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10 پنجواں شکار

پنجواں شکار

                شکندر بارہویں جماعت دا طالب علم سی اک دیہاڑے جدوں اوہ کالج اپڑیا تے اوہنے ویکھیا پئی کالج دے نیڑے خالی میدان وچ خانہ بدوشاں دیاں پکھیاں لگیاں ہوئیاں نیں کالج لگن وچ اجے کجھ چررہندا سی پئی اوہ بے وس ہوکے پکھیاں ول ٹرپیا جدوں اوہ اک پکھی دے کول اپڑیا تے بت بن کے کھلوتا رہ گیا ایس پکھی وچ اک کڑی چھج بناون وچ لگی ہوئی سی اوہنے سدھے سادھے کپڑے پائے ہوئے سن اوہدیاں گلہاں نوں اک لٹ لگدی پئی سی۔ موٹیاں موٹیاں اکھاں، گول گپا جہیا چہرہ۔ اچن چیت اکو واری ایس کڑی نے شکند رول ویکھیا دونواں دیاں اکھاں چار ہوئیاں تے فیر اوس کڑی نے سر تھلے کرلیا خدا جانے کدوں تیکر شکند راوہدے دل ویکھدا رہیا جدوں کالج دا ویلا ہوگیا تے اوہ مجبور ہوکے کالج ول ٹرپیا پر اوہ چنگی طراں کالج وچہ پڑھ نہ سکیا ہر ویلے اوس کڑی دے خیالاں وچ ڈبیا رہیا۔

                جدوں کالج توں ویہلا ہوئیا بے وس اوہدے قدم اوس پکھی ول اٹھ پئے جیہدے وچ اوہ مٹیار بیٹھی ہوئی سی۔ جدوں شکندر اوتھے اپڑیا تے اوہ وی پہلے توں اوہدی اڈیک وچ سی تے کہن لگی ’’تسیں آگے اوباؤ جی، میں تہاڈی ای اڈیک وچ بیٹھی سی‘‘ ایہہ گل سن کے شکندر حیران ہو گیا اوس کڑی نے دوجی وار فیر آکھیا۔

اسلام کا تصور تعلیم و تربیت

Education has been considered of primary importance in human life. Religion and education are interrelated. A civilized society requires educational revolution in behavior of human beings. Education creates awareness about the human goals and real aim of life. This activity makes it possible to train the people in the right direction. Better education coupled with proper training makes a human being well-mannered and enables him to use his hidden qualities for the benefit of mankind, thus making him a beneficial not only for himself but also for the society. The preaching of religion depends upon the education and training. Our holy Prophet ﷺ was an ideal educationist not only of his time but also for the future generations. The Holy Prophet ﷺ being a great educationist and reformer initiated the University of Suffa in Medina when the Islamic society was in its infancy. Prophet ﷺ described the conditions, pattern and qualities of a teacher. A good teacher must be interpreted as good practitioner as well. The article deals with the moral qualities of a teacher and educationist in the light of teachings of the Prophet Muhammad ﷺ. The discussion has made clear the aim of Islamic education which is not limited within the domain of worship or prayers. Islam is a complete code of life which emphasizes the training of human being through education.

Outcomes in Patients With Acute Coronary Syndromes at the Aga Khan University Hospital, Nairobi

Background: As the prevalence of cardiovascular diseases in Sub-Saharan Africa rises, coronary artery disease, with its acute presentations, is being increasingly recognized in Kenyans and treated at tertiary level hospitals. It is just over a decade since the introduction and wide availability of modern cardiology services, including interventional cardiology in Kenya. Following an acute coronary syndrome (ACS), patients remain at high risk of death and other adverse events such as heart failure, recurrent myocardial infarction, stroke, and bleeding. Local and regional data on long-term outcomes following ACS are lacking. These data are important to clinicians for prognostication and to health care planners for resources allocation. Objectives: The objectives of this study were to determine the in-hospital and long-term outcomes of patients following the treatment of Acute Coronary Syndromes. Specific objectives included determining in-hospital, 30-day and one-year mortality of ACS patients, and the rates of several non-fatal adverse outcomes including reinfarction, heart failure and cardiogenic shock, revascularization, stroke, major bleeding and re-hospitalization due to specific major adverse events. Methods: The study was a retrospective chart review of ACS admissions during a two year period (2012-2013) for all acute coronary syndrome admissions. Data on patient characteristics, treatment, and inpatient and short-term outcomes were obtained from the patients’ medical records. Telephone interviews were conducted to determine long-term results. Results: A total of 230 patients were included in the analysis. Of these, 101 had a diagnosis of STEMI, 93 suffered an NSTEMI, and 36 had UA. Males accounted for 81.7% of the patients, and the mean age was 60.5 years. Delayed presentation was common with more than 35% of patients taking longer than 24 hours to arrive. Coronary angiography was performed in 85.2% of the patients. The in-hospital mortality was 7.8% (14.9% for STEMI and 2.3% for NSTE-ACS), the mortality at 30 days and one year was 7.8% and 13.9% respectively. The most common in-hospital non-fatal adverse outcome was heart failure, occurring in 40.4% of STEMI and 16.3% of NSTE-ACS. Readmission rate due to recurrent MI, stroke or bleeding at one year was 6.6%. Conclusion: In our cohort, in-hospital, 30 day and one year mortality following acute coronary syndromes remains high, particularly for STEMI. Delayed presentation to hospital following the onset of symptoms appears to be an important contributing factor.
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