تاریک دور
جب پاکستان میں ایک تاریک دور کا آغاز ہوا ۔پھانسی کوڑے طویل المعیاد سزائیں سیاسی کارکنوںکا مقدر بنیں ۔پاکستان کے سیاسی ،سماجی کلچر کو یکسر تبدیل کر دیا گیا ۔کلاشنکوف کلچر اور سعودی برانڈ اسلام کو درآمد کیا گیا ۔روس افغانستان جنگ میں دلالی جہادی کلچر کے فروغ نے پاکستان کو بارود کے ڈھیر میں بدل دیا ۔جس کی آگ میںہم آج تک سلگ رہے ہیں ۔
One of the main arguments that Allah has made in the Quran about the authenticity of this last book is that the Quran is free from all kinds of contradictions and differences. Whoever interprets the Quran, the authenticity of the Quran has become clearer on it. Different forms of language and literature are adopted in the Quran. If one is not familiar with the Quranic verses or does not have access to the truth of the words or is unfamiliar with the reality of the ayah, it may be possible to feel the contradiction in some places, when in reality it is not.
Introduction: Day Care Surgery (DCS) is the surgical care of patients on a planned non-residential basis. The objective of the study was to assess the performance of DCS in the context of a developing country within the private sector. Data from a new DCS unit was compared to internationally accepted indicators of the quality of care.
Methodology: A hospital based retrospective chart review of all patients operated on within 10 surgical subspecialties was performed. The review period was the June 2006 to July 2007(12 months).
Analysis (SPSS version 11.5): Outcome measures included in-patient to DCS ratio in the various specialties; inpatients qualifying for DCS; overall unplanned admission rates; morbidity rates and the number of inappropriate daycare cases. Univariate analysis was used to test for factors affecting the unplanned admission rate. A logistic regression model was used for multivariate analysis.
Results: Inpatient to DCS ratio in all the subspecialties was below recommended benchmarks. Thirty six percent (36%, n=328/910) of inpatients were candidates for DCS. The unplanned admission rate was 12% (n=47/395) with lack of outpatient insurance cover being the commonest reason (48.93%, n=23/47). Multivariate analysis noted only two significant variables, ASA grading and postoperative morbidity. The overall morbidity rate of the DCS cases was 5% (n=18/395) pain being the most common type of morbidity. Almost 3 %( n=13/395) of patients were inappropriately treated as DCS patients.
Conclusions: The unplanned admission rate of 12% compares unfavorably with other DCS units. Omitting cases of inappropriate insurance cover, the overall rate falls to 6.45%, comparing well to other units. The retrospective nature of the study placed important limitations on the data acquisition. DCS is a feasible system of healthcare delivery in the private sector of developing countries.