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A Cross-National Comparison of Myalgic Encephalomyelitis and Chronic Fatigue Syndrome at Tertiary Care Settings from the US and Spain. 美国和西班牙三级医疗机构肌痛性脑脊髓炎和慢性疲劳综合征的跨国比较。
Pub Date : 2020-01-01 Epub Date: 2019-12-19 DOI: 10.20448/801.51.104.115
Shaun Bhatia, Nicole Olczyk, Leonard A Jason, Jose Alegre, Judith Fuentes-Llanos, Jesus Castro-Marrero

Cross-national comparative studies are useful for describing the unique characteristics of complex illnesses, and can reveal culture-specific traits of disease frequency/severity and healthcare. Though myalgic encephalomyelitis (ME) and chronic fatigue syndrome (CFS) are debilitating conditions found all over the world, few studies have examined their characteristics across different countries. The purpose of this study was to compare the levels of functional impairment and symptomatology in patients with ME and CFS at tertiary referral hospitals in the US and Spain. Four hundred twenty potentially eligible participants (N = 235 from the US and N = 185 from Spain) who met the 1994 Fukuda et al. definition for CFS were enrolled. Both samples completed the medical outcomes study 36-item short-form health survey (SF-36) as a proxy for impairment, and the DePaul Symptom Questionnaire (DSQ) for patient symptomatology. ANCOVA and, where appropriate, MANCOVA tests were used to compare the SF-36 and DSQ items for illness characteristics between the samples. The patients from Spain demonstrated significantly worse functioning than those from the US in the SF-36 domains of physical functioning, bodily pain, general health functioning, role emotional, and mental health functioning. The Spanish sample also was also more symptomatic across all the DSQ-items, most significantly in the pain and neuroendocrine domains. These findings may be due to differences between the US and Spain regarding disability policy, perception of ME and CFS, and access to specialist care.

跨国比较研究有助于描述复杂疾病的独特特征,并能揭示疾病频率/严重程度和医疗保健方面的特定文化特征。虽然肌痛性脑脊髓炎(ME)和慢性疲劳综合征(CFS)是世界各地都有的使人衰弱的疾病,但很少有研究对它们在不同国家的特征进行研究。本研究旨在比较美国和西班牙三级转诊医院中 ME 和 CFS 患者的功能障碍和症状水平。研究共招募了 4200 名符合 1994 年福田等人对 CFS 定义的潜在合格参与者(美国 235 人,西班牙 185 人)。两组样本均填写了医疗结果研究 36 项短式健康调查 (SF-36),作为损伤的替代指标,并填写了德保罗症状问卷 (DSQ),作为患者症状的替代指标。方差分析和适当的 MANCOVA 检验用于比较样本间 SF-36 和 DSQ 项目的疾病特征。在身体功能、身体疼痛、一般健康功能、角色情感和心理健康功能等 SF-36 领域,西班牙患者的功能明显差于美国患者。此外,西班牙样本在所有 DSQ 项目上的症状都更严重,其中疼痛和神经内分泌领域的症状最为明显。这些发现可能是由于美国和西班牙在残疾政策、对 ME 和 CFS 的认识以及获得专科护理方面存在差异。
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引用次数: 0
TRANSFORMATION OF HISTORY IN THE GLASS PALACE AND BURNT SHADOWS: A POSTMODERNIST ANALYSIS 玻璃宫殿与燃烧阴影中的历史变迁:后现代主义分析
Pub Date : 2019-12-31 DOI: 10.46568/jssh.v58i2.6
A. Ashraf, M. Ahmed
South Asian English fiction, in recent decades, has significantly manifested its deepest concern for history and its relevance in the contemporary global scenario. The last couple of years have noticed the publication of many English novels by Indian and Pakistani authors that in fact belong to the very genre of postmodern historiographic metafiction. In fact, postmodern fiction writers usually deviate from the traditional representation of past events. The current study examines the way history writing is reconfigured in the selected postmodern novel. In these novels, the writers retell the traditional history through innovative narrative techniques and multiplicity of the views that de-centralize the conventional history. The present research attempts to explore Amitav Gosh’s The Glass Palace and Kamila Shamsie’s Burnt Shadows as historiographic metafiction, that is a sub-genre of postmodern fiction. The study focuses on the selected texts to explore how these novels transform the traditional history through the incorporation of magic realism, intertextuality and self-reflexivity. This research is qualitative and descriptive, while the textual analysis has been used as a research method. The theoretical concept of Linda Hutcheon is incorporated in this current study that ends with findings and recommendations for future research.
