. Paul finds solace in the company of Gertrude simply on account of natural reasons and not for any amoral urge like Oedipus complex.

Thermal and Catalytic Degradation of High-Density Polyethylene for Energy Recovery and Quality Environment

Polymers wastes create great environmental problems in different ways and therefore should be properly disposed. To convert these waste polymers to other useful products like feedstock chemicals and fuel is a promising solution to these problems. The objective of this work is to develop environmental friendly methods for the degradation of Highdensity polyethylene (HDPE) into useful products which could be directly or indirectly used as chemicals or fuel. The first chapter of this dissertation is concerned about a brief introduction of different types of polymers. It includes history and classification of polymers and information regarding the types, formulas, structures and characteristic of different types of polymers. Different types of polyethylenes have been discussed in this chapter. It focuses specifically on HDPE and its different preparation methods have been included in this chapter. It also describes properties and applications of polyethylene (PE), more specifically HDPE. Several degradation methods and mechanistic aspects of the degradation processes have been discussed. The second chapter covers a thorough review of the recent and relevant literature reported for the thermal and thermocatalytic degradation of PE and HDPE. Chapter III consists of experimental methods applied for thermal and catalytic conversion of HDPE. Different equipments used in the study and experimental procedures have been discussed. Indigenous batch reactor and furnace consisting of IR heating elements were used for the catalytic and thermal pyrolysis of HDPE. The liquid products were fractionated and the fractions were analyzed by GC and GC/MS. Different physical parameters for the oil products were studied. Chapter IV is concerned with results and discussion about the experimental findings. For maximum conversion into oil products, conditions like temperature, catalyst weight and reaction time and nitrogen flow rate were optimized. Several catalysts like MgCO3, CaCO3, BaCO3, Ultra stable Y-zeolite (US-Y), were applied for the catalytic degradation of HDPE. Different temperatures like 250oC, 300oC, 350oC, 395oC, 400oC, 410oC, 420oC, 430oC, 440oC, 450oC, 460oC and 480oC were explored in order to find out the optimum reaction temperature for thermal and catalytic degradation process of HDPE. From the catalytic degradation of HDPE using these catalysts, it was found that among the carbonates, MgCO3 and CaCO3 were approximately effective up to an equal extent in terms of total conversion (96.80% and 97.20% respectively) and oil yield (51.87% and 52.33% respectively) but the temperature for the later catalyst was 460°C and for the former it was 450°C. Reaction time and cat/pol ratio in both the cases were same (1.5 h). In case of BaCO3 catalyst the total conversion (96.07%) was comparable with total conversion achieved with MgCO3 and CaCO3 but the liquid yield (41.33%) was considerably low. Among the applied zeolite catalysts, the powdered US-Y was found to be the most efficient catalyst for the degradation of HDPE. With US-Y catalyst, a total percent conversion of 96.70% was achieved in a 25min experiment with nitrogen flow rate of 10mL/min and a cat/pol ratio of 1:8 at a very low reaction temperature of 395°C. The % oil yield in this case was 71.45%. Under the same experimental conditions but at a higher temperature (420°C), the total % conversion achieved was 96.34% with a little increase in the % oil yield (72.13%). The liquid products obtained thermally and catalytically in bulk quantities were fractionated at different temperatures like100°C, 150°C, 200°C, 250°C and 300°C. The parent liquid products and the fractions collected at different temperatures were characterized by physicochemical tests. The physical parameters like refractive index, density, specific gravity, API gravity, viscosity, kinematic viscosity, flash point, calorific value and ASTM distillation were determined according to IP and ASTM standard methods for fuel values. From the physical tests, it was observed that the results for the liquid fractions were somehow comparable with the standard values for gasoline, kerosene and diesel oil. All the fractions and parent liquids were analyzed by GC and on the basis of boiling point distribution (BPD), the composition of samples was investigated. GC/MS analysis of these samples was also conducted in order to determine the exact composition of thermally and catalytically derived liquids. With increasing distillation temperature, a gradual increase in the percentage of heavier hydrocarbons was observed. It could be concluded, that catalytic degradation of HDPE yields valuable products in terms of fuel oils and chemical feedstocks on one hand and could be a best solution to environmental problems caused by HDPE on the other hand. However more efforts are required to apply this catalytic degradation process for the proper disposal of waste HDPE on industrial scale.