Dalbymohamed5221

8%) in the SCH (-) group and 11 patients (40.7%) in the SCH ( + ) group (p 0.033).

SCH had a strong association with non-dipper blood pressure pattern, higher nocturnal heart rate and masked hypertension which are precursors of myocardial infarction, stroke and renal failure. So, SCH should be considered as a clue for serious diseases such as coronary artery disease, myocardial infarction, stroke and patients should be evaluated for ABPM.

SCH had a strong association with non-dipper blood pressure pattern, higher nocturnal heart rate and masked hypertension which are precursors of myocardial infarction, stroke and renal failure. So, SCH should be considered as a clue for serious diseases such as coronary artery disease, myocardial infarction, stroke and patients should be evaluated for ABPM.Although physical pain lies at the intersection of biology and social conditions, a sociology of pain is still in its infancy. We seek to show how physical and psychological pain are jointly parts of a common expression of despair, particularly in relation to mortality. Using the 2002-2014 National Health Interview Survey Linked Mortality Files (N = 228,098), we explore sociodemographic differences in the intersection of physical and psychological pain (referred to as the "pain-distress nexus") and its relationship to mortality among adults ages 25 to 64. Results from regression and event history models reveal that differences are large for the combination of the two, pointing to an overlooked aspect of health disparities. The combination of both high distress and high pain is most prevalent and most strongly predictive of mortality among socioeconomically disadvantaged, non-Hispanic whites. These patterns have several implications that medical sociology is well positioned to address.Trust is an important correlate of well-being, and it plays an important moderating role against adversity. But does this conclusion also hold during pandemics? We address this question by investigating the role of interpersonal and institutional trust for well-being, as measured by five proxies, during the COVID-19 pandemic in Serbia. selleckchem We also examined age and gender differences in the relationship between trust and well-being, and tested the protective role of trust among individuals whose well-being might be at risk during the pandemic. The sample included a total of 5776 Serbian adults (Mage = 37.00 years, 75% female). The results showed that interpersonal trust has a small but significant relationship with well-being, whereas institutional trust has negligible effects. We also found some evidence for the protective role of general interpersonal trust on well-being among individuals with poorer self-rated health and in a poorer financial situation. Our findings confirm the role of interpersonal trust for well-being in times of crisis, and support previous evidence indicating that promoting interpersonal trust should be a core goal of public policy.One longitudinal and four cross-sectional studies (total N = 3,141) tested two candidate explanations for the association between religiousness and perceived meaning in life. Religiousness may foster a sense of significance, importance, or mattering-either to others (social mattering) or in the grand scheme of the universe (cosmic mattering)-which, in turn, support perceived meaning. We found that perceived social mattering mediated, but could not fully explain, the link between religiousness and perceived meaning. In contrast, perceived cosmic mattering did fully explain the association. Overall, results suggest that perceived social and cosmic mattering are each part of the explanation. Yet, perceived cosmic mattering appears to be the stronger mechanism. We discuss how religious faith may be especially suited to support such perceptions, making it a partially unique source of felt meaning.

Palliative rehabilitation involves multi-professional processes and interventions aimed at optimising patients' symptom self-management, independence and social participation throughout advanced illness. Rehabilitation services were highly disrupted during the Covid-19 pandemic.

To understand rehabilitation provision in palliative care services during the Covid-19 pandemic, identifying and reflecting on adaptative and innovative practice to inform ongoing provision.

Cross-sectional national online survey.

Rehabilitation leads for specialist palliative care services across hospice, hospital, or community settings, conducted from 30/07/20 to 21/09/2020.