近几十年来,南亚英语小说显著地表现出对历史的深切关注及其与当代全球情景的相关性。在过去的几年里,我们注意到许多印度和巴基斯坦作家出版的英语小说实际上属于后现代史学元小说的流派。事实上,后现代小说作家通常会偏离对过去事件的传统表现。当前的研究考察了历史写作在选定的后现代小说中重新配置的方式。在这些小说中,作者通过创新的叙事技巧和多元化的观点来重新讲述传统历史,从而使传统历史去中心化。本文试图将阿米塔夫·格什的《玻璃宫殿》和卡米拉·沙姆西的《烧焦的阴影》作为后现代小说的一个亚类型——历史元小说进行探讨。本研究着重于选取的文本,探讨这些小说是如何通过魔幻现实主义、互文性和自我反思的结合来改造传统历史的。本研究采用定性和描述性的研究方法,同时采用了文本分析的研究方法。Linda Hutcheon的理论概念被纳入了当前的研究,并以研究结果和对未来研究的建议结束。
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引用次数: 0
NEXUS BETWEEN GENDER INEQUALITY IN EDUCATION AND ECONOMIC GROWTH IN PAKISTAN 巴基斯坦教育中的性别不平等与经济增长之间的关系
Pub Date : 2019-12-31 DOI: 10.46568/jssh.v58i2.5
Arshadi Ali, Imtiaz Ahmad
Pakistan’s women educational attainment has been the lowest in the entire South Asia; with women and girls continuing to suffer discrimination in the field of education. This study is designed to examine the linkage between gender disparity in education and Pakistan economic success, using annual secondary data to date range 1980 to 2019. Also the study checked the variables integration order by using Dickey-Fuller and Philip-Peron tests apart from utilizing the ARDL bound test technique for long-run co-integration relationship while the direction of causality were tested by using Granger causality. The analyses reflect that a strong adverse influence on growth was the result to be yielded from gender educational disparity in Pakistan. This finding is based on the empirical interpretation such as women educational attainment at primary and secondary levels, government expenditures on education, total secondary education and male secondary education significantly contribute to growth. However, the associations of population growth, total labor force, male education at primary level and total primary education with growth being significantly negative. This study also found long run pair-wise causality from male and female secondary school attainment separately, male primary education, total primary and total secondary education to economic success.
巴基斯坦妇女的受教育程度在整个南亚是最低的;妇女和女童在教育领域继续遭受歧视。本研究旨在利用1980年至2019年的年度二级数据,研究教育中的性别差异与巴基斯坦经济成功之间的联系。本研究除了对长期协整关系采用ARDL结合检验技术外,还采用Dickey-Fuller检验和Philip-Peron检验变量的积分顺序,并采用格兰杰因果关系检验因果关系的方向。分析表明,巴基斯坦的性别教育差距将对经济增长产生强烈的不利影响。这一发现是基于经验性解释,例如妇女在小学和中学阶段的受教育程度、政府教育支出、中学教育总额和男性中学教育对增长有重大贡献。然而,人口增长、劳动力总量、男性小学教育程度和小学教育总量与经济增长呈显著负相关。这项研究还发现了长期的成对因果关系,分别从男性和女性的中学学历、男性的小学教育程度、小学教育程度和中学教育程度到经济成功。
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引用次数: 0
FLOUTING OF GRICEANS MAXIMS IN COMEDY DRAMAS 喜剧剧中对喜剧格言的嘲弄
Pub Date : 2019-12-31 DOI: 10.46568/jssh.v58i2.8
Faiza Zeb
The only way to be successful now days in every field of life is the effective use of verbal expression. Language serves as a toolkit to inform, reveal, explore, expose, explain, manipulate, exaggerate, intensify, mitigate and what not. It has every hidden potential to serve its users. Significance of this toolkit of language can also be a bravura feature in gaining comic and/or tragic effects in media. The language of the media violates its few communicative principles which can be termed as Gricean cooperative principle, to serve the specific interests via playing upon the common use of language.  The present study explores the intricacies involved in any communication to achieve comic effects. For this purpose, Gricean maxims have been investigated thoroughly with the help of Pakistani comedy show “Bulbulay” which is a famous TV series all over the country. The TV series is considered to be popular among the masses due to its different and unique language that is achieved by flouting the maxims in Gricean’s terminology. The study explains the inimitable ways of achieving comic effects in series and also suggests further work on other areas regarding the unusual use of language to achieve desired results.
如今,在生活的各个领域取得成功的唯一途径就是有效地运用语言表达。语言是一种工具,用来告知、揭示、探索、揭露、解释、操纵、夸大、强化、缓和等等。它拥有为用户服务的所有潜在潜力。这种语言工具包的重要性也可以成为媒体获得喜剧和/或悲剧效果的一种虚张声势的特征。媒体的语言违背了其为数不多的交际原则,即格里斯合作原则,通过利用语言的共同使用来为特定利益服务。本研究探讨了任何达到喜剧效果的交流所涉及的复杂性。为此,在巴基斯坦喜剧节目“Bulbulay”的帮助下,对Gricean格言进行了深入的研究,这是一部在全国闻名的电视连续剧。这部电视剧被认为是受大众欢迎的,因为它的不同和独特的语言是通过藐视希腊术语中的格言来实现的。该研究解释了在连续剧中实现喜剧效果的独特方法,并建议在其他领域进一步开展有关不寻常语言使用的工作,以达到预期的效果。
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引用次数: 2
PEACE EDUCATION AND PEACE-BUILDING IN MAINSTREAM EDUCATION SYSTEM 主流教育体系中的和平教育与和平建设
Pub Date : 2019-06-30 DOI: 10.46568/jssh.v58i1.139
Tayyaba Zarif, Safia Urooj, Rizwan Munir
Globally human societies are battling with diverse challenges from socio-cultural apprehension to the wave of religious extremism & conflicts consequently it is a quite high time for human societies and its stakeholders to come up with the possible applied framework with solutions to face these challenges. The one specific solution is to aware of the new generation by educating them to adopt a positive attitude to resolve the issues of conflicts. Keeping the above view there is a need for introducing peace education and Peace-building in the mainstream education system at all levels. The primary objective of the current study was to explore the perception of senior University teachers as internal stakeholders of education system regarding the need for Peace Education & Peacebuilding in the mainstream education system at higher education level specifically. The selected population was public sector Universities of District Shaheed Benazirabad while the sample was thirty percent randomly selected senior teachers of three departments. The data was collected with the help of a questionnaire which was structured on the fivepoint Likert scale. The data were analyzed accordingly. The study revealed the different aspects of peace education and Peace-building. The findings recommended that high importance should be given to peace education in the mainstream education system.
在全球范围内,人类社会正在与各种各样的挑战作斗争,从社会文化忧虑到宗教极端主义和冲突的浪潮,因此,人类社会及其利益相关者是时候提出可能的应用框架和解决方案来面对这些挑战了。一个具体的解决办法是通过教育新一代采取积极的态度来解决冲突问题。保持上述观点,有必要在各级主流教育系统中引入和平教育和建设和平。本研究的主要目的是探讨大学高级教师作为教育系统内部利益相关者对高等教育主流教育系统中和平教育与建设和平的需求的看法。选定的人口是Shaheed Benazirabad地区的公立大学,而样本是30%随机选择的三个系的高级教师。数据是在李克特五分制问卷调查的帮助下收集的。据此对数据进行分析。这项研究揭示了和平教育和缔造和平的不同方面。调查结果建议在主流教育系统中高度重视和平教育。
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引用次数: 0
ASSESSING ROLE OF NEWSPAPERS IN CREATING AWARENESS OF HIV/AIDS IN PAKISTAN 评估报纸在巴基斯坦提高对艾滋病毒/艾滋病认识方面的作用
Pub Date : 2019-06-30 DOI: 10.46568/jssh.v58i1.140
Fatima Kiran
This study investigates the HIV/AIDS coverage in the selected newspapers. The premises of the study depend upon the fact that informing public about any social issue that effects people’s life is among one of the fundamental functions of media, such as HIV/AIDS is one of prime importance. In this study two most prime newspapers of Pakistan Daily Jang and Dawn were analyzed. This paper adopted two approaches for investigation one is content analysis, and another is discourse analysis. The content analysis was used to determine the frequency of HIV/AIDS content coverage. Discourse analysis was used to determine consciousness of these newspapers on covering HIV/AIDS stories with correct language and terminologies according to the given media guideline of UNICEF. Total 368 editions from 1st July 2017 to 31st December 2017 were sampled for the study. The result of the study indicates that newspapers have severely underestimated the severity of HIV/AIDS. The coverage given by newspapers is dissatisfactory. Selected newspapers used inappropriate terminologies and language in the stories which shows negligence of newspapers regarding HIV/AIDS issue.