61 completed responses (England,

 = 55; Scotland,

 = 4; Wales,

 = 1; and Northern Ireland,

 = 1) most frequently from services based in hospices (56/61, 92%) providing adult rehabilitation. Most services (55/61, 90%) reported rehabilitation provision becoming remote during Covid-19 and half reported reduced caseloads. Rehabilitation teams frequingboard for positive changes. Hybrid models of rehabilitation have the potential to expand the equity of access and reach of rehabilitation within specialist palliative care.Evidence suggests that the COVID-19 pandemic has increased rates of depression worldwide. Many factors have been identified to relate to this increase depression, but according to Terror Management Theory, the heightened awareness of death during the pandemic has the potential to increase depression for those with low self-esteem. This hypothesis was examined in a U.K. sample during the first national lockdown where depression, self-esteem and death-thought accessibility (DTA) were measured, and a COVID Index (COVID-19 cases and deaths on date of participation) was produced. The COVID Index was positively related to DTA. Additionally, DTA mediated the relationship between the COVID Index and depression scores when participants had low levels of self-esteem. These findings suggest that heightened existential concerns may be a neglected factor increasing depression during the pandemic.Students' understandings of their socioeconomic status (SES) backgrounds have important implications for their motivation, achievement, and the emergence of SES-based educational disparities. Educators' beliefs about students' backgrounds likely play a meaningful role in shaping these understandings and, thus, may represent an important opportunity to support students from lower-SES backgrounds. We first experimentally demonstrate that educators can be encouraged to adopt background-specific strengths beliefs-which view students' lower-SES backgrounds as potential sources of unique and beneficial strengths (NStudy 1 = 125). Subsequently, we find that exposure to educators who communicate background-specific strengths beliefs positively influences the motivation and academic persistence of students, particularly those from lower-SES backgrounds (NStudy 2 = 256; NStudy 3 = 276). Furthermore, lower-SES students' own beliefs about their backgrounds mediated these effects. Altogether, our work contributes to social-psychological theory and practice regarding how key societal contexts can promote equity through identity-based processes.

Iridocorneal endothelial (ICE) syndrome is well known to cause refractory glaucoma in young adults. Commonly acclaimed mechanism for trabeculectomy failure in these cases include accelerated subconjunctival fibrosis, abnormal endothelial proliferation, and closure of ostium. In the following article, we present a case of Iridocorneal endothelial syndrome that presented with refractory glaucoma after trabeculectomy due to rapidly progressive peripheral anterior synechiae causing angle closure and corneal decompensation that mandated a tailored surgical approach of management.

This is a descriptive case report based on electronic medical records, patient observation, surgical intervention, and follow-ups.

A thirty-eight-year-old-male presented to us with signs suggestive of iridocorneal endothelial syndrome with gonioscopy revealing peripheral anterior synechiae (PAS) over four clock-hours temporally. Uncontrolled intraocular pressure (IOP) despite maximal medical therapy mandated augmented trabeculectohelped control IOP and retain corneal clarity, with no recurrence of PAS in the affected area. Conclusion Progressive peripheral synechiae in ICE syndrome can cause early bleb failure and refractory glaucoma. Careful viscosynechiolysis and sectoral iridectomy alongside a second implant surgery can help salvage visual functions and preserve corneal clarity while preventing further progression of PAS in these eyes.Creations can be fundamentally intended or unintended from their outset. Past work has focused on intentional creations, finding that people place a premium on effort. We examine the role of unintentionality in the inception of creations in six studies using a variety of stimuli (N = 1,965), finding that people offer a premium to unintentional creations versus otherwise identical intentional creations. We demonstrate that the unintentionality involved in the inception of a creation results in greater downward counterfactual thought about how the unintentional creation may have never been created at all, and this in turn heightens perceptions that the creation was a product of fate, causing people to place a premium on such creations. We provide evidence for this causal pathway using a combination of mediation and moderation approaches. Further, we illuminate that this premium is not offered when a negative outcome is ascribed to an unintentional creation.How does leadership emerge and function when multiple health care organizations come together to form a network? In this qualitative comparative case study, we draw on distributed leadership theory to examine the leadership practices that manifested during the implementation of three coordinated care networks. Thirty leaders and care providers participated in semistructured interviews. Interview data were inductively analyzed using thematic analysis. Although established in response to the same policy initiative, each case differed in its leadership approach and implementation strategy. We found that manifestation of distributed leadership was contingent on the presence of an individual leader who acted as a unifying force across their respective network. Our findings suggest that policies to encourage the development of interorganizational networks should include sufficient resources to support an individual leader who enables distributed leadership.Rice noodles have been manufactured in the food industry using different extrusion methods, such as traditional and modern extrusions, which affect the noodle structure and qualities. Therefore, the effects of the extrusion process on qualities of rice noodles using the same blend of rice flour and crosslinked starch were evaluated. In this study, a capillary rheometer was used as an alternative approach to simulate the traditional extrusion method in which the noodles are obtained by continuously pressing the pregelatinized noodle dough through a die. For modern extrusion, a twin-screw extruder was employed to obtain the noodles in a one-step process. The optimal range of moisture content used in the formulation was studied. Upon cooking, the noodles showed a decrease in cooking time and cooking loss with increasing moisture content in the formulation. All cooked noodles showed comparable tensile strength, but those extruded by a twin-screw extruder had substantially greater elongation. Scanning electron micrographs revealed that the noodles prepared using the extruder had a denser starch matrix, while those obtained from a capillary rheometer showed the aggregation of starch fragments relevant to the existence of starch gelatinization endotherm from differential scanning calorimetry.