本研究调查了所选报纸的艾滋病毒/艾滋病报道。这项研究的前提取决于这样一个事实,即向公众通报任何影响人们生活的社会问题是媒体的基本功能之一,例如艾滋病毒/艾滋病是最重要的功能之一。在本研究中,分析了巴基斯坦两家最主要的报纸《每日张报》和《黎明报》。本文采用了内容分析和语篇分析两种研究方法。内容分析用于确定HIV/AIDS内容覆盖的频率。使用话语分析来确定这些报纸根据儿童基金会给定的媒体准则使用正确的语言和术语报道艾滋病毒/艾滋病故事的意识。从2017年7月1日到2017年12月31日,共有368个版本被抽样用于研究。研究结果表明,报纸严重低估了艾滋病毒/艾滋病的严重性。报纸的报道不令人满意。一些报纸在报道中使用了不恰当的术语和语言,这表明报纸对艾滋病毒/艾滋病问题的疏忽。
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引用次数: 3
DEEPROOTED ISSUE OF CHILD LABOR IN BALOCHISTAN: A CASE STUDY OF QUETTA 俾路支省根深蒂固的童工问题:以奎达为例
Pub Date : 2019-06-30 DOI: 10.46568/jssh.v58i1.35
Sadia Barech, Muhammad Din
The phenomenon of child labor which denies children in their rights comparatively to possible outcomes and which seats them over inexpressible torments need to stop current in as irritable a period as suitable. Meanwhile, actions are being ended toward this path and administration has taken various errands to battle and expel little child labor from the general public. The task of halting and disposing of child labor needs certain separation additional devotion than most extraordinary formative games and demands for purposeful and orchestrated endeavors from every single public accomplice. The present study was noble as the child labor risk in Quetta. It is basic to commit a sign of the study area jointly through its demographic data and general data of the shared characteristics. Present contemplate was accepted in Quetta. The sample size was one hundred family units which were selected through sample random sampling technique. Children rouse the change way thusly it should be propelled with the goal that their folks could be followed and restrained precisely. With this, the general public can dishearten road peddling by methods for children. Besides, government ought to edify the general population at the appalling impacts of street selling by children. The edification must be intended for demoralizing individuals from looking for from adolescent
童工现象剥夺了儿童相对于可能的结果的权利,并使他们处于难以形容的折磨之中,这种现象需要在尽可能紧迫的时期内停止。与此同时,朝着这条道路的行动正在结束,政府已经采取了各种各样的任务来打击和驱逐公众中的童工。制止和处理童工的任务需要一定的分离,比大多数特殊的形成性游戏需要更多的投入,需要每一个公共帮助者有目的和精心策划的努力。本研究对奎达的童工风险进行了研究。通过研究区域的人口统计数据和共同特征的一般数据,共同作出研究区域的标志是基本的。目前的设想在奎达被接受。样本量为100个家庭单位,采用抽样随机抽样方法。孩子们以自己的方式激发了变革,因此应该以这样一个目标来推动变革:他们的父母可以被精确地追随和约束。有了这个,广大市民可以灰心丧气的道路上叫卖的方法为儿童。此外,政府应该教育大众认识到儿童街头贩卖的可怕影响。这种教育的目的必须是使人们从青少年时期就不再去寻找
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引用次数: 1
THE NEXUS BETWEEN INVESTMENT AND INTEREST RATE: NEW DIMENSIONS FOR PAKISTAN 投资和利率之间的关系:巴基斯坦的新维度
Pub Date : 2019-06-30 DOI: 10.46568/jssh.v58i1.130
Nooreen Mujahid, M. Noman
The nexus between investment and interest rate is always considered essential to analyze the economic activity as these variables are important economic indicators in defining macroeconomic activity. However, the unchanged condition of investment in Pakistan has raised the cost of investment and crates uncertainty in investors. The paper investigates the link between rate of interest and investment to incorporate a new dimension of call money rate that may enhance the investment opportunities in Pakistan, employing time series analysis for the time span of 1973 - 2015. The ARDL Bound Testing Approach and ECM are employed to capture both the long and short-run dynamics of the variables in the model. The results of the study indicate that the call money rate has significant effect on investment and thus on economic growth. Therefore, the preparation and implementation of financial policies may increase the investmentfriendly rate of interest to stimulate economic growth in Pakistan.
投资和利率之间的关系一直被认为是分析经济活动必不可少的,因为这些变量是定义宏观经济活动的重要经济指标。然而,巴基斯坦的投资条件不变,提高了投资成本,给投资者带来了不确定性。本文采用1973 - 2015年的时间序列分析,研究了利率与投资之间的联系,以纳入可能增加巴基斯坦投资机会的活期货币利率的新维度。采用ARDL约束测试方法和ECM来捕获模型中变量的长期和短期动态。研究结果表明,隔夜拆借利率对投资有显著影响,进而对经济增长有显著影响。因此,制定和实施有利于投资的金融政策可能会提高巴基斯坦的利率,从而刺激经济增长。
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引用次数: 2
POSTCOLONIAL AESTHETICS: AFFECT, AFFECTION OR AFFECTATION? 后殖民美学:情感、情感还是矫揉造作?
Pub Date : 2019-06-30 DOI: 10.46568/jssh.v58i1.26
Faisal Nazir
This article analyzes the concept of postcolonial aesthetics as developed and debated by such critics as Bill Ashcroft, Elleke Boehmer and Robert Young. In particular, it critiques Ashcroft’s theorization of the postcolonial aesthetics in his article ‘Towards a Postcolonial Aesthetics’ and recommends an alternative approach to the conceptualization of postcolonial aesthetics with reference to Muhammad Hasan Askari’s essay on Ahmed Ali’s novel Twilight in Delhi. It questions Ashcroft’s emphasis on the hybrid linguistic makeup of the postcolonial text as the source of the particular aesthetic effects of the text and emphasizes the need for differentiating between affection– the writer’s deep sense of engagement with and involvement in the narrative – and affectation – a clever use of native words and expressions by the writer to authenticate his or her cultural identity – in discussing the affective dimension of a postcolonial text. The article argues that the aesthetic impact of the postcolonial text is produced by the intensity of experience and emotional involvement of the postcolonial writer (affection) as opposed to being produced by creative wordplay and mixing of local and foreign languages (affectation). Thus, the article contributes to the ongoing debates about the aesthetic dimension of postcolonial literature.
本文分析了后殖民美学的概念,这一概念是由Bill Ashcroft、Elleke Boehmer和Robert Young等批评家发展和争论的。特别是,它批评了阿什克罗夫特在他的文章“走向后殖民美学”中对后殖民美学的理论化,并参考穆罕默德·哈桑·阿斯卡里关于艾哈迈德·阿里的小说《德里的黄昏》的文章,推荐了一种替代方法来概念化后殖民美学。它质疑阿什克罗夫特强调后殖民文本的混合语言构成是文本特殊美学效果的来源,并强调在讨论后殖民文本的情感维度时,需要区分情感(作家对叙事的深刻参与和参与)和矫揉造作(作家巧妙地使用本土词汇和表达来验证他或她的文化身份)。文章认为,后殖民文本的审美影响是由后殖民作家的体验强度和情感参与(情感)产生的,而不是由创造性的文字游戏和本土语言和外语的混合(矫情)产生的。因此,本文对后殖民文学的美学维度的争论做出了贡献。
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引用次数: 0
THE ABSOLUTISM OF MARX AND ITS CONSEQUENCES: FOCUS ON KARL POPPER’S CRITIQUE OF MARX 马克思的绝对主义及其后果:以卡尔·波普尔对马克思的批判为中心
Pub Date : 2019-06-30 DOI: 10.46568/jssh.v58i1.128
M. Ateeq
Marx’s works have left enormous influence on Western thought. Social change is the main concern of his thought. He views social change as a dialectical process which ultimately leads to absolute social order. For Marx the dialectic of material forces is central in the process of social generation that eventually leads to ‘socialism’. Marx thinks that individuals have their identity because of some kind of collectivity. Each historical stage furnishes individual with a fixed identity and corresponding role. Karl Popper, who is one of the most renowned critics of Marx, critically examines Marx’s work. He is of the view that Marx’s thought embraces historicism and holism which cannot be rationally justifiable. Popper points out the irrational consequences of Marx’s absolutism. This paper attempts to highlight the absolutistic trend lying deep in Marx’s thought and then focuses on Popper’s critique of Marx’s absolutism.
马克思的著作对西方思想产生了巨大的影响。社会变革是他思想的主要内容。他认为社会变革是一个辩证的过程最终导致绝对的社会秩序。对于马克思来说,物质力量的辩证法是最终导致“社会主义”的社会生成过程的中心。马克思认为人因为某种集体身份。每个历史阶段,为个人提供了固定的身份和相应的角色。卡尔·波普尔是马克思最著名的批评家之一,他对马克思的著作进行了批判性的审视。他认为,马克思的思想中包含着历史主义和整体主义,这是不合理的。波普尔指出了马克思专制主义的非理性后果。本文试图突出马克思思想中深层的绝对主义倾向,并着重分析波普尔对马克思绝对主义的批判。
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引用次数: 2
期刊
American journal of social sciences and humanities
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